Hospital Costs > In Illinois > Edward Hospital, 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 | 379 | 204 / 10 | $48.235,90 | 1209 / 33 | $13.915,40 | 732 / 37 | $10.673,70 | 722 / 19 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 228 | 288 / 30 | $59.438,90 | 2078 / 82 | $12.027,40 | 1301 / 46 | $10.651,70 | 1279 / 47 |
Heart Failure & Shock W Cc | 175 | 104 / 8 | $38.004,40 | 2267 / 109 | $5.855,67 | 624 / 23 | $5.007,87 | 623 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 161 | 114 / 14 | $29.083,20 | 2121 / 98 | $4.433,18 | 456 / 15 | $3.366,98 | 454 / 18 |
Kidney & Urinary Tract Infections W/O Mcc | 155 | 80 / 7 | $22.978,90 | 1843 / 77 | $4.494,24 | 325 / 15 | $3.465,48 | 325 / 13 |
Simple Pneumonia & Pleurisy W Cc | 143 | 61 / 6 | $33.292,40 | 2112 / 91 | $6.304,48 | 481 / 45 | $4.631,06 | 478 / 16 |
G.I. Hemorrhage W Cc | 133 | 85 / 5 | $35.295,50 | 1794 / 82 | $6.400,23 | 392 / 38 | $4.804,82 | 392 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 127 | 40 / 4 | $23.351,00 | 1795 / 79 | $4.530,80 | 215 / 32 | $3.024,98 | 215 / 6 |
Renal Failure W Cc | 125 | 96 / 12 | $29.798,80 | 1684 / 81 | $5.826,15 | 354 / 21 | $4.597,22 | 352 / 16 |
Heart Failure & Shock W Mcc | 115 | 169 / 26 | $58.729,70 | 2177 / 107 | $10.241,50 | 1298 / 69 | $8.711,50 | 1295 / 57 |
Chronic Obstructive Pulmonary Disease W Mcc | 104 | 98 / 13 | $42.742,80 | 2010 / 93 | $7.089,95 | 761 / 27 | $6.016,56 | 756 / 29 |
Spinal Fusion Except Cervical W/O Mcc | 103 | 91 / 5 | $100.259,00 | 738 / 25 | $25.175,50 | 483 / 15 | $21.675,20 | 480 / 16 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 100 | 88 / 6 | $52.010,60 | 1253 / 69 | $9.950,06 | 285 / 68 | $5.123,41 | 285 / 14 |
Cellulitis W/O Mcc | 98 | 91 / 17 | $21.152,80 | 1591 / 75 | $5.867,96 | 294 / 59 | $3.685,00 | 291 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 95 | 87 / 12 | $43.623,80 | 1609 / 82 | $7.121,45 | 557 / 48 | $5.280,20 | 556 / 26 |
Red Blood Cell Disorders W/O Mcc | 93 | 53 / 4 | $28.735,60 | 1446 / 82 | $5.288,33 | 669 / 44 | $4.158,33 | 665 / 35 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 86 | 121 / 12 | $32.537,50 | 1755 / 66 | $6.442,07 | 340 / 16 | $5.031,53 | 339 / 7 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 84 | 112 / 9 | $118.833,00 | 1313 / 77 | $17.294,00 | 1062 / 56 | $12.965,20 | 1055 / 67 |
Respiratory Infections & Inflammations W Cc | 84 | 9 / 2 | $41.308,40 | 988 / 47 | $7.723,45 | 333 / 6 | $7.033,23 | 330 / 15 |
Respiratory Infections & Inflammations W Mcc | 82 | 55 / 6 | $68.199,50 | 1388 / 70 | $12.586,60 | 1059 / 50 | $11.878,00 | 1045 / 56 |
Medical Back Problems W/O Mcc | 81 | 41 / 8 | $25.040,60 | 830 / 40 | $4.818,86 | 213 / 8 | $3.788,30 | 213 / 9 |
Chronic Obstructive Pulmonary Disease W Cc | 71 | 108 / 24 | $32.256,90 | 1818 / 91 | $5.806,46 | 516 / 24 | $4.558,21 | 514 / 20 |
Simple Pneumonia & Pleurisy W Mcc | 68 | 137 / 29 | $49.214,50 | 1894 / 82 | $8.510,65 | 957 / 16 | $7.835,25 | 957 / 35 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 66 | 27 / 3 | $24.454,70 | 1426 / 70 | $5.003,76 | 148 / 53 | $2.819,58 | 147 / 6 |
Syncope & Collapse | 65 | 104 / 12 | $28.864,00 | 1392 / 76 | $5.100,45 | 202 / 45 | $3.201,66 | 201 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 65 | 96 / 17 | $25.853,80 | 1440 / 62 | $5.456,92 | 291 / 50 | $3.595,29 | 291 / 13 |
Pulmonary Edema & Respiratory Failure | 63 | 140 / 17 | $52.771,50 | 1804 / 88 | $7.502,92 | 929 / 23 | $6.844,76 | 929 / 38 |
Heart Failure & Shock W/O Cc/Mcc | 61 | 49 / 7 | $24.371,60 | 1525 / 84 | $4.939,08 | 231 / 65 | $3.004,77 | 229 / 16 |
Other Digestive System Diagnoses W Cc | 59 | 38 / 4 | $30.955,50 | 899 / 48 | $5.637,05 | 361 / 6 | $4.964,27 | 358 / 20 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 59 | 91 / 10 | $23.309,30 | 1566 / 81 | $4.239,14 | 139 / 54 | $2.021,02 | 139 / 3 |
Renal Failure W Mcc | 59 | 136 / 25 | $46.034,70 | 1480 / 72 | $9.470,30 | 888 / 31 | $8.706,81 | 888 / 41 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 57 | 111 / 13 | $74.709,60 | 1320 / 75 | $12.087,90 | 1037 / 52 | $11.253,80 | 1032 / 62 |
Hip & Femur Procedures Except Major Joint W Cc | 57 | 86 / 12 | $51.351,60 | 1091 / 43 | $12.224,60 | 418 / 45 | $9.952,63 | 417 / 14 |
Kidney & Urinary Tract Infections W Mcc | 57 | 87 / 15 | $34.433,80 | 1349 / 69 | $6.487,40 | 430 / 17 | $5.607,46 | 429 / 18 |
G.I. Obstruction W Cc | 55 | 37 / 6 | $27.546,90 | 1109 / 55 | $5.342,49 | 441 / 17 | $4.398,49 | 440 / 19 |
Major Small & Large Bowel Procedures W Cc | 53 | 55 / 9 | $56.176,70 | 559 / 12 | $14.351,50 | 354 / 7 | $13.061,50 | 351 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 52 | 74 / 12 | $39.496,40 | 1294 / 75 | $7.660,88 | 305 / 48 | $5.720,23 | 302 / 16 |
Transient Ischemia | 50 | 75 / 11 | $32.979,80 | 1279 / 77 | $4.065,14 | 250 / 7 | $3.088,74 | 250 / 16 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 50 | 68 / 7 | $157.145,00 | 306 / 7 | $34.869,30 | 159 / 12 | $29.856,00 | 159 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 44 | 79 / 20 | $44.385,80 | 1430 / 79 | $8.366,32 | 1003 / 60 | $7.156,89 | 1000 / 66 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 41 | 32 / 5 | $30.172,70 | 650 / 37 | $6.558,85 | 167 / 8 | $5.830,15 | 167 / 10 |
Bronchitis & Asthma W Cc/Mcc | 41 | 35 / 6 | $27.398,00 | 649 / 36 | $6.427,66 | 61 / 37 | $3.680,22 | 61 / 2 |
G.I. Hemorrhage W Mcc | 41 | 80 / 17 | $59.754,10 | 1190 / 67 | $11.026,90 | 594 / 32 | $9.899,68 | 595 / 32 |
Chest Pain | 41 | 110 / 17 | $27.067,20 | 1296 / 68 | $4.156,80 | 103 / 24 | $2.351,20 | 103 / 3 |
Pulmonary Embolism W/O Mcc | 40 | 34 / 4 | $44.633,20 | 1114 / 60 | $8.587,08 | 217 / 54 | $4.631,62 | 217 / 14 |
Major Small & Large Bowel Procedures W Mcc | 40 | 45 / 7 | $147.528,00 | 794 / 36 | $33.680,00 | 546 / 28 | $30.088,40 | 544 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 39 | 63 / 13 | $36.033,40 | 1265 / 70 | $5.351,67 | 216 / 36 | $3.221,59 | 214 / 11 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 38 | 50 / 5 | $113.843,00 | 329 / 11 | $25.819,70 | 162 / 12 | $19.661,20 | 161 / 8 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 38 | 82 / 17 | $25.065,40 | 1543 / 80 | $4.290,05 | 375 / 15 | $3.212,79 | 374 / 18 |
Seizures W/O Mcc | 37 | 71 / 11 | $28.209,80 | 898 / 61 | $4.859,68 | 139 / 20 | $3.418,41 | 138 / 8 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 36 | 80 / 8 | $230.311,00 | 275 / 9 | $49.965,60 | 188 / 5 | $49.077,20 | 188 / 6 |
Major Cardiovasc Procedures W Mcc | 36 | 32 / 2 | $203.676,00 | 519 / 21 | $38.223,30 | 433 / 17 | $37.220,60 | 432 / 18 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 36 | 60 / 13 | $46.539,10 | 1092 / 62 | $7.045,31 | 274 / 10 | $6.177,36 | 272 / 13 |
Other Circulatory System Diagnoses W Mcc | 35 | 81 / 16 | $62.565,20 | 964 / 56 | $13.174,20 | 543 / 42 | $10.920,80 | 541 / 28 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 34 | 66 / 8 | $158.126,00 | 860 / 48 | $25.036,90 | 755 / 34 | $22.858,70 | 750 / 42 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 34 | 67 / 17 | $49.873,00 | 792 / 43 | $9.546,41 | 485 / 22 | $9.056,74 | 484 / 32 |
Diabetes W Cc | 33 | 59 / 10 | $24.326,00 | 963 / 49 | $4.818,33 | 246 / 7 | $3.915,97 | 246 / 16 |
Digestive Malignancy W Cc | 33 | 14 / 3 | $37.262,50 | 216 / 13 | $7.119,03 | 49 / 2 | $6.291,12 | 49 / 5 |
G.I. Obstruction W/O Cc/Mcc | 33 | 38 / 7 | $22.218,70 | 916 / 51 | $3.885,52 | 243 / 12 | $2.615,76 | 243 / 17 |
Permanent Cardiac Pacemaker Implant W Cc | 32 | 45 / 5 | $96.126,00 | 752 / 42 | $16.583,00 | 470 / 18 | $15.695,20 | 469 / 31 |
Major Cardiovasc Procedures W/O Mcc | 32 | 69 / 14 | $97.088,60 | 555 / 18 | $22.040,40 | 547 / 19 | $20.791,80 | 547 / 31 |
Other Vascular Procedures W Cc | 32 | 70 / 13 | $75.100,90 | 598 / 16 | $17.404,80 | 317 / 26 | $14.019,50 | 315 / 10 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 31 | 93 / 26 | $141.509,00 | 939 / 50 | $36.557,20 | 601 / 53 | $30.341,40 | 596 / 29 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 31 | 38 / 3 | $71.743,00 | 289 / 11 | $18.449,90 | 291 / 15 | $15.600,00 | 291 / 16 |
Signs & Symptoms W/O Mcc | 30 | 61 / 12 | $22.209,70 | 779 / 38 | $3.940,07 | 157 / 4 | $3.123,17 | 157 / 10 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 30 | 63 / 11 | $83.603,60 | 685 / 48 | $14.501,90 | 574 / 34 | $13.457,60 | 568 / 41 |
Peripheral Vascular Disorders W Cc | 29 | 55 / 16 | $29.147,80 | 778 / 52 | $5.584,24 | 265 / 14 | $4.774,10 | 264 / 17 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 27 | $106.195,00 | 1570 / 87 | $18.515,30 | 1305 / 79 | $15.729,20 | 1292 / 74 |
Dysequilibrium | 29 | 36 / 9 | $25.187,20 | 348 / 21 | $3.624,55 | 50 / 2 | $2.443,97 | 50 / 4 |
Disorders Of Pancreas Except Malignancy W Cc | 29 | 32 / 4 | $28.819,40 | 588 / 26 | $7.430,52 | 53 / 33 | $3.931,24 | 53 / 2 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 29 | 67 / 7 | $52.354,80 | 375 / 6 | $15.045,30 | 179 / 17 | $10.952,60 | 177 / 5 |
Other Kidney & Urinary Tract Diagnoses W Cc | 28 | 75 / 12 | $25.114,40 | 395 / 21 | $6.938,04 | 78 / 30 | $4.749,86 | 78 / 3 |
Headaches W/O Mcc | 27 | 16 / 2 | $31.189,30 | 170 / 8 | $7.580,11 | 12 / 12 | $2.592,26 | 12 / 1 |
Seizures W Mcc | 27 | 39 / 6 | $45.338,50 | 425 / 21 | $8.418,44 | 85 / 3 | $7.636,78 | 85 / 3 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 26 | 36 / 7 | $19.080,80 | 348 / 12 | $4.299,85 | 74 / 5 | $3.169,38 | 74 / 3 |
Red Blood Cell Disorders W Mcc | 25 | 46 / 13 | $41.199,10 | 703 / 45 | $7.289,16 | 201 / 10 | $6.541,84 | 201 / 12 |
Degenerative Nervous System Disorders W/O Mcc | 25 | 53 / 15 | $32.056,10 | 542 / 36 | $5.507,68 | 139 / 5 | $4.765,64 | 139 / 11 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 25 | 30 / 5 | $45.120,20 | 209 / 4 | $11.350,40 | 140 / 1 | $10.126,40 | 140 / 8 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 25 | 70 / 10 | $82.864,90 | 358 / 16 | $13.052,80 | 134 / 9 | $10.374,30 | 132 / 5 |
Fractures Of Hip & Pelvis W/O Mcc | 25 | 36 / 8 | $21.616,50 | 565 / 21 | $4.046,20 | 79 / 6 | $2.868,72 | 80 / 3 |
Other Digestive System Diagnoses W Mcc | 24 | 38 / 10 | $57.088,60 | 531 / 27 | $10.585,70 | 275 / 9 | $9.897,88 | 275 / 16 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 23 | 42 / 9 | $94.393,60 | 607 / 30 | $20.522,60 | 526 / 23 | $19.594,90 | 523 / 30 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 23 | 43 / 7 | $43.446,40 | 379 / 25 | $6.470,09 | 88 / 4 | $5.557,52 | 88 / 6 |
Peripheral Vascular Disorders W Mcc | 22 | 27 / 7 | $44.178,70 | 381 / 25 | $8.409,05 | 52 / 6 | $6.584,05 | 52 / 6 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 21 | 45 / 8 | $74.390,70 | 428 / 24 | $18.299,00 | 336 / 27 | $11.663,60 | 334 / 24 |
Major Chest Procedures W Cc | 21 | 53 / 9 | $73.365,10 | 288 / 8 | $16.391,90 | 60 / 10 | $12.706,10 | 60 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 21 | 26 / 5 | $32.946,70 | 200 / 4 | $7.670,52 | 110 / 2 | $5.696,29 | 110 / 5 |
Transurethral Procedures W Cc | 21 | 20 / 3 | $39.050,40 | 213 / 14 | $10.162,80 | 33 / 22 | $6.015,52 | 33 / 4 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 21 | 36 / 6 | $74.790,90 | 544 / 24 | $12.481,10 | 223 / 7 | $11.485,00 | 222 / 11 |
Bronchitis & Asthma W/O Cc/Mcc | 20 | 25 / 5 | $24.910,80 | 259 / 17 | $4.581,90 | 35 / 5 | $2.519,00 | 35 / 2 |
Complications Of Treatment W Cc | 20 | 32 / 8 | $23.430,30 | 145 / 4 | $5.705,55 | 47 / 3 | $4.909,75 | 47 / 4 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 20 | 18 / 4 | $21.795,80 | 287 / 15 | $3.777,00 | 95 / 4 | $2.915,60 | 95 / 3 |
Extracranial Procedures W/O Cc/Mcc | 20 | 78 / 15 | $29.233,10 | 418 / 9 | $7.706,35 | 147 / 23 | $4.817,15 | 147 / 6 |
Other Disorders Of Nervous System W Cc | 20 | 36 / 9 | $31.191,80 | 391 / 19 | $5.091,75 | 65 / 3 | $4.177,00 | 65 / 3 |
Other Resp System O.R. Procedures W Mcc | 20 | 43 / 8 | $83.358,50 | 242 / 6 | $19.532,30 | 89 / 2 | $18.870,70 | 89 / 5 |
Other Vascular Procedures W Mcc | 20 | 77 / 18 | $90.025,90 | 492 / 18 | $18.715,70 | 219 / 4 | $18.078,40 | 218 / 7 |
Other Disorders Of Nervous System W Mcc | 19 | 21 / 4 | $45.443,60 | 177 / 8 | $9.078,84 | 60 / 2 | $8.290,32 | 60 / 2 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 18 | 35 / 9 | $31.049,40 | 224 / 8 | $6.860,89 | 97 / 2 | $6.242,61 | 97 / 6 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 18 | 52 / 7 | $28.287,10 | 344 / 11 | $5.418,28 | 94 / 2 | $4.796,22 | 94 / 6 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 18 | 13 / 4 | $47.068,30 | 149 / 11 | $7.119,39 | 48 / 3 | $6.290,33 | 48 / 5 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 18 | 38 / 17 | $44.522,10 | 354 / 9 | $13.681,20 | 59 / 36 | $7.547,89 | 59 / 1 |
Permanent Cardiac Pacemaker Implant W Mcc | 18 | 34 / 7 | $154.346,00 | 517 / 31 | $36.986,90 | 385 / 30 | $24.115,10 | 385 / 24 |
Kidney & Ureter Procedures For Neoplasm W Cc | 18 | 26 / 6 | $48.490,50 | 56 / 3 | $14.940,20 | 22 / 6 | $10.259,30 | 22 / 1 |
Other Circulatory System Diagnoses W Cc | 18 | 48 / 10 | $34.056,40 | 476 / 22 | $5.435,33 | 128 / 4 | $4.820,17 | 127 / 6 |
Pulmonary Embolism W Mcc | 18 | 25 / 8 | $61.979,20 | 493 / 36 | $9.655,94 | 306 / 21 | $8.954,00 | 306 / 24 |
Coronary Bypass W Cardiac Cath W/O Mcc | 17 | 59 / 10 | $168.266,00 | 420 / 17 | $35.454,40 | 325 / 17 | $26.984,40 | 325 / 12 |
Hypertension W/O Mcc | 17 | 48 / 13 | $27.031,70 | 585 / 39 | $3.901,24 | 51 / 3 | $2.403,59 | 51 / 2 |
Respiratory Neoplasms W Cc | 17 | 30 / 10 | $41.643,20 | 345 / 24 | $6.847,35 | 96 / 3 | $6.044,35 | 95 / 6 |
Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 5 | $43.907,90 | 621 / 17 | $7.526,65 | 91 / 1 | $6.798,82 | 91 / 2 |
Disorders Of The Biliary Tract W Cc | 16 | 38 / 10 | $39.311,10 | 320 / 19 | $6.125,56 | 46 / 3 | $5.048,38 | 46 / 4 |
Nonspecific Cerebrovascular Disorders W Cc | 16 | 40 / 2 | $33.959,10 | 326 / 9 | $6.979,25 | 19 / 11 | $4.231,88 | 19 / 1 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 12 | $176.139,00 | 564 / 34 | $34.948,20 | 526 / 24 | $34.186,90 | 526 / 28 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 13 | $18.494,60 | 486 / 23 | $6.190,94 | 75 / 38 | $2.864,12 | 75 / 2 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 16 | 35 / 6 | $53.746,90 | 168 / 8 | $11.426,10 | 64 / 3 | $10.690,20 | 64 / 3 |
Cellulitis W Mcc | 16 | 42 / 17 | $34.338,80 | 473 / 27 | $8.210,81 | 111 / 6 | $7.056,56 | 111 / 6 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 15 | 25 / 12 | $39.682,70 | 203 / 15 | $6.038,27 | 20 / 1 | $5.214,53 | 20 / 2 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 18 | $101.251,00 | 701 / 35 | $29.237,40 | 395 / 47 | $17.241,10 | 392 / 22 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 15 | 29 / 8 | $92.031,20 | 284 / 15 | $17.739,80 | 204 / 10 | $17.146,40 | 203 / 11 |
Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 13 | $66.311,60 | 192 / 9 | $21.679,60 | 153 / 14 | $17.489,70 | 153 / 4 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 15 | 39 / 6 | $126.721,00 | 195 / 11 | $22.887,70 | 172 / 10 | $22.408,10 | 172 / 10 |
G.I. Obstruction W Mcc | 15 | 27 / 9 | $42.072,20 | 279 / 9 | $9.277,20 | 116 / 5 | $8.604,73 | 116 / 6 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 14 | 50 / 9 | $34.739,90 | 213 / 3 | $16.047,10 | 45 / 18 | $7.140,29 | 45 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 16 | $61.126,60 | 504 / 35 | $11.211,90 | 247 / 12 | $10.914,10 | 246 / 21 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 36 | $48.706,70 | 1104 / 50 | $9.844,14 | 408 / 14 | $8.782,21 | 408 / 14 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 14 | 55 / 14 | $79.123,60 | 411 / 20 | $11.100,40 | 75 / 5 | $8.819,07 | 75 / 4 |
Postoperative & Post-Traumatic Infections W/O Mcc | 14 | 40 / 8 | $29.283,40 | 272 / 12 | $9.620,36 | 6 / 15 | $3.980,36 | 6 / 1 |
Degenerative Nervous System Disorders W Mcc | 14 | 24 / 7 | $47.608,40 | 135 / 6 | $10.930,80 | 19 / 4 | $8.301,36 | 19 / 2 |
Interstitial Lung Disease W Mcc | 13 | 12 / 5 | $53.870,50 | 64 / 8 | $9.455,77 | 14 / 4 | $8.768,31 | 14 / 4 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 17 | $26.102,10 | 217 / 3 | $9.976,15 | 28 / 23 | $4.348,62 | 28 / 1 |
Other Resp System O.R. Procedures W Cc | 13 | 34 / 8 | $74.563,70 | 266 / 14 | $12.499,30 | 169 / 3 | $11.812,40 | 169 / 8 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 17 | $32.017,00 | 501 / 32 | $5.637,31 | 11 / 7 | $3.492,23 | 11 / 1 |
Nervous System Neoplasms W Mcc | 13 | 35 / 10 | $35.212,40 | 136 / 6 | $7.540,77 | 26 / 4 | $6.500,54 | 26 / 2 |
Medical Back Problems W Mcc | 13 | 26 / 10 | $50.790,00 | 214 / 15 | $10.203,60 | 126 / 8 | $9.263,38 | 126 / 10 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 13 | 27 / 9 | $58.399,40 | 119 / 6 | $11.697,60 | 76 / 3 | $10.838,90 | 76 / 3 |
Other Digestive System Diagnoses W/O Cc/Mcc | 13 | 30 / 8 | $22.910,10 | 206 / 10 | $3.907,00 | 39 / 2 | $2.777,23 | 39 / 4 |
Other Disorders Of Nervous System W/O Cc/Mcc | 12 | 23 / 3 | $23.689,70 | 76 / 2 | $3.842,83 | 11 / 1 | $2.831,42 | 11 / 1 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 11 | $223.854,00 | 192 / 9 | $57.590,80 | 169 / 7 | $56.778,70 | 169 / 9 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 11 | $21.346,20 | 184 / 8 | $4.048,83 | 49 / 1 | $3.436,42 | 49 / 5 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 12 | 42 / 11 | $33.065,10 | 310 / 22 | $4.266,08 | 50 / 3 | $3.347,08 | 50 / 9 |
Respiratory Neoplasms W Mcc | 12 | 40 / 18 | $87.349,20 | 563 / 40 | $12.301,20 | 441 / 27 | $11.659,80 | 439 / 31 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 25 | $38.409,10 | 997 / 44 | $6.142,83 | 193 / 9 | $4.925,33 | 193 / 4 |
Endocrine Disorders W Cc | 12 | 26 / 10 | $33.295,30 | 204 / 13 | $6.278,17 | 16 / 4 | $4.731,00 | 16 / 2 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 12 | 32 / 11 | $24.973,10 | 157 / 9 | $4.312,08 | 38 / 2 | $3.395,17 | 38 / 3 |
Major Chest Procedures W Mcc | 12 | 37 / 10 | $131.870,00 | 179 / 7 | $30.819,60 | 125 / 3 | $29.861,20 | 125 / 7 |
Cervical Spinal Fusion W Cc | 11 | 42 / 10 | $64.114,40 | 149 / 2 | $24.407,90 | 13 / 9 | $13.048,10 | 13 / 1 |
Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 15 | $60.108,40 | 462 / 10 | $13.072,10 | 367 / 4 | $11.968,40 | 366 / 11 |
Organic Disturbances & Mental Retardation | 11 | 48 / 19 | $29.684,00 | 338 / 27 | $5.611,00 | 42 / 2 | $4.609,73 | 42 / 1 |
Epistaxis W/O Mcc | 11 | 9 / 2 | $24.583,60 | 14 / 2 | $3.839,82 | 1 / 1 | $3.220,45 | 1 / 1 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 22 | $179.932,00 | 675 / 38 | $36.959,80 | 464 / 22 | $36.021,20 | 463 / 29 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 13 | $58.485,70 | 205 / 11 | $11.837,50 | 60 / 7 | $9.383,36 | 60 / 5 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 11 | $80.349,50 | 292 / 13 | $17.350,70 | 181 / 15 | $14.063,10 | 180 / 10 |
Kidney & Ureter Procedures For Neoplasm W Mcc | 11 | 10 / 2 | $81.036,00 | 13 / 1 | $20.496,50 | 6 / 1 | $19.805,20 | 6 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 11 | 18 / 4 | $20.861,60 | 66 / 3 | $4.738,27 | 13 / 2 | $3.735,82 | 13 / 2 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 17 | $41.203,10 | 433 / 18 | $9.507,36 | 337 / 11 | $8.607,36 | 336 / 21 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 11 | 34 / 10 | $114.440,00 | 194 / 12 | $19.136,80 | 128 / 6 | $18.236,30 | 127 / 6 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 8 | $28.933,30 | 271 / 18 | $4.243,18 | 28 / 3 | $2.670,64 | 28 / 2 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 16 | $197.268,00 | 734 / 39 | $52.396,70 | 594 / 42 | $34.455,10 | 593 / 31 |
Pleural Effusion W Mcc | 11 | 19 / 5 | $85.929,80 | 174 / 9 | $14.027,60 | 175 / 9 | $13.328,50 | 175 / 9 |
Peritoneal Adhesiolysis W Mcc | 11 | 12 / 2 | $89.298,00 | 11 / 2 | $22.713,80 | 9 / 1 | $21.677,00 | 9 / 2 |
Other O.R. Procedures For Injuries W Cc | 11 | 24 / 8 | $47.045,10 | 63 / 2 | $18.909,10 | 13 / 6 | $9.553,36 | 13 / 1 | Total 160 procedures | 6.390 | 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.