Hospital Costs > In Virginia > Cjw Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Adjustment Reaction & Psychosocial Dysfunction | 11 | 19 / 2 | $23.434,60 | 53 / 2 | $4.179,73 | 5 / 2 | $2.973,91 | 5 / 2 |
Acute Myocardial Infarction, Discharged Alive W Cc | 56 | 35 / 4 | $68.762,60 | 1364 / 45 | $7.310,62 | 488 / 34 | $5.453,46 | 487 / 27 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 54 | 71 / 8 | $93.154,70 | 1664 / 56 | $10.560,70 | 681 / 32 | $9.384,93 | 680 / 34 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 19 | 34 / 6 | $51.277,80 | 796 / 20 | $6.117,89 | 191 / 17 | $3.549,26 | 190 / 8 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 26 | 98 / 6 | $37.460,80 | 766 / 21 | $5.094,85 | 158 / 10 | $3.410,69 | 158 / 6 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 12 | 18 / 4 | $136.714,00 | 196 / 7 | $12.390,70 | 39 / 2 | $9.959,83 | 39 / 1 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 11 | 21 / 7 | $146.372,00 | 162 / 8 | $16.468,70 | 85 / 5 | $15.237,90 | 85 / 5 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 17 | 17 / 4 | $280.856,00 | 181 / 9 | $43.815,80 | 69 / 8 | $26.325,80 | 69 / 3 |
Atherosclerosis W/O Mcc | 24 | 34 / 3 | $33.341,30 | 482 / 13 | $4.294,50 | / | $3.031,00 | / |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 27 | 39 / 5 | $198.239,00 | 576 / 17 | $17.699,60 | 521 / 15 | $15.818,50 | 517 / 17 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 24 | 65 / 8 | $86.202,70 | 745 / 19 | $7.514,83 | 239 / 12 | $5.386,29 | 239 / 10 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 17 | 46 / 2 | $270.983,00 | 232 / 9 | $23.877,10 | 64 / 7 | $17.701,20 | 64 / 2 |
Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 14 | 18 / 3 | $148.411,00 | 117 / 3 | $13.283,40 | 14 / 1 | $10.995,60 | 14 / 1 |
Bone Diseases & Arthropathies W/O Mcc | 22 | 22 / 1 | $29.632,20 | 238 / 3 | $4.821,00 | 80 / 2 | $3.811,18 | 80 / 3 |
Bronchitis & Asthma W Cc/Mcc | 45 | 31 / 3 | $44.586,20 | 958 / 37 | $9.428,13 | 420 / 35 | $4.591,98 | 416 / 25 |
Bronchitis & Asthma W/O Cc/Mcc | 18 | 27 / 3 | $33.238,50 | 330 / 11 | $4.372,72 | 157 / 5 | $3.362,22 | 157 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 114 | 49 / 2 | $38.917,30 | 1889 / 58 | $5.717,71 | 652 / 51 | $3.963,42 | 649 / 28 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 94 | 31 / 3 | $61.984,00 | 1709 / 49 | $7.897,80 | 698 / 27 | $6.653,97 | 695 / 29 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 137 | 26 / 1 | $26.725,40 | 1675 / 57 | $3.935,42 | 984 / 37 | $2.808,46 | 979 / 47 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 20 | 30 / 3 | $304.136,00 | 241 / 10 | $31.997,30 | 70 / 2 | $31.033,10 | 70 / 2 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 12 | 57 / 6 | $497.163,00 | 268 / 6 | $52.684,20 | 43 / 1 | $51.606,20 | 43 / 1 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 19 | 99 / 11 | $368.719,00 | 524 / 14 | $33.931,30 | 281 / 8 | $32.883,00 | 281 / 11 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 17 | 99 / 7 | $493.186,00 | 465 / 11 | $52.793,80 | 153 / 6 | $47.153,00 | 153 / 4 |
Cellulitis W Mcc | 25 | 33 / 6 | $56.481,30 | 784 / 24 | $8.815,28 | 299 / 9 | $7.839,76 | 298 / 14 |
Cellulitis W/O Mcc | 139 | 51 / 2 | $39.373,00 | 2397 / 64 | $6.146,29 | 896 / 54 | $4.193,88 | 890 / 40 |
Cervical Spinal Fusion W Cc | 21 | 32 / 5 | $223.661,00 | 383 / 13 | $20.836,70 | 243 / 9 | $18.630,80 | 242 / 10 |
Cervical Spinal Fusion W/O Cc/Mcc | 27 | 77 / 13 | $154.310,00 | 866 / 25 | $13.722,00 | 470 / 8 | $12.542,30 | 468 / 15 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 14 | 77 / 10 | $37.560,10 | 235 / 9 | $6.990,64 | 80 / 2 | $6.477,86 | 80 / 3 |
Chest Pain | 190 | 10 / 1 | $30.727,30 | 1404 / 49 | $4.428,10 | 611 / 40 | $3.036,18 | 607 / 36 |
Chronic Obstructive Pulmonary Disease W Cc | 79 | 100 / 8 | $42.011,30 | 2115 / 59 | $6.267,63 | 981 / 42 | $4.941,84 | 978 / 41 |
Chronic Obstructive Pulmonary Disease W Mcc | 124 | 78 / 3 | $56.592,40 | 2305 / 64 | $7.687,83 | 989 / 43 | $6.228,12 | 984 / 40 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 35 | 85 / 11 | $31.939,90 | 1764 / 54 | $5.302,69 | 991 / 42 | $3.721,40 | 982 / 42 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 25 | 68 / 7 | $102.216,00 | 772 / 27 | $13.468,20 | 224 / 15 | $11.158,00 | 219 / 11 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 124 | 67 / 3 | $64.663,90 | 1447 / 40 | $7.231,79 | 560 / 22 | $5.532,18 | 558 / 20 |
Coagulation Disorders | 14 | 13 / 3 | $97.224,50 | 87 / 2 | $11.461,20 | 18 / 1 | $9.503,93 | 18 / 1 |
Complications Of Treatment W Cc | 22 | 30 / 2 | $40.679,60 | 294 / 9 | $6.835,05 | 70 / 3 | $5.149,09 | 70 / 2 |
Complications Of Treatment W Mcc | 18 | 33 / 4 | $81.596,60 | 263 / 7 | $11.097,70 | 30 / 1 | $8.924,44 | 30 / 1 |
Coronary Bypass W Cardiac Cath W Mcc | 29 | 27 / 1 | $409.674,00 | 413 / 8 | $47.440,70 | 92 / 6 | $38.007,00 | 92 / 2 |
Coronary Bypass W Cardiac Cath W/O Mcc | 34 | 42 / 2 | $304.934,00 | 588 / 14 | $29.979,90 | 209 / 7 | $25.058,00 | 209 / 4 |
Coronary Bypass W/O Cardiac Cath W Mcc | 17 | 42 / 6 | $313.457,00 | 227 / 8 | $33.565,00 | 12 / 2 | $27.229,50 | 12 / 1 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 39 | 49 / 5 | $256.348,00 | 573 / 15 | $23.268,80 | 262 / 4 | $20.932,70 | 261 / 10 |
Cranial & Peripheral Nerve Disorders W Mcc | 11 | 25 / 2 | $95.605,80 | 144 / 3 | $8.536,18 | 11 / 2 | $6.589,09 | 11 / 1 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 33 | 35 / 1 | $34.457,70 | 533 / 22 | $5.700,15 | 267 / 7 | $4.910,03 | 267 / 15 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 19 | 36 / 4 | $211.013,00 | 226 / 7 | $18.396,10 | 28 / 1 | $15.746,70 | 28 / 1 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 16 | 82 / 9 | $311.698,00 | 495 / 15 | $27.603,10 | 194 / 7 | $26.615,10 | 194 / 9 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 21 | 53 / 3 | $193.351,00 | 270 / 8 | $15.156,50 | 52 / 3 | $12.455,50 | 52 / 3 |
Degenerative Nervous System Disorders W/O Mcc | 47 | 31 / 1 | $35.842,60 | 607 / 23 | $6.545,79 | 177 / 17 | $4.889,89 | 177 / 8 |
Diabetes W Cc | 51 | 41 / 3 | $44.359,90 | 1476 / 50 | $5.855,84 | 612 / 38 | $4.408,78 | 611 / 39 |
Diabetes W Mcc | 26 | 31 / 4 | $101.315,00 | 731 / 26 | $9.690,77 | 273 / 20 | $7.966,65 | 273 / 18 |
Diabetes W/O Cc/Mcc | 15 | 23 / 3 | $25.159,10 | 227 / 7 | $3.949,53 | 73 / 4 | $2.900,13 | 73 / 3 |
Digestive Malignancy W Cc | 20 | 27 / 3 | $65.548,10 | 360 / 13 | $7.983,00 | 88 / 6 | $6.640,35 | 87 / 5 |
Digestive Malignancy W Mcc | 13 | 24 / 2 | $171.124,00 | 152 / 9 | $11.927,30 | 14 / 1 | $10.928,30 | 14 / 2 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 15 | 55 / 11 | $29.337,50 | 360 / 15 | $6.694,87 | 156 / 11 | $5.069,60 | 156 / 9 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 17 | 59 / 6 | $111.974,00 | 527 / 19 | $12.892,50 | 275 / 13 | $11.905,10 | 275 / 16 |
Disorders Of Pancreas Except Malignancy W Cc | 25 | 36 / 6 | $63.765,30 | 921 / 33 | $6.226,84 | 343 / 16 | $4.877,96 | 342 / 22 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 16 | 22 / 4 | $56.263,10 | 451 / 13 | $4.850,81 | 152 / 11 | $3.161,69 | 152 / 10 |
Disorders Of The Biliary Tract W Cc | 18 | 36 / 5 | $67.804,60 | 450 / 18 | $6.684,78 | 130 / 6 | $5.718,17 | 130 / 9 |
Disorders Of The Biliary Tract W Mcc | 16 | 23 / 3 | $136.815,00 | 256 / 11 | $13.877,60 | 187 / 8 | $12.562,10 | 187 / 9 |
Dysequilibrium | 57 | 13 / 1 | $27.051,80 | 373 / 14 | $4.379,84 | 179 / 10 | $3.072,91 | 179 / 11 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 30 | 51 / 5 | $1.085.000,00 | 435 / 10 | $122.234,00 | 264 / 4 | $119.167,00 | 263 / 6 |
Endocrine Disorders W Cc | 22 | 16 / 2 | $50.379,20 | 269 / 10 | $6.355,82 | 64 / 2 | $5.313,23 | 64 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 61 | 35 / 2 | $64.342,20 | 1319 / 38 | $7.598,85 | 569 / 17 | $6.779,13 | 564 / 26 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 232 | 58 / 1 | $42.855,70 | 2536 / 70 | $5.514,98 | 1086 / 55 | $3.815,72 | 1078 / 48 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 20 | 24 / 3 | $165.312,00 | 414 / 11 | $17.448,80 | 108 / 6 | $15.222,50 | 107 / 5 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 23 | 40 / 5 | $296.144,00 | 725 / 17 | $30.492,00 | 312 / 8 | $28.945,00 | 312 / 10 |
Extracranial Procedures W Cc | 14 | 32 / 5 | $124.286,00 | 368 / 12 | $9.747,29 | 162 / 3 | $8.788,36 | 162 / 6 |
Extracranial Procedures W/O Cc/Mcc | 38 | 60 / 7 | $104.271,00 | 923 / 26 | $7.842,16 | 244 / 20 | $5.074,79 | 244 / 11 |
Fever | 16 | 30 / 6 | $36.655,60 | 276 / 16 | $5.521,44 | 108 / 5 | $4.548,56 | 108 / 10 |
Fractures Of Hip & Pelvis W Mcc | 12 | 9 / 3 | $34.194,40 | 37 / 3 | $8.274,58 | 3 / 1 | $5.755,83 | 3 / 1 |
Fractures Of Hip & Pelvis W/O Mcc | 26 | 35 / 4 | $30.008,40 | 747 / 31 | $4.842,27 | 355 / 20 | $3.589,31 | 356 / 20 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 37 | 25 / 2 | $36.890,30 | 694 / 21 | $5.071,51 | 347 / 12 | $4.048,35 | 347 / 16 |
G.I. Hemorrhage W Cc | 136 | 82 / 7 | $48.093,60 | 2121 / 63 | $6.471,97 | 1030 / 34 | $5.394,02 | 1028 / 47 |
G.I. Hemorrhage W Mcc | 45 | 76 / 10 | $74.573,80 | 1388 / 42 | $10.794,30 | 456 / 20 | $9.541,42 | 457 / 22 |
G.I. Hemorrhage W/O Cc/Mcc | 33 | 35 / 2 | $27.613,80 | 764 / 28 | $5.068,45 | 323 / 22 | $3.418,73 | 320 / 15 |
G.I. Obstruction W Cc | 46 | 46 / 6 | $49.490,00 | 1592 / 46 | $6.016,85 | 561 / 26 | $4.538,85 | 560 / 27 |
G.I. Obstruction W Mcc | 14 | 28 / 8 | $70.079,50 | 452 / 16 | $9.733,21 | 179 / 4 | $9.094,71 | 179 / 8 |
G.I. Obstruction W/O Cc/Mcc | 40 | 31 / 3 | $32.476,50 | 1148 / 38 | $5.533,15 | 369 / 33 | $2.793,50 | 369 / 17 |
Headaches W/O Mcc | 17 | 26 / 1 | $35.443,80 | 189 / 8 | $4.525,88 | 77 / 2 | $3.401,53 | 77 / 4 |
Heart Failure & Shock W Cc | 176 | 103 / 6 | $43.657,60 | 2425 / 70 | $7.463,38 | 923 / 63 | $5.231,74 | 922 / 39 |
Heart Failure & Shock W Mcc | 217 | 72 / 7 | $65.611,60 | 2277 / 69 | $9.292,38 | 897 / 34 | $8.154,47 | 896 / 37 |
Heart Failure & Shock W/O Cc/Mcc | 53 | 57 / 3 | $31.731,20 | 1747 / 52 | $4.733,87 | 877 / 39 | $3.618,17 | 872 / 39 |
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 14 | 18 / 2 | $94.712,40 | 131 / 5 | $7.399,21 | 39 / 2 | $6.125,14 | 39 / 2 |
Hip & Femur Procedures Except Major Joint W Cc | 66 | 77 / 7 | $117.004,00 | 1986 / 54 | $11.824,90 | 708 / 29 | $10.440,00 | 702 / 30 |
Hip & Femur Procedures Except Major Joint W Mcc | 24 | 38 / 7 | $212.081,00 | 956 / 27 | $21.015,90 | 644 / 23 | $19.767,60 | 641 / 24 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 8 | $97.502,20 | 889 / 20 | $10.767,60 | 214 / 13 | $8.184,88 | 214 / 5 |
Hypertension W/O Mcc | 19 | 46 / 6 | $27.207,00 | 591 / 22 | $4.235,26 | 358 / 9 | $3.293,11 | 356 / 19 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 35 | 89 / 17 | $298.772,00 | 1509 / 39 | $33.753,10 | 805 / 20 | $32.762,70 | 799 / 26 |
Inflammatory Bowel Disease W Cc | 11 | 21 / 4 | $44.777,40 | 115 / 6 | $7.992,09 | 21 / 4 | $4.912,00 | 21 / 4 |
Interstitial Lung Disease W Mcc | 17 | 8 / 3 | $100.290,00 | 89 / 4 | $11.815,90 | 55 / 2 | $10.682,60 | 55 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 153 | 37 / 3 | $49.487,40 | 1726 / 59 | $6.967,98 | 751 / 33 | $5.483,37 | 749 / 38 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 81 | 87 / 8 | $75.813,40 | 1329 / 46 | $10.871,90 | 490 / 26 | $9.321,52 | 489 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 56 | 46 / 7 | $36.737,50 | 1282 / 47 | $5.347,54 | 557 / 34 | $3.691,77 | 553 / 26 |
Kidney & Urinary Tract Infections W Mcc | 84 | 60 / 6 | $48.677,20 | 1659 / 59 | $6.869,61 | 732 / 23 | $5.998,12 | 731 / 38 |
Kidney & Urinary Tract Infections W/O Mcc | 145 | 88 / 6 | $36.689,50 | 2428 / 67 | $5.155,94 | 1031 / 40 | $3.980,24 | 1023 / 43 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 12 | 17 / 1 | $27.740,10 | 115 / 3 | $4.504,25 | 35 / 1 | $3.466,50 | 35 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 32 | 24 / 2 | $119.372,00 | 836 / 22 | $10.461,30 | 311 / 12 | $8.692,91 | 311 / 11 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 23 | 17 / 2 | $202.825,00 | 457 / 10 | $18.259,80 | 348 / 7 | $16.862,00 | 347 / 7 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 23 | 24 / 2 | $87.210,40 | 556 / 14 | $7.655,87 | 272 / 5 | $6.481,35 | 272 / 10 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 25 | 30 / 4 | $142.139,00 | 632 / 20 | $12.277,50 | 138 / 8 | $10.119,00 | 138 / 7 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 14 | 33 / 7 | $149.108,00 | 517 / 20 | $9.879,93 | 302 / 12 | $8.764,21 | 302 / 17 |
Lymphoma & Non-Acute Leukemia W Cc | 13 | 23 / 3 | $85.709,80 | 118 / 4 | $9.286,69 | 18 / 1 | $8.726,15 | 18 / 2 |
Major Cardiovasc Procedures W Mcc | 28 | 40 / 6 | $394.958,00 | 637 / 16 | $41.464,30 | 484 / 11 | $39.399,80 | 483 / 13 |
Major Cardiovasc Procedures W/O Mcc | 46 | 55 / 5 | $291.805,00 | 999 / 31 | $25.222,90 | 701 / 21 | $22.663,30 | 700 / 24 |
Major Chest Procedures W Cc | 23 | 51 / 8 | $174.069,00 | 484 / 17 | $16.284,80 | 144 / 7 | $13.857,80 | 144 / 8 |
Major Chest Procedures W Mcc | 17 | 32 / 5 | $217.686,00 | 288 / 11 | $28.420,80 | 68 / 2 | $27.181,60 | 68 / 4 |
Major Chest Procedures W/O Cc/Mcc | 12 | 47 / 7 | $121.556,00 | 250 / 10 | $10.835,20 | 79 / 2 | $9.959,42 | 79 / 6 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 44 | 29 / 4 | $73.709,20 | 1075 / 34 | $7.893,68 | 554 / 21 | $6.800,07 | 552 / 25 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 25 | 31 / 3 | $86.008,10 | 597 / 22 | $11.820,70 | 253 / 15 | $10.960,00 | 252 / 13 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 22 | 31 / 3 | $74.416,50 | 461 / 15 | $7.856,82 | 109 / 9 | $6.356,55 | 109 / 6 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 11 | 18 / 3 | $175.926,00 | 111 / 4 | $18.469,30 | 79 / 1 | $17.678,50 | 78 / 4 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 15 | $153.962,00 | 814 / 23 | $13.914,80 | 168 / 13 | $10.908,50 | 166 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 30 | 35 / 5 | $209.063,00 | 904 / 30 | $19.202,70 | 346 / 14 | $17.952,30 | 344 / 17 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 582 | 90 / 6 | $154.646,00 | 2665 / 61 | $14.200,60 | 690 / 40 | $10.609,50 | 680 / 23 |
Major Male Pelvic Procedures W/O Cc/Mcc | 29 | 44 / 3 | $86.886,80 | 350 / 8 | $9.881,66 | 79 / 6 | $5.826,07 | 79 / 4 |
Major Small & Large Bowel Procedures W Cc | 57 | 51 / 5 | $175.595,00 | 1493 / 40 | $16.287,90 | 611 / 20 | $14.023,20 | 605 / 27 |
Major Small & Large Bowel Procedures W Mcc | 25 | 60 / 11 | $310.002,00 | 1234 / 36 | $30.060,80 | 352 / 11 | $28.097,80 | 350 / 14 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 42 | 22 / 5 | $115.435,00 | 741 / 30 | $10.715,00 | 230 / 17 | $8.198,62 | 230 / 11 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 17 | 36 / 5 | $94.908,30 | 309 / 11 | $11.654,70 | 18 / 6 | $8.507,06 | 18 / 1 |
Medical Back Problems W Mcc | 17 | 22 / 4 | $85.745,20 | 304 / 11 | $10.458,10 | 123 / 6 | $9.167,06 | 123 / 6 |
Medical Back Problems W/O Mcc | 79 | 42 / 3 | $36.369,40 | 1181 / 34 | $5.728,77 | 557 / 22 | $4.319,67 | 555 / 26 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 64 | 62 / 6 | $61.583,80 | 1610 / 53 | $7.524,81 | 807 / 36 | $6.590,91 | 804 / 42 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 121 | 45 / 1 | $32.910,90 | 2211 / 63 | $5.363,36 | 1016 / 57 | $3.664,19 | 1013 / 47 |
Nervous System Neoplasms W Mcc | 13 | 35 / 7 | $50.115,20 | 213 / 8 | $8.264,15 | 77 / 1 | $7.220,46 | 77 / 1 |
Nervous System Neoplasms W/O Mcc | 14 | 16 / 3 | $65.946,10 | 94 / 7 | $7.300,71 | 24 / 4 | $5.470,21 | 24 / 3 |
Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 11 | $40.495,10 | 370 / 26 | $6.244,21 | 152 / 13 | $5.191,93 | 152 / 15 |
Nonspecific Cerebrovascular Disorders W Mcc | 18 | 33 / 6 | $81.533,00 | 369 / 10 | $10.161,30 | 141 / 2 | $9.467,00 | 141 / 4 |
Nonspecific Cerebrovascular Disorders W/O Cc/Mcc | 11 | 10 / 2 | $30.098,50 | 33 / 2 | $5.312,82 | 13 / 2 | $3.309,64 | 13 / 2 |
Organic Disturbances & Mental Retardation | 25 | 34 / 3 | $35.352,60 | 408 / 17 | $6.308,92 | 149 / 4 | $5.365,16 | 149 / 8 |
Other Circulatory System Diagnoses W Cc | 24 | 42 / 4 | $42.525,90 | 558 / 19 | $6.130,08 | 277 / 8 | $5.448,88 | 276 / 13 |
Other Circulatory System Diagnoses W Mcc | 42 | 74 / 8 | $71.520,80 | 1068 / 31 | $11.163,40 | 211 / 6 | $9.604,00 | 211 / 7 |
Other Circulatory System O.R. Procedures | 16 | 39 / 6 | $135.368,00 | 403 / 16 | $19.264,80 | 1 / 8 | $11.340,50 | 1 / 1 |
Other Digestive System Diagnoses W Cc | 70 | 27 / 1 | $48.383,70 | 1239 / 39 | $6.672,44 | 431 / 25 | $5.089,97 | 428 / 18 |
Other Digestive System Diagnoses W Mcc | 21 | 41 / 5 | $65.276,00 | 603 / 20 | $10.100,60 | 144 / 7 | $9.078,19 | 144 / 8 |
Other Digestive System Diagnoses W/O Cc/Mcc | 18 | 25 / 2 | $30.513,70 | 279 / 10 | $5.201,83 | 78 / 7 | $3.143,06 | 78 / 3 |
Other Digestive System O.R. Procedures W Mcc | 11 | 18 / 3 | $150.006,00 | 89 / 3 | $21.681,80 | 6 / 1 | $19.322,70 | 6 / 2 |
Other Disorders Of Nervous System W Cc | 26 | 30 / 4 | $37.236,80 | 468 / 20 | $6.126,81 | 181 / 15 | $4.758,92 | 181 / 13 |
Other Disorders Of Nervous System W/O Cc/Mcc | 16 | 19 / 1 | $25.872,10 | 84 / 4 | $4.467,38 | 41 / 2 | $3.452,88 | 41 / 3 |
Other Kidney & Urinary Tract Diagnoses W Cc | 21 | 82 / 8 | $39.872,80 | 660 / 21 | $6.311,05 | 324 / 9 | $5.580,62 | 324 / 14 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 29 | 72 / 15 | $58.861,80 | 867 / 34 | $9.178,45 | 328 / 8 | $8.462,00 | 328 / 17 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 11 | 29 / 7 | $143.854,00 | 214 / 12 | $12.661,70 | 117 / 4 | $11.740,70 | 117 / 5 |
Other O.R. Procedures For Injuries W Mcc | 11 | 26 / 5 | $231.624,00 | 190 / 6 | $25.376,30 | 64 / 2 | $24.266,20 | 64 / 2 |
Other Resp System O.R. Procedures W Cc | 14 | 33 / 5 | $142.724,00 | 323 / 11 | $12.446,00 | 116 / 5 | $10.827,90 | 116 / 6 |
Other Resp System O.R. Procedures W Mcc | 17 | 46 / 7 | $169.901,00 | 516 / 18 | $22.267,40 | 185 / 4 | $20.376,70 | 185 / 8 |
Other Respiratory System Diagnoses W/O Mcc | 23 | 23 / 2 | $33.555,30 | 249 / 11 | $5.174,74 | 98 / 4 | $4.276,39 | 98 / 7 |
Other Skin, Subcut Tiss & Breast Proc W Mcc | 11 | 11 / 2 | $176.415,00 | 43 / 2 | $16.783,80 | 24 / 1 | $15.843,60 | 24 / 2 |
Other Vascular Procedures W Cc | 51 | 51 / 6 | $162.142,00 | 1089 / 32 | $15.699,10 | 357 / 12 | $14.173,60 | 355 / 15 |
Other Vascular Procedures W Mcc | 53 | 44 / 3 | $194.098,00 | 962 / 25 | $22.038,60 | 497 / 14 | $20.674,80 | 494 / 15 |
Other Vascular Procedures W/O Cc/Mcc | 19 | 37 / 8 | $130.222,00 | 543 / 18 | $11.207,20 | 177 / 8 | $8.989,63 | 176 / 7 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 15 | 25 / 4 | $66.875,90 | 278 / 6 | $7.365,47 | 80 / 3 | $6.121,80 | 80 / 3 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 36 | 64 / 8 | $177.172,00 | 906 / 24 | $20.633,50 | 243 / 7 | $17.477,60 | 242 / 6 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 90 | 106 / 7 | $128.990,00 | 1366 / 36 | $14.614,00 | 151 / 22 | $9.649,83 | 151 / 7 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 25 | 20 / 1 | $223.880,00 | 270 / 9 | $21.384,60 | 153 / 5 | $19.179,80 | 152 / 6 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 35 | 34 / 3 | $121.438,00 | 530 / 15 | $11.907,80 | 162 / 8 | $9.347,31 | 162 / 6 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 17 | 37 / 6 | $239.212,00 | 275 / 8 | $19.851,70 | 72 / 2 | $17.683,40 | 72 / 2 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 42 | 53 / 5 | $180.245,00 | 592 / 15 | $13.573,80 | 209 / 7 | $11.056,50 | 207 / 8 |
Peripheral Vascular Disorders W Cc | 65 | 20 / 1 | $45.858,40 | 1101 / 31 | $6.345,74 | 376 / 21 | $5.064,57 | 374 / 14 |
Peripheral Vascular Disorders W Mcc | 31 | 18 / 1 | $61.774,40 | 490 / 15 | $8.358,90 | 166 / 5 | $7.452,42 | 166 / 6 |
Peripheral Vascular Disorders W/O Cc/Mcc | 28 | 17 / 1 | $30.475,80 | 336 / 7 | $4.832,71 | 132 / 5 | $3.408,25 | 132 / 1 |
Peritoneal Adhesiolysis W Cc | 13 | 26 / 7 | $155.612,00 | 283 / 12 | $14.726,50 | 123 / 7 | $13.612,50 | 123 / 9 |
Peritoneal Adhesiolysis W Mcc | 13 | 10 / 1 | $349.523,00 | 56 / 2 | $38.775,50 | 46 / 2 | $30.859,10 | 46 / 2 |
Peritoneal Adhesiolysis W/O Cc/Mcc | 12 | 12 / 2 | $95.131,10 | 75 / 6 | $9.398,42 | 15 / 2 | $8.472,67 | 15 / 2 |
Permanent Cardiac Pacemaker Implant W Cc | 46 | 31 / 4 | $140.755,00 | 911 / 24 | $16.069,30 | 392 / 12 | $15.129,40 | 391 / 14 |
Permanent Cardiac Pacemaker Implant W Mcc | 25 | 27 / 6 | $185.377,00 | 558 / 14 | $21.177,10 | 126 / 3 | $19.767,80 | 126 / 2 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 31 | 26 / 3 | $117.810,00 | 685 / 20 | $13.524,70 | 236 / 8 | $11.534,50 | 235 / 5 |
Pleural Effusion W Cc | 11 | 17 / 3 | $37.747,50 | 79 / 3 | $8.983,45 | 10 / 3 | $5.314,45 | 10 / 1 |
Pleural Effusion W Mcc | 18 | 12 / 1 | $76.832,60 | 171 / 6 | $10.044,60 | 80 / 4 | $9.128,39 | 80 / 6 |
Poisoning & Toxic Effects Of Drugs W Mcc | 27 | 45 / 5 | $70.800,70 | 866 / 28 | $9.571,63 | 558 / 16 | $8.797,93 | 556 / 23 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 35 | 26 / 1 | $24.423,30 | 635 / 20 | $5.010,54 | 234 / 18 | $3.195,20 | 233 / 11 |
Postoperative & Post-Traumatic Infections W/O Mcc | 23 | 31 / 2 | $48.615,00 | 408 / 15 | $7.647,52 | 68 / 10 | $4.949,35 | 68 / 2 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 11 | 27 / 4 | $106.394,00 | 158 / 4 | $12.976,30 | 23 / 1 | $10.263,60 | 23 / 2 |
Psychoses | 17 | 258 / 13 | $28.903,50 | 460 / 13 | $6.445,06 | 217 / 7 | $5.575,76 | 217 / 9 |
Pulmonary Edema & Respiratory Failure | 269 | 11 / 1 | $65.349,20 | 1994 / 65 | $8.256,61 | 656 / 49 | $6.524,77 | 656 / 30 |
Pulmonary Embolism W Mcc | 28 | 15 / 1 | $76.404,10 | 534 / 24 | $9.637,82 | 191 / 12 | $8.234,82 | 191 / 12 |
Pulmonary Embolism W/O Mcc | 26 | 48 / 10 | $51.465,90 | 1171 / 37 | $6.829,42 | 523 / 23 | $5.233,12 | 521 / 22 |
Red Blood Cell Disorders W Mcc | 26 | 45 / 7 | $63.777,80 | 982 / 28 | $8.427,19 | 367 / 19 | $7.019,23 | 365 / 15 |
Red Blood Cell Disorders W/O Mcc | 71 | 72 / 5 | $48.311,00 | 1893 / 53 | $7.575,75 | 272 / 52 | $3.727,34 | 272 / 14 |
Renal Failure W Cc | 190 | 39 / 3 | $40.512,30 | 2062 / 68 | $6.315,17 | 850 / 40 | $5.040,32 | 843 / 44 |
Renal Failure W Mcc | 143 | 54 / 4 | $69.546,80 | 1883 / 61 | $10.437,80 | 831 / 44 | $8.594,25 | 831 / 38 |
Renal Failure W/O Cc/Mcc | 30 | 26 / 1 | $25.173,90 | 686 / 30 | $4.261,63 | 384 / 15 | $3.278,10 | 383 / 24 |
Respiratory Infections & Inflammations W Cc | 22 | 66 / 10 | $66.222,00 | 1300 / 40 | $8.409,77 | 667 / 17 | $7.695,59 | 663 / 26 |
Respiratory Infections & Inflammations W Mcc | 82 | 55 / 2 | $107.093,00 | 1690 / 51 | $11.956,50 | 850 / 28 | $11.254,70 | 840 / 36 |
Respiratory Infections & Inflammations W/O Cc/Mcc | 11 | 18 / 2 | $43.077,10 | 109 / 2 | $6.262,09 | 52 / 1 | $5.310,27 | 52 / 1 |
Respiratory Neoplasms W Cc | 27 | 20 / 1 | $61.464,90 | 451 / 16 | $7.414,74 | 174 / 6 | $6.525,00 | 173 / 8 |
Respiratory Neoplasms W Mcc | 30 | 22 / 2 | $80.852,90 | 543 / 17 | $10.397,40 | 183 / 5 | $9.371,27 | 183 / 8 |
Respiratory Signs & Symptoms | 18 | 28 / 2 | $36.020,60 | 269 / 9 | $4.581,00 | 114 / 2 | $3.752,22 | 114 / 6 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 78 | 53 / 3 | $130.870,00 | 1718 / 46 | $16.137,20 | 794 / 39 | $13.294,30 | 786 / 31 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 23 | 48 / 7 | $315.999,00 | 931 / 23 | $33.595,50 | 311 / 9 | $29.331,00 | 311 / 8 |
Revision Of Hip Or Knee Replacement W Cc | 25 | 61 / 9 | $219.565,00 | 655 / 17 | $20.550,60 | 125 / 7 | $17.273,60 | 125 / 5 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 23 | 46 / 6 | $217.376,00 | 506 / 20 | $18.370,70 | 204 / 12 | $14.853,60 | 204 / 8 |
Seizures W Mcc | 21 | 45 / 8 | $60.166,90 | 575 / 23 | $9.235,48 | 236 / 6 | $8.517,62 | 236 / 14 |
Seizures W/O Mcc | 68 | 40 / 2 | $32.040,00 | 1001 / 29 | $5.654,24 | 298 / 23 | $3.751,09 | 296 / 13 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 26 | 66 / 8 | $328.944,00 | 1027 / 29 | $35.964,30 | 369 / 8 | $34.437,40 | 368 / 14 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 328 | 190 / 17 | $111.435,00 | 2716 / 72 | $12.623,50 | 1327 / 59 | $10.691,80 | 1304 / 48 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 83 | 124 / 19 | $58.135,90 | 2388 / 66 | $7.039,33 | 1131 / 39 | $5.790,43 | 1127 / 48 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 25 | 22 / 1 | $33.008,00 | 310 / 11 | $5.136,08 | 76 / 6 | $3.579,24 | 76 / 5 |
Signs & Symptoms W Mcc | 21 | 20 / 1 | $45.132,80 | 220 / 10 | $7.074,38 | 60 / 2 | $6.240,19 | 60 / 3 |
Signs & Symptoms W/O Mcc | 52 | 39 / 1 | $41.339,30 | 1247 / 34 | $5.233,37 | 544 / 25 | $3.749,56 | 543 / 21 |
Simple Pneumonia & Pleurisy W Cc | 58 | 145 / 18 | $55.006,70 | 2644 / 67 | $6.626,64 | 1024 / 44 | $5.096,95 | 1021 / 47 |
Simple Pneumonia & Pleurisy W Mcc | 111 | 94 / 5 | $68.434,50 | 2218 / 69 | $9.353,80 | 930 / 44 | $7.793,07 | 930 / 39 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 30 | 63 / 6 | $34.245,90 | 1714 / 43 | $5.175,30 | 740 / 35 | $3.445,53 | 736 / 23 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 14 | 26 / 3 | $556.813,00 | 87 / 4 | $49.184,80 | 47 / 2 | $47.911,00 | 47 / 3 |
Spinal Fusion Except Cervical W/O Mcc | 35 | 159 / 21 | $302.932,00 | 1352 / 37 | $27.035,90 | 866 / 22 | $24.712,40 | 862 / 28 |
Stomach, Esophageal & Duodenal Proc W Cc | 15 | 35 / 5 | $165.995,00 | 216 / 11 | $18.143,50 | 18 / 6 | $13.199,90 | 18 / 2 |
Stomach, Esophageal & Duodenal Proc W Mcc | 13 | 28 / 6 | $302.828,00 | 220 / 8 | $33.294,20 | 65 / 1 | $32.034,40 | 65 / 2 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 13 | 35 / 8 | $102.480,00 | 229 / 11 | $9.938,15 | 38 / 7 | $7.469,15 | 38 / 5 |
Syncope & Collapse | 142 | 36 / 1 | $31.587,50 | 1492 / 54 | $4.835,62 | 759 / 33 | $3.810,65 | 756 / 43 |
Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 6 | $29.912,80 | 240 / 11 | $5.426,00 | 121 / 5 | $4.344,25 | 121 / 9 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 8 | $659.871,00 | 547 / 14 | $74.213,30 | 360 / 7 | $72.688,80 | 359 / 11 |
Transient Ischemia | 87 | 38 / 4 | $32.691,30 | 1267 / 49 | $4.843,05 | 540 / 35 | $3.414,87 | 537 / 32 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 16 | 28 / 2 | $29.042,80 | 190 / 5 | $5.622,88 | 71 / 4 | $3.720,31 | 71 / 1 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 25 | 41 / 8 | $59.215,20 | 465 / 14 | $7.395,84 | 99 / 7 | $5.646,16 | 99 / 2 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 17 | 34 / 5 | $87.320,70 | 278 / 9 | $11.995,10 | 79 / 3 | $10.844,90 | 79 / 4 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 27 | 27 / 3 | $34.405,40 | 316 / 13 | $5.334,81 | 80 / 6 | $3.594,48 | 80 / 3 |
Uncomplicated Peptic Ulcer W/O Mcc | 12 | 8 / 1 | $41.180,30 | 18 / 1 | $5.552,17 | 10 / 1 | $4.551,75 | 10 / 1 |
Vagina, Cervix & Vulva Procedures W/O Cc/Mcc | 14 | 8 / 2 | $94.430,40 | 23 / 2 | $7.867,29 | 4 / 1 | $4.069,71 | 4 / 1 |
Vaginal Delivery W/O Complicating Diagnoses | 11 | 14 / 1 | $14.976,20 | 48 / 1 | $4.526,82 | 1 / 1 | $2.184,64 | 1 / 1 | Total 216 procedures | 9.372 | 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.