Hospital Costs > In Florida > Jackson Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 325 | 59 / 9 | $13.791,10 | 157 / 3 | $18.672,70 | 601 / 49 | $13.378,30 | 601 / 49 |
Kidney Transplant | 220 | 2 / 1 | $222.566,00 | 118 / 5 | $40.779,70 | 155 / 7 | $31.724,40 | 155 / 7 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 172 | 344 / 55 | $69.496,40 | 2273 / 87 | $28.064,40 | 2774 / 163 | $20.937,50 | 2729 / 163 |
Heart Failure & Shock W Mcc | 129 | 155 / 29 | $61.903,30 | 2225 / 108 | $24.643,10 | 2601 / 162 | $18.696,90 | 2590 / 161 |
Renal Failure W Mcc | 126 | 70 / 6 | $40.367,30 | 1303 / 45 | $22.700,50 | 2135 / 152 | $18.262,30 | 2131 / 151 |
Red Blood Cell Disorders W/O Mcc | 119 | 30 / 7 | $20.914,00 | 980 / 33 | $15.208,00 | 1987 / 150 | $11.805,40 | 1978 / 149 |
Other Kidney & Urinary Tract Diagnoses W Cc | 116 | 12 / 3 | $63.733,70 | 831 / 72 | $19.799,10 | 861 / 74 | $14.939,10 | 861 / 74 |
Kidney & Urinary Tract Infections W/O Mcc | 111 | 122 / 42 | $21.943,50 | 1758 / 51 | $14.956,70 | 2698 / 168 | $11.482,70 | 2687 / 166 |
Heart Failure & Shock W Cc | 111 | 167 / 38 | $39.992,00 | 2323 / 112 | $19.034,30 | 2743 / 164 | $13.798,70 | 2737 / 164 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 97 | 178 / 65 | $24.615,50 | 1855 / 47 | $14.776,80 | 2718 / 163 | $11.337,50 | 2703 / 164 |
Renal Failure W Cc | 96 | 125 / 34 | $28.433,70 | 1630 / 60 | $17.184,80 | 2426 / 160 | $13.311,20 | 2416 / 159 |
Spinal Fusion Except Cervical W/O Mcc | 93 | 101 / 15 | $110.505,00 | 839 / 28 | $40.710,70 | 1283 / 89 | $34.894,70 | 1278 / 89 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 85 | 22 / 2 | $102.233,00 | 1066 / 60 | $31.812,10 | 1104 / 64 | $23.200,60 | 1100 / 64 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 74 | 21 / 2 | $220.579,00 | 814 / 49 | $70.869,20 | 1009 / 78 | $54.494,40 | 1008 / 78 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 74 | 57 / 9 | $59.564,80 | 897 / 30 | $27.982,60 | 1788 / 132 | $23.293,40 | 1774 / 132 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 69 | 6 / 2 | $227.602,00 | 817 / 62 | $69.784,70 | 953 / 80 | $53.248,80 | 952 / 80 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 68 | 100 / 14 | $78.431,80 | 1354 / 75 | $29.053,10 | 1608 / 110 | $21.584,60 | 1601 / 109 |
Cellulitis W/O Mcc | 68 | 121 / 38 | $20.487,80 | 1534 / 36 | $15.702,80 | 2620 / 162 | $11.996,90 | 2612 / 161 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 67 | 99 / 32 | $20.549,50 | 1609 / 53 | $14.159,20 | 2530 / 154 | $11.023,50 | 2521 / 153 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 67 | 115 / 25 | $50.961,00 | 1765 / 90 | $19.015,40 | 2065 / 131 | $13.773,40 | 2060 / 130 |
Simple Pneumonia & Pleurisy W Mcc | 65 | 140 / 37 | $47.067,70 | 1816 / 63 | $21.966,00 | 2499 / 156 | $16.914,30 | 2493 / 156 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 65 | 61 / 7 | $42.473,20 | 1354 / 68 | $20.093,80 | 1725 / 115 | $14.955,80 | 1721 / 114 |
Simple Pneumonia & Pleurisy W Cc | 64 | 139 / 46 | $31.507,20 | 2036 / 63 | $17.051,70 | 2809 / 162 | $13.168,20 | 2800 / 161 |
Other Circulatory System Diagnoses W Mcc | 61 | 55 / 9 | $66.683,60 | 1015 / 60 | $28.263,40 | 1362 / 108 | $21.820,80 | 1354 / 108 |
Chronic Obstructive Pulmonary Disease W Mcc | 60 | 142 / 56 | $37.057,60 | 1834 / 67 | $18.710,90 | 2552 / 162 | $14.293,50 | 2544 / 162 |
Syncope & Collapse | 58 | 111 / 51 | $23.321,50 | 1128 / 45 | $14.110,80 | 1919 / 140 | $11.234,90 | 1911 / 140 |
Chest Pain | 56 | 95 / 41 | $17.686,40 | 745 / 21 | $12.718,10 | 1694 / 137 | $10.461,90 | 1685 / 137 |
G.I. Hemorrhage W Cc | 55 | 163 / 55 | $31.171,10 | 1621 / 53 | $16.901,40 | 2416 / 154 | $13.153,60 | 2412 / 154 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 53 | 72 / 16 | $94.276,10 | 1675 / 112 | $30.073,10 | 1810 / 125 | $22.359,10 | 1797 / 125 |
Pulmonary Edema & Respiratory Failure | 50 | 153 / 29 | $63.359,30 | 1977 / 110 | $22.826,60 | 2229 / 144 | $17.612,60 | 2223 / 144 |
Kidney & Urinary Tract Infections W Mcc | 49 | 95 / 36 | $29.300,60 | 1147 / 43 | $18.573,10 | 1942 / 142 | $14.161,10 | 1938 / 142 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 49 | 139 / 42 | $54.972,80 | 1312 / 81 | $18.638,90 | 1633 / 125 | $14.344,70 | 1630 / 125 |
Diabetes W Cc | 48 | 44 / 10 | $23.982,00 | 939 / 34 | $15.814,50 | 1611 / 117 | $12.015,60 | 1606 / 117 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 50 | $42.442,00 | 2109 / 79 | $19.581,70 | 2561 / 149 | $14.498,80 | 2551 / 149 |
Respiratory Infections & Inflammations W Mcc | 45 | 91 / 23 | $56.965,90 | 1215 / 41 | $26.922,00 | 1786 / 118 | $19.912,10 | 1770 / 116 |
G.I. Hemorrhage W Mcc | 44 | 77 / 20 | $53.891,10 | 1084 / 48 | $25.512,00 | 1642 / 121 | $20.034,70 | 1632 / 121 |
Heart Failure & Shock W/O Cc/Mcc | 44 | 66 / 26 | $20.750,00 | 1337 / 54 | $13.779,00 | 2008 / 129 | $11.196,50 | 1995 / 129 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 43 | 153 / 48 | $85.991,50 | 980 / 43 | $24.910,70 | 1469 / 111 | $21.246,40 | 1461 / 110 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 42 | 33 / 3 | $74.652,70 | 152 / 5 | $26.353,50 | 254 / 14 | $21.677,60 | 253 / 14 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 41 | 52 / 19 | $19.620,10 | 1172 / 34 | $13.655,70 | 1965 / 133 | $10.841,30 | 1957 / 133 |
Other Digestive System Diagnoses W Cc | 40 | 57 / 18 | $25.033,60 | 680 / 20 | $16.283,90 | 1424 / 119 | $12.440,60 | 1420 / 118 |
Chronic Obstructive Pulmonary Disease W Cc | 40 | 139 / 68 | $30.892,60 | 1763 / 69 | $16.658,60 | 2434 / 163 | $12.957,70 | 2427 / 162 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 39 | 42 / 6 | $750.565,00 | 398 / 37 | $224.623,00 | 413 / 39 | $172.842,00 | 412 / 39 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 37 | 83 / 48 | $21.036,80 | 1332 / 52 | $13.896,10 | 2102 / 152 | $10.908,80 | 2090 / 151 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 37 | 27 / 3 | $420.685,00 | 456 / 37 | $124.053,00 | 503 / 46 | $97.545,40 | 502 / 46 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 35 | 54 / 8 | $51.720,90 | 600 / 34 | $16.979,30 | 768 / 61 | $13.748,40 | 767 / 61 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 35 | 529 / 107 | $54.599,40 | 1490 / 23 | $24.685,10 | 2615 / 155 | $20.392,50 | 2569 / 154 |
Cervical Spinal Fusion W/O Cc/Mcc | 34 | 70 / 18 | $75.071,00 | 633 / 34 | $26.662,00 | 859 / 63 | $21.730,80 | 856 / 63 |
Hip & Femur Procedures Except Major Joint W Cc | 34 | 109 / 42 | $73.523,10 | 1606 / 67 | $26.907,40 | 2021 / 139 | $20.321,30 | 1999 / 139 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 34 | 62 / 22 | $43.082,10 | 1027 / 53 | $20.719,10 | 1452 / 115 | $15.008,00 | 1447 / 115 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 61 | $29.708,00 | 1619 / 77 | $14.823,20 | 2160 / 147 | $11.462,40 | 2155 / 147 |
Signs & Symptoms W/O Mcc | 32 | 59 / 19 | $21.789,50 | 750 / 34 | $13.664,30 | 1330 / 113 | $10.507,30 | 1327 / 113 |
Seizures W/O Mcc | 31 | 77 / 27 | $24.190,20 | 742 / 29 | $14.952,00 | 1304 / 107 | $11.313,00 | 1302 / 106 |
Red Blood Cell Disorders W Mcc | 31 | 40 / 15 | $33.737,90 | 553 / 25 | $19.608,50 | 1082 / 93 | $15.000,30 | 1078 / 93 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 31 | 71 / 27 | $38.772,30 | 1329 / 72 | $14.249,20 | 1603 / 112 | $10.753,30 | 1599 / 112 |
G.I. Obstruction W Cc | 30 | 62 / 29 | $30.839,70 | 1226 / 54 | $16.197,10 | 1733 / 133 | $12.349,20 | 1728 / 133 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 30 | 70 / 18 | $123.205,00 | 684 / 32 | $35.837,20 | 976 / 80 | $30.685,70 | 971 / 80 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 29 | 64 / 15 | $68.832,30 | 577 / 37 | $26.745,90 | 876 / 76 | $21.699,00 | 868 / 77 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 29 | 26 / 3 | $112.688,00 | 164 / 11 | $37.821,60 | 216 / 15 | $29.920,80 | 216 / 15 |
Other Vascular Procedures W Mcc | 29 | 68 / 21 | $104.945,00 | 634 / 40 | $40.695,20 | 922 / 88 | $30.110,00 | 919 / 87 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 29 | 47 / 6 | $84.494,60 | 457 / 25 | $30.802,00 | 544 / 33 | $22.231,60 | 544 / 33 |
Medical Back Problems W/O Mcc | 29 | 92 / 43 | $26.632,10 | 901 / 46 | $15.238,90 | 1488 / 130 | $11.815,80 | 1483 / 129 |
Other Digestive System Diagnoses W Mcc | 28 | 34 / 7 | $49.815,30 | 452 / 30 | $24.881,40 | 738 / 64 | $18.597,80 | 737 / 63 |
Peripheral Vascular Disorders W Cc | 27 | 57 / 26 | $26.394,60 | 692 / 40 | $16.469,00 | 1254 / 113 | $13.121,90 | 1251 / 113 |
Acute Myocardial Infarction, Discharged Alive W Cc | 27 | 64 / 24 | $48.617,90 | 1164 / 63 | $18.058,10 | 1426 / 104 | $13.661,90 | 1424 / 104 |
Organic Disturbances & Mental Retardation | 26 | 33 / 12 | $32.818,70 | 382 / 30 | $15.790,00 | 536 / 56 | $11.898,30 | 536 / 56 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 26 | 37 / 13 | $137.286,00 | 430 / 30 | $52.295,10 | 688 / 66 | $42.934,50 | 688 / 66 |
Other Circulatory System Diagnoses W Cc | 25 | 41 / 11 | $32.612,50 | 453 / 31 | $16.829,30 | 671 / 58 | $13.403,60 | 670 / 58 |
Other Kidney & Urinary Tract Diagnoses W/O Cc/Mcc | 25 | 2 / 2 | $31.122,00 | 34 / 6 | $15.283,50 | 47 / 7 | $12.169,60 | 47 / 7 |
Pancreas, Liver & Shunt Procedures W Cc | 25 | 30 / 4 | $95.341,00 | 84 / 4 | $35.527,50 | 121 / 7 | $27.093,60 | 121 / 7 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 25 | 19 / 8 | $26.076,60 | 169 / 20 | $14.195,70 | 313 / 51 | $11.214,80 | 313 / 51 |
Hiv W Major Related Condition W Cc | 24 | 3 / 1 | $37.001,90 | 18 / 3 | $21.608,40 | 37 / 8 | $15.978,20 | 37 / 8 |
Hiv W Major Related Condition W Mcc | 23 | 14 / 3 | $116.978,00 | 73 / 14 | $42.538,00 | 81 / 16 | $32.597,40 | 81 / 16 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 39 | $157.649,00 | 1068 / 44 | $61.340,70 | 1468 / 111 | $49.020,20 | 1458 / 108 |
G.I. Hemorrhage W/O Cc/Mcc | 23 | 45 / 23 | $24.560,20 | 699 / 47 | $14.699,70 | 1002 / 104 | $11.014,30 | 998 / 104 |
Transient Ischemia | 23 | 102 / 60 | $25.406,10 | 981 / 43 | $13.590,00 | 1660 / 130 | $11.056,00 | 1652 / 130 |
Major Small & Large Bowel Procedures W Cc | 22 | 86 / 36 | $71.057,00 | 873 / 24 | $30.740,30 | 1480 / 108 | $23.647,90 | 1466 / 108 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 21 | 49 / 10 | $28.942,20 | 355 / 20 | $17.022,60 | 564 / 41 | $12.852,10 | 564 / 41 |
Seizures W Mcc | 21 | 45 / 15 | $53.428,00 | 518 / 37 | $22.758,80 | 759 / 69 | $18.388,00 | 759 / 69 |
Degenerative Nervous System Disorders W/O Mcc | 21 | 57 / 25 | $22.657,20 | 317 / 13 | $16.705,30 | 860 / 81 | $13.282,90 | 860 / 80 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 72 | $16.228,60 | 1123 / 41 | $11.958,00 | 1986 / 140 | $9.879,05 | 1980 / 141 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 21 | 77 / 13 | $156.896,00 | 366 / 24 | $56.112,90 | 486 / 37 | $44.596,70 | 486 / 37 |
Hiv W Or W/O Other Related Condition | 20 | 3 / 1 | $29.546,20 | 6 / 1 | $19.595,80 | 14 / 3 | $14.621,50 | 14 / 3 |
Hypertension W/O Mcc | 20 | 45 / 29 | $19.062,30 | 381 / 19 | $13.779,00 | 777 / 91 | $10.628,50 | 775 / 91 |
Major Male Pelvic Procedures W/O Cc/Mcc | 19 | 54 / 7 | $29.216,10 | 74 / 1 | $17.221,80 | 369 / 10 | $15.269,90 | 369 / 11 |
Cirrhosis & Alcoholic Hepatitis W Cc | 19 | 7 / 2 | $25.727,30 | 44 / 9 | $16.177,90 | 95 / 16 | $13.259,40 | 95 / 16 |
Poisoning & Toxic Effects Of Drugs W Mcc | 19 | 53 / 20 | $63.514,30 | 821 / 54 | $24.741,80 | 980 / 77 | $18.717,20 | 977 / 77 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 19 | 49 / 20 | $41.866,40 | 629 / 49 | $16.569,90 | 737 / 66 | $12.193,20 | 737 / 66 |
Complications Of Treatment W Cc | 19 | 33 / 9 | $39.462,70 | 284 / 21 | $17.995,40 | 359 / 35 | $12.933,10 | 359 / 35 |
Respiratory Infections & Inflammations W Cc | 19 | 69 / 32 | $68.872,30 | 1328 / 76 | $25.346,40 | 1461 / 99 | $14.056,40 | 1456 / 99 |
Diabetes W Mcc | 19 | 38 / 10 | $42.410,20 | 487 / 25 | $20.859,60 | 735 / 51 | $15.980,40 | 734 / 51 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 18 | $25.200,90 | 653 / 33 | $14.379,80 | 914 / 81 | $10.619,30 | 913 / 81 |
Other Vascular Procedures W Cc | 18 | 84 / 31 | $82.026,50 | 672 / 31 | $30.068,70 | 1090 / 86 | $24.134,80 | 1085 / 86 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 18 | 36 / 16 | $29.358,90 | 278 / 21 | $15.261,90 | 400 / 35 | $10.892,60 | 400 / 34 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 20 | $51.789,80 | 609 / 29 | $22.335,60 | 904 / 74 | $17.758,80 | 901 / 73 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 18 | 48 / 15 | $80.027,50 | 465 / 21 | $26.417,30 | 571 / 43 | $20.632,70 | 567 / 43 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 18 | 46 / 15 | $39.948,90 | 300 / 5 | $21.238,00 | 733 / 55 | $16.972,20 | 733 / 55 |
Cervical Spinal Fusion W Cc | 18 | 35 / 10 | $89.760,20 | 260 / 15 | $32.171,20 | 368 / 27 | $26.799,60 | 367 / 27 |
Cellulitis W Mcc | 17 | 41 / 17 | $28.209,90 | 336 / 9 | $20.605,30 | 952 / 73 | $16.530,20 | 950 / 73 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 17 | 31 / 8 | $35.104,50 | 77 / 4 | $19.719,80 | 233 / 17 | $16.687,90 | 232 / 17 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 17 | 36 / 14 | $33.895,60 | 644 / 37 | $15.112,90 | 857 / 70 | $11.553,90 | 853 / 70 |
Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 30 | $209.219,00 | 1073 / 56 | $67.545,80 | 1249 / 96 | $51.229,00 | 1246 / 95 |
Disorders Of Pancreas Except Malignancy W Mcc | 17 | 29 / 6 | $79.297,70 | 309 / 19 | $32.489,10 | 353 / 22 | $23.062,10 | 353 / 22 |
Liver Transplant W Mcc Or Intestinal Transplant | 17 | 13 / 2 | $565.072,00 | 29 / 3 | $138.163,00 | 32 / 3 | $114.237,00 | 32 / 3 |
G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 30 | $21.371,50 | 879 / 35 | $13.468,80 | 1314 / 102 | $10.374,60 | 1311 / 102 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 49 | $47.237,50 | 1481 / 70 | $20.455,10 | 1900 / 127 | $15.339,60 | 1897 / 127 |
Diabetes W/O Cc/Mcc | 16 | 22 / 7 | $15.890,60 | 141 / 3 | $12.805,60 | 286 / 32 | $10.383,50 | 286 / 32 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 16 | 29 / 5 | $66.085,30 | 135 / 9 | $25.375,30 | 198 / 17 | $20.189,60 | 198 / 17 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 16 | 24 / 3 | $149.877,00 | 31 / 3 | $62.408,30 | 68 / 8 | $56.830,60 | 68 / 9 |
Other Resp System O.R. Procedures W Mcc | 16 | 47 / 16 | $104.991,00 | 367 / 26 | $42.386,10 | 523 / 55 | $31.501,90 | 522 / 56 |
Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 21 | $38.463,40 | 772 / 43 | $17.880,00 | 955 / 66 | $12.696,90 | 952 / 66 |
Renal Failure W/O Cc/Mcc | 16 | 40 / 26 | $20.546,20 | 570 / 28 | $13.446,90 | 859 / 76 | $10.325,70 | 857 / 76 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 20 | $120.508,00 | 792 / 47 | $41.380,10 | 933 / 74 | $30.342,10 | 930 / 74 |
Hiv W Major Related Condition W/O Cc/Mcc | 15 | 1 / 1 | $27.268,10 | 1 / 1 | $16.282,70 | 2 / 1 | $12.633,60 | 2 / 1 |
Postoperative & Post-Traumatic Infections W/O Mcc | 15 | 39 / 17 | $30.346,30 | 290 / 22 | $17.545,90 | 449 / 51 | $13.702,10 | 449 / 51 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 15 | 38 / 14 | $37.798,30 | 300 / 23 | $20.412,60 | 479 / 46 | $15.790,20 | 479 / 46 |
Stomach, Esophageal & Duodenal Proc W Cc | 15 | 35 / 7 | $97.219,10 | 172 / 9 | $33.913,70 | 208 / 12 | $25.518,30 | 208 / 12 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 15 | 40 / 20 | $79.560,50 | 489 / 32 | $29.529,10 | 631 / 60 | $21.216,30 | 627 / 60 |
Ventricular Shunt Procedures W/O Cc/Mcc | 15 | 9 / 3 | $42.018,70 | 22 / 3 | $20.620,60 | 47 / 6 | $17.208,70 | 47 / 6 |
Complications Of Treatment W Mcc | 14 | 37 / 11 | $86.332,40 | 273 / 22 | $32.170,40 | 295 / 25 | $22.191,00 | 295 / 25 |
Cesarean Section W Cc/Mcc | 14 | 9 / 2 | $30.612,90 | 20 / 1 | $17.872,40 | 42 / 3 | $13.336,00 | 42 / 3 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 14 | 52 / 25 | $39.594,60 | 339 / 29 | $19.561,90 | 528 / 49 | $14.431,20 | 527 / 48 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 14 | 28 / 9 | $42.738,70 | 125 / 9 | $24.068,20 | 281 / 24 | $19.081,90 | 281 / 24 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 14 | 77 / 11 | $34.484,90 | 205 / 8 | $16.745,40 | 387 / 23 | $13.833,50 | 387 / 23 |
Pancreas, Liver & Shunt Procedures W Mcc | 14 | 29 / 5 | $178.809,00 | 71 / 5 | $54.961,10 | 70 / 7 | $45.187,70 | 70 / 7 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 26 | $25.321,90 | 518 / 39 | $14.674,80 | 803 / 91 | $9.309,79 | 801 / 91 |
Peripheral Vascular Disorders W Mcc | 14 | 35 / 16 | $36.546,20 | 311 / 23 | $21.372,10 | 582 / 53 | $16.314,30 | 582 / 53 |
Other Circulatory System O.R. Procedures | 14 | 41 / 16 | $48.446,30 | 94 / 3 | $30.236,10 | 418 / 40 | $26.079,20 | 418 / 40 |
Major Cardiovasc Procedures W Mcc | 14 | 54 / 20 | $162.099,00 | 392 / 24 | $55.379,80 | 563 / 53 | $45.462,80 | 562 / 54 |
Digestive Malignancy W Cc | 13 | 34 / 12 | $32.551,20 | 170 / 11 | $18.776,30 | 391 / 29 | $15.485,40 | 389 / 29 |
Pancreas, Liver & Shunt Procedures W/O Cc/Mcc | 13 | 16 / 3 | $68.403,10 | 25 / 2 | $25.067,80 | 36 / 5 | $19.637,60 | 36 / 5 |
G.I. Obstruction W Mcc | 13 | 29 / 12 | $48.064,50 | 324 / 24 | $23.933,50 | 512 / 49 | $15.838,50 | 512 / 48 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 35 | $36.292,00 | 770 / 50 | $20.193,50 | 1108 / 101 | $13.800,60 | 1106 / 101 |
Signs & Symptoms W Mcc | 13 | 28 / 8 | $49.249,40 | 233 / 23 | $23.069,20 | 280 / 29 | $16.683,00 | 280 / 29 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 18 | $40.745,10 | 312 / 17 | $25.955,60 | 649 / 50 | $19.727,00 | 648 / 50 |
Nonspecific Cerebrovascular Disorders W Cc | 13 | 43 / 14 | $35.853,20 | 341 / 18 | $18.383,20 | 463 / 41 | $13.386,70 | 463 / 41 |
Simultaneous Pancreas/Kidney Transplant | 12 | 2 / 1 | $326.079,00 | 3 / 1 | $61.227,80 | 4 / 1 | $53.333,60 | 4 / 1 |
Spinal Procedures W Cc Or Spinal Neurostimulators | 12 | 15 / 3 | $103.431,00 | 32 / 1 | $35.831,20 | 44 / 3 | $29.055,20 | 44 / 3 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 34 | $27.084,20 | 640 / 31 | $15.644,40 | 1082 / 101 | $12.315,80 | 1078 / 101 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 31 | $29.405,50 | 817 / 32 | $16.391,80 | 1275 / 80 | $11.863,10 | 1272 / 80 |
Medical Back Problems W Mcc | 12 | 27 / 13 | $79.154,90 | 291 / 25 | $29.475,10 | 322 / 29 | $21.193,00 | 322 / 29 |
Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 20 | $25.207,40 | 261 / 28 | $13.884,50 | 379 / 52 | $10.584,30 | 379 / 52 |
Cranial/Facial Procedures W Cc/Mcc | 11 | 4 / 1 | $67.414,20 | 3 / 1 | $27.101,90 | 6 / 1 | $22.570,40 | 6 / 1 |
Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 19 | $17.390,00 | 117 / 4 | $13.464,70 | 362 / 55 | $11.126,20 | 362 / 55 |
Other Circulatory System Diagnoses W/O Cc/Mcc | 11 | 10 / 6 | $15.682,10 | 7 / 3 | $12.726,00 | 34 / 11 | $10.703,80 | 34 / 11 |
Stomach, Esophageal & Duodenal Proc W Mcc | 11 | 30 / 9 | $255.068,00 | 207 / 19 | $79.848,60 | 221 / 20 | $57.977,60 | 221 / 20 |
Other Digestive System O.R. Procedures W Mcc | 11 | 18 / 7 | $83.274,70 | 32 / 2 | $42.979,60 | 96 / 11 | $34.392,00 | 96 / 11 |
Postoperative & Post-Traumatic Infections W Mcc | 11 | 32 / 9 | $76.816,00 | 185 / 17 | $31.615,10 | 218 / 24 | $23.097,30 | 218 / 24 |
Disorders Of The Biliary Tract W Mcc | 11 | 28 / 9 | $51.552,30 | 155 / 5 | $23.167,70 | 251 / 21 | $17.635,70 | 251 / 21 |
Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 14 | $60.460,90 | 312 / 15 | $23.234,70 | 397 / 26 | $17.620,40 | 397 / 26 |
Ventricular Shunt Procedures W Cc | 11 | 12 / 3 | $41.698,80 | 8 / 2 | $23.866,40 | 30 / 3 | $20.859,80 | 30 / 3 |
Inguinal & Femoral Hernia Procedures W/O Cc/Mcc | 11 | 7 / 2 | $21.589,00 | 4 / 1 | $14.572,00 | 12 / 2 | $11.511,50 | 12 / 2 | Total 152 procedures | 5.579 | 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.