Hospital Costs > In Arizona > Banner Thunderbird Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 13 | $46.455,70 | 1137 / 19 | $8.575,43 | 1006 / 17 | $6.722,64 | 1004 / 17 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 12 | $65.093,60 | 1394 / 26 | $12.328,30 | 1299 / 19 | $11.506,50 | 1289 / 20 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 17 | 107 / 3 | $24.864,30 | 613 / 5 | $6.155,59 | 681 / 7 | $5.479,82 | 680 / 8 |
Bronchitis & Asthma W Cc/Mcc | 22 | 54 / 2 | $25.622,80 | 603 / 5 | $7.510,18 | 804 / 15 | $5.983,45 | 800 / 14 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 46 | 115 / 5 | $28.942,90 | 1588 / 25 | $7.271,80 | 1708 / 32 | $5.495,80 | 1703 / 30 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 13 | $51.024,30 | 1549 / 29 | $10.140,40 | 1421 / 26 | $8.386,70 | 1418 / 23 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 35 | 115 / 12 | $20.984,90 | 1450 / 25 | $5.860,26 | 1665 / 32 | $3.971,71 | 1659 / 30 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 11 | 39 / 6 | $111.999,00 | 71 / 2 | $35.616,60 | 133 / 5 | $34.514,10 | 133 / 6 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 12 | 57 / 6 | $261.110,00 | 145 / 4 | $66.860,90 | 174 / 5 | $65.650,20 | 174 / 7 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 12 | 106 / 11 | $155.835,00 | 302 / 5 | $33.638,10 | 276 / 5 | $32.734,00 | 276 / 9 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 11 | 105 / 12 | $227.586,00 | 269 / 10 | $52.647,10 | 245 / 7 | $51.774,40 | 245 / 9 |
Cellulitis W Mcc | 28 | 30 / 2 | $43.269,50 | 658 / 12 | $10.476,70 | 679 / 10 | $9.828,68 | 677 / 11 |
Cellulitis W/O Mcc | 91 | 98 / 5 | $27.050,50 | 1994 / 37 | $7.235,34 | 2174 / 30 | $6.016,73 | 2166 / 31 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 22 | 69 / 4 | $39.557,90 | 252 / 7 | $8.734,91 | 245 / 5 | $8.323,27 | 245 / 6 |
Chest Pain | 31 | 120 / 6 | $24.773,80 | 1197 / 16 | $5.844,74 | 1448 / 21 | $4.974,16 | 1440 / 22 |
Chronic Obstructive Pulmonary Disease W Cc | 50 | 129 / 6 | $27.198,40 | 1580 / 13 | $7.558,22 | 1960 / 26 | $6.565,58 | 1953 / 29 |
Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 10 | $37.186,80 | 1839 / 24 | $9.440,75 | 1863 / 30 | $7.589,90 | 1855 / 29 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 16 | $25.750,50 | 1569 / 13 | $6.758,85 | 1725 / 21 | $5.027,54 | 1714 / 21 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 8 | $82.261,20 | 676 / 9 | $14.884,80 | 634 / 7 | $14.141,40 | 627 / 9 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 14 | $47.544,60 | 1138 / 26 | $8.950,00 | 1263 / 27 | $7.316,60 | 1260 / 24 |
Coagulation Disorders | 13 | 14 / 1 | $33.412,20 | 17 / 1 | $12.070,20 | 29 / 2 | $10.551,10 | 29 / 2 |
Complications Of Treatment W Mcc | 13 | 38 / 7 | $62.797,40 | 226 / 8 | $14.047,80 | 145 / 7 | $11.526,20 | 145 / 7 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 43 | 55 / 2 | $119.653,00 | 266 / 5 | $29.194,10 | 198 / 4 | $26.711,30 | 198 / 5 |
Diabetes W Cc | 17 | 75 / 8 | $28.113,10 | 1114 / 14 | $7.106,71 | 1182 / 20 | $5.679,47 | 1177 / 19 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 6 | $69.596,40 | 412 / 6 | $15.803,90 | 445 / 5 | $15.254,10 | 445 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 34 | 62 / 4 | $35.101,60 | 802 / 10 | $9.248,76 | 1093 / 19 | $8.573,00 | 1088 / 21 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 115 | 160 / 6 | $28.339,10 | 2083 / 35 | $6.653,33 | 2298 / 33 | $5.512,39 | 2283 / 33 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 25 | 38 / 2 | $131.241,00 | 402 / 6 | $29.930,10 | 321 / 5 | $29.107,10 | 321 / 8 |
Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 11 | $37.024,20 | 586 / 8 | $8.372,59 | 815 / 16 | $7.589,53 | 812 / 17 |
G.I. Hemorrhage W Cc | 52 | 166 / 15 | $31.519,00 | 1642 / 17 | $8.221,79 | 1927 / 26 | $7.012,77 | 1923 / 27 |
G.I. Hemorrhage W Mcc | 27 | 94 / 10 | $47.152,00 | 922 / 12 | $12.569,90 | 1157 / 18 | $11.945,30 | 1149 / 22 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 6 | $23.611,60 | 674 / 11 | $6.682,23 | 779 / 12 | $4.750,31 | 775 / 11 |
G.I. Obstruction W Cc | 34 | 58 / 7 | $28.296,60 | 1135 / 16 | $7.337,24 | 1424 / 24 | $6.330,65 | 1419 / 26 |
G.I. Obstruction W Mcc | 11 | 31 / 6 | $36.580,40 | 206 / 2 | $11.781,50 | 377 / 5 | $11.234,60 | 377 / 7 |
G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 8 | $22.387,00 | 921 / 19 | $5.704,14 | 1190 / 24 | $4.783,76 | 1187 / 27 |
Heart Failure & Shock W Cc | 45 | 233 / 18 | $33.116,70 | 2102 / 33 | $8.203,09 | 2198 / 33 | $6.999,29 | 2192 / 30 |
Heart Failure & Shock W Mcc | 64 | 220 / 13 | $45.712,80 | 1865 / 27 | $11.995,60 | 1619 / 32 | $9.324,11 | 1614 / 21 |
Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 25 | $55.195,10 | 1212 / 16 | $14.846,50 | 1296 / 27 | $11.956,80 | 1279 / 21 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 9 | $44.427,20 | 488 / 4 | $11.930,20 | 702 / 12 | $10.729,00 | 699 / 12 |
Hypertension W/O Mcc | 11 | 54 / 8 | $25.917,30 | 564 / 7 | $6.719,45 | 519 / 11 | $3.852,64 | 517 / 8 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 39 | 85 / 9 | $156.664,00 | 1062 / 21 | $36.023,60 | 977 / 18 | $35.146,10 | 971 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 44 | 138 / 13 | $51.083,60 | 1769 / 33 | $9.571,18 | 1516 / 28 | $6.927,68 | 1513 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 79 | 89 / 2 | $57.762,60 | 1105 / 22 | $13.097,20 | 1032 / 19 | $11.214,90 | 1027 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 17 | $35.936,30 | 1263 / 26 | $6.607,38 | 1158 / 22 | $4.715,88 | 1154 / 19 |
Kidney & Urinary Tract Infections W Mcc | 54 | 90 / 3 | $34.414,10 | 1346 / 19 | $9.088,17 | 1474 / 22 | $7.529,39 | 1470 / 22 |
Kidney & Urinary Tract Infections W/O Mcc | 58 | 175 / 11 | $27.744,50 | 2115 / 38 | $6.956,55 | 2148 / 30 | $5.326,38 | 2137 / 30 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 14 | $52.932,90 | 507 / 9 | $12.062,50 | 692 / 16 | $11.073,40 | 689 / 18 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 5 | $73.374,10 | 258 / 6 | $16.928,00 | 321 / 5 | $16.184,60 | 320 / 8 |
Major Cardiovasc Procedures W Mcc | 11 | 57 / 11 | $128.008,00 | 252 / 5 | $32.931,90 | 258 / 9 | $31.887,50 | 258 / 10 |
Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 15 | $90.854,30 | 503 / 10 | $23.190,40 | 669 / 15 | $22.166,40 | 668 / 16 |
Major Chest Procedures W Mcc | 11 | 38 / 5 | $160.790,00 | 227 / 6 | $33.838,60 | 196 / 8 | $33.067,90 | 195 / 8 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 16 | $40.878,20 | 837 / 22 | $9.154,91 | 859 / 19 | $8.168,73 | 857 / 20 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 9 | $65.294,50 | 528 / 17 | $14.057,50 | 498 / 12 | $13.449,50 | 497 / 14 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 7 | $38.198,50 | 306 / 8 | $9.309,45 | 351 / 6 | $8.950,91 | 351 / 7 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 10 | $45.760,50 | 258 / 5 | $15.562,20 | 630 / 14 | $14.416,90 | 626 / 17 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 9 | $95.629,90 | 614 / 9 | $23.877,00 | 733 / 13 | $22.786,10 | 730 / 14 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 89 | 475 / 31 | $49.296,80 | 1251 / 12 | $15.794,60 | 1920 / 31 | $13.316,20 | 1878 / 31 |
Major Small & Large Bowel Procedures W Cc | 24 | 84 / 12 | $82.007,60 | 1028 / 16 | $18.685,10 | 997 / 23 | $15.832,00 | 986 / 22 |
Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 9 | $194.852,00 | 1023 / 25 | $37.608,90 | 964 / 22 | $36.843,80 | 962 / 24 |
Medical Back Problems W/O Mcc | 19 | 102 / 16 | $30.476,30 | 1026 / 17 | $7.020,58 | 1210 / 20 | $6.069,00 | 1206 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 45 | 81 / 6 | $39.323,20 | 1290 / 32 | $8.952,31 | 1248 / 22 | $7.887,87 | 1245 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 47 | 119 / 11 | $27.769,40 | 2037 / 34 | $6.335,08 | 2100 / 30 | $5.193,51 | 2092 / 29 |
Nervous System Neoplasms W Mcc | 17 | 31 / 3 | $64.385,10 | 255 / 5 | $10.939,90 | 168 / 4 | $8.653,88 | 168 / 3 |
Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 5 | $42.872,20 | 385 / 6 | $7.974,00 | 380 / 5 | $7.163,33 | 380 / 6 |
Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 4 | $36.153,80 | 157 / 3 | $11.609,90 | 272 / 3 | $11.103,20 | 272 / 4 |
Other Circulatory System Diagnoses W Mcc | 30 | 86 / 6 | $57.844,00 | 899 / 16 | $14.254,20 | 1003 / 19 | $13.572,60 | 996 / 21 |
Other Circulatory System O.R. Procedures | 14 | 41 / 3 | $50.647,50 | 105 / 2 | $16.927,90 | 169 / 2 | $16.409,00 | 169 / 2 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 15 | $25.974,00 | 721 / 5 | $8.330,56 | 1021 / 23 | $6.570,50 | 1017 / 23 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 7 | $48.102,50 | 436 / 5 | $12.366,40 | 519 / 6 | $12.065,10 | 518 / 7 |
Other Disorders Of Nervous System W Cc | 16 | 40 / 5 | $41.267,50 | 505 / 11 | $7.439,50 | 494 / 10 | $6.761,50 | 493 / 11 |
Other Kidney & Urinary Tract Diagnoses W Cc | 23 | 80 / 7 | $25.292,30 | 400 / 4 | $8.029,00 | 646 / 12 | $7.344,48 | 646 / 16 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 30 | 71 / 10 | $40.297,80 | 633 / 12 | $11.356,60 | 707 / 16 | $10.251,10 | 705 / 16 |
Other Resp System O.R. Procedures W Mcc | 15 | 48 / 6 | $109.956,00 | 388 / 9 | $27.332,90 | 359 / 10 | $24.007,10 | 358 / 10 |
Other Vascular Procedures W Cc | 17 | 85 / 7 | $75.163,40 | 600 / 9 | $17.298,30 | 712 / 10 | $16.515,20 | 708 / 16 |
Other Vascular Procedures W Mcc | 22 | 75 / 6 | $92.466,50 | 516 / 8 | $21.700,50 | 527 / 6 | $20.957,30 | 524 / 10 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 5 | $116.672,00 | 645 / 17 | $25.564,90 | 433 / 20 | $19.103,70 | 429 / 12 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 41 | 155 / 13 | $84.718,00 | 953 / 20 | $15.376,10 | 1020 / 21 | $12.647,50 | 1013 / 25 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 26 | 69 / 7 | $85.274,30 | 377 / 8 | $14.751,30 | 299 / 10 | $11.903,60 | 296 / 9 |
Peripheral Vascular Disorders W Cc | 34 | 50 / 1 | $29.303,40 | 782 / 16 | $7.959,88 | 919 / 18 | $6.714,79 | 916 / 18 |
Peripheral Vascular Disorders W Mcc | 19 | 30 / 3 | $40.304,20 | 355 / 8 | $10.228,00 | 407 / 11 | $9.465,05 | 407 / 11 |
Peritoneal Adhesiolysis W Cc | 16 | 23 / 2 | $75.639,70 | 186 / 4 | $18.846,80 | 101 / 4 | $13.029,30 | 101 / 3 |
Permanent Cardiac Pacemaker Implant W Cc | 19 | 58 / 8 | $79.296,90 | 615 / 12 | $18.148,90 | 657 / 16 | $17.323,70 | 656 / 18 |
Pleural Effusion W Cc | 13 | 15 / 2 | $40.896,40 | 86 / 3 | $8.506,77 | 80 / 3 | $7.578,77 | 80 / 3 |
Pleural Effusion W Mcc | 14 | 16 / 4 | $56.366,20 | 150 / 7 | $11.526,70 | 139 / 7 | $10.689,00 | 139 / 6 |
Poisoning & Toxic Effects Of Drugs W Mcc | 19 | 53 / 7 | $52.773,40 | 748 / 20 | $10.558,90 | 692 / 13 | $9.760,58 | 690 / 13 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 4 | $23.723,50 | 610 / 9 | $6.072,00 | 694 / 12 | $4.731,56 | 693 / 12 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 11 | 27 / 3 | $54.859,50 | 98 / 3 | $13.124,80 | 84 / 3 | $12.572,10 | 84 / 4 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 12 | 19 / 2 | $101.265,00 | 30 / 1 | $27.839,80 | 27 / 1 | $27.411,80 | 27 / 1 |
Pulmonary Edema & Respiratory Failure | 104 | 99 / 2 | $42.206,00 | 1574 / 26 | $9.934,57 | 1653 / 25 | $8.304,47 | 1648 / 26 |
Pulmonary Embolism W Mcc | 17 | 26 / 5 | $57.862,40 | 473 / 11 | $11.208,10 | 456 / 9 | $10.357,20 | 455 / 10 |
Pulmonary Embolism W/O Mcc | 19 | 55 / 11 | $38.882,60 | 1031 / 31 | $9.769,32 | 866 / 31 | $6.006,11 | 863 / 20 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 7 | $35.381,80 | 588 / 6 | $9.596,57 | 832 / 7 | $9.258,29 | 828 / 8 |
Red Blood Cell Disorders W/O Mcc | 24 | 119 / 11 | $29.751,60 | 1490 / 23 | $6.877,12 | 1650 / 22 | $6.071,79 | 1641 / 27 |
Renal Failure W Cc | 67 | 154 / 7 | $34.692,00 | 1890 / 35 | $8.134,25 | 1945 / 29 | $6.799,16 | 1935 / 29 |
Renal Failure W Mcc | 60 | 135 / 6 | $42.454,90 | 1364 / 14 | $11.714,90 | 1446 / 20 | $10.085,40 | 1446 / 23 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 14 | $35.931,50 | 873 / 5 | $9.711,64 | 1049 / 11 | $8.862,91 | 1044 / 13 |
Respiratory Infections & Inflammations W Mcc | 61 | 75 / 3 | $59.000,60 | 1248 / 15 | $13.825,20 | 1322 / 18 | $13.054,10 | 1307 / 21 |
Respiratory Neoplasms W Mcc | 11 | 41 / 7 | $47.595,80 | 351 / 3 | $12.350,80 | 453 / 5 | $11.801,00 | 451 / 6 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 7 | $83.459,80 | 1345 / 24 | $18.075,70 | 1486 / 26 | $17.410,40 | 1472 / 28 |
Seizures W Mcc | 17 | 49 / 6 | $46.828,90 | 441 / 8 | $12.182,30 | 175 / 8 | $8.241,24 | 175 / 2 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 7 | $166.847,00 | 616 / 7 | $36.598,90 | 460 / 7 | $35.997,00 | 459 / 8 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 205 | 311 / 13 | $63.992,90 | 2178 / 35 | $14.116,90 | 2060 / 30 | $12.582,10 | 2023 / 33 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 54 | 153 / 18 | $35.023,80 | 1861 / 30 | $8.895,13 | 1986 / 29 | $7.268,15 | 1978 / 31 |
Simple Pneumonia & Pleurisy W Cc | 61 | 142 / 11 | $31.454,00 | 2032 / 30 | $8.127,95 | 2277 / 34 | $6.802,02 | 2269 / 32 |
Simple Pneumonia & Pleurisy W Mcc | 97 | 108 / 5 | $44.016,60 | 1717 / 24 | $11.148,30 | 1914 / 29 | $9.757,24 | 1914 / 28 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 20 | $19.157,20 | 1133 / 10 | $6.161,00 | 1727 / 19 | $5.279,55 | 1719 / 20 |
Skin Graft For Skin Ulcer Or Cellulitis W Mcc | 43 | 1 / 1 | $70.303,70 | 7 / 1 | $21.436,60 | 8 / 1 | $18.825,80 | 8 / 1 |
Skin Grafts For Injuries W Cc/Mcc | 70 | 1 / 1 | $50.330,20 | 2 / 1 | $22.562,80 | 5 / 1 | $19.479,40 | 5 / 1 |
Syncope & Collapse | 41 | 128 / 4 | $32.936,60 | 1527 / 28 | $6.586,41 | 1600 / 27 | $5.540,34 | 1593 / 28 |
Transient Ischemia | 17 | 108 / 16 | $31.051,80 | 1214 / 19 | $6.255,82 | 1371 / 24 | $5.117,00 | 1364 / 24 |
Transurethral Procedures W Cc | 11 | 30 / 8 | $49.570,30 | 277 / 11 | $9.729,18 | 311 / 11 | $8.958,27 | 311 / 11 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 21 | 45 / 3 | $29.611,10 | 243 / 4 | $8.612,10 | 382 / 5 | $7.807,52 | 381 / 6 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 15 | 36 / 5 | $56.653,70 | 187 / 3 | $13.559,90 | 176 / 3 | $12.749,20 | 176 / 3 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 20 | 34 / 4 | $25.430,80 | 239 / 6 | $6.494,20 | 299 / 4 | $5.468,60 | 299 / 4 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 14 | 32 / 4 | $24.437,20 | 227 / 3 | $6.545,29 | 307 / 8 | $4.742,93 | 306 / 8 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Mcc | 12 | 12 / 1 | $95.280,40 | 10 / 1 | $31.587,50 | 8 / 1 | $25.949,70 | 8 / 1 | Total 116 procedures | 3.449 | 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.