Hospital Costs > In Tennessee > Erlanger Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 35 | 1 / 1 | $39.289,90 | 18 / 1 | $13.747,50 | 81 / 2 | $11.453,10 | 81 / 1 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc | 37 | 1 / 1 | $56.014,80 | 6 / 1 | $19.026,30 | 26 / 3 | $17.947,80 | 26 / 3 |
Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 22 | $23.992,50 | 474 / 14 | $8.724,86 | 1099 / 34 | $7.113,71 | 1097 / 34 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 21 | $39.546,90 | 792 / 19 | $13.579,30 | 1304 / 43 | $11.523,20 | 1294 / 43 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 7 | $13.291,70 | 261 / 4 | $6.268,33 | 678 / 12 | $5.457,67 | 677 / 12 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 19 | 47 / 7 | $59.235,60 | 344 / 11 | $14.640,10 | 427 / 12 | $13.116,60 | 424 / 12 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 21 | 68 / 8 | $28.115,00 | 258 / 12 | $9.233,43 | 606 / 18 | $7.301,24 | 605 / 19 |
Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 11 | 21 / 4 | $38.529,70 | 10 / 2 | $15.725,50 | 64 / 5 | $12.796,60 | 64 / 5 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 15 | $14.340,80 | 170 / 6 | $7.447,75 | 880 / 22 | $6.388,17 | 876 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 65 | 96 / 8 | $14.402,40 | 456 / 14 | $6.892,48 | 1806 / 49 | $5.846,66 | 1801 / 49 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 38 | 85 / 15 | $22.996,80 | 523 / 10 | $9.581,84 | 1506 / 42 | $8.708,95 | 1503 / 42 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 20 | $11.460,70 | 519 / 15 | $5.482,64 | 1734 / 45 | $4.218,04 | 1728 / 45 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 11 | 107 / 12 | $103.709,00 | 87 / 3 | $35.194,10 | 207 / 9 | $30.981,90 | 207 / 8 |
Cellulitis W Mcc | 14 | 44 / 10 | $15.921,50 | 55 / 4 | $10.460,50 | 630 / 17 | $9.509,64 | 628 / 18 |
Cellulitis W/O Mcc | 40 | 149 / 22 | $13.183,50 | 611 / 22 | $7.100,20 | 2203 / 72 | $6.134,60 | 2195 / 72 |
Cervical Spinal Fusion W Cc | 16 | 37 / 4 | $56.524,40 | 109 / 4 | $20.197,90 | 266 / 8 | $19.213,90 | 265 / 10 |
Cervical Spinal Fusion W/O Cc/Mcc | 40 | 64 / 8 | $32.397,40 | 82 / 2 | $15.805,00 | 624 / 22 | $13.875,00 | 621 / 23 |
Chest Pain | 19 | 132 / 22 | $16.596,10 | 646 / 14 | $5.708,63 | 1358 / 41 | $4.462,21 | 1350 / 41 |
Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 27 | $15.960,40 | 603 / 21 | $7.705,51 | 1999 / 69 | $6.681,60 | 1992 / 69 |
Chronic Obstructive Pulmonary Disease W Mcc | 66 | 136 / 20 | $18.893,10 | 635 / 21 | $9.164,65 | 2066 / 72 | $8.142,26 | 2058 / 72 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 29 | $14.548,50 | 734 / 24 | $6.379,00 | 1804 / 66 | $5.345,40 | 1793 / 66 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 21 | 72 / 11 | $47.597,70 | 272 / 7 | $15.154,90 | 617 / 16 | $13.857,20 | 611 / 20 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 44 | 144 / 18 | $25.916,00 | 326 / 13 | $8.845,45 | 1273 / 38 | $7.341,41 | 1270 / 39 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 16 | 26 / 3 | $31.656,40 | 68 / 3 | $12.685,40 | 167 / 7 | $12.011,40 | 167 / 7 |
Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 14 | $127.233,00 | 55 / 3 | $45.091,00 | 237 / 12 | $43.997,20 | 237 / 12 |
Coronary Bypass W Cardiac Cath W/O Mcc | 15 | 61 / 14 | $98.409,70 | 119 / 5 | $31.952,10 | 465 / 15 | $30.906,70 | 465 / 18 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 13 | 75 / 17 | $75.585,10 | 103 / 3 | $25.625,10 | 422 / 15 | $24.426,30 | 421 / 17 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 24 | 44 / 6 | $18.177,80 | 174 / 3 | $7.423,88 | 577 / 15 | $6.665,71 | 577 / 15 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 32 | 10 / 1 | $104.889,00 | 29 / 3 | $33.297,90 | 37 / 3 | $31.384,70 | 37 / 5 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 69 | 33 / 3 | $71.697,90 | 62 / 2 | $28.380,30 | 176 / 7 | $26.203,20 | 176 / 8 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 21 | 53 / 6 | $46.773,90 | 50 / 1 | $16.221,20 | 122 / 4 | $14.010,10 | 121 / 5 |
Degenerative Nervous System Disorders W Mcc | 23 | 15 / 3 | $19.606,70 | 22 / 1 | $11.634,00 | 94 / 4 | $10.516,00 | 94 / 4 |
Degenerative Nervous System Disorders W/O Mcc | 36 | 42 / 4 | $19.974,30 | 235 / 3 | $8.101,86 | 632 / 10 | $6.915,33 | 632 / 10 |
Diabetes W Cc | 35 | 57 / 4 | $16.329,10 | 432 / 14 | $7.160,00 | 1293 / 36 | $6.136,31 | 1288 / 37 |
Diabetes W Mcc | 16 | 41 / 6 | $24.169,60 | 160 / 6 | $10.525,40 | 380 / 13 | $8.544,81 | 380 / 11 |
Disorders Of Pancreas Except Malignancy W Cc | 19 | 42 / 9 | $23.032,30 | 409 / 14 | $7.454,58 | 720 / 23 | $6.297,37 | 717 / 23 |
Disorders Of Pancreas Except Malignancy W Mcc | 13 | 33 / 7 | $58.018,20 | 249 / 10 | $24.592,00 | 119 / 12 | $10.524,20 | 119 / 8 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 9 | $17.981,60 | 205 / 7 | $6.067,73 | 390 / 12 | $4.869,18 | 389 / 12 |
Disorders Of The Biliary Tract W Cc | 11 | 43 / 8 | $28.820,90 | 190 / 6 | $8.553,64 | 339 / 12 | $7.456,91 | 339 / 12 |
Dysequilibrium | 17 | 48 / 3 | $16.644,90 | 163 / 2 | $5.755,12 | 434 / 7 | $4.534,53 | 434 / 7 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 46 | 35 / 2 | $329.412,00 | 110 / 6 | $92.510,40 | 87 / 6 | $90.606,70 | 87 / 8 |
Endocrine Disorders W Mcc | 11 | 15 / 4 | $25.195,00 | 21 / 2 | $12.317,00 | 72 / 4 | $11.327,90 | 72 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 16 | $32.214,00 | 719 / 17 | $9.275,85 | 978 / 30 | $8.071,65 | 973 / 30 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 70 | 205 / 23 | $17.746,70 | 1095 / 35 | $6.681,80 | 2327 / 71 | $5.631,51 | 2312 / 71 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 20 | 43 / 9 | $98.978,70 | 206 / 8 | $30.860,20 | 356 / 13 | $29.870,60 | 356 / 15 |
Extracranial Procedures W Cc | 32 | 14 / 2 | $41.553,50 | 171 / 7 | $11.944,00 | 305 / 8 | $11.075,00 | 305 / 9 |
Extracranial Procedures W/O Cc/Mcc | 24 | 74 / 13 | $23.783,80 | 249 / 9 | $8.562,67 | 795 / 25 | $7.380,29 | 792 / 26 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 11 | $13.436,80 | 220 / 13 | $6.459,77 | 808 / 24 | $5.342,23 | 807 / 24 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 8 | $13.944,50 | 153 / 4 | $6.733,36 | 663 / 14 | $5.611,07 | 661 / 15 |
G.I. Hemorrhage W Cc | 85 | 133 / 9 | $25.579,10 | 1247 / 36 | $8.241,41 | 2016 / 60 | $7.325,47 | 2012 / 60 |
G.I. Hemorrhage W Mcc | 31 | 90 / 13 | $40.206,10 | 698 / 15 | $12.002,30 | 821 / 29 | $10.590,20 | 818 / 29 |
G.I. Obstruction W Cc | 40 | 52 / 7 | $20.118,20 | 663 / 19 | $7.516,27 | 1543 / 38 | $6.935,27 | 1538 / 39 |
G.I. Obstruction W Mcc | 12 | 30 / 8 | $40.411,50 | 254 / 11 | $11.825,20 | 380 / 10 | $11.270,40 | 380 / 12 |
G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 10 | $12.437,90 | 319 / 10 | $5.812,68 | 1179 / 26 | $4.738,16 | 1176 / 26 |
Headaches W/O Mcc | 24 | 19 / 2 | $18.427,90 | 82 / 2 | $6.144,50 | 173 / 5 | $4.716,62 | 173 / 5 |
Heart Failure & Shock W Cc | 87 | 191 / 15 | $17.245,40 | 839 / 28 | $8.181,72 | 2307 / 75 | $7.336,32 | 2301 / 75 |
Heart Failure & Shock W Mcc | 66 | 218 / 24 | $25.050,90 | 741 / 29 | $11.089,80 | 1893 / 74 | $10.004,70 | 1888 / 75 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 27 | $12.327,20 | 508 / 14 | $6.224,08 | 1798 / 50 | $5.579,15 | 1785 / 50 |
Hip & Femur Procedures Except Major Joint W Cc | 54 | 89 / 13 | $50.590,40 | 1066 / 29 | $14.456,50 | 1465 / 46 | $12.607,00 | 1447 / 48 |
Hip & Femur Procedures Except Major Joint W Mcc | 18 | 44 / 12 | $71.981,90 | 438 / 15 | $20.909,80 | 550 / 20 | $18.857,90 | 547 / 19 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 19 | 37 / 11 | $37.965,50 | 364 / 14 | $12.165,90 | 724 / 23 | $10.931,80 | 721 / 24 |
Hypertensive Encephalopathy W Cc | 23 | 1 / 1 | $21.031,40 | 2 / 1 | $7.926,30 | 6 / 2 | $7.141,61 | 6 / 2 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 52 | 72 / 6 | $120.942,00 | 747 / 17 | $40.594,80 | 921 / 28 | $34.336,00 | 915 / 28 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 274 | 5 / 1 | $25.098,10 | 803 / 21 | $8.626,72 | 1658 / 46 | $7.460,13 | 1654 / 46 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 270 | 1 / 1 | $37.338,60 | 601 / 17 | $12.662,20 | 1108 / 33 | $11.601,10 | 1102 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 62 | 40 / 3 | $20.903,00 | 640 / 16 | $6.709,81 | 1346 / 31 | $5.446,00 | 1342 / 31 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 21 | 24 / 2 | $34.905,20 | 23 / 1 | $13.513,90 | 62 / 3 | $11.146,00 | 62 / 4 |
Kidney & Ureter Procedures For Non-Neoplasm W Mcc | 12 | 18 / 3 | $73.031,30 | 24 / 1 | $22.369,60 | 13 / 1 | $21.409,60 | 13 / 2 |
Kidney & Urinary Tract Infections W Mcc | 55 | 89 / 9 | $21.410,20 | 668 / 20 | $8.873,07 | 1585 / 56 | $8.029,93 | 1581 / 56 |
Kidney & Urinary Tract Infections W/O Mcc | 60 | 173 / 26 | $14.548,00 | 871 / 31 | $6.824,82 | 2334 / 81 | $5.863,88 | 2323 / 81 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 14 | $39.275,20 | 245 / 10 | $12.426,80 | 626 / 22 | $10.381,30 | 624 / 24 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 19 | 21 / 5 | $53.384,60 | 126 / 3 | $17.414,60 | 335 / 8 | $16.463,00 | 334 / 10 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 31 | 24 / 4 | $53.721,80 | 289 / 10 | $14.464,60 | 413 / 15 | $12.491,40 | 410 / 15 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 36 | 13 / 2 | $41.286,20 | 236 / 11 | $11.417,60 | 408 / 16 | $10.027,60 | 408 / 18 |
Major Bladder Procedures W Mcc | 13 | 6 / 1 | $132.986,00 | 5 / 1 | $36.927,20 | 2 / 1 | $35.898,40 | 2 / 1 |
Major Cardiovasc Procedures W Mcc | 21 | 47 / 7 | $130.472,00 | 267 / 9 | $38.841,10 | 449 / 13 | $37.978,70 | 448 / 14 |
Major Cardiovasc Procedures W/O Mcc | 47 | 54 / 8 | $66.096,90 | 201 / 7 | $22.919,70 | 649 / 22 | $21.893,60 | 648 / 26 |
Major Chest Trauma W Cc | 19 | 17 / 3 | $25.424,80 | 45 / 1 | $9.311,63 | 74 / 2 | $5.757,53 | 74 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 12 | $23.228,70 | 409 / 15 | $9.409,63 | 907 / 27 | $8.549,05 | 905 / 27 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 22 | 31 / 5 | $20.618,90 | 74 / 6 | $9.435,05 | 341 / 11 | $8.781,95 | 341 / 11 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 12 | $73.534,00 | 418 / 13 | $22.249,20 | 663 / 27 | $21.582,60 | 660 / 28 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 195 | 369 / 22 | $40.927,60 | 804 / 13 | $15.571,20 | 1863 / 54 | $13.060,00 | 1822 / 55 |
Major Male Pelvic Procedures W/O Cc/Mcc | 16 | 57 / 9 | $30.404,60 | 86 / 5 | $10.061,40 | 247 / 10 | $7.866,75 | 247 / 11 |
Major Small & Large Bowel Procedures W Cc | 39 | 69 / 9 | $58.588,70 | 604 / 18 | $17.138,40 | 1014 / 27 | $15.952,20 | 1003 / 29 |
Major Small & Large Bowel Procedures W Mcc | 25 | 60 / 11 | $129.687,00 | 648 / 19 | $37.198,20 | 897 / 28 | $35.406,20 | 895 / 28 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 14 | $42.029,80 | 326 / 16 | $12.090,40 | 579 / 20 | $10.774,20 | 579 / 21 |
Medical Back Problems W Mcc | 20 | 19 / 4 | $34.208,50 | 99 / 6 | $12.172,00 | 154 / 7 | $9.710,80 | 154 / 6 |
Medical Back Problems W/O Mcc | 47 | 74 / 5 | $20.468,90 | 575 / 16 | $7.186,45 | 1177 / 33 | $5.901,38 | 1173 / 33 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 34 | 92 / 10 | $19.409,10 | 376 / 12 | $8.937,74 | 1336 / 38 | $8.316,09 | 1333 / 38 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 48 | 118 / 15 | $14.548,00 | 899 / 29 | $6.368,77 | 2168 / 74 | $5.437,44 | 2160 / 74 |
Nervous System Neoplasms W Mcc | 29 | 19 / 4 | $29.954,50 | 91 / 6 | $9.915,97 | 178 / 7 | $8.955,97 | 178 / 8 |
Nonspecific Cerebrovascular Disorders W Cc | 37 | 19 / 3 | $21.615,10 | 157 / 10 | $8.049,08 | 381 / 21 | $7.170,38 | 381 / 21 |
Nonspecific Cerebrovascular Disorders W Mcc | 27 | 24 / 5 | $37.676,80 | 172 / 12 | $12.842,80 | 293 / 18 | $11.666,90 | 293 / 17 |
O.R. Procedures For Obesity W/O Cc/Mcc | 20 | 57 / 5 | $28.394,30 | 67 / 2 | $11.888,20 | 291 / 11 | $10.081,90 | 291 / 12 |
Organic Disturbances & Mental Retardation | 12 | 47 / 8 | $15.717,80 | 102 / 4 | $8.030,25 | 384 / 12 | $7.118,25 | 384 / 12 |
Other Circulatory System Diagnoses W Cc | 13 | 53 / 9 | $15.246,70 | 88 / 3 | $7.626,38 | 516 / 13 | $6.976,54 | 515 / 14 |
Other Circulatory System Diagnoses W Mcc | 27 | 89 / 12 | $40.341,70 | 496 / 14 | $13.208,40 | 846 / 25 | $12.382,30 | 841 / 28 |
Other Digestive System Diagnoses W Cc | 30 | 67 / 8 | $22.000,20 | 520 / 14 | $8.042,77 | 1150 / 27 | $7.138,07 | 1146 / 29 |
Other Digestive System Diagnoses W Mcc | 11 | 51 / 10 | $61.917,10 | 571 / 14 | $13.687,70 | 577 / 14 | $12.806,30 | 576 / 14 |
Other Disorders Of Nervous System W Cc | 39 | 17 / 1 | $22.385,10 | 219 / 12 | $7.577,46 | 490 / 18 | $6.676,54 | 490 / 18 |
Other Disorders Of Nervous System W Mcc | 20 | 20 / 4 | $27.171,20 | 55 / 4 | $11.815,00 | 201 / 9 | $10.881,30 | 201 / 9 |
Other Disorders Of Nervous System W/O Cc/Mcc | 18 | 17 / 3 | $15.481,00 | 37 / 2 | $6.138,67 | 109 / 5 | $5.128,89 | 109 / 5 |
Other Kidney & Urinary Tract Diagnoses W Cc | 24 | 79 / 7 | $29.425,00 | 514 / 12 | $8.042,46 | 620 / 14 | $7.083,79 | 620 / 15 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 39 | 62 / 6 | $42.977,20 | 683 / 19 | $12.381,20 | 856 / 22 | $11.370,30 | 853 / 22 |
Other Kidney & Urinary Tract Procedures W Cc | 13 | 13 / 2 | $39.735,30 | 17 / 1 | $15.779,60 | 42 / 3 | $13.914,50 | 42 / 2 |
Other O.R. Procedures For Injuries W Cc | 17 | 18 / 2 | $39.169,80 | 28 / 3 | $13.933,60 | 84 / 6 | $13.005,60 | 84 / 6 |
Other O.R. Procedures For Injuries W Mcc | 18 | 19 / 2 | $127.308,00 | 134 / 5 | $32.593,90 | 138 / 5 | $31.719,20 | 138 / 5 |
Other O.R. Procedures For Multiple Significant Trauma W Mcc | 14 | 9 / 4 | $139.958,00 | 5 / 2 | $45.922,40 | 6 / 2 | $39.488,20 | 6 / 2 |
Other Resp System O.R. Procedures W Mcc | 17 | 46 / 8 | $90.190,80 | 285 / 14 | $26.459,20 | 427 / 18 | $25.610,30 | 426 / 19 |
Other Vascular Procedures W Cc | 36 | 66 / 6 | $51.230,60 | 221 / 6 | $17.731,00 | 701 / 23 | $16.461,30 | 698 / 25 |
Other Vascular Procedures W Mcc | 41 | 56 / 6 | $58.984,00 | 146 / 5 | $22.483,70 | 581 / 16 | $21.748,40 | 578 / 18 |
Other Vascular Procedures W/O Cc/Mcc | 16 | 40 / 9 | $33.421,90 | 95 / 5 | $12.594,80 | 420 / 17 | $11.608,80 | 419 / 17 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 23 | 77 / 14 | $87.178,40 | 355 / 10 | $24.109,80 | 580 / 22 | $20.597,00 | 576 / 21 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 53 | 143 / 18 | $60.691,70 | 470 / 14 | $14.731,50 | 1135 / 29 | $13.422,90 | 1128 / 36 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 14 | 31 / 6 | $72.431,00 | 76 / 3 | $20.743,30 | 119 / 7 | $18.006,70 | 119 / 7 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 15 | 54 / 11 | $45.382,40 | 101 / 6 | $13.379,30 | 436 / 15 | $12.180,30 | 434 / 17 |
Peripheral Vascular Disorders W Cc | 32 | 52 / 5 | $19.389,20 | 386 / 6 | $7.869,34 | 996 / 20 | $7.189,34 | 993 / 21 |
Peripheral Vascular Disorders W Mcc | 17 | 32 / 4 | $25.902,40 | 126 / 3 | $10.523,90 | 394 / 13 | $9.353,12 | 394 / 13 |
Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 8 | $11.416,50 | 71 / 1 | $6.129,18 | 289 / 8 | $4.542,00 | 289 / 8 |
Peritoneal Adhesiolysis W/O Cc/Mcc | 12 | 12 / 1 | $45.220,60 | 41 / 1 | $11.821,00 | 52 / 1 | $10.818,30 | 52 / 3 |
Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 16 | $42.069,80 | 104 / 3 | $18.600,80 | 680 / 17 | $17.592,80 | 679 / 17 |
Pleural Effusion W Mcc | 12 | 18 / 7 | $28.384,00 | 35 / 5 | $11.489,40 | 136 / 11 | $10.481,40 | 136 / 11 |
Poisoning & Toxic Effects Of Drugs W Mcc | 44 | 28 / 4 | $33.918,00 | 443 / 23 | $10.628,80 | 687 / 34 | $9.733,30 | 685 / 34 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 26 | 35 / 3 | $15.590,70 | 320 / 9 | $5.829,27 | 656 / 18 | $4.491,50 | 655 / 18 |
Postoperative & Post-Traumatic Infections W/O Mcc | 16 | 38 / 7 | $16.549,50 | 67 / 4 | $8.076,44 | 341 / 11 | $7.552,44 | 341 / 11 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 14 | 24 / 5 | $39.191,00 | 38 / 2 | $14.181,50 | 99 / 7 | $13.580,40 | 99 / 8 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 14 | 17 / 3 | $110.144,00 | 39 / 3 | $31.560,50 | 40 / 4 | $30.872,60 | 40 / 4 |
Pulmonary Edema & Respiratory Failure | 53 | 150 / 23 | $20.736,80 | 446 / 12 | $9.612,32 | 1734 / 55 | $8.628,17 | 1729 / 55 |
Pulmonary Embolism W Mcc | 15 | 28 / 7 | $29.884,30 | 158 / 7 | $11.566,40 | 479 / 15 | $10.762,10 | 478 / 15 |
Pulmonary Embolism W/O Mcc | 27 | 47 / 8 | $19.501,80 | 361 / 11 | $8.133,11 | 1033 / 27 | $6.717,81 | 1030 / 27 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 12 | $26.089,40 | 348 / 11 | $9.789,64 | 819 / 23 | $9.162,21 | 815 / 24 |
Red Blood Cell Disorders W/O Mcc | 26 | 117 / 17 | $17.494,80 | 672 / 18 | $7.005,42 | 1686 / 47 | $6.260,81 | 1677 / 47 |
Renal Failure W Cc | 114 | 107 / 8 | $15.955,90 | 558 / 20 | $7.916,58 | 2014 / 67 | $7.035,18 | 2004 / 67 |
Renal Failure W Mcc | 82 | 113 / 11 | $25.911,00 | 512 / 21 | $11.657,90 | 1668 / 57 | $10.979,20 | 1666 / 57 |
Renal Failure W/O Cc/Mcc | 15 | 41 / 7 | $14.608,30 | 347 / 16 | $5.911,93 | 753 / 23 | $4.947,67 | 751 / 23 |
Respiratory Infections & Inflammations W Cc | 40 | 48 / 6 | $25.448,50 | 490 / 14 | $10.528,50 | 1205 / 37 | $9.749,35 | 1200 / 37 |
Respiratory Infections & Inflammations W Mcc | 60 | 76 / 7 | $31.271,30 | 428 / 11 | $13.874,70 | 1268 / 45 | $12.802,50 | 1253 / 46 |
Respiratory Neoplasms W Cc | 17 | 30 / 6 | $16.870,20 | 40 / 3 | $9.327,82 | 358 / 11 | $8.335,82 | 357 / 11 |
Respiratory Neoplasms W Mcc | 16 | 36 / 8 | $43.534,20 | 302 / 11 | $12.887,10 | 471 / 15 | $12.055,10 | 469 / 15 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 110 | 26 / 2 | $52.668,60 | 698 / 23 | $16.210,50 | 1131 / 41 | $14.718,90 | 1118 / 42 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 37 | 34 / 6 | $121.706,00 | 392 / 15 | $33.518,60 | 504 / 25 | $32.634,50 | 503 / 29 |
Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 10 | $76.720,00 | 270 / 8 | $22.827,10 | 459 / 13 | $21.805,50 | 457 / 17 |
Seizures W Mcc | 51 | 15 / 2 | $34.363,20 | 252 / 11 | $11.335,70 | 472 / 17 | $10.227,90 | 472 / 18 |
Seizures W/O Mcc | 68 | 40 / 3 | $17.468,20 | 392 / 11 | $6.639,15 | 992 / 25 | $5.529,29 | 990 / 25 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 44 | 48 / 5 | $141.758,00 | 469 / 15 | $40.312,80 | 608 / 21 | $38.722,00 | 607 / 24 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 210 | 306 / 17 | $39.015,40 | 1279 / 45 | $13.521,80 | 2053 / 79 | $12.555,00 | 2016 / 79 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 49 | 158 / 21 | $19.562,40 | 744 / 25 | $8.552,55 | 2078 / 64 | $7.560,61 | 2070 / 64 |
Simple Pneumonia & Pleurisy W Cc | 58 | 145 / 29 | $14.857,30 | 543 / 17 | $7.935,86 | 2231 / 81 | $6.705,66 | 2223 / 82 |
Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 29 | $22.948,10 | 562 / 18 | $10.674,10 | 1878 / 70 | $9.634,60 | 1878 / 71 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 26 | $12.052,40 | 421 / 16 | $6.006,07 | 1678 / 56 | $5.043,93 | 1670 / 56 |
Spinal Fusion Except Cervical W/O Mcc | 42 | 152 / 16 | $64.872,60 | 277 / 5 | $26.880,70 | 830 / 25 | $24.429,60 | 826 / 30 |
Stomach, Esophageal & Duodenal Proc W Mcc | 12 | 29 / 6 | $99.726,70 | 53 / 2 | $33.351,50 | 69 / 5 | $32.548,80 | 69 / 5 |
Syncope & Collapse | 57 | 112 / 7 | $15.741,80 | 461 / 12 | $6.544,44 | 1574 / 45 | $5.432,88 | 1567 / 45 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 38 | 26 / 2 | $194.797,00 | 135 / 9 | $58.810,90 | 150 / 10 | $55.667,20 | 150 / 11 |
Transient Ischemia | 110 | 18 / 1 | $19.425,60 | 618 / 15 | $6.331,02 | 1395 / 34 | $5.232,05 | 1388 / 34 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 40 | 26 / 2 | $24.966,30 | 159 / 6 | $8.830,42 | 379 / 11 | $7.769,95 | 378 / 12 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 36 | 15 / 2 | $35.121,20 | 68 / 3 | $14.006,80 | 196 / 6 | $13.100,10 | 196 / 6 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 33 | 21 / 3 | $16.528,20 | 102 / 5 | $6.565,58 | 291 / 9 | $5.361,42 | 291 / 9 |
Traumatic Stupor & Coma, Coma >1 Hr W Cc | 14 | 10 / 2 | $20.682,30 | 5 / 1 | $9.922,50 | 22 / 2 | $8.708,21 | 22 / 2 |
Traumatic Stupor & Coma, Coma >1 Hr W Mcc | 23 | 4 / 2 | $51.017,10 | 18 / 2 | $14.980,00 | 25 / 2 | $13.931,00 | 25 / 2 |
Traumatic Stupor & Coma, Coma >1 Hr W/O Cc/Mcc | 14 | 7 / 2 | $17.658,50 | 6 / 1 | $7.333,29 | 11 / 2 | $6.222,43 | 11 / 2 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 4 | $17.086,50 | 106 / 3 | $6.322,42 | 336 / 5 | $5.418,42 | 335 / 5 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 11 | 32 / 5 | $54.103,50 | 26 / 1 | $18.132,60 | 48 / 2 | $17.148,00 | 48 / 5 | Total 163 procedures | 5.720 | 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.