Hospital Costs > In Virginia > Carilion Roanoke Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 11 | 20 / 3 | $50.709,60 | 56 / 3 | $12.819,30 | 73 / 2 | $11.242,20 | 73 / 2 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc | 11 | 15 / 2 | $61.624,20 | 9 / 2 | $22.026,70 | 9 / 2 | $15.189,90 | 9 / 1 |
Acute Myocardial Infarction, Discharged Alive W Cc | 75 | 18 / 2 | $28.588,50 | 680 / 29 | $8.008,93 | 902 / 40 | $6.370,63 | 900 / 40 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 136 | 12 / 2 | $36.672,90 | 687 / 34 | $12.751,90 | 1063 / 51 | $10.523,20 | 1060 / 49 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 43 | 11 / 2 | $26.432,90 | 499 / 14 | $6.957,42 | 461 / 18 | $4.181,23 | 458 / 18 |
Acute Myocardial Infarction, Expired W Mcc | 23 | 7 / 3 | $38.394,70 | 67 / 6 | $12.691,30 | 70 / 6 | $10.088,00 | 70 / 5 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 15 | 12 / 2 | $27.483,30 | 40 / 2 | $12.266,30 | 35 / 3 | $9.087,00 | 35 / 2 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 22 | 102 / 8 | $14.669,70 | 323 / 11 | $5.627,73 | 503 / 16 | $4.475,36 | 502 / 18 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 29 | 3 / 1 | $34.753,30 | 40 / 3 | $16.060,10 | 66 / 7 | $10.561,30 | 65 / 3 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 18 | 14 / 3 | $53.160,80 | 72 / 4 | $17.893,80 | 100 / 6 | $16.282,20 | 100 / 6 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 18 | 16 / 3 | $119.234,00 | 111 / 7 | $41.628,60 | 96 / 7 | $28.552,70 | 96 / 8 |
Atherosclerosis W/O Mcc | 17 | 41 / 5 | $18.188,60 | 268 / 9 | $5.296,41 | / | $3.855,88 | / |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 30 | 36 / 4 | $68.958,50 | 403 / 12 | $15.859,20 | 343 / 13 | $11.726,00 | 341 / 13 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 17 | 72 / 11 | $33.801,50 | 362 / 14 | $9.425,00 | 419 / 16 | $6.089,18 | 418 / 15 |
Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 20 | 12 / 2 | $58.637,90 | 59 / 1 | $17.720,90 | 35 / 3 | $11.580,00 | 35 / 2 |
Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 12 | $12.939,00 | 125 / 5 | $6.790,90 | 615 / 32 | $5.103,62 | 611 / 34 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 96 | 65 / 6 | $15.363,50 | 553 / 26 | $6.296,32 | 1436 / 56 | $4.873,16 | 1431 / 57 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 119 | 15 / 1 | $25.559,40 | 691 / 28 | $9.098,63 | 1213 / 44 | $7.638,09 | 1210 / 45 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 78 | 72 / 7 | $10.971,30 | 452 / 17 | $4.940,27 | 1319 / 56 | $3.194,99 | 1314 / 56 |
Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 15 | 13 / 3 | $132.250,00 | 10 / 2 | $45.898,50 | 19 / 1 | $41.379,50 | 19 / 1 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 19 | 31 / 4 | $98.594,00 | 45 / 2 | $38.170,40 | 81 / 6 | $31.714,40 | 81 / 4 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 13 | 56 / 5 | $258.805,00 | 142 / 3 | $66.878,80 | 161 / 2 | $64.460,50 | 161 / 5 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 58 | 60 / 4 | $133.970,00 | 227 / 10 | $39.405,40 | 98 / 13 | $28.317,30 | 98 / 4 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 57 | 59 / 5 | $202.071,00 | 230 / 5 | $56.410,10 | 233 / 7 | $51.140,50 | 233 / 9 |
Cellulitis W Mcc | 22 | 36 / 8 | $26.991,20 | 303 / 14 | $10.819,10 | 314 / 21 | $7.940,73 | 313 / 15 |
Cellulitis W/O Mcc | 77 | 112 / 14 | $14.713,10 | 823 / 28 | $6.804,01 | 1492 / 61 | $4.712,18 | 1485 / 60 |
Cervical Spinal Fusion W Cc | 23 | 30 / 3 | $78.329,30 | 212 / 7 | $19.682,20 | 223 / 5 | $17.919,10 | 222 / 9 |
Cervical Spinal Fusion W/O Cc/Mcc | 49 | 55 / 6 | $53.792,40 | 387 / 13 | $18.060,50 | 357 / 21 | $11.938,50 | 356 / 11 |
Cesarean Section W Cc/Mcc | 11 | 12 / 2 | $21.358,10 | 9 / 1 | $8.204,00 | 8 / 1 | $7.041,27 | 8 / 1 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 43 | 48 / 4 | $34.929,80 | 211 / 8 | $9.019,07 | 111 / 10 | $6.766,74 | 111 / 5 |
Chest Pain | 57 | 94 / 8 | $16.136,20 | 596 / 25 | $5.527,75 | 957 / 48 | $3.475,44 | 951 / 47 |
Cholecystectomy Except By Laparoscope W/O C.D.E. W Cc | 11 | 7 / 1 | $47.300,70 | 10 / 1 | $14.079,40 | 12 / 1 | $12.547,90 | 12 / 1 |
Chronic Obstructive Pulmonary Disease W Cc | 69 | 110 / 13 | $14.939,00 | 505 / 16 | $7.582,35 | 1503 / 55 | $5.512,58 | 1497 / 58 |
Chronic Obstructive Pulmonary Disease W Mcc | 74 | 128 / 11 | $21.461,60 | 854 / 32 | $9.770,77 | 1723 / 62 | $7.257,96 | 1715 / 62 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 23 | $15.797,00 | 880 / 32 | $5.860,82 | 1480 / 48 | $4.382,24 | 1469 / 51 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 52 | 41 / 4 | $48.336,60 | 285 / 10 | $14.735,20 | 469 / 25 | $12.689,00 | 463 / 21 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 116 | 74 / 5 | $33.689,20 | 695 / 21 | $8.826,97 | 965 / 37 | $6.256,36 | 962 / 36 |
Cirrhosis & Alcoholic Hepatitis W Cc | 16 | 10 / 1 | $20.748,90 | 25 / 1 | $7.225,44 | 35 / 1 | $5.837,44 | 35 / 1 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 29 | 14 / 1 | $39.209,00 | 110 / 5 | $12.514,40 | 137 / 4 | $11.087,40 | 137 / 6 |
Combined Anterior/Posterior Spinal Fusion W Cc | 17 | 29 / 3 | $153.117,00 | 30 / 2 | $51.136,10 | 41 / 2 | $46.411,80 | 41 / 2 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 21 | 26 / 2 | $131.016,00 | 47 / 2 | $53.227,50 | 30 / 5 | $32.677,60 | 30 / 3 |
Complicated Peptic Ulcer W Cc | 13 | 6 / 1 | $24.796,80 | 12 / 1 | $8.219,23 | 12 / 1 | $6.642,62 | 12 / 1 |
Complications Of Treatment W Cc | 18 | 34 / 4 | $16.922,30 | 50 / 3 | $7.444,67 | 151 / 5 | $5.895,89 | 151 / 5 |
Complications Of Treatment W Mcc | 14 | 37 / 6 | $64.178,50 | 228 / 5 | $16.336,20 | 101 / 5 | $10.521,90 | 101 / 5 |
Coronary Bypass W Cardiac Cath W Mcc | 25 | 31 / 2 | $171.381,00 | 165 / 2 | $46.835,10 | 239 / 4 | $44.120,90 | 239 / 5 |
Coronary Bypass W Cardiac Cath W/O Mcc | 25 | 51 / 6 | $138.399,00 | 313 / 12 | $37.310,10 | 303 / 14 | $26.743,40 | 303 / 9 |
Coronary Bypass W/O Cardiac Cath W Mcc | 20 | 39 / 5 | $161.989,00 | 134 / 4 | $41.484,20 | 159 / 4 | $39.150,60 | 158 / 6 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 22 | 66 / 10 | $110.310,00 | 314 / 12 | $29.345,40 | 297 / 14 | $21.584,10 | 296 / 12 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 26 | 42 / 6 | $22.436,70 | 279 / 12 | $6.922,50 | 431 / 19 | $5.544,50 | 431 / 20 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 21 | 21 / 4 | $95.108,90 | 17 / 2 | $36.843,60 | 13 / 2 | $28.161,20 | 13 / 2 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 13 | 42 / 6 | $73.084,30 | 76 / 3 | $22.233,60 | 46 / 4 | $16.732,40 | 46 / 2 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 70 | 32 / 2 | $107.912,00 | 226 / 7 | $32.078,20 | 173 / 11 | $26.115,40 | 173 / 8 |
Degenerative Nervous System Disorders W/O Mcc | 28 | 50 / 7 | $18.421,90 | 173 / 10 | $7.967,04 | 431 / 21 | $5.793,71 | 431 / 22 |
Diabetes W Cc | 42 | 50 / 7 | $18.812,30 | 609 / 34 | $6.573,00 | 990 / 43 | $5.111,24 | 986 / 48 |
Diabetes W Mcc | 31 | 26 / 2 | $28.375,90 | 248 / 19 | $10.223,40 | 410 / 22 | $8.733,61 | 410 / 23 |
Digestive Malignancy W Cc | 15 | 32 / 7 | $38.426,30 | 226 / 11 | $10.549,40 | 173 / 10 | $7.476,27 | 171 / 11 |
Digestive Malignancy W Mcc | 12 | 25 / 3 | $49.215,00 | 66 / 4 | $14.656,40 | 50 / 5 | $12.876,20 | 50 / 5 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 28 | 42 / 4 | $23.482,30 | 256 / 13 | $8.120,14 | 230 / 14 | $5.481,79 | 230 / 13 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 25 | 51 / 3 | $38.905,40 | 195 / 8 | $13.524,90 | 308 / 16 | $12.282,40 | 308 / 17 |
Disorders Of Pancreas Except Malignancy W Cc | 38 | 23 / 2 | $19.145,40 | 275 / 15 | $7.112,45 | 541 / 27 | $5.406,84 | 539 / 28 |
Disorders Of Pancreas Except Malignancy W Mcc | 15 | 31 / 3 | $30.316,40 | 64 / 2 | $12.276,80 | 132 / 4 | $10.712,00 | 132 / 4 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 26 | 12 / 1 | $15.627,90 | 145 / 6 | $5.940,46 | 241 / 13 | $3.543,23 | 240 / 12 |
Disorders Of The Biliary Tract W Cc | 24 | 30 / 2 | $19.810,90 | 65 / 4 | $7.985,38 | 172 / 14 | $5.956,00 | 172 / 11 |
Disorders Of The Biliary Tract W Mcc | 22 | 17 / 1 | $23.830,60 | 23 / 1 | $12.295,70 | 67 / 6 | $9.448,23 | 67 / 6 |
Dysequilibrium | 15 | 50 / 9 | $20.995,70 | 267 / 11 | $5.177,60 | 350 / 15 | $3.839,87 | 350 / 16 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 59 | 25 / 1 | $413.009,00 | 191 / 5 | $157.911,00 | 193 / 8 | $107.219,00 | 193 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 47 | 49 / 4 | $23.896,60 | 389 / 16 | $9.228,85 | 662 / 34 | $7.041,77 | 657 / 31 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 190 | 87 / 4 | $15.199,10 | 782 / 26 | $6.178,44 | 1712 / 63 | $4.352,74 | 1699 / 64 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 19 | 25 / 4 | $56.087,70 | 94 / 4 | $22.233,10 | 121 / 9 | $15.415,70 | 120 / 6 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 25 | 38 / 3 | $132.881,00 | 410 / 11 | $34.498,50 | 396 / 12 | $30.650,60 | 396 / 12 |
Extracranial Procedures W Cc | 31 | 15 / 1 | $30.549,20 | 84 / 3 | $12.527,80 | 167 / 11 | $8.856,77 | 167 / 7 |
Extracranial Procedures W/O Cc/Mcc | 108 | 4 / 1 | $24.345,90 | 262 / 9 | $8.237,55 | 588 / 22 | $6.070,31 | 586 / 23 |
Fractures Of Hip & Pelvis W Mcc | 13 | 8 / 2 | $16.625,10 | 5 / 1 | $9.562,38 | 36 / 2 | $7.899,15 | 36 / 2 |
Fractures Of Hip & Pelvis W/O Mcc | 25 | 36 / 5 | $15.323,40 | 298 / 20 | $6.033,32 | 558 / 28 | $4.083,16 | 558 / 27 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W Mcc | 12 | 10 / 1 | $28.832,40 | 18 / 1 | $9.572,92 | 16 / 1 | $7.678,42 | 16 / 1 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 27 | 35 / 4 | $15.320,90 | 206 / 8 | $5.964,44 | 465 / 18 | $4.451,78 | 463 / 19 |
G.I. Hemorrhage W Cc | 166 | 54 / 3 | $20.998,90 | 836 / 32 | $7.939,94 | 1607 / 61 | $6.173,48 | 1603 / 62 |
G.I. Hemorrhage W Mcc | 98 | 25 / 2 | $39.270,50 | 669 / 29 | $13.371,60 | 973 / 39 | $11.124,70 | 967 / 39 |
G.I. Hemorrhage W/O Cc/Mcc | 24 | 44 / 5 | $12.986,60 | 215 / 11 | $5.586,33 | 681 / 26 | $4.299,67 | 677 / 27 |
G.I. Obstruction W Cc | 55 | 37 / 3 | $19.633,80 | 622 / 27 | $7.639,65 | 1039 / 42 | $5.185,38 | 1036 / 42 |
G.I. Obstruction W Mcc | 17 | 25 / 5 | $33.549,80 | 177 / 10 | $12.021,90 | 193 / 15 | $9.178,00 | 193 / 10 |
G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 16 | $13.407,90 | 398 / 20 | $5.375,00 | 804 / 32 | $3.456,63 | 801 / 34 |
Heart Failure & Shock W Cc | 201 | 80 / 5 | $16.972,30 | 801 / 28 | $7.631,19 | 1795 / 64 | $6.135,87 | 1790 / 64 |
Heart Failure & Shock W Mcc | 426 | 6 / 1 | $26.965,40 | 892 / 39 | $10.941,50 | 1554 / 64 | $9.170,27 | 1549 / 63 |
Heart Failure & Shock W/O Cc/Mcc | 43 | 67 / 6 | $13.431,30 | 652 / 24 | $5.485,02 | 1401 / 48 | $4.236,93 | 1390 / 49 |
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 12 | 20 / 3 | $30.858,40 | 52 / 1 | $9.952,75 | 54 / 4 | $6.525,00 | 54 / 4 |
Hip & Femur Procedures Except Major Joint W Cc | 131 | 20 / 3 | $48.917,40 | 1008 / 38 | $13.627,20 | 1114 / 51 | $11.349,30 | 1100 / 47 |
Hip & Femur Procedures Except Major Joint W Mcc | 58 | 7 / 2 | $65.203,40 | 357 / 15 | $20.369,50 | 421 / 20 | $17.468,40 | 418 / 18 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 7 | $35.420,90 | 311 / 10 | $12.819,80 | 478 / 18 | $9.162,00 | 476 / 17 |
Hiv W Major Related Condition W Mcc | 11 | 26 / 2 | $79.575,90 | 46 / 2 | $21.468,50 | 33 / 1 | $19.690,70 | 33 / 2 |
Hypertension W Mcc | 14 | 3 / 1 | $23.146,00 | 4 / 1 | $8.758,07 | 3 / 1 | $6.160,21 | 3 / 1 |
Hypertension W/O Mcc | 57 | 11 / 1 | $15.195,30 | 231 / 10 | $5.403,58 | 418 / 20 | $3.489,42 | 416 / 22 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 130 | 11 / 1 | $154.493,00 | 1051 / 31 | $47.607,90 | 955 / 38 | $34.704,10 | 949 / 30 |
Inflammatory Bowel Disease W Cc | 11 | 21 / 4 | $19.642,50 | 35 / 5 | $9.876,73 | 28 / 6 | $5.112,09 | 28 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 143 | 42 / 4 | $24.932,10 | 791 / 32 | $8.185,33 | 1312 / 54 | $6.366,91 | 1309 / 55 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 162 | 25 / 2 | $44.457,90 | 825 / 35 | $13.193,30 | 973 / 43 | $10.933,40 | 968 / 42 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 68 | 34 / 5 | $23.320,90 | 803 / 40 | $6.513,09 | 958 / 43 | $4.245,41 | 954 / 43 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 14 | 31 / 3 | $33.752,40 | 21 / 1 | $14.344,60 | 44 / 3 | $10.307,60 | 44 / 1 |
Kidney & Urinary Tract Infections W Mcc | 98 | 47 / 3 | $18.474,70 | 469 / 26 | $8.324,02 | 1039 / 56 | $6.460,92 | 1036 / 52 |
Kidney & Urinary Tract Infections W/O Mcc | 65 | 168 / 24 | $14.642,40 | 884 / 29 | $6.174,58 | 1843 / 63 | $4.746,65 | 1832 / 63 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 11 | 18 / 2 | $8.993,18 | 14 / 1 | $5.345,18 | 83 / 2 | $4.295,55 | 83 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 26 | 30 / 5 | $43.426,70 | 335 / 16 | $12.525,20 | 531 / 20 | $9.751,50 | 529 / 20 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 26 | 14 / 1 | $70.549,40 | 242 / 6 | $19.676,20 | 381 / 9 | $18.067,00 | 380 / 9 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 16 | 31 / 6 | $35.387,60 | 240 / 7 | $8.361,19 | 351 / 8 | $6.977,44 | 350 / 12 |
Limb Reattachment, Hip & Femur Proc For Multiple Significant Trauma | 16 | 6 / 2 | $150.807,00 | 38 / 2 | $35.657,60 | 44 / 2 | $33.237,40 | 44 / 2 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 41 | 14 / 2 | $53.251,00 | 287 / 11 | $15.113,90 | 292 / 16 | $11.251,00 | 292 / 14 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Mcc | 14 | 9 / 1 | $89.674,70 | 29 / 2 | $22.111,90 | 24 / 2 | $20.243,10 | 24 / 2 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 36 | 13 / 1 | $45.257,00 | 269 / 12 | $11.143,70 | 312 / 16 | $8.804,33 | 312 / 19 |
Lymphoma & Non-Acute Leukemia W Mcc | 11 | 25 / 3 | $120.936,00 | 87 / 3 | $29.931,20 | 78 / 3 | $26.525,60 | 78 / 3 |
Major Cardiovasc Procedures W Mcc | 42 | 26 / 4 | $137.840,00 | 300 / 9 | $40.169,10 | 393 / 9 | $35.760,60 | 392 / 8 |
Major Cardiovasc Procedures W/O Mcc | 104 | 12 / 1 | $80.224,70 | 377 / 16 | $23.699,00 | 491 / 17 | $20.264,70 | 491 / 18 |
Major Chest Procedures W Cc | 26 | 48 / 7 | $72.220,50 | 281 / 11 | $17.752,60 | 287 / 11 | $15.858,30 | 285 / 14 |
Major Chest Trauma W Cc | 25 | 11 / 1 | $23.421,80 | 37 / 2 | $8.108,28 | 49 / 1 | $5.207,20 | 49 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 30 | 43 / 7 | $18.034,60 | 208 / 12 | $8.894,80 | 637 / 31 | $7.109,13 | 635 / 30 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 20 | 36 / 7 | $43.602,10 | 351 / 18 | $13.456,00 | 377 / 20 | $12.008,20 | 376 / 20 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 18 | 35 / 6 | $24.050,90 | 118 / 6 | $8.698,61 | 204 / 11 | $7.043,22 | 204 / 12 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 16 | 13 / 1 | $34.373,50 | 19 / 1 | $19.487,70 | 11 / 3 | $11.917,00 | 11 / 1 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 33 | 63 / 6 | $53.891,40 | 404 / 12 | $17.113,60 | 422 / 20 | $12.303,80 | 419 / 16 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 67 | 6 / 1 | $74.175,20 | 436 / 17 | $21.688,30 | 330 / 19 | $17.846,00 | 328 / 16 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 708 | 55 / 4 | $59.434,30 | 1671 / 40 | $16.017,10 | 1214 / 56 | $11.415,20 | 1184 / 46 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 46 | 24 / 2 | $64.146,90 | 234 / 8 | $18.592,00 | 316 / 13 | $15.948,50 | 316 / 12 |
Major Small & Large Bowel Procedures W Cc | 72 | 37 / 2 | $64.863,50 | 746 / 25 | $17.545,30 | 792 / 33 | $14.716,30 | 784 / 30 |
Major Small & Large Bowel Procedures W Mcc | 69 | 18 / 1 | $140.789,00 | 740 / 29 | $39.562,10 | 853 / 32 | $34.502,20 | 851 / 32 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 28 | 36 / 9 | $43.948,10 | 373 / 17 | $12.322,50 | 380 / 25 | $9.037,57 | 380 / 22 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 11 | 20 / 4 | $18.467,90 | 18 / 2 | $9.135,27 | 64 / 4 | $6.563,45 | 64 / 5 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 23 | 30 / 2 | $44.455,80 | 128 / 4 | $12.783,10 | 150 / 8 | $10.984,60 | 151 / 10 |
Medical Back Problems W Mcc | 33 | 6 / 2 | $36.274,40 | 115 / 8 | $11.241,40 | 145 / 7 | $9.573,21 | 145 / 8 |
Medical Back Problems W/O Mcc | 103 | 23 / 2 | $20.145,60 | 538 / 22 | $6.830,63 | 909 / 31 | $5.000,07 | 906 / 32 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 81 | 45 / 2 | $24.920,60 | 698 / 33 | $8.644,63 | 823 / 46 | $6.630,80 | 820 / 44 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 86 | 80 / 8 | $15.123,00 | 971 / 34 | $6.085,98 | 1507 / 61 | $4.078,41 | 1502 / 58 |
Nonspecific Cerebrovascular Disorders W Cc | 50 | 9 / 1 | $20.754,50 | 141 / 15 | $7.462,74 | 278 / 23 | $5.982,26 | 278 / 24 |
Nonspecific Cerebrovascular Disorders W Mcc | 32 | 19 / 1 | $27.899,40 | 94 / 3 | $12.279,00 | 168 / 8 | $9.834,56 | 168 / 7 |
O.R. Procedures For Obesity W/O Cc/Mcc | 15 | 62 / 8 | $50.204,90 | 263 / 8 | $12.209,10 | 197 / 10 | $8.809,60 | 197 / 9 |
Organic Disturbances & Mental Retardation | 21 | 38 / 6 | $19.391,70 | 166 / 10 | $7.935,57 | 244 / 14 | $5.931,76 | 244 / 14 |
Other Circulatory System Diagnoses W Cc | 21 | 45 / 6 | $18.448,60 | 157 / 7 | $7.013,52 | 371 / 15 | $5.903,52 | 370 / 16 |
Other Circulatory System Diagnoses W Mcc | 53 | 63 / 6 | $43.831,40 | 602 / 23 | $14.850,50 | 712 / 31 | $11.670,50 | 710 / 28 |
Other Circulatory System O.R. Procedures | 34 | 21 / 1 | $68.554,70 | 215 / 12 | $21.761,10 | 299 / 13 | $19.697,20 | 299 / 14 |
Other Digestive System Diagnoses W Cc | 52 | 45 / 4 | $20.308,80 | 425 / 17 | $7.706,21 | 793 / 35 | $5.766,10 | 789 / 34 |
Other Digestive System Diagnoses W Mcc | 26 | 36 / 2 | $32.723,80 | 206 / 14 | $11.910,80 | 323 / 17 | $10.279,60 | 322 / 17 |
Other Disorders Of Nervous System W Cc | 45 | 13 / 1 | $17.864,20 | 141 / 7 | $8.237,76 | 250 / 17 | $5.072,27 | 250 / 16 |
Other Disorders Of Nervous System W Mcc | 29 | 11 / 1 | $31.511,00 | 89 / 5 | $11.770,20 | 115 / 7 | $9.321,28 | 115 / 5 |
Other Disorders Of Nervous System W/O Cc/Mcc | 11 | 24 / 4 | $17.689,70 | 48 / 3 | $5.424,00 | 75 / 4 | $4.182,91 | 75 / 4 |
Other Kidney & Urinary Tract Diagnoses W Cc | 23 | 80 / 7 | $19.023,60 | 218 / 13 | $8.098,35 | 428 / 19 | $5.968,17 | 428 / 19 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 50 | 51 / 7 | $32.019,10 | 446 / 21 | $10.760,70 | 500 / 32 | $9.090,56 | 498 / 31 |
Other Kidney & Urinary Tract Procedures W Mcc | 17 | 21 / 3 | $92.799,20 | 133 / 6 | $25.223,20 | 142 / 5 | $22.216,90 | 141 / 5 |
Other Multiple Significant Trauma W Cc | 17 | 8 / 1 | $40.138,50 | 18 / 2 | $10.146,50 | 13 / 1 | $8.367,24 | 13 / 1 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 11 | 29 / 7 | $69.221,00 | 149 / 7 | $14.497,70 | 157 / 8 | $12.893,30 | 157 / 9 |
Other O.R. Procedures For Injuries W Cc | 11 | 24 / 4 | $53.445,50 | 82 / 2 | $13.407,00 | 69 / 1 | $12.271,70 | 69 / 3 |
Other O.R. Procedures For Injuries W Mcc | 17 | 20 / 2 | $96.896,40 | 93 / 3 | $28.356,80 | 83 / 3 | $26.383,50 | 83 / 3 |
Other O.R. Procedures For Multiple Significant Trauma W Cc | 11 | 8 / 1 | $109.302,00 | 4 / 1 | $32.968,20 | 2 / 1 | $22.324,50 | 2 / 1 |
Other Resp System O.R. Procedures W Cc | 17 | 30 / 3 | $41.117,50 | 87 / 5 | $15.113,50 | 145 / 8 | $11.388,80 | 145 / 7 |
Other Resp System O.R. Procedures W Mcc | 46 | 18 / 1 | $80.864,90 | 221 / 9 | $28.838,00 | 257 / 15 | $21.483,50 | 256 / 10 |
Other Respiratory System Diagnoses W Mcc | 11 | 25 / 2 | $28.661,20 | 19 / 1 | $10.327,10 | 11 / 1 | $7.669,45 | 11 / 1 |
Other Respiratory System Diagnoses W/O Mcc | 12 | 34 / 9 | $16.586,90 | 79 / 3 | $6.774,08 | 106 / 8 | $4.376,92 | 106 / 8 |
Other Vascular Procedures W Cc | 89 | 18 / 1 | $61.173,70 | 386 / 18 | $18.751,60 | 620 / 29 | $15.658,10 | 617 / 27 |
Other Vascular Procedures W Mcc | 78 | 23 / 1 | $90.696,40 | 500 / 17 | $25.531,80 | 623 / 21 | $22.363,80 | 620 / 20 |
Other Vascular Procedures W/O Cc/Mcc | 75 | 2 / 1 | $35.559,00 | 120 / 6 | $12.748,80 | 275 / 14 | $9.673,48 | 274 / 13 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 19 | 21 / 3 | $25.089,90 | 96 / 3 | $8.538,63 | 134 / 4 | $6.832,53 | 134 / 4 |
Pelvic Evisceration, Rad Hysterectomy & Rad Vulvectomy W Cc/Mcc | 12 | 8 / 2 | $59.436,80 | 7 / 2 | $16.947,30 | 5 / 1 | $15.589,00 | 5 / 1 |
Pelvic Evisceration, Rad Hysterectomy & Rad Vulvectomy W/O Cc/Mcc | 13 | 4 / 1 | $62.962,40 | 6 / 2 | $11.127,20 | 3 / 2 | $6.634,15 | 3 / 1 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 71 | 30 / 1 | $103.555,00 | 531 / 15 | $22.542,00 | 626 / 14 | $21.031,40 | 622 / 20 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 208 | 25 / 1 | $78.017,30 | 835 / 25 | $16.800,80 | 785 / 32 | $11.589,70 | 780 / 27 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 15 | 30 / 4 | $84.344,50 | 114 / 4 | $19.673,90 | 136 / 3 | $18.414,50 | 135 / 4 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 26 | 43 / 6 | $68.746,50 | 338 / 10 | $14.070,60 | 335 / 12 | $10.794,30 | 334 / 13 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 20 | 34 / 5 | $113.036,00 | 169 / 6 | $26.536,00 | 214 / 6 | $24.573,70 | 214 / 7 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 44 | 51 / 4 | $60.145,00 | 187 / 7 | $14.406,20 | 272 / 9 | $11.586,60 | 269 / 9 |
Periph/Cranial Nerve & Other Nerv Syst Proc W Mcc | 12 | 13 / 2 | $118.539,00 | 34 / 2 | $43.840,60 | 17 / 3 | $23.486,70 | 17 / 2 |
Peripheral Vascular Disorders W Cc | 40 | 44 / 4 | $26.990,60 | 707 / 27 | $7.717,85 | 687 / 29 | $5.808,20 | 684 / 28 |
Peripheral Vascular Disorders W Mcc | 13 | 36 / 8 | $39.869,20 | 350 / 10 | $10.296,40 | 298 / 10 | $8.422,08 | 298 / 11 |
Peripheral Vascular Disorders W/O Cc/Mcc | 13 | 32 / 6 | $11.254,00 | 68 / 2 | $5.504,15 | 281 / 7 | $4.450,62 | 281 / 8 |
Peritoneal Adhesiolysis W Cc | 20 | 19 / 2 | $55.058,30 | 116 / 7 | $16.007,20 | 140 / 9 | $14.029,50 | 140 / 10 |
Peritoneal Adhesiolysis W/O Cc/Mcc | 11 | 13 / 3 | $50.569,70 | 51 / 5 | $11.054,20 | 29 / 3 | $9.188,36 | 29 / 4 |
Permanent Cardiac Pacemaker Implant W Cc | 27 | 50 / 10 | $54.801,00 | 283 / 8 | $20.085,60 | 386 / 20 | $15.081,20 | 385 / 13 |
Permanent Cardiac Pacemaker Implant W Mcc | 36 | 17 / 2 | $73.012,20 | 162 / 5 | $27.250,20 | 205 / 12 | $20.923,00 | 205 / 7 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 34 | 23 / 2 | $48.154,70 | 263 / 8 | $15.945,70 | 350 / 15 | $12.324,40 | 349 / 12 |
Pneumothorax W Cc | 13 | 12 / 2 | $28.949,80 | 50 / 2 | $7.598,15 | 54 / 1 | $5.918,62 | 54 / 2 |
Poisoning & Toxic Effects Of Drugs W Mcc | 66 | 9 / 1 | $25.410,20 | 223 / 9 | $10.666,70 | 374 / 21 | $8.019,68 | 373 / 16 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 21 | 40 / 7 | $8.797,95 | 58 / 3 | $5.092,95 | 638 / 19 | $4.396,19 | 637 / 20 |
Postoperative & Post-Traumatic Infections W Mcc | 17 | 26 / 2 | $32.171,60 | 42 / 4 | $16.411,30 | 17 / 5 | $9.336,29 | 17 / 2 |
Postoperative & Post-Traumatic Infections W/O Mcc | 19 | 35 / 4 | $22.210,30 | 162 / 8 | $8.069,58 | 201 / 11 | $5.935,26 | 201 / 9 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 20 | 18 / 1 | $32.277,70 | 19 / 2 | $17.122,10 | 13 / 3 | $9.761,45 | 13 / 1 |
Pulmonary Edema & Respiratory Failure | 190 | 29 / 4 | $22.838,80 | 591 / 26 | $9.729,26 | 1321 / 61 | $7.442,78 | 1317 / 61 |
Pulmonary Embolism W Mcc | 21 | 22 / 5 | $39.916,70 | 321 / 17 | $10.867,80 | 320 / 20 | $9.030,43 | 320 / 21 |
Pulmonary Embolism W/O Mcc | 28 | 46 / 8 | $18.699,10 | 325 / 14 | $8.188,61 | 703 / 34 | $5.573,54 | 700 / 31 |
Red Blood Cell Disorders W Mcc | 30 | 41 / 4 | $24.401,00 | 284 / 11 | $10.218,50 | 431 / 24 | $7.228,40 | 429 / 19 |
Red Blood Cell Disorders W/O Mcc | 45 | 98 / 12 | $19.943,80 | 894 / 35 | $6.805,04 | 1432 / 49 | $5.284,49 | 1423 / 50 |
Renal Failure W Cc | 178 | 51 / 5 | $17.690,10 | 750 / 35 | $7.527,39 | 1543 / 63 | $5.829,45 | 1534 / 64 |
Renal Failure W Mcc | 158 | 44 / 2 | $28.484,60 | 681 / 30 | $11.669,40 | 1158 / 58 | $9.274,93 | 1158 / 50 |
Renal Failure W/O Cc/Mcc | 24 | 32 / 5 | $12.794,60 | 260 / 16 | $5.094,71 | 586 / 28 | $3.850,46 | 585 / 30 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 18 | $33.591,50 | 808 / 30 | $9.873,75 | 944 / 35 | $8.461,25 | 939 / 36 |
Respiratory Infections & Inflammations W Mcc | 72 | 64 / 5 | $37.522,00 | 673 / 31 | $13.508,50 | 918 / 46 | $11.458,30 | 908 / 39 |
Respiratory Neoplasms W Cc | 15 | 32 / 7 | $25.627,70 | 137 / 7 | $8.854,40 | 285 / 13 | $7.442,40 | 284 / 13 |
Respiratory Neoplasms W Mcc | 22 | 30 / 6 | $40.624,50 | 272 / 12 | $13.644,40 | 342 / 16 | $10.548,80 | 341 / 16 |
Respiratory Signs & Symptoms | 12 | 34 / 5 | $12.483,20 | 31 / 1 | $6.316,67 | 129 / 9 | $3.930,83 | 129 / 7 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 104 | 31 / 1 | $45.220,20 | 490 / 20 | $16.662,60 | 908 / 44 | $13.756,80 | 900 / 36 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 57 | 15 / 1 | $157.858,00 | 598 / 19 | $43.861,60 | 608 / 20 | $34.836,70 | 607 / 19 |
Revision Of Hip Or Knee Replacement W Cc | 53 | 35 / 3 | $83.676,30 | 323 / 9 | $21.925,70 | 138 / 12 | $17.375,30 | 138 / 6 |
Seizures W Mcc | 63 | 7 / 1 | $34.145,20 | 249 / 13 | $10.874,10 | 340 / 21 | $9.163,14 | 340 / 23 |
Seizures W/O Mcc | 66 | 42 / 3 | $14.677,60 | 249 / 5 | $6.139,76 | 716 / 28 | $4.520,98 | 713 / 28 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 63 | 29 / 1 | $112.019,00 | 271 / 12 | $39.672,40 | 437 / 17 | $35.637,50 | 436 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 542 | 61 / 3 | $39.303,10 | 1288 / 48 | $14.364,00 | 1616 / 67 | $11.262,40 | 1584 / 62 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 89 | 118 / 16 | $21.742,30 | 941 / 35 | $8.192,02 | 1548 / 61 | $6.345,34 | 1541 / 61 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 24 | 23 / 2 | $15.653,60 | 94 / 6 | $5.873,46 | 157 / 9 | $4.115,38 | 157 / 8 |
Signs & Symptoms W Mcc | 13 | 28 / 5 | $20.642,00 | 56 / 3 | $8.359,00 | 127 / 7 | $7.148,08 | 127 / 8 |
Signs & Symptoms W/O Mcc | 26 | 65 / 11 | $16.607,30 | 450 / 15 | $5.613,31 | 776 / 28 | $4.223,00 | 773 / 29 |
Simple Pneumonia & Pleurisy W Cc | 68 | 135 / 13 | $17.659,70 | 870 / 25 | $7.847,22 | 1456 / 62 | $5.467,38 | 1450 / 57 |
Simple Pneumonia & Pleurisy W Mcc | 144 | 61 / 1 | $25.116,50 | 715 / 28 | $10.331,10 | 1474 / 63 | $8.626,36 | 1474 / 64 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 21 | $13.247,50 | 535 / 13 | $5.646,38 | 1395 / 40 | $4.191,31 | 1387 / 40 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 11 | 29 / 4 | $183.801,00 | 47 / 1 | $47.844,60 | 43 / 1 | $45.949,70 | 43 / 1 |
Spinal Fusion Except Cervical W Mcc | 12 | 13 / 4 | $153.804,00 | 35 / 2 | $44.278,40 | 39 / 3 | $42.332,80 | 39 / 3 |
Spinal Fusion Except Cervical W/O Mcc | 70 | 124 / 12 | $103.844,00 | 773 / 23 | $31.326,90 | 616 / 28 | $22.545,60 | 612 / 21 |
Stomach, Esophageal & Duodenal Proc W Cc | 18 | 32 / 2 | $54.455,20 | 51 / 3 | $17.892,10 | 95 / 5 | $16.231,30 | 95 / 8 |
Stomach, Esophageal & Duodenal Proc W Mcc | 20 | 21 / 2 | $156.398,00 | 137 / 5 | $63.754,60 | 75 / 7 | $33.589,80 | 75 / 5 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 22 | 26 / 4 | $51.439,80 | 157 / 7 | $10.418,00 | 120 / 9 | $8.937,64 | 120 / 10 |
Syncope & Collapse | 130 | 44 / 2 | $17.766,00 | 651 / 30 | $6.059,82 | 1133 / 54 | $4.276,48 | 1126 / 53 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 26 | 38 / 2 | $239.496,00 | 226 / 7 | $76.559,50 | 348 / 8 | $71.491,70 | 348 / 10 |
Transient Ischemia | 102 | 23 / 2 | $17.829,90 | 484 / 22 | $5.759,29 | 1086 / 47 | $4.217,61 | 1081 / 47 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 14 | 30 / 4 | $15.682,40 | 63 / 2 | $5.879,21 | 175 / 5 | $4.658,64 | 175 / 5 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 65 | 8 / 1 | $25.129,60 | 162 / 6 | $8.227,68 | 286 / 9 | $6.752,94 | 286 / 9 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 39 | 12 / 2 | $48.373,20 | 140 / 6 | $14.932,30 | 158 / 6 | $12.262,30 | 158 / 6 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 37 | 17 / 2 | $17.112,00 | 121 / 8 | $5.751,86 | 200 / 9 | $4.350,38 | 200 / 10 |
Traumatic Stupor & Coma, Coma >1 Hr W Mcc | 17 | 10 / 2 | $49.388,20 | 14 / 2 | $13.927,90 | 15 / 1 | $12.056,00 | 15 / 1 |
Upper Limb & Toe Amputation For Circ System Disorders W Cc | 12 | 1 / 2 | $35.159,40 | 2 / 2 | $10.732,70 | 1 / 1 | $8.945,33 | 1 / 1 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 19 | 27 / 1 | $15.274,20 | 80 / 4 | $5.615,63 | 248 / 9 | $4.063,42 | 247 / 9 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 15 | 28 / 3 | $92.905,50 | 99 / 5 | $22.094,80 | 87 / 3 | $19.692,30 | 87 / 4 | Total 225 procedures | 11.113 | 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.