Hospital Costs > In California > John Muir Medical Center - Walnut Creek Campus, 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 | 499 | 125 / 9 | $146.207,00 | 2655 / 220 | $18.384,70 | 2396 / 137 | $16.157,50 | 2351 / 143 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 313 | 205 / 33 | $146.684,00 | 2801 / 253 | $19.631,70 | 2716 / 227 | $18.337,20 | 2671 / 228 |
| Heart Failure & Shock W Mcc | 111 | 173 / 27 | $120.936,00 | 2604 / 214 | $14.109,10 | 2440 / 156 | $13.271,40 | 2429 / 165 |
| G.I. Hemorrhage W Cc | 110 | 108 / 7 | $74.831,50 | 2393 / 187 | $8.221,75 | 1993 / 59 | $7.246,63 | 1989 / 69 |
| Heart Failure & Shock W Cc | 104 | 174 / 12 | $82.203,20 | 2749 / 219 | $8.449,64 | 2200 / 100 | $7.001,44 | 2194 / 66 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 96 | 179 / 24 | $64.848,30 | 2715 / 218 | $6.824,65 | 2105 / 101 | $5.012,36 | 2091 / 53 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 94 | 113 / 28 | $81.170,40 | 2542 / 232 | $8.754,05 | 2107 / 86 | $7.647,33 | 2099 / 91 |
| Pulmonary Edema & Respiratory Failure | 89 | 114 / 12 | $146.336,00 | 2240 / 179 | $15.233,30 | 2203 / 165 | $14.436,00 | 2197 / 170 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 83 | 85 / 5 | $152.543,00 | 1617 / 148 | $21.409,50 | 1586 / 141 | $19.490,40 | 1579 / 146 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 71 | 95 / 14 | $59.529,40 | 2523 / 194 | $5.718,62 | 1956 / 45 | $4.783,86 | 1948 / 53 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 70 | 112 / 15 | $90.940,00 | 2058 / 171 | $10.408,60 | 1873 / 129 | $8.733,39 | 1869 / 124 |
| Renal Failure W Cc | 69 | 152 / 22 | $75.092,00 | 2417 / 192 | $8.643,99 | 1993 / 108 | $6.970,77 | 1983 / 69 |
| Kidney & Urinary Tract Infections W/O Mcc | 67 | 166 / 44 | $63.727,00 | 2697 / 213 | $6.457,33 | 2219 / 71 | $5.482,54 | 2208 / 78 |
| Hip & Femur Procedures Except Major Joint W Cc | 66 | 77 / 11 | $143.073,00 | 2036 / 141 | $17.400,10 | 1842 / 114 | $15.469,50 | 1823 / 101 |
| Simple Pneumonia & Pleurisy W Cc | 65 | 138 / 28 | $74.193,80 | 2784 / 204 | $8.427,26 | 2267 / 100 | $6.781,03 | 2259 / 59 |
| Cellulitis W/O Mcc | 63 | 126 / 27 | $57.137,00 | 2603 / 205 | $6.756,44 | 2084 / 45 | $5.760,38 | 2076 / 59 |
| Renal Failure W Mcc | 59 | 136 / 30 | $145.243,00 | 2163 / 187 | $20.034,80 | 2122 / 180 | $17.437,20 | 2118 / 178 |
| Respiratory Infections & Inflammations W Mcc | 57 | 79 / 20 | $119.092,00 | 1725 / 115 | $17.580,00 | 1614 / 108 | $15.520,70 | 1598 / 85 |
| Medical Back Problems W/O Mcc | 56 | 65 / 10 | $69.583,80 | 1480 / 122 | $7.015,80 | 1168 / 46 | $5.881,55 | 1164 / 46 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 55 | 106 / 13 | $72.568,30 | 2155 / 173 | $7.298,96 | 1819 / 100 | $5.904,20 | 1814 / 82 |
| Kidney & Urinary Tract Infections W Mcc | 55 | 89 / 13 | $77.364,30 | 1915 / 155 | $9.127,42 | 1628 / 59 | $8.271,56 | 1624 / 70 |
| G.I. Obstruction W Cc | 54 | 38 / 5 | $63.780,00 | 1689 / 117 | $7.885,22 | 1379 / 72 | $6.152,89 | 1374 / 43 |
| Chronic Obstructive Pulmonary Disease W Mcc | 53 | 149 / 37 | $107.199,00 | 2558 / 192 | $9.972,83 | 2249 / 92 | $9.061,74 | 2241 / 100 |
| Spinal Fusion Except Cervical W/O Mcc | 48 | 146 / 21 | $226.239,00 | 1318 / 79 | $37.754,00 | 1230 / 73 | $31.813,20 | 1225 / 55 |
| Simple Pneumonia & Pleurisy W Mcc | 48 | 157 / 43 | $104.604,00 | 2476 / 181 | $12.336,60 | 2193 / 98 | $11.278,60 | 2187 / 103 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 45 | 21 / 2 | $105.225,00 | 529 / 35 | $9.894,67 | 441 / 21 | $8.901,22 | 440 / 22 |
| Revision Of Hip Or Knee Replacement W Cc | 45 | 42 / 7 | $251.871,00 | 662 / 36 | $31.573,60 | 641 / 29 | $30.738,70 | 639 / 31 |
| Syncope & Collapse | 44 | 125 / 23 | $66.621,20 | 1917 / 158 | $6.974,34 | 1652 / 85 | $5.793,86 | 1644 / 88 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 43 | 8 / 1 | $242.489,00 | 351 / 28 | $32.783,00 | 350 / 26 | $31.745,50 | 350 / 29 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 42 | 13 / 1 | $138.281,00 | 631 / 39 | $16.314,20 | 545 / 22 | $15.140,60 | 541 / 27 |
| Chronic Obstructive Pulmonary Disease W Cc | 41 | 138 / 32 | $68.597,80 | 2403 / 168 | $7.563,56 | 1983 / 49 | $6.624,63 | 1976 / 55 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 41 | 55 / 8 | $139.978,00 | 807 / 44 | $22.212,80 | 672 / 40 | $15.152,10 | 668 / 22 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 40 | 84 / 26 | $374.539,00 | 1558 / 137 | $59.652,20 | 1557 / 134 | $58.193,90 | 1547 / 137 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 40 | 58 / 5 | $431.757,00 | 507 / 45 | $63.052,20 | 508 / 45 | $62.091,30 | 508 / 46 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 39 | 87 / 22 | $80.815,10 | 1701 / 147 | $9.357,77 | 1360 / 64 | $8.429,85 | 1357 / 65 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 36 | 65 / 15 | $124.253,00 | 1093 / 77 | $14.647,40 | 985 / 56 | $13.546,50 | 981 / 58 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 35 | 54 / 14 | $108.789,00 | 764 / 69 | $12.356,10 | 658 / 63 | $8.048,86 | 657 / 42 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 35 | 88 / 19 | $115.570,00 | 1906 / 149 | $11.829,60 | 1770 / 108 | $10.792,80 | 1767 / 110 |
| Other Digestive System Diagnoses W Cc | 34 | 63 / 9 | $77.272,60 | 1414 / 125 | $9.395,79 | 1055 / 89 | $6.681,97 | 1051 / 35 |
| G.I. Hemorrhage W Mcc | 33 | 88 / 23 | $163.612,00 | 1666 / 156 | $18.401,20 | 1595 / 136 | $17.408,20 | 1585 / 139 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 33 | 69 / 15 | $59.956,10 | 1557 / 103 | $7.911,36 | 1215 / 94 | $4.892,97 | 1211 / 33 |
| Respiratory Infections & Inflammations W Cc | 33 | 55 / 16 | $83.607,20 | 1414 / 93 | $11.198,90 | 1278 / 56 | $10.245,70 | 1273 / 57 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 17 | $55.457,00 | 1976 / 141 | $5.048,47 | 1455 / 55 | $3.411,72 | 1449 / 28 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 31 | 35 / 8 | $165.628,00 | 574 / 46 | $19.035,50 | 526 / 37 | $15.902,30 | 522 / 32 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 30 | 35 / 5 | $255.441,00 | 917 / 54 | $37.742,80 | 911 / 54 | $36.731,60 | 907 / 55 |
| Major Small & Large Bowel Procedures W Mcc | 30 | 55 / 10 | $372.035,00 | 1265 / 80 | $63.201,50 | 1288 / 86 | $62.626,10 | 1285 / 90 |
| Fractures Of Hip & Pelvis W/O Mcc | 30 | 31 / 5 | $62.374,60 | 914 / 64 | $5.788,70 | 717 / 25 | $4.704,97 | 716 / 26 |
| Transient Ischemia | 30 | 95 / 26 | $62.806,60 | 1639 / 128 | $6.087,63 | 1372 / 48 | $5.118,03 | 1365 / 65 |
| Major Small & Large Bowel Procedures W Cc | 29 | 79 / 26 | $191.741,00 | 1512 / 107 | $26.246,70 | 1466 / 99 | $23.172,70 | 1452 / 102 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 28 | 68 / 16 | $106.600,00 | 1455 / 128 | $12.510,10 | 1380 / 107 | $11.731,80 | 1375 / 116 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 28 | 97 / 24 | $123.049,00 | 1773 / 130 | $14.884,50 | 1621 / 89 | $14.284,50 | 1608 / 105 |
| Bronchitis & Asthma W Cc/Mcc | 28 | 48 / 6 | $80.984,40 | 1082 / 80 | $8.252,36 | 909 / 44 | $6.615,86 | 905 / 40 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 27 | 27 / 4 | $81.786,30 | 401 / 22 | $6.072,52 | 272 / 4 | $5.046,15 | 272 / 5 |
| Cellulitis W Mcc | 26 | 32 / 8 | $97.838,30 | 942 / 79 | $12.677,80 | 856 / 53 | $11.886,40 | 854 / 60 |
| Hip & Femur Procedures Except Major Joint W Mcc | 25 | 37 / 4 | $206.359,00 | 951 / 67 | $29.137,20 | 915 / 62 | $28.079,90 | 912 / 65 |
| Other Disorders Of Nervous System W Cc | 25 | 31 / 5 | $83.348,20 | 616 / 50 | $7.766,68 | 499 / 23 | $6.850,28 | 498 / 24 |
| Chest Pain | 25 | 126 / 47 | $66.319,60 | 1707 / 151 | $5.058,92 | 1159 / 34 | $3.856,20 | 1152 / 28 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 22 | 24 / 5 | $103.511,00 | 259 / 31 | $10.189,50 | 115 / 24 | $5.591,82 | 115 / 5 |
| Other Digestive System Diagnoses W Mcc | 21 | 41 / 13 | $99.435,30 | 715 / 62 | $14.904,60 | 652 / 44 | $14.402,50 | 651 / 53 |
| Major Chest Procedures W Cc | 21 | 53 / 10 | $216.337,00 | 500 / 32 | $27.658,70 | 493 / 25 | $26.854,10 | 491 / 29 |
| G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 20 | $54.053,60 | 1294 / 95 | $5.002,76 | 1006 / 25 | $3.965,05 | 1003 / 33 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 21 | 71 / 34 | $439.032,00 | 1080 / 131 | $72.042,20 | 1091 / 133 | $71.054,10 | 1090 / 137 |
| Other Circulatory System Diagnoses W Mcc | 20 | 96 / 30 | $186.826,00 | 1391 / 131 | $23.795,30 | 1376 / 122 | $23.296,80 | 1368 / 130 |
| Seizures W/O Mcc | 20 | 88 / 22 | $58.966,20 | 1281 / 83 | $6.191,25 | 885 / 15 | $5.044,05 | 882 / 15 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 11 | $159.612,00 | 864 / 65 | $15.504,30 | 840 / 56 | $14.354,00 | 836 / 60 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 19 | 17 / 4 | $192.221,00 | 358 / 26 | $24.383,40 | 347 / 22 | $23.425,10 | 346 / 23 |
| Pulmonary Embolism W/O Mcc | 18 | 56 / 12 | $97.000,40 | 1275 / 75 | $11.573,10 | 1168 / 70 | $7.945,06 | 1165 / 57 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 16 | $71.904,60 | 1070 / 67 | $8.920,94 | 799 / 15 | $7.781,39 | 797 / 12 |
| Nonspecific Cerebrovascular Disorders W Cc | 18 | 38 / 8 | $83.565,20 | 459 / 31 | $13.372,60 | 369 / 31 | $7.042,89 | 369 / 9 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 27 | $64.624,40 | 2003 / 128 | $5.341,94 | 1514 / 16 | $4.472,61 | 1502 / 27 |
| Permanent Cardiac Pacemaker Implant W Cc | 18 | 59 / 17 | $200.177,00 | 960 / 77 | $25.670,70 | 943 / 70 | $24.726,70 | 939 / 74 |
| Nervous System Neoplasms W Mcc | 18 | 30 / 5 | $115.682,00 | 305 / 18 | $14.045,90 | 290 / 11 | $13.375,70 | 290 / 14 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 39 | $59.518,60 | 1968 / 144 | $6.593,29 | 1628 / 39 | $5.958,94 | 1619 / 62 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 18 | $129.773,00 | 983 / 82 | $16.674,10 | 938 / 73 | $14.737,40 | 935 / 74 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 17 | 30 / 6 | $114.176,00 | 512 / 24 | $14.003,60 | 405 / 21 | $9.991,53 | 405 / 11 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 19 | $72.090,50 | 1377 / 84 | $8.493,35 | 1194 / 35 | $7.640,65 | 1192 / 46 |
| Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 13 | $116.117,00 | 879 / 56 | $11.006,30 | 819 / 42 | $10.221,20 | 819 / 46 |
| G.I. Obstruction W Mcc | 17 | 25 / 6 | $118.591,00 | 526 / 38 | $13.735,10 | 449 / 20 | $12.812,70 | 449 / 23 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 17 | 46 / 13 | $366.488,00 | 747 / 53 | $58.955,70 | 749 / 53 | $57.153,30 | 749 / 58 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 37 | $255.040,00 | 1847 / 142 | $31.761,80 | 1849 / 139 | $30.950,80 | 1835 / 145 |
| Seizures W Mcc | 16 | 50 / 14 | $144.885,00 | 761 / 51 | $19.089,60 | 756 / 49 | $18.333,60 | 756 / 53 |
| Fever | 16 | 30 / 5 | $63.595,70 | 334 / 9 | $7.814,44 | 246 / 6 | $6.204,25 | 246 / 6 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 15 | 25 / 10 | $221.950,00 | 458 / 43 | $26.952,30 | 457 / 43 | $25.823,80 | 456 / 44 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 11 | $112.005,00 | 575 / 47 | $10.583,90 | 477 / 25 | $8.311,13 | 476 / 18 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 15 | 25 / 6 | $203.802,00 | 216 / 14 | $27.567,70 | 216 / 15 | $26.522,40 | 216 / 15 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 9 | $139.731,00 | 484 / 20 | $21.026,40 | 484 / 19 | $20.338,40 | 484 / 20 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 14 | 55 / 11 | $166.572,00 | 469 / 17 | $24.077,10 | 408 / 13 | $19.200,20 | 408 / 8 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 20 | $116.024,00 | 909 / 67 | $16.598,60 | 760 / 66 | $11.471,60 | 757 / 29 |
| Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 23 | $151.112,00 | 862 / 51 | $19.500,60 | 817 / 32 | $18.389,70 | 814 / 44 |
| Dysequilibrium | 13 | 52 / 14 | $64.101,90 | 562 / 37 | $5.116,08 | 366 / 8 | $3.996,08 | 366 / 9 |
| Nonspecific Cerebrovascular Disorders W Mcc | 13 | 38 / 12 | $185.450,00 | 413 / 38 | $22.711,40 | 411 / 35 | $22.059,20 | 411 / 37 |
| Digestive Malignancy W Cc | 13 | 34 / 10 | $84.701,40 | 384 / 22 | $12.137,50 | 243 / 13 | $8.320,38 | 241 / 4 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 20 | $460.573,00 | 974 / 82 | $74.815,90 | 983 / 85 | $68.234,10 | 982 / 87 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 16 | $57.207,50 | 990 / 63 | $5.738,38 | 774 / 14 | $4.716,85 | 770 / 21 |
| Degenerative Nervous System Disorders W Mcc | 13 | 25 / 6 | $166.189,00 | 228 / 10 | $24.179,10 | 224 / 9 | $20.553,00 | 224 / 11 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 13 | $112.667,00 | 646 / 37 | $15.869,80 | 576 / 31 | $15.121,50 | 575 / 32 |
| Medical Back Problems W Mcc | 13 | 26 / 7 | $84.430,80 | 301 / 16 | $13.043,10 | 257 / 12 | $12.211,10 | 257 / 12 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 33 | $61.336,70 | 2085 / 127 | $7.018,69 | 1451 / 79 | $4.325,46 | 1440 / 15 |
| Diabetes W Mcc | 12 | 45 / 15 | $115.284,00 | 738 / 41 | $11.632,80 | 598 / 20 | $10.627,30 | 597 / 23 |
| Diabetes W Cc | 12 | 80 / 23 | $90.124,90 | 1625 / 127 | $6.892,00 | 1231 / 29 | $5.881,33 | 1226 / 30 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 21 | $65.363,20 | 1229 / 84 | $8.125,17 | 935 / 35 | $6.810,50 | 932 / 24 |
| Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc | 12 | 16 / 2 | $173.816,00 | 58 / 6 | $16.680,80 | 53 / 4 | $14.958,90 | 53 / 4 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 6 | $498.483,00 | 597 / 30 | $77.723,10 | 598 / 30 | $75.106,40 | 597 / 30 |
| Major Chest Procedures W Mcc | 11 | 38 / 14 | $414.572,00 | 328 / 24 | $67.524,00 | 330 / 26 | $65.935,70 | 329 / 26 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 11 | 32 / 6 | $304.461,00 | 154 / 7 | $39.736,20 | 153 / 7 | $39.078,50 | 153 / 7 |
| Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 11 | 17 / 6 | $146.999,00 | 109 / 7 | $12.968,60 | 75 / 3 | $11.871,90 | 75 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 28 | $65.042,20 | 835 / 48 | $8.071,45 | 633 / 15 | $7.190,00 | 633 / 19 |
| Other Disorders Of Nervous System W Mcc | 11 | 29 / 12 | $131.653,00 | 316 / 27 | $14.726,90 | 286 / 21 | $14.066,40 | 286 / 22 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 13 | $962.748,00 | 567 / 54 | $169.008,00 | 570 / 55 | $165.155,00 | 569 / 57 |
| Respiratory Signs & Symptoms | 11 | 35 / 4 | $60.683,30 | 313 / 11 | $5.852,36 | 180 / 3 | $4.329,00 | 180 / 2 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 10 | $44.132,70 | 832 / 22 | $5.047,64 | 630 / 6 | $4.058,55 | 629 / 6 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 20 | $52.818,10 | 787 / 52 | $6.236,00 | 592 / 18 | $5.025,82 | 590 / 22 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 11 | 33 / 13 | $72.232,50 | 317 / 29 | $6.093,82 | 198 / 7 | $4.994,18 | 198 / 9 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 4 | $55.159,10 | 320 / 5 | $7.126,64 | 229 / 3 | $5.378,73 | 229 / 2 | Total 114 procedures | 4.396 | 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.