Hospital Costs > In Florida > Cleveland Clinic Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 22 | $76.486,40 | 451 / 19 | $14.537,90 | 76 / 37 | $9.185,55 | 76 / 11 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 20 | 69 / 19 | $57.902,80 | 649 / 38 | $9.811,60 | 94 / 53 | $4.743,95 | 94 / 14 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 59 | $12.184,80 | 245 / 3 | $5.449,77 | 380 / 97 | $3.712,26 | 380 / 53 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 49 | $22.123,50 | 467 / 4 | $7.179,88 | 400 / 55 | $6.219,88 | 398 / 48 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 48 | 102 / 47 | $9.455,27 | 291 / 3 | $3.364,46 | 234 / 40 | $2.183,33 | 232 / 39 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 23 | 95 / 17 | $138.651,00 | 243 / 8 | $30.607,60 | 141 / 16 | $29.504,30 | 141 / 20 |
Cellulitis W/O Mcc | 20 | 169 / 77 | $14.589,80 | 806 / 6 | $5.694,85 | 50 / 102 | $3.266,15 | 50 / 4 |
Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 82 | $22.896,00 | 1291 / 26 | $7.216,32 | 185 / 132 | $4.151,27 | 185 / 30 |
Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 89 | $23.816,50 | 1043 / 12 | $6.741,19 | 729 / 51 | $5.996,05 | 724 / 74 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 74 | $27.035,80 | 379 / 4 | $6.452,33 | 574 / 42 | $5.551,00 | 572 / 70 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 12 | 43 / 12 | $69.757,10 | 60 / 5 | $16.796,40 | 35 / 5 | $15.993,80 | 35 / 5 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 13 | 61 / 11 | $73.259,10 | 145 / 4 | $13.173,10 | 47 / 2 | $12.338,60 | 47 / 4 |
Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 34 | $38.849,90 | 657 / 47 | $5.611,27 | 107 / 26 | $4.622,18 | 107 / 28 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 18 | 58 / 12 | $57.421,10 | 347 / 21 | $11.008,10 | 70 / 13 | $9.512,50 | 70 / 7 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 16 | 65 / 14 | $471.788,00 | 252 / 16 | $109.820,00 | 175 / 24 | $103.526,00 | 175 / 25 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 67 | 208 / 84 | $18.388,60 | 1196 / 12 | $4.393,96 | 694 / 42 | $3.564,82 | 690 / 68 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 18 | $62.532,80 | 139 / 5 | $16.048,70 | 113 / 17 | $15.280,70 | 112 / 27 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 25 | $132.829,00 | 409 / 25 | $31.009,40 | 183 / 43 | $26.912,40 | 183 / 36 |
G.I. Hemorrhage W Cc | 35 | 183 / 71 | $24.660,60 | 1178 / 23 | $8.465,40 | 210 / 138 | $4.573,03 | 210 / 30 |
G.I. Hemorrhage W Mcc | 11 | 110 / 51 | $35.749,00 | 540 / 11 | $10.100,50 | 459 / 48 | $9.553,55 | 460 / 62 |
G.I. Obstruction W Cc | 22 | 70 / 37 | $22.718,30 | 841 / 17 | $5.150,68 | 395 / 38 | $4.339,77 | 394 / 53 |
G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 25 | $14.430,40 | 493 / 5 | $4.365,18 | 241 / 62 | $2.606,86 | 241 / 38 |
Heart Failure & Shock W Cc | 50 | 228 / 78 | $19.269,80 | 1086 / 20 | $5.357,36 | 220 / 29 | $4.572,72 | 220 / 32 |
Heart Failure & Shock W Mcc | 40 | 244 / 85 | $34.747,40 | 1379 / 31 | $8.775,70 | 307 / 75 | $7.422,12 | 307 / 33 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 50 | $13.001,90 | 598 / 7 | $3.845,39 | 203 / 27 | $2.972,50 | 201 / 29 |
Hernia Procedures Except Inguinal & Femoral W Cc | 15 | 19 / 6 | $58.406,40 | 104 / 8 | $15.242,90 | 12 / 13 | $7.629,67 | 12 / 1 |
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 15 | 17 / 4 | $29.696,10 | 46 / 2 | $9.759,93 | 8 / 11 | $5.016,33 | 8 / 1 |
Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 52 | $48.534,10 | 996 / 15 | $11.239,00 | 649 / 61 | $10.344,40 | 646 / 75 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 47 | $115.056,00 | 685 / 20 | $29.964,30 | 481 / 37 | $29.317,90 | 477 / 60 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 62 | $19.838,30 | 460 / 4 | $6.483,14 | 109 / 62 | $4.598,86 | 109 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 55 | $70.704,90 | 1270 / 63 | $12.382,10 | 1084 / 86 | $11.492,50 | 1079 / 90 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 41 | $20.262,70 | 591 / 11 | $6.037,75 | 29 / 86 | $2.769,12 | 29 / 4 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 20 | 20 / 5 | $67.236,60 | 124 / 6 | $11.751,30 | 24 / 6 | $7.411,15 | 24 / 1 |
Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 103 | $15.074,80 | 953 / 11 | $4.456,73 | 539 / 42 | $3.645,82 | 538 / 61 |
Kidney Transplant | 11 | 89 / 7 | $198.942,00 | 90 / 3 | $35.384,00 | 28 / 6 | $18.882,40 | 28 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 31 | $62.430,70 | 601 / 32 | $9.809,91 | 322 / 39 | $8.721,91 | 322 / 52 |
Major Cardiovasc Procedures W/O Mcc | 17 | 84 / 36 | $109.188,00 | 666 / 25 | $20.323,50 | 393 / 42 | $19.325,80 | 393 / 57 |
Major Chest Procedures W Cc | 14 | 60 / 18 | $79.662,50 | 325 / 13 | $14.730,80 | 129 / 13 | $13.690,80 | 129 / 21 |
Major Chest Procedures W/O Cc/Mcc | 18 | 41 / 7 | $54.013,30 | 140 / 4 | $12.254,20 | 39 / 12 | $9.058,11 | 39 / 9 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 34 | $19.239,40 | 263 / 4 | $6.685,43 | 275 / 33 | $6.077,43 | 274 / 45 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 30 | $55.312,10 | 418 / 6 | $13.229,50 | 378 / 31 | $12.019,40 | 375 / 46 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 227 | 337 / 42 | $46.233,10 | 1100 / 13 | $13.236,90 | 533 / 83 | $10.368,70 | 529 / 53 |
Major Male Pelvic Procedures W/O Cc/Mcc | 15 | 58 / 8 | $65.860,60 | 312 / 7 | $18.777,50 | 35 / 11 | $5.254,67 | 35 / 1 |
Major Small & Large Bowel Procedures W Cc | 87 | 23 / 3 | $85.175,30 | 1058 / 42 | $15.134,80 | 470 / 52 | $13.514,30 | 466 / 65 |
Major Small & Large Bowel Procedures W Mcc | 30 | 55 / 17 | $140.958,00 | 741 / 27 | $29.398,10 | 390 / 40 | $28.441,90 | 388 / 51 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 49 | 16 / 2 | $55.956,60 | 532 / 27 | $13.695,50 | 198 / 48 | $8.070,45 | 198 / 30 |
Minor Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 3 / 1 | $38.053,40 | 9 / 2 | $10.125,80 | 1 / 2 | $5.451,76 | 1 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 42 | $57.319,80 | 1578 / 99 | $11.097,40 | 1552 / 108 | $9.872,44 | 1549 / 109 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 57 | $18.245,70 | 1354 / 34 | $4.193,41 | 184 / 50 | $2.985,11 | 184 / 30 |
O.R. Procedures For Obesity W/O Cc/Mcc | 21 | 56 / 11 | $42.108,30 | 195 / 3 | $9.362,67 | 132 / 9 | $8.157,33 | 132 / 15 |
Other Circulatory System Diagnoses W Mcc | 19 | 97 / 38 | $35.427,90 | 352 / 8 | $10.531,30 | 297 / 30 | $9.963,74 | 296 / 47 |
Other Digestive System Diagnoses W Cc | 21 | 76 / 36 | $24.402,20 | 640 / 17 | $5.724,14 | 506 / 36 | $5.209,10 | 503 / 65 |
Other Digestive System Diagnoses W Mcc | 15 | 47 / 19 | $45.967,30 | 403 / 21 | $9.859,27 | 87 / 25 | $8.760,67 | 87 / 25 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 23 | $31.013,40 | 419 / 10 | $9.273,05 | 154 / 37 | $7.807,10 | 154 / 21 |
Other Vascular Procedures W Mcc | 13 | 84 / 36 | $113.721,00 | 683 / 44 | $20.804,70 | 445 / 57 | $20.154,80 | 443 / 64 |
Pancreas, Liver & Shunt Procedures W Mcc | 11 | 32 / 6 | $183.365,00 | 72 / 6 | $36.683,50 | 29 / 4 | $35.915,50 | 29 / 5 |
Pancreas, Liver & Shunt Procedures W/O Cc/Mcc | 11 | 18 / 4 | $75.995,30 | 33 / 5 | $14.666,00 | 1 / 2 | $9.322,00 | 1 / 1 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 30 | 166 / 58 | $54.094,50 | 313 / 3 | $14.916,40 | 372 / 88 | $10.331,50 | 372 / 51 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 26 | $37.318,80 | 110 / 3 | $12.820,00 | 280 / 36 | $11.798,50 | 279 / 45 |
Postoperative & Post-Traumatic Infections W Mcc | 22 | 21 / 2 | $42.338,90 | 78 / 6 | $10.237,80 | 34 / 7 | $9.893,77 | 34 / 9 |
Postoperative & Post-Traumatic Infections W/O Mcc | 13 | 41 / 19 | $17.552,80 | 83 / 1 | $6.381,62 | 25 / 31 | $4.480,69 | 25 / 7 |
Pulmonary Edema & Respiratory Failure | 43 | 160 / 34 | $25.226,00 | 743 / 9 | $7.669,81 | 415 / 71 | $6.245,98 | 415 / 48 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 65 | $14.104,90 | 362 / 4 | $4.740,94 | 584 / 46 | $4.064,94 | 581 / 64 |
Renal Failure W Cc | 47 | 174 / 73 | $20.989,10 | 1074 / 17 | $7.810,40 | 477 / 135 | $4.725,96 | 473 / 62 |
Renal Failure W Mcc | 28 | 167 / 69 | $55.362,50 | 1676 / 83 | $10.907,90 | 1203 / 122 | $9.447,75 | 1203 / 115 |
Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 27 | $76.642,50 | 269 / 7 | $19.559,60 | 269 / 24 | $18.958,50 | 268 / 37 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 35 | 34 / 6 | $62.634,90 | 208 / 9 | $16.072,00 | 223 / 14 | $15.069,00 | 222 / 23 |
Seizures W/O Mcc | 32 | 76 / 26 | $30.871,10 | 981 / 57 | $5.154,94 | 151 / 65 | $3.450,06 | 150 / 28 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 28 | $220.244,00 | 811 / 47 | $43.410,60 | 736 / 68 | $41.877,60 | 735 / 69 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 137 | 379 / 64 | $36.452,70 | 1120 / 10 | $10.805,80 | 384 / 65 | $9.319,09 | 384 / 41 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 80 | 127 / 28 | $20.655,00 | 842 / 6 | $6.331,58 | 434 / 54 | $5.131,26 | 432 / 51 |
Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 79 | $19.538,30 | 1078 / 10 | $5.365,67 | 235 / 19 | $4.381,96 | 235 / 26 |
Stomach, Esophageal & Duodenal Proc W Cc | 17 | 33 / 5 | $57.473,50 | 62 / 2 | $15.424,50 | 49 / 3 | $14.571,80 | 49 / 7 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 29 | 19 / 4 | $45.425,70 | 127 / 8 | $9.734,55 | 42 / 9 | $7.499,34 | 42 / 3 |
Syncope & Collapse | 11 | 158 / 89 | $19.141,00 | 774 / 15 | $4.304,36 | 281 / 40 | $3.312,36 | 279 / 47 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 19 | $317.407,00 | 350 / 23 | $96.915,80 | 219 / 45 | $60.219,80 | 219 / 29 | Total 76 procedures | 2.077 | 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.