Hospital Costs > In California > California Pacific Medical Ctr-Pacific Campus Hosp, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 363 | 214 / 17 | $86.549,40 | 2313 / 114 | $24.136,50 | 2554 / 212 | $18.739,50 | 2508 / 197 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 206 | 310 / 80 | $104.362,00 | 2670 / 202 | $25.247,40 | 2745 / 257 | $19.364,10 | 2700 / 238 |
Kidney Transplant | 108 | 20 / 4 | $314.261,00 | 156 / 5 | $37.780,00 | 158 / 7 | $32.451,10 | 158 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 105 | 170 / 19 | $50.214,50 | 2644 / 177 | $11.064,40 | 2559 / 214 | $7.006,45 | 2544 / 172 |
Heart Failure & Shock W Cc | 100 | 178 / 13 | $48.963,10 | 2528 / 140 | $12.468,00 | 2582 / 204 | $8.929,62 | 2576 / 174 |
Kidney & Urinary Tract Infections W/O Mcc | 87 | 146 / 28 | $38.192,10 | 2459 / 134 | $10.390,60 | 2508 / 204 | $6.797,07 | 2497 / 154 |
Simple Pneumonia & Pleurisy W Cc | 84 | 119 / 16 | $44.671,90 | 2448 / 106 | $11.606,20 | 2584 / 195 | $8.299,01 | 2575 / 153 |
G.I. Hemorrhage W Cc | 68 | 150 / 30 | $56.599,30 | 2264 / 138 | $13.158,50 | 2319 / 187 | $9.591,01 | 2315 / 171 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 66 | 32 / 3 | $93.523,60 | 726 / 26 | $23.611,50 | 789 / 43 | $19.701,70 | 785 / 44 |
Heart Failure & Shock W Mcc | 61 | 223 / 67 | $80.999,30 | 2460 / 160 | $18.062,60 | 2460 / 206 | $13.532,30 | 2449 / 171 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 60 | 106 / 23 | $44.586,20 | 2438 / 152 | $10.270,20 | 2346 / 188 | $6.375,05 | 2337 / 148 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 59 | 148 / 56 | $63.642,60 | 2448 / 200 | $14.395,20 | 2472 / 232 | $10.273,00 | 2462 / 212 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 57 | 125 / 22 | $68.144,20 | 1982 / 138 | $12.688,10 | 1929 / 168 | $9.227,56 | 1925 / 143 |
Cellulitis W/O Mcc | 53 | 136 / 34 | $38.944,70 | 2390 / 136 | $10.966,20 | 2459 / 203 | $7.507,09 | 2451 / 168 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 52 | 19 / 1 | $123.471,00 | 449 / 11 | $28.136,90 | 458 / 18 | $24.210,50 | 458 / 17 |
Renal Failure W Cc | 51 | 170 / 38 | $48.344,10 | 2227 / 123 | $12.011,90 | 2274 / 184 | $8.665,33 | 2264 / 153 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 49 | 27 / 4 | $179.481,00 | 558 / 64 | $34.624,30 | 557 / 65 | $27.269,00 | 557 / 64 |
Major Small & Large Bowel Procedures W Cc | 48 | 60 / 8 | $146.008,00 | 1435 / 75 | $30.904,20 | 1482 / 115 | $23.769,10 | 1468 / 108 |
Pancreas, Liver & Shunt Procedures W Mcc | 46 | 6 / 1 | $279.840,00 | 98 / 4 | $66.254,60 | 96 / 3 | $52.764,40 | 96 / 1 |
Hip & Femur Procedures Except Major Joint W Cc | 44 | 99 / 24 | $105.334,00 | 1926 / 101 | $22.317,00 | 1982 / 149 | $18.082,10 | 1961 / 140 |
Syncope & Collapse | 44 | 125 / 23 | $43.294,20 | 1750 / 97 | $9.654,50 | 1751 / 145 | $6.431,30 | 1743 / 116 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 42 | 119 / 24 | $40.662,90 | 1917 / 92 | $9.912,14 | 2022 / 162 | $7.226,52 | 2017 / 144 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 39 | 157 / 34 | $170.901,00 | 1463 / 108 | $26.236,60 | 1454 / 118 | $19.715,50 | 1446 / 111 |
Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 54 | $79.992,80 | 2345 / 138 | $18.154,50 | 2386 / 191 | $13.194,10 | 2380 / 164 |
Pancreas, Liver & Shunt Procedures W Cc | 36 | 20 / 4 | $169.922,00 | 125 / 6 | $33.101,10 | 123 / 5 | $27.216,60 | 123 / 5 |
Respiratory Infections & Inflammations W Cc | 36 | 52 / 13 | $67.579,40 | 1317 / 66 | $16.928,00 | 1397 / 116 | $12.053,50 | 1392 / 96 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 35 | 81 / 10 | $342.427,00 | 412 / 17 | $82.719,70 | 438 / 32 | $71.017,10 | 438 / 23 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 35 | 89 / 31 | $403.720,00 | 1567 / 142 | $89.032,70 | 1593 / 156 | $71.065,90 | 1583 / 152 |
Other Digestive System Diagnoses W Cc | 34 | 63 / 9 | $48.051,10 | 1236 / 71 | $12.430,00 | 1325 / 129 | $8.748,68 | 1321 / 108 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 34 | 19 / 3 | $89.531,40 | 300 / 11 | $19.572,60 | 301 / 16 | $15.654,00 | 302 / 15 |
Renal Failure W Mcc | 33 | 162 / 54 | $86.500,40 | 2040 / 135 | $21.361,00 | 2100 / 184 | $16.260,20 | 2096 / 171 |
Medical Back Problems W/O Mcc | 32 | 89 / 26 | $42.387,50 | 1300 / 66 | $10.952,20 | 1390 / 118 | $7.583,12 | 1385 / 106 |
G.I. Hemorrhage W Mcc | 31 | 90 / 25 | $97.925,20 | 1549 / 115 | $23.064,00 | 1627 / 152 | $18.976,40 | 1617 / 150 |
Signs & Symptoms W/O Mcc | 31 | 60 / 7 | $38.776,30 | 1196 / 48 | $9.330,10 | 1227 / 83 | $6.570,32 | 1224 / 73 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 30 | 66 / 14 | $60.991,00 | 1283 / 77 | $15.272,30 | 1306 / 125 | $10.453,60 | 1301 / 94 |
Major Small & Large Bowel Procedures W Mcc | 30 | 55 / 10 | $321.263,00 | 1246 / 71 | $73.444,10 | 1286 / 93 | $61.395,30 | 1283 / 89 |
Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 43 | $51.492,80 | 2269 / 128 | $11.812,00 | 2293 / 180 | $8.509,67 | 2286 / 149 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 30 | 95 / 22 | $105.219,00 | 1720 / 115 | $22.633,90 | 1735 / 148 | $16.653,80 | 1722 / 133 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 31 | $81.013,00 | 1570 / 97 | $13.936,00 | 1529 / 122 | $9.649,93 | 1526 / 102 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 29 | 35 / 6 | $84.742,40 | 693 / 26 | $18.586,00 | 717 / 39 | $14.783,30 | 717 / 39 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 26 | $59.383,90 | 1674 / 80 | $15.189,40 | 1812 / 139 | $11.495,80 | 1809 / 125 |
Other Kidney & Urinary Tract Diagnoses W Cc | 28 | 75 / 13 | $62.579,20 | 827 / 47 | $12.463,40 | 783 / 51 | $9.122,46 | 783 / 48 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 27 | 15 / 2 | $131.442,00 | 293 / 23 | $27.440,30 | 291 / 24 | $21.697,10 | 291 / 23 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 26 | 65 / 13 | $36.599,40 | 231 / 6 | $13.511,00 | 355 / 22 | $10.801,70 | 355 / 22 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 24 | $36.253,40 | 1882 / 98 | $8.227,32 | 1861 / 134 | $5.032,16 | 1855 / 113 |
Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 41 | $60.831,10 | 1821 / 127 | $14.946,00 | 1844 / 162 | $10.212,00 | 1840 / 144 |
Other Vascular Procedures W Mcc | 25 | 72 / 17 | $202.299,00 | 972 / 70 | $44.036,00 | 989 / 84 | $38.038,50 | 986 / 81 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 25 | 37 / 7 | $47.862,20 | 776 / 48 | $9.734,48 | 742 / 58 | $6.707,36 | 740 / 50 |
Other Circulatory System Diagnoses W Mcc | 25 | 91 / 25 | $99.743,90 | 1270 / 81 | $23.995,90 | 1318 / 123 | $18.936,40 | 1310 / 109 |
Degenerative Nervous System Disorders W/O Mcc | 24 | 54 / 8 | $56.123,20 | 809 / 39 | $13.111,00 | 750 / 47 | $8.521,04 | 750 / 35 |
Pulmonary Embolism W/O Mcc | 24 | 50 / 7 | $49.996,70 | 1160 / 40 | $11.942,50 | 1214 / 72 | $8.657,21 | 1211 / 67 |
Seizures W/O Mcc | 24 | 84 / 18 | $51.124,50 | 1236 / 66 | $10.747,30 | 1161 / 90 | $6.682,29 | 1159 / 66 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 24 | 46 / 12 | $50.995,40 | 509 / 34 | $11.388,10 | 479 / 44 | $8.281,71 | 479 / 33 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 48 | $106.682,00 | 1537 / 115 | $22.478,50 | 1530 / 145 | $17.030,70 | 1523 / 128 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 36 | $66.201,70 | 1645 / 128 | $14.616,20 | 1627 / 149 | $10.949,60 | 1624 / 132 |
G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 18 | $31.284,80 | 1135 / 48 | $8.324,00 | 1252 / 96 | $5.597,87 | 1249 / 87 |
G.I. Obstruction W Cc | 23 | 69 / 29 | $49.518,60 | 1595 / 92 | $12.056,60 | 1675 / 132 | $8.499,65 | 1670 / 124 |
Respiratory Infections & Inflammations W Mcc | 23 | 113 / 49 | $93.033,40 | 1616 / 82 | $24.152,70 | 1750 / 151 | $18.362,60 | 1734 / 133 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 22 | 41 / 8 | $241.002,00 | 687 / 32 | $55.290,20 | 720 / 50 | $47.065,10 | 720 / 47 |
Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 68 | $61.063,60 | 2367 / 122 | $14.269,90 | 2360 / 187 | $9.886,59 | 2352 / 138 |
Peritoneal Adhesiolysis W Cc | 22 | 17 / 3 | $142.092,00 | 278 / 14 | $30.959,70 | 278 / 17 | $22.049,40 | 278 / 16 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 22 | 78 / 20 | $213.514,00 | 977 / 74 | $40.993,20 | 971 / 92 | $30.039,50 | 966 / 74 |
Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 24 | $38.655,00 | 1878 / 78 | $8.896,86 | 1873 / 120 | $6.189,95 | 1860 / 100 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 24 | $33.510,00 | 1700 / 52 | $9.279,29 | 1811 / 127 | $5.798,76 | 1803 / 94 |
Respiratory Neoplasms W Cc | 21 | 26 / 3 | $52.220,00 | 409 / 13 | $15.434,70 | 446 / 28 | $10.203,00 | 445 / 21 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 27 | $104.363,00 | 1072 / 69 | $24.646,40 | 1093 / 82 | $19.736,30 | 1089 / 81 |
Revision Of Hip Or Knee Replacement W Cc | 21 | 65 / 14 | $135.708,00 | 587 / 16 | $37.470,50 | 633 / 34 | $30.001,80 | 631 / 28 |
Disorders Of Pancreas Except Malignancy W Cc | 20 | 41 / 5 | $66.245,90 | 929 / 51 | $12.691,00 | 913 / 58 | $8.820,85 | 910 / 48 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 20 | 98 / 21 | $289.639,00 | 500 / 21 | $61.425,10 | 513 / 34 | $48.196,30 | 513 / 28 |
Disorders Of The Biliary Tract W Mcc | 20 | 19 / 6 | $77.842,40 | 216 / 6 | $18.844,80 | 228 / 10 | $14.904,50 | 228 / 9 |
Chest Pain | 20 | 131 / 52 | $42.323,90 | 1624 / 116 | $8.089,70 | 1544 / 129 | $5.596,30 | 1535 / 107 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 19 | 38 / 7 | $96.397,90 | 645 / 30 | $24.829,30 | 681 / 49 | $18.727,30 | 679 / 45 |
Disorders Of Pancreas Except Malignancy W Mcc | 19 | 27 / 3 | $99.009,10 | 336 / 23 | $24.010,50 | 344 / 27 | $19.701,90 | 344 / 26 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 19 | 34 / 7 | $60.164,80 | 426 / 9 | $16.043,30 | 453 / 15 | $12.173,50 | 453 / 13 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 19 | 105 / 20 | $44.669,10 | 809 / 35 | $9.396,11 | 735 / 39 | $6.261,42 | 734 / 29 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 19 | 46 / 14 | $142.760,00 | 824 / 30 | $32.088,70 | 854 / 52 | $27.291,80 | 850 / 42 |
Stomach, Esophageal & Duodenal Proc W Mcc | 19 | 22 / 3 | $383.567,00 | 226 / 5 | $86.208,80 | 231 / 7 | $72.655,50 | 231 / 7 |
Major Cardiovasc Procedures W/O Mcc | 19 | 82 / 22 | $168.183,00 | 927 / 38 | $33.818,70 | 947 / 54 | $30.000,60 | 946 / 48 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 8 | $45.777,40 | 883 / 38 | $10.584,50 | 783 / 49 | $5.509,18 | 782 / 34 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 17 | 49 / 18 | $64.088,20 | 377 / 4 | $21.637,00 | 530 / 40 | $16.088,00 | 526 / 34 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 17 | 72 / 28 | $49.330,30 | 579 / 19 | $12.326,50 | 726 / 62 | $9.756,82 | 725 / 62 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 17 | 23 / 4 | $64.987,30 | 274 / 14 | $14.497,60 | 265 / 18 | $10.005,60 | 265 / 16 |
Red Blood Cell Disorders W/O Mcc | 17 | 126 / 39 | $37.848,30 | 1729 / 77 | $11.376,70 | 1806 / 145 | $7.015,71 | 1797 / 106 |
G.I. Obstruction W Mcc | 17 | 25 / 6 | $106.628,00 | 516 / 36 | $23.314,20 | 520 / 40 | $16.799,40 | 520 / 39 |
Liver Transplant W Mcc Or Intestinal Transplant | 17 | 13 / 4 | $760.648,00 | 36 / 1 | $137.695,00 | 34 / 1 | $123.448,00 | 34 / 1 |
Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 19 | $60.965,70 | 1303 / 69 | $12.390,70 | 1358 / 96 | $9.654,35 | 1356 / 90 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 16 | 79 / 14 | $157.961,00 | 582 / 32 | $23.955,00 | 555 / 36 | $17.765,80 | 551 / 33 |
Other Circulatory System Diagnoses W Cc | 15 | 51 / 11 | $74.878,70 | 662 / 27 | $12.903,10 | 622 / 26 | $8.954,80 | 621 / 23 |
Pulmonary Edema & Respiratory Failure | 15 | 188 / 60 | $72.466,90 | 2077 / 109 | $15.199,80 | 2124 / 164 | $11.690,10 | 2118 / 144 |
Other Digestive System Diagnoses W Mcc | 15 | 47 / 19 | $106.251,00 | 734 / 69 | $24.945,50 | 746 / 80 | $19.882,10 | 745 / 79 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 38 | $153.239,00 | 1782 / 104 | $30.479,80 | 1821 / 136 | $25.520,80 | 1807 / 132 |
Disorders Of The Biliary Tract W Cc | 15 | 39 / 9 | $61.939,30 | 436 / 24 | $12.995,70 | 434 / 33 | $9.368,07 | 434 / 27 |
Fever | 15 | 31 / 6 | $44.487,80 | 309 / 5 | $11.513,00 | 296 / 8 | $7.323,40 | 296 / 8 |
Complications Of Treatment W Mcc | 14 | 37 / 9 | $102.198,00 | 283 / 16 | $24.286,90 | 281 / 20 | $19.554,30 | 281 / 19 |
Major Chest Procedures W Cc | 14 | 60 / 16 | $197.340,00 | 495 / 29 | $34.078,00 | 495 / 35 | $27.790,00 | 493 / 30 |
Other O.R. Procedures For Injuries W Mcc | 14 | 23 / 4 | $250.733,00 | 192 / 9 | $57.231,10 | 193 / 10 | $49.588,60 | 193 / 10 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 17 | $64.346,30 | 717 / 41 | $12.592,90 | 687 / 46 | $8.587,57 | 687 / 39 |
Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 21 | $126.979,00 | 982 / 81 | $19.196,60 | 935 / 81 | $14.522,30 | 932 / 73 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 13 | $115.434,00 | 608 / 28 | $22.613,90 | 615 / 38 | $18.855,90 | 611 / 39 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 13 | 35 / 10 | $66.320,90 | 197 / 11 | $16.421,20 | 220 / 12 | $13.373,30 | 219 / 13 |
Digestive Malignancy W Cc | 13 | 34 / 10 | $59.106,30 | 339 / 15 | $18.015,50 | 333 / 26 | $10.403,10 | 331 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 35 | $47.296,00 | 1460 / 73 | $9.267,54 | 1498 / 110 | $6.796,15 | 1494 / 102 |
Transient Ischemia | 13 | 112 / 43 | $44.368,30 | 1507 / 93 | $8.597,62 | 1550 / 126 | $6.309,00 | 1542 / 114 |
Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 15 | $143.918,00 | 868 / 44 | $32.365,40 | 907 / 71 | $27.125,80 | 904 / 62 |
Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 53 | $129.313,00 | 1000 / 27 | $40.888,00 | 1304 / 82 | $36.881,50 | 1299 / 82 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 43 | $360.864,00 | 1047 / 114 | $72.353,30 | 1053 / 134 | $60.989,20 | 1052 / 125 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 12 | 28 / 9 | $123.367,00 | 209 / 11 | $22.238,80 | 209 / 13 | $18.625,20 | 209 / 12 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 21 | $64.414,80 | 1225 / 82 | $12.744,30 | 1152 / 93 | $8.693,25 | 1149 / 74 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 22 | $63.532,40 | 1035 / 58 | $15.792,90 | 1080 / 79 | $11.320,20 | 1078 / 74 |
Other Resp System O.R. Procedures W Mcc | 12 | 51 / 6 | $271.838,00 | 584 / 23 | $72.433,80 | 572 / 29 | $37.353,10 | 571 / 19 |
Complications Of Treatment W Cc | 12 | 40 / 12 | $58.255,00 | 347 / 13 | $13.117,80 | 324 / 14 | $9.223,83 | 324 / 14 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 13 | $110.124,00 | 379 / 18 | $30.067,20 | 442 / 46 | $22.292,70 | 441 / 37 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 14 | $85.346,30 | 596 / 29 | $23.823,70 | 628 / 42 | $17.630,40 | 627 / 41 |
Simultaneous Pancreas/Kidney Transplant | 12 | 2 / 1 | $423.905,00 | 4 / 1 | $58.223,70 | 3 / 1 | $52.503,80 | 3 / 1 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 12 | 19 / 6 | $90.883,80 | 126 / 6 | $19.259,20 | 141 / 13 | $16.375,20 | 141 / 13 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 11 | 58 / 21 | $96.851,40 | 408 / 10 | $28.131,50 | 498 / 38 | $25.303,20 | 497 / 37 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 13 | $189.011,00 | 561 / 29 | $46.979,60 | 601 / 46 | $38.982,90 | 601 / 45 |
Other O.R. Procedures For Injuries W Cc | 11 | 24 / 6 | $89.917,50 | 149 / 1 | $21.374,00 | 153 / 4 | $17.675,20 | 153 / 3 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 10 | $40.878,70 | 343 / 11 | $9.636,09 | 342 / 13 | $6.677,36 | 342 / 12 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 11 | 34 / 8 | $82.501,90 | 169 / 5 | $20.346,40 | 164 / 6 | $14.904,50 | 164 / 5 |
Cellulitis W Mcc | 11 | 47 / 23 | $82.995,60 | 914 / 67 | $19.131,90 | 927 / 87 | $14.028,50 | 925 / 80 |
Kidney & Ureter Procedures For Non-Neoplasm W Mcc | 11 | 19 / 4 | $102.805,00 | 44 / 1 | $35.486,50 | 59 / 1 | $31.734,80 | 59 / 1 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 20 | $72.946,00 | 1045 / 75 | $17.499,40 | 1069 / 87 | $13.936,50 | 1065 / 80 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 19 | $100.906,00 | 808 / 46 | $20.540,50 | 835 / 65 | $13.825,90 | 831 / 59 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 35 | $33.408,20 | 1803 / 45 | $8.692,18 | 1952 / 125 | $6.317,27 | 1941 / 100 |
Other Resp System O.R. Procedures W Cc | 11 | 36 / 7 | $125.821,00 | 318 / 7 | $27.776,50 | 323 / 10 | $21.554,40 | 323 / 9 |
Lymphoma & Non-Acute Leukemia W Cc | 11 | 25 / 4 | $99.258,40 | 129 / 5 | $22.478,70 | 128 / 7 | $16.747,30 | 128 / 7 | Total 127 procedures | 3.952 | 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.