Hospital Costs > In New Jersey > Jersey Shore University Medical Center, 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 | 330 | 243 / 9 | $78.307,30 | 2173 / 37 | $15.391,20 | 1967 / 30 | $13.489,30 | 1925 / 30 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 291 | 227 / 12 | $101.536,00 | 2647 / 38 | $14.546,40 | 2064 / 37 | $12.621,30 | 2027 / 32 |
Heart Failure & Shock W Mcc | 280 | 39 / 5 | $90.914,40 | 2533 / 45 | $11.990,90 | 1922 / 38 | $10.131,60 | 1916 / 31 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 217 | 21 / 2 | $80.619,50 | 880 / 6 | $14.736,00 | 1108 / 11 | $13.250,50 | 1101 / 17 |
Heart Failure & Shock W Cc | 175 | 104 / 13 | $55.119,40 | 2616 / 30 | $7.665,01 | 1969 / 32 | $6.457,56 | 1964 / 32 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 160 | 38 / 2 | $47.320,40 | 1128 / 7 | $8.348,54 | 1134 / 23 | $6.793,80 | 1131 / 23 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 144 | 131 / 15 | $38.708,10 | 2446 / 21 | $5.886,72 | 1869 / 30 | $4.573,92 | 1855 / 31 |
Renal Failure W Cc | 137 | 86 / 5 | $61.423,60 | 2369 / 44 | $7.457,82 | 1713 / 28 | $6.188,88 | 1703 / 29 |
G.I. Hemorrhage W Cc | 129 | 89 / 10 | $69.914,70 | 2380 / 48 | $7.894,08 | 1770 / 32 | $6.528,04 | 1766 / 34 |
Cellulitis W/O Mcc | 127 | 62 / 13 | $44.214,70 | 2492 / 39 | $6.924,98 | 1749 / 33 | $5.050,39 | 1741 / 29 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 122 | 41 / 5 | $50.336,10 | 2068 / 37 | $6.967,15 | 1318 / 43 | $4.684,48 | 1313 / 28 |
Renal Failure W Mcc | 117 | 79 / 4 | $102.399,00 | 2121 / 49 | $13.246,90 | 1747 / 46 | $11.431,50 | 1744 / 45 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 116 | 66 / 9 | $80.091,10 | 2031 / 49 | $8.447,23 | 1506 / 31 | $6.899,17 | 1503 / 31 |
Kidney & Urinary Tract Infections W/O Mcc | 115 | 118 / 18 | $45.845,40 | 2591 / 37 | $6.423,96 | 1865 / 36 | $4.770,03 | 1854 / 31 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 101 | 29 / 2 | $212.863,00 | 433 / 5 | $36.949,50 | 340 / 2 | $34.828,10 | 340 / 2 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 98 | 53 / 7 | $34.347,50 | 1855 / 29 | $4.815,22 | 1295 / 38 | $3.160,74 | 1290 / 33 |
Hip & Femur Procedures Except Major Joint W Cc | 98 | 45 / 4 | $95.522,20 | 1856 / 41 | $18.273,90 | 1343 / 49 | $12.160,30 | 1325 / 23 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 97 | 27 / 2 | $302.768,00 | 387 / 6 | $54.973,40 | 265 / 4 | $53.101,10 | 265 / 2 |
Chronic Obstructive Pulmonary Disease W Cc | 97 | 82 / 14 | $63.657,30 | 2389 / 50 | $7.419,22 | 1746 / 32 | $5.960,39 | 1739 / 34 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 96 | 2 / 1 | $84.453,50 | 436 / 6 | $13.460,30 | 419 / 5 | $11.679,60 | 417 / 5 |
Chronic Obstructive Pulmonary Disease W Mcc | 96 | 106 / 14 | $76.761,50 | 2494 / 43 | $9.697,03 | 1892 / 42 | $7.670,76 | 1884 / 34 |
Syncope & Collapse | 91 | 78 / 13 | $45.161,20 | 1775 / 31 | $5.757,89 | 1264 / 31 | $4.519,00 | 1257 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 90 | 78 / 6 | $112.806,00 | 1559 / 45 | $13.902,80 | 1180 / 34 | $12.002,10 | 1174 / 31 |
Simple Pneumonia & Pleurisy W Cc | 89 | 114 / 21 | $55.009,90 | 2645 / 35 | $7.551,36 | 1996 / 30 | $6.163,71 | 1988 / 35 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 87 | 37 / 4 | $82.971,40 | 1861 / 46 | $9.676,25 | 1437 / 35 | $8.442,16 | 1434 / 37 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 87 | 18 / 1 | $104.075,00 | 474 / 8 | $14.719,40 | 383 / 2 | $12.868,10 | 379 / 4 |
Simple Pneumonia & Pleurisy W Mcc | 86 | 119 / 13 | $85.400,00 | 2383 / 36 | $11.888,40 | 1866 / 39 | $9.603,49 | 1866 / 34 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 85 | 122 / 16 | $69.776,80 | 2487 / 39 | $9.396,44 | 1765 / 42 | $6.722,18 | 1758 / 28 |
Pulmonary Edema & Respiratory Failure | 82 | 121 / 7 | $74.883,30 | 2090 / 26 | $10.056,50 | 1492 / 32 | $7.820,76 | 1487 / 28 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 81 | 15 / 3 | $169.361,00 | 508 / 9 | $30.820,90 | 491 / 7 | $27.256,00 | 490 / 8 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 79 | 46 / 7 | $104.931,00 | 1719 / 42 | $13.521,10 | 1412 / 38 | $12.137,40 | 1400 / 41 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 75 | 91 / 16 | $39.314,90 | 2358 / 23 | $5.671,72 | 1733 / 29 | $4.373,16 | 1728 / 30 |
Medical Back Problems W/O Mcc | 74 | 47 / 8 | $52.735,90 | 1428 / 41 | $8.445,13 | 852 / 39 | $4.873,35 | 849 / 26 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 70 | 31 / 3 | $143.415,00 | 793 / 13 | $22.845,60 | 662 / 4 | $21.454,90 | 658 / 6 |
Red Blood Cell Disorders W/O Mcc | 67 | 76 / 14 | $55.883,40 | 1954 / 46 | $6.362,96 | 1456 / 26 | $5.359,18 | 1447 / 36 |
Kidney & Urinary Tract Infections W Mcc | 65 | 79 / 14 | $68.064,10 | 1879 / 36 | $8.674,78 | 1333 / 29 | $7.102,80 | 1329 / 28 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 65 | 3 / 1 | $236.285,00 | 227 / 7 | $37.991,60 | 144 / 1 | $36.010,50 | 144 / 3 |
Respiratory Infections & Inflammations W Mcc | 65 | 71 / 8 | $115.482,00 | 1719 / 39 | $15.426,90 | 1374 / 34 | $13.419,90 | 1359 / 31 |
Other Vascular Procedures W Mcc | 60 | 37 / 2 | $148.254,00 | 861 / 24 | $23.086,40 | 571 / 15 | $21.609,90 | 568 / 15 |
Other Circulatory System Diagnoses W Mcc | 57 | 59 / 5 | $115.209,00 | 1327 / 36 | $13.917,10 | 823 / 24 | $12.228,20 | 818 / 21 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 56 | 68 / 8 | $259.560,00 | 1438 / 46 | $41.439,30 | 1154 / 36 | $37.812,80 | 1146 / 33 |
G.I. Hemorrhage W Mcc | 55 | 66 / 8 | $111.591,00 | 1604 / 44 | $14.927,10 | 1293 / 42 | $12.866,40 | 1283 / 36 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 53 | 7 / 1 | $156.973,00 | 239 / 8 | $22.040,00 | 145 / 1 | $20.872,70 | 145 / 3 |
Peripheral Vascular Disorders W Cc | 51 | 33 / 6 | $46.859,60 | 1115 / 23 | $7.360,69 | 826 / 25 | $6.304,84 | 823 / 29 |
Transient Ischemia | 51 | 74 / 14 | $59.888,90 | 1630 / 50 | $5.912,22 | 1160 / 36 | $4.387,04 | 1154 / 31 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 51 | 42 / 5 | $111.270,00 | 809 / 23 | $15.622,30 | 640 / 18 | $14.234,50 | 633 / 20 |
Spinal Fusion Except Cervical W/O Mcc | 51 | 143 / 6 | $114.630,00 | 885 / 17 | $27.348,50 | 750 / 11 | $23.656,20 | 746 / 9 |
Permanent Cardiac Pacemaker Implant W Cc | 51 | 26 / 3 | $118.991,00 | 861 / 27 | $19.259,70 | 671 / 18 | $17.500,80 | 670 / 19 |
G.I. Obstruction W Cc | 50 | 42 / 5 | $48.020,10 | 1577 / 27 | $7.415,54 | 1250 / 31 | $5.711,16 | 1246 / 28 |
Major Small & Large Bowel Procedures W Cc | 49 | 59 / 8 | $140.578,00 | 1421 / 37 | $19.803,70 | 1053 / 31 | $16.185,60 | 1041 / 22 |
Major Small & Large Bowel Procedures W Mcc | 48 | 37 / 6 | $248.536,00 | 1163 / 31 | $36.619,50 | 850 / 26 | $34.462,70 | 848 / 29 |
Coronary Bypass W/O Cardiac Cath W Mcc | 46 | 15 / 2 | $240.916,00 | 201 / 4 | $42.029,70 | 170 / 3 | $40.520,00 | 169 / 3 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 46 | 85 / 15 | $139.872,00 | 1742 / 46 | $17.920,50 | 1402 / 33 | $16.524,00 | 1388 / 36 |
Acute Myocardial Infarction, Discharged Alive W Cc | 45 | 46 / 9 | $65.076,50 | 1333 / 36 | $9.798,64 | 1009 / 41 | $6.743,78 | 1007 / 30 |
Extracranial Procedures W/O Cc/Mcc | 45 | 53 / 3 | $37.664,90 | 589 / 8 | $7.755,22 | 627 / 12 | $6.208,87 | 625 / 13 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 43 | 5 / 1 | $137.136,00 | 233 / 4 | $21.760,00 | 190 / 2 | $20.594,30 | 189 / 4 |
Seizures W/O Mcc | 43 | 65 / 19 | $64.646,30 | 1297 / 46 | $6.233,65 | 879 / 25 | $5.015,88 | 876 / 29 |
Other Vascular Procedures W Cc | 42 | 60 / 6 | $108.812,00 | 906 / 26 | $19.629,50 | 766 / 29 | $16.971,00 | 761 / 20 |
Coronary Bypass W Cardiac Cath W/O Mcc | 42 | 34 / 4 | $230.520,00 | 535 / 8 | $38.191,70 | 544 / 5 | $35.361,70 | 544 / 11 |
Degenerative Nervous System Disorders W/O Mcc | 41 | 37 / 6 | $74.675,20 | 857 / 36 | $7.901,93 | 560 / 26 | $6.452,12 | 560 / 24 |
Heart Failure & Shock W/O Cc/Mcc | 39 | 71 / 24 | $41.635,70 | 1919 / 38 | $5.612,05 | 1296 / 37 | $4.086,92 | 1286 / 30 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 39 | 31 / 2 | $421.223,00 | 249 / 7 | $71.226,10 | 155 / 4 | $63.518,30 | 155 / 3 |
Major Cardiovasc Procedures W/O Mcc | 38 | 63 / 9 | $107.651,00 | 655 / 17 | $23.667,50 | 677 / 14 | $22.297,10 | 676 / 18 |
Permanent Cardiac Pacemaker Implant W Mcc | 38 | 15 / 2 | $217.275,00 | 584 / 24 | $29.822,10 | 511 / 21 | $28.225,20 | 511 / 23 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 38 | 82 / 18 | $41.139,80 | 1969 / 30 | $5.705,21 | 1432 / 30 | $4.294,58 | 1421 / 30 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 37 | 59 / 13 | $71.207,60 | 1372 / 33 | $9.951,89 | 1050 / 30 | $8.376,49 | 1045 / 29 |
Chest Pain | 37 | 114 / 18 | $35.554,50 | 1510 / 26 | $5.885,38 | 1006 / 38 | $3.570,38 | 1000 / 23 |
Bronchitis & Asthma W Cc/Mcc | 37 | 39 / 7 | $69.563,10 | 1071 / 39 | $7.370,14 | 778 / 26 | $5.821,46 | 774 / 27 |
Other Digestive System Diagnoses W Cc | 36 | 61 / 12 | $53.855,20 | 1308 / 26 | $7.507,58 | 902 / 24 | $6.137,36 | 898 / 25 |
Fractures Of Hip & Pelvis W/O Mcc | 36 | 25 / 5 | $46.632,50 | 894 / 33 | $5.718,25 | 620 / 22 | $4.304,92 | 620 / 24 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 36 | 45 / 4 | $759.584,00 | 402 / 11 | $140.667,00 | 105 / 9 | $93.427,50 | 105 / 3 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 36 | 21 / 4 | $91.130,10 | 630 / 21 | $15.476,00 | 528 / 14 | $14.123,70 | 527 / 17 |
Coronary Bypass W Cardiac Cath W Mcc | 36 | 20 / 3 | $324.279,00 | 377 / 6 | $58.457,20 | 350 / 8 | $53.990,30 | 350 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 35 | 91 / 20 | $66.221,40 | 1646 / 29 | $8.524,49 | 1017 / 24 | $7.121,34 | 1014 / 25 |
Respiratory Infections & Inflammations W Cc | 35 | 53 / 10 | $77.465,60 | 1385 / 27 | $10.607,40 | 1119 / 25 | $9.155,60 | 1114 / 26 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 35 | 27 / 5 | $43.838,70 | 757 / 23 | $8.672,46 | 368 / 35 | $4.105,43 | 368 / 15 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 34 | 13 / 1 | $50.215,80 | 217 / 7 | $7.311,76 | 131 / 3 | $5.754,09 | 131 / 5 |
Hip & Femur Procedures Except Major Joint W Mcc | 33 | 29 / 3 | $186.776,00 | 937 / 26 | $27.334,20 | 841 / 23 | $24.032,90 | 838 / 23 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 32 | 57 / 4 | $70.589,40 | 710 / 18 | $11.208,50 | 451 / 20 | $6.231,19 | 450 / 11 |
Hypertension W/O Mcc | 32 | 33 / 5 | $45.540,80 | 762 / 25 | $5.046,09 | 487 / 17 | $3.709,25 | 485 / 20 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 32 | 70 / 17 | $54.321,10 | 1532 / 37 | $5.931,09 | 1101 / 26 | $4.565,66 | 1097 / 28 |
Major Cardiovasc Procedures W Mcc | 32 | 36 / 5 | $194.606,00 | 498 / 11 | $35.656,60 | 334 / 5 | $33.834,90 | 334 / 7 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 32 | 66 / 5 | $224.222,00 | 454 / 13 | $31.971,20 | 307 / 7 | $30.005,50 | 307 / 7 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 31 | 70 / 13 | $88.179,30 | 1038 / 24 | $11.743,10 | 703 / 18 | $10.230,30 | 701 / 20 |
Revision Of Hip Or Knee Replacement W Cc | 31 | 55 / 4 | $111.993,00 | 508 / 11 | $24.105,90 | 506 / 10 | $22.884,90 | 504 / 11 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 30 | 21 / 3 | $120.512,00 | 323 / 10 | $32.018,60 | 87 / 15 | $11.073,60 | 87 / 2 |
Major Chest Procedures W Mcc | 29 | 20 / 1 | $276.619,00 | 311 / 11 | $40.542,10 | 240 / 9 | $36.266,30 | 239 / 8 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 29 | 42 / 7 | $374.777,00 | 960 / 34 | $42.848,60 | 759 / 26 | $39.014,00 | 758 / 28 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 25 | 41 / 7 | $66.733,60 | 490 / 14 | $8.394,68 | 234 / 8 | $6.426,08 | 234 / 7 |
Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 25 | 4 / 1 | $246.052,00 | 61 / 3 | $50.997,70 | 31 / 2 | $45.918,80 | 31 / 1 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 22 | $41.602,60 | 1826 / 28 | $5.619,00 | 1352 / 29 | $4.128,60 | 1344 / 30 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 23 | 45 / 5 | $53.960,50 | 693 / 23 | $6.872,39 | 401 / 14 | $5.450,78 | 401 / 14 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 23 | 22 / 1 | $94.059,90 | 187 / 6 | $13.590,30 | 88 / 4 | $12.098,20 | 88 / 4 |
Diabetes W Cc | 23 | 69 / 21 | $53.818,30 | 1556 / 34 | $7.332,39 | 1025 / 35 | $5.201,91 | 1021 / 32 |
Renal Failure W/O Cc/Mcc | 23 | 33 / 5 | $41.063,30 | 823 / 21 | $5.730,87 | 517 / 20 | $3.625,87 | 516 / 12 |
G.I. Hemorrhage W/O Cc/Mcc | 22 | 46 / 15 | $38.826,00 | 909 / 28 | $5.516,18 | 625 / 26 | $4.120,59 | 621 / 25 |
G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 15 | $40.795,00 | 1239 / 29 | $5.001,00 | 791 / 26 | $3.422,86 | 788 / 25 |
Respiratory Neoplasms W Cc | 22 | 25 / 7 | $70.047,60 | 472 / 21 | $8.986,95 | 305 / 17 | $7.629,45 | 304 / 20 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 22 | 32 / 6 | $39.850,80 | 341 / 7 | $5.668,27 | 215 / 6 | $4.466,95 | 215 / 8 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 22 | 70 / 16 | $280.535,00 | 964 / 35 | $43.710,50 | 711 / 24 | $41.317,60 | 710 / 28 |
Respiratory Neoplasms W Mcc | 21 | 31 / 7 | $99.399,50 | 592 / 18 | $12.836,30 | 418 / 13 | $11.488,70 | 416 / 13 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 21 | 34 / 5 | $86.453,50 | 537 / 16 | $14.555,60 | 362 / 8 | $11.903,60 | 359 / 10 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 21 | 43 / 10 | $603.527,00 | 539 / 30 | $84.599,00 | 415 / 21 | $80.071,80 | 414 / 24 |
Other Circulatory System O.R. Procedures | 21 | 34 / 6 | $173.236,00 | 438 / 25 | $22.868,40 | 336 / 21 | $21.035,40 | 336 / 21 |
Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 21 | 7 / 1 | $60.010,10 | 79 / 3 | $12.321,00 | 33 / 1 | $9.064,67 | 33 / 1 |
Cellulitis W Mcc | 21 | 37 / 13 | $103.025,00 | 951 / 38 | $11.562,50 | 701 / 24 | $10.036,20 | 699 / 23 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 15 | $67.206,00 | 1050 / 30 | $9.006,95 | 779 / 21 | $7.663,33 | 777 / 23 |
Bronchitis & Asthma W/O Cc/Mcc | 21 | 24 / 5 | $35.355,50 | 340 / 12 | $5.223,81 | 228 / 11 | $3.866,76 | 228 / 13 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 21 | 32 / 6 | $64.948,40 | 438 / 15 | $9.100,10 | 293 / 11 | $8.004,48 | 293 / 14 |
Pulmonary Embolism W/O Mcc | 21 | 53 / 16 | $68.324,60 | 1253 / 30 | $7.748,57 | 994 / 21 | $6.525,52 | 991 / 26 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 20 | 36 / 5 | $111.124,00 | 643 / 21 | $14.890,20 | 505 / 17 | $13.612,70 | 504 / 17 |
Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 4 | $84.642,70 | 912 / 11 | $12.798,00 | 644 / 17 | $9.419,45 | 642 / 11 |
Other Kidney & Urinary Tract Diagnoses W Cc | 20 | 83 / 17 | $57.870,40 | 804 / 22 | $8.038,45 | 553 / 23 | $6.593,95 | 553 / 20 |
Other Circulatory System Diagnoses W Cc | 20 | 46 / 7 | $56.436,40 | 625 / 16 | $7.399,00 | 409 / 10 | $6.109,50 | 408 / 14 |
Red Blood Cell Disorders W Mcc | 20 | 51 / 14 | $66.534,40 | 1003 / 21 | $9.453,00 | 706 / 19 | $8.372,30 | 702 / 21 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 19 | 28 / 8 | $68.841,70 | 441 / 17 | $11.045,60 | 395 / 10 | $9.831,95 | 395 / 14 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 19 | 25 / 7 | $45.837,10 | 291 / 12 | $11.775,40 | 41 / 14 | $3.446,32 | 41 / 1 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 19 | 34 / 6 | $80.176,10 | 284 / 9 | $13.802,20 | 117 / 7 | $10.404,50 | 118 / 5 |
Digestive Malignancy W Cc | 19 | 28 / 8 | $63.658,60 | 359 / 17 | $9.475,63 | 227 / 13 | $8.084,53 | 225 / 16 |
Disorders Of The Biliary Tract W Cc | 18 | 36 / 8 | $66.940,10 | 448 / 17 | $8.179,06 | 269 / 13 | $6.660,61 | 269 / 13 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 18 | 45 / 12 | $240.883,00 | 685 / 26 | $64.941,30 | 120 / 33 | $25.688,30 | 120 / 2 |
Peripheral Vascular Disorders W/O Cc/Mcc | 18 | 27 / 7 | $38.280,30 | 374 / 16 | $5.303,83 | 232 / 14 | $3.959,72 | 232 / 13 |
Other Respiratory System Diagnoses W/O Mcc | 18 | 28 / 5 | $51.276,40 | 300 / 10 | $10.480,60 | 37 / 11 | $3.796,50 | 37 / 2 |
Peripheral Vascular Disorders W Mcc | 18 | 31 / 8 | $78.842,30 | 551 / 18 | $10.205,80 | 363 / 11 | $8.991,33 | 363 / 14 |
Pleural Effusion W Mcc | 17 | 13 / 1 | $67.990,50 | 164 / 2 | $11.660,90 | 144 / 2 | $10.789,80 | 144 / 2 |
Seizures W Mcc | 17 | 49 / 13 | $103.288,00 | 738 / 22 | $12.690,80 | 567 / 17 | $11.510,90 | 567 / 18 |
Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 5 | $62.411,10 | 488 / 5 | $16.613,40 | 586 / 9 | $13.492,30 | 583 / 7 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 14 | $67.359,90 | 770 / 25 | $11.557,00 | 630 / 20 | $10.014,20 | 628 / 21 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 17 | 49 / 6 | $85.619,70 | 486 / 9 | $13.273,60 | 328 / 5 | $11.546,80 | 326 / 8 |
Other Digestive System Diagnoses W Mcc | 17 | 45 / 12 | $76.189,00 | 668 / 15 | $12.447,50 | 441 / 11 | $11.235,70 | 440 / 13 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 13 | $76.430,30 | 707 / 17 | $12.277,40 | 679 / 18 | $10.935,20 | 676 / 23 |
Extracranial Procedures W Cc | 17 | 29 / 2 | $68.224,50 | 312 / 5 | $11.652,80 | 276 / 3 | $10.405,40 | 276 / 4 |
Other Digestive System Diagnoses W/O Cc/Mcc | 16 | 27 / 9 | $36.547,90 | 324 / 18 | $5.327,94 | 213 / 14 | $4.029,62 | 213 / 15 |
Other Disorders Of Nervous System W Cc | 16 | 40 / 12 | $80.166,10 | 613 / 23 | $7.039,31 | 188 / 15 | $4.788,44 | 188 / 5 |
G.I. Obstruction W Mcc | 16 | 26 / 9 | $117.617,00 | 525 / 19 | $14.998,40 | 389 / 20 | $11.439,50 | 389 / 16 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 18 | $44.191,10 | 768 / 31 | $5.899,44 | 625 / 25 | $4.839,75 | 621 / 27 |
Major Chest Procedures W Cc | 16 | 58 / 7 | $130.652,00 | 455 / 13 | $18.895,60 | 343 / 8 | $17.136,90 | 341 / 9 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 16 | 75 / 11 | $52.024,10 | 321 / 10 | $11.563,10 | 109 / 16 | $6.752,00 | 109 / 3 |
Atherosclerosis W/O Mcc | 16 | 42 / 15 | $33.071,60 | 479 / 16 | $4.851,06 | / 16 | $4.046,06 | / |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 16 | 14 / 4 | $93.778,60 | 178 / 3 | $14.053,10 | 126 / 3 | $12.499,20 | 125 / 4 |
Coagulation Disorders | 15 | 12 / 2 | $87.616,50 | 79 / 5 | $12.938,30 | 43 / 3 | $11.558,10 | 43 / 3 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 15 | 23 / 2 | $126.380,00 | 168 / 6 | $15.935,90 | 119 / 2 | $14.722,90 | 119 / 5 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 19 | $60.859,90 | 841 / 27 | $5.548,47 | 380 / 14 | $4.026,93 | 380 / 13 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 9 | $39.900,10 | 857 / 16 | $5.359,47 | 530 / 13 | $3.964,00 | 529 / 10 |
Tendonitis, Myositis & Bursitis W/O Mcc | 15 | 27 / 10 | $54.805,80 | 319 / 20 | $6.615,00 | 213 / 14 | $5.100,00 | 213 / 15 |
Diabetes W Mcc | 15 | 42 / 13 | $66.382,60 | 675 / 15 | $10.442,10 | 489 / 12 | $9.398,53 | 489 / 15 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 8 | $149.966,00 | 836 / 20 | $23.796,60 | 694 / 17 | $22.003,20 | 691 / 15 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 15 | 27 / 3 | $95.418,60 | 279 / 5 | $13.162,20 | 161 / 5 | $11.746,50 | 161 / 5 |
Aicd Generator Procedures | 15 | 3 / 1 | $164.461,00 | 5 / 1 | $33.112,60 | 4 / 1 | $29.736,10 | 4 / 1 |
Other Vascular Procedures W/O Cc/Mcc | 15 | 41 / 8 | $63.890,10 | 405 / 12 | $12.304,50 | 381 / 6 | $10.900,40 | 380 / 10 |
Disorders Of The Biliary Tract W Mcc | 14 | 25 / 2 | $84.326,10 | 225 / 8 | $12.141,90 | 126 / 6 | $10.687,40 | 126 / 6 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 14 | 62 / 9 | $115.494,00 | 533 / 18 | $15.546,90 | 413 / 11 | $14.432,50 | 413 / 13 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 14 | 17 / 6 | $77.272,50 | 190 / 9 | $9.651,71 | 127 / 7 | $8.125,50 | 127 / 6 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 14 | 15 / 8 | $28.804,70 | 120 / 5 | $5.306,64 | 72 / 8 | $4.100,86 | 72 / 9 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 13 | $65.282,10 | 506 / 22 | $9.247,29 | 443 / 12 | $7.750,79 | 442 / 17 |
Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 14 | 13 / 3 | $43.199,20 | 34 / 1 | $8.385,71 | 12 / 3 | $5.808,64 | 12 / 3 |
Carotid Artery Stent Procedure W/O Cc/Mcc | 14 | 18 / 2 | $64.193,40 | 75 / 1 | $12.415,60 | 75 / 2 | $11.374,40 | 75 / 2 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 14 | 17 / 2 | $355.654,00 | 106 / 5 | $49.809,70 | 54 / 5 | $32.943,90 | 54 / 3 |
Complications Of Treatment W Cc | 14 | 38 / 5 | $48.059,80 | 323 / 7 | $7.537,43 | 184 / 6 | $6.242,07 | 184 / 7 |
Bone Diseases & Arthropathies W/O Mcc | 14 | 30 / 7 | $37.023,10 | 265 / 11 | $5.717,07 | 154 / 10 | $4.574,43 | 154 / 11 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 14 | 26 / 14 | $51.900,80 | 246 / 5 | $8.447,79 | 165 / 8 | $7.297,86 | 165 / 10 |
Other Resp System O.R. Procedures W Cc | 14 | 33 / 8 | $92.353,80 | 298 / 8 | $14.729,90 | 228 / 6 | $13.345,40 | 228 / 8 |
Organic Disturbances & Mental Retardation | 14 | 45 / 13 | $69.832,60 | 549 / 26 | $8.029,21 | 292 / 12 | $6.230,71 | 292 / 9 |
Otitis Media & Uri W/O Mcc | 13 | 31 / 8 | $37.422,40 | 204 / 7 | $5.179,23 | 103 / 7 | $3.911,92 | 103 / 11 |
Pneumothorax W Cc | 13 | 12 / 2 | $85.994,00 | 90 / 6 | $7.595,62 | 64 / 2 | $6.395,38 | 64 / 3 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 13 | 31 / 15 | $133.773,00 | 382 / 13 | $20.665,90 | 158 / 9 | $16.087,30 | 157 / 1 |
Other Disorders Of Nervous System W Mcc | 13 | 27 / 5 | $101.963,00 | 306 / 10 | $12.272,80 | 175 / 5 | $10.354,70 | 175 / 7 |
Degenerative Nervous System Disorders W Mcc | 13 | 25 / 6 | $92.557,40 | 213 / 6 | $14.207,40 | 158 / 8 | $13.132,20 | 158 / 8 |
Transurethral Procedures W Cc | 13 | 28 / 14 | $73.107,80 | 349 / 22 | $9.717,46 | 279 / 15 | $8.245,46 | 279 / 17 |
Traumatic Stupor & Coma, Coma >1 Hr W Mcc | 13 | 14 / 4 | $171.133,00 | 60 / 4 | $18.553,60 | 43 / 4 | $16.854,10 | 43 / 5 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 10 | $31.425,00 | 379 / 8 | $5.431,46 | 293 / 11 | $3.811,31 | 292 / 13 |
Medical Back Problems W Mcc | 13 | 26 / 6 | $101.631,00 | 314 / 10 | $18.458,10 | 165 / 11 | $9.805,92 | 165 / 5 |
Cervical Spinal Fusion W Cc | 12 | 41 / 4 | $148.502,00 | 354 / 4 | $32.559,40 | 225 / 4 | $17.931,60 | 224 / 1 |
Pleural Effusion W Cc | 12 | 16 / 5 | $60.899,40 | 106 / 3 | $8.285,25 | 72 / 3 | $7.156,83 | 72 / 5 |
Postoperative & Post-Traumatic Infections W/O Mcc | 12 | 42 / 11 | $65.869,60 | 443 / 19 | $8.413,83 | 347 / 14 | $7.622,17 | 347 / 17 |
Fever | 12 | 34 / 12 | $36.462,00 | 273 / 8 | $6.571,25 | 178 / 13 | $5.178,92 | 178 / 11 |
Cardiac Pacemaker Revision Except Device Replacement W Cc | 12 | 7 / 2 | $95.406,50 | 24 / 2 | $12.706,20 | 16 / 2 | $11.484,70 | 16 / 2 |
Traumatic Stupor & Coma, Coma >1 Hr W/O Cc/Mcc | 12 | 9 / 1 | $55.380,60 | 20 / 1 | $8.769,50 | 3 / 2 | $4.698,42 | 3 / 1 |
Signs & Symptoms W/O Mcc | 12 | 79 / 25 | $65.222,60 | 1331 / 38 | $6.614,58 | 794 / 28 | $4.288,33 | 791 / 18 |
Cardiac Defib Implant W Cardiac Cath W/O Ami/Hf/Shock W/O Mcc | 12 | 4 / 2 | $227.443,00 | 7 / 2 | $40.028,20 | 5 / 1 | $38.723,80 | 5 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 8 | $133.560,00 | 332 / 11 | $19.134,50 | 277 / 9 | $17.346,10 | 276 / 11 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 12 | 62 / 6 | $97.883,30 | 211 / 5 | $16.187,90 | 151 / 2 | $14.830,60 | 150 / 4 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 12 | $37.614,20 | 326 / 12 | $6.811,75 | 213 / 20 | $3.768,67 | 212 / 13 |
Dysequilibrium | 12 | 53 / 18 | $32.907,00 | 447 / 8 | $4.953,00 | 294 / 12 | $3.555,75 | 294 / 15 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 12 | 17 / 4 | $156.780,00 | 108 / 3 | $18.327,00 | 70 / 2 | $16.701,70 | 69 / 2 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 12 | 31 / 5 | $141.463,00 | 135 / 5 | $21.910,20 | 97 / 4 | $20.507,20 | 97 / 5 |
Stomach, Esophageal & Duodenal Proc W Mcc | 11 | 30 / 5 | $220.396,00 | 188 / 5 | $43.398,90 | 154 / 4 | $41.682,50 | 154 / 5 |
Major Chest Trauma W Cc | 11 | 25 / 6 | $67.039,80 | 138 / 6 | $7.624,45 | 87 / 2 | $6.142,18 | 87 / 4 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 11 | 20 / 8 | $110.120,00 | 140 / 9 | $13.571,60 | 96 / 4 | $12.058,50 | 96 / 7 |
Nervous System Neoplasms W Mcc | 11 | 37 / 10 | $107.816,00 | 302 / 14 | $11.876,90 | 103 / 12 | $7.650,00 | 103 / 4 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 11 | 35 / 8 | $228.751,00 | 103 / 4 | $43.803,70 | 73 / 2 | $42.583,50 | 73 / 2 |
Traumatic Stupor & Coma, Coma >1 Hr W Cc | 11 | 13 / 4 | $90.220,60 | 38 / 5 | $9.529,00 | 13 / 2 | $8.042,73 | 13 / 3 |
Cardiac Pacemaker Revision Except Device Replacement W Mcc | 11 | 4 / 1 | $195.445,00 | 10 / 2 | $26.859,90 | 4 / 1 | $24.835,80 | 4 / 1 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 13 | $43.927,10 | 493 / 3 | $7.195,18 | 313 / 6 | $6.086,91 | 313 / 8 |
Postoperative & Post-Traumatic Infections W Mcc | 11 | 32 / 6 | $135.686,00 | 220 / 7 | $16.472,20 | 164 / 6 | $15.236,20 | 164 / 7 |
Acute Myocardial Infarction, Expired W Mcc | 11 | 19 / 9 | $68.166,80 | 146 / 5 | $12.376,50 | 102 / 7 | $11.142,50 | 102 / 7 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 13 | $149.937,00 | 482 / 8 | $24.371,50 | 308 / 5 | $22.698,20 | 307 / 5 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 11 | $65.527,00 | 379 / 16 | $7.162,55 | 304 / 14 | $5.860,27 | 304 / 16 | Total 198 procedures | 8.288 | 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.