Hospital Costs > In Texas > Christus Santa Rosa Hospital, 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 | 363 | 162 / 17 | $50.480,60 | 1803 / 103 | $13.922,30 | 1788 / 184 | $11.710,90 | 1753 / 165 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 212 | 352 / 35 | $68.167,30 | 1945 / 125 | $15.350,50 | 1853 / 172 | $13.020,40 | 1812 / 197 |
Renal Failure W Cc | 179 | 50 / 7 | $26.831,40 | 1536 / 74 | $8.146,50 | 1808 / 163 | $6.433,24 | 1798 / 160 |
Kidney & Urinary Tract Infections W/O Mcc | 149 | 85 / 11 | $21.300,20 | 1706 / 100 | $6.854,27 | 2134 / 201 | $5.273,19 | 2123 / 192 |
Simple Pneumonia & Pleurisy W Cc | 143 | 61 / 9 | $26.407,00 | 1732 / 84 | $8.256,77 | 2143 / 194 | $6.476,38 | 2135 / 191 |
Simple Pneumonia & Pleurisy W Mcc | 132 | 73 / 13 | $36.546,50 | 1435 / 63 | $11.238,40 | 1755 / 162 | $9.251,74 | 1755 / 157 |
Renal Failure W Mcc | 121 | 75 / 12 | $36.439,90 | 1123 / 57 | $11.496,60 | 1303 / 130 | $9.664,56 | 1303 / 124 |
Heart Failure & Shock W Mcc | 119 | 165 / 30 | $41.642,70 | 1731 / 97 | $11.244,00 | 1780 / 167 | $9.661,02 | 1775 / 159 |
Heart Failure & Shock W Cc | 113 | 165 / 23 | $24.949,50 | 1665 / 78 | $8.122,71 | 2032 / 187 | $6.583,89 | 2027 / 181 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 112 | 95 / 10 | $26.691,70 | 1399 / 69 | $8.714,57 | 1862 / 172 | $6.956,81 | 1854 / 165 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 110 | 165 / 24 | $25.600,00 | 1927 / 116 | $6.755,27 | 2174 / 185 | $5.180,70 | 2160 / 182 |
Cellulitis W/O Mcc | 97 | 92 / 11 | $22.783,90 | 1706 / 92 | $7.343,46 | 2006 / 177 | $5.567,72 | 1998 / 178 |
Chronic Obstructive Pulmonary Disease W Mcc | 88 | 114 / 19 | $32.111,60 | 1598 / 73 | $9.253,19 | 1789 / 166 | $7.416,02 | 1781 / 156 |
G.I. Hemorrhage W Cc | 87 | 131 / 19 | $26.426,40 | 1324 / 45 | $8.238,60 | 1778 / 149 | $6.565,86 | 1774 / 143 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 81 | 85 / 15 | $19.517,60 | 1508 / 70 | $6.296,59 | 1991 / 180 | $4.867,93 | 1983 / 177 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 80 | 45 / 7 | $48.017,30 | 1084 / 47 | $12.702,00 | 1220 / 100 | $11.087,50 | 1211 / 102 |
Hip & Femur Procedures Except Major Joint W Cc | 76 | 67 / 16 | $57.040,20 | 1277 / 66 | $13.696,40 | 1301 / 123 | $11.975,80 | 1284 / 118 |
Pulmonary Edema & Respiratory Failure | 71 | 132 / 19 | $38.910,10 | 1465 / 65 | $9.803,70 | 1560 / 137 | $7.986,30 | 1555 / 132 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 67 | 59 / 17 | $30.318,10 | 974 / 53 | $8.881,37 | 1186 / 113 | $7.611,15 | 1183 / 112 |
G.I. Obstruction W Cc | 66 | 26 / 5 | $24.312,50 | 949 / 28 | $7.630,14 | 1370 / 96 | $6.108,98 | 1365 / 99 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 64 | 86 / 10 | $16.818,60 | 1182 / 46 | $5.450,48 | 1635 / 130 | $3.841,91 | 1629 / 124 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 64 | 60 / 11 | $128.107,00 | 812 / 41 | $34.487,60 | 726 / 68 | $31.702,30 | 720 / 74 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 58 | 73 / 16 | $63.084,70 | 981 / 52 | $16.349,60 | 1089 / 110 | $14.514,60 | 1079 / 110 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 58 | 65 / 12 | $29.063,00 | 908 / 34 | $9.486,16 | 1291 / 113 | $7.889,55 | 1288 / 109 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 57 | 139 / 23 | $86.884,70 | 1003 / 76 | $14.667,40 | 1026 / 82 | $12.709,30 | 1019 / 117 |
Heart Failure & Shock W/O Cc/Mcc | 57 | 53 / 7 | $18.043,60 | 1151 / 45 | $6.190,67 | 1671 / 144 | $4.952,91 | 1658 / 140 |
G.I. Obstruction W/O Cc/Mcc | 54 | 17 / 3 | $18.725,70 | 766 / 37 | $5.839,59 | 1101 / 81 | $4.307,04 | 1098 / 85 |
Chronic Obstructive Pulmonary Disease W Cc | 54 | 125 / 25 | $28.024,90 | 1623 / 74 | $7.550,83 | 1712 / 144 | $5.899,96 | 1705 / 140 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 54 | 39 / 7 | $23.363,00 | 1382 / 82 | $6.494,85 | 1616 / 152 | $4.780,44 | 1608 / 143 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 53 | 135 / 25 | $47.337,40 | 1129 / 75 | $9.232,96 | 1143 / 111 | $6.830,21 | 1140 / 110 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 52 | 109 / 22 | $21.033,00 | 1131 / 42 | $6.933,02 | 1670 / 143 | $5.383,85 | 1665 / 139 |
Red Blood Cell Disorders W/O Mcc | 52 | 91 / 18 | $21.527,60 | 1027 / 45 | $7.108,88 | 1380 / 137 | $5.161,65 | 1371 / 126 |
Acute Myocardial Infarction, Discharged Alive W Cc | 51 | 40 / 7 | $33.745,80 | 872 / 35 | $8.615,61 | 1046 / 76 | $6.864,12 | 1044 / 76 |
Kidney & Urinary Tract Infections W Mcc | 44 | 100 / 33 | $27.812,30 | 1089 / 49 | $9.157,77 | 1446 / 134 | $7.464,20 | 1442 / 127 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 43 | 57 / 7 | $112.034,00 | 610 / 42 | $22.789,80 | 614 / 59 | $20.966,90 | 610 / 69 |
Major Small & Large Bowel Procedures W Cc | 43 | 65 / 14 | $65.827,90 | 765 / 35 | $17.549,80 | 867 / 66 | $15.060,30 | 859 / 74 |
Extracranial Procedures W/O Cc/Mcc | 41 | 57 / 14 | $28.401,60 | 392 / 22 | $8.161,00 | 740 / 63 | $6.895,41 | 737 / 69 |
Respiratory Infections & Inflammations W Mcc | 40 | 96 / 25 | $59.171,60 | 1250 / 69 | $16.001,30 | 1142 / 121 | $12.242,00 | 1128 / 100 |
Diabetes W Cc | 39 | 53 / 13 | $22.876,30 | 876 / 34 | $7.141,10 | 1146 / 97 | $5.543,38 | 1141 / 89 |
Other Digestive System Diagnoses W Cc | 39 | 58 / 11 | $29.541,30 | 846 / 40 | $8.270,95 | 1040 / 75 | $6.635,18 | 1036 / 76 |
G.I. Hemorrhage W Mcc | 39 | 82 / 20 | $42.995,10 | 804 / 31 | $12.528,90 | 885 / 85 | $10.799,60 | 880 / 76 |
Major Cardiovasc Procedures W/O Mcc | 33 | 68 / 18 | $112.880,00 | 695 / 42 | $24.371,80 | 533 / 56 | $20.641,00 | 533 / 57 |
Chest Pain | 33 | 118 / 34 | $22.847,30 | 1109 / 47 | $5.737,39 | 1337 / 110 | $4.400,82 | 1330 / 110 |
Respiratory Infections & Inflammations W Cc | 31 | 57 / 15 | $49.386,60 | 1143 / 72 | $11.316,90 | 992 / 109 | $8.642,45 | 987 / 98 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 31 | 151 / 53 | $29.755,60 | 1138 / 42 | $8.386,81 | 1490 / 118 | $6.845,81 | 1487 / 120 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 27 | $26.605,40 | 972 / 38 | $6.511,62 | 1249 / 85 | $5.014,34 | 1245 / 94 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 29 | 63 / 17 | $147.479,00 | 508 / 31 | $40.837,50 | 451 / 58 | $35.889,40 | 450 / 58 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 27 | $22.004,30 | 1406 / 65 | $6.627,48 | 1629 / 139 | $4.715,72 | 1618 / 132 |
Syncope & Collapse | 28 | 141 / 38 | $24.289,10 | 1184 / 43 | $6.680,82 | 1453 / 122 | $5.022,04 | 1446 / 115 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 27 | 44 / 16 | $148.090,00 | 547 / 29 | $34.007,60 | 284 / 47 | $28.994,00 | 284 / 33 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 27 | 13 / 4 | $64.071,50 | 200 / 7 | $17.458,90 | 281 / 25 | $15.644,40 | 280 / 29 |
Pulmonary Embolism W/O Mcc | 26 | 48 / 11 | $32.374,70 | 901 / 36 | $8.147,12 | 944 / 59 | $6.295,00 | 941 / 63 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 26 | 37 / 11 | $129.032,00 | 385 / 19 | $33.141,70 | 264 / 38 | $28.284,30 | 264 / 29 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 26 | 70 / 29 | $30.098,00 | 639 / 19 | $9.396,08 | 987 / 78 | $8.113,00 | 982 / 82 |
Other Circulatory System Diagnoses W Mcc | 26 | 90 / 31 | $49.467,40 | 729 / 43 | $13.994,00 | 551 / 81 | $10.944,00 | 549 / 55 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 25 | 31 / 11 | $49.739,50 | 456 / 21 | $12.210,60 | 559 / 58 | $9.917,16 | 557 / 56 |
Major Small & Large Bowel Procedures W Mcc | 24 | 61 / 20 | $122.696,00 | 589 / 27 | $32.030,80 | 316 / 44 | $27.621,80 | 314 / 33 |
Other Vascular Procedures W Cc | 24 | 78 / 30 | $101.112,00 | 853 / 64 | $21.670,60 | 969 / 89 | $20.072,80 | 964 / 90 |
Coronary Bypass W Cardiac Cath W/O Mcc | 24 | 52 / 13 | $183.607,00 | 464 / 30 | $33.949,00 | 400 / 37 | $28.852,00 | 400 / 39 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 24 | 64 / 14 | $150.254,00 | 470 / 36 | $26.434,00 | 375 / 36 | $23.051,80 | 374 / 39 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 24 | 29 / 7 | $30.905,80 | 592 / 22 | $6.631,62 | 633 / 38 | $4.886,25 | 629 / 37 |
Permanent Cardiac Pacemaker Implant W Cc | 24 | 53 / 16 | $74.023,80 | 550 / 31 | $17.992,20 | 573 / 54 | $16.479,20 | 572 / 60 |
Cellulitis W Mcc | 23 | 35 / 12 | $33.263,90 | 444 / 19 | $10.831,10 | 602 / 51 | $9.364,61 | 600 / 59 |
Red Blood Cell Disorders W Mcc | 23 | 48 / 16 | $36.584,00 | 619 / 38 | $10.230,90 | 722 / 72 | $8.440,39 | 718 / 72 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 22 | 48 / 13 | $24.508,50 | 277 / 26 | $7.617,36 | 321 / 44 | $6.117,05 | 321 / 41 |
Disorders Of The Biliary Tract W Mcc | 22 | 17 / 3 | $38.413,00 | 91 / 2 | $12.000,60 | 82 / 8 | $9.779,55 | 82 / 6 |
Other Kidney & Urinary Tract Diagnoses W Cc | 22 | 81 / 16 | $28.342,50 | 486 / 15 | $8.658,36 | 654 / 38 | $7.380,64 | 654 / 43 |
Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 21 | $26.672,70 | 630 / 28 | $7.487,10 | 755 / 72 | $5.718,14 | 751 / 71 |
Other Resp System O.R. Procedures W Mcc | 20 | 43 / 10 | $94.933,90 | 315 / 17 | $25.098,30 | 300 / 33 | $22.513,20 | 299 / 32 |
Disorders Of Pancreas Except Malignancy W Cc | 19 | 42 / 12 | $23.653,70 | 427 / 13 | $7.822,05 | 645 / 46 | $5.830,00 | 642 / 46 |
Seizures W Mcc | 19 | 47 / 15 | $40.412,50 | 361 / 15 | $11.638,30 | 474 / 46 | $10.254,40 | 474 / 50 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 17 | $98.665,70 | 642 / 27 | $21.667,80 | 515 / 40 | $19.478,30 | 512 / 41 |
Kidney Transplant | 18 | 83 / 16 | $179.204,00 | 72 / 3 | $27.916,70 | 11 / 6 | $17.276,80 | 11 / 2 |
Peripheral Vascular Disorders W Cc | 18 | 66 / 24 | $28.218,10 | 754 / 37 | $8.019,22 | 779 / 72 | $6.107,67 | 776 / 63 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 18 | 37 / 14 | $60.245,10 | 360 / 17 | $14.085,70 | 406 / 26 | $12.387,60 | 403 / 33 |
Transient Ischemia | 18 | 107 / 45 | $21.721,80 | 785 / 20 | $6.344,50 | 1282 / 98 | $4.778,33 | 1276 / 97 |
Other Vascular Procedures W Mcc | 18 | 79 / 33 | $89.742,90 | 489 / 31 | $21.187,50 | 322 / 52 | $18.959,40 | 321 / 41 |
G.I. Hemorrhage W/O Cc/Mcc | 18 | 50 / 14 | $23.669,80 | 675 / 42 | $6.421,28 | 786 / 75 | $4.807,11 | 782 / 69 |
Seizures W/O Mcc | 17 | 91 / 30 | $23.777,90 | 728 / 23 | $6.754,18 | 960 / 74 | $5.352,06 | 958 / 73 |
Permanent Cardiac Pacemaker Implant W Mcc | 17 | 35 / 11 | $98.277,60 | 315 / 15 | $24.462,60 | 299 / 25 | $22.595,10 | 299 / 26 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 56 | $41.897,60 | 747 / 18 | $12.239,90 | 905 / 77 | $10.651,10 | 903 / 71 |
Renal Failure W/O Cc/Mcc | 17 | 39 / 16 | $19.942,10 | 557 / 30 | $5.884,35 | 687 / 60 | $4.405,24 | 685 / 60 |
Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 12 | $18.528,50 | 460 / 15 | $6.344,18 | 741 / 55 | $4.824,76 | 740 / 56 |
G.I. Obstruction W Mcc | 17 | 25 / 9 | $41.126,20 | 264 / 10 | $11.932,40 | 300 / 20 | $10.220,40 | 300 / 20 |
Signs & Symptoms W/O Mcc | 17 | 74 / 25 | $21.570,10 | 734 / 22 | $6.409,94 | 975 / 74 | $4.831,76 | 972 / 72 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 18 | $30.239,70 | 652 / 24 | $9.338,65 | 683 / 59 | $7.274,82 | 681 / 56 |
Revision Of Hip Or Knee Replacement W Cc | 16 | 70 / 19 | $94.263,40 | 413 / 14 | $25.352,10 | 312 / 34 | $19.500,50 | 311 / 28 |
Spinal Fusion Except Cervical W/O Mcc | 16 | 178 / 57 | $141.038,00 | 1069 / 87 | $30.567,60 | 643 / 98 | $22.749,10 | 639 / 74 |
Pleural Effusion W Mcc | 16 | 14 / 6 | $34.420,60 | 72 / 2 | $11.279,00 | 125 / 11 | $10.063,00 | 125 / 13 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 22 | $53.677,30 | 382 / 12 | $14.631,40 | 495 / 40 | $12.895,60 | 489 / 47 |
Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 23 | $37.912,70 | 534 / 22 | $10.575,70 | 597 / 46 | $9.080,07 | 595 / 46 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 16 | $26.113,70 | 682 / 20 | $6.166,67 | 620 / 36 | $4.301,67 | 619 / 33 |
Hypertension W/O Mcc | 14 | 51 / 19 | $20.872,30 | 437 / 23 | $5.831,71 | 580 / 59 | $4.258,29 | 578 / 55 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 14 | 33 / 12 | $47.483,40 | 292 / 13 | $11.193,30 | 368 / 20 | $9.541,64 | 368 / 24 |
Major Cardiovasc Procedures W Mcc | 14 | 54 / 19 | $173.586,00 | 440 / 24 | $36.155,50 | 325 / 28 | $33.479,10 | 325 / 34 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 19 | $49.381,80 | 561 / 40 | $11.841,80 | 645 / 67 | $10.133,70 | 642 / 68 |
Other Digestive System Diagnoses W Mcc | 14 | 48 / 16 | $30.568,80 | 168 / 4 | $11.825,90 | 211 / 36 | $9.516,36 | 211 / 23 |
Bronchitis & Asthma W/O Cc/Mcc | 14 | 31 / 10 | $22.221,90 | 241 / 15 | $6.748,71 | 232 / 35 | $3.892,79 | 232 / 27 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 14 | 55 / 16 | $88.051,70 | 373 / 17 | $21.550,90 | 265 / 24 | $15.486,00 | 264 / 22 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 14 | 24 / 7 | $24.466,90 | 327 / 20 | $6.626,50 | 319 / 34 | $4.051,71 | 318 / 29 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 17 | $22.055,20 | 297 / 6 | $7.411,23 | 500 / 35 | $6.083,54 | 500 / 37 |
Major Bladder Procedures W Cc | 13 | 25 / 4 | $116.462,00 | 52 / 5 | $21.262,10 | 11 / 4 | $16.985,80 | 11 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 14 | $40.032,20 | 309 / 26 | $10.310,00 | 389 / 52 | $7.222,08 | 388 / 44 |
Disorders Of Pancreas Except Malignancy W Mcc | 13 | 33 / 12 | $59.570,50 | 259 / 15 | $16.652,20 | 281 / 23 | $14.245,60 | 281 / 24 |
Pulmonary Embolism W Mcc | 13 | 30 / 11 | $39.771,30 | 319 / 11 | $10.891,80 | 363 / 21 | $9.385,77 | 363 / 24 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 13 | 23 / 10 | $69.125,20 | 209 / 16 | $18.595,80 | 258 / 20 | $16.604,20 | 257 / 25 |
Other Circulatory System Diagnoses W Cc | 13 | 53 / 18 | $24.225,50 | 284 / 9 | $7.824,62 | 476 / 28 | $6.589,15 | 475 / 33 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 10 | $36.301,20 | 288 / 16 | $9.605,58 | 281 / 25 | $7.813,75 | 281 / 30 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 15 | $20.559,80 | 395 / 10 | $6.811,67 | 607 / 32 | $5.100,25 | 605 / 33 |
Respiratory Neoplasms W Cc | 12 | 35 / 10 | $52.494,40 | 411 / 16 | $10.759,20 | 379 / 20 | $8.741,00 | 378 / 22 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 29 | $38.038,30 | 591 / 15 | $11.366,30 | 693 / 35 | $10.118,80 | 691 / 37 |
Other Kidney & Urinary Tract Procedures W Mcc | 12 | 26 / 13 | $80.827,90 | 109 / 9 | $24.961,20 | 106 / 22 | $20.107,50 | 105 / 19 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 21 | $31.079,50 | 154 / 3 | $13.071,30 | 343 / 25 | $11.603,30 | 342 / 27 |
Peripheral Vascular Disorders W Mcc | 12 | 37 / 15 | $40.336,50 | 357 / 23 | $13.726,00 | 269 / 44 | $8.177,33 | 269 / 31 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 14 | $65.026,40 | 462 / 20 | $14.818,10 | 462 / 29 | $13.305,20 | 461 / 34 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 20 | $27.010,60 | 68 / 4 | $12.204,20 | 168 / 24 | $10.736,40 | 168 / 25 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 12 | 22 / 8 | $123.000,00 | 115 / 9 | $32.520,30 | 102 / 16 | $28.948,00 | 102 / 15 |
Diabetes W Mcc | 12 | 45 / 24 | $35.840,00 | 394 / 18 | $10.640,00 | 425 / 43 | $8.891,67 | 425 / 36 |
Extracranial Procedures W Cc | 12 | 34 / 15 | $32.676,80 | 103 / 1 | $11.343,20 | 136 / 19 | $8.558,92 | 136 / 14 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 20 | $57.062,20 | 548 / 38 | $12.042,50 | 486 / 39 | $9.823,00 | 486 / 45 |
Organic Disturbances & Mental Retardation | 11 | 48 / 16 | $24.757,30 | 269 / 6 | $8.222,82 | 364 / 17 | $6.938,27 | 364 / 17 |
Respiratory Neoplasms W Mcc | 11 | 41 / 15 | $35.987,10 | 189 / 3 | $12.530,00 | 378 / 25 | $10.906,10 | 377 / 27 |
Other Circulatory System O.R. Procedures | 11 | 44 / 17 | $106.350,00 | 341 / 28 | $23.242,20 | 331 / 34 | $20.718,40 | 331 / 35 |
Peritoneal Adhesiolysis W Mcc | 11 | 12 / 5 | $97.273,10 | 17 / 1 | $26.472,50 | 19 / 3 | $23.842,00 | 19 / 3 |
Peritoneal Adhesiolysis W Cc | 11 | 28 / 10 | $60.323,70 | 141 / 6 | $16.814,00 | 168 / 9 | $14.634,00 | 168 / 15 |
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 11 | 21 / 4 | $48.608,00 | 105 / 7 | $9.358,91 | 86 / 5 | $7.633,00 | 86 / 7 |
Major Male Pelvic Procedures W/O Cc/Mcc | 11 | 62 / 17 | $36.381,20 | 152 / 6 | $9.752,55 | 182 / 16 | $6.799,82 | 182 / 15 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 30 | $80.624,50 | 536 / 25 | $22.404,20 | 266 / 57 | $16.334,80 | 264 / 22 |
Medical Back Problems W/O Mcc | 11 | 110 / 39 | $21.190,60 | 616 / 14 | $7.374,36 | 1100 / 89 | $5.572,36 | 1096 / 85 |
Endocrine Disorders W Cc | 11 | 27 / 9 | $33.773,90 | 207 / 9 | $8.753,18 | 195 / 13 | $7.011,00 | 195 / 15 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 11 | 34 / 10 | $48.259,60 | 78 / 6 | $13.683,30 | 85 / 9 | $12.025,30 | 85 / 12 |
Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 15 | $33.531,60 | 137 / 3 | $12.050,70 | 232 / 22 | $10.600,90 | 232 / 20 | Total 132 procedures | 5.129 | 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.