Hospital Costs > In New Jersey > Community Medical Center Toms River, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Chronic Obstructive Pulmonary Disease W Cc | 367 | 2 / 1 | $45.719,00 | 2181 / 16 | $5.835,73 | 695 / 8 | $4.724,35 | 693 / 7 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 357 | 219 / 8 | $47.511,40 | 1167 / 1 | $13.126,60 | 1392 / 8 | $11.797,50 | 1359 / 11 |
Chronic Obstructive Pulmonary Disease W Mcc | 343 | 4 / 1 | $57.610,60 | 2321 / 20 | $7.242,49 | 956 / 6 | $6.200,30 | 951 / 7 |
Heart Failure & Shock W Cc | 337 | 16 / 1 | $51.018,60 | 2565 / 21 | $6.014,64 | 1041 / 4 | $5.317,29 | 1039 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 290 | 228 / 13 | $83.991,20 | 2477 / 21 | $11.630,20 | 1235 / 8 | $10.525,80 | 1214 / 6 |
Heart Failure & Shock W Mcc | 288 | 34 / 3 | $68.533,00 | 2322 / 15 | $9.085,01 | 1065 / 4 | $8.376,21 | 1062 / 3 |
Kidney & Urinary Tract Infections W/O Mcc | 275 | 18 / 2 | $42.947,30 | 2551 / 27 | $4.672,94 | 728 / 3 | $3.773,56 | 723 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 268 | 37 / 3 | $38.047,10 | 2432 / 19 | $4.612,97 | 696 / 7 | $3.565,00 | 692 / 10 |
G.I. Hemorrhage W Cc | 247 | 14 / 1 | $46.841,60 | 2105 / 14 | $6.135,27 | 878 / 6 | $5.250,36 | 876 / 11 |
Simple Pneumonia & Pleurisy W Cc | 208 | 18 / 2 | $54.583,00 | 2636 / 34 | $5.967,98 | 1032 / 4 | $5.102,60 | 1029 / 13 |
Renal Failure W Cc | 206 | 29 / 2 | $55.769,50 | 2321 / 31 | $5.884,45 | 934 / 7 | $5.117,48 | 926 / 11 |
Cellulitis W/O Mcc | 204 | 19 / 3 | $42.515,90 | 2462 / 32 | $5.616,15 | 823 / 15 | $4.141,04 | 818 / 10 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 179 | 2 / 1 | $39.966,50 | 1954 / 28 | $4.411,10 | 519 / 8 | $3.341,46 | 518 / 9 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 167 | 5 / 1 | $74.013,60 | 1498 / 21 | $10.134,10 | 657 / 10 | $9.324,46 | 656 / 13 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 151 | 19 / 3 | $30.553,80 | 1771 / 17 | $3.420,96 | 443 / 6 | $2.394,42 | 440 / 11 |
Red Blood Cell Disorders W/O Mcc | 139 | 17 / 2 | $44.116,20 | 1832 / 22 | $4.986,18 | 713 / 8 | $4.194,93 | 708 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 136 | 47 / 1 | $53.965,10 | 1804 / 18 | $6.500,82 | 727 / 3 | $5.462,59 | 726 / 10 |
Hip & Femur Procedures Except Major Joint W Cc | 133 | 19 / 1 | $55.043,80 | 1209 / 7 | $11.808,50 | 951 / 5 | $10.920,70 | 938 / 10 |
Simple Pneumonia & Pleurisy W Mcc | 133 | 72 / 5 | $73.305,90 | 2276 / 24 | $9.053,65 | 1042 / 6 | $7.918,17 | 1042 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 131 | 33 / 3 | $47.918,70 | 2038 / 30 | $4.767,89 | 664 / 5 | $3.974,73 | 661 / 10 |
Kidney & Urinary Tract Infections W Mcc | 128 | 25 / 2 | $58.709,70 | 1798 / 24 | $6.841,45 | 666 / 7 | $5.896,24 | 665 / 5 |
Renal Failure W Mcc | 128 | 68 / 3 | $72.919,40 | 1935 / 17 | $9.358,45 | 849 / 5 | $8.643,33 | 849 / 8 |
Heart Failure & Shock W/O Cc/Mcc | 113 | 9 / 2 | $35.252,90 | 1819 / 19 | $4.058,42 | 474 / 3 | $3.289,57 | 472 / 8 |
Syncope & Collapse | 110 | 59 / 7 | $44.966,00 | 1773 / 30 | $4.512,15 | 400 / 9 | $3.449,68 | 398 / 6 |
Seizures W/O Mcc | 108 | 15 / 3 | $39.510,60 | 1126 / 16 | $5.003,43 | 155 / 11 | $3.455,44 | 154 / 2 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 108 | 80 / 6 | $50.855,70 | 1226 / 9 | $6.712,73 | 549 / 6 | $5.523,54 | 547 / 7 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 107 | 29 / 2 | $99.101,60 | 1509 / 17 | $14.364,90 | 887 / 7 | $13.680,80 | 879 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 102 | 64 / 8 | $37.881,60 | 2324 / 18 | $4.275,11 | 606 / 6 | $3.386,32 | 604 / 4 |
G.I. Hemorrhage W Mcc | 98 | 25 / 1 | $82.294,60 | 1456 / 24 | $10.807,80 | 599 / 6 | $9.906,04 | 600 / 7 |
Other Digestive System Diagnoses W Cc | 96 | 11 / 1 | $43.754,50 | 1187 / 18 | $5.859,09 | 382 / 2 | $5.016,76 | 379 / 7 |
Acute Myocardial Infarction, Discharged Alive W Cc | 96 | 6 / 1 | $50.426,50 | 1185 / 13 | $6.233,90 | 425 / 6 | $5.340,56 | 424 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 95 | 74 / 4 | $73.996,60 | 1310 / 19 | $10.504,30 | 624 / 7 | $9.681,02 | 623 / 10 |
Transient Ischemia | 95 | 30 / 4 | $39.620,90 | 1428 / 18 | $4.250,91 | 363 / 1 | $3.220,84 | 362 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 89 | 35 / 3 | $60.034,70 | 1684 / 19 | $7.359,18 | 595 / 4 | $6.517,47 | 592 / 4 |
Respiratory Infections & Inflammations W Mcc | 89 | 48 / 3 | $83.062,10 | 1528 / 18 | $11.924,10 | 872 / 6 | $11.323,40 | 862 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 89 | 118 / 14 | $64.145,20 | 2454 / 31 | $6.524,75 | 1001 / 6 | $5.661,47 | 998 / 7 |
Major Small & Large Bowel Procedures W Cc | 78 | 31 / 3 | $91.800,80 | 1131 / 14 | $14.834,20 | 560 / 1 | $13.813,90 | 554 / 3 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 75 | 121 / 11 | $75.559,00 | 787 / 4 | $12.589,00 | 563 / 3 | $10.809,40 | 559 / 5 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 72 | 2 / 1 | $46.466,00 | 515 / 7 | $9.949,42 | 415 / 5 | $8.857,42 | 413 / 6 |
Pulmonary Edema & Respiratory Failure | 67 | 136 / 10 | $63.402,70 | 1978 / 17 | $7.405,12 | 895 / 2 | $6.804,04 | 895 / 7 |
Degenerative Nervous System Disorders W/O Mcc | 67 | 15 / 1 | $44.651,40 | 719 / 11 | $5.908,15 | 244 / 2 | $5.131,55 | 244 / 7 |
Peripheral Vascular Disorders W Cc | 67 | 18 / 2 | $46.086,70 | 1106 / 22 | $5.906,61 | 346 / 6 | $4.994,52 | 344 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 65 | 37 / 4 | $41.623,50 | 1386 / 12 | $4.599,08 | 438 / 4 | $3.557,35 | 435 / 10 |
Other Vascular Procedures W Cc | 64 | 39 / 2 | $98.433,20 | 829 / 16 | $15.408,80 | 423 / 2 | $14.523,30 | 421 / 4 |
G.I. Hemorrhage W/O Cc/Mcc | 63 | 8 / 1 | $33.786,70 | 855 / 19 | $4.287,22 | 286 / 8 | $3.338,56 | 284 / 11 |
Diabetes W Cc | 63 | 29 / 4 | $47.760,40 | 1517 / 29 | $5.041,05 | 439 / 4 | $4.205,49 | 439 / 8 |
G.I. Obstruction W Cc | 63 | 29 / 2 | $40.874,00 | 1471 / 16 | $5.353,92 | 552 / 2 | $4.531,57 | 551 / 7 |
Respiratory Infections & Inflammations W Cc | 63 | 26 / 3 | $72.721,90 | 1355 / 22 | $8.433,29 | 708 / 5 | $7.762,81 | 703 / 9 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 62 | 12 / 2 | $58.880,70 | 1012 / 21 | $7.286,50 | 494 / 6 | $6.630,26 | 492 / 12 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 61 | 32 / 6 | $39.193,40 | 1792 / 22 | $4.506,98 | 508 / 8 | $3.242,48 | 506 / 9 |
Medical Back Problems W/O Mcc | 61 | 60 / 12 | $46.328,60 | 1361 / 25 | $5.165,33 | 403 / 3 | $4.101,31 | 403 / 6 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 59 | 65 / 7 | $154.202,00 | 1050 / 11 | $31.400,50 | 584 / 6 | $30.204,80 | 579 / 8 |
Permanent Cardiac Pacemaker Implant W Cc | 57 | 20 / 1 | $80.476,10 | 627 / 8 | $15.814,30 | 286 / 1 | $14.533,20 | 285 / 1 |
Other Kidney & Urinary Tract Diagnoses W Cc | 56 | 49 / 4 | $51.514,60 | 763 / 15 | $6.108,95 | 203 / 4 | $5.213,23 | 203 / 4 |
Atherosclerosis W/O Mcc | 55 | 10 / 1 | $32.472,40 | 474 / 14 | $3.859,69 | / 7 | $2.789,93 | / |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 55 | 37 / 4 | $20.664,10 | 77 / 2 | $6.813,38 | 78 / 2 | $6.469,60 | 78 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 53 | 43 / 3 | $48.444,50 | 1128 / 10 | $7.253,62 | 405 / 2 | $6.438,19 | 403 / 6 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 52 | 5 / 2 | $38.280,00 | 715 / 21 | $4.571,42 | 290 / 4 | $3.757,27 | 288 / 12 |
G.I. Obstruction W/O Cc/Mcc | 51 | 20 / 4 | $33.254,90 | 1160 / 18 | $4.057,08 | 231 / 6 | $2.586,59 | 231 / 5 |
Major Small & Large Bowel Procedures W Mcc | 49 | 36 / 5 | $170.647,00 | 919 / 16 | $30.097,60 | 451 / 8 | $29.112,80 | 449 / 9 |
Chest Pain | 47 | 104 / 13 | $35.804,70 | 1513 / 27 | $3.681,87 | 454 / 5 | $2.885,96 | 452 / 9 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 47 | 10 / 1 | $58.691,30 | 567 / 7 | $10.087,80 | 406 / 5 | $9.074,36 | 406 / 9 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 46 | 55 / 7 | $83.026,40 | 1023 / 22 | $9.646,80 | 403 / 4 | $8.740,04 | 402 / 4 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 46 | 12 / 1 | $60.192,00 | 397 / 6 | $13.076,90 | 294 / 1 | $11.901,80 | 293 / 4 |
Tendonitis, Myositis & Bursitis W/O Mcc | 46 | 3 / 1 | $46.451,80 | 303 / 10 | $5.037,00 | 74 / 1 | $4.067,26 | 74 / 4 |
Pulmonary Embolism W/O Mcc | 44 | 30 / 5 | $62.639,90 | 1230 / 25 | $6.012,55 | 501 / 3 | $5.188,55 | 499 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 42 | 84 / 15 | $55.881,10 | 1560 / 21 | $6.715,83 | 505 / 3 | $6.025,55 | 502 / 7 |
Bronchitis & Asthma W Cc/Mcc | 42 | 34 / 5 | $45.540,30 | 976 / 23 | $5.406,55 | 304 / 2 | $4.331,14 | 300 / 6 |
Red Blood Cell Disorders W Mcc | 39 | 32 / 3 | $55.701,60 | 916 / 15 | $7.616,97 | 337 / 3 | $6.931,85 | 335 / 6 |
Cellulitis W Mcc | 39 | 19 / 3 | $73.033,90 | 881 / 21 | $8.861,31 | 348 / 5 | $8.085,10 | 347 / 6 |
Extracranial Procedures W/O Cc/Mcc | 38 | 60 / 5 | $33.299,90 | 505 / 5 | $6.900,32 | 89 / 5 | $4.617,66 | 89 / 1 |
Permanent Cardiac Pacemaker Implant W Mcc | 38 | 15 / 1 | $122.527,00 | 437 / 8 | $21.875,90 | 215 / 2 | $21.049,80 | 215 / 3 |
Other Circulatory System Diagnoses W Mcc | 38 | 78 / 10 | $76.396,00 | 1116 / 15 | $11.490,00 | 507 / 6 | $10.793,60 | 505 / 7 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 38 | 33 / 5 | $175.627,00 | 663 / 6 | $31.710,90 | 399 / 2 | $30.641,00 | 399 / 5 |
Other Digestive System Diagnoses W Mcc | 37 | 25 / 2 | $82.912,30 | 687 / 21 | $12.066,50 | 284 / 10 | $9.952,38 | 284 / 7 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 36 | 12 / 2 | $45.977,10 | 381 / 11 | $7.885,25 | 142 / 3 | $5.855,94 | 142 / 3 |
Respiratory Neoplasms W Cc | 36 | 12 / 2 | $72.460,70 | 480 / 24 | $7.155,03 | 141 / 2 | $6.348,81 | 140 / 6 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 35 | 8 / 1 | $101.991,00 | 357 / 7 | $15.637,00 | 188 / 2 | $14.223,00 | 187 / 2 |
Signs & Symptoms W/O Mcc | 35 | 56 / 8 | $43.138,90 | 1262 / 22 | $4.204,37 | 344 / 1 | $3.447,31 | 343 / 3 |
Respiratory Neoplasms W Mcc | 33 | 19 / 2 | $103.991,00 | 602 / 20 | $10.403,70 | 231 / 4 | $9.707,52 | 231 / 5 |
Hip & Femur Procedures Except Major Joint W Mcc | 33 | 29 / 3 | $91.237,70 | 636 / 7 | $17.885,00 | 372 / 2 | $17.085,00 | 369 / 4 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 33 | 15 / 2 | $40.427,70 | 227 / 2 | $9.128,18 | 213 / 1 | $7.992,67 | 213 / 3 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 33 | 31 / 4 | $57.432,40 | 550 / 9 | $10.612,20 | 214 / 2 | $8.134,36 | 214 / 2 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 32 | 92 / 9 | $43.363,80 | 799 / 13 | $4.171,69 | 135 / 2 | $3.341,69 | 135 / 4 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 32 | 31 / 3 | $57.483,50 | 59 / 1 | $21.444,40 | 149 / 3 | $20.461,40 | 149 / 6 |
Other Digestive System Diagnoses W/O Cc/Mcc | 32 | 11 / 1 | $35.446,00 | 318 / 15 | $4.081,44 | 58 / 1 | $3.024,44 | 58 / 2 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 32 | 61 / 10 | $101.396,00 | 766 / 17 | $13.063,50 | 338 / 6 | $11.744,00 | 333 / 6 |
Hypertension W/O Mcc | 32 | 33 / 5 | $40.158,10 | 736 / 22 | $3.781,38 | 123 / 1 | $2.722,38 | 123 / 5 |
Disorders Of The Biliary Tract W Cc | 31 | 23 / 2 | $50.184,70 | 393 / 8 | $6.398,94 | 92 / 1 | $5.381,13 | 92 / 2 |
Other Vascular Procedures W Mcc | 31 | 66 / 12 | $118.989,00 | 722 / 11 | $19.184,50 | 237 / 2 | $18.212,20 | 236 / 3 |
Disorders Of Pancreas Except Malignancy W Cc | 31 | 30 / 2 | $56.553,20 | 906 / 25 | $5.898,58 | 410 / 4 | $5.039,71 | 409 / 9 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 30 | 38 / 4 | $33.432,80 | 523 / 3 | $5.365,73 | 172 / 1 | $4.524,13 | 172 / 4 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 30 | 16 / 3 | $29.693,50 | 276 / 7 | $4.211,77 | 73 / 1 | $3.042,70 | 73 / 4 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 30 | 40 / 2 | $60.736,60 | 542 / 13 | $5.562,33 | 133 / 1 | $4.957,53 | 133 / 2 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 30 | 33 / 5 | $159.056,00 | 510 / 9 | $28.847,80 | 245 / 3 | $27.969,40 | 245 / 4 |
Renal Failure W/O Cc/Mcc | 29 | 27 / 4 | $39.470,20 | 813 / 19 | $3.802,17 | 157 / 2 | $2.841,07 | 156 / 4 |
Major Cardiovasc Procedures W/O Mcc | 29 | 72 / 14 | $79.609,90 | 369 / 4 | $19.809,30 | 344 / 1 | $18.936,50 | 344 / 3 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 28 | 5 / 1 | $43.578,70 | 118 / 3 | $5.140,54 | 52 / 1 | $4.405,39 | 52 / 3 |
Seizures W Mcc | 28 | 38 / 5 | $62.046,10 | 589 / 6 | $9.399,75 | 233 / 4 | $8.511,46 | 233 / 5 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 28 | 27 / 2 | $50.878,20 | 268 / 2 | $12.123,80 | 285 / 2 | $11.217,50 | 285 / 4 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 27 | 26 / 4 | $54.476,40 | 405 / 9 | $7.131,48 | 131 / 1 | $6.504,52 | 131 / 4 |
Acute Myocardial Infarction, Expired W Mcc | 27 | 4 / 1 | $52.030,90 | 112 / 2 | $10.297,00 | 47 / 1 | $9.448,37 | 47 / 3 |
Fever | 26 | 20 / 3 | $33.684,40 | 253 / 6 | $5.156,50 | 81 / 1 | $4.317,12 | 81 / 2 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 25 | 13 / 2 | $31.038,30 | 374 / 6 | $3.949,40 | 91 / 1 | $2.888,28 | 91 / 2 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 25 | 19 / 6 | $92.010,60 | 283 / 5 | $17.369,00 | 177 / 2 | $16.643,20 | 176 / 4 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 25 | 75 / 15 | $117.440,00 | 648 / 5 | $19.401,30 | 352 / 1 | $18.338,90 | 350 / 1 |
Other Circulatory System Diagnoses W Cc | 24 | 42 / 4 | $51.965,80 | 612 / 13 | $6.658,46 | 89 / 8 | $4.671,54 | 89 / 2 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 24 | 42 / 8 | $42.234,70 | 365 / 5 | $6.670,29 | 103 / 1 | $5.663,62 | 103 / 1 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 24 | 38 / 11 | $80.449,90 | 810 / 35 | $8.264,33 | 644 / 34 | $5.355,67 | 642 / 30 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 23 | 8 / 3 | $64.483,30 | 181 / 7 | $7.047,22 | 45 / 1 | $6.208,26 | 45 / 1 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 23 | 53 / 2 | $100.015,00 | 505 / 13 | $12.189,80 | 228 / 3 | $11.373,20 | 228 / 4 |
Diabetes W/O Cc/Mcc | 23 | 15 / 4 | $29.471,30 | 256 / 4 | $3.479,09 | 25 / 1 | $2.590,04 | 25 / 1 |
Digestive Malignancy W Cc | 23 | 24 / 6 | $45.970,70 | 273 / 3 | $7.490,65 | 90 / 1 | $6.648,91 | 89 / 2 |
Spinal Fusion Except Cervical W/O Mcc | 23 | 171 / 15 | $66.857,60 | 313 / 1 | $18.089,30 | 17 / 1 | $16.881,70 | 17 / 1 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 23 | 38 / 3 | $37.670,20 | 838 / 13 | $4.545,43 | 63 / 7 | $2.754,43 | 63 / 1 |
Peripheral Vascular Disorders W Mcc | 23 | 26 / 4 | $64.022,30 | 501 / 9 | $8.293,78 | 158 / 2 | $7.400,57 | 158 / 5 |
Peripheral Vascular Disorders W/O Cc/Mcc | 22 | 23 / 5 | $41.113,00 | 385 / 18 | $4.087,14 | 72 / 3 | $3.100,95 | 72 / 2 |
Other Resp System O.R. Procedures W Mcc | 22 | 41 / 6 | $133.487,00 | 457 / 7 | $22.085,20 | 241 / 1 | $21.209,50 | 240 / 2 |
Major Chest Procedures W Cc | 22 | 52 / 5 | $99.293,60 | 401 / 11 | $16.674,70 | 171 / 3 | $14.274,70 | 171 / 2 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 22 | 70 / 16 | $192.846,00 | 719 / 14 | $36.060,30 | 393 / 3 | $35.011,50 | 392 / 6 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 21 | 8 / 3 | $43.138,50 | 145 / 14 | $4.044,24 | 15 / 1 | $3.184,81 | 15 / 2 |
Bronchitis & Asthma W/O Cc/Mcc | 21 | 24 / 5 | $33.195,00 | 328 / 8 | $4.589,57 | 52 / 7 | $2.633,67 | 52 / 1 |
Diabetes W Mcc | 21 | 36 / 7 | $65.728,80 | 671 / 14 | $8.295,29 | 222 / 1 | $7.664,43 | 222 / 4 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 21 | 23 / 5 | $47.933,20 | 299 / 13 | $5.041,43 | 55 / 2 | $3.571,33 | 55 / 2 |
G.I. Obstruction W Mcc | 21 | 21 / 6 | $66.424,50 | 439 / 8 | $9.978,57 | 191 / 3 | $9.174,00 | 191 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 20 | 36 / 5 | $100.202,00 | 626 / 17 | $11.485,40 | 159 / 3 | $10.273,40 | 159 / 2 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 20 | 25 / 3 | $80.202,40 | 166 / 2 | $11.479,20 | 51 / 1 | $10.637,60 | 51 / 1 |
Postoperative & Post-Traumatic Infections W/O Mcc | 20 | 34 / 5 | $46.948,10 | 399 / 9 | $5.944,60 | 101 / 2 | $5.238,20 | 101 / 3 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 20 | 49 / 8 | $70.872,10 | 352 / 2 | $11.130,80 | 244 / 1 | $10.041,20 | 244 / 1 |
Cirrhosis & Alcoholic Hepatitis W Cc | 19 | 7 / 1 | $56.102,90 | 88 / 4 | $5.650,32 | 7 / 1 | $4.698,74 | 7 / 1 |
Endocrine Disorders W Cc | 18 | 20 / 2 | $48.740,40 | 263 / 6 | $6.136,61 | 98 / 1 | $5.667,28 | 98 / 5 |
Digestive Malignancy W Mcc | 18 | 19 / 4 | $83.256,50 | 122 / 4 | $12.415,20 | 23 / 1 | $11.480,10 | 23 / 1 |
Poisoning & Toxic Effects Of Drugs W Mcc | 18 | 54 / 6 | $71.914,50 | 870 / 7 | $8.590,39 | 382 / 2 | $8.053,50 | 381 / 4 |
Other Resp System O.R. Procedures W Cc | 18 | 29 / 6 | $91.839,40 | 296 / 7 | $11.881,50 | 114 / 2 | $10.804,20 | 114 / 2 |
Nervous System Neoplasms W/O Mcc | 18 | 12 / 2 | $55.993,60 | 89 / 3 | $6.646,11 | 10 / 1 | $4.879,78 | 10 / 1 |
Rectal Resection W Cc | 18 | 6 / 1 | $53.857,90 | 13 / 1 | $13.053,90 | 5 / 1 | $11.985,50 | 5 / 1 |
Pulmonary Embolism W Mcc | 17 | 26 / 6 | $87.740,50 | 550 / 9 | $9.613,41 | 268 / 1 | $8.687,24 | 268 / 3 |
Angina Pectoris | 17 | 8 / 2 | $32.215,20 | 56 / 5 | $3.459,71 | 5 / 1 | $2.458,29 | 5 / 1 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 17 | 13 / 3 | $106.643,00 | 184 / 5 | $13.261,40 | 123 / 1 | $12.406,80 | 122 / 2 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 17 | 12 / 2 | $86.214,00 | 77 / 1 | $13.542,40 | 23 / 1 | $12.796,90 | 23 / 1 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 17 | 36 / 8 | $71.028,20 | 264 / 5 | $10.581,80 | 79 / 1 | $9.804,41 | 79 / 2 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 17 | 25 / 2 | $70.747,70 | 236 / 3 | $10.453,50 | 84 / 1 | $9.885,06 | 84 / 1 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 7 | $126.391,00 | 767 / 13 | $20.350,60 | 512 / 5 | $19.428,30 | 509 / 7 |
Other Circulatory System O.R. Procedures | 17 | 38 / 10 | $103.829,00 | 334 / 8 | $15.980,20 | 105 / 1 | $15.272,50 | 105 / 1 |
Uncomplicated Peptic Ulcer W/O Mcc | 16 | 4 / 1 | $45.793,70 | 20 / 1 | $5.200,50 | 3 / 1 | $3.992,50 | 3 / 1 |
Dysequilibrium | 16 | 49 / 15 | $35.637,80 | 472 / 14 | $3.806,12 | 70 / 2 | $2.601,31 | 70 / 1 |
Major Chest Procedures W Mcc | 16 | 33 / 3 | $166.877,00 | 232 / 3 | $30.683,70 | 130 / 3 | $29.929,70 | 130 / 3 |
Major Cardiovasc Procedures W Mcc | 16 | 52 / 11 | $175.622,00 | 444 / 8 | $28.037,50 | 80 / 1 | $27.357,50 | 80 / 1 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 16 | 38 / 10 | $28.181,10 | 266 / 4 | $6.571,38 | 37 / 11 | $3.232,25 | 37 / 1 |
Coagulation Disorders | 15 | 12 / 1 | $50.847,40 | 46 / 2 | $10.017,80 | 17 / 1 | $9.450,33 | 17 / 1 |
Signs & Symptoms W Mcc | 15 | 26 / 6 | $66.073,70 | 269 / 10 | $7.413,73 | 28 / 2 | $5.728,00 | 28 / 1 |
Transurethral Procedures W Cc | 15 | 26 / 12 | $53.448,10 | 296 / 11 | $7.742,67 | 163 / 1 | $7.017,33 | 163 / 7 |
Complications Of Treatment W Cc | 15 | 37 / 4 | $35.018,20 | 260 / 3 | $5.969,13 | 79 / 3 | $5.241,67 | 79 / 2 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 15 | 14 / 3 | $33.471,90 | 81 / 3 | $4.532,67 | 16 / 1 | $3.647,33 | 16 / 2 |
Complicated Peptic Ulcer W Cc | 15 | 4 / 1 | $51.448,10 | 22 / 1 | $6.836,40 | 5 / 1 | $5.953,20 | 5 / 1 |
Other Vascular Procedures W/O Cc/Mcc | 15 | 41 / 8 | $51.556,20 | 303 / 4 | $9.998,73 | 149 / 1 | $8.843,33 | 148 / 1 |
Other Respiratory System Diagnoses W/O Mcc | 15 | 31 / 8 | $52.763,10 | 303 / 11 | $4.837,53 | 36 / 1 | $3.787,93 | 36 / 1 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 15 | 25 / 13 | $59.063,30 | 262 / 7 | $6.878,47 | 66 / 2 | $5.988,87 | 66 / 3 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 15 | 49 / 14 | $282.853,00 | 303 / 4 | $62.946,90 | 246 / 9 | $62.144,70 | 246 / 11 |
Other Disorders Of Nervous System W Cc | 15 | 41 / 13 | $52.313,30 | 568 / 14 | $5.431,33 | 186 / 2 | $4.787,07 | 186 / 4 |
Respiratory Infections & Inflammations W/O Cc/Mcc | 14 | 15 / 3 | $44.315,50 | 112 / 4 | $5.944,71 | 49 / 1 | $5.252,14 | 49 / 1 |
Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 19 | $30.615,90 | 755 / 11 | $6.213,07 | 82 / 29 | $2.874,14 | 83 / 1 |
Cholecystectomy Except By Laparoscope W/O C.D.E. W Mcc | 14 | 1 / 1 | $121.832,00 | 5 / 1 | $21.420,90 | 5 / 1 | $20.387,80 | 5 / 1 |
Other Skin, Subcut Tiss & Breast Proc W Cc | 14 | 10 / 2 | $82.724,60 | 90 / 3 | $9.935,57 | 24 / 3 | $7.943,93 | 24 / 2 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 7 | $53.589,30 | 397 / 4 | $13.598,30 | 451 / 2 | $12.478,30 | 448 / 4 |
Disorders Of The Biliary Tract W Mcc | 13 | 26 / 3 | $93.651,20 | 234 / 9 | $10.723,80 | 86 / 3 | $9.886,85 | 86 / 4 |
Bone Diseases & Arthropathies W/O Mcc | 13 | 31 / 8 | $31.872,40 | 246 / 6 | $4.392,77 | 34 / 1 | $3.371,23 | 34 / 3 |
Pneumothorax W Cc | 13 | 12 / 2 | $58.691,80 | 88 / 5 | $5.916,31 | 27 / 1 | $5.128,62 | 27 / 1 |
Degenerative Nervous System Disorders W Mcc | 13 | 25 / 6 | $75.527,30 | 195 / 4 | $10.396,20 | 54 / 2 | $9.369,77 | 54 / 1 |
Lymphoma & Non-Acute Leukemia W Cc | 13 | 23 / 3 | $78.784,50 | 113 / 3 | $9.864,85 | 20 / 1 | $8.838,38 | 20 / 1 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 13 | 21 / 2 | $163.109,00 | 157 / 2 | $29.085,10 | 93 / 1 | $28.360,20 | 93 / 1 |
Extracranial Procedures W Cc | 13 | 33 / 4 | $65.770,20 | 301 / 4 | $9.737,46 | 143 / 1 | $8.627,31 | 143 / 1 |
Other Disorders Of Nervous System W Mcc | 13 | 27 / 5 | $99.375,60 | 305 / 9 | $10.709,70 | 153 / 4 | $10.057,40 | 153 / 4 |
Atherosclerosis W Mcc | 13 | 8 / 4 | $73.905,20 | 20 / 3 | $7.482,08 | 6 / 2 | $6.338,69 | 6 / 2 |
Disorders Of Pancreas Except Malignancy W Mcc | 13 | 33 / 5 | $73.786,50 | 295 / 4 | $10.492,00 | 89 / 2 | $9.837,23 | 89 / 3 |
Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 11 | $77.736,60 | 279 / 4 | $20.799,60 | 354 / 2 | $20.144,80 | 353 / 4 |
Inflammatory Bowel Disease W Cc | 13 | 19 / 5 | $35.854,00 | 101 / 2 | $6.163,00 | 35 / 1 | $5.417,15 | 35 / 2 |
Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Mcc | 13 | 14 / 4 | $93.104,20 | 43 / 1 | $18.303,20 | 14 / 1 | $17.931,50 | 14 / 1 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 8 | $45.020,00 | 75 / 1 | $16.834,90 | 306 / 1 | $16.032,20 | 305 / 3 |
Peritoneal Adhesiolysis W Cc | 12 | 27 / 7 | $94.419,50 | 238 / 9 | $13.826,80 | 93 / 3 | $12.818,80 | 93 / 4 |
Stomach, Esophageal & Duodenal Proc W Mcc | 12 | 29 / 4 | $153.974,00 | 133 / 2 | $35.899,80 | 90 / 2 | $34.902,30 | 90 / 2 |
Knee Procedures W/O Pdx Of Infection W/O Cc/Mcc | 12 | 11 / 2 | $43.020,40 | 30 / 1 | $7.811,92 | 22 / 1 | $6.902,58 | 22 / 1 |
Skin Debridement W Mcc | 12 | 5 / 1 | $83.291,80 | 13 / 2 | $14.447,30 | 9 / 1 | $13.740,70 | 9 / 1 |
Other Disorders Of Nervous System W/O Cc/Mcc | 12 | 23 / 6 | $41.070,70 | 134 / 5 | $4.043,75 | 31 / 1 | $3.233,08 | 31 / 1 |
Extracranial Procedures W Mcc | 12 | 11 / 1 | $84.579,80 | 20 / 1 | $17.676,20 | 11 / 1 | $17.070,90 | 11 / 1 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 11 | 20 / 8 | $79.963,00 | 110 / 2 | $11.352,80 | 46 / 1 | $10.366,60 | 46 / 1 |
Nonspecific Cva & Precerebral Occlusion W/O Infarct W/O Mcc | 11 | 12 / 3 | $45.673,50 | 49 / 1 | $5.244,27 | 10 / 2 | $4.258,09 | 10 / 3 |
Complications Of Treatment W Mcc | 11 | 40 / 7 | $56.183,50 | 195 / 1 | $10.498,20 | 48 / 1 | $9.450,91 | 48 / 1 |
Tendonitis, Myositis & Bursitis W Mcc | 11 | 3 / 1 | $57.494,40 | 8 / 1 | $8.428,45 | 4 / 1 | $7.436,45 | 4 / 1 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 11 | $34.057,10 | 316 / 3 | $4.324,00 | 29 / 1 | $3.227,27 | 29 / 1 |
Viral Illness W/O Mcc | 11 | 16 / 5 | $31.696,70 | 40 / 3 | $4.806,64 | 4 / 1 | $3.602,27 | 4 / 1 |
Postoperative & Post-Traumatic Infections W Mcc | 11 | 32 / 6 | $68.349,20 | 163 / 4 | $10.241,70 | 36 / 1 | $10.020,60 | 36 / 2 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 11 | 21 / 3 | $119.335,00 | 152 / 2 | $16.656,00 | 99 / 1 | $16.158,50 | 99 / 1 |
Psychoses | 11 | 264 / 19 | $49.635,50 | 583 / 8 | $6.126,91 | 248 / 1 | $5.690,55 | 248 / 3 | Total 194 procedures | 10.695 | 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.