Hospital Costs > In Pennsylvania > Geisinger Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 43 | 48 / 7 | $45.840,30 | 1127 / 63 | $10.441,30 | 1229 / 71 | $7.961,44 | 1227 / 72 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 47 | 78 / 13 | $60.570,00 | 1334 / 69 | $15.517,70 | 1469 / 88 | $12.589,50 | 1457 / 92 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 37 | 16 / 1 | $35.453,40 | 672 / 36 | $7.840,24 | 729 / 45 | $5.480,57 | 725 / 44 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 19 | $38.126,10 | 774 / 32 | $7.668,67 | 691 / 32 | $5.553,73 | 690 / 34 |
Angina Pectoris | 13 | 12 / 4 | $25.756,40 | 42 / 4 | $6.122,38 | 53 / 6 | $4.204,69 | 53 / 6 |
Atherosclerosis W/O Mcc | 11 | 47 / 9 | $27.323,60 | 415 / 14 | $6.510,64 | / 17 | $4.473,64 | / |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 17 | 49 / 12 | $90.417,40 | 505 / 19 | $17.260,80 | 487 / 19 | $14.548,60 | 483 / 20 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 36 | 53 / 9 | $56.600,10 | 637 / 29 | $10.253,00 | 651 / 29 | $7.990,11 | 650 / 32 |
Bronchitis & Asthma W Cc/Mcc | 20 | 56 / 18 | $32.458,10 | 765 / 34 | $9.151,85 | 885 / 54 | $6.411,35 | 881 / 55 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 57 | 104 / 17 | $30.765,60 | 1656 / 77 | $8.377,30 | 1825 / 102 | $5.922,25 | 1820 / 101 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 58 | 65 / 9 | $53.638,20 | 1603 / 78 | $12.659,90 | 1678 / 94 | $9.739,36 | 1675 / 96 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 54 | 96 / 20 | $20.318,70 | 1408 / 67 | $6.186,81 | 1701 / 96 | $4.102,70 | 1695 / 96 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 11 | 35 / 3 | $348.997,00 | 123 / 2 | $64.293,20 | 99 / 2 | $49.053,50 | 99 / 2 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 70 | 51 / 4 | $237.140,00 | 463 / 25 | $42.087,70 | 415 / 25 | $38.468,10 | 415 / 27 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 25 | 91 / 13 | $435.615,00 | 452 / 22 | $76.841,40 | 409 / 23 | $66.085,20 | 409 / 23 |
Cellulitis W Mcc | 15 | 43 / 13 | $41.388,10 | 622 / 27 | $13.378,90 | 766 / 43 | $10.607,80 | 764 / 42 |
Cellulitis W/O Mcc | 77 | 112 / 22 | $26.781,20 | 1978 / 87 | $8.719,61 | 2262 / 116 | $6.368,49 | 2254 / 117 |
Cervical Spinal Fusion W Cc | 14 | 39 / 7 | $119.788,00 | 317 / 9 | $24.466,90 | 271 / 11 | $19.431,40 | 270 / 9 |
Cervical Spinal Fusion W/O Cc/Mcc | 32 | 72 / 6 | $102.099,00 | 776 / 22 | $18.666,80 | 713 / 21 | $15.332,60 | 710 / 22 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 18 | 73 / 9 | $85.457,60 | 381 / 18 | $11.313,60 | 304 / 12 | $9.379,39 | 304 / 13 |
Chest Pain | 31 | 120 / 22 | $22.770,10 | 1100 / 52 | $6.436,45 | 1426 / 76 | $4.828,52 | 1418 / 77 |
Chronic Obstructive Pulmonary Disease W Cc | 64 | 115 / 21 | $37.709,50 | 2012 / 97 | $9.621,58 | 2089 / 115 | $7.067,16 | 2082 / 115 |
Chronic Obstructive Pulmonary Disease W Mcc | 60 | 142 / 20 | $53.904,40 | 2262 / 101 | $11.461,30 | 2150 / 110 | $8.538,30 | 2142 / 112 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 55 | 65 / 8 | $26.406,10 | 1593 / 75 | $7.836,29 | 1808 / 99 | $5.367,60 | 1797 / 97 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 24 | 69 / 15 | $84.264,20 | 687 / 25 | $19.308,60 | 734 / 35 | $16.040,00 | 727 / 36 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 90 | 98 / 11 | $54.088,70 | 1296 / 53 | $10.769,80 | 1391 / 67 | $8.115,33 | 1388 / 68 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 11 | 31 / 8 | $95.646,90 | 280 / 11 | $21.890,60 | 276 / 10 | $18.439,00 | 276 / 11 |
Coagulation Disorders | 12 | 15 / 4 | $805.067,00 | 116 / 6 | $100.988,00 | 110 / 4 | $98.760,30 | 110 / 4 |
Complications Of Treatment W Cc | 19 | 33 / 7 | $50.525,80 | 328 / 9 | $10.004,80 | 271 / 9 | $7.826,84 | 271 / 10 |
Complications Of Treatment W Mcc | 12 | 39 / 9 | $73.388,40 | 249 / 9 | $18.478,20 | 232 / 8 | $14.716,20 | 232 / 9 |
Coronary Bypass W Cardiac Cath W/O Mcc | 19 | 57 / 9 | $212.169,00 | 520 / 26 | $39.738,80 | 540 / 29 | $35.125,50 | 540 / 30 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 35 | 53 / 4 | $168.657,00 | 507 / 19 | $30.987,50 | 477 / 19 | $26.498,70 | 476 / 21 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 21 | 47 / 8 | $93.147,10 | 739 / 32 | $12.994,30 | 720 / 31 | $10.543,40 | 720 / 31 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 11 | 31 / 6 | $223.368,00 | 142 / 4 | $53.033,20 | 78 / 7 | $36.007,90 | 78 / 3 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 18 | 80 / 10 | $157.000,00 | 367 / 10 | $29.897,60 | 178 / 6 | $26.265,80 | 178 / 6 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 27 | 47 / 7 | $100.078,00 | 215 / 8 | $18.295,30 | 182 / 8 | $16.110,40 | 181 / 8 |
Degenerative Nervous System Disorders W/O Mcc | 29 | 49 / 11 | $58.145,60 | 815 / 47 | $12.299,70 | 774 / 48 | $8.860,52 | 774 / 49 |
Diabetes W Cc | 41 | 51 / 6 | $40.613,40 | 1413 / 63 | $9.920,44 | 1445 / 71 | $7.209,41 | 1440 / 71 |
Diabetes W Mcc | 27 | 30 / 2 | $44.521,80 | 512 / 15 | $12.594,50 | 603 / 19 | $10.749,90 | 602 / 23 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 31 | 39 / 4 | $48.851,90 | 504 / 21 | $10.589,20 | 411 / 22 | $7.062,94 | 411 / 22 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 27 | 49 / 5 | $89.349,70 | 472 / 12 | $19.061,90 | 455 / 13 | $15.426,60 | 455 / 13 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W/O Cc/Mcc | 11 | 5 / 1 | $37.159,30 | 11 / 1 | $7.502,82 | 9 / 1 | $5.149,55 | 9 / 1 |
Disorders Of Pancreas Except Malignancy W Cc | 27 | 34 / 6 | $47.510,20 | 849 / 31 | $10.059,00 | 787 / 34 | $6.724,89 | 784 / 34 |
Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 3 | $64.679,80 | 276 / 3 | $15.922,80 | 251 / 3 | $13.235,70 | 251 / 5 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 16 | 22 / 4 | $22.446,20 | 296 / 10 | $7.015,62 | 398 / 17 | $5.035,12 | 397 / 18 |
Disorders Of The Biliary Tract W Cc | 28 | 26 / 4 | $57.786,50 | 425 / 23 | $10.712,40 | 369 / 23 | $7.967,36 | 369 / 22 |
Disorders Of The Biliary Tract W Mcc | 12 | 27 / 9 | $90.367,00 | 232 / 10 | $17.627,00 | 214 / 12 | $13.885,90 | 214 / 11 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 18 | 63 / 13 | $717.448,00 | 385 / 16 | $129.712,00 | 259 / 15 | $118.522,00 | 258 / 17 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 31 | 65 / 10 | $50.620,50 | 1168 / 48 | $12.089,40 | 1133 / 58 | $8.854,52 | 1128 / 58 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 119 | 156 / 18 | $34.109,10 | 2325 / 103 | $8.218,12 | 2363 / 120 | $5.763,09 | 2348 / 118 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 15 | 29 / 11 | $99.411,60 | 311 / 16 | $23.171,50 | 307 / 17 | $19.581,30 | 305 / 21 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 22 | 41 / 9 | $262.346,00 | 705 / 30 | $51.574,80 | 676 / 30 | $41.846,00 | 676 / 29 |
Extracranial Procedures W Cc | 12 | 34 / 5 | $83.029,30 | 336 / 10 | $13.679,80 | 332 / 10 | $11.714,80 | 332 / 10 |
Extracranial Procedures W/O Cc/Mcc | 34 | 64 / 5 | $57.161,80 | 823 / 37 | $9.376,26 | 836 / 38 | $7.864,74 | 833 / 40 |
Fever | 16 | 30 / 11 | $48.556,70 | 317 / 15 | $9.047,75 | 278 / 15 | $6.878,25 | 278 / 16 |
Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 8 | $32.100,30 | 773 / 32 | $7.485,11 | 785 / 38 | $5.128,00 | 784 / 40 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 17 | $48.511,10 | 778 / 35 | $7.899,36 | 646 / 33 | $5.362,71 | 644 / 33 |
G.I. Hemorrhage W Cc | 82 | 136 / 16 | $42.490,90 | 2017 / 91 | $10.056,10 | 2038 / 107 | $7.451,55 | 2034 / 105 |
G.I. Hemorrhage W Mcc | 47 | 74 / 11 | $95.086,10 | 1535 / 71 | $18.963,40 | 1523 / 80 | $15.576,30 | 1513 / 83 |
G.I. Hemorrhage W/O Cc/Mcc | 24 | 44 / 9 | $28.551,00 | 784 / 37 | $7.513,96 | 844 / 51 | $5.314,46 | 840 / 51 |
G.I. Obstruction W Cc | 58 | 34 / 3 | $36.683,70 | 1388 / 54 | $9.472,53 | 1478 / 70 | $6.632,55 | 1473 / 71 |
G.I. Obstruction W Mcc | 14 | 28 / 7 | $73.416,70 | 468 / 17 | $14.779,40 | 376 / 16 | $11.190,90 | 376 / 17 |
G.I. Obstruction W/O Cc/Mcc | 28 | 43 / 10 | $24.932,00 | 999 / 37 | $6.716,96 | 1169 / 51 | $4.659,68 | 1166 / 52 |
Headaches W/O Mcc | 12 | 31 / 10 | $38.988,90 | 200 / 14 | $7.768,75 | 209 / 14 | $5.804,08 | 209 / 15 |
Heart Failure & Shock W Cc | 191 | 89 / 6 | $41.460,70 | 2371 / 110 | $10.425,50 | 2399 / 122 | $7.790,18 | 2393 / 125 |
Heart Failure & Shock W Mcc | 137 | 147 / 15 | $61.757,20 | 2221 / 106 | $14.149,20 | 2172 / 118 | $11.120,10 | 2162 / 117 |
Heart Failure & Shock W/O Cc/Mcc | 90 | 21 / 2 | $31.291,40 | 1739 / 86 | $7.855,59 | 1773 / 100 | $5.446,83 | 1760 / 100 |
Hernia Procedures Except Inguinal & Femoral W Cc | 20 | 14 / 3 | $80.342,00 | 129 / 6 | $14.828,50 | 101 / 4 | $11.426,30 | 101 / 5 |
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 19 | 13 / 3 | $65.109,20 | 121 / 6 | $11.052,60 | 105 / 4 | $8.561,63 | 105 / 5 |
Hip & Femur Procedures Except Major Joint W Cc | 45 | 98 / 18 | $92.195,60 | 1827 / 79 | $16.305,20 | 1608 / 84 | $13.392,90 | 1589 / 86 |
Hip & Femur Procedures Except Major Joint W Mcc | 30 | 32 / 4 | $153.677,00 | 887 / 26 | $27.343,70 | 771 / 28 | $21.708,40 | 768 / 29 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 25 | 31 / 3 | $82.614,10 | 849 / 39 | $14.584,80 | 779 / 41 | $11.770,50 | 776 / 41 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 18 | 18 / 5 | $97.946,30 | 290 / 13 | $20.640,60 | 271 / 17 | $17.076,90 | 270 / 18 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 56 | 68 / 9 | $251.038,00 | 1425 / 62 | $49.768,30 | 1323 / 64 | $42.520,10 | 1313 / 67 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 107 | 75 / 8 | $49.260,80 | 1723 / 75 | $10.690,90 | 1754 / 88 | $7.959,24 | 1750 / 90 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 64 | 104 / 11 | $86.716,50 | 1417 / 56 | $17.586,00 | 1372 / 63 | $13.719,50 | 1366 / 64 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 51 | 51 / 8 | $33.592,10 | 1204 / 55 | $7.719,47 | 1347 / 74 | $5.452,63 | 1343 / 76 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 13 | 32 / 6 | $77.906,20 | 162 / 5 | $15.749,00 | 132 / 4 | $13.393,20 | 132 / 7 |
Kidney & Ureter Procedures For Non-Neoplasm W Mcc | 12 | 18 / 3 | $104.028,00 | 45 / 3 | $27.355,90 | 8 / 2 | $19.598,60 | 8 / 2 |
Kidney & Urinary Tract Infections W Mcc | 35 | 109 / 20 | $37.923,60 | 1443 / 60 | $10.800,10 | 1650 / 83 | $8.385,66 | 1646 / 82 |
Kidney & Urinary Tract Infections W/O Mcc | 92 | 141 / 19 | $29.504,20 | 2197 / 97 | $8.277,17 | 2314 / 116 | $5.813,25 | 2303 / 116 |
Kidney Transplant | 13 | 88 / 12 | $208.856,00 | 103 / 4 | $36.276,50 | 82 / 7 | $21.933,60 | 82 / 6 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 17 | 30 / 6 | $58.385,80 | 478 / 21 | $11.084,40 | 521 / 20 | $9.020,94 | 520 / 24 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 19 | 36 / 9 | $103.312,00 | 586 / 25 | $16.968,20 | 481 / 22 | $13.563,20 | 477 / 23 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 18 | 29 / 6 | $83.229,60 | 479 / 24 | $13.440,60 | 432 / 23 | $10.773,40 | 432 / 22 |
Major Cardiovasc Procedures W Mcc | 15 | 53 / 12 | $230.658,00 | 561 / 22 | $45.603,70 | 508 / 26 | $40.803,90 | 507 / 26 |
Major Cardiovasc Procedures W/O Mcc | 52 | 49 / 4 | $141.146,00 | 841 / 35 | $27.093,30 | 799 / 40 | $24.632,50 | 798 / 41 |
Major Chest Procedures W Cc | 20 | 54 / 9 | $115.295,00 | 441 / 14 | $22.951,70 | 401 / 14 | $18.970,90 | 399 / 15 |
Major Chest Trauma W Cc | 17 | 19 / 6 | $53.338,60 | 123 / 10 | $10.492,10 | 112 / 9 | $6.998,71 | 112 / 11 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 25 | 48 / 12 | $37.304,40 | 783 / 39 | $11.757,00 | 857 / 50 | $8.133,72 | 855 / 51 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 9 | $47.667,70 | 394 / 10 | $15.879,80 | 504 / 16 | $13.609,40 | 503 / 18 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 35 | 18 / 2 | $47.501,80 | 371 / 11 | $11.730,90 | 350 / 15 | $8.946,54 | 350 / 14 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 24 | 72 / 7 | $96.321,50 | 742 / 33 | $17.683,80 | 706 / 32 | $15.974,50 | 702 / 35 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 8 | $153.096,00 | 844 / 24 | $27.455,20 | 797 / 25 | $24.279,30 | 794 / 28 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 204 | 360 / 30 | $91.857,70 | 2386 / 116 | $17.807,90 | 2245 / 120 | $14.931,70 | 2201 / 120 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 12 | $117.391,00 | 440 / 18 | $20.699,70 | 394 / 16 | $18.443,00 | 394 / 19 |
Major Small & Large Bowel Procedures W Cc | 61 | 47 / 8 | $121.286,00 | 1347 / 55 | $22.301,70 | 1192 / 58 | $17.408,60 | 1178 / 57 |
Major Small & Large Bowel Procedures W Mcc | 40 | 45 / 5 | $248.850,00 | 1164 / 45 | $47.320,60 | 1096 / 49 | $40.941,50 | 1094 / 51 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 24 | 40 / 7 | $76.458,50 | 662 / 24 | $14.393,60 | 603 / 21 | $11.213,90 | 603 / 22 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 22 | 9 / 2 | $39.471,10 | 127 / 4 | $11.004,60 | 146 / 5 | $8.768,00 | 146 / 6 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 12 | 41 / 9 | $79.816,10 | 283 / 8 | $16.157,80 | 239 / 9 | $12.809,80 | 240 / 9 |
Medical Back Problems W Mcc | 14 | 25 / 8 | $64.757,40 | 270 / 12 | $13.544,40 | 218 / 11 | $10.869,30 | 218 / 13 |
Medical Back Problems W/O Mcc | 61 | 60 / 9 | $39.776,70 | 1244 / 66 | $8.915,44 | 1140 / 71 | $5.769,18 | 1136 / 68 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 23 | $45.172,80 | 1408 / 49 | $11.191,20 | 1387 / 66 | $8.613,76 | 1384 / 67 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 66 | 100 / 13 | $37.725,30 | 2322 / 103 | $8.507,62 | 2281 / 110 | $5.991,71 | 2273 / 110 |
Nervous System Neoplasms W Mcc | 13 | 35 / 10 | $48.450,80 | 208 / 8 | $12.648,20 | 216 / 9 | $9.977,62 | 216 / 11 |
Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Cc | 11 | 16 / 5 | $79.199,10 | 62 / 3 | $15.722,20 | 56 / 3 | $12.721,10 | 56 / 4 |
Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 8 | $47.392,80 | 406 / 13 | $10.640,70 | 399 / 14 | $7.673,08 | 399 / 14 |
Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 7 | $116.373,00 | 404 / 10 | $23.843,60 | 404 / 11 | $19.905,30 | 404 / 11 |
O.R. Procedures For Obesity W Cc | 12 | 22 / 4 | $85.540,30 | 105 / 3 | $15.963,30 | 93 / 4 | $13.915,00 | 93 / 4 |
O.R. Procedures For Obesity W/O Cc/Mcc | 26 | 51 / 7 | $65.453,40 | 340 / 12 | $13.419,60 | 321 / 11 | $10.860,30 | 320 / 12 |
Organic Disturbances & Mental Retardation | 13 | 46 / 13 | $35.184,30 | 405 / 17 | $11.385,20 | 374 / 26 | $7.018,92 | 374 / 24 |
Other Antepartum Diagnoses W Medical Complications | 11 | 14 / 3 | $23.216,10 | 23 / 3 | $7.659,91 | 5 / 1 | $5.835,00 | 5 / 1 |
Other Circulatory System Diagnoses W Cc | 17 | 49 / 11 | $51.155,10 | 608 / 24 | $14.451,90 | 492 / 28 | $6.770,24 | 491 / 22 |
Other Circulatory System Diagnoses W Mcc | 34 | 82 / 15 | $83.648,40 | 1172 / 45 | $19.154,50 | 1142 / 54 | $14.961,50 | 1134 / 55 |
Other Digestive System Diagnoses W Cc | 29 | 68 / 15 | $48.081,30 | 1237 / 56 | $10.417,80 | 1228 / 62 | $7.725,83 | 1224 / 65 |
Other Digestive System Diagnoses W Mcc | 24 | 38 / 5 | $63.059,60 | 581 / 18 | $15.162,20 | 547 / 19 | $12.432,80 | 546 / 22 |
Other Digestive System Diagnoses W/O Cc/Mcc | 16 | 27 / 7 | $27.953,70 | 261 / 14 | $7.315,19 | 273 / 21 | $4.739,25 | 273 / 20 |
Other Digestive System O.R. Procedures W Cc | 13 | 14 / 4 | $129.666,00 | 93 / 6 | $22.339,10 | 77 / 5 | $17.825,10 | 77 / 5 |
Other Digestive System O.R. Procedures W Mcc | 13 | 16 / 3 | $193.918,00 | 104 / 4 | $34.885,10 | 75 / 3 | $29.442,30 | 75 / 3 |
Other Disorders Of Nervous System W Cc | 15 | 41 / 17 | $34.628,40 | 433 / 21 | $9.112,40 | 481 / 33 | $6.622,00 | 481 / 33 |
Other Disorders Of Nervous System W Mcc | 12 | 28 / 7 | $124.322,00 | 312 / 7 | $19.420,20 | 298 / 8 | $15.310,20 | 298 / 8 |
Other Kidney & Urinary Tract Diagnoses W Cc | 33 | 70 / 11 | $48.328,00 | 735 / 35 | $11.919,30 | 803 / 36 | $9.581,58 | 803 / 38 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 30 | 71 / 13 | $48.189,50 | 772 / 29 | $13.933,50 | 812 / 41 | $11.008,60 | 809 / 41 |
Other O.R. Procedures For Injuries W Cc | 12 | 23 / 5 | $63.909,30 | 111 / 4 | $17.875,30 | 74 / 4 | $12.471,40 | 74 / 4 |
Other Resp System O.R. Procedures W Cc | 14 | 33 / 8 | $72.064,50 | 258 / 12 | $16.279,80 | 234 / 15 | $13.474,10 | 234 / 16 |
Other Resp System O.R. Procedures W Mcc | 18 | 45 / 8 | $221.603,00 | 574 / 21 | $40.767,60 | 553 / 21 | $34.181,80 | 552 / 22 |
Other Respiratory System Diagnoses W/O Mcc | 13 | 33 / 11 | $42.443,60 | 288 / 22 | $8.803,08 | 212 / 21 | $5.492,31 | 212 / 22 |
Other Vascular Procedures W Cc | 32 | 70 / 12 | $98.956,90 | 834 / 39 | $21.210,70 | 893 / 52 | $18.611,40 | 888 / 53 |
Other Vascular Procedures W Mcc | 30 | 67 / 11 | $139.891,00 | 830 / 36 | $31.808,70 | 893 / 46 | $28.529,30 | 890 / 47 |
Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 15 | $95.687,70 | 510 / 22 | $14.958,80 | 459 / 21 | $12.597,90 | 458 / 20 |
Otitis Media & Uri W/O Mcc | 17 | 27 / 6 | $34.975,50 | 199 / 11 | $7.218,59 | 181 / 14 | $5.403,88 | 181 / 15 |
Pancreas, Liver & Shunt Procedures W Mcc | 12 | 31 / 4 | $154.620,00 | 57 / 1 | $45.334,20 | 12 / 3 | $31.085,70 | 12 / 2 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 13 | 27 / 7 | $57.797,30 | 256 / 14 | $11.312,20 | 217 / 13 | $8.335,08 | 217 / 13 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 27 | $141.313,00 | 785 / 31 | $26.396,60 | 773 / 33 | $23.258,50 | 768 / 37 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 54 | 142 / 23 | $87.851,40 | 1019 / 40 | $18.779,10 | 1080 / 61 | $13.072,10 | 1073 / 54 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 28 | 17 / 1 | $121.846,00 | 203 / 7 | $24.806,90 | 206 / 9 | $21.839,90 | 205 / 10 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 80 | 4 / 1 | $89.017,10 | 457 / 22 | $15.561,90 | 486 / 28 | $13.415,40 | 484 / 29 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 14 | 81 / 20 | $124.597,00 | 543 / 26 | $17.628,10 | 505 / 26 | $15.792,30 | 501 / 27 |
Peripheral Vascular Disorders W Cc | 15 | 69 / 19 | $30.723,50 | 829 / 39 | $9.030,20 | 968 / 58 | $6.981,13 | 965 / 62 |
Peripheral Vascular Disorders W Mcc | 12 | 37 / 11 | $27.903,20 | 162 / 8 | $11.853,50 | 437 / 20 | $10.037,00 | 437 / 20 |
Peritoneal Adhesiolysis W Cc | 12 | 27 / 9 | $104.670,00 | 253 / 7 | $19.726,30 | 205 / 8 | $15.754,80 | 205 / 10 |
Permanent Cardiac Pacemaker Implant W Cc | 19 | 58 / 15 | $76.412,40 | 581 / 27 | $21.854,10 | 773 / 46 | $19.032,20 | 770 / 47 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 17 | $66.464,30 | 480 / 21 | $17.919,80 | 527 / 37 | $14.113,60 | 526 / 35 |
Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 15 | $86.998,60 | 925 / 30 | $14.185,10 | 831 / 28 | $11.456,90 | 828 / 30 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 34 | 27 / 4 | $34.665,40 | 809 / 32 | $7.389,00 | 734 / 35 | $5.001,94 | 733 / 33 |
Postoperative & Post-Traumatic Infections W Mcc | 16 | 27 / 3 | $68.035,10 | 161 / 7 | $16.054,10 | 134 / 7 | $13.556,10 | 134 / 9 |
Postoperative & Post-Traumatic Infections W/O Mcc | 18 | 36 / 6 | $36.572,20 | 345 / 10 | $9.356,00 | 332 / 13 | $7.339,22 | 332 / 16 |
Pulmonary Edema & Respiratory Failure | 79 | 124 / 11 | $58.204,50 | 1897 / 85 | $11.906,00 | 1906 / 95 | $9.421,96 | 1900 / 99 |
Pulmonary Embolism W/O Mcc | 38 | 36 / 9 | $38.954,50 | 1033 / 40 | $9.594,76 | 1094 / 54 | $7.149,92 | 1091 / 58 |
Red Blood Cell Disorders W/O Mcc | 30 | 113 / 26 | $31.087,70 | 1538 / 70 | $8.175,37 | 1713 / 90 | $6.408,50 | 1704 / 94 |
Renal Failure W Cc | 137 | 86 / 7 | $32.773,80 | 1825 / 84 | $9.792,17 | 2049 / 109 | $7.224,27 | 2039 / 112 |
Renal Failure W Mcc | 79 | 116 / 10 | $66.524,50 | 1854 / 87 | $15.887,10 | 1775 / 99 | $11.625,10 | 1772 / 98 |
Renal Failure W/O Cc/Mcc | 20 | 36 / 7 | $23.441,40 | 654 / 26 | $6.874,40 | 763 / 35 | $4.997,80 | 761 / 35 |
Respiratory Infections & Inflammations W Cc | 19 | 69 / 24 | $66.364,30 | 1301 / 62 | $14.327,70 | 1242 / 65 | $10.013,40 | 1237 / 65 |
Respiratory Infections & Inflammations W Mcc | 24 | 112 / 28 | $83.425,40 | 1532 / 68 | $18.014,10 | 1483 / 80 | $14.093,60 | 1467 / 80 |
Respiratory Neoplasms W Cc | 17 | 30 / 9 | $66.348,00 | 464 / 20 | $12.372,40 | 414 / 18 | $9.289,00 | 413 / 18 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 75 | 56 / 2 | $117.531,00 | 1662 / 72 | $21.314,90 | 1504 / 75 | $17.650,40 | 1490 / 76 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 30 | 41 / 3 | $220.670,00 | 805 / 27 | $42.997,60 | 716 / 32 | $37.474,00 | 715 / 33 |
Revision Of Hip Or Knee Replacement W Cc | 25 | 61 / 7 | $155.905,00 | 620 / 27 | $27.406,50 | 544 / 23 | $24.589,10 | 542 / 25 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 12 | $139.728,00 | 479 / 21 | $22.446,40 | 435 / 17 | $20.211,90 | 434 / 19 |
Seizures W Mcc | 15 | 51 / 13 | $63.281,20 | 596 / 19 | $13.862,20 | 544 / 23 | $11.174,90 | 544 / 24 |
Seizures W/O Mcc | 81 | 29 / 3 | $55.236,80 | 1268 / 65 | $9.532,41 | 1090 / 66 | $6.114,38 | 1088 / 63 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 25 | 67 / 10 | $265.767,00 | 935 / 33 | $53.157,20 | 894 / 36 | $46.599,60 | 893 / 40 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 360 | 163 / 7 | $67.228,90 | 2249 / 99 | $16.464,70 | 2256 / 114 | $13.411,40 | 2216 / 117 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 172 | 38 / 3 | $43.778,30 | 2134 / 92 | $10.850,20 | 2172 / 109 | $7.884,28 | 2163 / 109 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 13 | $37.348,10 | 333 / 15 | $7.981,18 | 258 / 17 | $5.019,09 | 258 / 15 |
Signs & Symptoms W Mcc | 13 | 28 / 7 | $43.774,30 | 212 / 5 | $10.898,60 | 198 / 8 | $8.888,08 | 198 / 8 |
Signs & Symptoms W/O Mcc | 25 | 66 / 19 | $36.006,80 | 1153 / 45 | $8.074,28 | 1105 / 52 | $5.473,32 | 1102 / 51 |
Simple Pneumonia & Pleurisy W Cc | 110 | 93 / 8 | $36.234,90 | 2226 / 96 | $10.020,40 | 2409 / 117 | $7.297,84 | 2400 / 119 |
Simple Pneumonia & Pleurisy W Mcc | 55 | 150 / 23 | $50.560,00 | 1930 / 79 | $13.125,40 | 2050 / 104 | $10.349,60 | 2049 / 105 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 30 | 63 / 14 | $35.022,10 | 1732 / 80 | $8.301,27 | 1677 / 85 | $5.027,97 | 1669 / 83 |
Spinal Fusion Except Cervical W/O Mcc | 80 | 114 / 8 | $144.151,00 | 1083 / 51 | $32.329,40 | 1086 / 57 | $27.851,30 | 1081 / 56 |
Stomach, Esophageal & Duodenal Proc W Cc | 24 | 26 / 2 | $112.245,00 | 185 / 6 | $23.369,00 | 158 / 8 | $19.804,80 | 158 / 8 |
Stomach, Esophageal & Duodenal Proc W Mcc | 20 | 21 / 2 | $200.538,00 | 174 / 6 | $52.884,40 | 91 / 9 | $35.089,10 | 91 / 2 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 39 | 9 / 1 | $63.305,70 | 193 / 6 | $12.972,10 | 173 / 6 | $10.718,70 | 172 / 8 |
Syncope & Collapse | 63 | 106 / 15 | $33.072,80 | 1531 / 78 | $7.744,13 | 1595 / 94 | $5.509,90 | 1588 / 94 |
Tendonitis, Myositis & Bursitis W/O Mcc | 14 | 28 / 10 | $29.378,60 | 236 / 13 | $8.696,43 | 269 / 23 | $6.038,71 | 268 / 22 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 21 | 43 / 7 | $350.598,00 | 388 / 17 | $71.465,80 | 267 / 15 | $63.683,90 | 267 / 15 |
Transient Ischemia | 42 | 83 / 19 | $28.547,40 | 1135 / 61 | $7.221,36 | 1361 / 85 | $5.043,40 | 1354 / 87 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 15 | 29 / 8 | $46.898,10 | 294 / 11 | $7.869,47 | 218 / 10 | $5.285,40 | 218 / 12 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 38 | 28 / 6 | $61.363,60 | 475 / 22 | $11.768,00 | 403 / 23 | $8.202,61 | 402 / 23 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 11 | 40 / 10 | $70.640,90 | 241 / 6 | $16.130,20 | 236 / 8 | $14.142,90 | 236 / 11 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 22 | 32 / 8 | $47.462,50 | 369 / 18 | $8.443,95 | 335 / 19 | $6.067,32 | 335 / 19 |
Vaginal Delivery W/O Complicating Diagnoses | 13 | 12 / 5 | $10.972,80 | 29 / 2 | $6.064,00 | 30 / 4 | $3.571,77 | 30 / 3 |
Viral Illness W/O Mcc | 11 | 16 / 6 | $23.015,00 | 25 / 2 | $8.086,18 | 29 / 6 | $5.068,73 | 29 / 5 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 22 | 21 / 3 | $124.533,00 | 124 / 5 | $23.351,60 | 91 / 5 | $19.873,00 | 91 / 7 | Total 187 procedures | 6.613 | 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.