Hospital Costs > In New Jersey > Atlanticare Regional Medical Center - City Div, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 14 | 17 / 5 | $140.689,00 | 144 / 11 | $15.358,90 | 90 / 8 | $11.694,50 | 90 / 5 |
Acute Myocardial Infarction, Discharged Alive W Cc | 51 | 40 / 7 | $88.654,60 | 1410 / 47 | $8.579,65 | 1144 / 34 | $7.324,51 | 1142 / 38 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 60 | 65 / 13 | $120.427,00 | 1764 / 49 | $14.286,70 | 1541 / 43 | $13.266,90 | 1528 / 48 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 26 | 27 / 9 | $77.112,50 | 856 / 45 | $6.323,73 | 699 / 34 | $5.255,38 | 695 / 35 |
Acute Myocardial Infarction, Expired W Mcc | 12 | 18 / 8 | $129.320,00 | 198 / 14 | $13.055,60 | 131 / 9 | $12.275,80 | 131 / 12 |
Aftercare, Musculoskeletal System & Connective Tissue W Cc | 13 | 5 / 1 | $51.148,80 | 23 / 1 | $7.986,15 | 17 / 1 | $7.304,23 | 17 / 1 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 94 | 42 / 2 | $37.268,60 | 764 / 10 | $5.979,54 | 557 / 20 | $4.685,43 | 556 / 21 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 21 | 28 / 2 | $19.867,40 | 101 / 2 | $4.117,29 | 33 / 1 | $2.912,43 | 32 / 1 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 13 | 21 / 2 | $239.245,00 | 174 / 6 | $34.080,00 | 133 / 3 | $32.821,80 | 133 / 5 |
Angina Pectoris | 19 | 7 / 1 | $49.647,90 | 69 / 8 | $5.116,53 | 48 / 7 | $3.906,68 | 48 / 6 |
Atherosclerosis W/O Mcc | 38 | 20 / 3 | $56.209,40 | 543 / 33 | $5.273,58 | / 23 | $4.346,32 | / |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 13 | 53 / 9 | $120.285,00 | 552 / 14 | $14.364,50 | 425 / 8 | $13.090,30 | 422 / 9 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 14 | 75 / 11 | $81.169,20 | 736 / 19 | $8.693,50 | 616 / 12 | $7.410,64 | 615 / 16 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 25 | 38 / 6 | $114.019,00 | 193 / 11 | $26.997,40 | 193 / 10 | $23.765,10 | 192 / 11 |
Bronchitis & Asthma W Cc/Mcc | 31 | 45 / 11 | $63.455,40 | 1059 / 36 | $7.170,13 | 832 / 21 | $6.095,26 | 828 / 31 |
Bronchitis & Asthma W/O Cc/Mcc | 18 | 27 / 7 | $41.232,00 | 363 / 19 | $5.496,11 | 282 / 16 | $4.462,39 | 282 / 21 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 142 | 27 / 2 | $71.190,40 | 2154 / 55 | $7.920,18 | 1944 / 50 | $6.553,53 | 1939 / 54 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 72 | 51 / 8 | $86.089,90 | 1865 / 48 | $10.412,20 | 1553 / 46 | $8.918,60 | 1550 / 46 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 141 | 23 / 4 | $43.868,50 | 1942 / 49 | $5.184,27 | 1542 / 43 | $3.613,81 | 1536 / 40 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 17 | 33 / 6 | $259.376,00 | 232 / 8 | $45.976,20 | 138 / 10 | $35.058,70 | 138 / 2 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 34 | 84 / 9 | $308.615,00 | 508 / 12 | $39.095,10 | 361 / 3 | $35.714,00 | 361 / 3 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 24 | 92 / 8 | $388.986,00 | 438 / 11 | $54.064,10 | 269 / 2 | $53.320,20 | 269 / 3 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 11 | 31 / 6 | $288.730,00 | 123 / 6 | $35.631,00 | 94 / 1 | $34.577,10 | 94 / 3 |
Cellulitis W Mcc | 24 | 34 / 10 | $68.542,80 | 863 / 17 | $10.744,20 | 669 / 17 | $9.762,96 | 667 / 22 |
Cellulitis W/O Mcc | 164 | 32 / 5 | $55.948,00 | 2599 / 54 | $7.198,41 | 2072 / 42 | $5.742,71 | 2064 / 44 |
Cervical Spinal Fusion W Cc | 14 | 39 / 3 | $120.092,00 | 318 / 3 | $21.842,20 | 293 / 2 | $20.631,40 | 292 / 4 |
Cervical Spinal Fusion W/O Cc/Mcc | 20 | 84 / 3 | $123.497,00 | 826 / 17 | $18.206,60 | 692 / 10 | $14.887,10 | 689 / 11 |
Chest Pain | 228 | 5 / 1 | $52.814,70 | 1691 / 47 | $5.361,23 | 1294 / 32 | $4.248,17 | 1287 / 36 |
Chronic Obstructive Pulmonary Disease W Cc | 151 | 36 / 4 | $61.923,40 | 2377 / 46 | $7.775,28 | 1943 / 38 | $6.512,41 | 1936 / 45 |
Chronic Obstructive Pulmonary Disease W Mcc | 94 | 108 / 15 | $74.083,90 | 2473 / 38 | $9.313,48 | 2112 / 33 | $8.340,13 | 2104 / 45 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 102 | 20 / 4 | $44.830,40 | 2009 / 37 | $6.698,15 | 1646 / 46 | $4.771,36 | 1635 / 39 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 64 | 31 / 2 | $115.915,00 | 825 / 24 | $16.015,60 | 683 / 21 | $14.920,40 | 676 / 28 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 268 | 5 / 1 | $89.044,60 | 1600 / 42 | $8.837,25 | 1291 / 27 | $7.445,85 | 1288 / 31 |
Complications Of Treatment W Cc | 12 | 40 / 7 | $61.811,00 | 352 / 13 | $7.914,08 | 240 / 8 | $7.103,42 | 240 / 11 |
Complications Of Treatment W Mcc | 13 | 38 / 6 | $67.786,10 | 233 / 3 | $13.263,20 | 171 / 3 | $12.102,60 | 171 / 4 |
Concussion W/O Cc/Mcc | 11 | 6 / 1 | $64.250,00 | 7 / 1 | $10.485,10 | 1 / 1 | $4.405,82 | 1 / 1 |
Coronary Bypass W Cardiac Cath W Mcc | 15 | 41 / 8 | $447.079,00 | 423 / 11 | $52.620,00 | 326 / 4 | $51.010,90 | 326 / 5 |
Coronary Bypass W Cardiac Cath W/O Mcc | 23 | 53 / 9 | $292.005,00 | 584 / 11 | $34.806,40 | 438 / 3 | $30.118,50 | 438 / 1 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 21 | 67 / 9 | $224.778,00 | 557 / 14 | $27.405,40 | 476 / 3 | $26.475,60 | 475 / 6 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 20 | 48 / 7 | $72.060,00 | 728 / 30 | $7.833,90 | 576 / 23 | $6.661,15 | 576 / 26 |
Degenerative Nervous System Disorders W Mcc | 14 | 24 / 5 | $107.313,00 | 220 / 9 | $12.750,90 | 136 / 5 | $11.921,60 | 136 / 6 |
Degenerative Nervous System Disorders W/O Mcc | 35 | 43 / 9 | $59.388,10 | 821 / 27 | $8.025,71 | 585 / 27 | $6.614,54 | 585 / 27 |
Depressive Neuroses | 19 | 31 / 2 | $37.476,60 | 131 / 2 | $5.654,84 | 100 / 2 | $4.554,00 | 100 / 2 |
Diabetes W Cc | 80 | 13 / 2 | $60.840,10 | 1592 / 44 | $7.668,55 | 1214 / 43 | $5.806,54 | 1209 / 40 |
Diabetes W Mcc | 24 | 33 / 5 | $98.702,80 | 727 / 28 | $11.027,20 | 551 / 16 | $9.960,42 | 550 / 17 |
Diabetes W/O Cc/Mcc | 19 | 19 / 6 | $53.961,20 | 289 / 16 | $5.516,26 | 149 / 11 | $3.484,42 | 149 / 8 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 27 | 43 / 3 | $81.781,40 | 565 / 17 | $7.474,56 | 406 / 7 | $7.022,22 | 406 / 13 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 14 | 62 / 9 | $98.569,20 | 501 / 12 | $14.267,50 | 370 / 8 | $13.539,90 | 370 / 10 |
Disorders Of Pancreas Except Malignancy W Cc | 30 | 31 / 3 | $70.003,10 | 937 / 32 | $7.494,57 | 714 / 20 | $6.257,27 | 711 / 23 |
Disorders Of Pancreas Except Malignancy W Mcc | 15 | 31 / 4 | $101.598,00 | 338 / 9 | $13.301,50 | 213 / 6 | $12.057,70 | 213 / 5 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 23 | 15 / 3 | $41.110,30 | 426 / 16 | $6.008,78 | 334 / 16 | $4.180,43 | 333 / 14 |
Disorders Of The Biliary Tract W Cc | 20 | 34 / 7 | $81.344,30 | 467 / 19 | $8.455,45 | 340 / 14 | $7.460,35 | 340 / 17 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 15 | 14 / 3 | $63.118,30 | 108 / 8 | $6.292,20 | 72 / 6 | $5.221,80 | 72 / 7 |
Dysequilibrium | 45 | 20 / 2 | $52.512,90 | 551 / 28 | $5.330,00 | 406 / 20 | $4.283,73 | 406 / 22 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 34 | 47 / 6 | $564.127,00 | 306 / 3 | $110.924,00 | 78 / 2 | $88.765,20 | 78 / 2 |
Endocrine Disorders W Cc | 17 | 21 / 3 | $92.750,10 | 303 / 16 | $8.234,06 | 196 / 11 | $7.017,94 | 196 / 13 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 36 | 60 / 14 | $92.661,10 | 1442 / 43 | $10.127,60 | 1124 / 32 | $8.774,42 | 1119 / 38 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 256 | 43 / 4 | $54.963,90 | 2678 / 52 | $6.287,48 | 2171 / 38 | $5.171,66 | 2157 / 43 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 32 | 12 / 2 | $164.972,00 | 413 / 17 | $29.035,70 | 310 / 20 | $20.004,80 | 308 / 15 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 30 | 33 / 5 | $219.290,00 | 655 / 21 | $36.134,40 | 546 / 17 | $34.636,80 | 546 / 22 |
Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 16 | $79.889,20 | 894 / 26 | $8.192,38 | 716 / 13 | $6.750,54 | 713 / 15 |
Fever | 29 | 17 / 2 | $61.434,30 | 332 / 21 | $7.347,83 | 226 / 17 | $5.694,62 | 226 / 15 |
Fractures Of Hip & Pelvis W/O Mcc | 29 | 32 / 9 | $52.898,40 | 908 / 39 | $5.828,76 | 724 / 24 | $4.722,38 | 723 / 29 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 34 | 28 / 6 | $49.813,50 | 781 / 27 | $8.057,74 | 505 / 31 | $4.602,76 | 503 / 21 |
G.I. Hemorrhage W Cc | 99 | 119 / 15 | $75.608,00 | 2397 / 51 | $8.368,16 | 1896 / 41 | $6.909,13 | 1892 / 39 |
G.I. Hemorrhage W Mcc | 42 | 79 / 13 | $119.452,00 | 1623 / 48 | $13.706,50 | 1301 / 32 | $12.906,70 | 1291 / 37 |
G.I. Hemorrhage W/O Cc/Mcc | 48 | 20 / 5 | $53.550,60 | 987 / 46 | $6.070,29 | 740 / 35 | $4.570,60 | 736 / 34 |
G.I. Obstruction W Cc | 36 | 56 / 12 | $66.871,20 | 1699 / 41 | $8.147,06 | 1302 / 39 | $5.868,92 | 1297 / 32 |
G.I. Obstruction W Mcc | 22 | 20 / 5 | $123.103,00 | 530 / 20 | $12.567,50 | 399 / 13 | $11.572,30 | 399 / 17 |
G.I. Obstruction W/O Cc/Mcc | 45 | 26 / 5 | $51.997,80 | 1292 / 40 | $5.279,27 | 1052 / 29 | $4.133,00 | 1049 / 34 |
Headaches W/O Mcc | 11 | 32 / 3 | $49.774,70 | 223 / 3 | $5.663,00 | 168 / 2 | $4.601,91 | 168 / 4 |
Heart Failure & Shock W Cc | 207 | 74 / 7 | $62.547,90 | 2682 / 42 | $8.046,82 | 2240 / 37 | $7.097,42 | 2234 / 45 |
Heart Failure & Shock W Mcc | 170 | 114 / 13 | $92.042,40 | 2539 / 47 | $12.561,60 | 2112 / 44 | $10.809,50 | 2102 / 41 |
Heart Failure & Shock W/O Cc/Mcc | 64 | 46 / 11 | $47.673,20 | 1969 / 46 | $5.699,31 | 1588 / 39 | $4.682,59 | 1575 / 41 |
Hip & Femur Procedures Except Major Joint W Cc | 66 | 77 / 13 | $110.265,00 | 1952 / 46 | $14.972,80 | 1612 / 31 | $13.407,40 | 1593 / 37 |
Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 12 | $176.485,00 | 925 / 24 | $24.147,20 | 667 / 20 | $20.049,80 | 664 / 16 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 44 | 12 / 4 | $87.710,20 | 868 / 36 | $14.585,30 | 694 / 31 | $10.670,90 | 691 / 27 |
Hiv W Major Related Condition W Cc | 11 | 13 / 3 | $56.969,70 | 30 / 2 | $10.532,40 | 11 / 2 | $9.509,18 | 11 / 1 |
Hypertension W/O Mcc | 37 | 28 / 3 | $49.940,90 | 771 / 29 | $5.565,62 | 563 / 23 | $4.154,41 | 561 / 25 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 8 | $146.874,00 | 343 / 15 | $18.289,80 | 274 / 7 | $17.166,20 | 273 / 10 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 55 | 69 / 9 | $253.347,00 | 1430 / 45 | $41.348,20 | 1096 / 35 | $36.932,00 | 1089 / 31 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 121 | 62 / 8 | $98.538,30 | 2068 / 54 | $8.744,17 | 1688 / 36 | $7.569,93 | 1684 / 44 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 81 | 87 / 7 | $165.656,00 | 1625 / 51 | $14.784,30 | 1352 / 42 | $13.498,10 | 1346 / 43 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 54 | 48 / 5 | $69.720,70 | 1590 / 45 | $6.284,43 | 1261 / 32 | $5.083,11 | 1257 / 37 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 21 | 24 / 2 | $113.865,00 | 196 / 9 | $14.455,20 | 134 / 7 | $13.426,30 | 134 / 7 |
Kidney & Urinary Tract Infections W Mcc | 78 | 66 / 11 | $74.622,50 | 1908 / 43 | $9.011,32 | 1583 / 33 | $8.010,38 | 1579 / 36 |
Kidney & Urinary Tract Infections W/O Mcc | 197 | 51 / 7 | $55.990,70 | 2671 / 49 | $6.779,47 | 2167 / 43 | $5.372,11 | 2156 / 41 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 14 | 15 / 8 | $44.609,70 | 147 / 16 | $5.656,29 | 102 / 10 | $4.863,29 | 102 / 11 |
Knee Procedures W/O Pdx Of Infection W Cc/Mcc | 13 | 5 / 1 | $67.898,10 | 19 / 1 | $11.260,10 | 10 / 1 | $10.174,20 | 10 / 1 |
Knee Procedures W/O Pdx Of Infection W/O Cc/Mcc | 22 | 3 / 1 | $63.640,00 | 34 / 2 | $10.847,20 | 29 / 2 | $8.038,05 | 29 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 21 | 35 / 10 | $110.695,00 | 827 / 33 | $12.818,70 | 760 / 24 | $11.888,90 | 756 / 31 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 11 | $181.172,00 | 450 / 20 | $18.838,60 | 370 / 11 | $17.520,60 | 369 / 13 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 24 | 23 / 5 | $77.714,60 | 539 / 25 | $9.681,79 | 508 / 15 | $8.664,38 | 507 / 22 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 16 | 39 / 8 | $101.505,00 | 581 / 19 | $14.994,40 | 497 / 10 | $13.821,40 | 493 / 15 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 24 | 23 / 5 | $85.835,50 | 483 / 19 | $13.393,20 | 406 / 13 | $9.991,58 | 406 / 15 |
Major Cardiovasc Procedures W Mcc | 36 | 32 / 3 | $284.251,00 | 606 / 19 | $42.174,20 | 410 / 12 | $36.366,10 | 409 / 11 |
Major Cardiovasc Procedures W/O Mcc | 37 | 64 / 10 | $175.510,00 | 942 / 31 | $25.043,70 | 768 / 20 | $23.919,10 | 767 / 23 |
Major Chest Procedures W Cc | 12 | 62 / 11 | $161.963,00 | 479 / 15 | $36.872,90 | 295 / 15 | $16.103,20 | 293 / 7 |
Major Chest Procedures W Mcc | 14 | 35 / 5 | $310.453,00 | 321 / 12 | $38.198,90 | 251 / 8 | $37.120,10 | 250 / 10 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 25 | 48 / 11 | $81.569,60 | 1089 / 38 | $9.422,32 | 871 / 25 | $8.294,92 | 869 / 27 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 14 | 15 / 5 | $59.762,40 | 128 / 7 | $6.768,07 | 102 / 6 | $5.669,79 | 101 / 6 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 21 | 32 / 6 | $66.774,50 | 445 / 16 | $10.546,40 | 306 / 18 | $8.136,62 | 306 / 15 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 27 | 69 / 4 | $104.680,00 | 767 / 12 | $17.998,40 | 637 / 9 | $14.488,60 | 633 / 8 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 9 | $164.704,00 | 865 / 22 | $23.253,90 | 688 / 14 | $21.940,00 | 685 / 14 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 883 | 29 / 3 | $84.435,70 | 2279 / 41 | $15.260,60 | 1880 / 28 | $13.150,10 | 1838 / 27 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 28 | 41 / 1 | $117.507,00 | 441 / 8 | $18.666,80 | 371 / 6 | $17.472,40 | 371 / 7 |
Major Small & Large Bowel Procedures W Cc | 33 | 75 / 16 | $176.871,00 | 1495 / 42 | $19.211,50 | 1236 / 25 | $17.954,30 | 1222 / 34 |
Major Small & Large Bowel Procedures W Mcc | 47 | 38 / 7 | $258.991,00 | 1181 / 33 | $35.672,10 | 818 / 23 | $33.929,90 | 816 / 26 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 15 | $138.250,00 | 748 / 21 | $12.755,80 | 610 / 10 | $11.415,20 | 610 / 16 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 12 | 19 / 7 | $97.991,30 | 195 / 12 | $10.317,30 | 122 / 9 | $7.911,00 | 122 / 5 |
Medical Back Problems W/O Mcc | 89 | 33 / 3 | $68.354,90 | 1476 / 47 | $8.959,00 | 1095 / 43 | $5.549,92 | 1091 / 37 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 57 | 69 / 10 | $99.610,90 | 1731 / 48 | $9.628,75 | 1365 / 39 | $8.459,04 | 1362 / 40 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 133 | 36 / 3 | $57.257,00 | 2512 / 51 | $6.003,85 | 1985 / 37 | $4.844,96 | 1977 / 41 |
Multiple Sclerosis & Cerebellar Ataxia W/O Cc/Mcc | 11 | 13 / 2 | $46.815,50 | 19 / 2 | $6.562,82 | 11 / 2 | $5.483,00 | 11 / 2 |
Nervous System Neoplasms W/O Mcc | 12 | 18 / 5 | $86.672,20 | 102 / 6 | $7.561,17 | 56 / 3 | $6.597,33 | 56 / 3 |
Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Cc | 19 | 9 / 1 | $126.963,00 | 75 / 7 | $13.389,70 | 49 / 2 | $12.379,30 | 49 / 4 |
Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Mcc | 11 | 16 / 5 | $187.902,00 | 63 / 4 | $24.362,90 | 41 / 3 | $23.166,10 | 41 / 3 |
Nonspecific Cerebrovascular Disorders W Cc | 16 | 40 / 3 | $88.787,10 | 461 / 9 | $7.982,19 | 359 / 7 | $6.888,38 | 359 / 7 |
O.R. Procedures For Obesity W/O Cc/Mcc | 22 | 55 / 6 | $69.772,50 | 356 / 20 | $12.141,50 | 325 / 14 | $10.999,30 | 324 / 19 |
Organic Disturbances & Mental Retardation | 30 | 29 / 3 | $58.059,30 | 530 / 20 | $8.061,30 | 383 / 13 | $7.091,50 | 383 / 18 |
Osteomyelitis W Cc | 13 | 2 / 1 | $83.607,60 | 8 / 1 | $11.091,00 | 5 / 1 | $8.344,54 | 5 / 1 |
Other Circulatory System Diagnoses W Cc | 18 | 48 / 9 | $65.671,90 | 645 / 21 | $7.894,72 | 488 / 17 | $6.718,11 | 487 / 17 |
Other Circulatory System Diagnoses W Mcc | 23 | 93 / 23 | $141.670,00 | 1369 / 43 | $18.258,10 | 1168 / 43 | $15.395,20 | 1160 / 39 |
Other Circulatory System O.R. Procedures | 20 | 35 / 7 | $170.450,00 | 435 / 24 | $21.121,80 | 300 / 16 | $19.724,20 | 300 / 18 |
Other Digestive System Diagnoses W Cc | 41 | 56 / 9 | $70.352,80 | 1398 / 44 | $7.848,34 | 1094 / 32 | $6.861,17 | 1090 / 37 |
Other Digestive System Diagnoses W Mcc | 21 | 41 / 9 | $107.192,00 | 735 / 29 | $13.439,20 | 541 / 18 | $12.369,70 | 540 / 22 |
Other Digestive System Diagnoses W/O Cc/Mcc | 21 | 22 / 5 | $51.151,30 | 353 / 26 | $5.712,67 | 270 / 16 | $4.676,71 | 270 / 19 |
Other Disorders Of Nervous System W Cc | 26 | 30 / 4 | $75.459,30 | 609 / 22 | $7.345,54 | 454 / 18 | $6.351,38 | 454 / 20 |
Other Disorders Of Nervous System W Mcc | 15 | 25 / 3 | $132.237,00 | 317 / 11 | $23.514,10 | 235 / 11 | $11.688,70 | 235 / 9 |
Other Disorders Of Nervous System W/O Cc/Mcc | 15 | 20 / 4 | $41.927,20 | 138 / 6 | $5.564,73 | 92 / 5 | $4.456,47 | 92 / 7 |
Other Kidney & Urinary Tract Diagnoses W Cc | 35 | 68 / 8 | $64.586,50 | 833 / 30 | $7.879,71 | 627 / 21 | $7.145,83 | 627 / 25 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 31 | 70 / 13 | $125.428,00 | 1094 / 35 | $13.167,80 | 906 / 27 | $12.199,10 | 902 / 27 |
Other Kidney & Urinary Tract Procedures W Mcc | 11 | 27 / 7 | $193.230,00 | 215 / 10 | $25.848,80 | 181 / 7 | $24.985,40 | 180 / 9 |
Other Resp System O.R. Procedures W Cc | 25 | 22 / 2 | $134.025,00 | 319 / 14 | $14.814,20 | 240 / 7 | $13.757,00 | 240 / 9 |
Other Resp System O.R. Procedures W Mcc | 26 | 37 / 4 | $194.120,00 | 548 / 17 | $26.762,40 | 430 / 10 | $25.782,30 | 429 / 13 |
Other Respiratory System Diagnoses W/O Mcc | 18 | 28 / 5 | $59.057,30 | 310 / 12 | $10.556,00 | 139 / 12 | $4.643,33 | 139 / 7 |
Other Vascular Procedures W Cc | 24 | 78 / 18 | $117.295,00 | 955 / 29 | $18.986,20 | 860 / 22 | $18.146,80 | 855 / 29 |
Other Vascular Procedures W Mcc | 29 | 68 / 13 | $171.487,00 | 930 / 35 | $23.584,70 | 631 / 21 | $22.447,60 | 628 / 23 |
Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 12 | $57.926,20 | 369 / 8 | $14.045,90 | 382 / 15 | $10.919,20 | 381 / 11 |
Otitis Media & Uri W/O Mcc | 17 | 27 / 6 | $45.336,20 | 213 / 10 | $5.493,94 | 133 / 8 | $4.326,76 | 133 / 13 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 45 | 55 / 7 | $216.046,00 | 978 / 24 | $25.007,90 | 808 / 15 | $23.894,30 | 803 / 18 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 158 | 50 / 5 | $153.198,00 | 1437 / 35 | $15.808,00 | 1214 / 18 | $14.281,80 | 1207 / 25 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 15 | 30 / 7 | $188.158,00 | 262 / 8 | $22.241,40 | 198 / 5 | $21.147,90 | 197 / 6 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 36 | 33 / 4 | $147.534,00 | 550 / 12 | $16.307,70 | 440 / 12 | $12.251,40 | 438 / 9 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 16 | 38 / 6 | $178.417,00 | 254 / 9 | $24.802,40 | 150 / 3 | $20.974,10 | 150 / 4 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 41 | 54 / 5 | $122.528,00 | 538 / 12 | $15.443,20 | 433 / 4 | $13.705,80 | 429 / 7 |
Peripheral Vascular Disorders W Cc | 39 | 45 / 11 | $74.457,20 | 1240 / 46 | $8.375,13 | 973 / 39 | $7.023,87 | 970 / 40 |
Peripheral Vascular Disorders W Mcc | 18 | 31 / 8 | $132.349,00 | 589 / 29 | $13.248,10 | 523 / 25 | $12.014,60 | 523 / 27 |
Peripheral Vascular Disorders W/O Cc/Mcc | 32 | 13 / 2 | $46.453,40 | 392 / 20 | $5.631,88 | 304 / 17 | $4.657,19 | 304 / 19 |
Permanent Cardiac Pacemaker Implant W Cc | 41 | 36 / 8 | $167.029,00 | 941 / 35 | $20.253,30 | 780 / 25 | $19.180,10 | 776 / 28 |
Permanent Cardiac Pacemaker Implant W Mcc | 21 | 31 / 10 | $249.859,00 | 601 / 30 | $30.615,30 | 520 / 24 | $29.275,90 | 520 / 24 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 30 | 27 / 7 | $123.139,00 | 691 / 27 | $18.209,40 | 535 / 26 | $14.206,70 | 534 / 19 |
Pleural Effusion W Cc | 11 | 17 / 6 | $58.357,00 | 105 / 2 | $8.671,36 | 87 / 5 | $7.996,91 | 87 / 7 |
Pleural Effusion W Mcc | 12 | 18 / 3 | $99.727,50 | 187 / 4 | $11.777,80 | 152 / 3 | $11.034,20 | 152 / 3 |
Poisoning & Toxic Effects Of Drugs W Mcc | 21 | 51 / 3 | $110.273,00 | 966 / 18 | $11.524,00 | 760 / 11 | $10.392,00 | 758 / 16 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 21 | 40 / 4 | $58.174,20 | 915 / 26 | $5.522,33 | 658 / 15 | $4.519,10 | 657 / 16 |
Postoperative & Post-Traumatic Infections W/O Mcc | 11 | 43 / 12 | $74.016,30 | 446 / 20 | $8.069,00 | 329 / 10 | $7.253,09 | 329 / 15 |
Psychoses | 232 | 97 / 3 | $54.465,70 | 592 / 10 | $8.241,61 | 426 / 8 | $7.074,87 | 426 / 12 |
Pulmonary Edema & Respiratory Failure | 65 | 138 / 11 | $81.728,30 | 2135 / 33 | $9.652,34 | 1765 / 29 | $8.752,58 | 1760 / 36 |
Pulmonary Embolism W Mcc | 14 | 29 / 8 | $109.237,00 | 571 / 12 | $11.781,40 | 489 / 7 | $10.944,10 | 488 / 11 |
Pulmonary Embolism W/O Mcc | 57 | 17 / 1 | $60.671,90 | 1222 / 22 | $8.066,58 | 1042 / 24 | $6.768,93 | 1039 / 29 |
Red Blood Cell Disorders W Mcc | 38 | 33 / 4 | $100.846,00 | 1099 / 40 | $10.254,70 | 869 / 29 | $9.641,97 | 865 / 37 |
Red Blood Cell Disorders W/O Mcc | 100 | 46 / 7 | $70.557,90 | 1993 / 58 | $6.899,31 | 1435 / 39 | $5.294,75 | 1426 / 34 |
Renal Failure W Cc | 115 | 106 / 11 | $70.293,80 | 2406 / 52 | $8.139,70 | 1933 / 39 | $6.758,83 | 1923 / 40 |
Renal Failure W Mcc | 71 | 124 / 14 | $93.412,40 | 2085 / 42 | $12.300,40 | 1695 / 37 | $11.138,90 | 1693 / 42 |
Renal Failure W/O Cc/Mcc | 23 | 33 / 5 | $47.878,50 | 841 / 26 | $5.336,48 | 705 / 15 | $4.543,70 | 703 / 22 |
Respiratory Infections & Inflammations W Cc | 35 | 53 / 10 | $90.278,60 | 1436 / 37 | $10.934,80 | 1239 / 29 | $9.988,63 | 1234 / 32 |
Respiratory Infections & Inflammations W Mcc | 30 | 106 / 23 | $102.120,00 | 1666 / 32 | $14.919,10 | 1498 / 30 | $14.226,30 | 1482 / 36 |
Respiratory Neoplasms W Cc | 15 | 32 / 13 | $72.641,90 | 481 / 25 | $9.331,53 | 364 / 20 | $8.399,60 | 363 / 25 |
Respiratory Neoplasms W Mcc | 12 | 40 / 14 | $118.801,00 | 616 / 24 | $13.247,80 | 494 / 17 | $12.378,50 | 491 / 20 |
Respiratory Signs & Symptoms | 27 | 19 / 2 | $56.811,70 | 312 / 14 | $6.008,15 | 200 / 11 | $4.537,74 | 200 / 9 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 77 | 54 / 4 | $123.969,00 | 1698 / 40 | $17.729,60 | 1331 / 30 | $15.927,00 | 1318 / 29 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 65 | 10 / 1 | $255.823,00 | 865 / 23 | $38.801,90 | 678 / 19 | $36.432,10 | 677 / 21 |
Revision Of Hip Or Knee Replacement W Cc | 43 | 44 / 3 | $132.086,00 | 575 / 14 | $25.400,00 | 437 / 12 | $21.344,70 | 435 / 9 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 37 | 32 / 2 | $128.096,00 | 467 / 8 | $19.573,90 | 401 / 7 | $18.573,10 | 400 / 7 |
Seizures W Mcc | 30 | 36 / 4 | $96.709,70 | 723 / 18 | $12.221,50 | 557 / 14 | $11.412,90 | 557 / 17 |
Seizures W/O Mcc | 61 | 47 / 7 | $62.480,90 | 1289 / 44 | $6.513,71 | 898 / 32 | $5.089,11 | 895 / 32 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 29 | 63 / 11 | $261.691,00 | 925 / 29 | $43.873,30 | 749 / 26 | $42.143,60 | 748 / 29 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 241 | 275 / 19 | $112.242,00 | 2719 / 49 | $14.547,00 | 2239 / 38 | $13.315,90 | 2199 / 42 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 97 | 110 / 12 | $72.088,30 | 2499 / 43 | $8.817,53 | 1963 / 35 | $7.189,61 | 1955 / 36 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 15 | 32 / 7 | $46.053,70 | 359 / 9 | $6.624,00 | 182 / 12 | $4.289,00 | 182 / 8 |
Signs & Symptoms W Mcc | 21 | 20 / 3 | $89.949,70 | 279 / 11 | $9.146,52 | 184 / 8 | $8.253,95 | 184 / 9 |
Signs & Symptoms W/O Mcc | 76 | 17 / 1 | $60.644,80 | 1326 / 36 | $5.983,08 | 1037 / 22 | $5.080,18 | 1034 / 27 |
Simple Pneumonia & Pleurisy W Cc | 171 | 39 / 4 | $68.678,80 | 2761 / 51 | $8.101,77 | 2304 / 40 | $6.905,22 | 2296 / 45 |
Simple Pneumonia & Pleurisy W Mcc | 75 | 130 / 14 | $89.153,60 | 2409 / 44 | $11.458,20 | 1973 / 34 | $10.014,80 | 1973 / 37 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 34 | 59 / 15 | $51.372,30 | 1913 / 45 | $7.577,76 | 1599 / 49 | $4.733,53 | 1591 / 42 |
Spinal Fusion Except Cervical W/O Mcc | 63 | 131 / 4 | $147.866,00 | 1102 / 23 | $29.958,80 | 1072 / 17 | $27.695,20 | 1067 / 18 |
Syncope & Collapse | 233 | 9 / 1 | $55.802,90 | 1880 / 50 | $6.255,30 | 1457 / 41 | $5.032,72 | 1450 / 42 |
Tendonitis, Myositis & Bursitis W/O Mcc | 14 | 28 / 11 | $57.722,10 | 326 / 22 | $6.868,29 | 253 / 17 | $5.700,86 | 252 / 21 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 45 | 20 / 1 | $432.847,00 | 464 / 19 | $76.295,20 | 269 / 18 | $63.747,20 | 269 / 12 |
Transient Ischemia | 101 | 24 / 2 | $61.936,10 | 1637 / 51 | $5.914,77 | 1263 / 37 | $4.703,02 | 1257 / 39 |
Transurethral Procedures W Cc | 43 | 4 / 2 | $94.315,00 | 375 / 30 | $11.506,00 | 302 / 25 | $8.621,26 | 302 / 21 |
Transurethral Procedures W Mcc | 14 | 3 / 1 | $158.758,00 | 11 / 2 | $19.373,70 | 7 / 1 | $18.395,00 | 7 / 2 |
Transurethral Procedures W/O Cc/Mcc | 13 | 5 / 2 | $78.469,20 | 10 / 2 | $6.931,46 | 6 / 2 | $5.781,92 | 6 / 2 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 40 | 6 / 1 | $55.462,10 | 307 / 16 | $8.490,25 | 185 / 13 | $4.762,90 | 185 / 13 |
Traumatic Injury W/O Mcc | 11 | 7 / 2 | $51.232,00 | 25 / 2 | $9.111,09 | 16 / 2 | $4.389,27 | 16 / 2 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 36 | 30 / 4 | $79.652,50 | 512 / 18 | $8.814,58 | 372 / 9 | $7.698,56 | 371 / 14 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 18 | 33 / 7 | $153.894,00 | 343 / 14 | $15.129,30 | 238 / 4 | $14.183,20 | 238 / 10 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 43 | 12 / 1 | $67.677,40 | 397 / 15 | $8.905,37 | 235 / 16 | $4.651,44 | 235 / 11 |
Traumatic Stupor & Coma, Coma >1 Hr W Cc | 12 | 12 / 3 | $86.178,20 | 37 / 4 | $10.410,90 | 12 / 3 | $7.939,25 | 12 / 2 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 37 | 10 / 2 | $56.650,30 | 375 / 24 | $5.836,43 | 311 / 16 | $4.801,84 | 310 / 21 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 19 | 24 / 2 | $115.049,00 | 120 / 3 | $19.257,00 | 37 / 2 | $15.947,10 | 37 / 1 | Total 202 procedures | 9.991 | 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.