Hospital Costs > In California > Good Samaritan Hospital San Jose, 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 | 261 | 304 / 31 | $177.826,00 | 2686 / 233 | $19.966,60 | 2412 / 173 | $16.343,50 | 2366 / 152 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 188 | 328 / 85 | $160.830,00 | 2813 / 260 | $19.070,30 | 2642 / 216 | $16.955,90 | 2597 / 202 |
Heart Failure & Shock W Cc | 109 | 169 / 10 | $75.710,70 | 2741 / 217 | $9.779,78 | 2414 / 159 | $7.847,58 | 2408 / 123 |
Heart Failure & Shock W Mcc | 98 | 186 / 35 | $122.450,00 | 2607 / 217 | $13.759,60 | 2387 / 146 | $12.692,70 | 2376 / 148 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 98 | 68 / 7 | $51.687,50 | 2493 / 178 | $7.194,12 | 2147 / 132 | $5.360,57 | 2139 / 91 |
G.I. Hemorrhage W Cc | 95 | 123 / 11 | $64.487,40 | 2344 / 167 | $9.410,33 | 2100 / 125 | $7.728,95 | 2096 / 102 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 87 | 188 / 29 | $60.969,00 | 2701 / 208 | $7.261,64 | 2360 / 130 | $5.741,66 | 2345 / 114 |
Kidney & Urinary Tract Infections W/O Mcc | 83 | 150 / 32 | $57.025,90 | 2679 / 203 | $7.330,28 | 2406 / 128 | $6.182,96 | 2395 / 126 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 82 | 125 / 38 | $83.008,00 | 2547 / 235 | $9.915,30 | 2276 / 160 | $8.474,11 | 2267 / 149 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 80 | 102 / 10 | $107.083,00 | 2073 / 179 | $9.770,95 | 1820 / 108 | $8.334,16 | 1816 / 104 |
Cellulitis W/O Mcc | 68 | 121 / 23 | $53.387,30 | 2583 / 197 | $7.919,40 | 2329 / 127 | $6.680,93 | 2321 / 130 |
Chronic Obstructive Pulmonary Disease W Mcc | 67 | 135 / 24 | $103.883,00 | 2555 / 191 | $12.428,60 | 2339 / 165 | $9.751,13 | 2331 / 131 |
Simple Pneumonia & Pleurisy W Cc | 61 | 142 / 30 | $76.461,90 | 2793 / 206 | $9.385,21 | 2485 / 140 | $7.642,23 | 2476 / 123 |
Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 40 | $119.324,00 | 2501 / 192 | $16.035,30 | 2245 / 184 | $11.717,80 | 2239 / 119 |
Heart Failure & Shock W/O Cc/Mcc | 52 | 58 / 4 | $54.026,70 | 1989 / 122 | $6.600,13 | 1775 / 76 | $5.456,90 | 1762 / 74 |
Red Blood Cell Disorders W/O Mcc | 49 | 94 / 10 | $49.192,20 | 1900 / 117 | $9.469,65 | 1682 / 132 | $6.240,55 | 1673 / 75 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 46 | 150 / 27 | $255.708,00 | 1487 / 121 | $20.822,40 | 1364 / 97 | $16.475,50 | 1356 / 83 |
Pulmonary Edema & Respiratory Failure | 44 | 159 / 34 | $101.720,00 | 2202 / 152 | $11.649,20 | 1985 / 117 | $10.011,80 | 1979 / 100 |
Hip & Femur Procedures Except Major Joint W Cc | 43 | 100 / 25 | $155.540,00 | 2045 / 149 | $17.378,40 | 1853 / 113 | $15.549,00 | 1833 / 105 |
Major Small & Large Bowel Procedures W Cc | 43 | 65 / 13 | $173.233,00 | 1489 / 98 | $22.910,90 | 1299 / 69 | $18.784,20 | 1285 / 54 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 43 | 125 / 29 | $188.805,00 | 1631 / 156 | $18.820,50 | 1556 / 126 | $17.860,90 | 1549 / 132 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 42 | 81 / 12 | $75.489,00 | 1817 / 115 | $10.774,30 | 1691 / 83 | $9.829,98 | 1688 / 90 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 41 | 109 / 10 | $46.897,60 | 1957 / 128 | $5.659,80 | 1691 / 84 | $4.049,22 | 1685 / 74 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 41 | 83 / 25 | $503.049,00 | 1586 / 154 | $65.935,10 | 1554 / 146 | $57.789,60 | 1544 / 135 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 40 | 62 / 9 | $101.377,00 | 1613 / 131 | $8.108,23 | 1430 / 99 | $6.062,12 | 1426 / 82 |
Renal Failure W Cc | 40 | 181 / 48 | $65.128,50 | 2388 / 175 | $9.973,55 | 2047 / 159 | $7.204,77 | 2037 / 87 |
Renal Failure W Mcc | 38 | 157 / 49 | $97.882,40 | 2104 / 161 | $13.165,90 | 1858 / 85 | $12.313,20 | 1854 / 98 |
Syncope & Collapse | 38 | 131 / 29 | $56.587,50 | 1887 / 140 | $6.822,13 | 1647 / 83 | $5.766,26 | 1639 / 85 |
Medical Back Problems W/O Mcc | 37 | 84 / 22 | $69.231,80 | 1478 / 120 | $8.028,38 | 1307 / 72 | $6.722,65 | 1302 / 81 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 37 | 124 / 29 | $70.747,20 | 2152 / 171 | $7.354,32 | 1920 / 104 | $6.373,57 | 1915 / 113 |
Transient Ischemia | 37 | 88 / 21 | $75.878,10 | 1660 / 142 | $6.787,89 | 1375 / 83 | $5.136,73 | 1368 / 67 |
Kidney & Urinary Tract Infections W Mcc | 34 | 110 / 32 | $83.589,90 | 1927 / 161 | $10.471,20 | 1725 / 116 | $8.899,76 | 1721 / 101 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 33 | 60 / 12 | $46.778,50 | 1885 / 99 | $6.560,55 | 1781 / 75 | $5.534,61 | 1773 / 83 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 30 | $113.082,00 | 1634 / 129 | $11.439,10 | 1489 / 99 | $9.073,75 | 1486 / 87 |
Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 41 | $86.245,60 | 2438 / 189 | $9.257,25 | 2242 / 132 | $8.036,59 | 2235 / 134 |
G.I. Obstruction W/O Cc/Mcc | 31 | 40 / 10 | $54.102,20 | 1296 / 96 | $6.189,42 | 1082 / 66 | $4.222,23 | 1079 / 45 |
Respiratory Infections & Inflammations W Mcc | 31 | 105 / 41 | $153.330,00 | 1785 / 142 | $19.699,80 | 1754 / 136 | $18.544,90 | 1738 / 136 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 29 | 97 / 30 | $85.795,60 | 1715 / 152 | $9.927,14 | 1469 / 85 | $9.220,93 | 1466 / 90 |
Respiratory Infections & Inflammations W Cc | 28 | 60 / 21 | $94.099,90 | 1448 / 105 | $12.579,10 | 1263 / 87 | $10.140,50 | 1258 / 50 |
Signs & Symptoms W/O Mcc | 27 | 64 / 11 | $67.117,60 | 1335 / 91 | $7.367,48 | 1107 / 65 | $5.484,41 | 1104 / 51 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 26 | 63 / 19 | $96.430,90 | 757 / 64 | $10.203,80 | 669 / 40 | $8.204,12 | 668 / 43 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 26 | 98 / 14 | $36.942,30 | 762 / 24 | $6.460,92 | 647 / 20 | $5.258,58 | 646 / 20 |
Chest Pain | 26 | 125 / 46 | $54.787,40 | 1698 / 147 | $5.959,04 | 1257 / 78 | $4.148,08 | 1250 / 47 |
Other Digestive System Diagnoses W Cc | 25 | 72 / 17 | $77.410,10 | 1415 / 126 | $9.505,64 | 1304 / 93 | $8.537,96 | 1300 / 101 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 21 | $48.062,70 | 2037 / 106 | $7.443,44 | 1806 / 93 | $5.354,00 | 1795 / 60 |
G.I. Hemorrhage W Mcc | 25 | 96 / 31 | $136.881,00 | 1655 / 151 | $16.873,60 | 1544 / 117 | $16.057,00 | 1534 / 122 |
Major Small & Large Bowel Procedures W Mcc | 24 | 61 / 16 | $395.334,00 | 1274 / 86 | $58.843,80 | 1203 / 79 | $45.721,30 | 1200 / 63 |
G.I. Obstruction W Cc | 24 | 68 / 28 | $77.703,50 | 1718 / 132 | $8.560,96 | 1520 / 95 | $6.840,25 | 1515 / 83 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 18 | $399.734,00 | 1019 / 96 | $38.661,10 | 1011 / 88 | $36.182,40 | 1006 / 89 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 22 | 35 / 5 | $143.728,00 | 707 / 44 | $20.323,10 | 650 / 43 | $16.886,50 | 649 / 34 |
Permanent Cardiac Pacemaker Implant W Cc | 22 | 55 / 13 | $196.237,00 | 959 / 76 | $23.666,20 | 911 / 60 | $22.789,10 | 907 / 67 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 21 | 95 / 17 | $818.491,00 | 478 / 42 | $98.460,40 | 478 / 40 | $97.597,80 | 478 / 41 |
Fractures Of Hip & Pelvis W/O Mcc | 21 | 40 / 10 | $51.366,30 | 904 / 59 | $6.507,67 | 828 / 43 | $5.530,90 | 827 / 51 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 21 | 41 / 10 | $57.009,90 | 794 / 55 | $6.874,00 | 699 / 29 | $5.952,10 | 697 / 39 |
Spinal Fusion Except Cervical W/O Mcc | 20 | 174 / 46 | $468.760,00 | 1365 / 99 | $50.435,60 | 1349 / 96 | $45.595,90 | 1344 / 96 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 33 | $204.985,00 | 1837 / 133 | $25.052,90 | 1723 / 119 | $21.106,80 | 1709 / 106 |
Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 9 | $190.012,00 | 941 / 62 | $25.325,90 | 846 / 47 | $24.259,00 | 843 / 48 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 19 | 37 / 15 | $114.030,00 | 906 / 64 | $14.810,40 | 814 / 54 | $12.507,40 | 811 / 45 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 19 | 99 / 22 | $519.994,00 | 539 / 40 | $86.768,10 | 485 / 40 | $44.043,10 | 485 / 19 |
Seizures W/O Mcc | 18 | 90 / 24 | $81.644,90 | 1314 / 98 | $7.538,94 | 1076 / 54 | $6.005,06 | 1074 / 48 |
Seizures W Mcc | 18 | 48 / 12 | $125.671,00 | 755 / 47 | $13.724,90 | 629 / 27 | $12.853,80 | 629 / 31 |
G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 12 | $41.633,10 | 935 / 47 | $6.577,00 | 877 / 34 | $5.579,35 | 873 / 42 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 16 | 24 / 9 | $233.902,00 | 462 / 46 | $25.930,70 | 447 / 39 | $23.478,70 | 446 / 39 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 16 | 72 / 14 | $399.358,00 | 596 / 32 | $46.334,20 | 539 / 28 | $29.911,90 | 538 / 13 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 17 | $188.336,00 | 912 / 61 | $20.276,40 | 793 / 43 | $17.550,40 | 786 / 39 |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 20 | $105.710,00 | 1422 / 99 | $9.607,06 | 1286 / 65 | $8.553,06 | 1284 / 71 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 14 | $417.271,00 | 753 / 58 | $77.334,80 | 708 / 58 | $45.764,60 | 708 / 44 |
Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 17 | $70.470,70 | 1072 / 73 | $8.031,19 | 942 / 41 | $6.958,69 | 938 / 49 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 18 | $120.404,00 | 1109 / 80 | $11.820,30 | 1075 / 68 | $11.142,20 | 1073 / 72 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 25 | $209.779,00 | 820 / 50 | $20.153,60 | 780 / 35 | $19.169,60 | 776 / 42 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 15 | 40 / 12 | $149.112,00 | 636 / 40 | $17.099,80 | 574 / 27 | $16.052,30 | 570 / 30 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 15 | 32 / 7 | $105.783,00 | 508 / 23 | $13.408,30 | 470 / 16 | $12.200,80 | 470 / 23 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 15 | 66 / 14 | $1.898.880,00 | 453 / 35 | $244.546,00 | 450 / 29 | $240.573,00 | 449 / 32 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 11 | $101.619,00 | 569 / 43 | $10.833,70 | 512 / 29 | $8.745,27 | 511 / 25 |
Cervical Spinal Fusion W/O Cc/Mcc | 15 | 89 / 22 | $206.533,00 | 882 / 59 | $25.763,50 | 807 / 55 | $17.677,70 | 804 / 41 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 29 | $108.735,00 | 1458 / 129 | $10.740,30 | 1281 / 73 | $10.096,00 | 1276 / 84 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 14 | 84 / 19 | $370.402,00 | 503 / 42 | $44.641,10 | 483 / 29 | $43.777,10 | 483 / 35 |
Other Kidney & Urinary Tract Diagnoses W Cc | 14 | 89 / 25 | $71.130,20 | 844 / 51 | $9.050,29 | 751 / 31 | $8.618,29 | 751 / 42 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 14 | 55 / 10 | $960.961,00 | 294 / 20 | $116.984,00 | 288 / 16 | $108.429,00 | 288 / 16 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 14 | 52 / 20 | $142.510,00 | 565 / 41 | $16.851,80 | 476 / 28 | $14.287,80 | 472 / 20 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 41 | $524.399,00 | 1094 / 141 | $63.563,50 | 1057 / 123 | $62.267,40 | 1056 / 126 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 14 | 33 / 9 | $743.961,00 | 112 / 15 | $108.360,00 | 112 / 15 | $73.363,20 | 112 / 15 |
O.R. Procedures For Obesity W/O Cc/Mcc | 14 | 63 / 14 | $141.051,00 | 412 / 21 | $16.133,10 | 302 / 18 | $10.367,20 | 302 / 6 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 14 | 55 / 18 | $177.901,00 | 500 / 37 | $26.964,40 | 452 / 35 | $21.121,50 | 451 / 21 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 11 | $62.481,10 | 919 / 47 | $6.598,07 | 808 / 34 | $5.823,21 | 807 / 40 |
Major Chest Procedures W Mcc | 13 | 36 / 12 | $457.251,00 | 330 / 26 | $54.354,40 | 319 / 20 | $50.321,90 | 318 / 20 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 18 | $72.295,90 | 1043 / 73 | $11.229,90 | 957 / 43 | $10.585,00 | 953 / 51 |
Lymphoma & Non-Acute Leukemia W Mcc | 13 | 23 / 4 | $289.228,00 | 129 / 8 | $33.343,20 | 105 / 5 | $32.599,80 | 105 / 5 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 17 | $138.091,00 | 747 / 45 | $19.857,10 | 552 / 41 | $10.455,10 | 552 / 12 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 20 | $441.561,00 | 973 / 81 | $57.832,40 | 924 / 78 | $48.533,90 | 923 / 71 |
Dysequilibrium | 12 | 53 / 15 | $70.632,00 | 564 / 38 | $5.937,58 | 483 / 21 | $5.030,92 | 483 / 26 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 21 | $91.675,20 | 1252 / 91 | $10.220,90 | 1198 / 76 | $9.719,58 | 1195 / 85 |
Psychoses | 12 | 263 / 31 | $79.113,80 | 611 / 39 | $12.613,20 | 495 / 31 | $8.021,00 | 495 / 11 |
Respiratory Neoplasms W Cc | 12 | 35 / 12 | $101.032,00 | 505 / 30 | $11.655,00 | 385 / 20 | $8.819,33 | 384 / 9 |
Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 18 | $78.787,50 | 862 / 50 | $8.890,17 | 724 / 23 | $7.988,83 | 724 / 27 |
Interstitial Lung Disease W Mcc | 12 | 13 / 2 | $132.657,00 | 93 / 5 | $14.884,30 | 81 / 5 | $13.980,40 | 81 / 5 |
Organic Disturbances & Mental Retardation | 12 | 47 / 12 | $81.776,70 | 554 / 27 | $8.663,00 | 423 / 7 | $7.756,33 | 423 / 9 |
Combined Anterior/Posterior Spinal Fusion W Cc | 12 | 34 / 13 | $866.823,00 | 122 / 19 | $106.514,00 | 121 / 18 | $105.412,00 | 121 / 19 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 12 | 32 / 12 | $58.080,30 | 309 / 24 | $6.937,83 | 247 / 14 | $5.828,50 | 247 / 17 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 21 | $307.435,00 | 921 / 58 | $32.710,20 | 892 / 53 | $31.600,90 | 888 / 53 |
Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 3 | $57.522,80 | 325 / 7 | $7.511,58 | 280 / 5 | $6.500,92 | 279 / 5 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 8 | $52.098,00 | 447 / 18 | $6.162,92 | 405 / 14 | $5.152,25 | 404 / 16 |
Stomach, Esophageal & Duodenal Proc W Cc | 12 | 38 / 12 | $225.115,00 | 220 / 12 | $21.359,90 | 157 / 6 | $19.755,40 | 157 / 7 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 12 | 16 / 4 | $130.134,00 | 100 / 7 | $14.863,60 | 91 / 6 | $14.159,60 | 91 / 6 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 18 | $119.786,00 | 840 / 57 | $14.655,30 | 828 / 45 | $13.650,00 | 824 / 57 |
Peripheral Vascular Disorders W Mcc | 11 | 38 / 11 | $77.313,50 | 544 / 24 | $13.003,20 | 432 / 30 | $9.854,45 | 432 / 13 |
Diabetes W Cc | 11 | 81 / 24 | $59.679,20 | 1586 / 111 | $7.675,09 | 1367 / 64 | $6.590,00 | 1362 / 65 |
Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 22 | $282.721,00 | 664 / 38 | $29.964,50 | 625 / 24 | $28.969,60 | 623 / 26 |
Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 30 | $379.669,00 | 1002 / 64 | $40.448,60 | 996 / 60 | $39.346,20 | 995 / 61 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 20 | $65.431,50 | 723 / 43 | $11.473,40 | 493 / 44 | $5.993,18 | 493 / 7 |
Other Circulatory System Diagnoses W Mcc | 11 | 105 / 39 | $231.748,00 | 1396 / 135 | $27.378,10 | 1388 / 129 | $26.413,60 | 1380 / 132 |
Coronary Bypass W Cardiac Cath W/O Mcc | 11 | 65 / 17 | $447.486,00 | 613 / 33 | $47.370,20 | 572 / 30 | $38.323,20 | 572 / 22 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 13 | $253.164,00 | 602 / 46 | $31.772,30 | 542 / 31 | $31.007,20 | 542 / 34 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 11 | 84 / 19 | $259.803,00 | 602 / 41 | $25.122,40 | 574 / 38 | $18.880,00 | 570 / 36 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 37 | $116.271,00 | 1085 / 73 | $15.421,40 | 913 / 62 | $12.323,20 | 909 / 34 |
Pulmonary Embolism W Mcc | 11 | 32 / 9 | $166.269,00 | 580 / 30 | $16.638,10 | 570 / 27 | $15.870,10 | 569 / 28 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 11 | 80 / 23 | $133.775,00 | 401 / 34 | $13.343,60 | 319 / 21 | $9.633,64 | 319 / 16 | Total 117 procedures | 3.620 | 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.