Hospital Costs > In Texas > Conroe Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 146 | 129 / 13 | $37.874,00 | 2424 / 176 | $5.458,81 | 1666 / 125 | $4.297,69 | 1653 / 143 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 145 | 371 / 64 | $96.918,50 | 2612 / 194 | $12.932,80 | 1530 / 156 | $11.067,70 | 1499 / 143 |
| Chronic Obstructive Pulmonary Disease W Mcc | 127 | 75 / 8 | $59.497,60 | 2348 / 174 | $8.202,35 | 1523 / 125 | $6.863,82 | 1516 / 131 |
| Kidney & Urinary Tract Infections W/O Mcc | 120 | 113 / 18 | $37.960,40 | 2456 / 195 | $5.521,77 | 1695 / 137 | $4.544,86 | 1684 / 154 |
| Heart Failure & Shock W Mcc | 116 | 168 / 33 | $85.513,70 | 2502 / 196 | $10.693,10 | 1644 / 156 | $9.369,93 | 1639 / 143 |
| Heart Failure & Shock W Cc | 105 | 173 / 28 | $49.706,20 | 2538 / 192 | $6.851,50 | 1466 / 135 | $5.725,05 | 1461 / 124 |
| Chronic Obstructive Pulmonary Disease W Cc | 97 | 82 / 6 | $50.784,50 | 2258 / 148 | $6.832,31 | 1360 / 120 | $5.328,26 | 1355 / 109 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 93 | 28 / 2 | $41.320,80 | 1973 / 137 | $5.263,31 | 1410 / 97 | $4.259,58 | 1399 / 111 |
| Simple Pneumonia & Pleurisy W Cc | 86 | 117 / 26 | $51.496,00 | 2582 / 199 | $6.873,92 | 1608 / 137 | $5.614,78 | 1601 / 138 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 85 | 103 / 12 | $69.126,30 | 1491 / 120 | $7.562,07 | 991 / 71 | $6.323,40 | 988 / 93 |
| Syncope & Collapse | 82 | 87 / 9 | $51.023,50 | 1842 / 130 | $5.294,48 | 1176 / 72 | $4.343,56 | 1169 / 94 |
| Renal Failure W Mcc | 81 | 114 / 27 | $54.270,00 | 1664 / 113 | $10.463,60 | 1105 / 99 | $9.148,01 | 1105 / 104 |
| Chest Pain | 79 | 72 / 8 | $42.521,70 | 1627 / 121 | $4.603,65 | 947 / 70 | $3.461,46 | 942 / 76 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 72 | 89 / 15 | $41.263,10 | 1930 / 135 | $5.733,64 | 1297 / 99 | $4.647,40 | 1292 / 109 |
| G.I. Hemorrhage W Cc | 72 | 146 / 28 | $52.033,20 | 2200 / 150 | $6.950,15 | 1259 / 97 | $5.650,88 | 1256 / 93 |
| Simple Pneumonia & Pleurisy W Mcc | 66 | 139 / 33 | $81.563,90 | 2354 / 176 | $9.826,73 | 1456 / 120 | $8.609,20 | 1456 / 131 |
| Transient Ischemia | 66 | 59 / 15 | $53.248,20 | 1595 / 110 | $5.192,17 | 921 / 66 | $3.901,85 | 916 / 69 |
| Renal Failure W Cc | 59 | 162 / 48 | $48.964,70 | 2238 / 167 | $7.616,20 | 1468 / 150 | $5.704,14 | 1459 / 130 |
| Cellulitis W/O Mcc | 58 | 131 / 33 | $39.151,80 | 2395 / 175 | $6.021,38 | 1679 / 120 | $4.943,52 | 1672 / 150 |
| Kidney & Urinary Tract Infections W Mcc | 57 | 87 / 23 | $46.744,90 | 1637 / 121 | $7.722,93 | 1173 / 97 | $6.704,51 | 1169 / 101 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 57 | 74 / 17 | $126.695,00 | 1704 / 128 | $15.708,50 | 826 / 96 | $13.429,80 | 818 / 79 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 52 | 144 / 27 | $104.518,00 | 1207 / 93 | $14.247,80 | 740 / 72 | $11.360,40 | 736 / 87 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 52 | 512 / 113 | $98.246,30 | 2452 / 195 | $14.421,60 | 1514 / 132 | $12.083,90 | 1479 / 169 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 46 | 120 / 41 | $35.142,40 | 2265 / 172 | $5.126,50 | 1328 / 128 | $3.908,96 | 1323 / 110 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 45 | 78 / 21 | $74.682,80 | 1810 / 127 | $9.097,40 | 1171 / 101 | $7.530,31 | 1168 / 96 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 44 | 138 / 41 | $83.335,00 | 2044 / 143 | $7.598,84 | 1226 / 86 | $6.181,52 | 1223 / 97 |
| Red Blood Cell Disorders W/O Mcc | 43 | 100 / 27 | $35.096,00 | 1664 / 124 | $5.779,81 | 1216 / 97 | $4.837,26 | 1208 / 109 |
| Medical Back Problems W/O Mcc | 41 | 80 / 15 | $45.899,10 | 1355 / 93 | $6.227,56 | 576 / 62 | $4.356,02 | 574 / 42 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 41 | 85 / 35 | $50.386,20 | 1494 / 112 | $7.589,41 | 896 / 73 | $6.785,59 | 893 / 80 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 39 | 111 / 26 | $32.649,80 | 1824 / 126 | $4.258,28 | 1367 / 85 | $3.248,74 | 1362 / 104 |
| Hypertension W/O Mcc | 39 | 26 / 4 | $33.407,30 | 673 / 55 | $4.648,79 | 434 / 32 | $3.529,49 | 432 / 37 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 39 | 57 / 18 | $62.036,80 | 1296 / 83 | $8.661,51 | 732 / 61 | $7.212,72 | 727 / 56 |
| Other Vascular Procedures W Cc | 35 | 67 / 20 | $142.484,00 | 1040 / 84 | $16.991,80 | 397 / 61 | $14.379,60 | 395 / 47 |
| Pulmonary Edema & Respiratory Failure | 34 | 169 / 49 | $71.345,10 | 2065 / 144 | $8.437,79 | 1377 / 88 | $7.540,71 | 1373 / 112 |
| Seizures W/O Mcc | 33 | 75 / 17 | $44.568,40 | 1185 / 73 | $7.698,76 | 626 / 79 | $4.326,03 | 623 / 50 |
| Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 24 | $37.150,10 | 1854 / 147 | $5.061,50 | 1009 / 102 | $3.742,03 | 1001 / 79 |
| Other Circulatory System Diagnoses W Mcc | 32 | 84 / 26 | $79.139,40 | 1139 / 85 | $12.603,20 | 657 / 58 | $11.374,10 | 655 / 65 |
| Other Vascular Procedures W Mcc | 31 | 66 / 22 | $111.681,00 | 671 / 52 | $21.949,80 | 187 / 59 | $17.801,20 | 187 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 61 | $57.380,70 | 2372 / 176 | $7.387,40 | 1494 / 118 | $6.253,37 | 1488 / 131 |
| Peripheral Vascular Disorders W Cc | 30 | 54 / 13 | $63.333,50 | 1220 / 86 | $7.335,90 | 690 / 61 | $5.828,30 | 687 / 55 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 30 | 41 / 14 | $278.160,00 | 899 / 70 | $39.422,80 | 390 / 65 | $30.486,60 | 390 / 43 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 29 | 35 / 8 | $369.884,00 | 404 / 31 | $58.513,90 | 33 / 18 | $47.387,30 | 33 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 25 | $42.914,10 | 1839 / 149 | $5.312,07 | 1107 / 107 | $3.791,76 | 1101 / 91 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 29 | 139 / 45 | $96.204,40 | 1482 / 95 | $11.018,30 | 696 / 47 | $9.878,62 | 695 / 53 |
| Extracranial Procedures W/O Cc/Mcc | 29 | 69 / 20 | $43.212,20 | 684 / 53 | $7.255,55 | 519 / 46 | $5.813,00 | 518 / 50 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 28 | 72 / 18 | $165.610,00 | 878 / 65 | $21.677,40 | 583 / 46 | $20.613,90 | 579 / 66 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 28 | 74 / 28 | $63.267,70 | 1573 / 105 | $6.036,14 | 875 / 72 | $4.099,36 | 871 / 68 |
| G.I. Hemorrhage W Mcc | 27 | 94 / 30 | $84.148,80 | 1474 / 96 | $11.733,20 | 858 / 65 | $10.699,60 | 854 / 74 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 36 | $106.161,00 | 1726 / 120 | $11.656,80 | 1056 / 81 | $10.509,70 | 1053 / 90 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 25 | 37 / 8 | $36.683,90 | 688 / 33 | $6.109,56 | 303 / 26 | $3.904,44 | 303 / 15 |
| Major Cardiovasc Procedures W/O Mcc | 24 | 77 / 25 | $149.841,00 | 875 / 59 | $21.275,10 | 489 / 33 | $20.211,60 | 489 / 54 |
| Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 49 | $102.464,00 | 1909 / 130 | $13.386,00 | 1058 / 117 | $11.167,20 | 1044 / 96 |
| Degenerative Nervous System Disorders W/O Mcc | 23 | 55 / 8 | $47.929,00 | 757 / 43 | $6.756,52 | 405 / 18 | $5.676,96 | 405 / 24 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 23 | 70 / 14 | $117.513,00 | 829 / 57 | $14.035,50 | 484 / 35 | $12.804,20 | 478 / 45 |
| Diabetes W Cc | 22 | 70 / 29 | $42.228,60 | 1444 / 101 | $5.929,00 | 966 / 60 | $5.052,77 | 962 / 75 |
| Major Cardiovasc Procedures W Mcc | 22 | 46 / 12 | $293.483,00 | 616 / 45 | $33.149,20 | 243 / 16 | $31.600,80 | 243 / 24 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 22 | 41 / 13 | $191.644,00 | 619 / 42 | $31.314,70 | 375 / 28 | $30.269,50 | 375 / 41 |
| G.I. Obstruction W Cc | 22 | 70 / 28 | $39.330,20 | 1443 / 82 | $6.183,91 | 1078 / 59 | $5.255,41 | 1075 / 82 |
| Other Digestive System Diagnoses W Cc | 21 | 76 / 23 | $56.323,50 | 1337 / 83 | $8.639,00 | 590 / 80 | $5.383,24 | 587 / 37 |
| Red Blood Cell Disorders W Mcc | 21 | 50 / 18 | $39.551,20 | 675 / 43 | $8.437,14 | 487 / 42 | $7.439,48 | 485 / 43 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 25 | $62.623,40 | 1274 / 88 | $9.856,55 | 754 / 93 | $7.854,55 | 749 / 68 |
| Pulmonary Embolism W/O Mcc | 20 | 54 / 17 | $67.501,10 | 1250 / 72 | $6.980,00 | 806 / 38 | $5.831,50 | 803 / 51 |
| Extracranial Procedures W Cc | 19 | 27 / 10 | $86.092,60 | 340 / 27 | $11.049,90 | 172 / 18 | $8.881,84 | 172 / 17 |
| Bronchitis & Asthma W Cc/Mcc | 19 | 57 / 23 | $44.142,70 | 953 / 68 | $6.194,00 | 642 / 43 | $5.250,42 | 638 / 58 |
| Cellulitis W Mcc | 19 | 39 / 14 | $64.029,30 | 836 / 59 | $9.622,63 | 526 / 31 | $8.867,21 | 524 / 51 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 19 | 57 / 13 | $86.795,10 | 465 / 48 | $12.355,50 | 242 / 28 | $11.543,10 | 242 / 33 |
| Dysequilibrium | 19 | 46 / 9 | $57.926,90 | 557 / 31 | $4.497,95 | 227 / 11 | $3.257,89 | 227 / 13 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 45 | $288.056,00 | 1492 / 110 | $34.732,30 | 830 / 72 | $33.073,60 | 824 / 85 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 26 | $57.991,30 | 1284 / 75 | $7.402,58 | 481 / 54 | $5.441,79 | 480 / 32 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 28 | $333.024,00 | 1031 / 83 | $39.908,70 | 564 / 55 | $37.952,60 | 563 / 66 |
| Signs & Symptoms W/O Mcc | 18 | 73 / 24 | $33.507,10 | 1094 / 57 | $4.972,78 | 778 / 39 | $4.227,50 | 775 / 54 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 18 | 38 / 18 | $84.182,50 | 753 / 56 | $10.898,80 | 455 / 39 | $9.352,28 | 453 / 48 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 18 | 63 / 13 | $640.255,00 | 349 / 29 | $90.829,50 | 81 / 7 | $88.995,00 | 81 / 10 |
| Respiratory Infections & Inflammations W Mcc | 17 | 119 / 47 | $101.275,00 | 1662 / 110 | $13.030,90 | 1042 / 88 | $11.819,40 | 1029 / 92 |
| G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 15 | $28.492,20 | 782 / 57 | $5.117,76 | 534 / 42 | $3.840,82 | 530 / 48 |
| Respiratory Neoplasms W Mcc | 17 | 35 / 10 | $102.935,00 | 600 / 27 | $10.649,40 | 201 / 11 | $9.520,06 | 201 / 10 |
| Atherosclerosis W/O Mcc | 17 | 41 / 10 | $29.524,10 | 442 / 22 | $4.547,82 | / | $3.638,47 | / |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 14 | $30.126,90 | 754 / 29 | $4.752,88 | 434 / 19 | $3.669,94 | 433 / 22 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 17 | 53 / 18 | $35.723,10 | 438 / 45 | $6.348,24 | 266 / 22 | $5.794,47 | 266 / 32 |
| Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 22 | $90.465,20 | 708 / 43 | $17.052,20 | 490 / 45 | $15.823,50 | 489 / 52 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 27 | $223.066,00 | 1106 / 73 | $34.337,30 | 421 / 58 | $28.786,10 | 419 / 41 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 17 | $81.032,40 | 845 / 66 | $10.804,80 | 562 / 53 | $9.528,19 | 560 / 59 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 16 | 50 / 13 | $61.001,30 | 472 / 35 | $7.675,44 | 232 / 15 | $6.413,19 | 232 / 22 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 16 | 72 / 22 | $167.682,00 | 505 / 41 | $23.883,60 | 348 / 23 | $22.624,40 | 347 / 37 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 15 | 29 / 10 | $114.872,00 | 356 / 18 | $18.197,10 | 202 / 11 | $17.059,10 | 201 / 12 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 23 | $28.455,70 | 489 / 16 | $6.896,60 | 494 / 22 | $6.234,80 | 494 / 29 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 35 | $137.014,00 | 1410 / 87 | $19.192,20 | 661 / 83 | $14.189,10 | 655 / 55 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 23 | $76.315,90 | 884 / 56 | $10.094,70 | 380 / 42 | $8.045,80 | 379 / 27 |
| Psychoses | 15 | 260 / 19 | $34.826,50 | 519 / 29 | $7.023,27 | 354 / 14 | $6.321,60 | 354 / 21 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 11 | $129.236,00 | 419 / 32 | $16.316,10 | 224 / 15 | $14.936,30 | 223 / 22 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 21 | $39.030,90 | 810 / 45 | $7.614,50 | 491 / 29 | $6.625,71 | 489 / 35 |
| Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 33 | $101.309,00 | 773 / 64 | $14.456,90 | 429 / 34 | $12.276,70 | 428 / 51 |
| Diabetes W Mcc | 13 | 44 / 23 | $59.759,10 | 636 / 42 | $9.617,08 | 165 / 29 | $7.361,00 | 165 / 14 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 28 | $143.402,00 | 866 / 55 | $19.131,70 | 468 / 36 | $17.915,20 | 465 / 39 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 16 | $44.483,50 | 642 / 36 | $6.262,77 | 383 / 18 | $5.363,15 | 383 / 25 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 8 | $41.640,10 | 344 / 11 | $5.056,58 | 243 / 4 | $3.997,42 | 242 / 9 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 12 | 30 / 18 | $94.564,90 | 278 / 27 | $11.414,10 | 111 / 9 | $10.527,20 | 111 / 13 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 17 | $152.832,00 | 484 / 34 | $23.359,80 | 289 / 23 | $22.205,40 | 288 / 29 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 21 | $46.150,30 | 837 / 67 | $6.878,33 | 200 / 64 | $2.931,67 | 199 / 16 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 16 | $157.946,00 | 526 / 34 | $28.820,70 | 414 / 34 | $24.784,70 | 414 / 35 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 9 | $31.538,50 | 288 / 11 | $4.885,17 | 191 / 3 | $3.813,00 | 191 / 4 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 18 | $65.472,40 | 604 / 45 | $10.988,70 | 295 / 27 | $10.064,80 | 295 / 35 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 17 | $28.338,60 | 720 / 45 | $5.221,17 | 492 / 34 | $3.920,58 | 492 / 32 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 12 | 32 / 7 | $41.702,00 | 276 / 11 | $5.991,75 | 50 / 8 | $3.530,83 | 50 / 2 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 19 | $44.264,20 | 829 / 45 | $6.465,33 | 494 / 23 | $5.263,17 | 492 / 33 |
| Transurethral Procedures W Cc | 12 | 29 / 8 | $78.573,70 | 361 / 18 | $8.645,75 | 234 / 8 | $7.675,17 | 234 / 14 |
| Other Circulatory System O.R. Procedures | 12 | 43 / 16 | $184.880,00 | 444 / 38 | $22.463,30 | 249 / 31 | $18.269,90 | 249 / 28 |
| Medical Back Problems W Mcc | 11 | 28 / 11 | $52.866,50 | 225 / 11 | $10.800,40 | 157 / 11 | $9.741,18 | 157 / 14 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 11 | 29 / 10 | $84.139,10 | 182 / 15 | $14.380,60 | 82 / 14 | $10.934,00 | 82 / 10 |
| Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 62 | $140.032,00 | 1060 / 86 | $25.106,10 | 759 / 46 | $23.758,80 | 755 / 93 |
| Diabetes W/O Cc/Mcc | 11 | 27 / 8 | $25.456,40 | 228 / 17 | $4.321,00 | 168 / 9 | $3.607,27 | 168 / 14 |
| Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 13 | $36.129,90 | 346 / 32 | $4.813,45 | 186 / 18 | $3.502,64 | 186 / 21 |
| Disorders Of The Biliary Tract W Cc | 11 | 43 / 12 | $49.611,30 | 390 / 20 | $7.164,45 | 217 / 12 | $6.220,55 | 217 / 17 |
| Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 18 | $52.534,40 | 421 / 20 | $6.873,91 | 222 / 14 | $5.643,36 | 222 / 16 |
| Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 15 | $72.501,70 | 350 / 21 | $10.990,80 | 192 / 14 | $10.127,80 | 192 / 16 |
| Headaches W/O Mcc | 11 | 32 / 11 | $45.999,30 | 216 / 13 | $5.301,27 | 49 / 9 | $3.133,36 | 49 / 6 | Total 116 procedures | 3.938 | 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.