Hospital Costs > In Maine > Eastern Maine Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 288 | 279 / 3 | $38.798,10 | 688 / 14 | $14.814,30 | 1348 / 12 | $11.698,50 | 1316 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 224 | 16 / 1 | $19.395,00 | 97 / 3 | $7.593,12 | 1011 / 5 | $6.357,34 | 1008 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 223 | 18 / 1 | $48.795,00 | 202 / 1 | $14.744,20 | 852 / 2 | $11.850,70 | 846 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 197 | 319 / 4 | $37.349,40 | 1173 / 15 | $13.599,70 | 1695 / 12 | $11.441,50 | 1662 / 11 |
| Heart Failure & Shock W Cc | 144 | 134 / 2 | $17.069,00 | 813 / 12 | $6.893,39 | 1744 / 12 | $6.053,65 | 1739 / 12 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 141 | 8 / 1 | $30.148,70 | 444 / 11 | $12.165,40 | 1245 / 10 | $11.196,20 | 1236 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 139 | 136 / 1 | $15.207,00 | 785 / 10 | $5.716,83 | 1700 / 13 | $4.342,37 | 1687 / 12 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 130 | 1 / 1 | $19.069,10 | 255 / 11 | $7.494,14 | 866 / 10 | $6.283,86 | 864 / 9 |
| Renal Failure W Cc | 123 | 98 / 1 | $16.295,50 | 590 / 10 | $6.881,28 | 1638 / 11 | $5.998,88 | 1629 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 123 | 40 / 1 | $15.032,40 | 523 / 9 | $5.820,37 | 1314 / 11 | $4.678,05 | 1309 / 10 |
| Cellulitis W/O Mcc | 112 | 77 / 1 | $15.995,50 | 996 / 12 | $6.311,33 | 1557 / 12 | $4.787,70 | 1550 / 9 |
| G.I. Hemorrhage W Cc | 109 | 109 / 2 | $18.510,00 | 611 / 10 | $7.216,17 | 1638 / 9 | $6.225,83 | 1634 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 104 | 47 / 1 | $12.254,50 | 627 / 10 | $4.608,04 | 1458 / 9 | $3.416,51 | 1452 / 10 |
| Heart Failure & Shock W Mcc | 98 | 186 / 4 | $28.508,10 | 998 / 15 | $10.533,70 | 1866 / 11 | $9.937,45 | 1861 / 12 |
| Simple Pneumonia & Pleurisy W Cc | 96 | 107 / 2 | $16.599,10 | 747 / 14 | $7.054,75 | 1706 / 13 | $5.728,82 | 1698 / 10 |
| Hip & Femur Procedures Except Major Joint W Cc | 94 | 49 / 2 | $33.938,00 | 375 / 7 | $12.701,90 | 1088 / 7 | $11.279,60 | 1074 / 8 |
| Chronic Obstructive Pulmonary Disease W Cc | 85 | 94 / 1 | $13.148,10 | 338 / 6 | $6.548,06 | 1524 / 10 | $5.549,93 | 1518 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 80 | 88 / 1 | $35.304,70 | 537 / 7 | $13.157,30 | 1168 / 6 | $11.911,00 | 1162 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 79 | 103 / 2 | $19.859,20 | 463 / 12 | $7.394,03 | 1198 / 6 | $6.143,59 | 1195 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 75 | 26 / 1 | $77.445,80 | 246 / 3 | $24.626,10 | 668 / 3 | $21.519,70 | 664 / 2 |
| Respiratory Infections & Inflammations W Mcc | 74 | 62 / 1 | $31.935,60 | 460 / 8 | $13.900,50 | 1130 / 8 | $12.188,60 | 1116 / 8 |
| Respiratory Infections & Inflammations W Cc | 73 | 18 / 1 | $23.083,20 | 390 / 7 | $9.801,68 | 1083 / 8 | $9.006,89 | 1078 / 9 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 72 | 59 / 1 | $44.356,70 | 459 / 3 | $16.147,40 | 1242 / 3 | $15.330,60 | 1229 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 68 | 165 / 2 | $16.177,60 | 1100 / 16 | $5.564,06 | 1724 / 11 | $4.584,41 | 1713 / 11 |
| Chronic Obstructive Pulmonary Disease W Mcc | 65 | 137 / 3 | $20.264,40 | 742 / 12 | $8.481,85 | 1365 / 12 | $6.659,34 | 1359 / 9 |
| Chest Pain | 64 | 87 / 1 | $12.811,40 | 297 / 5 | $4.661,50 | 956 / 7 | $3.473,91 | 950 / 7 |
| Transient Ischemia | 63 | 62 / 1 | $16.150,10 | 364 / 7 | $5.386,25 | 936 / 7 | $3.919,86 | 931 / 6 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 61 | 3 / 1 | $16.200,90 | 172 / 6 | $5.807,08 | 594 / 6 | $4.648,10 | 590 / 6 |
| G.I. Hemorrhage W Mcc | 59 | 62 / 1 | $35.671,30 | 537 / 5 | $14.276,10 | 1221 / 5 | $12.374,20 | 1213 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 58 | 65 / 2 | $23.548,60 | 558 / 11 | $8.233,90 | 1109 / 8 | $7.377,76 | 1106 / 9 |
| Seizures W/O Mcc | 58 | 50 / 1 | $19.586,00 | 529 / 6 | $5.507,79 | 742 / 4 | $4.584,45 | 739 / 4 |
| Major Cardiovasc Procedures W/O Mcc | 57 | 45 / 2 | $51.198,60 | 61 / 1 | $21.450,40 | 427 / 1 | $19.672,30 | 427 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 56 | 110 / 2 | $13.869,50 | 815 / 10 | $5.973,12 | 1394 / 13 | $3.966,89 | 1389 / 7 |
| Permanent Cardiac Pacemaker Implant W Cc | 54 | 23 / 1 | $51.367,80 | 230 / 1 | $17.172,00 | 516 / 1 | $16.037,80 | 515 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 54 | 153 / 4 | $20.465,50 | 828 / 12 | $7.880,56 | 1520 / 11 | $6.289,43 | 1514 / 8 |
| Extracranial Procedures W/O Cc/Mcc | 52 | 46 / 2 | $21.505,70 | 188 / 4 | $7.877,35 | 536 / 3 | $5.878,38 | 535 / 2 |
| Major Small & Large Bowel Procedures W Cc | 52 | 56 / 2 | $41.742,10 | 232 / 5 | $16.589,50 | 775 / 9 | $14.640,60 | 767 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 5 | $27.404,80 | 864 / 15 | $9.731,71 | 1572 / 9 | $8.846,63 | 1572 / 11 |
| Renal Failure W Mcc | 50 | 145 / 3 | $47.576,50 | 1516 / 8 | $15.189,60 | 2033 / 8 | $14.393,10 | 2029 / 8 |
| Syncope & Collapse | 50 | 119 / 1 | $14.372,60 | 351 / 7 | $5.268,72 | 1223 / 7 | $4.426,96 | 1216 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 49 | 53 / 2 | $15.059,60 | 256 / 5 | $5.738,61 | 956 / 5 | $4.241,88 | 952 / 5 |
| Other Vascular Procedures W Cc | 49 | 53 / 2 | $44.179,20 | 134 / 4 | $16.697,00 | 515 / 3 | $15.048,30 | 512 / 3 |
| Disorders Of Pancreas Except Malignancy W Cc | 47 | 14 / 1 | $18.215,90 | 240 / 4 | $6.627,19 | 559 / 4 | $5.472,51 | 556 / 4 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 47 | 11 / 1 | $42.764,30 | 193 / 1 | $14.718,20 | 387 / 2 | $12.599,20 | 386 / 1 |
| Medical Back Problems W/O Mcc | 47 | 74 / 2 | $15.936,20 | 268 / 6 | $6.540,60 | 774 / 6 | $4.699,62 | 771 / 5 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 47 | 24 / 1 | $124.887,00 | 410 / 2 | $40.626,30 | 771 / 1 | $39.292,60 | 770 / 2 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 46 | 72 / 2 | $80.502,30 | 29 / 2 | $34.254,60 | 203 / 2 | $30.916,20 | 203 / 2 |
| Major Chest Procedures W Cc | 44 | 30 / 2 | $37.522,50 | 35 / 1 | $16.635,30 | 250 / 4 | $15.295,10 | 248 / 4 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 43 | 45 / 2 | $61.252,40 | 40 / 2 | $24.509,70 | 282 / 2 | $21.213,20 | 281 / 2 |
| Pulmonary Edema & Respiratory Failure | 43 | 160 / 5 | $21.275,60 | 485 / 9 | $8.254,28 | 1432 / 6 | $7.669,33 | 1427 / 10 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 43 | 50 / 2 | $37.876,80 | 121 / 2 | $13.938,80 | 479 / 2 | $12.765,00 | 473 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 40 | 84 / 2 | $87.746,80 | 329 / 4 | $35.380,90 | 915 / 4 | $34.248,00 | 909 / 4 |
| Other Circulatory System Diagnoses W Mcc | 38 | 78 / 2 | $39.134,00 | 459 / 2 | $12.943,20 | 817 / 2 | $12.163,80 | 812 / 2 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 38 | 57 / 2 | $56.869,40 | 149 / 2 | $17.836,00 | 374 / 2 | $12.724,30 | 370 / 2 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 38 | 38 / 2 | $84.265,30 | 55 / 1 | $32.592,40 | 336 / 2 | $27.219,10 | 336 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 37 | 83 / 2 | $12.114,80 | 456 / 6 | $6.668,59 | 1109 / 10 | $3.835,84 | 1100 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 37 | 66 / 2 | $18.513,90 | 201 / 2 | $7.365,86 | 412 / 2 | $5.894,76 | 412 / 2 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 37 | 18 / 1 | $40.430,40 | 145 / 1 | $14.671,90 | 244 / 2 | $10.871,40 | 244 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 36 | 80 / 1 | $150.355,00 | 77 / 1 | $59.658,00 | 288 / 1 | $54.613,00 | 288 / 1 |
| Other Vascular Procedures W/O Cc/Mcc | 35 | 21 / 2 | $33.634,30 | 96 / 2 | $11.304,50 | 328 / 2 | $10.209,50 | 327 / 2 |
| Other Digestive System Diagnoses W Cc | 35 | 62 / 2 | $18.334,30 | 301 / 6 | $6.803,91 | 784 / 7 | $5.748,91 | 780 / 7 |
| Pulmonary Embolism W/O Mcc | 34 | 40 / 1 | $18.600,30 | 319 / 4 | $7.067,18 | 781 / 4 | $5.768,68 | 778 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 33 | 93 / 1 | $19.560,50 | 384 / 2 | $7.594,03 | 809 / 3 | $6.600,91 | 806 / 3 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 33 | 36 / 2 | $34.648,80 | 29 / 1 | $13.414,80 | 265 / 2 | $10.193,00 | 265 / 1 |
| G.I. Obstruction W Cc | 33 | 59 / 2 | $15.431,60 | 319 / 9 | $6.271,00 | 1113 / 7 | $5.314,91 | 1110 / 10 |
| Other Vascular Procedures W Mcc | 33 | 64 / 2 | $80.249,60 | 381 / 3 | $25.522,00 | 750 / 2 | $24.698,20 | 747 / 3 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 32 | 16 / 1 | $25.957,90 | 60 / 1 | $11.637,70 | 251 / 2 | $8.277,97 | 251 / 2 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 31 | 46 / 1 | $24.522,50 | 42 / 2 | $10.771,10 | 201 / 2 | $8.838,00 | 201 / 2 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 31 | 41 / 1 | $34.879,20 | 470 / 5 | $10.818,90 | 552 / 4 | $8.757,87 | 550 / 3 |
| Disorders Of The Biliary Tract W Cc | 30 | 24 / 1 | $14.441,50 | 27 / 1 | $7.223,67 | 228 / 2 | $6.319,80 | 228 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 30 | 55 / 2 | $78.722,80 | 188 / 3 | $32.363,40 | 497 / 4 | $29.597,70 | 495 / 4 |
| Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 4 | $12.400,20 | 517 / 7 | $5.342,28 | 1140 / 9 | $3.897,93 | 1131 / 8 |
| Hip & Femur Procedures Except Major Joint W Mcc | 29 | 33 / 2 | $51.636,20 | 196 / 4 | $18.974,90 | 478 / 3 | $18.032,70 | 475 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 28 | 166 / 3 | $61.611,40 | 236 / 3 | $25.071,10 | 774 / 3 | $23.892,50 | 770 / 4 |
| Diabetes W Cc | 28 | 64 / 2 | $19.621,10 | 665 / 7 | $7.361,50 | 855 / 8 | $4.810,86 | 851 / 4 |
| Acute Myocardial Infarction, Expired W Mcc | 28 | 3 / 1 | $39.684,20 | 70 / 3 | $13.130,60 | 132 / 2 | $12.379,20 | 132 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 28 | 37 / 1 | $66.618,70 | 335 / 4 | $25.094,00 | 783 / 4 | $23.887,00 | 780 / 4 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 27 | 19 / 1 | $14.268,80 | 67 / 3 | $6.217,26 | 240 / 4 | $3.976,15 | 239 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 27 | 69 / 2 | $31.450,20 | 691 / 5 | $9.944,33 | 1165 / 4 | $9.067,11 | 1160 / 5 |
| Other Circulatory System Diagnoses W Cc | 27 | 39 / 2 | $18.345,70 | 153 / 1 | $7.579,78 | 254 / 1 | $5.355,67 | 253 / 1 |
| Major Cardiovasc Procedures W Mcc | 27 | 41 / 2 | $95.370,00 | 100 / 1 | $38.163,70 | 375 / 2 | $34.898,70 | 374 / 2 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 26 | 35 / 2 | $15.773,80 | 333 / 4 | $4.861,42 | 338 / 4 | $3.431,27 | 337 / 3 |
| Peripheral Vascular Disorders W Cc | 25 | 59 / 2 | $19.233,10 | 375 / 2 | $6.649,68 | 726 / 2 | $5.936,52 | 723 / 2 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 25 | 64 / 2 | $19.556,70 | 85 / 3 | $7.872,00 | 402 / 2 | $6.015,20 | 401 / 2 |
| Major Chest Procedures W/O Cc/Mcc | 24 | 35 / 1 | $29.542,40 | 28 / 1 | $12.718,80 | 82 / 4 | $10.045,00 | 82 / 2 |
| Degenerative Nervous System Disorders W/O Mcc | 24 | 54 / 2 | $20.292,20 | 239 / 5 | $6.717,33 | 419 / 3 | $5.725,96 | 419 / 4 |
| Signs & Symptoms W/O Mcc | 24 | 67 / 4 | $17.614,90 | 519 / 8 | $5.005,62 | 703 / 6 | $4.036,17 | 700 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 24 | 49 / 1 | $23.254,40 | 412 / 4 | $8.018,62 | 666 / 4 | $7.220,42 | 664 / 4 |
| Permanent Cardiac Pacemaker Implant W Mcc | 24 | 28 / 2 | $77.484,70 | 190 / 1 | $24.644,00 | 366 / 1 | $23.753,60 | 366 / 1 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 23 | 69 / 1 | $144.094,00 | 482 / 1 | $52.577,50 | 777 / 2 | $42.667,60 | 776 / 1 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 23 | 43 / 1 | $29.220,80 | 45 / 2 | $12.249,30 | 284 / 1 | $11.130,80 | 282 / 1 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 23 | 31 / 2 | $17.229,30 | 79 / 2 | $6.551,04 | 168 / 2 | $5.739,96 | 168 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 3 | $13.245,50 | 534 / 6 | $5.089,55 | 1228 / 5 | $3.935,82 | 1222 / 6 |
| Revision Of Hip Or Knee Replacement W Cc | 22 | 64 / 3 | $56.263,50 | 117 / 3 | $22.281,70 | 288 / 2 | $19.194,90 | 287 / 3 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 22 | 102 / 6 | $15.846,70 | 375 / 8 | $4.987,09 | 363 / 6 | $3.980,64 | 363 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 3 | $24.036,80 | 226 / 3 | $10.515,90 | 584 / 2 | $9.481,27 | 582 / 2 |
| Extracranial Procedures W Cc | 21 | 25 / 1 | $27.207,40 | 58 / 2 | $10.894,50 | 176 / 1 | $8.921,81 | 176 / 1 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 21 | 24 / 2 | $60.521,80 | 37 / 1 | $20.212,60 | 154 / 2 | $19.182,50 | 153 / 2 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 21 | 41 / 1 | $13.474,40 | 141 / 1 | $6.013,00 | 340 / 2 | $4.022,10 | 340 / 1 |
| Atherosclerosis W/O Mcc | 21 | 37 / 1 | $10.487,60 | 56 / 4 | $4.537,76 | / 4 | $3.703,57 | / |
| Respiratory Neoplasms W Cc | 21 | 26 / 1 | $15.368,70 | 31 / 1 | $7.979,19 | 234 / 1 | $6.992,00 | 233 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 2 | $10.304,90 | 157 / 5 | $4.575,14 | 853 / 6 | $3.544,52 | 850 / 6 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 20 | 78 / 2 | $79.113,80 | 91 / 2 | $31.214,40 | 215 / 2 | $27.388,60 | 215 / 2 |
| G.I. Hemorrhage W/O Cc/Mcc | 20 | 48 / 1 | $12.389,30 | 188 / 3 | $5.106,70 | 610 / 3 | $4.079,65 | 606 / 3 |
| Nervous System Neoplasms W Mcc | 20 | 28 / 1 | $22.587,80 | 29 / 1 | $9.116,85 | 79 / 1 | $7.307,15 | 79 / 1 |
| Other Resp System O.R. Procedures W Cc | 20 | 27 / 2 | $30.138,70 | 26 / 1 | $12.868,80 | 164 / 1 | $11.753,90 | 164 / 1 |
| Renal Failure W/O Cc/Mcc | 19 | 37 / 1 | $11.960,90 | 211 / 5 | $4.662,74 | 543 / 3 | $3.721,42 | 542 / 3 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 19 | 34 / 1 | $26.371,50 | 21 / 1 | $11.385,20 | 116 / 1 | $10.390,10 | 117 / 2 |
| Disorders Of The Biliary Tract W Mcc | 19 | 20 / 1 | $24.663,80 | 27 / 1 | $10.597,40 | 80 / 1 | $9.734,26 | 80 / 1 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 19 | 50 / 2 | $55.108,10 | 153 / 3 | $20.380,90 | 121 / 2 | $13.843,70 | 121 / 1 |
| Transurethral Procedures W Cc | 19 | 22 / 1 | $26.943,30 | 83 / 1 | $8.783,74 | 214 / 1 | $7.471,63 | 214 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 19 | 42 / 2 | $11.864,00 | 154 / 4 | $5.440,79 | 516 / 4 | $3.968,58 | 516 / 3 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 18 | 55 / 2 | $26.405,30 | 48 / 1 | $12.451,90 | 71 / 2 | $5.769,89 | 71 / 1 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 18 | 51 / 1 | $61.120,40 | 213 / 2 | $18.003,20 | 246 / 2 | $14.944,40 | 246 / 1 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 3 | $27.692,90 | 143 / 3 | $11.374,20 | 434 / 2 | $8.941,28 | 432 / 1 |
| Red Blood Cell Disorders W/O Mcc | 18 | 125 / 1 | $21.353,60 | 1016 / 6 | $5.879,67 | 1334 / 5 | $5.068,17 | 1325 / 5 |
| Other Digestive System Diagnoses W Mcc | 18 | 44 / 2 | $32.813,50 | 208 / 3 | $12.554,70 | 501 / 3 | $11.826,40 | 500 / 4 |
| Complications Of Treatment W Cc | 18 | 34 / 2 | $17.047,60 | 53 / 1 | $8.434,83 | 75 / 2 | $5.190,22 | 75 / 1 |
| Respiratory Neoplasms W Mcc | 18 | 34 / 1 | $35.915,80 | 186 / 3 | $13.795,90 | 521 / 3 | $12.912,70 | 518 / 3 |
| Organic Disturbances & Mental Retardation | 17 | 42 / 3 | $21.900,90 | 214 / 3 | $7.055,12 | 253 / 2 | $5.988,94 | 253 / 2 |
| Kidney & Ureter Procedures For Non-Neoplasm W Cc | 17 | 28 / 2 | $32.396,20 | 16 / 1 | $13.094,50 | 36 / 1 | $10.103,20 | 36 / 1 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 17 | 13 / 1 | $31.259,10 | 26 / 1 | $14.253,50 | 37 / 2 | $9.952,29 | 37 / 1 |
| Other Resp System O.R. Procedures W Mcc | 17 | 46 / 1 | $50.651,90 | 63 / 1 | $28.386,20 | 176 / 3 | $20.243,60 | 176 / 1 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 17 | 46 / 2 | $80.663,50 | 100 / 1 | $30.456,20 | 275 / 1 | $28.432,80 | 275 / 1 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 17 | 59 / 2 | $37.117,90 | 180 / 1 | $12.851,50 | 285 / 1 | $12.056,80 | 285 / 1 |
| Other Respiratory System Diagnoses W/O Mcc | 17 | 29 / 1 | $15.209,50 | 62 / 1 | $5.638,94 | 154 / 1 | $4.789,59 | 154 / 1 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 17 | 37 / 2 | $8.427,71 | 8 / 1 | $5.314,12 | 192 / 1 | $4.278,29 | 192 / 1 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 16 | 37 / 1 | $22.660,60 | 97 / 2 | $8.112,19 | 242 / 1 | $7.385,44 | 242 / 2 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 2 | $27.094,10 | 86 / 1 | $12.578,20 | 288 / 1 | $8.538,44 | 288 / 1 |
| Acute Adjustment Reaction & Psychosocial Dysfunction | 16 | 14 / 1 | $14.093,30 | 17 / 1 | $4.755,75 | 36 / 1 | $4.034,00 | 36 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 3 | $30.277,90 | 1187 / 8 | $11.747,40 | 1865 / 8 | $10.618,40 | 1861 / 8 |
| Diabetes W Mcc | 16 | 41 / 1 | $43.990,20 | 504 / 1 | $10.906,10 | 581 / 1 | $10.386,40 | 580 / 1 |
| Cellulitis W Mcc | 16 | 42 / 3 | $21.566,20 | 160 / 3 | $9.737,62 | 550 / 3 | $9.021,06 | 548 / 3 |
| Dysequilibrium | 15 | 50 / 1 | $13.903,30 | 102 / 1 | $5.913,13 | 244 / 1 | $3.321,33 | 244 / 1 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 15 | 51 / 2 | $17.923,60 | 53 / 1 | $7.623,67 | 250 / 1 | $6.502,40 | 250 / 1 |
| Major Chest Procedures W Mcc | 15 | 34 / 1 | $62.510,30 | 18 / 1 | $29.361,60 | 96 / 1 | $28.393,20 | 96 / 1 |
| Seizures W Mcc | 15 | 51 / 2 | $50.338,10 | 489 / 3 | $13.595,30 | 620 / 3 | $12.637,30 | 620 / 3 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 14 | 34 / 2 | $22.904,00 | 16 / 1 | $9.765,07 | 106 / 1 | $8.688,00 | 106 / 1 |
| Red Blood Cell Disorders W Mcc | 14 | 57 / 1 | $23.093,60 | 240 / 1 | $9.707,07 | 815 / 2 | $9.110,29 | 811 / 2 |
| Kidney & Ureter Procedures For Neoplasm W Cc | 14 | 30 / 1 | $30.308,40 | 9 / 1 | $14.042,90 | 40 / 1 | $11.136,50 | 40 / 1 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 14 | 37 / 2 | $21.525,10 | 9 / 1 | $12.317,20 | 108 / 1 | $11.349,30 | 108 / 1 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 1 | $13.742,60 | 85 / 2 | $8.227,14 | 303 / 3 | $5.027,29 | 303 / 1 |
| Coronary Bypass W Cardiac Cath W Mcc | 14 | 42 / 2 | $136.588,00 | 81 / 1 | $48.632,60 | 287 / 1 | $47.585,20 | 287 / 1 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 13 | 68 / 2 | $285.954,00 | 71 / 1 | $120.297,00 | 261 / 1 | $118.727,00 | 260 / 1 |
| Shoulder,Elbow Or Forearm Proc,Exc Major Joint Proc W/O Cc/Mcc | 13 | 4 / 1 | $24.180,20 | 1 / 1 | $8.758,23 | 2 / 1 | $6.040,85 | 2 / 1 |
| Disorders Of The Biliary Tract W/O Cc/Mcc | 13 | 16 / 1 | $10.443,20 | 4 / 1 | $5.433,54 | 44 / 1 | $4.273,69 | 44 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 3 | $27.436,20 | 60 / 2 | $10.857,20 | 505 / 1 | $9.586,77 | 503 / 1 |
| Peritoneal Adhesiolysis W Cc | 13 | 26 / 2 | $43.933,10 | 53 / 2 | $16.667,30 | 202 / 2 | $15.600,80 | 202 / 2 |
| Stomach, Esophageal & Duodenal Proc W Cc | 13 | 37 / 2 | $33.865,50 | 5 / 1 | $16.497,00 | 75 / 1 | $15.467,60 | 75 / 1 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 13 | 30 / 1 | $53.490,80 | 23 / 2 | $18.806,40 | 58 / 1 | $17.919,90 | 58 / 1 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 12 | 38 / 1 | $120.545,00 | 84 / 1 | $47.058,80 | 136 / 1 | $34.899,50 | 136 / 1 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 3 | $14.506,80 | 174 / 3 | $6.155,17 | 688 / 2 | $5.388,42 | 684 / 3 |
| Hypertension W/O Mcc | 12 | 53 / 1 | $11.425,00 | 96 / 1 | $4.636,50 | 459 / 1 | $3.590,08 | 457 / 1 |
| Complications Of Treatment W Mcc | 12 | 39 / 2 | $29.020,80 | 49 / 1 | $11.272,20 | 87 / 1 | $10.274,80 | 87 / 1 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 2 | $13.302,80 | 99 / 1 | $4.825,42 | 244 / 2 | $3.556,67 | 243 / 2 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 3 | $20.039,60 | 188 / 2 | $6.495,45 | 276 / 2 | $5.846,18 | 276 / 2 |
| Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 3 | $49.048,00 | 186 / 2 | $17.147,80 | 319 / 2 | $16.207,60 | 319 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 2 | $23.281,50 | 67 / 2 | $8.273,36 | 379 / 3 | $7.130,82 | 378 / 3 |
| Otitis Media & Uri W/O Mcc | 11 | 33 / 2 | $14.464,50 | 47 / 2 | $4.819,91 | 73 / 1 | $3.547,55 | 73 / 1 |
| Pneumothorax W Cc | 11 | 14 / 1 | $15.694,50 | 9 / 1 | $8.412,73 | 25 / 1 | $5.091,00 | 25 / 1 |
| Stomach, Esophageal & Duodenal Proc W Mcc | 11 | 30 / 2 | $57.710,70 | 3 / 1 | $32.936,50 | 62 / 1 | $31.662,80 | 62 / 1 | Total 161 procedures | 6.722 | 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.