Hospital Costs > In Texas > Clear Lake Regional 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 | 369 | 158 / 15 | $109.210,00 | 2707 / 207 | $12.520,20 | 1549 / 146 | $11.105,90 | 1517 / 145 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 246 | 49 / 3 | $41.230,80 | 2495 / 184 | $5.672,29 | 1612 / 140 | $4.237,22 | 1599 / 138 |
Kidney & Urinary Tract Infections W/O Mcc | 232 | 31 / 4 | $41.429,00 | 2523 / 207 | $5.515,73 | 1493 / 134 | $4.343,82 | 1482 / 131 |
Heart Failure & Shock W Cc | 206 | 75 / 7 | $55.984,90 | 2627 / 206 | $6.810,50 | 1574 / 133 | $5.846,87 | 1569 / 136 |
Chest Pain | 198 | 8 / 2 | $33.881,90 | 1480 / 97 | $4.549,60 | 993 / 67 | $3.538,99 | 987 / 80 |
Chronic Obstructive Pulmonary Disease W Cc | 185 | 20 / 1 | $61.150,60 | 2367 / 165 | $6.530,04 | 1500 / 106 | $5.510,70 | 1494 / 124 |
Renal Failure W Mcc | 181 | 29 / 3 | $79.873,50 | 1993 / 149 | $10.630,60 | 1199 / 106 | $9.436,73 | 1199 / 115 |
Heart Failure & Shock W Mcc | 171 | 113 / 13 | $92.342,20 | 2540 / 203 | $10.088,70 | 1592 / 124 | $9.260,95 | 1587 / 138 |
Renal Failure W Cc | 170 | 57 / 9 | $51.251,90 | 2269 / 169 | $6.837,25 | 1501 / 120 | $5.756,73 | 1492 / 134 |
Chronic Obstructive Pulmonary Disease W Mcc | 158 | 48 / 3 | $79.709,60 | 2506 / 193 | $8.492,23 | 1541 / 139 | $6.898,24 | 1534 / 133 |
Syncope & Collapse | 152 | 29 / 2 | $38.347,30 | 1663 / 102 | $5.286,26 | 1126 / 71 | $4.263,22 | 1119 / 86 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 130 | 61 / 4 | $59.927,20 | 1385 / 103 | $7.706,74 | 831 / 78 | $5.974,17 | 829 / 77 |
Simple Pneumonia & Pleurisy W Cc | 128 | 76 / 10 | $66.706,60 | 2752 / 218 | $7.004,58 | 1688 / 146 | $5.710,70 | 1681 / 147 |
Cellulitis W/O Mcc | 121 | 68 / 6 | $39.342,60 | 2396 / 176 | $6.141,79 | 1502 / 133 | $4.729,02 | 1495 / 130 |
Transient Ischemia | 120 | 13 / 4 | $42.288,60 | 1480 / 93 | $5.090,96 | 974 / 57 | $4.001,38 | 969 / 72 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 116 | 47 / 4 | $44.572,60 | 1988 / 143 | $5.744,71 | 1362 / 100 | $4.748,97 | 1357 / 117 |
G.I. Hemorrhage W Cc | 108 | 110 / 13 | $52.624,30 | 2209 / 152 | $6.935,45 | 1399 / 96 | $5.819,32 | 1396 / 106 |
Red Blood Cell Disorders W/O Mcc | 106 | 40 / 3 | $41.878,60 | 1792 / 137 | $5.767,10 | 1180 / 95 | $4.768,89 | 1172 / 100 |
Simple Pneumonia & Pleurisy W Mcc | 103 | 102 / 17 | $107.276,00 | 2484 / 191 | $10.508,80 | 1721 / 153 | $9.196,07 | 1721 / 153 |
Kidney & Urinary Tract Infections W Mcc | 98 | 47 / 7 | $60.699,10 | 1820 / 142 | $7.647,30 | 1120 / 94 | $6.605,56 | 1116 / 97 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 95 | 56 / 3 | $31.450,00 | 1794 / 123 | $4.360,41 | 1242 / 93 | $3.078,46 | 1237 / 94 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 94 | 113 / 19 | $64.809,40 | 2458 / 190 | $7.504,84 | 1403 / 123 | $6.114,87 | 1398 / 125 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 87 | 45 / 7 | $139.312,00 | 1741 / 135 | $18.799,00 | 944 / 128 | $13.901,30 | 935 / 92 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 86 | 478 / 91 | $85.016,90 | 2290 / 170 | $14.097,60 | 1477 / 115 | $11.983,20 | 1443 / 165 |
Other Vascular Procedures W Mcc | 86 | 16 / 4 | $157.792,00 | 891 / 72 | $22.088,10 | 484 / 60 | $20.570,20 | 482 / 64 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 80 | 46 / 12 | $60.472,30 | 1604 / 127 | $7.808,95 | 910 / 79 | $6.811,45 | 907 / 83 |
Hypertension W/O Mcc | 80 | 3 / 2 | $33.743,50 | 680 / 57 | $4.670,69 | 458 / 33 | $3.588,31 | 456 / 44 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 79 | 103 / 22 | $61.161,70 | 1884 / 123 | $7.603,92 | 1130 / 87 | $6.043,00 | 1127 / 90 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 79 | 87 / 17 | $39.381,00 | 2359 / 185 | $5.418,06 | 1643 / 146 | $4.237,84 | 1638 / 146 |
Medical Back Problems W/O Mcc | 78 | 43 / 5 | $43.175,40 | 1312 / 84 | $6.047,04 | 828 / 56 | $4.821,81 | 825 / 63 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 77 | 43 / 6 | $52.814,10 | 2065 / 147 | $5.553,40 | 1317 / 111 | $4.100,48 | 1306 / 103 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 73 | 123 / 15 | $83.558,40 | 931 / 61 | $13.908,80 | 652 / 61 | $11.094,90 | 648 / 74 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 70 | 54 / 10 | $246.120,00 | 1413 / 103 | $34.938,10 | 742 / 73 | $31.878,60 | 736 / 76 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 69 | 56 / 10 | $111.381,00 | 1740 / 123 | $11.479,80 | 1111 / 76 | $10.716,00 | 1106 / 94 |
Pulmonary Edema & Respiratory Failure | 68 | 135 / 21 | $83.804,90 | 2153 / 154 | $9.262,78 | 1130 / 122 | $7.143,46 | 1128 / 90 |
Other Circulatory System Diagnoses W Mcc | 64 | 52 / 9 | $71.096,00 | 1062 / 76 | $11.460,30 | 454 / 31 | $10.570,70 | 453 / 39 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 63 | 33 / 8 | $62.097,30 | 1298 / 85 | $8.435,16 | 738 / 54 | $7.222,95 | 733 / 57 |
Respiratory Infections & Inflammations W Mcc | 63 | 73 / 10 | $119.795,00 | 1731 / 121 | $17.231,90 | 662 / 123 | $10.844,00 | 654 / 53 |
G.I. Hemorrhage W Mcc | 59 | 62 / 10 | $97.945,70 | 1550 / 107 | $11.763,30 | 854 / 66 | $10.694,70 | 850 / 73 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 58 | 65 / 12 | $80.565,20 | 1850 / 131 | $9.988,17 | 1072 / 122 | $7.273,03 | 1069 / 90 |
Other Digestive System Diagnoses W Cc | 58 | 39 / 5 | $48.688,70 | 1248 / 71 | $6.728,02 | 818 / 42 | $5.828,03 | 814 / 61 |
Hip & Femur Procedures Except Major Joint W Cc | 55 | 88 / 24 | $83.930,90 | 1754 / 113 | $12.856,40 | 1112 / 99 | $11.341,00 | 1098 / 99 |
Seizures W/O Mcc | 53 | 55 / 7 | $37.151,00 | 1092 / 60 | $6.638,51 | 666 / 72 | $4.434,89 | 663 / 55 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 51 | 117 / 28 | $97.821,10 | 1496 / 97 | $11.255,10 | 733 / 51 | $9.990,00 | 732 / 55 |
Dysequilibrium | 50 | 16 / 1 | $37.531,70 | 487 / 22 | $4.915,96 | 221 / 16 | $3.239,54 | 221 / 12 |
Bronchitis & Asthma W Cc/Mcc | 48 | 28 / 4 | $52.939,60 | 1023 / 77 | $7.269,88 | 552 / 67 | $4.936,58 | 548 / 48 |
Other Vascular Procedures W Cc | 47 | 55 / 13 | $141.349,00 | 1039 / 83 | $16.505,50 | 524 / 52 | $15.095,30 | 521 / 69 |
Diabetes W Cc | 45 | 47 / 10 | $48.905,00 | 1527 / 109 | $5.852,07 | 908 / 53 | $4.923,40 | 904 / 71 |
Red Blood Cell Disorders W Mcc | 45 | 26 / 5 | $59.039,20 | 943 / 77 | $8.260,71 | 446 / 39 | $7.297,18 | 444 / 40 |
Peripheral Vascular Disorders W Cc | 44 | 40 / 5 | $50.979,50 | 1156 / 76 | $6.835,00 | 581 / 42 | $5.501,84 | 579 / 45 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 43 | 50 / 12 | $45.551,60 | 1876 / 157 | $5.898,09 | 1015 / 133 | $3.691,98 | 1010 / 82 |
Respiratory Infections & Inflammations W Cc | 43 | 45 / 8 | $86.883,40 | 1427 / 112 | $9.669,74 | 905 / 85 | $8.323,70 | 900 / 90 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 43 | 49 / 9 | $330.584,00 | 1028 / 82 | $42.261,80 | 551 / 61 | $37.739,70 | 550 / 65 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 42 | 21 / 2 | $34.194,10 | 657 / 31 | $5.508,12 | 457 / 18 | $4.425,88 | 455 / 26 |
Signs & Symptoms W/O Mcc | 41 | 50 / 7 | $34.200,10 | 1112 / 61 | $5.018,68 | 738 / 41 | $4.118,00 | 735 / 49 |
Heart Failure & Shock W/O Cc/Mcc | 40 | 70 / 16 | $31.283,00 | 1737 / 128 | $5.140,27 | 1196 / 109 | $3.969,07 | 1186 / 99 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 40 | 28 / 4 | $45.438,20 | 645 / 37 | $6.254,55 | 360 / 17 | $5.241,73 | 360 / 22 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 38 | 33 / 10 | $287.064,00 | 908 / 73 | $34.253,30 | 462 / 48 | $31.716,50 | 462 / 52 |
G.I. Obstruction W Cc | 38 | 54 / 15 | $43.229,00 | 1502 / 88 | $6.218,53 | 1025 / 63 | $5.160,29 | 1022 / 77 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 36 | 64 / 11 | $149.942,00 | 824 / 56 | $20.631,00 | 376 / 36 | $18.508,50 | 374 / 40 |
Acute Myocardial Infarction, Discharged Alive W Cc | 36 | 55 / 12 | $66.052,40 | 1347 / 84 | $7.162,61 | 841 / 46 | $6.224,83 | 839 / 65 |
Poisoning & Toxic Effects Of Drugs W Mcc | 35 | 37 / 7 | $74.990,70 | 880 / 55 | $10.059,80 | 492 / 40 | $8.507,34 | 490 / 38 |
Cellulitis W Mcc | 35 | 23 / 6 | $65.257,00 | 846 / 61 | $9.894,86 | 493 / 37 | $8.711,89 | 491 / 47 |
Hip & Femur Procedures Except Major Joint W Mcc | 34 | 28 / 11 | $157.589,00 | 894 / 62 | $19.634,30 | 529 / 46 | $18.605,50 | 526 / 47 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 32 | 61 / 10 | $110.386,00 | 805 / 55 | $13.822,00 | 276 / 33 | $11.405,10 | 271 / 24 |
Organic Disturbances & Mental Retardation | 31 | 28 / 3 | $44.160,20 | 469 / 19 | $7.306,97 | 170 / 11 | $5.496,94 | 170 / 4 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 31 | 14 / 1 | $33.681,20 | 219 / 9 | $5.340,81 | 158 / 4 | $4.485,06 | 158 / 7 |
Other Kidney & Urinary Tract Diagnoses W Cc | 29 | 74 / 13 | $42.864,60 | 686 / 34 | $6.752,97 | 431 / 20 | $5.972,28 | 431 / 26 |
G.I. Hemorrhage W/O Cc/Mcc | 29 | 39 / 4 | $35.869,70 | 882 / 70 | $5.255,59 | 507 / 47 | $3.792,97 | 503 / 43 |
Other Circulatory System O.R. Procedures | 29 | 26 / 8 | $124.174,00 | 386 / 32 | $20.037,30 | 93 / 28 | $14.999,20 | 93 / 10 |
Atherosclerosis W/O Mcc | 29 | 29 / 3 | $40.988,80 | 519 / 28 | $4.602,28 | / | $3.645,21 | / |
Peripheral Vascular Disorders W Mcc | 28 | 21 / 3 | $79.889,80 | 555 / 44 | $9.163,75 | 240 / 22 | $7.989,04 | 240 / 27 |
Permanent Cardiac Pacemaker Implant W Cc | 28 | 49 / 13 | $114.358,00 | 840 / 53 | $16.640,40 | 480 / 34 | $15.736,40 | 479 / 50 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 28 | 28 / 8 | $93.469,20 | 611 / 38 | $13.933,90 | 372 / 28 | $11.975,90 | 371 / 28 |
Major Small & Large Bowel Procedures W Mcc | 27 | 58 / 17 | $245.998,00 | 1159 / 79 | $34.789,70 | 646 / 60 | $31.414,60 | 644 / 60 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 29 | $38.966,60 | 1336 / 78 | $5.425,63 | 1004 / 53 | $4.349,48 | 1000 / 74 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 27 | 37 / 10 | $598.824,00 | 538 / 46 | $73.125,90 | 343 / 37 | $70.930,30 | 343 / 40 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 27 | 36 / 10 | $223.565,00 | 664 / 45 | $34.164,70 | 359 / 44 | $29.895,60 | 359 / 38 |
Diabetes W Mcc | 27 | 30 / 9 | $95.879,00 | 721 / 53 | $9.753,85 | 440 / 31 | $8.962,15 | 440 / 39 |
Major Small & Large Bowel Procedures W Cc | 26 | 82 / 25 | $141.743,00 | 1425 / 92 | $16.422,10 | 971 / 49 | $15.638,10 | 960 / 85 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 25 | 17 / 7 | $68.267,60 | 229 / 22 | $10.823,50 | 83 / 7 | $9.884,00 | 83 / 8 |
Seizures W Mcc | 25 | 41 / 10 | $64.442,30 | 609 / 45 | $9.790,56 | 276 / 23 | $8.724,32 | 276 / 29 |
G.I. Obstruction W/O Cc/Mcc | 24 | 47 / 14 | $33.930,00 | 1170 / 81 | $5.721,46 | 570 / 78 | $3.046,21 | 569 / 47 |
Major Cardiovasc Procedures W Mcc | 24 | 44 / 10 | $266.354,00 | 592 / 42 | $42.373,00 | 259 / 38 | $31.890,50 | 259 / 27 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 24 | 32 / 12 | $92.243,50 | 781 / 61 | $10.695,60 | 523 / 36 | $9.694,29 | 521 / 53 |
Other Digestive System Diagnoses W Mcc | 24 | 38 / 8 | $78.721,30 | 674 / 49 | $10.713,20 | 224 / 22 | $9.641,17 | 224 / 27 |
Other Circulatory System Diagnoses W Cc | 24 | 42 / 8 | $59.449,30 | 633 / 38 | $7.009,00 | 246 / 17 | $5.306,50 | 245 / 14 |
Major Cardiovasc Procedures W/O Mcc | 24 | 77 / 25 | $152.075,00 | 883 / 61 | $22.933,80 | 372 / 48 | $19.103,50 | 372 / 39 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 23 | 78 / 18 | $66.232,20 | 937 / 42 | $9.757,35 | 447 / 22 | $8.914,17 | 446 / 25 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 23 | 53 / 11 | $105.964,00 | 517 / 54 | $11.750,30 | 185 / 17 | $10.858,20 | 185 / 27 |
Fractures Of Hip & Pelvis W/O Mcc | 23 | 38 / 8 | $30.877,60 | 756 / 49 | $5.059,48 | 554 / 27 | $4.064,70 | 554 / 39 |
Bronchitis & Asthma W/O Cc/Mcc | 23 | 22 / 2 | $36.977,90 | 348 / 33 | $4.773,83 | 207 / 17 | $3.616,26 | 207 / 25 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 23 | 50 / 12 | $53.354,00 | 977 / 56 | $7.887,00 | 607 / 35 | $7.000,74 | 605 / 48 |
Nonspecific Cerebrovascular Disorders W Cc | 22 | 34 / 9 | $59.574,30 | 436 / 22 | $6.552,45 | 251 / 11 | $5.772,09 | 251 / 19 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 22 | 39 / 10 | $27.257,10 | 713 / 21 | $4.726,68 | 470 / 17 | $3.789,95 | 469 / 24 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 21 | 49 / 14 | $43.511,10 | 489 / 55 | $6.314,67 | 245 / 20 | $5.643,05 | 245 / 28 |
Spinal Fusion Except Cervical W/O Mcc | 21 | 173 / 52 | $155.463,00 | 1138 / 91 | $24.533,60 | 718 / 38 | $23.323,70 | 714 / 86 |
Respiratory Signs & Symptoms | 21 | 25 / 3 | $35.146,80 | 265 / 16 | $5.152,24 | 124 / 8 | $3.891,05 | 124 / 10 |
Other Disorders Of Nervous System W Cc | 21 | 35 / 8 | $43.140,00 | 514 / 24 | $6.404,33 | 285 / 14 | $5.195,38 | 285 / 22 |
Tendonitis, Myositis & Bursitis W/O Mcc | 20 | 22 / 4 | $46.342,40 | 302 / 14 | $5.907,15 | 194 / 4 | $4.893,55 | 194 / 9 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 20 | 35 / 12 | $89.047,00 | 545 / 30 | $12.631,40 | 327 / 13 | $11.540,00 | 325 / 24 |
Disorders Of Pancreas Except Malignancy W Mcc | 20 | 26 / 7 | $73.871,60 | 296 / 19 | $11.015,60 | 99 / 7 | $10.007,20 | 99 / 8 |
Disorders Of Pancreas Except Malignancy W Cc | 20 | 41 / 11 | $54.007,90 | 885 / 52 | $6.338,10 | 457 / 20 | $5.150,60 | 456 / 29 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 20 | 75 / 14 | $97.473,90 | 448 / 30 | $13.245,60 | 244 / 24 | $11.387,00 | 242 / 28 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 20 | 104 / 8 | $37.459,90 | 765 / 21 | $5.016,80 | 472 / 9 | $4.349,60 | 471 / 16 |
Other Digestive System Diagnoses W/O Cc/Mcc | 20 | 23 / 3 | $34.735,10 | 312 / 13 | $5.224,00 | 179 / 6 | $3.717,75 | 179 / 3 |
Renal Failure W/O Cc/Mcc | 19 | 37 / 14 | $28.040,70 | 721 / 55 | $4.665,79 | 540 / 36 | $3.714,21 | 539 / 44 |
Pulmonary Embolism W/O Mcc | 19 | 55 / 18 | $55.370,40 | 1197 / 65 | $6.813,00 | 839 / 36 | $5.923,74 | 836 / 58 |
Degenerative Nervous System Disorders W/O Mcc | 18 | 60 / 13 | $38.965,80 | 658 / 36 | $6.642,56 | 409 / 16 | $5.698,56 | 409 / 25 |
Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 30 | $74.688,00 | 879 / 71 | $7.146,94 | 555 / 43 | $5.939,83 | 554 / 55 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 17 | 29 / 4 | $44.085,20 | 354 / 13 | $5.794,82 | 232 / 8 | $3.900,00 | 231 / 8 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 17 | 27 / 8 | $133.910,00 | 383 / 21 | $18.843,40 | 221 / 12 | $17.427,60 | 220 / 14 |
Disorders Of The Biliary Tract W Cc | 17 | 37 / 6 | $76.168,20 | 463 / 26 | $8.005,06 | 189 / 19 | $6.065,82 | 189 / 14 |
Transurethral Procedures W Cc | 16 | 25 / 5 | $68.632,70 | 341 / 17 | $9.606,94 | 98 / 13 | $6.559,75 | 98 / 5 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 16 | 31 / 6 | $44.267,70 | 355 / 18 | $5.162,31 | 181 / 5 | $4.288,31 | 181 / 10 |
Permanent Cardiac Pacemaker Implant W Mcc | 16 | 36 / 12 | $131.780,00 | 468 / 26 | $22.267,10 | 213 / 15 | $21.017,10 | 213 / 16 |
Coronary Bypass W Cardiac Cath W/O Mcc | 16 | 60 / 20 | $313.084,00 | 591 / 43 | $30.385,60 | 418 / 32 | $29.329,60 | 418 / 40 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 16 | 41 / 10 | $70.903,30 | 513 / 23 | $14.709,10 | 303 / 26 | $11.966,40 | 302 / 22 |
Headaches W/O Mcc | 16 | 27 / 6 | $40.233,00 | 205 / 12 | $5.085,12 | 95 / 7 | $3.564,00 | 95 / 9 |
Postoperative & Post-Traumatic Infections W/O Mcc | 16 | 38 / 9 | $41.691,40 | 379 / 27 | $6.611,44 | 202 / 11 | $5.935,44 | 202 / 16 |
Peripheral Vascular Disorders W/O Cc/Mcc | 16 | 29 / 8 | $30.801,00 | 339 / 27 | $4.877,94 | 212 / 11 | $3.823,94 | 212 / 12 |
Psychoses | 16 | 259 / 18 | $39.743,90 | 543 / 31 | $6.900,38 | 340 / 10 | $6.222,38 | 340 / 18 |
Complications Of Treatment W Mcc | 16 | 35 / 7 | $91.816,20 | 276 / 20 | $11.252,90 | 121 / 8 | $10.913,90 | 121 / 16 |
Signs & Symptoms W Mcc | 16 | 25 / 5 | $61.585,10 | 263 / 19 | $7.576,69 | 110 / 9 | $6.898,69 | 110 / 17 |
Other Endocrine, Nutrit & Metab O.R. Proc W Cc | 16 | 7 / 3 | $90.139,80 | 37 / 9 | $13.091,60 | 10 / 3 | $11.769,60 | 10 / 5 |
Other Kidney & Urinary Tract Procedures W Mcc | 15 | 23 / 10 | $165.136,00 | 208 / 25 | $20.423,90 | 99 / 14 | $19.823,40 | 99 / 18 |
Major Chest Procedures W Mcc | 15 | 34 / 11 | $328.385,00 | 323 / 26 | $36.504,10 | 228 / 19 | $35.456,60 | 227 / 22 |
G.I. Obstruction W Mcc | 15 | 27 / 11 | $67.516,50 | 445 / 22 | $10.480,00 | 239 / 13 | $9.592,53 | 239 / 13 |
Peritoneal Adhesiolysis W Cc | 15 | 24 / 7 | $92.539,10 | 232 / 12 | $15.168,80 | 45 / 6 | $11.605,90 | 45 / 4 |
Medical Back Problems W Mcc | 15 | 24 / 7 | $81.373,30 | 296 / 19 | $11.270,90 | 196 / 14 | $10.545,60 | 196 / 16 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 15 | 74 / 25 | $61.079,90 | 676 / 52 | $7.294,67 | 253 / 23 | $5.433,00 | 253 / 32 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 15 | 73 / 23 | $254.280,00 | 571 / 46 | $23.502,90 | 312 / 20 | $21.893,30 | 311 / 32 |
Bone Diseases & Arthropathies W/O Mcc | 15 | 29 / 4 | $29.311,50 | 236 / 11 | $5.231,27 | 131 / 3 | $4.269,13 | 131 / 9 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 21 | $180.812,00 | 884 / 50 | $21.826,90 | 628 / 42 | $20.962,90 | 625 / 47 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 8 | $51.614,90 | 391 / 25 | $7.872,71 | 170 / 12 | $6.753,64 | 170 / 16 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 19 | $72.111,70 | 804 / 65 | $13.448,40 | 185 / 72 | $8.105,86 | 185 / 17 |
Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 33 | $109.418,00 | 803 / 66 | $20.776,10 | 233 / 72 | $11.266,90 | 233 / 35 |
Respiratory Neoplasms W Cc | 14 | 33 / 8 | $56.708,60 | 429 / 20 | $8.742,64 | 185 / 12 | $6.630,07 | 184 / 10 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 13 | $64.987,20 | 504 / 48 | $9.234,29 | 173 / 44 | $6.043,07 | 173 / 19 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 14 | 67 / 17 | $1.023.100,00 | 429 / 34 | $139.966,00 | 230 / 27 | $114.207,00 | 229 / 22 |
Degenerative Nervous System Disorders W Mcc | 13 | 25 / 6 | $54.858,70 | 152 / 8 | $10.068,90 | 63 / 4 | $9.510,15 | 63 / 6 |
Acute Myocardial Infarction, Expired W Mcc | 13 | 17 / 7 | $87.504,70 | 173 / 8 | $10.894,90 | 72 / 3 | $10.146,60 | 72 / 4 |
Complications Of Treatment W Cc | 13 | 39 / 9 | $41.151,90 | 299 / 17 | $9.524,31 | 37 / 19 | $4.837,15 | 37 / 3 |
Digestive Malignancy W Cc | 13 | 34 / 6 | $46.618,30 | 276 / 13 | $8.367,38 | 192 / 5 | $7.722,46 | 190 / 12 |
Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 15 | $448.882,00 | 425 / 47 | $55.329,60 | 270 / 41 | $45.975,10 | 270 / 39 |
Other Respiratory System Diagnoses W/O Mcc | 13 | 33 / 8 | $58.577,20 | 309 / 15 | $5.659,15 | 136 / 4 | $4.635,15 | 136 / 9 |
Other Resp System O.R. Procedures W Mcc | 13 | 50 / 16 | $199.311,00 | 555 / 43 | $23.677,00 | 321 / 25 | $23.032,10 | 320 / 35 |
Other Resp System O.R. Procedures W Cc | 13 | 34 / 11 | $117.080,00 | 314 / 24 | $12.997,40 | 179 / 12 | $12.069,40 | 179 / 19 |
Diabetes W/O Cc/Mcc | 13 | 25 / 6 | $21.898,70 | 201 / 11 | $4.368,62 | 155 / 10 | $3.531,69 | 155 / 11 |
Pulmonary Embolism W Mcc | 13 | 30 / 11 | $88.313,70 | 553 / 31 | $9.524,54 | 304 / 13 | $8.945,46 | 304 / 19 |
Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 19 | $72.106,20 | 453 / 37 | $10.665,70 | 217 / 20 | $9.252,17 | 216 / 21 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 13 | $178.426,00 | 448 / 38 | $19.928,20 | 308 / 35 | $16.051,70 | 307 / 34 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W Mcc | 12 | 10 / 2 | $53.514,30 | 37 / 2 | $9.013,00 | 7 / 2 | $6.771,58 | 7 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 14 | $68.965,90 | 442 / 19 | $9.744,67 | 316 / 8 | $8.848,67 | 316 / 19 |
Cirrhosis & Alcoholic Hepatitis W Cc | 12 | 14 / 5 | $42.811,30 | 77 / 10 | $6.430,17 | 37 / 3 | $5.928,83 | 37 / 8 |
Inflammation Of The Male Reproductive System W/O Mcc | 12 | 6 / 2 | $37.183,50 | 25 / 3 | $5.455,50 | 17 / 1 | $4.852,83 | 17 / 3 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 17 | $60.178,80 | 827 / 42 | $5.428,67 | 561 / 23 | $4.522,00 | 557 / 30 |
Other Disorders Of Nervous System W Mcc | 12 | 28 / 11 | $64.686,90 | 257 / 16 | $10.494,80 | 45 / 11 | $8.081,00 | 45 / 5 |
Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 14 | $95.007,20 | 388 / 28 | $11.191,80 | 220 / 16 | $10.487,80 | 220 / 19 |
Otitis Media & Uri W/O Mcc | 12 | 32 / 8 | $28.333,80 | 168 / 9 | $4.696,17 | 64 / 3 | $3.436,58 | 64 / 6 |
Other Endocrine, Nutrit & Metab O.R. Proc W Mcc | 11 | 7 / 3 | $127.111,00 | 15 / 3 | $20.178,40 | 5 / 2 | $19.440,90 | 5 / 2 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 11 | 29 / 9 | $64.808,80 | 273 / 7 | $7.616,45 | 127 / 3 | $6.740,82 | 127 / 7 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 21 | $88.372,60 | 702 / 48 | $10.762,50 | 332 / 26 | $8.758,91 | 332 / 33 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 11 | 107 / 19 | $356.410,00 | 522 / 24 | $61.158,70 | 35 / 25 | $26.533,20 | 35 / 2 | Total 164 procedures | 7.707 | 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.