Hospital Costs > In Illinois > Alexian Brothers Medical Center 1, 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 | 367 | 212 / 12 | $60.340,80 | 1707 / 63 | $13.124,90 | 1038 / 16 | $11.130,70 | 1015 / 41 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 252 | 264 / 25 | $77.327,50 | 2390 / 104 | $13.229,80 | 1805 / 77 | $11.756,80 | 1770 / 77 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 177 | 99 / 9 | $30.292,80 | 2179 / 101 | $5.170,07 | 923 / 50 | $3.709,99 | 918 / 39 |
Kidney & Urinary Tract Infections W/O Mcc | 160 | 75 / 6 | $25.449,30 | 1993 / 85 | $5.010,54 | 796 / 44 | $3.822,00 | 791 / 34 |
Chronic Obstructive Pulmonary Disease W Mcc | 144 | 59 / 5 | $47.233,70 | 2120 / 103 | $7.552,32 | 1319 / 43 | $6.596,83 | 1313 / 59 |
Simple Pneumonia & Pleurisy W Mcc | 137 | 68 / 5 | $50.981,20 | 1937 / 87 | $8.848,96 | 1002 / 30 | $7.875,34 | 1002 / 40 |
Heart Failure & Shock W Mcc | 129 | 155 / 19 | $56.000,80 | 2127 / 104 | $9.888,56 | 1307 / 57 | $8.725,11 | 1304 / 59 |
Chronic Obstructive Pulmonary Disease W Cc | 123 | 56 / 5 | $37.357,80 | 2001 / 102 | $5.932,76 | 1007 / 34 | $4.960,46 | 1004 / 46 |
Simple Pneumonia & Pleurisy W Cc | 122 | 82 / 8 | $34.772,90 | 2174 / 96 | $6.290,18 | 730 / 43 | $4.840,79 | 727 / 26 |
Heart Failure & Shock W Cc | 122 | 156 / 22 | $32.780,40 | 2090 / 99 | $6.232,43 | 966 / 40 | $5.268,28 | 965 / 36 |
Cellulitis W/O Mcc | 113 | 76 / 11 | $29.851,70 | 2119 / 109 | $5.357,80 | 969 / 34 | $4.249,85 | 963 / 49 |
Renal Failure W Cc | 112 | 109 / 16 | $32.992,50 | 1830 / 89 | $6.058,17 | 696 / 37 | $4.912,36 | 689 / 30 |
G.I. Hemorrhage W Cc | 96 | 122 / 15 | $39.169,80 | 1927 / 96 | $6.278,21 | 958 / 32 | $5.329,61 | 956 / 44 |
Medical Back Problems W/O Mcc | 90 | 32 / 4 | $26.466,60 | 890 / 45 | $5.428,94 | 457 / 26 | $4.171,77 | 457 / 25 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 90 | 71 / 7 | $27.363,40 | 1512 / 69 | $5.019,13 | 861 / 27 | $4.158,16 | 858 / 42 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 79 | 128 / 16 | $38.592,20 | 1988 / 80 | $6.618,56 | 1069 / 27 | $5.728,23 | 1066 / 43 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 78 | 104 / 17 | $42.250,60 | 1571 / 77 | $6.674,95 | 910 / 32 | $5.698,13 | 907 / 46 |
Syncope & Collapse | 77 | 92 / 9 | $26.224,00 | 1280 / 68 | $4.667,48 | 629 / 27 | $3.677,45 | 626 / 36 |
Respiratory Infections & Inflammations W Mcc | 76 | 60 / 8 | $78.022,40 | 1483 / 79 | $13.415,80 | 1138 / 62 | $12.221,10 | 1124 / 66 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 76 | 120 / 11 | $72.659,00 | 733 / 27 | $13.379,60 | 327 / 24 | $10.225,40 | 327 / 7 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 74 | 92 / 16 | $25.414,60 | 1908 / 87 | $4.476,31 | 964 / 28 | $3.627,01 | 961 / 45 |
Renal Failure W Mcc | 73 | 122 / 20 | $56.248,80 | 1694 / 89 | $9.728,78 | 747 / 43 | $8.446,38 | 747 / 36 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 67 | 83 / 7 | $18.253,00 | 1289 / 58 | $3.663,70 | 785 / 24 | $2.661,91 | 781 / 49 |
Major Cardiovasc Procedures W/O Mcc | 66 | 36 / 2 | $114.057,00 | 706 / 28 | $21.812,50 | 471 / 17 | $20.042,00 | 471 / 24 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 66 | 58 / 5 | $177.905,00 | 1163 / 70 | $35.737,60 | 962 / 49 | $34.932,50 | 956 / 61 |
Kidney & Urinary Tract Infections W Mcc | 63 | 81 / 12 | $32.933,90 | 1287 / 65 | $6.808,97 | 757 / 30 | $6.036,78 | 756 / 37 |
Pulmonary Edema & Respiratory Failure | 61 | 142 / 19 | $66.504,90 | 2015 / 97 | $9.115,54 | 857 / 71 | $6.772,75 | 857 / 33 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 59 | 61 / 9 | $31.853,20 | 1763 / 96 | $5.127,00 | 507 / 48 | $3.333,97 | 506 / 29 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 58 | 73 / 6 | $98.582,10 | 1504 / 82 | $15.893,70 | 811 / 54 | $13.355,80 | 803 / 40 |
Transient Ischemia | 58 | 67 / 6 | $31.721,50 | 1232 / 72 | $4.706,64 | 593 / 35 | $3.468,47 | 590 / 40 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 55 | 133 / 19 | $49.894,30 | 1199 / 63 | $7.240,13 | 529 / 28 | $5.498,87 | 527 / 31 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 53 | 70 / 15 | $46.181,40 | 1462 / 84 | $7.544,79 | 753 / 38 | $6.732,42 | 750 / 50 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 50 | 118 / 15 | $63.385,60 | 1185 / 64 | $10.911,90 | 748 / 31 | $10.033,70 | 747 / 46 |
Bronchitis & Asthma W Cc/Mcc | 48 | 28 / 3 | $34.996,60 | 815 / 51 | $5.499,46 | 395 / 12 | $4.542,79 | 391 / 25 |
G.I. Obstruction W Cc | 48 | 44 / 9 | $25.442,40 | 1010 / 43 | $5.851,79 | 643 / 41 | $4.627,92 | 642 / 37 |
Hip & Femur Procedures Except Major Joint W Cc | 48 | 95 / 19 | $65.062,60 | 1464 / 74 | $11.960,40 | 868 / 39 | $10.726,40 | 855 / 46 |
Other Digestive System Diagnoses W Cc | 47 | 50 / 10 | $33.819,10 | 995 / 59 | $6.061,34 | 542 / 24 | $5.269,85 | 539 / 37 |
G.I. Hemorrhage W Mcc | 47 | 74 / 13 | $55.200,70 | 1114 / 56 | $10.594,00 | 554 / 25 | $9.798,72 | 555 / 26 |
Other Vascular Procedures W Cc | 43 | 59 / 6 | $91.744,10 | 765 / 36 | $15.781,70 | 468 / 13 | $14.776,80 | 465 / 18 |
Respiratory Infections & Inflammations W Cc | 42 | 46 / 6 | $52.610,50 | 1180 / 64 | $8.451,88 | 612 / 26 | $7.587,88 | 609 / 33 |
Chest Pain | 42 | 109 / 16 | $24.122,70 | 1165 / 58 | $4.044,90 | 622 / 19 | $3.049,45 | 618 / 28 |
O.R. Procedures For Obesity W Cc | 41 | 2 / 1 | $69.883,40 | 87 / 4 | $12.746,30 | 29 / 3 | $9.892,10 | 29 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 41 | 59 / 4 | $131.744,00 | 735 / 42 | $21.920,70 | 498 / 21 | $19.635,90 | 494 / 27 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 41 | 55 / 9 | $43.061,40 | 1026 / 58 | $7.520,17 | 503 / 22 | $6.630,71 | 500 / 29 |
Red Blood Cell Disorders W/O Mcc | 39 | 104 / 21 | $31.114,50 | 1544 / 91 | $5.266,85 | 520 / 42 | $4.005,46 | 519 / 26 |
Pulmonary Embolism W/O Mcc | 38 | 36 / 6 | $36.916,30 | 1002 / 48 | $6.303,13 | 421 / 21 | $5.036,16 | 420 / 26 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 37 | 19 / 4 | $57.068,00 | 549 / 23 | $10.880,40 | 181 / 20 | $8.230,13 | 181 / 9 |
Heart Failure & Shock W/O Cc/Mcc | 36 | 74 / 20 | $25.229,40 | 1569 / 89 | $4.690,50 | 453 / 54 | $3.267,33 | 451 / 26 |
Dysequilibrium | 35 | 30 / 5 | $23.078,30 | 308 / 20 | $4.039,43 | 156 / 8 | $3.001,71 | 156 / 13 |
Major Small & Large Bowel Procedures W Cc | 35 | 73 / 16 | $90.819,40 | 1120 / 52 | $16.614,20 | 925 / 26 | $15.369,10 | 916 / 55 |
Major Small & Large Bowel Procedures W Mcc | 34 | 51 / 11 | $133.683,00 | 690 / 26 | $32.014,60 | 353 / 17 | $28.099,20 | 351 / 17 |
Degenerative Nervous System Disorders W/O Mcc | 34 | 44 / 9 | $30.875,40 | 521 / 35 | $6.070,47 | 250 / 14 | $5.152,12 | 250 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 33 | 93 / 25 | $37.849,70 | 1249 / 72 | $6.852,33 | 712 / 28 | $6.414,03 | 709 / 43 |
Signs & Symptoms W/O Mcc | 33 | 58 / 10 | $25.863,00 | 920 / 53 | $4.332,55 | 338 / 13 | $3.443,52 | 337 / 17 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 33 | 62 / 7 | $90.590,90 | 412 / 19 | $12.131,30 | 168 / 4 | $10.642,90 | 166 / 9 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 33 | 29 / 5 | $25.229,60 | 511 / 27 | $4.840,24 | 186 / 12 | $3.564,70 | 186 / 14 |
Fractures Of Hip & Pelvis W/O Mcc | 32 | 29 / 4 | $24.101,80 | 633 / 28 | $4.438,22 | 309 / 13 | $3.491,22 | 310 / 18 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 32 | 61 / 18 | $25.386,90 | 1473 / 75 | $4.514,56 | 762 / 30 | $3.464,56 | 758 / 46 |
G.I. Obstruction W/O Cc/Mcc | 32 | 39 / 8 | $21.596,50 | 890 / 46 | $3.997,19 | 445 / 20 | $2.892,97 | 444 / 26 |
Peripheral Vascular Disorders W Cc | 31 | 53 / 15 | $31.889,50 | 860 / 59 | $6.190,26 | 347 / 28 | $4.995,29 | 345 / 26 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 30 | 35 / 4 | $134.850,00 | 801 / 45 | $24.413,30 | 760 / 39 | $23.366,80 | 757 / 44 |
Cellulitis W Mcc | 28 | 30 / 6 | $50.000,70 | 733 / 46 | $9.151,18 | 267 / 22 | $7.701,14 | 266 / 13 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 28 | 73 / 20 | $45.943,90 | 736 / 41 | $9.091,21 | 244 / 14 | $8.184,93 | 244 / 15 |
Other Circulatory System Diagnoses W Mcc | 28 | 88 / 19 | $78.093,80 | 1131 / 69 | $13.700,10 | 890 / 44 | $12.637,80 | 884 / 51 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 28 | 74 / 19 | $34.521,70 | 1225 / 65 | $4.844,04 | 753 / 20 | $3.936,61 | 749 / 46 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 27 | 66 / 14 | $73.492,30 | 611 / 38 | $13.234,00 | 422 / 19 | $12.340,40 | 416 / 30 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 26 | 90 / 9 | $258.879,00 | 336 / 13 | $51.327,80 | 161 / 7 | $47.689,10 | 161 / 4 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 26 | 40 / 6 | $69.768,60 | 409 / 22 | $12.131,30 | 69 / 9 | $9.149,23 | 69 / 3 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 25 | 64 / 8 | $52.403,30 | 603 / 30 | $7.194,12 | 217 / 7 | $5.271,92 | 217 / 14 |
Other Vascular Procedures W Mcc | 25 | 72 / 13 | $124.941,00 | 764 / 43 | $23.326,40 | 618 / 30 | $22.344,60 | 615 / 34 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 24 | 16 / 4 | $59.025,30 | 123 / 7 | $11.931,50 | 80 / 5 | $10.915,10 | 80 / 5 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 24 | 16 / 3 | $88.607,30 | 317 / 16 | $16.126,00 | 243 / 12 | $15.172,80 | 242 / 16 |
Fever | 24 | 22 / 3 | $29.315,20 | 223 / 11 | $5.420,75 | 72 / 1 | $4.277,46 | 72 / 7 |
Hip & Femur Procedures Except Major Joint W Mcc | 22 | 40 / 11 | $96.424,50 | 678 / 33 | $18.787,80 | 458 / 25 | $17.841,30 | 455 / 27 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 22 | 25 / 4 | $44.890,50 | 366 / 10 | $7.695,64 | 204 / 3 | $6.152,77 | 204 / 10 |
Permanent Cardiac Pacemaker Implant W Cc | 22 | 55 / 12 | $68.442,80 | 462 / 20 | $16.029,50 | 414 / 12 | $15.261,50 | 413 / 23 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 21 | 77 / 11 | $135.126,00 | 311 / 12 | $27.514,70 | 158 / 5 | $25.654,80 | 158 / 7 |
Coronary Bypass W/O Cardiac Cath W Mcc | 21 | 38 / 3 | $238.052,00 | 198 / 11 | $40.039,00 | 160 / 7 | $39.405,00 | 159 / 8 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 21 | 19 / 8 | $40.811,60 | 205 / 16 | $7.084,33 | 90 / 11 | $6.279,76 | 90 / 12 |
Major Cardiovasc Procedures W Mcc | 21 | 47 / 11 | $179.382,00 | 453 / 16 | $34.689,20 | 329 / 9 | $33.655,30 | 329 / 15 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 21 | 97 / 13 | $177.651,00 | 372 / 14 | $31.171,70 | 179 / 2 | $30.251,30 | 179 / 4 |
Transurethral Prostatectomy W Cc/Mcc | 20 | 4 / 1 | $52.055,80 | 32 / 3 | $8.634,85 | 13 / 1 | $7.342,35 | 13 / 1 |
G.I. Hemorrhage W/O Cc/Mcc | 20 | 48 / 10 | $21.896,80 | 625 / 32 | $4.443,05 | 386 / 11 | $3.535,85 | 383 / 27 |
Peripheral Vascular Disorders W Mcc | 19 | 30 / 10 | $40.335,10 | 356 / 22 | $8.277,16 | 198 / 5 | $7.637,16 | 198 / 12 |
Respiratory Neoplasms W Mcc | 19 | 33 / 11 | $82.184,70 | 552 / 39 | $12.007,60 | 324 / 25 | $10.400,50 | 323 / 25 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 19 | 27 / 3 | $26.008,40 | 245 / 14 | $4.510,63 | 126 / 7 | $3.347,00 | 126 / 12 |
Transurethral Procedures W Cc | 19 | 22 / 5 | $42.400,90 | 237 / 18 | $7.840,63 | 142 / 7 | $6.887,37 | 142 / 13 |
G.I. Obstruction W Mcc | 19 | 23 / 5 | $56.161,40 | 384 / 18 | $10.471,30 | 232 / 16 | $9.523,00 | 232 / 15 |
Seizures W Mcc | 19 | 47 / 13 | $43.441,60 | 406 / 18 | $9.138,74 | 183 / 6 | $8.294,11 | 183 / 7 |
Diabetes W Cc | 19 | 73 / 21 | $26.839,50 | 1071 / 57 | $5.156,32 | 648 / 24 | $4.457,37 | 647 / 42 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 18 | 12 / 2 | $68.230,50 | 144 / 6 | $11.873,20 | 67 / 3 | $10.595,00 | 66 / 3 |
Bone Diseases & Arthropathies W/O Mcc | 18 | 26 / 6 | $24.884,50 | 209 / 21 | $4.621,06 | 65 / 5 | $3.611,28 | 65 / 7 |
Seizures W/O Mcc | 18 | 90 / 27 | $25.964,50 | 811 / 49 | $4.730,56 | 417 / 14 | $3.925,22 | 415 / 33 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 32 | $54.509,60 | 1227 / 59 | $11.017,60 | 950 / 39 | $10.144,70 | 948 / 46 |
Psychoses | 18 | 257 / 24 | $23.978,90 | 395 / 27 | $6.296,11 | 145 / 6 | $5.288,11 | 145 / 8 |
Other Digestive System Diagnoses W Mcc | 18 | 44 / 15 | $62.394,30 | 577 / 32 | $11.102,30 | 310 / 17 | $10.149,40 | 309 / 21 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 18 | 51 / 8 | $86.558,20 | 368 / 21 | $15.906,90 | 221 / 6 | $14.608,30 | 221 / 11 |
Other Resp System O.R. Procedures W Mcc | 18 | 45 / 10 | $125.978,00 | 436 / 23 | $22.856,40 | 273 / 9 | $21.932,90 | 272 / 14 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 18 | 35 / 9 | $41.622,30 | 334 / 15 | $7.191,67 | 116 / 5 | $6.405,00 | 116 / 7 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 22 | $34.717,50 | 749 / 43 | $7.209,44 | 477 / 22 | $6.603,22 | 475 / 30 |
Other Respiratory System Diagnoses W/O Mcc | 17 | 29 / 4 | $33.115,90 | 245 / 11 | $5.118,71 | 69 / 2 | $4.074,94 | 69 / 3 |
Other Circulatory System Diagnoses W Cc | 17 | 49 / 11 | $28.444,60 | 387 / 15 | $5.973,59 | 178 / 8 | $5.025,82 | 177 / 11 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 17 | 59 / 7 | $49.992,10 | 302 / 15 | $11.246,10 | 161 / 6 | $10.644,20 | 161 / 10 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 17 | 27 / 6 | $25.011,20 | 158 / 10 | $4.732,06 | 77 / 4 | $3.773,94 | 77 / 4 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 17 | 71 / 13 | $145.623,00 | 460 / 21 | $22.188,40 | 279 / 8 | $21.192,60 | 278 / 16 |
Permanent Cardiac Pacemaker Implant W Mcc | 17 | 35 / 8 | $114.148,00 | 394 / 20 | $24.363,90 | 322 / 19 | $23.021,80 | 322 / 21 |
Organic Disturbances & Mental Retardation | 16 | 43 / 14 | $25.968,60 | 293 / 20 | $6.380,12 | 133 / 9 | $5.247,69 | 133 / 8 |
Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 19 | $57.609,00 | 826 / 39 | $7.616,31 | 301 / 22 | $5.213,69 | 301 / 14 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 12 | $143.266,00 | 451 / 26 | $29.457,70 | 288 / 12 | $28.625,80 | 288 / 12 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 16 | 50 / 12 | $38.748,40 | 330 / 16 | $6.957,38 | 102 / 9 | $5.662,88 | 102 / 7 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 16 | 52 / 14 | $31.633,40 | 493 / 31 | $5.557,00 | 199 / 6 | $4.649,00 | 199 / 12 |
Pulmonary Embolism W Mcc | 16 | 27 / 10 | $57.519,40 | 471 / 34 | $9.351,69 | 273 / 12 | $8.751,69 | 273 / 21 |
Respiratory Signs & Symptoms | 16 | 30 / 4 | $29.896,60 | 231 / 16 | $4.382,00 | 98 / 4 | $3.630,00 | 98 / 5 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 16 | 12 / 1 | $53.818,70 | 64 / 4 | $10.250,40 | 42 / 2 | $9.390,19 | 42 / 3 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 15 | 39 / 6 | $111.393,00 | 166 / 9 | $18.390,60 | 69 / 2 | $17.669,50 | 69 / 4 |
Other Disorders Of Nervous System W Cc | 15 | 41 / 14 | $36.164,70 | 456 / 29 | $5.633,60 | 179 / 11 | $4.754,67 | 179 / 10 |
Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 20 | $31.151,90 | 547 / 34 | $6.287,67 | 165 / 20 | $5.070,07 | 165 / 12 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 11 | $51.582,40 | 302 / 9 | $13.050,90 | 311 / 10 | $12.003,50 | 310 / 18 |
Other Resp System O.R. Procedures W Cc | 15 | 32 / 7 | $66.975,10 | 240 / 13 | $12.878,70 | 42 / 5 | $9.757,87 | 42 / 2 |
Major Chest Procedures W Cc | 15 | 59 / 13 | $101.595,00 | 409 / 20 | $16.124,20 | 136 / 8 | $13.721,70 | 136 / 11 |
Hypertension W/O Mcc | 15 | 50 / 15 | $26.522,70 | 577 / 38 | $4.120,93 | 132 / 8 | $2.743,73 | 132 / 8 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 15 | 54 / 5 | $395.224,00 | 244 / 8 | $79.258,20 | 215 / 5 | $72.462,80 | 215 / 6 |
Nervous System Neoplasms W Mcc | 14 | 34 / 9 | $51.333,10 | 222 / 15 | $8.250,64 | 95 / 7 | $7.475,79 | 95 / 8 |
Transurethral Prostatectomy W/O Cc/Mcc | 14 | 15 / 2 | $32.979,90 | 62 / 5 | $4.841,93 | 23 / 3 | $3.525,64 | 23 / 2 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 14 | $50.099,70 | 580 / 30 | $9.954,29 | 407 / 20 | $8.827,43 | 405 / 24 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 9 | $33.168,60 | 411 / 17 | $6.575,50 | 169 / 14 | $5.160,29 | 169 / 10 |
Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 13 | $74.751,90 | 627 / 23 | $13.628,80 | 465 / 6 | $12.507,50 | 463 / 16 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 15 | $56.447,50 | 318 / 11 | $12.091,10 | 288 / 4 | $11.224,80 | 288 / 17 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 17 | $68.000,80 | 568 / 20 | $14.544,40 | 107 / 14 | $10.515,10 | 107 / 2 |
Stomach, Esophageal & Duodenal Proc W Mcc | 13 | 28 / 4 | $261.064,00 | 208 / 11 | $51.135,60 | 204 / 9 | $50.158,40 | 204 / 11 |
Complications Of Treatment W Cc | 13 | 39 / 13 | $37.767,80 | 279 / 21 | $6.444,62 | 83 / 7 | $5.284,00 | 83 / 6 |
Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 13 | 19 / 4 | $63.073,50 | 65 / 3 | $12.555,20 | 32 / 1 | $11.533,70 | 32 / 1 |
O.R. Procedures For Obesity W/O Cc/Mcc | 13 | 64 / 8 | $63.223,50 | 333 / 8 | $10.424,20 | 88 / 3 | $7.787,77 | 88 / 2 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 18 | $37.388,50 | 756 / 38 | $5.951,92 | 201 / 14 | $4.495,54 | 201 / 10 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 31 | $34.262,20 | 741 / 46 | $4.288,42 | 116 / 6 | $3.275,08 | 116 / 5 |
Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 10 | $50.570,20 | 712 / 20 | $9.257,42 | 249 / 8 | $7.483,50 | 248 / 8 |
Headaches W/O Mcc | 12 | 31 / 6 | $36.191,60 | 193 / 13 | $4.552,75 | 41 / 3 | $3.050,92 | 41 / 3 |
Otitis Media & Uri W/O Mcc | 12 | 32 / 6 | $20.755,90 | 103 / 5 | $4.275,92 | 29 / 2 | $2.978,58 | 29 / 3 |
Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 6 | $44.976,80 | 396 / 12 | $6.693,83 | 133 / 7 | $5.110,67 | 133 / 5 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 18 | $47.519,30 | 392 / 25 | $11.549,10 | 274 / 14 | $11.098,40 | 273 / 23 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 12 | 41 / 12 | $66.755,40 | 248 / 14 | $10.827,30 | 43 / 4 | $9.173,17 | 43 / 2 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 11 | $22.585,70 | 297 / 17 | $4.286,83 | 240 / 10 | $3.540,75 | 239 / 20 |
Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 39 | $128.222,00 | 993 / 40 | $25.509,50 | 617 / 18 | $22.546,70 | 613 / 24 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 12 | 42 / 11 | $23.600,60 | 214 / 9 | $4.721,00 | 69 / 8 | $3.513,00 | 69 / 10 |
Extracranial Procedures W Cc | 12 | 34 / 11 | $70.234,40 | 318 / 16 | $9.747,08 | 166 / 8 | $8.837,75 | 166 / 8 |
Other Digestive System O.R. Procedures W Cc | 12 | 15 / 3 | $84.752,50 | 79 / 5 | $12.698,10 | 18 / 1 | $11.994,10 | 18 / 3 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 11 | 40 / 11 | $66.988,70 | 229 / 16 | $12.802,50 | 128 / 9 | $11.705,80 | 128 / 7 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 14 | $23.559,00 | 606 / 29 | $4.367,00 | 67 / 14 | $2.770,27 | 67 / 3 |
Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 6 | $37.156,00 | 167 / 4 | $10.113,20 | 140 / 7 | $9.452,82 | 140 / 5 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 12 | $35.336,80 | 322 / 21 | $4.553,55 | 75 / 8 | $3.579,00 | 75 / 6 |
Respiratory Neoplasms W Cc | 11 | 36 / 16 | $32.041,70 | 226 / 11 | $7.663,18 | 64 / 11 | $5.846,55 | 63 / 3 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 11 | 31 / 7 | $225.811,00 | 144 / 8 | $38.924,40 | 98 / 5 | $38.045,80 | 98 / 8 |
Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 8 | $79.499,50 | 478 / 16 | $11.093,50 | 329 / 7 | $10.212,00 | 328 / 9 |
Hernia Procedures Except Inguinal & Femoral W Cc | 11 | 23 / 8 | $56.867,20 | 100 / 6 | $10.009,80 | 46 / 1 | $8.910,18 | 46 / 3 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 26 | $56.140,50 | 919 / 62 | $7.821,73 | 349 / 23 | $6.967,91 | 347 / 24 |
Digestive Malignancy W Cc | 11 | 36 / 15 | $42.239,30 | 256 / 19 | $7.567,18 | 110 / 6 | $6.912,64 | 109 / 9 |
Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 17 | $91.115,90 | 390 / 18 | $20.369,50 | 311 / 8 | $19.490,90 | 310 / 13 |
Medical Back Problems W Mcc | 11 | 28 / 12 | $46.112,00 | 190 / 13 | $9.609,82 | 87 / 6 | $8.728,36 | 87 / 8 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 11 | 18 / 5 | $19.094,50 | 73 / 4 | $4.217,91 | 26 / 2 | $3.336,45 | 26 / 2 | Total 159 procedures | 6.124 | 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.