Hospital Costs > In Texas > Good Shepherd 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 | 496 | 84 / 8 | $46.386,40 | 1645 / 85 | $12.200,50 | 1468 / 126 | $10.966,10 | 1439 / 136 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 186 | 378 / 42 | $48.013,60 | 1195 / 57 | $13.633,20 | 1460 / 92 | $11.945,70 | 1427 / 159 |
Heart Failure & Shock W Mcc | 183 | 101 / 8 | $34.871,50 | 1387 / 59 | $9.822,51 | 1411 / 114 | $8.881,97 | 1407 / 125 |
Simple Pneumonia & Pleurisy W Mcc | 145 | 60 / 9 | $35.201,10 | 1363 / 54 | $9.616,08 | 1335 / 114 | $8.377,22 | 1335 / 114 |
Renal Failure W Mcc | 119 | 77 / 14 | $36.553,40 | 1129 / 59 | $10.230,10 | 1008 / 90 | $8.949,53 | 1008 / 92 |
Heart Failure & Shock W Cc | 112 | 166 / 24 | $24.650,10 | 1640 / 74 | $6.940,33 | 1614 / 139 | $5.886,29 | 1609 / 140 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 105 | 102 / 14 | $22.614,40 | 1032 / 36 | $7.290,54 | 1427 / 109 | $6.146,03 | 1422 / 127 |
Pulmonary Edema & Respiratory Failure | 105 | 98 / 10 | $33.706,40 | 1236 / 53 | $8.393,40 | 1304 / 85 | $7.417,26 | 1300 / 106 |
Renal Failure W Cc | 101 | 120 / 21 | $21.363,90 | 1106 / 34 | $6.826,13 | 1471 / 118 | $5.705,26 | 1462 / 131 |
G.I. Hemorrhage W Cc | 100 | 118 / 15 | $22.800,40 | 1012 / 24 | $6.900,00 | 1334 / 93 | $5.736,83 | 1331 / 98 |
Simple Pneumonia & Pleurisy W Cc | 95 | 108 / 20 | $23.662,30 | 1506 / 62 | $6.791,56 | 1563 / 131 | $5.576,92 | 1556 / 130 |
Chronic Obstructive Pulmonary Disease W Mcc | 92 | 110 / 17 | $27.827,60 | 1335 / 50 | $7.981,40 | 1620 / 113 | $7.029,05 | 1612 / 144 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 84 | 98 / 18 | $30.998,70 | 1211 / 48 | $7.262,70 | 1107 / 73 | $6.010,67 | 1104 / 84 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 83 | 192 / 41 | $21.220,00 | 1521 / 70 | $5.454,61 | 1481 / 124 | $4.115,75 | 1470 / 122 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 78 | 53 / 8 | $65.157,50 | 1039 / 57 | $14.596,30 | 774 / 60 | $13.224,00 | 766 / 76 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 66 | 59 / 11 | $46.380,80 | 1045 / 41 | $11.332,10 | 894 / 74 | $9.975,62 | 893 / 73 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 63 | 105 / 21 | $38.674,70 | 650 / 12 | $11.501,60 | 598 / 55 | $9.625,37 | 597 / 41 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 63 | 133 / 20 | $80.088,70 | 867 / 58 | $13.525,40 | 349 / 53 | $10.267,30 | 349 / 43 |
Kidney & Urinary Tract Infections W/O Mcc | 60 | 173 / 55 | $17.073,90 | 1233 / 55 | $5.580,40 | 1792 / 147 | $4.680,38 | 1781 / 167 |
Kidney & Urinary Tract Infections W Mcc | 55 | 89 / 25 | $27.929,10 | 1093 / 50 | $7.575,87 | 1059 / 90 | $6.505,05 | 1056 / 93 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 55 | 69 / 16 | $115.445,00 | 694 / 30 | $30.480,50 | 341 / 30 | $28.255,00 | 341 / 33 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 55 | 68 / 15 | $31.328,00 | 1022 / 42 | $8.284,71 | 986 / 71 | $7.111,16 | 983 / 83 |
Cellulitis W/O Mcc | 54 | 135 / 37 | $18.285,40 | 1279 / 58 | $6.256,59 | 1270 / 143 | $4.495,91 | 1264 / 107 |
Hip & Femur Procedures Except Major Joint W Cc | 54 | 89 / 25 | $43.922,60 | 801 / 22 | $12.272,30 | 963 / 84 | $10.944,20 | 950 / 87 |
Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 27 | $19.561,40 | 955 / 21 | $6.485,73 | 1517 / 102 | $5.536,20 | 1511 / 125 |
G.I. Hemorrhage W Mcc | 48 | 73 / 13 | $45.537,40 | 880 / 38 | $11.596,90 | 778 / 60 | $10.491,40 | 775 / 66 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 47 | 114 / 26 | $19.977,50 | 1055 / 35 | $5.832,36 | 1474 / 105 | $4.938,62 | 1469 / 128 |
Transient Ischemia | 44 | 81 / 24 | $25.887,00 | 1002 / 37 | $5.199,98 | 911 / 67 | $3.886,82 | 906 / 68 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 45 | $18.641,60 | 1407 / 58 | $5.175,52 | 1675 / 132 | $4.286,50 | 1670 / 153 |
Other Circulatory System Diagnoses W Mcc | 42 | 74 / 17 | $42.099,50 | 539 / 19 | $12.180,10 | 636 / 51 | $11.267,40 | 634 / 63 |
Spinal Fusion Except Cervical W/O Mcc | 42 | 152 / 36 | $110.606,00 | 840 / 60 | $23.342,30 | 182 / 24 | $19.761,90 | 181 / 28 |
Heart Failure & Shock W/O Cc/Mcc | 42 | 68 / 15 | $17.963,60 | 1144 / 44 | $5.051,48 | 1385 / 101 | $4.196,43 | 1374 / 116 |
Extracranial Procedures W/O Cc/Mcc | 41 | 57 / 14 | $27.263,90 | 350 / 17 | $7.212,37 | 539 / 44 | $5.884,27 | 538 / 54 |
Respiratory Infections & Inflammations W Mcc | 40 | 96 / 25 | $40.304,90 | 800 / 29 | $11.910,70 | 735 / 55 | $10.993,60 | 727 / 63 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 39 | 111 / 26 | $17.214,30 | 1216 / 50 | $4.336,13 | 1284 / 92 | $3.145,51 | 1279 / 97 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 39 | 87 / 37 | $25.213,50 | 717 / 29 | $7.561,64 | 744 / 72 | $6.488,82 | 741 / 67 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 38 | 58 / 19 | $29.435,70 | 613 / 18 | $8.098,03 | 545 / 47 | $6.722,34 | 540 / 37 |
Syncope & Collapse | 38 | 131 / 30 | $20.014,20 | 853 / 17 | $5.344,13 | 1117 / 74 | $4.247,89 | 1110 / 84 |
Poisoning & Toxic Effects Of Drugs W Mcc | 36 | 36 / 6 | $34.796,10 | 467 / 20 | $9.514,14 | 406 / 30 | $8.179,00 | 405 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 35 | 67 / 22 | $27.580,90 | 1007 / 44 | $5.384,89 | 959 / 50 | $4.250,57 | 955 / 72 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 34 | 22 / 5 | $37.493,20 | 351 / 15 | $10.367,50 | 505 / 43 | $9.296,00 | 503 / 53 |
Red Blood Cell Disorders W/O Mcc | 32 | 111 / 35 | $18.367,90 | 744 / 22 | $5.718,00 | 805 / 92 | $4.303,38 | 800 / 68 |
G.I. Hemorrhage W/O Cc/Mcc | 29 | 39 / 4 | $17.323,50 | 439 / 12 | $5.186,86 | 629 / 44 | $4.138,72 | 625 / 55 |
Diabetes W Mcc | 29 | 28 / 7 | $35.654,70 | 391 / 17 | $9.941,31 | 411 / 35 | $8.752,34 | 411 / 35 |
Other Vascular Procedures W Mcc | 28 | 69 / 24 | $84.862,40 | 433 / 27 | $19.658,80 | 144 / 30 | $17.417,50 | 144 / 17 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 28 | 73 / 14 | $28.183,50 | 336 / 8 | $9.951,89 | 517 / 23 | $9.168,21 | 515 / 29 |
Major Cardiovasc Procedures W/O Mcc | 25 | 76 / 24 | $99.170,30 | 574 / 27 | $21.220,10 | 421 / 30 | $19.595,10 | 421 / 47 |
Major Small & Large Bowel Procedures W Cc | 24 | 84 / 27 | $64.448,40 | 738 / 32 | $16.385,80 | 709 / 48 | $14.388,90 | 703 / 60 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 24 | 68 / 22 | $107.288,00 | 234 / 10 | $33.366,80 | 177 / 19 | $31.411,70 | 177 / 21 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 30 | $17.575,30 | 972 / 38 | $5.189,38 | 1333 / 100 | $4.103,38 | 1325 / 119 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 32 | $16.255,80 | 934 / 23 | $5.219,62 | 1413 / 93 | $4.262,21 | 1402 / 112 |
Acute Myocardial Infarction, Discharged Alive W Cc | 24 | 67 / 22 | $31.844,60 | 808 / 25 | $7.163,00 | 790 / 47 | $6.097,25 | 788 / 59 |
Chest Pain | 23 | 128 / 44 | $16.725,90 | 665 / 13 | $4.571,52 | 966 / 69 | $3.499,74 | 960 / 77 |
Seizures W Mcc | 23 | 43 / 11 | $36.480,30 | 293 / 10 | $10.015,00 | 284 / 27 | $8.765,00 | 284 / 31 |
Diabetes W Cc | 23 | 69 / 28 | $19.025,30 | 623 / 11 | $5.973,48 | 1020 / 62 | $5.191,17 | 1016 / 80 |
Renal Failure W/O Cc/Mcc | 23 | 33 / 10 | $15.621,80 | 399 / 18 | $4.765,61 | 549 / 38 | $3.738,61 | 548 / 46 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 22 | 34 / 12 | $48.314,30 | 400 / 19 | $14.663,70 | 152 / 33 | $10.246,50 | 152 / 10 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 52 | $42.058,80 | 1007 / 60 | $7.534,86 | 842 / 69 | $5.989,86 | 840 / 79 |
Pulmonary Embolism W/O Mcc | 21 | 53 / 16 | $32.509,70 | 904 / 37 | $7.175,10 | 306 / 41 | $4.816,57 | 306 / 20 |
Hip & Femur Procedures Except Major Joint W Mcc | 21 | 41 / 20 | $79.638,80 | 525 / 24 | $18.689,30 | 399 / 33 | $17.268,80 | 396 / 34 |
Peripheral Vascular Disorders W Cc | 21 | 63 / 22 | $25.350,50 | 655 / 27 | $6.598,33 | 591 / 34 | $5.542,90 | 589 / 46 |
Other Vascular Procedures W Cc | 20 | 82 / 34 | $81.503,00 | 663 / 46 | $16.274,20 | 516 / 47 | $15.055,80 | 513 / 68 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 20 | 80 / 26 | $115.802,00 | 637 / 44 | $20.708,10 | 454 / 37 | $19.294,40 | 450 / 52 |
Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 24 | $97.603,60 | 356 / 9 | $30.858,90 | 456 / 34 | $29.215,80 | 454 / 44 |
G.I. Obstruction W Cc | 20 | 72 / 30 | $24.590,80 | 968 / 29 | $6.331,00 | 837 / 66 | $4.866,00 | 835 / 59 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 17 | $38.302,90 | 228 / 3 | $11.121,40 | 428 / 45 | $9.167,47 | 428 / 46 |
Cellulitis W Mcc | 19 | 39 / 14 | $37.103,10 | 528 / 31 | $9.515,21 | 398 / 28 | $8.311,74 | 396 / 37 |
Seizures W/O Mcc | 19 | 89 / 28 | $19.848,80 | 546 / 10 | $5.503,47 | 635 / 42 | $4.357,16 | 632 / 51 |
Permanent Cardiac Pacemaker Implant W Mcc | 18 | 34 / 10 | $100.171,00 | 326 / 16 | $22.285,90 | 237 / 16 | $21.381,40 | 237 / 19 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 18 | 35 / 6 | $21.712,80 | 86 / 2 | $8.202,61 | 223 / 15 | $7.158,94 | 223 / 25 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 17 | 23 / 8 | $60.883,40 | 179 / 5 | $15.819,60 | 217 / 13 | $14.662,80 | 216 / 21 |
Other Vascular Procedures W/O Cc/Mcc | 16 | 40 / 16 | $33.960,40 | 100 / 3 | $11.054,10 | 310 / 26 | $10.049,20 | 309 / 34 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 21 | $59.494,30 | 458 / 19 | $13.582,60 | 459 / 28 | $12.634,10 | 453 / 39 |
Signs & Symptoms W/O Mcc | 16 | 75 / 26 | $19.683,40 | 638 / 15 | $5.221,88 | 772 / 48 | $4.204,81 | 769 / 53 |
Major Cardiovasc Procedures W Mcc | 16 | 52 / 17 | $126.720,00 | 242 / 10 | $31.317,20 | 179 / 12 | $30.209,20 | 179 / 19 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 16 | 47 / 11 | $84.051,50 | 139 / 10 | $21.785,80 | 148 / 8 | $20.414,80 | 148 / 14 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 20 | $64.682,10 | 529 / 26 | $13.853,60 | 271 / 29 | $11.439,10 | 268 / 28 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 15 | 39 / 13 | $16.868,90 | 111 / 3 | $5.359,93 | 211 / 13 | $4.438,33 | 211 / 21 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 14 | $21.088,10 | 243 / 4 | $6.243,87 | 362 / 16 | $5.253,73 | 362 / 23 |
Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 24 | $67.653,40 | 451 / 20 | $16.859,60 | 513 / 40 | $16.001,10 | 512 / 55 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 15 | 54 / 11 | $64.768,60 | 308 / 9 | $11.795,90 | 318 / 14 | $10.717,30 | 318 / 18 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 15 | $27.106,60 | 513 / 13 | $5.814,86 | 435 / 31 | $4.090,86 | 432 / 26 |
Other Disorders Of Nervous System W Cc | 14 | 42 / 12 | $23.516,70 | 249 / 6 | $6.363,00 | 264 / 13 | $5.137,79 | 264 / 20 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 23 | $17.295,60 | 685 / 29 | $4.674,21 | 931 / 50 | $3.757,93 | 928 / 74 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 14 | 17 / 9 | $63.383,10 | 92 / 6 | $12.160,60 | 7 / 6 | $8.615,36 | 7 / 1 |
Major Chest Procedures W Mcc | 13 | 36 / 13 | $101.998,00 | 97 / 4 | $31.389,30 | 137 / 10 | $30.009,40 | 137 / 15 |
Coronary Bypass W/O Cardiac Cath W Mcc | 13 | 46 / 13 | $147.099,00 | 111 / 8 | $32.433,40 | 57 / 5 | $31.430,20 | 57 / 6 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 13 | 61 / 15 | $61.796,70 | 113 / 8 | $13.899,50 | 50 / 6 | $12.358,50 | 50 / 8 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 13 | 23 / 10 | $51.074,20 | 120 / 5 | $15.611,80 | 156 / 11 | $14.236,60 | 156 / 15 |
Nonspecific Cerebrovascular Disorders W Cc | 13 | 43 / 16 | $28.521,70 | 274 / 7 | $6.400,23 | 181 / 10 | $5.339,15 | 181 / 13 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 13 | 82 / 20 | $67.013,80 | 237 / 14 | $12.715,60 | 293 / 18 | $11.809,00 | 290 / 35 |
Disorders Of The Biliary Tract W Mcc | 13 | 26 / 5 | $34.591,20 | 73 / 1 | $10.626,80 | 73 / 2 | $9.560,77 | 73 / 5 |
Nonspecific Cerebrovascular Disorders W Mcc | 13 | 38 / 13 | $38.192,10 | 180 / 5 | $10.396,20 | 101 / 10 | $8.917,31 | 101 / 7 |
Hypertension W/O Mcc | 13 | 52 / 20 | $17.542,90 | 319 / 11 | $4.747,54 | 483 / 35 | $3.684,15 | 481 / 47 |
Medical Back Problems W/O Mcc | 13 | 108 / 37 | $21.029,30 | 607 / 13 | $6.063,15 | 951 / 57 | $5.099,92 | 948 / 73 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 13 | 34 / 13 | $47.057,20 | 287 / 11 | $9.896,23 | 299 / 10 | $8.713,23 | 299 / 17 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 19 | $38.906,00 | 279 / 13 | $10.864,70 | 456 / 28 | $9.569,92 | 456 / 41 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 14 | $36.332,30 | 252 / 15 | $8.327,54 | 391 / 29 | $7.237,31 | 390 / 45 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 13 | 63 / 19 | $32.427,40 | 125 / 7 | $12.014,20 | 138 / 22 | $10.377,80 | 138 / 21 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 19 | $51.503,30 | 275 / 9 | $12.663,60 | 317 / 14 | $11.451,70 | 315 / 21 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 12 | $13.866,10 | 289 / 4 | $5.080,08 | 449 / 10 | $4.233,75 | 448 / 15 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 12 | 17 / 4 | $42.513,00 | 28 / 1 | $14.349,20 | 26 / 2 | $13.210,00 | 26 / 2 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 33 | $32.770,90 | 782 / 34 | $9.241,08 | 803 / 77 | $7.995,50 | 798 / 76 |
Coronary Bypass W Cardiac Cath W Mcc | 12 | 44 / 16 | $194.502,00 | 222 / 18 | $39.643,40 | 99 / 4 | $38.244,90 | 99 / 12 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 12 | 20 / 9 | $38.724,60 | 37 / 2 | $12.281,50 | 7 / 2 | $11.426,00 | 7 / 1 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 19 | $20.960,60 | 332 / 3 | $6.487,92 | 575 / 25 | $5.554,17 | 572 / 38 |
Peripheral Vascular Disorders W Mcc | 12 | 37 / 15 | $31.858,20 | 231 / 12 | $8.888,25 | 171 / 18 | $7.500,50 | 171 / 20 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 27 | $24.123,40 | 362 / 10 | $6.745,55 | 432 / 19 | $5.975,18 | 432 / 27 |
Extracranial Procedures W Cc | 11 | 35 / 16 | $54.599,50 | 261 / 18 | $10.629,80 | 74 / 14 | $7.926,00 | 74 / 7 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 24 | $22.175,10 | 234 / 18 | $6.334,73 | 256 / 21 | $5.723,36 | 256 / 30 |
Other O.R. Procedures For Injuries W Mcc | 11 | 26 / 10 | $115.637,00 | 120 / 7 | $23.647,70 | 24 / 3 | $20.751,80 | 24 / 3 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 15 | $54.735,10 | 337 / 11 | $13.754,80 | 379 / 18 | $12.554,40 | 378 / 27 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 11 | 40 / 14 | $29.718,80 | 36 / 2 | $12.177,10 | 106 / 5 | $11.314,60 | 106 / 7 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 18 | $22.531,40 | 115 / 3 | $6.951,91 | 173 / 10 | $6.029,73 | 173 / 14 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 18 | $79.421,40 | 208 / 7 | $22.539,70 | 208 / 19 | $20.706,40 | 207 / 19 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 24 | $123.426,00 | 358 / 16 | $32.205,50 | 136 / 33 | $25.943,40 | 136 / 14 | Total 116 procedures | 4.577 | 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.