Hospital Costs > In Pennsylvania > Geisinger - Community 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 | 187 | 377 / 34 | $60.491,60 | 1711 / 88 | $11.383,50 | 162 / 7 | $9.591,54 | 162 / 13 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 140 | 376 / 41 | $54.395,10 | 1931 / 82 | $10.752,10 | 495 / 36 | $9.505,42 | 495 / 33 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 120 | 155 / 17 | $23.086,40 | 1724 / 77 | $4.244,26 | 175 / 12 | $3.071,49 | 175 / 21 |
Simple Pneumonia & Pleurisy W Cc | 99 | 104 / 13 | $31.159,10 | 2012 / 82 | $5.459,65 | 159 / 16 | $4.248,77 | 159 / 17 |
Heart Failure & Shock W Mcc | 98 | 186 / 25 | $42.244,80 | 1750 / 80 | $8.904,33 | 715 / 39 | $7.951,22 | 715 / 40 |
Kidney & Urinary Tract Infections W/O Mcc | 97 | 136 / 17 | $23.514,80 | 1888 / 83 | $4.279,56 | 97 / 12 | $3.113,53 | 97 / 11 |
Cellulitis W/O Mcc | 89 | 100 / 16 | $22.710,70 | 1704 / 79 | $4.612,49 | 103 / 10 | $3.407,57 | 103 / 12 |
Syncope & Collapse | 83 | 86 / 9 | $23.751,80 | 1146 / 57 | $4.025,73 | 71 / 9 | $2.930,25 | 71 / 14 |
Chronic Obstructive Pulmonary Disease W Cc | 82 | 97 / 12 | $30.933,40 | 1765 / 80 | $5.225,44 | 165 / 17 | $4.108,32 | 165 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 80 | 86 / 10 | $19.905,30 | 1547 / 70 | $3.916,81 | 81 / 13 | $2.788,23 | 81 / 11 |
Chest Pain | 80 | 71 / 4 | $17.371,50 | 716 / 35 | $3.303,27 | 49 / 3 | $2.217,26 | 49 / 7 |
Heart Failure & Shock W Cc | 75 | 203 / 42 | $27.240,30 | 1819 / 84 | $5.475,36 | 162 / 14 | $4.469,16 | 162 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 74 | 108 / 17 | $32.257,90 | 1256 / 55 | $5.958,24 | 149 / 12 | $4.717,38 | 149 / 16 |
G.I. Hemorrhage W Cc | 70 | 148 / 24 | $35.612,90 | 1807 / 79 | $5.691,47 | 203 / 19 | $4.563,03 | 203 / 16 |
Renal Failure W Cc | 64 | 157 / 29 | $28.258,30 | 1618 / 73 | $5.330,41 | 182 / 14 | $4.345,81 | 181 / 19 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 59 | 34 / 2 | $20.511,90 | 1234 / 54 | $3.956,76 | 123 / 8 | $2.768,95 | 122 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 57 | 150 / 31 | $29.452,00 | 1584 / 67 | $6.071,21 | 298 / 15 | $4.991,79 | 297 / 23 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 57 | 93 / 18 | $19.129,80 | 1345 / 65 | $3.182,74 | 45 / 9 | $1.825,30 | 45 / 7 |
Heart Failure & Shock W/O Cc/Mcc | 56 | 54 / 10 | $19.015,80 | 1220 / 59 | $3.690,54 | 56 / 10 | $2.682,23 | 56 / 9 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 53 | 67 / 9 | $24.160,20 | 1505 / 69 | $3.976,00 | 89 / 8 | $2.793,08 | 89 / 16 |
Transient Ischemia | 52 | 73 / 15 | $24.115,50 | 923 / 45 | $3.947,87 | 32 / 9 | $2.603,77 | 32 / 7 |
Chronic Obstructive Pulmonary Disease W Mcc | 51 | 151 / 26 | $37.864,70 | 1854 / 86 | $6.563,51 | 193 / 13 | $5.396,10 | 193 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 50 | 52 / 9 | $26.219,80 | 957 / 39 | $4.186,12 | 146 / 5 | $3.108,86 | 144 / 16 |
Medical Back Problems W/O Mcc | 46 | 75 / 13 | $20.887,70 | 590 / 28 | $4.558,39 | 25 / 5 | $3.290,33 | 25 / 4 |
Seizures W/O Mcc | 45 | 63 / 10 | $25.138,80 | 781 / 39 | $4.237,64 | 59 / 4 | $3.170,93 | 59 / 6 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 45 | 143 / 31 | $30.382,50 | 537 / 27 | $6.088,82 | 86 / 6 | $4.705,13 | 86 / 6 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 43 | 153 / 31 | $56.698,10 | 375 / 15 | $11.486,60 | 102 / 4 | $9.428,21 | 102 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 43 | 118 / 25 | $22.905,60 | 1270 / 58 | $4.426,35 | 73 / 12 | $3.222,21 | 73 / 13 |
Hip & Femur Procedures Except Major Joint W Cc | 40 | 103 / 20 | $64.825,50 | 1460 / 62 | $10.704,30 | 154 / 13 | $9.364,90 | 153 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 38 | 85 / 20 | $30.112,60 | 966 / 45 | $6.690,58 | 80 / 11 | $5.551,63 | 80 / 9 |
Simple Pneumonia & Pleurisy W Mcc | 38 | 167 / 36 | $58.170,90 | 2068 / 88 | $9.465,50 | 1364 / 59 | $8.424,74 | 1364 / 73 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 34 | 134 / 21 | $49.603,10 | 954 / 36 | $9.721,41 | 198 / 14 | $8.485,44 | 197 / 16 |
Other Vascular Procedures W Cc | 34 | 68 / 10 | $71.416,70 | 536 / 26 | $14.754,10 | 255 / 5 | $13.682,30 | 254 / 14 |
Pulmonary Edema & Respiratory Failure | 33 | 170 / 33 | $50.844,00 | 1776 / 77 | $7.307,79 | 210 / 24 | $5.948,61 | 210 / 23 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 32 | 30 / 6 | $25.168,50 | 508 / 19 | $4.356,97 | 14 / 6 | $2.855,03 | 14 / 2 |
Red Blood Cell Disorders W/O Mcc | 31 | 112 / 25 | $29.498,00 | 1479 / 67 | $4.518,10 | 31 / 10 | $3.131,90 | 31 / 6 |
Signs & Symptoms W/O Mcc | 30 | 61 / 16 | $20.289,80 | 668 / 25 | $3.820,70 | 53 / 2 | $2.829,63 | 53 / 6 |
G.I. Hemorrhage W Mcc | 30 | 91 / 21 | $60.253,30 | 1202 / 50 | $11.009,50 | 560 / 35 | $9.807,17 | 561 / 37 |
Renal Failure W Mcc | 29 | 166 / 37 | $45.272,40 | 1449 / 65 | $9.593,03 | 898 / 35 | $8.716,83 | 898 / 51 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 25 | $162.914,00 | 1089 / 42 | $34.859,40 | 867 / 46 | $33.441,20 | 861 / 52 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 29 | 60 / 13 | $33.298,20 | 350 / 14 | $6.025,21 | 106 / 3 | $4.800,38 | 106 / 7 |
Spinal Fusion Except Cervical W/O Mcc | 28 | 166 / 26 | $112.790,00 | 867 / 46 | $23.041,50 | 476 / 12 | $21.640,50 | 473 / 27 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 27 | 29 / 2 | $53.465,40 | 634 / 25 | $9.238,15 | 29 / 6 | $7.251,81 | 29 / 3 |
Extracranial Procedures W/O Cc/Mcc | 27 | 71 / 8 | $34.050,50 | 527 / 24 | $5.679,41 | 79 / 3 | $4.574,15 | 79 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 27 | $67.055,80 | 1085 / 45 | $12.335,60 | 166 / 9 | $11.459,00 | 166 / 17 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 22 | $40.952,40 | 1319 / 43 | $6.320,19 | 159 / 8 | $5.452,08 | 158 / 9 |
Diabetes W Cc | 26 | 66 / 15 | $27.849,30 | 1107 / 43 | $4.522,81 | 14 / 9 | $3.153,65 | 14 / 1 |
G.I. Hemorrhage W/O Cc/Mcc | 25 | 43 / 8 | $27.151,10 | 749 / 33 | $3.975,84 | 129 / 7 | $3.016,00 | 129 / 14 |
Acute Myocardial Infarction, Discharged Alive W Cc | 24 | 67 / 18 | $28.007,60 | 651 / 34 | $5.804,83 | 101 / 12 | $4.698,12 | 101 / 12 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 24 | 101 / 32 | $36.673,60 | 688 / 42 | $9.041,08 | 107 / 15 | $7.953,29 | 107 / 14 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 24 | 37 / 9 | $17.621,10 | 428 / 12 | $3.488,46 | 28 / 1 | $2.531,88 | 28 / 2 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 23 | 70 / 16 | $43.044,90 | 211 / 11 | $11.384,00 | 25 / 1 | $9.730,78 | 25 / 1 |
Major Cardiovasc Procedures W/O Mcc | 23 | 78 / 16 | $131.777,00 | 800 / 32 | $22.154,20 | 558 / 24 | $20.903,60 | 558 / 31 |
Major Small & Large Bowel Procedures W Cc | 23 | 85 / 24 | $81.518,60 | 1019 / 37 | $15.342,00 | 584 / 18 | $13.933,30 | 578 / 27 |
Dysequilibrium | 23 | 42 / 6 | $22.001,90 | 290 / 12 | $3.463,61 | 8 / 2 | $2.134,17 | 8 / 2 |
Renal Failure W/O Cc/Mcc | 21 | 35 / 6 | $18.803,20 | 516 / 18 | $3.428,48 | 62 / 3 | $2.551,19 | 61 / 3 |
G.I. Obstruction W Cc | 20 | 72 / 26 | $17.109,50 | 438 / 22 | $4.704,45 | 78 / 3 | $3.712,35 | 78 / 8 |
Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 11 | $42.322,10 | 604 / 16 | $7.779,35 | 45 / 2 | $6.499,40 | 45 / 1 |
G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 16 | $20.964,60 | 862 / 31 | $3.416,90 | 130 / 4 | $2.400,55 | 130 / 7 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 20 | 46 / 11 | $27.822,90 | 214 / 6 | $5.963,55 | 22 / 1 | $4.895,90 | 22 / 1 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 19 | 35 / 11 | $23.366,70 | 212 / 9 | $4.146,95 | 5 / 1 | $2.719,89 | 5 / 1 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 33 | $30.463,40 | 1198 / 51 | $6.173,11 | 149 / 11 | $5.150,53 | 149 / 13 |
Other Digestive System Diagnoses W Cc | 19 | 78 / 25 | $27.531,10 | 776 / 34 | $5.365,68 | 36 / 6 | $4.152,11 | 36 / 6 |
Other Vascular Procedures W Mcc | 19 | 78 / 19 | $115.471,00 | 696 / 25 | $21.728,90 | 442 / 20 | $20.127,40 | 440 / 20 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 19 | 49 / 10 | $22.023,20 | 265 / 7 | $4.850,05 | 40 / 2 | $3.820,58 | 40 / 4 |
Other Circulatory System Diagnoses W Mcc | 18 | 98 / 26 | $42.371,60 | 552 / 17 | $10.118,60 | 119 / 7 | $9.226,56 | 119 / 11 |
Coronary Bypass W Cardiac Cath W/O Mcc | 18 | 58 / 10 | $143.536,00 | 328 / 16 | $27.501,50 | 263 / 8 | $26.098,40 | 263 / 17 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 18 | 51 / 13 | $53.933,70 | 197 / 12 | $9.911,28 | 68 / 3 | $8.754,44 | 68 / 3 |
Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 19 | $26.261,70 | 419 / 21 | $5.174,18 | 23 / 3 | $4.083,18 | 23 / 4 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 25 | $46.132,30 | 741 / 26 | $8.831,38 | 117 / 7 | $7.631,94 | 117 / 9 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 16 | 39 / 11 | $85.465,60 | 531 / 22 | $13.569,60 | 400 / 11 | $12.310,20 | 397 / 20 |
Cervical Spinal Fusion W/O Cc/Mcc | 16 | 88 / 14 | $86.959,80 | 715 / 20 | $12.995,30 | 320 / 4 | $11.715,70 | 319 / 10 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 25 | $43.728,90 | 1044 / 38 | $7.392,19 | 98 / 17 | $5.692,38 | 98 / 10 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 16 | 41 / 13 | $61.102,80 | 410 / 15 | $11.555,00 | 44 / 3 | $10.225,50 | 44 / 3 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 16 | 31 / 9 | $33.133,40 | 312 / 13 | $4.001,31 | 5 / 1 | $2.814,62 | 5 / 1 |
Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 11 | $20.021,30 | 519 / 18 | $4.101,40 | 8 / 7 | $2.509,00 | 8 / 3 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 15 | 55 / 11 | $37.249,00 | 451 / 17 | $5.614,40 | 123 / 2 | $4.935,87 | 123 / 5 |
Bronchitis & Asthma W/O Cc/Mcc | 15 | 30 / 8 | $20.271,30 | 212 / 10 | $3.569,93 | 30 / 2 | $2.460,40 | 30 / 4 |
Diabetes W/O Cc/Mcc | 15 | 23 / 4 | $15.563,90 | 132 / 4 | $3.231,60 | 4 / 1 | $2.143,20 | 4 / 1 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 17 | $51.272,50 | 860 / 32 | $7.865,40 | 386 / 18 | $7.080,00 | 384 / 21 |
Respiratory Signs & Symptoms | 15 | 31 / 9 | $24.852,00 | 180 / 3 | $3.926,60 | 3 / 2 | $2.501,87 | 3 / 1 |
Other Digestive System Diagnoses W/O Cc/Mcc | 15 | 28 / 8 | $26.721,50 | 246 / 11 | $4.055,60 | 47 / 4 | $2.878,13 | 47 / 3 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 29 | $44.885,90 | 1058 / 44 | $8.524,07 | 571 / 27 | $7.488,43 | 568 / 34 |
Postoperative & Post-Traumatic Infections W/O Mcc | 14 | 40 / 10 | $30.504,20 | 291 / 6 | $5.466,86 | 35 / 2 | $4.563,00 | 35 / 2 |
Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 14 | $108.182,00 | 488 / 18 | $18.589,60 | 26 / 4 | $15.388,50 | 26 / 1 |
Major Cardiovasc Procedures W Mcc | 14 | 54 / 13 | $99.172,30 | 117 / 6 | $30.351,70 | 42 / 3 | $26.205,00 | 42 / 3 |
Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 7 | $33.833,60 | 323 / 10 | $5.483,79 | 30 / 1 | $4.401,57 | 30 / 1 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 15 | $113.020,00 | 306 / 12 | $28.021,20 | 184 / 7 | $26.920,60 | 184 / 8 |
Extracranial Procedures W Cc | 13 | 33 / 4 | $44.895,80 | 202 / 4 | $8.702,31 | 42 / 1 | $7.601,92 | 42 / 1 |
Other Resp System O.R. Procedures W Cc | 13 | 34 / 9 | $64.297,20 | 230 / 7 | $11.581,60 | 67 / 2 | $10.165,20 | 67 / 4 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 20 | $170.364,00 | 634 / 22 | $38.210,90 | 447 / 17 | $35.767,70 | 446 / 22 |
Headaches W/O Mcc | 13 | 30 / 9 | $23.191,50 | 130 / 5 | $3.902,62 | 7 / 2 | $2.463,00 | 7 / 1 |
Other Disorders Of Nervous System W Cc | 13 | 43 / 19 | $35.641,30 | 446 / 23 | $5.092,85 | 29 / 1 | $3.823,00 | 29 / 2 |
Other Respiratory System Diagnoses W/O Mcc | 13 | 33 / 11 | $24.395,90 | 169 / 9 | $4.393,31 | 11 / 3 | $3.249,00 | 11 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 23 | $43.606,10 | 879 / 44 | $7.421,85 | 531 / 24 | $6.722,85 | 529 / 35 |
Cellulitis W Mcc | 13 | 45 / 15 | $38.887,20 | 574 / 22 | $8.474,54 | 51 / 13 | $6.694,85 | 51 / 7 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 24 | $94.154,00 | 331 / 12 | $26.516,80 | 107 / 6 | $25.122,40 | 107 / 7 |
Peripheral Vascular Disorders W Cc | 13 | 71 / 21 | $18.367,20 | 335 / 20 | $5.229,62 | 53 / 6 | $4.181,15 | 53 / 9 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 7 | $19.017,80 | 231 / 8 | $3.395,62 | 12 / 1 | $2.292,54 | 12 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 11 | $57.851,90 | 558 / 16 | $9.414,08 | 37 / 3 | $7.421,23 | 37 / 2 |
Disorders Of The Biliary Tract W Cc | 12 | 42 / 12 | $31.137,20 | 226 / 10 | $5.788,50 | 20 / 1 | $4.793,75 | 20 / 3 |
Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 10 | $18.745,40 | 204 / 5 | $3.499,83 | 19 / 2 | $2.644,33 | 19 / 3 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 11 | $47.867,60 | 298 / 13 | $8.136,17 | 61 / 1 | $6.875,33 | 61 / 2 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 12 | 33 / 10 | $70.691,40 | 69 / 3 | $16.008,40 | 22 / 1 | $14.849,80 | 22 / 1 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 12 | 18 / 4 | $52.939,30 | 106 / 5 | $10.723,60 | 24 / 1 | $9.510,17 | 24 / 2 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 17 | $162.646,00 | 617 / 23 | $30.327,00 | 195 / 9 | $27.873,40 | 195 / 10 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 12 | 76 / 15 | $138.004,00 | 435 / 16 | $23.614,80 | 328 / 8 | $22.198,80 | 327 / 14 |
Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 12 | $31.475,20 | 250 / 14 | $4.712,92 | 28 / 4 | $3.520,33 | 28 / 4 |
Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 11 | $88.947,60 | 260 / 9 | $22.293,90 | 19 / 10 | $17.454,80 | 19 / 4 |
Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 16 | $45.162,90 | 238 / 7 | $9.809,36 | 10 / 3 | $7.279,55 | 10 / 1 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 16 | $303.731,00 | 330 / 11 | $69.872,50 | 314 / 14 | $67.963,10 | 314 / 19 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 11 | 23 / 5 | $135.363,00 | 130 / 3 | $30.724,20 | 101 / 4 | $28.913,30 | 101 / 5 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 11 | 18 / 4 | $20.660,60 | 63 / 2 | $4.548,18 | 11 / 1 | $3.684,09 | 11 / 1 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 14 | $103.341,00 | 362 / 7 | $22.140,40 | 216 / 7 | $20.777,50 | 215 / 8 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 29 | $30.438,10 | 848 / 33 | $5.264,27 | 125 / 3 | $4.420,18 | 125 / 12 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 11 | $17.561,60 | 117 / 3 | $3.790,73 | 18 / 2 | $2.597,27 | 18 / 4 |
Other Circulatory System O.R. Procedures | 11 | 44 / 12 | $64.938,30 | 193 / 6 | $15.675,80 | 72 / 1 | $14.544,70 | 72 / 3 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 11 | 70 / 17 | $404.726,00 | 180 / 7 | $97.041,00 | 118 / 3 | $95.206,90 | 118 / 5 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 14 | $85.229,60 | 252 / 11 | $15.429,70 | 54 / 1 | $14.231,50 | 53 / 4 | Total 119 procedures | 3.796 | 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.