Hospital Costs > In Kentucky > Baptist Health Lexington, 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 | 18 | 13 / 2 | $72.787,30 | 102 / 2 | $11.456,60 | 45 / 1 | $10.359,90 | 45 / 1 |
Acute Myocardial Infarction, Discharged Alive W Cc | 29 | 62 / 10 | $26.341,00 | 588 / 18 | $6.694,52 | 572 / 17 | $5.604,66 | 571 / 20 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 19 | $35.859,70 | 651 / 20 | $10.069,60 | 680 / 16 | $9.383,14 | 679 / 20 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 9 | $24.881,20 | 449 / 13 | $5.382,25 | 319 / 13 | $3.828,31 | 316 / 11 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 15 | 17 / 4 | $39.897,80 | 45 / 3 | $14.504,90 | 47 / 5 | $13.347,30 | 47 / 5 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 17 | 49 / 6 | $45.184,20 | 221 / 4 | $11.806,50 | 234 / 4 | $10.553,40 | 233 / 5 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 35 | 54 / 2 | $27.442,40 | 243 / 5 | $6.842,20 | 320 / 4 | $5.682,20 | 319 / 6 |
Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 18 | 14 / 2 | $62.814,50 | 63 / 3 | $12.675,80 | 46 / 3 | $11.800,90 | 46 / 3 |
Biopsies Of Musculoskeletal System & Connective Tissue W/O Cc/Mcc | 13 | 5 / 1 | $52.642,10 | 11 / 1 | $10.386,80 | 8 / 1 | $9.182,92 | 8 / 1 |
Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 6 | $18.473,90 | 324 / 8 | $5.669,07 | 357 / 5 | $4.459,00 | 353 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 51 | 110 / 10 | $22.120,60 | 1216 / 33 | $5.990,10 | 1513 / 37 | $5.005,14 | 1508 / 36 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 16 | $22.828,80 | 515 / 14 | $7.452,54 | 486 / 13 | $6.356,71 | 483 / 13 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 81 | 69 / 5 | $11.385,20 | 510 / 16 | $3.984,25 | 922 / 25 | $2.762,02 | 917 / 24 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 14 | 36 / 4 | $218.009,00 | 220 / 6 | $58.185,00 | 93 / 6 | $32.420,10 | 93 / 3 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 35 | 83 / 4 | $180.731,00 | 376 / 9 | $39.693,10 | 388 / 7 | $36.931,40 | 388 / 7 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 23 | 93 / 4 | $200.532,00 | 223 / 3 | $50.053,40 | 191 / 2 | $49.201,30 | 191 / 3 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 16 | 26 / 2 | $149.927,00 | 82 / 4 | $31.903,80 | 74 / 3 | $30.812,20 | 74 / 3 |
Cellulitis W Mcc | 15 | 43 / 9 | $40.650,90 | 610 / 14 | $10.025,90 | 581 / 11 | $9.235,33 | 579 / 13 |
Cellulitis W/O Mcc | 49 | 140 / 12 | $21.594,00 | 1634 / 47 | $6.005,00 | 1193 / 48 | $4.422,78 | 1187 / 42 |
Cervical Spinal Fusion W/O Cc/Mcc | 48 | 56 / 2 | $54.810,30 | 404 / 11 | $13.440,10 | 332 / 7 | $11.784,90 | 331 / 11 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 11 | 80 / 7 | $35.529,20 | 220 / 5 | $8.028,18 | 76 / 2 | $6.443,73 | 76 / 2 |
Chest Pain | 15 | 136 / 24 | $20.292,60 | 941 / 30 | $4.162,40 | 652 / 19 | $3.074,33 | 648 / 23 |
Chronic Obstructive Pulmonary Disease W Cc | 59 | 120 / 16 | $18.987,70 | 898 / 37 | $6.058,54 | 840 / 37 | $4.834,75 | 837 / 30 |
Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 29 | $24.990,10 | 1124 / 45 | $7.540,37 | 874 / 41 | $6.123,60 | 869 / 35 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 23 | $14.782,80 | 755 / 33 | $4.703,76 | 799 / 26 | $3.574,76 | 795 / 32 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 28 | 65 / 5 | $42.434,10 | 202 / 7 | $12.341,70 | 260 / 6 | $11.341,00 | 255 / 9 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 65 | 123 / 9 | $29.026,60 | 469 / 16 | $6.979,14 | 755 / 14 | $5.818,97 | 753 / 24 |
Coronary Bypass W Cardiac Cath W Mcc | 18 | 38 / 3 | $205.190,00 | 247 / 7 | $57.661,20 | 142 / 8 | $39.910,80 | 142 / 6 |
Coronary Bypass W Cardiac Cath W/O Mcc | 31 | 45 / 6 | $132.178,00 | 282 / 9 | $30.191,10 | 357 / 9 | $27.732,80 | 357 / 9 |
Coronary Bypass W/O Cardiac Cath W Mcc | 11 | 48 / 4 | $191.235,00 | 163 / 5 | $47.560,70 | 204 / 4 | $46.988,60 | 203 / 5 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 64 | 28 / 2 | $108.970,00 | 306 / 8 | $23.323,00 | 257 / 6 | $20.847,10 | 256 / 8 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 14 | 41 / 3 | $97.744,90 | 142 / 4 | $28.391,00 | 87 / 4 | $18.523,20 | 87 / 2 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 12 | 86 / 9 | $77.889,70 | 82 / 3 | $24.987,50 | 103 / 3 | $24.073,60 | 103 / 5 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 23 | 51 / 3 | $86.349,50 | 189 / 3 | $16.271,30 | 157 / 2 | $15.075,40 | 156 / 2 |
Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 7 | $27.597,80 | 451 / 11 | $6.344,88 | 333 / 7 | $5.397,00 | 333 / 7 |
Diabetes W Cc | 14 | 78 / 22 | $22.910,90 | 879 / 24 | $5.744,43 | 422 / 23 | $4.184,43 | 422 / 11 |
Diabetes W Mcc | 12 | 45 / 8 | $50.869,20 | 563 / 14 | $9.469,58 | 365 / 12 | $8.462,17 | 365 / 14 |
Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 6 | $21.571,10 | 351 / 12 | $6.115,65 | 230 / 12 | $4.575,59 | 230 / 8 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 11 | 70 / 7 | $409.477,00 | 186 / 3 | $120.383,00 | 257 / 4 | $118.494,00 | 256 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 12 | $24.182,00 | 400 / 14 | $7.438,67 | 556 / 14 | $6.744,39 | 551 / 19 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 80 | 195 / 16 | $18.222,80 | 1166 / 38 | $5.010,56 | 1306 / 33 | $3.976,85 | 1295 / 42 |
Extracranial Procedures W Cc | 16 | 30 / 7 | $40.697,90 | 166 / 6 | $9.601,56 | 128 / 3 | $8.486,50 | 128 / 4 |
Extracranial Procedures W/O Cc/Mcc | 57 | 41 / 2 | $33.454,20 | 509 / 12 | $6.928,04 | 375 / 12 | $5.421,16 | 375 / 11 |
Fractures Of Hip & Pelvis W/O Mcc | 24 | 37 / 2 | $18.066,60 | 437 / 9 | $4.802,54 | 381 / 8 | $3.658,96 | 382 / 8 |
G.I. Hemorrhage W Cc | 70 | 148 / 11 | $27.950,60 | 1438 / 45 | $6.341,61 | 947 / 31 | $5.322,49 | 945 / 37 |
G.I. Hemorrhage W Mcc | 22 | 99 / 16 | $41.750,40 | 761 / 19 | $11.451,50 | 811 / 19 | $10.571,40 | 808 / 21 |
G.I. Hemorrhage W/O Cc/Mcc | 20 | 48 / 6 | $20.745,80 | 574 / 14 | $4.705,20 | 362 / 8 | $3.483,90 | 359 / 9 |
G.I. Obstruction W Cc | 29 | 63 / 10 | $19.028,70 | 584 / 23 | $5.736,86 | 403 / 20 | $4.347,52 | 402 / 15 |
G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 10 | $12.277,50 | 305 / 11 | $4.649,11 | 244 / 17 | $2.621,11 | 244 / 7 |
Headaches W/O Mcc | 21 | 22 / 2 | $22.691,90 | 127 / 5 | $4.637,10 | 45 / 3 | $3.095,52 | 45 / 1 |
Heart Failure & Shock W Cc | 85 | 193 / 13 | $24.066,80 | 1594 / 45 | $6.794,36 | 1245 / 47 | $5.494,62 | 1241 / 42 |
Heart Failure & Shock W Mcc | 97 | 187 / 14 | $32.116,50 | 1223 / 44 | $9.165,26 | 952 / 33 | $8.223,60 | 951 / 41 |
Heart Failure & Shock W/O Cc/Mcc | 31 | 79 / 13 | $13.094,80 | 618 / 21 | $4.545,35 | 1082 / 26 | $3.823,06 | 1074 / 32 |
Hip & Femur Procedures Except Major Joint W Cc | 59 | 84 / 5 | $59.357,20 | 1332 / 31 | $11.846,90 | 908 / 21 | $10.816,10 | 895 / 28 |
Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 14 | $73.230,70 | 461 / 12 | $18.496,00 | 405 / 9 | $17.337,20 | 402 / 11 |
Hypertension W/O Mcc | 15 | 50 / 9 | $15.132,70 | 227 / 10 | $4.266,27 | 369 / 10 | $3.327,67 | 367 / 13 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 11 | $129.568,00 | 832 / 19 | $36.937,10 | 989 / 18 | $35.381,30 | 983 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 108 | 74 / 6 | $29.763,10 | 1139 / 24 | $6.896,75 | 940 / 25 | $5.743,81 | 937 / 25 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 58 | 110 / 8 | $43.200,30 | 785 / 16 | $11.210,60 | 522 / 16 | $9.394,62 | 521 / 17 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 54 | 48 / 5 | $20.041,90 | 574 / 14 | $5.035,35 | 761 / 12 | $3.945,80 | 757 / 17 |
Kidney & Urinary Tract Infections W Mcc | 56 | 88 / 6 | $23.803,90 | 843 / 27 | $7.086,14 | 755 / 24 | $6.036,32 | 754 / 25 |
Kidney & Urinary Tract Infections W/O Mcc | 70 | 163 / 12 | $19.694,50 | 1540 / 46 | $6.128,46 | 655 / 53 | $3.726,69 | 651 / 23 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 22 | 34 / 5 | $43.679,00 | 338 / 13 | $10.133,50 | 195 / 7 | $8.274,09 | 195 / 6 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 18 | 29 / 3 | $26.808,20 | 110 / 3 | $7.716,28 | 212 / 4 | $6.170,72 | 212 / 5 |
Major Cardiovasc Procedures W/O Mcc | 58 | 44 / 3 | $117.468,00 | 724 / 13 | $24.186,90 | 588 / 10 | $21.201,40 | 588 / 10 |
Major Chest Procedures W Cc | 25 | 49 / 8 | $51.096,50 | 121 / 4 | $15.396,90 | 124 / 4 | $13.645,60 | 124 / 4 |
Major Chest Procedures W Mcc | 13 | 36 / 6 | $160.730,00 | 225 / 9 | $39.844,80 | 268 / 7 | $38.670,30 | 267 / 8 |
Major Chest Procedures W/O Cc/Mcc | 24 | 35 / 2 | $49.442,40 | 117 / 6 | $10.955,50 | 51 / 4 | $9.351,71 | 51 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 8 | $21.665,10 | 342 / 9 | $7.220,35 | 442 / 9 | $6.513,20 | 441 / 13 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 8 | $37.251,30 | 253 / 8 | $12.772,00 | 335 / 7 | $11.502,60 | 334 / 8 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 58 | 38 / 3 | $63.942,90 | 521 / 9 | $13.198,30 | 367 / 4 | $11.958,50 | 364 / 7 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 222 | 342 / 11 | $66.419,70 | 1900 / 42 | $12.749,90 | 1087 / 23 | $11.200,60 | 1063 / 30 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 29 | 40 / 4 | $70.717,70 | 281 / 8 | $14.919,70 | 155 / 2 | $13.668,70 | 155 / 5 |
Major Small & Large Bowel Procedures W Cc | 51 | 57 / 4 | $56.542,20 | 566 / 18 | $16.083,90 | 453 / 21 | $13.426,00 | 449 / 14 |
Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 13 | $125.479,00 | 613 / 17 | $35.114,90 | 827 / 16 | $34.138,90 | 825 / 18 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 38 | 26 / 2 | $31.908,90 | 164 / 4 | $9.888,97 | 262 / 5 | $8.390,29 | 262 / 7 |
Medical Back Problems W/O Mcc | 26 | 95 / 11 | $21.307,80 | 624 / 17 | $5.456,35 | 717 / 13 | $4.588,31 | 714 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 35 | 91 / 10 | $31.132,50 | 1016 / 25 | $7.398,14 | 733 / 17 | $6.457,20 | 730 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 53 | 113 / 10 | $16.270,70 | 1111 / 46 | $4.764,85 | 997 / 37 | $3.648,81 | 994 / 32 |
Nervous System Neoplasms W Mcc | 19 | 29 / 4 | $34.891,90 | 134 / 2 | $8.176,05 | 47 / 1 | $6.797,53 | 47 / 1 |
O.R. Procedures For Obesity W/O Cc/Mcc | 27 | 50 / 5 | $54.230,30 | 293 / 7 | $9.613,41 | 109 / 4 | $7.934,37 | 109 / 5 |
Other Circulatory System Diagnoses W Cc | 12 | 54 / 10 | $49.256,30 | 597 / 13 | $7.563,25 | 484 / 12 | $6.713,17 | 483 / 12 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 12 | $67.994,00 | 1023 / 22 | $18.286,10 | 1248 / 22 | $16.984,60 | 1240 / 23 |
Other Digestive System Diagnoses W Cc | 27 | 70 / 5 | $24.447,80 | 644 / 20 | $6.253,04 | 508 / 15 | $5.214,85 | 505 / 17 |
Other Digestive System Diagnoses W Mcc | 11 | 51 / 9 | $44.898,40 | 389 / 6 | $10.560,40 | 251 / 3 | $9.809,18 | 251 / 5 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 8 | $29.403,40 | 512 / 12 | $6.362,00 | 352 / 8 | $5.683,00 | 352 / 8 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 23 | 78 / 6 | $37.070,00 | 571 / 13 | $9.854,17 | 460 / 10 | $8.976,83 | 459 / 10 |
Other Resp System O.R. Procedures W Cc | 13 | 34 / 6 | $46.164,10 | 127 / 7 | $11.603,50 | 98 / 3 | $10.547,00 | 98 / 3 |
Other Vascular Procedures W Cc | 30 | 72 / 9 | $60.770,20 | 377 / 6 | $15.318,90 | 191 / 5 | $13.321,10 | 191 / 5 |
Other Vascular Procedures W Mcc | 15 | 82 / 11 | $111.067,00 | 666 / 13 | $26.205,10 | 772 / 11 | $25.190,90 | 769 / 11 |
Other Vascular Procedures W/O Cc/Mcc | 37 | 19 / 2 | $55.950,00 | 349 / 8 | $11.229,70 | 224 / 7 | $9.281,16 | 223 / 6 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 36 | 64 / 3 | $126.922,00 | 710 / 21 | $24.393,40 | 713 / 19 | $22.166,60 | 709 / 19 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 105 | 91 / 4 | $87.229,70 | 1009 / 22 | $13.747,40 | 972 / 18 | $12.363,70 | 965 / 21 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 15 | 30 / 2 | $120.778,00 | 200 / 6 | $22.804,40 | 126 / 6 | $18.214,10 | 126 / 4 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 17 | 52 / 6 | $89.494,90 | 462 / 8 | $12.445,30 | 296 / 5 | $10.534,00 | 296 / 6 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 14 | 40 / 3 | $105.823,00 | 151 / 5 | $22.051,80 | 88 / 4 | $18.539,10 | 88 / 5 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 16 | 79 / 9 | $116.106,00 | 514 / 11 | $19.689,10 | 576 / 11 | $18.942,80 | 572 / 11 |
Peripheral Vascular Disorders W Cc | 16 | 68 / 11 | $20.755,80 | 444 / 13 | $6.424,81 | 116 / 16 | $4.454,06 | 116 / 4 |
Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 8 | $17.200,80 | 171 / 8 | $4.661,09 | 139 / 4 | $3.431,09 | 139 / 5 |
Permanent Cardiac Pacemaker Implant W Cc | 18 | 59 / 7 | $99.692,10 | 768 / 12 | $17.980,90 | 656 / 11 | $17.301,80 | 655 / 11 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 9 | $154.366,00 | 518 / 10 | $33.951,10 | 572 / 10 | $33.220,00 | 572 / 11 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 11 | $88.955,20 | 626 / 11 | $15.436,90 | 457 / 11 | $13.243,30 | 456 / 11 |
Poisoning & Toxic Effects Of Drugs W Mcc | 21 | 51 / 7 | $49.156,70 | 698 / 16 | $12.407,00 | 775 / 17 | $10.504,30 | 773 / 17 |
Pulmonary Edema & Respiratory Failure | 94 | 109 / 13 | $28.653,50 | 951 / 35 | $8.059,01 | 887 / 38 | $6.799,74 | 887 / 39 |
Pulmonary Embolism W/O Mcc | 18 | 56 / 8 | $22.966,70 | 547 / 10 | $6.433,94 | 411 / 8 | $5.018,33 | 410 / 9 |
Rectal Resection W Cc | 11 | 13 / 2 | $51.663,00 | 11 / 2 | $14.876,20 | 7 / 2 | $12.032,60 | 7 / 1 |
Rectal Resection W/O Cc/Mcc | 12 | 7 / 1 | $28.303,00 | 7 / 1 | $9.919,75 | 2 / 1 | $7.064,58 | 2 / 1 |
Red Blood Cell Disorders W/O Mcc | 31 | 112 / 14 | $22.715,30 | 1113 / 36 | $5.194,90 | 771 / 26 | $4.264,23 | 766 / 26 |
Renal Failure W Cc | 57 | 164 / 18 | $23.997,20 | 1346 / 39 | $6.533,96 | 654 / 38 | $4.883,28 | 647 / 19 |
Renal Failure W Mcc | 37 | 158 / 22 | $45.351,50 | 1452 / 40 | $10.959,00 | 1165 / 38 | $9.308,65 | 1165 / 36 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 12 | $12.354,80 | 236 / 10 | $4.233,85 | 377 / 12 | $3.256,54 | 376 / 14 |
Respiratory Infections & Inflammations W Cc | 23 | 65 / 10 | $38.588,40 | 938 / 33 | $9.802,87 | 1085 / 33 | $9.011,48 | 1080 / 37 |
Respiratory Infections & Inflammations W Mcc | 42 | 94 / 9 | $44.112,60 | 910 / 33 | $12.841,40 | 1093 / 33 | $12.036,30 | 1079 / 34 |
Respiratory Neoplasms W Cc | 17 | 30 / 4 | $39.708,60 | 315 / 8 | $8.069,12 | 45 / 6 | $5.701,29 | 44 / 2 |
Respiratory Neoplasms W Mcc | 15 | 37 / 8 | $48.660,70 | 364 / 14 | $10.907,50 | 258 / 9 | $9.857,67 | 258 / 11 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 52 | 79 / 11 | $47.080,20 | 541 / 22 | $13.634,80 | 317 / 18 | $11.936,80 | 313 / 12 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 12 | $114.905,00 | 346 / 15 | $33.215,50 | 494 / 14 | $32.393,60 | 493 / 18 |
Revision Of Hip Or Knee Replacement W Cc | 16 | 70 / 7 | $117.210,00 | 533 / 12 | $26.388,20 | 466 / 11 | $21.933,40 | 464 / 10 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 6 | $112.910,00 | 449 / 6 | $22.950,80 | 227 / 6 | $15.093,30 | 226 / 5 |
Seizures W/O Mcc | 24 | 84 / 12 | $21.833,70 | 643 / 18 | $5.011,33 | 456 / 10 | $3.986,71 | 454 / 15 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 12 | $172.206,00 | 642 / 16 | $41.510,60 | 675 / 14 | $40.484,60 | 674 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 181 | 335 / 14 | $41.742,60 | 1394 / 44 | $11.950,00 | 1248 / 47 | $10.551,10 | 1227 / 46 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 61 | 146 / 9 | $26.696,70 | 1401 / 38 | $6.823,67 | 1008 / 32 | $5.667,52 | 1005 / 34 |
Signs & Symptoms W/O Mcc | 21 | 70 / 9 | $22.770,00 | 807 / 20 | $4.685,38 | 543 / 15 | $3.747,90 | 542 / 18 |
Simple Pneumonia & Pleurisy W Cc | 86 | 117 / 9 | $22.350,80 | 1387 / 48 | $6.179,40 | 1074 / 37 | $5.137,22 | 1071 / 39 |
Simple Pneumonia & Pleurisy W Mcc | 74 | 131 / 17 | $30.769,50 | 1089 / 39 | $8.748,30 | 562 / 28 | $7.396,01 | 562 / 19 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 14 | $14.296,00 | 646 / 29 | $4.730,65 | 914 / 33 | $3.603,42 | 909 / 37 |
Spinal Fusion Except Cervical W/O Mcc | 101 | 93 / 2 | $136.903,00 | 1039 / 13 | $28.997,00 | 956 / 10 | $25.835,50 | 951 / 11 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 19 | 29 / 4 | $35.105,30 | 78 / 4 | $8.955,63 | 56 / 2 | $7.687,79 | 56 / 3 |
Syncope & Collapse | 33 | 136 / 16 | $20.317,00 | 883 / 29 | $4.848,45 | 964 / 21 | $4.019,03 | 958 / 31 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 18 | 46 / 6 | $258.571,00 | 264 / 6 | $80.016,80 | 282 / 7 | $64.798,10 | 282 / 5 |
Transient Ischemia | 49 | 76 / 7 | $25.266,90 | 972 / 27 | $5.077,51 | 832 / 24 | $3.751,33 | 828 / 25 | Total 132 procedures | 4.522 | 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.