Hospital Costs > In California > Glendale Adventist Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 312 | 206 / 34 | $130.916,00 | 2776 / 241 | $18.145,20 | 2637 / 199 | $16.835,70 | 2592 / 199 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 183 | 381 / 53 | $100.941,00 | 2491 / 166 | $18.270,30 | 2450 / 129 | $16.836,40 | 2404 / 164 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 134 | 141 / 8 | $37.583,30 | 2417 / 121 | $7.698,96 | 2514 / 148 | $6.593,86 | 2499 / 161 |
Chest Pain | 132 | 32 / 3 | $39.690,50 | 1590 / 105 | $6.611,61 | 1535 / 104 | $5.497,32 | 1526 / 104 |
Heart Failure & Shock W Mcc | 130 | 154 / 17 | $103.998,00 | 2576 / 197 | $15.214,10 | 2474 / 179 | $13.835,50 | 2463 / 177 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 126 | 70 / 2 | $131.411,00 | 1377 / 82 | $17.804,60 | 1373 / 57 | $16.597,80 | 1365 / 85 |
Kidney & Urinary Tract Infections W/O Mcc | 95 | 138 / 20 | $41.878,70 | 2529 / 156 | $7.913,79 | 2536 / 153 | $6.932,86 | 2525 / 163 |
Medical Back Problems W/O Mcc | 95 | 28 / 2 | $45.858,80 | 1353 / 79 | $8.498,54 | 1375 / 89 | $7.417,44 | 1370 / 99 |
Syncope & Collapse | 89 | 80 / 3 | $47.254,80 | 1814 / 113 | $7.668,34 | 1741 / 112 | $6.383,13 | 1733 / 110 |
Simple Pneumonia & Pleurisy W Mcc | 87 | 118 / 13 | $93.714,60 | 2435 / 165 | $13.878,60 | 2337 / 150 | $12.465,30 | 2331 / 145 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 85 | 81 / 9 | $38.740,80 | 2345 / 130 | $7.369,46 | 2363 / 139 | $6.469,84 | 2354 / 154 |
Heart Failure & Shock W Cc | 84 | 194 / 26 | $58.715,20 | 2655 / 179 | $9.699,14 | 2552 / 155 | $8.689,00 | 2546 / 164 |
Chronic Obstructive Pulmonary Disease W Mcc | 84 | 118 / 13 | $75.923,90 | 2490 / 165 | $11.269,30 | 2391 / 146 | $10.123,20 | 2383 / 151 |
Respiratory Infections & Inflammations W Mcc | 75 | 61 / 8 | $122.685,00 | 1738 / 121 | $17.536,50 | 1670 / 107 | $16.266,50 | 1654 / 105 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 74 | 133 / 43 | $51.617,00 | 2289 / 155 | $10.349,50 | 2344 / 173 | $8.922,89 | 2334 / 173 |
Simple Pneumonia & Pleurisy W Cc | 74 | 129 / 22 | $66.563,20 | 2750 / 186 | $9.670,08 | 2605 / 152 | $8.417,01 | 2596 / 157 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 72 | 10 / 2 | $145.904,00 | 215 / 3 | $29.225,80 | 221 / 4 | $27.981,50 | 220 / 6 |
Cellulitis W/O Mcc | 71 | 118 / 21 | $52.682,20 | 2578 / 196 | $8.571,83 | 2443 / 155 | $7.378,59 | 2435 / 165 |
Renal Failure W Cc | 66 | 155 / 25 | $49.064,60 | 2240 / 126 | $9.499,68 | 2254 / 140 | $8.532,77 | 2244 / 147 |
Renal Failure W Mcc | 62 | 133 / 27 | $102.625,00 | 2122 / 168 | $15.297,20 | 2006 / 143 | $13.979,00 | 2002 / 140 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 60 | 128 / 8 | $65.393,50 | 1454 / 67 | $10.388,20 | 1506 / 81 | $9.310,77 | 1503 / 96 |
G.I. Hemorrhage W Cc | 55 | 163 / 40 | $57.743,50 | 2278 / 142 | $10.550,20 | 2240 / 163 | $8.713,78 | 2236 / 147 |
Red Blood Cell Disorders W/O Mcc | 55 | 88 / 7 | $40.388,10 | 1770 / 92 | $8.247,73 | 1811 / 111 | $7.060,25 | 1802 / 109 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 54 | 114 / 20 | $102.652,00 | 1517 / 110 | $15.701,20 | 1422 / 88 | $14.423,10 | 1415 / 93 |
Revision Of Hip Or Knee Replacement W Cc | 53 | 35 / 6 | $119.032,00 | 538 / 10 | $26.765,20 | 580 / 13 | $25.704,40 | 578 / 13 |
Kidney & Urinary Tract Infections W Mcc | 53 | 91 / 15 | $62.514,70 | 1837 / 133 | $10.652,40 | 1784 / 123 | $9.527,87 | 1780 / 124 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 52 | 74 / 13 | $48.565,20 | 1469 / 80 | $10.452,50 | 1517 / 98 | $9.560,62 | 1514 / 99 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 52 | 109 / 15 | $38.907,00 | 1888 / 83 | $8.080,15 | 1993 / 129 | $7.002,77 | 1988 / 136 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 51 | 99 / 5 | $30.234,50 | 1761 / 70 | $6.291,10 | 1843 / 110 | $4.846,82 | 1837 / 107 |
Hip & Femur Procedures Except Major Joint W Cc | 48 | 95 / 21 | $87.552,50 | 1791 / 69 | $16.731,80 | 1844 / 97 | $15.470,60 | 1824 / 102 |
Transient Ischemia | 47 | 78 / 12 | $47.454,70 | 1548 / 102 | $7.351,87 | 1544 / 105 | $6.250,68 | 1536 / 112 |
Chronic Obstructive Pulmonary Disease W Cc | 46 | 133 / 27 | $72.692,20 | 2414 / 172 | $9.648,89 | 2269 / 146 | $8.284,98 | 2262 / 141 |
Respiratory Infections & Inflammations W Cc | 43 | 45 / 9 | $92.762,30 | 1443 / 103 | $12.767,30 | 1373 / 93 | $11.554,00 | 1368 / 89 |
Other Vascular Procedures W Cc | 42 | 60 / 6 | $128.563,00 | 1006 / 40 | $21.915,90 | 995 / 38 | $20.657,10 | 990 / 41 |
Other Circulatory System Diagnoses W Mcc | 40 | 76 / 12 | $115.217,00 | 1328 / 106 | $18.634,60 | 1238 / 92 | $16.650,30 | 1230 / 83 |
Other Vascular Procedures W Mcc | 40 | 57 / 7 | $158.197,00 | 893 / 49 | $28.423,90 | 849 / 48 | $27.018,60 | 846 / 50 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 37 | 55 / 18 | $469.987,00 | 1085 / 136 | $69.240,50 | 1076 / 130 | $66.266,20 | 1075 / 130 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 37 | 87 / 10 | $32.034,40 | 722 / 21 | $7.249,95 | 739 / 27 | $6.350,70 | 738 / 31 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 37 | 145 / 39 | $81.612,00 | 2039 / 161 | $10.676,60 | 1927 / 139 | $9.210,97 | 1923 / 142 |
Bronchitis & Asthma W Cc/Mcc | 33 | 43 / 3 | $57.908,60 | 1042 / 58 | $8.799,06 | 983 / 58 | $7.629,61 | 979 / 61 |
Other Digestive System Diagnoses W Cc | 33 | 64 / 10 | $52.172,70 | 1289 / 87 | $10.185,80 | 1367 / 111 | $9.405,70 | 1363 / 121 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 33 | 91 / 33 | $274.810,00 | 1473 / 98 | $46.473,20 | 1373 / 83 | $44.376,60 | 1363 / 81 |
Hypertension W/O Mcc | 32 | 33 / 3 | $34.939,30 | 698 / 14 | $6.767,69 | 703 / 17 | $5.482,44 | 701 / 20 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 32 | 68 / 11 | $189.045,00 | 941 / 59 | $27.747,10 | 894 / 49 | $26.574,90 | 889 / 55 |
Dysequilibrium | 31 | 34 / 2 | $43.338,40 | 528 / 24 | $6.773,35 | 519 / 27 | $5.721,10 | 519 / 33 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 24 | $82.853,00 | 1859 / 129 | $12.421,80 | 1801 / 118 | $11.342,20 | 1798 / 121 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 28 | 97 / 24 | $121.839,00 | 1767 / 128 | $17.449,40 | 1719 / 124 | $16.209,10 | 1706 / 127 |
G.I. Hemorrhage W Mcc | 28 | 93 / 28 | $93.425,00 | 1523 / 103 | $17.461,80 | 1572 / 126 | $16.590,30 | 1562 / 131 |
Atherosclerosis W/O Mcc | 26 | 32 / 4 | $33.498,00 | 484 / 22 | $6.646,38 | / 25 | $5.513,92 | / |
Red Blood Cell Disorders W Mcc | 26 | 45 / 6 | $85.538,70 | 1080 / 83 | $12.386,80 | 1005 / 62 | $11.391,70 | 1001 / 65 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 26 | 63 / 19 | $72.113,20 | 716 / 46 | $10.685,20 | 721 / 51 | $9.528,65 | 720 / 60 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 25 | 71 / 19 | $68.119,70 | 1344 / 91 | $11.826,20 | 1327 / 97 | $10.797,60 | 1322 / 99 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 25 | 46 / 8 | $501.063,00 | 980 / 86 | $66.284,60 | 972 / 82 | $60.995,20 | 971 / 82 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 21 | $44.321,50 | 1866 / 93 | $7.443,12 | 1851 / 103 | $6.127,62 | 1843 / 105 |
Signs & Symptoms W/O Mcc | 24 | 67 / 14 | $37.018,80 | 1170 / 44 | $7.426,12 | 1193 / 68 | $6.149,17 | 1190 / 68 |
Pulmonary Edema & Respiratory Failure | 23 | 180 / 52 | $68.899,90 | 2044 / 100 | $11.535,30 | 2021 / 116 | $10.345,90 | 2015 / 113 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 23 | 70 / 10 | $104.781,00 | 786 / 25 | $18.762,10 | 799 / 36 | $17.747,10 | 792 / 40 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 22 | 54 / 15 | $95.450,50 | 496 / 45 | $16.876,20 | 469 / 43 | $16.021,90 | 469 / 47 |
Permanent Cardiac Pacemaker Implant W Cc | 22 | 55 / 13 | $142.532,00 | 914 / 62 | $23.136,80 | 884 / 55 | $21.947,90 | 880 / 60 |
Other Digestive System Diagnoses W Mcc | 22 | 40 / 12 | $62.350,00 | 574 / 31 | $14.966,80 | 634 / 46 | $14.024,40 | 633 / 49 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 26 | $60.491,60 | 1559 / 104 | $7.874,82 | 1477 / 93 | $6.520,82 | 1473 / 95 |
Peripheral Vascular Disorders W Cc | 21 | 63 / 12 | $58.668,60 | 1207 / 77 | $9.674,48 | 1132 / 67 | $8.448,14 | 1129 / 69 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 21 | 41 / 10 | $33.374,80 | 647 / 22 | $7.644,00 | 717 / 40 | $6.269,10 | 715 / 42 |
G.I. Obstruction W Cc | 20 | 72 / 32 | $42.265,40 | 1493 / 61 | $8.906,40 | 1619 / 105 | $7.749,60 | 1614 / 110 |
Cellulitis W Mcc | 20 | 38 / 14 | $105.072,00 | 953 / 84 | $13.528,40 | 864 / 62 | $12.149,20 | 862 / 61 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 20 | 37 / 6 | $100.641,00 | 659 / 34 | $18.563,70 | 662 / 33 | $17.524,40 | 661 / 39 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 34 | $183.462,00 | 1825 / 125 | $21.092,90 | 1635 / 84 | $19.502,30 | 1621 / 77 |
Seizures W/O Mcc | 19 | 89 / 23 | $38.328,90 | 1111 / 42 | $7.720,42 | 1179 / 60 | $6.892,63 | 1177 / 70 |
Diabetes W Cc | 19 | 73 / 16 | $48.394,40 | 1525 / 88 | $8.336,32 | 1438 / 82 | $7.140,53 | 1433 / 84 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 18 | 28 / 7 | $47.474,30 | 208 / 13 | $9.717,44 | 215 / 21 | $7.933,72 | 215 / 21 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 18 | 29 / 8 | $53.948,70 | 449 / 15 | $11.966,80 | 540 / 39 | $9.706,44 | 539 / 36 |
Permanent Cardiac Pacemaker Implant W Mcc | 18 | 34 / 6 | $201.410,00 | 577 / 37 | $34.969,80 | 575 / 38 | $33.648,40 | 575 / 39 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 16 | $68.381,90 | 1053 / 61 | $11.186,20 | 1046 / 61 | $10.321,30 | 1044 / 66 |
Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 13 | $40.793,70 | 868 / 45 | $7.341,83 | 859 / 54 | $6.150,72 | 858 / 57 |
Other Circulatory System Diagnoses W Cc | 18 | 48 / 8 | $38.110,70 | 526 / 10 | $9.344,28 | 604 / 19 | $8.515,39 | 603 / 21 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 18 | 29 / 5 | $37.880,70 | 337 / 10 | $7.478,17 | 341 / 10 | $6.658,39 | 341 / 11 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 29 | $45.900,30 | 2023 / 100 | $7.543,94 | 1951 / 98 | $6.315,47 | 1940 / 99 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 28 | $39.768,20 | 1889 / 83 | $7.225,35 | 1881 / 99 | $6.287,00 | 1868 / 103 |
Other Kidney & Urinary Tract Diagnoses W Cc | 17 | 86 / 22 | $50.656,40 | 757 / 34 | $9.648,29 | 760 / 38 | $8.742,18 | 760 / 43 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 14 | $329.073,00 | 737 / 47 | $50.771,00 | 729 / 45 | $49.070,00 | 729 / 50 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 14 | $77.066,80 | 712 / 22 | $14.857,20 | 829 / 51 | $13.675,80 | 825 / 58 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 16 | 79 / 14 | $109.502,00 | 494 / 17 | $18.498,50 | 507 / 28 | $15.806,00 | 503 / 26 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 15 | 27 / 9 | $93.695,90 | 273 / 19 | $16.229,90 | 238 / 16 | $14.876,30 | 238 / 15 |
G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 26 | $35.006,30 | 1186 / 58 | $6.706,00 | 1243 / 81 | $5.507,07 | 1240 / 86 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 15 | 66 / 14 | $1.197.680,00 | 440 / 26 | $173.228,00 | 404 / 18 | $169.019,00 | 403 / 20 |
Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 15 | $43.618,10 | 711 / 24 | $9.655,27 | 749 / 35 | $8.517,40 | 749 / 34 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 15 | 31 / 3 | $42.789,10 | 350 / 7 | $7.243,40 | 352 / 8 | $5.819,33 | 351 / 8 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 13 | $286.921,00 | 965 / 75 | $40.402,20 | 961 / 75 | $37.743,50 | 958 / 76 |
Psychoses | 15 | 260 / 28 | $49.448,50 | 582 / 31 | $9.913,13 | 546 / 18 | $9.062,47 | 546 / 20 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 18 | $162.864,00 | 862 / 40 | $27.268,80 | 833 / 40 | $25.909,90 | 830 / 39 |
G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 14 | $27.725,70 | 767 / 20 | $7.332,67 | 923 / 46 | $6.192,40 | 919 / 55 |
Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 27 | $149.192,00 | 870 / 28 | $26.831,40 | 835 / 24 | $25.485,10 | 834 / 30 |
Major Cardiovasc Procedures W Mcc | 14 | 54 / 16 | $280.365,00 | 604 / 30 | $47.815,90 | 572 / 30 | $46.509,30 | 571 / 33 |
Bone Diseases & Arthropathies W/O Mcc | 14 | 30 / 4 | $33.477,40 | 254 / 4 | $7.569,14 | 241 / 4 | $6.393,14 | 241 / 4 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 9 | $61.657,90 | 427 / 10 | $11.314,60 | 429 / 10 | $10.566,30 | 429 / 12 |
Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 12 | $59.983,90 | 437 / 24 | $9.491,43 | 426 / 21 | $8.410,29 | 426 / 23 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 14 | 52 / 20 | $109.886,00 | 543 / 33 | $16.724,70 | 511 / 26 | $15.411,60 | 507 / 28 |
Medical Back Problems W Mcc | 14 | 25 / 6 | $94.042,80 | 311 / 19 | $16.439,00 | 308 / 20 | $15.394,70 | 308 / 20 |
Renal Failure W/O Cc/Mcc | 14 | 42 / 7 | $45.146,90 | 833 / 23 | $6.911,93 | 811 / 28 | $5.731,64 | 809 / 28 |
Degenerative Nervous System Disorders W Mcc | 13 | 25 / 6 | $70.563,70 | 187 / 7 | $16.120,10 | 193 / 8 | $14.918,80 | 193 / 8 |
Other Resp System O.R. Procedures W Mcc | 13 | 50 / 5 | $196.337,00 | 551 / 12 | $34.269,00 | 539 / 13 | $32.468,70 | 538 / 14 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 13 | 29 / 9 | $385.474,00 | 175 / 11 | $51.934,80 | 160 / 6 | $50.276,30 | 160 / 7 |
Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 22 | $85.626,20 | 917 / 58 | $12.905,40 | 860 / 47 | $11.962,90 | 857 / 52 |
Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 11 | $284.649,00 | 354 / 11 | $53.719,80 | 341 / 8 | $52.182,60 | 341 / 9 |
Endocrine Disorders W Cc | 13 | 25 / 8 | $46.727,50 | 258 / 7 | $9.954,38 | 268 / 10 | $9.138,69 | 268 / 12 |
Knee Procedures W/O Pdx Of Infection W Cc/Mcc | 13 | 5 / 1 | $66.158,60 | 18 / 1 | $13.979,50 | 19 / 1 | $12.984,40 | 19 / 1 |
Nontraumatic Stupor & Coma W/O Mcc | 13 | 6 / 2 | $46.232,00 | 17 / 3 | $7.799,08 | 16 / 3 | $6.796,31 | 16 / 3 |
Other Disorders Of Nervous System W Cc | 12 | 44 / 15 | $44.566,80 | 519 / 23 | $8.849,33 | 573 / 36 | $8.040,33 | 572 / 39 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 24 | $77.731,70 | 1392 / 87 | $10.275,00 | 1326 / 78 | $9.139,00 | 1324 / 81 |
Transurethral Prostatectomy W Cc/Mcc | 12 | 12 / 3 | $94.919,50 | 47 / 2 | $13.676,20 | 43 / 2 | $12.497,60 | 43 / 2 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 12 | 86 / 21 | $194.442,00 | 426 / 17 | $37.642,10 | 441 / 22 | $36.765,60 | 441 / 24 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 19 | $79.535,20 | 732 / 47 | $10.186,30 | 669 / 39 | $7.929,25 | 669 / 35 |
Carotid Artery Stent Procedure W/O Cc/Mcc | 11 | 21 / 6 | $124.623,00 | 95 / 7 | $15.307,30 | 92 / 6 | $14.092,70 | 92 / 6 |
Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 10 | $77.117,70 | 302 / 17 | $14.949,60 | 271 / 16 | $13.900,50 | 271 / 16 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 23 | $53.145,00 | 516 / 36 | $9.169,55 | 472 / 31 | $8.093,91 | 472 / 30 |
Disorders Of The Biliary Tract W Cc | 11 | 43 / 13 | $66.672,50 | 447 / 28 | $10.363,50 | 395 / 22 | $8.395,18 | 395 / 21 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 13 | $954.433,00 | 566 / 53 | $140.513,00 | 560 / 53 | $134.975,00 | 559 / 54 |
Nervous System Neoplasms W Mcc | 11 | 37 / 12 | $64.673,20 | 257 / 4 | $12.613,30 | 270 / 8 | $11.827,50 | 270 / 8 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 14 | $131.381,00 | 456 / 12 | $22.523,30 | 438 / 11 | $21.358,20 | 438 / 15 |
Coagulation Disorders | 11 | 16 / 5 | $60.486,70 | 60 / 2 | $14.780,70 | 67 / 3 | $14.233,80 | 67 / 4 |
Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 55 | $219.107,00 | 1313 / 78 | $33.597,60 | 1243 / 51 | $32.468,90 | 1238 / 62 |
G.I. Obstruction W Mcc | 11 | 31 / 11 | $83.707,50 | 486 / 30 | $14.607,60 | 485 / 28 | $13.934,20 | 485 / 34 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 11 | 18 / 5 | $105.851,00 | 92 / 3 | $19.967,40 | 84 / 1 | $18.560,80 | 83 / 2 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 44 | $104.682,00 | 1253 / 31 | $21.774,50 | 1379 / 61 | $20.456,30 | 1365 / 72 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 11 | 33 / 13 | $35.396,00 | 229 / 8 | $7.701,91 | 276 / 24 | $6.589,18 | 276 / 24 |
Respiratory Signs & Symptoms | 11 | 35 / 4 | $37.959,80 | 280 / 8 | $7.224,18 | 268 / 8 | $6.128,18 | 268 / 8 |
Transurethral Prostatectomy W/O Cc/Mcc | 11 | 18 / 5 | $37.391,30 | 69 / 3 | $7.670,64 | 75 / 5 | $6.717,91 | 75 / 6 | Total 127 procedures | 4.582 | 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.