Hospital Costs > In Louisiana > Baton Rouge General 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 | 456 | 102 / 2 | $20.714,00 | 299 / 7 | $11.889,40 | 1138 / 38 | $10.378,20 | 1122 / 35 |
| Heart Failure & Shock W Mcc | 234 | 62 / 2 | $13.580,00 | 101 / 3 | $9.799,94 | 1085 / 44 | $8.412,91 | 1082 / 36 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 176 | 35 / 1 | $12.441,10 | 174 / 3 | $7.470,49 | 1410 / 36 | $6.121,89 | 1405 / 35 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 173 | 391 / 12 | $46.346,10 | 1107 / 17 | $14.077,00 | 1224 / 47 | $11.434,80 | 1193 / 41 |
| Pulmonary Edema & Respiratory Failure | 124 | 79 / 2 | $13.490,10 | 88 / 2 | $8.301,89 | 1060 / 27 | $7.033,23 | 1058 / 25 |
| Renal Failure W Mcc | 123 | 73 / 4 | $13.675,30 | 39 / 3 | $9.759,01 | 783 / 28 | $8.507,67 | 783 / 27 |
| Renal Failure W Cc | 114 | 107 / 6 | $13.075,80 | 290 / 5 | $6.840,61 | 1367 / 35 | $5.571,89 | 1359 / 29 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 80 | 195 / 8 | $11.756,40 | 357 / 15 | $5.654,41 | 1690 / 51 | $4.324,67 | 1677 / 43 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 75 | 56 / 1 | $37.807,60 | 274 / 6 | $15.120,40 | 828 / 30 | $13.439,40 | 820 / 32 |
| Red Blood Cell Disorders W/O Mcc | 75 | 68 / 6 | $11.183,40 | 169 / 8 | $6.092,04 | 1094 / 39 | $4.646,55 | 1087 / 32 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 65 | 59 / 1 | $66.795,30 | 152 / 2 | $30.145,40 | 289 / 15 | $27.887,00 | 289 / 17 |
| Kidney & Urinary Tract Infections W/O Mcc | 62 | 171 / 20 | $10.193,30 | 313 / 11 | $5.802,44 | 1746 / 58 | $4.605,05 | 1735 / 46 |
| Heart Failure & Shock W Cc | 62 | 216 / 20 | $10.855,80 | 182 / 7 | $6.966,53 | 1718 / 53 | $6.018,66 | 1713 / 49 |
| Spinal Fusion Except Cervical W/O Mcc | 60 | 134 / 4 | $113.355,00 | 870 / 16 | $29.077,30 | 910 / 22 | $25.130,70 | 905 / 24 |
| Hip & Femur Procedures Except Major Joint W Cc | 60 | 83 / 4 | $37.889,50 | 538 / 6 | $12.519,30 | 837 / 29 | $10.675,30 | 827 / 25 |
| Red Blood Cell Disorders W Mcc | 56 | 16 / 1 | $16.626,90 | 85 / 3 | $8.704,75 | 485 / 15 | $7.432,75 | 483 / 13 |
| Other Vascular Procedures W Mcc | 53 | 44 / 3 | $64.681,20 | 204 / 3 | $22.010,80 | 496 / 16 | $20.663,80 | 493 / 18 |
| G.I. Hemorrhage W Mcc | 52 | 69 / 4 | $22.252,60 | 114 / 2 | $11.180,20 | 711 / 18 | $10.245,10 | 711 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 51 | 131 / 12 | $13.115,80 | 80 / 1 | $7.298,78 | 832 / 30 | $5.587,37 | 830 / 21 |
| Respiratory Infections & Inflammations W Mcc | 47 | 89 / 3 | $18.828,20 | 74 / 3 | $12.255,30 | 859 / 24 | $11.291,50 | 849 / 26 |
| Syncope & Collapse | 46 | 123 / 4 | $9.570,46 | 89 / 2 | $5.548,50 | 1076 / 26 | $4.187,00 | 1069 / 24 |
| G.I. Hemorrhage W Cc | 46 | 172 / 13 | $13.856,20 | 213 / 1 | $7.059,98 | 1491 / 35 | $5.948,67 | 1487 / 37 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 46 | 120 / 14 | $9.554,46 | 268 / 11 | $5.435,11 | 1469 / 47 | $4.032,41 | 1464 / 38 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 45 | 123 / 7 | $20.879,80 | 110 / 1 | $10.919,40 | 472 / 17 | $9.278,67 | 471 / 13 |
| Simple Pneumonia & Pleurisy W Mcc | 43 | 162 / 16 | $16.787,10 | 202 / 4 | $9.625,84 | 1265 / 37 | $8.254,81 | 1265 / 35 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 42 | 59 / 4 | $16.577,50 | 63 / 2 | $10.246,60 | 205 / 11 | $8.008,14 | 205 / 6 |
| Cellulitis W/O Mcc | 41 | 148 / 18 | $8.273,56 | 108 / 6 | $6.264,63 | 1357 / 52 | $4.583,34 | 1351 / 37 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 11 | $10.476,50 | 134 / 3 | $5.877,92 | 1216 / 32 | $4.519,49 | 1211 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 37 | 89 / 9 | $13.624,60 | 108 / 2 | $7.736,70 | 847 / 23 | $6.684,76 | 844 / 21 |
| Revision Of Hip Or Knee Replacement W Cc | 36 | 50 / 1 | $105.935,00 | 479 / 6 | $22.252,60 | 413 / 5 | $20.990,40 | 411 / 6 |
| Other Vascular Procedures W Cc | 35 | 67 / 3 | $54.943,80 | 278 / 6 | $17.395,10 | 581 / 13 | $15.435,70 | 578 / 16 |
| Nonspecific Cerebrovascular Disorders W Mcc | 32 | 19 / 1 | $25.104,90 | 65 / 1 | $10.850,20 | 164 / 4 | $9.731,91 | 164 / 4 |
| Major Small & Large Bowel Procedures W Cc | 32 | 76 / 6 | $49.767,10 | 414 / 6 | $16.621,70 | 498 / 20 | $13.614,60 | 493 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 24 | $12.851,50 | 173 / 6 | $7.865,74 | 1395 / 41 | $6.694,00 | 1389 / 37 |
| Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 31 | $11.240,10 | 196 / 5 | $6.810,03 | 1684 / 47 | $5.705,10 | 1677 / 46 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 29 | 67 / 5 | $12.630,70 | 46 / 1 | $8.189,52 | 713 / 17 | $7.169,31 | 708 / 16 |
| Extracranial Procedures W/O Cc/Mcc | 29 | 69 / 10 | $26.351,30 | 316 / 5 | $7.265,17 | 499 / 13 | $5.743,48 | 498 / 15 |
| Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 16 | $11.204,90 | 78 / 3 | $7.625,11 | 1140 / 33 | $6.644,54 | 1136 / 34 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 16 | $21.995,10 | 154 / 4 | $7.264,18 | 836 / 25 | $5.983,39 | 834 / 27 |
| Hiv W Major Related Condition W Mcc | 28 | 10 / 1 | $25.262,00 | 1 / 1 | $16.419,90 | 12 / 2 | $15.579,00 | 12 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 28 | 74 / 8 | $11.323,10 | 75 / 1 | $5.604,75 | 972 / 25 | $4.284,46 | 968 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 12 | $16.596,90 | 181 / 3 | $8.361,89 | 1010 / 27 | $7.161,89 | 1007 / 27 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 26 | 66 / 4 | $70.781,80 | 57 / 1 | $35.480,20 | 102 / 13 | $29.998,80 | 102 / 6 |
| G.I. Obstruction W/O Cc/Mcc | 26 | 45 / 5 | $9.940,27 | 133 / 3 | $4.901,31 | 728 / 17 | $3.294,12 | 725 / 17 |
| Other Digestive System Diagnoses W Cc | 25 | 72 / 7 | $14.622,30 | 139 / 3 | $6.874,56 | 837 / 18 | $5.887,52 | 833 / 18 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 25 | 171 / 20 | $53.018,80 | 284 / 6 | $14.250,40 | 514 / 25 | $10.678,40 | 512 / 20 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 9 | $23.259,90 | 241 / 3 | $11.453,90 | 702 / 22 | $9.448,00 | 701 / 17 |
| Signs & Symptoms W/O Mcc | 25 | 66 / 5 | $9.832,88 | 84 / 2 | $5.275,08 | 748 / 16 | $4.154,12 | 745 / 15 |
| Other Circulatory System Diagnoses W Mcc | 25 | 91 / 10 | $25.747,80 | 128 / 1 | $11.929,80 | 432 / 18 | $10.491,20 | 431 / 17 |
| Diabetes W Cc | 24 | 68 / 9 | $11.167,30 | 122 / 3 | $5.996,50 | 849 / 23 | $4.800,67 | 845 / 18 |
| G.I. Obstruction W Cc | 24 | 68 / 9 | $15.434,50 | 320 / 6 | $6.569,08 | 1019 / 24 | $5.154,75 | 1016 / 21 |
| Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 6 | $79.247,70 | 190 / 1 | $30.639,10 | 428 / 12 | $28.881,00 | 426 / 15 |
| Other Circulatory System O.R. Procedures | 23 | 32 / 3 | $33.823,80 | 28 / 2 | $16.746,90 | 103 / 5 | $15.244,40 | 103 / 5 |
| Transient Ischemia | 23 | 102 / 9 | $10.275,00 | 67 / 1 | $5.273,35 | 1055 / 22 | $4.142,30 | 1050 / 23 |
| G.I. Obstruction W Mcc | 23 | 19 / 2 | $20.882,20 | 37 / 2 | $10.775,80 | 187 / 8 | $9.137,52 | 187 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 22 | 14 / 1 | $34.215,80 | 37 / 2 | $14.244,00 | 75 / 3 | $12.736,90 | 75 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 22 | 82 / 10 | $48.811,30 | 324 / 6 | $15.293,20 | 368 / 16 | $11.976,70 | 367 / 11 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 22 | 74 / 6 | $59.553,80 | 469 / 7 | $14.708,10 | 371 / 9 | $11.972,80 | 368 / 7 |
| Medical Back Problems W/O Mcc | 22 | 99 / 6 | $14.517,60 | 201 / 2 | $6.299,91 | 887 / 16 | $4.952,91 | 884 / 14 |
| Major Cardiovasc Procedures W/O Mcc | 22 | 79 / 8 | $90.584,30 | 500 / 8 | $23.775,60 | 395 / 15 | $19.327,60 | 395 / 13 |
| Hip & Femur Procedures Except Major Joint W Mcc | 22 | 40 / 4 | $49.143,50 | 143 / 2 | $18.025,50 | 262 / 10 | $16.325,90 | 260 / 9 |
| Degenerative Nervous System Disorders W/O Mcc | 21 | 57 / 3 | $11.096,70 | 40 / 2 | $7.012,00 | 424 / 8 | $5.746,76 | 424 / 7 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 2 | $26.532,20 | 265 / 3 | $9.445,05 | 457 / 3 | $8.363,45 | 456 / 4 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 20 | 49 / 2 | $83.543,20 | 353 / 4 | $19.086,80 | 168 / 4 | $14.455,20 | 168 / 3 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 20 | 68 / 9 | $68.331,20 | 62 / 2 | $22.217,90 | 233 / 9 | $20.574,40 | 232 / 13 |
| Chemo W Acute Leukemia As Sdx Or W High Dose Chemo Agent W Mcc | 19 | 10 / 1 | $175.464,00 | 17 / 1 | $46.206,30 | 12 / 1 | $45.167,80 | 12 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 6 | $14.710,20 | 109 / 3 | $8.149,00 | 553 / 15 | $6.799,47 | 551 / 13 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 4 | $30.354,80 | 95 / 1 | $11.315,50 | 206 / 12 | $8.312,79 | 206 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 20 | $7.047,67 | 82 / 1 | $4.460,33 | 1391 / 28 | $3.276,22 | 1385 / 26 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 7 | $87.866,40 | 163 / 5 | $33.220,80 | 428 / 18 | $31.130,20 | 428 / 17 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 21 | $8.798,39 | 168 / 4 | $5.241,39 | 1297 / 39 | $4.087,44 | 1287 / 33 |
| Seizures W/O Mcc | 18 | 90 / 11 | $10.298,40 | 76 / 2 | $5.757,78 | 652 / 17 | $4.398,17 | 649 / 14 |
| Other Digestive System Diagnoses W Mcc | 18 | 44 / 5 | $19.031,70 | 29 / 1 | $10.951,60 | 177 / 9 | $9.301,22 | 177 / 6 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 17 | 38 / 4 | $37.124,80 | 107 / 1 | $12.613,80 | 296 / 5 | $11.273,90 | 295 / 7 |
| Peripheral Vascular Disorders W Cc | 17 | 67 / 8 | $12.176,00 | 84 / 2 | $6.866,41 | 674 / 19 | $5.782,53 | 671 / 17 |
| Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 4 | $11.769,40 | 152 / 2 | $5.365,50 | 586 / 7 | $4.178,12 | 586 / 7 |
| Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 10 | $10.145,90 | 55 / 1 | $6.336,94 | 604 / 17 | $5.081,56 | 600 / 17 |
| Chest Pain | 16 | 135 / 16 | $8.753,06 | 95 / 2 | $4.747,00 | 1047 / 23 | $3.643,50 | 1041 / 22 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 16 | 57 / 5 | $37.564,20 | 166 / 4 | $8.611,38 | 92 / 4 | $5.938,88 | 92 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 7 | $17.091,20 | 157 / 2 | $7.227,31 | 279 / 8 | $5.408,88 | 279 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 30 | $12.245,80 | 258 / 10 | $6.726,47 | 1412 / 42 | $5.394,33 | 1407 / 39 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 7 | $68.291,10 | 351 / 6 | $20.592,90 | 358 / 12 | $18.052,10 | 356 / 12 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 15 | 55 / 5 | $16.138,50 | 111 / 1 | $6.576,93 | 265 / 3 | $5.787,87 | 265 / 3 |
| Other Vascular Procedures W/O Cc/Mcc | 15 | 41 / 6 | $48.200,70 | 271 / 8 | $11.852,80 | 357 / 10 | $10.737,60 | 356 / 11 |
| Diabetes W Mcc | 15 | 42 / 7 | $12.812,90 | 19 / 2 | $9.009,53 | 354 / 10 | $8.389,53 | 354 / 11 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 9 | $33.956,90 | 76 / 1 | $12.643,90 | 286 / 10 | $11.447,10 | 281 / 11 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 30 | $11.187,90 | 334 / 9 | $5.370,50 | 1319 / 40 | $4.081,21 | 1311 / 37 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 9 | $13.101,40 | 68 / 1 | $6.843,93 | 140 / 7 | $4.386,79 | 140 / 3 |
| Degenerative Nervous System Disorders W Mcc | 14 | 24 / 1 | $19.140,30 | 17 / 1 | $10.863,60 | 72 / 3 | $9.755,64 | 72 / 3 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 16 | $12.941,50 | 45 / 1 | $8.934,77 | 775 / 24 | $7.913,85 | 770 / 25 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 11 | $8.299,08 | 62 / 3 | $4.881,77 | 551 / 16 | $3.739,77 | 550 / 18 |
| Hypertension W/O Mcc | 13 | 52 / 8 | $7.880,23 | 36 / 2 | $4.824,92 | 402 / 12 | $3.446,92 | 400 / 11 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 13 | 30 / 1 | $58.803,40 | 40 / 1 | $18.065,20 | 46 / 1 | $17.041,50 | 46 / 2 |
| Cellulitis W Mcc | 13 | 45 / 8 | $15.737,20 | 51 / 1 | $9.472,62 | 351 / 14 | $8.098,92 | 349 / 13 |
| Respiratory Neoplasms W Mcc | 12 | 40 / 7 | $15.828,80 | 21 / 1 | $11.047,80 | 271 / 7 | $9.966,00 | 271 / 8 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 5 | $31.111,20 | 155 / 2 | $12.840,80 | 329 / 5 | $11.476,60 | 328 / 5 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 2 | $10.353,90 | 29 / 1 | $6.171,08 | 180 / 2 | $4.771,58 | 180 / 1 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 3 | $10.827,70 | 73 / 1 | $5.670,33 | 455 / 5 | $4.414,67 | 453 / 5 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 7 | $15.873,40 | 29 / 1 | $8.020,08 | 124 / 8 | $6.457,50 | 124 / 10 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 4 | $59.889,80 | 73 / 1 | $22.243,70 | 190 / 5 | $20.650,20 | 190 / 7 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 9 | $81.625,00 | 42 / 1 | $27.249,70 | 231 / 5 | $25.588,30 | 231 / 12 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 12 | 47 / 3 | $85.695,80 | 17 / 1 | $32.353,50 | 46 / 2 | $30.701,70 | 46 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 11 | $18.416,40 | 234 / 3 | $7.509,25 | 635 / 14 | $5.728,67 | 634 / 12 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 4 | $26.882,30 | 25 / 1 | $11.494,80 | 109 / 5 | $10.293,90 | 110 / 5 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 7 | $13.848,50 | 2 / 1 | $11.113,50 | 73 / 2 | $9.562,55 | 73 / 2 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 7 | $8.540,09 | 49 / 2 | $4.487,82 | 435 / 5 | $3.672,00 | 434 / 7 |
| Seizures W Mcc | 11 | 55 / 11 | $17.815,00 | 36 / 1 | $9.767,27 | 252 / 7 | $8.596,18 | 252 / 7 |
| Major Cardiovasc Procedures W Mcc | 11 | 57 / 12 | $97.006,50 | 106 / 1 | $32.482,00 | 215 / 7 | $30.906,50 | 215 / 8 |
| Other Resp System O.R. Procedures W Mcc | 11 | 52 / 5 | $74.700,60 | 181 / 1 | $24.390,70 | 293 / 5 | $22.334,00 | 292 / 5 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 11 | 18 / 3 | $56.529,80 | 50 / 2 | $18.757,00 | 75 / 2 | $17.255,90 | 74 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 6 | $45.159,00 | 68 / 1 | $24.895,50 | 19 / 10 | $11.731,90 | 19 / 1 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 6 | $59.462,90 | 204 / 5 | $16.342,50 | 242 / 7 | $14.902,10 | 242 / 8 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 4 | $34.798,30 | 173 / 3 | $9.748,91 | 287 / 3 | $8.582,18 | 287 / 4 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 11 | $65.535,80 | 52 / 3 | $28.401,50 | 180 / 8 | $26.878,50 | 180 / 9 | Total 114 procedures | 4.193 | 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.