Hospital Costs > In New York > Beth Israel Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 379 | 11 / 2 | $33.608,40 | 2308 / 125 | $9.280,97 | 2612 / 107 | $7.608,13 | 2597 / 110 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 344 | 177 / 20 | $80.053,40 | 2433 / 135 | $20.735,00 | 2694 / 112 | $17.952,00 | 2649 / 112 |
Kidney & Urinary Tract Infections W/O Mcc | 318 | 12 / 2 | $36.466,00 | 2420 / 125 | $9.613,80 | 2614 / 108 | $7.864,43 | 2603 / 110 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 309 | 6 / 1 | $24.106,00 | 594 / 40 | $8.923,56 | 785 / 40 | $7.217,10 | 784 / 42 |
Syncope & Collapse | 273 | 6 / 3 | $30.779,10 | 1464 / 101 | $9.190,13 | 1834 / 82 | $7.560,36 | 1826 / 85 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 260 | 305 / 21 | $69.495,00 | 1981 / 103 | $22.486,80 | 2572 / 101 | $19.193,30 | 2526 / 103 |
Cellulitis W/O Mcc | 259 | 8 / 1 | $34.373,90 | 2283 / 127 | $10.327,30 | 2524 / 110 | $8.407,71 | 2516 / 111 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 217 | 7 / 2 | $35.737,70 | 2276 / 129 | $9.150,54 | 2432 / 108 | $7.163,45 | 2423 / 108 |
Heart Failure & Shock W Cc | 188 | 92 / 11 | $48.544,40 | 2523 / 133 | $12.203,40 | 2662 / 112 | $10.139,40 | 2656 / 112 |
Simple Pneumonia & Pleurisy W Cc | 185 | 32 / 4 | $43.735,40 | 2426 / 128 | $11.736,40 | 2718 / 113 | $9.633,11 | 2709 / 117 |
Chest Pain | 184 | 11 / 4 | $22.741,00 | 1099 / 80 | $7.824,48 | 1608 / 65 | $6.388,76 | 1599 / 68 |
Renal Failure W Cc | 157 | 69 / 3 | $45.002,80 | 2150 / 111 | $11.523,20 | 2348 / 94 | $9.627,80 | 2338 / 97 |
G.I. Hemorrhage W Cc | 142 | 76 / 9 | $41.874,00 | 2004 / 105 | $11.691,30 | 2342 / 101 | $10.029,40 | 2338 / 102 |
Red Blood Cell Disorders W/O Mcc | 141 | 15 / 4 | $35.418,10 | 1675 / 99 | $10.066,90 | 1907 / 85 | $8.183,75 | 1898 / 87 |
Heart Failure & Shock W Mcc | 140 | 144 / 18 | $72.566,50 | 2384 / 122 | $17.831,80 | 2546 / 104 | $15.365,40 | 2535 / 106 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 130 | 29 / 2 | $26.501,00 | 1670 / 105 | $7.531,78 | 1926 / 90 | $5.908,90 | 1920 / 93 |
Renal Failure W Mcc | 127 | 69 / 6 | $68.882,10 | 1877 / 96 | $17.549,70 | 2071 / 76 | $15.401,40 | 2067 / 78 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 126 | 37 / 4 | $34.129,30 | 1781 / 102 | $9.863,06 | 2074 / 87 | $8.018,96 | 2069 / 90 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 116 | 91 / 16 | $56.215,70 | 2359 / 132 | $12.849,70 | 2479 / 108 | $10.434,80 | 2469 / 109 |
Chronic Obstructive Pulmonary Disease W Cc | 110 | 69 / 6 | $38.668,10 | 2036 / 118 | $11.155,10 | 2363 / 103 | $9.505,25 | 2356 / 106 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 109 | 18 / 1 | $31.275,00 | 1748 / 106 | $9.104,13 | 2044 / 95 | $7.484,83 | 2032 / 98 |
Chronic Obstructive Pulmonary Disease W Mcc | 109 | 93 / 13 | $55.917,00 | 2293 / 124 | $14.180,00 | 2501 / 104 | $11.755,00 | 2493 / 105 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 108 | 22 / 3 | $42.370,00 | 1352 / 74 | $12.973,30 | 1644 / 62 | $11.413,30 | 1641 / 65 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 106 | 90 / 12 | $58.114,70 | 410 / 26 | $20.869,70 | 1445 / 36 | $19.176,00 | 1437 / 47 |
Other Vascular Procedures W Cc | 101 | 10 / 4 | $83.661,10 | 687 / 35 | $25.991,10 | 1085 / 39 | $23.728,50 | 1080 / 41 |
Kidney & Urinary Tract Infections W Mcc | 100 | 45 / 5 | $49.495,90 | 1679 / 75 | $13.121,80 | 1878 / 68 | $11.056,20 | 1874 / 68 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 94 | 88 / 6 | $49.742,90 | 1736 / 88 | $12.803,20 | 1989 / 86 | $10.469,30 | 1985 / 85 |
Peripheral Vascular Disorders W Cc | 92 | 7 / 4 | $44.612,60 | 1087 / 69 | $11.659,00 | 1194 / 57 | $9.590,33 | 1191 / 59 |
Medical Back Problems W/O Mcc | 91 | 31 / 6 | $35.992,80 | 1166 / 69 | $10.264,30 | 1435 / 68 | $8.584,07 | 1430 / 72 |
Seizures W/O Mcc | 90 | 23 / 5 | $29.004,00 | 918 / 76 | $9.335,93 | 1237 / 69 | $7.793,33 | 1235 / 72 |
G.I. Hemorrhage W Mcc | 84 | 37 / 6 | $64.801,50 | 1263 / 68 | $18.714,10 | 1554 / 58 | $16.193,40 | 1544 / 57 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 82 | 41 / 5 | $52.402,40 | 1578 / 89 | $14.309,10 | 1836 / 81 | $12.004,20 | 1833 / 81 |
Dysequilibrium | 81 | 6 / 3 | $26.536,80 | 369 / 41 | $8.050,49 | 537 / 39 | $6.451,19 | 537 / 40 |
Respiratory Infections & Inflammations W Cc | 80 | 12 / 2 | $54.337,60 | 1202 / 67 | $15.509,60 | 1450 / 71 | $13.649,00 | 1445 / 72 |
Simple Pneumonia & Pleurisy W Mcc | 80 | 125 / 19 | $67.585,50 | 2211 / 116 | $16.367,20 | 2413 / 101 | $13.674,40 | 2407 / 97 |
Other Vascular Procedures W Mcc | 79 | 22 / 4 | $102.232,00 | 614 / 36 | $32.092,90 | 918 / 34 | $29.970,10 | 915 / 39 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 77 | 48 / 7 | $83.389,70 | 1587 / 99 | $19.157,60 | 1714 / 78 | $16.098,90 | 1701 / 76 |
Heart Failure & Shock W/O Cc/Mcc | 77 | 33 / 8 | $35.128,20 | 1817 / 113 | $8.807,14 | 1945 / 94 | $7.139,19 | 1932 / 94 |
Respiratory Infections & Inflammations W Mcc | 77 | 59 / 5 | $71.218,30 | 1415 / 61 | $21.920,00 | 1778 / 71 | $19.403,90 | 1762 / 71 |
Signs & Symptoms W/O Mcc | 75 | 18 / 3 | $28.665,50 | 1002 / 67 | $8.715,52 | 1264 / 61 | $7.226,08 | 1261 / 64 |
Hypertension W/O Mcc | 71 | 4 / 1 | $26.658,40 | 578 / 45 | $8.149,86 | 743 / 35 | $6.423,34 | 741 / 38 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 71 | 25 / 4 | $50.697,10 | 1169 / 64 | $13.704,80 | 1383 / 54 | $11.771,10 | 1378 / 56 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 70 | 118 / 20 | $50.263,90 | 1207 / 49 | $12.703,30 | 1563 / 46 | $10.511,20 | 1560 / 47 |
Diabetes W Cc | 69 | 23 / 3 | $32.172,00 | 1240 / 74 | $10.007,90 | 1530 / 69 | $8.347,28 | 1525 / 71 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 68 | 5 / 2 | $13.575,40 | 92 / 23 | $6.416,54 | 92 / 20 | $5.400,75 | 91 / 20 |
Other Digestive System Diagnoses W Cc | 68 | 29 / 5 | $43.308,40 | 1177 / 66 | $11.615,90 | 1373 / 58 | $9.554,31 | 1369 / 58 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 68 | 25 / 3 | $31.581,60 | 1661 / 89 | $8.924,56 | 1911 / 81 | $7.062,16 | 1903 / 81 |
Degenerative Nervous System Disorders W/O Mcc | 67 | 15 / 6 | $40.497,90 | 678 / 53 | $11.705,20 | 799 / 48 | $9.374,99 | 799 / 47 |
Hip & Femur Procedures Except Major Joint W Cc | 66 | 77 / 12 | $74.452,10 | 1623 / 88 | $20.635,50 | 1994 / 85 | $18.499,10 | 1972 / 87 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 64 | 104 / 14 | $76.936,70 | 1340 / 76 | $19.518,00 | 1539 / 62 | $17.191,60 | 1532 / 63 |
Red Blood Cell Disorders W Mcc | 63 | 11 / 4 | $57.797,10 | 930 / 66 | $14.587,40 | 1044 / 54 | $12.703,40 | 1040 / 55 |
Atherosclerosis W/O Mcc | 62 | 6 / 2 | $29.597,80 | 443 / 41 | $7.980,92 | / 32 | $6.077,26 | / |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 62 | 30 / 9 | $146.475,00 | 500 / 50 | $56.637,20 | 993 / 54 | $52.190,30 | 992 / 53 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 62 | 9 / 4 | $28.943,10 | 591 / 56 | $9.386,98 | 779 / 59 | $7.783,56 | 777 / 62 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 60 | 71 / 5 | $84.098,00 | 1358 / 85 | $24.483,40 | 1751 / 72 | $21.791,90 | 1737 / 75 |
Other Circulatory System Diagnoses W Mcc | 59 | 57 / 7 | $69.744,20 | 1048 / 59 | $20.605,80 | 1305 / 55 | $18.475,40 | 1297 / 56 |
Transient Ischemia | 58 | 67 / 14 | $35.716,30 | 1343 / 89 | $8.858,62 | 1612 / 79 | $7.171,69 | 1604 / 82 |
Disorders Of The Biliary Tract W Cc | 58 | 4 / 1 | $51.851,80 | 403 / 27 | $12.867,50 | 449 / 27 | $9.976,81 | 449 / 28 |
Bronchitis & Asthma W Cc/Mcc | 56 | 20 / 4 | $38.347,00 | 862 / 50 | $10.608,80 | 1037 / 43 | $8.808,77 | 1033 / 45 |
Acute Myocardial Infarction, Discharged Alive W Cc | 55 | 36 / 6 | $51.717,20 | 1200 / 73 | $12.342,00 | 1387 / 69 | $10.467,40 | 1385 / 69 |
G.I. Hemorrhage W/O Cc/Mcc | 54 | 16 / 3 | $31.109,20 | 825 / 58 | $9.005,07 | 960 / 49 | $6.807,67 | 956 / 50 |
Organic Disturbances & Mental Retardation | 53 | 11 / 2 | $43.963,80 | 468 / 36 | $11.931,60 | 514 / 32 | $10.064,30 | 514 / 33 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 53 | 71 / 18 | $183.936,00 | 1189 / 77 | $54.474,70 | 1482 / 65 | $50.084,00 | 1472 / 66 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 52 | 19 / 3 | $171.812,00 | 652 / 51 | $53.485,70 | 927 / 40 | $49.024,70 | 926 / 46 |
G.I. Obstruction W Cc | 51 | 41 / 6 | $43.687,30 | 1513 / 79 | $10.984,00 | 1678 / 75 | $8.531,12 | 1673 / 76 |
Major Small & Large Bowel Procedures W Mcc | 51 | 34 / 5 | $204.698,00 | 1059 / 53 | $51.735,20 | 1192 / 47 | $45.337,00 | 1189 / 47 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 50 | 52 / 9 | $40.664,50 | 1372 / 73 | $9.478,92 | 1547 / 62 | $7.637,62 | 1543 / 67 |
Other Disorders Of Nervous System W Cc | 49 | 10 / 3 | $36.926,90 | 465 / 20 | $10.690,10 | 603 / 27 | $9.154,02 | 602 / 29 |
Major Small & Large Bowel Procedures W Cc | 49 | 59 / 8 | $93.745,60 | 1156 / 64 | $25.746,10 | 1473 / 64 | $23.361,60 | 1459 / 69 |
Hiv W Major Related Condition W Mcc | 48 | 1 / 1 | $80.669,70 | 48 / 4 | $28.764,30 | 65 / 4 | $26.264,50 | 65 / 4 |
Pulmonary Edema & Respiratory Failure | 47 | 156 / 23 | $58.813,90 | 1910 / 95 | $14.215,40 | 2117 / 89 | $11.641,00 | 2111 / 87 |
Bronchitis & Asthma W/O Cc/Mcc | 47 | 4 / 2 | $25.887,00 | 266 / 23 | $8.287,92 | 361 / 19 | $6.719,19 | 361 / 21 |
Bone Diseases & Arthropathies W/O Mcc | 47 | 6 / 3 | $29.274,30 | 235 / 16 | $9.113,21 | 263 / 16 | $7.565,38 | 263 / 18 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 45 | 23 / 6 | $39.499,90 | 598 / 37 | $10.737,70 | 701 / 36 | $9.019,31 | 701 / 38 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 44 | 6 / 2 | $28.548,00 | 272 / 24 | $8.943,43 | 359 / 22 | $7.540,07 | 359 / 24 |
Fractures Of Hip & Pelvis W/O Mcc | 43 | 18 / 3 | $34.035,40 | 791 / 55 | $9.014,56 | 895 / 54 | $7.250,60 | 894 / 53 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 43 | 57 / 9 | $105.859,00 | 553 / 21 | $31.748,30 | 940 / 25 | $28.336,50 | 935 / 25 |
Other Kidney & Urinary Tract Diagnoses W Cc | 41 | 62 / 8 | $41.559,60 | 674 / 34 | $11.408,30 | 805 / 33 | $9.634,83 | 805 / 36 |
Other Digestive System Diagnoses W Mcc | 41 | 21 / 5 | $69.781,00 | 635 / 39 | $18.357,40 | 702 / 34 | $16.213,70 | 701 / 35 |
Cellulitis W Mcc | 41 | 17 / 3 | $54.177,80 | 761 / 43 | $15.857,60 | 923 / 45 | $13.817,00 | 921 / 48 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 40 | 16 / 2 | $52.992,20 | 626 / 35 | $17.189,40 | 888 / 34 | $15.422,20 | 885 / 38 |
G.I. Obstruction W/O Cc/Mcc | 40 | 31 / 3 | $32.597,60 | 1149 / 74 | $8.023,48 | 1280 / 66 | $6.196,77 | 1277 / 69 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 40 | 21 / 4 | $29.368,70 | 742 / 43 | $8.298,75 | 867 / 36 | $6.996,60 | 866 / 41 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 40 | 6 / 2 | $33.826,40 | 220 / 26 | $9.309,55 | 297 / 23 | $7.730,30 | 297 / 25 |
Other Vascular Procedures W/O Cc/Mcc | 40 | 16 / 5 | $45.661,50 | 244 / 17 | $17.644,90 | 532 / 20 | $16.341,80 | 531 / 22 |
Other Disorders Of Nervous System W/O Cc/Mcc | 39 | 2 / 1 | $30.355,30 | 104 / 16 | $8.602,36 | 144 / 14 | $6.984,00 | 144 / 18 |
Diabetes W/O Cc/Mcc | 39 | 3 / 2 | $26.980,20 | 240 / 34 | $7.403,26 | 258 / 22 | $5.546,56 | 258 / 19 |
Digestive Malignancy W Cc | 39 | 10 / 3 | $54.792,40 | 322 / 19 | $15.299,10 | 370 / 20 | $12.560,80 | 368 / 22 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 39 | 25 / 6 | $289.735,00 | 316 / 27 | $103.821,00 | 501 / 20 | $97.296,90 | 500 / 24 |
Respiratory Neoplasms W Cc | 39 | 10 / 3 | $46.256,10 | 374 / 24 | $13.660,10 | 481 / 26 | $11.941,40 | 480 / 26 |
Respiratory Signs & Symptoms | 39 | 8 / 3 | $29.068,30 | 225 / 16 | $8.822,26 | 297 / 15 | $7.361,10 | 297 / 19 |
Pulmonary Embolism W/O Mcc | 38 | 36 / 5 | $44.850,30 | 1116 / 48 | $11.892,30 | 1247 / 49 | $9.432,11 | 1244 / 52 |
Otitis Media & Uri W/O Mcc | 35 | 12 / 4 | $28.709,90 | 173 / 22 | $8.390,14 | 206 / 18 | $6.772,54 | 206 / 20 |
Renal Failure W/O Cc/Mcc | 34 | 22 / 3 | $28.094,00 | 723 / 31 | $8.078,59 | 823 / 30 | $6.246,26 | 821 / 31 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 33 | 48 / 9 | $456.613,00 | 236 / 15 | $155.109,00 | 355 / 9 | $145.790,00 | 354 / 10 |
Tendonitis, Myositis & Bursitis W/O Mcc | 33 | 10 / 3 | $41.126,40 | 293 / 29 | $10.212,60 | 318 / 22 | $8.313,27 | 317 / 24 |
Other Circulatory System Diagnoses W Cc | 33 | 33 / 6 | $36.309,90 | 505 / 22 | $11.116,90 | 639 / 25 | $9.680,76 | 638 / 29 |
Other Circulatory System O.R. Procedures | 32 | 23 / 5 | $80.601,60 | 270 / 13 | $27.953,60 | 412 / 15 | $25.624,50 | 412 / 16 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 32 | 14 / 3 | $35.603,10 | 312 / 26 | $8.631,81 | 372 / 21 | $6.794,53 | 371 / 24 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 32 | 61 / 10 | $85.425,80 | 694 / 26 | $22.527,50 | 837 / 23 | $19.581,50 | 829 / 24 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 31 | 50 / 17 | $62.264,70 | 84 / 26 | $15.243,50 | 84 / 26 | $11.367,70 | 84 / 26 |
Disorders Of Pancreas Except Malignancy W Cc | 30 | 31 / 3 | $49.775,90 | 864 / 37 | $11.214,70 | 917 / 35 | $8.920,30 | 914 / 36 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 30 | 27 / 8 | $55.122,20 | 341 / 17 | $21.863,00 | 698 / 28 | $20.319,30 | 696 / 32 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 30 | 23 / 5 | $39.074,20 | 723 / 52 | $9.448,73 | 836 / 44 | $7.852,13 | 832 / 46 |
Fever | 30 | 16 / 5 | $34.240,50 | 258 / 21 | $10.412,40 | 320 / 25 | $8.316,80 | 320 / 27 |
Other Digestive System Diagnoses W/O Cc/Mcc | 29 | 14 / 3 | $29.200,50 | 268 / 29 | $8.459,62 | 348 / 27 | $6.677,83 | 348 / 29 |
Hiv W Major Related Condition W Cc | 28 | 2 / 1 | $60.536,50 | 33 / 5 | $15.816,10 | 30 / 2 | $13.809,60 | 30 / 2 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 28 | 3 / 2 | $32.964,40 | 80 / 11 | $9.256,86 | 104 / 10 | $7.774,29 | 104 / 11 |
Peripheral Vascular Disorders W Mcc | 27 | 22 / 7 | $64.120,30 | 502 / 31 | $15.579,30 | 555 / 27 | $13.453,60 | 555 / 28 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 26 | 14 / 3 | $63.906,30 | 271 / 26 | $13.710,10 | 279 / 25 | $10.778,50 | 279 / 25 |
Other Respiratory System Diagnoses W/O Mcc | 25 | 21 / 4 | $28.939,30 | 218 / 12 | $9.693,76 | 303 / 13 | $8.172,48 | 303 / 16 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 24 | 23 / 5 | $46.817,30 | 391 / 31 | $13.571,50 | 569 / 31 | $11.416,70 | 568 / 32 |
Permanent Cardiac Pacemaker Implant W Cc | 24 | 53 / 17 | $82.033,70 | 638 / 24 | $26.816,30 | 940 / 35 | $24.597,80 | 936 / 38 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 24 | 18 / 3 | $69.431,70 | 232 / 11 | $19.409,40 | 256 / 13 | $16.259,00 | 256 / 12 |
Endocrine Disorders W Cc | 24 | 14 / 4 | $36.587,70 | 221 / 8 | $11.677,00 | 290 / 16 | $10.087,00 | 290 / 19 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 23 | 8 / 2 | $51.344,70 | 159 / 11 | $13.318,90 | 188 / 14 | $11.703,80 | 188 / 15 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 23 | 15 / 2 | $31.555,70 | 382 / 16 | $8.399,09 | 449 / 13 | $7.052,48 | 448 / 17 |
Poisoning & Toxic Effects Of Drugs W Mcc | 23 | 49 / 4 | $97.866,20 | 956 / 35 | $23.119,40 | 976 / 34 | $17.982,50 | 973 / 31 |
Other Resp System O.R. Procedures W Mcc | 22 | 41 / 6 | $139.947,00 | 464 / 18 | $40.758,10 | 543 / 22 | $33.042,60 | 542 / 19 |
Peripheral Vascular Disorders W/O Cc/Mcc | 22 | 23 / 6 | $34.545,10 | 354 / 24 | $8.667,32 | 386 / 20 | $6.928,59 | 386 / 21 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 26 | $60.473,60 | 884 / 49 | $17.045,30 | 1049 / 43 | $15.203,00 | 1045 / 48 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 22 | 51 / 14 | $51.185,50 | 952 / 44 | $13.481,40 | 1089 / 47 | $11.659,80 | 1087 / 49 |
Complications Of Treatment W Cc | 21 | 31 / 6 | $44.916,90 | 310 / 19 | $11.769,40 | 341 / 19 | $9.891,48 | 341 / 20 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 21 | 42 / 11 | $130.108,00 | 394 / 21 | $45.778,40 | 689 / 25 | $42.947,50 | 689 / 29 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 21 | 32 / 7 | $90.731,60 | 301 / 24 | $20.213,40 | 323 / 20 | $17.761,60 | 324 / 22 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 21 | 33 / 6 | $28.095,70 | 265 / 15 | $9.100,71 | 374 / 17 | $7.229,48 | 374 / 17 |
G.I. Obstruction W Mcc | 21 | 21 / 6 | $87.043,80 | 498 / 29 | $18.535,50 | 513 / 23 | $15.915,40 | 513 / 25 |
Seizures W Mcc | 21 | 45 / 10 | $60.525,60 | 578 / 32 | $16.832,90 | 703 / 23 | $14.972,30 | 703 / 25 |
Disorders Of The Biliary Tract W Mcc | 20 | 19 / 5 | $76.892,70 | 215 / 15 | $17.744,80 | 236 / 13 | $15.415,80 | 236 / 14 |
Other Circulatory System Diagnoses W/O Cc/Mcc | 20 | 3 / 2 | $28.670,90 | 24 / 2 | $8.241,70 | 31 / 2 | $6.914,60 | 31 / 3 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 19 | 51 / 8 | $50.112,00 | 508 / 16 | $11.368,60 | 532 / 15 | $9.779,21 | 532 / 18 |
Postoperative & Post-Traumatic Infections W/O Mcc | 19 | 35 / 8 | $51.125,40 | 416 / 35 | $11.871,80 | 434 / 31 | $10.264,10 | 434 / 32 |
Medical Back Problems W Mcc | 19 | 20 / 5 | $51.744,50 | 219 / 6 | $17.240,60 | 306 / 9 | $15.360,50 | 306 / 11 |
Digestive Malignancy W Mcc | 18 | 19 / 6 | $88.314,70 | 127 / 8 | $23.575,40 | 120 / 6 | $17.884,70 | 120 / 6 |
Respiratory Neoplasms W Mcc | 18 | 34 / 10 | $57.721,40 | 438 / 18 | $18.840,90 | 615 / 22 | $16.703,60 | 612 / 25 |
Tracheostomy For Face,Mouth & Neck Diagnoses W Cc | 18 | 15 / 2 | $155.676,00 | 38 / 2 | $37.245,60 | 38 / 2 | $30.709,40 | 38 / 1 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 18 | 58 / 10 | $85.329,00 | 458 / 14 | $20.316,30 | 513 / 11 | $18.415,60 | 513 / 13 |
Degenerative Nervous System Disorders W Mcc | 17 | 21 / 7 | $56.186,60 | 155 / 9 | $17.447,90 | 197 / 8 | $15.479,40 | 197 / 8 |
Coronary Bypass W Cardiac Cath W Mcc | 17 | 39 / 7 | $199.761,00 | 237 / 9 | $68.900,40 | 411 / 14 | $65.006,50 | 411 / 19 |
Signs & Symptoms W Mcc | 17 | 24 / 6 | $64.762,60 | 268 / 15 | $14.782,90 | 268 / 12 | $12.730,30 | 268 / 12 |
Disorders Of Pancreas Except Malignancy W Mcc | 17 | 29 / 3 | $67.513,00 | 280 / 7 | $18.638,00 | 325 / 6 | $16.446,20 | 325 / 7 |
Major Cardiovasc Procedures W/O Mcc | 17 | 84 / 29 | $88.202,30 | 480 / 30 | $32.889,70 | 967 / 30 | $31.029,60 | 966 / 35 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 17 | 30 / 10 | $65.449,90 | 425 / 31 | $17.971,60 | 493 / 29 | $13.516,30 | 493 / 27 |
Permanent Cardiac Pacemaker Implant W Mcc | 17 | 35 / 10 | $127.947,00 | 456 / 24 | $37.712,40 | 586 / 30 | $35.051,40 | 586 / 29 |
Other Injury, Poisoning & Toxic Effect Diag W/O Mcc | 16 | 3 / 1 | $36.462,10 | 4 / 1 | $8.775,75 | 3 / 1 | $6.938,88 | 3 / 1 |
Diabetes W Mcc | 16 | 41 / 17 | $42.606,20 | 489 / 28 | $15.098,50 | 703 / 26 | $13.434,50 | 702 / 30 |
Minor Skin Disorders W/O Mcc | 16 | 9 / 3 | $22.962,20 | 40 / 3 | $8.776,94 | 56 / 2 | $7.126,06 | 56 / 4 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 15 | $58.391,80 | 558 / 29 | $17.817,80 | 713 / 26 | $14.557,10 | 713 / 29 |
Uncomplicated Peptic Ulcer W/O Mcc | 16 | 4 / 1 | $35.382,80 | 16 / 2 | $10.338,40 | 21 / 1 | $8.497,56 | 21 / 1 |
Cirrhosis & Alcoholic Hepatitis W Cc | 16 | 10 / 2 | $35.961,20 | 63 / 3 | $11.320,80 | 79 / 3 | $8.710,44 | 79 / 4 |
Spinal Fusion Except Cervical W/O Mcc | 16 | 178 / 34 | $97.077,60 | 700 / 35 | $39.601,20 | 1276 / 44 | $34.500,90 | 1271 / 47 |
Acute Myocardial Infarction, Expired W Mcc | 16 | 14 / 5 | $68.811,20 | 148 / 9 | $18.420,60 | 176 / 8 | $16.303,80 | 176 / 9 |
Major Cardiovasc Procedures W Mcc | 16 | 52 / 18 | $169.962,00 | 430 / 19 | $50.586,10 | 582 / 18 | $47.339,90 | 581 / 20 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 11 | $68.600,60 | 648 / 30 | $16.745,30 | 843 / 30 | $14.632,90 | 839 / 31 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 15 | 12 / 2 | $64.841,50 | 123 / 6 | $19.086,10 | 132 / 6 | $17.202,50 | 132 / 6 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 15 | 83 / 16 | $127.247,00 | 289 / 12 | $43.871,80 | 401 / 12 | $34.157,70 | 401 / 11 |
Viral Illness W/O Mcc | 15 | 12 / 4 | $25.970,10 | 32 / 3 | $9.604,67 | 55 / 3 | $7.992,13 | 55 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 15 | 41 / 11 | $97.564,30 | 618 / 33 | $22.823,20 | 651 / 30 | $19.946,70 | 650 / 30 |
Pleural Effusion W Mcc | 14 | 16 / 4 | $61.881,80 | 156 / 8 | $17.154,40 | 186 / 9 | $15.015,00 | 186 / 10 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 11 | $56.666,90 | 416 / 23 | $13.903,80 | 452 / 24 | $12.163,60 | 452 / 26 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 14 | 34 / 8 | $57.010,10 | 178 / 13 | $16.075,20 | 224 / 11 | $14.013,10 | 223 / 14 |
Postoperative & Post-Traumatic Infections W Mcc | 14 | 29 / 10 | $65.137,10 | 156 / 9 | $18.591,30 | 194 / 8 | $16.739,40 | 194 / 9 |
Major Head & Neck Procedures W Cc/Mcc Or Major Device | 14 | 10 / 2 | $93.577,40 | 17 / 3 | $22.305,40 | 17 / 1 | $19.908,50 | 17 / 2 |
Nervous System Neoplasms W Mcc | 14 | 34 / 11 | $50.149,10 | 214 / 12 | $18.022,40 | 275 / 19 | $12.108,10 | 275 / 13 |
Respiratory Infections & Inflammations W/O Cc/Mcc | 14 | 15 / 4 | $42.206,20 | 107 / 6 | $11.644,50 | 130 / 8 | $9.687,07 | 130 / 8 |
Inflammation Of The Male Reproductive System W/O Mcc | 14 | 4 / 1 | $34.675,10 | 24 / 2 | $9.703,43 | 27 / 1 | $8.058,86 | 27 / 2 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 14 | 49 / 9 | $104.778,00 | 176 / 12 | $34.018,80 | 230 / 11 | $32.541,20 | 229 / 15 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 14 | 15 / 8 | $31.016,90 | 126 / 16 | $8.562,79 | 143 / 20 | $7.062,64 | 143 / 23 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 14 | 15 / 4 | $32.241,60 | 107 / 6 | $9.842,71 | 130 / 10 | $8.652,86 | 129 / 11 |
Transurethral Procedures W Cc | 14 | 27 / 10 | $60.240,40 | 314 / 25 | $14.502,40 | 376 / 21 | $12.518,90 | 376 / 26 |
Other Resp System O.R. Procedures W Cc | 13 | 34 / 7 | $85.106,60 | 287 / 13 | $19.191,50 | 301 / 11 | $16.777,70 | 301 / 12 |
Pulmonary Embolism W Mcc | 13 | 30 / 6 | $66.037,10 | 509 / 13 | $16.707,60 | 562 / 13 | $14.754,50 | 561 / 14 |
Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 18 | $107.278,00 | 736 / 37 | $31.188,70 | 920 / 36 | $28.609,30 | 917 / 36 |
Headaches W/O Mcc | 13 | 30 / 8 | $24.290,40 | 137 / 6 | $8.234,62 | 213 / 8 | $5.933,85 | 213 / 6 |
Acute Adjustment Reaction & Psychosocial Dysfunction | 13 | 17 / 4 | $24.467,80 | 58 / 3 | $8.173,31 | 71 / 2 | $6.986,08 | 71 / 3 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 17 | $128.949,00 | 781 / 35 | $38.371,30 | 832 / 35 | $25.876,40 | 829 / 25 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 13 | 32 / 10 | $89.765,80 | 180 / 12 | $20.268,50 | 188 / 8 | $17.732,00 | 188 / 8 |
Hiv W Or W/O Other Related Condition | 13 | 7 / 3 | $38.976,20 | 11 / 2 | $12.750,90 | 8 / 1 | $11.191,40 | 8 / 1 |
Inguinal & Femoral Hernia Procedures W/O Cc/Mcc | 13 | 5 / 3 | $35.654,00 | 8 / 5 | $11.642,70 | 9 / 4 | $7.766,69 | 9 / 3 |
Connective Tissue Disorders W Cc | 12 | 12 / 5 | $31.172,00 | 17 / 2 | $13.204,70 | 34 / 2 | $11.585,00 | 34 / 4 |
Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 8 | $42.787,20 | 382 / 10 | $11.564,00 | 450 / 10 | $10.146,70 | 450 / 11 |
Other Disorders Of Nervous System W Mcc | 12 | 28 / 7 | $75.225,10 | 278 / 9 | $19.915,90 | 307 / 8 | $17.834,20 | 307 / 11 |
Coagulation Disorders | 12 | 15 / 8 | $51.249,90 | 49 / 9 | $18.771,00 | 75 / 7 | $17.364,40 | 75 / 8 |
Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 17 | $95.297,80 | 419 / 17 | $33.011,20 | 644 / 20 | $31.034,20 | 642 / 24 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 12 | 22 / 8 | $159.116,00 | 153 / 9 | $47.651,20 | 182 / 10 | $44.638,00 | 182 / 11 |
Hiv W Major Related Condition W/O Cc/Mcc | 11 | 2 / 1 | $40.817,00 | 2 / 1 | $10.541,60 | 1 / 1 | $9.175,09 | 1 / 1 |
Tracheostomy For Face,Mouth & Neck Diagnoses W/O Cc/Mcc | 11 | 8 / 1 | $92.184,00 | 6 / 1 | $24.459,70 | 7 / 1 | $16.507,50 | 7 / 1 |
Tracheostomy For Face,Mouth & Neck Diagnoses W Mcc | 11 | 12 / 4 | $179.160,00 | 18 / 3 | $47.998,80 | 18 / 1 | $44.468,60 | 18 / 1 |
Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 11 | 16 / 7 | $42.850,70 | 33 / 5 | $15.017,90 | 33 / 7 | $7.517,18 | 33 / 1 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 18 | $38.226,40 | 325 / 15 | $12.684,10 | 503 / 20 | $11.080,80 | 502 / 23 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 16 | $48.958,40 | 316 / 17 | $22.372,50 | 798 / 23 | $20.854,50 | 794 / 26 |
Benign Prostatic Hypertrophy W/O Mcc | 11 | 4 / 3 | $22.769,50 | 4 / 1 | $8.569,18 | 5 / 1 | $7.034,45 | 5 / 1 |
Angina Pectoris | 11 | 14 / 6 | $17.348,50 | 22 / 5 | $7.014,18 | 65 / 7 | $5.711,55 | 65 / 7 |
Stomach, Esophageal & Duodenal Proc W Mcc | 11 | 30 / 9 | $393.144,00 | 227 / 14 | $86.488,50 | 232 / 14 | $75.303,00 | 232 / 14 |
Lymphoma & Non-Acute Leukemia W Cc | 11 | 25 / 7 | $51.851,50 | 73 / 3 | $17.389,20 | 113 / 4 | $14.730,60 | 113 / 6 |
Transurethral Prostatectomy W Cc/Mcc | 11 | 13 / 7 | $46.453,40 | 27 / 6 | $13.277,80 | 40 / 3 | $11.233,70 | 40 / 3 |
Transurethral Prostatectomy W/O Cc/Mcc | 11 | 18 / 7 | $21.816,70 | 33 / 7 | $9.039,18 | 77 / 5 | $7.060,00 | 77 / 7 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 12 | $89.991,10 | 270 / 11 | $29.077,20 | 411 / 16 | $26.929,70 | 409 / 21 | Total 198 procedures | 10.559 | 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.