Hospital Costs > In Texas > Christus St Michael Health System, 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 | 504 | 77 / 7 | $49.593,00 | 1770 / 102 | $10.034,60 | 163 / 5 | $8.845,78 | 163 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 269 | 297 / 24 | $58.251,40 | 1633 / 103 | $12.071,20 | 328 / 20 | $10.023,80 | 327 / 47 |
| Heart Failure & Shock W Mcc | 174 | 110 / 11 | $41.027,50 | 1702 / 91 | $8.299,53 | 262 / 14 | $7.351,93 | 262 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 153 | 54 / 6 | $30.250,70 | 1631 / 87 | $5.992,52 | 160 / 9 | $4.782,61 | 160 / 14 |
| Heart Failure & Shock W Cc | 145 | 133 / 18 | $26.633,60 | 1788 / 91 | $5.596,79 | 315 / 17 | $4.699,20 | 315 / 25 |
| Chronic Obstructive Pulmonary Disease W Mcc | 127 | 75 / 8 | $36.513,70 | 1814 / 107 | $6.491,42 | 334 / 9 | $5.597,50 | 333 / 22 |
| G.I. Hemorrhage W Cc | 107 | 111 / 14 | $33.349,50 | 1732 / 98 | $5.823,32 | 185 / 23 | $4.540,23 | 185 / 14 |
| Renal Failure W Cc | 96 | 125 / 25 | $28.591,40 | 1639 / 90 | $5.412,55 | 377 / 16 | $4.629,62 | 374 / 33 |
| Simple Pneumonia & Pleurisy W Cc | 94 | 109 / 21 | $28.883,10 | 1893 / 102 | $5.509,67 | 416 / 12 | $4.579,39 | 413 / 31 |
| Simple Pneumonia & Pleurisy W Mcc | 93 | 112 / 19 | $45.955,90 | 1788 / 104 | $8.526,73 | 205 / 46 | $6.843,27 | 205 / 12 |
| Chronic Obstructive Pulmonary Disease W Cc | 92 | 87 / 8 | $28.012,60 | 1621 / 73 | $5.305,30 | 298 / 13 | $4.315,48 | 297 / 27 |
| Cellulitis W/O Mcc | 87 | 102 / 14 | $22.954,60 | 1729 / 95 | $5.202,56 | 223 / 52 | $3.594,08 | 221 / 17 |
| Hip & Femur Procedures Except Major Joint W Cc | 84 | 59 / 15 | $48.189,80 | 977 / 35 | $10.270,80 | 109 / 1 | $9.248,06 | 108 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 82 | 193 / 42 | $25.194,20 | 1898 / 113 | $4.457,24 | 420 / 19 | $3.338,65 | 418 / 39 |
| Renal Failure W Mcc | 81 | 114 / 27 | $38.899,60 | 1238 / 71 | $8.294,96 | 253 / 6 | $7.631,04 | 253 / 22 |
| Pulmonary Edema & Respiratory Failure | 81 | 122 / 15 | $38.999,90 | 1471 / 66 | $6.743,30 | 247 / 4 | $6.014,91 | 247 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 76 | 106 / 23 | $32.232,10 | 1254 / 54 | $5.998,80 | 188 / 9 | $4.811,96 | 188 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 67 | 94 / 16 | $24.655,50 | 1385 / 69 | $4.610,09 | 476 / 17 | $3.800,69 | 475 / 40 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 65 | 60 / 12 | $52.638,20 | 1197 / 56 | $9.916,43 | 419 / 27 | $8.810,58 | 419 / 27 |
| Kidney & Urinary Tract Infections W/O Mcc | 62 | 171 / 53 | $21.609,50 | 1734 / 101 | $4.430,39 | 399 / 21 | $3.542,37 | 399 / 33 |
| Kidney & Urinary Tract Infections W Mcc | 59 | 85 / 21 | $27.969,80 | 1098 / 52 | $6.217,12 | 127 / 15 | $5.098,83 | 127 / 8 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 57 | 74 / 17 | $71.168,60 | 1158 / 69 | $12.399,60 | 184 / 7 | $11.496,50 | 183 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 55 | 113 / 25 | $46.229,40 | 860 / 27 | $9.058,53 | 85 / 4 | $8.039,07 | 85 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 55 | 68 / 15 | $34.147,70 | 1133 / 49 | $7.109,56 | 173 / 25 | $5.792,62 | 173 / 10 |
| Respiratory Infections & Inflammations W Mcc | 55 | 81 / 14 | $47.866,60 | 1021 / 48 | $10.249,30 | 107 / 5 | $9.405,55 | 107 / 8 |
| Spinal Fusion Except Cervical W/O Mcc | 54 | 140 / 31 | $132.680,00 | 1018 / 82 | $22.613,20 | 137 / 17 | $19.366,00 | 136 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 50 | 116 / 37 | $20.886,40 | 1636 / 83 | $4.128,90 | 285 / 20 | $3.110,00 | 285 / 25 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 50 | 74 / 19 | $134.390,00 | 877 / 49 | $28.772,30 | 288 / 15 | $27.878,60 | 288 / 26 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 48 | 43 / 8 | $32.445,90 | 832 / 30 | $6.039,96 | 72 / 7 | $4.596,48 | 72 / 5 |
| G.I. Obstruction W Cc | 47 | 45 / 10 | $36.100,80 | 1374 / 75 | $5.040,30 | 280 / 10 | $4.170,32 | 279 / 21 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 45 | 44 / 6 | $25.678,10 | 208 / 8 | $6.300,36 | 60 / 6 | $4.564,89 | 60 / 14 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 44 | 152 / 32 | $69.239,80 | 663 / 33 | $11.538,80 | 60 / 6 | $9.154,57 | 60 / 10 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 44 | 76 / 13 | $25.375,90 | 1555 / 83 | $4.258,05 | 259 / 18 | $3.099,70 | 259 / 16 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 42 | 54 / 5 | $65.419,40 | 537 / 28 | $11.989,50 | 153 / 4 | $10.800,30 | 151 / 17 |
| G.I. Hemorrhage W Mcc | 39 | 82 / 20 | $45.248,20 | 872 / 37 | $9.451,69 | 174 / 6 | $8.788,97 | 174 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 37 | 89 / 39 | $24.337,90 | 662 / 22 | $6.234,43 | 116 / 11 | $5.334,08 | 115 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 35 | 67 / 22 | $24.500,80 | 877 / 28 | $4.392,54 | 361 / 9 | $3.443,00 | 358 / 22 |
| Cervical Spinal Fusion W/O Cc/Mcc | 35 | 69 / 17 | $70.807,30 | 587 / 40 | $12.512,20 | 129 / 6 | $10.572,50 | 129 / 22 |
| Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 22 | $20.787,40 | 1341 / 64 | $3.838,38 | 280 / 10 | $3.071,44 | 278 / 17 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 33 | 43 / 7 | $145.029,00 | 336 / 11 | $25.747,30 | 6 / 4 | $19.776,20 | 6 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 32 | 64 / 23 | $31.551,10 | 696 / 24 | $6.649,16 | 47 / 2 | $5.442,84 | 47 / 1 |
| Respiratory Infections & Inflammations W Cc | 32 | 56 / 14 | $31.551,10 | 737 / 30 | $7.122,06 | 71 / 3 | $6.371,28 | 71 / 5 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 32 | 60 / 14 | $173.715,00 | 651 / 41 | $31.275,80 | 111 / 6 | $30.201,30 | 111 / 12 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 42 | $38.086,80 | 880 / 42 | $6.334,81 | 72 / 16 | $4.670,34 | 72 / 8 |
| Major Small & Large Bowel Procedures W Cc | 29 | 79 / 22 | $55.162,40 | 532 / 16 | $16.122,90 | 155 / 43 | $12.244,70 | 154 / 17 |
| Pulmonary Embolism W/O Mcc | 29 | 45 / 9 | $31.014,70 | 865 / 29 | $5.425,41 | 185 / 2 | $4.560,10 | 185 / 14 |
| Hip & Femur Procedures Except Major Joint W Mcc | 28 | 34 / 14 | $68.199,60 | 394 / 10 | $14.647,20 | 15 / 1 | $13.694,40 | 15 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 28 | 122 / 37 | $21.050,30 | 1455 / 75 | $3.389,50 | 324 / 14 | $2.292,96 | 322 / 27 |
| Diabetes W Cc | 28 | 64 / 23 | $24.652,50 | 979 / 45 | $5.183,86 | 268 / 25 | $3.947,39 | 268 / 15 |
| Other Digestive System Diagnoses W Cc | 27 | 70 / 17 | $30.024,60 | 865 / 41 | $5.834,00 | 127 / 16 | $4.485,67 | 126 / 7 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 27 | 29 / 8 | $41.269,90 | 437 / 27 | $8.702,96 | 74 / 1 | $7.559,07 | 74 / 7 |
| Peripheral Vascular Disorders W Cc | 27 | 57 / 16 | $24.772,70 | 637 / 25 | $5.351,81 | 125 / 5 | $4.471,59 | 125 / 9 |
| Major Small & Large Bowel Procedures W Mcc | 26 | 59 / 18 | $94.805,10 | 342 / 8 | $26.008,40 | 8 / 6 | $20.924,10 | 8 / 2 |
| Medical Back Problems W/O Mcc | 26 | 95 / 24 | $28.706,40 | 967 / 51 | $4.956,58 | 158 / 9 | $3.672,58 | 158 / 10 |
| Transient Ischemia | 25 | 100 / 38 | $28.297,20 | 1121 / 51 | $4.119,84 | 283 / 10 | $3.132,76 | 283 / 18 |
| G.I. Obstruction W/O Cc/Mcc | 24 | 47 / 14 | $17.650,10 | 705 / 30 | $3.740,79 | 228 / 13 | $2.581,42 | 228 / 19 |
| Major Cardiovasc Procedures W/O Mcc | 24 | 77 / 25 | $79.721,00 | 372 / 14 | $17.774,00 | 66 / 1 | $16.538,40 | 66 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 22 | $103.399,00 | 528 / 32 | $18.167,00 | 39 / 7 | $15.446,50 | 39 / 4 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 23 | 30 / 8 | $28.341,60 | 541 / 15 | $4.431,87 | 160 / 1 | $3.462,91 | 159 / 5 |
| Red Blood Cell Disorders W/O Mcc | 22 | 121 / 45 | $25.235,80 | 1265 / 72 | $4.652,86 | 343 / 15 | $3.807,09 | 342 / 33 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 32 | $21.267,30 | 1274 / 70 | $4.150,91 | 342 / 17 | $3.087,32 | 340 / 25 |
| Other Vascular Procedures W Cc | 22 | 80 / 32 | $49.133,50 | 192 / 7 | $12.869,80 | 28 / 1 | $12.017,60 | 28 / 5 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 22 | 44 / 13 | $40.473,50 | 171 / 7 | $10.502,00 | 75 / 4 | $9.163,91 | 75 / 8 |
| G.I. Hemorrhage W/O Cc/Mcc | 21 | 47 / 11 | $19.782,90 | 540 / 20 | $4.085,86 | 180 / 4 | $3.143,33 | 179 / 15 |
| Pulmonary Embolism W Mcc | 20 | 23 / 5 | $48.297,10 | 403 / 15 | $8.052,95 | 64 / 1 | $7.472,20 | 64 / 3 |
| Bronchitis & Asthma W Cc/Mcc | 20 | 56 / 22 | $30.340,70 | 716 / 43 | $5.030,25 | 84 / 8 | $3.753,15 | 84 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 19 | 46 / 16 | $80.659,50 | 491 / 17 | $18.818,90 | 24 / 13 | $14.348,10 | 24 / 1 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 19 | 53 / 19 | $53.219,80 | 750 / 38 | $8.313,95 | 109 / 11 | $6.864,89 | 109 / 7 |
| Extracranial Procedures W/O Cc/Mcc | 19 | 79 / 29 | $27.993,40 | 379 / 20 | $6.090,95 | 78 / 15 | $4.574,00 | 78 / 2 |
| Coronary Bypass W Cardiac Cath W Mcc | 18 | 38 / 11 | $226.744,00 | 287 / 26 | $37.990,80 | 29 / 2 | $33.757,30 | 29 / 4 |
| Seizures W/O Mcc | 18 | 90 / 29 | $25.978,70 | 813 / 31 | $4.335,94 | 314 / 3 | $3.777,17 | 312 / 24 |
| Respiratory Neoplasms W Mcc | 18 | 34 / 9 | $58.154,60 | 442 / 16 | $10.114,60 | 127 / 6 | $9.052,78 | 127 / 7 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 17 | 56 / 12 | $38.519,80 | 174 / 7 | $7.309,71 | 62 / 2 | $5.671,29 | 62 / 4 |
| Other Resp System O.R. Procedures W Cc | 17 | 30 / 7 | $51.119,50 | 166 / 8 | $10.743,00 | 53 / 2 | $9.984,12 | 53 / 7 |
| G.I. Obstruction W Mcc | 17 | 25 / 9 | $37.228,20 | 213 / 6 | $8.880,88 | 45 / 2 | $7.983,29 | 45 / 3 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 24 | $165.399,00 | 632 / 41 | $29.030,10 | 213 / 14 | $28.058,40 | 213 / 21 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 20 | $58.072,20 | 439 / 16 | $11.375,80 | 85 / 2 | $10.349,70 | 84 / 5 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 15 | $33.136,70 | 185 / 4 | $8.976,59 | 159 / 6 | $7.864,94 | 159 / 17 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 24 | $35.641,40 | 537 / 12 | $8.111,24 | 53 / 1 | $7.296,65 | 53 / 3 |
| Diabetes W Mcc | 16 | 41 / 20 | $46.585,10 | 527 / 33 | $7.574,62 | 53 / 3 | $6.632,25 | 53 / 4 |
| Syncope & Collapse | 16 | 153 / 49 | $24.247,70 | 1182 / 42 | $4.264,94 | 399 / 10 | $3.448,50 | 397 / 25 |
| Seizures W Mcc | 16 | 50 / 18 | $55.031,30 | 530 / 30 | $8.920,38 | 63 / 8 | $7.407,19 | 63 / 8 |
| Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 14 | $19.051,70 | 472 / 17 | $4.438,07 | 26 / 11 | $2.650,87 | 26 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 20 | $23.958,00 | 436 / 9 | $6.539,33 | 22 / 5 | $5.089,00 | 22 / 1 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 24 | $37.515,10 | 640 / 41 | $6.972,27 | 156 / 5 | $6.369,13 | 156 / 13 |
| Other Resp System O.R. Procedures W Mcc | 15 | 48 / 14 | $93.209,50 | 305 / 16 | $19.734,20 | 18 / 5 | $16.732,20 | 18 / 2 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 15 | 61 / 17 | $39.725,40 | 207 / 15 | $9.566,47 | 23 / 1 | $8.860,93 | 23 / 5 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 15 | 21 / 8 | $51.802,10 | 126 / 6 | $12.008,70 | 11 / 1 | $11.071,30 | 11 / 2 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 15 | 39 / 10 | $27.521,70 | 254 / 9 | $5.541,87 | 94 / 1 | $5.183,13 | 94 / 6 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 17 | $26.885,70 | 534 / 20 | $5.056,64 | 146 / 2 | $4.338,64 | 146 / 10 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 25 | $68.444,90 | 463 / 21 | $14.271,00 | 70 / 2 | $13.121,70 | 70 / 7 |
| Cellulitis W Mcc | 14 | 44 / 19 | $35.099,90 | 488 / 25 | $8.074,14 | 101 / 8 | $6.993,21 | 101 / 5 |
| Other Circulatory System Diagnoses W Mcc | 14 | 102 / 42 | $89.320,50 | 1210 / 92 | $14.483,40 | 479 / 84 | $10.678,10 | 478 / 42 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 22 | $46.039,60 | 390 / 16 | $9.051,79 | 97 / 3 | $7.814,86 | 97 / 6 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 21 | $27.359,40 | 326 / 29 | $5.256,36 | 12 / 2 | $3.917,79 | 12 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 19 | $44.540,40 | 365 / 16 | $9.819,50 | 41 / 2 | $9.210,36 | 41 / 3 |
| Peripheral Vascular Disorders W Mcc | 14 | 35 / 13 | $32.653,90 | 250 / 14 | $7.317,21 | 53 / 1 | $6.590,07 | 53 / 5 |
| Fractures Of Hip & Pelvis W Mcc | 13 | 8 / 4 | $33.886,20 | 36 / 3 | $6.889,38 | 5 / 1 | $5.833,15 | 5 / 1 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 20 | $18.211,10 | 498 / 24 | $3.693,62 | 151 / 5 | $2.831,69 | 150 / 11 |
| Major Chest Procedures W Cc | 12 | 62 / 15 | $73.676,10 | 290 / 7 | $15.126,80 | 47 / 6 | $12.515,00 | 47 / 2 |
| Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 17 | $25.482,80 | 232 / 5 | $5.256,75 | 25 / 1 | $4.331,92 | 25 / 2 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 12 | 20 / 9 | $37.229,40 | 30 / 1 | $12.182,80 | 9 / 1 | $11.526,90 | 9 / 2 |
| Other Circulatory System O.R. Procedures | 11 | 44 / 17 | $59.116,10 | 151 / 8 | $14.370,90 | 37 / 3 | $13.651,30 | 37 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 16 | $39.333,80 | 296 / 24 | $6.844,09 | 116 / 2 | $5.724,64 | 116 / 10 |
| Major Cardiovasc Procedures W Mcc | 11 | 57 / 22 | $115.713,00 | 189 / 9 | $29.253,60 | 4 / 6 | $21.029,80 | 4 / 1 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 11 | 31 / 19 | $30.911,10 | 65 / 1 | $9.353,91 | 19 / 1 | $8.657,64 | 19 / 2 |
| Cirrhosis & Alcoholic Hepatitis W Cc | 11 | 15 / 6 | $23.625,40 | 34 / 2 | $5.129,45 | 4 / 1 | $4.330,64 | 4 / 1 |
| Craniotomy & Endovascular Intracranial Procedures W Cc | 11 | 44 / 17 | $71.542,00 | 68 / 4 | $16.858,10 | 2 / 4 | $12.854,30 | 2 / 1 |
| Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 24 | $85.655,70 | 341 / 12 | $17.998,80 | 25 / 1 | $15.365,90 | 25 / 1 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 19 | $59.555,10 | 552 / 39 | $9.074,91 | 79 / 1 | $8.684,09 | 79 / 4 |
| Other Kidney & Urinary Tract Procedures W Mcc | 11 | 27 / 14 | $87.106,90 | 124 / 12 | $17.150,80 | 26 / 2 | $16.302,40 | 26 / 3 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 11 | 58 / 11 | $309.911,00 | 198 / 11 | $53.080,80 | 44 / 3 | $51.778,60 | 44 / 6 |
| Hypertension W/O Mcc | 11 | 54 / 22 | $23.055,70 | 492 / 27 | $3.726,00 | 216 / 4 | $2.930,45 | 214 / 14 |
| Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 20 | $30.435,10 | 66 / 1 | $9.399,45 | 49 / 4 | $8.045,64 | 49 / 3 | Total 114 procedures | 4.818 | 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.