Hospital Costs > In Maryland > Howard County General Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 391 | 144 / 5 | $15.438,00 | 83 / 6 | $14.294,10 | 2133 / 6 | $12.925,40 | 2096 / 4 |
Psychoses | 223 | 104 / 14 | $7.110,62 | 8 / 4 | $6.598,06 | 206 / 4 | $5.539,73 | 206 / 4 |
Pulmonary Edema & Respiratory Failure | 198 | 25 / 1 | $12.210,70 | 41 / 5 | $11.292,50 | 2025 / 5 | $10.381,10 | 2019 / 6 |
Kidney & Urinary Tract Infections W/O Mcc | 186 | 57 / 7 | $6.387,54 | 28 / 7 | $5.917,76 | 1964 / 6 | $4.940,66 | 1953 / 6 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 166 | 43 / 6 | $9.016,08 | 36 / 5 | $8.323,21 | 1978 / 5 | $7.255,22 | 1970 / 6 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 152 | 412 / 24 | $19.166,50 | 11 / 7 | $17.835,80 | 2278 / 7 | $15.191,60 | 2234 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 140 | 135 / 13 | $6.696,58 | 38 / 13 | $6.196,64 | 2220 / 12 | $5.282,61 | 2205 / 18 |
Heart Failure & Shock W Cc | 136 | 142 / 19 | $6.926,67 | 10 / 1 | $6.449,54 | 1183 / 1 | $5.435,73 | 1180 / 1 |
Heart Failure & Shock W Mcc | 131 | 153 / 10 | $10.774,40 | 20 / 6 | $9.966,36 | 1521 / 6 | $9.108,38 | 1517 / 6 |
Cellulitis W/O Mcc | 119 | 70 / 6 | $7.588,17 | 74 / 16 | $7.072,17 | 2109 / 16 | $5.837,18 | 2101 / 14 |
Simple Pneumonia & Pleurisy W Mcc | 100 | 105 / 2 | $12.476,50 | 44 / 14 | $11.537,70 | 2095 / 14 | $10.600,40 | 2091 / 14 |
Simple Pneumonia & Pleurisy W Cc | 98 | 105 / 19 | $8.355,02 | 42 / 12 | $7.737,63 | 2239 / 12 | $6.713,21 | 2231 / 13 |
Renal Failure W Cc | 95 | 126 / 15 | $7.760,69 | 13 / 4 | $7.227,92 | 1640 / 4 | $5.999,58 | 1631 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 93 | 89 / 11 | $9.584,13 | 18 / 14 | $8.917,40 | 1682 / 15 | $7.545,08 | 1678 / 13 |
G.I. Hemorrhage W Cc | 90 | 128 / 18 | $8.136,03 | 13 / 7 | $7.574,56 | 1764 / 7 | $6.506,61 | 1760 / 7 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 87 | 79 / 15 | $6.027,90 | 33 / 4 | $5.648,11 | 1885 / 4 | $4.624,62 | 1879 / 3 |
Chronic Obstructive Pulmonary Disease W Mcc | 86 | 116 / 9 | $9.376,57 | 23 / 3 | $8.669,21 | 1940 / 3 | $7.784,02 | 1932 / 3 |
Transient Ischemia | 73 | 52 / 6 | $6.386,79 | 10 / 7 | $5.939,12 | 1287 / 8 | $4.788,42 | 1281 / 7 |
Hip & Femur Procedures Except Major Joint W Cc | 72 | 71 / 3 | $17.804,30 | 14 / 9 | $16.423,60 | 1832 / 9 | $15.306,40 | 1813 / 10 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 61 | 89 / 11 | $4.089,38 | 4 / 4 | $3.848,48 | 854 / 4 | $2.711,51 | 850 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 60 | 101 / 16 | $6.200,07 | 4 / 2 | $5.748,03 | 1462 / 2 | $4.912,88 | 1457 / 3 |
Renal Failure W Mcc | 60 | 135 / 11 | $13.965,10 | 43 / 9 | $12.885,60 | 1820 / 9 | $12.010,50 | 1816 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 59 | 43 / 5 | $6.719,02 | 8 / 8 | $6.236,61 | 1258 / 7 | $5.076,22 | 1254 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 53 | 115 / 16 | $14.607,70 | 24 / 16 | $13.497,40 | 1253 / 16 | $12.554,70 | 1247 / 16 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 51 | 73 / 7 | $33.876,30 | 6 / 3 | $31.368,50 | 372 / 3 | $28.473,90 | 372 / 5 |
Syncope & Collapse | 51 | 118 / 21 | $5.663,37 | 3 / 3 | $5.261,06 | 1099 / 3 | $4.231,63 | 1092 / 3 |
Respiratory Infections & Inflammations W Mcc | 50 | 86 / 3 | $11.540,70 | 4 / 3 | $10.645,20 | 267 / 3 | $9.943,74 | 267 / 3 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 50 | 43 / 5 | $7.094,38 | 49 / 21 | $6.612,28 | 1752 / 22 | $5.383,04 | 1744 / 20 |
Red Blood Cell Disorders W/O Mcc | 49 | 94 / 16 | $6.954,04 | 17 / 9 | $6.483,45 | 1251 / 9 | $4.894,33 | 1243 / 4 |
Peripheral Vascular Disorders W Cc | 41 | 43 / 4 | $9.292,27 | 27 / 10 | $8.678,63 | 966 / 12 | $6.975,22 | 963 / 9 |
Peripheral Vascular Disorders W Mcc | 40 | 9 / 1 | $10.480,30 | 7 / 7 | $9.928,12 | 227 / 7 | $7.872,80 | 227 / 5 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 38 | 63 / 5 | $11.835,40 | 14 / 7 | $10.994,60 | 521 / 7 | $9.176,95 | 519 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 38 | 88 / 17 | $7.313,03 | 2 / 1 | $6.840,05 | 314 / 2 | $5.732,92 | 311 / 1 |
Acute Myocardial Infarction, Discharged Alive W Cc | 37 | 54 / 14 | $5.471,32 | 1 / 1 | $5.057,86 | 14 / 1 | $4.174,84 | 14 / 1 |
Medical Back Problems W/O Mcc | 35 | 86 / 18 | $6.245,23 | 3 / 1 | $5.772,37 | 823 / 1 | $4.810,54 | 820 / 1 |
Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 32 | $6.242,49 | 3 / 1 | $5.848,17 | 515 / 1 | $4.557,26 | 513 / 1 |
Other Kidney & Urinary Tract Diagnoses W Cc | 35 | 68 / 5 | $8.153,66 | 13 / 10 | $7.521,91 | 609 / 10 | $6.985,23 | 609 / 12 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 34 | 86 / 20 | $6.217,56 | 18 / 3 | $5.785,21 | 1607 / 3 | $4.662,53 | 1596 / 4 |
Chest Pain | 34 | 117 / 18 | $5.806,35 | 16 / 10 | $5.368,71 | 1329 / 10 | $4.372,94 | 1322 / 10 |
Other Digestive System Diagnoses W Cc | 34 | 63 / 13 | $8.190,68 | 12 / 11 | $7.601,68 | 1073 / 11 | $6.752,59 | 1069 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 11 | $10.268,00 | 18 / 9 | $9.602,06 | 1410 / 10 | $8.349,65 | 1407 / 9 |
Seizures W/O Mcc | 34 | 74 / 14 | $7.360,21 | 25 / 16 | $6.795,21 | 1083 / 16 | $6.046,97 | 1081 / 18 |
G.I. Hemorrhage W Mcc | 34 | 87 / 12 | $11.917,10 | 4 / 2 | $10.992,20 | 720 / 2 | $10.280,60 | 720 / 3 |
Kidney & Urinary Tract Infections W Mcc | 33 | 111 / 16 | $8.428,58 | 16 / 4 | $7.781,30 | 1278 / 4 | $6.940,58 | 1274 / 4 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 31 | 31 / 6 | $5.896,94 | 5 / 4 | $5.498,39 | 420 / 4 | $4.275,58 | 418 / 3 |
G.I. Hemorrhage W/O Cc/Mcc | 30 | 38 / 10 | $5.189,47 | 4 / 4 | $4.843,67 | 470 / 4 | $3.701,80 | 466 / 4 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 30 | 95 / 16 | $8.259,17 | 3 / 2 | $7.622,07 | 13 / 2 | $6.939,40 | 13 / 2 |
Degenerative Nervous System Disorders W/O Mcc | 30 | 48 / 12 | $7.267,63 | 2 / 2 | $6.754,67 | 426 / 2 | $5.750,63 | 426 / 2 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 13 | $15.750,10 | 3 / 2 | $14.644,90 | 476 / 2 | $12.381,10 | 469 / 2 |
Signs & Symptoms W/O Mcc | 29 | 62 / 18 | $8.309,97 | 51 / 26 | $7.668,86 | 1252 / 26 | $6.983,07 | 1249 / 28 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 29 | 67 / 10 | $17.607,20 | 128 / 31 | $16.446,40 | 1436 / 32 | $13.729,10 | 1431 / 27 |
Heart Failure & Shock W/O Cc/Mcc | 28 | 82 / 24 | $5.234,86 | 7 / 4 | $4.841,36 | 1137 / 4 | $3.892,79 | 1128 / 4 |
Bronchitis & Asthma W Cc/Mcc | 27 | 49 / 10 | $6.808,85 | 7 / 4 | $6.471,93 | 324 / 5 | $4.377,00 | 320 / 1 |
Respiratory Infections & Inflammations W Cc | 26 | 62 / 16 | $10.216,30 | 12 / 5 | $9.531,35 | 917 / 5 | $8.353,50 | 912 / 5 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 26 | 42 / 6 | $7.275,62 | 9 / 6 | $6.719,92 | 478 / 5 | $5.837,46 | 478 / 6 |
Dysequilibrium | 26 | 39 / 5 | $5.536,31 | 6 / 6 | $5.121,42 | 372 / 5 | $4.048,19 | 372 / 5 |
Fractures Of Hip & Pelvis W/O Mcc | 25 | 36 / 9 | $5.780,92 | 8 / 7 | $5.406,40 | 611 / 7 | $4.278,44 | 611 / 9 |
Other Circulatory System Diagnoses W Mcc | 25 | 91 / 19 | $17.912,90 | 32 / 17 | $16.578,80 | 1158 / 17 | $15.196,20 | 1150 / 15 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 25 | 28 / 6 | $4.520,40 | 1 / 1 | $4.240,64 | 85 / 1 | $3.267,88 | 85 / 1 |
Pulmonary Embolism W/O Mcc | 25 | 49 / 15 | $9.500,56 | 28 / 18 | $8.769,76 | 1162 / 18 | $7.878,04 | 1159 / 18 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 24 | 47 / 7 | $43.147,60 | 10 / 6 | $39.947,90 | 600 / 6 | $34.666,50 | 599 / 4 |
Organic Disturbances & Mental Retardation | 24 | 35 / 8 | $8.161,50 | 14 / 8 | $7.534,71 | 340 / 8 | $6.728,04 | 340 / 9 |
Red Blood Cell Disorders W Mcc | 23 | 48 / 11 | $9.540,43 | 9 / 7 | $8.827,35 | 589 / 7 | $7.741,91 | 586 / 5 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 23 | 33 / 4 | $13.718,20 | 7 / 5 | $12.722,70 | 357 / 6 | $11.826,80 | 356 / 6 |
Bone Diseases & Arthropathies W/O Mcc | 23 | 21 / 7 | $5.638,52 | 6 / 3 | $5.261,26 | 146 / 3 | $4.498,22 | 146 / 5 |
Major Small & Large Bowel Procedures W Cc | 23 | 85 / 16 | $22.361,70 | 8 / 6 | $20.719,70 | 1284 / 6 | $18.533,50 | 1270 / 6 |
Diabetes W Cc | 23 | 69 / 23 | $6.455,61 | 6 / 4 | $6.088,39 | 818 / 5 | $4.733,09 | 814 / 3 |
Renal Failure W/O Cc/Mcc | 22 | 34 / 11 | $5.070,36 | 5 / 4 | $4.688,27 | 574 / 4 | $3.811,18 | 573 / 4 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 21 | 71 / 7 | $44.665,30 | 5 / 4 | $41.402,30 | 461 / 5 | $36.012,90 | 460 / 2 |
Pulmonary Embolism W Mcc | 21 | 22 / 2 | $13.335,80 | 8 / 6 | $12.360,10 | 468 / 5 | $10.566,20 | 467 / 5 |
Disorders Of Pancreas Except Malignancy W Cc | 21 | 40 / 10 | $7.964,62 | 14 / 14 | $7.358,67 | 716 / 14 | $6.266,10 | 713 / 13 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 20 | 45 / 5 | $28.364,20 | 10 / 8 | $26.235,80 | 808 / 8 | $24.708,50 | 805 / 6 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 7 | $13.353,90 | 4 / 4 | $12.319,50 | 721 / 4 | $11.426,80 | 718 / 7 |
Peripheral Vascular Disorders W/O Cc/Mcc | 19 | 26 / 3 | $5.931,47 | 4 / 4 | $5.484,32 | 284 / 4 | $4.470,42 | 284 / 4 |
G.I. Obstruction W Cc | 19 | 73 / 21 | $8.878,68 | 36 / 24 | $8.302,63 | 1522 / 24 | $6.845,00 | 1517 / 21 |
Seizures W Mcc | 19 | 47 / 12 | $7.701,89 | 1 / 1 | $7.262,74 | 2 / 1 | $5.829,79 | 2 / 1 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 9 | $13.400,10 | 4 / 4 | $12.367,00 | 740 / 4 | $11.222,10 | 737 / 6 |
Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 23 | $49.933,60 | 115 / 23 | $46.384,60 | 1334 / 23 | $40.044,80 | 1329 / 21 |
Respiratory Neoplasms W Mcc | 18 | 34 / 7 | $11.553,20 | 5 / 5 | $10.660,20 | 246 / 5 | $9.783,78 | 246 / 5 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 14 | $8.654,89 | 7 / 4 | $8.103,83 | 549 / 5 | $6.779,28 | 547 / 2 |
Atherosclerosis W/O Mcc | 17 | 41 / 7 | $4.387,47 | 1 / 1 | $4.207,59 | / 1 | $3.098,88 | / |
Other Circulatory System Diagnoses W Cc | 17 | 49 / 10 | $6.675,94 | 4 / 4 | $6.162,71 | 294 / 4 | $5.518,94 | 293 / 5 |
G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 15 | $5.983,71 | 19 / 17 | $5.833,82 | 876 / 21 | $3.591,41 | 873 / 9 |
Diabetes W Mcc | 17 | 40 / 5 | $13.868,40 | 26 / 12 | $12.883,60 | 660 / 12 | $11.851,10 | 659 / 11 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 9 | $14.538,90 | 5 / 4 | $13.586,10 | 589 / 5 | $11.015,90 | 589 / 4 |
Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 14 | $36.808,40 | 9 / 7 | $33.929,10 | 740 / 7 | $32.877,10 | 738 / 8 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 16 | 20 / 5 | $16.870,10 | 2 / 2 | $15.665,60 | 142 / 3 | $13.898,60 | 142 / 2 |
Tendonitis, Myositis & Bursitis W/O Mcc | 16 | 26 / 9 | $7.004,69 | 5 / 5 | $6.472,50 | 237 / 5 | $5.488,50 | 236 / 5 |
Pleural Effusion W Mcc | 15 | 15 / 2 | $8.247,80 | 1 / 1 | $7.695,33 | 4 / 1 | $6.790,87 | 4 / 1 |
Other Digestive System Diagnoses W Mcc | 15 | 47 / 10 | $16.331,10 | 17 / 10 | $15.114,10 | 600 / 10 | $13.374,60 | 599 / 10 |
Respiratory Infections & Inflammations W/O Cc/Mcc | 15 | 14 / 3 | $7.659,07 | 4 / 4 | $7.171,33 | 82 / 5 | $5.876,40 | 82 / 4 |
Other Resp System O.R. Procedures W Mcc | 14 | 49 / 8 | $22.136,80 | 2 / 2 | $20.412,60 | 116 / 2 | $19.398,90 | 116 / 2 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 14 | 33 / 11 | $6.092,21 | 1 / 1 | $5.629,50 | 224 / 1 | $4.763,21 | 224 / 1 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 14 | 52 / 10 | $20.743,60 | 14 / 10 | $19.126,10 | 563 / 10 | $18.264,40 | 559 / 12 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 12 | $11.454,00 | 28 / 15 | $10.570,10 | 529 / 15 | $9.642,08 | 529 / 15 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 7 | $10.278,80 | 5 / 4 | $9.491,15 | 483 / 4 | $8.371,15 | 482 / 6 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 3 | $18.633,90 | 5 / 5 | $17.546,20 | 25 / 5 | $11.934,20 | 25 / 1 |
Disorders Of The Biliary Tract W Mcc | 13 | 26 / 6 | $17.390,50 | 10 / 8 | $16.040,70 | 232 / 8 | $15.019,20 | 232 / 8 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 13 | $24.617,80 | 10 / 7 | $22.869,80 | 796 / 7 | $20.339,70 | 792 / 8 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 15 | $5.534,38 | 7 / 6 | $5.116,62 | 587 / 6 | $4.188,62 | 586 / 5 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 11 | $38.838,90 | 8 / 8 | $35.795,80 | 554 / 8 | $34.921,80 | 554 / 9 |
Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 8 | $9.090,83 | 9 / 8 | $8.390,75 | 395 / 8 | $7.588,08 | 395 / 8 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 19 | $6.088,83 | 37 / 8 | $5.740,17 | 418 / 9 | $4.159,58 | 418 / 6 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 11 | $20.455,20 | 6 / 6 | $19.168,60 | 567 / 6 | $14.824,30 | 566 / 1 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 13 | $30.456,80 | 6 / 6 | $28.362,40 | 812 / 6 | $23.974,00 | 807 / 2 |
Other Vascular Procedures W Mcc | 12 | 85 / 20 | $26.581,90 | 10 / 9 | $24.221,20 | 564 / 7 | $21.508,90 | 561 / 6 |
Diabetes W/O Cc/Mcc | 12 | 26 / 4 | $4.168,92 | 1 / 1 | $4.069,42 | 21 / 1 | $2.556,33 | 21 / 1 |
Disorders Of The Biliary Tract W Cc | 12 | 42 / 10 | $6.859,58 | 1 / 1 | $6.339,25 | 81 / 1 | $5.331,25 | 81 / 1 |
Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 6 | $11.693,20 | 4 / 4 | $10.918,90 | 42 / 4 | $8.983,55 | 42 / 3 |
Hypertension W/O Mcc | 11 | 54 / 16 | $4.986,45 | 8 / 5 | $4.608,64 | 516 / 4 | $3.840,64 | 514 / 6 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 5 | $4.602,27 | 2 / 2 | $4.487,73 | 94 / 2 | $2.915,00 | 94 / 2 |
Other Disorders Of Nervous System W Cc | 11 | 45 / 16 | $8.491,45 | 12 / 8 | $7.837,73 | 514 / 8 | $7.069,73 | 513 / 11 |
Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 8 | $4.902,36 | 3 / 3 | $4.538,27 | 120 / 3 | $3.435,73 | 120 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 11 | 18 / 4 | $8.942,18 | 10 / 7 | $8.403,45 | 127 / 7 | $7.085,82 | 126 / 7 |
Endocrine Disorders W Mcc | 11 | 15 / 1 | $14.071,60 | 2 / 1 | $12.980,20 | 80 / 1 | $12.098,70 | 80 / 1 |
Other Circulatory System O.R. Procedures | 11 | 44 / 11 | $19.831,90 | 3 / 3 | $18.286,30 | 216 / 3 | $17.429,50 | 216 / 3 |
Major Chest Procedures W Mcc | 11 | 38 / 5 | $30.907,60 | 1 / 1 | $28.781,70 | 7 / 1 | $22.471,10 | 7 / 1 | Total 117 procedures | 5.066 | 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.