Hospital Costs > In California > Eisenhower 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 | 541 | 104 / 8 | $103.796,00 | 2522 / 174 | $14.583,50 | 1804 / 10 | $12.915,80 | 1764 / 26 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 284 | 234 / 46 | $110.671,00 | 2710 / 213 | $13.683,40 | 1883 / 40 | $11.982,60 | 1848 / 25 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 152 | 55 / 6 | $58.917,00 | 2398 / 189 | $7.208,39 | 1375 / 17 | $6.088,48 | 1370 / 17 |
Simple Pneumonia & Pleurisy W Cc | 146 | 58 / 3 | $64.017,80 | 2735 / 183 | $6.624,31 | 1460 / 8 | $5.472,62 | 1454 / 7 |
G.I. Hemorrhage W Cc | 145 | 74 / 4 | $53.077,00 | 2224 / 127 | $26.949,90 | 1304 / 201 | $5.700,73 | 1301 / 9 |
Heart Failure & Shock W Mcc | 132 | 152 / 16 | $79.254,40 | 2445 / 155 | $10.660,20 | 1582 / 22 | $9.222,65 | 1577 / 11 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 127 | 148 / 9 | $44.447,70 | 2575 / 157 | $5.488,37 | 1131 / 16 | $3.847,05 | 1123 / 4 |
Heart Failure & Shock W Cc | 117 | 161 / 7 | $55.885,80 | 2626 / 167 | $6.595,64 | 1482 / 9 | $5.750,22 | 1477 / 13 |
Simple Pneumonia & Pleurisy W Mcc | 116 | 89 / 8 | $89.413,20 | 2411 / 153 | $10.030,60 | 1738 / 13 | $9.227,53 | 1738 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 112 | 70 / 4 | $63.483,80 | 1920 / 119 | $6.980,98 | 850 / 4 | $5.624,78 | 848 / 1 |
Spinal Fusion Except Cervical W/O Mcc | 111 | 83 / 8 | $162.303,00 | 1166 / 45 | $27.327,10 | 885 / 4 | $24.898,20 | 881 / 7 |
Renal Failure W Mcc | 101 | 94 / 9 | $93.940,40 | 2088 / 153 | $10.739,00 | 1314 / 14 | $9.694,70 | 1314 / 11 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 100 | 96 / 7 | $116.355,00 | 1301 / 66 | $14.468,80 | 958 / 6 | $12.301,20 | 951 / 9 |
Cellulitis W/O Mcc | 89 | 100 / 10 | $49.423,80 | 2552 / 182 | $5.785,15 | 1225 / 8 | $4.448,31 | 1219 / 5 |
Renal Failure W Cc | 87 | 134 / 14 | $58.080,70 | 2345 / 161 | $6.677,54 | 1412 / 14 | $5.632,93 | 1403 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 85 | 76 / 2 | $45.181,40 | 2001 / 115 | $5.346,62 | 1030 / 8 | $4.329,68 | 1026 / 9 |
Chronic Obstructive Pulmonary Disease W Mcc | 83 | 119 / 14 | $74.486,70 | 2476 / 159 | $8.424,66 | 1609 / 17 | $7.012,67 | 1601 / 9 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 82 | 19 / 1 | $86.819,00 | 694 / 19 | $15.104,90 | 606 / 5 | $13.921,00 | 602 / 8 |
Kidney & Urinary Tract Infections W/O Mcc | 80 | 153 / 34 | $46.101,50 | 2597 / 171 | $5.305,36 | 1221 / 8 | $4.103,36 | 1212 / 9 |
Hip & Femur Procedures Except Major Joint W Cc | 79 | 64 / 5 | $100.991,00 | 1896 / 95 | $13.061,90 | 1275 / 5 | $11.881,50 | 1258 / 9 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 68 | 120 / 6 | $73.183,00 | 1522 / 83 | $7.489,06 | 867 / 2 | $6.045,65 | 864 / 5 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 67 | 83 / 1 | $36.757,80 | 1885 / 99 | $3.909,75 | 658 / 7 | $2.561,75 | 654 / 4 |
Pulmonary Edema & Respiratory Failure | 64 | 139 / 21 | $64.874,90 | 1990 / 86 | $8.399,27 | 1369 / 4 | $7.523,66 | 1365 / 9 |
G.I. Obstruction W Cc | 64 | 28 / 3 | $47.816,80 | 1573 / 85 | $6.149,72 | 986 / 8 | $5.095,30 | 983 / 9 |
Major Small & Large Bowel Procedures W Cc | 62 | 46 / 4 | $124.060,00 | 1361 / 57 | $17.023,60 | 1016 / 2 | $15.953,70 | 1005 / 11 |
Respiratory Infections & Inflammations W Cc | 60 | 28 / 4 | $88.443,00 | 1433 / 100 | $9.251,33 | 896 / 8 | $8.300,38 | 891 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 60 | 108 / 16 | $100.349,00 | 1506 / 105 | $11.645,50 | 868 / 4 | $10.496,80 | 866 / 5 |
Respiratory Infections & Inflammations W Mcc | 58 | 78 / 19 | $106.006,00 | 1683 / 100 | $13.654,10 | 1099 / 15 | $12.061,70 | 1085 / 9 |
Other Digestive System Diagnoses W Cc | 57 | 40 / 4 | $63.901,90 | 1379 / 107 | $7.114,96 | 649 / 7 | $5.471,14 | 645 / 4 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 57 | 67 / 12 | $245.569,00 | 1407 / 72 | $34.228,90 | 859 / 12 | $33.349,90 | 853 / 15 |
Major Small & Large Bowel Procedures W Mcc | 57 | 28 / 2 | $238.700,00 | 1139 / 46 | $34.421,20 | 719 / 2 | $32.502,80 | 717 / 3 |
G.I. Obstruction W/O Cc/Mcc | 54 | 17 / 1 | $32.693,00 | 1150 / 51 | $4.423,00 | 436 / 8 | $2.880,76 | 435 / 3 |
Medical Back Problems W/O Mcc | 53 | 68 / 13 | $53.733,10 | 1439 / 98 | $6.049,87 | 572 / 11 | $4.352,81 | 570 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 51 | 115 / 30 | $53.972,70 | 2499 / 181 | $5.040,96 | 871 / 11 | $3.557,14 | 868 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 51 | 51 / 4 | $50.541,70 | 1502 / 86 | $5.224,41 | 686 / 7 | $3.843,02 | 682 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 50 | 73 / 8 | $61.400,20 | 1701 / 87 | $8.126,00 | 1050 / 3 | $7.222,92 | 1047 / 5 |
Kidney & Urinary Tract Infections W Mcc | 50 | 94 / 18 | $56.238,70 | 1763 / 114 | $6.845,10 | 741 / 3 | $6.015,82 | 740 / 3 |
Major Cardiovasc Procedures W/O Mcc | 47 | 54 / 5 | $126.567,00 | 772 / 23 | $23.326,80 | 606 / 5 | $21.422,10 | 606 / 3 |
Extracranial Procedures W/O Cc/Mcc | 45 | 53 / 6 | $58.628,50 | 833 / 29 | $7.102,89 | 511 / 6 | $5.790,22 | 510 / 3 |
Chronic Obstructive Pulmonary Disease W Cc | 43 | 136 / 30 | $70.290,20 | 2407 / 169 | $6.402,19 | 1367 / 5 | $5.335,67 | 1362 / 7 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 43 | 83 / 18 | $65.365,10 | 1642 / 126 | $7.388,56 | 835 / 2 | $6.658,74 | 832 / 7 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 40 | 61 / 14 | $77.468,60 | 996 / 49 | $10.371,20 | 634 / 4 | $9.710,90 | 632 / 6 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 38 | 26 / 4 | $93.260,00 | 714 / 33 | $12.059,20 | 469 / 8 | $9.669,13 | 469 / 5 |
Permanent Cardiac Pacemaker Implant W Cc | 38 | 39 / 2 | $108.542,00 | 812 / 39 | $18.089,30 | 635 / 7 | $17.101,40 | 634 / 10 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 38 | 55 / 3 | $119.708,00 | 837 / 35 | $15.020,40 | 530 / 5 | $13.113,80 | 524 / 3 |
G.I. Hemorrhage W Mcc | 37 | 84 / 19 | $78.872,50 | 1427 / 82 | $11.741,50 | 969 / 6 | $11.113,70 | 963 / 9 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 37 | 36 / 3 | $57.365,50 | 1001 / 45 | $7.874,05 | 636 / 3 | $7.105,68 | 634 / 3 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 37 | 94 / 18 | $154.631,00 | 1786 / 106 | $20.494,40 | 1067 / 76 | $14.422,70 | 1057 / 3 |
Major Chest Procedures W Cc | 36 | 38 / 5 | $112.474,00 | 437 / 15 | $16.271,80 | 246 / 1 | $15.218,90 | 244 / 3 |
Other Circulatory System Diagnoses W Mcc | 35 | 81 / 16 | $115.889,00 | 1330 / 108 | $12.475,60 | 773 / 4 | $11.942,80 | 769 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 33 | 14 / 1 | $71.502,50 | 526 / 31 | $9.688,76 | 353 / 11 | $6.989,97 | 352 / 5 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 19 | $116.172,00 | 1757 / 124 | $12.398,30 | 1300 / 26 | $11.507,60 | 1290 / 27 |
Seizures W/O Mcc | 31 | 77 / 13 | $56.835,30 | 1273 / 80 | $5.111,29 | 574 / 3 | $4.206,97 | 571 / 6 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 31 | 38 / 4 | $105.436,00 | 420 / 8 | $17.973,60 | 343 / 2 | $16.760,60 | 343 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 31 | 25 / 2 | $95.881,60 | 615 / 33 | $12.301,30 | 289 / 2 | $11.189,30 | 288 / 4 |
Pulmonary Embolism W/O Mcc | 31 | 43 / 4 | $66.235,50 | 1242 / 61 | $6.686,65 | 729 / 5 | $5.624,58 | 726 / 7 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 31 | 69 / 12 | $184.748,00 | 933 / 58 | $23.184,10 | 711 / 7 | $22.152,10 | 707 / 10 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 31 | 32 / 5 | $151.454,00 | 218 / 4 | $23.942,50 | 185 / 1 | $22.766,40 | 184 / 3 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 30 | 27 / 3 | $93.130,70 | 634 / 27 | $14.669,60 | 420 / 2 | $12.898,80 | 419 / 2 |
Transient Ischemia | 30 | 95 / 26 | $43.498,40 | 1496 / 91 | $4.875,07 | 520 / 6 | $3.395,90 | 517 / 1 |
Respiratory Neoplasms W Mcc | 30 | 22 / 2 | $102.227,00 | 597 / 29 | $12.444,90 | 429 / 6 | $11.584,20 | 427 / 4 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 16 | $44.124,20 | 1863 / 92 | $5.891,48 | 852 / 36 | $3.552,00 | 848 / 5 |
Cervical Spinal Fusion W/O Cc/Mcc | 29 | 75 / 10 | $125.937,00 | 831 / 37 | $15.279,40 | 647 / 3 | $14.150,60 | 644 / 12 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 28 | 28 / 4 | $88.631,50 | 768 / 40 | $11.208,40 | 588 / 2 | $10.116,40 | 586 / 6 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 28 | 90 / 15 | $245.065,00 | 471 / 13 | $34.347,90 | 289 / 1 | $33.157,60 | 289 / 1 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 28 | 37 / 6 | $163.265,00 | 864 / 42 | $22.012,60 | 635 / 9 | $21.086,20 | 632 / 9 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 27 | 26 / 5 | $99.515,10 | 315 / 15 | $12.194,10 | 139 / 1 | $10.785,40 | 140 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 26 | 70 / 18 | $69.684,50 | 1361 / 97 | $9.797,85 | 895 / 42 | $7.756,58 | 890 / 12 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 26 | 50 / 12 | $94.024,10 | 492 / 44 | $12.651,90 | 252 / 5 | $11.625,50 | 252 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 25 | 15 / 3 | $118.757,00 | 401 / 26 | $17.244,50 | 289 / 2 | $15.801,40 | 288 / 4 |
Chest Pain | 25 | 126 / 47 | $40.061,00 | 1594 / 106 | $5.240,28 | 2 / 45 | $1.848,80 | 2 / 1 |
Cellulitis W Mcc | 25 | 33 / 9 | $90.596,90 | 933 / 75 | $10.048,30 | 549 / 8 | $9.013,92 | 547 / 9 |
Other Vascular Procedures W Cc | 25 | 77 / 19 | $143.713,00 | 1043 / 47 | $16.886,70 | 540 / 2 | $15.192,20 | 537 / 3 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 25 | 41 / 8 | $68.965,60 | 503 / 24 | $7.573,08 | 259 / 1 | $6.604,76 | 259 / 3 |
Digestive Malignancy W Cc | 24 | 23 / 4 | $57.715,60 | 333 / 13 | $8.485,25 | 165 / 2 | $7.415,42 | 163 / 1 |
Peritoneal Adhesiolysis W Cc | 24 | 15 / 2 | $115.423,00 | 263 / 11 | $15.478,00 | 165 / 1 | $14.547,10 | 165 / 2 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 24 | 42 / 12 | $106.687,00 | 539 / 31 | $13.306,40 | 389 / 3 | $12.438,80 | 386 / 8 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 24 | 27 / 4 | $104.126,00 | 306 / 11 | $15.657,60 | 100 / 7 | $11.257,70 | 100 / 2 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 23 | 93 / 15 | $368.437,00 | 428 / 23 | $52.294,20 | 238 / 5 | $51.483,70 | 238 / 6 |
Major Chest Procedures W Mcc | 23 | 26 / 4 | $221.358,00 | 290 / 10 | $30.914,30 | 136 / 1 | $29.985,90 | 136 / 1 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 23 | 40 / 7 | $252.400,00 | 701 / 35 | $31.364,20 | 226 / 1 | $27.667,90 | 226 / 1 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 23 | $54.705,40 | 2073 / 121 | $4.858,83 | 1132 / 3 | $3.852,57 | 1123 / 5 |
Syncope & Collapse | 23 | 146 / 44 | $46.756,40 | 1807 / 112 | $4.923,83 | 969 / 5 | $4.025,74 | 963 / 10 |
Hip & Femur Procedures Except Major Joint W Mcc | 23 | 39 / 6 | $152.920,00 | 883 / 48 | $20.379,20 | 600 / 5 | $19.314,10 | 597 / 6 |
Fractures Of Hip & Pelvis W/O Mcc | 23 | 38 / 8 | $53.513,20 | 909 / 62 | $5.540,70 | 297 / 15 | $3.472,00 | 298 / 1 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 23 | 30 / 4 | $66.150,20 | 442 / 12 | $8.112,09 | 231 / 1 | $7.259,65 | 231 / 1 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 23 | 75 / 10 | $241.097,00 | 468 / 28 | $28.423,00 | 224 / 1 | $27.608,30 | 224 / 3 |
Peripheral Vascular Disorders W Cc | 23 | 61 / 10 | $55.732,30 | 1193 / 72 | $6.358,52 | 625 / 3 | $5.613,30 | 622 / 5 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 22 | 14 / 3 | $120.880,00 | 323 / 15 | $16.113,50 | 182 / 2 | $14.879,00 | 182 / 3 |
Major Male Pelvic Procedures W/O Cc/Mcc | 22 | 51 / 11 | $66.767,00 | 314 / 12 | $8.520,18 | 186 / 1 | $6.913,05 | 186 / 2 |
Nonspecific Cerebrovascular Disorders W Mcc | 22 | 29 / 6 | $86.036,60 | 377 / 29 | $10.201,50 | 160 / 1 | $9.644,27 | 160 / 2 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 22 | 67 / 23 | $74.137,40 | 720 / 49 | $7.755,14 | 401 / 6 | $6.008,14 | 400 / 8 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 21 | 23 / 4 | $110.158,00 | 343 / 10 | $17.396,00 | 170 / 1 | $16.332,80 | 169 / 1 |
Complications Of Treatment W Cc | 21 | 31 / 5 | $54.910,10 | 340 / 11 | $6.994,52 | 112 / 2 | $5.516,33 | 112 / 1 |
Coronary Bypass W Cardiac Cath W/O Mcc | 21 | 55 / 10 | $286.872,00 | 580 / 19 | $32.820,60 | 368 / 3 | $27.996,70 | 368 / 1 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 21 | 35 / 13 | $79.617,40 | 835 / 43 | $12.617,00 | 465 / 23 | $9.089,33 | 463 / 4 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 21 | 33 / 7 | $55.470,40 | 387 / 14 | $4.987,33 | 173 / 2 | $4.109,81 | 173 / 3 |
Other Kidney & Urinary Tract Diagnoses W Cc | 20 | 83 / 19 | $57.286,80 | 800 / 42 | $6.518,00 | 320 / 2 | $5.566,00 | 320 / 2 |
Revision Of Hip Or Knee Replacement W Cc | 20 | 66 / 15 | $172.935,00 | 637 / 27 | $22.483,20 | 449 / 2 | $21.561,10 | 447 / 3 |
Peripheral Vascular Disorders W Mcc | 20 | 29 / 3 | $70.416,90 | 525 / 19 | $9.157,90 | 285 / 1 | $8.359,55 | 285 / 2 |
Respiratory Neoplasms W Cc | 20 | 27 / 4 | $74.977,80 | 488 / 26 | $8.185,40 | 195 / 2 | $6.675,60 | 194 / 1 |
Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 16 | $67.675,80 | 1359 / 78 | $7.299,60 | 659 / 5 | $5.774,80 | 657 / 3 |
Other Digestive System Diagnoses W Mcc | 19 | 43 / 15 | $66.863,90 | 617 / 41 | $11.230,00 | 351 / 2 | $10.455,20 | 350 / 2 |
Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 19 | 13 / 2 | $95.479,60 | 104 / 4 | $13.934,60 | 66 / 1 | $12.967,50 | 66 / 1 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 19 | 43 / 12 | $46.746,60 | 772 / 46 | $5.021,53 | 308 / 2 | $3.924,79 | 308 / 4 |
Disorders Of Pancreas Except Malignancy W Cc | 19 | 42 / 6 | $47.989,70 | 852 / 33 | $6.078,79 | 504 / 1 | $5.303,21 | 502 / 2 |
Disorders Of Pancreas Except Malignancy W Mcc | 19 | 27 / 3 | $86.434,30 | 322 / 19 | $12.164,50 | 190 / 3 | $11.576,70 | 190 / 4 |
Digestive Malignancy W Mcc | 19 | 18 / 4 | $125.526,00 | 146 / 6 | $16.407,30 | 88 / 2 | $15.033,20 | 88 / 3 |
Postoperative & Post-Traumatic Infections W Mcc | 18 | 25 / 2 | $66.020,00 | 157 / 4 | $11.328,10 | 53 / 1 | $10.639,80 | 53 / 1 |
Signs & Symptoms W/O Mcc | 18 | 73 / 20 | $57.082,80 | 1318 / 79 | $4.769,44 | 548 / 4 | $3.757,67 | 547 / 5 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 18 | 24 / 6 | $63.206,50 | 213 / 10 | $11.279,50 | 98 / 1 | $10.330,70 | 98 / 1 |
Nervous System Neoplasms W Mcc | 17 | 31 / 6 | $97.002,80 | 294 / 12 | $8.954,47 | 121 / 2 | $7.869,18 | 121 / 1 |
G.I. Obstruction W Mcc | 17 | 25 / 6 | $90.986,10 | 506 / 32 | $11.383,40 | 211 / 8 | $9.332,65 | 211 / 3 |
Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 13 | $59.127,50 | 819 / 41 | $6.206,47 | 273 / 2 | $5.197,06 | 273 / 2 |
Diabetes W Cc | 17 | 75 / 18 | $45.332,40 | 1493 / 80 | $5.472,88 | 467 / 2 | $4.239,29 | 467 / 1 |
Major Chest Procedures W/O Cc/Mcc | 17 | 42 / 7 | $78.876,50 | 213 / 7 | $12.219,00 | 126 / 2 | $11.075,60 | 126 / 1 |
Other Resp System O.R. Procedures W Cc | 17 | 30 / 2 | $94.645,90 | 299 / 4 | $12.720,90 | 158 / 1 | $11.637,10 | 158 / 2 |
Pulmonary Embolism W Mcc | 17 | 26 / 3 | $82.137,40 | 541 / 18 | $9.865,41 | 315 / 1 | $8.995,88 | 315 / 4 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 28 | $39.538,50 | 1886 / 81 | $4.402,76 | 797 / 3 | $3.554,06 | 793 / 3 |
Cranial & Peripheral Nerve Disorders W Mcc | 16 | 20 / 7 | $76.789,10 | 139 / 13 | $8.687,25 | 62 / 1 | $8.143,50 | 62 / 1 |
Rectal Resection W Cc | 16 | 8 / 1 | $100.690,00 | 40 / 1 | $16.904,50 | 15 / 1 | $13.821,30 | 15 / 1 |
Other Vascular Procedures W Mcc | 16 | 81 / 26 | $121.764,00 | 742 / 22 | $21.319,90 | 462 / 1 | $20.323,10 | 460 / 1 |
Permanent Cardiac Pacemaker Implant W Mcc | 16 | 36 / 8 | $176.398,00 | 545 / 27 | $24.921,80 | 364 / 5 | $23.741,80 | 364 / 6 |
Renal Failure W/O Cc/Mcc | 16 | 40 / 5 | $41.257,90 | 824 / 18 | $4.184,31 | 337 / 1 | $3.201,81 | 336 / 1 |
Other Circulatory System Diagnoses W Cc | 16 | 50 / 10 | $69.330,30 | 654 / 23 | $6.296,31 | 297 / 1 | $5.528,69 | 296 / 1 |
Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 19 | $61.093,50 | 807 / 31 | $9.096,31 | 504 / 1 | $8.550,81 | 502 / 6 |
Endocrine Disorders W Cc | 16 | 22 / 5 | $65.830,90 | 294 / 14 | $6.844,75 | 145 / 2 | $6.088,25 | 145 / 3 |
Lymphoma & Non-Acute Leukemia W Mcc | 15 | 21 / 3 | $185.771,00 | 113 / 4 | $21.501,70 | 49 / 1 | $20.642,00 | 49 / 1 |
Other Circulatory System O.R. Procedures | 15 | 40 / 12 | $102.947,00 | 331 / 11 | $17.150,80 | 173 / 1 | $16.494,40 | 173 / 1 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 41 | $50.909,90 | 1918 / 125 | $5.750,00 | 755 / 4 | $4.250,93 | 750 / 4 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 15 | 31 / 3 | $53.551,90 | 371 / 8 | $4.692,87 | 163 / 1 | $3.554,20 | 163 / 1 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 15 | 16 / 3 | $91.901,50 | 194 / 8 | $9.743,67 | 145 / 1 | $8.694,07 | 145 / 2 |
Inguinal & Femoral Hernia Procedures W Cc | 15 | 3 / 1 | $78.691,10 | 4 / 1 | $9.353,27 | 2 / 1 | $8.459,13 | 2 / 1 |
Cervical Spinal Fusion W Cc | 15 | 38 / 12 | $160.476,00 | 363 / 19 | $19.879,70 | 245 / 2 | $18.662,70 | 244 / 4 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 15 | 23 / 5 | $33.891,30 | 398 / 11 | $4.402,60 | 232 / 3 | $3.506,07 | 231 / 4 |
Seizures W Mcc | 14 | 52 / 16 | $73.883,60 | 654 / 31 | $12.908,80 | 164 / 21 | $8.186,57 | 164 / 1 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 14 | 74 / 16 | $183.538,00 | 524 / 13 | $23.863,50 | 349 / 1 | $22.634,50 | 348 / 1 |
G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 15 | $35.775,50 | 880 / 38 | $5.121,36 | 305 / 4 | $3.367,43 | 302 / 2 |
Carotid Artery Stent Procedure W/O Cc/Mcc | 14 | 18 / 4 | $75.561,40 | 83 / 3 | $11.616,50 | 61 / 1 | $10.486,90 | 61 / 1 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 14 | 55 / 5 | $112.904,00 | 516 / 11 | $12.323,70 | 237 / 1 | $9.998,93 | 237 / 1 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 20 | $36.643,10 | 447 / 19 | $6.319,50 | 205 / 3 | $5.368,50 | 205 / 1 |
Atherosclerosis W/O Mcc | 14 | 44 / 12 | $32.788,30 | 476 / 21 | $4.580,21 | / 2 | $2.891,79 | / |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 13 | 56 / 11 | $373.136,00 | 235 / 4 | $59.169,40 | 100 / 1 | $58.110,80 | 100 / 1 |
Peritoneal Adhesiolysis W Mcc | 13 | 10 / 2 | $202.223,00 | 54 / 2 | $26.730,50 | 27 / 1 | $25.579,20 | 27 / 1 |
Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 20 | $47.681,20 | 991 / 43 | $5.764,15 | 548 / 1 | $4.926,92 | 544 / 5 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 19 | $118.609,00 | 461 / 22 | $18.308,20 | 356 / 3 | $17.099,40 | 355 / 6 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 13 | 27 / 8 | $76.000,10 | 287 / 16 | $13.702,10 | 89 / 17 | $6.266,23 | 89 / 1 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 13 | 82 / 17 | $117.843,00 | 522 / 22 | $13.383,50 | 362 / 3 | $12.534,90 | 358 / 6 |
Extracranial Procedures W Cc | 13 | 33 / 6 | $67.537,80 | 307 / 4 | $10.825,20 | 240 / 1 | $9.702,38 | 240 / 1 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 20 | $319.783,00 | 934 / 63 | $38.339,70 | 712 / 18 | $37.383,50 | 711 / 22 |
Peritoneal Adhesiolysis W/O Cc/Mcc | 13 | 11 / 2 | $73.171,70 | 72 / 3 | $10.721,10 | 35 / 2 | $9.604,46 | 35 / 3 |
Complications Of Treatment W Mcc | 12 | 39 / 11 | $95.918,10 | 280 / 15 | $12.910,20 | 95 / 2 | $10.452,40 | 95 / 1 |
Major Cardiovasc Procedures W Mcc | 12 | 56 / 18 | $229.201,00 | 558 / 15 | $36.306,60 | 391 / 4 | $35.684,80 | 390 / 6 |
Other O.R. Procedures For Injuries W Cc | 12 | 23 / 5 | $90.408,40 | 151 / 2 | $11.929,40 | 49 / 1 | $11.193,10 | 49 / 1 |
Disorders Of The Biliary Tract W Cc | 12 | 42 / 12 | $70.555,40 | 454 / 29 | $7.033,25 | 180 / 1 | $6.010,58 | 180 / 3 |
Other Resp System O.R. Procedures W Mcc | 12 | 51 / 6 | $179.103,00 | 527 / 8 | $25.103,30 | 364 / 1 | $24.157,80 | 363 / 2 |
Other Skin, Subcut Tiss & Breast Proc W Mcc | 12 | 10 / 2 | $141.189,00 | 41 / 3 | $19.614,30 | 35 / 2 | $18.894,30 | 35 / 2 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 12 | 33 / 7 | $78.455,90 | 163 / 4 | $12.000,50 | 50 / 1 | $10.515,30 | 50 / 1 |
Pleural Effusion W Mcc | 11 | 19 / 6 | $84.836,50 | 173 / 5 | $10.199,00 | 98 / 1 | $9.317,18 | 98 / 1 |
Transurethral Procedures W Cc | 11 | 30 / 6 | $74.531,00 | 353 / 6 | $8.626,73 | 222 / 2 | $7.519,82 | 222 / 1 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 13 | $643.337,00 | 543 / 42 | $77.777,90 | 394 / 10 | $77.083,20 | 393 / 10 |
Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 8 | $36.050,60 | 362 / 8 | $4.645,91 | 74 / 1 | $3.108,64 | 74 / 1 |
Rectal Resection W/O Cc/Mcc | 11 | 8 / 1 | $89.072,20 | 22 / 1 | $10.781,30 | 15 / 1 | $9.573,82 | 15 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 11 | $74.493,50 | 462 / 13 | $11.113,40 | 218 / 5 | $8.042,82 | 218 / 2 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 16 | $95.900,00 | 571 / 22 | $13.517,80 | 423 / 1 | $12.630,70 | 420 / 4 |
Medical Back Problems W Mcc | 11 | 28 / 9 | $78.671,10 | 290 / 14 | $9.447,82 | 90 / 2 | $8.773,82 | 90 / 2 |
Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Mcc | 11 | 16 / 2 | $249.276,00 | 68 / 1 | $28.050,40 | 55 / 1 | $27.168,90 | 55 / 1 | Total 167 procedures | 6.523 | 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.