Hospital Costs > In Pennsylvania > Hospital Of Univ Of Pennsylvania, 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 | 284 | 234 / 13 | $123.058,00 | 2754 / 123 | $25.295,70 | 2720 / 127 | $18.371,70 | 2675 / 127 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 228 | 6 / 1 | $311.207,00 | 510 / 28 | $54.980,00 | 512 / 29 | $47.821,90 | 512 / 30 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 140 | 14 / 1 | $482.213,00 | 463 / 24 | $89.399,70 | 462 / 25 | $76.407,90 | 462 / 25 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 119 | 71 / 6 | $113.717,00 | 1635 / 76 | $16.428,40 | 1567 / 76 | $10.610,60 | 1564 / 75 |
| Heart Failure & Shock W Cc | 118 | 160 / 21 | $72.984,90 | 2736 / 132 | $15.766,80 | 2651 / 134 | $9.896,70 | 2645 / 130 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 112 | 95 / 11 | $61.773,30 | 2430 / 110 | $15.111,70 | 2431 / 117 | $9.701,95 | 2421 / 117 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 112 | 4 / 2 | $1.019.330,00 | 428 / 19 | $203.236,00 | 418 / 22 | $174.879,00 | 417 / 22 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 109 | 12 / 1 | $217.981,00 | 600 / 33 | $24.440,50 | 583 / 32 | $19.334,00 | 579 / 32 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 109 | 12 / 1 | $53.833,80 | 332 / 12 | $14.035,70 | 354 / 16 | $10.744,60 | 354 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 107 | 168 / 22 | $58.127,80 | 2693 / 127 | $12.202,10 | 2594 / 128 | $7.267,24 | 2579 / 124 |
| Kidney Transplant | 101 | 21 / 1 | $239.812,00 | 135 / 7 | $38.691,20 | 137 / 10 | $27.974,80 | 137 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 95 | 87 / 11 | $73.062,70 | 2001 / 91 | $14.967,90 | 1971 / 94 | $9.986,24 | 1967 / 95 |
| Major Small & Large Bowel Procedures W Cc | 91 | 20 / 2 | $145.075,00 | 1434 / 61 | $31.124,50 | 1462 / 65 | $22.845,50 | 1448 / 65 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 89 | 77 / 8 | $47.389,10 | 2472 / 110 | $10.808,80 | 2395 / 112 | $6.739,89 | 2386 / 112 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 83 | 18 / 2 | $181.047,00 | 907 / 42 | $29.461,00 | 880 / 43 | $21.776,40 | 872 / 43 |
| Other Circulatory System Diagnoses W Mcc | 81 | 35 / 2 | $136.452,00 | 1362 / 58 | $28.384,30 | 1348 / 61 | $20.786,30 | 1340 / 61 |
| Spinal Fusion Except Cervical W/O Mcc | 79 | 115 / 9 | $174.747,00 | 1213 / 55 | $42.489,10 | 1303 / 61 | $36.877,50 | 1298 / 61 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 78 | 26 / 3 | $258.344,00 | 473 / 15 | $48.771,10 | 456 / 18 | $38.529,50 | 456 / 18 |
| Seizures W/O Mcc | 75 | 33 / 5 | $81.035,10 | 1313 / 69 | $12.854,20 | 1222 / 69 | $7.455,95 | 1220 / 67 |
| Heart Failure & Shock W Mcc | 69 | 215 / 39 | $110.635,00 | 2589 / 127 | $21.572,70 | 2533 / 128 | $15.026,10 | 2522 / 126 |
| Major Chest Procedures W/O Cc/Mcc | 69 | 7 / 1 | $110.196,00 | 245 / 10 | $20.547,50 | 241 / 12 | $15.390,00 | 241 / 12 |
| Major Cardiovasc Procedures W/O Mcc | 69 | 34 / 1 | $190.509,00 | 959 / 42 | $37.758,60 | 963 / 45 | $30.902,90 | 962 / 46 |
| G.I. Hemorrhage W Cc | 68 | 150 / 25 | $88.973,80 | 2415 / 118 | $14.826,30 | 2330 / 118 | $9.769,12 | 2326 / 115 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 63 | 42 / 3 | $59.177,00 | 812 / 38 | $14.394,30 | 808 / 39 | $9.718,94 | 808 / 39 |
| Other Vascular Procedures W Cc | 60 | 43 / 2 | $194.501,00 | 1119 / 58 | $34.839,10 | 1116 / 62 | $26.499,50 | 1111 / 62 |
| Renal Failure W Cc | 57 | 164 / 34 | $49.794,90 | 2250 / 113 | $13.422,30 | 2332 / 118 | $9.331,79 | 2322 / 118 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 56 | 105 / 18 | $42.747,20 | 1956 / 98 | $11.047,10 | 2066 / 107 | $7.818,46 | 2061 / 108 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 54 | 70 / 10 | $345.009,00 | 1546 / 69 | $67.848,20 | 1537 / 73 | $54.850,00 | 1527 / 73 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 54 | 47 / 5 | $89.446,00 | 1040 / 42 | $20.403,00 | 1037 / 45 | $14.867,30 | 1033 / 47 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 53 | 18 / 2 | $55.164,50 | 523 / 24 | $13.036,40 | 508 / 24 | $9.043,19 | 508 / 25 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 52 | 17 / 2 | $93.000,60 | 512 / 21 | $21.874,90 | 539 / 22 | $16.588,90 | 535 / 21 |
| Craniotomy & Endovascular Intracranial Procedures W Cc | 51 | 9 / 2 | $196.115,00 | 222 / 11 | $33.208,10 | 201 / 12 | $26.758,60 | 201 / 12 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 51 | 38 / 4 | $60.736,10 | 673 / 32 | $13.114,80 | 727 / 34 | $9.814,71 | 726 / 34 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 51 | 25 / 3 | $122.846,00 | 543 / 18 | $26.595,90 | 521 / 19 | $19.146,70 | 521 / 18 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 50 | 20 / 1 | $595.011,00 | 285 / 13 | $108.125,00 | 279 / 13 | $95.149,50 | 279 / 13 |
| Other Vascular Procedures W Mcc | 50 | 47 / 3 | $239.028,00 | 991 / 50 | $45.314,20 | 964 / 52 | $33.925,90 | 961 / 52 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 50 | 76 / 9 | $69.925,90 | 1665 / 71 | $14.791,40 | 1600 / 72 | $10.569,60 | 1597 / 72 |
| Cellulitis W/O Mcc | 50 | 139 / 39 | $45.290,40 | 2505 / 121 | $11.906,90 | 2494 / 123 | $7.938,90 | 2486 / 122 |
| Simple Pneumonia & Pleurisy W Cc | 49 | 154 / 35 | $52.435,80 | 2597 / 116 | $13.690,40 | 2645 / 123 | $8.711,06 | 2636 / 123 |
| Major Chest Procedures W Cc | 48 | 26 / 1 | $127.579,00 | 453 / 15 | $26.488,90 | 459 / 17 | $21.301,70 | 457 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 48 | 120 / 15 | $129.637,00 | 1592 / 67 | $24.477,00 | 1545 / 69 | $17.392,10 | 1538 / 69 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 47 | 103 / 23 | $30.491,60 | 1769 / 91 | $8.496,53 | 1902 / 102 | $5.486,70 | 1896 / 103 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 46 | 29 / 2 | $142.151,00 | 256 / 14 | $25.616,50 | 237 / 12 | $19.294,00 | 236 / 14 |
| Peripheral Vascular Disorders W Cc | 44 | 40 / 4 | $73.099,60 | 1237 / 65 | $14.383,40 | 1181 / 67 | $9.301,34 | 1178 / 67 |
| Hip & Femur Procedures Except Major Joint W Cc | 44 | 99 / 19 | $132.212,00 | 2023 / 90 | $24.284,70 | 1960 / 91 | $17.530,10 | 1940 / 92 |
| Other Digestive System Diagnoses W Cc | 43 | 54 / 7 | $65.403,70 | 1384 / 66 | $14.128,80 | 1359 / 67 | $9.268,26 | 1355 / 69 |
| Kidney & Urinary Tract Infections W/O Mcc | 43 | 190 / 49 | $47.540,30 | 2616 / 122 | $11.600,80 | 2594 / 123 | $7.584,93 | 2583 / 123 |
| Renal Failure W Mcc | 42 | 153 / 26 | $92.930,60 | 2081 / 102 | $21.244,60 | 2067 / 109 | $15.311,90 | 2063 / 109 |
| Pancreas, Liver & Shunt Procedures W Cc | 41 | 15 / 2 | $152.471,00 | 121 / 5 | $33.194,40 | 107 / 6 | $23.469,10 | 107 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 41 | 155 / 33 | $198.145,00 | 1478 / 65 | $25.477,80 | 1460 / 68 | $20.331,20 | 1452 / 68 |
| Syncope & Collapse | 41 | 128 / 30 | $58.985,30 | 1896 / 99 | $11.489,50 | 1831 / 101 | $7.460,05 | 1823 / 99 |
| Autologous Bone Marrow Transplant W Cc/Mcc | 40 | 6 / 1 | $257.468,00 | 49 / 2 | $71.238,50 | 40 / 3 | $52.179,20 | 40 / 2 |
| Lymphoma & Leukemia W Major O.R. Procedure W/O Cc/Mcc | 39 | 1 / 1 | $71.283,20 | 5 / 1 | $14.271,90 | 4 / 1 | $10.697,30 | 4 / 1 |
| Respiratory Infections & Inflammations W Cc | 38 | 50 / 10 | $80.697,90 | 1397 / 66 | $19.224,70 | 1442 / 71 | $13.298,50 | 1437 / 70 |
| G.I. Hemorrhage W Mcc | 38 | 83 / 15 | $143.852,00 | 1657 / 84 | $30.570,70 | 1666 / 85 | $24.673,20 | 1656 / 86 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 38 | 54 / 4 | $514.501,00 | 1092 / 43 | $86.558,80 | 1090 / 43 | $70.889,30 | 1089 / 43 |
| Red Blood Cell Disorders W/O Mcc | 37 | 106 / 19 | $47.155,90 | 1875 / 93 | $11.514,00 | 1884 / 97 | $7.848,92 | 1875 / 98 |
| Other Circulatory System Diagnoses W Cc | 37 | 29 / 2 | $84.506,80 | 667 / 29 | $14.632,60 | 629 / 29 | $9.357,95 | 628 / 27 |
| Major Cardiovasc Procedures W Mcc | 36 | 32 / 3 | $361.844,00 | 630 / 28 | $63.921,90 | 613 / 29 | $51.506,70 | 612 / 29 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 36 | 28 / 2 | $98.466,10 | 721 / 26 | $20.424,50 | 712 / 25 | $14.477,10 | 712 / 26 |
| Signs & Symptoms W/O Mcc | 36 | 55 / 11 | $72.582,80 | 1338 / 57 | $13.589,30 | 1292 / 57 | $8.194,83 | 1289 / 57 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 35 | 61 / 7 | $88.338,10 | 1433 / 64 | $19.317,60 | 1407 / 67 | $12.702,10 | 1402 / 66 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 35 | 13 / 3 | $92.776,60 | 224 / 10 | $19.314,10 | 212 / 11 | $12.751,50 | 211 / 11 |
| Acute Leukemia W/O Major O.R. Procedure W Mcc | 34 | 5 / 1 | $515.190,00 | 62 / 2 | $94.449,10 | 57 / 3 | $72.738,90 | 57 / 3 |
| Other Respiratory System Diagnoses W/O Mcc | 34 | 13 / 3 | $42.266,60 | 287 / 21 | $10.852,60 | 297 / 24 | $7.792,18 | 297 / 25 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 33 | 31 / 3 | $779.472,00 | 554 / 25 | $143.865,00 | 549 / 27 | $118.891,00 | 548 / 27 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 33 | 20 / 3 | $92.542,30 | 303 / 10 | $22.765,90 | 319 / 11 | $17.332,80 | 320 / 13 |
| G.I. Obstruction W Cc | 33 | 59 / 16 | $49.879,10 | 1597 / 71 | $12.584,00 | 1653 / 77 | $8.227,88 | 1648 / 76 |
| Major Small & Large Bowel Procedures W Mcc | 33 | 52 / 9 | $299.131,00 | 1231 / 49 | $64.998,20 | 1247 / 55 | $50.614,40 | 1244 / 55 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 32 | 99 / 22 | $185.245,00 | 1827 / 82 | $29.892,40 | 1783 / 83 | $23.135,40 | 1769 / 83 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 32 | 41 / 9 | $71.900,70 | 1069 / 54 | $16.715,90 | 1059 / 57 | $10.648,80 | 1057 / 57 |
| Lymphoma & Non-Acute Leukemia W Cc | 32 | 7 / 1 | $70.837,10 | 105 / 4 | $19.423,90 | 117 / 7 | $14.963,20 | 117 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 26 | $72.264,50 | 1795 / 96 | $16.529,50 | 1829 / 101 | $11.809,00 | 1826 / 102 |
| Hernia Procedures Except Inguinal & Femoral W Cc | 32 | 4 / 1 | $91.643,00 | 133 / 7 | $19.698,70 | 126 / 7 | $13.964,80 | 126 / 7 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 32 | 22 / 1 | $302.464,00 | 278 / 14 | $43.870,60 | 263 / 15 | $32.486,70 | 263 / 15 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 31 | 46 / 4 | $85.902,20 | 385 / 15 | $17.704,30 | 394 / 17 | $14.274,70 | 393 / 17 |
| Heart Transplant Or Implant Of Heart Assist System W Mcc | 30 | 9 / 1 | $1.333.060,00 | 63 / 2 | $287.120,00 | 57 / 3 | $243.711,00 | 57 / 3 |
| Degenerative Nervous System Disorders W/O Mcc | 30 | 48 / 10 | $96.093,20 | 874 / 52 | $15.591,80 | 823 / 52 | $10.287,20 | 823 / 51 |
| Cervical Spinal Fusion W/O Cc/Mcc | 30 | 74 / 7 | $85.349,00 | 700 / 19 | $22.907,10 | 847 / 26 | $20.048,50 | 844 / 26 |
| Complications Of Treatment W Cc | 29 | 23 / 3 | $81.865,50 | 362 / 11 | $15.899,60 | 332 / 12 | $9.591,14 | 332 / 12 |
| Respiratory Neoplasms W Cc | 29 | 18 / 3 | $70.552,30 | 473 / 21 | $15.694,10 | 473 / 20 | $10.945,30 | 472 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 46 | $57.044,40 | 2315 / 106 | $14.948,20 | 2465 / 119 | $11.093,70 | 2457 / 120 |
| Other Respiratory System Diagnoses W Mcc | 29 | 10 / 2 | $96.903,20 | 78 / 3 | $18.969,00 | 70 / 5 | $13.676,10 | 70 / 4 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 24 | $39.250,50 | 1939 / 97 | $10.701,50 | 1985 / 104 | $6.584,32 | 1974 / 103 |
| Thyroid, Parathyroid & Thyroglossal Procedures W/O Cc/Mcc | 28 | 9 / 2 | $60.315,80 | 38 / 2 | $9.988,82 | 31 / 2 | $7.932,61 | 31 / 2 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 28 | 60 / 7 | $237.566,00 | 567 / 22 | $40.182,80 | 568 / 23 | $33.348,10 | 567 / 23 |
| Extracranial Procedures W/O Cc/Mcc | 28 | 70 / 7 | $76.311,40 | 886 / 41 | $13.106,30 | 905 / 42 | $9.427,64 | 902 / 42 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 28 | 26 / 3 | $50.247,00 | 415 / 18 | $13.371,40 | 426 / 19 | $9.672,71 | 426 / 19 |
| Tracheostomy For Face,Mouth & Neck Diagnoses W Cc | 28 | 6 / 1 | $156.136,00 | 39 / 1 | $34.552,20 | 34 / 2 | $28.962,20 | 34 / 2 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 27 | 20 / 1 | $386.859,00 | 126 / 3 | $67.806,30 | 107 / 3 | $51.803,40 | 107 / 3 |
| Lymphoma & Non-Acute Leukemia W Mcc | 27 | 10 / 2 | $272.128,00 | 127 / 4 | $51.547,60 | 120 / 4 | $38.925,70 | 120 / 4 |
| Pulmonary Edema & Respiratory Failure | 26 | 177 / 39 | $85.636,10 | 2163 / 100 | $16.244,80 | 2056 / 102 | $10.706,20 | 2050 / 101 |
| Respiratory Infections & Inflammations W Mcc | 26 | 110 / 26 | $140.600,00 | 1772 / 85 | $29.087,00 | 1789 / 89 | $20.311,70 | 1773 / 87 |
| Pulmonary Embolism W/O Mcc | 26 | 48 / 14 | $43.786,10 | 1106 / 48 | $12.518,80 | 1227 / 60 | $8.964,58 | 1224 / 62 |
| Other Resp System O.R. Procedures W Mcc | 26 | 37 / 3 | $171.532,00 | 520 / 18 | $41.256,70 | 546 / 22 | $33.550,20 | 545 / 21 |
| Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 49 | $61.473,80 | 2371 / 117 | $12.869,70 | 2301 / 121 | $8.579,27 | 2294 / 120 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 25 | 25 / 3 | $347.768,00 | 246 / 15 | $57.033,40 | 238 / 16 | $50.317,30 | 238 / 16 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 25 | 20 / 2 | $50.878,60 | 395 / 18 | $9.641,08 | 377 / 17 | $6.601,56 | 377 / 18 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 26 | $50.406,40 | 1498 / 76 | $10.747,90 | 1539 / 80 | $7.462,36 | 1535 / 81 |
| Other Resp System O.R. Procedures W Cc | 24 | 23 / 4 | $139.305,00 | 321 / 18 | $27.293,80 | 317 / 18 | $18.591,80 | 317 / 18 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 24 | 49 / 5 | $73.342,50 | 325 / 8 | $14.100,90 | 346 / 9 | $10.765,70 | 346 / 9 |
| G.I. Obstruction W/O Cc/Mcc | 24 | 47 / 13 | $38.939,50 | 1226 / 51 | $10.039,00 | 1245 / 57 | $5.527,00 | 1242 / 55 |
| Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 24 | 16 / 1 | $91.618,20 | 142 / 5 | $17.295,20 | 136 / 5 | $13.588,20 | 136 / 5 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 24 | 20 / 4 | $166.800,00 | 417 / 24 | $33.362,90 | 404 / 24 | $26.212,70 | 402 / 24 |
| Other Vascular Procedures W/O Cc/Mcc | 24 | 32 / 4 | $101.903,00 | 521 / 23 | $20.144,10 | 517 / 24 | $15.135,00 | 516 / 23 |
| Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 24 | 8 / 1 | $84.301,50 | 127 / 7 | $15.074,40 | 126 / 7 | $11.068,60 | 126 / 7 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 23 | 40 / 8 | $297.134,00 | 726 / 31 | $56.294,60 | 705 / 32 | $44.954,70 | 705 / 32 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 23 | 30 / 5 | $61.937,80 | 428 / 14 | $15.321,90 | 436 / 18 | $10.985,70 | 436 / 18 |
| Fever | 23 | 23 / 5 | $48.445,70 | 316 / 14 | $11.799,00 | 300 / 18 | $7.449,61 | 300 / 18 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 23 | 19 / 2 | $237.750,00 | 119 / 8 | $46.518,40 | 114 / 8 | $38.388,70 | 114 / 8 |
| Stomach, Esophageal & Duodenal Proc W Cc | 22 | 28 / 3 | $162.040,00 | 213 / 10 | $33.018,00 | 202 / 11 | $24.163,40 | 202 / 11 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 22 | 37 / 2 | $432.594,00 | 235 / 7 | $72.050,60 | 236 / 8 | $61.610,20 | 235 / 8 |
| Kidney & Ureter Procedures For Neoplasm W Cc | 22 | 22 / 2 | $135.780,00 | 175 / 7 | $22.992,40 | 162 / 7 | $18.176,80 | 162 / 8 |
| Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/Mcc | 22 | 4 / 2 | $114.968,00 | 22 / 2 | $22.154,90 | 20 / 3 | $17.306,20 | 20 / 3 |
| Digestive Malignancy W Cc | 22 | 25 / 4 | $76.904,70 | 376 / 20 | $18.973,40 | 377 / 20 | $13.361,00 | 375 / 20 |
| Respiratory Neoplasms W Mcc | 21 | 31 / 3 | $82.528,00 | 553 / 14 | $19.677,10 | 584 / 18 | $14.684,30 | 581 / 18 |
| Coagulation Disorders | 21 | 8 / 2 | $516.549,00 | 111 / 4 | $128.173,00 | 112 / 5 | $120.217,00 | 112 / 5 |
| Diabetes W Cc | 21 | 71 / 19 | $49.362,30 | 1534 / 72 | $11.329,60 | 1525 / 73 | $8.264,14 | 1520 / 74 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Mcc | 21 | 13 / 1 | $164.296,00 | 55 / 1 | $32.674,90 | 47 / 2 | $24.933,60 | 47 / 2 |
| Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 21 | 17 / 3 | $119.646,00 | 166 / 10 | $25.308,30 | 158 / 10 | $18.292,20 | 158 / 10 |
| Peripheral Vascular Disorders W Mcc | 21 | 28 / 4 | $117.195,00 | 584 / 24 | $20.797,80 | 575 / 25 | $14.990,20 | 575 / 25 |
| Disorders Of Pancreas Except Malignancy W Cc | 21 | 40 / 9 | $54.597,20 | 892 / 35 | $13.352,30 | 914 / 36 | $8.841,10 | 911 / 37 |
| Nervous System Neoplasms W Mcc | 21 | 27 / 5 | $77.840,10 | 283 / 12 | $18.100,40 | 289 / 13 | $13.333,00 | 289 / 13 |
| G.I. Hemorrhage W/O Cc/Mcc | 21 | 47 / 12 | $48.639,50 | 973 / 53 | $10.074,80 | 969 / 53 | $6.965,52 | 965 / 54 |
| Medical Back Problems W/O Mcc | 20 | 101 / 32 | $61.343,80 | 1464 / 76 | $13.139,30 | 1428 / 79 | $8.389,30 | 1423 / 77 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 20 | 41 / 11 | $48.114,90 | 890 / 38 | $9.641,90 | 838 / 41 | $6.402,70 | 837 / 39 |
| Respiratory Signs & Symptoms | 20 | 26 / 5 | $41.154,00 | 290 / 12 | $9.697,35 | 288 / 14 | $6.908,65 | 288 / 15 |
| Chest Pain | 20 | 131 / 32 | $50.155,60 | 1685 / 87 | $9.121,10 | 1577 / 85 | $5.942,00 | 1568 / 83 |
| Other Digestive System Diagnoses W Mcc | 19 | 43 / 8 | $91.089,90 | 702 / 21 | $21.250,00 | 692 / 25 | $15.669,30 | 691 / 25 |
| Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 19 | 8 / 1 | $86.220,50 | 59 / 6 | $12.772,40 | 51 / 4 | $9.355,05 | 51 / 4 |
| Stomach, Esophageal & Duodenal Proc W Mcc | 19 | 22 / 3 | $223.371,00 | 191 / 7 | $60.197,30 | 143 / 11 | $40.160,40 | 143 / 6 |
| Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 37 | $41.094,30 | 1910 / 99 | $10.192,10 | 1906 / 103 | $6.546,58 | 1893 / 103 |
| Complications Of Treatment W Mcc | 19 | 32 / 4 | $111.414,00 | 289 / 11 | $25.780,60 | 272 / 12 | $18.021,90 | 272 / 12 |
| Tracheostomy For Face,Mouth & Neck Diagnoses W/O Cc/Mcc | 19 | 1 / 1 | $130.347,00 | 10 / 1 | $24.589,80 | 8 / 1 | $19.660,40 | 8 / 1 |
| Chemo W Acute Leukemia As Sdx Or W High Dose Chemo Agent W Mcc | 19 | 10 / 1 | $381.155,00 | 36 / 1 | $81.429,70 | 26 / 1 | $59.980,40 | 26 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 53 | $69.162,80 | 2225 / 98 | $17.447,40 | 2388 / 112 | $13.251,60 | 2382 / 113 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 19 | 10 / 1 | $162.335,00 | 109 / 3 | $32.719,90 | 97 / 3 | $24.026,50 | 96 / 3 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 18 | 22 / 4 | $140.095,00 | 213 / 8 | $25.131,60 | 204 / 8 | $17.592,60 | 204 / 8 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 18 | 29 / 7 | $76.038,80 | 380 / 21 | $12.891,90 | 350 / 21 | $7.069,39 | 350 / 20 |
| Pancreas, Liver & Shunt Procedures W/O Cc/Mcc | 18 | 11 / 2 | $139.814,00 | 39 / 3 | $23.883,60 | 32 / 3 | $18.125,40 | 32 / 3 |
| Other O.R. Procedures For Injuries W Mcc | 18 | 19 / 2 | $271.212,00 | 197 / 7 | $52.435,90 | 175 / 8 | $39.332,60 | 175 / 8 |
| Vaginal Delivery W/O Complicating Diagnoses | 18 | 7 / 1 | $28.828,10 | 72 / 7 | $8.460,83 | 62 / 6 | $5.197,50 | 62 / 6 |
| Nervous System Neoplasms W/O Mcc | 18 | 12 / 3 | $58.760,30 | 91 / 6 | $13.297,90 | 96 / 7 | $9.934,50 | 96 / 7 |
| Transient Ischemia | 18 | 107 / 39 | $54.354,10 | 1600 / 88 | $9.962,94 | 1591 / 91 | $6.906,17 | 1583 / 92 |
| Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 18 | 10 / 1 | $99.902,60 | 103 / 4 | $17.821,30 | 77 / 4 | $12.000,60 | 77 / 3 |
| Disorders Of The Biliary Tract W Cc | 18 | 36 / 8 | $76.936,00 | 464 / 26 | $14.671,30 | 439 / 26 | $9.555,72 | 439 / 26 |
| Bronchitis & Asthma W Cc/Mcc | 18 | 58 / 19 | $59.596,60 | 1049 / 58 | $12.376,60 | 1026 / 60 | $8.366,56 | 1022 / 59 |
| Red Blood Cell Disorders W Mcc | 18 | 53 / 14 | $68.390,70 | 1014 / 47 | $15.800,40 | 1026 / 51 | $11.956,20 | 1022 / 52 |
| Otitis Media & Uri W/O Mcc | 17 | 27 / 6 | $38.438,20 | 206 / 14 | $9.364,35 | 200 / 16 | $6.342,47 | 200 / 17 |
| Major Bladder Procedures W Cc | 17 | 21 / 2 | $177.587,00 | 63 / 3 | $34.364,50 | 58 / 3 | $27.011,60 | 58 / 3 |
| Other Digestive System O.R. Procedures W Cc | 17 | 10 / 2 | $129.409,00 | 92 / 5 | $27.532,60 | 89 / 6 | $19.346,20 | 89 / 6 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 17 | 29 / 3 | $68.899,60 | 247 / 11 | $12.175,10 | 231 / 10 | $8.592,24 | 231 / 10 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 12 | $479.720,00 | 977 / 42 | $78.653,20 | 975 / 43 | $61.744,40 | 974 / 43 |
| Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 17 | 25 / 4 | $340.728,00 | 170 / 8 | $62.541,40 | 162 / 8 | $52.151,50 | 162 / 8 |
| Other O.R. Procedures For Injuries W/O Cc/Mcc | 17 | 2 / 1 | $83.505,40 | 12 / 2 | $15.977,00 | 10 / 2 | $11.786,30 | 10 / 2 |
| Signs & Symptoms W Mcc | 17 | 24 / 4 | $77.991,70 | 275 / 12 | $15.325,50 | 234 / 11 | $10.143,10 | 234 / 11 |
| Cervical Spinal Fusion W Cc | 17 | 36 / 5 | $148.545,00 | 355 / 11 | $31.941,70 | 367 / 13 | $26.645,00 | 366 / 13 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 7 | $128.862,00 | 850 / 28 | $22.460,70 | 858 / 30 | $16.998,70 | 854 / 30 |
| Postoperative & Post-Traumatic Infections W Mcc | 17 | 26 / 2 | $119.607,00 | 216 / 12 | $26.909,80 | 208 / 12 | $18.349,10 | 208 / 12 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 16 | 53 / 15 | $181.799,00 | 559 / 30 | $22.261,00 | 551 / 31 | $17.911,60 | 549 / 31 |
| Local Excision & Removal Int Fix Devices Exc Hip & Femur W/O Cc/Mcc | 16 | 6 / 1 | $81.672,60 | 20 / 2 | $13.657,00 | 18 / 2 | $10.875,60 | 18 / 2 |
| Digestive Malignancy W Mcc | 16 | 21 / 3 | $127.096,00 | 148 / 5 | $29.231,00 | 136 / 5 | $20.301,90 | 136 / 5 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 16 | 50 / 14 | $58.566,00 | 461 / 20 | $13.921,40 | 484 / 25 | $10.077,50 | 483 / 25 |
| Peritoneal Adhesiolysis W Cc | 16 | 23 / 5 | $126.218,00 | 276 / 11 | $33.190,90 | 249 / 12 | $18.929,40 | 249 / 11 |
| Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W/O Cc/Mcc | 16 | 8 / 2 | $82.770,50 | 44 / 3 | $13.844,60 | 42 / 3 | $10.560,30 | 42 / 3 |
| Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/Mcc | 16 | 4 / 2 | $71.301,90 | 15 / 2 | $12.319,30 | 11 / 2 | $8.523,31 | 11 / 2 |
| Connective Tissue Disorders W Mcc | 15 | 11 / 1 | $143.649,00 | 34 / 1 | $32.552,30 | 31 / 2 | $26.262,90 | 31 / 2 |
| Other Kidney & Urinary Tract Procedures W Cc | 15 | 11 / 1 | $116.365,00 | 84 / 3 | $24.974,50 | 81 / 3 | $20.379,60 | 81 / 3 |
| Kidney & Ureter Procedures For Non-Neoplasm W Cc | 15 | 30 / 4 | $120.702,00 | 199 / 10 | $22.184,90 | 185 / 10 | $17.033,40 | 185 / 10 |
| Major Head & Neck Procedures W Cc/Mcc Or Major Device | 15 | 9 / 1 | $175.319,00 | 26 / 2 | $27.524,50 | 20 / 1 | $22.752,90 | 20 / 1 |
| Acute Leukemia W/O Major O.R. Procedure W Cc | 15 | 5 / 2 | $146.017,00 | 10 / 1 | $29.643,90 | 5 / 3 | $21.516,10 | 5 / 2 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 14 | $114.337,00 | 742 / 33 | $17.209,10 | 724 / 34 | $10.900,60 | 724 / 34 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 15 | 549 / 96 | $171.687,00 | 2684 / 133 | $27.982,20 | 2644 / 134 | $21.622,10 | 2598 / 133 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 19 | $40.992,20 | 791 / 34 | $9.978,20 | 769 / 38 | $6.873,13 | 768 / 38 |
| Ventricular Shunt Procedures W Cc | 15 | 8 / 3 | $90.754,80 | 27 / 2 | $21.245,30 | 20 / 3 | $16.056,90 | 20 / 2 |
| Malignancy Of Hepatobiliary System Or Pancreas W Cc | 15 | 16 / 4 | $57.951,10 | 171 / 7 | $15.430,30 | 185 / 8 | $11.346,40 | 185 / 8 |
| Other O.R. Procedures For Injuries W Cc | 15 | 20 / 4 | $120.492,00 | 166 / 7 | $23.655,30 | 156 / 8 | $18.118,80 | 156 / 8 |
| O.R. Procedures For Obesity W Cc | 15 | 19 / 2 | $135.963,00 | 112 / 5 | $26.403,60 | 107 / 5 | $16.815,30 | 107 / 5 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 15 | 32 / 8 | $102.829,00 | 504 / 26 | $18.423,70 | 497 / 27 | $13.812,90 | 497 / 27 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 15 | 41 / 7 | $135.554,00 | 660 / 22 | $25.895,80 | 635 / 22 | $18.206,10 | 634 / 21 |
| Kidney & Ureter Procedures For Non-Neoplasm W/O Cc/Mcc | 14 | 11 / 1 | $88.220,90 | 38 / 2 | $16.036,40 | 34 / 2 | $11.647,40 | 34 / 2 |
| Connective Tissue Disorders W Cc | 14 | 10 / 1 | $70.813,40 | 37 / 1 | $15.566,90 | 32 / 2 | $11.363,80 | 32 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 24 | $253.615,00 | 1002 / 39 | $37.730,70 | 968 / 42 | $29.925,60 | 963 / 42 |
| Extracranial Procedures W Cc | 14 | 32 / 3 | $125.886,00 | 369 / 12 | $21.657,80 | 370 / 12 | $14.912,80 | 370 / 12 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 14 | 29 / 9 | $41.796,90 | 340 / 23 | $10.120,70 | 352 / 24 | $6.924,14 | 352 / 25 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 13 | 23 / 7 | $157.017,00 | 347 / 18 | $31.608,50 | 349 / 19 | $23.603,90 | 348 / 20 |
| Allogeneic Bone Marrow Transplant | 13 | 12 / 1 | $701.731,00 | 26 / 2 | $151.064,00 | 17 / 2 | $107.821,00 | 17 / 2 |
| Skin Grafts For Injuries W Cc/Mcc | 13 | 7 / 3 | $144.773,00 | 17 / 1 | $36.700,90 | 18 / 3 | $29.472,50 | 18 / 3 |
| Ventricular Shunt Procedures W/O Cc/Mcc | 13 | 11 / 1 | $85.737,60 | 47 / 2 | $17.447,10 | 37 / 2 | $12.622,10 | 37 / 2 |
| Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 13 | 18 / 3 | $413.653,00 | 108 / 5 | $75.416,30 | 106 / 5 | $60.156,20 | 106 / 5 |
| Inguinal & Femoral Hernia Procedures W Cc | 13 | 4 / 1 | $80.715,70 | 5 / 1 | $16.692,50 | 4 / 1 | $11.684,10 | 4 / 1 |
| Pancreas, Liver & Shunt Procedures W Mcc | 13 | 30 / 3 | $324.263,00 | 104 / 5 | $65.193,20 | 95 / 5 | $52.571,80 | 95 / 5 |
| Cesarean Section W Cc/Mcc | 13 | 10 / 2 | $54.214,80 | 39 / 3 | $14.606,30 | 32 / 2 | $10.280,80 | 32 / 2 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 21 | $270.897,00 | 969 / 52 | $31.697,50 | 954 / 52 | $26.727,70 | 950 / 52 |
| Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 39 | $85.120,80 | 1930 / 89 | $17.188,80 | 1874 / 90 | $10.970,80 | 1870 / 90 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 13 | 29 / 6 | $67.433,30 | 227 / 6 | $20.123,60 | 253 / 8 | $16.018,50 | 253 / 9 |
| Other Disorders Of Nervous System W Cc | 13 | 43 / 19 | $64.622,20 | 602 / 38 | $12.457,60 | 592 / 37 | $8.608,69 | 591 / 38 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 14 | $120.665,00 | 616 / 27 | $23.358,50 | 592 / 27 | $16.732,10 | 588 / 27 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 12 | 39 / 9 | $146.233,00 | 337 / 14 | $27.274,20 | 326 / 14 | $19.812,70 | 326 / 14 |
| Other Kidney & Urinary Tract Procedures W Mcc | 12 | 26 / 3 | $230.308,00 | 224 / 4 | $46.193,20 | 217 / 5 | $32.943,10 | 216 / 5 |
| Endocrine Disorders W Cc | 12 | 26 / 8 | $50.831,10 | 270 / 14 | $13.223,60 | 280 / 17 | $9.631,58 | 280 / 17 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 19 | $139.027,00 | 985 / 35 | $22.745,20 | 969 / 36 | $16.701,30 | 966 / 36 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 12 | 42 / 16 | $51.685,00 | 380 / 19 | $10.109,30 | 370 / 21 | $7.017,50 | 370 / 21 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 29 | $93.496,60 | 1415 / 78 | $15.024,30 | 1382 / 77 | $10.294,00 | 1380 / 77 |
| Other Circulatory System O.R. Procedures | 12 | 43 / 11 | $191.359,00 | 447 / 17 | $39.777,30 | 431 / 19 | $28.405,10 | 431 / 18 |
| Interstitial Lung Disease W/O Cc/Mcc | 12 | 1 / 1 | $36.693,20 | 1 / 1 | $10.909,80 | 1 / 1 | $7.025,25 | 1 / 1 |
| Cranial/Facial Procedures W Cc/Mcc | 12 | 3 / 1 | $211.170,00 | 8 / 2 | $34.891,80 | 7 / 2 | $28.343,50 | 7 / 2 |
| Organic Disturbances & Mental Retardation | 12 | 47 / 14 | $80.666,30 | 553 / 30 | $15.619,10 | 510 / 31 | $9.661,42 | 510 / 30 |
| Mouth Procedures W/O Cc/Mcc | 12 | 1 / 1 | $45.426,30 | 1 / 1 | $10.081,60 | 1 / 1 | $7.745,08 | 1 / 1 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 15 | $244.734,00 | 964 / 33 | $41.624,70 | 936 / 32 | $30.663,10 | 933 / 32 |
| Other Digestive System O.R. Procedures W Mcc | 11 | 18 / 4 | $224.761,00 | 108 / 5 | $43.903,40 | 98 / 5 | $34.813,80 | 98 / 5 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Mcc | 11 | 13 / 4 | $298.037,00 | 49 / 3 | $65.368,10 | 45 / 4 | $51.428,90 | 45 / 4 |
| Disorders Of The Biliary Tract W Mcc | 11 | 28 / 10 | $98.912,10 | 242 / 13 | $21.393,30 | 224 / 14 | $14.589,40 | 224 / 13 |
| Inflammatory Bowel Disease W Cc | 11 | 21 / 6 | $57.983,10 | 131 / 8 | $14.744,00 | 133 / 8 | $9.628,73 | 133 / 8 |
| Hiv W Major Related Condition W Mcc | 11 | 26 / 2 | $204.591,00 | 90 / 2 | $47.438,70 | 79 / 2 | $31.665,90 | 79 / 2 |
| Lung Transplant | 11 | 12 / 3 | $551.971,00 | 15 / 1 | $102.641,00 | 10 / 2 | $75.496,50 | 10 / 2 |
| Pulmonary Embolism W Mcc | 11 | 32 / 11 | $87.180,50 | 548 / 19 | $19.538,20 | 558 / 19 | $14.405,60 | 557 / 19 |
| Other Skin, Subcut Tiss & Breast Proc W Cc | 11 | 13 / 4 | $111.946,00 | 98 / 5 | $19.316,60 | 88 / 5 | $12.719,60 | 88 / 5 |
| Cardiac Pacemaker Revision Except Device Replacement W Cc | 11 | 8 / 2 | $229.153,00 | 26 / 2 | $25.728,90 | 26 / 2 | $20.415,50 | 26 / 2 |
| Lymphoma & Leukemia W Major O.R. Procedure W Cc | 11 | 6 / 2 | $119.777,00 | 8 / 1 | $27.644,40 | 8 / 2 | $22.498,80 | 8 / 2 |
| Myeloprolif Disord Or Poorly Diff Neopl W Maj O.R. Proc W Cc | 11 | 6 / 1 | $119.875,00 | 7 / 1 | $34.160,50 | 4 / 1 | $18.696,10 | 4 / 1 |
| Pleural Effusion W Cc | 11 | 17 / 6 | $40.620,20 | 85 / 4 | $13.519,60 | 108 / 6 | $10.140,50 | 108 / 6 |
| Headaches W/O Mcc | 11 | 32 / 11 | $32.868,40 | 178 / 12 | $9.542,82 | 211 / 16 | $5.882,73 | 211 / 16 |
| Lymphoma & Non-Acute Leukemia W/O Cc/Mcc | 11 | 4 / 1 | $57.516,70 | 4 / 1 | $13.256,50 | 5 / 1 | $10.438,80 | 5 / 1 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 15 | $32.063,50 | 756 / 34 | $9.010,27 | 819 / 38 | $6.063,18 | 817 / 38 |
| Multiple Sclerosis & Cerebellar Ataxia W/O Cc/Mcc | 11 | 13 / 2 | $41.529,80 | 18 / 1 | $11.082,40 | 19 / 1 | $7.504,55 | 19 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 45 | $156.777,00 | 1810 / 100 | $26.357,40 | 1786 / 98 | $19.272,90 | 1773 / 99 |
| Adrenal & Pituitary Procedures W Cc/Mcc | 11 | 8 / 2 | $146.396,00 | 16 / 1 | $30.361,70 | 15 / 2 | $22.391,80 | 15 / 2 |
| Cardiac Congenital & Valvular Disorders W Mcc | 11 | 12 / 2 | $223.651,00 | 38 / 2 | $36.762,80 | 37 / 2 | $26.222,60 | 37 / 2 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W/O Cc/Mcc | 11 | 5 / 1 | $89.014,10 | 11 / 1 | $21.915,50 | 8 / 1 | $14.558,50 | 8 / 1 | Total 230 procedures | 7.483 | 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.