Hospital Costs > In Montana > Billings Clinic Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Psychoses | 331 | 55 / 1 | $9.992,48 | 57 / 1 | $6.705,06 | 245 / 3 | $5.680,56 | 245 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 295 | 273 / 2 | $31.076,20 | 268 / 3 | $14.217,30 | 1324 / 7 | $11.649,60 | 1292 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 180 | 336 / 3 | $26.930,90 | 643 / 3 | $12.135,10 | 1381 / 4 | $10.793,00 | 1354 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 106 | 99 / 1 | $17.693,30 | 251 / 2 | $9.635,77 | 1267 / 5 | $8.256,79 | 1267 / 5 |
| Chronic Obstructive Pulmonary Disease W Mcc | 96 | 106 / 1 | $17.880,60 | 563 / 3 | $8.056,95 | 1268 / 7 | $6.542,62 | 1262 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 80 | 102 / 1 | $19.309,20 | 434 / 6 | $7.336,27 | 1057 / 7 | $5.920,48 | 1054 / 5 |
| Heart Failure & Shock W Mcc | 78 | 206 / 1 | $20.309,70 | 441 / 4 | $9.909,72 | 1363 / 7 | $8.823,13 | 1360 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 70 | 126 / 2 | $49.124,70 | 209 / 3 | $14.840,30 | 611 / 6 | $10.975,00 | 607 / 3 |
| Heart Failure & Shock W Cc | 67 | 211 / 1 | $15.138,10 | 595 / 3 | $7.182,45 | 1102 / 8 | $5.372,21 | 1100 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 66 | 122 / 1 | $22.764,00 | 183 / 1 | $7.455,48 | 866 / 5 | $6.043,58 | 863 / 4 |
| Renal Failure W Cc | 65 | 156 / 2 | $12.527,00 | 257 / 2 | $6.408,54 | 1297 / 6 | $5.489,92 | 1289 / 7 |
| G.I. Hemorrhage W Cc | 63 | 155 / 3 | $12.104,30 | 121 / 1 | $6.975,87 | 1046 / 6 | $5.408,51 | 1044 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 63 | 144 / 3 | $13.641,00 | 257 / 1 | $7.145,32 | 1240 / 4 | $5.918,87 | 1235 / 5 |
| Pulmonary Edema & Respiratory Failure | 48 | 155 / 3 | $21.590,80 | 507 / 4 | $7.959,00 | 1021 / 4 | $6.988,12 | 1020 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 47 | 121 / 1 | $31.163,80 | 383 / 3 | $11.095,00 | 755 / 4 | $10.051,80 | 754 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 43 | 232 / 4 | $11.304,60 | 316 / 2 | $5.172,77 | 1535 / 5 | $4.157,37 | 1523 / 7 |
| Renal Failure W Mcc | 42 | 153 / 1 | $22.641,80 | 349 / 2 | $10.070,10 | 905 / 3 | $8.732,12 | 905 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 42 | 82 / 1 | $95.135,90 | 433 / 2 | $36.439,90 | 974 / 3 | $35.098,80 | 968 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 41 | 120 / 1 | $9.578,93 | 86 / 1 | $5.553,56 | 1073 / 5 | $4.372,05 | 1069 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 40 | 163 / 4 | $14.307,00 | 485 / 3 | $6.521,15 | 1424 / 4 | $5.443,40 | 1418 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 39 | 104 / 4 | $28.108,50 | 167 / 1 | $12.278,40 | 1059 / 5 | $11.169,30 | 1045 / 4 |
| Major Small & Large Bowel Procedures W Cc | 38 | 70 / 1 | $34.871,90 | 108 / 3 | $15.605,10 | 809 / 3 | $14.772,10 | 801 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 2 | $11.147,90 | 446 / 1 | $4.873,76 | 1274 / 5 | $3.864,68 | 1270 / 5 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 36 | 33 / 1 | $46.885,90 | 122 / 2 | $11.542,60 | 301 / 3 | $10.552,60 | 301 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 35 | 159 / 4 | $88.778,80 | 623 / 7 | $25.292,40 | 817 / 3 | $24.234,20 | 813 / 6 |
| Respiratory Infections & Inflammations W Mcc | 33 | 103 / 2 | $29.086,10 | 357 / 4 | $13.349,60 | 1165 / 5 | $12.352,60 | 1151 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 30 | 72 / 3 | $14.524,10 | 220 / 5 | $5.200,07 | 848 / 6 | $4.063,40 | 844 / 6 |
| Major Small & Large Bowel Procedures W Mcc | 30 | 55 / 1 | $63.965,60 | 90 / 1 | $30.992,80 | 568 / 3 | $30.276,10 | 566 / 4 |
| Cellulitis W/O Mcc | 30 | 159 / 4 | $11.474,40 | 414 / 2 | $6.049,03 | 1191 / 5 | $4.422,40 | 1185 / 5 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 28 | 60 / 1 | $69.742,10 | 71 / 1 | $23.223,90 | 323 / 2 | $22.148,40 | 322 / 2 |
| Permanent Cardiac Pacemaker Implant W Cc | 28 | 49 / 1 | $46.776,70 | 169 / 1 | $16.874,90 | 503 / 1 | $15.949,10 | 502 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 3 | $45.045,00 | 483 / 5 | $15.240,70 | 542 / 4 | $12.548,80 | 534 / 2 |
| G.I. Obstruction W Cc | 28 | 64 / 1 | $11.748,90 | 105 / 3 | $6.017,39 | 928 / 6 | $4.985,04 | 925 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 2 | $20.478,60 | 358 / 4 | $7.948,74 | 834 / 5 | $6.855,70 | 831 / 5 |
| Extracranial Procedures W/O Cc/Mcc | 27 | 71 / 3 | $19.280,40 | 117 / 1 | $6.920,56 | 561 / 3 | $5.971,59 | 560 / 5 |
| G.I. Obstruction W/O Cc/Mcc | 27 | 44 / 1 | $7.827,00 | 57 / 1 | $4.318,63 | 766 / 4 | $3.369,33 | 763 / 6 |
| Transient Ischemia | 26 | 99 / 1 | $14.511,10 | 266 / 4 | $4.846,23 | 772 / 3 | $3.671,31 | 768 / 4 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 26 | 98 / 1 | $8.563,19 | 88 / 1 | $4.753,88 | 375 / 2 | $4.009,65 | 375 / 2 |
| Depressive Neuroses | 26 | 24 / 1 | $8.453,69 | 39 / 1 | $4.677,35 | 62 / 1 | $3.726,12 | 62 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 25 | 75 / 2 | $61.825,10 | 91 / 1 | $19.596,50 | 389 / 2 | $18.608,30 | 387 / 3 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 24 | 94 / 2 | $98.466,80 | 68 / 1 | $32.501,40 | 161 / 2 | $29.894,20 | 161 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 6 | $10.067,70 | 304 / 2 | $5.272,17 | 1574 / 6 | $4.418,17 | 1563 / 7 |
| Major Cardiovasc Procedures W/O Mcc | 23 | 78 / 3 | $70.322,90 | 263 / 2 | $22.089,60 | 581 / 3 | $21.122,00 | 581 / 4 |
| Degenerative Nervous System Disorders W/O Mcc | 23 | 55 / 1 | $23.576,50 | 345 / 3 | $6.602,74 | 410 / 2 | $5.708,04 | 410 / 3 |
| Syncope & Collapse | 23 | 146 / 2 | $9.671,13 | 96 / 1 | $5.006,74 | 851 / 4 | $3.893,78 | 847 / 4 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 22 | 42 / 1 | $26.765,30 | 79 / 1 | $10.564,40 | 349 / 1 | $8.825,05 | 349 / 2 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 22 | 35 / 1 | $35.308,30 | 86 / 1 | $14.695,70 | 301 / 1 | $11.933,50 | 300 / 1 |
| G.I. Hemorrhage W Mcc | 21 | 100 / 3 | $19.372,00 | 64 / 1 | $11.214,00 | 734 / 3 | $10.345,90 | 733 / 3 |
| Pulmonary Embolism W/O Mcc | 21 | 53 / 2 | $15.164,70 | 159 / 2 | $6.577,62 | 712 / 4 | $5.585,71 | 709 / 5 |
| Revision Of Hip Or Knee Replacement W Cc | 21 | 65 / 2 | $43.993,00 | 43 / 1 | $22.074,70 | 304 / 2 | $19.360,20 | 303 / 2 |
| Major Chest Procedures W Cc | 21 | 53 / 1 | $39.906,70 | 47 / 1 | $17.659,40 | 196 / 3 | $14.584,20 | 196 / 2 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 21 | 40 / 2 | $12.045,80 | 172 / 2 | $4.460,86 | 430 / 2 | $3.652,95 | 429 / 2 |
| Other Digestive System Diagnoses W Cc | 20 | 77 / 2 | $12.693,50 | 77 / 3 | $6.447,50 | 735 / 6 | $5.647,80 | 731 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 4 | $16.366,00 | 650 / 3 | $6.232,15 | 1428 / 4 | $5.419,55 | 1423 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 20 | 73 / 1 | $37.055,10 | 114 / 1 | $13.266,20 | 432 / 1 | $12.444,80 | 426 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 3 | $16.208,00 | 200 / 1 | $7.180,55 | 657 / 2 | $6.314,55 | 654 / 2 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 20 | 53 / 1 | $16.607,20 | 8 / 1 | $8.362,70 | 207 / 2 | $7.159,00 | 207 / 4 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 19 | 50 / 1 | $186.399,00 | 62 / 1 | $56.729,30 | 75 / 1 | $55.791,70 | 75 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 19 | 97 / 3 | $123.716,00 | 30 / 1 | $46.914,90 | 115 / 1 | $45.803,00 | 115 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 5 | $33.565,30 | 78 / 3 | $15.313,70 | 261 / 8 | $11.385,30 | 258 / 1 |
| Pulmonary Embolism W Mcc | 19 | 24 / 1 | $17.886,10 | 28 / 1 | $9.812,63 | 321 / 3 | $9.032,32 | 321 / 3 |
| Medical Back Problems W/O Mcc | 18 | 103 / 4 | $13.764,50 | 160 / 4 | $5.739,22 | 783 / 4 | $4.716,44 | 780 / 7 |
| Red Blood Cell Disorders W/O Mcc | 18 | 125 / 2 | $11.019,20 | 155 / 1 | $5.393,39 | 813 / 3 | $4.309,17 | 808 / 3 |
| Major Cardiovasc Procedures W Mcc | 18 | 50 / 1 | $86.897,40 | 74 / 1 | $31.496,90 | 199 / 1 | $30.519,80 | 199 / 1 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 18 | 58 / 1 | $83.616,10 | 51 / 1 | $31.336,60 | 298 / 3 | $26.685,70 | 298 / 1 |
| Major Chest Procedures W Mcc | 18 | 31 / 1 | $69.587,70 | 29 / 1 | $30.821,70 | 141 / 1 | $30.169,40 | 141 / 1 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 18 | 80 / 1 | $91.456,00 | 159 / 2 | $29.207,40 | 242 / 2 | $27.982,90 | 242 / 2 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 18 | 30 / 1 | $21.160,50 | 10 / 1 | $12.247,50 | 36 / 1 | $7.407,72 | 36 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 3 | $8.086,22 | 151 / 2 | $3.981,44 | 1083 / 5 | $2.895,11 | 1078 / 6 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 17 | 46 / 2 | $49.058,80 | 38 / 1 | $23.702,80 | 117 / 2 | $19.159,40 | 117 / 1 |
| Signs & Symptoms W/O Mcc | 17 | 74 / 2 | $11.615,10 | 165 / 2 | $5.044,29 | 398 / 5 | $3.523,12 | 397 / 3 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 17 | 74 / 1 | $28.111,50 | 144 / 1 | $7.889,12 | 83 / 1 | $6.497,12 | 83 / 1 |
| Diabetes W Cc | 17 | 75 / 1 | $11.673,40 | 135 / 1 | $5.607,06 | 920 / 2 | $4.952,71 | 916 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 2 | $43.221,40 | 66 / 1 | $18.968,20 | 342 / 1 | $17.932,60 | 340 / 2 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 16 | 73 / 3 | $22.504,10 | 136 / 2 | $8.984,31 | 252 / 4 | $5.431,00 | 252 / 1 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 16 | 61 / 2 | $28.692,90 | 69 / 1 | $10.102,20 | 210 / 1 | $8.948,12 | 210 / 1 |
| Chest Pain | 16 | 135 / 2 | $11.340,80 | 210 / 1 | $4.265,19 | 744 / 1 | $3.198,31 | 739 / 2 |
| Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 3 | $45.479,40 | 99 / 2 | $18.944,20 | 487 / 2 | $18.135,50 | 484 / 2 |
| Kidney & Ureter Procedures For Neoplasm W Cc | 16 | 28 / 1 | $24.650,60 | 4 / 1 | $13.345,10 | 33 / 1 | $10.883,90 | 33 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 15 | 25 / 1 | $42.114,10 | 51 / 1 | $17.367,10 | 205 / 2 | $14.477,70 | 204 / 1 |
| Organic Disturbances & Mental Retardation | 15 | 44 / 1 | $22.165,30 | 220 / 1 | $6.728,73 | 245 / 1 | $5.949,93 | 245 / 1 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 1 | $23.060,30 | 60 / 1 | $10.381,70 | 495 / 3 | $9.230,00 | 493 / 4 |
| Major Chest Procedures W/O Cc/Mcc | 14 | 45 / 1 | $22.278,40 | 12 / 1 | $11.364,40 | 91 / 1 | $10.240,60 | 91 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 6 | $10.221,10 | 279 / 2 | $4.729,64 | 930 / 5 | $3.667,93 | 923 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 3 | $20.048,90 | 208 / 3 | $7.818,86 | 653 / 4 | $6.997,71 | 648 / 5 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 2 | $25.768,60 | 504 / 4 | $12.310,80 | 60 / 4 | $6.299,29 | 60 / 1 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 14 | 55 / 3 | $35.713,40 | 26 / 1 | $17.064,30 | 304 / 3 | $16.016,40 | 303 / 4 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 14 | 52 / 1 | $17.852,20 | 52 / 1 | $7.323,86 | 237 / 1 | $6.434,14 | 237 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 4 | $41.241,40 | 219 / 3 | $15.553,80 | 386 / 3 | $12.058,60 | 385 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 1 | $9.479,38 | 26 / 1 | $7.895,08 | 154 / 1 | $5.032,15 | 154 / 1 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 1 | $29.177,50 | 100 / 2 | $11.641,40 | 363 / 3 | $10.772,50 | 362 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 2 | $30.829,50 | 106 / 2 | $11.059,20 | 557 / 3 | $9.913,08 | 555 / 3 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 13 | 53 / 2 | $40.025,00 | 164 / 2 | $13.344,20 | 112 / 2 | $9.489,77 | 112 / 1 |
| Stomach, Esophageal & Duodenal Proc W Mcc | 13 | 28 / 1 | $81.123,60 | 25 / 1 | $36.534,00 | 92 / 1 | $35.135,70 | 92 / 1 |
| Seizures W/O Mcc | 12 | 96 / 3 | $12.714,60 | 162 / 2 | $5.208,00 | 453 / 2 | $3.983,83 | 451 / 2 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 12 | 62 / 2 | $54.186,50 | 80 / 4 | $14.036,40 | 86 / 2 | $13.128,90 | 86 / 3 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 12 | 30 / 1 | $86.280,60 | 16 / 1 | $28.289,00 | 44 / 2 | $27.048,70 | 44 / 2 |
| Other Vascular Procedures W Cc | 12 | 90 / 3 | $29.986,60 | 35 / 1 | $15.683,90 | 451 / 1 | $14.648,10 | 448 / 2 |
| Other Circulatory System Diagnoses W Cc | 12 | 54 / 1 | $13.220,70 | 55 / 1 | $7.919,00 | 263 / 2 | $5.396,50 | 262 / 2 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 2 | $41.079,80 | 510 / 1 | $13.626,80 | 938 / 2 | $13.003,00 | 931 / 3 |
| Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 3 | $23.098,40 | 25 / 1 | $10.817,10 | 298 / 1 | $9.885,58 | 297 / 3 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 2 | $11.406,70 | 6 / 1 | $10.544,60 | 238 / 1 | $9.723,42 | 238 / 1 |
| Extracranial Procedures W Cc | 11 | 35 / 1 | $20.344,00 | 24 / 1 | $10.181,80 | 186 / 1 | $9.072,55 | 186 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 4 | $13.631,00 | 85 / 2 | $6.150,18 | 527 / 3 | $5.369,64 | 525 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 3 | $17.030,40 | 179 / 1 | $7.713,36 | 485 / 1 | $6.617,82 | 483 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 1 | $16.521,90 | 20 / 1 | $11.447,50 | 240 / 1 | $10.880,50 | 239 / 1 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 1 | $22.548,80 | 11 / 1 | $11.076,40 | 103 / 1 | $10.155,50 | 104 / 1 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 2 | $12.975,70 | 109 / 1 | $6.444,36 | 671 / 1 | $5.771,27 | 668 / 1 |
| Cellulitis W Mcc | 11 | 47 / 2 | $16.665,60 | 68 / 1 | $9.266,27 | 411 / 2 | $8.354,82 | 409 / 2 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 1 | $17.073,50 | 40 / 1 | $7.760,64 | 210 / 1 | $7.055,36 | 210 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 4 | $19.954,20 | 286 / 1 | $6.978,09 | 704 / 3 | $5.868,45 | 702 / 4 |
| Major Male Pelvic Procedures W Cc/Mcc | 11 | 19 / 1 | $19.832,00 | 3 / 1 | $11.537,70 | 19 / 1 | $10.321,90 | 19 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 5 | $22.260,50 | 166 / 2 | $10.015,80 | 527 / 4 | $9.213,82 | 525 / 4 |
| Endocrine Disorders W Cc | 11 | 27 / 1 | $17.782,50 | 45 / 1 | $6.752,55 | 136 / 1 | $5.974,36 | 136 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 4 | $16.190,70 | 315 / 3 | $7.118,64 | 958 / 2 | $6.317,91 | 955 / 3 |
| Other Skin, Subcut Tiss & Breast Proc W Cc | 11 | 13 / 1 | $19.166,00 | 6 / 1 | $9.875,91 | 28 / 1 | $8.082,18 | 28 / 1 | Total 116 procedures | 3.676 | 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.