Hospital Costs > In Florida > Holmes Regional 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 | 301 | 217 / 21 | $49.224,40 | 1756 / 42 | $10.042,80 | 300 / 20 | $9.173,65 | 300 / 26 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 299 | 269 / 33 | $63.649,10 | 1826 / 51 | $12.288,20 | 257 / 44 | $9.852,57 | 257 / 15 |
Heart Failure & Shock W Mcc | 274 | 40 / 3 | $37.592,50 | 1536 / 42 | $8.002,14 | 244 / 19 | $7.320,66 | 244 / 25 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 248 | 47 / 14 | $22.911,80 | 1706 / 43 | $4.080,85 | 104 / 18 | $2.943,91 | 104 / 11 |
Kidney & Urinary Tract Infections W/O Mcc | 186 | 57 / 11 | $20.666,30 | 1645 / 44 | $4.068,25 | 192 / 14 | $3.292,77 | 192 / 25 |
Heart Failure & Shock W Cc | 176 | 103 / 14 | $22.079,60 | 1405 / 31 | $5.340,61 | 150 / 23 | $4.450,07 | 150 / 23 |
Spinal Fusion Except Cervical W/O Mcc | 160 | 45 / 4 | $141.111,00 | 1071 / 53 | $24.685,90 | 573 / 51 | $22.308,30 | 570 / 62 |
Chronic Obstructive Pulmonary Disease W Mcc | 159 | 47 / 9 | $28.922,10 | 1402 / 31 | $6.383,25 | 152 / 19 | $5.287,45 | 152 / 15 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 146 | 23 / 4 | $18.709,00 | 923 / 20 | $4.335,92 | 96 / 24 | $3.275,94 | 96 / 15 |
Renal Failure W Cc | 145 | 78 / 12 | $24.925,90 | 1411 / 37 | $5.166,70 | 191 / 16 | $4.357,43 | 190 / 31 |
Pulmonary Edema & Respiratory Failure | 142 | 63 / 3 | $34.990,40 | 1298 / 41 | $6.756,32 | 121 / 17 | $5.730,44 | 121 / 14 |
Simple Pneumonia & Pleurisy W Mcc | 141 | 64 / 6 | $39.302,10 | 1535 / 37 | $8.025,25 | 378 / 27 | $7.152,63 | 378 / 38 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 136 | 27 / 11 | $14.982,40 | 989 / 32 | $3.088,28 | 75 / 16 | $1.893,35 | 75 / 11 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 134 | 64 / 8 | $79.954,70 | 865 / 30 | $11.175,10 | 245 / 7 | $9.965,54 | 245 / 29 |
Simple Pneumonia & Pleurisy W Cc | 133 | 71 / 14 | $25.250,80 | 1640 / 33 | $5.186,93 | 145 / 9 | $4.222,84 | 145 / 15 |
Syncope & Collapse | 130 | 44 / 14 | $25.277,50 | 1231 / 54 | $3.949,85 | 72 / 17 | $2.931,94 | 72 / 13 |
G.I. Hemorrhage W Cc | 127 | 91 / 17 | $26.064,10 | 1293 / 31 | $5.370,15 | 112 / 13 | $4.383,55 | 112 / 14 |
Kidney & Urinary Tract Infections W Mcc | 127 | 26 / 4 | $30.670,70 | 1207 / 47 | $6.082,92 | 153 / 20 | $5.156,20 | 153 / 19 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 109 | 79 / 14 | $39.959,80 | 946 / 41 | $6.005,06 | 85 / 15 | $4.702,46 | 85 / 8 |
Chronic Obstructive Pulmonary Disease W Cc | 109 | 70 / 19 | $24.142,80 | 1391 / 36 | $5.034,08 | 120 / 12 | $4.049,58 | 120 / 18 |
Chest Pain | 106 | 50 / 20 | $19.743,70 | 903 / 34 | $3.245,39 | 113 / 9 | $2.377,26 | 113 / 23 |
Transient Ischemia | 102 | 23 / 5 | $26.496,20 | 1028 / 49 | $3.762,54 | 92 / 13 | $2.776,80 | 92 / 18 |
Cellulitis W/O Mcc | 99 | 90 / 20 | $19.549,70 | 1436 / 29 | $4.556,96 | 112 / 21 | $3.425,82 | 112 / 10 |
Medical Back Problems W/O Mcc | 94 | 29 / 9 | $23.914,10 | 775 / 35 | $4.567,98 | 41 / 15 | $3.344,85 | 41 / 6 |
Hip & Femur Procedures Except Major Joint W Cc | 92 | 51 / 9 | $61.010,70 | 1378 / 45 | $10.308,70 | 104 / 9 | $9.231,65 | 103 / 11 |
Renal Failure W Mcc | 91 | 104 / 23 | $39.564,00 | 1277 / 44 | $8.380,29 | 261 / 27 | $7.647,43 | 261 / 39 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 85 | 81 / 18 | $16.702,40 | 1166 / 24 | $3.737,29 | 107 / 15 | $2.851,04 | 107 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 84 | 84 / 7 | $54.930,70 | 1043 / 45 | $10.261,40 | 534 / 55 | $9.427,42 | 533 / 63 |
Respiratory Infections & Inflammations W Mcc | 84 | 53 / 7 | $50.342,40 | 1081 / 28 | $10.595,20 | 202 / 15 | $9.753,35 | 202 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 82 | 100 / 15 | $36.056,50 | 1391 / 55 | $5.861,35 | 156 / 24 | $4.739,91 | 156 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 74 | 49 / 8 | $30.539,00 | 988 / 36 | $6.913,22 | 301 / 33 | $6.046,62 | 300 / 37 |
Other Circulatory System Diagnoses W Mcc | 73 | 43 / 7 | $51.981,80 | 788 / 34 | $10.725,90 | 246 / 36 | $9.777,36 | 246 / 39 |
Red Blood Cell Disorders W/O Mcc | 72 | 71 / 21 | $22.371,50 | 1098 / 43 | $4.368,86 | 171 / 20 | $3.579,39 | 171 / 23 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 68 | 139 / 36 | $26.605,90 | 1390 / 26 | $5.669,46 | 138 / 11 | $4.741,21 | 138 / 17 |
G.I. Obstruction W Cc | 66 | 26 / 8 | $24.161,30 | 937 / 27 | $4.667,02 | 85 / 8 | $3.732,23 | 85 / 19 |
Seizures W/O Mcc | 64 | 44 / 5 | $25.860,20 | 806 / 34 | $4.109,50 | 44 / 10 | $3.083,45 | 44 / 8 |
Peripheral Vascular Disorders W Cc | 63 | 22 / 4 | $23.426,20 | 561 / 29 | $5.273,67 | 119 / 20 | $4.459,83 | 119 / 26 |
Heart Failure & Shock W/O Cc/Mcc | 55 | 55 / 19 | $19.079,30 | 1230 / 42 | $3.740,36 | 96 / 20 | $2.765,84 | 95 / 17 |
G.I. Hemorrhage W Mcc | 55 | 66 / 11 | $47.304,10 | 928 / 36 | $9.512,15 | 196 / 18 | $8.879,42 | 196 / 26 |
Cervical Spinal Fusion W/O Cc/Mcc | 55 | 49 / 7 | $74.331,80 | 621 / 32 | $13.154,70 | 61 / 29 | $10.101,40 | 61 / 6 |
Other Vascular Procedures W Cc | 54 | 49 / 7 | $80.993,90 | 656 / 30 | $14.344,20 | 249 / 22 | $13.653,20 | 248 / 35 |
Major Small & Large Bowel Procedures W Cc | 54 | 54 / 12 | $71.212,20 | 876 / 26 | $13.675,90 | 137 / 16 | $12.126,70 | 137 / 18 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 53 | 67 / 33 | $17.953,30 | 1103 / 26 | $3.920,94 | 86 / 20 | $2.781,55 | 86 / 13 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 51 | 74 / 18 | $46.004,60 | 1027 / 37 | $9.260,18 | 252 / 33 | $8.427,37 | 252 / 35 |
Major Cardiovasc Procedures W/O Mcc | 50 | 51 / 11 | $114.535,00 | 709 / 29 | $19.007,50 | 220 / 18 | $17.966,90 | 220 / 33 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 49 | 44 / 16 | $17.648,50 | 974 / 16 | $4.072,27 | 41 / 33 | $2.541,29 | 41 / 5 |
Red Blood Cell Disorders W Mcc | 49 | 22 / 3 | $37.749,80 | 644 / 41 | $7.749,84 | 413 / 45 | $7.162,41 | 411 / 52 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 49 | 51 / 7 | $105.687,00 | 550 / 19 | $18.515,90 | 145 / 27 | $16.745,70 | 145 / 28 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 48 | 78 / 16 | $36.890,10 | 1225 / 57 | $7.302,83 | 705 / 67 | $6.397,98 | 702 / 68 |
Other Digestive System Diagnoses W Cc | 47 | 50 / 14 | $25.381,60 | 697 / 21 | $5.515,40 | 45 / 25 | $4.200,00 | 45 / 9 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 47 | 84 / 24 | $59.977,40 | 905 / 31 | $12.883,50 | 180 / 33 | $11.487,70 | 179 / 26 |
Permanent Cardiac Pacemaker Implant W Cc | 46 | 31 / 6 | $76.186,00 | 575 / 34 | $14.384,70 | 99 / 14 | $13.330,80 | 99 / 17 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 46 | 78 / 20 | $161.061,00 | 1083 / 46 | $34.028,50 | 833 / 73 | $33.089,30 | 827 / 86 |
Other Disorders Of Nervous System W Cc | 46 | 12 / 3 | $30.843,70 | 388 / 24 | $4.710,93 | 46 / 5 | $4.017,72 | 46 / 8 |
Seizures W Mcc | 45 | 21 / 2 | $37.801,10 | 321 / 15 | $8.140,62 | 64 / 7 | $7.423,64 | 64 / 11 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 43 | 53 / 16 | $36.720,80 | 867 / 37 | $6.529,42 | 117 / 11 | $5.742,81 | 117 / 14 |
Diabetes W Cc | 43 | 49 / 15 | $21.993,00 | 815 / 24 | $4.374,88 | 92 / 6 | $3.586,05 | 92 / 15 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 42 | 21 / 7 | $24.348,10 | 496 / 38 | $4.626,24 | 4 / 32 | $2.632,98 | 4 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 40 | 62 / 19 | $28.755,10 | 1056 / 44 | $4.009,65 | 67 / 5 | $2.891,25 | 66 / 10 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 38 | 63 / 12 | $50.259,10 | 798 / 37 | $9.249,47 | 371 / 36 | $8.643,37 | 371 / 39 |
Major Small & Large Bowel Procedures W Mcc | 38 | 47 / 10 | $145.471,00 | 778 / 30 | $30.787,40 | 426 / 50 | $28.837,70 | 424 / 56 |
Degenerative Nervous System Disorders W/O Mcc | 38 | 40 / 10 | $22.437,80 | 312 / 11 | $5.649,74 | 16 / 30 | $4.019,16 | 16 / 1 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 38 | 9 / 3 | $23.950,90 | 219 / 11 | $3.682,97 | 29 / 3 | $2.692,66 | 29 / 9 |
Other Vascular Procedures W Mcc | 36 | 61 / 17 | $102.279,00 | 617 / 38 | $21.788,80 | 129 / 63 | $17.280,30 | 129 / 29 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 35 | 83 / 13 | $186.817,00 | 388 / 18 | $30.751,40 | 74 / 17 | $27.630,60 | 74 / 10 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 35 | 29 / 4 | $43.115,30 | 356 / 8 | $10.492,50 | 40 / 33 | $7.054,91 | 40 / 3 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 35 | 57 / 13 | $139.399,00 | 448 / 18 | $33.041,30 | 165 / 29 | $31.246,50 | 165 / 26 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 35 | 31 / 6 | $30.006,20 | 248 / 20 | $5.990,23 | 15 / 3 | $4.821,57 | 15 / 4 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 35 | 60 / 16 | $68.581,10 | 251 / 12 | $11.065,00 | 113 / 11 | $10.164,40 | 112 / 24 |
Respiratory Infections & Inflammations W Cc | 32 | 56 / 22 | $35.808,20 | 867 / 21 | $7.280,06 | 100 / 9 | $6.487,06 | 100 / 13 |
Other Digestive System Diagnoses W Mcc | 32 | 30 / 3 | $51.465,80 | 479 / 31 | $9.337,62 | 72 / 15 | $8.623,84 | 72 / 20 |
Disorders Of Pancreas Except Malignancy W Cc | 32 | 29 / 7 | $29.201,10 | 603 / 22 | $5.031,84 | 117 / 9 | $4.236,84 | 117 / 18 |
Signs & Symptoms W/O Mcc | 31 | 60 / 20 | $16.979,90 | 472 / 10 | $3.635,65 | 29 / 10 | $2.727,00 | 29 / 5 |
Extracranial Procedures W/O Cc/Mcc | 31 | 67 / 21 | $39.806,00 | 633 / 22 | $5.582,68 | 75 / 3 | $4.570,03 | 75 / 10 |
Peripheral Vascular Disorders W/O Cc/Mcc | 30 | 15 / 6 | $17.655,10 | 180 / 19 | $3.507,60 | 34 / 4 | $2.783,33 | 34 / 14 |
Fractures Of Hip & Pelvis W/O Mcc | 30 | 31 / 16 | $16.008,70 | 331 / 11 | $3.583,20 | 20 / 2 | $2.620,00 | 20 / 4 |
Other Kidney & Urinary Tract Diagnoses W Cc | 30 | 73 / 14 | $26.408,90 | 434 / 17 | $5.209,13 | 53 / 4 | $4.560,60 | 53 / 12 |
Combined Anterior/Posterior Spinal Fusion W Cc | 30 | 17 / 2 | $251.062,00 | 74 / 4 | $59.731,10 | 26 / 8 | $42.158,30 | 26 / 4 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 30 | 63 / 14 | $60.070,50 | 464 / 24 | $11.412,10 | 111 / 11 | $10.524,60 | 108 / 23 |
Dysequilibrium | 29 | 36 / 14 | $24.623,80 | 334 / 27 | $3.311,86 | 40 / 6 | $2.352,97 | 40 / 13 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 29 | 26 / 7 | $80.886,60 | 496 / 34 | $12.394,60 | 297 / 36 | $11.274,10 | 296 / 45 |
Disorders Of The Biliary Tract W Cc | 29 | 25 / 4 | $33.197,30 | 252 / 12 | $5.595,31 | 19 / 2 | $4.764,41 | 19 / 2 |
Respiratory Neoplasms W Mcc | 29 | 23 / 3 | $43.635,50 | 303 / 11 | $9.160,48 | 56 / 5 | $8.534,83 | 56 / 11 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 29 | 27 / 13 | $50.450,50 | 471 / 15 | $10.764,00 | 13 / 57 | $6.950,93 | 13 / 2 |
Atherosclerosis W/O Mcc | 28 | 30 / 7 | $20.434,00 | 321 / 18 | $3.452,61 | / 12 | $2.588,61 | / |
Cranial & Peripheral Nerve Disorders W/O Mcc | 28 | 40 / 12 | $23.313,50 | 307 / 11 | $4.787,57 | 9 / 7 | $3.421,32 | 9 / 2 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 27 | 34 / 10 | $19.770,40 | 507 / 16 | $3.810,41 | 89 / 19 | $2.871,70 | 89 / 17 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 27 | 71 / 10 | $124.559,00 | 281 / 14 | $26.184,40 | 145 / 17 | $25.292,00 | 145 / 24 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 27 | 62 / 14 | $36.530,10 | 408 / 11 | $6.147,93 | 43 / 9 | $4.487,15 | 43 / 4 |
Postoperative & Post-Traumatic Infections W/O Mcc | 27 | 27 / 7 | $24.209,30 | 192 / 5 | $5.035,37 | 39 / 5 | $4.588,56 | 39 / 12 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 26 | 47 / 22 | $23.362,50 | 416 / 10 | $6.085,92 | 89 / 5 | $5.527,15 | 89 / 12 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 26 | 45 / 13 | $121.907,00 | 393 / 14 | $28.003,40 | 130 / 14 | $26.899,50 | 130 / 17 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 26 | 31 / 15 | $63.517,00 | 446 / 23 | $11.869,20 | 130 / 15 | $10.941,20 | 129 / 22 |
Other Resp System O.R. Procedures W Mcc | 26 | 37 / 8 | $81.775,90 | 230 / 15 | $18.525,90 | 21 / 2 | $16.922,80 | 21 / 2 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 26 | 90 / 14 | $217.343,00 | 255 / 11 | $41.563,90 | 29 / 3 | $40.725,80 | 29 / 5 |
Respiratory Signs & Symptoms | 25 | 21 / 5 | $19.909,30 | 115 / 5 | $3.918,76 | 6 / 12 | $2.660,96 | 6 / 3 |
G.I. Obstruction W/O Cc/Mcc | 25 | 46 / 23 | $19.502,30 | 796 / 25 | $3.205,68 | 45 / 2 | $2.145,84 | 45 / 5 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 25 | 29 / 9 | $19.374,90 | 149 / 9 | $3.885,76 | 10 / 1 | $2.873,28 | 10 / 2 |
Cervical Spinal Fusion W Cc | 24 | 29 / 6 | $96.288,90 | 274 / 17 | $20.081,40 | 63 / 19 | $14.920,80 | 63 / 4 |
Hypertension W/O Mcc | 24 | 41 / 25 | $17.792,30 | 329 / 15 | $3.567,92 | 3 / 13 | $2.013,17 | 3 / 1 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 24 | 41 / 15 | $117.894,00 | 741 / 40 | $21.090,90 | 567 / 54 | $20.184,20 | 564 / 62 |
Organic Disturbances & Mental Retardation | 24 | 35 / 14 | $30.181,90 | 348 / 22 | $5.145,42 | 39 / 2 | $4.590,75 | 39 / 14 |
Major Chest Procedures W Cc | 24 | 50 / 9 | $68.036,60 | 257 / 7 | $13.135,50 | 28 / 3 | $12.176,80 | 28 / 4 |
Acute Myocardial Infarction, Discharged Alive W Cc | 24 | 67 / 27 | $28.116,80 | 657 / 16 | $6.099,46 | 98 / 35 | $4.691,54 | 98 / 18 |
Cellulitis W Mcc | 24 | 34 / 11 | $34.424,50 | 476 / 22 | $8.412,46 | 27 / 26 | $6.423,33 | 27 / 2 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 23 | 47 / 8 | $19.707,30 | 180 / 4 | $4.812,13 | 32 / 1 | $4.236,13 | 32 / 6 |
Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 23 | 9 / 4 | $48.624,10 | 35 / 2 | $11.454,40 | 6 / 2 | $10.562,60 | 6 / 3 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 23 | 17 / 3 | $28.095,70 | 123 / 3 | $5.741,83 | 5 / 1 | $4.657,74 | 5 / 3 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 23 | 65 / 15 | $146.344,00 | 462 / 20 | $21.665,00 | 83 / 15 | $18.514,90 | 83 / 8 |
Respiratory Neoplasms W Cc | 23 | 24 / 6 | $30.258,60 | 200 / 11 | $6.127,04 | 20 / 1 | $5.288,09 | 20 / 6 |
Peripheral Vascular Disorders W Mcc | 23 | 26 / 8 | $34.216,60 | 276 / 18 | $7.184,22 | 45 / 7 | $6.498,30 | 45 / 11 |
Nervous System Neoplasms W Mcc | 23 | 25 / 4 | $32.745,10 | 114 / 10 | $7.254,96 | 2 / 1 | $5.452,57 | 2 / 1 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 23 | 21 / 6 | $83.279,40 | 245 / 18 | $17.520,10 | 43 / 30 | $13.908,30 | 42 / 10 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 23 | 53 / 8 | $45.623,40 | 264 / 11 | $10.792,60 | 133 / 11 | $10.294,40 | 133 / 16 |
Major Cardiovasc Procedures W Mcc | 23 | 45 / 12 | $118.581,00 | 205 / 8 | $29.196,40 | 39 / 13 | $26.091,50 | 39 / 3 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 23 | 24 / 2 | $235.626,00 | 95 / 7 | $42.559,40 | 78 / 7 | $41.347,60 | 78 / 8 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 22 | 44 / 11 | $69.263,40 | 406 / 16 | $12.753,90 | 263 / 29 | $10.866,90 | 261 / 34 |
Pulmonary Embolism W/O Mcc | 22 | 52 / 21 | $25.445,00 | 659 / 15 | $5.130,50 | 52 / 4 | $4.142,86 | 52 / 7 |
Medical Back Problems W Mcc | 22 | 17 / 5 | $48.173,80 | 205 / 13 | $8.307,00 | 14 / 1 | $7.379,00 | 14 / 1 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 22 | 41 / 16 | $122.265,00 | 356 / 19 | $26.841,00 | 98 / 23 | $25.159,50 | 98 / 23 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 21 | 19 / 7 | $58.788,40 | 121 / 15 | $11.294,90 | 22 / 13 | $9.935,05 | 22 / 9 |
Complications Of Treatment W Cc | 21 | 31 / 8 | $21.308,70 | 110 / 6 | $5.132,57 | 10 / 1 | $4.382,86 | 10 / 4 |
Other Disorders Of Nervous System W Mcc | 21 | 19 / 5 | $33.665,10 | 101 / 5 | $8.034,00 | 15 / 2 | $7.400,10 | 15 / 2 |
Hip & Femur Procedures Except Major Joint W Mcc | 21 | 41 / 14 | $79.325,50 | 523 / 19 | $15.802,40 | 92 / 5 | $15.110,60 | 92 / 14 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 21 | 30 / 4 | $68.290,90 | 235 / 21 | $13.379,60 | 153 / 23 | $12.155,20 | 153 / 23 |
Endocrine Disorders W Cc | 20 | 18 / 4 | $26.886,80 | 146 / 8 | $5.441,10 | 19 / 4 | $4.775,50 | 19 / 4 |
Combined Anterior/Posterior Spinal Fusion W Mcc | 20 | 3 / 1 | $310.486,00 | 8 / 1 | $76.194,40 | 2 / 1 | $67.162,60 | 2 / 1 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 20 | 33 / 11 | $24.835,20 | 126 / 6 | $6.348,45 | 23 / 5 | $5.447,65 | 23 / 6 |
Degenerative Nervous System Disorders W Mcc | 20 | 18 / 4 | $24.371,30 | 37 / 1 | $8.820,60 | 13 / 2 | $8.091,00 | 13 / 2 |
Other Vascular Procedures W/O Cc/Mcc | 20 | 36 / 11 | $53.599,20 | 325 / 15 | $9.532,10 | 27 / 8 | $7.774,65 | 27 / 2 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 19 | 62 / 11 | $299.566,00 | 82 / 3 | $80.406,80 | 31 / 7 | $77.048,90 | 31 / 8 |
Pleural Effusion W Mcc | 19 | 11 / 5 | $36.434,70 | 81 / 5 | $8.051,63 | 12 / 2 | $7.541,32 | 12 / 2 |
Other Digestive System Diagnoses W/O Cc/Mcc | 19 | 24 / 11 | $19.378,70 | 157 / 9 | $3.574,68 | 9 / 6 | $2.434,47 | 9 / 1 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 19 | 19 / 9 | $23.680,50 | 316 / 21 | $3.999,32 | 29 / 19 | $2.480,00 | 29 / 8 |
Spinal Fusion Except Cervical W Mcc | 19 | 6 / 3 | $184.427,00 | 48 / 5 | $38.337,70 | 24 / 3 | $37.259,90 | 24 / 4 |
Renal Failure W/O Cc/Mcc | 19 | 37 / 23 | $18.059,70 | 491 / 19 | $3.322,84 | 66 / 6 | $2.559,89 | 65 / 13 |
Revision Of Hip Or Knee Replacement W Cc | 19 | 67 / 22 | $92.947,80 | 404 / 17 | $19.675,30 | 41 / 28 | $15.991,20 | 41 / 2 |
G.I. Obstruction W Mcc | 18 | 24 / 7 | $37.622,20 | 217 / 8 | $9.294,72 | 103 / 22 | $8.493,00 | 103 / 22 |
Poisoning & Toxic Effects Of Drugs W Mcc | 18 | 54 / 21 | $27.438,40 | 290 / 6 | $7.461,83 | 71 / 6 | $6.654,72 | 71 / 11 |
Other Resp System O.R. Procedures W Cc | 18 | 29 / 9 | $58.716,80 | 201 / 13 | $10.181,50 | 35 / 3 | $9.577,06 | 35 / 7 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 20 | $51.005,30 | 596 / 26 | $8.641,72 | 78 / 8 | $7.567,94 | 78 / 15 |
Coronary Bypass W Cardiac Cath W Mcc | 18 | 38 / 11 | $204.032,00 | 246 / 11 | $36.565,40 | 52 / 5 | $35.497,00 | 52 / 12 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 18 | 51 / 8 | $295.394,00 | 187 / 14 | $58.662,10 | 99 / 10 | $58.061,20 | 99 / 16 |
Other Circulatory System Diagnoses W Cc | 18 | 48 / 18 | $27.141,80 | 353 / 18 | $5.236,28 | 42 / 7 | $4.436,22 | 42 / 6 |
Coronary Bypass W/O Cardiac Cath W Mcc | 18 | 41 / 9 | $174.625,00 | 148 / 6 | $31.267,40 | 39 / 3 | $30.462,00 | 39 / 4 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 17 | 30 / 11 | $54.155,10 | 361 / 16 | $8.023,12 | 46 / 3 | $6.661,53 | 46 / 8 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 17 | 13 / 4 | $57.856,20 | 122 / 7 | $11.093,90 | 9 / 3 | $8.387,24 | 9 / 2 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 17 | 27 / 12 | $24.459,80 | 153 / 17 | $4.156,35 | 8 / 6 | $2.927,76 | 8 / 8 |
Other Disorders Of Nervous System W/O Cc/Mcc | 17 | 18 / 6 | $20.298,90 | 65 / 6 | $3.515,41 | 10 / 2 | $2.738,00 | 10 / 5 |
Permanent Cardiac Pacemaker Implant W Mcc | 17 | 35 / 12 | $92.918,50 | 284 / 11 | $19.067,10 | 43 / 6 | $18.496,70 | 43 / 11 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 17 | 30 / 9 | $25.799,10 | 244 / 15 | $3.780,53 | 10 / 3 | $2.927,82 | 10 / 6 |
Diabetes W Mcc | 17 | 40 / 11 | $43.268,10 | 494 / 26 | $9.007,59 | 327 / 31 | $8.262,12 | 327 / 36 |
G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 29 | $14.196,90 | 285 / 7 | $3.707,82 | 73 / 5 | $2.853,24 | 73 / 22 |
Psychoses | 16 | 259 / 28 | $20.268,70 | 336 / 13 | $5.367,31 | 18 / 2 | $4.424,31 | 18 / 7 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 16 | 108 / 21 | $20.032,10 | 487 / 19 | $3.461,62 | 18 / 2 | $2.633,62 | 18 / 6 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 16 | 26 / 5 | $157.161,00 | 99 / 3 | $35.268,40 | 27 / 7 | $30.212,10 | 27 / 4 |
Nonspecific Cerebrovascular Disorders W Mcc | 16 | 35 / 9 | $55.887,50 | 294 / 14 | $10.979,90 | 218 / 17 | $10.455,90 | 218 / 17 |
Pneumothorax W Cc | 16 | 9 / 5 | $30.100,60 | 57 / 9 | $5.177,88 | 3 / 1 | $4.117,88 | 3 / 2 |
Nonspecific Cerebrovascular Disorders W Cc | 15 | 41 / 12 | $25.782,50 | 238 / 14 | $5.050,20 | 32 / 1 | $4.405,93 | 32 / 5 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 15 | 54 / 19 | $84.832,90 | 355 / 18 | $15.104,90 | 49 / 23 | $12.284,60 | 49 / 9 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 15 | 49 / 16 | $208.852,00 | 166 / 5 | $50.663,50 | 58 / 4 | $49.210,80 | 58 / 6 |
Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 31 | $23.573,30 | 531 / 19 | $4.637,93 | 60 / 4 | $3.671,53 | 60 / 12 |
Major Chest Procedures W/O Cc/Mcc | 15 | 44 / 9 | $50.686,90 | 127 / 3 | $9.559,07 | 32 / 3 | $8.833,73 | 32 / 6 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 15 | 39 / 13 | $90.464,90 | 112 / 6 | $16.558,80 | 26 / 5 | $15.750,30 | 26 / 5 |
Other O.R. Procedures For Injuries W Cc | 14 | 21 / 5 | $50.102,40 | 70 / 2 | $11.114,50 | 3 / 3 | $8.777,50 | 3 / 1 |
Multiple Sclerosis & Cerebellar Ataxia W/O Cc/Mcc | 14 | 10 / 3 | $24.534,00 | 11 / 2 | $5.423,64 | 2 / 1 | $3.142,93 | 2 / 1 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 14 | 55 / 23 | $60.855,80 | 271 / 8 | $9.723,71 | 62 / 2 | $8.690,57 | 62 / 4 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 13 | 40 / 10 | $48.319,20 | 162 / 8 | $9.266,62 | 15 / 3 | $8.427,23 | 15 / 4 |
Complications Of Treatment W Mcc | 13 | 38 / 12 | $31.602,60 | 64 / 3 | $9.099,31 | 15 / 1 | $8.631,62 | 15 / 3 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 18 | $40.022,20 | 301 / 15 | $9.713,46 | 55 / 3 | $9.341,77 | 55 / 8 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 13 | 37 / 15 | $112.493,00 | 72 / 4 | $29.542,00 | 35 / 3 | $28.798,60 | 35 / 10 |
Disorders Of The Biliary Tract W Mcc | 13 | 26 / 7 | $58.160,10 | 188 / 8 | $10.444,20 | 74 / 9 | $9.609,69 | 74 / 10 |
Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 13 | 15 / 5 | $161.408,00 | 20 / 1 | $38.663,80 | 6 / 1 | $37.522,80 | 6 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 13 | 23 / 9 | $79.135,20 | 243 / 10 | $13.624,30 | 83 / 10 | $12.885,80 | 83 / 14 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 13 | 18 / 8 | $31.468,20 | 79 / 8 | $6.050,77 | 11 / 1 | $5.307,38 | 11 / 3 |
Tendonitis, Myositis & Bursitis W/O Mcc | 13 | 29 / 13 | $20.348,60 | 143 / 4 | $4.317,62 | 13 / 1 | $3.293,62 | 13 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 21 | $44.842,90 | 364 / 16 | $6.535,46 | 68 / 5 | $5.422,85 | 68 / 15 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 13 | 32 / 7 | $52.855,50 | 97 / 3 | $9.702,69 | 8 / 2 | $8.956,85 | 8 / 3 |
Extracranial Procedures W Cc | 12 | 34 / 12 | $53.898,10 | 257 / 8 | $8.515,33 | 48 / 1 | $7.707,33 | 48 / 8 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 12 | 16 / 8 | $50.928,80 | 59 / 7 | $8.850,17 | 3 / 2 | $7.740,83 | 3 / 1 |
Fever | 12 | 34 / 19 | $22.868,80 | 148 / 15 | $4.510,50 | 16 / 5 | $3.603,83 | 16 / 7 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 12 | 26 / 8 | $64.900,00 | 114 / 8 | $12.925,70 | 87 / 8 | $12.725,70 | 87 / 12 |
Nonspecific Cva & Precerebral Occlusion W/O Infarct W/O Mcc | 12 | 11 / 4 | $33.344,80 | 32 / 4 | $4.515,75 | 1 / 1 | $3.510,42 | 1 / 1 |
Transurethral Procedures W Cc | 12 | 29 / 16 | $40.424,30 | 221 / 13 | $6.773,33 | 24 / 2 | $5.872,00 | 24 / 8 |
Pleural Effusion W Cc | 12 | 16 / 8 | $35.312,00 | 70 / 8 | $5.771,92 | 6 / 2 | $4.867,92 | 6 / 2 |
Aftercare, Musculoskeletal System & Connective Tissue W Cc | 12 | 6 / 3 | $25.540,40 | 9 / 1 | $5.283,33 | 1 / 1 | $4.878,00 | 1 / 1 |
Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 10 | $53.346,60 | 216 / 11 | $9.606,83 | 31 / 2 | $8.798,75 | 31 / 3 |
Atherosclerosis W Mcc | 11 | 10 / 2 | $31.015,10 | 11 / 1 | $5.486,27 | 1 / 1 | $5.049,91 | 1 / 1 |
Acute Myocardial Infarction, Expired W Mcc | 11 | 19 / 4 | $43.506,40 | 82 / 7 | $9.000,82 | 9 / 2 | $8.343,36 | 9 / 2 |
Acute Adjustment Reaction & Psychosocial Dysfunction | 11 | 19 / 5 | $23.025,50 | 52 / 3 | $3.413,64 | 4 / 1 | $2.863,82 | 4 / 1 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 11 | 58 / 18 | $73.975,70 | 289 / 14 | $16.227,50 | 28 / 17 | $12.495,20 | 28 / 1 |
Cirrhosis & Alcoholic Hepatitis W Cc | 11 | 15 / 8 | $21.773,70 | 28 / 2 | $5.653,82 | 3 / 4 | $4.113,18 | 3 / 2 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 11 | 18 / 9 | $15.788,40 | 50 / 2 | $3.536,00 | 2 / 2 | $2.663,27 | 2 / 2 |
Osteomyelitis W Mcc | 11 | 4 / 2 | $39.418,40 | 4 / 1 | $9.760,45 | 1 / 1 | $9.210,64 | 1 / 1 | Total 194 procedures | 8.700 | 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.