Hospital Costs > In New York > Albany Medical Center Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 281 | 286 / 16 | $34.455,10 | 423 / 38 | $16.487,20 | 1762 / 65 | $12.731,80 | 1722 / 40 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 243 | 273 / 35 | $55.220,90 | 1956 / 98 | $16.070,60 | 2284 / 88 | $13.571,30 | 2243 / 86 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 170 | 105 / 16 | $25.276,80 | 1903 / 99 | $7.490,37 | 2355 / 89 | $5.720,49 | 2340 / 85 |
Major Cardiovasc Procedures W/O Mcc | 136 | 4 / 2 | $77.446,90 | 347 / 21 | $26.429,90 | 686 / 19 | $22.394,30 | 685 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 103 | 66 / 6 | $67.787,80 | 1245 / 68 | $16.147,90 | 1172 / 50 | $11.932,40 | 1166 / 32 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 98 | 32 / 4 | $173.386,00 | 353 / 15 | $43.875,30 | 394 / 12 | $37.397,10 | 394 / 12 |
Kidney & Urinary Tract Infections W/O Mcc | 94 | 139 / 29 | $21.448,50 | 1719 / 71 | $7.546,83 | 2305 / 89 | $5.787,50 | 2294 / 80 |
Seizures W/O Mcc | 92 | 21 / 4 | $24.399,00 | 750 / 59 | $7.661,45 | 998 / 55 | $5.535,68 | 996 / 45 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 87 | 17 / 3 | $39.066,70 | 1339 / 70 | $7.524,17 | 1406 / 47 | $5.851,29 | 1402 / 50 |
Cellulitis W/O Mcc | 87 | 102 / 27 | $19.937,70 | 1474 / 72 | $8.099,30 | 2086 / 89 | $5.777,37 | 2078 / 73 |
Heart Failure & Shock W Cc | 87 | 191 / 40 | $40.133,20 | 2331 / 118 | $9.860,84 | 2373 / 93 | $7.661,98 | 2367 / 85 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 86 | 121 / 29 | $39.447,80 | 2016 / 105 | $11.019,40 | 2212 / 93 | $8.069,73 | 2203 / 83 |
Medical Back Problems W/O Mcc | 85 | 37 / 7 | $26.034,60 | 871 / 48 | $8.103,62 | 1094 / 53 | $5.547,06 | 1090 / 41 |
Syncope & Collapse | 85 | 84 / 25 | $24.125,10 | 1174 / 78 | $7.352,27 | 1594 / 65 | $5.508,15 | 1587 / 58 |
Chest Pain | 85 | 66 / 18 | $18.872,10 | 833 / 61 | $6.118,89 | 1423 / 48 | $4.821,84 | 1415 / 49 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 83 | 99 / 9 | $60.915,80 | 1879 / 102 | $11.280,80 | 1877 / 76 | $8.760,25 | 1873 / 73 |
Other Vascular Procedures W Mcc | 80 | 21 / 3 | $103.620,00 | 622 / 38 | $29.709,50 | 814 / 25 | $26.004,50 | 811 / 23 |
G.I. Hemorrhage W Cc | 79 | 139 / 31 | $29.810,90 | 1543 / 74 | $9.044,86 | 2066 / 78 | $7.589,18 | 2062 / 74 |
Other Vascular Procedures W Cc | 76 | 29 / 7 | $74.571,30 | 585 / 29 | $20.621,40 | 841 / 22 | $17.828,80 | 836 / 21 |
Spinal Fusion Except Cervical W/O Mcc | 75 | 119 / 8 | $59.842,70 | 217 / 20 | $30.932,00 | 679 / 29 | $22.941,90 | 675 / 13 |
Renal Failure W Mcc | 73 | 122 / 16 | $49.719,70 | 1574 / 72 | $14.369,10 | 1811 / 62 | $11.920,60 | 1807 / 53 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 72 | 46 / 7 | $230.505,00 | 277 / 11 | $64.267,60 | 302 / 7 | $55.459,00 | 302 / 6 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 69 | 127 / 21 | $80.335,70 | 871 / 38 | $16.451,50 | 1232 / 21 | $14.484,40 | 1225 / 27 |
Renal Failure W Cc | 67 | 154 / 28 | $29.917,30 | 1691 / 76 | $9.353,34 | 2171 / 77 | $7.865,39 | 2161 / 77 |
Heart Failure & Shock W Mcc | 63 | 221 / 46 | $67.131,50 | 2300 / 118 | $16.272,40 | 2465 / 96 | $13.677,30 | 2454 / 95 |
Heart Failure & Shock W Mcc | 63 | 221 / 46 | $67.131,50 | 2300 / 118 | $16.272,40 | 2465 / 96 | $13.677,30 | 2454 / 95 |
Other Circulatory System Diagnoses W Mcc | 63 | 53 / 6 | $65.059,00 | 991 / 53 | $16.050,70 | 1021 / 34 | $13.705,70 | 1014 / 27 |
Pulmonary Edema & Respiratory Failure | 59 | 144 / 16 | $50.400,70 | 1768 / 89 | $11.517,70 | 1964 / 73 | $9.823,42 | 1958 / 73 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 55 | 106 / 23 | $31.051,30 | 1668 / 91 | $7.871,35 | 1850 / 72 | $6.055,05 | 1845 / 68 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 54 | 70 / 17 | $145.912,00 | 988 / 67 | $43.644,30 | 1242 / 44 | $39.895,00 | 1232 / 41 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 53 | 42 / 9 | $79.082,90 | 332 / 23 | $17.302,60 | 447 / 12 | $14.051,50 | 443 / 11 |
Chronic Obstructive Pulmonary Disease W Cc | 53 | 126 / 30 | $26.281,90 | 1535 / 84 | $8.902,38 | 2038 / 86 | $6.843,72 | 2031 / 76 |
Major Small & Large Bowel Procedures W Mcc | 52 | 33 / 4 | $165.199,00 | 893 / 40 | $52.969,80 | 810 / 50 | $33.747,10 | 808 / 15 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 52 | 136 / 26 | $64.339,90 | 1442 / 63 | $10.993,40 | 1468 / 35 | $8.828,71 | 1465 / 36 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 52 | 15 / 1 | $45.489,00 | 401 / 20 | $10.590,00 | 387 / 12 | $7.891,23 | 386 / 12 |
Chronic Obstructive Pulmonary Disease W Mcc | 50 | 152 / 42 | $41.480,20 | 1967 / 103 | $11.092,50 | 2151 / 85 | $8.543,36 | 2143 / 74 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 50 | 11 / 2 | $23.913,30 | 222 / 10 | $7.296,94 | 302 / 12 | $5.495,40 | 302 / 11 |
Other Kidney & Urinary Tract Diagnoses W Cc | 50 | 54 / 5 | $34.765,50 | 594 / 30 | $10.742,80 | 628 / 30 | $7.154,18 | 628 / 21 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 50 | 116 / 45 | $21.682,50 | 1695 / 82 | $6.929,50 | 2220 / 87 | $5.632,08 | 2212 / 86 |
Postoperative & Post-Traumatic Infections W/O Mcc | 49 | 10 / 2 | $23.667,50 | 182 / 12 | $9.194,04 | 275 / 19 | $6.629,69 | 275 / 15 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 47 | 49 / 8 | $36.587,70 | 859 / 44 | $10.971,90 | 1183 / 41 | $9.176,11 | 1178 / 41 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 46 | 104 / 30 | $18.218,70 | 1285 / 72 | $6.220,20 | 1720 / 78 | $4.160,72 | 1714 / 71 |
Peripheral Vascular Disorders W Cc | 45 | 39 / 12 | $31.752,90 | 853 / 46 | $8.607,40 | 978 / 36 | $7.057,42 | 975 / 32 |
Other Circulatory System O.R. Procedures | 45 | 11 / 2 | $53.463,60 | 116 / 5 | $20.914,40 | 266 / 2 | $18.562,00 | 266 / 4 |
Major Small & Large Bowel Procedures W Cc | 45 | 63 / 12 | $61.539,20 | 669 / 37 | $21.258,70 | 1090 / 49 | $16.468,80 | 1077 / 32 |
Degenerative Nervous System Disorders W/O Mcc | 45 | 33 / 11 | $34.071,20 | 585 / 43 | $9.554,67 | 641 / 35 | $7.003,91 | 641 / 30 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 44 | 81 / 22 | $79.324,60 | 1553 / 96 | $18.137,00 | 1678 / 74 | $15.050,20 | 1665 / 70 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 43 | 83 / 22 | $44.280,30 | 1384 / 76 | $11.649,90 | 1499 / 53 | $9.407,63 | 1496 / 51 |
Extracranial Procedures W/O Cc/Mcc | 42 | 56 / 5 | $20.877,70 | 160 / 17 | $8.926,26 | 769 / 22 | $7.133,67 | 766 / 22 |
Major Cardiovasc Procedures W Mcc | 42 | 26 / 4 | $181.366,00 | 457 / 22 | $50.001,10 | 488 / 17 | $39.593,00 | 487 / 9 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 42 | 89 / 13 | $66.646,40 | 1075 / 68 | $19.399,30 | 1298 / 51 | $15.693,00 | 1285 / 33 |
G.I. Hemorrhage W Mcc | 41 | 80 / 18 | $58.536,00 | 1166 / 59 | $15.292,10 | 1222 / 47 | $12.378,50 | 1214 / 33 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 41 | 83 / 25 | $28.515,80 | 670 / 49 | $8.889,32 | 710 / 39 | $5.837,22 | 709 / 35 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 39 | 62 / 11 | $53.446,00 | 822 / 40 | $14.566,40 | 899 / 36 | $12.099,50 | 895 / 34 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 38 | 13 / 3 | $57.806,60 | 197 / 6 | $17.022,10 | 233 / 4 | $14.083,60 | 233 / 4 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 37 | 44 / 6 | $484.787,00 | 261 / 18 | $143.129,00 | 301 / 5 | $129.257,00 | 300 / 7 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 37 | 63 / 12 | $119.515,00 | 662 / 26 | $27.533,70 | 684 / 15 | $21.829,90 | 680 / 10 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 36 | 38 / 4 | $57.464,90 | 91 / 6 | $17.904,80 | 145 / 5 | $14.626,30 | 144 / 2 |
Kidney & Urinary Tract Infections W Mcc | 36 | 108 / 28 | $32.171,00 | 1255 / 45 | $10.042,50 | 1613 / 53 | $8.186,47 | 1609 / 47 |
Acute Myocardial Infarction, Discharged Alive W Cc | 36 | 55 / 13 | $54.911,60 | 1247 / 76 | $10.576,80 | 1306 / 59 | $8.829,03 | 1304 / 60 |
Kidney Transplant | 36 | 66 / 7 | $215.674,00 | 111 / 9 | $40.236,50 | 102 / 6 | $24.902,10 | 102 / 2 |
Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 54 | $27.980,80 | 1837 / 84 | $8.945,67 | 2462 / 95 | $7.501,28 | 2453 / 92 |
Signs & Symptoms W/O Mcc | 36 | 55 / 18 | $21.271,10 | 715 / 44 | $6.997,75 | 935 / 43 | $4.670,28 | 932 / 34 |
Other Vascular Procedures W/O Cc/Mcc | 36 | 20 / 6 | $36.854,60 | 133 / 9 | $13.426,00 | 408 / 12 | $11.365,30 | 407 / 11 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 35 | 53 / 7 | $142.128,00 | 449 / 18 | $30.724,30 | 487 / 9 | $26.943,30 | 486 / 11 |
Major Chest Procedures W/O Cc/Mcc | 34 | 28 / 5 | $34.824,50 | 44 / 2 | $15.210,10 | 145 / 6 | $11.417,90 | 145 / 3 |
Cervical Spinal Fusion W/O Cc/Mcc | 32 | 72 / 11 | $41.747,90 | 225 / 13 | $17.094,00 | 651 / 11 | $14.218,90 | 648 / 12 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 31 | 31 / 14 | $26.120,50 | 530 / 45 | $7.622,29 | 616 / 45 | $5.160,39 | 614 / 39 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 31 | 16 / 6 | $24.444,40 | 228 / 18 | $7.154,23 | 293 / 12 | $5.524,68 | 293 / 14 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 30 | 31 / 8 | $28.258,60 | 727 / 42 | $6.870,70 | 713 / 27 | $4.895,57 | 712 / 22 |
Permanent Cardiac Pacemaker Implant W Cc | 30 | 47 / 11 | $101.788,00 | 780 / 36 | $22.158,70 | 794 / 25 | $19.416,20 | 790 / 24 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 25 | $19.120,90 | 1193 / 64 | $7.304,13 | 1632 / 79 | $4.728,90 | 1621 / 61 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 30 | 68 / 8 | $141.929,00 | 330 / 16 | $46.398,30 | 392 / 17 | $33.761,00 | 392 / 10 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 29 | 39 / 9 | $27.632,10 | 412 / 22 | $8.101,79 | 559 / 19 | $6.524,97 | 559 / 20 |
Transient Ischemia | 29 | 96 / 31 | $33.341,60 | 1287 / 86 | $7.041,34 | 1319 / 62 | $4.930,31 | 1313 / 52 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 29 | 10 / 1 | $56.757,80 | 103 / 5 | $18.006,20 | 120 / 3 | $14.764,10 | 120 / 3 |
Red Blood Cell Disorders W/O Mcc | 29 | 114 / 47 | $26.539,10 | 1338 / 73 | $9.594,07 | 1490 / 81 | $5.442,28 | 1481 / 50 |
Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 46 | $34.423,80 | 1311 / 58 | $12.153,00 | 2090 / 74 | $10.580,80 | 2086 / 71 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 31 | $80.663,60 | 1851 / 104 | $19.553,00 | 1889 / 100 | $14.368,60 | 1886 / 94 |
Peripheral Vascular Disorders W/O Cc/Mcc | 28 | 17 / 5 | $20.723,10 | 229 / 9 | $6.570,79 | 315 / 12 | $4.934,14 | 315 / 11 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 28 | 61 / 9 | $29.194,70 | 281 / 13 | $9.414,82 | 576 / 11 | $7.111,50 | 575 / 15 |
Other Circulatory System Diagnoses W Cc | 27 | 39 / 7 | $32.413,20 | 449 / 14 | $9.726,11 | 525 / 17 | $7.090,78 | 524 / 16 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 27 | 28 / 3 | $75.809,40 | 82 / 3 | $25.358,60 | 108 / 1 | $19.442,50 | 108 / 1 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 26 | 38 / 7 | $29.899,70 | 134 / 9 | $13.958,70 | 572 / 20 | $10.673,70 | 572 / 16 |
Diabetes W Cc | 26 | 66 / 23 | $23.576,40 | 921 / 49 | $7.674,65 | 1294 / 47 | $6.138,35 | 1289 / 49 |
Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 44 | $57.033,80 | 1276 / 68 | $15.875,90 | 1689 / 61 | $13.958,50 | 1670 / 57 |
Other Digestive System Diagnoses W Cc | 25 | 72 / 24 | $30.619,80 | 884 / 41 | $9.931,48 | 1010 / 47 | $6.518,76 | 1006 / 30 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 25 | 21 / 7 | $20.173,60 | 157 / 10 | $7.186,16 | 321 / 16 | $4.996,16 | 320 / 13 |
Headaches W/O Mcc | 25 | 18 / 3 | $21.659,20 | 118 / 4 | $6.592,68 | 188 / 2 | $5.117,04 | 188 / 2 |
Major Chest Procedures W Cc | 25 | 49 / 7 | $53.712,80 | 144 / 9 | $21.121,50 | 286 / 14 | $15.824,20 | 284 / 8 |
Other Disorders Of Nervous System W Cc | 25 | 31 / 8 | $30.354,50 | 382 / 14 | $9.704,64 | 461 / 22 | $6.417,96 | 461 / 13 |
Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 38 | $28.107,30 | 1659 / 100 | $7.166,52 | 1751 / 77 | $5.323,52 | 1738 / 72 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 25 | 30 / 7 | $56.233,80 | 317 / 10 | $16.823,60 | 163 / 8 | $10.306,50 | 163 / 2 |
Other Digestive System Diagnoses W Mcc | 25 | 37 / 11 | $42.732,70 | 354 / 17 | $14.402,00 | 561 / 18 | $12.550,00 | 560 / 17 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 24 | 39 / 8 | $127.382,00 | 378 / 20 | $37.688,20 | 430 / 14 | $31.592,70 | 430 / 10 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 24 | 23 / 5 | $37.849,90 | 197 / 10 | $14.784,20 | 317 / 19 | $8.852,62 | 317 / 4 |
Respiratory Infections & Inflammations W Cc | 24 | 64 / 22 | $71.691,90 | 1348 / 77 | $14.814,70 | 1421 / 66 | $12.462,50 | 1416 / 67 |
Other Kidney & Urinary Tract Diagnoses W/O Cc/Mcc | 24 | 3 / 1 | $26.212,70 | 29 / 5 | $7.387,33 | 32 / 4 | $5.395,71 | 32 / 4 |
Other Kidney & Urinary Tract Procedures W Cc | 24 | 4 / 1 | $47.837,80 | 31 / 3 | $18.269,20 | 54 / 2 | $15.047,70 | 54 / 1 |
Other Kidney & Urinary Tract Procedures W Mcc | 24 | 14 / 2 | $73.049,90 | 86 / 5 | $25.165,50 | 134 / 3 | $21.676,60 | 133 / 3 |
Hypertension W/O Mcc | 23 | 42 / 13 | $24.148,00 | 514 / 36 | $6.537,13 | 658 / 23 | $4.882,04 | 656 / 25 |
G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 17 | $21.080,80 | 866 / 47 | $6.722,32 | 1198 / 58 | $4.922,27 | 1195 / 60 |
Other Disorders Of Nervous System W/O Cc/Mcc | 22 | 13 / 5 | $29.571,40 | 96 / 12 | $7.441,86 | 110 / 10 | $5.202,82 | 110 / 7 |
Fractures Of Hip & Pelvis W/O Mcc | 22 | 39 / 13 | $28.818,30 | 729 / 46 | $7.823,55 | 798 / 48 | $5.258,59 | 797 / 37 |
Otitis Media & Uri W/O Mcc | 22 | 22 / 9 | $21.335,50 | 110 / 9 | $6.517,09 | 151 / 11 | $4.733,18 | 151 / 9 |
Poisoning & Toxic Effects Of Drugs W Mcc | 22 | 50 / 5 | $60.823,20 | 806 / 28 | $13.742,40 | 849 / 17 | $11.787,30 | 846 / 18 |
Complications Of Treatment W Cc | 21 | 31 / 6 | $29.426,90 | 210 / 8 | $8.629,29 | 247 / 9 | $7.196,10 | 247 / 8 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 20 | 34 / 9 | $176.951,00 | 252 / 17 | $37.395,40 | 266 / 18 | $32.708,80 | 266 / 18 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 20 | 44 / 16 | $257.442,00 | 260 / 20 | $80.889,10 | 322 / 7 | $68.499,00 | 322 / 3 |
Diabetes W Mcc | 20 | 37 / 13 | $53.849,40 | 596 / 35 | $12.576,70 | 609 / 16 | $10.858,00 | 608 / 17 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 20 | 49 / 15 | $299.562,00 | 189 / 12 | $90.676,90 | 157 / 11 | $63.852,60 | 157 / 3 |
Respiratory Signs & Symptoms | 20 | 26 / 10 | $22.943,80 | 156 / 10 | $6.250,80 | 226 / 8 | $4.891,75 | 226 / 9 |
Bronchitis & Asthma W Cc/Mcc | 20 | 56 / 22 | $32.907,90 | 777 / 44 | $8.387,00 | 910 / 30 | $6.618,20 | 906 / 31 |
Pulmonary Embolism W/O Mcc | 19 | 55 / 15 | $29.351,90 | 816 / 31 | $8.806,95 | 1117 / 37 | $7.348,47 | 1114 / 36 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 19 | 47 / 8 | $48.432,50 | 258 / 9 | $15.467,50 | 454 / 7 | $13.736,50 | 451 / 10 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 11 | $32.600,80 | 68 / 8 | $16.836,90 | 679 / 13 | $15.402,90 | 675 / 18 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 19 | 23 / 4 | $166.187,00 | 109 / 5 | $46.892,90 | 91 / 3 | $37.299,50 | 91 / 2 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 19 | 15 / 4 | $133.443,00 | 127 / 6 | $39.901,90 | 146 / 2 | $34.876,70 | 146 / 3 |
G.I. Hemorrhage W/O Cc/Mcc | 19 | 49 / 21 | $19.299,80 | 527 / 26 | $6.902,68 | 864 / 36 | $5.488,58 | 860 / 38 |
Nervous System Neoplasms W Mcc | 19 | 29 / 9 | $94.211,50 | 293 / 21 | $23.703,00 | 306 / 23 | $17.355,30 | 306 / 22 |
Extracranial Procedures W Cc | 19 | 27 / 5 | $40.398,80 | 162 / 5 | $14.283,80 | 273 / 9 | $10.207,90 | 273 / 5 |
Stomach, Esophageal & Duodenal Proc W Mcc | 19 | 22 / 3 | $197.921,00 | 172 / 8 | $56.726,00 | 199 / 8 | $48.948,30 | 199 / 8 |
Other Disorders Of Nervous System W Mcc | 19 | 21 / 3 | $53.715,40 | 224 / 4 | $14.666,90 | 181 / 3 | $10.524,30 | 181 / 2 |
Medical Back Problems W Mcc | 18 | 21 / 6 | $40.879,20 | 148 / 3 | $13.565,30 | 223 / 5 | $10.961,90 | 223 / 3 |
Revision Of Hip Or Knee Replacement W Cc | 18 | 68 / 11 | $55.151,90 | 108 / 6 | $27.668,80 | 194 / 11 | $17.936,20 | 194 / 2 |
Carotid Artery Stent Procedure W/O Cc/Mcc | 18 | 14 / 1 | $28.035,40 | 8 / 2 | $13.762,90 | 77 / 1 | $11.523,40 | 77 / 1 |
Peripheral Vascular Disorders W Mcc | 18 | 31 / 14 | $36.775,40 | 313 / 14 | $12.031,40 | 409 / 16 | $9.496,67 | 409 / 16 |
Complications Of Treatment W Mcc | 18 | 33 / 6 | $36.741,40 | 87 / 7 | $14.747,60 | 136 / 6 | $11.293,90 | 136 / 5 |
Hernia Procedures Except Inguinal & Femoral W Cc | 18 | 16 / 4 | $35.648,60 | 31 / 2 | $13.468,40 | 97 / 2 | $11.010,30 | 97 / 2 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 21 | $148.722,00 | 548 / 42 | $39.413,00 | 702 / 20 | $37.175,90 | 701 / 19 |
Coronary Bypass W Cardiac Cath W/O Mcc | 18 | 58 / 15 | $199.499,00 | 497 / 27 | $41.547,90 | 575 / 15 | $38.556,10 | 575 / 21 |
Fever | 17 | 29 / 12 | $22.891,40 | 149 / 11 | $7.788,12 | 277 / 16 | $6.812,12 | 277 / 19 |
Red Blood Cell Disorders W Mcc | 17 | 54 / 23 | $45.003,90 | 762 / 50 | $12.683,40 | 595 / 41 | $7.774,65 | 592 / 10 |
Renal Failure W/O Cc/Mcc | 17 | 39 / 10 | $20.395,90 | 567 / 17 | $6.383,94 | 745 / 22 | $4.888,71 | 743 / 24 |
O.R. Procedures For Obesity W/O Cc/Mcc | 17 | 60 / 15 | $38.401,00 | 165 / 20 | $13.838,80 | 230 / 17 | $9.142,06 | 230 / 10 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 36 | $154.979,00 | 554 / 58 | $46.738,40 | 333 / 32 | $33.744,50 | 332 / 4 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 17 | 19 / 4 | $84.356,30 | 255 / 10 | $22.626,50 | 317 / 11 | $19.550,80 | 316 / 12 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 19 | $29.413,80 | 632 / 22 | $10.016,60 | 924 / 32 | $8.683,12 | 922 / 28 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 17 | 31 / 6 | $36.734,90 | 86 / 6 | $11.760,20 | 153 / 4 | $9.999,18 | 153 / 4 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 22 | $93.386,80 | 723 / 29 | $19.884,90 | 709 / 20 | $15.543,10 | 702 / 18 |
Seizures W Mcc | 17 | 49 / 14 | $81.494,00 | 686 / 40 | $15.968,20 | 662 / 20 | $13.702,90 | 662 / 19 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 17 | 40 / 19 | $66.585,80 | 482 / 27 | $18.285,90 | 484 / 19 | $13.637,60 | 483 / 10 |
Other Resp System O.R. Procedures W Cc | 17 | 30 / 5 | $48.426,70 | 149 / 4 | $15.431,40 | 134 / 4 | $11.166,40 | 134 / 2 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 16 | $46.439,00 | 777 / 55 | $7.307,50 | 754 / 35 | $5.776,31 | 750 / 36 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 16 | 40 / 10 | $49.829,90 | 416 / 15 | $14.915,80 | 324 / 14 | $11.424,00 | 323 / 5 |
G.I. Obstruction W Mcc | 16 | 26 / 9 | $73.753,80 | 469 / 24 | $16.183,10 | 472 / 17 | $13.614,50 | 472 / 16 |
Cervical Spinal Fusion W Cc | 16 | 37 / 7 | $49.145,30 | 80 / 5 | $21.485,80 | 167 / 6 | $16.493,40 | 166 / 4 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 16 | 28 / 13 | $28.553,40 | 188 / 23 | $7.586,44 | 252 / 15 | $5.955,19 | 252 / 14 |
Other O.R. Procedures For Injuries W Mcc | 15 | 22 / 3 | $100.927,00 | 102 / 4 | $35.027,00 | 140 / 3 | $32.267,20 | 140 / 3 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 15 | 30 / 8 | $56.316,90 | 106 / 6 | $17.439,30 | 97 / 2 | $12.363,90 | 97 / 1 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 15 | $42.846,70 | 461 / 21 | $13.422,90 | 780 / 22 | $11.786,30 | 777 / 23 |
Psychoses | 15 | 260 / 12 | $19.716,50 | 322 / 3 | $9.031,27 | 468 / 5 | $7.491,53 | 468 / 6 |
Stomach, Esophageal & Duodenal Proc W Cc | 15 | 35 / 6 | $58.147,60 | 69 / 3 | $21.311,30 | 121 / 4 | $17.218,10 | 121 / 4 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 15 | 61 / 13 | $72.801,90 | 429 / 12 | $16.516,10 | 404 / 6 | $14.234,10 | 404 / 7 |
Cellulitis W Mcc | 15 | 43 / 22 | $32.608,00 | 433 / 18 | $11.801,50 | 675 / 28 | $9.776,60 | 673 / 19 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 16 | $94.752,80 | 668 / 32 | $26.019,10 | 785 / 27 | $22.042,90 | 782 / 20 |
Major Chest Procedures W Mcc | 15 | 34 / 7 | $132.872,00 | 181 / 5 | $45.543,90 | 172 / 4 | $31.838,60 | 171 / 3 |
G.I. Obstruction W Cc | 15 | 77 / 31 | $24.416,90 | 954 / 43 | $8.176,13 | 1537 / 58 | $6.912,13 | 1532 / 63 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 15 | 54 / 10 | $44.645,10 | 70 / 5 | $25.065,00 | 336 / 10 | $16.575,00 | 335 / 5 |
Organic Disturbances & Mental Retardation | 14 | 45 / 23 | $37.013,80 | 424 / 28 | $8.751,57 | 378 / 17 | $7.047,93 | 378 / 15 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 14 | 18 / 5 | $82.214,90 | 127 / 4 | $21.236,40 | 123 / 2 | $18.179,00 | 123 / 2 |
Other Antepartum Diagnoses W Medical Complications | 14 | 11 / 3 | $19.201,70 | 15 / 3 | $7.368,79 | 9 / 2 | $5.986,79 | 9 / 2 |
Other Respiratory System Diagnoses W/O Mcc | 14 | 32 / 11 | $27.263,20 | 198 / 10 | $7.571,79 | 249 / 6 | $6.138,07 | 249 / 8 |
Coronary Bypass W/O Cardiac Cath W Mcc | 14 | 45 / 6 | $191.051,00 | 162 / 6 | $51.359,10 | 120 / 5 | $35.707,20 | 119 / 3 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 14 | 28 / 5 | $101.343,00 | 36 / 4 | $33.286,70 | 80 / 4 | $31.594,60 | 80 / 5 |
Complications Of Treatment W/O Cc/Mcc | 14 | 7 / 2 | $17.681,40 | 12 / 1 | $6.617,00 | 21 / 1 | $5.634,50 | 21 / 1 |
Other Digestive System Diagnoses W/O Cc/Mcc | 14 | 29 / 13 | $18.635,50 | 143 / 12 | $6.776,00 | 297 / 19 | $5.084,79 | 297 / 17 |
Ventricular Shunt Procedures W Cc | 14 | 9 / 3 | $42.801,60 | 10 / 1 | $15.331,40 | 12 / 1 | $13.281,60 | 12 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 12 | $50.656,60 | 474 / 21 | $14.064,90 | 778 / 24 | $12.285,70 | 774 / 28 |
Other Digestive System O.R. Procedures W Mcc | 13 | 16 / 3 | $100.763,00 | 50 / 2 | $33.320,50 | 73 / 1 | $29.251,40 | 73 / 1 |
Postoperative & Post-Traumatic Infections W Mcc | 13 | 30 / 11 | $46.850,40 | 105 / 4 | $15.052,40 | 104 / 4 | $12.464,70 | 104 / 2 |
Soft Tissue Procedures W/O Cc/Mcc | 13 | 10 / 3 | $21.614,90 | 3 / 1 | $10.215,80 | 7 / 2 | $6.753,23 | 7 / 1 |
Transurethral Procedures W Cc | 13 | 28 / 11 | $39.006,80 | 212 / 12 | $11.105,30 | 287 / 13 | $8.433,31 | 287 / 9 |
Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 11 | $271.367,00 | 338 / 20 | $64.513,00 | 390 / 11 | $60.998,20 | 390 / 14 |
Other Resp System O.R. Procedures W Mcc | 13 | 50 / 13 | $99.118,40 | 339 / 10 | $29.812,40 | 343 / 11 | $23.504,10 | 342 / 4 |
Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim | 13 | 16 / 4 | $59.610,40 | 37 / 2 | $23.785,30 | 16 / 4 | $12.481,80 | 16 / 1 |
Dysequilibrium | 13 | 52 / 26 | $19.536,00 | 234 / 27 | $6.048,15 | 370 / 26 | $4.020,23 | 370 / 18 |
Other Musculoskeletal Sys & Connective Tissue Diagnoses W Cc | 13 | 3 / 2 | $25.343,10 | 4 / 1 | $8.543,00 | 6 / 1 | $6.799,00 | 6 / 1 |
Lymphoma & Non-Acute Leukemia W Mcc | 13 | 23 / 7 | $169.682,00 | 109 / 7 | $38.999,20 | 113 / 4 | $35.033,20 | 113 / 7 |
Spinal Procedures W Cc Or Spinal Neurostimulators | 12 | 15 / 4 | $81.127,30 | 20 / 2 | $21.322,20 | 12 / 1 | $18.913,00 | 12 / 1 |
Extracranial Procedures W Mcc | 12 | 11 / 1 | $113.409,00 | 31 / 1 | $32.543,40 | 34 / 1 | $24.449,80 | 34 / 2 |
Degenerative Nervous System Disorders W Mcc | 12 | 26 / 11 | $53.363,40 | 148 / 7 | $14.453,20 | 123 / 4 | $11.413,10 | 123 / 2 |
Spinal Procedures W/O Cc/Mcc | 12 | 15 / 2 | $36.046,70 | 13 / 1 | $14.929,50 | 9 / 1 | $10.710,00 | 9 / 1 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 13 | $27.187,70 | 159 / 9 | $10.307,20 | 356 / 14 | $9.023,50 | 356 / 15 |
Inflammatory Bowel Disease W/O Cc/Mcc | 12 | 6 / 2 | $24.712,20 | 6 / 1 | $7.363,58 | 9 / 1 | $6.316,92 | 9 / 1 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 39 | $19.123,10 | 1131 / 49 | $6.807,17 | 1578 / 64 | $4.682,42 | 1570 / 51 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 18 | $77.835,30 | 473 / 17 | $26.374,90 | 789 / 20 | $24.076,90 | 786 / 22 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 12 | 41 / 12 | $62.396,60 | 225 / 12 | $14.746,80 | 221 / 10 | $12.433,60 | 222 / 7 |
Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 15 | $165.523,00 | 534 / 33 | $36.530,50 | 555 / 25 | $31.821,60 | 555 / 22 |
Atherosclerosis W/O Mcc | 12 | 46 / 23 | $32.282,40 | 471 / 44 | $6.417,67 | / 24 | $4.827,25 | / |
Acute Myocardial Infarction, Expired W Mcc | 12 | 18 / 9 | $118.747,00 | 197 / 19 | $24.302,60 | 195 / 15 | $22.109,80 | 195 / 15 |
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 11 | 21 / 8 | $28.477,50 | 41 / 2 | $10.186,30 | 107 / 2 | $8.566,73 | 107 / 4 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W Mcc | 11 | 5 / 2 | $62.023,60 | 9 / 1 | $9.945,09 | 3 / 1 | $8.706,09 | 3 / 1 |
Pleural Effusion W Cc | 11 | 17 / 6 | $42.281,10 | 92 / 4 | $9.932,09 | 83 / 3 | $7.680,55 | 83 / 3 |
Other O.R. Procedures For Multiple Significant Trauma W Mcc | 11 | 12 / 1 | $218.738,00 | 19 / 1 | $59.440,20 | 8 / 1 | $42.096,90 | 8 / 1 |
Other Multiple Significant Trauma W Cc | 11 | 14 / 1 | $72.273,50 | 40 / 1 | $12.909,10 | 17 / 1 | $9.383,45 | 17 / 1 |
Diabetes W/O Cc/Mcc | 11 | 27 / 16 | $21.564,40 | 194 / 25 | $6.022,18 | 210 / 13 | $4.224,18 | 210 / 10 |
Anal & Stomal Procedures W Cc | 11 | 8 / 3 | $21.572,30 | 1 / 1 | $11.209,10 | 9 / 1 | $9.851,64 | 9 / 1 |
Rectal Resection W/O Cc/Mcc | 11 | 8 / 2 | $32.480,90 | 9 / 1 | $14.052,10 | 14 / 1 | $9.355,27 | 14 / 1 |
Kidney & Ureter Procedures For Neoplasm W Mcc | 11 | 10 / 3 | $193.400,00 | 37 / 3 | $43.358,30 | 38 / 3 | $39.589,70 | 38 / 3 |
Nonspecific Cerebrovascular Disorders W/O Cc/Mcc | 11 | 10 / 2 | $23.367,10 | 30 / 2 | $8.123,45 | 33 / 1 | $4.677,64 | 33 / 1 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 11 | 18 / 11 | $27.628,70 | 114 / 15 | $6.638,73 | 108 / 11 | $4.990,45 | 108 / 12 |
Kidney & Ureter Procedures For Non-Neoplasm W Mcc | 11 | 19 / 5 | $136.766,00 | 61 / 4 | $35.627,20 | 60 / 2 | $31.868,90 | 60 / 3 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 11 | 20 / 5 | $129.976,00 | 58 / 1 | $38.770,90 | 57 / 1 | $33.273,20 | 57 / 3 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 43 | $58.245,50 | 1236 / 53 | $16.048,70 | 1402 / 49 | $13.563,70 | 1387 / 35 |
Nervous System Neoplasms W/O Mcc | 11 | 19 / 3 | $84.819,90 | 101 / 4 | $15.729,90 | 103 / 3 | $13.195,80 | 103 / 3 | Total 206 procedures | 6.957 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.