Hospital Costs > In Maryland > Greater Baltimore 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 | 329 | 244 / 10 | $20.376,90 | 20 / 10 | $18.934,40 | 2457 / 10 | $16.925,00 | 2411 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 220 | 296 / 15 | $20.501,80 | 284 / 26 | $18.920,50 | 2692 / 26 | $17.928,00 | 2647 / 27 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 182 | 94 / 6 | $8.151,29 | 98 / 31 | $7.575,70 | 2470 / 31 | $6.338,75 | 2455 / 29 |
Heart Failure & Shock W Cc | 174 | 105 / 13 | $9.414,68 | 95 / 25 | $8.698,59 | 2421 / 26 | $7.866,87 | 2415 / 26 |
Kidney & Urinary Tract Infections W/O Mcc | 144 | 89 / 11 | $8.001,28 | 114 / 29 | $7.397,90 | 2462 / 29 | $6.454,31 | 2451 / 29 |
Cellulitis W/O Mcc | 135 | 55 / 5 | $8.416,76 | 123 / 24 | $7.793,02 | 2346 / 24 | $6.744,23 | 2338 / 25 |
G.I. Hemorrhage W Cc | 132 | 86 / 5 | $10.196,60 | 50 / 24 | $9.414,91 | 2198 / 24 | $8.375,28 | 2194 / 24 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 128 | 79 / 9 | $11.134,20 | 92 / 22 | $10.331,00 | 2369 / 24 | $9.121,66 | 2359 / 24 |
Pulmonary Edema & Respiratory Failure | 113 | 90 / 8 | $14.326,40 | 115 / 11 | $13.212,20 | 2153 / 11 | $12.475,40 | 2147 / 13 |
Simple Pneumonia & Pleurisy W Cc | 113 | 90 / 15 | $10.105,90 | 117 / 28 | $9.341,39 | 2579 / 28 | $8.277,15 | 2570 / 27 |
Syncope & Collapse | 109 | 60 / 5 | $7.750,25 | 31 / 20 | $7.221,21 | 1686 / 21 | $6.027,17 | 1678 / 19 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 108 | 58 / 7 | $8.222,56 | 164 / 30 | $7.614,31 | 2392 / 30 | $6.722,32 | 2383 / 29 |
Medical Back Problems W/O Mcc | 95 | 28 / 1 | $10.030,60 | 55 / 28 | $9.304,86 | 1407 / 28 | $7.953,73 | 1402 / 27 |
Chronic Obstructive Pulmonary Disease W Cc | 78 | 101 / 20 | $10.546,70 | 128 / 33 | $9.753,78 | 2316 / 33 | $8.702,73 | 2309 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 76 | 106 / 18 | $10.776,70 | 34 / 23 | $9.963,18 | 1899 / 23 | $8.966,25 | 1895 / 23 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 75 | 75 / 9 | $5.810,04 | 33 / 22 | $5.421,05 | 1758 / 22 | $4.319,63 | 1752 / 22 |
Renal Failure W Cc | 71 | 150 / 19 | $11.318,10 | 168 / 36 | $10.448,50 | 2333 / 36 | $9.332,38 | 2323 / 36 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 68 | 93 / 11 | $9.594,24 | 88 / 31 | $8.915,69 | 2056 / 31 | $7.704,90 | 2051 / 30 |
Spinal Fusion Except Cervical W/O Mcc | 67 | 127 / 11 | $42.755,90 | 58 / 14 | $40.162,10 | 1292 / 15 | $35.264,40 | 1287 / 12 |
Heart Failure & Shock W Mcc | 65 | 219 / 28 | $15.799,40 | 182 / 32 | $14.571,00 | 2467 / 32 | $13.736,60 | 2456 / 31 |
Major Small & Large Bowel Procedures W Cc | 60 | 48 / 6 | $23.939,90 | 15 / 11 | $22.124,20 | 1400 / 11 | $20.776,50 | 1386 / 12 |
Red Blood Cell Disorders W/O Mcc | 57 | 86 / 13 | $8.830,09 | 61 / 26 | $8.150,95 | 1851 / 26 | $7.314,74 | 1842 / 26 |
Hip & Femur Procedures Except Major Joint W Cc | 55 | 88 / 10 | $20.374,60 | 33 / 20 | $18.819,80 | 1950 / 21 | $17.368,30 | 1930 / 19 |
Transient Ischemia | 52 | 73 / 13 | $8.465,87 | 43 / 29 | $7.842,33 | 1586 / 29 | $6.812,60 | 1578 / 31 |
G.I. Obstruction W Cc | 50 | 42 / 6 | $8.623,14 | 31 / 22 | $7.991,54 | 1536 / 22 | $6.908,46 | 1531 / 23 |
Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 16 | $15.685,40 | 150 / 29 | $14.503,50 | 2368 / 29 | $12.933,00 | 2362 / 26 |
G.I. Obstruction W/O Cc/Mcc | 48 | 23 / 1 | $5.876,60 | 17 / 16 | $5.461,00 | 1120 / 16 | $4.401,23 | 1117 / 18 |
Chest Pain | 47 | 104 / 14 | $6.736,57 | 41 / 24 | $6.247,36 | 1526 / 24 | $5.430,38 | 1517 / 28 |
Other Digestive System Diagnoses W Cc | 46 | 51 / 6 | $7.652,65 | 8 / 7 | $7.209,63 | 932 / 8 | $6.250,57 | 928 / 6 |
Heart Failure & Shock W/O Cc/Mcc | 44 | 66 / 15 | $6.469,50 | 35 / 18 | $5.977,50 | 1703 / 18 | $5.089,14 | 1690 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 44 | 124 / 17 | $12.926,40 | 13 / 10 | $12.042,20 | 660 / 10 | $9.769,05 | 659 / 7 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 43 | 83 / 15 | $13.605,20 | 107 / 36 | $12.552,40 | 1654 / 36 | $11.591,10 | 1651 / 36 |
Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 26 | $16.927,40 | 471 / 41 | $15.614,60 | 2558 / 41 | $14.555,20 | 2550 / 41 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 43 | 81 / 5 | $7.904,37 | 77 / 19 | $7.353,19 | 745 / 19 | $6.463,98 | 744 / 19 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 40 | 53 / 10 | $7.531,60 | 67 / 28 | $7.056,92 | 1794 / 29 | $5.643,15 | 1786 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 39 | 63 / 14 | $8.850,10 | 29 / 24 | $8.249,10 | 1490 / 23 | $6.676,69 | 1486 / 21 |
Fractures Of Hip & Pelvis W/O Mcc | 39 | 22 / 3 | $8.648,90 | 44 / 21 | $7.989,74 | 885 / 21 | $6.873,03 | 884 / 21 |
Other Vascular Procedures W Cc | 36 | 66 / 7 | $19.476,50 | 7 / 7 | $18.035,60 | 643 / 7 | $15.893,80 | 640 / 6 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 36 | 26 / 4 | $7.141,83 | 19 / 14 | $6.843,08 | 655 / 16 | $5.491,92 | 653 / 14 |
Organic Disturbances & Mental Retardation | 35 | 24 / 6 | $10.674,90 | 34 / 20 | $9.854,51 | 479 / 20 | $8.817,71 | 479 / 20 |
Degenerative Nervous System Disorders W/O Mcc | 35 | 43 / 9 | $11.171,80 | 45 / 22 | $10.310,90 | 798 / 23 | $9.342,66 | 798 / 22 |
Respiratory Infections & Inflammations W Cc | 34 | 54 / 10 | $13.532,80 | 64 / 19 | $12.480,30 | 1384 / 19 | $11.779,60 | 1379 / 19 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 33 | 35 / 2 | $7.174,73 | 7 / 4 | $6.847,39 | 467 / 6 | $5.783,94 | 467 / 5 |
Dysequilibrium | 32 | 33 / 4 | $6.868,03 | 17 / 17 | $6.348,78 | 492 / 17 | $5.252,78 | 492 / 18 |
Other Disorders Of Nervous System W Cc | 31 | 25 / 3 | $8.025,77 | 9 / 6 | $7.477,06 | 411 / 5 | $5.914,29 | 411 / 7 |
Signs & Symptoms W/O Mcc | 30 | 61 / 17 | $8.365,13 | 53 / 28 | $7.722,07 | 1247 / 27 | $6.918,87 | 1244 / 27 |
Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 18 | $13.736,30 | 178 / 33 | $12.709,80 | 1905 / 33 | $11.901,40 | 1901 / 33 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 29 | 18 / 2 | $9.247,03 | 26 / 18 | $8.536,69 | 362 / 18 | $7.621,93 | 362 / 19 |
Peripheral Vascular Disorders W Cc | 29 | 55 / 7 | $13.285,10 | 117 / 33 | $12.298,10 | 1241 / 33 | $11.371,30 | 1238 / 33 |
Other Kidney & Urinary Tract Diagnoses W Cc | 29 | 74 / 8 | $9.401,14 | 24 / 16 | $8.718,83 | 694 / 16 | $7.795,41 | 694 / 15 |
G.I. Hemorrhage W Mcc | 29 | 92 / 15 | $17.677,00 | 47 / 25 | $16.344,40 | 1507 / 25 | $15.327,40 | 1497 / 24 |
Major Cardiovasc Procedures W/O Mcc | 29 | 72 / 7 | $38.407,00 | 24 / 19 | $35.397,90 | 986 / 19 | $34.526,20 | 985 / 19 |
Diabetes W Cc | 29 | 63 / 18 | $9.442,28 | 68 / 25 | $8.816,52 | 1473 / 25 | $7.519,52 | 1468 / 21 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 29 | 67 / 8 | $21.436,40 | 4 / 3 | $19.771,00 | 771 / 3 | $18.573,80 | 767 / 4 |
Other Circulatory System Diagnoses W Mcc | 28 | 88 / 17 | $19.845,40 | 51 / 21 | $18.296,20 | 1269 / 21 | $17.564,80 | 1261 / 21 |
Red Blood Cell Disorders W Mcc | 28 | 43 / 7 | $9.868,25 | 11 / 8 | $9.101,75 | 742 / 8 | $8.541,75 | 738 / 9 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 19 | $36.990,60 | 13 / 9 | $34.094,70 | 839 / 9 | $33.149,60 | 833 / 10 |
Pulmonary Embolism W/O Mcc | 27 | 47 / 13 | $9.432,30 | 27 / 17 | $8.709,48 | 1150 / 16 | $7.681,93 | 1147 / 16 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 27 | 46 / 9 | $13.005,00 | 72 / 26 | $11.990,90 | 1084 / 26 | $11.454,00 | 1082 / 26 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 26 | 38 / 5 | $17.351,30 | 13 / 10 | $16.191,40 | 697 / 10 | $13.349,50 | 697 / 10 |
G.I. Hemorrhage W/O Cc/Mcc | 26 | 42 / 11 | $6.826,88 | 27 / 19 | $6.384,85 | 811 / 20 | $4.983,81 | 807 / 15 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 26 | 75 / 9 | $16.652,70 | 65 / 22 | $15.371,00 | 1014 / 22 | $14.190,30 | 1010 / 19 |
Bronchitis & Asthma W Cc/Mcc | 25 | 51 / 12 | $9.977,96 | 49 / 24 | $9.213,08 | 1012 / 24 | $8.151,96 | 1008 / 24 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 24 | $7.825,32 | 87 / 28 | $7.227,08 | 1948 / 29 | $6.308,04 | 1937 / 29 |
Disorders Of The Biliary Tract W Cc | 25 | 29 / 3 | $8.931,88 | 8 / 8 | $8.350,80 | 302 / 8 | $6.982,08 | 302 / 7 |
Bone Diseases & Arthropathies W/O Mcc | 25 | 19 / 5 | $10.421,90 | 51 / 26 | $9.674,84 | 272 / 26 | $8.345,84 | 272 / 26 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 24 | 16 / 2 | $23.851,10 | 7 / 5 | $21.991,80 | 214 / 5 | $20.983,80 | 214 / 5 |
Seizures W/O Mcc | 24 | 84 / 22 | $7.779,88 | 30 / 19 | $7.247,25 | 1085 / 19 | $6.056,17 | 1083 / 19 |
Extracranial Procedures W/O Cc/Mcc | 23 | 75 / 10 | $7.701,57 | 5 / 5 | $7.282,39 | 452 / 5 | $5.600,61 | 451 / 5 |
Renal Failure W Mcc | 23 | 172 / 22 | $12.164,10 | 16 / 3 | $11.222,00 | 1529 / 3 | $10.397,30 | 1528 / 3 |
Other Circulatory System Diagnoses W Cc | 23 | 43 / 6 | $10.434,60 | 29 / 22 | $9.629,09 | 618 / 22 | $8.788,74 | 617 / 23 |
Permanent Cardiac Pacemaker Implant W Cc | 23 | 54 / 7 | $18.944,40 | 1 / 1 | $17.800,60 | 552 / 2 | $16.325,30 | 551 / 1 |
Respiratory Infections & Inflammations W Mcc | 23 | 113 / 14 | $19.704,70 | 96 / 18 | $18.267,50 | 1677 / 18 | $16.503,30 | 1661 / 16 |
Respiratory Signs & Symptoms | 22 | 24 / 2 | $8.881,00 | 14 / 11 | $8.260,36 | 290 / 11 | $7.006,36 | 290 / 9 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 14 | $17.129,80 | 115 / 30 | $15.799,80 | 1450 / 30 | $14.812,20 | 1445 / 31 |
Female Reproductive System Reconstructive Procedures | 21 | 5 / 2 | $7.922,76 | 1 / 1 | $7.385,38 | 16 / 1 | $5.879,95 | 16 / 1 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 21 | 25 / 4 | $10.355,40 | 6 / 4 | $9.665,05 | 212 / 4 | $7.716,10 | 212 / 2 |
Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 10 | $49.591,80 | 32 / 20 | $45.704,40 | 1178 / 20 | $44.672,80 | 1175 / 21 |
Postoperative & Post-Traumatic Infections W Mcc | 20 | 23 / 2 | $12.233,50 | 4 / 4 | $11.288,60 | 45 / 4 | $10.326,60 | 45 / 4 |
Nonspecific Cerebrovascular Disorders W Cc | 20 | 36 / 4 | $11.993,70 | 18 / 13 | $11.063,20 | 452 / 13 | $10.340,00 | 452 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 18 | $15.891,00 | 149 / 29 | $14.652,00 | 1884 / 29 | $13.988,00 | 1881 / 30 |
O.R. Procedures For Obesity W/O Cc/Mcc | 19 | 58 / 4 | $12.511,60 | 2 / 1 | $11.549,70 | 301 / 1 | $10.345,50 | 301 / 1 |
Other Digestive System Diagnoses W Mcc | 19 | 43 / 7 | $13.188,20 | 11 / 8 | $12.162,30 | 477 / 8 | $11.497,10 | 476 / 8 |
Hypertension W/O Mcc | 19 | 46 / 10 | $5.415,84 | 12 / 8 | $5.005,42 | 568 / 8 | $4.185,21 | 566 / 10 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 18 | 38 / 8 | $15.548,00 | 10 / 10 | $14.445,10 | 803 / 10 | $12.768,90 | 799 / 10 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 18 | 10 / 1 | $17.453,80 | 3 / 2 | $16.101,30 | 95 / 2 | $14.958,20 | 95 / 2 |
Lymphoma & Non-Acute Leukemia W Cc | 18 | 18 / 2 | $27.137,30 | 12 / 5 | $25.020,60 | 134 / 5 | $23.937,10 | 134 / 5 |
Endocrine Disorders W Cc | 18 | 20 / 3 | $11.821,70 | 15 / 8 | $10.907,40 | 288 / 8 | $10.032,80 | 288 / 9 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 22 | $22.044,20 | 26 / 12 | $20.328,60 | 1625 / 12 | $19.253,10 | 1611 / 12 |
Renal Failure W/O Cc/Mcc | 17 | 39 / 16 | $6.281,65 | 18 / 14 | $5.805,29 | 743 / 14 | $4.877,29 | 741 / 14 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 17 | 27 / 4 | $20.889,50 | 4 / 4 | $19.260,40 | 262 / 3 | $18.403,90 | 260 / 5 |
Peripheral Vascular Disorders W Mcc | 17 | 32 / 8 | $22.752,80 | 86 / 18 | $21.153,50 | 587 / 18 | $18.854,70 | 587 / 18 |
Major Chest Procedures W Cc | 17 | 57 / 6 | $19.850,90 | 2 / 2 | $18.305,20 | 354 / 2 | $17.379,10 | 352 / 2 |
Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 13 | $7.834,88 | 13 / 13 | $7.305,18 | 742 / 13 | $6.429,12 | 739 / 14 |
G.I. Obstruction W Mcc | 17 | 25 / 1 | $16.098,50 | 13 / 7 | $14.844,10 | 490 / 7 | $14.136,30 | 490 / 7 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 16 | 75 / 5 | $9.813,75 | 12 / 5 | $9.048,00 | 269 / 5 | $8.672,00 | 269 / 5 |
Tendonitis, Myositis & Bursitis W/O Mcc | 16 | 26 / 9 | $8.796,62 | 19 / 14 | $8.203,12 | 297 / 15 | $6.935,44 | 296 / 13 |
Other Disorders Of Nervous System W/O Cc/Mcc | 16 | 19 / 3 | $7.914,94 | 5 / 5 | $7.312,25 | 133 / 4 | $6.256,25 | 133 / 5 |
Extracranial Procedures W Cc | 16 | 30 / 7 | $12.050,30 | 8 / 7 | $11.123,40 | 257 / 7 | $9.997,38 | 257 / 7 |
Other Digestive System Diagnoses W/O Cc/Mcc | 16 | 27 / 5 | $6.815,44 | 14 / 12 | $6.455,94 | 292 / 12 | $5.020,38 | 292 / 10 |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 23 | $7.855,56 | 12 / 10 | $7.254,81 | 895 / 10 | $6.346,81 | 893 / 12 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 13 | $10.102,30 | 102 / 26 | $9.322,80 | 897 / 26 | $8.496,13 | 896 / 26 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 15 | 48 / 4 | $33.509,90 | 5 / 4 | $31.087,20 | 219 / 4 | $27.535,80 | 218 / 5 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 15 | 55 / 11 | $11.874,60 | 34 / 18 | $10.953,50 | 534 / 18 | $10.228,10 | 534 / 17 |
Bronchitis & Asthma W/O Cc/Mcc | 14 | 31 / 7 | $6.861,71 | 17 / 12 | $6.339,93 | 330 / 12 | $5.391,36 | 330 / 12 |
Other Vascular Procedures W/O Cc/Mcc | 14 | 42 / 10 | $13.546,20 | 3 / 3 | $12.501,10 | 411 / 3 | $11.378,80 | 410 / 3 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 10 | $7.572,50 | 1 / 1 | $6.990,21 | 101 / 1 | $6.275,93 | 101 / 1 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 14 | 52 / 10 | $23.445,50 | 26 / 12 | $21.736,90 | 566 / 12 | $19.049,90 | 562 / 13 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 14 | 26 / 4 | $13.512,10 | 15 / 6 | $12.578,00 | 271 / 6 | $10.297,80 | 271 / 5 |
Other Respiratory System Diagnoses W/O Mcc | 13 | 33 / 7 | $8.875,00 | 11 / 8 | $8.177,38 | 302 / 7 | $8.083,85 | 302 / 10 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 13 | 23 / 7 | $31.057,80 | 29 / 11 | $28.629,00 | 360 / 11 | $27.703,50 | 359 / 11 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 16 | $11.018,30 | 9 / 4 | $10.274,80 | 692 / 4 | $8.615,23 | 691 / 4 |
Kidney & Ureter Procedures For Neoplasm W Cc | 13 | 31 / 2 | $18.484,20 | 2 / 2 | $17.261,90 | 114 / 2 | $14.593,20 | 114 / 1 |
Respiratory Neoplasms W Mcc | 13 | 39 / 12 | $23.842,00 | 61 / 23 | $21.978,00 | 638 / 22 | $21.242,00 | 635 / 23 |
Fever | 13 | 33 / 5 | $10.116,20 | 15 / 7 | $9.437,23 | 314 / 7 | $8.119,23 | 314 / 7 |
Medical Back Problems W Mcc | 13 | 26 / 5 | $15.009,30 | 10 / 6 | $13.843,20 | 280 / 6 | $13.003,80 | 280 / 7 |
Major Chest Procedures W/O Cc/Mcc | 13 | 46 / 7 | $18.024,50 | 5 / 4 | $16.762,60 | 219 / 4 | $14.185,60 | 219 / 2 |
Headaches W/O Mcc | 13 | 30 / 6 | $7.480,85 | 8 / 8 | $6.908,08 | 215 / 8 | $6.073,62 | 215 / 8 |
Complications Of Treatment W Mcc | 12 | 39 / 4 | $11.267,90 | 3 / 2 | $10.394,00 | 59 / 2 | $9.692,67 | 59 / 2 |
Postoperative & Post-Traumatic Infections W/O Mcc | 12 | 42 / 10 | $10.186,90 | 16 / 8 | $9.512,42 | 371 / 8 | $8.075,00 | 371 / 6 |
Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 4 | $16.195,30 | 7 / 4 | $14.935,10 | 367 / 4 | $14.129,80 | 367 / 5 |
Other Circulatory System O.R. Procedures | 12 | 43 / 10 | $16.592,20 | 2 / 2 | $15.302,60 | 66 / 2 | $14.401,20 | 66 / 2 |
Other O.R. Procedures For Injuries W Cc | 12 | 23 / 3 | $17.539,00 | 1 / 1 | $16.169,10 | 136 / 1 | $15.566,40 | 136 / 1 |
Disorders Of The Biliary Tract W Mcc | 12 | 27 / 7 | $10.927,60 | 1 / 1 | $10.084,50 | 59 / 1 | $9.183,17 | 59 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 8 | $11.032,10 | 6 / 5 | $10.180,80 | 533 / 6 | $9.274,17 | 532 / 8 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 4 | $26.750,50 | 10 / 9 | $24.658,80 | 450 / 9 | $23.856,10 | 449 / 9 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 12 | 17 / 3 | $8.186,00 | 9 / 6 | $7.553,00 | 125 / 6 | $6.947,67 | 124 / 6 |
Peritoneal Adhesiolysis W Cc | 12 | 27 / 9 | $21.260,80 | 6 / 5 | $19.609,60 | 243 / 5 | $18.396,20 | 243 / 5 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 9 | $20.517,20 | 12 / 9 | $18.922,70 | 606 / 9 | $17.813,30 | 602 / 9 |
Digestive Malignancy W Cc | 12 | 35 / 8 | $17.584,50 | 27 / 12 | $16.216,90 | 390 / 12 | $15.307,60 | 388 / 12 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 15 | $16.793,30 | 21 / 18 | $15.491,80 | 870 / 17 | $14.398,00 | 867 / 19 |
Psychoses | 11 | 264 / 31 | $11.131,80 | 91 / 23 | $10.273,80 | 554 / 23 | $9.312,36 | 554 / 23 |
Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 13 | $23.661,00 | 19 / 5 | $21.818,20 | 853 / 4 | $20.718,50 | 850 / 8 |
Other O.R. Procedures For Injuries W Mcc | 11 | 26 / 3 | $28.636,40 | 2 / 2 | $26.400,50 | 71 / 2 | $25.363,40 | 71 / 2 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 12 | $30.318,50 | 2 / 2 | $27.948,50 | 187 / 2 | $26.992,90 | 187 / 2 |
Other Skin, Subcut Tiss & Breast Proc W Cc | 11 | 13 / 3 | $14.972,40 | 4 / 4 | $14.006,00 | 72 / 4 | $11.171,00 | 72 / 3 |
Minor Skin Disorders W/O Mcc | 11 | 14 / 3 | $8.259,18 | 2 / 2 | $7.623,55 | 53 / 2 | $6.861,36 | 53 / 2 |
Vagina, Cervix & Vulva Procedures W/O Cc/Mcc | 11 | 11 / 2 | $6.678,82 | 1 / 1 | $6.176,82 | 9 / 1 | $4.963,73 | 9 / 1 |
Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/Mcc | 11 | 8 / 2 | $9.422,36 | 1 / 1 | $8.818,73 | 5 / 1 | $7.295,09 | 5 / 1 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 28 | $10.534,50 | 9 / 6 | $9.710,82 | 679 / 6 | $9.382,09 | 678 / 6 |
Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 11 | 17 / 5 | $12.397,60 | 1 / 1 | $11.445,00 | 54 / 1 | $10.231,90 | 54 / 1 |
Major Male Pelvic Procedures W/O Cc/Mcc | 11 | 62 / 5 | $13.380,80 | 4 / 4 | $12.350,50 | 349 / 4 | $11.140,30 | 349 / 4 |
Other Resp System O.R. Procedures W Cc | 11 | 36 / 8 | $20.615,40 | 10 / 10 | $19.142,10 | 305 / 10 | $16.997,90 | 305 / 9 |
Other Kidney & Urinary Tract Diagnoses W/O Cc/Mcc | 11 | 13 / 3 | $4.919,73 | 1 / 1 | $4.550,27 | 6 / 1 | $3.641,91 | 6 / 1 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 5 | $19.271,20 | 6 / 5 | $17.770,20 | 313 / 5 | $16.888,70 | 314 / 5 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 11 | 20 / 5 | $9.108,82 | 3 / 3 | $8.404,18 | 116 / 3 | $7.740,91 | 116 / 4 |
Cellulitis W Mcc | 11 | 47 / 12 | $17.012,00 | 72 / 17 | $15.689,00 | 937 / 17 | $14.807,50 | 935 / 17 |
Viral Illness W/O Mcc | 11 | 16 / 3 | $6.950,73 | 2 / 1 | $6.533,45 | 32 / 1 | $5.283,36 | 32 / 1 | Total 148 procedures | 5.382 | 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.