Hospital Costs > In California > Hoag Memorial Hospital Presbyterian, 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 | 647 | 34 / 4 | $54.606,00 | 1936 / 58 | $13.536,60 | 1999 / 31 | $12.375,50 | 1962 / 34 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 154 | 121 / 4 | $22.303,40 | 1659 / 23 | $5.361,57 | 1216 / 12 | $3.903,46 | 1205 / 6 |
G.I. Hemorrhage W Cc | 153 | 66 / 2 | $24.931,10 | 1191 / 12 | $6.734,08 | 1237 / 7 | $5.623,35 | 1235 / 5 |
Respiratory Infections & Inflammations W Mcc | 136 | 19 / 2 | $49.854,50 | 1070 / 10 | $12.480,70 | 1009 / 6 | $11.721,70 | 996 / 4 |
Pulmonary Edema & Respiratory Failure | 135 | 68 / 2 | $37.667,20 | 1412 / 17 | $8.843,56 | 1511 / 9 | $7.866,07 | 1506 / 12 |
Heart Failure & Shock W Mcc | 134 | 150 / 15 | $34.490,80 | 1368 / 14 | $9.431,93 | 1052 / 2 | $8.357,13 | 1050 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 129 | 78 / 12 | $25.727,70 | 1309 / 22 | $7.717,58 | 893 / 29 | $5.572,16 | 891 / 3 |
Renal Failure W Mcc | 98 | 97 / 11 | $45.902,00 | 1476 / 35 | $11.122,90 | 1362 / 21 | $9.820,03 | 1362 / 16 |
Kidney & Urinary Tract Infections W/O Mcc | 98 | 135 / 19 | $19.245,70 | 1487 / 12 | $4.899,91 | 1156 / 1 | $4.058,87 | 1148 / 6 |
Renal Failure W Cc | 97 | 124 / 8 | $23.025,70 | 1274 / 9 | $6.646,99 | 814 / 13 | $5.014,86 | 807 / 2 |
Cellulitis W/O Mcc | 91 | 98 / 9 | $16.779,50 | 1093 / 7 | $5.441,08 | 784 / 1 | $4.114,44 | 779 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 86 | 96 / 8 | $28.573,50 | 1054 / 7 | $6.798,62 | 896 / 1 | $5.681,13 | 894 / 3 |
Major Small & Large Bowel Procedures W Cc | 80 | 29 / 2 | $99.526,10 | 1209 / 22 | $19.781,90 | 1246 / 31 | $18.020,70 | 1232 / 43 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 79 | 89 / 6 | $52.521,70 | 1008 / 19 | $12.528,40 | 1091 / 16 | $11.518,10 | 1086 / 20 |
Respiratory Infections & Inflammations W Cc | 78 | 14 / 1 | $29.045,60 | 650 / 1 | $8.659,22 | 316 / 4 | $7.006,14 | 314 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 78 | 46 / 3 | $142.085,00 | 948 / 16 | $42.347,10 | 1126 / 55 | $37.419,30 | 1118 / 34 |
G.I. Obstruction W Cc | 73 | 19 / 1 | $24.064,80 | 933 / 6 | $6.082,40 | 757 / 6 | $4.769,59 | 755 / 2 |
Simple Pneumonia & Pleurisy W Cc | 69 | 134 / 25 | $24.402,30 | 1577 / 11 | $7.096,12 | 1187 / 17 | $5.220,29 | 1183 / 1 |
Simple Pneumonia & Pleurisy W Mcc | 66 | 139 / 28 | $38.106,20 | 1491 / 18 | $10.707,30 | 1796 / 29 | $9.386,47 | 1796 / 24 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 66 | 35 / 4 | $41.010,30 | 644 / 2 | $11.231,10 | 616 / 12 | $9.595,35 | 614 / 5 |
Kidney & Urinary Tract Infections W Mcc | 65 | 79 / 9 | $24.851,40 | 910 / 9 | $6.695,60 | 663 / 1 | $5.891,66 | 662 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 59 | 67 / 10 | $30.414,80 | 978 / 18 | $7.433,17 | 813 / 4 | $6.610,46 | 810 / 5 |
Heart Failure & Shock W Cc | 58 | 220 / 46 | $21.927,20 | 1394 / 12 | $6.478,90 | 683 / 6 | $5.051,14 | 682 / 1 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 56 | 36 / 5 | $178.423,00 | 670 / 24 | $43.915,10 | 796 / 35 | $43.074,90 | 795 / 48 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 54 | 62 / 5 | $221.697,00 | 261 / 1 | $58.350,80 | 331 / 6 | $57.385,50 | 331 / 10 |
G.I. Hemorrhage W Mcc | 51 | 70 / 8 | $43.084,30 | 810 / 15 | $12.134,30 | 1019 / 9 | $11.343,90 | 1011 / 12 |
Spinal Fusion Except Cervical W/O Mcc | 50 | 144 / 20 | $135.716,00 | 1033 / 28 | $31.731,00 | 1160 / 35 | $29.572,20 | 1155 / 45 |
Other Digestive System Diagnoses W Cc | 50 | 47 / 5 | $21.653,00 | 496 / 3 | $6.419,22 | 675 / 1 | $5.510,34 | 671 / 6 |
Major Small & Large Bowel Procedures W Mcc | 48 | 37 / 3 | $157.039,00 | 848 / 6 | $40.251,10 | 940 / 25 | $36.269,90 | 938 / 18 |
Major Male Pelvic Procedures W/O Cc/Mcc | 47 | 30 / 5 | $77.967,50 | 337 / 21 | $11.406,30 | 206 / 17 | $7.156,45 | 206 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 47 | 114 / 19 | $19.609,00 | 1026 / 7 | $5.282,47 | 960 / 4 | $4.253,32 | 957 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 47 | 119 / 33 | $17.374,90 | 1251 / 9 | $4.880,19 | 768 / 7 | $3.498,23 | 765 / 1 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 46 | 85 / 11 | $88.359,40 | 1401 / 32 | $18.098,30 | 1452 / 32 | $16.986,00 | 1438 / 34 |
G.I. Obstruction W/O Cc/Mcc | 45 | 26 / 2 | $15.837,20 | 578 / 4 | $4.545,16 | 269 / 10 | $2.659,22 | 269 / 1 |
Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 45 | $26.293,80 | 1224 / 5 | $7.353,24 | 699 / 1 | $5.970,04 | 694 / 2 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 44 | 74 / 8 | $176.765,00 | 371 / 3 | $40.012,60 | 427 / 6 | $38.962,70 | 427 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 44 | 79 / 11 | $32.411,70 | 1067 / 11 | $8.441,70 | 899 / 6 | $6.972,09 | 896 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 44 | 152 / 29 | $62.797,70 | 518 / 5 | $15.057,80 | 817 / 14 | $11.722,10 | 812 / 5 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 43 | 81 / 8 | $20.112,20 | 490 / 7 | $4.972,91 | 96 / 2 | $3.181,14 | 96 / 1 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 42 | 22 / 2 | $75.433,80 | 658 / 16 | $12.908,50 | 429 / 17 | $9.396,83 | 429 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 42 | 54 / 6 | $40.506,70 | 960 / 25 | $8.726,95 | 719 / 10 | $7.180,10 | 714 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 41 | 61 / 8 | $23.689,30 | 819 / 4 | $5.412,98 | 560 / 8 | $3.695,49 | 556 / 3 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 40 | 58 / 5 | $116.741,00 | 255 / 1 | $30.610,90 | 298 / 3 | $29.791,20 | 298 / 6 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 35 | 38 / 4 | $26.013,80 | 519 / 1 | $7.604,37 | 640 / 1 | $7.118,91 | 638 / 4 |
Chronic Obstructive Pulmonary Disease W Cc | 34 | 145 / 39 | $27.012,60 | 1575 / 22 | $6.543,56 | 1544 / 8 | $5.586,41 | 1538 / 10 |
Other Circulatory System Diagnoses W Mcc | 34 | 82 / 17 | $52.124,60 | 791 / 14 | $12.376,20 | 776 / 1 | $11.948,60 | 772 / 5 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 32 | 24 / 3 | $52.675,30 | 505 / 5 | $11.475,80 | 573 / 4 | $10.040,00 | 571 / 5 |
Major Chest Procedures W Cc | 31 | 43 / 7 | $87.442,30 | 355 / 6 | $20.160,50 | 308 / 10 | $16.379,80 | 306 / 7 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 31 | 94 / 21 | $45.735,50 | 1012 / 14 | $11.314,80 | 996 / 4 | $10.302,80 | 994 / 6 |
Red Blood Cell Disorders W/O Mcc | 31 | 112 / 25 | $23.755,20 | 1169 / 19 | $6.075,13 | 762 / 14 | $4.255,39 | 757 / 5 |
Pulmonary Embolism W/O Mcc | 31 | 43 / 4 | $20.952,50 | 436 / 1 | $6.685,84 | 577 / 4 | $5.304,97 | 574 / 3 |
Other Digestive System Diagnoses W Mcc | 31 | 31 / 4 | $51.645,30 | 481 / 17 | $13.461,40 | 560 / 29 | $12.542,10 | 559 / 33 |
Poisoning & Toxic Effects Of Drugs W Mcc | 30 | 42 / 8 | $38.856,70 | 552 / 7 | $9.291,67 | 456 / 3 | $8.362,87 | 455 / 4 |
Hip & Femur Procedures Except Major Joint W Cc | 29 | 114 / 37 | $53.112,20 | 1151 / 2 | $12.865,40 | 1309 / 3 | $11.988,70 | 1292 / 12 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 29 | 535 / 133 | $68.961,90 | 1959 / 70 | $14.358,30 | 1908 / 8 | $13.277,10 | 1866 / 35 |
Medical Back Problems W/O Mcc | 29 | 92 / 29 | $20.965,30 | 600 / 8 | $5.735,97 | 420 / 6 | $4.117,10 | 420 / 1 |
Extracranial Procedures W/O Cc/Mcc | 28 | 70 / 15 | $28.268,60 | 389 / 2 | $7.009,39 | 576 / 4 | $6.023,04 | 575 / 7 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 27 | 13 / 1 | $62.696,00 | 194 / 2 | $18.425,10 | 327 / 8 | $16.236,50 | 326 / 6 |
Cellulitis W Mcc | 27 | 31 / 7 | $37.563,40 | 535 / 11 | $8.667,33 | 302 / 2 | $7.861,04 | 301 / 2 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 23 | $14.000,10 | 868 / 3 | $3.827,54 | 572 / 4 | $2.495,69 | 568 / 1 |
Endocrine Disorders W Mcc | 26 | 3 / 1 | $31.459,70 | 34 / 1 | $9.740,00 | 24 / 1 | $8.849,15 | 24 / 1 |
Major Chest Procedures W Mcc | 25 | 24 / 3 | $177.782,00 | 247 / 4 | $42.374,40 | 285 / 13 | $41.211,80 | 284 / 15 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 36 | $33.870,80 | 699 / 5 | $7.883,48 | 834 / 7 | $5.979,88 | 832 / 4 |
Other Kidney & Urinary Tract Diagnoses W Cc | 24 | 79 / 16 | $23.003,40 | 333 / 1 | $6.277,83 | 295 / 1 | $5.469,17 | 295 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 24 | 23 / 4 | $38.030,80 | 277 / 3 | $9.615,38 | 331 / 9 | $6.853,04 | 330 / 3 |
Permanent Cardiac Pacemaker Implant W Cc | 23 | 54 / 12 | $65.839,60 | 426 / 5 | $18.028,60 | 401 / 5 | $15.181,90 | 400 / 2 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 23 | 58 / 9 | $550.316,00 | 297 / 2 | $156.046,00 | 377 / 14 | $154.730,00 | 376 / 17 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 22 | 29 / 6 | $55.438,30 | 179 / 2 | $14.065,70 | 135 / 4 | $11.822,70 | 135 / 4 |
Bronchitis & Asthma W Cc/Mcc | 22 | 54 / 11 | $18.665,50 | 334 / 1 | $5.821,32 | 537 / 2 | $4.892,68 | 533 / 4 |
Major Cardiovasc Procedures W Mcc | 22 | 46 / 8 | $163.450,00 | 401 / 3 | $44.441,20 | 489 / 18 | $39.597,00 | 488 / 15 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 22 | 52 / 9 | $46.463,90 | 49 / 1 | $14.905,70 | 129 / 1 | $14.190,00 | 128 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 22 | 34 / 5 | $38.258,40 | 266 / 1 | $12.428,50 | 382 / 3 | $12.039,00 | 381 / 5 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 22 | 67 / 23 | $45.864,20 | 549 / 13 | $7.308,73 | 422 / 1 | $6.095,91 | 421 / 10 |
Endocrine Disorders W Cc | 22 | 16 / 2 | $28.442,50 | 162 / 3 | $6.615,14 | 102 / 1 | $5.676,95 | 102 / 2 |
Signs & Symptoms W/O Mcc | 22 | 69 / 16 | $22.764,40 | 806 / 12 | $4.664,50 | 269 / 3 | $3.340,09 | 268 / 1 |
Seizures W/O Mcc | 22 | 86 / 20 | $25.782,50 | 801 / 13 | $5.025,14 | 572 / 2 | $4.202,23 | 569 / 5 |
Transient Ischemia | 21 | 104 / 35 | $25.799,60 | 1000 / 18 | $4.661,29 | 929 / 2 | $3.910,81 | 924 / 10 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 20 | 56 / 17 | $38.050,20 | 187 / 4 | $11.888,50 | 162 / 1 | $10.667,80 | 162 / 1 |
Peripheral Vascular Disorders W Cc | 20 | 64 / 13 | $29.861,80 | 799 / 11 | $5.799,85 | 282 / 1 | $4.831,55 | 281 / 1 |
Disorders Of The Biliary Tract W Cc | 20 | 34 / 6 | $24.995,20 | 135 / 1 | $7.405,25 | 152 / 2 | $5.824,95 | 152 / 2 |
G.I. Obstruction W Mcc | 20 | 22 / 4 | $31.046,70 | 145 / 1 | $10.430,80 | 158 / 1 | $8.929,05 | 158 / 1 |
Syncope & Collapse | 19 | 150 / 48 | $19.835,70 | 843 / 8 | $4.847,26 | 1082 / 3 | $4.195,26 | 1075 / 11 |
Complications Of Treatment W Cc | 19 | 33 / 6 | $19.934,80 | 92 / 1 | $6.555,16 | 135 / 1 | $5.790,74 | 135 / 2 |
Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 18 | $28.444,60 | 675 / 6 | $6.751,94 | 575 / 2 | $5.613,83 | 574 / 2 |
Combined Anterior/Posterior Spinal Fusion W Cc | 18 | 28 / 9 | $306.044,00 | 95 / 7 | $83.493,10 | 110 / 13 | $77.496,80 | 110 / 12 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 18 | 73 / 17 | $33.915,20 | 203 / 5 | $7.553,28 | 150 / 1 | $7.111,06 | 150 / 1 |
Disorders Of Pancreas Except Malignancy W Cc | 18 | 43 / 7 | $21.779,30 | 358 / 1 | $6.161,33 | 419 / 4 | $5.061,06 | 418 / 1 |
Stomach, Esophageal & Duodenal Proc W Mcc | 18 | 23 / 4 | $200.613,00 | 175 / 1 | $47.630,40 | 191 / 2 | $46.073,20 | 191 / 2 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 18 | 46 / 6 | $341.825,00 | 377 / 10 | $95.107,20 | 489 / 31 | $92.997,70 | 488 / 31 |
Coronary Bypass W Cardiac Cath W/O Mcc | 18 | 58 / 12 | $164.163,00 | 405 / 3 | $33.576,00 | 504 / 4 | $32.431,60 | 504 / 11 |
Peritoneal Adhesiolysis W Mcc | 18 | 5 / 1 | $111.949,00 | 31 / 1 | $27.676,10 | 33 / 2 | $26.799,10 | 33 / 2 |
Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 23 | $86.684,80 | 460 / 4 | $27.872,30 | 673 / 30 | $22.228,20 | 672 / 6 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 28 | $21.719,30 | 1386 / 13 | $5.315,00 | 882 / 8 | $3.642,33 | 875 / 3 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 27 | $15.040,30 | 738 / 1 | $4.541,22 | 678 / 1 | $3.397,00 | 675 / 2 |
Coronary Bypass W Cardiac Cath W Mcc | 17 | 39 / 7 | $225.422,00 | 283 / 4 | $56.393,70 | 327 / 9 | $51.126,40 | 327 / 5 |
Disorders Of The Biliary Tract W Mcc | 17 | 22 / 7 | $39.163,20 | 97 / 2 | $10.756,40 | 89 / 1 | $9.978,18 | 89 / 2 |
Ventricular Shunt Procedures W/O Cc/Mcc | 17 | 7 / 1 | $40.468,50 | 18 / 1 | $10.203,30 | 18 / 1 | $9.132,82 | 18 / 1 |
Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 11 | $67.295,60 | 383 / 2 | $18.724,50 | 446 / 1 | $17.733,00 | 443 / 1 |
Digestive Malignancy W Cc | 17 | 30 / 7 | $31.419,40 | 159 / 1 | $8.334,82 | 176 / 1 | $7.548,71 | 174 / 2 |
Cervical Spinal Fusion W Cc | 16 | 37 / 11 | $112.550,00 | 305 / 10 | $23.371,60 | 312 / 11 | $22.230,80 | 311 / 15 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 16 | 22 / 4 | $22.145,60 | 291 / 3 | $4.337,19 | 200 / 2 | $3.351,81 | 200 / 3 |
Other Circulatory System Diagnoses W Cc | 16 | 50 / 10 | $37.071,30 | 510 / 8 | $7.534,25 | 501 / 5 | $6.848,31 | 500 / 7 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 16 | 15 / 2 | $53.638,20 | 65 / 1 | $12.434,60 | 77 / 1 | $11.300,70 | 77 / 1 |
Pulmonary Embolism W Mcc | 16 | 27 / 4 | $29.306,20 | 152 / 1 | $10.170,50 | 254 / 2 | $8.600,31 | 254 / 2 |
Permanent Cardiac Pacemaker Implant W Mcc | 16 | 36 / 8 | $97.410,60 | 310 / 2 | $31.802,90 | 337 / 32 | $23.279,20 | 337 / 4 |
Complications Of Treatment W Mcc | 15 | 36 / 8 | $70.373,40 | 237 / 6 | $16.663,30 | 240 / 10 | $14.984,60 | 240 / 13 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 18 | $163.831,00 | 620 / 15 | $40.299,00 | 784 / 29 | $39.674,70 | 783 / 34 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 15 | 33 / 9 | $49.987,20 | 148 / 6 | $10.019,80 | 118 / 3 | $8.886,07 | 118 / 4 |
Other Resp System O.R. Procedures W Cc | 15 | 32 / 4 | $46.906,10 | 135 / 1 | $14.720,30 | 153 / 3 | $11.579,60 | 153 / 1 |
Disorders Of Pancreas Except Malignancy W Mcc | 15 | 31 / 6 | $45.383,20 | 167 / 6 | $11.566,40 | 123 / 1 | $10.595,10 | 123 / 1 |
Other Vascular Procedures W Mcc | 15 | 82 / 27 | $122.478,00 | 746 / 23 | $31.637,60 | 709 / 64 | $23.834,70 | 706 / 17 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 30 | $13.640,30 | 684 / 2 | $4.031,80 | 220 / 1 | $2.988,47 | 218 / 1 |
Chest Pain | 14 | 137 / 58 | $24.332,60 | 1177 / 33 | $4.025,57 | 720 / 2 | $3.162,14 | 715 / 7 |
Diabetes W Mcc | 14 | 43 / 13 | $34.219,10 | 359 / 4 | $9.013,71 | 370 / 2 | $8.493,29 | 370 / 2 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 14 | 55 / 10 | $278.828,00 | 169 / 2 | $74.716,10 | 219 / 4 | $73.752,10 | 219 / 5 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 14 | 28 / 10 | $64.889,20 | 222 / 12 | $17.721,40 | 265 / 17 | $16.682,40 | 265 / 18 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 16 | $179.347,00 | 580 / 16 | $45.298,80 | 670 / 40 | $41.466,90 | 670 / 38 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 28 | $87.438,30 | 357 / 2 | $21.815,60 | 597 / 3 | $20.775,80 | 593 / 4 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 9 | $31.656,90 | 234 / 1 | $8.179,21 | 260 / 2 | $7.569,93 | 260 / 2 |
Pancreas, Liver & Shunt Procedures W Mcc | 14 | 29 / 7 | $270.924,00 | 97 / 3 | $67.929,70 | 106 / 4 | $64.801,60 | 106 / 4 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 17 | $34.604,90 | 571 / 13 | $9.564,43 | 778 / 10 | $8.871,29 | 774 / 13 |
Transurethral Procedures W Cc | 13 | 28 / 5 | $35.013,60 | 173 / 1 | $8.504,54 | 246 / 1 | $7.756,08 | 246 / 2 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 16 | $13.569,20 | 253 / 1 | $5.034,69 | 255 / 3 | $3.282,69 | 253 / 1 |
Peritoneal Adhesiolysis W Cc | 13 | 26 / 9 | $74.699,70 | 182 / 3 | $16.781,40 | 204 / 5 | $15.749,90 | 204 / 6 |
Other Disorders Of Nervous System W Cc | 13 | 43 / 14 | $28.206,40 | 348 / 4 | $5.623,38 | 206 / 1 | $4.881,54 | 206 / 1 |
Major Male Pelvic Procedures W Cc/Mcc | 13 | 17 / 4 | $103.532,00 | 53 / 2 | $16.526,10 | 39 / 4 | $12.439,80 | 39 / 2 |
Medical Back Problems W Mcc | 13 | 26 / 7 | $29.302,20 | 66 / 1 | $9.082,69 | 55 / 1 | $8.241,15 | 55 / 1 |
Diabetes W Cc | 13 | 79 / 22 | $20.864,50 | 753 / 5 | $5.402,69 | 499 / 1 | $4.276,23 | 499 / 2 |
Other O.R. Procedures For Injuries W Mcc | 12 | 25 / 6 | $164.530,00 | 165 / 3 | $40.055,80 | 173 / 6 | $39.139,70 | 173 / 7 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 19 | $15.991,20 | 229 / 2 | $5.029,42 | 194 / 3 | $3.591,17 | 194 / 1 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 12 | 30 / 10 | $159.309,00 | 103 / 1 | $37.263,40 | 80 / 2 | $36.139,70 | 80 / 2 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 12 | $60.506,20 | 121 / 1 | $17.548,20 | 173 / 2 | $16.536,80 | 172 / 2 |
Other Disorders Of Nervous System W Mcc | 12 | 28 / 11 | $36.294,00 | 115 / 2 | $9.703,92 | 66 / 1 | $8.388,25 | 66 / 1 |
Nervous System Neoplasms W Mcc | 12 | 36 / 11 | $38.533,20 | 155 / 1 | $8.821,58 | 137 / 1 | $8.112,08 | 137 / 2 |
Other Resp System O.R. Procedures W Mcc | 12 | 51 / 6 | $125.340,00 | 433 / 2 | $35.260,00 | 315 / 16 | $22.895,70 | 314 / 1 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 12 | 76 / 18 | $142.837,00 | 450 / 6 | $26.628,20 | 462 / 3 | $25.715,10 | 461 / 8 |
Other Vascular Procedures W Cc | 12 | 90 / 32 | $58.732,20 | 340 / 1 | $17.527,50 | 428 / 5 | $14.539,90 | 425 / 1 |
Fractures Of Hip & Pelvis W Mcc | 11 | 10 / 3 | $28.272,30 | 24 / 1 | $7.977,00 | 21 / 1 | $7.087,36 | 21 / 1 |
Other Skin, Subcut Tiss & Breast Proc W Mcc | 11 | 11 / 3 | $41.329,70 | 5 / 1 | $15.655,30 | 20 / 1 | $15.102,70 | 20 / 1 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 11 | 44 / 14 | $91.021,30 | 124 / 1 | $21.895,90 | 135 / 1 | $21.017,00 | 135 / 2 |
Major Chest Procedures W/O Cc/Mcc | 11 | 48 / 9 | $91.175,20 | 230 / 10 | $15.553,70 | 179 / 8 | $12.422,40 | 179 / 4 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 23 | $23.579,00 | 261 / 3 | $6.089,00 | 221 / 2 | $5.422,09 | 221 / 2 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 12 | $24.862,30 | 447 / 5 | $5.047,36 | 423 / 1 | $4.060,27 | 420 / 1 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 12 | $56.925,50 | 202 / 2 | $13.343,80 | 224 / 2 | $12.462,70 | 225 / 7 |
Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 19 | $21.935,90 | 293 / 1 | $5.171,64 | 34 / 1 | $4.184,55 | 34 / 1 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 11 | 31 / 7 | $152.075,00 | 84 / 1 | $32.101,90 | 76 / 2 | $30.897,60 | 76 / 2 |
Respiratory Neoplasms W Cc | 11 | 36 / 13 | $41.599,40 | 342 / 4 | $9.259,73 | 362 / 3 | $8.383,64 | 361 / 6 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 11 | 34 / 8 | $61.518,40 | 122 / 3 | $13.857,10 | 135 / 3 | $13.523,60 | 135 / 3 |
Pneumothorax W Cc | 11 | 14 / 3 | $24.419,00 | 31 / 1 | $6.505,73 | 38 / 1 | $5.294,09 | 38 / 1 |
Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 6 | $16.675,60 | 163 / 1 | $4.293,73 | 150 / 1 | $3.300,82 | 150 / 1 |
Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 14 | $43.170,60 | 218 / 7 | $10.743,50 | 191 / 3 | $10.080,50 | 191 / 4 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 11 | 20 / 4 | $154.003,00 | 78 / 1 | $41.210,90 | 87 / 1 | $40.574,40 | 87 / 1 |
Postoperative & Post-Traumatic Infections W Mcc | 11 | 32 / 8 | $59.590,30 | 146 / 3 | $15.207,80 | 156 / 4 | $14.649,00 | 156 / 6 |
Postoperative & Post-Traumatic Infections W/O Mcc | 11 | 43 / 12 | $17.473,60 | 82 / 1 | $5.528,09 | 51 / 1 | $4.759,18 | 51 / 1 |
Hernia Procedures Except Inguinal & Femoral W Cc | 11 | 23 / 2 | $45.383,50 | 65 / 1 | $10.992,40 | 69 / 1 | $9.783,09 | 69 / 1 | Total 155 procedures | 5.684 | 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.