Hospital Costs > In Georgia > Athens Regional Medical Center, 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 | 401 | 138 / 3 | $36.913,10 | 1148 / 37 | $11.242,60 | 872 / 35 | $10.025,10 | 871 / 31 |
Heart Failure & Shock W Mcc | 260 | 48 / 1 | $30.072,60 | 1087 / 35 | $9.012,68 | 879 / 29 | $8.140,20 | 879 / 29 |
Chronic Obstructive Pulmonary Disease W Mcc | 165 | 41 / 2 | $23.954,10 | 1049 / 37 | $7.139,56 | 910 / 29 | $6.161,38 | 905 / 38 |
Heart Failure & Shock W Cc | 158 | 120 / 7 | $19.577,10 | 1133 / 40 | $6.184,08 | 844 / 34 | $5.169,42 | 843 / 29 |
Renal Failure W Cc | 147 | 76 / 3 | $21.664,10 | 1147 / 43 | $6.228,05 | 832 / 41 | $5.031,22 | 825 / 27 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 141 | 66 / 3 | $21.950,80 | 968 / 30 | $6.681,97 | 1055 / 35 | $5.710,06 | 1052 / 42 |
Pulmonary Edema & Respiratory Failure | 126 | 77 / 3 | $27.200,70 | 865 / 27 | $7.510,30 | 905 / 24 | $6.813,44 | 905 / 38 |
G.I. Hemorrhage W Cc | 124 | 94 / 4 | $23.177,10 | 1049 / 35 | $6.408,91 | 936 / 34 | $5.310,98 | 934 / 35 |
Renal Failure W Mcc | 122 | 74 / 4 | $32.019,30 | 887 / 34 | $9.715,61 | 908 / 39 | $8.736,99 | 908 / 40 |
Chronic Obstructive Pulmonary Disease W Cc | 113 | 66 / 3 | $21.111,70 | 1120 / 36 | $5.928,43 | 985 / 30 | $4.944,59 | 982 / 42 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 111 | 453 / 35 | $61.220,50 | 1734 / 57 | $13.043,20 | 1050 / 30 | $11.146,60 | 1027 / 42 |
Kidney & Urinary Tract Infections W/O Mcc | 102 | 131 / 9 | $19.258,10 | 1488 / 56 | $5.079,90 | 1072 / 42 | $4.007,84 | 1064 / 29 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 99 | 176 / 9 | $19.923,90 | 1379 / 53 | $4.942,59 | 1209 / 37 | $3.897,63 | 1198 / 48 |
Simple Pneumonia & Pleurisy W Mcc | 99 | 106 / 8 | $31.456,90 | 1132 / 42 | $8.879,13 | 995 / 39 | $7.869,05 | 995 / 43 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 98 | 84 / 5 | $26.925,70 | 921 / 32 | $6.818,03 | 706 / 32 | $5.441,52 | 705 / 28 |
Hip & Femur Procedures Except Major Joint W Cc | 97 | 46 / 3 | $51.595,00 | 1105 / 36 | $11.444,80 | 657 / 15 | $10.357,60 | 654 / 19 |
Simple Pneumonia & Pleurisy W Cc | 83 | 120 / 11 | $19.777,50 | 1111 / 33 | $6.204,57 | 865 / 35 | $4.963,06 | 862 / 31 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 81 | 85 / 5 | $17.862,40 | 1305 / 52 | $4.658,72 | 1284 / 34 | $3.873,04 | 1280 / 48 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 78 | 48 / 7 | $28.905,30 | 912 / 39 | $7.712,56 | 940 / 46 | $6.877,09 | 937 / 45 |
Spinal Fusion Except Cervical W/O Mcc | 69 | 125 / 17 | $131.753,00 | 1011 / 38 | $27.435,50 | 836 / 33 | $24.500,40 | 832 / 39 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 69 | 56 / 1 | $37.437,00 | 716 / 17 | $10.296,50 | 698 / 28 | $9.422,64 | 697 / 30 |
Cellulitis W/O Mcc | 68 | 121 / 6 | $17.808,20 | 1220 / 39 | $5.316,84 | 1102 / 23 | $4.349,49 | 1096 / 41 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 67 | 56 / 3 | $26.399,60 | 752 / 16 | $7.689,82 | 701 / 20 | $6.658,58 | 698 / 22 |
Kidney & Urinary Tract Infections W Mcc | 66 | 78 / 7 | $23.701,00 | 832 / 27 | $6.947,21 | 600 / 28 | $5.824,67 | 599 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 61 | 100 / 8 | $18.496,90 | 906 / 28 | $5.181,39 | 820 / 25 | $4.128,41 | 817 / 26 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 59 | 61 / 6 | $16.051,00 | 911 / 33 | $4.862,22 | 902 / 31 | $3.656,76 | 894 / 27 |
Respiratory Infections & Inflammations W Mcc | 53 | 83 / 5 | $38.066,60 | 701 / 23 | $11.892,20 | 442 / 33 | $10.341,20 | 439 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 52 | 44 / 4 | $26.486,20 | 506 / 14 | $7.500,60 | 402 / 20 | $6.434,54 | 400 / 13 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 51 | 145 / 17 | $60.525,90 | 464 / 15 | $12.727,70 | 454 / 18 | $10.527,60 | 452 / 22 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 50 | 118 / 11 | $34.554,10 | 510 / 11 | $10.618,20 | 669 / 22 | $9.802,44 | 668 / 26 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 48 | 140 / 22 | $31.046,70 | 566 / 22 | $7.038,79 | 579 / 24 | $5.555,88 | 577 / 22 |
Transient Ischemia | 48 | 77 / 5 | $21.401,60 | 764 / 23 | $4.725,02 | 615 / 23 | $3.491,65 | 611 / 22 |
Heart Failure & Shock W/O Cc/Mcc | 47 | 63 / 8 | $15.916,80 | 946 / 35 | $4.485,83 | 1002 / 23 | $3.734,79 | 994 / 29 |
Major Small & Large Bowel Procedures W Cc | 46 | 62 / 8 | $67.601,80 | 811 / 29 | $16.016,80 | 426 / 26 | $13.327,40 | 423 / 15 |
G.I. Hemorrhage W Mcc | 45 | 76 / 10 | $34.709,30 | 494 / 17 | $10.626,70 | 370 / 18 | $9.335,53 | 370 / 11 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 45 | 86 / 8 | $47.384,80 | 547 / 14 | $13.405,70 | 556 / 10 | $12.598,70 | 548 / 17 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 45 | 105 / 12 | $12.950,60 | 705 / 22 | $4.046,60 | 610 / 35 | $2.524,20 | 606 / 13 |
Other Circulatory System Diagnoses W Mcc | 43 | 73 / 8 | $38.237,20 | 437 / 19 | $11.556,20 | 484 / 22 | $10.709,40 | 483 / 23 |
Cervical Spinal Fusion W/O Cc/Mcc | 42 | 62 / 11 | $73.313,60 | 612 / 32 | $14.079,80 | 446 / 17 | $12.393,40 | 445 / 24 |
Respiratory Infections & Inflammations W Cc | 41 | 47 / 3 | $24.072,70 | 431 / 13 | $8.173,93 | 345 / 13 | $7.061,68 | 342 / 13 |
Medical Back Problems W/O Mcc | 41 | 80 / 5 | $19.895,90 | 509 / 16 | $5.477,88 | 546 / 14 | $4.296,27 | 544 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 39 | 63 / 6 | $20.652,40 | 626 / 18 | $5.156,51 | 540 / 19 | $3.672,13 | 536 / 14 |
Syncope & Collapse | 39 | 130 / 17 | $20.023,80 | 854 / 24 | $4.800,74 | 938 / 15 | $3.989,69 | 932 / 28 |
Major Cardiovasc Procedures W/O Mcc | 38 | 63 / 7 | $80.188,70 | 376 / 12 | $20.025,30 | 218 / 7 | $17.958,40 | 218 / 10 |
Pulmonary Embolism W/O Mcc | 36 | 38 / 5 | $22.624,40 | 530 / 14 | $6.445,19 | 408 / 20 | $5.015,39 | 407 / 13 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 35 | 89 / 11 | $94.942,10 | 431 / 11 | $29.866,90 | 249 / 12 | $27.355,80 | 249 / 8 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 35 | 65 / 9 | $90.660,90 | 384 / 13 | $20.601,50 | 259 / 14 | $17.596,90 | 258 / 11 |
Diabetes W Cc | 34 | 58 / 11 | $17.783,10 | 538 / 17 | $5.318,26 | 780 / 19 | $4.668,79 | 777 / 32 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 33 | 23 / 2 | $37.564,50 | 353 / 14 | $9.668,64 | 314 / 13 | $8.525,73 | 313 / 16 |
Acute Myocardial Infarction, Discharged Alive W Cc | 32 | 59 / 5 | $25.277,70 | 530 / 13 | $6.572,31 | 541 / 20 | $5.546,94 | 540 / 21 |
Extracranial Procedures W/O Cc/Mcc | 32 | 66 / 9 | $30.030,60 | 445 / 10 | $6.572,25 | 428 / 10 | $5.551,97 | 427 / 14 |
Chest Pain | 31 | 120 / 23 | $17.121,00 | 701 / 22 | $4.120,68 | 759 / 20 | $3.219,16 | 754 / 31 |
Major Small & Large Bowel Procedures W Mcc | 31 | 54 / 6 | $99.412,70 | 377 / 10 | $32.122,70 | 228 / 17 | $26.689,70 | 226 / 8 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 31 | 57 / 8 | $133.538,00 | 419 / 16 | $23.242,20 | 333 / 10 | $22.252,50 | 332 / 12 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 29 | 47 / 3 | $29.294,20 | 87 / 4 | $11.023,60 | 127 / 6 | $10.257,00 | 127 / 6 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 9 | $14.898,00 | 727 / 18 | $4.775,39 | 634 / 30 | $3.349,14 | 631 / 16 |
G.I. Obstruction W Cc | 28 | 64 / 10 | $24.470,60 | 961 / 35 | $5.813,86 | 712 / 25 | $4.715,93 | 711 / 25 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 28 | 61 / 6 | $35.338,90 | 393 / 13 | $7.036,14 | 260 / 9 | $5.445,75 | 260 / 9 |
G.I. Obstruction W/O Cc/Mcc | 28 | 43 / 3 | $16.348,20 | 619 / 17 | $4.295,29 | 605 / 14 | $3.102,43 | 604 / 16 |
Peripheral Vascular Disorders W Cc | 27 | 57 / 6 | $17.954,60 | 312 / 10 | $5.900,67 | 417 / 8 | $5.134,56 | 415 / 13 |
Hip & Femur Procedures Except Major Joint W Mcc | 26 | 36 / 4 | $71.158,10 | 430 / 10 | $17.693,10 | 293 / 11 | $16.520,50 | 290 / 12 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 26 | 39 / 4 | $88.697,10 | 562 / 19 | $20.939,70 | 407 / 23 | $18.410,50 | 405 / 18 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 26 | 90 / 7 | $184.990,00 | 177 / 5 | $42.986,60 | 56 / 1 | $42.404,80 | 56 / 2 |
Diabetes W Mcc | 26 | 31 / 3 | $27.349,90 | 225 / 6 | $8.387,92 | 173 / 7 | $7.405,04 | 173 / 7 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 24 | 45 / 3 | $57.347,60 | 229 / 9 | $10.860,30 | 204 / 7 | $9.740,67 | 204 / 8 |
Poisoning & Toxic Effects Of Drugs W Mcc | 24 | 48 / 6 | $35.023,90 | 473 / 16 | $8.548,54 | 316 / 11 | $7.733,71 | 315 / 15 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 24 | 39 / 5 | $97.575,60 | 198 / 8 | $26.713,00 | 112 / 2 | $25.546,50 | 112 / 2 |
Cervical Spinal Fusion W Cc | 23 | 30 / 2 | $81.975,60 | 233 / 15 | $17.831,40 | 97 / 9 | $15.384,70 | 96 / 7 |
Signs & Symptoms W/O Mcc | 23 | 68 / 9 | $17.647,80 | 521 / 15 | $4.461,83 | 640 / 11 | $3.929,96 | 639 / 26 |
Coronary Bypass W Cardiac Cath W/O Mcc | 22 | 54 / 9 | $151.205,00 | 359 / 12 | $27.906,70 | 302 / 4 | $26.725,90 | 302 / 11 |
G.I. Obstruction W Mcc | 22 | 20 / 2 | $28.141,80 | 110 / 2 | $9.274,77 | 93 / 3 | $8.388,73 | 93 / 4 |
Other Vascular Procedures W Cc | 22 | 80 / 12 | $62.310,40 | 406 / 14 | $16.593,80 | 303 / 20 | $13.960,50 | 301 / 9 |
Pulmonary Embolism W Mcc | 22 | 21 / 3 | $39.739,50 | 317 / 12 | $8.890,86 | 116 / 5 | $7.773,32 | 116 / 4 |
Permanent Cardiac Pacemaker Implant W Cc | 21 | 56 / 8 | $59.560,10 | 339 / 10 | $15.391,30 | 249 / 7 | $14.341,00 | 248 / 7 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 21 | 97 / 10 | $163.233,00 | 330 / 11 | $32.258,20 | 210 / 4 | $31.091,10 | 210 / 8 |
Other Digestive System Diagnoses W Mcc | 21 | 41 / 4 | $37.472,20 | 281 / 8 | $9.936,52 | 172 / 4 | $9.231,76 | 172 / 7 |
Seizures W/O Mcc | 21 | 87 / 12 | $21.182,90 | 610 / 23 | $5.615,67 | 345 / 27 | $3.837,38 | 343 / 16 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 21 | 26 / 2 | $228.294,00 | 94 / 4 | $48.102,70 | 95 / 4 | $47.005,20 | 95 / 4 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 12 | $22.349,70 | 531 / 17 | $6.138,65 | 513 / 15 | $5.225,75 | 510 / 18 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 20 | 51 / 13 | $110.498,00 | 317 / 16 | $29.657,80 | 279 / 9 | $28.898,20 | 279 / 12 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 20 | 46 / 4 | $23.934,90 | 142 / 4 | $6.739,40 | 97 / 3 | $5.636,30 | 97 / 3 |
Fractures Of Hip & Pelvis W/O Mcc | 20 | 41 / 5 | $18.231,00 | 444 / 9 | $4.736,55 | 376 / 12 | $3.635,05 | 377 / 10 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 32 | $19.183,40 | 823 / 32 | $6.372,30 | 97 / 54 | $3.413,85 | 97 / 1 |
Degenerative Nervous System Disorders W/O Mcc | 20 | 58 / 6 | $24.542,40 | 373 / 11 | $6.108,35 | 359 / 7 | $5.486,85 | 359 / 15 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 19 | 28 / 2 | $48.501,20 | 304 / 6 | $9.119,79 | 233 / 5 | $8.159,89 | 233 / 8 |
Disorders Of Pancreas Except Malignancy W Cc | 19 | 42 / 5 | $20.674,20 | 323 / 7 | $5.866,89 | 355 / 11 | $4.902,16 | 354 / 11 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 19 | 49 / 7 | $21.435,20 | 253 / 11 | $5.998,21 | 160 / 10 | $4.467,58 | 160 / 7 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 19 | 45 / 13 | $43.572,70 | 365 / 16 | $10.189,30 | 235 / 12 | $8.233,79 | 235 / 11 |
Other Disorders Of Nervous System W Cc | 19 | 37 / 6 | $27.488,40 | 334 / 12 | $5.716,84 | 234 / 5 | $5.004,00 | 234 / 9 |
Coronary Bypass W Cardiac Cath W Mcc | 19 | 37 / 6 | $199.452,00 | 236 / 9 | $41.946,70 | 155 / 2 | $40.216,50 | 155 / 6 |
Cellulitis W Mcc | 19 | 39 / 6 | $22.164,30 | 172 / 3 | $8.785,11 | 247 / 7 | $7.621,79 | 246 / 4 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 19 | 36 / 4 | $54.591,50 | 296 / 7 | $11.696,90 | 200 / 4 | $10.534,20 | 200 / 4 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 18 | 52 / 5 | $19.262,00 | 170 / 6 | $5.711,78 | 135 / 3 | $4.962,56 | 135 / 4 |
Extracranial Procedures W Cc | 18 | 28 / 4 | $41.869,10 | 174 / 3 | $9.606,94 | 125 / 3 | $8.456,61 | 125 / 4 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 18 | 77 / 9 | $67.650,20 | 241 / 7 | $12.658,30 | 38 / 6 | $9.305,56 | 37 / 2 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 18 | 106 / 9 | $26.670,90 | 649 / 15 | $4.578,00 | 164 / 6 | $3.424,94 | 164 / 4 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 4 | $21.569,80 | 422 / 8 | $5.010,50 | 315 / 7 | $3.945,00 | 315 / 7 |
Complications Of Treatment W Mcc | 18 | 33 / 5 | $52.796,40 | 179 / 6 | $13.356,60 | 119 / 6 | $10.879,30 | 119 / 5 |
Bronchitis & Asthma W Cc/Mcc | 18 | 58 / 11 | $16.699,90 | 263 / 8 | $5.710,06 | 273 / 14 | $4.279,50 | 270 / 8 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 8 | $20.527,50 | 532 / 18 | $4.277,18 | 352 / 7 | $3.468,94 | 351 / 11 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 8 | $44.852,20 | 363 / 9 | $9.928,06 | 345 / 6 | $8.846,29 | 345 / 12 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 13 | $25.700,30 | 261 / 2 | $9.430,38 | 398 / 10 | $8.734,88 | 397 / 12 |
Transurethral Procedures W Cc | 16 | 25 / 2 | $44.313,00 | 250 / 4 | $8.703,44 | 240 / 4 | $7.709,44 | 240 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 12 | $22.604,00 | 381 / 10 | $7.213,00 | 508 / 11 | $6.665,62 | 506 / 17 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 17 | $47.438,90 | 268 / 16 | $13.625,00 | 158 / 19 | $10.832,80 | 155 / 4 |
Coronary Bypass W/O Cardiac Cath W Mcc | 16 | 43 / 9 | $145.315,00 | 108 / 7 | $31.234,10 | 47 / 1 | $30.749,80 | 47 / 2 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 15 | 21 / 4 | $56.758,90 | 156 / 1 | $14.256,50 | 116 / 1 | $13.513,50 | 116 / 3 |
Permanent Cardiac Pacemaker Implant W Mcc | 15 | 37 / 6 | $81.474,10 | 215 / 7 | $21.450,10 | 178 / 3 | $20.540,70 | 178 / 4 |
Major Cardiovasc Procedures W Mcc | 15 | 53 / 12 | $110.390,00 | 161 / 7 | $32.819,10 | 65 / 5 | $27.055,50 | 65 / 1 |
Renal Failure W/O Cc/Mcc | 14 | 42 / 13 | $18.609,70 | 513 / 17 | $4.249,86 | 336 / 9 | $3.201,00 | 335 / 9 |
Respiratory Neoplasms W Mcc | 14 | 38 / 7 | $37.743,10 | 226 / 8 | $10.598,60 | 155 / 11 | $9.189,86 | 155 / 6 |
Signs & Symptoms W Mcc | 14 | 27 / 4 | $21.734,90 | 70 / 2 | $6.433,14 | 24 / 1 | $5.648,07 | 24 / 2 |
Disorders Of Pancreas Except Malignancy W Mcc | 14 | 32 / 4 | $40.726,20 | 130 / 6 | $10.791,60 | 98 / 1 | $9.993,00 | 98 / 1 |
Other Circulatory System O.R. Procedures | 14 | 41 / 12 | $65.079,40 | 197 / 11 | $14.869,10 | 50 / 3 | $13.986,70 | 50 / 3 |
Hypertension W/O Mcc | 14 | 51 / 8 | $16.679,00 | 284 / 9 | $4.456,43 | 289 / 10 | $3.135,21 | 287 / 8 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 14 | 31 / 4 | $83.557,10 | 110 / 5 | $18.987,80 | 111 / 5 | $17.942,30 | 111 / 5 |
Other Kidney & Urinary Tract Diagnoses W Cc | 14 | 89 / 11 | $23.200,10 | 343 / 7 | $6.260,57 | 361 / 3 | $5.707,36 | 361 / 9 |
Bronchitis & Asthma W/O Cc/Mcc | 14 | 31 / 4 | $15.686,10 | 144 / 7 | $4.342,79 | 161 / 3 | $3.382,14 | 161 / 5 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 13 | 41 / 6 | $14.526,30 | 57 / 2 | $4.870,15 | 126 / 2 | $3.850,15 | 126 / 4 |
Organic Disturbances & Mental Retardation | 13 | 46 / 6 | $22.786,40 | 232 / 7 | $6.046,77 | 126 / 3 | $5.199,31 | 126 / 3 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 13 | 29 / 3 | $36.554,50 | 95 / 3 | $10.307,20 | 59 / 2 | $9.457,92 | 59 / 3 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 14 | $16.203,50 | 386 / 14 | $4.742,00 | 331 / 10 | $3.435,15 | 328 / 7 |
Cranial & Peripheral Nerve Disorders W Mcc | 13 | 23 / 5 | $35.629,40 | 77 / 5 | $7.986,62 | 35 / 1 | $7.412,31 | 35 / 2 |
Other Vascular Procedures W Mcc | 13 | 84 / 22 | $71.404,90 | 277 / 12 | $18.146,10 | 130 / 6 | $17.287,20 | 130 / 7 |
Seizures W Mcc | 12 | 54 / 15 | $21.235,90 | 67 / 1 | $9.111,00 | 185 / 3 | $8.298,58 | 185 / 5 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 19 | $138.877,00 | 443 / 16 | $32.893,20 | 217 / 2 | $31.990,90 | 217 / 7 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 12 | 15 / 3 | $36.781,50 | 73 / 3 | $9.161,25 | 19 / 1 | $8.539,33 | 19 / 1 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 10 | $48.479,80 | 268 / 10 | $12.708,90 | 258 / 6 | $11.691,70 | 257 / 8 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 19 | $22.876,60 | 236 / 6 | $7.693,42 | 353 / 15 | $6.986,67 | 351 / 17 |
Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 6 | $19.736,20 | 127 / 2 | $6.143,83 | 157 / 2 | $5.225,92 | 157 / 4 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 12 | 20 / 4 | $38.646,80 | 36 / 2 | $12.762,10 | 16 / 1 | $12.142,80 | 16 / 1 |
Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 9 | $36.566,00 | 129 / 3 | $10.184,90 | 173 / 7 | $8.965,33 | 172 / 7 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 9 | $22.815,10 | 384 / 10 | $4.983,00 | 295 / 13 | $3.765,83 | 292 / 10 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 12 | 41 / 5 | $49.711,80 | 170 / 6 | $10.375,80 | 74 / 1 | $9.648,92 | 74 / 2 |
Fractures Of Hip & Pelvis W Mcc | 11 | 10 / 2 | $17.699,20 | 6 / 1 | $7.651,91 | 12 / 1 | $6.655,64 | 12 / 3 |
Atherosclerosis W/O Mcc | 11 | 47 / 8 | $13.038,80 | 118 / 4 | $4.140,18 | / 8 | $3.362,00 | / |
Fever | 11 | 35 / 4 | $16.640,50 | 55 / 2 | $5.464,36 | 134 / 3 | $4.799,00 | 134 / 4 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 11 | 23 / 9 | $47.659,20 | 12 / 1 | $20.103,70 | 8 / 1 | $19.284,50 | 8 / 1 |
Diabetes W/O Cc/Mcc | 11 | 27 / 5 | $13.891,00 | 105 / 4 | $3.933,64 | 123 / 2 | $3.267,82 | 123 / 4 |
Other Respiratory System Diagnoses W Mcc | 11 | 25 / 2 | $61.637,40 | 62 / 3 | $11.943,00 | 53 / 3 | $11.153,60 | 53 / 3 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 13 | $40.686,30 | 173 / 10 | $12.157,40 | 79 / 8 | $9.189,73 | 79 / 5 |
Disorders Of The Biliary Tract W Mcc | 11 | 28 / 2 | $49.052,30 | 148 / 2 | $10.837,20 | 97 / 1 | $10.157,60 | 97 / 1 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 11 | 80 / 10 | $19.361,30 | 62 / 1 | $6.895,73 | 101 / 2 | $6.666,45 | 101 / 2 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 11 | 40 / 7 | $30.167,10 | 39 / 1 | $11.509,70 | 43 / 2 | $10.281,00 | 43 / 2 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 5 | $17.304,40 | 185 / 4 | $4.726,73 | 191 / 4 | $3.310,00 | 191 / 4 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 8 | $28.421,10 | 174 / 3 | $7.372,91 | 145 / 1 | $6.589,73 | 145 / 3 | Total 146 procedures | 5.803 | 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.