Hospital Costs > In California > Grossmont Hospital, 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 | 329 | 189 / 27 | $88.790,30 | 2535 / 171 | $15.016,40 | 2161 / 104 | $13.047,50 | 2123 / 62 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 233 | 331 / 39 | $81.484,70 | 2233 / 97 | $17.430,90 | 2117 / 106 | $14.111,80 | 2074 / 62 |
Heart Failure & Shock W Mcc | 217 | 72 / 4 | $68.499,40 | 2321 / 125 | $12.605,30 | 2135 / 102 | $10.940,00 | 2125 / 74 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 196 | 81 / 2 | $37.446,80 | 2413 / 119 | $7.021,19 | 2230 / 116 | $5.325,66 | 2215 / 82 |
Renal Failure W Cc | 160 | 66 / 3 | $45.360,70 | 2167 / 106 | $7.894,21 | 1994 / 62 | $6.972,54 | 1984 / 70 |
Kidney & Urinary Tract Infections W/O Mcc | 159 | 76 / 3 | $35.234,20 | 2382 / 111 | $6.828,43 | 2194 / 101 | $5.440,73 | 2183 / 72 |
Heart Failure & Shock W Cc | 148 | 130 / 3 | $41.884,40 | 2382 / 98 | $7.911,03 | 2257 / 62 | $7.161,72 | 2251 / 80 |
Cellulitis W/O Mcc | 138 | 52 / 2 | $35.593,80 | 2309 / 112 | $7.429,16 | 2128 / 97 | $5.890,35 | 2120 / 71 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 125 | 41 / 4 | $31.934,50 | 2195 / 92 | $5.953,78 | 2083 / 63 | $5.110,01 | 2075 / 78 |
Chronic Obstructive Pulmonary Disease W Cc | 121 | 58 / 1 | $39.231,40 | 2049 / 72 | $7.736,31 | 2009 / 63 | $6.739,09 | 2002 / 62 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 117 | 90 / 16 | $56.402,90 | 2364 / 177 | $8.869,91 | 2132 / 101 | $7.738,69 | 2124 / 102 |
Renal Failure W Mcc | 115 | 81 / 7 | $70.758,40 | 1898 / 103 | $11.954,00 | 1703 / 44 | $11.182,40 | 1701 / 56 |
Chronic Obstructive Pulmonary Disease W Mcc | 103 | 99 / 6 | $44.388,30 | 2055 / 54 | $9.303,13 | 2121 / 52 | $8.381,67 | 2113 / 63 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 94 | 88 / 6 | $56.330,40 | 1828 / 97 | $9.432,48 | 1616 / 89 | $7.263,38 | 1612 / 49 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 91 | 35 / 4 | $46.950,80 | 1442 / 74 | $9.265,77 | 1344 / 58 | $8.347,26 | 1341 / 61 |
G.I. Hemorrhage W Cc | 91 | 127 / 15 | $50.121,40 | 2168 / 116 | $8.628,90 | 1928 / 82 | $7.015,97 | 1924 / 51 |
Pulmonary Edema & Respiratory Failure | 88 | 115 / 13 | $59.202,60 | 1916 / 69 | $10.985,50 | 1733 / 90 | $8.627,60 | 1728 / 30 |
Simple Pneumonia & Pleurisy W Cc | 86 | 117 / 15 | $42.194,90 | 2387 / 90 | $7.874,62 | 2349 / 58 | $7.035,73 | 2340 / 85 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 85 | 76 / 2 | $38.074,10 | 1870 / 76 | $6.731,82 | 1754 / 63 | $5.643,42 | 1749 / 66 |
Syncope & Collapse | 80 | 89 / 6 | $45.302,90 | 1780 / 103 | $6.765,70 | 1640 / 80 | $5.729,36 | 1632 / 83 |
Kidney & Urinary Tract Infections W Mcc | 78 | 66 / 6 | $42.500,90 | 1554 / 60 | $8.619,04 | 1537 / 42 | $7.772,68 | 1533 / 47 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 74 | 49 / 1 | $59.676,20 | 1679 / 83 | $12.065,00 | 1581 / 114 | $9.117,96 | 1578 / 59 |
Simple Pneumonia & Pleurisy W Mcc | 74 | 131 / 20 | $62.624,00 | 2136 / 84 | $11.136,00 | 1989 / 49 | $10.085,20 | 1989 / 47 |
Transient Ischemia | 73 | 52 / 2 | $38.438,50 | 1403 / 64 | $6.178,70 | 1351 / 51 | $5.021,73 | 1344 / 58 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 70 | 98 / 11 | $86.134,50 | 1410 / 85 | $14.294,60 | 1245 / 61 | $12.431,40 | 1239 / 48 |
Hip & Femur Procedures Except Major Joint W Cc | 70 | 73 / 9 | $76.658,40 | 1661 / 44 | $15.530,40 | 1527 / 63 | $12.926,30 | 1509 / 28 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 67 | 64 / 4 | $115.933,00 | 1653 / 69 | $18.140,20 | 1357 / 33 | $16.131,00 | 1344 / 18 |
Seizures W/O Mcc | 66 | 42 / 2 | $42.467,50 | 1160 / 50 | $6.805,94 | 994 / 39 | $5.531,76 | 992 / 29 |
Respiratory Infections & Inflammations W Mcc | 62 | 74 / 18 | $77.562,40 | 1480 / 60 | $13.902,50 | 1358 / 19 | $13.298,60 | 1343 / 28 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 60 | 136 / 17 | $155.574,00 | 1442 / 100 | $18.875,60 | 1209 / 77 | $14.212,80 | 1202 / 42 |
Chest Pain | 60 | 91 / 18 | $29.271,10 | 1369 / 60 | $5.752,38 | 1319 / 68 | $4.329,03 | 1312 / 61 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 59 | 37 / 2 | $76.632,60 | 1400 / 112 | $12.483,90 | 1371 / 106 | $11.595,50 | 1366 / 113 |
Other Digestive System Diagnoses W Cc | 58 | 39 / 3 | $50.132,80 | 1269 / 79 | $7.982,40 | 1165 / 40 | $7.190,12 | 1161 / 60 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 57 | 131 / 9 | $66.919,50 | 1464 / 70 | $9.454,84 | 1324 / 54 | $7.630,32 | 1321 / 42 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 57 | 67 / 12 | $293.051,00 | 1502 / 109 | $44.188,20 | 1307 / 69 | $42.109,50 | 1297 / 68 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 57 | 63 / 2 | $31.279,70 | 1749 / 38 | $6.369,26 | 1733 / 51 | $5.077,39 | 1722 / 43 |
Poisoning & Toxic Effects Of Drugs W Mcc | 55 | 17 / 4 | $76.876,10 | 888 / 45 | $11.511,20 | 738 / 34 | $10.166,50 | 736 / 27 |
G.I. Obstruction W Cc | 54 | 38 / 5 | $52.612,60 | 1619 / 95 | $7.553,57 | 1479 / 56 | $6.639,80 | 1474 / 71 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 53 | 20 / 1 | $57.111,50 | 998 / 44 | $9.458,08 | 903 / 29 | $8.517,79 | 901 / 26 |
Medical Back Problems W/O Mcc | 52 | 69 / 14 | $40.534,30 | 1260 / 55 | $7.001,71 | 1207 / 44 | $6.050,33 | 1203 / 59 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 52 | 49 / 8 | $89.614,20 | 1041 / 62 | $11.987,50 | 852 / 24 | $11.348,20 | 849 / 28 |
Spinal Fusion Except Cervical W/O Mcc | 47 | 147 / 22 | $171.599,00 | 1201 / 53 | $30.094,30 | 1061 / 22 | $27.428,40 | 1056 / 25 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 47 | 45 / 10 | $242.669,00 | 872 / 58 | $39.939,20 | 604 / 17 | $38.678,60 | 603 / 21 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 47 | 103 / 6 | $25.625,40 | 1643 / 43 | $5.334,64 | 1608 / 70 | $3.763,83 | 1602 / 54 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 44 | 24 / 2 | $40.576,60 | 612 / 24 | $7.373,32 | 546 / 14 | $6.427,50 | 546 / 16 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 43 | 53 / 6 | $71.101,80 | 598 / 12 | $18.685,20 | 608 / 28 | $13.952,80 | 604 / 9 |
Diabetes W Cc | 42 | 50 / 3 | $39.630,60 | 1398 / 52 | $6.940,88 | 1320 / 33 | $6.299,74 | 1315 / 51 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 42 | 82 / 9 | $39.494,50 | 785 / 30 | $5.925,50 | 609 / 12 | $5.034,07 | 608 / 16 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 40 | 31 / 1 | $254.831,00 | 863 / 42 | $44.110,20 | 617 / 48 | $35.091,60 | 616 / 10 |
Seizures W Mcc | 39 | 27 / 2 | $69.826,50 | 635 / 29 | $12.356,70 | 520 / 20 | $10.779,50 | 520 / 17 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 38 | 28 / 4 | $98.530,50 | 528 / 26 | $15.493,50 | 411 / 14 | $12.833,40 | 408 / 10 |
Heart Failure & Shock W/O Cc/Mcc | 38 | 72 / 9 | $31.899,00 | 1750 / 54 | $5.908,76 | 1723 / 44 | $5.176,97 | 1710 / 62 |
Red Blood Cell Disorders W/O Mcc | 37 | 106 / 19 | $39.064,20 | 1748 / 87 | $6.839,49 | 1599 / 54 | $5.836,35 | 1590 / 54 |
Other Vascular Procedures W Mcc | 37 | 60 / 9 | $137.985,00 | 824 / 33 | $24.493,20 | 628 / 12 | $22.415,40 | 625 / 7 |
Dysequilibrium | 37 | 28 / 1 | $36.289,50 | 478 / 18 | $5.862,32 | 417 / 19 | $4.375,97 | 417 / 15 |
Hypertension W/O Mcc | 35 | 30 / 2 | $31.501,80 | 653 / 10 | $5.526,14 | 629 / 8 | $4.595,40 | 627 / 10 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 35 | 26 / 1 | $32.935,30 | 786 / 18 | $5.615,29 | 719 / 16 | $4.917,46 | 718 / 21 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 35 | 58 / 11 | $33.861,50 | 1708 / 55 | $5.974,60 | 1685 / 42 | $5.075,86 | 1677 / 57 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 35 | 65 / 8 | $205.185,00 | 969 / 68 | $24.672,40 | 798 / 19 | $23.616,60 | 793 / 26 |
Respiratory Infections & Inflammations W Cc | 35 | 53 / 14 | $74.991,40 | 1368 / 79 | $11.808,80 | 1331 / 69 | $10.955,10 | 1326 / 74 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 34 | 36 / 6 | $36.363,90 | 444 / 17 | $8.096,82 | 361 / 19 | $6.510,53 | 361 / 12 |
Signs & Symptoms W/O Mcc | 33 | 58 / 5 | $29.997,40 | 1030 / 26 | $6.202,27 | 1025 / 38 | $5.043,06 | 1022 / 34 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 33 | 23 / 2 | $85.493,10 | 758 / 37 | $13.350,00 | 781 / 28 | $12.363,80 | 777 / 40 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 33 | 69 / 15 | $45.295,20 | 1433 / 67 | $6.510,45 | 1331 / 42 | $5.375,91 | 1327 / 57 |
Permanent Cardiac Pacemaker Implant W Cc | 32 | 45 / 3 | $116.558,00 | 848 / 49 | $20.729,40 | 759 / 31 | $18.706,80 | 756 / 23 |
G.I. Hemorrhage W Mcc | 32 | 89 / 24 | $77.493,20 | 1413 / 79 | $13.872,20 | 1312 / 52 | $12.964,20 | 1302 / 49 |
Major Small & Large Bowel Procedures W Mcc | 32 | 53 / 8 | $223.764,00 | 1107 / 37 | $38.988,40 | 1019 / 23 | $38.193,40 | 1017 / 27 |
Other Vascular Procedures W Cc | 32 | 70 / 12 | $115.256,00 | 947 / 29 | $20.423,20 | 696 / 27 | $16.425,30 | 693 / 6 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 32 | 37 / 3 | $79.769,70 | 335 / 3 | $21.346,70 | 366 / 9 | $17.332,30 | 366 / 3 |
Bronchitis & Asthma W Cc/Mcc | 31 | 45 / 4 | $39.586,30 | 879 / 25 | $7.292,48 | 860 / 22 | $6.239,58 | 856 / 26 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 31 | 32 / 2 | $222.090,00 | 659 / 28 | $36.410,40 | 565 / 12 | $35.590,80 | 565 / 15 |
Other Kidney & Urinary Tract Diagnoses W Cc | 31 | 72 / 11 | $35.715,40 | 607 / 12 | $8.365,77 | 591 / 19 | $6.887,39 | 591 / 11 |
Other Circulatory System Diagnoses W Mcc | 30 | 86 / 21 | $89.984,40 | 1213 / 65 | $14.432,20 | 1046 / 25 | $13.907,40 | 1039 / 39 |
Major Small & Large Bowel Procedures W Cc | 29 | 79 / 26 | $141.948,00 | 1426 / 70 | $23.689,60 | 982 / 81 | $15.726,10 | 971 / 8 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 28 | 34 / 5 | $35.724,60 | 676 / 25 | $7.365,18 | 573 / 36 | $4.927,64 | 571 / 18 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 27 | 17 / 3 | $31.067,30 | 204 / 4 | $6.365,89 | 232 / 12 | $5.562,33 | 232 / 15 |
G.I. Hemorrhage W/O Cc/Mcc | 27 | 41 / 4 | $35.324,80 | 874 / 36 | $6.064,26 | 823 / 25 | $5.079,37 | 819 / 33 |
Peripheral Vascular Disorders W Cc | 26 | 58 / 7 | $40.691,20 | 1020 / 36 | $8.083,73 | 878 / 33 | $6.552,15 | 875 / 20 |
Cranial & Peripheral Nerve Disorders W Mcc | 26 | 10 / 3 | $42.539,40 | 103 / 9 | $10.345,80 | 105 / 5 | $9.655,31 | 105 / 6 |
Degenerative Nervous System Disorders W/O Mcc | 26 | 52 / 7 | $35.333,50 | 600 / 17 | $8.131,04 | 580 / 17 | $6.594,27 | 580 / 9 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 25 | 31 / 3 | $61.056,60 | 503 / 9 | $12.542,20 | 387 / 5 | $12.071,80 | 386 / 6 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 25 | 51 / 13 | $67.002,00 | 400 / 26 | $13.857,80 | 366 / 12 | $13.423,90 | 366 / 16 |
G.I. Obstruction W/O Cc/Mcc | 25 | 46 / 16 | $32.819,60 | 1151 / 52 | $5.433,60 | 1125 / 42 | $4.418,56 | 1122 / 57 |
Other Disorders Of Nervous System W Cc | 24 | 32 / 6 | $42.227,70 | 507 / 21 | $7.168,21 | 463 / 12 | $6.464,21 | 463 / 15 |
Organic Disturbances & Mental Retardation | 22 | 37 / 4 | $44.724,40 | 472 / 17 | $7.789,41 | 356 / 2 | $6.854,14 | 356 / 5 |
Extracranial Procedures W/O Cc/Mcc | 22 | 76 / 18 | $42.234,70 | 668 / 8 | $8.900,59 | 767 / 29 | $7.114,91 | 764 / 19 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 22 | 18 / 5 | $126.712,00 | 416 / 30 | $21.685,80 | 431 / 30 | $20.641,40 | 430 / 32 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 22 | 67 / 23 | $71.719,50 | 714 / 44 | $8.729,00 | 614 / 20 | $7.374,23 | 613 / 31 |
Other Digestive System Diagnoses W/O Cc/Mcc | 21 | 22 / 1 | $29.674,20 | 272 / 4 | $6.224,90 | 253 / 9 | $4.446,86 | 253 / 5 |
Cellulitis W Mcc | 21 | 37 / 13 | $56.908,80 | 788 / 45 | $11.850,20 | 688 / 33 | $9.903,19 | 686 / 22 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 21 | 26 / 5 | $53.899,80 | 448 / 14 | $11.983,30 | 452 / 40 | $7.891,86 | 451 / 9 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 31 | $102.500,00 | 1709 / 112 | $14.592,00 | 1566 / 79 | $13.671,60 | 1553 / 84 |
Pulmonary Embolism W Mcc | 20 | 23 / 1 | $72.745,60 | 525 / 12 | $11.835,00 | 492 / 12 | $11.049,40 | 491 / 17 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 20 | 27 / 4 | $29.086,80 | 281 / 4 | $6.151,10 | 274 / 5 | $5.306,30 | 274 / 7 |
Cervical Spinal Fusion W/O Cc/Mcc | 19 | 85 / 19 | $115.659,00 | 815 / 34 | $17.121,50 | 737 / 18 | $15.915,60 | 734 / 25 |
Psychoses | 19 | 256 / 25 | $31.331,70 | 489 / 17 | $8.845,95 | 442 / 8 | $7.181,89 | 442 / 4 |
Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 13 | $30.504,10 | 753 / 24 | $6.080,28 | 777 / 33 | $5.074,06 | 776 / 35 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 18 | 9 / 2 | $60.287,70 | 121 / 7 | $11.129,00 | 79 / 2 | $10.661,40 | 79 / 3 |
Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 23 | $133.825,00 | 813 / 24 | $26.376,70 | 719 / 18 | $22.961,20 | 718 / 11 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 18 | 22 / 3 | $57.911,20 | 117 / 2 | $14.836,10 | 165 / 3 | $13.411,50 | 165 / 4 |
Diabetes W Mcc | 18 | 39 / 10 | $63.769,40 | 659 / 28 | $9.625,33 | 464 / 4 | $9.086,67 | 464 / 8 |
Nonspecific Cerebrovascular Disorders W Mcc | 18 | 33 / 8 | $58.042,00 | 301 / 14 | $11.491,40 | 249 / 4 | $10.823,00 | 249 / 8 |
Other Vascular Procedures W/O Cc/Mcc | 18 | 38 / 9 | $90.524,80 | 502 / 9 | $19.668,70 | 335 / 20 | $10.294,20 | 334 / 2 |
Transurethral Procedures W Cc | 17 | 24 / 2 | $65.034,60 | 332 / 5 | $10.134,40 | 320 / 5 | $9.144,24 | 320 / 6 |
Fever | 17 | 29 / 4 | $33.818,40 | 256 / 4 | $7.394,88 | 233 / 4 | $5.886,29 | 233 / 3 |
Tendonitis, Myositis & Bursitis W/O Mcc | 17 | 25 / 1 | $35.348,90 | 273 / 3 | $7.055,41 | 275 / 2 | $6.204,59 | 274 / 3 |
Other Digestive System Diagnoses W Mcc | 17 | 45 / 17 | $73.673,30 | 653 / 52 | $13.275,70 | 554 / 24 | $12.490,80 | 553 / 32 |
Respiratory Neoplasms W Cc | 17 | 30 / 7 | $52.179,60 | 408 / 12 | $10.159,30 | 343 / 9 | $8.037,24 | 342 / 5 |
Permanent Cardiac Pacemaker Implant W Mcc | 17 | 35 / 7 | $194.569,00 | 573 / 33 | $30.962,90 | 472 / 28 | $26.853,60 | 472 / 15 |
Renal Failure W/O Cc/Mcc | 16 | 40 / 5 | $33.851,00 | 775 / 12 | $5.553,31 | 732 / 17 | $4.797,31 | 730 / 18 |
Headaches W/O Mcc | 16 | 27 / 3 | $36.132,60 | 192 / 4 | $5.867,94 | 181 / 3 | $4.885,94 | 181 / 4 |
Bone Diseases & Arthropathies W/O Mcc | 16 | 28 / 2 | $28.622,50 | 230 / 3 | $6.659,75 | 176 / 2 | $4.938,75 | 176 / 1 |
Nonspecific Cerebrovascular Disorders W Cc | 16 | 40 / 10 | $44.482,40 | 395 / 19 | $9.831,75 | 330 / 22 | $6.456,75 | 330 / 6 |
Red Blood Cell Disorders W Mcc | 16 | 55 / 15 | $51.024,30 | 853 / 33 | $9.981,62 | 835 / 18 | $9.282,62 | 831 / 25 |
Disorders Of The Biliary Tract W Cc | 16 | 38 / 8 | $51.491,70 | 401 / 15 | $8.568,88 | 354 / 8 | $7.660,88 | 354 / 13 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 17 | $89.767,40 | 705 / 13 | $16.143,40 | 648 / 13 | $14.349,70 | 641 / 9 |
Cervical Spinal Fusion W Cc | 15 | 38 / 12 | $152.480,00 | 359 / 17 | $21.902,20 | 298 / 7 | $20.854,70 | 297 / 9 |
Other Disorders Of Nervous System W Mcc | 15 | 25 / 8 | $84.993,10 | 293 / 22 | $12.871,30 | 254 / 13 | $12.389,20 | 254 / 17 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 15 | $49.969,10 | 1159 / 39 | $8.144,73 | 1130 / 27 | $7.425,80 | 1127 / 48 |
Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 10 | $55.885,70 | 903 / 45 | $11.455,20 | 760 / 53 | $6.551,47 | 757 / 18 |
Postoperative & Post-Traumatic Infections W Mcc | 15 | 28 / 5 | $76.985,20 | 186 / 5 | $17.116,40 | 70 / 7 | $11.246,50 | 70 / 2 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 15 | 54 / 17 | $115.931,00 | 459 / 20 | $26.382,30 | 349 / 33 | $16.961,90 | 348 / 5 |
Complications Of Treatment W Cc | 15 | 37 / 9 | $36.449,10 | 273 / 5 | $8.397,87 | 228 / 5 | $6.888,40 | 228 / 3 |
Extracranial Procedures W Cc | 15 | 31 / 4 | $74.434,10 | 325 / 8 | $12.437,00 | 331 / 3 | $11.711,70 | 331 / 8 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 15 | 83 / 18 | $209.575,00 | 443 / 21 | $34.338,40 | 211 / 14 | $27.200,30 | 211 / 2 |
Degenerative Nervous System Disorders W Mcc | 14 | 24 / 5 | $99.161,10 | 215 / 8 | $11.589,20 | 111 / 1 | $10.988,10 | 111 / 2 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 14 | 28 / 10 | $94.142,00 | 275 / 20 | $14.453,30 | 216 / 10 | $13.671,60 | 216 / 10 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 14 | 24 / 6 | $35.857,40 | 406 / 12 | $5.728,29 | 385 / 8 | $4.690,57 | 384 / 12 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 14 | 22 / 8 | $98.421,80 | 292 / 8 | $17.321,00 | 236 / 4 | $16.198,70 | 236 / 4 |
Major Cardiovasc Procedures W Mcc | 14 | 54 / 16 | $288.541,00 | 613 / 34 | $43.430,10 | 525 / 15 | $42.238,10 | 524 / 22 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 14 | 40 / 5 | $166.053,00 | 247 / 8 | $27.461,90 | 142 / 7 | $20.755,80 | 142 / 2 |
Other Circulatory System Diagnoses W Cc | 14 | 52 / 12 | $46.956,10 | 584 / 13 | $12.664,50 | 436 / 25 | $6.256,07 | 435 / 3 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 20 | $55.135,40 | 654 / 10 | $13.364,00 | 707 / 35 | $10.749,60 | 704 / 16 |
Major Chest Procedures W Mcc | 14 | 35 / 11 | $241.187,00 | 301 / 11 | $37.827,60 | 246 / 7 | $36.659,60 | 245 / 8 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 19 | $147.335,00 | 832 / 31 | $30.279,50 | 711 / 48 | $22.274,00 | 708 / 16 |
G.I. Obstruction W Mcc | 13 | 29 / 9 | $99.804,90 | 511 / 34 | $14.546,10 | 404 / 26 | $11.787,00 | 404 / 17 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 13 | 68 / 16 | $676.757,00 | 365 / 9 | $112.494,00 | 215 / 1 | $111.704,00 | 215 / 1 |
Coronary Bypass W Cardiac Cath W/O Mcc | 13 | 63 / 15 | $288.116,00 | 582 / 20 | $35.041,20 | 521 / 8 | $33.923,60 | 521 / 13 |
Otitis Media & Uri W/O Mcc | 13 | 31 / 4 | $33.390,60 | 193 / 3 | $5.714,31 | 148 / 2 | $4.690,31 | 148 / 2 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 13 | 34 / 9 | $70.293,50 | 448 / 11 | $13.890,50 | 404 / 19 | $9.980,69 | 404 / 10 |
Minor Skin Disorders W/O Mcc | 13 | 12 / 1 | $29.833,40 | 52 / 1 | $6.141,23 | 38 / 1 | $5.117,23 | 38 / 1 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 13 | 56 / 6 | $147.974,00 | 551 / 17 | $14.052,40 | 474 / 4 | $13.124,30 | 472 / 6 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 13 | 27 / 8 | $48.336,50 | 232 / 6 | $8.823,54 | 202 / 5 | $7.986,62 | 202 / 7 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 13 | 32 / 5 | $191.882,00 | 263 / 4 | $23.482,80 | 223 / 2 | $22.828,10 | 222 / 2 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 13 | 51 / 11 | $523.400,00 | 519 / 35 | $79.829,90 | 409 / 11 | $78.943,80 | 408 / 14 |
Coronary Bypass W Cardiac Cath W Mcc | 12 | 44 / 12 | $441.859,00 | 422 / 24 | $63.150,50 | 396 / 15 | $62.046,60 | 396 / 18 |
Inflammatory Bowel Disease W Cc | 12 | 20 / 2 | $56.968,40 | 129 / 1 | $8.308,83 | 104 / 1 | $7.500,83 | 104 / 1 |
Nervous System Neoplasms W Mcc | 12 | 36 / 11 | $67.001,00 | 264 / 8 | $10.092,50 | 180 / 4 | $8.983,17 | 180 / 4 |
Medical Back Problems W Mcc | 12 | 27 / 8 | $44.201,60 | 174 / 3 | $10.584,80 | 158 / 4 | $9.754,08 | 158 / 5 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 12 | 54 / 18 | $44.428,60 | 389 / 1 | $8.965,58 | 385 / 10 | $7.853,58 | 384 / 12 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 15 | $79.831,10 | 491 / 13 | $15.292,00 | 506 / 12 | $14.084,00 | 502 / 17 |
Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 16 | $205.927,00 | 950 / 66 | $31.543,60 | 932 / 68 | $30.340,90 | 929 / 70 |
Other Respiratory System Diagnoses W/O Mcc | 12 | 34 / 11 | $32.409,40 | 242 / 7 | $6.565,50 | 224 / 5 | $5.658,83 | 224 / 6 |
Other Kidney & Urinary Tract Procedures W Mcc | 11 | 27 / 5 | $160.982,00 | 206 / 4 | $24.678,70 | 169 / 2 | $24.018,30 | 168 / 3 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 12 | $61.862,10 | 222 / 3 | $15.619,50 | 179 / 9 | $11.537,70 | 180 / 2 |
Respiratory Signs & Symptoms | 11 | 35 / 4 | $32.825,70 | 253 / 5 | $5.945,09 | 233 / 4 | $5.177,09 | 233 / 7 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 11 | 20 / 7 | $143.114,00 | 145 / 11 | $13.071,50 | 97 / 2 | $12.082,50 | 97 / 2 |
Peripheral Vascular Disorders W Mcc | 11 | 38 / 11 | $76.783,10 | 541 / 23 | $10.800,10 | 462 / 13 | $10.468,50 | 462 / 19 |
Postoperative & Post-Traumatic Infections W/O Mcc | 11 | 43 / 12 | $48.685,10 | 409 / 13 | $8.324,91 | 294 / 8 | $6.797,82 | 294 / 4 | Total 159 procedures | 6.698 | 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.