Hospital Costs > In Georgia > Emory University Hospital Midtown, 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 | 191 | 373 / 21 | $36.695,70 | 568 / 19 | $15.861,00 | 1828 / 72 | $12.970,10 | 1787 / 73 |
Heart Failure & Shock W Cc | 190 | 90 / 4 | $19.622,70 | 1137 / 41 | $7.903,06 | 2222 / 78 | $7.057,91 | 2216 / 79 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 144 | 372 / 26 | $45.285,40 | 1592 / 61 | $13.717,80 | 2129 / 81 | $12.897,10 | 2092 / 83 |
Heart Failure & Shock W Mcc | 125 | 159 / 15 | $41.841,70 | 1735 / 64 | $12.897,10 | 2246 / 77 | $11.530,90 | 2236 / 76 |
Renal Failure W Mcc | 120 | 76 / 5 | $25.085,50 | 465 / 16 | $11.389,20 | 1645 / 59 | $10.854,50 | 1643 / 62 |
Other Circulatory System Diagnoses W Mcc | 119 | 12 / 1 | $42.958,00 | 570 / 26 | $14.411,30 | 953 / 45 | $13.148,90 | 946 / 45 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 116 | 18 / 2 | $25.222,90 | 718 / 34 | $8.850,38 | 1301 / 55 | $8.113,38 | 1298 / 55 |
Red Blood Cell Disorders W/O Mcc | 94 | 52 / 2 | $20.978,00 | 985 / 42 | $7.121,20 | 1540 / 61 | $5.601,81 | 1531 / 59 |
Spinal Fusion Except Cervical W/O Mcc | 73 | 121 / 15 | $55.238,70 | 160 / 3 | $28.433,10 | 724 / 36 | $23.414,30 | 720 / 35 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 72 | 46 / 5 | $155.877,00 | 101 / 1 | $55.221,10 | 260 / 8 | $52.766,20 | 260 / 9 |
Renal Failure W Cc | 68 | 153 / 23 | $20.802,50 | 1062 / 37 | $7.718,72 | 1920 / 72 | $6.712,47 | 1910 / 73 |
Kidney & Urinary Tract Infections W/O Mcc | 66 | 167 / 23 | $20.220,10 | 1599 / 63 | $6.673,41 | 2326 / 79 | $5.845,73 | 2315 / 80 |
Other Circulatory System O.R. Procedures | 66 | 4 / 1 | $62.646,30 | 170 / 7 | $21.079,20 | 312 / 19 | $20.135,40 | 312 / 20 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 65 | 131 / 13 | $57.754,20 | 396 / 13 | $15.226,20 | 1169 / 41 | $13.675,30 | 1162 / 43 |
G.I. Hemorrhage W Cc | 63 | 155 / 18 | $24.334,30 | 1148 / 38 | $8.356,57 | 2029 / 68 | $7.377,21 | 2025 / 68 |
Other Vascular Procedures W Mcc | 59 | 38 / 3 | $85.188,90 | 443 / 19 | $28.114,60 | 838 / 31 | $26.526,50 | 835 / 32 |
G.I. Hemorrhage W Mcc | 58 | 63 / 4 | $42.398,60 | 780 / 26 | $15.099,40 | 1447 / 47 | $14.395,70 | 1437 / 48 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 57 | 131 / 17 | $37.147,30 | 842 / 34 | $8.709,05 | 1323 / 48 | $7.622,72 | 1320 / 50 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 57 | 218 / 30 | $18.172,20 | 1158 / 39 | $6.426,51 | 2281 / 83 | $5.463,35 | 2266 / 85 |
Simple Pneumonia & Pleurisy W Mcc | 54 | 151 / 26 | $29.925,70 | 1030 / 34 | $11.276,70 | 2009 / 76 | $10.174,10 | 2008 / 76 |
Coronary Bypass W/O Cardiac Cath W Mcc | 53 | 11 / 2 | $111.437,00 | 50 / 1 | $41.212,90 | 125 / 8 | $36.159,00 | 124 / 8 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 48 | 77 / 6 | $56.900,60 | 1268 / 45 | $14.940,50 | 1608 / 52 | $14.026,60 | 1595 / 54 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 48 | 120 / 12 | $57.442,90 | 1095 / 42 | $14.151,60 | 1277 / 45 | $12.767,80 | 1271 / 46 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 23 | $24.455,40 | 1206 / 44 | $8.677,28 | 2159 / 76 | $7.832,32 | 2150 / 77 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 46 | 42 / 4 | $81.671,00 | 147 / 1 | $27.308,10 | 368 / 14 | $22.871,60 | 367 / 14 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 44 | 74 / 5 | $110.217,00 | 118 / 2 | $35.129,70 | 296 / 9 | $33.286,20 | 296 / 10 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 18 | $14.815,40 | 939 / 35 | $6.137,32 | 2053 / 71 | $5.018,27 | 2045 / 72 |
Red Blood Cell Disorders W Mcc | 44 | 27 / 1 | $25.366,60 | 328 / 12 | $9.915,25 | 841 / 32 | $9.332,20 | 837 / 34 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 43 | 27 / 2 | $169.190,00 | 36 / 3 | $62.647,00 | 141 / 6 | $61.746,80 | 141 / 7 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 41 | 40 / 4 | $281.075,00 | 66 / 2 | $100.039,00 | 117 / 4 | $95.087,10 | 117 / 5 |
Major Small & Large Bowel Procedures W Cc | 41 | 67 / 11 | $75.591,40 | 946 / 35 | $19.979,40 | 1169 / 43 | $17.264,80 | 1156 / 43 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 38 | 62 / 7 | $73.401,90 | 200 / 5 | $21.781,10 | 571 / 18 | $20.496,20 | 567 / 22 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 38 | 58 / 8 | $27.071,40 | 525 / 16 | $9.647,16 | 1130 / 44 | $8.814,82 | 1125 / 45 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 37 | 145 / 28 | $37.522,40 | 1441 / 53 | $8.530,46 | 1672 / 58 | $7.513,51 | 1668 / 59 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 37 | 61 / 2 | $88.993,00 | 141 / 3 | $30.893,90 | 212 / 10 | $27.251,50 | 212 / 7 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 36 | 53 / 4 | $29.215,80 | 282 / 9 | $8.712,47 | 596 / 18 | $7.263,28 | 595 / 19 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 36 | 95 / 12 | $55.812,80 | 794 / 31 | $17.625,60 | 1414 / 53 | $16.617,60 | 1400 / 54 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 21 | $17.163,20 | 769 / 20 | $6.697,65 | 1840 / 58 | $5.982,65 | 1835 / 60 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 17 | $24.346,10 | 614 / 12 | $9.379,58 | 1418 / 46 | $8.382,91 | 1415 / 47 |
Pulmonary Edema & Respiratory Failure | 33 | 170 / 35 | $40.770,60 | 1525 / 57 | $10.343,30 | 1886 / 66 | $9.289,91 | 1880 / 68 |
Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 12 | $14.170,30 | 742 / 27 | $5.806,70 | 1711 / 49 | $5.107,39 | 1698 / 52 |
Chronic Obstructive Pulmonary Disease W Mcc | 32 | 170 / 37 | $27.944,50 | 1341 / 47 | $9.101,72 | 2120 / 73 | $8.380,19 | 2112 / 74 |
Coronary Bypass W Cardiac Cath W Mcc | 32 | 24 / 2 | $139.297,00 | 88 / 2 | $49.780,60 | 301 / 10 | $48.936,90 | 301 / 12 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 31 | 93 / 13 | $137.118,00 | 899 / 29 | $40.151,10 | 760 / 38 | $32.117,60 | 754 / 27 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 30 | 71 / 5 | $40.484,40 | 639 / 17 | $12.537,60 | 887 / 24 | $11.900,90 | 883 / 25 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 30 | 33 / 3 | $130.904,00 | 399 / 16 | $42.060,00 | 639 / 21 | $39.434,60 | 639 / 23 |
Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 39 | $17.100,00 | 810 / 20 | $7.817,47 | 2340 / 83 | $7.010,27 | 2331 / 84 |
Syncope & Collapse | 30 | 139 / 23 | $20.515,90 | 905 / 26 | $6.490,93 | 1633 / 48 | $5.682,90 | 1626 / 48 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 34 | $20.266,10 | 1027 / 31 | $7.631,97 | 2046 / 72 | $6.877,31 | 2039 / 73 |
Cellulitis W/O Mcc | 29 | 160 / 30 | $25.875,40 | 1922 / 66 | $7.206,48 | 2250 / 71 | $6.328,14 | 2242 / 72 |
O.R. Procedures For Obesity W/O Cc/Mcc | 28 | 49 / 6 | $40.432,10 | 186 / 6 | $11.691,10 | 312 / 8 | $10.568,90 | 311 / 9 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 27 | 8 / 1 | $87.909,30 | 68 / 5 | $32.554,80 | 122 / 8 | $31.825,70 | 122 / 9 |
Pulmonary Embolism W/O Mcc | 26 | 48 / 9 | $30.091,20 | 841 / 28 | $8.828,88 | 1175 / 38 | $7.987,88 | 1172 / 38 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 26 | 22 / 2 | $32.583,60 | 57 / 3 | $11.047,90 | 150 / 6 | $9.883,58 | 150 / 8 |
Revision Of Hip Or Knee Replacement W Cc | 26 | 60 / 4 | $50.865,20 | 73 / 3 | $24.565,80 | 316 / 16 | $19.571,50 | 315 / 15 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 26 | 38 / 5 | $190.086,00 | 124 / 2 | $75.228,20 | 228 / 12 | $61.100,00 | 228 / 7 |
Diabetes W Cc | 26 | 66 / 17 | $16.874,00 | 473 / 13 | $6.684,12 | 1296 / 43 | $6.160,62 | 1291 / 48 |
Major Small & Large Bowel Procedures W Mcc | 25 | 60 / 11 | $133.204,00 | 686 / 28 | $43.623,60 | 1042 / 36 | $38.595,00 | 1040 / 37 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 25 | 29 / 4 | $76.260,30 | 74 / 2 | $22.789,10 | 164 / 4 | $22.054,90 | 164 / 5 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 25 | 44 / 2 | $46.702,20 | 118 / 3 | $12.761,90 | 394 / 13 | $11.365,80 | 392 / 15 |
Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 9 | $32.201,40 | 822 / 30 | $8.399,12 | 1192 / 44 | $7.623,04 | 1190 / 46 |
Complications Of Treatment W Mcc | 24 | 27 / 3 | $29.353,00 | 52 / 2 | $12.752,90 | 130 / 5 | $11.157,20 | 130 / 6 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 23 | 22 / 1 | $73.699,60 | 80 / 3 | $20.696,50 | 175 / 10 | $19.799,50 | 174 / 10 |
Other Kidney & Urinary Tract Procedures W Mcc | 23 | 15 / 1 | $71.544,90 | 83 / 9 | $24.997,10 | 174 / 14 | $24.227,00 | 173 / 15 |
Other Vascular Procedures W Cc | 23 | 79 / 11 | $39.697,30 | 89 / 1 | $17.633,20 | 654 / 28 | $15.982,30 | 651 / 29 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 22 | 70 / 10 | $142.099,00 | 471 / 20 | $42.979,20 | 716 / 25 | $41.415,60 | 715 / 27 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 22 | 71 / 11 | $64.558,00 | 527 / 26 | $16.710,90 | 725 / 30 | $15.878,40 | 718 / 30 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 22 | 24 / 1 | $105.488,00 | 16 / 1 | $40.540,00 | 53 / 3 | $39.660,10 | 53 / 5 |
Tracheostomy For Face,Mouth & Neck Diagnoses W Cc | 22 | 11 / 1 | $91.972,80 | 12 / 1 | $26.462,90 | 11 / 1 | $22.689,00 | 11 / 1 |
Other O.R. Procedures For Injuries W Mcc | 21 | 16 / 2 | $69.668,60 | 29 / 3 | $28.635,40 | 106 / 7 | $28.005,10 | 106 / 8 |
Major Chest Procedures W Cc | 21 | 53 / 7 | $49.724,90 | 104 / 3 | $17.580,50 | 269 / 9 | $15.525,20 | 267 / 12 |
Cervical Spinal Fusion W/O Cc/Mcc | 21 | 83 / 21 | $46.410,00 | 292 / 13 | $16.342,90 | 642 / 31 | $14.107,40 | 639 / 33 |
Other Kidney & Urinary Tract Diagnoses W Cc | 20 | 83 / 6 | $18.866,90 | 212 / 3 | $7.598,40 | 603 / 12 | $6.930,95 | 603 / 13 |
Hiv W Major Related Condition W Mcc | 20 | 17 / 2 | $34.901,40 | 8 / 1 | $19.438,90 | 25 / 4 | $18.329,40 | 25 / 4 |
Peripheral Vascular Disorders W Cc | 20 | 64 / 10 | $18.440,70 | 338 / 13 | $7.595,40 | 955 / 32 | $6.914,70 | 952 / 36 |
Other Resp System O.R. Procedures W Mcc | 19 | 44 / 7 | $141.550,00 | 465 / 20 | $42.150,20 | 568 / 21 | $37.122,10 | 567 / 21 |
Major Cardiovasc Procedures W Mcc | 19 | 49 / 9 | $97.598,90 | 110 / 4 | $37.617,80 | 392 / 13 | $35.755,60 | 391 / 12 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 29 | $27.274,80 | 1055 / 42 | $9.746,95 | 1477 / 63 | $7.540,47 | 1473 / 57 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 19 | 47 / 8 | $39.315,20 | 158 / 9 | $13.712,80 | 401 / 14 | $12.688,40 | 398 / 17 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 19 | 76 / 8 | $57.327,10 | 153 / 2 | $15.423,30 | 449 / 10 | $14.078,30 | 445 / 11 |
Tracheostomy For Face,Mouth & Neck Diagnoses W Mcc | 19 | 4 / 1 | $153.995,00 | 8 / 1 | $40.677,50 | 13 / 1 | $39.903,80 | 13 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 19 | 37 / 5 | $26.156,90 | 84 / 3 | $13.502,50 | 434 / 18 | $12.573,10 | 433 / 18 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 18 | 25 / 1 | $48.077,50 | 13 / 1 | $20.582,10 | 84 / 2 | $19.503,20 | 84 / 3 |
Diabetes W Mcc | 18 | 39 / 10 | $40.264,80 | 461 / 20 | $10.514,30 | 544 / 21 | $9.862,78 | 543 / 23 |
Other Circulatory System Diagnoses W Cc | 17 | 49 / 6 | $23.713,40 | 274 / 14 | $8.581,76 | 365 / 19 | $5.880,35 | 364 / 13 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 15 | $93.609,40 | 205 / 9 | $31.358,40 | 391 / 16 | $30.495,80 | 391 / 22 |
Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 11 | $46.638,60 | 168 / 5 | $18.558,50 | 687 / 19 | $17.695,80 | 686 / 20 |
Other Resp System O.R. Procedures W Cc | 17 | 30 / 3 | $42.040,80 | 97 / 2 | $15.246,20 | 261 / 9 | $14.315,70 | 261 / 10 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 14 | $28.017,60 | 797 / 26 | $9.094,59 | 1160 / 38 | $7.184,24 | 1156 / 38 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 17 | 36 / 2 | $50.974,80 | 180 / 7 | $13.452,90 | 226 / 6 | $12.519,60 | 227 / 7 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 17 | 52 / 12 | $36.268,00 | 30 / 1 | $19.889,20 | 353 / 14 | $17.020,40 | 352 / 14 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 15 | $23.068,20 | 388 / 11 | $10.415,80 | 1172 / 41 | $9.519,59 | 1167 / 43 |
Postoperative & Post-Traumatic Infections W/O Mcc | 16 | 38 / 3 | $17.698,40 | 88 / 1 | $7.828,62 | 250 / 7 | $6.356,38 | 250 / 6 |
Major Chest Procedures W/O Cc/Mcc | 16 | 43 / 6 | $37.921,80 | 61 / 4 | $13.431,10 | 131 / 7 | $11.183,90 | 131 / 9 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 16 | 60 / 6 | $45.187,80 | 256 / 13 | $14.132,70 | 352 / 13 | $13.025,60 | 352 / 15 |
Tracheostomy For Face,Mouth & Neck Diagnoses W/O Cc/Mcc | 15 | 4 / 1 | $59.430,20 | 2 / 1 | $15.626,50 | 3 / 1 | $14.655,70 | 3 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 24 | $24.402,00 | 872 / 28 | $6.388,40 | 1340 / 41 | $5.421,13 | 1336 / 43 |
Signs & Symptoms W/O Mcc | 15 | 76 / 16 | $18.476,10 | 571 / 21 | $5.705,20 | 1031 / 34 | $5.059,73 | 1028 / 37 |
Postoperative & Post-Traumatic Infections W Mcc | 15 | 28 / 2 | $33.107,00 | 46 / 1 | $12.853,00 | 62 / 1 | $11.037,50 | 62 / 2 |
Pulmonary Embolism W Mcc | 15 | 28 / 7 | $35.667,50 | 258 / 8 | $11.933,30 | 494 / 17 | $11.161,50 | 493 / 18 |
Cervical Spinal Fusion W Cc | 15 | 38 / 6 | $52.488,90 | 90 / 2 | $20.204,30 | 256 / 14 | $18.990,40 | 255 / 15 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 35 | $36.686,00 | 477 / 13 | $14.168,50 | 1563 / 56 | $13.120,30 | 1544 / 56 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 24 | $39.880,80 | 780 / 28 | $13.052,30 | 1126 / 48 | $12.177,50 | 1112 / 51 |
Medical Back Problems W/O Mcc | 15 | 106 / 17 | $21.562,90 | 642 / 17 | $7.276,73 | 1273 / 35 | $6.467,60 | 1269 / 37 |
Chest Pain | 15 | 136 / 35 | $44.171,50 | 1643 / 54 | $15.809,90 | 1713 / 53 | $15.161,10 | 1704 / 54 |
Other Digestive System Diagnoses W Mcc | 15 | 47 / 9 | $41.022,80 | 331 / 11 | $13.176,90 | 545 / 16 | $12.423,50 | 544 / 19 |
Digestive Malignancy W Cc | 14 | 33 / 3 | $35.843,40 | 200 / 5 | $9.115,21 | 175 / 5 | $7.525,79 | 173 / 5 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 14 | 77 / 8 | $21.804,60 | 86 / 2 | $8.713,71 | 236 / 6 | $8.068,79 | 236 / 7 |
Hypertension W/O Mcc | 14 | 51 / 8 | $16.093,70 | 260 / 8 | $5.637,36 | 616 / 16 | $4.512,50 | 614 / 17 |
Peripheral Vascular Disorders W Mcc | 14 | 35 / 7 | $39.124,30 | 338 / 14 | $13.701,10 | 535 / 16 | $12.598,00 | 535 / 16 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 14 | 17 / 1 | $24.208,20 | 35 / 1 | $9.009,93 | 136 / 1 | $8.400,14 | 136 / 1 |
O.R. Procedures For Obesity W Cc | 13 | 21 / 2 | $44.318,10 | 40 / 3 | $13.978,30 | 84 / 6 | $12.774,40 | 84 / 6 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 13 | 18 / 1 | $128.969,00 | 56 / 1 | $58.068,90 | 26 / 3 | $27.398,50 | 26 / 1 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 13 | 37 / 3 | $50.830,20 | 4 / 1 | $36.647,80 | 145 / 3 | $36.090,70 | 145 / 3 |
Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 16 | $15.171,20 | 199 / 6 | $7.216,00 | 864 / 32 | $6.259,08 | 860 / 34 |
Other Antepartum Diagnoses W Medical Complications | 13 | 12 / 1 | $19.722,20 | 16 / 1 | $6.513,08 | 7 / 1 | $5.928,31 | 7 / 1 |
G.I. Obstruction W Cc | 13 | 79 / 24 | $21.953,20 | 799 / 19 | $7.321,85 | 1452 / 48 | $6.479,38 | 1447 / 50 |
Cellulitis W Mcc | 12 | 46 / 11 | $59.829,80 | 809 / 19 | $22.291,60 | 968 / 21 | $21.704,60 | 966 / 21 |
Other Skin, Subcut Tiss & Breast Proc W Cc | 12 | 12 / 1 | $48.085,00 | 56 / 1 | $14.792,70 | 69 / 1 | $10.935,50 | 69 / 1 |
Respiratory Neoplasms W Cc | 11 | 36 / 7 | $24.312,00 | 119 / 8 | $9.418,55 | 316 / 12 | $7.743,00 | 315 / 12 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 15 | $43.008,60 | 610 / 20 | $12.248,60 | 729 / 28 | $10.060,60 | 727 / 26 |
Hiv W Major Related Condition W Cc | 11 | 13 / 2 | $33.988,50 | 14 / 1 | $10.186,10 | 10 / 1 | $9.299,27 | 10 / 1 |
Lymphoma & Non-Acute Leukemia W Mcc | 11 | 25 / 3 | $35.491,20 | 6 / 1 | $20.351,60 | 41 / 1 | $19.876,90 | 41 / 1 |
Bone Diseases & Arthropathies W/O Mcc | 11 | 33 / 3 | $18.002,80 | 140 / 1 | $6.568,18 | 180 / 4 | $5.032,73 | 180 / 4 |
Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 6 | $28.806,50 | 58 / 3 | $12.848,50 | 204 / 9 | $11.862,00 | 204 / 11 |
Major Chest Procedures W Mcc | 11 | 38 / 8 | $86.090,50 | 60 / 1 | $36.290,50 | 234 / 6 | $35.840,50 | 233 / 9 |
Cranial & Peripheral Nerve Disorders W Mcc | 11 | 25 / 6 | $28.617,20 | 50 / 2 | $9.937,91 | 100 / 5 | $9.496,27 | 100 / 7 |
Seizures W Mcc | 11 | 55 / 16 | $55.056,50 | 531 / 17 | $13.210,60 | 624 / 17 | $12.762,40 | 624 / 18 |
Cervical Spinal Fusion W Mcc | 11 | 11 / 1 | $74.643,50 | 5 / 1 | $34.226,80 | 4 / 1 | $27.914,50 | 4 / 1 |
Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Mcc | 11 | 16 / 1 | $74.121,20 | 32 / 2 | $24.915,20 | 45 / 1 | $23.828,80 | 45 / 2 | Total 130 procedures | 4.384 | 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.