Hospital Costs > In Virginia > Inova Fairfax 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 | 522 | 69 / 4 | $32.992,30 | 941 / 31 | $15.625,80 | 1940 / 69 | $12.162,60 | 1905 / 68 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 337 | 238 / 17 | $36.708,20 | 569 / 10 | $15.850,40 | 1463 / 55 | $11.956,30 | 1430 / 50 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 243 | 2 / 1 | $30.069,90 | 342 / 20 | $14.268,60 | 1059 / 45 | $11.365,20 | 1054 / 44 |
| Heart Failure & Shock W Mcc | 228 | 66 / 5 | $29.242,40 | 1039 / 46 | $12.659,60 | 1871 / 67 | $9.958,21 | 1866 / 68 |
| Heart Failure & Shock W Cc | 218 | 65 / 3 | $19.301,20 | 1091 / 45 | $9.014,46 | 2093 / 69 | $6.713,31 | 2087 / 68 |
| Renal Failure W Cc | 209 | 28 / 2 | $16.894,20 | 660 / 33 | $8.515,18 | 1736 / 68 | $6.234,51 | 1726 / 66 |
| Spinal Fusion Except Cervical W/O Mcc | 162 | 44 / 3 | $72.683,20 | 415 / 14 | $31.206,10 | 787 / 27 | $23.966,40 | 783 / 25 |
| Kidney & Urinary Tract Infections W/O Mcc | 156 | 79 / 4 | $13.299,20 | 683 / 18 | $7.121,73 | 2084 / 65 | $5.158,69 | 2073 / 66 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 154 | 36 / 2 | $19.162,90 | 421 / 12 | $9.065,57 | 1429 / 57 | $6.635,74 | 1426 / 57 |
| Renal Failure W Mcc | 152 | 47 / 3 | $25.533,90 | 489 / 24 | $12.609,20 | 1440 / 62 | $10.067,20 | 1440 / 61 |
| Hip & Femur Procedures Except Major Joint W Cc | 147 | 11 / 1 | $39.561,80 | 618 / 17 | $15.496,40 | 1462 / 54 | $12.592,90 | 1444 / 54 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 137 | 70 / 6 | $19.256,80 | 718 / 24 | $9.324,86 | 1992 / 63 | $7.285,31 | 1984 / 64 |
| G.I. Hemorrhage W Cc | 136 | 82 / 7 | $21.616,90 | 906 / 36 | $9.022,78 | 1887 / 63 | $6.881,49 | 1883 / 64 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 133 | 32 / 1 | $15.827,90 | 606 / 28 | $7.401,92 | 1623 / 59 | $5.255,94 | 1618 / 59 |
| Simple Pneumonia & Pleurisy W Cc | 131 | 73 / 3 | $17.089,10 | 809 / 23 | $8.795,58 | 2142 / 65 | $6.469,15 | 2134 / 66 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 126 | 4 / 1 | $82.334,60 | 105 / 6 | $34.772,70 | 124 / 12 | $24.694,40 | 124 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 121 | 75 / 4 | $41.238,10 | 73 / 4 | $16.281,70 | 979 / 31 | $12.385,30 | 972 / 30 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 120 | 16 / 1 | $155.571,00 | 99 / 4 | $60.137,90 | 200 / 8 | $49.553,70 | 200 / 7 |
| Medical Back Problems W/O Mcc | 118 | 18 / 1 | $15.608,70 | 255 / 8 | $7.376,37 | 1063 / 33 | $5.433,40 | 1060 / 33 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 115 | 160 / 10 | $13.650,70 | 579 / 15 | $7.069,47 | 2186 / 67 | $5.201,15 | 2172 / 67 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 101 | 65 / 6 | $14.652,70 | 912 / 30 | $6.754,81 | 1954 / 63 | $4.782,56 | 1946 / 63 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 100 | 30 / 2 | $125.304,00 | 188 / 8 | $38.720,90 | 320 / 11 | $34.359,10 | 320 / 12 |
| Cellulitis W/O Mcc | 99 | 90 / 5 | $12.838,10 | 562 / 12 | $7.590,20 | 1991 / 63 | $5.541,62 | 1983 / 64 |
| Simple Pneumonia & Pleurisy W Mcc | 98 | 107 / 9 | $26.873,10 | 826 / 32 | $12.555,40 | 1707 / 67 | $9.166,11 | 1707 / 68 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 92 | 17 / 2 | $36.245,00 | 549 / 25 | $13.793,70 | 817 / 36 | $11.031,10 | 814 / 37 |
| Respiratory Infections & Inflammations W Mcc | 91 | 47 / 1 | $31.155,70 | 423 / 25 | $15.537,40 | 1290 / 49 | $12.889,10 | 1275 / 49 |
| Chronic Obstructive Pulmonary Disease W Mcc | 90 | 112 / 7 | $21.938,70 | 897 / 35 | $10.215,60 | 1895 / 64 | $7.673,27 | 1887 / 63 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 90 | 34 / 4 | $24.326,20 | 613 / 25 | $10.530,80 | 1471 / 48 | $8.545,98 | 1468 / 48 |
| Major Small & Large Bowel Procedures W Cc | 89 | 21 / 1 | $45.814,80 | 306 / 12 | $19.294,10 | 881 / 37 | $15.124,30 | 873 / 34 |
| Extracranial Procedures W/O Cc/Mcc | 86 | 17 / 2 | $21.303,50 | 177 / 7 | $8.751,78 | 721 / 23 | $6.778,42 | 718 / 24 |
| Kidney & Urinary Tract Infections W Mcc | 86 | 58 / 5 | $19.341,20 | 531 / 32 | $9.614,10 | 1393 / 58 | $7.283,56 | 1389 / 59 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 86 | 102 / 8 | $27.691,20 | 408 / 12 | $9.738,77 | 1235 / 38 | $7.151,74 | 1232 / 38 |
| G.I. Hemorrhage W Mcc | 83 | 38 / 3 | $31.505,20 | 375 / 16 | $14.668,60 | 939 / 42 | $10.981,90 | 933 / 37 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 79 | 71 / 6 | $10.627,70 | 404 / 16 | $5.814,33 | 1525 / 58 | $3.580,72 | 1519 / 58 |
| Chronic Obstructive Pulmonary Disease W Cc | 78 | 101 / 9 | $16.765,40 | 685 / 22 | $8.311,83 | 1795 / 58 | $6.090,19 | 1788 / 60 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 77 | 18 / 2 | $83.508,30 | 153 / 7 | $30.287,40 | 167 / 15 | $19.739,40 | 166 / 5 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 75 | 49 / 5 | $92.538,10 | 404 / 15 | $44.199,10 | 879 / 36 | $33.639,70 | 873 / 29 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 74 | 24 / 1 | $55.231,10 | 407 / 20 | $21.762,40 | 755 / 27 | $16.488,50 | 748 / 28 |
| Transient Ischemia | 73 | 52 / 9 | $15.472,90 | 322 / 11 | $6.615,58 | 1297 / 49 | $4.827,16 | 1291 / 49 |
| G.I. Obstruction W Cc | 72 | 20 / 1 | $14.598,20 | 262 / 10 | $8.317,81 | 1239 / 44 | $5.682,78 | 1235 / 44 |
| Syncope & Collapse | 72 | 97 / 12 | $18.454,20 | 721 / 35 | $7.290,67 | 1503 / 56 | $5.168,60 | 1496 / 56 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 72 | 28 / 3 | $14.344,70 | 29 / 3 | $10.149,10 | 135 / 11 | $7.018,86 | 135 / 8 |
| Major Cardiovasc Procedures W/O Mcc | 72 | 32 / 4 | $70.063,30 | 259 / 13 | $25.825,70 | 509 / 24 | $20.458,20 | 509 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 71 | 31 / 4 | $16.938,40 | 361 / 11 | $6.984,58 | 1221 / 46 | $4.913,79 | 1217 / 46 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 71 | 1 / 1 | $28.954,70 | 32 / 4 | $14.956,00 | 169 / 7 | $12.582,70 | 169 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 68 | 58 / 5 | $16.640,40 | 233 / 14 | $9.646,81 | 1125 / 49 | $7.396,68 | 1122 / 49 |
| Other Circulatory System Diagnoses W Mcc | 68 | 48 / 4 | $39.688,20 | 478 / 16 | $16.959,30 | 845 / 33 | $12.379,50 | 840 / 31 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 67 | 58 / 5 | $32.762,30 | 540 / 30 | $14.431,80 | 1231 / 53 | $11.143,70 | 1222 / 52 |
| Major Chest Procedures W/O Cc/Mcc | 66 | 9 / 1 | $24.273,70 | 18 / 2 | $14.476,30 | 84 / 9 | $10.083,70 | 84 / 7 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 65 | 40 / 2 | $21.613,60 | 292 / 14 | $9.067,88 | 552 / 20 | $6.593,51 | 552 / 21 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 65 | 66 / 5 | $47.942,10 | 564 / 24 | $20.160,70 | 1256 / 47 | $15.402,10 | 1243 / 46 |
| Permanent Cardiac Pacemaker Implant W Cc | 64 | 14 / 1 | $46.091,60 | 160 / 6 | $19.868,20 | 642 / 19 | $17.159,10 | 641 / 21 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 61 | 34 / 2 | $50.206,00 | 105 / 5 | $15.652,70 | 368 / 12 | $12.639,80 | 364 / 12 |
| Other Vascular Procedures W Cc | 58 | 45 / 4 | $48.486,70 | 183 / 7 | $19.583,40 | 680 / 30 | $16.237,10 | 677 / 29 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 56 | 27 / 2 | $282.502,00 | 68 / 2 | $125.219,00 | 179 / 5 | $103.777,00 | 179 / 3 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 54 | 13 / 2 | $20.216,60 | 82 / 4 | $9.456,83 | 351 / 10 | $7.440,54 | 350 / 11 |
| Other Digestive System Diagnoses W Cc | 54 | 43 / 3 | $17.960,20 | 283 / 11 | $10.239,60 | 975 / 38 | $6.391,80 | 971 / 38 |
| Kidney Transplant | 52 | 52 / 3 | $131.231,00 | 23 / 1 | $25.751,20 | 44 / 1 | $19.933,00 | 44 / 1 |
| Respiratory Infections & Inflammations W Cc | 52 | 36 / 2 | $24.637,30 | 460 / 17 | $11.678,50 | 1060 / 38 | $8.907,33 | 1055 / 37 |
| Permanent Cardiac Pacemaker Implant W Mcc | 51 | 3 / 1 | $63.401,30 | 97 / 3 | $26.586,70 | 380 / 10 | $24.036,90 | 380 / 9 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 51 | 14 / 2 | $34.178,20 | 203 / 12 | $13.765,70 | 445 / 28 | $9.508,20 | 445 / 25 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 51 | 10 / 1 | $12.329,50 | 35 / 2 | $6.599,08 | 265 / 11 | $4.942,14 | 265 / 11 |
| Major Cardiovasc Procedures W Mcc | 50 | 19 / 3 | $115.897,00 | 191 / 7 | $47.752,50 | 453 / 14 | $38.134,90 | 452 / 11 |
| Seizures W/O Mcc | 49 | 59 / 5 | $19.047,70 | 503 / 18 | $7.541,88 | 902 / 30 | $5.097,27 | 899 / 29 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 48 | 52 / 4 | $60.685,20 | 83 / 4 | $24.785,20 | 537 / 19 | $20.031,40 | 533 / 14 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 48 | 43 / 6 | $19.015,10 | 254 / 12 | $8.984,29 | 1082 / 41 | $7.047,88 | 1080 / 43 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 48 | 25 / 2 | $19.012,00 | 247 / 15 | $10.255,30 | 841 / 33 | $8.055,10 | 839 / 33 |
| Major Chest Procedures W Cc | 47 | 27 / 1 | $36.031,50 | 31 / 4 | $20.356,50 | 277 / 14 | $15.627,60 | 275 / 13 |
| Seizures W Mcc | 46 | 20 / 3 | $32.270,40 | 212 / 11 | $13.250,10 | 477 / 23 | $10.284,50 | 477 / 25 |
| Red Blood Cell Disorders W/O Mcc | 46 | 97 / 11 | $15.581,00 | 504 / 15 | $7.399,04 | 1471 / 50 | $5.392,33 | 1462 / 52 |
| Diabetes W Cc | 45 | 47 / 6 | $16.338,40 | 435 / 22 | $8.123,98 | 915 / 49 | $4.940,13 | 911 / 46 |
| Pulmonary Embolism W/O Mcc | 45 | 29 / 2 | $15.746,80 | 179 / 8 | $8.379,07 | 1050 / 35 | $6.846,98 | 1047 / 36 |
| Major Small & Large Bowel Procedures W Mcc | 45 | 40 / 3 | $102.170,00 | 404 / 16 | $43.438,30 | 843 / 34 | $34.381,10 | 841 / 30 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 43 | 5 / 2 | $100.519,00 | 35 / 2 | $32.906,10 | 66 / 2 | $29.716,00 | 66 / 1 |
| Other Vascular Procedures W Mcc | 41 | 56 / 4 | $70.545,50 | 270 / 10 | $27.169,60 | 625 / 22 | $22.377,30 | 622 / 21 |
| Hip & Femur Procedures Except Major Joint W Mcc | 41 | 21 / 3 | $62.288,70 | 330 / 14 | $24.489,80 | 620 / 25 | $19.522,40 | 617 / 23 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 41 | 14 / 2 | $67.957,70 | 47 / 2 | $25.457,30 | 141 / 4 | $20.746,40 | 141 / 4 |
| Cervical Spinal Fusion W/O Cc/Mcc | 41 | 63 / 8 | $51.819,40 | 357 / 11 | $18.106,60 | 572 / 22 | $13.414,70 | 569 / 24 |
| Pulmonary Edema & Respiratory Failure | 41 | 162 / 33 | $29.014,90 | 981 / 47 | $10.982,90 | 1711 / 63 | $8.521,83 | 1706 / 64 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 39 | 53 / 4 | $94.868,70 | 152 / 8 | $47.223,00 | 433 / 27 | $35.549,90 | 432 / 16 |
| Peripheral Vascular Disorders W Cc | 39 | 45 / 5 | $20.687,60 | 441 / 17 | $8.870,15 | 950 / 31 | $6.907,72 | 947 / 31 |
| Medical Back Problems W Mcc | 38 | 4 / 1 | $27.944,80 | 62 / 3 | $13.247,80 | 160 / 10 | $9.774,58 | 160 / 9 |
| Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 10 | $13.407,70 | 647 / 23 | $6.485,41 | 1630 / 52 | $4.799,76 | 1617 / 52 |
| Fractures Of Hip & Pelvis W/O Mcc | 34 | 27 / 2 | $14.443,80 | 264 / 19 | $6.652,88 | 703 / 29 | $4.657,71 | 702 / 29 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 34 | 23 / 2 | $40.588,40 | 156 / 4 | $16.032,00 | 541 / 17 | $14.287,80 | 540 / 17 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 33 | 22 / 3 | $36.514,90 | 102 / 4 | $14.765,50 | 438 / 15 | $12.782,80 | 435 / 17 |
| Endocrine Disorders W Cc | 33 | 8 / 1 | $15.558,80 | 32 / 4 | $8.779,91 | 183 / 9 | $6.750,91 | 183 / 9 |
| Other Resp System O.R. Procedures W Mcc | 33 | 30 / 2 | $67.057,10 | 132 / 5 | $31.453,20 | 347 / 16 | $23.665,80 | 346 / 14 |
| Cellulitis W Mcc | 33 | 25 / 2 | $27.316,30 | 311 / 15 | $12.473,00 | 631 / 24 | $9.516,64 | 629 / 22 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 33 | 23 / 2 | $25.792,70 | 82 / 9 | $15.037,50 | 400 / 22 | $12.257,60 | 399 / 22 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 32 | 33 / 4 | $72.530,50 | 405 / 16 | $27.441,00 | 757 / 27 | $23.320,50 | 754 / 27 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 32 | 64 / 7 | $26.853,80 | 519 / 21 | $11.086,10 | 1026 / 37 | $8.245,19 | 1021 / 36 |
| Other Respiratory System Diagnoses W Mcc | 32 | 9 / 1 | $44.092,20 | 43 / 2 | $14.586,60 | 30 / 2 | $9.200,97 | 30 / 2 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 31 | 23 / 1 | $12.064,10 | 26 / 1 | $8.546,35 | 223 / 13 | $6.106,87 | 223 / 11 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 31 | 45 / 3 | $97.731,80 | 113 / 6 | $33.542,30 | 275 / 12 | $26.244,60 | 275 / 8 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 31 | 32 / 1 | $98.435,20 | 205 / 5 | $41.093,60 | 463 / 14 | $32.351,90 | 463 / 15 |
| G.I. Obstruction W/O Cc/Mcc | 31 | 40 / 6 | $10.583,50 | 174 / 9 | $6.471,06 | 893 / 36 | $3.654,16 | 890 / 35 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 13 | $14.233,40 | 692 / 20 | $7.244,60 | 1482 / 52 | $4.385,93 | 1471 / 52 |
| Other Disorders Of Nervous System W Cc | 30 | 26 / 3 | $17.469,30 | 131 / 6 | $8.320,40 | 417 / 18 | $5.938,50 | 417 / 19 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 29 | 24 / 1 | $31.315,30 | 51 / 2 | $15.749,80 | 66 / 9 | $9.532,59 | 66 / 5 |
| Degenerative Nervous System Disorders W/O Mcc | 29 | 49 / 6 | $22.217,90 | 305 / 14 | $10.056,10 | 540 / 24 | $6.307,45 | 540 / 24 |
| Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W/O Cc/Mcc | 29 | 2 / 1 | $22.093,20 | 6 / 1 | $9.199,14 | 25 / 1 | $7.715,21 | 25 / 1 |
| Red Blood Cell Disorders W Mcc | 28 | 43 / 5 | $21.700,20 | 196 / 9 | $10.484,90 | 678 / 25 | $8.243,54 | 674 / 26 |
| Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 28 | 14 / 1 | $76.454,30 | 7 / 1 | $38.199,20 | 71 / 3 | $35.222,10 | 71 / 4 |
| Complications Of Treatment W Mcc | 28 | 23 / 1 | $23.923,40 | 26 / 1 | $14.243,50 | 90 / 3 | $10.360,00 | 90 / 4 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 28 | 2 / 1 | $131.603,00 | 9 / 1 | $48.830,20 | 34 / 2 | $46.119,70 | 34 / 3 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 27 | 44 / 4 | $101.744,00 | 268 / 12 | $40.969,80 | 598 / 17 | $34.605,70 | 597 / 18 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 27 | 42 / 3 | $193.908,00 | 72 / 1 | $78.936,70 | 136 / 5 | $61.030,90 | 136 / 4 |
| Diabetes W Mcc | 27 | 30 / 3 | $21.629,20 | 106 / 9 | $11.416,10 | 519 / 24 | $9.629,41 | 519 / 24 |
| Other Circulatory System Diagnoses W Cc | 27 | 39 / 3 | $21.779,90 | 235 / 10 | $9.134,15 | 460 / 18 | $6.488,59 | 459 / 18 |
| Other Vascular Procedures W/O Cc/Mcc | 27 | 29 / 5 | $31.624,60 | 75 / 2 | $14.865,90 | 252 / 15 | $9.438,59 | 251 / 12 |
| Dysequilibrium | 27 | 38 / 4 | $13.443,00 | 96 / 3 | $6.016,00 | 400 / 16 | $4.208,44 | 400 / 17 |
| Complications Of Treatment W Cc | 26 | 26 / 1 | $19.404,00 | 82 / 5 | $9.419,35 | 245 / 7 | $7.189,23 | 245 / 7 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 26 | 18 / 1 | $51.047,70 | 58 / 3 | $21.750,70 | 233 / 8 | $17.616,10 | 232 / 9 |
| Other Respiratory System Diagnoses W/O Mcc | 26 | 20 / 1 | $18.513,70 | 97 / 5 | $7.309,04 | 223 / 10 | $5.625,58 | 223 / 10 |
| Other Resp System O.R. Procedures W Cc | 26 | 21 / 2 | $33.966,80 | 38 / 3 | $16.074,20 | 172 / 9 | $11.865,20 | 172 / 8 |
| Chest Pain | 26 | 125 / 22 | $15.149,30 | 508 / 20 | $5.755,85 | 1408 / 49 | $4.707,15 | 1400 / 50 |
| Bronchitis & Asthma W Cc/Mcc | 26 | 50 / 8 | $16.363,30 | 249 / 16 | $7.949,50 | 821 / 33 | $6.065,42 | 817 / 35 |
| Postoperative & Post-Traumatic Infections W Mcc | 25 | 18 / 1 | $31.220,60 | 36 / 3 | $15.860,20 | 66 / 4 | $11.126,90 | 66 / 4 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 25 | 31 / 6 | $33.171,50 | 145 / 8 | $13.652,40 | 654 / 21 | $10.645,80 | 652 / 22 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 25 | 39 / 3 | $156.849,00 | 71 / 3 | $83.444,10 | 235 / 9 | $61.407,00 | 235 / 6 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 25 | 21 / 1 | $26.640,30 | 98 / 2 | $8.292,00 | 171 / 4 | $6.656,96 | 171 / 4 |
| Respiratory Neoplasms W Mcc | 24 | 28 / 4 | $41.808,70 | 285 / 13 | $16.837,20 | 431 / 18 | $11.599,50 | 429 / 17 |
| Nervous System Neoplasms W Mcc | 24 | 24 / 2 | $23.770,70 | 35 / 2 | $11.028,00 | 170 / 7 | $8.703,08 | 170 / 8 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 23 | 33 / 3 | $32.941,30 | 263 / 7 | $13.990,30 | 512 / 19 | $9.336,87 | 510 / 18 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 23 | 17 / 2 | $21.505,00 | 65 / 2 | $10.152,20 | 154 / 5 | $7.162,70 | 154 / 5 |
| Other Digestive System Diagnoses W Mcc | 23 | 39 / 4 | $30.225,70 | 164 / 11 | $15.326,50 | 331 / 22 | $10.337,10 | 330 / 18 |
| Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 23 | 9 / 1 | $57.027,80 | 8 / 1 | $32.753,60 | 19 / 1 | $26.795,90 | 19 / 1 |
| Respiratory Neoplasms W Cc | 23 | 24 / 3 | $22.516,00 | 91 / 6 | $10.374,50 | 323 / 14 | $7.821,39 | 322 / 14 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 12 | $11.949,70 | 411 / 10 | $7.107,52 | 1418 / 42 | $4.239,52 | 1410 / 41 |
| Traumatic Stupor & Coma, Coma >1 Hr W Mcc | 22 | 5 / 1 | $38.955,30 | 8 / 1 | $17.421,10 | 21 / 2 | $12.637,50 | 21 / 2 |
| G.I. Obstruction W Mcc | 22 | 20 / 2 | $23.870,80 | 60 / 5 | $12.487,40 | 292 / 16 | $10.192,00 | 292 / 15 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 22 | 37 / 3 | $130.264,00 | 80 / 3 | $53.320,00 | 123 / 6 | $36.032,30 | 122 / 4 |
| Digestive Malignancy W Cc | 22 | 25 / 1 | $23.398,00 | 63 / 5 | $11.029,70 | 240 / 11 | $8.286,73 | 238 / 12 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 22 | 50 / 7 | $30.459,50 | 361 / 15 | $11.682,50 | 663 / 24 | $9.536,27 | 661 / 24 |
| Cervical Spinal Fusion W Cc | 21 | 32 / 5 | $64.282,70 | 152 / 5 | $25.545,50 | 129 / 11 | $15.786,60 | 128 / 4 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 21 | 41 / 6 | $15.615,10 | 216 / 11 | $7.062,24 | 587 / 19 | $4.996,48 | 585 / 20 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 21 | 32 / 4 | $28.931,80 | 183 / 9 | $11.728,30 | 336 / 13 | $8.631,19 | 336 / 13 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 21 | 40 / 7 | $10.887,00 | 136 / 7 | $5.975,90 | 698 / 20 | $4.756,29 | 697 / 21 |
| Transurethral Procedures W Cc | 21 | 20 / 1 | $27.957,70 | 98 / 4 | $11.061,70 | 276 / 8 | $8.242,00 | 276 / 8 |
| Major Chest Trauma W Cc | 21 | 15 / 2 | $17.459,90 | 16 / 1 | $8.625,62 | 100 / 2 | $6.693,62 | 100 / 2 |
| Signs & Symptoms W/O Mcc | 20 | 71 / 15 | $14.333,20 | 290 / 10 | $6.496,00 | 1032 / 32 | $5.064,60 | 1029 / 32 |
| Lymphoma & Non-Acute Leukemia W Mcc | 20 | 16 / 1 | $46.915,40 | 12 / 1 | $24.566,90 | 28 / 1 | $18.917,80 | 28 / 2 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 20 | 104 / 10 | $13.328,30 | 263 / 9 | $6.493,85 | 590 / 20 | $4.894,55 | 589 / 19 |
| Interstitial Lung Disease W Mcc | 20 | 6 / 1 | $39.178,60 | 41 / 2 | $15.429,60 | 49 / 4 | $10.503,20 | 49 / 3 |
| Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 20 | 18 / 2 | $29.304,80 | 13 / 1 | $16.347,80 | 43 / 2 | $11.038,00 | 43 / 3 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 20 | 56 / 4 | $25.439,30 | 53 / 6 | $13.487,80 | 198 / 15 | $11.025,70 | 198 / 11 |
| Disorders Of Pancreas Except Malignancy W Cc | 20 | 41 / 10 | $19.153,80 | 276 / 16 | $8.353,70 | 756 / 31 | $6.515,50 | 753 / 31 |
| Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc | 20 | 7 / 1 | $53.048,90 | 4 / 1 | $21.671,80 | 30 / 1 | $18.888,10 | 30 / 2 |
| Other Digestive System O.R. Procedures W Cc | 20 | 7 / 1 | $43.515,10 | 20 / 1 | $16.700,90 | 52 / 1 | $14.493,70 | 52 / 1 |
| Limb Reattachment, Hip & Femur Proc For Multiple Significant Trauma | 20 | 3 / 1 | $75.781,90 | 12 / 1 | $30.691,20 | 28 / 1 | $26.109,60 | 28 / 1 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 19 | 24 / 2 | $71.634,20 | 62 / 2 | $27.376,20 | 113 / 4 | $22.895,70 | 113 / 5 |
| Major Chest Procedures W Mcc | 19 | 30 / 3 | $85.448,90 | 57 / 5 | $35.977,00 | 186 / 8 | $32.482,40 | 185 / 9 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 19 | 34 / 6 | $17.943,80 | 229 / 8 | $7.538,21 | 537 / 20 | $4.428,00 | 533 / 20 |
| Traumatic Stupor & Coma, Coma >1 Hr W/O Cc/Mcc | 18 | 4 / 1 | $13.030,60 | 3 / 1 | $7.540,78 | 6 / 1 | $5.465,67 | 6 / 1 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 18 | 27 / 2 | $54.112,30 | 22 / 2 | $24.428,60 | 123 / 7 | $18.174,20 | 123 / 3 |
| Other O.R. Procedures For Injuries W Mcc | 17 | 20 / 2 | $77.203,90 | 49 / 1 | $33.009,60 | 117 / 4 | $29.331,10 | 117 / 4 |
| Other Kidney & Urinary Tract Procedures W Mcc | 17 | 21 / 3 | $89.114,20 | 127 / 5 | $32.500,90 | 193 / 7 | $26.191,50 | 192 / 7 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 17 | 52 / 10 | $53.392,60 | 139 / 5 | $17.348,80 | 280 / 9 | $15.705,50 | 279 / 12 |
| Stomach, Esophageal & Duodenal Proc W Mcc | 17 | 24 / 4 | $66.329,00 | 7 / 1 | $37.392,10 | 81 / 4 | $34.000,70 | 81 / 6 |
| Kidney & Ureter Procedures For Non-Neoplasm W Cc | 17 | 28 / 2 | $41.274,00 | 48 / 2 | $15.027,80 | 63 / 4 | $11.182,10 | 63 / 2 |
| Disorders Of The Biliary Tract W Cc | 17 | 37 / 6 | $25.238,50 | 136 / 9 | $9.271,65 | 330 / 16 | $7.371,53 | 330 / 16 |
| Degenerative Nervous System Disorders W Mcc | 17 | 21 / 2 | $29.867,20 | 61 / 5 | $16.342,00 | 62 / 7 | $9.470,88 | 62 / 4 |
| Pulmonary Embolism W Mcc | 17 | 26 / 9 | $27.888,10 | 134 / 9 | $12.733,90 | 478 / 23 | $10.722,90 | 477 / 24 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 17 | 52 / 11 | $46.045,10 | 107 / 5 | $14.740,80 | 461 / 13 | $12.828,70 | 459 / 15 |
| Extracranial Procedures W Cc | 17 | 29 / 2 | $23.363,90 | 34 / 2 | $12.116,10 | 292 / 9 | $10.657,60 | 292 / 11 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 17 | 57 / 5 | $50.952,40 | 65 / 3 | $18.537,80 | 48 / 5 | $12.339,70 | 48 / 2 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 17 | 23 / 3 | $36.722,10 | 34 / 2 | $15.780,20 | 163 / 10 | $13.210,60 | 163 / 10 |
| Lymphoma & Non-Acute Leukemia W Cc | 16 | 20 / 1 | $22.217,80 | 9 / 2 | $12.600,80 | 56 / 3 | $10.339,40 | 56 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 16 | 31 / 6 | $26.711,80 | 108 / 5 | $10.623,20 | 409 / 13 | $7.331,00 | 408 / 13 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 16 | 31 / 5 | $33.047,30 | 151 / 6 | $12.558,90 | 305 / 19 | $8.775,19 | 305 / 18 |
| Other O.R. Procedures For Injuries W Cc | 16 | 19 / 2 | $25.209,20 | 4 / 1 | $14.938,20 | 37 / 2 | $10.812,90 | 37 / 2 |
| Peritoneal Adhesiolysis W Cc | 16 | 23 / 4 | $37.384,30 | 29 / 2 | $21.226,40 | 43 / 10 | $11.559,60 | 43 / 4 |
| Hypertension W/O Mcc | 16 | 49 / 8 | $15.024,40 | 222 / 8 | $6.101,56 | 601 / 23 | $4.380,56 | 599 / 23 |
| Peripheral Vascular Disorders W Mcc | 16 | 33 / 6 | $26.545,40 | 139 / 7 | $11.679,50 | 389 / 12 | $9.302,38 | 389 / 12 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 16 | 73 / 12 | $24.552,30 | 185 / 8 | $8.616,38 | 546 / 15 | $6.887,50 | 545 / 17 |
| Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc | 15 | 13 / 1 | $33.581,00 | 8 / 1 | $12.532,50 | 16 / 1 | $9.815,27 | 16 / 1 |
| Coagulation Disorders | 15 | 12 / 2 | $34.824,50 | 20 / 1 | $14.215,60 | 46 / 2 | $11.714,10 | 46 / 2 |
| Spinal Fusion Except Cervical W Mcc | 15 | 10 / 2 | $101.292,00 | 12 / 1 | $43.924,50 | 35 / 2 | $41.442,50 | 35 / 2 |
| Other Digestive System O.R. Procedures W Mcc | 15 | 14 / 1 | $68.003,10 | 20 / 2 | $34.356,90 | 4 / 3 | $18.972,60 | 4 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 15 | 14 / 1 | $9.960,87 | 11 / 1 | $7.115,33 | 105 / 3 | $5.729,07 | 104 / 4 |
| Acute Myocardial Infarction, Expired W Mcc | 15 | 15 / 5 | $26.199,20 | 26 / 4 | $13.537,40 | 103 / 8 | $11.173,90 | 103 / 7 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 15 | 35 / 5 | $110.715,00 | 69 / 3 | $40.632,50 | 137 / 7 | $35.055,70 | 137 / 6 |
| Traumatic Stupor & Coma, Coma >1 Hr W Cc | 15 | 9 / 1 | $17.323,30 | 3 / 1 | $10.367,90 | 21 / 1 | $8.549,67 | 21 / 1 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 13 | $16.411,30 | 125 / 5 | $7.953,13 | 526 / 20 | $6.223,67 | 526 / 21 |
| Heart Transplant Or Implant Of Heart Assist System W Mcc | 14 | 23 / 2 | $527.684,00 | 9 / 1 | $201.905,00 | 16 / 2 | $172.470,00 | 16 / 2 |
| Fever | 14 | 32 / 8 | $16.895,90 | 62 / 5 | $8.185,07 | 167 / 14 | $5.130,50 | 167 / 14 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 14 | 29 / 4 | $13.093,40 | 55 / 1 | $6.732,50 | 240 / 11 | $4.262,79 | 240 / 11 |
| G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 10 | $11.414,10 | 150 / 7 | $6.435,36 | 822 / 28 | $5.067,21 | 818 / 28 |
| Other Disorders Of Nervous System W Mcc | 14 | 26 / 4 | $37.795,00 | 126 / 7 | $14.143,10 | 233 / 8 | $11.642,60 | 233 / 8 |
| Fractures Of Hip & Pelvis W Mcc | 14 | 7 / 1 | $19.874,90 | 9 / 2 | $10.670,00 | 49 / 3 | $8.640,57 | 49 / 3 |
| Otitis Media & Uri W/O Mcc | 14 | 30 / 2 | $14.896,40 | 50 / 2 | $6.579,93 | 130 / 2 | $4.258,64 | 130 / 3 |
| Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 14 | 26 / 5 | $41.378,50 | 58 / 4 | $13.289,90 | 78 / 6 | $9.322,93 | 78 / 6 |
| Headaches W/O Mcc | 14 | 29 / 3 | $14.474,10 | 42 / 3 | $6.935,36 | 132 / 7 | $3.978,57 | 132 / 6 |
| Disorders Of The Biliary Tract W Mcc | 14 | 25 / 5 | $32.723,90 | 62 / 3 | $14.541,90 | 106 / 9 | $10.249,70 | 106 / 7 |
| Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 11 | $19.574,70 | 124 / 14 | $8.496,36 | 301 / 25 | $6.193,50 | 301 / 25 |
| Signs & Symptoms W Mcc | 14 | 27 / 4 | $21.941,10 | 72 / 4 | $10.140,00 | 188 / 9 | $8.553,43 | 188 / 9 |
| Kidney & Ureter Procedures For Non-Neoplasm W Mcc | 14 | 16 / 2 | $42.318,90 | 4 / 1 | $25.452,30 | 11 / 2 | $20.607,50 | 11 / 2 |
| Other Multiple Significant Trauma W Cc | 14 | 11 / 2 | $18.625,30 | 3 / 1 | $11.592,60 | 16 / 2 | $9.249,14 | 16 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 13 | 23 / 7 | $46.346,50 | 92 / 4 | $20.307,60 | 195 / 11 | $15.124,70 | 195 / 11 |
| Kidney & Ureter Procedures For Neoplasm W Cc | 13 | 31 / 3 | $38.763,50 | 25 / 2 | $17.428,50 | 44 / 3 | $11.327,50 | 44 / 2 |
| Nonspecific Cerebrovascular Disorders W Mcc | 13 | 38 / 9 | $35.447,20 | 152 / 5 | $13.527,80 | 149 / 10 | $9.499,08 | 149 / 6 |
| Other Circulatory System O.R. Procedures | 13 | 42 / 9 | $61.166,00 | 161 / 9 | $22.115,10 | 277 / 14 | $19.012,30 | 277 / 13 |
| Organic Disturbances & Mental Retardation | 13 | 46 / 11 | $17.172,60 | 133 / 7 | $8.420,00 | 303 / 15 | $6.346,00 | 303 / 16 |
| Pneumothorax W Cc | 13 | 12 / 2 | $15.683,70 | 8 / 1 | $9.305,69 | 49 / 2 | $5.768,08 | 49 / 1 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 13 | 16 / 2 | $38.058,00 | 22 / 2 | $18.567,90 | 55 / 2 | $15.291,00 | 54 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 6 | $56.493,60 | 148 / 3 | $23.571,30 | 425 / 11 | $20.315,20 | 424 / 11 |
| Malignancy Of Hepatobiliary System Or Pancreas W Cc | 13 | 18 / 3 | $20.107,60 | 20 / 3 | $10.078,10 | 62 / 5 | $6.497,54 | 62 / 4 |
| Pancreas, Liver & Shunt Procedures W Mcc | 13 | 30 / 2 | $80.688,70 | 6 / 1 | $44.206,90 | 8 / 1 | $28.696,10 | 8 / 1 |
| Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 13 | 15 / 2 | $41.341,80 | 44 / 1 | $12.571,90 | 45 / 1 | $9.724,85 | 45 / 1 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 15 | $10.154,10 | 122 / 7 | $5.535,54 | 666 / 29 | $4.284,15 | 665 / 31 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 13 | 53 / 11 | $47.283,30 | 241 / 9 | $16.228,40 | 379 / 14 | $12.276,80 | 376 / 14 |
| Endocrine Disorders W Mcc | 13 | 13 / 2 | $21.170,20 | 10 / 1 | $13.094,20 | 69 / 2 | $10.873,80 | 69 / 2 |
| Pelvic Evisceration, Rad Hysterectomy & Rad Vulvectomy W Cc/Mcc | 13 | 7 / 1 | $55.689,10 | 4 / 1 | $21.053,80 | 11 / 2 | $18.468,30 | 11 / 2 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 12 | 32 / 6 | $14.739,90 | 55 / 1 | $7.127,58 | 179 / 6 | $4.688,92 | 179 / 6 |
| Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 12 | 19 / 2 | $35.233,90 | 12 / 1 | $14.574,50 | 99 / 3 | $12.188,70 | 99 / 3 |
| Hernia Procedures Except Inguinal & Femoral W Cc | 12 | 22 / 2 | $28.874,90 | 13 / 2 | $12.918,90 | 90 / 2 | $10.809,10 | 90 / 2 |
| Rectal Resection W/O Cc/Mcc | 12 | 7 / 1 | $29.401,90 | 8 / 1 | $12.376,20 | 16 / 1 | $10.545,20 | 16 / 1 |
| Pelvic Evisceration, Rad Hysterectomy & Rad Vulvectomy W/O Cc/Mcc | 12 | 5 / 2 | $31.663,90 | 2 / 1 | $9.024,83 | 5 / 1 | $7.256,17 | 5 / 2 |
| Stomach, Esophageal & Duodenal Proc W Cc | 12 | 38 / 7 | $60.897,30 | 76 / 4 | $23.592,40 | 19 / 9 | $13.217,70 | 19 / 3 |
| Digestive Malignancy W Mcc | 12 | 25 / 3 | $40.634,30 | 35 / 3 | $16.782,20 | 25 / 6 | $11.614,80 | 25 / 4 |
| Cardiac Congenital & Valvular Disorders W/O Mcc | 12 | 12 / 1 | $18.839,90 | 9 / 1 | $7.540,50 | 21 / 1 | $5.852,67 | 21 / 1 |
| Peritoneal Adhesiolysis W/O Cc/Mcc | 12 | 12 / 1 | $30.139,20 | 11 / 2 | $13.152,20 | 39 / 5 | $9.806,58 | 39 / 5 |
| Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W/O Cc/Mcc | 12 | 1 / 1 | $27.872,80 | 1 / 1 | $11.007,20 | 1 / 1 | $7.965,83 | 1 / 1 |
| Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc | 12 | 14 / 2 | $36.636,70 | 9 / 1 | $15.893,80 | 30 / 1 | $13.609,10 | 30 / 1 |
| Atherosclerosis W/O Mcc | 11 | 47 / 10 | $12.691,90 | 108 / 4 | $5.751,36 | / | $4.249,55 | / |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 9 | $14.817,80 | 81 / 4 | $6.591,45 | 256 / 10 | $5.014,91 | 256 / 10 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 11 | 23 / 7 | $79.142,90 | 57 / 5 | $31.775,80 | 91 / 5 | $28.332,10 | 91 / 7 |
| Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim | 11 | 18 / 1 | $27.534,50 | 3 / 1 | $15.956,50 | 33 / 1 | $14.156,10 | 33 / 1 |
| Other O.R. Procedures For Multiple Significant Trauma W Mcc | 11 | 12 / 3 | $147.257,00 | 7 / 1 | $64.209,90 | 9 / 2 | $43.988,70 | 9 / 1 |
| Periph/Cranial Nerve & Other Nerv Syst Proc W Mcc | 11 | 14 / 3 | $59.231,90 | 5 / 1 | $30.158,20 | 6 / 1 | $19.693,00 | 6 / 1 |
| Craniotomy & Endovascular Intracranial Procedures W Cc | 11 | 44 / 7 | $76.397,20 | 84 / 4 | $23.311,30 | 92 / 5 | $18.724,40 | 92 / 5 | Total 232 procedures | 10.572 | 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.