Hospital Costs > In Indiana > Indiana University Health Ball Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 326 | 246 / 10 | $84.053,10 | 2276 / 72 | $14.503,10 | 1603 / 54 | $12.336,10 | 1566 / 61 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 307 | 211 / 9 | $58.670,90 | 2053 / 64 | $12.418,90 | 1564 / 52 | $11.143,10 | 1532 / 54 |
Pulmonary Edema & Respiratory Failure | 173 | 38 / 1 | $41.818,60 | 1561 / 60 | $8.929,73 | 1222 / 56 | $7.258,88 | 1220 / 51 |
Simple Pneumonia & Pleurisy W Mcc | 155 | 52 / 4 | $45.539,60 | 1775 / 58 | $10.007,70 | 1425 / 53 | $8.546,52 | 1425 / 52 |
Kidney & Urinary Tract Infections W/O Mcc | 151 | 83 / 4 | $23.950,00 | 1917 / 68 | $5.539,65 | 1553 / 58 | $4.397,62 | 1542 / 56 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 150 | 125 / 5 | $27.771,40 | 2049 / 69 | $5.625,23 | 1476 / 55 | $4.112,69 | 1465 / 55 |
Psychoses | 145 | 155 / 7 | $25.929,60 | 430 / 17 | $7.344,23 | 308 / 13 | $6.025,92 | 308 / 10 |
Heart Failure & Shock W Cc | 132 | 146 / 9 | $28.636,20 | 1883 / 69 | $7.028,35 | 1525 / 64 | $5.809,56 | 1520 / 59 |
Heart Failure & Shock W Mcc | 128 | 156 / 12 | $39.106,20 | 1611 / 61 | $10.153,10 | 1271 / 58 | $8.680,37 | 1268 / 51 |
Chronic Obstructive Pulmonary Disease W Mcc | 125 | 77 / 8 | $36.708,00 | 1822 / 68 | $8.036,85 | 1451 / 55 | $6.769,44 | 1445 / 58 |
Renal Failure W Cc | 118 | 103 / 6 | $32.516,40 | 1817 / 62 | $6.958,47 | 1458 / 54 | $5.688,07 | 1449 / 53 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 112 | 84 / 4 | $107.068,00 | 1230 / 43 | $15.909,90 | 933 / 39 | $12.176,50 | 926 / 36 |
Simple Pneumonia & Pleurisy W Cc | 106 | 97 / 6 | $31.187,30 | 2015 / 68 | $7.012,67 | 1565 / 58 | $5.578,27 | 1558 / 59 |
Cellulitis W/O Mcc | 101 | 88 / 4 | $26.532,60 | 1967 / 68 | $6.447,97 | 1213 / 65 | $4.440,72 | 1207 / 49 |
Chronic Obstructive Pulmonary Disease W Cc | 96 | 83 / 9 | $28.105,40 | 1627 / 62 | $6.596,44 | 1467 / 58 | $5.473,27 | 1461 / 57 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 87 | 33 / 2 | $23.451,40 | 1475 / 59 | $5.202,31 | 1351 / 46 | $4.161,95 | 1340 / 53 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 85 | 97 / 8 | $30.327,00 | 1178 / 47 | $7.166,94 | 1092 / 42 | $5.981,04 | 1089 / 44 |
G.I. Hemorrhage W Cc | 84 | 134 / 9 | $37.347,30 | 1869 / 57 | $7.183,23 | 1282 / 49 | $5.673,29 | 1279 / 43 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 79 | 87 / 7 | $23.688,60 | 1815 / 63 | $5.229,89 | 1132 / 57 | $3.751,20 | 1129 / 43 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 69 | 62 / 6 | $67.632,80 | 1096 / 43 | $14.959,30 | 931 / 34 | $13.840,40 | 923 / 36 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 67 | 94 / 6 | $22.610,10 | 1258 / 48 | $5.746,09 | 1130 / 45 | $4.422,94 | 1126 / 43 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 65 | 142 / 14 | $34.131,30 | 1823 / 63 | $7.422,43 | 1373 / 58 | $6.087,75 | 1368 / 52 |
Respiratory Infections & Inflammations W Mcc | 64 | 72 / 3 | $56.467,20 | 1202 / 47 | $13.023,10 | 1020 / 37 | $11.764,90 | 1007 / 35 |
Renal Failure W Mcc | 61 | 134 / 20 | $51.601,70 | 1613 / 53 | $10.645,50 | 1243 / 45 | $9.529,88 | 1243 / 43 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 60 | 33 / 2 | $25.573,70 | 1482 / 49 | $5.200,40 | 1169 / 43 | $3.870,80 | 1163 / 42 |
Chest Pain | 57 | 94 / 5 | $20.494,50 | 959 / 35 | $4.626,70 | 722 / 34 | $3.164,37 | 717 / 24 |
Transient Ischemia | 56 | 69 / 7 | $20.400,00 | 688 / 30 | $5.123,54 | 876 / 36 | $3.838,98 | 872 / 34 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 54 | 96 / 12 | $22.173,70 | 1515 / 53 | $5.776,74 | 1147 / 52 | $2.958,09 | 1142 / 45 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 54 | 134 / 15 | $50.476,80 | 1217 / 48 | $7.486,89 | 977 / 33 | $6.289,48 | 974 / 43 |
Spinal Fusion Except Cervical W/O Mcc | 48 | 146 / 15 | $151.595,00 | 1122 / 36 | $26.359,30 | 897 / 22 | $24.999,50 | 892 / 29 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 47 | 53 / 2 | $141.779,00 | 787 / 32 | $25.787,30 | 456 / 30 | $19.363,40 | 452 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 46 | 122 / 11 | $43.292,80 | 789 / 31 | $11.248,40 | 728 / 30 | $9.967,80 | 727 / 30 |
Syncope & Collapse | 44 | 125 / 14 | $22.640,40 | 1079 / 41 | $5.310,32 | 1009 / 38 | $4.069,84 | 1002 / 38 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 44 | 27 / 3 | $138.432,00 | 497 / 27 | $32.940,50 | 439 / 16 | $31.360,90 | 439 / 20 |
Hip & Femur Procedures Except Major Joint W Cc | 44 | 99 / 12 | $68.158,00 | 1508 / 51 | $12.723,70 | 1155 / 44 | $11.465,00 | 1141 / 46 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 43 | 46 / 2 | $38.457,30 | 438 / 8 | $7.450,00 | 433 / 7 | $6.127,67 | 432 / 10 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 43 | 81 / 11 | $149.995,00 | 1020 / 32 | $35.625,40 | 622 / 25 | $30.653,60 | 616 / 15 |
Kidney & Urinary Tract Infections W Mcc | 42 | 102 / 16 | $26.344,50 | 996 / 39 | $7.459,17 | 982 / 38 | $6.345,00 | 979 / 39 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 42 | 81 / 14 | $36.374,90 | 1203 / 48 | $8.888,40 | 1293 / 44 | $7.891,02 | 1290 / 47 |
Hypertension W/O Mcc | 41 | 24 / 2 | $21.532,10 | 448 / 15 | $4.661,27 | 378 / 11 | $3.360,71 | 376 / 9 |
Pulmonary Embolism W/O Mcc | 41 | 33 / 2 | $32.592,60 | 906 / 34 | $7.177,56 | 728 / 30 | $5.621,59 | 725 / 25 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 40 | 62 / 8 | $22.364,80 | 743 / 35 | $5.522,62 | 863 / 35 | $4.085,70 | 859 / 38 |
Major Small & Large Bowel Procedures W Mcc | 39 | 46 / 7 | $149.215,00 | 804 / 28 | $32.224,40 | 591 / 17 | $30.596,00 | 589 / 16 |
Signs & Symptoms W/O Mcc | 39 | 52 / 3 | $32.572,60 | 1079 / 28 | $5.087,87 | 635 / 21 | $3.920,74 | 634 / 19 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 39 | 17 / 2 | $57.911,70 | 688 / 24 | $10.761,20 | 541 / 21 | $9.448,13 | 539 / 23 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 38 | 87 / 9 | $55.488,60 | 1247 / 46 | $11.422,10 | 986 / 33 | $10.266,40 | 984 / 36 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 37 | 89 / 13 | $29.120,40 | 924 / 29 | $8.151,57 | 531 / 33 | $6.068,54 | 528 / 18 |
G.I. Obstruction W Cc | 36 | 56 / 7 | $32.794,50 | 1288 / 46 | $6.299,83 | 938 / 40 | $5.002,11 | 935 / 35 |
G.I. Hemorrhage W Mcc | 36 | 85 / 10 | $61.432,60 | 1221 / 39 | $12.226,80 | 758 / 35 | $10.438,90 | 756 / 32 |
Heart Failure & Shock W/O Cc/Mcc | 35 | 75 / 14 | $23.988,00 | 1506 / 57 | $4.894,60 | 1124 / 44 | $3.874,23 | 1115 / 44 |
Respiratory Infections & Inflammations W Cc | 35 | 53 / 2 | $39.689,70 | 955 / 35 | $8.937,40 | 710 / 32 | $7.768,54 | 705 / 30 |
Medical Back Problems W/O Mcc | 35 | 86 / 10 | $31.650,80 | 1074 / 32 | $6.009,11 | 847 / 26 | $4.855,03 | 844 / 29 |
Red Blood Cell Disorders W/O Mcc | 35 | 108 / 16 | $31.425,00 | 1559 / 47 | $5.725,71 | 1153 / 38 | $4.728,14 | 1145 / 38 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 34 | 61 / 4 | $135.195,00 | 561 / 18 | $17.860,80 | 302 / 18 | $11.922,20 | 299 / 15 |
Other Digestive System Diagnoses W Cc | 34 | 63 / 8 | $35.632,70 | 1038 / 38 | $6.859,53 | 702 / 31 | $5.558,82 | 698 / 26 |
Seizures W/O Mcc | 32 | 76 / 8 | $25.780,40 | 800 / 28 | $5.453,78 | 663 / 23 | $4.429,88 | 660 / 24 |
Poisoning & Toxic Effects Of Drugs W Mcc | 31 | 41 / 6 | $56.840,90 | 786 / 26 | $10.098,60 | 577 / 20 | $8.938,16 | 575 / 21 |
Diabetes W Cc | 29 | 63 / 10 | $31.052,40 | 1210 / 40 | $6.165,21 | 963 / 34 | $5.051,21 | 959 / 34 |
Cervical Spinal Fusion W/O Cc/Mcc | 29 | 75 / 7 | $104.093,00 | 782 / 26 | $19.884,90 | 461 / 26 | $12.473,50 | 459 / 16 |
Major Cardiovasc Procedures W/O Mcc | 28 | 73 / 13 | $123.834,00 | 759 / 28 | $22.055,30 | 568 / 18 | $20.956,20 | 568 / 22 |
Major Small & Large Bowel Procedures W Cc | 28 | 80 / 14 | $114.960,00 | 1324 / 44 | $18.291,70 | 1103 / 33 | $16.597,70 | 1090 / 42 |
Acute Myocardial Infarction, Discharged Alive W Cc | 28 | 63 / 10 | $38.220,40 | 993 / 32 | $7.160,75 | 768 / 28 | $6.057,54 | 766 / 25 |
G.I. Hemorrhage W/O Cc/Mcc | 27 | 41 / 4 | $29.821,10 | 805 / 24 | $5.140,26 | 554 / 17 | $3.885,44 | 550 / 20 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 26 | 98 / 7 | $23.293,00 | 572 / 22 | $5.050,88 | 406 / 15 | $4.123,15 | 406 / 14 |
Extracranial Procedures W/O Cc/Mcc | 25 | 73 / 13 | $36.700,20 | 583 / 21 | $7.158,20 | 560 / 21 | $5.964,76 | 559 / 24 |
Hip & Femur Procedures Except Major Joint W Mcc | 25 | 37 / 5 | $98.895,60 | 687 / 23 | $19.262,90 | 463 / 18 | $17.884,00 | 460 / 19 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 25 | 37 / 2 | $22.329,70 | 440 / 13 | $6.154,00 | 370 / 15 | $4.118,40 | 370 / 13 |
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 25 | 7 / 1 | $40.789,50 | 92 / 2 | $8.015,08 | 68 / 1 | $6.821,80 | 68 / 2 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 25 | 67 / 9 | $148.491,00 | 510 / 21 | $39.897,50 | 351 / 17 | $33.943,30 | 350 / 13 |
Respiratory Neoplasms W Mcc | 24 | 28 / 4 | $52.181,00 | 401 / 19 | $14.654,90 | 204 / 18 | $9.525,88 | 204 / 9 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 14 | $49.089,10 | 1140 / 35 | $8.823,92 | 830 / 25 | $7.527,50 | 825 / 28 |
Permanent Cardiac Pacemaker Implant W Cc | 23 | 54 / 8 | $77.379,80 | 591 / 21 | $18.686,30 | 411 / 23 | $15.236,40 | 410 / 16 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 22 | 34 / 5 | $51.262,80 | 432 / 17 | $13.700,20 | 313 / 17 | $11.344,50 | 312 / 13 |
Other Circulatory System Diagnoses W Mcc | 22 | 94 / 12 | $46.861,70 | 670 / 26 | $12.075,90 | 590 / 18 | $11.095,10 | 588 / 22 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 22 | 59 / 3 | $266.065,00 | 50 / 2 | $81.427,90 | 7 / 2 | $69.285,40 | 7 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 7 | $44.828,80 | 893 / 28 | $8.418,43 | 596 / 25 | $6.962,10 | 594 / 22 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 21 | 49 / 3 | $25.549,60 | 304 / 10 | $7.061,24 | 224 / 9 | $5.445,24 | 224 / 10 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 21 | 42 / 6 | $161.457,00 | 522 / 21 | $32.065,60 | 389 / 16 | $30.585,80 | 389 / 19 |
Atherosclerosis W/O Mcc | 21 | 37 / 3 | $26.006,90 | 402 / 12 | $4.549,29 | / 10 | $3.571,86 | / |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 20 | 36 / 7 | $61.033,40 | 588 / 14 | $11.052,30 | 542 / 11 | $9.827,90 | 540 / 14 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 20 | 44 / 5 | $186.810,00 | 118 / 7 | $53.756,30 | 90 / 4 | $51.970,30 | 90 / 4 |
Seizures W Mcc | 19 | 47 / 7 | $51.975,50 | 504 / 17 | $15.531,20 | 198 / 18 | $8.383,95 | 198 / 4 |
Major Cardiovasc Procedures W Mcc | 19 | 49 / 8 | $186.189,00 | 471 / 16 | $35.691,80 | 346 / 15 | $34.189,30 | 345 / 14 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 19 | 28 / 4 | $53.392,40 | 445 / 13 | $8.355,37 | 381 / 9 | $7.148,42 | 380 / 11 |
Disorders Of Pancreas Except Malignancy W Cc | 19 | 42 / 9 | $32.906,20 | 686 / 24 | $6.728,84 | 443 / 19 | $5.111,26 | 442 / 16 |
Pulmonary Embolism W Mcc | 19 | 24 / 3 | $52.718,10 | 445 / 21 | $10.335,50 | 328 / 16 | $9.075,21 | 328 / 18 |
Other Vascular Procedures W Mcc | 19 | 78 / 12 | $93.350,20 | 528 / 15 | $21.975,30 | 513 / 15 | $20.869,40 | 510 / 18 |
Peripheral Vascular Disorders W Cc | 19 | 65 / 12 | $32.773,80 | 878 / 29 | $6.620,95 | 519 / 23 | $5.375,05 | 517 / 19 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 19 | 49 / 7 | $30.299,30 | 472 / 20 | $6.490,84 | 235 / 17 | $4.790,58 | 235 / 13 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 19 | 47 / 6 | $24.569,20 | 156 / 5 | $7.323,21 | 215 / 7 | $6.331,95 | 215 / 7 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 8 | $23.268,10 | 602 / 27 | $4.676,50 | 429 / 20 | $3.652,83 | 428 / 21 |
Other Resp System O.R. Procedures W Mcc | 17 | 46 / 7 | $86.793,20 | 261 / 8 | $27.362,30 | 222 / 10 | $20.934,40 | 221 / 7 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 17 | 27 / 2 | $21.499,90 | 122 / 2 | $5.306,24 | 145 / 3 | $4.391,29 | 145 / 3 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 17 | 11 / 2 | $71.871,90 | 89 / 4 | $20.572,80 | 43 / 4 | $9.411,35 | 43 / 3 |
Other Vascular Procedures W Cc | 17 | 85 / 19 | $93.465,60 | 780 / 28 | $16.762,50 | 594 / 20 | $15.531,00 | 591 / 23 |
G.I. Obstruction W Mcc | 17 | 25 / 5 | $44.986,60 | 300 / 13 | $10.531,20 | 222 / 12 | $9.445,18 | 222 / 12 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 8 | $66.132,70 | 616 / 18 | $11.144,40 | 497 / 16 | $9.907,82 | 497 / 20 |
Peritoneal Adhesiolysis W Cc | 16 | 23 / 3 | $87.008,90 | 216 / 8 | $15.831,10 | 156 / 5 | $14.419,60 | 156 / 6 |
Renal Failure W/O Cc/Mcc | 16 | 40 / 9 | $20.027,70 | 560 / 21 | $4.559,62 | 405 / 16 | $3.328,62 | 404 / 17 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 16 | 41 / 10 | $65.346,40 | 466 / 18 | $14.648,40 | 317 / 17 | $12.071,40 | 316 / 13 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 16 | 37 / 6 | $31.973,20 | 239 / 8 | $8.654,00 | 192 / 10 | $6.931,19 | 192 / 8 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 15 | 32 / 6 | $53.895,20 | 360 / 11 | $10.115,00 | 307 / 6 | $8.783,73 | 307 / 12 |
Other Circulatory System Diagnoses W Cc | 15 | 51 / 8 | $34.593,30 | 480 / 13 | $6.658,87 | 313 / 7 | $5.602,87 | 312 / 9 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 15 | 51 / 6 | $51.153,50 | 277 / 4 | $12.396,30 | 280 / 3 | $11.084,70 | 278 / 4 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 15 | 25 / 6 | $107.768,00 | 374 / 15 | $16.911,90 | 263 / 10 | $15.363,10 | 262 / 11 |
G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 15 | $23.396,60 | 963 / 33 | $4.606,93 | 740 / 27 | $3.329,20 | 737 / 28 |
Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 10 | $38.053,40 | 858 / 21 | $7.665,00 | 775 / 19 | $5.815,27 | 771 / 20 |
Other Disorders Of Nervous System W Mcc | 15 | 25 / 3 | $51.460,30 | 215 / 8 | $10.474,20 | 116 / 6 | $9.322,00 | 116 / 5 |
Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 5 | $33.442,40 | 320 / 13 | $7.008,57 | 111 / 10 | $4.905,93 | 111 / 5 |
Other Kidney & Urinary Tract Procedures W Mcc | 14 | 24 / 4 | $86.290,10 | 120 / 4 | $20.463,60 | 81 / 3 | $19.088,40 | 81 / 2 |
Other Disorders Of Nervous System W Cc | 14 | 42 / 8 | $24.244,90 | 262 / 5 | $6.042,43 | 227 / 5 | $4.978,43 | 227 / 7 |
Other Respiratory System Diagnoses W/O Mcc | 14 | 32 / 5 | $26.380,30 | 187 / 5 | $5.774,71 | 126 / 6 | $4.509,14 | 126 / 5 |
Other Digestive System Diagnoses W/O Cc/Mcc | 14 | 29 / 4 | $27.791,10 | 257 / 6 | $4.957,43 | 142 / 3 | $3.550,57 | 142 / 3 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 7 | $20.355,60 | 527 / 13 | $5.007,54 | 472 / 12 | $3.868,69 | 472 / 12 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 16 | $26.141,50 | 425 / 17 | $6.630,77 | 309 / 16 | $5.523,69 | 309 / 15 |
Cellulitis W Mcc | 13 | 45 / 12 | $40.621,50 | 608 / 24 | $9.440,31 | 432 / 16 | $8.420,77 | 430 / 18 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 6 | $67.506,50 | 419 / 11 | $13.317,20 | 375 / 11 | $11.966,10 | 372 / 12 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 12 | $29.812,60 | 495 / 13 | $6.813,00 | 367 / 12 | $5.517,08 | 367 / 12 |
Respiratory Neoplasms W Cc | 13 | 34 / 7 | $38.616,80 | 298 / 11 | $8.527,38 | 156 / 9 | $6.416,38 | 155 / 4 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 13 | 37 / 4 | $184.126,00 | 192 / 6 | $35.043,40 | 118 / 4 | $33.769,40 | 118 / 6 |
Coronary Bypass W Cardiac Cath W/O Mcc | 13 | 63 / 12 | $156.380,00 | 380 / 13 | $30.852,90 | 411 / 9 | $29.068,70 | 411 / 14 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 13 | 56 / 10 | $111.374,00 | 512 / 17 | $13.376,50 | 309 / 13 | $10.666,20 | 309 / 12 |
Other Vascular Procedures W/O Cc/Mcc | 13 | 43 / 10 | $64.434,90 | 409 / 14 | $11.306,70 | 313 / 10 | $10.067,30 | 312 / 11 |
Respiratory Signs & Symptoms | 13 | 33 / 5 | $17.089,80 | 78 / 2 | $4.865,85 | 83 / 3 | $3.516,46 | 83 / 4 |
Hernia Procedures Except Inguinal & Femoral W Cc | 13 | 21 / 3 | $60.886,80 | 107 / 3 | $10.966,20 | 68 / 2 | $9.763,85 | 68 / 2 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 14 | $131.635,00 | 789 / 22 | $29.946,50 | 595 / 22 | $20.555,20 | 592 / 20 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 9 | $104.944,00 | 432 / 13 | $17.705,40 | 317 / 9 | $16.340,00 | 316 / 12 |
Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 9 | $148.335,00 | 611 / 14 | $22.450,70 | 422 / 8 | $21.106,60 | 420 / 11 |
Diabetes W/O Cc/Mcc | 12 | 26 / 4 | $15.873,50 | 139 / 5 | $4.297,08 | 97 / 3 | $3.052,75 | 97 / 2 |
Headaches W/O Mcc | 12 | 31 / 5 | $23.470,10 | 131 / 6 | $4.869,00 | 114 / 4 | $3.740,75 | 114 / 5 |
Dysequilibrium | 12 | 53 / 9 | $19.323,90 | 230 / 8 | $4.566,25 | 267 / 7 | $3.445,17 | 267 / 7 |
Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 4 | $20.770,20 | 225 / 7 | $4.753,67 | 182 / 3 | $3.477,58 | 182 / 4 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 9 | $47.046,30 | 278 / 10 | $12.820,80 | 122 / 13 | $10.134,50 | 122 / 4 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 12 | 76 / 15 | $124.857,00 | 391 / 15 | $24.275,30 | 357 / 9 | $22.721,20 | 356 / 12 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 4 | $27.413,20 | 257 / 5 | $5.026,08 | 230 / 5 | $3.875,50 | 229 / 5 |
Digestive Malignancy W Cc | 12 | 35 / 5 | $52.796,80 | 315 / 9 | $8.793,00 | 167 / 8 | $7.426,83 | 165 / 7 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 12 | $90.075,20 | 698 / 18 | $13.622,10 | 538 / 17 | $12.335,20 | 537 / 17 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 12 | $79.550,80 | 200 / 11 | $21.909,00 | 173 / 7 | $20.420,80 | 173 / 10 |
Signs & Symptoms W Mcc | 11 | 30 / 4 | $27.958,40 | 125 / 4 | $7.330,55 | 77 / 3 | $6.458,55 | 77 / 3 |
Other Circulatory System O.R. Procedures | 11 | 44 / 8 | $66.560,50 | 202 / 7 | $16.593,80 | 139 / 4 | $15.757,30 | 139 / 8 |
Appendectomy W/O Complicated Principal Diag W/O Cc/Mcc | 11 | 7 / 1 | $44.224,40 | 7 / 1 | $6.565,73 | 8 / 1 | $5.181,45 | 8 / 1 |
Diabetes W Mcc | 11 | 46 / 13 | $25.985,10 | 194 / 8 | $9.150,36 | 278 / 14 | $7.983,45 | 278 / 13 |
Major Chest Trauma W Cc | 11 | 25 / 3 | $31.295,80 | 71 / 2 | $6.996,27 | 46 / 1 | $5.133,55 | 46 / 1 |
Stomach, Esophageal & Duodenal Proc W Mcc | 11 | 30 / 3 | $115.412,00 | 75 / 3 | $45.486,60 | 25 / 4 | $28.475,30 | 25 / 2 |
Otitis Media & Uri W/O Mcc | 11 | 33 / 4 | $25.766,80 | 154 / 5 | $4.808,45 | 71 / 3 | $3.518,64 | 71 / 3 |
Acute Myocardial Infarction, Expired W Mcc | 11 | 19 / 4 | $22.843,50 | 16 / 1 | $11.125,30 | 59 / 2 | $9.799,55 | 59 / 2 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 8 | $21.460,30 | 282 / 8 | $4.922,45 | 262 / 8 | $3.650,45 | 261 / 7 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 11 | 23 / 6 | $100.510,00 | 79 / 2 | $25.185,10 | 37 / 1 | $23.074,60 | 37 / 1 |
Extracranial Procedures W Cc | 11 | 35 / 8 | $38.307,90 | 150 / 6 | $10.515,50 | 215 / 7 | $9.421,64 | 215 / 8 | Total 149 procedures | 5.913 | 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.