Hospital Costs > In Illinois > Elmhurst Memorial 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 | 382 | 201 / 9 | $78.463,70 | 2177 / 97 | $15.728,00 | 647 / 74 | $10.541,80 | 639 / 18 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 255 | 261 / 23 | $66.043,40 | 2224 / 94 | $12.480,00 | 1160 / 60 | $10.416,10 | 1142 / 36 |
Heart Failure & Shock W Mcc | 172 | 112 / 10 | $55.561,70 | 2119 / 103 | $9.495,44 | 906 / 48 | $8.164,11 | 905 / 33 |
Cellulitis W/O Mcc | 151 | 40 / 5 | $32.306,80 | 2209 / 115 | $5.960,66 | 277 / 62 | $3.659,96 | 275 / 7 |
Simple Pneumonia & Pleurisy W Mcc | 128 | 77 / 7 | $59.556,50 | 2092 / 104 | $9.119,07 | 950 / 42 | $7.825,04 | 950 / 34 |
Heart Failure & Shock W Cc | 122 | 156 / 22 | $37.247,10 | 2245 / 107 | $5.805,02 | 470 / 19 | $4.871,34 | 470 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 122 | 153 / 20 | $35.336,40 | 2360 / 110 | $5.344,89 | 371 / 56 | $3.304,55 | 370 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 119 | 88 / 7 | $41.568,90 | 2084 / 90 | $7.837,17 | 362 / 75 | $5.051,45 | 361 / 8 |
Kidney & Urinary Tract Infections W/O Mcc | 115 | 118 / 16 | $29.951,30 | 2215 / 103 | $5.029,10 | 365 / 47 | $3.506,77 | 365 / 16 |
Simple Pneumonia & Pleurisy W Cc | 105 | 98 / 14 | $43.520,50 | 2423 / 112 | $6.064,10 | 406 / 29 | $4.567,72 | 403 / 13 |
Chronic Obstructive Pulmonary Disease W Mcc | 102 | 100 / 14 | $53.281,40 | 2246 / 110 | $7.242,59 | 987 / 34 | $6.226,09 | 982 / 40 |
G.I. Hemorrhage W Cc | 99 | 119 / 14 | $32.585,20 | 1685 / 77 | $6.320,98 | 508 / 36 | $4.918,17 | 507 / 21 |
Pulmonary Edema & Respiratory Failure | 90 | 113 / 7 | $54.987,70 | 1845 / 89 | $8.221,96 | 993 / 48 | $6.935,83 | 992 / 44 |
Renal Failure W Cc | 84 | 137 / 27 | $34.872,60 | 1895 / 91 | $5.765,33 | 544 / 20 | $4.796,94 | 540 / 24 |
Spinal Fusion Except Cervical W/O Mcc | 82 | 112 / 8 | $154.463,00 | 1131 / 48 | $27.617,60 | 473 / 30 | $21.637,60 | 470 / 15 |
Chronic Obstructive Pulmonary Disease W Cc | 73 | 106 / 22 | $40.908,70 | 2090 / 111 | $5.399,64 | 255 / 8 | $4.266,11 | 255 / 7 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 63 | 125 / 14 | $41.211,30 | 984 / 43 | $7.335,70 | 308 / 32 | $5.150,43 | 308 / 16 |
Kidney & Urinary Tract Infections W Mcc | 61 | 83 / 13 | $37.723,10 | 1437 / 78 | $6.345,64 | 255 / 10 | $5.355,21 | 255 / 6 |
Respiratory Infections & Inflammations W Mcc | 60 | 76 / 12 | $72.422,90 | 1434 / 76 | $12.253,10 | 991 / 43 | $11.663,60 | 979 / 51 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 60 | 122 / 23 | $43.144,50 | 1592 / 80 | $7.789,72 | 311 / 64 | $4.990,75 | 310 / 14 |
Heart Failure & Shock W/O Cc/Mcc | 56 | 54 / 9 | $23.654,80 | 1495 / 81 | $3.872,38 | 163 / 9 | $2.922,09 | 161 / 7 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 54 | 96 / 11 | $20.999,10 | 1453 / 71 | $3.463,59 | 206 / 16 | $2.137,37 | 205 / 13 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 54 | 66 / 10 | $34.828,50 | 1840 / 101 | $6.363,02 | 194 / 77 | $3.008,31 | 194 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 54 | 107 / 23 | $26.841,90 | 1487 / 66 | $4.576,26 | 309 / 9 | $3.618,43 | 309 / 14 |
G.I. Hemorrhage W Mcc | 52 | 69 / 12 | $62.016,10 | 1232 / 69 | $10.790,90 | 495 / 29 | $9.644,25 | 496 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 49 | 53 / 7 | $27.789,70 | 1012 / 45 | $4.607,51 | 222 / 14 | $3.235,06 | 220 / 13 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 49 | 117 / 31 | $28.092,80 | 2052 / 105 | $4.013,49 | 219 / 9 | $3.037,49 | 219 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 48 | 75 / 18 | $39.521,80 | 1308 / 70 | $7.767,21 | 286 / 42 | $6.014,46 | 285 / 11 |
Red Blood Cell Disorders W/O Mcc | 46 | 97 / 16 | $29.849,40 | 1493 / 85 | $4.770,50 | 234 / 15 | $3.678,70 | 234 / 5 |
Renal Failure W Mcc | 46 | 149 / 34 | $50.629,30 | 1589 / 84 | $9.591,93 | 939 / 37 | $8.798,72 | 939 / 46 |
Medical Back Problems W/O Mcc | 44 | 77 / 21 | $38.001,60 | 1208 / 74 | $7.081,82 | 87 / 60 | $3.504,09 | 87 / 1 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 44 | 49 / 8 | $30.424,40 | 1626 / 92 | $4.289,59 | 104 / 15 | $2.731,80 | 104 / 3 |
Hip & Femur Procedures Except Major Joint W Cc | 44 | 99 / 22 | $69.223,70 | 1530 / 82 | $11.354,00 | 631 / 18 | $10.307,40 | 628 / 27 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 43 | 83 / 17 | $37.632,20 | 1245 / 71 | $6.810,77 | 543 / 26 | $6.092,63 | 540 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 41 | 127 / 22 | $68.278,00 | 1249 / 71 | $10.798,20 | 726 / 27 | $9.965,85 | 725 / 42 |
Other Digestive System Diagnoses W Cc | 39 | 58 / 14 | $42.832,90 | 1174 / 75 | $7.098,59 | 99 / 54 | $4.400,62 | 98 / 4 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 38 | 58 / 2 | $72.264,40 | 611 / 21 | $16.354,90 | 155 / 19 | $10.808,20 | 153 / 4 |
Syncope & Collapse | 37 | 132 / 29 | $32.809,70 | 1522 / 90 | $5.889,11 | 219 / 70 | $3.226,89 | 218 / 10 |
G.I. Obstruction W Cc | 35 | 57 / 18 | $35.151,20 | 1348 / 77 | $5.134,94 | 307 / 11 | $4.209,23 | 306 / 14 |
G.I. Hemorrhage W/O Cc/Mcc | 34 | 34 / 4 | $25.542,70 | 721 / 40 | $4.664,41 | 122 / 19 | $2.990,00 | 122 / 9 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 34 | 59 / 8 | $61.337,70 | 486 / 27 | $12.479,20 | 198 / 11 | $11.021,10 | 194 / 6 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 32 | 92 / 25 | $162.902,00 | 1088 / 66 | $41.298,80 | 610 / 67 | $30.482,70 | 604 / 31 |
Transient Ischemia | 31 | 94 / 24 | $24.287,90 | 934 / 41 | $4.084,65 | 95 / 10 | $2.781,13 | 95 / 3 |
Seizures W/O Mcc | 30 | 78 / 16 | $37.325,90 | 1093 / 77 | $4.399,87 | 258 / 4 | $3.672,37 | 257 / 16 |
Major Small & Large Bowel Procedures W Cc | 30 | 78 / 18 | $121.918,00 | 1350 / 71 | $19.324,10 | 977 / 47 | $15.697,40 | 966 / 57 |
Cellulitis W Mcc | 29 | 29 / 5 | $51.957,10 | 747 / 50 | $8.518,48 | 262 / 8 | $7.686,52 | 261 / 12 |
Hip & Femur Procedures Except Major Joint W Mcc | 29 | 33 / 6 | $132.859,00 | 833 / 45 | $20.932,00 | 650 / 34 | $19.891,40 | 647 / 37 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 29 | 36 / 5 | $140.799,00 | 819 / 46 | $33.980,90 | 477 / 46 | $19.104,90 | 474 / 25 |
Bronchitis & Asthma W Cc/Mcc | 28 | 48 / 13 | $32.164,10 | 763 / 47 | $5.804,00 | 100 / 19 | $3.799,86 | 100 / 4 |
Respiratory Infections & Inflammations W Cc | 26 | 62 / 17 | $42.247,00 | 1009 / 50 | $7.470,00 | 229 / 3 | $6.821,38 | 227 / 9 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 25 | 171 / 41 | $90.287,30 | 1053 / 64 | $15.233,60 | 431 / 46 | $10.478,20 | 430 / 19 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 25 | 44 / 6 | $85.771,00 | 447 / 22 | $13.764,20 | 191 / 20 | $9.641,64 | 191 / 8 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 25 | 31 / 10 | $78.509,80 | 720 / 38 | $12.192,20 | 150 / 30 | $8.079,64 | 150 / 4 |
Revision Of Hip Or Knee Replacement W Cc | 25 | 61 / 9 | $121.679,00 | 547 / 28 | $24.829,20 | 240 / 21 | $18.485,70 | 239 / 8 |
Major Small & Large Bowel Procedures W Mcc | 24 | 61 / 16 | $218.469,00 | 1096 / 62 | $43.175,10 | 1001 / 56 | $37.717,90 | 999 / 57 |
Major Cardiovasc Procedures W/O Mcc | 24 | 77 / 19 | $153.761,00 | 886 / 46 | $29.019,30 | 556 / 39 | $20.898,00 | 556 / 32 |
Other Vascular Procedures W Cc | 24 | 78 / 19 | $123.777,00 | 988 / 55 | $18.318,90 | 731 / 33 | $16.616,30 | 727 / 39 |
Pulmonary Embolism W/O Mcc | 23 | 51 / 17 | $36.684,30 | 996 / 47 | $5.734,22 | 316 / 9 | $4.839,61 | 316 / 22 |
Other Circulatory System Diagnoses W Mcc | 23 | 93 / 23 | $68.311,20 | 1028 / 62 | $11.352,00 | 448 / 18 | $10.555,80 | 447 / 21 |
Extracranial Procedures W/O Cc/Mcc | 23 | 75 / 13 | $44.680,90 | 706 / 28 | $7.349,17 | 140 / 20 | $4.803,83 | 140 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 33 | $113.690,00 | 1632 / 90 | $14.907,20 | 1043 / 39 | $14.328,40 | 1033 / 58 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 23 | $85.708,50 | 1427 / 71 | $11.358,10 | 1328 / 64 | $10.809,70 | 1323 / 68 |
Peripheral Vascular Disorders W Cc | 22 | 62 / 23 | $29.493,30 | 788 / 53 | $7.126,23 | 171 / 54 | $4.576,55 | 171 / 10 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 22 | 40 / 10 | $29.674,80 | 603 / 36 | $4.251,68 | 63 / 3 | $3.108,45 | 63 / 2 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 21 | 48 / 5 | $96.585,40 | 407 / 17 | $18.488,60 | 159 / 10 | $14.366,60 | 159 / 5 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 29 | $71.648,90 | 1481 / 79 | $11.382,00 | 1105 / 49 | $10.694,70 | 1100 / 59 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 19 | $49.242,40 | 934 / 57 | $7.305,52 | 315 / 23 | $6.188,48 | 314 / 19 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 20 | 27 / 6 | $66.449,60 | 511 / 23 | $9.066,90 | 103 / 11 | $5.651,95 | 103 / 4 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 28 | $66.713,10 | 940 / 57 | $10.516,50 | 679 / 38 | $10.033,30 | 677 / 44 |
Degenerative Nervous System Disorders W/O Mcc | 20 | 58 / 18 | $35.142,90 | 599 / 41 | $5.676,25 | 87 / 6 | $4.457,65 | 87 / 7 |
Permanent Cardiac Pacemaker Implant W Cc | 20 | 57 / 14 | $90.141,60 | 705 / 38 | $15.085,50 | 207 / 5 | $14.059,80 | 206 / 7 |
Diabetes W Cc | 19 | 73 / 21 | $32.717,60 | 1252 / 74 | $4.819,53 | 178 / 8 | $3.790,05 | 178 / 8 |
Other Vascular Procedures W Mcc | 19 | 78 / 19 | $95.909,00 | 552 / 27 | $19.393,50 | 277 / 8 | $18.500,80 | 276 / 10 |
Fractures Of Hip & Pelvis W/O Mcc | 19 | 42 / 13 | $28.185,20 | 717 / 38 | $4.041,58 | 220 / 5 | $3.282,00 | 221 / 15 |
Chest Pain | 19 | 132 / 36 | $31.582,00 | 1431 / 75 | $3.497,53 | 157 / 5 | $2.476,84 | 156 / 5 |
Signs & Symptoms W/O Mcc | 19 | 72 / 20 | $30.524,40 | 1042 / 57 | $3.951,53 | 209 / 5 | $3.250,89 | 208 / 13 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 10 | $58.435,50 | 693 / 38 | $9.322,61 | 249 / 7 | $8.314,61 | 248 / 14 |
Respiratory Neoplasms W Mcc | 18 | 34 / 12 | $62.981,00 | 469 / 28 | $10.347,30 | 214 / 9 | $9.609,50 | 214 / 14 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 17 | 40 / 10 | $83.884,50 | 599 / 27 | $12.384,50 | 218 / 4 | $11.456,50 | 217 / 10 |
Renal Failure W/O Cc/Mcc | 17 | 39 / 9 | $31.742,10 | 752 / 33 | $3.897,12 | 375 / 6 | $3.255,24 | 374 / 17 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 16 | 72 / 14 | $204.752,00 | 543 / 26 | $41.465,10 | 381 / 28 | $23.241,80 | 380 / 19 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 16 | 50 / 11 | $74.820,20 | 433 / 25 | $16.307,90 | 109 / 24 | $9.471,50 | 109 / 7 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 16 | 29 / 7 | $133.967,00 | 227 / 15 | $18.904,80 | 109 / 4 | $17.774,80 | 109 / 5 |
Cervical Spinal Fusion W/O Cc/Mcc | 16 | 88 / 11 | $85.877,90 | 702 / 27 | $14.405,20 | 244 / 11 | $11.339,50 | 244 / 6 |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 21 | $38.764,90 | 1008 / 45 | $6.125,81 | 350 / 8 | $5.217,81 | 349 / 14 |
Fever | 16 | 30 / 6 | $31.314,90 | 236 / 12 | $5.498,94 | 26 / 3 | $3.753,12 | 26 / 3 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 15 | 40 / 14 | $66.891,50 | 414 / 24 | $13.613,30 | 97 / 18 | $9.808,20 | 97 / 4 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 22 | $46.592,30 | 786 / 53 | $7.231,60 | 188 / 8 | $6.512,67 | 188 / 10 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 18 | $212.827,00 | 792 / 46 | $38.028,30 | 494 / 26 | $36.692,90 | 493 / 31 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 14 | 33 / 9 | $42.804,90 | 351 / 23 | $4.550,14 | 93 / 7 | $3.688,43 | 93 / 8 |
Tendonitis, Myositis & Bursitis W/O Mcc | 14 | 28 / 6 | $33.052,90 | 261 / 17 | $7.255,86 | 32 / 17 | $3.548,71 | 32 / 5 |
Other Resp System O.R. Procedures W Mcc | 14 | 49 / 12 | $108.654,00 | 383 / 18 | $21.334,50 | 211 / 6 | $20.731,10 | 210 / 10 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 14 | 26 / 8 | $60.173,10 | 128 / 8 | $11.296,50 | 53 / 1 | $10.521,60 | 53 / 2 |
Other Digestive System Diagnoses W/O Cc/Mcc | 14 | 29 / 7 | $41.192,20 | 339 / 18 | $4.470,43 | 6 / 4 | $2.293,21 | 6 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 16 | $63.973,80 | 521 / 36 | $10.137,90 | 119 / 1 | $9.966,43 | 119 / 8 |
Other Digestive System Diagnoses W Mcc | 14 | 48 / 18 | $60.961,60 | 565 / 31 | $10.483,10 | 270 / 7 | $9.877,36 | 270 / 14 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 11 | $42.928,90 | 348 / 18 | $7.634,57 | 68 / 7 | $5.963,07 | 68 / 2 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 14 | 55 / 12 | $84.626,20 | 353 / 18 | $17.701,90 | 114 / 13 | $13.175,50 | 114 / 2 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 13 | 33 / 7 | $46.836,10 | 360 / 25 | $4.019,69 | 64 / 2 | $2.998,15 | 64 / 6 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 13 | 34 / 9 | $57.977,20 | 386 / 13 | $15.363,60 | 28 / 16 | $6.459,08 | 28 / 1 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 15 | $175.262,00 | 563 / 33 | $32.188,80 | 422 / 19 | $31.206,60 | 422 / 23 |
Seizures W Mcc | 13 | 53 / 19 | $49.167,50 | 478 / 27 | $9.439,38 | 257 / 10 | $8.604,85 | 257 / 13 |
Major Chest Procedures W Mcc | 13 | 36 / 9 | $203.978,00 | 275 / 14 | $36.736,50 | 231 / 7 | $35.714,90 | 230 / 11 |
Nonspecific Cerebrovascular Disorders W Cc | 13 | 43 / 5 | $46.361,80 | 401 / 13 | $6.418,23 | 231 / 6 | $5.674,85 | 231 / 8 |
Disorders Of The Biliary Tract W Mcc | 13 | 26 / 7 | $62.716,50 | 195 / 12 | $9.293,46 | 8 / 3 | $7.877,54 | 8 / 1 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 13 | 63 / 9 | $71.619,80 | 422 / 20 | $12.307,60 | 267 / 13 | $11.753,80 | 267 / 16 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 13 | 40 / 11 | $80.250,90 | 285 / 18 | $12.530,60 | 190 / 10 | $11.698,50 | 191 / 13 |
Digestive Malignancy W Cc | 13 | 34 / 13 | $54.480,80 | 320 / 23 | $7.132,54 | 24 / 3 | $5.918,38 | 24 / 2 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 10 | $82.084,70 | 682 / 24 | $18.404,10 | 67 / 22 | $7.320,46 | 67 / 2 |
G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 24 | $27.595,00 | 1072 / 63 | $3.518,31 | 92 / 5 | $2.309,69 | 92 / 5 |
Coronary Bypass W Cardiac Cath W/O Mcc | 13 | 63 / 13 | $232.007,00 | 536 / 22 | $64.607,80 | 364 / 25 | $27.863,80 | 364 / 15 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 12 | 17 / 3 | $26.952,60 | 96 / 7 | $8.776,08 | 1 / 7 | $2.398,75 | 1 / 1 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 10 | $118.938,00 | 362 / 18 | $19.291,50 | 270 / 14 | $18.587,60 | 268 / 14 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 12 | 106 / 19 | $256.876,00 | 480 / 22 | $39.469,00 | 419 / 16 | $38.661,00 | 419 / 20 |
Other Circulatory System O.R. Procedures | 12 | 43 / 11 | $90.916,20 | 296 / 19 | $17.856,60 | 203 / 13 | $17.200,70 | 203 / 14 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 12 | 42 / 11 | $31.322,00 | 295 / 20 | $4.269,50 | 21 / 4 | $3.058,83 | 21 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 26 | $127.799,00 | 717 / 41 | $20.246,50 | 439 / 11 | $19.149,80 | 435 / 21 |
Pulmonary Embolism W Mcc | 11 | 32 / 15 | $57.036,00 | 467 / 32 | $8.823,82 | 139 / 7 | $7.945,27 | 139 / 7 |
Peritoneal Adhesiolysis W Mcc | 11 | 12 / 2 | $152.703,00 | 46 / 4 | $28.419,20 | 36 / 3 | $27.433,10 | 36 / 4 |
Transurethral Procedures W Cc | 11 | 30 / 12 | $57.538,90 | 305 / 26 | $7.355,64 | 76 / 4 | $6.366,55 | 76 / 9 |
Major Cardiovasc Procedures W Mcc | 11 | 57 / 19 | $232.938,00 | 565 / 26 | $56.618,80 | 497 / 27 | $40.266,40 | 496 / 22 |
Cardiac Arrest, Unexplained W Mcc | 11 | 4 / 1 | $80.151,50 | 7 / 1 | $9.619,55 | 6 / 1 | $9.066,82 | 6 / 1 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 19 | $66.380,10 | 698 / 34 | $10.816,10 | 123 / 27 | $4.894,82 | 123 / 7 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 14 | $134.724,00 | 473 / 28 | $21.351,30 | 175 / 9 | $20.475,60 | 175 / 12 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 11 | 40 / 11 | $45.766,90 | 125 / 4 | $11.035,50 | 47 / 2 | $10.380,90 | 47 / 2 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 19 | $64.861,00 | 719 / 45 | $9.255,36 | 544 / 39 | $6.420,73 | 544 / 36 | Total 126 procedures | 4.894 | 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.