Hospital Costs > In Florida > Bethesda Hospital East, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 47 | 44 / 10 | $39.498,10 | 1026 / 44 | $7.468,89 | 918 / 83 | $6.419,94 | 916 / 86 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 34 | 91 / 33 | $58.054,90 | 1291 / 56 | $11.359,70 | 1090 / 92 | $10.613,10 | 1085 / 98 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 20 | 33 / 12 | $30.966,10 | 595 / 29 | $5.677,35 | 604 / 54 | $4.698,40 | 600 / 57 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 11 | 19 / 8 | $58.676,80 | 124 / 8 | $12.663,40 | 104 / 10 | $11.744,00 | 103 / 12 |
Anal & Stomal Procedures W Cc | 11 | 8 / 2 | $49.717,00 | 9 / 1 | $9.256,27 | 5 / 1 | $8.123,00 | 5 / 2 |
Atherosclerosis W/O Mcc | 13 | 45 / 19 | $30.956,10 | 457 / 44 | $4.794,08 | / 51 | $3.847,08 | / |
Bronchitis & Asthma W Cc/Mcc | 30 | 46 / 18 | $32.565,40 | 768 / 49 | $6.346,80 | 677 / 68 | $5.346,23 | 673 / 77 |
Bronchitis & Asthma W/O Cc/Mcc | 20 | 25 / 13 | $24.223,30 | 255 / 27 | $5.013,10 | 240 / 36 | $3.963,50 | 240 / 40 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 62 | 99 / 38 | $27.674,00 | 1525 / 69 | $5.882,82 | 1488 / 116 | $4.963,53 | 1483 / 122 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 45 | 78 / 23 | $60.870,90 | 1695 / 99 | $8.974,62 | 1311 / 103 | $7.961,33 | 1308 / 105 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 88 | 63 / 26 | $22.827,10 | 1544 / 76 | $4.495,47 | 1442 / 108 | $3.393,45 | 1436 / 115 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 11 | 39 / 17 | $136.660,00 | 111 / 7 | $33.824,60 | 99 / 17 | $32.689,50 | 99 / 25 |
Cellulitis W Mcc | 22 | 36 / 12 | $42.554,50 | 643 / 36 | $9.392,45 | 511 / 45 | $8.821,64 | 509 / 54 |
Cellulitis W/O Mcc | 129 | 61 / 13 | $28.462,40 | 2064 / 85 | $6.175,21 | 1817 / 122 | $5.174,81 | 1809 / 128 |
Chest Pain | 29 | 122 / 60 | $26.512,00 | 1275 / 68 | $4.777,00 | 1090 / 104 | $3.717,31 | 1083 / 106 |
Chronic Obstructive Pulmonary Disease W Cc | 95 | 84 / 29 | $35.143,40 | 1917 / 89 | $6.709,96 | 1642 / 119 | $5.744,54 | 1635 / 127 |
Chronic Obstructive Pulmonary Disease W Mcc | 68 | 134 / 49 | $46.036,80 | 2095 / 92 | $8.169,44 | 1666 / 121 | $7.135,76 | 1658 / 124 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 49 | 71 / 36 | $23.611,10 | 1484 / 63 | $5.439,88 | 1504 / 116 | $4.430,96 | 1493 / 120 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 28 | $71.144,30 | 596 / 41 | $13.738,80 | 513 / 56 | $12.985,50 | 507 / 62 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 50 | 138 / 41 | $48.557,20 | 1167 / 62 | $7.650,76 | 1072 / 94 | $6.580,64 | 1069 / 104 |
Complications Of Treatment W Cc | 12 | 40 / 15 | $34.953,70 | 258 / 20 | $7.003,83 | 177 / 28 | $6.174,33 | 177 / 29 |
Coronary Bypass W Cardiac Cath W/O Mcc | 11 | 65 / 27 | $164.572,00 | 406 / 17 | $28.416,50 | 149 / 26 | $24.192,10 | 149 / 19 |
Degenerative Nervous System Disorders W Mcc | 11 | 27 / 10 | $147.782,00 | 224 / 22 | $18.710,20 | 194 / 21 | $14.944,00 | 194 / 21 |
Degenerative Nervous System Disorders W/O Mcc | 18 | 60 / 28 | $32.020,70 | 541 / 31 | $6.849,00 | 453 / 54 | $5.880,44 | 453 / 61 |
Diabetes W Cc | 11 | 81 / 43 | $41.478,00 | 1433 / 96 | $6.122,18 | 1028 / 91 | $5.203,82 | 1024 / 94 |
Diabetes W Mcc | 12 | 45 / 16 | $47.750,70 | 534 / 30 | $9.371,17 | 339 / 36 | $8.322,83 | 339 / 38 |
Digestive Malignancy W Cc | 16 | 31 / 9 | $53.630,00 | 319 / 21 | $8.659,56 | 178 / 19 | $7.565,25 | 176 / 20 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 24 | $33.089,90 | 687 / 30 | $6.653,38 | 566 / 52 | $5.509,08 | 563 / 57 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 18 | 20 / 10 | $34.170,50 | 400 / 33 | $5.059,17 | 307 / 36 | $3.961,44 | 306 / 40 |
Disorders Of The Biliary Tract W Cc | 13 | 41 / 16 | $44.520,80 | 362 / 20 | $7.419,69 | 242 / 31 | $6.458,00 | 242 / 32 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 26 | 70 / 30 | $57.285,80 | 1243 / 87 | $9.540,35 | 1071 / 95 | $8.475,19 | 1066 / 94 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 176 | 100 / 27 | $32.998,70 | 2277 / 100 | $5.616,69 | 1849 / 122 | $4.554,33 | 1836 / 128 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 20 | 24 / 9 | $92.632,00 | 285 / 25 | $17.781,50 | 196 / 33 | $16.927,40 | 195 / 37 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 34 | 29 / 7 | $148.950,00 | 471 / 33 | $28.198,70 | 178 / 31 | $26.857,60 | 178 / 34 |
Extracranial Procedures W/O Cc/Mcc | 27 | 71 / 25 | $44.134,80 | 701 / 30 | $7.441,78 | 590 / 50 | $6.078,15 | 588 / 58 |
Fever | 26 | 20 / 8 | $36.294,10 | 272 / 34 | $6.220,27 | 195 / 32 | $5.404,15 | 195 / 33 |
Fractures Of Hip & Pelvis W/O Mcc | 32 | 29 / 15 | $21.685,00 | 570 / 38 | $5.248,72 | 605 / 66 | $4.247,84 | 605 / 71 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 27 | $27.823,50 | 570 / 47 | $5.682,69 | 520 / 70 | $4.643,77 | 518 / 72 |
G.I. Hemorrhage W Cc | 83 | 135 / 35 | $39.122,80 | 1924 / 83 | $7.164,39 | 1631 / 119 | $6.216,51 | 1627 / 123 |
G.I. Hemorrhage W Mcc | 29 | 92 / 33 | $75.374,90 | 1393 / 89 | $12.139,10 | 1018 / 94 | $11.338,40 | 1010 / 98 |
G.I. Hemorrhage W/O Cc/Mcc | 27 | 41 / 20 | $27.919,90 | 771 / 61 | $5.302,89 | 701 / 79 | $4.390,89 | 697 / 84 |
G.I. Obstruction W Cc | 30 | 62 / 29 | $32.463,90 | 1277 / 60 | $6.464,33 | 1169 / 99 | $5.475,53 | 1166 / 106 |
G.I. Obstruction W Mcc | 15 | 27 / 10 | $71.347,30 | 460 / 36 | $12.149,60 | 384 / 40 | $11.300,80 | 384 / 42 |
G.I. Obstruction W/O Cc/Mcc | 45 | 26 / 11 | $26.352,50 | 1040 / 51 | $4.810,51 | 908 / 74 | $3.691,33 | 905 / 81 |
Heart Failure & Shock W Cc | 124 | 154 / 32 | $33.280,30 | 2108 / 90 | $7.069,39 | 1864 / 127 | $6.255,08 | 1859 / 128 |
Heart Failure & Shock W Mcc | 77 | 207 / 58 | $48.592,00 | 1955 / 81 | $10.045,70 | 1609 / 120 | $9.295,23 | 1604 / 126 |
Heart Failure & Shock W/O Cc/Mcc | 40 | 70 / 29 | $23.085,90 | 1457 / 62 | $5.182,90 | 1412 / 101 | $4.255,02 | 1401 / 106 |
Hip & Femur Procedures Except Major Joint W Cc | 71 | 72 / 17 | $62.464,30 | 1418 / 49 | $12.778,50 | 1234 / 106 | $11.750,90 | 1219 / 110 |
Hip & Femur Procedures Except Major Joint W Mcc | 21 | 41 / 14 | $102.972,00 | 708 / 40 | $19.291,70 | 512 / 57 | $18.372,60 | 509 / 58 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 32 | 24 / 9 | $54.245,60 | 645 / 34 | $10.814,30 | 586 / 62 | $9.687,59 | 584 / 63 |
Hypertension W/O Mcc | 17 | 48 / 32 | $25.889,80 | 563 / 46 | $4.890,00 | 531 / 71 | $3.940,59 | 529 / 73 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 40 | $161.441,00 | 1086 / 47 | $31.760,20 | 638 / 54 | $30.853,40 | 632 / 71 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 57 | 125 / 33 | $39.777,40 | 1511 / 61 | $7.518,35 | 1370 / 99 | $6.513,74 | 1367 / 103 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 41 | 127 / 31 | $63.684,20 | 1189 / 54 | $11.140,20 | 699 / 72 | $9.889,63 | 698 / 72 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 31 | 71 / 27 | $32.616,60 | 1176 / 54 | $5.750,77 | 1034 / 81 | $4.422,45 | 1030 / 90 |
Kidney & Urinary Tract Infections W Mcc | 85 | 59 / 16 | $39.358,20 | 1491 / 73 | $7.772,51 | 1282 / 107 | $6.944,18 | 1278 / 110 |
Kidney & Urinary Tract Infections W/O Mcc | 125 | 108 / 35 | $27.015,30 | 2078 / 85 | $5.728,01 | 1907 / 130 | $4.834,96 | 1896 / 131 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 14 | 15 / 6 | $27.356,40 | 111 / 15 | $5.138,79 | 80 / 16 | $4.260,86 | 80 / 15 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 20 | 36 / 22 | $82.119,20 | 740 / 51 | $10.987,50 | 575 / 63 | $10.044,60 | 573 / 73 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 19 | $63.180,40 | 497 / 37 | $8.542,73 | 329 / 47 | $6.841,60 | 328 / 47 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 17 | 38 / 18 | $74.500,80 | 454 / 28 | $13.006,90 | 376 / 41 | $11.974,70 | 373 / 51 |
Major Cardiovasc Procedures W Mcc | 20 | 48 / 15 | $149.921,00 | 350 / 23 | $31.388,20 | 188 / 22 | $30.406,60 | 188 / 37 |
Major Cardiovasc Procedures W/O Mcc | 37 | 64 / 18 | $72.962,50 | 295 / 6 | $21.018,60 | 458 / 44 | $19.924,20 | 458 / 60 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 27 | $51.566,80 | 959 / 77 | $8.624,81 | 842 / 82 | $8.056,52 | 840 / 86 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 19 | $62.164,80 | 510 / 34 | $12.168,10 | 336 / 37 | $11.510,40 | 335 / 38 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 17 | $54.277,40 | 403 / 36 | $8.284,83 | 257 / 30 | $7.523,00 | 257 / 35 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 22 | 43 / 17 | $98.856,30 | 645 / 34 | $20.224,70 | 473 / 48 | $19.067,50 | 470 / 55 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 403 | 184 / 20 | $57.557,70 | 1603 / 34 | $13.827,30 | 1691 / 98 | $12.528,60 | 1654 / 124 |
Major Small & Large Bowel Procedures W Cc | 37 | 71 / 22 | $105.945,00 | 1264 / 58 | $16.063,60 | 872 / 62 | $15.084,00 | 864 / 87 |
Major Small & Large Bowel Procedures W Mcc | 33 | 52 / 15 | $202.424,00 | 1052 / 54 | $32.981,20 | 673 / 64 | $31.873,30 | 671 / 73 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 23 | 41 / 11 | $54.974,70 | 520 / 24 | $10.344,30 | 403 / 30 | $9.219,83 | 403 / 47 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 11 | 20 / 10 | $41.473,50 | 132 / 11 | $8.056,27 | 74 / 15 | $6.819,00 | 74 / 15 |
Medical Back Problems W/O Mcc | 21 | 100 / 51 | $28.563,80 | 962 / 51 | $6.245,57 | 956 / 97 | $5.118,81 | 953 / 101 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 35 | 91 / 25 | $35.447,50 | 1174 / 51 | $7.804,86 | 959 / 84 | $6.932,60 | 956 / 83 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 51 | $26.190,50 | 1950 / 79 | $5.345,25 | 1758 / 120 | $4.408,09 | 1753 / 124 |
Other Circulatory System Diagnoses W Cc | 26 | 40 / 10 | $37.662,30 | 520 / 36 | $7.131,38 | 443 / 45 | $6.313,96 | 442 / 49 |
Other Circulatory System Diagnoses W Mcc | 19 | 97 / 38 | $61.540,40 | 948 / 51 | $12.412,00 | 738 / 72 | $11.787,80 | 736 / 80 |
Other Circulatory System O.R. Procedures | 19 | 36 / 11 | $83.935,50 | 280 / 15 | $17.236,30 | 162 / 23 | $16.324,40 | 162 / 25 |
Other Digestive System Diagnoses W Cc | 27 | 70 / 30 | $39.390,00 | 1118 / 64 | $6.939,26 | 881 / 87 | $6.059,04 | 877 / 92 |
Other Digestive System O.R. Procedures W Mcc | 11 | 18 / 7 | $170.642,00 | 99 / 10 | $25.503,90 | 50 / 5 | $24.576,80 | 50 / 8 |
Other Disorders Of Nervous System W Cc | 12 | 44 / 21 | $42.713,20 | 510 / 34 | $6.488,83 | 331 / 39 | $5.450,83 | 331 / 41 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 14 | 26 / 13 | $47.680,70 | 78 / 5 | $13.073,10 | 136 / 22 | $12.257,50 | 136 / 25 |
Other Resp System O.R. Procedures W Mcc | 17 | 46 / 15 | $126.369,00 | 437 / 33 | $23.120,20 | 277 / 36 | $22.038,20 | 276 / 39 |
Other Vascular Procedures W Cc | 39 | 63 / 14 | $69.570,00 | 511 / 19 | $16.064,10 | 533 / 55 | $15.154,70 | 530 / 62 |
Other Vascular Procedures W Mcc | 42 | 55 / 14 | $77.815,20 | 355 / 13 | $19.823,30 | 309 / 48 | $18.862,50 | 308 / 54 |
Other Vascular Procedures W/O Cc/Mcc | 28 | 28 / 5 | $41.641,30 | 198 / 8 | $11.253,00 | 332 / 29 | $10.245,10 | 331 / 37 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 21 | 79 / 26 | $118.240,00 | 651 / 31 | $20.461,00 | 491 / 55 | $19.600,20 | 487 / 62 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 55 | 141 / 38 | $66.764,30 | 613 / 15 | $13.438,90 | 804 / 72 | $11.671,20 | 799 / 89 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 19 | 50 / 18 | $63.092,40 | 290 / 9 | $11.982,30 | 351 / 32 | $10.937,20 | 350 / 39 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 30 | 65 / 21 | $68.442,30 | 250 / 11 | $12.865,70 | 280 / 35 | $11.668,90 | 277 / 46 |
Peripheral Vascular Disorders W Cc | 33 | 51 / 21 | $34.222,20 | 905 / 64 | $6.887,79 | 737 / 86 | $5.976,76 | 734 / 89 |
Peripheral Vascular Disorders W/O Cc/Mcc | 13 | 32 / 19 | $19.781,60 | 216 / 30 | $5.185,23 | 245 / 53 | $4.057,31 | 245 / 54 |
Permanent Cardiac Pacemaker Implant W Cc | 47 | 30 / 5 | $72.675,40 | 528 / 26 | $16.873,30 | 506 / 60 | $15.966,40 | 505 / 72 |
Permanent Cardiac Pacemaker Implant W Mcc | 14 | 38 / 15 | $130.648,00 | 464 / 35 | $23.256,90 | 271 / 38 | $22.161,30 | 271 / 40 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 32 | 25 / 12 | $59.883,80 | 391 / 18 | $13.690,70 | 382 / 52 | $12.575,50 | 381 / 56 |
Pleural Effusion W Cc | 14 | 14 / 6 | $35.813,60 | 72 / 9 | $7.609,14 | 64 / 13 | $6.983,29 | 64 / 13 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 25 | $21.346,70 | 557 / 22 | $4.982,45 | 491 / 62 | $3.862,55 | 490 / 56 |
Postoperative & Post-Traumatic Infections W/O Mcc | 13 | 41 / 19 | $32.468,30 | 311 / 26 | $6.831,54 | 164 / 36 | $5.706,15 | 164 / 38 |
Pulmonary Edema & Respiratory Failure | 25 | 178 / 51 | $60.222,80 | 1936 / 104 | $8.525,08 | 1408 / 104 | $7.607,08 | 1404 / 109 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 29 | $31.690,20 | 884 / 38 | $7.067,50 | 937 / 62 | $6.269,36 | 934 / 69 |
Red Blood Cell Disorders W Mcc | 18 | 53 / 26 | $52.141,30 | 872 / 64 | $8.613,56 | 617 / 68 | $7.849,11 | 614 / 74 |
Red Blood Cell Disorders W/O Mcc | 67 | 76 / 23 | $26.428,00 | 1334 / 67 | $5.947,25 | 1395 / 111 | $5.192,13 | 1386 / 116 |
Renal Failure W Cc | 98 | 123 / 33 | $34.286,80 | 1872 / 84 | $6.894,35 | 1677 / 118 | $6.073,89 | 1668 / 130 |
Renal Failure W Mcc | 64 | 131 / 36 | $60.353,60 | 1765 / 101 | $10.612,80 | 1271 / 115 | $9.602,16 | 1271 / 118 |
Renal Failure W/O Cc/Mcc | 24 | 32 / 18 | $29.307,60 | 734 / 54 | $4.849,54 | 590 / 54 | $3.868,71 | 589 / 60 |
Respiratory Infections & Inflammations W Cc | 42 | 46 / 15 | $53.794,20 | 1195 / 56 | $9.235,29 | 913 / 76 | $8.346,38 | 908 / 80 |
Respiratory Infections & Inflammations W Mcc | 37 | 99 / 28 | $66.119,60 | 1358 / 51 | $12.894,20 | 1119 / 84 | $12.152,30 | 1105 / 90 |
Respiratory Infections & Inflammations W/O Cc/Mcc | 12 | 17 / 10 | $36.147,80 | 98 / 8 | $6.995,92 | 86 / 13 | $6.051,17 | 86 / 13 |
Respiratory Neoplasms W Cc | 13 | 34 / 15 | $38.635,80 | 300 / 22 | $8.236,69 | 249 / 40 | $7.078,08 | 248 / 41 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 49 | 82 / 22 | $86.989,10 | 1389 / 70 | $14.899,20 | 1031 / 85 | $14.250,30 | 1021 / 100 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 24 | 47 / 15 | $180.938,00 | 680 / 45 | $31.893,00 | 409 / 47 | $30.904,30 | 409 / 52 |
Revision Of Hip Or Knee Replacement W Cc | 18 | 68 / 23 | $84.386,50 | 330 / 11 | $21.330,20 | 381 / 43 | $20.554,30 | 380 / 49 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 36 | 33 / 5 | $57.252,20 | 170 / 6 | $17.501,70 | 286 / 27 | $15.760,40 | 285 / 29 |
Seizures W Mcc | 13 | 53 / 22 | $112.661,00 | 753 / 69 | $13.723,80 | 621 / 62 | $12.639,20 | 621 / 64 |
Seizures W/O Mcc | 16 | 92 / 41 | $28.032,80 | 894 / 41 | $5.698,12 | 838 / 79 | $4.853,06 | 835 / 85 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 30 | $194.897,00 | 730 / 38 | $36.584,50 | 438 / 53 | $35.647,80 | 437 / 54 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 129 | 387 / 69 | $67.630,20 | 2253 / 84 | $12.137,50 | 1631 / 114 | $11.282,20 | 1599 / 118 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 74 | 133 / 31 | $42.340,90 | 2107 / 78 | $7.518,89 | 1708 / 112 | $6.586,31 | 1701 / 122 |
Signs & Symptoms W/O Mcc | 11 | 80 / 40 | $29.353,00 | 1017 / 68 | $5.222,64 | 870 / 84 | $4.436,45 | 867 / 90 |
Simple Pneumonia & Pleurisy W Cc | 126 | 78 / 17 | $36.732,60 | 2239 / 85 | $6.991,79 | 1937 / 123 | $6.056,27 | 1929 / 129 |
Simple Pneumonia & Pleurisy W Mcc | 67 | 138 / 36 | $57.120,30 | 2048 / 86 | $9.719,87 | 1490 / 116 | $8.650,15 | 1490 / 118 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 68 | 25 / 9 | $28.617,90 | 1578 / 75 | $5.375,44 | 1432 / 103 | $4.266,28 | 1424 / 108 |
Spinal Fusion Except Cervical W/O Mcc | 44 | 150 / 37 | $100.711,00 | 742 / 19 | $24.878,60 | 769 / 55 | $23.834,50 | 765 / 73 |
Syncope & Collapse | 72 | 97 / 40 | $30.539,80 | 1453 / 76 | $5.507,81 | 1280 / 108 | $4.552,14 | 1273 / 115 |
Tendonitis, Myositis & Bursitis W/O Mcc | 17 | 25 / 9 | $32.543,20 | 257 / 20 | $6.133,82 | 197 / 30 | $4.971,82 | 197 / 30 |
Transient Ischemia | 30 | 95 / 53 | $31.340,10 | 1223 / 63 | $5.338,17 | 1172 / 95 | $4.428,33 | 1166 / 104 |
Transurethral Procedures W Cc | 18 | 23 / 10 | $59.935,30 | 312 / 27 | $8.734,78 | 248 / 35 | $7.821,39 | 248 / 40 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 13 | 31 / 16 | $33.433,50 | 217 / 30 | $5.596,00 | 166 / 38 | $4.542,62 | 166 / 40 | Total 128 procedures | 4.916 | 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.