Hospital Costs > In West Virginia > Charleston Area Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 598 | 46 / 1 | $47.664,40 | 1693 / 29 | $13.921,00 | 1497 / 25 | $11.018,40 | 1467 / 22 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 278 | 4 / 1 | $25.706,20 | 316 / 14 | $7.847,45 | 827 / 13 | $5.970,09 | 825 / 13 |
Heart Failure & Shock W Cc | 271 | 37 / 1 | $23.740,30 | 1557 / 27 | $7.557,13 | 1508 / 25 | $5.781,82 | 1503 / 23 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 259 | 8 / 1 | $46.433,70 | 160 / 5 | $13.960,20 | 632 / 11 | $11.035,10 | 628 / 9 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 252 | 46 / 1 | $18.369,10 | 1192 / 27 | $6.005,33 | 1497 / 25 | $4.126,65 | 1486 / 24 |
Chronic Obstructive Pulmonary Disease W Mcc | 242 | 7 / 1 | $30.452,60 | 1504 / 25 | $8.800,97 | 1411 / 24 | $6.721,26 | 1405 / 23 |
Chest Pain | 238 | 3 / 1 | $19.015,10 | 845 / 18 | $5.046,89 | 1022 / 16 | $3.599,17 | 1016 / 16 |
Renal Failure W Cc | 212 | 27 / 1 | $22.380,10 | 1220 / 22 | $7.033,05 | 1190 / 22 | $5.373,70 | 1182 / 21 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 205 | 359 / 6 | $50.625,50 | 1320 / 21 | $16.034,10 | 1001 / 21 | $11.054,20 | 981 / 17 |
Kidney & Urinary Tract Infections W/O Mcc | 202 | 46 / 1 | $19.720,20 | 1545 / 27 | $6.491,38 | 1723 / 24 | $4.584,17 | 1712 / 24 |
G.I. Hemorrhage W Cc | 198 | 31 / 1 | $24.599,70 | 1175 / 24 | $7.808,78 | 1422 / 23 | $5.849,04 | 1419 / 23 |
Heart Failure & Shock W Mcc | 196 | 89 / 1 | $41.601,00 | 1728 / 26 | $11.523,40 | 1690 / 25 | $9.461,83 | 1685 / 25 |
Simple Pneumonia & Pleurisy W Cc | 190 | 28 / 1 | $22.979,20 | 1451 / 28 | $7.305,20 | 1418 / 26 | $5.435,46 | 1412 / 24 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 189 | 7 / 1 | $19.894,50 | 1051 / 21 | $6.374,24 | 1117 / 19 | $4.417,04 | 1113 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 181 | 22 / 1 | $29.120,80 | 1095 / 17 | $7.910,34 | 1142 / 16 | $6.057,62 | 1139 / 15 |
Syncope & Collapse | 167 | 22 / 1 | $21.906,00 | 1029 / 16 | $5.913,74 | 1192 / 13 | $4.384,07 | 1185 / 13 |
Chronic Obstructive Pulmonary Disease W Cc | 163 | 29 / 1 | $21.668,00 | 1180 / 27 | $6.935,71 | 1325 / 25 | $5.289,37 | 1320 / 25 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 160 | 27 / 1 | $40.502,20 | 710 / 9 | $12.798,20 | 800 / 8 | $10.206,50 | 799 / 8 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 158 | 17 / 1 | $14.654,70 | 948 / 20 | $4.672,15 | 1150 / 18 | $2.961,68 | 1145 / 16 |
Simple Pneumonia & Pleurisy W Mcc | 156 | 51 / 1 | $36.138,60 | 1415 / 23 | $10.597,30 | 1266 / 24 | $8.255,16 | 1266 / 22 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 149 | 58 / 1 | $26.173,50 | 1353 / 22 | $8.436,20 | 1311 / 20 | $6.001,15 | 1306 / 20 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 128 | 12 / 1 | $121.046,00 | 749 / 14 | $38.374,00 | 886 / 14 | $33.732,20 | 880 / 13 |
Transient Ischemia | 128 | 9 / 1 | $20.124,20 | 678 / 17 | $5.849,66 | 914 / 16 | $3.895,02 | 909 / 15 |
Acute Myocardial Infarction, Discharged Alive W Cc | 123 | 3 / 1 | $29.231,50 | 708 / 15 | $7.805,74 | 746 / 13 | $5.990,75 | 744 / 13 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 123 | 15 / 1 | $47.773,90 | 1077 / 18 | $14.090,70 | 1055 / 17 | $10.509,00 | 1052 / 16 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 113 | 24 / 1 | $53.757,70 | 735 / 20 | $16.298,20 | 982 / 19 | $14.059,70 | 972 / 20 |
Cellulitis W/O Mcc | 112 | 77 / 1 | $19.172,50 | 1392 / 25 | $6.691,36 | 1266 / 24 | $4.492,33 | 1260 / 22 |
Renal Failure W Mcc | 109 | 86 / 1 | $36.265,50 | 1114 / 16 | $10.970,50 | 1155 / 13 | $9.268,76 | 1155 / 14 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 101 | 7 / 1 | $93.899,20 | 212 / 3 | $25.268,80 | 307 / 4 | $21.788,30 | 306 / 3 |
Hip & Femur Procedures Except Major Joint W Cc | 101 | 42 / 1 | $51.699,10 | 1110 / 19 | $13.340,70 | 976 / 17 | $10.978,60 | 963 / 17 |
Extracranial Procedures W/O Cc/Mcc | 99 | 7 / 1 | $25.403,20 | 298 / 7 | $7.449,06 | 423 / 7 | $5.536,35 | 422 / 7 |
Major Cardiovasc Procedures W/O Mcc | 98 | 16 / 1 | $62.836,90 | 155 / 4 | $21.877,70 | 219 / 6 | $17.966,80 | 219 / 3 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 94 | 15 / 1 | $43.930,90 | 64 / 2 | $14.917,20 | 149 / 2 | $10.484,00 | 147 / 2 |
Coronary Bypass W Cardiac Cath W/O Mcc | 90 | 2 / 1 | $108.816,00 | 166 / 4 | $30.794,40 | 322 / 3 | $26.965,70 | 322 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 86 | 38 / 1 | $32.619,30 | 1073 / 19 | $9.293,21 | 955 / 16 | $7.068,51 | 952 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 86 | 80 / 1 | $21.917,50 | 1714 / 25 | $5.890,41 | 1522 / 23 | $4.095,26 | 1517 / 23 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 84 | 16 / 1 | $116.906,00 | 298 / 6 | $38.828,30 | 386 / 5 | $34.885,90 | 385 / 5 |
G.I. Hemorrhage W Mcc | 82 | 39 / 1 | $39.017,80 | 661 / 11 | $12.674,80 | 735 / 11 | $10.357,60 | 734 / 11 |
Red Blood Cell Disorders W/O Mcc | 79 | 64 / 1 | $21.677,30 | 1046 / 22 | $6.162,71 | 1116 / 19 | $4.683,09 | 1109 / 19 |
Diabetes W Cc | 79 | 14 / 1 | $20.383,50 | 719 / 14 | $6.949,76 | 632 / 13 | $4.426,05 | 631 / 10 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 78 | 24 / 1 | $72.560,10 | 192 / 7 | $22.387,40 | 321 / 9 | $18.103,70 | 319 / 7 |
Permanent Cardiac Pacemaker Implant W Cc | 76 | 6 / 1 | $49.056,70 | 207 / 6 | $16.589,30 | 352 / 6 | $14.867,70 | 351 / 7 |
Other Vascular Procedures W Cc | 76 | 29 / 1 | $56.471,20 | 296 / 7 | $17.037,60 | 402 / 5 | $14.403,00 | 400 / 5 |
Major Small & Large Bowel Procedures W Cc | 71 | 38 / 1 | $56.274,30 | 564 / 9 | $17.520,80 | 789 / 9 | $14.708,40 | 781 / 9 |
Medical Back Problems W/O Mcc | 70 | 51 / 1 | $23.806,10 | 771 / 11 | $6.765,36 | 719 / 9 | $4.590,61 | 716 / 8 |
Other Vascular Procedures W Mcc | 69 | 28 / 1 | $75.530,40 | 325 / 8 | $21.825,30 | 391 / 6 | $19.581,30 | 389 / 7 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 68 | 52 / 4 | $16.637,20 | 981 / 21 | $5.907,13 | 1203 / 19 | $3.947,90 | 1194 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 64 | 38 / 2 | $19.056,30 | 512 / 10 | $5.913,44 | 909 / 9 | $4.140,22 | 905 / 9 |
O.R. Procedures For Obesity W/O Cc/Mcc | 64 | 16 / 1 | $32.959,30 | 115 / 3 | $11.787,40 | 153 / 1 | $8.331,67 | 153 / 1 |
Peripheral Vascular Disorders W Cc | 63 | 22 / 1 | $19.609,50 | 394 / 12 | $6.885,89 | 451 / 12 | $5.206,57 | 449 / 11 |
Coronary Bypass W Cardiac Cath W Mcc | 61 | 4 / 1 | $145.293,00 | 100 / 3 | $48.067,40 | 202 / 3 | $42.456,40 | 202 / 3 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 60 | 14 / 1 | $50.118,00 | 155 / 5 | $13.321,20 | 223 / 5 | $9.868,38 | 223 / 3 |
Seizures W/O Mcc | 59 | 49 / 2 | $17.695,50 | 401 / 10 | $5.963,95 | 608 / 9 | $4.286,92 | 605 / 9 |
Disorders Of Pancreas Except Malignancy W Cc | 59 | 6 / 1 | $23.108,40 | 410 / 10 | $7.533,10 | 412 / 10 | $5.044,41 | 411 / 9 |
G.I. Obstruction W Cc | 58 | 34 / 1 | $21.811,80 | 780 / 15 | $8.921,62 | 819 / 15 | $4.836,10 | 817 / 13 |
Pulmonary Edema & Respiratory Failure | 58 | 145 / 9 | $37.409,20 | 1406 / 23 | $9.478,36 | 1393 / 21 | $7.585,76 | 1389 / 21 |
Atherosclerosis W/O Mcc | 57 | 8 / 1 | $21.029,60 | 335 / 7 | $5.286,23 | / | $3.998,72 | / |
Other Digestive System Diagnoses W Cc | 55 | 42 / 1 | $25.840,30 | 715 / 9 | $7.709,55 | 845 / 7 | $5.908,13 | 841 / 7 |
Other Circulatory System Diagnoses W Mcc | 54 | 62 / 1 | $34.648,90 | 336 / 8 | $12.636,20 | 393 / 8 | $10.338,50 | 392 / 7 |
Major Cardiovasc Procedures W Mcc | 54 | 15 / 1 | $120.564,00 | 215 / 4 | $40.670,00 | 287 / 4 | $32.567,30 | 287 / 3 |
Signs & Symptoms W/O Mcc | 54 | 37 / 1 | $21.451,90 | 725 / 13 | $5.640,11 | 727 / 11 | $4.101,93 | 724 / 11 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 53 | 40 / 1 | $41.611,10 | 182 / 5 | $13.584,20 | 324 / 5 | $11.685,40 | 319 / 5 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 53 | 7 / 1 | $38.687,50 | 134 / 2 | $13.553,90 | 271 / 4 | $11.743,60 | 270 / 4 |
Heart Failure & Shock W/O Cc/Mcc | 47 | 63 / 3 | $17.061,10 | 1064 / 18 | $5.389,98 | 1110 / 18 | $3.855,13 | 1101 / 16 |
Other Vascular Procedures W/O Cc/Mcc | 47 | 11 / 1 | $38.634,20 | 159 / 6 | $13.018,50 | 267 / 7 | $9.560,77 | 266 / 6 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 46 | 47 / 2 | $16.355,40 | 865 / 21 | $6.382,83 | 1098 / 19 | $3.782,70 | 1092 / 19 |
Spinal Fusion Except Cervical W/O Mcc | 45 | 149 / 4 | $99.844,40 | 733 / 7 | $29.032,90 | 905 / 6 | $25.104,20 | 900 / 6 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 44 | 72 / 1 | $162.978,00 | 123 / 1 | $52.363,30 | 190 / 1 | $49.170,90 | 190 / 1 |
Major Small & Large Bowel Procedures W Mcc | 44 | 41 / 1 | $110.309,00 | 481 / 9 | $39.592,00 | 616 / 9 | $30.978,90 | 614 / 6 |
Kidney & Urinary Tract Infections W Mcc | 44 | 100 / 2 | $22.932,90 | 787 / 14 | $8.045,39 | 1000 / 14 | $6.398,25 | 997 / 13 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 44 | 52 / 1 | $24.588,40 | 416 / 8 | $8.674,07 | 607 / 8 | $6.893,39 | 602 / 8 |
Extracranial Procedures W Cc | 44 | 6 / 1 | $51.188,30 | 242 / 1 | $11.992,80 | 221 / 1 | $9.461,84 | 221 / 1 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 43 | 27 / 1 | $21.030,30 | 208 / 8 | $6.936,47 | 242 / 6 | $5.615,93 | 242 / 7 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 43 | 18 / 1 | $17.418,80 | 421 / 10 | $5.341,86 | 427 / 8 | $3.646,09 | 426 / 8 |
Pulmonary Embolism W/O Mcc | 42 | 32 / 1 | $29.948,40 | 837 / 12 | $8.232,31 | 750 / 10 | $5.673,71 | 747 / 10 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 42 | 84 / 1 | $26.621,90 | 795 / 10 | $8.276,50 | 854 / 9 | $6.711,57 | 851 / 8 |
Respiratory Infections & Inflammations W Mcc | 42 | 94 / 4 | $48.233,60 | 1025 / 18 | $14.343,70 | 853 / 16 | $11.271,80 | 843 / 14 |
Poisoning & Toxic Effects Of Drugs W Mcc | 41 | 31 / 1 | $36.257,80 | 499 / 6 | $10.655,90 | 480 / 5 | $8.458,90 | 478 / 6 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 41 | 30 / 1 | $100.561,00 | 257 / 5 | $34.158,00 | 383 / 5 | $30.390,60 | 383 / 5 |
Coronary Bypass W/O Cardiac Cath W Mcc | 41 | 19 / 1 | $139.484,00 | 95 / 2 | $44.495,10 | 138 / 2 | $37.310,60 | 137 / 2 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 40 | 23 / 1 | $104.494,00 | 250 / 4 | $34.372,20 | 286 / 3 | $28.592,30 | 286 / 3 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 40 | 8 / 1 | $28.743,40 | 33 / 1 | $10.323,10 | 95 / 1 | $8.449,28 | 95 / 1 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 38 | 9 / 1 | $72.995,10 | 77 / 2 | $20.575,10 | 132 / 2 | $18.324,40 | 131 / 2 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 38 | 15 / 2 | $23.928,20 | 420 / 12 | $6.185,32 | 490 / 10 | $4.253,68 | 487 / 10 |
Respiratory Neoplasms W Mcc | 38 | 15 / 1 | $48.461,50 | 363 / 3 | $12.783,30 | 338 / 2 | $10.510,80 | 337 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 37 | 19 / 1 | $36.545,70 | 191 / 5 | $11.247,60 | 344 / 5 | $8.845,81 | 344 / 5 |
Hip & Femur Procedures Except Major Joint W Mcc | 37 | 25 / 1 | $76.297,60 | 489 / 10 | $21.520,80 | 552 / 7 | $18.890,10 | 549 / 7 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 36 | 45 / 1 | $281.042,00 | 65 / 2 | $99.151,80 | 88 / 2 | $91.067,90 | 88 / 2 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 36 | 14 / 1 | $70.465,00 | 10 / 1 | $33.470,20 | 78 / 1 | $31.633,00 | 78 / 1 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 36 | 55 / 2 | $17.266,30 | 48 / 5 | $8.367,33 | 94 / 6 | $6.632,31 | 94 / 6 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 36 | 82 / 1 | $112.224,00 | 126 / 2 | $35.407,40 | 194 / 2 | $30.669,20 | 194 / 2 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 35 | 33 / 1 | $20.144,40 | 224 / 3 | $6.463,46 | 283 / 3 | $4.965,49 | 283 / 3 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 34 | 39 / 2 | $24.862,60 | 471 / 10 | $8.872,50 | 665 / 9 | $7.217,32 | 663 / 9 |
Renal Failure W/O Cc/Mcc | 34 | 22 / 1 | $14.951,60 | 366 / 11 | $4.980,62 | 481 / 10 | $3.537,24 | 480 / 10 |
Nervous System Neoplasms W Mcc | 34 | 14 / 1 | $30.947,90 | 98 / 2 | $9.226,29 | 92 / 1 | $7.462,65 | 92 / 1 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 34 | 30 / 1 | $33.095,10 | 182 / 3 | $11.417,80 | 411 / 4 | $9.269,76 | 411 / 4 |
Respiratory Infections & Inflammations W Cc | 34 | 54 / 4 | $30.904,30 | 715 / 15 | $9.720,29 | 655 / 13 | $7.670,79 | 652 / 12 |
Major Chest Procedures W Cc | 34 | 40 / 1 | $58.640,90 | 186 / 3 | $17.747,80 | 241 / 3 | $15.084,20 | 239 / 3 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 33 | 21 / 1 | $65.911,80 | 40 / 1 | $20.195,40 | 73 / 1 | $17.686,80 | 73 / 1 |
G.I. Obstruction W/O Cc/Mcc | 33 | 38 / 1 | $13.812,30 | 435 / 8 | $4.447,21 | 490 / 6 | $2.955,27 | 489 / 5 |
Pulmonary Embolism W Mcc | 33 | 10 / 1 | $33.736,70 | 227 / 2 | $10.141,20 | 231 / 2 | $8.487,79 | 231 / 2 |
Red Blood Cell Disorders W Mcc | 32 | 39 / 1 | $27.884,10 | 396 / 12 | $8.883,38 | 358 / 11 | $6.994,09 | 356 / 10 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 32 | 34 / 2 | $24.563,10 | 154 / 2 | $7.558,06 | 112 / 1 | $5.722,81 | 112 / 1 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 31 | 13 / 1 | $50.729,50 | 57 / 1 | $18.035,10 | 69 / 2 | $14.577,10 | 68 / 1 |
Permanent Cardiac Pacemaker Implant W Mcc | 31 | 21 / 1 | $81.393,60 | 213 / 2 | $24.695,40 | 272 / 2 | $22.173,60 | 272 / 2 |
Major Chest Procedures W Mcc | 30 | 19 / 1 | $102.542,00 | 100 / 2 | $36.056,00 | 154 / 2 | $30.955,60 | 154 / 2 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 30 | 32 / 1 | $22.187,90 | 437 / 5 | $5.751,30 | 241 / 4 | $3.719,17 | 241 / 4 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 30 | 39 / 1 | $192.588,00 | 71 / 1 | $64.249,80 | 95 / 1 | $57.731,70 | 95 / 1 |
Postoperative & Post-Traumatic Infections W/O Mcc | 30 | 24 / 1 | $18.774,80 | 109 / 3 | $7.101,50 | 192 / 2 | $5.900,17 | 192 / 2 |
Other Circulatory System Diagnoses W Cc | 29 | 37 / 2 | $27.109,90 | 352 / 7 | $7.320,28 | 318 / 6 | $5.620,59 | 317 / 6 |
Other Circulatory System O.R. Procedures | 29 | 26 / 1 | $59.638,20 | 155 / 5 | $19.507,00 | 207 / 4 | $17.239,40 | 207 / 4 |
Fractures Of Hip & Pelvis W/O Mcc | 28 | 33 / 1 | $19.218,80 | 482 / 6 | $5.806,32 | 443 / 6 | $3.812,43 | 443 / 6 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 28 | 19 / 1 | $24.594,80 | 74 / 2 | $8.893,32 | 289 / 2 | $6.573,43 | 289 / 2 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 27 | 49 / 1 | $44.529,70 | 247 / 6 | $13.959,50 | 247 / 6 | $11.601,50 | 247 / 6 |
Peripheral Vascular Disorders W/O Cc/Mcc | 27 | 18 / 1 | $13.226,70 | 103 / 6 | $5.213,96 | 142 / 5 | $3.452,56 | 142 / 5 |
Acute Myocardial Infarction, Expired W Mcc | 27 | 4 / 1 | $42.791,30 | 78 / 2 | $11.656,60 | 68 / 1 | $10.057,70 | 68 / 2 |
Hypertension W/O Mcc | 27 | 38 / 2 | $20.041,60 | 414 / 8 | $5.047,44 | 412 / 7 | $3.472,70 | 410 / 7 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 27 | 37 / 1 | $171.957,00 | 94 / 2 | $66.094,20 | 180 / 1 | $57.501,30 | 180 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 26 | 29 / 2 | $64.717,30 | 399 / 6 | $18.444,50 | 369 / 6 | $11.942,30 | 366 / 4 |
Peritoneal Adhesiolysis W Cc | 26 | 13 / 1 | $52.162,50 | 100 / 1 | $16.459,80 | 128 / 1 | $13.711,80 | 128 / 1 |
Other Kidney & Urinary Tract Diagnoses W Cc | 26 | 77 / 3 | $19.901,30 | 242 / 7 | $7.663,50 | 358 / 6 | $5.701,42 | 358 / 6 |
Kidney Transplant | 26 | 75 / 1 | $138.896,00 | 27 / 1 | $21.172,80 | 35 / 1 | $19.290,50 | 35 / 1 |
Disorders Of The Biliary Tract W Cc | 26 | 28 / 1 | $24.450,20 | 122 / 2 | $7.824,08 | 135 / 3 | $5.739,42 | 135 / 3 |
Stomach, Esophageal & Duodenal Proc W Cc | 25 | 25 / 1 | $42.698,60 | 21 / 1 | $18.468,40 | 55 / 1 | $14.767,40 | 55 / 1 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 25 | 17 / 1 | $39.688,40 | 115 / 2 | $20.910,40 | 15 / 2 | $8.490,68 | 15 / 1 |
Fever | 24 | 22 / 1 | $22.612,20 | 143 / 3 | $6.545,29 | 158 / 2 | $4.971,08 | 158 / 2 |
Diabetes W Mcc | 24 | 33 / 1 | $30.717,30 | 295 / 5 | $10.454,60 | 429 / 5 | $8.908,92 | 429 / 5 |
Digestive Malignancy W Cc | 24 | 23 / 1 | $30.500,50 | 150 / 1 | $9.109,17 | 139 / 1 | $7.121,54 | 137 / 1 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 24 | 74 / 2 | $86.386,10 | 127 / 1 | $29.011,80 | 181 / 1 | $26.334,30 | 181 / 1 |
G.I. Hemorrhage W/O Cc/Mcc | 24 | 44 / 2 | $15.846,00 | 376 / 9 | $6.073,83 | 544 / 8 | $3.860,96 | 540 / 8 |
Respiratory Signs & Symptoms | 23 | 23 / 1 | $18.077,40 | 92 / 1 | $5.307,39 | 123 / 1 | $3.889,52 | 123 / 1 |
Seizures W Mcc | 23 | 43 / 2 | $38.834,10 | 339 / 1 | $11.880,50 | 133 / 2 | $7.964,43 | 133 / 1 |
Complications Of Treatment W Cc | 23 | 29 / 1 | $21.579,30 | 115 / 1 | $7.480,39 | 76 / 1 | $5.193,39 | 76 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 23 | 24 / 2 | $50.527,90 | 321 / 6 | $10.121,10 | 239 / 2 | $8.184,83 | 239 / 3 |
Peripheral Vascular Disorders W Mcc | 23 | 26 / 1 | $33.001,30 | 258 / 4 | $9.871,61 | 228 / 3 | $7.877,30 | 228 / 3 |
Respiratory Neoplasms W Cc | 23 | 24 / 1 | $28.792,90 | 175 / 4 | $8.131,35 | 120 / 4 | $6.187,74 | 119 / 3 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 23 | 78 / 3 | $42.755,70 | 677 / 8 | $11.782,00 | 442 / 8 | $8.906,39 | 441 / 8 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 22 | 43 / 1 | $65.540,40 | 316 / 4 | $21.433,50 | 469 / 4 | $19.035,10 | 466 / 4 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 22 | 24 / 1 | $21.360,20 | 178 / 6 | $5.497,45 | 239 / 5 | $3.951,86 | 238 / 6 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 22 | 102 / 3 | $18.259,00 | 447 / 4 | $5.863,23 | 411 / 3 | $4.143,86 | 411 / 3 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 21 | 34 / 1 | $50.918,50 | 20 / 1 | $18.986,00 | 63 / 1 | $17.497,60 | 63 / 1 |
Psychoses | 21 | 254 / 2 | $15.321,40 | 188 / 2 | $7.251,33 | 90 / 1 | $5.072,81 | 90 / 1 |
Other Digestive System Diagnoses W Mcc | 21 | 41 / 1 | $42.680,60 | 353 / 3 | $12.714,30 | 366 / 2 | $10.583,10 | 365 / 3 |
Nervous System Neoplasms W/O Mcc | 21 | 9 / 1 | $24.093,00 | 13 / 1 | $7.583,86 | 41 / 1 | $6.046,52 | 41 / 1 |
Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 21 | 8 / 1 | $106.245,00 | 4 / 1 | $46.020,00 | 8 / 1 | $38.110,50 | 8 / 1 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 21 | 30 / 2 | $64.773,10 | 225 / 3 | $24.466,10 | 139 / 3 | $11.915,70 | 139 / 2 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 20 | 18 / 1 | $17.513,20 | 192 / 5 | $7.535,25 | 161 / 5 | $3.206,10 | 161 / 4 |
Major Male Pelvic Procedures W/O Cc/Mcc | 20 | 53 / 1 | $34.489,90 | 130 / 1 | $10.608,50 | 80 / 1 | $5.832,20 | 80 / 1 |
Signs & Symptoms W Mcc | 20 | 21 / 1 | $32.853,40 | 162 / 2 | $9.448,35 | 169 / 1 | $7.950,85 | 169 / 1 |
Lymphoma & Non-Acute Leukemia W Mcc | 20 | 16 / 1 | $55.670,40 | 23 / 1 | $31.549,60 | 2 / 1 | $14.411,70 | 2 / 1 |
Cellulitis W Mcc | 20 | 38 / 1 | $39.231,20 | 578 / 5 | $11.544,20 | 449 / 4 | $8.478,80 | 447 / 4 |
Cervical Spinal Fusion W/O Cc/Mcc | 19 | 85 / 5 | $49.753,70 | 336 / 5 | $14.441,60 | 538 / 5 | $13.118,90 | 535 / 5 |
Stomach, Esophageal & Duodenal Proc W Mcc | 19 | 22 / 1 | $78.048,80 | 17 / 1 | $36.758,90 | 33 / 2 | $29.057,20 | 33 / 1 |
Nonspecific Cerebrovascular Disorders W Cc | 19 | 37 / 2 | $27.916,40 | 269 / 2 | $7.479,37 | 191 / 2 | $5.396,21 | 191 / 2 |
Other Resp System O.R. Procedures W Mcc | 19 | 44 / 3 | $94.424,10 | 311 / 5 | $29.204,80 | 441 / 5 | $26.009,30 | 440 / 5 |
Bronchitis & Asthma W Cc/Mcc | 19 | 57 / 1 | $24.334,50 | 564 / 3 | $8.119,37 | 177 / 3 | $4.012,68 | 174 / 2 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 18 | 12 / 1 | $41.040,30 | 58 / 3 | $13.704,10 | 26 / 3 | $9.609,00 | 26 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 18 | 38 / 1 | $48.488,00 | 404 / 4 | $16.852,50 | 520 / 4 | $13.803,90 | 519 / 4 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 18 | 27 / 1 | $49.544,40 | 83 / 2 | $14.295,50 | 49 / 2 | $10.384,50 | 49 / 2 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 18 | 71 / 3 | $22.308,90 | 135 / 1 | $7.323,06 | 378 / 2 | $5.876,00 | 377 / 2 |
Major Chest Procedures W/O Cc/Mcc | 18 | 41 / 1 | $51.813,90 | 136 / 2 | $12.494,80 | 97 / 1 | $10.403,10 | 97 / 1 |
Endocrine Disorders W Cc | 18 | 20 / 1 | $17.731,00 | 43 / 1 | $7.089,78 | 129 / 1 | $5.908,67 | 129 / 1 |
Cirrhosis & Alcoholic Hepatitis W Cc | 18 | 8 / 1 | $20.288,20 | 22 / 2 | $7.461,89 | 19 / 2 | $5.325,44 | 19 / 2 |
Complications Of Treatment W Mcc | 17 | 34 / 1 | $35.488,60 | 81 / 2 | $12.868,30 | 65 / 2 | $9.833,94 | 65 / 2 |
Transurethral Procedures W Cc | 17 | 24 / 3 | $31.252,30 | 133 / 3 | $8.611,94 | 188 / 3 | $7.241,29 | 188 / 3 |
Other O.R. Procedures For Injuries W Mcc | 17 | 20 / 1 | $67.645,10 | 27 / 1 | $23.312,90 | 19 / 1 | $20.359,30 | 19 / 1 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 16 | 58 / 2 | $37.043,10 | 18 / 1 | $14.379,30 | 80 / 1 | $12.961,70 | 80 / 1 |
Other Kidney & Urinary Tract Procedures W Cc | 16 | 10 / 1 | $35.649,80 | 14 / 1 | $14.030,20 | 13 / 1 | $11.676,20 | 13 / 1 |
Otitis Media & Uri W/O Mcc | 16 | 28 / 1 | $18.600,80 | 86 / 1 | $5.141,81 | 79 / 1 | $3.572,38 | 79 / 1 |
Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 2 | $25.689,20 | 403 / 6 | $7.520,75 | 380 / 4 | $5.566,75 | 380 / 4 |
Traumatic Stupor & Coma, Coma >1 Hr W Cc | 16 | 8 / 1 | $29.341,20 | 9 / 1 | $10.816,20 | 5 / 1 | $6.644,00 | 5 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 16 | 24 / 1 | $51.436,20 | 111 / 1 | $17.626,40 | 225 / 1 | $14.949,20 | 224 / 1 |
O.R. Procedures For Obesity W Cc | 16 | 18 / 1 | $37.113,70 | 21 / 1 | $12.522,30 | 52 / 1 | $11.140,80 | 52 / 1 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 16 | 24 / 1 | $23.145,60 | 75 / 1 | $8.092,44 | 73 / 1 | $6.089,31 | 73 / 1 |
Disorders Of Pancreas Except Malignancy W Mcc | 16 | 30 / 1 | $46.489,90 | 174 / 3 | $13.357,00 | 134 / 1 | $10.722,90 | 134 / 1 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 16 | 37 / 3 | $28.240,70 | 171 / 3 | $8.286,31 | 150 / 4 | $6.618,06 | 150 / 4 |
Bone Diseases & Arthropathies W/O Mcc | 16 | 28 / 1 | $19.211,20 | 153 / 1 | $5.956,81 | 100 / 1 | $3.963,25 | 100 / 1 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 16 | 37 / 1 | $41.822,40 | 114 / 2 | $13.142,30 | 77 / 1 | $9.752,56 | 77 / 1 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 15 | 39 / 3 | $15.212,50 | 68 / 2 | $5.602,60 | 199 / 2 | $4.341,87 | 199 / 2 |
Inflammatory Bowel Disease W Cc | 15 | 17 / 1 | $24.948,30 | 60 / 1 | $8.097,80 | 53 / 1 | $5.668,27 | 53 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 15 | 21 / 1 | $53.784,10 | 137 / 2 | $18.696,30 | 113 / 2 | $13.470,10 | 113 / 2 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 15 | 27 / 2 | $89.671,30 | 9 / 1 | $32.115,10 | 23 / 1 | $29.793,50 | 23 / 1 |
Anal & Stomal Procedures W Cc | 15 | 4 / 1 | $24.482,40 | 2 / 1 | $9.418,67 | 4 / 1 | $8.019,87 | 4 / 1 |
Other Multiple Significant Trauma W Cc | 15 | 10 / 1 | $36.648,30 | 15 / 2 | $11.224,60 | 9 / 1 | $7.272,87 | 9 / 1 |
Major Chest Trauma W Cc | 15 | 21 / 2 | $22.663,20 | 33 / 2 | $7.100,00 | 35 / 1 | $4.985,33 | 35 / 1 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 14 | 33 / 2 | $17.321,90 | 109 / 2 | $5.282,14 | 140 / 1 | $3.996,14 | 140 / 1 |
Vaginal Delivery W/O Complicating Diagnoses | 14 | 11 / 1 | $9.253,57 | 16 / 1 | $4.121,07 | 5 / 1 | $2.680,29 | 5 / 1 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 14 | 52 / 3 | $44.933,30 | 215 / 3 | $14.330,10 | 255 / 3 | $10.791,40 | 253 / 3 |
Organic Disturbances & Mental Retardation | 14 | 45 / 1 | $20.136,20 | 178 / 2 | $7.329,79 | 214 / 2 | $5.757,29 | 214 / 2 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 14 | 28 / 1 | $83.093,00 | 12 / 1 | $29.332,10 | 52 / 2 | $27.377,30 | 52 / 2 |
Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Cc | 14 | 13 / 1 | $49.918,30 | 38 / 2 | $11.759,90 | 23 / 2 | $9.725,36 | 23 / 2 |
Cervical Spinal Fusion W Cc | 14 | 39 / 2 | $69.176,10 | 166 / 2 | $20.253,20 | 155 / 2 | $16.307,90 | 154 / 2 |
Other Respiratory System Diagnoses W/O Mcc | 14 | 32 / 1 | $21.819,00 | 134 / 2 | $6.227,36 | 155 / 1 | $4.824,86 | 155 / 1 |
G.I. Obstruction W Mcc | 14 | 28 / 1 | $27.704,30 | 104 / 1 | $11.879,30 | 152 / 3 | $8.915,57 | 152 / 1 |
Other Multiple Significant Trauma W Mcc | 14 | 9 / 1 | $73.898,60 | 6 / 1 | $16.422,60 | 1 / 1 | $13.477,50 | 1 / 1 |
Other Kidney & Urinary Tract Procedures W Mcc | 14 | 24 / 1 | $50.668,00 | 28 / 1 | $18.610,40 | 32 / 1 | $16.732,90 | 32 / 1 |
Other Resp System O.R. Procedures W Cc | 14 | 33 / 3 | $44.498,60 | 112 / 4 | $13.742,60 | 151 / 4 | $11.572,90 | 151 / 4 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 14 | 26 / 1 | $43.698,60 | 70 / 1 | $10.060,70 | 58 / 1 | $8.476,50 | 58 / 1 |
Pleural Effusion W Mcc | 13 | 17 / 2 | $47.098,10 | 116 / 3 | $11.641,80 | 99 / 3 | $9.357,38 | 99 / 3 |
Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 13 | 19 / 1 | $48.085,80 | 34 / 1 | $14.501,90 | 58 / 1 | $12.511,40 | 58 / 1 |
Nonspecific Cerebrovascular Disorders W Mcc | 13 | 38 / 2 | $39.847,30 | 189 / 1 | $10.744,70 | 51 / 1 | $8.280,85 | 51 / 1 |
Peritoneal Adhesiolysis W/O Cc/Mcc | 13 | 11 / 1 | $37.590,50 | 24 / 1 | $11.018,80 | 21 / 1 | $8.763,77 | 21 / 1 |
Traumatic Stupor & Coma, Coma >1 Hr W Mcc | 13 | 14 / 1 | $44.251,80 | 12 / 1 | $13.557,70 | 7 / 1 | $11.211,90 | 7 / 1 |
Other Disorders Of Nervous System W Cc | 13 | 43 / 2 | $23.414,20 | 247 / 2 | $6.785,23 | 292 / 1 | $5.240,00 | 292 / 1 |
Other Digestive System O.R. Procedures W Cc | 13 | 14 / 1 | $64.045,00 | 57 / 2 | $16.279,20 | 38 / 2 | $13.253,00 | 38 / 2 |
Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim | 12 | 17 / 1 | $47.151,80 | 18 / 1 | $14.738,80 | 17 / 1 | $12.584,80 | 17 / 1 |
Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Mcc | 12 | 15 / 2 | $67.855,50 | 26 / 1 | $21.861,50 | 13 / 1 | $17.767,80 | 13 / 1 |
Other Digestive System O.R. Procedures W Mcc | 12 | 17 / 2 | $101.912,00 | 52 / 2 | $29.980,80 | 64 / 2 | $26.390,80 | 64 / 2 |
Extracranial Procedures W Mcc | 12 | 11 / 1 | $73.269,90 | 12 / 1 | $20.764,40 | 14 / 1 | $17.626,20 | 14 / 1 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 12 | 20 / 1 | $47.351,30 | 60 / 1 | $16.159,70 | 65 / 1 | $14.137,40 | 65 / 1 |
Headaches W/O Mcc | 12 | 31 / 2 | $14.795,10 | 44 / 2 | $5.408,33 | 79 / 1 | $3.404,33 | 79 / 1 |
Pleural Effusion W Cc | 12 | 16 / 1 | $22.794,50 | 28 / 1 | $7.837,42 | 46 / 1 | $6.558,50 | 46 / 1 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 12 | 19 / 1 | $29.489,90 | 66 / 2 | $8.800,67 | 80 / 1 | $6.886,42 | 80 / 1 |
Coagulation Disorders | 11 | 16 / 2 | $32.966,90 | 15 / 1 | $12.431,80 | 35 / 1 | $10.838,90 | 35 / 1 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Mcc | 11 | 23 / 1 | $53.871,90 | 19 / 1 | $19.779,40 | 4 / 1 | $14.393,50 | 4 / 1 |
Lymphoma & Non-Acute Leukemia W Cc | 11 | 25 / 1 | $33.614,70 | 29 / 1 | $11.506,90 | 36 / 1 | $9.425,73 | 36 / 1 |
Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 3 | $27.002,90 | 221 / 4 | $7.262,91 | 135 / 4 | $4.474,18 | 135 / 4 |
Other Skin, Subcut Tiss & Breast Proc W Cc | 11 | 13 / 2 | $28.060,70 | 12 / 2 | $9.880,91 | 5 / 1 | $6.837,82 | 5 / 1 |
Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 11 | 16 / 1 | $19.400,50 | 6 / 1 | $6.599,82 | 5 / 1 | $4.842,64 | 5 / 1 |
Limb Reattachment, Hip & Femur Proc For Multiple Significant Trauma | 11 | 11 / 2 | $78.500,50 | 14 / 1 | $24.015,30 | 13 / 1 | $21.421,20 | 13 / 1 |
Disorders Of The Biliary Tract W Mcc | 11 | 28 / 2 | $36.892,20 | 81 / 1 | $12.566,40 | 83 / 1 | $9.816,18 | 83 / 1 |
Cardiac Defib Implant W Cardiac Cath W Ami/Hf/Shock W Mcc | 11 | 5 / 1 | $143.685,00 | 1 / 1 | $56.337,70 | 1 / 1 | $49.724,10 | 1 / 1 |
Cardiac Defib Implant W Cardiac Cath W/O Ami/Hf/Shock W/O Mcc | 11 | 5 / 1 | $69.773,00 | 1 / 1 | $35.347,90 | 3 / 1 | $33.527,30 | 3 / 1 |
Acute Adjustment Reaction & Psychosocial Dysfunction | 11 | 19 / 1 | $23.865,30 | 56 / 1 | $5.293,00 | 15 / 1 | $3.286,00 | 15 / 1 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 11 | 18 / 1 | $14.851,60 | 43 / 1 | $4.963,82 | 52 / 1 | $3.828,45 | 52 / 1 |
Other Cardiothoracic Procedures W Cc | 11 | 11 / 1 | $120.780,00 | 13 / 1 | $29.770,50 | 13 / 1 | $26.457,30 | 13 / 1 |
Inflammation Of The Male Reproductive System W/O Mcc | 11 | 7 / 1 | $18.408,60 | 8 / 1 | $5.510,09 | 1 / 1 | $2.961,18 | 1 / 1 |
Angina Pectoris | 11 | 14 / 1 | $12.570,70 | 8 / 1 | $4.166,09 | 25 / 1 | $2.980,45 | 25 / 1 |
Kidney & Ureter Procedures For Non-Neoplasm W/O Cc/Mcc | 11 | 14 / 1 | $33.843,80 | 13 / 1 | $8.427,00 | 5 / 1 | $6.992,00 | 5 / 1 |
Digestive Malignancy W Mcc | 11 | 26 / 1 | $48.446,50 | 65 / 1 | $15.065,30 | 41 / 1 | $12.402,20 | 41 / 1 | Total 230 procedures | 11.876 | 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.