Hospital Costs > In Michigan > Allegiance Health, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 778 | 20 / 1 | $40.195,40 | 1330 / 78 | $11.785,00 | 1419 / 30 | $10.893,70 | 1392 / 36 |
Psychoses | 251 | 84 / 1 | $18.745,90 | 296 / 16 | $6.871,31 | 293 / 4 | $5.933,85 | 293 / 6 |
Pulmonary Edema & Respiratory Failure | 232 | 17 / 2 | $26.858,70 | 850 / 59 | $8.131,53 | 1204 / 31 | $7.233,85 | 1202 / 38 |
Heart Failure & Shock W Mcc | 232 | 63 / 12 | $31.727,00 | 1200 / 69 | $9.556,85 | 1409 / 31 | $8.878,85 | 1405 / 40 |
Simple Pneumonia & Pleurisy W Mcc | 213 | 20 / 1 | $33.535,50 | 1254 / 72 | $9.259,54 | 1299 / 28 | $8.311,63 | 1299 / 33 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 202 | 362 / 29 | $45.346,30 | 1047 / 73 | $13.755,70 | 1629 / 31 | $12.384,60 | 1592 / 47 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 161 | 47 / 7 | $27.659,30 | 1480 / 83 | $7.121,01 | 1299 / 36 | $5.979,08 | 1294 / 41 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 128 | 147 / 25 | $24.805,90 | 1869 / 83 | $5.196,71 | 1544 / 37 | $4.165,03 | 1531 / 45 |
Respiratory Infections & Inflammations W Mcc | 121 | 24 / 3 | $38.071,50 | 702 / 50 | $11.886,30 | 731 / 14 | $10.990,70 | 723 / 17 |
Renal Failure W Mcc | 112 | 84 / 15 | $34.370,30 | 1021 / 60 | $9.778,10 | 1027 / 20 | $8.982,17 | 1027 / 25 |
Heart Failure & Shock W Cc | 109 | 169 / 24 | $21.884,30 | 1388 / 75 | $6.659,03 | 1618 / 38 | $5.887,87 | 1613 / 49 |
G.I. Hemorrhage W Cc | 108 | 110 / 19 | $28.258,50 | 1458 / 75 | $6.715,70 | 1269 / 36 | $5.659,81 | 1266 / 38 |
Syncope & Collapse | 87 | 82 / 14 | $21.075,70 | 951 / 59 | $5.101,86 | 1075 / 32 | $4.186,68 | 1068 / 37 |
Renal Failure W Cc | 87 | 134 / 23 | $26.542,50 | 1523 / 71 | $6.515,14 | 1440 / 32 | $5.667,31 | 1431 / 41 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 79 | 82 / 18 | $23.576,80 | 1323 / 68 | $5.514,47 | 1109 / 35 | $4.407,68 | 1105 / 35 |
Cellulitis W/O Mcc | 77 | 112 / 21 | $17.864,50 | 1229 / 67 | $5.718,06 | 1503 / 35 | $4.729,81 | 1496 / 42 |
Simple Pneumonia & Pleurisy W Cc | 77 | 126 / 16 | $22.761,70 | 1425 / 75 | $6.569,66 | 1552 / 39 | $5.566,86 | 1546 / 41 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 77 | 28 / 2 | $8.469,73 | 9 / 1 | $7.921,32 | 25 / 2 | $6.903,14 | 25 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 70 | 53 / 13 | $32.512,00 | 1069 / 60 | $8.227,76 | 1074 / 27 | $7.278,73 | 1071 / 31 |
Transient Ischemia | 68 | 57 / 9 | $20.760,20 | 717 / 51 | $5.072,25 | 878 / 32 | $3.840,26 | 874 / 31 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 66 | 58 / 12 | $93.673,40 | 418 / 31 | $30.863,60 | 380 / 10 | $28.511,00 | 380 / 8 |
G.I. Hemorrhage W Mcc | 66 | 55 / 12 | $42.319,30 | 778 / 54 | $11.222,80 | 813 / 13 | $10.574,80 | 810 / 23 |
Kidney & Urinary Tract Infections W Mcc | 65 | 79 / 17 | $25.512,80 | 952 / 55 | $7.469,77 | 1132 / 23 | $6.625,71 | 1128 / 33 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 63 | 68 / 14 | $60.205,10 | 911 / 53 | $14.600,50 | 953 / 16 | $13.916,60 | 944 / 27 |
Chronic Obstructive Pulmonary Disease W Cc | 61 | 118 / 33 | $22.393,90 | 1245 / 72 | $6.328,95 | 1516 / 32 | $5.531,84 | 1510 / 45 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 61 | 89 / 16 | $15.392,90 | 1037 / 56 | $4.098,52 | 1136 / 32 | $2.943,10 | 1131 / 35 |
Chronic Obstructive Pulmonary Disease W Mcc | 59 | 143 / 38 | $26.356,00 | 1230 / 69 | $7.502,20 | 1309 / 29 | $6.581,80 | 1303 / 36 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 59 | 66 / 18 | $44.741,50 | 984 / 57 | $11.150,10 | 994 / 22 | $10.298,10 | 992 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 59 | 123 / 22 | $27.148,60 | 943 / 57 | $7.131,81 | 1234 / 28 | $6.191,36 | 1231 / 37 |
Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 33 | $21.755,30 | 1743 / 77 | $5.298,94 | 1496 / 36 | $4.346,33 | 1485 / 40 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 50 | 76 / 17 | $28.328,30 | 879 / 50 | $7.579,36 | 948 / 25 | $6.896,80 | 945 / 32 |
G.I. Obstruction W Cc | 50 | 42 / 8 | $27.988,30 | 1119 / 63 | $6.003,04 | 1035 / 22 | $5.181,28 | 1032 / 36 |
Hip & Femur Procedures Except Major Joint W Cc | 49 | 94 / 15 | $47.266,50 | 944 / 53 | $12.208,20 | 1065 / 20 | $11.199,90 | 1051 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 47 | 121 / 21 | $36.690,60 | 570 / 38 | $10.629,70 | 641 / 8 | $9.727,57 | 640 / 13 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 43 | 153 / 25 | $50.367,30 | 234 / 15 | $14.075,60 | 764 / 12 | $11.448,40 | 759 / 8 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 42 | 59 / 12 | $31.877,60 | 442 / 34 | $9.645,88 | 470 / 8 | $9.000,95 | 469 / 15 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 42 | 146 / 29 | $35.026,00 | 762 / 46 | $7.306,29 | 982 / 10 | $6.301,33 | 979 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 26 | $19.792,90 | 1539 / 74 | $4.935,10 | 1445 / 41 | $4.015,48 | 1440 / 45 |
Heart Failure & Shock W/O Cc/Mcc | 41 | 69 / 15 | $16.637,30 | 1029 / 57 | $4.763,27 | 1195 / 32 | $3.968,73 | 1185 / 38 |
Red Blood Cell Disorders W/O Mcc | 40 | 103 / 21 | $25.696,90 | 1298 / 59 | $5.631,35 | 1130 / 29 | $4.701,73 | 1122 / 31 |
Seizures W/O Mcc | 38 | 70 / 15 | $18.953,50 | 495 / 42 | $5.556,82 | 518 / 28 | $4.087,55 | 515 / 20 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 37 | 83 / 23 | $18.009,90 | 1112 / 59 | $5.012,51 | 1190 / 31 | $3.936,62 | 1181 / 36 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 36 | 60 / 18 | $39.906,40 | 944 / 49 | $8.230,92 | 636 / 21 | $6.968,53 | 631 / 15 |
Poisoning & Toxic Effects Of Drugs W Mcc | 35 | 37 / 12 | $44.688,10 | 634 / 45 | $10.687,90 | 587 / 32 | $9.007,34 | 585 / 30 |
Pulmonary Embolism W Mcc | 35 | 8 / 2 | $42.113,80 | 349 / 30 | $9.389,77 | 238 / 4 | $8.519,83 | 238 / 7 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 34 | 35 / 6 | $45.499,80 | 103 / 12 | $12.104,00 | 226 / 5 | $9.908,85 | 226 / 4 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 34 | 90 / 6 | $15.982,80 | 381 / 19 | $4.826,53 | 359 / 12 | $3.971,94 | 359 / 15 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 34 | 59 / 7 | $19.480,80 | 1161 / 52 | $5.112,12 | 877 / 31 | $3.572,82 | 873 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 33 | 69 / 15 | $22.894,90 | 778 / 52 | $5.256,64 | 950 / 25 | $4.232,64 | 946 / 34 |
Acute Myocardial Infarction, Discharged Alive W Cc | 31 | 60 / 21 | $29.475,60 | 717 / 47 | $7.039,74 | 826 / 20 | $6.182,97 | 824 / 28 |
Diabetes W Mcc | 31 | 26 / 9 | $29.860,60 | 275 / 30 | $9.083,84 | 141 / 9 | $7.198,03 | 141 / 2 |
Chest Pain | 30 | 121 / 26 | $19.968,60 | 920 / 49 | $4.315,63 | 987 / 23 | $3.528,43 | 981 / 33 |
Spinal Fusion Except Cervical W/O Mcc | 30 | 164 / 28 | $78.409,60 | 504 / 37 | $25.909,00 | 751 / 12 | $23.659,70 | 747 / 17 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 30 | 62 / 17 | $124.124,00 | 350 / 34 | $33.610,10 | 284 / 3 | $32.923,20 | 283 / 4 |
Other Circulatory System Diagnoses W Mcc | 30 | 86 / 19 | $42.950,80 | 569 / 41 | $11.503,10 | 541 / 9 | $10.910,60 | 539 / 13 |
Diabetes W Cc | 29 | 63 / 19 | $22.950,80 | 881 / 52 | $5.701,69 | 869 / 23 | $4.837,14 | 865 / 26 |
Major Small & Large Bowel Procedures W Mcc | 28 | 57 / 15 | $120.072,00 | 556 / 34 | $32.564,50 | 660 / 14 | $31.762,20 | 658 / 21 |
Respiratory Infections & Inflammations W Cc | 27 | 61 / 13 | $29.422,20 | 664 / 40 | $8.578,19 | 761 / 12 | $7.884,85 | 756 / 15 |
G.I. Obstruction W/O Cc/Mcc | 27 | 44 / 13 | $20.380,10 | 832 / 46 | $4.353,48 | 738 / 20 | $3.325,93 | 735 / 30 |
Medical Back Problems W/O Mcc | 26 | 95 / 25 | $24.437,80 | 801 / 46 | $5.810,46 | 836 / 19 | $4.836,92 | 833 / 27 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 26 | 67 / 15 | $45.525,80 | 243 / 21 | $13.801,80 | 398 / 6 | $12.194,20 | 393 / 5 |
Peripheral Vascular Disorders W Cc | 26 | 58 / 21 | $27.744,50 | 733 / 48 | $6.452,00 | 655 / 19 | $5.708,62 | 652 / 30 |
Pulmonary Embolism W/O Mcc | 25 | 49 / 16 | $29.516,90 | 818 / 50 | $6.526,16 | 656 / 16 | $5.468,88 | 653 / 20 |
Other Digestive System Diagnoses W Cc | 25 | 72 / 22 | $28.469,50 | 814 / 52 | $6.526,00 | 759 / 18 | $5.701,68 | 755 / 25 |
Major Small & Large Bowel Procedures W Cc | 25 | 83 / 20 | $57.957,00 | 587 / 39 | $16.416,60 | 547 / 13 | $13.791,00 | 541 / 8 |
Disorders Of Pancreas Except Malignancy W Cc | 25 | 36 / 9 | $25.425,80 | 491 / 45 | $6.022,76 | 459 / 10 | $5.154,92 | 458 / 16 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 20 | $66.607,50 | 134 / 15 | $20.668,40 | 349 / 4 | $18.307,80 | 347 / 3 |
Other Vascular Procedures W Cc | 23 | 79 / 18 | $59.119,70 | 347 / 31 | $16.528,20 | 603 / 12 | $15.579,40 | 600 / 20 |
Seizures W Mcc | 23 | 43 / 13 | $31.142,30 | 196 / 29 | $9.102,09 | 173 / 5 | $8.237,74 | 173 / 6 |
Major Chest Procedures W Cc | 23 | 51 / 4 | $52.962,40 | 138 / 10 | $15.810,50 | 231 / 2 | $14.918,70 | 230 / 3 |
Hip & Femur Procedures Except Major Joint W Mcc | 23 | 39 / 9 | $57.152,00 | 269 / 23 | $17.907,90 | 186 / 7 | $15.796,30 | 185 / 3 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 22 | 14 / 6 | $46.157,70 | 89 / 12 | $14.627,40 | 81 / 2 | $12.864,70 | 81 / 3 |
Respiratory Neoplasms W Mcc | 21 | 31 / 9 | $38.207,00 | 235 / 25 | $11.080,00 | 288 / 8 | $10.103,30 | 288 / 11 |
G.I. Obstruction W Mcc | 21 | 21 / 8 | $50.171,60 | 344 / 27 | $12.909,90 | 422 / 22 | $12.047,40 | 422 / 23 |
Red Blood Cell Disorders W Mcc | 21 | 50 / 18 | $31.486,00 | 493 / 35 | $8.291,62 | 576 / 11 | $7.717,14 | 574 / 19 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 20 | 45 / 11 | $78.141,50 | 475 / 34 | $21.182,90 | 555 / 16 | $20.037,30 | 552 / 19 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 20 | 48 / 16 | $20.581,60 | 233 / 29 | $6.756,05 | 369 / 25 | $5.301,65 | 369 / 20 |
Cellulitis W Mcc | 20 | 38 / 17 | $26.665,80 | 294 / 30 | $9.410,35 | 251 / 12 | $7.646,85 | 250 / 6 |
Permanent Cardiac Pacemaker Implant W Mcc | 20 | 32 / 12 | $76.908,50 | 188 / 15 | $23.999,00 | 234 / 3 | $21.300,80 | 234 / 3 |
Disorders Of Pancreas Except Malignancy W Mcc | 18 | 28 / 6 | $33.732,20 | 90 / 11 | $10.935,60 | 106 / 4 | $10.199,60 | 106 / 4 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 18 | 27 / 6 | $69.689,60 | 63 / 11 | $20.154,70 | 56 / 5 | $16.095,40 | 56 / 3 |
Other Digestive System Diagnoses W Mcc | 17 | 45 / 12 | $33.615,90 | 221 / 28 | $10.790,20 | 297 / 8 | $10.084,30 | 297 / 11 |
Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 19 | $21.730,20 | 287 / 30 | $6.613,76 | 460 / 11 | $5.900,35 | 460 / 18 |
Peripheral Vascular Disorders W Mcc | 17 | 32 / 14 | $29.733,50 | 201 / 25 | $9.214,06 | 223 / 12 | $7.838,18 | 223 / 9 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 12 | $48.811,40 | 447 / 25 | $11.008,50 | 394 / 7 | $9.147,94 | 394 / 8 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 17 | 79 / 15 | $46.764,00 | 276 / 18 | $14.970,30 | 439 / 13 | $12.407,40 | 436 / 7 |
Major Chest Procedures W/O Cc/Mcc | 17 | 42 / 5 | $37.061,30 | 56 / 2 | $11.778,00 | 73 / 1 | $9.786,35 | 73 / 2 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 17 | 74 / 9 | $34.634,90 | 206 / 15 | $7.412,88 | 145 / 3 | $7.076,88 | 145 / 3 |
Major Chest Procedures W Mcc | 16 | 33 / 3 | $78.317,70 | 45 / 7 | $24.768,40 | 21 / 1 | $24.014,40 | 21 / 1 |
Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 22 | $57.814,80 | 315 / 18 | $17.943,40 | 371 / 14 | $14.976,80 | 370 / 5 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 16 | 22 / 6 | $19.911,10 | 246 / 21 | $4.599,44 | 269 / 9 | $3.693,44 | 268 / 17 |
Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 18 | $22.770,60 | 327 / 33 | $6.415,33 | 337 / 14 | $5.645,20 | 337 / 16 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 15 | 49 / 16 | $183.160,00 | 110 / 14 | $49.279,80 | 52 / 1 | $48.797,70 | 52 / 1 |
Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 14 | $19.693,40 | 505 / 26 | $4.899,47 | 427 / 8 | $3.768,80 | 427 / 13 |
Hypertension W/O Mcc | 14 | 51 / 18 | $18.113,60 | 343 / 32 | $4.127,07 | 310 / 8 | $3.183,07 | 308 / 10 |
Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 23 | $25.370,60 | 296 / 23 | $7.051,71 | 597 / 7 | $6.103,14 | 595 / 17 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 13 | $44.885,90 | 217 / 13 | $13.890,30 | 408 / 6 | $12.770,30 | 407 / 10 |
Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 25 | $86.026,90 | 452 / 32 | $21.225,30 | 477 / 6 | $20.100,70 | 477 / 7 |
Signs & Symptoms W/O Mcc | 14 | 77 / 27 | $20.314,70 | 672 / 47 | $4.966,64 | 384 / 27 | $3.506,21 | 383 / 12 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 15 | $116.825,00 | 329 / 30 | $29.469,10 | 279 / 4 | $28.518,20 | 279 / 4 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 20 | $23.024,50 | 636 / 34 | $4.452,15 | 513 / 10 | $3.615,23 | 512 / 17 |
Dysequilibrium | 13 | 52 / 18 | $19.665,90 | 240 / 29 | $4.437,31 | 263 / 9 | $3.423,15 | 263 / 16 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 12 | 76 / 13 | $79.710,20 | 134 / 9 | $22.649,20 | 288 / 4 | $21.441,20 | 287 / 6 |
Other Circulatory System Diagnoses W Cc | 12 | 54 / 20 | $16.738,60 | 117 / 18 | $6.598,75 | 271 / 10 | $5.426,17 | 270 / 6 |
Respiratory Neoplasms W Cc | 12 | 35 / 12 | $32.538,50 | 230 / 20 | $7.549,75 | 175 / 4 | $6.541,75 | 174 / 5 |
Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 14 | $129.285,00 | 276 / 17 | $31.522,80 | 226 / 6 | $25.480,20 | 226 / 3 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 14 | $17.893,10 | 117 / 15 | $4.971,75 | 179 / 7 | $4.270,42 | 179 / 11 |
Medical Back Problems W Mcc | 12 | 27 / 13 | $36.248,20 | 114 / 13 | $8.642,83 | 30 / 1 | $7.840,17 | 30 / 1 |
Transurethral Procedures W Cc | 12 | 29 / 12 | $31.621,30 | 137 / 24 | $8.537,00 | 151 / 10 | $6.919,58 | 151 / 7 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 12 | $38.807,40 | 380 / 21 | $10.450,80 | 497 / 5 | $9.242,83 | 495 / 7 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 12 | 30 / 9 | $33.590,60 | 79 / 10 | $11.357,20 | 21 / 2 | $8.793,00 | 21 / 1 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 19 | $16.851,10 | 423 / 31 | $4.776,92 | 579 / 11 | $3.974,25 | 575 / 16 |
Complications Of Treatment W Cc | 11 | 41 / 10 | $25.810,90 | 169 / 14 | $6.444,64 | 116 / 3 | $5.563,18 | 116 / 3 |
Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 15 | $158.099,00 | 129 / 15 | $44.020,70 | 211 / 3 | $42.921,10 | 211 / 7 |
Headaches W/O Mcc | 11 | 32 / 12 | $25.204,20 | 142 / 19 | $4.730,82 | 115 / 4 | $3.744,64 | 115 / 8 |
Major Cardiovasc Procedures W Mcc | 11 | 57 / 20 | $121.577,00 | 220 / 23 | $40.530,70 | 147 / 25 | $29.108,00 | 147 / 3 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 11 | 35 / 9 | $28.181,00 | 112 / 12 | $6.720,45 | 106 / 3 | $5.507,36 | 106 / 7 |
Stomach, Esophageal & Duodenal Proc W Cc | 11 | 39 / 8 | $76.041,20 | 128 / 11 | $16.943,30 | 87 / 3 | $16.064,70 | 87 / 5 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 21 | $30.331,30 | 657 / 35 | $7.828,18 | 684 / 12 | $7.275,45 | 682 / 20 |
Fractures Of Hip & Pelvis W Mcc | 11 | 10 / 3 | $31.921,50 | 32 / 3 | $8.713,64 | 35 / 2 | $7.837,91 | 35 / 4 |
Bone Diseases & Arthropathies W/O Mcc | 11 | 33 / 12 | $19.400,50 | 159 / 20 | $5.041,27 | 135 / 7 | $4.380,91 | 135 / 12 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W Mcc | 11 | 11 / 4 | $29.410,30 | 20 / 5 | $8.731,91 | 17 / 2 | $7.745,73 | 17 / 2 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 23 | $24.106,20 | 492 / 36 | $5.124,91 | 380 / 11 | $4.135,82 | 380 / 17 | Total 123 procedures | 5.993 | 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.