Hospital Costs > In Tennessee > Cookeville 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 Myocardial Infarction, Discharged Alive W Cc | 50 | 41 / 8 | $13.128,00 | 81 / 1 | $6.623,64 | 276 / 24 | $5.092,76 | 276 / 16 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 73 | 52 / 8 | $24.299,20 | 272 / 6 | $9.896,53 | 216 / 26 | $8.354,59 | 216 / 18 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 22 | 31 / 6 | $12.215,60 | 76 / 1 | $4.569,73 | 229 / 10 | $3.649,36 | 228 / 12 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 12 | 20 / 5 | $33.405,50 | 22 / 4 | $14.119,80 | 53 / 4 | $13.615,70 | 53 / 5 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 41 | 25 / 1 | $16.348,30 | 5 / 1 | $10.668,30 | 98 / 5 | $9.375,12 | 98 / 9 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 86 | 15 / 1 | $11.805,50 | 17 / 1 | $6.509,19 | 163 / 9 | $5.082,16 | 163 / 7 |
Bronchitis & Asthma W Cc/Mcc | 25 | 51 / 5 | $9.232,04 | 39 / 1 | $5.177,64 | 226 / 9 | $4.165,16 | 223 / 15 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 58 | 103 / 10 | $8.855,78 | 65 / 1 | $4.750,43 | 535 / 24 | $3.845,98 | 533 / 27 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 62 | 61 / 7 | $12.642,80 | 60 / 1 | $7.101,34 | 305 / 20 | $6.053,97 | 304 / 18 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 63 | 87 / 11 | $5.897,81 | 35 / 1 | $3.526,76 | 429 / 20 | $2.381,75 | 426 / 24 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 20 | 98 / 9 | $71.550,50 | 16 / 1 | $29.044,80 | 88 / 2 | $27.966,30 | 88 / 4 |
Cellulitis W Mcc | 13 | 45 / 11 | $15.726,40 | 50 / 1 | $8.276,38 | 222 / 10 | $7.528,08 | 221 / 11 |
Cellulitis W/O Mcc | 52 | 137 / 15 | $10.433,50 | 288 / 7 | $5.005,62 | 854 / 38 | $4.164,38 | 848 / 53 |
Cervical Spinal Fusion W/O Cc/Mcc | 26 | 78 / 12 | $16.649,30 | 4 / 1 | $12.646,00 | 265 / 11 | $11.439,80 | 265 / 15 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 13 | 78 / 9 | $10.542,90 | 16 / 2 | $6.464,00 | 38 / 1 | $5.996,31 | 38 / 3 |
Chest Pain | 41 | 110 / 11 | $10.383,90 | 166 / 2 | $3.727,73 | 305 / 18 | $2.692,41 | 304 / 13 |
Chronic Obstructive Pulmonary Disease W Cc | 101 | 78 / 5 | $11.051,50 | 153 / 6 | $5.480,53 | 479 / 33 | $4.518,69 | 478 / 35 |
Chronic Obstructive Pulmonary Disease W Mcc | 131 | 71 / 5 | $14.973,70 | 309 / 9 | $6.577,85 | 425 / 29 | $5.721,61 | 424 / 34 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 38 | 82 / 15 | $9.787,50 | 222 / 6 | $4.309,63 | 579 / 32 | $3.390,05 | 578 / 39 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 18 | 75 / 12 | $21.151,30 | 13 / 1 | $11.628,90 | 132 / 8 | $10.686,70 | 129 / 10 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 64 | 124 / 13 | $17.237,30 | 55 / 1 | $6.558,91 | 173 / 19 | $4.911,23 | 173 / 12 |
Coronary Bypass W Cardiac Cath W Mcc | 12 | 44 / 13 | $106.394,00 | 22 / 1 | $42.722,60 | 189 / 11 | $41.615,90 | 189 / 11 |
Coronary Bypass W Cardiac Cath W/O Mcc | 24 | 52 / 10 | $67.987,90 | 27 / 1 | $31.962,40 | 58 / 16 | $22.280,70 | 58 / 5 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 28 | 60 / 9 | $51.253,00 | 24 / 1 | $20.933,80 | 201 / 4 | $19.988,70 | 200 / 11 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 11 | 44 / 5 | $25.171,40 | 1 / 1 | $16.352,70 | 23 / 2 | $15.477,10 | 23 / 3 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 10 | $12.120,20 | 56 / 1 | $6.039,23 | 67 / 5 | $4.371,00 | 67 / 1 |
Diabetes W Cc | 31 | 61 / 6 | $8.881,68 | 53 / 1 | $4.946,16 | 229 / 15 | $3.889,42 | 229 / 15 |
Diabetes W Mcc | 15 | 42 / 7 | $17.640,40 | 53 / 1 | $7.671,47 | 153 / 6 | $7.248,00 | 153 / 8 |
Digestive Malignancy W Cc | 16 | 31 / 6 | $13.654,70 | 13 / 1 | $7.061,69 | 48 / 3 | $6.229,69 | 48 / 4 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 9 | $12.304,10 | 1 / 1 | $9.418,82 | 13 / 2 | $8.540,27 | 13 / 4 |
Disorders Of Pancreas Except Malignancy W Cc | 31 | 30 / 5 | $11.110,90 | 44 / 1 | $5.565,90 | 58 / 12 | $3.955,48 | 58 / 5 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 8 | $9.815,42 | 38 / 1 | $4.133,75 | 41 / 7 | $2.544,67 | 41 / 2 |
Disorders Of The Biliary Tract W Cc | 16 | 38 / 6 | $14.729,80 | 29 / 1 | $6.114,62 | 64 / 4 | $5.202,62 | 64 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 25 | 71 / 11 | $16.430,50 | 98 / 2 | $6.802,24 | 235 / 10 | $6.087,36 | 234 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 98 | 177 / 13 | $10.154,90 | 224 / 7 | $4.559,57 | 530 / 35 | $3.431,03 | 528 / 37 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 13 | $50.594,20 | 21 / 1 | $25.690,60 | 81 / 5 | $24.765,10 | 81 / 8 |
Extracranial Procedures W Cc | 33 | 13 / 1 | $17.725,50 | 19 / 1 | $9.332,76 | 80 / 4 | $7.982,33 | 80 / 4 |
Extracranial Procedures W/O Cc/Mcc | 68 | 30 / 1 | $13.788,20 | 42 / 4 | $6.144,24 | 240 / 12 | $5.061,88 | 240 / 14 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 12 | $8.377,75 | 39 / 2 | $4.216,08 | 231 / 11 | $3.306,75 | 232 / 14 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 10 | $7.647,83 | 25 / 1 | $4.453,17 | 111 / 5 | $3.346,50 | 111 / 6 |
G.I. Hemorrhage W Cc | 68 | 150 / 15 | $12.803,10 | 150 / 6 | $5.899,93 | 422 / 34 | $4.834,91 | 421 / 30 |
G.I. Hemorrhage W Mcc | 36 | 85 / 11 | $22.658,50 | 118 / 2 | $9.989,97 | 337 / 15 | $9.246,61 | 337 / 12 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 8 | $8.333,44 | 53 / 1 | $4.165,88 | 166 / 9 | $3.107,88 | 166 / 11 |
G.I. Obstruction W Cc | 47 | 45 / 5 | $12.237,90 | 128 / 2 | $5.257,00 | 306 / 19 | $4.209,21 | 305 / 17 |
G.I. Obstruction W Mcc | 11 | 31 / 9 | $18.585,20 | 21 / 1 | $9.058,73 | 66 / 4 | $8.174,36 | 66 / 5 |
G.I. Obstruction W/O Cc/Mcc | 26 | 45 / 5 | $6.932,27 | 36 / 1 | $4.117,65 | 184 / 13 | $2.509,12 | 184 / 9 |
Heart Failure & Shock W Cc | 133 | 145 / 8 | $11.097,30 | 203 / 7 | $5.673,15 | 455 / 32 | $4.848,83 | 455 / 33 |
Heart Failure & Shock W Mcc | 107 | 177 / 12 | $16.152,30 | 202 / 11 | $8.235,54 | 419 / 33 | $7.582,11 | 419 / 38 |
Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 11 | $8.549,18 | 151 / 5 | $4.233,42 | 269 / 32 | $3.058,73 | 267 / 16 |
Hip & Femur Procedures Except Major Joint W Cc | 58 | 85 / 12 | $20.437,40 | 36 / 1 | $10.777,60 | 355 / 23 | $9.839,64 | 354 / 31 |
Hip & Femur Procedures Except Major Joint W Mcc | 20 | 42 / 10 | $33.422,60 | 26 / 2 | $15.973,50 | 86 / 11 | $15.067,80 | 86 / 12 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 25 | 31 / 7 | $16.120,80 | 17 / 1 | $9.187,44 | 181 / 12 | $8.078,96 | 181 / 13 |
Hypertension W/O Mcc | 14 | 51 / 11 | $9.816,07 | 61 / 2 | $3.971,29 | 187 / 11 | $2.863,14 | 185 / 13 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 13 | 23 / 4 | $31.344,50 | 30 / 2 | $13.072,10 | 40 / 2 | $12.235,20 | 40 / 2 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 34 | 90 / 11 | $57.342,50 | 85 / 2 | $27.861,40 | 228 / 10 | $27.202,10 | 228 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 100 | 82 / 9 | $15.126,70 | 160 / 3 | $6.343,50 | 330 / 29 | $5.016,65 | 329 / 20 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 63 | 105 / 10 | $20.910,60 | 111 / 1 | $9.591,90 | 236 / 17 | $8.584,76 | 235 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 12 | $10.929,50 | 61 / 2 | $4.940,63 | 231 / 17 | $3.256,52 | 229 / 15 |
Kidney & Urinary Tract Infections W Mcc | 43 | 101 / 16 | $16.801,50 | 351 / 12 | $6.784,49 | 201 / 41 | $5.257,74 | 201 / 23 |
Kidney & Urinary Tract Infections W/O Mcc | 135 | 98 / 4 | $9.800,20 | 273 / 12 | $4.596,63 | 592 / 42 | $3.683,05 | 590 / 44 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 15 | 32 / 5 | $16.391,70 | 7 / 1 | $9.220,07 | 12 / 11 | $6.114,40 | 12 / 3 |
Major Cardiovasc Procedures W Mcc | 17 | 51 / 10 | $79.763,00 | 49 / 2 | $33.699,50 | 72 / 10 | $27.186,30 | 72 / 3 |
Major Cardiovasc Procedures W/O Mcc | 36 | 65 / 11 | $45.319,40 | 43 / 1 | $18.641,60 | 179 / 8 | $17.599,00 | 179 / 16 |
Major Chest Procedures W Cc | 21 | 53 / 7 | $37.874,30 | 36 / 1 | $16.124,00 | 13 / 8 | $11.620,90 | 13 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 35 | 38 / 5 | $15.294,20 | 126 / 6 | $6.931,54 | 223 / 18 | $5.948,77 | 222 / 15 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 16 | 40 / 8 | $13.987,10 | 8 / 1 | $10.178,30 | 85 / 4 | $9.650,31 | 85 / 6 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 8 | $11.075,00 | 10 / 1 | $6.712,86 | 50 / 2 | $5.848,86 | 50 / 3 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 16 | 49 / 14 | $40.337,60 | 49 / 1 | $18.115,60 | 233 / 15 | $17.061,60 | 232 / 17 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 334 | 240 / 11 | $22.394,20 | 33 / 1 | $12.330,60 | 669 / 23 | $10.579,90 | 660 / 37 |
Major Male Pelvic Procedures W/O Cc/Mcc | 16 | 57 / 9 | $16.724,60 | 10 / 1 | $7.484,38 | 132 / 5 | $6.352,38 | 132 / 6 |
Major Small & Large Bowel Procedures W Cc | 29 | 79 / 12 | $26.884,30 | 29 / 2 | $14.142,60 | 387 / 14 | $13.182,60 | 384 / 20 |
Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 13 | $55.394,80 | 52 / 1 | $27.794,30 | 137 / 11 | $25.608,50 | 137 / 9 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 19 | 45 / 11 | $19.148,20 | 20 / 1 | $9.316,89 | 255 / 7 | $8.361,95 | 255 / 15 |
Medical Back Problems W/O Mcc | 32 | 89 / 11 | $11.366,20 | 85 / 2 | $4.937,09 | 347 / 16 | $4.030,09 | 347 / 21 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 12 | $11.626,50 | 54 / 2 | $6.493,23 | 228 / 15 | $5.578,97 | 226 / 13 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 74 | 92 / 5 | $8.980,97 | 222 / 7 | $4.232,39 | 488 / 35 | $3.301,36 | 487 / 32 |
Nervous System Neoplasms W/O Mcc | 11 | 19 / 4 | $16.337,40 | 3 / 1 | $5.944,64 | 23 / 1 | $5.290,09 | 23 / 1 |
Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 13 | $21.126,40 | 32 / 3 | $9.604,58 | 82 / 11 | $8.703,33 | 82 / 11 |
O.R. Procedures For Obesity W/O Cc/Mcc | 14 | 63 / 7 | $18.190,80 | 18 / 1 | $9.048,00 | 92 / 5 | $7.832,00 | 92 / 8 |
Other Circulatory System Diagnoses W Cc | 18 | 48 / 7 | $9.568,94 | 22 / 1 | $5.428,50 | 109 / 3 | $4.752,94 | 109 / 6 |
Other Circulatory System Diagnoses W Mcc | 14 | 102 / 22 | $14.675,90 | 8 / 1 | $9.878,79 | 109 / 5 | $9.188,50 | 109 / 11 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 13 | $12.585,00 | 74 / 1 | $5.699,20 | 475 / 9 | $5.153,60 | 472 / 20 |
Other Digestive System Diagnoses W Mcc | 11 | 51 / 10 | $17.653,20 | 20 / 1 | $10.181,00 | 181 / 8 | $9.382,45 | 181 / 10 |
Other Disorders Of Nervous System W Cc | 11 | 45 / 13 | $13.575,80 | 61 / 3 | $5.142,09 | 103 / 8 | $4.368,27 | 103 / 12 |
Other Kidney & Urinary Tract Diagnoses W Cc | 25 | 78 / 6 | $12.542,20 | 61 / 2 | $5.542,84 | 121 / 4 | $4.910,52 | 121 / 5 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 24 | 77 / 7 | $14.344,00 | 33 / 1 | $8.093,29 | 50 / 5 | $7.259,08 | 50 / 7 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 11 | 17 / 2 | $15.988,20 | 1 / 1 | $9.448,45 | 30 / 1 | $8.788,09 | 30 / 1 |
Other Resp System O.R. Procedures W Mcc | 17 | 46 / 8 | $56.269,50 | 89 / 4 | $23.405,60 | 262 / 13 | $21.672,60 | 261 / 17 |
Other Vascular Procedures W Cc | 36 | 66 / 6 | $29.297,90 | 34 / 1 | $14.141,80 | 207 / 6 | $13.404,80 | 207 / 14 |
Other Vascular Procedures W Mcc | 22 | 75 / 9 | $45.309,90 | 65 / 2 | $18.855,00 | 211 / 11 | $18.030,20 | 210 / 14 |
Other Vascular Procedures W/O Cc/Mcc | 22 | 34 / 5 | $24.586,30 | 31 / 1 | $10.310,00 | 74 / 8 | $8.264,23 | 74 / 6 |
Otitis Media & Uri W/O Mcc | 13 | 31 / 3 | $9.680,54 | 18 / 1 | $3.970,38 | 18 / 2 | $2.855,31 | 18 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 19 | 81 / 16 | $48.646,30 | 28 / 1 | $19.144,80 | 29 / 13 | $15.162,00 | 29 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 66 | 130 / 15 | $39.384,60 | 61 / 1 | $11.967,50 | 233 / 10 | $9.932,76 | 233 / 19 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 36 | 33 / 3 | $35.567,00 | 30 / 1 | $10.785,90 | 101 / 10 | $8.999,36 | 101 / 9 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 24 | 71 / 8 | $28.009,30 | 11 / 1 | $11.180,00 | 114 / 4 | $10.170,70 | 113 / 5 |
Peripheral Vascular Disorders W Cc | 22 | 62 / 10 | $9.743,36 | 32 / 1 | $5.396,09 | 270 / 5 | $4.791,00 | 269 / 10 |
Permanent Cardiac Pacemaker Implant W Cc | 29 | 48 / 8 | $28.190,20 | 17 / 1 | $16.462,00 | 66 / 10 | $13.087,30 | 66 / 6 |
Permanent Cardiac Pacemaker Implant W Mcc | 18 | 34 / 6 | $35.419,10 | 6 / 1 | $19.675,60 | 7 / 5 | $16.676,60 | 7 / 1 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 11 | $23.963,70 | 16 / 1 | $12.949,80 | 59 / 9 | $10.338,90 | 59 / 6 |
Pleural Effusion W Mcc | 16 | 14 / 4 | $22.712,70 | 11 / 1 | $8.797,25 | 42 / 4 | $8.345,25 | 42 / 6 |
Poisoning & Toxic Effects Of Drugs W Mcc | 37 | 35 / 5 | $19.855,30 | 110 / 7 | $7.654,84 | 96 / 14 | $6.823,70 | 96 / 16 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 27 | 34 / 2 | $10.217,40 | 108 / 2 | $3.888,70 | 146 / 6 | $3.016,41 | 146 / 9 |
Psychoses | 12 | 263 / 8 | $12.505,70 | 124 / 2 | $5.923,25 | 118 / 3 | $5.216,58 | 118 / 4 |
Pulmonary Edema & Respiratory Failure | 170 | 40 / 4 | $18.140,70 | 297 / 8 | $7.152,46 | 554 / 28 | $6.402,10 | 554 / 35 |
Pulmonary Embolism W Mcc | 14 | 29 / 8 | $19.278,10 | 42 / 2 | $8.240,71 | 55 / 7 | $7.381,29 | 55 / 7 |
Pulmonary Embolism W/O Mcc | 42 | 32 / 4 | $11.256,50 | 55 / 1 | $5.927,10 | 196 / 18 | $4.585,38 | 196 / 10 |
Red Blood Cell Disorders W/O Mcc | 33 | 110 / 11 | $10.407,00 | 120 / 1 | $4.804,15 | 618 / 24 | $4.107,91 | 614 / 31 |
Renal Failure W Cc | 119 | 102 / 6 | $12.261,90 | 233 / 7 | $5.701,13 | 399 / 39 | $4.652,14 | 396 / 33 |
Renal Failure W Mcc | 81 | 114 / 12 | $19.101,60 | 192 / 8 | $8.905,72 | 335 / 36 | $7.799,73 | 335 / 30 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 9 | $8.929,62 | 81 / 5 | $4.306,54 | 137 / 19 | $2.806,85 | 136 / 13 |
Respiratory Infections & Inflammations W Cc | 20 | 68 / 17 | $15.939,50 | 125 / 3 | $7.984,80 | 128 / 22 | $6.579,65 | 128 / 11 |
Respiratory Infections & Inflammations W Mcc | 32 | 104 / 16 | $23.985,30 | 195 / 5 | $10.188,60 | 131 / 13 | $9.506,56 | 131 / 17 |
Respiratory Neoplasms W Cc | 17 | 30 / 6 | $12.189,40 | 15 / 1 | $6.822,59 | 118 / 2 | $6.184,47 | 117 / 4 |
Respiratory Neoplasms W Mcc | 15 | 37 / 9 | $17.692,60 | 29 / 1 | $9.706,80 | 102 / 8 | $8.819,33 | 102 / 7 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 74 | 57 / 7 | $29.222,60 | 115 / 3 | $12.914,30 | 380 / 19 | $12.090,10 | 376 / 25 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 33 | 38 / 8 | $53.938,70 | 36 / 1 | $27.332,20 | 69 / 5 | $25.808,90 | 69 / 9 |
Seizures W Mcc | 14 | 52 / 15 | $20.297,20 | 59 / 2 | $8.829,79 | 27 / 9 | $6.991,14 | 27 / 1 |
Seizures W/O Mcc | 23 | 85 / 11 | $10.213,60 | 71 / 2 | $4.497,91 | 247 / 5 | $3.656,17 | 246 / 9 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 16 | $68.867,90 | 55 / 1 | $33.029,70 | 85 / 10 | $29.588,50 | 85 / 6 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 269 | 249 / 11 | $21.198,90 | 320 / 12 | $10.180,00 | 235 / 39 | $9.024,10 | 235 / 31 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 100 | 107 / 6 | $13.353,40 | 237 / 8 | $6.379,97 | 497 / 41 | $5.200,78 | 495 / 36 |
Signs & Symptoms W Mcc | 12 | 29 / 6 | $11.045,10 | 11 / 1 | $5.933,83 | 3 / 2 | $5.176,50 | 3 / 2 |
Signs & Symptoms W/O Mcc | 34 | 57 / 5 | $8.956,56 | 63 / 1 | $4.313,15 | 186 / 16 | $3.204,38 | 186 / 11 |
Simple Pneumonia & Pleurisy W Cc | 164 | 44 / 3 | $12.283,60 | 276 / 9 | $5.674,40 | 459 / 36 | $4.613,79 | 456 / 30 |
Simple Pneumonia & Pleurisy W Mcc | 145 | 60 / 6 | $17.592,90 | 244 / 8 | $8.183,81 | 339 / 38 | $7.096,61 | 339 / 36 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 38 | 55 / 8 | $9.390,87 | 178 / 5 | $4.238,03 | 520 / 25 | $3.253,61 | 518 / 31 |
Spinal Fusion Except Cervical W/O Mcc | 53 | 141 / 12 | $34.674,00 | 23 / 1 | $22.674,80 | 266 / 12 | $20.280,80 | 265 / 18 |
Syncope & Collapse | 52 | 117 / 10 | $10.843,10 | 135 / 2 | $4.394,62 | 492 / 15 | $3.546,62 | 490 / 26 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 15 | $95.542,50 | 13 / 1 | $49.830,00 | 37 / 5 | $47.907,10 | 37 / 6 |
Transient Ischemia | 49 | 76 / 9 | $11.833,00 | 121 / 2 | $4.248,29 | 380 / 15 | $3.238,65 | 379 / 12 | Total 131 procedures | 5.470 | 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.