Hospital Costs > In California > Community Regional Medical Center, procedure costs

Community Regional Medical Center, procedure costs

2823 Fresno Street, Fresno, CA 93715,

Procedure Costs @ Community Regional Medical Center
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Acute Adjustment Reaction & Psychosocial Dysfunction1218 / 2$19.015,1038 / 1$8.369,6775 / 2$7.266,6775 / 3
Acute Myocardial Infarction, Discharged Alive W Cc3457 / 6$47.033,701142 / 34$11.861,901394 / 94$10.795,601392 / 97
Acute Myocardial Infarction, Discharged Alive W Mcc5372 / 6$77.902,701534 / 71$18.060,501741 / 129$16.840,401728 / 136
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1637 / 7$38.382,80716 / 16$8.784,25832 / 38$7.536,75828 / 40
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc1413 / 5$66.223,40124 / 8$15.353,10119 / 9$14.301,70119 / 10
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc2896 / 13$37.506,40768 / 26$8.843,61800 / 37$7.738,68799 / 40
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc1119 / 4$82.205,30166 / 2$18.780,60188 / 5$17.540,40187 / 6
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim2145 / 14$82.280,40470 / 15$18.612,40551 / 35$17.261,70547 / 40
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc1178 / 34$60.426,70669 / 31$11.579,70728 / 55$9.863,45727 / 63
Bronchitis & Asthma W Cc/Mcc1759 / 16$28.195,70667 / 7$9.941,941041 / 71$8.859,711037 / 74
Cardiac Arrhythmia & Conduction Disorders W Cc28133 / 38$31.277,901677 / 43$9.598,462098 / 160$8.602,792093 / 163
Cardiac Arrhythmia & Conduction Disorders W Mcc3588 / 19$70.121,801781 / 103$15.711,501891 / 141$14.680,101888 / 145
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc22128 / 27$25.089,401626 / 40$7.676,771944 / 131$6.520,681938 / 136
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc1139 / 6$138.157,00113 / 2$48.010,60223 / 3$46.585,50223 / 3
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc1999 / 22$280.916,00496 / 19$51.718,30522 / 27$50.212,20522 / 32
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc13103 / 24$344.039,00414 / 18$73.347,10443 / 21$72.039,10443 / 24
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc1131 / 7$200.094,00112 / 3$40.948,10116 / 4$39.556,70116 / 5
Cellulitis W Mcc1840 / 16$39.576,30586 / 18$14.136,10896 / 69$12.845,40894 / 70
Cellulitis W/O Mcc76113 / 18$27.632,002023 / 53$9.900,632542 / 190$8.743,012534 / 193
Cervical Spinal Fusion W Cc1736 / 10$109.428,00300 / 8$26.882,80364 / 20$25.666,60363 / 24
Cervical Spinal Fusion W/O Cc/Mcc4163 / 5$77.217,20654 / 13$21.255,10821 / 46$18.545,30818 / 45
Chest Pain8368 / 10$32.585,901458 / 77$8.081,921635 / 128$7.080,061626 / 134
Chronic Obstructive Pulmonary Disease W Cc63116 / 14$39.979,302067 / 76$10.613,502364 / 167$9.559,482357 / 170
Chronic Obstructive Pulmonary Disease W Mcc58144 / 32$53.104,402244 / 98$13.487,102517 / 180$12.349,102509 / 187
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc3387 / 14$31.177,201746 / 37$8.923,092050 / 127$7.631,002038 / 123
Circulatory Disorders Except Ami, W Card Cath W Mcc2667 / 9$91.063,50712 / 14$21.078,00840 / 47$19.758,90832 / 46
Circulatory Disorders Except Ami, W Card Cath W/O Mcc52136 / 12$51.378,601241 / 33$12.211,701569 / 112$10.663,201566 / 112
Cirrhosis & Alcoholic Hepatitis W Mcc1626 / 8$79.263,50251 / 15$17.911,10264 / 18$16.611,70264 / 17
Complications Of Treatment W Mcc1140 / 12$84.421,00268 / 11$20.350,50280 / 15$19.437,30280 / 18
Coronary Bypass W Cardiac Cath W Mcc1541 / 9$334.815,00384 / 15$71.933,20427 / 24$70.299,80427 / 26
Coronary Bypass W Cardiac Cath W/O Mcc1858 / 12$207.185,00507 / 10$44.447,40585 / 26$39.718,40585 / 25
Coronary Bypass W/O Cardiac Cath W Mcc1148 / 8$280.851,00216 / 4$55.450,60225 / 7$54.052,50224 / 8
Coronary Bypass W/O Cardiac Cath W/O Mcc2959 / 3$164.276,00499 / 11$35.819,60562 / 18$32.409,90561 / 20
Cranial & Peripheral Nerve Disorders W Mcc1422 / 9$37.551,0084 / 4$13.823,00139 / 14$13.181,00139 / 14
Cranial & Peripheral Nerve Disorders W/O Mcc1850 / 13$38.241,10585 / 22$10.421,80712 / 40$9.661,67712 / 45
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant2220 / 5$162.090,00106 / 2$45.398,00136 / 4$43.714,40136 / 4
Craniotomy & Endovascular Intracranial Procedures W Cc2332 / 4$162.980,00210 / 7$31.005,70214 / 12$29.642,70214 / 12
Craniotomy & Endovascular Intracranial Procedures W Mcc4058 / 5$173.759,00402 / 14$39.469,60453 / 25$38.121,70453 / 28
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc1361 / 13$143.715,00258 / 12$22.960,90256 / 10$21.750,20255 / 14
Degenerative Nervous System Disorders W/O Mcc2652 / 7$45.315,70725 / 25$12.522,20796 / 46$9.314,35796 / 42
Depressive Neuroses2327 / 2$16.442,40106 / 1$8.562,35126 / 3$7.649,52126 / 3
Diabetes W Cc4448 / 2$36.291,501331 / 42$10.154,701560 / 105$9.304,861555 / 110
Diabetes W Mcc3819 / 2$70.322,20686 / 33$16.097,00722 / 43$14.842,10721 / 43
Diabetes W/O Cc/Mcc1919 / 2$25.778,90231 / 2$7.643,47270 / 7$6.395,89270 / 7
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc2941 / 8$40.626,20475 / 28$11.944,10530 / 46$9.679,14530 / 45
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc2254 / 15$66.416,50397 / 25$19.439,40493 / 51$17.103,70493 / 52
Disorders Of Pancreas Except Malignancy W Cc1447 / 11$26.766,60529 / 5$10.644,20926 / 50$9.390,86923 / 52
Disorders Of The Biliary Tract W Cc1143 / 13$58.841,30428 / 22$12.216,50465 / 32$11.148,10465 / 34
Dysequilibrium1550 / 12$30.345,70416 / 8$8.232,27550 / 39$7.218,67550 / 39
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.2952 / 6$615.786,00331 / 4$163.031,00360 / 16$148.411,00359 / 14
Esophagitis, Gastroent & Misc Digest Disorders W Mcc4452 / 5$37.378,80888 / 21$12.897,501391 / 110$12.081,801386 / 118
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc97178 / 23$28.991,102116 / 64$9.214,852640 / 191$8.115,962625 / 200
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc2519 / 3$222.935,00429 / 29$54.555,10432 / 31$53.409,40430 / 31
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc2439 / 6$236.197,00683 / 31$57.479,90747 / 51$55.908,20747 / 56
Female Reproductive System Reconstructive Procedures1213 / 4$51.152,6034 / 4$10.925,2034 / 5$9.294,7534 / 5
Fractures Of Hip & Pelvis W/O Mcc1150 / 20$43.391,40879 / 50$8.630,82899 / 66$7.398,27898 / 67
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1448 / 17$45.893,40768 / 44$8.583,21770 / 52$7.486,07768 / 55
G.I. Hemorrhage W Cc71147 / 27$41.517,601996 / 79$11.280,902345 / 174$10.064,902341 / 178
G.I. Hemorrhage W Mcc4180 / 15$63.919,901251 / 48$17.199,801552 / 121$16.187,401542 / 124
G.I. Hemorrhage W/O Cc/Mcc1553 / 14$34.924,20869 / 35$8.905,13978 / 62$7.511,60974 / 66
G.I. Obstruction W Cc1676 / 36$41.925,401487 / 60$10.324,201704 / 123$9.421,811699 / 132
Headaches W/O Mcc1726 / 2$27.091,20152 / 2$8.600,47230 / 7$7.357,82230 / 8
Heart Failure & Shock W Cc100178 / 13$35.715,402206 / 67$11.348,202653 / 194$9.961,912647 / 194
Heart Failure & Shock W Mcc139145 / 12$56.945,802147 / 83$15.566,802500 / 183$14.381,002489 / 186
Heart Failure & Shock W/O Cc/Mcc3674 / 11$27.343,901637 / 34$8.746,471961 / 119$7.561,311948 / 120
Hip & Femur Procedures Except Major Joint W Cc4697 / 23$88.960,301807 / 74$19.099,501968 / 135$17.788,201947 / 136
Hip & Femur Procedures Except Major Joint W Mcc1547 / 13$124.110,00804 / 29$26.920,50881 / 55$25.627,10878 / 55
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc2135 / 13$76.291,30820 / 35$16.493,10882 / 65$15.242,50879 / 66
Hypertension W/O Mcc2243 / 7$30.692,20643 / 8$8.234,00754 / 26$7.008,95752 / 26
Infectious & Parasitic Diseases W O.R. Procedure W Mcc5470 / 15$227.400,001354 / 64$54.675,101522 / 121$52.991,901512 / 126
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs8399 / 9$55.158,201815 / 93$12.404,802015 / 164$11.081,302011 / 166
Intracranial Hemorrhage Or Cerebral Infarction W Mcc10961 / 1$76.935,601339 / 70$18.200,901507 / 119$16.287,101500 / 121
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc3963 / 10$38.746,701328 / 44$9.370,851560 / 111$7.985,101556 / 114
Kidney & Urinary Tract Infections W Mcc40104 / 26$37.687,401435 / 42$12.092,001886 / 148$11.265,201882 / 152
Kidney & Urinary Tract Infections W/O Mcc119114 / 8$29.257,902183 / 59$9.399,622635 / 192$8.423,622624 / 198
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1145 / 19$52.448,50503 / 4$16.592,30849 / 59$15.444,50845 / 64
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc1426 / 11$102.431,00358 / 14$23.512,90441 / 34$22.214,90440 / 36
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1829 / 8$50.558,70419 / 8$13.111,70574 / 47$11.773,60573 / 48
Major Cardiovasc Procedures W/O Mcc1685 / 25$94.810,70533 / 5$30.415,20932 / 45$29.233,90931 / 45
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1954 / 15$39.624,00817 / 12$12.828,301093 / 71$11.995,201091 / 75
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc86478 / 95$66.499,101903 / 65$19.751,902524 / 169$18.060,202478 / 189
Major Male Pelvic Procedures W/O Cc/Mcc1261 / 18$62.760,20300 / 11$13.215,60355 / 24$11.497,90355 / 25
Major Small & Large Bowel Procedures W Cc2880 / 27$129.580,001386 / 62$25.694,201454 / 96$22.571,501440 / 96
Major Small & Large Bowel Procedures W Mcc1966 / 21$204.909,001060 / 31$46.433,601174 / 56$44.479,401171 / 58
Malignancy Of Hepatobiliary System Or Pancreas W Mcc1241 / 11$93.771,80305 / 13$17.582,70307 / 15$16.394,40308 / 16
Medical Back Problems W Mcc1524 / 5$56.923,50241 / 8$15.400,00301 / 18$14.414,50301 / 18
Medical Back Problems W/O Mcc5764 / 9$50.388,001406 / 86$9.925,741440 / 113$8.757,261435 / 117
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc7551 / 6$36.587,501215 / 35$12.207,301643 / 135$11.388,801640 / 137
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc58108 / 25$33.746,402232 / 99$8.911,212460 / 173$7.872,192451 / 178
Nervous System Neoplasms W Mcc2127 / 3$65.238,40259 / 5$14.675,90283 / 12$12.661,20283 / 11
Non-Extensive Burns1217 / 3$64.870,5032 / 1$14.865,5027 / 1$13.459,2027 / 1
Nonspecific Cerebrovascular Disorders W Cc1442 / 12$42.389,70380 / 16$11.166,40449 / 28$10.057,20449 / 29
Organic Disturbances & Mental Retardation1247 / 12$56.473,80525 / 22$14.060,40508 / 25$9.591,17508 / 22
Other Circulatory System Diagnoses W Cc2640 / 5$35.686,80494 / 7$10.963,70648 / 23$10.185,80647 / 26
Other Circulatory System Diagnoses W Mcc7343 / 2$81.708,501159 / 51$21.130,701340 / 110$20.235,601332 / 115
Other Circulatory System O.R. Procedures2035 / 7$104.210,00337 / 13$27.345,80417 / 25$26.052,10417 / 26
Other Digestive System Diagnoses W Cc1780 / 25$38.038,001091 / 43$11.119,501391 / 121$10.229,901387 / 125
Other Digestive System Diagnoses W Mcc1151 / 23$51.288,10475 / 16$16.051,60682 / 59$15.142,90681 / 62
Other Disorders Of Nervous System W Cc1442 / 13$40.466,60499 / 20$12.890,90594 / 48$8.712,86593 / 47
Other Disorders Of Nervous System W Mcc1822 / 5$68.852,30268 / 15$17.318,40302 / 26$16.226,30302 / 26
Other Infectious & Parasitic Diseases Diagnoses W Mcc1110 / 4$101.378,0034 / 3$25.641,2034 / 2$24.415,5034 / 2
Other Kidney & Urinary Tract Diagnoses W Cc3073 / 12$31.885,30554 / 6$10.833,90817 / 44$10.034,20817 / 52
Other Kidney & Urinary Tract Diagnoses W Mcc2180 / 27$63.079,00911 / 28$15.975,401009 / 63$14.123,801005 / 61
Other Multiple Significant Trauma W Cc1312 / 2$91.396,5043 / 1$14.525,3036 / 2$11.993,7036 / 2
Other O.R. Procedures For Injuries W Mcc1126 / 7$129.138,00137 / 2$33.715,50144 / 3$32.546,50144 / 4
Other Resp System O.R. Procedures W Mcc1152 / 7$193.384,00547 / 11$37.384,10563 / 18$35.719,50562 / 18
Other Vascular Procedures W Cc1884 / 26$87.063,60719 / 8$23.700,301061 / 49$22.852,701056 / 55
Other Vascular Procedures W Mcc3760 / 9$156.901,00888 / 48$39.458,90990 / 76$38.175,60987 / 82
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents2773 / 15$143.788,00794 / 31$30.797,60963 / 69$29.459,40958 / 72
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc61135 / 16$74.969,30774 / 11$21.088,701390 / 100$16.983,201382 / 93
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc1638 / 4$118.147,00183 / 3$27.503,30227 / 8$26.900,20227 / 9
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc1580 / 15$81.386,30348 / 6$19.227,50563 / 29$18.246,10559 / 34
Peripheral Vascular Disorders W Cc2856 / 6$36.792,90953 / 27$10.773,001199 / 80$9.837,181196 / 86
Peripheral Vascular Disorders W Mcc1237 / 10$46.545,80400 / 5$12.689,80507 / 28$11.465,10507 / 29
Permanent Cardiac Pacemaker Implant W Cc2354 / 12$88.077,70687 / 23$24.854,80924 / 66$23.616,60920 / 71
Permanent Cardiac Pacemaker Implant W Mcc1240 / 12$194.679,00574 / 34$41.997,10603 / 44$40.537,80603 / 46
Poisoning & Toxic Effects Of Drugs W Mcc2745 / 9$89.063,10934 / 64$17.297,40959 / 74$15.910,00956 / 79
Poisoning & Toxic Effects Of Drugs W/O Mcc3427 / 2$25.815,80674 / 6$8.350,47875 / 45$7.381,00874 / 49
Postoperative & Post-Traumatic Infections W/O Mcc1539 / 8$48.533,30407 / 12$11.299,70438 / 14$10.636,70438 / 16
Psychoses50422 / 6$25.528,90418 / 12$11.589,90576 / 24$10.385,10576 / 25
Pulmonary Edema & Respiratory Failure25178 / 50$59.475,501920 / 70$13.832,402161 / 150$12.645,502155 / 152
Pulmonary Embolism W/O Mcc2252 / 8$45.972,001129 / 32$10.837,801249 / 65$9.444,641246 / 72
Red Blood Cell Disorders W Mcc1160 / 20$65.665,40995 / 59$13.520,501037 / 72$12.236,401033 / 71
Red Blood Cell Disorders W/O Mcc14129 / 42$36.475,101698 / 69$9.720,861920 / 134$8.774,071911 / 136
Renal Failure W Cc65156 / 26$37.150,301962 / 63$10.872,602352 / 175$9.725,142342 / 174
Renal Failure W Mcc69126 / 21$58.451,501736 / 72$15.700,402047 / 152$14.625,002043 / 155
Renal Failure W/O Cc/Mcc1937 / 2$27.164,20711 / 6$8.219,89840 / 33$7.125,58838 / 33
Respiratory Infections & Inflammations W Cc1474 / 34$45.920,101076 / 19$14.138,001443 / 104$13.313,401438 / 110
Respiratory Infections & Inflammations W Mcc25111 / 47$85.916,001551 / 71$20.061,801765 / 139$18.898,101749 / 144
Respiratory Neoplasms W Cc1433 / 10$57.250,30433 / 16$12.798,50480 / 24$11.789,40479 / 25
Respiratory Signs & Symptoms1135 / 4$24.740,40179 / 2$8.674,73302 / 10$7.918,09302 / 10
Respiratory System Diagnosis W Ventilator Support <96 Hours4982 / 9$84.719,101372 / 31$22.038,901692 / 96$20.402,601678 / 94
Respiratory System Diagnosis W Ventilator Support 96+ Hours3041 / 5$161.244,00611 / 13$46.178,40829 / 56$41.601,00828 / 45
Revision Of Hip Or Knee Replacement W/O Cc/Mcc2445 / 12$79.426,50329 / 4$25.355,10482 / 30$23.443,60481 / 33
Seizures W Mcc3135 / 6$48.733,60471 / 13$15.397,30686 / 38$14.394,20686 / 41
Seizures W/O Mcc4464 / 6$31.136,30986 / 27$9.834,201249 / 85$8.092,341247 / 88
Septicemia Or Severe Sepsis W Mv 96+ Hours4745 / 10$178.696,00672 / 25$52.379,50916 / 96$47.975,30915 / 82
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc336184 / 25$83.259,002471 / 151$21.476,402751 / 241$19.613,102706 / 241
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc88119 / 33$40.426,102049 / 97$11.909,602486 / 211$10.689,902476 / 215
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc1433 / 7$32.141,50303 / 8$8.942,36364 / 11$7.867,43364 / 13
Signs & Symptoms W Mcc2714 / 1$58.210,60254 / 4$12.331,50255 / 4$11.275,40255 / 4
Signs & Symptoms W/O Mcc4942 / 3$33.057,501086 / 38$8.811,781275 / 81$7.476,101272 / 81
Simple Pneumonia & Pleurisy W Cc87116 / 14$39.895,002321 / 68$11.111,602730 / 189$9.959,332721 / 193
Simple Pneumonia & Pleurisy W Mcc86119 / 14$54.146,301998 / 58$15.263,602433 / 176$14.059,102427 / 178
Simple Pneumonia & Pleurisy W/O Cc/Mcc2172 / 24$31.428,701656 / 45$10.224,701922 / 131$7.310,901914 / 126
Spinal Fusion Except Cervical W/O Mcc14255 / 5$124.335,00962 / 22$35.401,601263 / 59$33.252,501258 / 68
Syncope & Collapse11158 / 2$33.590,301545 / 58$9.068,411855 / 141$7.949,431847 / 143
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.1846 / 6$439.363,00469 / 20$119.413,00498 / 50$96.850,00497 / 35
Transient Ischemia7847 / 1$37.212,201383 / 58$8.877,061618 / 128$7.456,241610 / 129
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc1232 / 12$46.942,20295 / 20$9.273,75302 / 26$8.156,17302 / 27
Traumatic Stupor & Coma, Coma <1 Hr W Cc3828 / 4$66.785,30491 / 21$12.123,70501 / 30$10.938,70500 / 33
Traumatic Stupor & Coma, Coma <1 Hr W Mcc2526 / 3$107.325,00310 / 12$19.537,00307 / 16$18.242,60307 / 17
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc4312 / 1$50.288,20377 / 9$10.721,50383 / 23$7.714,63383 / 24
Traumatic Stupor & Coma, Coma >1 Hr W Cc1113 / 2$78.436,0033 / 2$13.633,2035 / 1$11.537,7035 / 1
Traumatic Stupor & Coma, Coma >1 Hr W Mcc1314 / 2$146.603,0058 / 3$22.625,7055 / 1$21.265,5055 / 2
Traumatic Stupor & Coma, Coma >1 Hr W/O Cc/Mcc129 / 1$55.274,4019 / 1$10.118,3020 / 1$8.757,6720 / 1
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc1927 / 6$39.964,70185 / 10$11.206,70244 / 28$9.893,68244 / 29
Total 157 procedures5.881discharges

DATA

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.