Hospital Costs > In Maryland > Doctors' Community Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 220 | 296 / 15 | $21.142,80 | 316 / 31 | $19.520,00 | 2727 / 31 | $18.572,80 | 2682 / 32 |
| Kidney & Urinary Tract Infections W/O Mcc | 139 | 94 / 13 | $6.611,95 | 38 / 12 | $6.146,53 | 2042 / 12 | $5.083,12 | 2031 / 11 |
| Heart Failure & Shock W Mcc | 125 | 159 / 12 | $13.065,80 | 85 / 22 | $12.050,50 | 2208 / 22 | $11.336,00 | 2198 / 24 |
| Renal Failure W Cc | 119 | 102 / 7 | $9.357,82 | 61 / 20 | $8.636,51 | 2167 / 20 | $7.831,47 | 2157 / 23 |
| G.I. Hemorrhage W Cc | 109 | 109 / 11 | $10.443,00 | 60 / 27 | $9.640,89 | 2227 / 27 | $8.600,01 | 2223 / 26 |
| Simple Pneumonia & Pleurisy W Cc | 108 | 95 / 16 | $8.939,71 | 56 / 18 | $8.251,85 | 2436 / 18 | $7.423,11 | 2427 / 21 |
| Heart Failure & Shock W Cc | 108 | 170 / 22 | $9.786,75 | 118 / 29 | $9.063,32 | 2427 / 29 | $7.897,44 | 2421 / 28 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 102 | 462 / 28 | $23.853,00 | 59 / 22 | $22.068,80 | 2614 / 22 | $20.315,20 | 2568 / 23 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 95 | 180 / 22 | $6.292,99 | 24 / 6 | $5.842,19 | 2011 / 6 | $4.823,45 | 1997 / 8 |
| Cellulitis W/O Mcc | 79 | 110 / 19 | $7.671,34 | 77 / 17 | $7.128,92 | 2133 / 17 | $5.905,05 | 2125 / 16 |
| Red Blood Cell Disorders W/O Mcc | 68 | 75 / 10 | $8.777,79 | 59 / 25 | $8.121,87 | 1833 / 25 | $7.190,34 | 1824 / 25 |
| Chronic Obstructive Pulmonary Disease W Cc | 66 | 113 / 24 | $9.600,98 | 81 / 26 | $8.860,73 | 2245 / 25 | $8.046,30 | 2238 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 65 | 142 / 20 | $10.426,60 | 67 / 18 | $9.648,37 | 2263 / 18 | $8.370,85 | 2254 / 19 |
| Simple Pneumonia & Pleurisy W Mcc | 62 | 143 / 12 | $14.399,10 | 100 / 24 | $13.323,70 | 2303 / 24 | $12.262,20 | 2297 / 24 |
| Syncope & Collapse | 56 | 113 / 19 | $6.676,52 | 12 / 11 | $6.196,04 | 1498 / 11 | $5.141,39 | 1491 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 53 | 113 / 24 | $7.127,47 | 85 / 15 | $6.606,15 | 2234 / 16 | $5.712,83 | 2226 / 17 |
| Pulmonary Edema & Respiratory Failure | 50 | 153 / 26 | $15.780,60 | 183 / 23 | $14.587,80 | 2178 / 23 | $13.449,00 | 2172 / 19 |
| Other Vascular Procedures W Mcc | 43 | 54 / 6 | $26.271,20 | 8 / 7 | $24.248,30 | 675 / 8 | $23.235,10 | 672 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 27 | $13.187,60 | 192 / 35 | $12.174,60 | 2454 / 35 | $10.864,20 | 2446 / 31 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 27 | $8.848,66 | 7 / 5 | $8.209,61 | 1481 / 6 | $6.823,97 | 1478 / 3 |
| Renal Failure W Mcc | 37 | 158 / 17 | $16.607,90 | 118 / 27 | $15.314,90 | 2042 / 27 | $14.533,90 | 2038 / 27 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 35 | 89 / 13 | $44.723,70 | 37 / 21 | $41.219,80 | 1254 / 21 | $40.205,00 | 1244 / 21 |
| Spinal Fusion Except Cervical W/O Mcc | 34 | 160 / 19 | $40.266,10 | 46 / 12 | $37.225,00 | 1273 / 12 | $34.355,60 | 1268 / 11 |
| Other Circulatory System Diagnoses W Mcc | 34 | 82 / 13 | $14.732,90 | 10 / 6 | $13.602,10 | 877 / 6 | $12.562,10 | 871 / 6 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 34 | 86 / 20 | $7.403,59 | 68 / 24 | $6.879,85 | 1882 / 23 | $5.778,06 | 1871 / 22 |
| G.I. Hemorrhage W Mcc | 33 | 88 / 13 | $18.547,70 | 55 / 27 | $17.106,30 | 1547 / 27 | $16.093,70 | 1537 / 27 |
| Diabetes W Cc | 33 | 59 / 16 | $9.972,58 | 83 / 27 | $9.200,67 | 1538 / 27 | $8.507,33 | 1533 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 27 | $8.450,00 | 49 / 25 | $7.803,75 | 1970 / 25 | $6.822,75 | 1965 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 32 | 94 / 19 | $10.187,50 | 26 / 14 | $9.404,69 | 1357 / 13 | $8.413,44 | 1354 / 12 |
| Bronchitis & Asthma W Cc/Mcc | 32 | 44 / 8 | $9.221,56 | 38 / 20 | $8.594,59 | 958 / 20 | $7.235,72 | 954 / 21 |
| Other Digestive System Diagnoses W Cc | 31 | 66 / 15 | $9.200,39 | 22 / 15 | $8.551,87 | 1110 / 15 | $6.925,68 | 1106 / 13 |
| Medical Back Problems W/O Mcc | 31 | 90 / 19 | $7.393,81 | 14 / 10 | $6.916,13 | 1084 / 10 | $5.514,13 | 1081 / 6 |
| G.I. Hemorrhage W/O Cc/Mcc | 30 | 38 / 10 | $7.539,63 | 37 / 23 | $6.968,10 | 900 / 22 | $5.840,63 | 896 / 24 |
| G.I. Obstruction W Cc | 30 | 62 / 12 | $7.404,07 | 15 / 14 | $6.903,50 | 1235 / 14 | $5.668,50 | 1231 / 12 |
| Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 19 | $10.933,10 | 73 / 21 | $10.089,10 | 1755 / 21 | $9.212,93 | 1751 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 29 | 139 / 24 | $19.809,20 | 91 / 27 | $18.314,70 | 1533 / 28 | $17.043,20 | 1526 / 28 |
| Chest Pain | 28 | 123 / 20 | $6.451,89 | 32 / 20 | $5.959,39 | 1483 / 19 | $5.160,54 | 1474 / 24 |
| Transient Ischemia | 26 | 99 / 23 | $8.103,23 | 34 / 25 | $7.486,15 | 1561 / 24 | $6.417,85 | 1553 / 27 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 15 | $20.336,10 | 14 / 7 | $18.748,10 | 1531 / 7 | $18.021,00 | 1517 / 8 |
| Respiratory Infections & Inflammations W Cc | 25 | 63 / 17 | $11.140,60 | 23 / 10 | $10.281,90 | 1138 / 10 | $9.318,04 | 1133 / 9 |
| Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 28 | $5.925,71 | 22 / 14 | $5.477,83 | 1526 / 14 | $4.519,17 | 1513 / 13 |
| Cervical Spinal Fusion W Cc | 24 | 29 / 4 | $26.498,60 | 6 / 5 | $24.598,50 | 310 / 5 | $22.030,00 | 309 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 20 | $19.620,90 | 149 / 31 | $18.142,70 | 1747 / 31 | $17.097,30 | 1734 / 30 |
| Seizures W/O Mcc | 23 | 85 / 23 | $6.095,30 | 4 / 3 | $5.633,43 | 788 / 3 | $4.716,57 | 785 / 4 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 19 | $6.143,39 | 24 / 14 | $5.735,00 | 1545 / 13 | $4.541,65 | 1537 / 15 |
| Bone Diseases & Arthropathies W/O Mcc | 22 | 22 / 8 | $7.961,82 | 23 / 14 | $7.413,59 | 230 / 14 | $6.171,55 | 230 / 13 |
| Respiratory Neoplasms W Mcc | 22 | 30 / 4 | $17.602,60 | 28 / 16 | $16.234,80 | 591 / 16 | $15.274,80 | 588 / 16 |
| Peripheral Vascular Disorders W Cc | 21 | 63 / 13 | $9.299,33 | 28 / 11 | $8.584,86 | 1059 / 11 | $7.667,52 | 1056 / 12 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 20 | 27 / 7 | $8.172,00 | 16 / 14 | $7.549,70 | 334 / 14 | $6.468,10 | 334 / 13 |
| Major Small & Large Bowel Procedures W Cc | 20 | 88 / 19 | $24.991,70 | 22 / 14 | $23.046,50 | 1436 / 14 | $21.836,90 | 1422 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 30 | $4.486,74 | 10 / 8 | $4.221,11 | 1146 / 8 | $2.957,63 | 1141 / 7 |
| Signs & Symptoms W/O Mcc | 19 | 72 / 23 | $8.194,63 | 46 / 24 | $7.564,37 | 1241 / 24 | $6.801,42 | 1238 / 26 |
| Red Blood Cell Disorders W Mcc | 19 | 52 / 14 | $9.269,74 | 5 / 4 | $8.619,21 | 561 / 4 | $7.668,00 | 559 / 4 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 8 | $60.450,20 | 35 / 21 | $55.706,70 | 1012 / 20 | $54.700,50 | 1011 / 22 |
| Other Digestive System Diagnoses W Mcc | 18 | 44 / 8 | $39.865,90 | 315 / 24 | $36.824,70 | 761 / 24 | $35.119,20 | 760 / 24 |
| Degenerative Nervous System Disorders W/O Mcc | 18 | 60 / 19 | $7.609,33 | 4 / 4 | $7.031,11 | 473 / 4 | $5.960,89 | 473 / 4 |
| Other Vascular Procedures W Cc | 18 | 84 / 16 | $36.497,40 | 68 / 26 | $33.732,90 | 1132 / 26 | $31.471,50 | 1127 / 26 |
| Pulmonary Embolism W/O Mcc | 18 | 56 / 20 | $11.349,70 | 57 / 25 | $10.671,10 | 1212 / 26 | $8.617,11 | 1209 / 21 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 17 | 45 / 13 | $7.307,00 | 20 / 15 | $6.752,53 | 670 / 14 | $5.685,24 | 668 / 17 |
| Peripheral Vascular Disorders W Mcc | 17 | 32 / 8 | $17.821,20 | 44 / 17 | $16.432,40 | 579 / 17 | $15.651,20 | 579 / 17 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 16 | $18.740,20 | 163 / 34 | $17.279,20 | 1465 / 34 | $16.490,20 | 1460 / 34 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 23 | $10.182,00 | 38 / 22 | $9.481,69 | 1247 / 21 | $8.104,88 | 1245 / 22 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 16 | 52 / 11 | $7.884,38 | 12 / 8 | $7.278,06 | 560 / 8 | $6.526,06 | 560 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 23 | $6.735,94 | 9 / 9 | $6.472,50 | 857 / 12 | $4.077,25 | 853 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 14 | $42.788,50 | 18 / 14 | $39.449,20 | 1005 / 14 | $37.827,20 | 1003 / 13 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 8 | $51.163,00 | 23 / 16 | $47.150,90 | 714 / 16 | $46.170,90 | 714 / 16 |
| Respiratory Infections & Inflammations W Mcc | 15 | 121 / 21 | $27.622,90 | 318 / 26 | $25.457,40 | 1805 / 26 | $24.892,10 | 1789 / 26 |
| Other Resp System O.R. Procedures W Mcc | 15 | 48 / 7 | $32.320,40 | 11 / 9 | $29.790,50 | 495 / 9 | $28.927,10 | 494 / 9 |
| G.I. Obstruction W Mcc | 15 | 27 / 3 | $35.751,50 | 199 / 13 | $32.958,10 | 535 / 13 | $31.773,60 | 535 / 13 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 15 | 55 / 11 | $9.148,67 | 12 / 8 | $8.525,53 | 444 / 8 | $7.601,60 | 444 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 23 | $9.770,00 | 12 / 7 | $9.015,71 | 1381 / 7 | $8.236,29 | 1378 / 8 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 26 | $19.754,90 | 28 / 18 | $18.212,00 | 1959 / 18 | $17.521,70 | 1939 / 20 |
| Other Circulatory System O.R. Procedures | 14 | 41 / 8 | $23.648,90 | 8 / 6 | $21.926,00 | 328 / 7 | $20.529,60 | 328 / 7 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 13 | 33 / 7 | $6.672,31 | 5 / 5 | $6.263,92 | 314 / 5 | $4.850,54 | 313 / 5 |
| Dysequilibrium | 13 | 52 / 15 | $7.023,00 | 22 / 22 | $6.590,15 | 487 / 22 | $5.142,85 | 487 / 17 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 13 | 53 / 11 | $18.143,40 | 10 / 7 | $16.913,60 | 467 / 7 | $14.078,50 | 463 / 5 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 16 | $8.929,42 | 63 / 24 | $8.235,92 | 886 / 24 | $7.729,25 | 885 / 25 |
| Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 8 | $10.741,40 | 15 / 11 | $10.033,70 | 427 / 11 | $8.427,42 | 427 / 11 |
| Disorders Of The Biliary Tract W Cc | 12 | 42 / 10 | $10.648,10 | 14 / 13 | $9.937,50 | 407 / 14 | $8.587,25 | 407 / 13 |
| Seizures W Mcc | 12 | 54 / 17 | $10.079,80 | 3 / 3 | $9.301,50 | 229 / 3 | $8.498,83 | 229 / 4 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 18 | $6.595,67 | 15 / 14 | $6.098,00 | 761 / 14 | $4.986,00 | 760 / 14 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 9 | $8.100,50 | 21 / 10 | $7.484,50 | 374 / 10 | $6.372,50 | 374 / 8 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 12 | $32.436,00 | 84 / 16 | $30.089,20 | 878 / 16 | $26.555,80 | 875 / 16 |
| Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 9 | $6.209,08 | 12 / 8 | $5.739,67 | 302 / 7 | $4.737,00 | 302 / 10 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 20 | $5.801,42 | 14 / 11 | $5.364,58 | 677 / 11 | $4.353,92 | 676 / 11 |
| Cervical Spinal Fusion W Mcc | 11 | 11 / 2 | $34.899,80 | 1 / 1 | $32.169,40 | 13 / 1 | $31.177,40 | 13 / 1 |
| Diabetes W Mcc | 11 | 46 / 10 | $14.950,00 | 31 / 13 | $13.789,60 | 693 / 13 | $12.908,20 | 692 / 13 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 19 | $13.021,60 | 21 / 9 | $12.015,40 | 815 / 9 | $11.023,40 | 812 / 8 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 19 | $8.775,18 | 8 / 5 | $8.096,91 | 727 / 4 | $7.442,36 | 725 / 7 |
| Digestive Malignancy W Cc | 11 | 36 / 9 | $10.818,20 | 2 / 2 | $9.978,73 | 297 / 2 | $9.321,27 | 295 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 20 | $6.023,27 | 22 / 20 | $5.821,09 | 985 / 20 | $3.926,18 | 982 / 12 | Total 91 procedures | 3.181 | 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.