Hospital Costs > In Virginia > Inova Alexandria 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 | 344 | 231 / 16 | $40.467,70 | 778 / 16 | $14.509,80 | 1186 / 44 | $11.356,80 | 1158 / 43 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 194 | 322 / 31 | $33.579,80 | 977 / 33 | $12.790,70 | 1533 / 60 | $11.077,30 | 1502 / 59 |
| Kidney & Urinary Tract Infections W/O Mcc | 150 | 84 / 5 | $13.598,80 | 735 / 20 | $5.468,81 | 1546 / 57 | $4.390,91 | 1535 / 60 |
| Renal Failure W Cc | 112 | 109 / 11 | $18.064,10 | 778 / 37 | $6.726,09 | 1370 / 55 | $5.579,00 | 1361 / 60 |
| Heart Failure & Shock W Mcc | 109 | 175 / 20 | $31.069,40 | 1157 / 48 | $10.731,20 | 1539 / 62 | $9.138,84 | 1535 / 62 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 108 | 58 / 3 | $14.125,80 | 855 / 27 | $5.308,71 | 1405 / 56 | $3.975,30 | 1400 / 56 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 107 | 168 / 13 | $13.784,10 | 600 / 16 | $5.229,83 | 1362 / 48 | $4.019,89 | 1351 / 60 |
| Heart Failure & Shock W Cc | 105 | 173 / 21 | $21.540,90 | 1351 / 56 | $6.922,98 | 1507 / 59 | $5.779,13 | 1502 / 62 |
| Syncope & Collapse | 88 | 81 / 6 | $17.285,60 | 594 / 25 | $5.351,41 | 972 / 47 | $4.030,45 | 966 / 49 |
| Chronic Obstructive Pulmonary Disease W Cc | 83 | 96 / 6 | $20.189,20 | 1018 / 42 | $6.894,84 | 1253 / 53 | $5.225,48 | 1248 / 52 |
| Simple Pneumonia & Pleurisy W Cc | 80 | 123 / 7 | $18.978,50 | 1023 / 29 | $6.727,29 | 1566 / 48 | $5.578,84 | 1559 / 60 |
| G.I. Hemorrhage W Cc | 75 | 143 / 22 | $22.015,10 | 944 / 40 | $7.270,93 | 1243 / 58 | $5.636,56 | 1240 / 55 |
| Renal Failure W Mcc | 73 | 122 / 14 | $32.923,30 | 940 / 42 | $11.445,60 | 1455 / 56 | $10.117,90 | 1454 / 62 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 69 | 30 / 1 | $35.326,00 | 100 / 4 | $14.757,40 | 426 / 17 | $12.344,70 | 423 / 17 |
| Cellulitis W/O Mcc | 63 | 126 / 19 | $14.075,30 | 738 / 21 | $6.064,44 | 1435 / 53 | $4.655,03 | 1428 / 57 |
| Chest Pain | 58 | 93 / 7 | $13.641,40 | 363 / 11 | $4.420,62 | 824 / 39 | $3.282,50 | 819 / 43 |
| Kidney & Urinary Tract Infections W Mcc | 58 | 86 / 13 | $18.241,10 | 448 / 25 | $7.749,29 | 1144 / 51 | $6.648,41 | 1140 / 56 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 57 | 69 / 7 | $20.398,70 | 436 / 22 | $7.772,79 | 975 / 39 | $6.964,70 | 972 / 48 |
| Simple Pneumonia & Pleurisy W Mcc | 55 | 150 / 25 | $33.371,20 | 1245 / 47 | $10.609,30 | 1449 / 65 | $8.602,24 | 1449 / 62 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 54 | 107 / 19 | $16.025,50 | 627 / 29 | $5.940,65 | 1074 / 53 | $4.374,67 | 1070 / 53 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 54 | 114 / 15 | $37.071,40 | 587 / 27 | $12.080,50 | 919 / 40 | $10.722,70 | 916 / 40 |
| Chronic Obstructive Pulmonary Disease W Mcc | 53 | 149 / 22 | $27.147,90 | 1278 / 49 | $8.127,06 | 1407 / 54 | $6.718,38 | 1401 / 58 |
| Transient Ischemia | 53 | 72 / 14 | $18.177,90 | 517 / 25 | $5.087,98 | 789 / 40 | $3.690,28 | 785 / 42 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 50 | 75 / 11 | $43.483,90 | 948 / 43 | $12.729,20 | 1213 / 50 | $11.066,80 | 1205 / 51 |
| Medical Back Problems W/O Mcc | 50 | 71 / 7 | $14.585,60 | 204 / 6 | $5.832,52 | 725 / 23 | $4.610,70 | 722 / 29 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 47 | 135 / 27 | $27.297,20 | 953 / 42 | $7.503,68 | 1224 / 46 | $6.179,47 | 1221 / 52 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 44 | 106 / 18 | $12.213,80 | 617 / 29 | $4.219,93 | 918 / 48 | $2.759,52 | 913 / 42 |
| G.I. Obstruction W Cc | 44 | 48 / 7 | $14.781,50 | 274 / 12 | $6.558,50 | 881 / 34 | $4.928,70 | 879 / 37 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 42 | 27 / 3 | $41.223,80 | 67 / 3 | $17.247,70 | 216 / 10 | $14.559,30 | 216 / 9 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 42 | 82 / 14 | $82.483,20 | 273 / 12 | $35.497,10 | 788 / 26 | $32.580,20 | 782 / 25 |
| Dysequilibrium | 41 | 24 / 2 | $15.604,10 | 141 / 5 | $4.748,68 | 214 / 12 | $3.216,24 | 214 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 33 | $20.248,70 | 806 / 28 | $7.412,28 | 1453 / 53 | $6.185,79 | 1447 / 57 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 37 | 86 / 24 | $24.662,70 | 639 / 27 | $8.449,95 | 1107 / 40 | $7.372,00 | 1104 / 42 |
| Pulmonary Edema & Respiratory Failure | 37 | 166 / 37 | $29.072,60 | 985 / 48 | $9.340,00 | 1691 / 60 | $8.440,81 | 1686 / 63 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 37 | 151 / 22 | $21.159,70 | 135 / 3 | $7.805,95 | 824 / 33 | $5.956,73 | 822 / 29 |
| Red Blood Cell Disorders W/O Mcc | 37 | 106 / 18 | $13.336,20 | 296 / 9 | $5.616,14 | 1093 / 38 | $4.645,89 | 1086 / 47 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 36 | 84 / 10 | $15.294,10 | 815 / 29 | $5.465,03 | 1198 / 45 | $3.944,72 | 1189 / 46 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 36 | 66 / 19 | $20.182,70 | 586 / 25 | $5.584,72 | 682 / 37 | $3.838,64 | 678 / 36 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 34 | 58 / 6 | $110.718,00 | 264 / 11 | $41.927,40 | 598 / 21 | $38.559,60 | 597 / 23 |
| Bronchitis & Asthma W Cc/Mcc | 34 | 42 / 5 | $18.011,70 | 309 / 20 | $6.231,15 | 533 / 26 | $4.883,74 | 529 / 30 |
| Seizures W/O Mcc | 34 | 74 / 12 | $15.608,40 | 291 / 6 | $5.150,59 | 573 / 16 | $4.205,15 | 570 / 24 |
| Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 12 | $14.242,10 | 752 / 31 | $5.006,59 | 1060 / 45 | $3.797,69 | 1052 / 43 |
| Respiratory Infections & Inflammations W Mcc | 32 | 104 / 19 | $37.813,10 | 686 / 32 | $12.802,70 | 1031 / 39 | $11.802,70 | 1018 / 43 |
| G.I. Hemorrhage W Mcc | 32 | 89 / 19 | $40.492,80 | 706 / 32 | $13.427,30 | 1251 / 40 | $12.590,40 | 1243 / 42 |
| Diabetes W Cc | 32 | 60 / 10 | $13.411,90 | 228 / 12 | $6.157,62 | 794 / 39 | $4.696,75 | 790 / 43 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 31 | 37 / 3 | $18.088,70 | 172 / 6 | $6.380,81 | 398 / 16 | $5.427,94 | 398 / 18 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 30 | 43 / 7 | $22.995,40 | 398 / 19 | $8.073,60 | 574 / 23 | $6.877,47 | 572 / 26 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 29 | 27 / 3 | $29.541,00 | 85 / 6 | $10.802,40 | 520 / 14 | $9.693,21 | 518 / 19 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 7 | $11.111,20 | 326 / 5 | $5.048,21 | 1237 / 31 | $3.952,55 | 1231 / 38 |
| Other Circulatory System Diagnoses W Mcc | 29 | 87 / 15 | $33.240,20 | 298 / 10 | $13.235,00 | 651 / 26 | $11.349,30 | 649 / 27 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 28 | 68 / 11 | $34.225,90 | 775 / 29 | $10.637,80 | 1238 / 35 | $9.665,75 | 1233 / 38 |
| Major Small & Large Bowel Procedures W Cc | 27 | 81 / 16 | $38.369,90 | 157 / 4 | $17.660,50 | 377 / 34 | $13.134,80 | 374 / 15 |
| Hip & Femur Procedures Except Major Joint W Cc | 27 | 116 / 26 | $35.578,00 | 433 / 12 | $12.661,90 | 1130 / 44 | $11.392,30 | 1116 / 48 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 26 | 39 / 7 | $69.467,70 | 373 / 13 | $22.173,60 | 498 / 22 | $19.290,50 | 495 / 20 |
| Spinal Fusion Except Cervical W/O Mcc | 26 | 168 / 26 | $80.429,00 | 532 / 16 | $25.765,90 | 855 / 19 | $24.634,20 | 851 / 26 |
| Diabetes W Mcc | 26 | 31 / 4 | $26.000,10 | 195 / 16 | $9.234,08 | 211 / 16 | $7.609,69 | 211 / 14 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 26 | 75 / 17 | $33.968,20 | 494 / 24 | $10.571,30 | 495 / 29 | $9.084,50 | 494 / 30 |
| Bronchitis & Asthma W/O Cc/Mcc | 26 | 19 / 1 | $14.036,20 | 112 / 2 | $4.759,08 | 173 / 8 | $3.425,23 | 173 / 9 |
| Pulmonary Embolism W/O Mcc | 26 | 48 / 10 | $19.967,80 | 383 / 17 | $7.091,08 | 634 / 28 | $5.422,58 | 631 / 29 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 25 | 31 / 3 | $42.532,70 | 334 / 17 | $14.199,80 | 497 / 21 | $13.432,20 | 496 / 23 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 25 | 171 / 24 | $39.676,00 | 63 / 3 | $13.433,30 | 765 / 16 | $11.455,80 | 760 / 26 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 24 | 47 / 6 | $82.936,10 | 133 / 3 | $36.396,90 | 51 / 15 | $25.143,80 | 51 / 1 |
| Hypertension W/O Mcc | 24 | 41 / 4 | $14.648,50 | 207 / 6 | $4.470,17 | 374 / 13 | $3.349,42 | 372 / 20 |
| Other Vascular Procedures W Cc | 23 | 79 / 13 | $51.853,10 | 232 / 11 | $17.042,10 | 576 / 23 | $15.404,30 | 573 / 23 |
| Other Vascular Procedures W Mcc | 23 | 74 / 11 | $43.052,40 | 53 / 1 | $19.065,80 | 246 / 3 | $18.276,10 | 245 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 22 | 69 / 17 | $27.353,00 | 627 / 25 | $7.098,73 | 706 / 31 | $5.883,50 | 704 / 35 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 22 | 71 / 9 | $43.522,30 | 220 / 9 | $14.620,90 | 612 / 22 | $13.796,80 | 606 / 26 |
| Seizures W Mcc | 22 | 44 / 7 | $29.376,70 | 158 / 9 | $10.537,50 | 219 / 19 | $8.462,14 | 219 / 10 |
| Red Blood Cell Disorders W Mcc | 21 | 50 / 10 | $19.402,90 | 144 / 6 | $8.389,71 | 621 / 18 | $7.877,76 | 618 / 25 |
| Other Kidney & Urinary Tract Procedures W Mcc | 21 | 17 / 2 | $53.243,50 | 33 / 2 | $19.790,40 | 77 / 2 | $18.790,60 | 77 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 14 | $11.062,10 | 203 / 11 | $4.694,05 | 711 / 27 | $3.273,67 | 708 / 33 |
| Other Digestive System Diagnoses W Cc | 21 | 76 / 19 | $18.549,60 | 319 / 15 | $6.707,81 | 707 / 28 | $5.574,62 | 703 / 31 |
| Signs & Symptoms W/O Mcc | 20 | 71 / 15 | $13.840,20 | 266 / 9 | $5.001,20 | 838 / 23 | $4.374,70 | 835 / 30 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 20 | 41 / 8 | $10.974,20 | 141 / 8 | $4.658,05 | 561 / 14 | $4.066,70 | 560 / 18 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 12 | $28.118,20 | 610 / 23 | $9.147,30 | 881 / 31 | $8.260,80 | 876 / 34 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 24 | $44.299,40 | 455 / 18 | $16.173,50 | 1270 / 40 | $15.515,10 | 1257 / 47 |
| Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 9 | $59.011,50 | 293 / 13 | $19.998,80 | 548 / 19 | $18.848,80 | 545 / 21 |
| Transurethral Prostatectomy W/O Cc/Mcc | 18 | 11 / 1 | $14.274,20 | 10 / 1 | $5.840,00 | 38 / 1 | $3.813,83 | 38 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 16 | $81.164,70 | 206 / 8 | $32.771,10 | 356 / 20 | $28.125,20 | 354 / 15 |
| Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 11 | $12.068,20 | 166 / 13 | $5.013,00 | 498 / 24 | $3.933,33 | 498 / 26 |
| Cellulitis W Mcc | 18 | 40 / 10 | $20.070,70 | 127 / 5 | $9.683,22 | 485 / 17 | $8.673,22 | 483 / 20 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 18 | 39 / 9 | $40.947,10 | 163 / 5 | $16.012,00 | 196 / 16 | $11.311,90 | 195 / 3 |
| Other Circulatory System O.R. Procedures | 17 | 38 / 5 | $57.318,50 | 141 / 8 | $20.275,20 | 267 / 11 | $18.615,50 | 267 / 12 |
| Peripheral Vascular Disorders W Mcc | 17 | 32 / 5 | $24.619,20 | 113 / 5 | $10.053,70 | 212 / 9 | $7.759,88 | 212 / 8 |
| Nonspecific Cerebrovascular Disorders W Cc | 16 | 40 / 10 | $17.189,00 | 73 / 7 | $6.691,88 | 198 / 19 | $5.473,75 | 198 / 20 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 16 | $80.629,10 | 282 / 8 | $29.205,90 | 717 / 23 | $22.205,20 | 713 / 22 |
| Disorders Of The Biliary Tract W Cc | 16 | 38 / 7 | $21.123,10 | 79 / 6 | $7.192,56 | 196 / 10 | $6.116,12 | 196 / 13 |
| Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 14 | $16.602,90 | 125 / 7 | $6.667,00 | 386 / 18 | $5.579,25 | 386 / 21 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 12 | $16.825,30 | 145 / 8 | $6.855,40 | 422 / 16 | $5.941,07 | 422 / 18 |
| Transurethral Procedures W Cc | 15 | 26 / 3 | $25.914,10 | 75 / 3 | $8.498,33 | 213 / 5 | $7.446,67 | 213 / 6 |
| G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 9 | $11.962,30 | 165 / 10 | $4.794,87 | 465 / 19 | $3.698,53 | 461 / 23 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 13 | $16.164,20 | 154 / 7 | $7.541,20 | 206 / 29 | $4.508,20 | 206 / 10 |
| Renal Failure W/O Cc/Mcc | 15 | 41 / 13 | $11.650,20 | 195 / 11 | $4.395,47 | 455 / 18 | $3.458,40 | 454 / 28 |
| Transurethral Prostatectomy W Cc/Mcc | 14 | 10 / 1 | $30.084,60 | 14 / 1 | $9.828,07 | 17 / 1 | $7.647,93 | 17 / 1 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 12 | $68.275,10 | 59 / 2 | $31.521,10 | 171 / 9 | $26.768,40 | 171 / 7 |
| Other Circulatory System Diagnoses W Cc | 14 | 52 / 11 | $17.047,40 | 121 / 5 | $6.939,00 | 43 / 14 | $4.440,21 | 43 / 2 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 14 | 55 / 13 | $58.440,60 | 178 / 7 | $20.171,30 | 258 / 16 | $15.367,60 | 257 / 11 |
| Organic Disturbances & Mental Retardation | 13 | 46 / 11 | $16.903,70 | 127 / 5 | $6.724,92 | 226 / 8 | $5.787,15 | 226 / 13 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 17 | $23.783,50 | 48 / 3 | $11.490,00 | 305 / 22 | $8.606,46 | 305 / 17 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 12 | $32.227,30 | 138 / 6 | $12.469,50 | 75 / 14 | $8.647,92 | 75 / 3 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 14 | $26.340,50 | 256 / 10 | $9.603,15 | 550 / 17 | $8.748,69 | 548 / 22 |
| Psychoses | 12 | 263 / 14 | $12.862,20 | 131 / 4 | $6.915,17 | 294 / 11 | $5.941,92 | 294 / 13 |
| Headaches W/O Mcc | 12 | 31 / 5 | $15.658,50 | 52 / 4 | $4.926,25 | 139 / 5 | $4.124,83 | 139 / 7 |
| Major Cardiovasc Procedures W Mcc | 12 | 56 / 11 | $86.910,90 | 75 / 3 | $31.362,80 | 189 / 1 | $30.407,50 | 189 / 4 |
| Major Cardiovasc Procedures W/O Mcc | 12 | 89 / 21 | $52.282,80 | 70 / 2 | $25.799,10 | 280 / 23 | $18.411,10 | 280 / 10 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 19 | $50.873,10 | 351 / 10 | $18.724,60 | 356 / 23 | $11.929,80 | 355 / 10 |
| Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 5 | $38.929,00 | 124 / 3 | $11.685,90 | 128 / 3 | $10.662,40 | 128 / 3 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 11 | $13.325,90 | 138 / 3 | $5.066,58 | 295 / 10 | $3.875,08 | 295 / 12 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 7 | $59.511,90 | 171 / 5 | $18.302,70 | 355 / 8 | $17.048,50 | 354 / 8 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 12 | $23.786,30 | 83 / 6 | $10.958,50 | 178 / 15 | $9.302,75 | 178 / 13 |
| Inflammatory Bowel Disease W Cc | 12 | 20 / 3 | $18.753,40 | 28 / 4 | $8.039,92 | 13 / 5 | $4.545,58 | 13 / 2 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 14 | $15.345,30 | 356 / 12 | $4.878,75 | 308 / 9 | $3.820,92 | 308 / 13 |
| Other Disorders Of Nervous System W/O Cc/Mcc | 11 | 24 / 4 | $13.420,50 | 20 / 1 | $4.510,27 | 36 / 3 | $3.389,00 | 36 / 2 |
| Viral Illness W/O Mcc | 11 | 16 / 2 | $14.167,30 | 9 / 2 | $5.487,18 | 17 / 2 | $4.434,64 | 17 / 2 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 14 | $25.669,10 | 305 / 14 | $8.667,55 | 463 / 15 | $7.939,82 | 463 / 17 |
| Malignancy Of Hepatobiliary System Or Pancreas W Cc | 11 | 20 / 4 | $23.229,50 | 31 / 4 | $8.437,55 | 47 / 2 | $6.253,00 | 47 / 3 |
| G.I. Obstruction W Mcc | 11 | 31 / 10 | $19.313,70 | 26 / 1 | $9.845,09 | 78 / 5 | $8.269,91 | 78 / 4 | Total 117 procedures | 4.387 | 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.