Hospital Costs > In California > Community Regional 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 | 12 | 18 / 2 | $19.015,10 | 38 / 1 | $8.369,67 | 75 / 2 | $7.266,67 | 75 / 3 |
Acute Myocardial Infarction, Discharged Alive W Cc | 34 | 57 / 6 | $47.033,70 | 1142 / 34 | $11.861,90 | 1394 / 94 | $10.795,60 | 1392 / 97 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 53 | 72 / 6 | $77.902,70 | 1534 / 71 | $18.060,50 | 1741 / 129 | $16.840,40 | 1728 / 136 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 7 | $38.382,80 | 716 / 16 | $8.784,25 | 832 / 38 | $7.536,75 | 828 / 40 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 14 | 13 / 5 | $66.223,40 | 124 / 8 | $15.353,10 | 119 / 9 | $14.301,70 | 119 / 10 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 28 | 96 / 13 | $37.506,40 | 768 / 26 | $8.843,61 | 800 / 37 | $7.738,68 | 799 / 40 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 11 | 19 / 4 | $82.205,30 | 166 / 2 | $18.780,60 | 188 / 5 | $17.540,40 | 187 / 6 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 21 | 45 / 14 | $82.280,40 | 470 / 15 | $18.612,40 | 551 / 35 | $17.261,70 | 547 / 40 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 34 | $60.426,70 | 669 / 31 | $11.579,70 | 728 / 55 | $9.863,45 | 727 / 63 |
Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 16 | $28.195,70 | 667 / 7 | $9.941,94 | 1041 / 71 | $8.859,71 | 1037 / 74 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 38 | $31.277,90 | 1677 / 43 | $9.598,46 | 2098 / 160 | $8.602,79 | 2093 / 163 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 35 | 88 / 19 | $70.121,80 | 1781 / 103 | $15.711,50 | 1891 / 141 | $14.680,10 | 1888 / 145 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 27 | $25.089,40 | 1626 / 40 | $7.676,77 | 1944 / 131 | $6.520,68 | 1938 / 136 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 11 | 39 / 6 | $138.157,00 | 113 / 2 | $48.010,60 | 223 / 3 | $46.585,50 | 223 / 3 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 19 | 99 / 22 | $280.916,00 | 496 / 19 | $51.718,30 | 522 / 27 | $50.212,20 | 522 / 32 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 13 | 103 / 24 | $344.039,00 | 414 / 18 | $73.347,10 | 443 / 21 | $72.039,10 | 443 / 24 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 11 | 31 / 7 | $200.094,00 | 112 / 3 | $40.948,10 | 116 / 4 | $39.556,70 | 116 / 5 |
Cellulitis W Mcc | 18 | 40 / 16 | $39.576,30 | 586 / 18 | $14.136,10 | 896 / 69 | $12.845,40 | 894 / 70 |
Cellulitis W/O Mcc | 76 | 113 / 18 | $27.632,00 | 2023 / 53 | $9.900,63 | 2542 / 190 | $8.743,01 | 2534 / 193 |
Cervical Spinal Fusion W Cc | 17 | 36 / 10 | $109.428,00 | 300 / 8 | $26.882,80 | 364 / 20 | $25.666,60 | 363 / 24 |
Cervical Spinal Fusion W/O Cc/Mcc | 41 | 63 / 5 | $77.217,20 | 654 / 13 | $21.255,10 | 821 / 46 | $18.545,30 | 818 / 45 |
Chest Pain | 83 | 68 / 10 | $32.585,90 | 1458 / 77 | $8.081,92 | 1635 / 128 | $7.080,06 | 1626 / 134 |
Chronic Obstructive Pulmonary Disease W Cc | 63 | 116 / 14 | $39.979,30 | 2067 / 76 | $10.613,50 | 2364 / 167 | $9.559,48 | 2357 / 170 |
Chronic Obstructive Pulmonary Disease W Mcc | 58 | 144 / 32 | $53.104,40 | 2244 / 98 | $13.487,10 | 2517 / 180 | $12.349,10 | 2509 / 187 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 14 | $31.177,20 | 1746 / 37 | $8.923,09 | 2050 / 127 | $7.631,00 | 2038 / 123 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 26 | 67 / 9 | $91.063,50 | 712 / 14 | $21.078,00 | 840 / 47 | $19.758,90 | 832 / 46 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 52 | 136 / 12 | $51.378,60 | 1241 / 33 | $12.211,70 | 1569 / 112 | $10.663,20 | 1566 / 112 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 16 | 26 / 8 | $79.263,50 | 251 / 15 | $17.911,10 | 264 / 18 | $16.611,70 | 264 / 17 |
Complications Of Treatment W Mcc | 11 | 40 / 12 | $84.421,00 | 268 / 11 | $20.350,50 | 280 / 15 | $19.437,30 | 280 / 18 |
Coronary Bypass W Cardiac Cath W Mcc | 15 | 41 / 9 | $334.815,00 | 384 / 15 | $71.933,20 | 427 / 24 | $70.299,80 | 427 / 26 |
Coronary Bypass W Cardiac Cath W/O Mcc | 18 | 58 / 12 | $207.185,00 | 507 / 10 | $44.447,40 | 585 / 26 | $39.718,40 | 585 / 25 |
Coronary Bypass W/O Cardiac Cath W Mcc | 11 | 48 / 8 | $280.851,00 | 216 / 4 | $55.450,60 | 225 / 7 | $54.052,50 | 224 / 8 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 29 | 59 / 3 | $164.276,00 | 499 / 11 | $35.819,60 | 562 / 18 | $32.409,90 | 561 / 20 |
Cranial & Peripheral Nerve Disorders W Mcc | 14 | 22 / 9 | $37.551,00 | 84 / 4 | $13.823,00 | 139 / 14 | $13.181,00 | 139 / 14 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 18 | 50 / 13 | $38.241,10 | 585 / 22 | $10.421,80 | 712 / 40 | $9.661,67 | 712 / 45 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 22 | 20 / 5 | $162.090,00 | 106 / 2 | $45.398,00 | 136 / 4 | $43.714,40 | 136 / 4 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 23 | 32 / 4 | $162.980,00 | 210 / 7 | $31.005,70 | 214 / 12 | $29.642,70 | 214 / 12 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 40 | 58 / 5 | $173.759,00 | 402 / 14 | $39.469,60 | 453 / 25 | $38.121,70 | 453 / 28 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 13 | 61 / 13 | $143.715,00 | 258 / 12 | $22.960,90 | 256 / 10 | $21.750,20 | 255 / 14 |
Degenerative Nervous System Disorders W/O Mcc | 26 | 52 / 7 | $45.315,70 | 725 / 25 | $12.522,20 | 796 / 46 | $9.314,35 | 796 / 42 |
Depressive Neuroses | 23 | 27 / 2 | $16.442,40 | 106 / 1 | $8.562,35 | 126 / 3 | $7.649,52 | 126 / 3 |
Diabetes W Cc | 44 | 48 / 2 | $36.291,50 | 1331 / 42 | $10.154,70 | 1560 / 105 | $9.304,86 | 1555 / 110 |
Diabetes W Mcc | 38 | 19 / 2 | $70.322,20 | 686 / 33 | $16.097,00 | 722 / 43 | $14.842,10 | 721 / 43 |
Diabetes W/O Cc/Mcc | 19 | 19 / 2 | $25.778,90 | 231 / 2 | $7.643,47 | 270 / 7 | $6.395,89 | 270 / 7 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 29 | 41 / 8 | $40.626,20 | 475 / 28 | $11.944,10 | 530 / 46 | $9.679,14 | 530 / 45 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 22 | 54 / 15 | $66.416,50 | 397 / 25 | $19.439,40 | 493 / 51 | $17.103,70 | 493 / 52 |
Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 11 | $26.766,60 | 529 / 5 | $10.644,20 | 926 / 50 | $9.390,86 | 923 / 52 |
Disorders Of The Biliary Tract W Cc | 11 | 43 / 13 | $58.841,30 | 428 / 22 | $12.216,50 | 465 / 32 | $11.148,10 | 465 / 34 |
Dysequilibrium | 15 | 50 / 12 | $30.345,70 | 416 / 8 | $8.232,27 | 550 / 39 | $7.218,67 | 550 / 39 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 29 | 52 / 6 | $615.786,00 | 331 / 4 | $163.031,00 | 360 / 16 | $148.411,00 | 359 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 44 | 52 / 5 | $37.378,80 | 888 / 21 | $12.897,50 | 1391 / 110 | $12.081,80 | 1386 / 118 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 97 | 178 / 23 | $28.991,10 | 2116 / 64 | $9.214,85 | 2640 / 191 | $8.115,96 | 2625 / 200 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 25 | 19 / 3 | $222.935,00 | 429 / 29 | $54.555,10 | 432 / 31 | $53.409,40 | 430 / 31 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 24 | 39 / 6 | $236.197,00 | 683 / 31 | $57.479,90 | 747 / 51 | $55.908,20 | 747 / 56 |
Female Reproductive System Reconstructive Procedures | 12 | 13 / 4 | $51.152,60 | 34 / 4 | $10.925,20 | 34 / 5 | $9.294,75 | 34 / 5 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 20 | $43.391,40 | 879 / 50 | $8.630,82 | 899 / 66 | $7.398,27 | 898 / 67 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 17 | $45.893,40 | 768 / 44 | $8.583,21 | 770 / 52 | $7.486,07 | 768 / 55 |
G.I. Hemorrhage W Cc | 71 | 147 / 27 | $41.517,60 | 1996 / 79 | $11.280,90 | 2345 / 174 | $10.064,90 | 2341 / 178 |
G.I. Hemorrhage W Mcc | 41 | 80 / 15 | $63.919,90 | 1251 / 48 | $17.199,80 | 1552 / 121 | $16.187,40 | 1542 / 124 |
G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 14 | $34.924,20 | 869 / 35 | $8.905,13 | 978 / 62 | $7.511,60 | 974 / 66 |
G.I. Obstruction W Cc | 16 | 76 / 36 | $41.925,40 | 1487 / 60 | $10.324,20 | 1704 / 123 | $9.421,81 | 1699 / 132 |
Headaches W/O Mcc | 17 | 26 / 2 | $27.091,20 | 152 / 2 | $8.600,47 | 230 / 7 | $7.357,82 | 230 / 8 |
Heart Failure & Shock W Cc | 100 | 178 / 13 | $35.715,40 | 2206 / 67 | $11.348,20 | 2653 / 194 | $9.961,91 | 2647 / 194 |
Heart Failure & Shock W Mcc | 139 | 145 / 12 | $56.945,80 | 2147 / 83 | $15.566,80 | 2500 / 183 | $14.381,00 | 2489 / 186 |
Heart Failure & Shock W/O Cc/Mcc | 36 | 74 / 11 | $27.343,90 | 1637 / 34 | $8.746,47 | 1961 / 119 | $7.561,31 | 1948 / 120 |
Hip & Femur Procedures Except Major Joint W Cc | 46 | 97 / 23 | $88.960,30 | 1807 / 74 | $19.099,50 | 1968 / 135 | $17.788,20 | 1947 / 136 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 13 | $124.110,00 | 804 / 29 | $26.920,50 | 881 / 55 | $25.627,10 | 878 / 55 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 21 | 35 / 13 | $76.291,30 | 820 / 35 | $16.493,10 | 882 / 65 | $15.242,50 | 879 / 66 |
Hypertension W/O Mcc | 22 | 43 / 7 | $30.692,20 | 643 / 8 | $8.234,00 | 754 / 26 | $7.008,95 | 752 / 26 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 54 | 70 / 15 | $227.400,00 | 1354 / 64 | $54.675,10 | 1522 / 121 | $52.991,90 | 1512 / 126 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 83 | 99 / 9 | $55.158,20 | 1815 / 93 | $12.404,80 | 2015 / 164 | $11.081,30 | 2011 / 166 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 109 | 61 / 1 | $76.935,60 | 1339 / 70 | $18.200,90 | 1507 / 119 | $16.287,10 | 1500 / 121 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 39 | 63 / 10 | $38.746,70 | 1328 / 44 | $9.370,85 | 1560 / 111 | $7.985,10 | 1556 / 114 |
Kidney & Urinary Tract Infections W Mcc | 40 | 104 / 26 | $37.687,40 | 1435 / 42 | $12.092,00 | 1886 / 148 | $11.265,20 | 1882 / 152 |
Kidney & Urinary Tract Infections W/O Mcc | 119 | 114 / 8 | $29.257,90 | 2183 / 59 | $9.399,62 | 2635 / 192 | $8.423,62 | 2624 / 198 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 19 | $52.448,50 | 503 / 4 | $16.592,30 | 849 / 59 | $15.444,50 | 845 / 64 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 11 | $102.431,00 | 358 / 14 | $23.512,90 | 441 / 34 | $22.214,90 | 440 / 36 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 18 | 29 / 8 | $50.558,70 | 419 / 8 | $13.111,70 | 574 / 47 | $11.773,60 | 573 / 48 |
Major Cardiovasc Procedures W/O Mcc | 16 | 85 / 25 | $94.810,70 | 533 / 5 | $30.415,20 | 932 / 45 | $29.233,90 | 931 / 45 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 15 | $39.624,00 | 817 / 12 | $12.828,30 | 1093 / 71 | $11.995,20 | 1091 / 75 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 86 | 478 / 95 | $66.499,10 | 1903 / 65 | $19.751,90 | 2524 / 169 | $18.060,20 | 2478 / 189 |
Major Male Pelvic Procedures W/O Cc/Mcc | 12 | 61 / 18 | $62.760,20 | 300 / 11 | $13.215,60 | 355 / 24 | $11.497,90 | 355 / 25 |
Major Small & Large Bowel Procedures W Cc | 28 | 80 / 27 | $129.580,00 | 1386 / 62 | $25.694,20 | 1454 / 96 | $22.571,50 | 1440 / 96 |
Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 21 | $204.909,00 | 1060 / 31 | $46.433,60 | 1174 / 56 | $44.479,40 | 1171 / 58 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 12 | 41 / 11 | $93.771,80 | 305 / 13 | $17.582,70 | 307 / 15 | $16.394,40 | 308 / 16 |
Medical Back Problems W Mcc | 15 | 24 / 5 | $56.923,50 | 241 / 8 | $15.400,00 | 301 / 18 | $14.414,50 | 301 / 18 |
Medical Back Problems W/O Mcc | 57 | 64 / 9 | $50.388,00 | 1406 / 86 | $9.925,74 | 1440 / 113 | $8.757,26 | 1435 / 117 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 75 | 51 / 6 | $36.587,50 | 1215 / 35 | $12.207,30 | 1643 / 135 | $11.388,80 | 1640 / 137 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 58 | 108 / 25 | $33.746,40 | 2232 / 99 | $8.911,21 | 2460 / 173 | $7.872,19 | 2451 / 178 |
Nervous System Neoplasms W Mcc | 21 | 27 / 3 | $65.238,40 | 259 / 5 | $14.675,90 | 283 / 12 | $12.661,20 | 283 / 11 |
Non-Extensive Burns | 12 | 17 / 3 | $64.870,50 | 32 / 1 | $14.865,50 | 27 / 1 | $13.459,20 | 27 / 1 |
Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 12 | $42.389,70 | 380 / 16 | $11.166,40 | 449 / 28 | $10.057,20 | 449 / 29 |
Organic Disturbances & Mental Retardation | 12 | 47 / 12 | $56.473,80 | 525 / 22 | $14.060,40 | 508 / 25 | $9.591,17 | 508 / 22 |
Other Circulatory System Diagnoses W Cc | 26 | 40 / 5 | $35.686,80 | 494 / 7 | $10.963,70 | 648 / 23 | $10.185,80 | 647 / 26 |
Other Circulatory System Diagnoses W Mcc | 73 | 43 / 2 | $81.708,50 | 1159 / 51 | $21.130,70 | 1340 / 110 | $20.235,60 | 1332 / 115 |
Other Circulatory System O.R. Procedures | 20 | 35 / 7 | $104.210,00 | 337 / 13 | $27.345,80 | 417 / 25 | $26.052,10 | 417 / 26 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 25 | $38.038,00 | 1091 / 43 | $11.119,50 | 1391 / 121 | $10.229,90 | 1387 / 125 |
Other Digestive System Diagnoses W Mcc | 11 | 51 / 23 | $51.288,10 | 475 / 16 | $16.051,60 | 682 / 59 | $15.142,90 | 681 / 62 |
Other Disorders Of Nervous System W Cc | 14 | 42 / 13 | $40.466,60 | 499 / 20 | $12.890,90 | 594 / 48 | $8.712,86 | 593 / 47 |
Other Disorders Of Nervous System W Mcc | 18 | 22 / 5 | $68.852,30 | 268 / 15 | $17.318,40 | 302 / 26 | $16.226,30 | 302 / 26 |
Other Infectious & Parasitic Diseases Diagnoses W Mcc | 11 | 10 / 4 | $101.378,00 | 34 / 3 | $25.641,20 | 34 / 2 | $24.415,50 | 34 / 2 |
Other Kidney & Urinary Tract Diagnoses W Cc | 30 | 73 / 12 | $31.885,30 | 554 / 6 | $10.833,90 | 817 / 44 | $10.034,20 | 817 / 52 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 27 | $63.079,00 | 911 / 28 | $15.975,40 | 1009 / 63 | $14.123,80 | 1005 / 61 |
Other Multiple Significant Trauma W Cc | 13 | 12 / 2 | $91.396,50 | 43 / 1 | $14.525,30 | 36 / 2 | $11.993,70 | 36 / 2 |
Other O.R. Procedures For Injuries W Mcc | 11 | 26 / 7 | $129.138,00 | 137 / 2 | $33.715,50 | 144 / 3 | $32.546,50 | 144 / 4 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 7 | $193.384,00 | 547 / 11 | $37.384,10 | 563 / 18 | $35.719,50 | 562 / 18 |
Other Vascular Procedures W Cc | 18 | 84 / 26 | $87.063,60 | 719 / 8 | $23.700,30 | 1061 / 49 | $22.852,70 | 1056 / 55 |
Other Vascular Procedures W Mcc | 37 | 60 / 9 | $156.901,00 | 888 / 48 | $39.458,90 | 990 / 76 | $38.175,60 | 987 / 82 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 27 | 73 / 15 | $143.788,00 | 794 / 31 | $30.797,60 | 963 / 69 | $29.459,40 | 958 / 72 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 61 | 135 / 16 | $74.969,30 | 774 / 11 | $21.088,70 | 1390 / 100 | $16.983,20 | 1382 / 93 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 16 | 38 / 4 | $118.147,00 | 183 / 3 | $27.503,30 | 227 / 8 | $26.900,20 | 227 / 9 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 15 | 80 / 15 | $81.386,30 | 348 / 6 | $19.227,50 | 563 / 29 | $18.246,10 | 559 / 34 |
Peripheral Vascular Disorders W Cc | 28 | 56 / 6 | $36.792,90 | 953 / 27 | $10.773,00 | 1199 / 80 | $9.837,18 | 1196 / 86 |
Peripheral Vascular Disorders W Mcc | 12 | 37 / 10 | $46.545,80 | 400 / 5 | $12.689,80 | 507 / 28 | $11.465,10 | 507 / 29 |
Permanent Cardiac Pacemaker Implant W Cc | 23 | 54 / 12 | $88.077,70 | 687 / 23 | $24.854,80 | 924 / 66 | $23.616,60 | 920 / 71 |
Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 12 | $194.679,00 | 574 / 34 | $41.997,10 | 603 / 44 | $40.537,80 | 603 / 46 |
Poisoning & Toxic Effects Of Drugs W Mcc | 27 | 45 / 9 | $89.063,10 | 934 / 64 | $17.297,40 | 959 / 74 | $15.910,00 | 956 / 79 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 34 | 27 / 2 | $25.815,80 | 674 / 6 | $8.350,47 | 875 / 45 | $7.381,00 | 874 / 49 |
Postoperative & Post-Traumatic Infections W/O Mcc | 15 | 39 / 8 | $48.533,30 | 407 / 12 | $11.299,70 | 438 / 14 | $10.636,70 | 438 / 16 |
Psychoses | 504 | 22 / 6 | $25.528,90 | 418 / 12 | $11.589,90 | 576 / 24 | $10.385,10 | 576 / 25 |
Pulmonary Edema & Respiratory Failure | 25 | 178 / 50 | $59.475,50 | 1920 / 70 | $13.832,40 | 2161 / 150 | $12.645,50 | 2155 / 152 |
Pulmonary Embolism W/O Mcc | 22 | 52 / 8 | $45.972,00 | 1129 / 32 | $10.837,80 | 1249 / 65 | $9.444,64 | 1246 / 72 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 20 | $65.665,40 | 995 / 59 | $13.520,50 | 1037 / 72 | $12.236,40 | 1033 / 71 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 42 | $36.475,10 | 1698 / 69 | $9.720,86 | 1920 / 134 | $8.774,07 | 1911 / 136 |
Renal Failure W Cc | 65 | 156 / 26 | $37.150,30 | 1962 / 63 | $10.872,60 | 2352 / 175 | $9.725,14 | 2342 / 174 |
Renal Failure W Mcc | 69 | 126 / 21 | $58.451,50 | 1736 / 72 | $15.700,40 | 2047 / 152 | $14.625,00 | 2043 / 155 |
Renal Failure W/O Cc/Mcc | 19 | 37 / 2 | $27.164,20 | 711 / 6 | $8.219,89 | 840 / 33 | $7.125,58 | 838 / 33 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 34 | $45.920,10 | 1076 / 19 | $14.138,00 | 1443 / 104 | $13.313,40 | 1438 / 110 |
Respiratory Infections & Inflammations W Mcc | 25 | 111 / 47 | $85.916,00 | 1551 / 71 | $20.061,80 | 1765 / 139 | $18.898,10 | 1749 / 144 |
Respiratory Neoplasms W Cc | 14 | 33 / 10 | $57.250,30 | 433 / 16 | $12.798,50 | 480 / 24 | $11.789,40 | 479 / 25 |
Respiratory Signs & Symptoms | 11 | 35 / 4 | $24.740,40 | 179 / 2 | $8.674,73 | 302 / 10 | $7.918,09 | 302 / 10 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 49 | 82 / 9 | $84.719,10 | 1372 / 31 | $22.038,90 | 1692 / 96 | $20.402,60 | 1678 / 94 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 30 | 41 / 5 | $161.244,00 | 611 / 13 | $46.178,40 | 829 / 56 | $41.601,00 | 828 / 45 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 24 | 45 / 12 | $79.426,50 | 329 / 4 | $25.355,10 | 482 / 30 | $23.443,60 | 481 / 33 |
Seizures W Mcc | 31 | 35 / 6 | $48.733,60 | 471 / 13 | $15.397,30 | 686 / 38 | $14.394,20 | 686 / 41 |
Seizures W/O Mcc | 44 | 64 / 6 | $31.136,30 | 986 / 27 | $9.834,20 | 1249 / 85 | $8.092,34 | 1247 / 88 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 47 | 45 / 10 | $178.696,00 | 672 / 25 | $52.379,50 | 916 / 96 | $47.975,30 | 915 / 82 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 336 | 184 / 25 | $83.259,00 | 2471 / 151 | $21.476,40 | 2751 / 241 | $19.613,10 | 2706 / 241 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 88 | 119 / 33 | $40.426,10 | 2049 / 97 | $11.909,60 | 2486 / 211 | $10.689,90 | 2476 / 215 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 14 | 33 / 7 | $32.141,50 | 303 / 8 | $8.942,36 | 364 / 11 | $7.867,43 | 364 / 13 |
Signs & Symptoms W Mcc | 27 | 14 / 1 | $58.210,60 | 254 / 4 | $12.331,50 | 255 / 4 | $11.275,40 | 255 / 4 |
Signs & Symptoms W/O Mcc | 49 | 42 / 3 | $33.057,50 | 1086 / 38 | $8.811,78 | 1275 / 81 | $7.476,10 | 1272 / 81 |
Simple Pneumonia & Pleurisy W Cc | 87 | 116 / 14 | $39.895,00 | 2321 / 68 | $11.111,60 | 2730 / 189 | $9.959,33 | 2721 / 193 |
Simple Pneumonia & Pleurisy W Mcc | 86 | 119 / 14 | $54.146,30 | 1998 / 58 | $15.263,60 | 2433 / 176 | $14.059,10 | 2427 / 178 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 24 | $31.428,70 | 1656 / 45 | $10.224,70 | 1922 / 131 | $7.310,90 | 1914 / 126 |
Spinal Fusion Except Cervical W/O Mcc | 142 | 55 / 5 | $124.335,00 | 962 / 22 | $35.401,60 | 1263 / 59 | $33.252,50 | 1258 / 68 |
Syncope & Collapse | 111 | 58 / 2 | $33.590,30 | 1545 / 58 | $9.068,41 | 1855 / 141 | $7.949,43 | 1847 / 143 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 18 | 46 / 6 | $439.363,00 | 469 / 20 | $119.413,00 | 498 / 50 | $96.850,00 | 497 / 35 |
Transient Ischemia | 78 | 47 / 1 | $37.212,20 | 1383 / 58 | $8.877,06 | 1618 / 128 | $7.456,24 | 1610 / 129 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 12 | 32 / 12 | $46.942,20 | 295 / 20 | $9.273,75 | 302 / 26 | $8.156,17 | 302 / 27 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 38 | 28 / 4 | $66.785,30 | 491 / 21 | $12.123,70 | 501 / 30 | $10.938,70 | 500 / 33 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 25 | 26 / 3 | $107.325,00 | 310 / 12 | $19.537,00 | 307 / 16 | $18.242,60 | 307 / 17 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 43 | 12 / 1 | $50.288,20 | 377 / 9 | $10.721,50 | 383 / 23 | $7.714,63 | 383 / 24 |
Traumatic Stupor & Coma, Coma >1 Hr W Cc | 11 | 13 / 2 | $78.436,00 | 33 / 2 | $13.633,20 | 35 / 1 | $11.537,70 | 35 / 1 |
Traumatic Stupor & Coma, Coma >1 Hr W Mcc | 13 | 14 / 2 | $146.603,00 | 58 / 3 | $22.625,70 | 55 / 1 | $21.265,50 | 55 / 2 |
Traumatic Stupor & Coma, Coma >1 Hr W/O Cc/Mcc | 12 | 9 / 1 | $55.274,40 | 19 / 1 | $10.118,30 | 20 / 1 | $8.757,67 | 20 / 1 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 19 | 27 / 6 | $39.964,70 | 185 / 10 | $11.206,70 | 244 / 28 | $9.893,68 | 244 / 29 | Total 157 procedures | 5.881 | 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.