Hospital Costs > In Florida > Gulf Coast Medical Center Lee Mem Health System, 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 | 452 | 155 / 14 | $63.724,50 | 1827 / 52 | $12.460,60 | 514 / 53 | $10.337,10 | 511 / 50 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 247 | 48 / 15 | $21.805,20 | 1596 / 36 | $4.502,87 | 570 / 55 | $3.457,92 | 568 / 61 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 242 | 274 / 34 | $50.283,50 | 1794 / 45 | $10.668,50 | 537 / 60 | $9.575,48 | 536 / 55 |
| Chest Pain | 174 | 14 / 3 | $20.427,10 | 949 / 36 | $3.904,11 | 440 / 56 | $2.872,04 | 438 / 60 |
| Kidney & Urinary Tract Infections W/O Mcc | 171 | 67 / 15 | $19.811,70 | 1556 / 39 | $4.653,73 | 531 / 67 | $3.640,54 | 530 / 60 |
| Syncope & Collapse | 168 | 21 / 4 | $22.491,20 | 1070 / 39 | $4.410,76 | 364 / 52 | $3.408,42 | 362 / 57 |
| Chronic Obstructive Pulmonary Disease W Mcc | 166 | 40 / 6 | $44.862,20 | 2066 / 89 | $7.029,59 | 556 / 76 | $5.823,00 | 555 / 63 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 156 | 51 / 5 | $76.980,20 | 815 / 28 | $13.290,20 | 240 / 67 | $9.940,39 | 240 / 27 |
| Heart Failure & Shock W Mcc | 147 | 137 / 23 | $41.973,70 | 1740 / 67 | $8.544,25 | 671 / 63 | $7.889,34 | 671 / 73 |
| G.I. Hemorrhage W Cc | 145 | 74 / 12 | $25.613,60 | 1254 / 28 | $5.843,68 | 523 / 54 | $4.928,97 | 522 / 61 |
| Transient Ischemia | 144 | 6 / 2 | $22.241,60 | 813 / 30 | $4.249,60 | 301 / 43 | $3.157,33 | 301 / 48 |
| Simple Pneumonia & Pleurisy W Cc | 143 | 61 / 10 | $35.116,20 | 2187 / 82 | $6.026,07 | 560 / 77 | $4.694,16 | 557 / 63 |
| Heart Failure & Shock W Cc | 139 | 139 / 28 | $23.552,50 | 1544 / 48 | $5.649,21 | 610 / 46 | $4.994,65 | 610 / 64 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 137 | 26 / 10 | $16.792,20 | 1177 / 43 | $3.507,39 | 600 / 53 | $2.519,88 | 596 / 72 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 130 | 61 / 9 | $34.235,90 | 720 / 19 | $6.380,54 | 284 / 37 | $5.121,61 | 284 / 36 |
| Simple Pneumonia & Pleurisy W Mcc | 128 | 77 / 8 | $48.019,20 | 1845 / 64 | $8.324,65 | 642 / 56 | $7.491,28 | 642 / 69 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 125 | 58 / 5 | $32.275,90 | 1258 / 41 | $6.334,43 | 458 / 53 | $5.171,14 | 457 / 53 |
| Spinal Fusion Except Cervical W/O Mcc | 116 | 78 / 10 | $116.723,00 | 909 / 40 | $22.846,40 | 210 / 31 | $19.943,80 | 209 / 27 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 112 | 54 / 9 | $18.489,70 | 1377 / 35 | $4.198,77 | 397 / 52 | $3.238,60 | 397 / 47 |
| Renal Failure W Cc | 112 | 109 / 25 | $25.274,10 | 1447 / 44 | $5.579,38 | 545 / 52 | $4.799,53 | 541 / 68 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 112 | 50 / 11 | $20.873,50 | 1115 / 37 | $4.782,03 | 477 / 57 | $3.801,65 | 476 / 62 |
| Kidney & Urinary Tract Infections W Mcc | 105 | 40 / 8 | $27.679,00 | 1078 / 41 | $6.266,42 | 312 / 39 | $5.442,42 | 311 / 40 |
| Chronic Obstructive Pulmonary Disease W Cc | 103 | 76 / 22 | $33.846,30 | 1880 / 86 | $5.509,69 | 836 / 53 | $4.831,63 | 833 / 84 |
| Hip & Femur Procedures Except Major Joint W Cc | 98 | 45 / 8 | $58.968,80 | 1320 / 41 | $10.758,40 | 307 / 32 | $9.748,48 | 306 / 37 |
| Renal Failure W Mcc | 97 | 98 / 17 | $43.819,60 | 1408 / 60 | $9.358,76 | 816 / 81 | $8.571,92 | 816 / 93 |
| Cellulitis W/O Mcc | 96 | 93 / 21 | $21.278,80 | 1605 / 39 | $5.226,97 | 451 / 74 | $3.834,92 | 448 / 50 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 89 | 15 / 3 | $25.236,70 | 914 / 33 | $4.871,49 | 265 / 52 | $3.318,42 | 263 / 36 |
| Other Vascular Procedures W Cc | 82 | 24 / 2 | $73.467,50 | 557 / 22 | $14.250,20 | 200 / 18 | $13.365,90 | 200 / 28 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 80 | 40 / 13 | $24.728,80 | 1526 / 69 | $4.322,52 | 540 / 49 | $3.358,56 | 539 / 60 |
| Extracranial Procedures W/O Cc/Mcc | 76 | 23 / 4 | $47.566,00 | 746 / 35 | $6.205,34 | 211 / 21 | $4.997,72 | 211 / 32 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 75 | 93 / 10 | $37.960,50 | 630 / 19 | $9.575,77 | 231 / 26 | $8.578,23 | 230 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 73 | 134 / 32 | $34.851,70 | 1853 / 57 | $6.192,71 | 582 / 45 | $5.298,92 | 580 / 62 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 71 | 21 / 2 | $44.043,30 | 525 / 28 | $6.463,31 | 171 / 17 | $5.100,27 | 171 / 27 |
| Major Cardiovasc Procedures W/O Mcc | 68 | 35 / 6 | $114.426,00 | 708 / 28 | $19.383,80 | 221 / 23 | $17.986,80 | 221 / 34 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 67 | 56 / 11 | $31.637,30 | 1035 / 38 | $7.117,34 | 340 / 52 | $6.119,66 | 339 / 44 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 62 | 38 / 3 | $100.016,00 | 487 / 13 | $19.585,30 | 89 / 42 | $16.258,30 | 89 / 13 |
| Medical Back Problems W/O Mcc | 62 | 59 / 21 | $26.993,00 | 915 / 47 | $5.025,45 | 277 / 47 | $3.920,31 | 277 / 44 |
| G.I. Obstruction W Cc | 61 | 31 / 11 | $24.267,30 | 948 / 31 | $5.306,84 | 411 / 52 | $4.364,36 | 410 / 55 |
| Major Small & Large Bowel Procedures W Cc | 61 | 47 / 9 | $74.875,00 | 937 / 34 | $14.449,80 | 282 / 36 | $12.818,40 | 280 / 45 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 54 | 39 / 13 | $22.687,40 | 1340 / 50 | $4.254,93 | 405 / 43 | $3.146,87 | 403 / 55 |
| Red Blood Cell Disorders W/O Mcc | 53 | 90 / 31 | $21.578,00 | 1032 / 38 | $4.769,60 | 511 / 49 | $3.994,36 | 510 / 59 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 52 | 74 / 14 | $29.505,80 | 943 / 34 | $6.399,21 | 262 / 31 | $5.636,75 | 260 / 33 |
| Other Circulatory System Diagnoses W Mcc | 51 | 65 / 14 | $41.395,60 | 518 / 17 | $10.261,40 | 219 / 20 | $9.640,51 | 219 / 34 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 51 | 80 / 20 | $69.590,10 | 1137 / 44 | $13.299,90 | 461 / 49 | $12.343,30 | 456 / 59 |
| G.I. Hemorrhage W Mcc | 51 | 70 / 15 | $57.436,30 | 1150 / 56 | $12.060,40 | 1014 / 93 | $11.308,40 | 1006 / 97 |
| Cervical Spinal Fusion W/O Cc/Mcc | 51 | 53 / 9 | $64.633,50 | 520 / 19 | $13.153,90 | 163 / 28 | $10.838,50 | 163 / 19 |
| Heart Failure & Shock W/O Cc/Mcc | 51 | 59 / 22 | $15.586,20 | 909 / 23 | $4.088,14 | 427 / 44 | $3.236,06 | 425 / 51 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 50 | 54 / 5 | $30.885,20 | 546 / 29 | $6.103,46 | 253 / 38 | $5.354,64 | 253 / 45 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 50 | 74 / 16 | $159.451,00 | 1077 / 45 | $32.625,80 | 732 / 63 | $31.789,90 | 726 / 79 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 49 | 76 / 20 | $43.125,20 | 935 / 26 | $9.427,14 | 374 / 38 | $8.714,00 | 374 / 46 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 49 | 47 / 13 | $36.016,50 | 844 / 35 | $6.888,04 | 178 / 26 | $5.923,55 | 177 / 22 |
| Revision Of Hip Or Knee Replacement W Cc | 48 | 39 / 7 | $107.694,00 | 485 / 27 | $19.051,00 | 215 / 21 | $18.195,70 | 215 / 32 |
| Pulmonary Embolism W/O Mcc | 47 | 27 / 8 | $28.200,70 | 778 / 27 | $6.099,55 | 220 / 39 | $4.640,21 | 220 / 32 |
| Other Digestive System Diagnoses W Cc | 47 | 50 / 14 | $23.978,90 | 624 / 14 | $5.752,13 | 208 / 39 | $4.688,13 | 206 / 38 |
| Seizures W/O Mcc | 46 | 62 / 14 | $20.431,00 | 568 / 19 | $4.902,11 | 83 / 53 | $3.259,72 | 83 / 17 |
| Other Vascular Procedures W Mcc | 42 | 55 / 14 | $86.213,60 | 452 / 23 | $18.301,40 | 153 / 24 | $17.512,00 | 153 / 30 |
| Peripheral Vascular Disorders W Cc | 42 | 42 / 14 | $21.678,10 | 483 / 20 | $5.614,64 | 298 / 38 | $4.864,17 | 297 / 53 |
| G.I. Obstruction W/O Cc/Mcc | 41 | 30 / 13 | $17.368,20 | 690 / 16 | $3.850,05 | 338 / 42 | $2.747,20 | 338 / 50 |
| Hypertension W/O Mcc | 39 | 26 / 12 | $21.770,60 | 453 / 28 | $4.035,10 | 122 / 39 | $2.720,36 | 122 / 29 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 39 | 34 / 14 | $31.107,60 | 683 / 40 | $7.004,95 | 129 / 51 | $5.670,36 | 129 / 15 |
| Dysequilibrium | 39 | 26 / 6 | $21.218,40 | 272 / 16 | $3.822,38 | 106 / 25 | $2.797,56 | 106 / 34 |
| Pulmonary Edema & Respiratory Failure | 39 | 164 / 38 | $51.092,40 | 1780 / 82 | $7.093,03 | 592 / 42 | $6.441,54 | 592 / 62 |
| Fractures Of Hip & Pelvis W/O Mcc | 38 | 23 / 11 | $17.391,70 | 404 / 21 | $4.137,45 | 155 / 32 | $3.123,55 | 156 / 33 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 37 | 27 / 3 | $62.626,90 | 595 / 32 | $9.183,38 | 210 / 14 | $8.106,62 | 210 / 31 |
| Respiratory Infections & Inflammations W Mcc | 37 | 99 / 28 | $72.470,00 | 1437 / 59 | $12.064,80 | 911 / 75 | $11.423,50 | 901 / 82 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 37 | 32 / 5 | $66.394,00 | 323 / 14 | $10.769,20 | 142 / 21 | $9.208,57 | 142 / 16 |
| G.I. Hemorrhage W/O Cc/Mcc | 37 | 31 / 11 | $18.202,20 | 473 / 23 | $4.511,16 | 150 / 51 | $3.066,08 | 150 / 29 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 36 | 29 / 6 | $92.226,20 | 592 / 27 | $18.426,40 | 171 / 25 | $16.516,20 | 171 / 25 |
| Kidney Transplant | 36 | 66 / 6 | $339.062,00 | 163 / 7 | $34.013,90 | 65 / 4 | $21.372,50 | 65 / 4 |
| Degenerative Nervous System Disorders W/O Mcc | 36 | 42 / 11 | $23.920,90 | 359 / 17 | $5.568,11 | 99 / 24 | $4.592,11 | 99 / 25 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 34 | 32 / 6 | $60.780,70 | 356 / 11 | $10.876,30 | 67 / 11 | $9.134,62 | 67 / 9 |
| Major Small & Large Bowel Procedures W Mcc | 34 | 51 / 14 | $130.907,00 | 660 / 20 | $26.763,00 | 149 / 11 | $25.803,00 | 149 / 20 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 34 | 59 / 10 | $56.817,30 | 422 / 21 | $11.989,30 | 141 / 27 | $10.752,60 | 138 / 25 |
| Bronchitis & Asthma W Cc/Mcc | 34 | 42 / 15 | $29.559,90 | 701 / 37 | $5.833,71 | 82 / 60 | $3.751,79 | 82 / 17 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 33 | 68 / 13 | $41.911,90 | 657 / 23 | $8.960,73 | 284 / 29 | $8.317,82 | 284 / 36 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 33 | 62 / 18 | $59.171,60 | 175 / 4 | $11.463,70 | 88 / 15 | $9.906,45 | 87 / 17 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 32 | 36 / 8 | $29.592,90 | 459 / 21 | $5.464,91 | 57 / 24 | $3.962,69 | 57 / 14 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 32 | 24 / 10 | $55.355,90 | 528 / 20 | $9.286,28 | 215 / 18 | $8.346,28 | 215 / 37 |
| Other Disorders Of Nervous System W Cc | 32 | 24 / 7 | $22.751,70 | 230 / 7 | $5.496,31 | 44 / 21 | $4.006,44 | 44 / 7 |
| Permanent Cardiac Pacemaker Implant W Cc | 32 | 45 / 14 | $69.319,80 | 475 / 20 | $14.488,90 | 155 / 18 | $13.732,90 | 155 / 29 |
| Disorders Of Pancreas Except Malignancy W Cc | 32 | 29 / 7 | $31.055,50 | 648 / 26 | $5.449,84 | 270 / 24 | $4.657,84 | 269 / 38 |
| Diabetes W Cc | 31 | 61 / 23 | $18.009,50 | 561 / 10 | $4.818,97 | 228 / 34 | $3.883,74 | 228 / 36 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 31 | 32 / 9 | $133.857,00 | 414 / 27 | $28.874,00 | 249 / 34 | $28.051,00 | 249 / 44 |
| Signs & Symptoms W/O Mcc | 30 | 61 / 21 | $18.005,50 | 538 / 18 | $4.111,87 | 219 / 34 | $3.262,80 | 218 / 36 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 30 | 32 / 12 | $23.446,40 | 476 / 35 | $4.493,00 | 139 / 24 | $3.444,47 | 139 / 35 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 30 | 15 / 6 | $17.752,30 | 185 / 22 | $4.375,17 | 70 / 36 | $3.092,80 | 70 / 26 |
| Respiratory Infections & Inflammations W Cc | 30 | 58 / 24 | $48.774,60 | 1132 / 51 | $9.028,40 | 187 / 71 | $6.738,20 | 186 / 27 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 30 | 16 / 4 | $19.296,60 | 141 / 4 | $5.094,50 | 87 / 37 | $3.126,37 | 87 / 22 |
| Other Vascular Procedures W/O Cc/Mcc | 29 | 27 / 4 | $60.195,20 | 381 / 22 | $9.584,86 | 101 / 11 | $8.460,45 | 101 / 14 |
| Other Circulatory System Diagnoses W Cc | 28 | 38 / 8 | $20.262,20 | 200 / 5 | $5.495,18 | 163 / 17 | $4.976,32 | 162 / 25 |
| Hip & Femur Procedures Except Major Joint W Mcc | 28 | 34 / 7 | $82.501,40 | 559 / 21 | $16.150,10 | 112 / 13 | $15.248,40 | 112 / 19 |
| Red Blood Cell Disorders W Mcc | 28 | 43 / 18 | $31.707,30 | 501 / 21 | $7.036,61 | 194 / 17 | $6.520,04 | 194 / 27 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 28 | 19 / 9 | $47.032,60 | 393 / 19 | $7.018,46 | 162 / 15 | $6.024,18 | 162 / 31 |
| Peripheral Vascular Disorders W Mcc | 27 | 22 / 6 | $40.388,70 | 358 / 29 | $8.226,52 | 66 / 25 | $6.757,33 | 66 / 15 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 27 | 30 / 14 | $63.992,10 | 451 / 25 | $11.972,60 | 144 / 18 | $11.033,90 | 143 / 27 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 26 | 28 / 8 | $28.762,80 | 267 / 19 | $5.606,62 | 100 / 21 | $5.234,92 | 100 / 32 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 25 | 44 / 10 | $76.638,50 | 312 / 12 | $14.059,80 | 104 / 7 | $13.043,40 | 104 / 20 |
| Cellulitis W Mcc | 25 | 33 / 10 | $35.723,60 | 501 / 24 | $8.206,16 | 134 / 22 | $7.189,84 | 134 / 23 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 25 | 99 / 12 | $19.338,00 | 471 / 16 | $4.100,88 | 134 / 23 | $3.340,56 | 134 / 24 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 25 | 30 / 10 | $62.803,20 | 386 / 17 | $11.163,00 | 101 / 13 | $9.845,80 | 101 / 17 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 24 | 18 / 4 | $34.019,90 | 81 / 5 | $10.341,20 | 25 / 9 | $9.015,88 | 25 / 6 |
| Major Cardiovasc Procedures W Mcc | 24 | 44 / 11 | $162.600,00 | 394 / 26 | $33.725,40 | 137 / 33 | $28.946,20 | 137 / 28 |
| Seizures W Mcc | 24 | 42 / 12 | $33.720,70 | 239 / 9 | $8.139,79 | 72 / 6 | $7.499,12 | 72 / 14 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 24 | 37 / 12 | $17.200,00 | 411 / 13 | $4.086,62 | 140 / 32 | $3.008,17 | 140 / 26 |
| Other Circulatory System O.R. Procedures | 23 | 32 / 9 | $95.100,20 | 307 / 16 | $16.704,30 | 122 / 22 | $15.570,30 | 122 / 22 |
| Pulmonary Embolism W Mcc | 23 | 20 / 5 | $49.592,70 | 414 / 14 | $8.477,70 | 89 / 6 | $7.637,35 | 89 / 7 |
| Renal Failure W/O Cc/Mcc | 23 | 33 / 19 | $15.173,70 | 374 / 8 | $3.954,22 | 198 / 34 | $2.927,61 | 197 / 33 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 28 | $32.559,60 | 837 / 27 | $5.862,65 | 383 / 22 | $5.283,87 | 382 / 53 |
| Other Resp System O.R. Procedures W Mcc | 23 | 40 / 10 | $67.613,00 | 136 / 6 | $20.375,30 | 25 / 19 | $17.381,60 | 25 / 4 |
| Atherosclerosis W/O Mcc | 22 | 36 / 12 | $18.794,60 | 288 / 12 | $3.741,00 | / 26 | $2.836,27 | / |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 22 | 34 / 16 | $42.775,70 | 459 / 11 | $9.070,91 | 163 / 18 | $8.030,91 | 163 / 28 |
| Respiratory Neoplasms W Cc | 22 | 25 / 7 | $30.145,00 | 198 / 10 | $6.609,73 | 62 / 9 | $5.843,18 | 61 / 19 |
| Other Disorders Of Nervous System W Mcc | 22 | 18 / 4 | $48.120,70 | 195 / 15 | $10.429,60 | 131 / 15 | $9.658,73 | 131 / 19 |
| Permanent Cardiac Pacemaker Implant W Mcc | 21 | 31 / 9 | $92.794,50 | 283 / 10 | $19.940,00 | 72 / 11 | $19.136,90 | 72 / 17 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 21 | 22 / 1 | $114.100,00 | 118 / 5 | $17.862,70 | 50 / 1 | $17.174,00 | 50 / 4 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 21 | 26 / 6 | $20.335,10 | 169 / 7 | $4.283,10 | 67 / 13 | $3.534,90 | 67 / 16 |
| Other Disorders Of Nervous System W/O Cc/Mcc | 21 | 14 / 3 | $19.890,00 | 61 / 5 | $4.300,81 | 29 / 12 | $3.186,05 | 29 / 11 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 21 | 51 / 18 | $47.939,40 | 677 / 41 | $9.461,95 | 435 / 50 | $8.291,57 | 434 / 54 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 21 | 75 / 22 | $74.179,80 | 625 / 20 | $13.434,20 | 121 / 36 | $10.595,80 | 120 / 7 |
| Organic Disturbances & Mental Retardation | 21 | 38 / 17 | $27.001,80 | 308 / 18 | $5.800,57 | 93 / 20 | $5.050,86 | 93 / 30 |
| Medical Back Problems W Mcc | 20 | 19 / 7 | $44.148,60 | 173 / 11 | $9.473,95 | 24 / 11 | $7.694,10 | 24 / 3 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 20 | 14 / 2 | $145.294,00 | 143 / 6 | $28.018,10 | 61 / 6 | $25.594,20 | 61 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 20 | 36 / 11 | $42.946,20 | 341 / 19 | $10.273,00 | 77 / 10 | $9.546,65 | 77 / 11 |
| Rectal Resection W Cc | 19 | 5 / 2 | $77.553,30 | 33 / 1 | $14.300,50 | 13 / 1 | $13.348,90 | 13 / 2 |
| Respiratory Signs & Symptoms | 19 | 27 / 10 | $21.379,30 | 136 / 7 | $4.126,68 | 50 / 16 | $3.237,42 | 50 / 17 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 19 | 13 / 2 | $55.964,20 | 79 / 1 | $13.291,80 | 38 / 2 | $12.973,50 | 38 / 2 |
| Other O.R. Procedures For Injuries W Mcc | 19 | 18 / 3 | $69.926,50 | 32 / 1 | $20.758,10 | 17 / 3 | $20.188,80 | 17 / 4 |
| Fever | 19 | 27 / 13 | $21.682,10 | 131 / 12 | $5.183,05 | 23 / 14 | $3.729,53 | 23 / 10 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 19 | 19 / 9 | $26.528,70 | 347 / 25 | $4.103,05 | 56 / 21 | $2.682,16 | 56 / 15 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 19 | 50 / 10 | $80.917,80 | 340 / 18 | $19.608,20 | 59 / 30 | $13.119,20 | 59 / 7 |
| Skin Grafts For Injuries W Cc/Mcc | 18 | 3 / 1 | $62.581,20 | 3 / 1 | $17.565,20 | 2 / 1 | $16.891,40 | 2 / 1 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 18 | 26 / 11 | $67.618,10 | 165 / 8 | $15.664,70 | 72 / 11 | $14.590,90 | 71 / 17 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 18 | 52 / 11 | $21.881,40 | 227 / 8 | $6.196,11 | 44 / 24 | $4.347,11 | 44 / 11 |
| Other Digestive System Diagnoses W Mcc | 18 | 44 / 16 | $41.781,60 | 345 / 18 | $9.294,39 | 80 / 12 | $8.691,72 | 80 / 22 |
| Respiratory Neoplasms W Mcc | 18 | 34 / 11 | $51.670,10 | 396 / 19 | $9.854,33 | 151 / 15 | $9.167,22 | 151 / 24 |
| Endocrine Disorders W Cc | 17 | 21 / 5 | $22.290,40 | 99 / 6 | $5.938,00 | 35 / 10 | $5.017,53 | 35 / 9 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 17 | 81 / 16 | $134.103,00 | 304 / 19 | $34.492,50 | 26 / 30 | $21.758,50 | 26 / 6 |
| Amputation For Musculoskeletal Sys & Conn Tissue Dis W Cc | 17 | 3 / 1 | $50.733,10 | 10 / 1 | $10.359,80 | 2 / 1 | $9.932,53 | 2 / 1 |
| Other Resp System O.R. Procedures W Cc | 17 | 30 / 10 | $59.967,50 | 209 / 14 | $10.705,50 | 54 / 6 | $9.997,76 | 54 / 10 |
| Nonspecific Cerebrovascular Disorders W Cc | 17 | 39 / 10 | $22.897,80 | 181 / 6 | $5.588,53 | 115 / 11 | $4.946,65 | 115 / 17 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 17 | 37 / 17 | $19.929,20 | 165 / 12 | $4.369,41 | 78 / 10 | $3.572,24 | 78 / 14 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 17 | 26 / 13 | $18.590,30 | 139 / 6 | $4.078,65 | 72 / 24 | $3.086,65 | 72 / 28 |
| Pleural Effusion W Mcc | 16 | 14 / 8 | $39.166,10 | 87 / 6 | $8.365,62 | 20 / 3 | $7.818,62 | 20 / 4 |
| G.I. Obstruction W Mcc | 16 | 26 / 9 | $35.404,80 | 195 / 7 | $8.824,50 | 73 / 9 | $8.220,50 | 73 / 15 |
| Other Digestive System O.R. Procedures W Cc | 16 | 11 / 3 | $61.047,20 | 54 / 4 | $11.481,60 | 10 / 1 | $10.797,60 | 10 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 16 | 24 / 11 | $85.161,80 | 308 / 16 | $14.485,80 | 121 / 11 | $13.423,60 | 121 / 16 |
| Psychoses | 16 | 259 / 28 | $31.803,60 | 496 / 35 | $5.861,69 | 63 / 12 | $4.898,69 | 63 / 13 |
| Other Respiratory System Diagnoses W/O Mcc | 16 | 30 / 9 | $35.252,80 | 259 / 19 | $4.728,25 | 55 / 9 | $3.970,25 | 55 / 14 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 16 | 29 / 7 | $101.479,00 | 167 / 8 | $17.426,40 | 68 / 10 | $16.452,40 | 68 / 13 |
| Extracranial Procedures W Mcc | 15 | 8 / 3 | $97.660,10 | 27 / 3 | $18.763,30 | 15 / 2 | $17.878,00 | 15 / 4 |
| Headaches W/O Mcc | 15 | 28 / 8 | $21.100,30 | 113 / 6 | $4.077,73 | 34 / 5 | $2.949,20 | 34 / 8 |
| Degenerative Nervous System Disorders W Mcc | 15 | 23 / 7 | $43.217,70 | 123 / 11 | $10.793,10 | 71 / 13 | $9.743,47 | 71 / 12 |
| Complications Of Treatment W Cc | 15 | 37 / 12 | $23.949,60 | 150 / 10 | $5.595,20 | 28 / 10 | $4.786,67 | 28 / 11 |
| Extracranial Procedures W Cc | 15 | 31 / 9 | $65.521,80 | 300 / 11 | $9.769,13 | 173 / 18 | $8.883,80 | 173 / 24 |
| Skin Graft For Skin Ulcer Or Cellulitis W Mcc | 15 | 7 / 2 | $88.426,60 | 11 / 1 | $18.390,10 | 6 / 1 | $17.506,90 | 6 / 1 |
| Periph/Cranial Nerve & Other Nerv Syst Proc W Mcc | 14 | 11 / 2 | $79.223,80 | 16 / 2 | $22.130,30 | 3 / 1 | $18.522,10 | 3 / 1 |
| Nonspecific Cva & Precerebral Occlusion W/O Infarct W/O Mcc | 14 | 9 / 3 | $27.764,80 | 23 / 3 | $5.086,86 | 7 / 4 | $4.227,43 | 7 / 4 |
| Disorders Of The Biliary Tract W Cc | 14 | 40 / 15 | $32.153,90 | 239 / 9 | $6.091,00 | 38 / 10 | $4.961,86 | 38 / 7 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 14 | 33 / 14 | $53.687,40 | 358 / 15 | $8.513,57 | 141 / 14 | $7.473,57 | 141 / 22 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 14 | 28 / 12 | $19.600,60 | 132 / 3 | $4.919,50 | 73 / 14 | $4.055,50 | 73 / 13 |
| Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 14 | 28 / 7 | $170.477,00 | 114 / 6 | $32.015,00 | 34 / 4 | $30.975,00 | 34 / 7 |
| Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 19 | $21.603,80 | 238 / 20 | $4.533,46 | 79 / 29 | $2.792,69 | 79 / 18 |
| Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 13 | 18 / 5 | $57.780,80 | 83 / 7 | $9.568,54 | 5 / 1 | $8.544,54 | 5 / 1 |
| Otitis Media & Uri W/O Mcc | 13 | 31 / 11 | $19.562,30 | 95 / 7 | $3.962,15 | 15 / 7 | $2.748,62 | 15 / 8 |
| Other O.R. Procedures For Injuries W Cc | 13 | 22 / 6 | $59.633,70 | 99 / 5 | $10.879,70 | 27 / 2 | $10.599,10 | 27 / 4 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Mcc | 13 | 11 / 4 | $134.676,00 | 25 / 1 | $27.018,10 | 9 / 1 | $26.059,40 | 9 / 1 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 13 | 53 / 26 | $32.145,80 | 279 / 22 | $6.328,00 | 139 / 11 | $5.816,00 | 139 / 26 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 16 | $32.117,60 | 241 / 18 | $8.369,00 | 11 / 32 | $5.130,85 | 11 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 13 | 16 / 10 | $21.085,50 | 68 / 7 | $4.725,31 | 15 / 6 | $3.799,77 | 15 / 6 |
| Transurethral Procedures W Cc | 13 | 28 / 15 | $42.513,30 | 238 / 15 | $7.260,00 | 63 / 11 | $6.243,38 | 63 / 17 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 13 | 61 / 11 | $83.025,40 | 176 / 9 | $14.507,50 | 97 / 5 | $13.478,60 | 97 / 8 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 18 | $30.149,20 | 577 / 24 | $5.568,31 | 104 / 49 | $3.329,46 | 104 / 22 |
| Angina Pectoris | 12 | 13 / 6 | $18.502,10 | 29 / 4 | $3.536,08 | 17 / 3 | $2.733,42 | 17 / 9 |
| Complications Of Treatment W Mcc | 12 | 39 / 13 | $35.631,50 | 82 / 5 | $9.227,83 | 6 / 2 | $8.321,17 | 6 / 2 |
| Cervical Spinal Fusion W Cc | 12 | 41 / 14 | $95.560,80 | 272 / 16 | $16.588,20 | 104 / 9 | $15.478,90 | 103 / 15 |
| Cirrhosis & Alcoholic Hepatitis W Cc | 12 | 14 / 7 | $24.877,40 | 38 / 7 | $5.437,08 | 6 / 2 | $4.629,08 | 6 / 3 |
| Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc | 12 | 14 / 3 | $93.212,80 | 30 / 3 | $15.775,20 | 7 / 2 | $14.767,20 | 7 / 2 |
| Pneumothorax W Cc | 12 | 13 / 8 | $29.031,10 | 52 / 7 | $5.503,00 | 11 / 3 | $4.695,00 | 11 / 6 |
| Kidney & Ureter Procedures For Non-Neoplasm W Cc | 12 | 33 / 8 | $64.192,40 | 131 / 8 | $10.493,90 | 25 / 4 | $9.693,92 | 25 / 6 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 19 | $30.557,30 | 101 / 2 | $10.330,30 | 97 / 6 | $9.896,82 | 97 / 13 |
| Other Kidney & Urinary Tract Procedures W Cc | 11 | 15 / 5 | $52.162,90 | 39 / 2 | $12.370,80 | 9 / 2 | $11.378,80 | 9 / 2 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 11 | 33 / 18 | $22.752,00 | 136 / 12 | $4.447,27 | 52 / 16 | $3.562,91 | 52 / 22 |
| Hernia Procedures Except Inguinal & Femoral W Cc | 11 | 23 / 9 | $60.458,70 | 106 / 9 | $9.206,55 | 31 / 2 | $8.543,27 | 31 / 7 |
| Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 11 | $118.746,00 | 344 / 21 | $22.350,50 | 345 / 21 | $20.042,20 | 345 / 21 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 33 | $183.904,00 | 686 / 34 | $35.903,60 | 409 / 48 | $35.190,90 | 408 / 52 |
| Pleural Effusion W Cc | 11 | 17 / 9 | $33.854,60 | 64 / 7 | $6.262,55 | 12 / 5 | $5.381,09 | 12 / 4 | Total 186 procedures | 8.600 | 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.