Hospital Costs > In North Carolina > Carolinas Medical Center-Northeast, 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 | 383 | 200 / 11 | $58.723,80 | 1642 / 58 | $14.634,30 | 892 / 64 | $10.882,50 | 873 / 40 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 329 | 189 / 13 | $31.560,40 | 861 / 42 | $12.502,90 | 1084 / 65 | $10.298,20 | 1071 / 57 |
Heart Failure & Shock W Mcc | 238 | 59 / 6 | $25.254,80 | 758 / 46 | $10.016,40 | 1063 / 62 | $8.370,72 | 1060 / 55 |
Chronic Obstructive Pulmonary Disease W Mcc | 163 | 43 / 3 | $20.879,70 | 802 / 41 | $8.221,00 | 1122 / 63 | $6.364,18 | 1117 / 57 |
Respiratory Infections & Inflammations W Mcc | 143 | 16 / 3 | $27.062,30 | 297 / 22 | $12.644,30 | 596 / 46 | $10.670,20 | 588 / 39 |
Cellulitis W/O Mcc | 140 | 50 / 2 | $12.935,50 | 580 / 19 | $6.259,36 | 1075 / 64 | $4.328,40 | 1069 / 44 |
Heart Failure & Shock W Cc | 139 | 139 / 13 | $17.941,90 | 922 / 44 | $6.885,06 | 1173 / 59 | $5.423,64 | 1170 / 50 |
Renal Failure W Mcc | 138 | 58 / 7 | $27.319,50 | 600 / 46 | $10.613,70 | 729 / 57 | $8.423,70 | 729 / 48 |
Renal Failure W Cc | 138 | 85 / 10 | $17.106,30 | 679 / 40 | $6.899,91 | 972 / 64 | $5.157,23 | 964 / 50 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 132 | 143 / 13 | $16.449,90 | 934 / 40 | $5.585,30 | 1277 / 69 | $3.948,53 | 1266 / 55 |
G.I. Hemorrhage W Cc | 122 | 96 / 13 | $21.818,20 | 925 / 52 | $7.072,92 | 1132 / 66 | $5.504,56 | 1130 / 57 |
Simple Pneumonia & Pleurisy W Mcc | 115 | 90 / 10 | $24.968,30 | 698 / 35 | $10.018,60 | 1035 / 63 | $7.910,46 | 1035 / 54 |
Pulmonary Edema & Respiratory Failure | 115 | 88 / 13 | $23.560,80 | 636 / 37 | $8.845,09 | 855 / 65 | $6.770,19 | 855 / 49 |
Chronic Obstructive Pulmonary Disease W Cc | 112 | 67 / 5 | $16.237,30 | 630 / 31 | $6.534,82 | 1029 / 57 | $4.981,03 | 1026 / 46 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 112 | 70 / 9 | $21.336,60 | 555 / 36 | $7.182,76 | 895 / 48 | $5.680,51 | 893 / 49 |
Kidney & Urinary Tract Infections W Mcc | 102 | 43 / 6 | $16.903,30 | 360 / 30 | $7.522,96 | 616 / 50 | $5.839,22 | 615 / 35 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 96 | 73 / 9 | $34.415,40 | 502 / 39 | $11.551,00 | 577 / 39 | $9.539,50 | 576 / 40 |
Simple Pneumonia & Pleurisy W Cc | 93 | 110 / 10 | $19.831,20 | 1117 / 53 | $7.145,28 | 1344 / 68 | $5.354,05 | 1339 / 57 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 88 | 108 / 14 | $54.325,90 | 318 / 10 | $13.592,20 | 572 / 13 | $10.857,60 | 568 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 81 | 126 / 17 | $20.478,80 | 829 / 42 | $7.753,23 | 953 / 64 | $5.624,42 | 950 / 50 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 81 | 80 / 13 | $15.841,30 | 609 / 32 | $5.995,81 | 1080 / 61 | $4.379,80 | 1076 / 54 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 80 | 43 / 9 | $21.050,00 | 394 / 22 | $8.489,90 | 585 / 48 | $6.503,76 | 582 / 32 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 80 | 86 / 10 | $14.905,80 | 947 / 42 | $5.353,81 | 1058 / 66 | $3.687,51 | 1055 / 42 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 75 | 113 / 16 | $26.328,30 | 349 / 15 | $7.466,91 | 717 / 22 | $5.770,89 | 715 / 21 |
Kidney & Urinary Tract Infections W/O Mcc | 74 | 159 / 22 | $12.606,30 | 589 / 22 | $5.653,00 | 1244 / 65 | $4.117,73 | 1235 / 53 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 73 | 58 / 10 | $41.167,40 | 357 / 25 | $15.832,30 | 682 / 48 | $12.915,70 | 674 / 39 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 63 | 33 / 6 | $26.319,00 | 496 / 27 | $8.595,49 | 536 / 35 | $6.695,87 | 531 / 25 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 62 | 64 / 11 | $17.734,20 | 293 / 18 | $7.572,24 | 586 / 38 | $6.168,79 | 583 / 32 |
Syncope & Collapse | 58 | 111 / 11 | $17.981,40 | 676 / 31 | $5.806,79 | 767 / 44 | $3.817,84 | 764 / 30 |
Respiratory Infections & Inflammations W Cc | 57 | 31 / 2 | $17.836,80 | 186 / 13 | $9.005,96 | 518 / 34 | $7.379,07 | 515 / 29 |
Seizures W/O Mcc | 56 | 52 / 5 | $18.237,90 | 450 / 20 | $5.764,52 | 418 / 23 | $3.927,66 | 416 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 56 | 46 / 10 | $20.511,40 | 616 / 38 | $5.542,09 | 697 / 44 | $3.854,46 | 693 / 37 |
Heart Failure & Shock W/O Cc/Mcc | 55 | 55 / 9 | $14.536,40 | 794 / 40 | $5.302,56 | 657 / 54 | $3.435,96 | 655 / 32 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 55 | 95 / 16 | $12.306,60 | 634 / 35 | $4.535,58 | 782 / 52 | $2.658,60 | 778 / 32 |
Hip & Femur Procedures Except Major Joint W Cc | 53 | 90 / 14 | $46.667,50 | 917 / 44 | $12.515,20 | 794 / 47 | $10.605,30 | 785 / 47 |
Pulmonary Embolism W/O Mcc | 52 | 22 / 4 | $19.865,10 | 380 / 25 | $6.857,25 | 526 / 30 | $5.240,46 | 524 / 23 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 52 | 73 / 15 | $28.805,40 | 399 / 23 | $11.725,70 | 851 / 36 | $9.863,69 | 850 / 35 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 51 | 69 / 6 | $13.930,70 | 654 / 35 | $5.439,20 | 717 / 56 | $3.505,00 | 715 / 28 |
Major Cardiovasc Procedures W/O Mcc | 51 | 50 / 9 | $86.515,90 | 457 / 13 | $21.960,40 | 288 / 11 | $18.448,30 | 288 / 5 |
Red Blood Cell Disorders W/O Mcc | 51 | 92 / 16 | $14.945,20 | 449 / 21 | $5.818,18 | 698 / 45 | $4.179,92 | 693 / 30 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 44 | 57 / 11 | $24.345,20 | 233 / 16 | $10.179,90 | 270 / 25 | $8.275,64 | 270 / 20 |
Diabetes W Cc | 44 | 48 / 12 | $13.887,80 | 263 / 12 | $5.946,73 | 796 / 45 | $4.699,82 | 792 / 46 |
Other Vascular Procedures W Cc | 43 | 59 / 9 | $67.652,30 | 481 / 18 | $18.862,60 | 351 / 18 | $14.159,10 | 349 / 8 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 42 | 82 / 15 | $91.230,90 | 386 / 28 | $32.673,00 | 368 / 26 | $28.457,90 | 368 / 19 |
G.I. Obstruction W Cc | 41 | 51 / 11 | $18.829,40 | 571 / 23 | $6.835,32 | 765 / 45 | $4.773,00 | 763 / 26 |
Medical Back Problems W/O Mcc | 41 | 80 / 9 | $18.289,00 | 407 / 11 | $6.028,10 | 552 / 18 | $4.305,51 | 550 / 15 |
G.I. Hemorrhage W Mcc | 41 | 80 / 14 | $43.763,30 | 830 / 46 | $14.341,20 | 1074 / 50 | $11.605,40 | 1066 / 47 |
Other Circulatory System Diagnoses W Mcc | 41 | 75 / 10 | $34.592,80 | 334 / 18 | $13.068,30 | 461 / 23 | $10.609,80 | 460 / 17 |
Transient Ischemia | 40 | 85 / 12 | $18.894,20 | 572 / 33 | $5.163,33 | 751 / 39 | $3.654,57 | 747 / 34 |
Chest Pain | 40 | 111 / 17 | $15.872,20 | 578 / 26 | $4.847,75 | 398 / 38 | $2.829,82 | 397 / 13 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 40 | 56 / 7 | $67.024,10 | 560 / 22 | $14.501,80 | 365 / 19 | $11.950,10 | 362 / 14 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 39 | 17 / 2 | $27.210,00 | 97 / 10 | $12.041,30 | 116 / 15 | $9.936,54 | 116 / 6 |
Acute Myocardial Infarction, Discharged Alive W Cc | 39 | 52 / 10 | $23.275,10 | 442 / 20 | $7.081,85 | 610 / 19 | $5.679,21 | 609 / 25 |
Spinal Fusion Except Cervical W/O Mcc | 39 | 155 / 19 | $117.036,00 | 914 / 30 | $26.450,20 | 867 / 23 | $24.712,90 | 863 / 28 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 38 | 31 / 7 | $45.497,70 | 102 / 4 | $12.006,00 | 230 / 10 | $9.932,89 | 230 / 9 |
Major Small & Large Bowel Procedures W Cc | 36 | 72 / 12 | $61.978,10 | 680 / 32 | $16.698,50 | 573 / 27 | $13.862,50 | 567 / 23 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 35 | 58 / 6 | $12.686,50 | 474 / 19 | $5.191,40 | 728 / 42 | $3.438,51 | 724 / 31 |
Hip & Femur Procedures Except Major Joint W Mcc | 35 | 27 / 6 | $61.120,30 | 319 / 20 | $19.366,70 | 216 / 17 | $15.973,30 | 215 / 9 |
Poisoning & Toxic Effects Of Drugs W Mcc | 35 | 37 / 9 | $22.092,30 | 152 / 14 | $9.293,97 | 282 / 20 | $7.609,40 | 281 / 15 |
Other Disorders Of Nervous System W Cc | 34 | 22 / 4 | $17.766,60 | 138 / 11 | $6.288,82 | 132 / 12 | $4.542,15 | 132 / 7 |
Red Blood Cell Disorders W Mcc | 33 | 38 / 7 | $23.439,30 | 247 / 16 | $9.331,48 | 369 / 29 | $7.022,27 | 367 / 14 |
Cellulitis W Mcc | 32 | 26 / 5 | $19.539,10 | 117 / 5 | $9.535,12 | 291 / 14 | $7.793,88 | 290 / 12 |
Other Digestive System Diagnoses W Cc | 32 | 65 / 14 | $18.986,00 | 349 / 15 | $6.881,62 | 670 / 23 | $5.506,50 | 666 / 24 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 32 | 41 / 9 | $19.435,40 | 274 / 19 | $7.903,69 | 395 / 22 | $6.385,28 | 394 / 20 |
Degenerative Nervous System Disorders W/O Mcc | 31 | 47 / 7 | $19.103,70 | 197 / 6 | $6.867,19 | 269 / 9 | $5.191,10 | 269 / 7 |
Signs & Symptoms W/O Mcc | 31 | 60 / 6 | $16.667,40 | 452 / 14 | $5.011,13 | 428 / 19 | $3.559,52 | 427 / 16 |
Other Disorders Of Nervous System W Mcc | 29 | 11 / 4 | $20.708,20 | 19 / 1 | $10.073,70 | 80 / 6 | $8.633,07 | 80 / 4 |
Pulmonary Embolism W Mcc | 29 | 14 / 6 | $25.584,30 | 103 / 7 | $10.050,00 | 242 / 14 | $8.538,41 | 242 / 13 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 29 | 63 / 11 | $90.389,80 | 131 / 6 | $35.717,10 | 271 / 15 | $32.790,00 | 270 / 12 |
Extracranial Procedures W/O Cc/Mcc | 28 | 70 / 13 | $39.713,00 | 631 / 24 | $8.327,07 | 340 / 23 | $5.303,21 | 340 / 10 |
Nonspecific Cerebrovascular Disorders W Mcc | 28 | 23 / 6 | $30.963,60 | 122 / 5 | $12.522,00 | 118 / 9 | $9.098,71 | 118 / 4 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 28 | 40 / 6 | $16.697,70 | 133 / 8 | $6.862,54 | 236 / 17 | $4.793,04 | 236 / 11 |
Peripheral Vascular Disorders W Cc | 27 | 57 / 8 | $16.588,70 | 248 / 10 | $6.766,04 | 491 / 17 | $5.309,04 | 489 / 15 |
Other Digestive System Diagnoses W Mcc | 27 | 35 / 8 | $28.409,40 | 132 / 8 | $11.062,10 | 231 / 5 | $9.684,22 | 231 / 11 |
Nonspecific Cerebrovascular Disorders W Cc | 27 | 29 / 5 | $21.188,50 | 148 / 9 | $6.779,26 | 153 / 6 | $5.198,41 | 153 / 6 |
Diabetes W Mcc | 27 | 30 / 8 | $23.102,90 | 135 / 11 | $9.267,22 | 237 / 15 | $7.759,48 | 237 / 15 |
Other Kidney & Urinary Tract Diagnoses W Cc | 27 | 76 / 9 | $18.190,10 | 192 / 5 | $7.077,70 | 164 / 11 | $5.069,85 | 164 / 3 |
G.I. Obstruction W/O Cc/Mcc | 26 | 45 / 7 | $15.980,70 | 589 / 24 | $4.789,42 | 613 / 30 | $3.108,96 | 612 / 25 |
Other Resp System O.R. Procedures W Mcc | 26 | 37 / 7 | $66.252,90 | 130 / 10 | $23.372,40 | 219 / 10 | $20.837,90 | 218 / 10 |
Peripheral Vascular Disorders W Mcc | 26 | 23 / 4 | $21.568,30 | 71 / 7 | $8.917,31 | 124 / 6 | $7.151,46 | 124 / 5 |
Coronary Bypass W Cardiac Cath W/O Mcc | 25 | 51 / 12 | $135.104,00 | 296 / 13 | $35.227,90 | 247 / 16 | $25.909,70 | 247 / 6 |
Other Vascular Procedures W/O Cc/Mcc | 25 | 31 / 7 | $51.331,80 | 302 / 13 | $14.454,00 | 121 / 15 | $8.642,12 | 120 / 2 |
Permanent Cardiac Pacemaker Implant W Cc | 24 | 53 / 13 | $48.488,60 | 193 / 7 | $16.084,00 | 278 / 9 | $14.497,70 | 277 / 8 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 24 | 47 / 13 | $105.088,00 | 286 / 20 | $36.192,50 | 350 / 23 | $29.834,40 | 350 / 15 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 24 | 69 / 15 | $43.377,00 | 219 / 11 | $14.847,80 | 175 / 18 | $10.936,60 | 172 / 1 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 24 | 40 / 6 | $142.661,00 | 46 / 3 | $52.722,00 | 57 / 2 | $49.197,60 | 57 / 3 |
Other Vascular Procedures W Mcc | 23 | 74 / 13 | $68.089,00 | 237 / 13 | $20.600,10 | 288 / 12 | $18.609,10 | 287 / 11 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 22 | 43 / 9 | $67.243,00 | 339 / 16 | $20.708,00 | 409 / 20 | $18.413,50 | 407 / 20 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 22 | 39 / 10 | $16.161,40 | 351 / 22 | $4.858,73 | 341 / 22 | $3.447,86 | 340 / 18 |
Cranial & Peripheral Nerve Disorders W Mcc | 21 | 15 / 6 | $18.184,00 | 15 / 3 | $8.845,81 | 42 / 3 | $7.614,10 | 42 / 5 |
Respiratory Neoplasms W Mcc | 21 | 31 / 10 | $42.356,60 | 293 / 19 | $11.684,40 | 228 / 13 | $9.700,81 | 228 / 12 |
Headaches W/O Mcc | 21 | 22 / 2 | $16.616,70 | 61 / 4 | $5.308,52 | 69 / 5 | $3.323,00 | 69 / 4 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 20 | 44 / 10 | $48.383,00 | 440 / 19 | $11.678,80 | 338 / 17 | $8.782,95 | 338 / 13 |
Major Cardiovasc Procedures W Mcc | 20 | 48 / 12 | $114.785,00 | 182 / 9 | $35.557,60 | 303 / 7 | $32.964,20 | 303 / 9 |
Major Chest Procedures W Mcc | 20 | 29 / 5 | $120.792,00 | 147 / 9 | $37.016,40 | 157 / 5 | $30.979,60 | 157 / 6 |
Endocrine Disorders W Cc | 20 | 18 / 1 | $19.727,60 | 68 / 5 | $7.238,95 | 101 / 6 | $5.671,60 | 101 / 6 |
Seizures W Mcc | 20 | 46 / 10 | $19.750,30 | 49 / 2 | $10.081,00 | 243 / 7 | $8.562,65 | 243 / 6 |
Other Digestive System Diagnoses W/O Cc/Mcc | 19 | 24 / 3 | $19.716,60 | 164 / 12 | $6.240,16 | 80 / 11 | $3.156,16 | 80 / 4 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 19 | 69 / 10 | $113.439,00 | 325 / 12 | $30.406,40 | 175 / 13 | $19.820,10 | 174 / 5 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 19 | 21 / 7 | $56.166,40 | 146 / 9 | $16.694,60 | 196 / 9 | $14.345,30 | 195 / 8 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 19 | 28 / 7 | $43.160,80 | 348 / 18 | $8.916,42 | 221 / 17 | $6.225,79 | 221 / 12 |
Dysequilibrium | 18 | 47 / 4 | $18.256,20 | 201 / 5 | $4.700,11 | 188 / 6 | $3.102,11 | 188 / 4 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 18 | 58 / 12 | $32.477,10 | 126 / 10 | $12.489,80 | 71 / 9 | $9.532,22 | 71 / 2 |
Pleural Effusion W Mcc | 17 | 13 / 3 | $28.467,50 | 37 / 3 | $10.623,10 | 25 / 4 | $7.971,00 | 25 / 1 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 17 | 52 / 10 | $65.458,50 | 245 / 10 | $16.107,10 | 205 / 8 | $14.411,10 | 205 / 11 |
Bronchitis & Asthma W/O Cc/Mcc | 17 | 28 / 3 | $11.785,90 | 71 / 4 | $4.758,53 | 188 / 6 | $3.506,82 | 188 / 7 |
G.I. Obstruction W Mcc | 17 | 25 / 9 | $20.376,20 | 34 / 1 | $10.656,70 | 192 / 8 | $9.174,47 | 192 / 7 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 17 | 30 / 4 | $21.161,90 | 182 / 6 | $5.209,00 | 69 / 3 | $3.539,65 | 69 / 3 |
Coronary Bypass W Cardiac Cath W Mcc | 17 | 39 / 9 | $179.137,00 | 190 / 10 | $47.443,40 | 235 / 8 | $43.976,20 | 235 / 10 |
G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 12 | $11.365,80 | 149 / 7 | $5.840,65 | 250 / 26 | $3.275,24 | 248 / 10 |
Atherosclerosis W/O Mcc | 17 | 41 / 9 | $12.487,90 | 104 / 8 | $4.482,94 | / 13 | $3.235,94 | / |
Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 19 | $91.997,50 | 309 / 14 | $32.349,20 | 471 / 20 | $29.319,10 | 469 / 18 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 17 | $67.038,00 | 136 / 4 | $20.447,70 | 158 / 4 | $16.836,90 | 158 / 3 |
Pneumothorax W Cc | 16 | 9 / 2 | $18.489,40 | 17 / 3 | $6.859,81 | 29 / 3 | $5.129,50 | 29 / 2 |
Cervical Spinal Fusion W/O Cc/Mcc | 16 | 88 / 20 | $79.623,10 | 667 / 27 | $14.686,80 | 557 / 16 | $13.238,10 | 554 / 20 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 14 | $50.242,10 | 468 / 28 | $10.317,20 | 293 / 9 | $8.634,06 | 293 / 13 |
Major Chest Procedures W Cc | 15 | 59 / 14 | $80.276,80 | 327 / 16 | $20.011,70 | 185 / 12 | $14.444,60 | 185 / 8 |
Degenerative Nervous System Disorders W Mcc | 15 | 23 / 6 | $28.173,60 | 51 / 5 | $10.897,90 | 16 / 3 | $8.153,73 | 16 / 2 |
Renal Failure W/O Cc/Mcc | 15 | 41 / 14 | $12.216,00 | 227 / 13 | $4.805,47 | 392 / 18 | $3.294,60 | 391 / 13 |
Other Disorders Of Nervous System W/O Cc/Mcc | 15 | 20 / 2 | $15.774,90 | 38 / 2 | $4.852,47 | 37 / 2 | $3.404,27 | 37 / 1 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 15 | $38.612,60 | 133 / 6 | $13.524,50 | 327 / 10 | $12.118,90 | 326 / 12 |
Hypertension W/O Mcc | 15 | 50 / 11 | $15.936,90 | 254 / 15 | $4.895,87 | 271 / 17 | $3.074,00 | 269 / 9 |
Respiratory Signs & Symptoms | 15 | 31 / 5 | $16.274,10 | 66 / 5 | $5.200,00 | 96 / 7 | $3.625,47 | 96 / 4 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 15 | 17 / 7 | $47.586,30 | 61 / 7 | $13.677,50 | 17 / 2 | $12.155,30 | 17 / 2 |
Permanent Cardiac Pacemaker Implant W Mcc | 15 | 37 / 11 | $54.330,30 | 50 / 4 | $21.704,20 | 149 / 7 | $20.077,30 | 149 / 7 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 14 | 20 / 11 | $51.576,00 | 14 / 3 | $24.244,60 | 29 / 3 | $22.381,50 | 29 / 3 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 14 | 31 / 9 | $61.515,00 | 40 / 5 | $18.590,50 | 80 / 4 | $16.714,60 | 80 / 4 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 14 | 39 / 7 | $29.347,90 | 39 / 4 | $11.569,10 | 89 / 6 | $9.942,00 | 90 / 6 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 16 | $19.561,10 | 281 / 18 | $5.405,29 | 397 / 19 | $3.988,57 | 394 / 18 |
Respiratory Infections & Inflammations W/O Cc/Mcc | 14 | 15 / 3 | $13.333,20 | 16 / 1 | $6.861,21 | 50 / 3 | $5.252,36 | 50 / 3 |
Nervous System Neoplasms W Mcc | 14 | 34 / 9 | $22.336,90 | 26 / 2 | $8.796,36 | 90 / 4 | $7.422,64 | 90 / 4 |
Disorders Of The Biliary Tract W Cc | 14 | 40 / 9 | $32.819,40 | 248 / 11 | $7.842,93 | 70 / 9 | $5.274,50 | 70 / 2 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 14 | 84 / 11 | $90.974,40 | 156 / 9 | $24.818,70 | 63 / 3 | $22.973,60 | 63 / 2 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 13 | 18 / 3 | $39.622,30 | 20 / 2 | $12.041,90 | 37 / 3 | $10.129,10 | 37 / 4 |
Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 23 | $16.923,00 | 275 / 17 | $6.354,08 | 487 / 26 | $4.750,77 | 483 / 22 |
Transurethral Procedures W Cc | 13 | 28 / 3 | $33.688,40 | 161 / 3 | $8.521,31 | 177 / 3 | $7.130,08 | 177 / 4 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 14 | $101.405,00 | 221 / 9 | $33.516,50 | 358 / 8 | $29.888,80 | 358 / 9 |
Organic Disturbances & Mental Retardation | 13 | 46 / 8 | $19.379,20 | 165 / 7 | $7.158,77 | 142 / 8 | $5.314,46 | 142 / 5 |
Respiratory Neoplasms W Cc | 13 | 34 / 11 | $40.135,00 | 322 / 14 | $9.008,62 | 282 / 10 | $7.406,92 | 281 / 9 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 13 | $39.770,70 | 402 / 19 | $10.255,20 | 351 / 15 | $8.664,15 | 350 / 15 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 13 | 103 / 14 | $198.918,00 | 218 / 12 | $55.780,90 | 267 / 9 | $53.191,10 | 267 / 10 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 13 | 29 / 6 | $25.970,30 | 31 / 5 | $11.606,40 | 80 / 7 | $9.774,46 | 80 / 7 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 13 | $89.018,00 | 375 / 19 | $18.882,60 | 208 / 14 | $14.910,10 | 208 / 11 |
Interstitial Lung Disease W Mcc | 12 | 13 / 4 | $31.879,20 | 24 / 3 | $11.780,90 | 27 / 5 | $9.545,83 | 27 / 2 |
Complications Of Treatment W Mcc | 12 | 39 / 11 | $20.843,60 | 13 / 1 | $11.504,00 | 58 / 4 | $9.649,17 | 58 / 3 |
Extracranial Procedures W Mcc | 12 | 11 / 2 | $77.142,20 | 16 / 3 | $22.002,30 | 20 / 2 | $19.475,50 | 20 / 2 |
Other Digestive System O.R. Procedures W Cc | 12 | 15 / 5 | $39.608,30 | 13 / 2 | $13.201,40 | 12 / 2 | $11.374,00 | 12 / 2 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 15 | $17.917,20 | 432 / 19 | $5.451,17 | 342 / 20 | $3.559,33 | 343 / 14 |
Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 10 | $41.868,80 | 140 / 8 | $14.827,10 | 8 / 10 | $8.094,00 | 8 / 3 |
Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 16 | $111.687,00 | 506 / 19 | $22.924,20 | 425 / 12 | $21.129,60 | 423 / 15 |
O.R. Procedures For Obesity W/O Cc/Mcc | 12 | 65 / 9 | $59.101,20 | 318 / 11 | $12.048,00 | 105 / 10 | $7.911,08 | 105 / 5 |
Diabetes W/O Cc/Mcc | 12 | 26 / 8 | $11.727,60 | 69 / 9 | $4.483,50 | 80 / 9 | $2.938,17 | 80 / 7 |
Extracranial Procedures W Cc | 12 | 34 / 9 | $56.089,20 | 271 / 11 | $10.713,20 | 178 / 5 | $8.940,83 | 178 / 5 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 9 | $18.724,50 | 226 / 14 | $6.589,82 | 81 / 14 | $2.836,36 | 81 / 3 |
Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 7 | $17.046,30 | 167 / 6 | $5.023,55 | 173 / 4 | $3.670,09 | 173 / 3 |
Complications Of Treatment W Cc | 11 | 41 / 10 | $16.475,20 | 44 / 4 | $6.542,73 | 115 / 4 | $5.562,09 | 115 / 5 |
Major Chest Procedures W/O Cc/Mcc | 11 | 48 / 8 | $63.910,90 | 188 / 10 | $11.914,20 | 90 / 5 | $10.222,50 | 90 / 5 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 14 | $15.954,10 | 104 / 7 | $6.576,00 | 148 / 9 | $5.026,45 | 148 / 6 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 9 | $13.794,90 | 20 / 1 | $8.004,91 | 179 / 3 | $6.845,82 | 179 / 4 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 11 | 43 / 9 | $10.873,50 | 20 / 2 | $5.193,64 | 65 / 2 | $3.476,36 | 65 / 1 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 11 | 29 / 7 | $45.558,40 | 67 / 6 | $12.718,60 | 86 / 6 | $11.016,60 | 86 / 6 |
Other Circulatory System Diagnoses W Cc | 11 | 55 / 18 | $16.715,80 | 115 / 3 | $5.978,00 | 68 / 3 | $4.571,73 | 68 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 11 | 18 / 4 | $15.901,60 | 32 / 2 | $5.959,82 | 69 / 3 | $4.574,27 | 69 / 4 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 11 | 107 / 15 | $161.623,00 | 325 / 13 | $38.378,70 | 369 / 12 | $35.923,20 | 369 / 13 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 11 | 63 / 9 | $74.567,00 | 151 / 8 | $15.254,20 | 116 / 5 | $13.892,50 | 115 / 6 | Total 165 procedures | 6.909 | 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.