Hospital Costs > In Texas > Baylor University 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 | 613 | 41 / 5 | $47.856,30 | 1702 / 95 | $15.354,10 | 1968 / 197 | $12.236,00 | 1931 / 182 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 464 | 145 / 10 | $44.423,00 | 992 / 39 | $15.695,90 | 1589 / 182 | $12.291,60 | 1552 / 175 |
| Simple Pneumonia & Pleurisy W Cc | 213 | 16 / 2 | $24.553,80 | 1589 / 73 | $8.331,95 | 1846 / 197 | $5.926,59 | 1838 / 162 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 204 | 75 / 6 | $20.492,90 | 1451 / 60 | $6.722,05 | 1788 / 184 | $4.453,32 | 1775 / 152 |
| Heart Failure & Shock W Mcc | 194 | 90 / 7 | $36.563,10 | 1484 / 63 | $12.206,20 | 1833 / 181 | $9.800,11 | 1828 / 167 |
| G.I. Hemorrhage W Cc | 193 | 35 / 4 | $22.251,10 | 961 / 20 | $8.376,02 | 1487 / 151 | $5.945,08 | 1483 / 117 |
| Heart Failure & Shock W Cc | 189 | 91 / 9 | $23.074,90 | 1499 / 57 | $8.306,77 | 1833 / 191 | $6.207,77 | 1828 / 166 |
| Renal Failure W Cc | 175 | 53 / 8 | $21.773,20 | 1158 / 39 | $8.157,57 | 1456 / 164 | $5.686,27 | 1447 / 126 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 171 | 39 / 4 | $27.135,50 | 1435 / 70 | $8.979,85 | 1760 / 175 | $6.702,56 | 1753 / 156 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 169 | 21 / 4 | $51.938,70 | 996 / 48 | $16.134,20 | 1174 / 103 | $11.942,90 | 1168 / 94 |
| Simple Pneumonia & Pleurisy W Mcc | 168 | 41 / 7 | $42.896,20 | 1677 / 91 | $12.781,20 | 1984 / 178 | $10.057,90 | 1984 / 175 |
| Renal Failure W Mcc | 161 | 41 / 7 | $36.509,40 | 1126 / 58 | $13.040,30 | 1487 / 152 | $10.224,60 | 1486 / 142 |
| Kidney & Urinary Tract Infections W/O Mcc | 152 | 82 / 9 | $18.008,50 | 1353 / 62 | $7.073,32 | 1799 / 205 | $4.690,15 | 1788 / 168 |
| Spinal Fusion Except Cervical W/O Mcc | 137 | 60 / 3 | $74.434,30 | 444 / 25 | $28.330,00 | 762 / 88 | $23.779,70 | 758 / 94 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 135 | 48 / 8 | $27.988,30 | 1005 / 27 | $8.708,25 | 1383 / 123 | $6.536,28 | 1380 / 112 |
| Cellulitis W/O Mcc | 121 | 68 / 6 | $18.085,90 | 1252 / 56 | $7.465,11 | 1807 / 180 | $5.150,02 | 1799 / 162 |
| Hip & Femur Procedures Except Major Joint W Cc | 120 | 27 / 7 | $43.457,60 | 782 / 21 | $14.859,40 | 1210 / 133 | $11.665,80 | 1196 / 108 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 119 | 47 / 5 | $18.937,50 | 1445 / 65 | $6.570,13 | 1918 / 185 | $4.705,07 | 1912 / 170 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 118 | 15 / 4 | $141.813,00 | 945 / 58 | $46.216,50 | 1233 / 105 | $39.726,50 | 1223 / 106 |
| Pulmonary Edema & Respiratory Failure | 115 | 88 / 9 | $39.052,30 | 1476 / 67 | $10.896,50 | 1739 / 151 | $8.646,43 | 1734 / 144 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 114 | 2 / 1 | $58.079,50 | 185 / 4 | $18.160,00 | 286 / 12 | $15.528,20 | 286 / 16 |
| Major Small & Large Bowel Procedures W Cc | 103 | 16 / 2 | $54.531,60 | 516 / 11 | $18.319,60 | 825 / 74 | $14.854,40 | 817 / 70 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 101 | 33 / 3 | $58.131,90 | 871 / 40 | $17.666,40 | 1178 / 120 | $14.999,80 | 1165 / 117 |
| Kidney Transplant | 98 | 24 / 3 | $188.308,00 | 79 / 7 | $37.395,80 | 19 / 14 | $18.177,90 | 19 / 3 |
| G.I. Hemorrhage W Mcc | 98 | 25 / 4 | $36.844,20 | 582 / 13 | $13.572,60 | 961 / 102 | $11.073,90 | 955 / 82 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 94 | 3 / 1 | $21.074,00 | 209 / 15 | $7.668,48 | 318 / 45 | $6.107,57 | 318 / 40 |
| Kidney & Urinary Tract Infections W Mcc | 89 | 55 / 10 | $20.999,20 | 634 / 14 | $8.944,03 | 1257 / 131 | $6.903,94 | 1253 / 111 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 89 | 16 / 3 | $28.688,00 | 586 / 16 | $10.152,60 | 921 / 88 | $7.840,13 | 916 / 76 |
| Chronic Obstructive Pulmonary Disease W Mcc | 87 | 115 / 20 | $35.514,30 | 1774 / 99 | $10.472,70 | 1913 / 183 | $7.722,08 | 1905 / 164 |
| Syncope & Collapse | 86 | 83 / 7 | $20.305,30 | 880 / 18 | $6.164,56 | 1245 / 108 | $4.470,17 | 1238 / 98 |
| Chronic Obstructive Pulmonary Disease W Cc | 83 | 96 / 12 | $22.795,70 | 1279 / 36 | $7.866,28 | 1582 / 150 | $5.647,34 | 1575 / 133 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 76 | 13 / 4 | $448.696,00 | 229 / 15 | $159.365,00 | 294 / 29 | $127.995,00 | 293 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 74 | 52 / 15 | $30.669,20 | 993 / 56 | $10.169,90 | 908 / 126 | $6.809,34 | 905 / 82 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 71 | 12 / 1 | $47.125,60 | 239 / 15 | $11.331,30 | 235 / 20 | $9.266,06 | 235 / 26 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 70 | 29 / 2 | $55.693,90 | 424 / 14 | $15.343,20 | 562 / 37 | $13.349,10 | 559 / 43 |
| Major Small & Large Bowel Procedures W Mcc | 67 | 20 / 3 | $113.956,00 | 511 / 18 | $45.034,80 | 807 / 75 | $33.726,50 | 805 / 68 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 65 | 27 / 5 | $139.501,00 | 449 / 25 | $46.488,80 | 672 / 74 | $40.358,80 | 671 / 73 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 65 | 37 / 7 | $25.310,70 | 918 / 31 | $6.550,57 | 1024 / 87 | $4.386,14 | 1020 / 76 |
| Other Circulatory System Diagnoses W Mcc | 64 | 52 / 9 | $48.469,40 | 705 / 38 | $15.795,10 | 860 / 94 | $12.464,50 | 854 / 84 |
| Heart Failure & Shock W/O Cc/Mcc | 64 | 46 / 5 | $18.601,70 | 1199 / 48 | $6.050,31 | 1370 / 140 | $4.183,64 | 1359 / 115 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 63 | 125 / 19 | $38.992,20 | 917 / 49 | $9.671,51 | 967 / 119 | $6.257,63 | 964 / 90 |
| Cervical Spinal Fusion W/O Cc/Mcc | 63 | 43 / 6 | $46.628,70 | 299 / 16 | $17.102,00 | 373 / 58 | $11.987,70 | 372 / 46 |
| Revision Of Hip Or Knee Replacement W Cc | 62 | 29 / 4 | $61.406,60 | 156 / 4 | $25.228,90 | 246 / 33 | $18.604,80 | 245 / 25 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 62 | 18 / 3 | $45.747,70 | 267 / 24 | $15.626,60 | 258 / 47 | $11.654,20 | 258 / 35 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 59 | 31 / 4 | $100.556,00 | 257 / 7 | $28.044,70 | 313 / 41 | $21.928,80 | 312 / 33 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 59 | 102 / 17 | $19.813,70 | 1043 / 33 | $6.654,34 | 1365 / 135 | $4.754,93 | 1360 / 118 |
| Diabetes W Cc | 58 | 34 / 5 | $19.315,70 | 646 / 17 | $6.981,76 | 988 / 93 | $5.110,09 | 984 / 78 |
| Other Digestive System Diagnoses W Cc | 58 | 39 / 5 | $24.457,70 | 645 / 20 | $8.243,31 | 723 / 73 | $5.619,81 | 719 / 52 |
| Seizures W Mcc | 57 | 10 / 2 | $36.592,50 | 296 / 11 | $12.174,80 | 395 / 48 | $9.553,35 | 395 / 40 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 56 | 37 / 6 | $18.342,20 | 1060 / 50 | $6.216,88 | 1406 / 143 | $4.220,07 | 1398 / 125 |
| Medical Back Problems W/O Mcc | 56 | 65 / 9 | $26.013,20 | 869 / 35 | $7.416,64 | 885 / 91 | $4.945,55 | 882 / 68 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 55 | 16 / 3 | $136.764,00 | 489 / 25 | $45.819,50 | 707 / 71 | $37.282,30 | 706 / 71 |
| G.I. Obstruction W Cc | 55 | 37 / 7 | $21.310,10 | 746 / 15 | $7.636,05 | 1202 / 97 | $5.564,45 | 1198 / 92 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 54 | 2 / 2 | $50.648,20 | 167 / 10 | $15.554,90 | 185 / 24 | $12.642,70 | 185 / 24 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 54 | 11 / 1 | $37.325,50 | 251 / 9 | $12.302,70 | 359 / 40 | $8.908,44 | 359 / 35 |
| Pulmonary Embolism W/O Mcc | 54 | 20 / 1 | $26.631,00 | 711 / 18 | $8.883,72 | 787 / 67 | $5.784,15 | 784 / 50 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 53 | 63 / 9 | $174.118,00 | 152 / 5 | $60.139,90 | 280 / 21 | $54.082,20 | 280 / 21 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 53 | 11 / 3 | $109.594,00 | 44 / 1 | $38.230,70 | 86 / 9 | $33.174,20 | 86 / 10 |
| Disorders Of Pancreas Except Malignancy W Cc | 53 | 10 / 3 | $24.699,50 | 462 / 16 | $7.844,11 | 569 / 47 | $5.515,47 | 566 / 36 |
| Nonspecific Cerebrovascular Disorders W Cc | 53 | 8 / 1 | $25.316,40 | 228 / 4 | $8.356,00 | 286 / 22 | $6.027,79 | 286 / 21 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 52 | 15 / 3 | $29.367,10 | 239 / 8 | $8.761,52 | 252 / 28 | $6.514,69 | 252 / 25 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 52 | 52 / 7 | $40.835,00 | 670 / 31 | $13.926,50 | 773 / 48 | $8.881,60 | 773 / 47 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 50 | 16 / 1 | $58.630,10 | 60 / 3 | $23.919,00 | 162 / 11 | $21.101,80 | 161 / 16 |
| G.I. Obstruction W/O Cc/Mcc | 50 | 21 / 4 | $14.191,00 | 470 / 12 | $5.565,90 | 836 / 75 | $3.520,48 | 833 / 68 |
| Transient Ischemia | 50 | 75 / 22 | $22.805,80 | 845 / 24 | $5.955,68 | 1014 / 89 | $4.074,40 | 1009 / 79 |
| Red Blood Cell Disorders W/O Mcc | 50 | 93 / 20 | $22.699,20 | 1112 / 57 | $7.280,80 | 1401 / 138 | $5.216,22 | 1392 / 129 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 49 | 74 / 18 | $35.805,00 | 1186 / 55 | $10.715,20 | 1428 / 130 | $8.407,55 | 1425 / 122 |
| Heart Transplant Or Implant Of Heart Assist System W Mcc | 48 | 3 / 1 | $435.344,00 | 2 / 1 | $174.907,00 | 6 / 2 | $154.460,00 | 6 / 2 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 47 | 18 / 3 | $260.252,00 | 266 / 23 | $82.263,90 | 372 / 42 | $74.236,20 | 371 / 44 |
| Chest Pain | 47 | 104 / 22 | $21.265,70 | 1004 / 37 | $5.356,55 | 1063 / 97 | $3.670,26 | 1056 / 90 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 45 | 27 / 4 | $33.060,80 | 423 / 16 | $11.815,00 | 690 / 53 | $9.756,80 | 688 / 53 |
| Seizures W/O Mcc | 45 | 63 / 13 | $16.509,80 | 341 / 4 | $6.332,18 | 729 / 63 | $4.551,84 | 726 / 61 |
| Cervical Spinal Fusion W Cc | 44 | 12 / 2 | $59.031,60 | 125 / 3 | $21.003,80 | 198 / 25 | $17.203,80 | 197 / 26 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 43 | 8 / 2 | $46.381,20 | 128 / 5 | $14.765,60 | 141 / 12 | $11.958,80 | 141 / 11 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 41 | 50 / 5 | $50.024,90 | 317 / 12 | $8.810,12 | 134 / 13 | $7.016,12 | 134 / 10 |
| Other Vascular Procedures W Mcc | 41 | 56 / 16 | $81.887,10 | 404 / 24 | $24.805,70 | 575 / 73 | $21.667,60 | 572 / 71 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 41 | 57 / 5 | $106.651,00 | 219 / 7 | $33.095,40 | 263 / 26 | $28.517,50 | 263 / 27 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 41 | 15 / 4 | $46.233,70 | 395 / 17 | $12.413,30 | 609 / 62 | $10.246,90 | 607 / 64 |
| Signs & Symptoms W/O Mcc | 40 | 51 / 8 | $21.800,90 | 752 / 24 | $6.633,27 | 793 / 77 | $4.280,33 | 790 / 55 |
| Other Circulatory System Diagnoses W Cc | 39 | 27 / 5 | $27.841,80 | 375 / 19 | $8.591,15 | 437 / 31 | $6.269,08 | 436 / 30 |
| Nonspecific Cerebrovascular Disorders W Mcc | 38 | 14 / 1 | $53.849,60 | 282 / 13 | $17.271,10 | 358 / 27 | $13.467,50 | 358 / 27 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 38 | 82 / 18 | $17.954,80 | 1104 / 34 | $6.290,82 | 1342 / 133 | $4.139,55 | 1331 / 106 |
| Other Digestive System Diagnoses W Mcc | 37 | 25 / 5 | $38.281,60 | 293 / 9 | $15.268,90 | 237 / 50 | $9.721,11 | 237 / 29 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 37 | 17 / 2 | $47.113,60 | 152 / 4 | $14.475,50 | 187 / 16 | $11.690,10 | 188 / 16 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 37 | 26 / 6 | $129.257,00 | 386 / 20 | $40.212,10 | 533 / 53 | $34.468,50 | 533 / 52 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 36 | 65 / 9 | $53.359,50 | 821 / 31 | $16.078,80 | 967 / 50 | $13.162,10 | 963 / 51 |
| Other Circulatory System O.R. Procedures | 36 | 20 / 5 | $89.688,10 | 290 / 22 | $23.108,60 | 285 / 33 | $19.246,00 | 285 / 33 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 36 | 82 / 8 | $125.503,00 | 190 / 4 | $35.351,80 | 264 / 16 | $32.483,10 | 264 / 17 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 36 | 20 / 4 | $62.975,80 | 516 / 31 | $22.531,70 | 582 / 40 | $15.374,40 | 581 / 39 |
| Pancreas, Liver & Shunt Procedures W Cc | 34 | 22 / 2 | $66.140,00 | 29 / 2 | $23.684,90 | 26 / 6 | $16.308,30 | 26 / 2 |
| Major Chest Procedures W Cc | 34 | 40 / 4 | $64.975,40 | 234 / 3 | $18.881,00 | 266 / 15 | $15.482,50 | 264 / 19 |
| Respiratory Neoplasms W Mcc | 33 | 19 / 3 | $41.938,40 | 288 / 9 | $14.410,10 | 393 / 27 | $11.068,90 | 392 / 29 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 33 | 21 / 3 | $22.868,50 | 206 / 9 | $6.192,82 | 207 / 20 | $4.382,58 | 207 / 18 |
| Other Kidney & Urinary Tract Procedures W Mcc | 33 | 6 / 2 | $95.003,30 | 137 / 15 | $27.943,10 | 148 / 24 | $22.581,70 | 147 / 25 |
| Peripheral Vascular Disorders W Cc | 33 | 51 / 11 | $18.881,00 | 352 / 9 | $8.152,30 | 752 / 77 | $6.017,45 | 749 / 60 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 32 | 24 / 6 | $35.070,10 | 302 / 10 | $11.998,90 | 624 / 68 | $9.981,62 | 622 / 65 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 31 | 62 / 11 | $66.070,20 | 545 / 28 | $18.296,40 | 676 / 56 | $14.817,10 | 669 / 57 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 31 | 34 / 10 | $65.307,60 | 312 / 6 | $21.760,90 | 449 / 41 | $18.803,00 | 447 / 33 |
| Cellulitis W Mcc | 30 | 28 / 7 | $37.006,70 | 525 / 30 | $13.401,80 | 611 / 68 | $9.405,23 | 609 / 60 |
| Fractures Of Hip & Pelvis W/O Mcc | 30 | 31 / 4 | $19.889,10 | 510 / 24 | $6.466,50 | 566 / 56 | $4.108,97 | 566 / 41 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 30 | 24 / 3 | $29.099,00 | 269 / 11 | $8.403,03 | 244 / 25 | $6.324,80 | 244 / 22 |
| Pancreas, Liver & Shunt Procedures W Mcc | 29 | 15 / 1 | $102.313,00 | 15 / 1 | $46.754,90 | 19 / 3 | $34.557,70 | 19 / 2 |
| Other Disorders Of Nervous System W Cc | 28 | 28 / 3 | $27.349,70 | 330 / 11 | $7.905,39 | 403 / 25 | $5.861,18 | 403 / 27 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 28 | 45 / 8 | $27.506,80 | 570 / 19 | $9.754,36 | 604 / 62 | $6.991,86 | 602 / 46 |
| Fever | 28 | 18 / 3 | $24.663,50 | 165 / 5 | $7.206,86 | 127 / 16 | $4.752,64 | 127 / 7 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 28 | 27 / 7 | $51.127,20 | 273 / 8 | $15.231,20 | 368 / 29 | $11.916,60 | 365 / 29 |
| Bronchitis & Asthma W Cc/Mcc | 28 | 48 / 15 | $23.618,50 | 535 / 18 | $7.563,46 | 683 / 73 | $5.365,46 | 679 / 63 |
| O.R. Procedures For Obesity W Cc | 27 | 8 / 1 | $50.197,00 | 54 / 3 | $13.675,10 | 56 / 8 | $11.405,50 | 56 / 8 |
| Hip & Femur Procedures Except Major Joint W Mcc | 27 | 35 / 15 | $76.485,10 | 493 / 21 | $26.753,50 | 832 / 62 | $23.368,10 | 829 / 64 |
| Diabetes W Mcc | 27 | 30 / 9 | $37.590,30 | 422 / 21 | $12.380,30 | 556 / 49 | $10.062,60 | 555 / 48 |
| Major Chest Procedures W Mcc | 27 | 22 / 4 | $153.887,00 | 212 / 13 | $45.675,10 | 244 / 23 | $36.452,80 | 243 / 24 |
| Stomach, Esophageal & Duodenal Proc W Mcc | 27 | 14 / 3 | $129.940,00 | 94 / 6 | $48.271,30 | 139 / 12 | $39.449,10 | 139 / 12 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 27 | 41 / 8 | $22.263,10 | 270 / 8 | $7.276,85 | 432 / 32 | $5.544,63 | 432 / 30 |
| Renal Failure W/O Cc/Mcc | 26 | 30 / 8 | $13.288,30 | 278 / 7 | $5.513,81 | 602 / 53 | $3.943,85 | 601 / 50 |
| Disorders Of Pancreas Except Malignancy W Mcc | 26 | 20 / 4 | $52.664,70 | 209 / 11 | $16.233,30 | 234 / 22 | $12.684,50 | 234 / 23 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 26 | 17 / 3 | $77.536,40 | 72 / 5 | $23.961,40 | 66 / 10 | $18.234,60 | 66 / 9 |
| Degenerative Nervous System Disorders W/O Mcc | 26 | 52 / 6 | $32.993,00 | 564 / 26 | $8.344,38 | 465 / 43 | $5.913,31 | 465 / 30 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 36 | $43.985,80 | 963 / 35 | $13.675,80 | 1237 / 109 | $11.174,20 | 1228 / 106 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 26 | 27 / 2 | $37.258,80 | 295 / 17 | $16.960,50 | 120 / 32 | $6.433,42 | 120 / 12 |
| Red Blood Cell Disorders W Mcc | 26 | 45 / 13 | $35.886,60 | 601 / 36 | $11.072,00 | 525 / 79 | $7.576,65 | 523 / 50 |
| Acute Leukemia W/O Major O.R. Procedure W Mcc | 26 | 10 / 1 | $266.816,00 | 46 / 2 | $80.089,10 | 50 / 3 | $64.778,30 | 50 / 3 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 26 | 40 / 10 | $44.127,20 | 204 / 11 | $14.324,90 | 334 / 36 | $11.658,70 | 332 / 36 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 26 | 14 / 4 | $48.206,70 | 81 / 4 | $14.624,00 | 134 / 16 | $12.231,70 | 134 / 15 |
| Complications Of Treatment W Mcc | 26 | 25 / 5 | $117.274,00 | 295 / 22 | $32.002,70 | 306 / 23 | $27.733,30 | 306 / 23 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 25 | 11 / 2 | $69.368,90 | 211 / 17 | $20.798,20 | 244 / 25 | $16.381,10 | 244 / 23 |
| Craniotomy & Endovascular Intracranial Procedures W Cc | 25 | 30 / 6 | $60.893,20 | 40 / 3 | $20.685,90 | 85 / 16 | $18.462,60 | 85 / 17 |
| Respiratory Infections & Inflammations W Cc | 25 | 63 / 20 | $29.167,80 | 657 / 22 | $10.794,40 | 724 / 107 | $7.803,00 | 719 / 64 |
| Respiratory Infections & Inflammations W Mcc | 25 | 111 / 39 | $48.623,80 | 1036 / 49 | $16.320,90 | 1295 / 122 | $12.899,60 | 1280 / 115 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 25 | 49 / 8 | $50.041,50 | 60 / 3 | $16.149,10 | 66 / 13 | $12.746,60 | 66 / 12 |
| Autologous Bone Marrow Transplant W Cc/Mcc | 24 | 13 / 1 | $168.631,00 | 25 / 2 | $54.071,70 | 23 / 5 | $43.976,00 | 23 / 5 |
| Peritoneal Adhesiolysis W Cc | 24 | 15 / 3 | $55.858,90 | 120 / 3 | $21.572,00 | 114 / 16 | $13.378,50 | 114 / 11 |
| Disorders Of The Biliary Tract W Mcc | 24 | 15 / 2 | $54.183,50 | 172 / 8 | $15.003,30 | 162 / 13 | $11.581,00 | 162 / 12 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 23 | 24 / 2 | $23.376,50 | 210 / 3 | $6.405,48 | 205 / 17 | $4.495,30 | 205 / 14 |
| Other Resp System O.R. Procedures W Cc | 23 | 24 / 4 | $52.068,50 | 170 / 9 | $15.114,50 | 187 / 18 | $12.226,00 | 187 / 21 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 23 | 46 / 11 | $55.367,60 | 155 / 1 | $20.495,20 | 301 / 23 | $15.987,00 | 300 / 25 |
| Stomach, Esophageal & Duodenal Proc W Cc | 23 | 27 / 4 | $71.450,00 | 116 / 5 | $19.918,40 | 108 / 8 | $16.758,70 | 108 / 12 |
| G.I. Hemorrhage W/O Cc/Mcc | 23 | 45 / 10 | $12.108,90 | 175 / 1 | $5.724,22 | 547 / 60 | $3.868,35 | 543 / 50 |
| Other O.R. Procedures For Injuries W Mcc | 23 | 14 / 3 | $109.006,00 | 111 / 5 | $35.879,30 | 135 / 11 | $31.101,60 | 135 / 11 |
| Hypertension W/O Mcc | 22 | 43 / 12 | $16.518,00 | 276 / 8 | $5.581,50 | 442 / 55 | $3.555,55 | 440 / 42 |
| Major Chest Procedures W/O Cc/Mcc | 22 | 37 / 1 | $49.991,20 | 122 / 2 | $13.878,10 | 54 / 10 | $9.423,09 | 54 / 4 |
| Other Endocrine, Nutrit & Metab O.R. Proc W Cc | 21 | 4 / 2 | $51.072,20 | 17 / 1 | $16.071,00 | 21 / 8 | $13.450,70 | 21 / 8 |
| Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 21 | 19 / 4 | $44.161,40 | 73 / 4 | $11.187,80 | 73 / 8 | $9.176,86 | 73 / 8 |
| Hiv W Major Related Condition W Mcc | 21 | 16 / 4 | $62.674,00 | 30 / 4 | $21.506,30 | 24 / 3 | $18.176,90 | 24 / 3 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 20 | 24 / 6 | $52.493,00 | 67 / 4 | $19.283,30 | 181 / 14 | $16.722,20 | 180 / 10 |
| Pleural Effusion W Mcc | 20 | 10 / 3 | $42.928,40 | 99 / 3 | $13.133,20 | 126 / 15 | $10.076,80 | 126 / 14 |
| Medical Back Problems W Mcc | 20 | 19 / 3 | $37.126,10 | 121 / 4 | $16.712,90 | 97 / 19 | $8.829,75 | 97 / 7 |
| Respiratory Neoplasms W Cc | 20 | 27 / 5 | $36.489,90 | 272 / 5 | $10.461,70 | 317 / 19 | $7.754,85 | 316 / 19 |
| Allogeneic Bone Marrow Transplant | 20 | 6 / 1 | $387.014,00 | 16 / 1 | $120.046,00 | 11 / 1 | $96.863,00 | 11 / 1 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 20 | 10 / 2 | $58.837,90 | 126 / 13 | $15.915,60 | 133 / 17 | $12.740,80 | 132 / 19 |
| Kidney & Ureter Procedures For Non-Neoplasm W Cc | 20 | 25 / 3 | $55.861,50 | 105 / 9 | $15.348,80 | 70 / 13 | $11.688,00 | 70 / 11 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 20 | 53 / 10 | $45.281,20 | 218 / 11 | $9.543,05 | 221 / 14 | $7.413,60 | 221 / 17 |
| Other Resp System O.R. Procedures W Mcc | 20 | 43 / 10 | $69.145,50 | 147 / 4 | $25.506,20 | 302 / 35 | $22.546,70 | 301 / 33 |
| Kidney & Ureter Procedures For Neoplasm W Cc | 20 | 24 / 5 | $46.973,60 | 53 / 4 | $14.578,70 | 76 / 9 | $12.386,20 | 76 / 10 |
| Disorders Of The Biliary Tract W Cc | 20 | 34 / 5 | $33.783,10 | 257 / 6 | $8.974,35 | 256 / 23 | $6.537,10 | 256 / 21 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 20 | 26 / 3 | $162.908,00 | 38 / 4 | $55.815,40 | 71 / 9 | $53.312,40 | 71 / 12 |
| Digestive Malignancy W Cc | 19 | 28 / 3 | $38.041,90 | 225 / 7 | $10.599,20 | 210 / 18 | $7.926,79 | 208 / 14 |
| Lymphoma & Non-Acute Leukemia W Mcc | 19 | 17 / 2 | $117.978,00 | 85 / 5 | $32.372,40 | 86 / 6 | $27.826,90 | 86 / 6 |
| Other Vascular Procedures W Cc | 19 | 83 / 35 | $52.937,30 | 252 / 12 | $18.973,20 | 580 / 76 | $15.412,50 | 577 / 75 |
| Liver Transplant W Mcc Or Intestinal Transplant | 19 | 11 / 1 | $395.007,00 | 19 / 1 | $145.333,00 | 10 / 3 | $71.664,00 | 10 / 1 |
| Other Disorders Of Nervous System W Mcc | 18 | 22 / 6 | $41.497,70 | 156 / 4 | $12.314,90 | 167 / 17 | $10.250,00 | 167 / 16 |
| Degenerative Nervous System Disorders W Mcc | 18 | 20 / 3 | $46.388,80 | 131 / 7 | $15.713,60 | 134 / 13 | $11.807,50 | 134 / 12 |
| Nervous System Neoplasms W Mcc | 18 | 30 / 5 | $36.286,80 | 143 / 8 | $10.396,60 | 147 / 10 | $8.278,61 | 147 / 12 |
| G.I. Obstruction W Mcc | 18 | 24 / 8 | $31.042,70 | 144 / 1 | $12.551,50 | 240 / 23 | $9.601,17 | 240 / 14 |
| Pulmonary Embolism W Mcc | 18 | 25 / 7 | $36.769,10 | 275 / 5 | $11.942,80 | 410 / 27 | $9.852,56 | 410 / 28 |
| Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Cc | 18 | 3 / 1 | $46.548,80 | 4 / 1 | $13.952,40 | 6 / 1 | $11.223,30 | 6 / 1 |
| Complications Of Treatment W Cc | 18 | 34 / 4 | $33.034,20 | 245 / 14 | $8.343,50 | 194 / 16 | $6.338,44 | 194 / 14 |
| Lung Transplant | 18 | 7 / 3 | $455.046,00 | 12 / 3 | $125.942,00 | 15 / 4 | $83.056,10 | 15 / 4 |
| Bronchitis & Asthma W/O Cc/Mcc | 18 | 27 / 6 | $17.184,20 | 168 / 7 | $6.033,44 | 234 / 32 | $3.911,06 | 234 / 28 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 14 | $17.257,20 | 412 / 4 | $5.623,65 | 570 / 31 | $4.112,76 | 569 / 31 |
| Rectal Resection W Cc | 17 | 7 / 1 | $50.832,80 | 10 / 1 | $17.145,80 | 16 / 2 | $13.983,50 | 16 / 2 |
| Otitis Media & Uri W/O Mcc | 17 | 27 / 5 | $19.237,30 | 91 / 2 | $6.191,53 | 80 / 11 | $3.580,71 | 80 / 8 |
| Malignancy Of Hepatobiliary System Or Pancreas W Cc | 17 | 14 / 3 | $32.841,50 | 90 / 4 | $9.649,65 | 106 / 10 | $7.460,94 | 106 / 11 |
| Nonspecific Cerebrovascular Disorders W/O Cc/Mcc | 17 | 4 / 1 | $20.011,50 | 25 / 1 | $5.990,24 | 31 / 2 | $4.285,47 | 31 / 2 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 17 | 29 / 6 | $27.198,60 | 104 / 3 | $7.924,06 | 118 / 11 | $5.622,41 | 118 / 10 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 29 | $135.152,00 | 754 / 52 | $34.201,00 | 962 / 78 | $29.429,10 | 957 / 80 |
| Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 17 | 14 / 6 | $50.658,20 | 55 / 2 | $13.659,80 | 76 / 8 | $11.294,40 | 76 / 12 |
| Other Respiratory System Diagnoses W/O Mcc | 17 | 29 / 5 | $38.097,40 | 271 / 13 | $12.308,50 | 97 / 15 | $4.276,00 | 97 / 2 |
| Headaches W/O Mcc | 17 | 26 / 5 | $18.889,50 | 90 / 3 | $5.861,88 | 120 / 14 | $3.868,35 | 120 / 13 |
| Dysequilibrium | 17 | 48 / 11 | $19.704,60 | 245 / 5 | $5.381,71 | 304 / 23 | $3.588,06 | 304 / 19 |
| Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 16 | 12 / 2 | $38.048,80 | 36 / 2 | $12.002,90 | 25 / 4 | $8.619,94 | 25 / 5 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 16 | 24 / 9 | $54.678,80 | 138 / 3 | $18.656,20 | 294 / 32 | $15.877,10 | 293 / 31 |
| Signs & Symptoms W Mcc | 16 | 25 / 5 | $32.622,70 | 159 / 9 | $11.872,00 | 98 / 19 | $6.710,69 | 98 / 13 |
| Peripheral Vascular Disorders W Mcc | 16 | 33 / 11 | $53.129,80 | 445 / 34 | $29.094,40 | 233 / 46 | $7.923,62 | 233 / 26 |
| Endocrine Disorders W Cc | 16 | 22 / 5 | $18.471,40 | 56 / 3 | $8.254,88 | 143 / 11 | $6.051,44 | 143 / 12 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 16 | 27 / 6 | $15.042,40 | 78 / 1 | $5.879,38 | 233 / 12 | $4.183,38 | 233 / 11 |
| Digestive Malignancy W Mcc | 16 | 21 / 3 | $44.001,90 | 46 / 2 | $14.200,20 | 29 / 4 | $11.709,90 | 29 / 3 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 16 | 73 / 24 | $35.509,40 | 397 / 23 | $9.075,31 | 234 / 48 | $5.358,19 | 234 / 29 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 15 | 181 / 59 | $78.753,50 | 852 / 56 | $20.786,80 | 981 / 126 | $12.404,10 | 974 / 114 |
| Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc | 15 | 11 / 1 | $52.422,70 | 29 / 2 | $15.254,50 | 13 / 3 | $11.559,00 | 13 / 1 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 15 | 23 / 6 | $17.472,90 | 191 / 9 | $5.910,13 | 302 / 31 | $3.914,00 | 301 / 25 |
| Respiratory Signs & Symptoms | 15 | 31 / 7 | $22.963,80 | 157 / 7 | $6.027,33 | 137 / 16 | $4.009,60 | 137 / 14 |
| Hernia Procedures Except Inguinal & Femoral W Cc | 15 | 19 / 5 | $35.031,80 | 26 / 1 | $12.066,90 | 57 / 5 | $9.299,73 | 57 / 9 |
| Chemo W Acute Leukemia As Sdx Or W High Dose Chemo Agent W Mcc | 15 | 14 / 2 | $340.497,00 | 34 / 3 | $99.458,10 | 36 / 4 | $83.929,70 | 36 / 4 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 15 | 33 / 5 | $38.827,00 | 96 / 5 | $10.864,40 | 128 / 13 | $9.118,00 | 128 / 16 |
| Limb Reattachment, Hip & Femur Proc For Multiple Significant Trauma | 14 | 8 / 3 | $118.415,00 | 31 / 4 | $36.550,00 | 42 / 6 | $33.167,10 | 42 / 6 |
| Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 14 | 17 / 5 | $183.984,00 | 92 / 7 | $55.227,40 | 97 / 7 | $47.514,60 | 97 / 7 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 25 | $61.476,30 | 371 / 17 | $19.254,60 | 616 / 61 | $16.939,60 | 615 / 65 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 13 | $20.368,50 | 385 / 9 | $6.204,21 | 514 / 28 | $4.624,93 | 512 / 29 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Mcc | 14 | 10 / 3 | $105.063,00 | 14 / 2 | $34.610,50 | 20 / 4 | $30.732,40 | 20 / 4 |
| Endocrine Disorders W Mcc | 14 | 12 / 3 | $24.909,60 | 19 / 1 | $12.516,60 | 52 / 5 | $10.346,40 | 52 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 31 | $25.427,00 | 538 / 10 | $8.555,50 | 958 / 75 | $6.545,07 | 956 / 74 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 14 | 33 / 12 | $40.444,10 | 228 / 5 | $10.732,20 | 335 / 19 | $9.150,43 | 335 / 20 |
| Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc | 14 | 10 / 1 | $46.457,90 | 20 / 1 | $12.792,10 | 8 / 2 | $10.533,40 | 8 / 3 |
| Tracheostomy For Face,Mouth & Neck Diagnoses W Mcc | 14 | 9 / 1 | $135.080,00 | 6 / 1 | $38.548,30 | 6 / 1 | $33.834,90 | 6 / 1 |
| Pancreas, Liver & Shunt Procedures W/O Cc/Mcc | 13 | 16 / 3 | $48.446,90 | 10 / 1 | $14.395,20 | 3 / 2 | $10.114,10 | 3 / 2 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Mcc | 13 | 21 / 4 | $79.081,20 | 36 / 1 | $20.679,90 | 16 / 3 | $17.172,70 | 16 / 2 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 13 | 27 / 7 | $38.369,60 | 196 / 5 | $10.149,20 | 92 / 8 | $6.300,23 | 92 / 4 |
| Interstitial Lung Disease W Cc | 13 | 8 / 2 | $38.073,80 | 18 / 1 | $10.546,00 | 16 / 2 | $7.828,15 | 16 / 3 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 8 | $19.456,20 | 131 / 3 | $7.037,08 | 174 / 12 | $4.735,92 | 174 / 6 |
| Major Cardiovasc Procedures W Mcc | 12 | 56 / 21 | $188.570,00 | 484 / 32 | $55.398,80 | 604 / 44 | $50.087,10 | 603 / 46 |
| Major Chest Trauma W Cc | 12 | 24 / 6 | $32.816,20 | 76 / 1 | $8.223,58 | 86 / 6 | $6.134,50 | 86 / 6 |
| Organic Disturbances & Mental Retardation | 12 | 47 / 15 | $26.890,50 | 305 / 11 | $8.629,08 | 264 / 18 | $6.042,92 | 264 / 10 |
| Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 12 | 30 / 4 | $118.331,00 | 49 / 1 | $37.919,00 | 62 / 5 | $33.781,70 | 62 / 3 |
| Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc | 12 | 14 / 3 | $75.611,80 | 19 / 3 | $22.003,10 | 31 / 6 | $19.112,10 | 31 / 7 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 12 | 32 / 7 | $23.006,90 | 138 / 4 | $6.386,92 | 151 / 11 | $4.424,08 | 151 / 6 |
| Postoperative & Post-Traumatic Infections W Mcc | 12 | 31 / 7 | $46.668,70 | 103 / 4 | $15.026,50 | 111 / 7 | $12.662,80 | 111 / 10 |
| Cervical Spinal Fusion W Mcc | 12 | 10 / 3 | $97.234,50 | 11 / 2 | $33.906,20 | 10 / 2 | $30.369,90 | 10 / 2 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 12 | 17 / 4 | $120.104,00 | 98 / 8 | $38.353,40 | 103 / 9 | $26.821,20 | 102 / 8 |
| Peritoneal Adhesiolysis W Mcc | 12 | 11 / 4 | $108.924,00 | 26 / 3 | $31.994,80 | 38 / 5 | $27.795,10 | 38 / 5 |
| Bone Diseases & Arthropathies W/O Mcc | 12 | 32 / 5 | $15.391,70 | 109 / 1 | $6.368,42 | 138 / 10 | $4.427,08 | 138 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 53 | $19.197,80 | 1353 / 66 | $5.135,08 | 1516 / 121 | $3.568,92 | 1510 / 116 |
| Coagulation Disorders | 11 | 16 / 6 | $60.811,10 | 62 / 4 | $17.156,00 | 54 / 6 | $12.745,40 | 54 / 5 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 9 | $24.051,00 | 221 / 5 | $6.160,82 | 265 / 10 | $4.238,00 | 264 / 11 |
| Kidney & Ureter Procedures For Non-Neoplasm W Mcc | 11 | 19 / 4 | $63.940,50 | 16 / 1 | $25.801,80 | 20 / 1 | $22.706,40 | 20 / 3 |
| Kidney & Ureter Procedures For Neoplasm W Mcc | 11 | 10 / 3 | $97.014,20 | 23 / 2 | $30.651,10 | 25 / 3 | $27.375,60 | 25 / 3 |
| Chemo W Acute Leukemia As Sdx W/O Cc/Mcc | 11 | 8 / 2 | $39.240,80 | 6 / 1 | $11.018,00 | 4 / 1 | $9.300,36 | 4 / 2 |
| Other Digestive System O.R. Procedures W Cc | 11 | 16 / 5 | $31.209,50 | 4 / 1 | $14.815,80 | 5 / 3 | $10.125,20 | 5 / 1 |
| Other Digestive System O.R. Procedures W Mcc | 11 | 18 / 7 | $67.864,80 | 19 / 1 | $23.969,50 | 26 / 5 | $21.453,20 | 26 / 5 |
| Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 11 | 21 / 4 | $35.631,10 | 76 / 3 | $9.504,91 | 48 / 6 | $6.403,82 | 48 / 3 |
| Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 38 | $74.101,40 | 305 / 9 | $29.229,40 | 400 / 68 | $19.380,50 | 400 / 42 |
| Pleural Effusion W Cc | 11 | 17 / 5 | $26.773,70 | 41 / 1 | $8.975,18 | 70 / 7 | $7.086,82 | 70 / 6 | Total 231 procedures | 10.771 | 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.