Hospital Costs > In Tennessee > Johnson City Medical Center, 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 | 378 | 151 / 8 | $54.260,80 | 1928 / 62 | $10.812,40 | 784 / 59 | $9.888,49 | 783 / 62 |
Psychoses | 369 | 47 / 3 | $15.633,70 | 197 / 3 | $6.184,51 | 187 / 5 | $5.467,94 | 187 / 7 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 257 | 308 / 18 | $72.959,00 | 2070 / 48 | $13.515,70 | 488 / 41 | $10.293,80 | 485 / 29 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 158 | 50 / 5 | $116.462,00 | 1302 / 35 | $12.456,20 | 438 / 17 | $10.492,20 | 437 / 27 |
Pulmonary Edema & Respiratory Failure | 150 | 57 / 6 | $36.518,40 | 1365 / 43 | $7.710,91 | 891 / 38 | $6.801,37 | 891 / 45 |
Heart Failure & Shock W Mcc | 149 | 135 / 6 | $39.448,80 | 1628 / 60 | $8.898,29 | 985 / 59 | $8.274,46 | 984 / 63 |
Simple Pneumonia & Pleurisy W Mcc | 135 | 70 / 8 | $41.515,10 | 1615 / 53 | $8.485,45 | 876 / 49 | $7.737,73 | 876 / 55 |
Renal Failure W Mcc | 134 | 62 / 5 | $40.173,10 | 1298 / 44 | $9.065,13 | 669 / 42 | $8.322,52 | 669 / 43 |
Renal Failure W Cc | 119 | 102 / 6 | $23.114,00 | 1282 / 46 | $6.098,02 | 953 / 54 | $5.137,17 | 945 / 59 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 117 | 19 / 3 | $49.797,00 | 1135 / 31 | $10.091,40 | 678 / 27 | $9.378,86 | 677 / 34 |
Heart Failure & Shock W Cc | 113 | 165 / 11 | $20.739,90 | 1264 / 47 | $6.158,34 | 1073 / 56 | $5.350,56 | 1071 / 60 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 112 | 163 / 7 | $19.020,90 | 1284 / 41 | $4.906,40 | 1155 / 53 | $3.859,99 | 1147 / 57 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 106 | 55 / 4 | $18.900,30 | 942 / 28 | $5.186,58 | 940 / 39 | $4.232,70 | 937 / 39 |
Simple Pneumonia & Pleurisy W Cc | 105 | 98 / 10 | $23.891,60 | 1535 / 50 | $6.051,14 | 1111 / 61 | $5.162,63 | 1107 / 68 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 103 | 85 / 9 | $47.644,20 | 1141 / 29 | $7.006,07 | 578 / 27 | $5.555,79 | 576 / 29 |
Kidney & Urinary Tract Infections W/O Mcc | 98 | 135 / 12 | $18.181,90 | 1369 / 53 | $4.933,93 | 1105 / 64 | $4.025,45 | 1097 / 67 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 89 | 93 / 11 | $32.953,40 | 1278 / 33 | $6.645,20 | 559 / 34 | $5.281,15 | 558 / 34 |
Hip & Femur Procedures Except Major Joint W Cc | 89 | 54 / 4 | $67.256,70 | 1493 / 39 | $11.405,20 | 315 / 32 | $9.763,78 | 314 / 28 |
G.I. Hemorrhage W Cc | 88 | 130 / 7 | $29.313,60 | 1522 / 43 | $6.280,45 | 804 / 46 | $5.182,30 | 802 / 47 |
Respiratory Infections & Inflammations W Mcc | 85 | 52 / 3 | $61.034,10 | 1289 / 40 | $11.269,50 | 623 / 30 | $10.726,90 | 615 / 36 |
Chronic Obstructive Pulmonary Disease W Mcc | 79 | 123 / 17 | $29.947,60 | 1475 / 52 | $7.175,20 | 1073 / 56 | $6.312,16 | 1068 / 60 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 77 | 25 / 5 | $151.188,00 | 832 / 20 | $18.931,40 | 225 / 11 | $17.366,90 | 224 / 16 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 77 | 130 / 11 | $29.166,00 | 1565 / 48 | $6.580,47 | 638 / 45 | $5.345,60 | 636 / 46 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 73 | 58 / 8 | $77.291,30 | 1273 / 35 | $13.303,80 | 420 / 27 | $12.234,60 | 415 / 26 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 73 | 95 / 8 | $55.439,10 | 1057 / 26 | $10.351,50 | 558 / 23 | $9.491,84 | 557 / 27 |
Syncope & Collapse | 69 | 100 / 4 | $24.018,00 | 1163 / 30 | $4.838,91 | 754 / 33 | $3.803,85 | 751 / 35 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 68 | 82 / 9 | $19.717,00 | 1379 / 37 | $3.900,88 | 1148 / 33 | $2.958,29 | 1143 / 40 |
Acute Myocardial Infarction, Discharged Alive W Cc | 67 | 25 / 3 | $37.102,70 | 967 / 26 | $6.599,79 | 496 / 23 | $5.460,49 | 495 / 25 |
Cellulitis W/O Mcc | 63 | 126 / 11 | $17.858,20 | 1227 / 44 | $5.300,27 | 1232 / 52 | $4.457,10 | 1226 / 59 |
G.I. Hemorrhage W Mcc | 61 | 60 / 5 | $54.561,20 | 1100 / 23 | $10.880,00 | 457 / 21 | $9.550,67 | 458 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 61 | 62 / 8 | $28.843,20 | 901 / 22 | $7.476,26 | 542 / 29 | $6.429,75 | 539 / 27 |
Medical Back Problems W/O Mcc | 59 | 62 / 3 | $25.165,40 | 834 / 24 | $5.487,90 | 585 / 23 | $4.371,58 | 583 / 26 |
Extracranial Procedures W/O Cc/Mcc | 57 | 41 / 3 | $26.300,10 | 314 / 15 | $7.834,96 | 281 / 23 | $5.169,86 | 281 / 15 |
Spinal Fusion Except Cervical W/O Mcc | 53 | 141 / 12 | $190.197,00 | 1248 / 29 | $26.111,40 | 332 / 21 | $20.774,80 | 331 / 21 |
Kidney & Urinary Tract Infections W Mcc | 53 | 91 / 10 | $26.124,90 | 984 / 35 | $6.953,34 | 947 / 45 | $6.307,00 | 944 / 48 |
Permanent Cardiac Pacemaker Implant W Cc | 50 | 27 / 2 | $101.297,00 | 778 / 16 | $16.538,60 | 123 / 11 | $13.502,20 | 123 / 9 |
Chronic Obstructive Pulmonary Disease W Cc | 47 | 132 / 20 | $21.457,30 | 1156 / 41 | $5.796,45 | 822 / 53 | $4.818,55 | 819 / 57 |
Transient Ischemia | 46 | 79 / 10 | $26.835,90 | 1047 / 23 | $4.721,17 | 633 / 22 | $3.506,57 | 629 / 26 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 45 | 79 / 9 | $151.558,00 | 1031 / 22 | $28.740,40 | 211 / 12 | $27.009,40 | 211 / 13 |
Chest Pain | 44 | 107 / 8 | $18.717,20 | 823 / 19 | $4.150,11 | 796 / 30 | $3.253,00 | 791 / 33 |
Other Vascular Procedures W Cc | 39 | 63 / 5 | $62.006,50 | 398 / 12 | $14.567,50 | 145 / 11 | $13.024,60 | 145 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 21 | $18.088,80 | 1336 / 51 | $4.688,00 | 920 / 59 | $3.592,81 | 917 / 55 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 37 | 65 / 9 | $23.055,20 | 787 / 19 | $5.087,38 | 379 / 21 | $3.480,08 | 376 / 21 |
Other Circulatory System Diagnoses W Mcc | 36 | 80 / 8 | $31.085,90 | 242 / 8 | $10.352,20 | 295 / 10 | $9.950,39 | 294 / 14 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 36 | 57 / 8 | $63.359,60 | 512 / 13 | $11.742,10 | 94 / 9 | $10.410,00 | 93 / 8 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 35 | 57 / 7 | $170.521,00 | 636 / 18 | $32.554,60 | 212 / 7 | $31.936,50 | 212 / 11 |
G.I. Obstruction W Cc | 35 | 57 / 8 | $19.695,70 | 629 / 18 | $5.669,11 | 716 / 29 | $4.719,97 | 715 / 30 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 35 | 53 / 6 | $128.823,00 | 400 / 16 | $22.277,60 | 79 / 10 | $18.446,30 | 79 / 6 |
Other Vascular Procedures W Mcc | 34 | 63 / 7 | $61.583,30 | 172 / 6 | $17.537,00 | 82 / 6 | $16.765,70 | 82 / 6 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 34 | 37 / 7 | $154.869,00 | 585 / 21 | $29.052,40 | 100 / 13 | $26.463,90 | 100 / 12 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 34 | 90 / 5 | $15.691,60 | 365 / 7 | $4.606,41 | 248 / 6 | $3.653,00 | 248 / 7 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 33 | 22 / 3 | $69.767,70 | 428 / 14 | $11.647,50 | 75 / 8 | $9.647,64 | 75 / 8 |
Hip & Femur Procedures Except Major Joint W Mcc | 33 | 29 / 5 | $81.607,10 | 549 / 19 | $17.238,10 | 62 / 16 | $14.860,70 | 62 / 10 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 33 | 30 / 5 | $138.671,00 | 436 / 14 | $25.606,30 | 80 / 4 | $24.756,40 | 80 / 7 |
Major Cardiovasc Procedures W/O Mcc | 32 | 69 / 13 | $131.237,00 | 797 / 25 | $22.904,50 | 114 / 21 | $17.077,70 | 114 / 13 |
Red Blood Cell Disorders W/O Mcc | 32 | 111 / 12 | $19.296,20 | 834 / 22 | $5.197,59 | 857 / 37 | $4.366,59 | 852 / 38 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 32 | 30 / 2 | $16.778,50 | 253 / 9 | $4.762,06 | 191 / 8 | $3.578,75 | 191 / 7 |
Poisoning & Toxic Effects Of Drugs W Mcc | 31 | 41 / 10 | $32.089,70 | 393 / 21 | $8.441,61 | 256 / 22 | $7.507,45 | 255 / 24 |
Atherosclerosis W/O Mcc | 31 | 27 / 2 | $20.719,30 | 327 / 8 | $4.349,26 | / | $3.221,84 | / |
Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 13 | $17.074,30 | 1066 / 28 | $4.498,70 | 1313 / 42 | $4.104,57 | 1303 / 45 |
Major Cardiovasc Procedures W Mcc | 30 | 38 / 4 | $160.705,00 | 387 / 14 | $30.352,20 | 98 / 4 | $27.855,10 | 98 / 7 |
Seizures W/O Mcc | 30 | 78 / 7 | $18.956,10 | 496 / 12 | $4.950,47 | 482 / 12 | $4.025,67 | 480 / 17 |
Diabetes W Cc | 29 | 63 / 8 | $25.130,30 | 1000 / 28 | $5.382,79 | 576 / 27 | $4.362,41 | 576 / 24 |
Peripheral Vascular Disorders W Cc | 29 | 55 / 6 | $23.012,10 | 540 / 8 | $5.894,86 | 400 / 10 | $5.104,79 | 398 / 15 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 15 | $16.078,00 | 836 / 26 | $4.601,32 | 873 / 43 | $3.565,89 | 869 / 43 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 28 | 68 / 10 | $33.223,80 | 750 / 19 | $7.254,71 | 428 / 15 | $6.477,57 | 426 / 18 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 28 | 37 / 8 | $124.729,00 | 761 / 28 | $19.440,70 | 441 / 20 | $18.669,20 | 439 / 24 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 15 | $29.542,10 | 945 / 28 | $6.972,48 | 659 / 28 | $6.320,63 | 656 / 30 |
Organic Disturbances & Mental Retardation | 27 | 32 / 2 | $28.576,30 | 327 / 10 | $6.241,15 | 141 / 8 | $5.301,30 | 141 / 7 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 27 | 68 / 7 | $89.720,50 | 407 / 12 | $12.097,60 | 65 / 6 | $9.715,63 | 64 / 4 |
G.I. Obstruction W Mcc | 26 | 16 / 4 | $37.890,90 | 221 / 6 | $9.250,65 | 134 / 6 | $8.716,50 | 134 / 6 |
Angina Pectoris | 25 | 4 / 1 | $15.775,60 | 18 / 1 | $4.020,60 | 29 / 1 | $3.084,48 | 29 / 1 |
Permanent Cardiac Pacemaker Implant W Mcc | 25 | 27 / 4 | $135.351,00 | 474 / 15 | $20.633,40 | 124 / 7 | $19.761,70 | 124 / 8 |
Other Digestive System Diagnoses W Cc | 25 | 72 / 11 | $23.298,20 | 579 / 17 | $5.988,40 | 422 / 18 | $5.068,08 | 419 / 17 |
Other Disorders Of Nervous System W Mcc | 24 | 16 / 2 | $37.035,00 | 120 / 7 | $9.199,79 | 69 / 6 | $8.410,46 | 69 / 6 |
Major Small & Large Bowel Procedures W Mcc | 24 | 61 / 12 | $142.457,00 | 753 / 21 | $28.036,00 | 231 / 12 | $26.712,60 | 229 / 13 |
Pulmonary Embolism W/O Mcc | 24 | 50 / 10 | $26.206,00 | 699 / 16 | $5.924,58 | 270 / 17 | $4.740,58 | 270 / 14 |
Seizures W Mcc | 23 | 43 / 9 | $33.669,90 | 236 / 9 | $8.862,22 | 160 / 10 | $8.126,22 | 160 / 12 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 23 | 43 / 5 | $30.885,70 | 258 / 8 | $6.714,65 | 140 / 5 | $5.820,04 | 140 / 6 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 23 | 28 / 3 | $54.644,40 | 173 / 4 | $11.204,50 | 46 / 2 | $10.360,00 | 46 / 2 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 23 | 47 / 4 | $22.618,50 | 242 / 5 | $5.818,30 | 127 / 6 | $4.946,17 | 127 / 7 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 23 | 41 / 8 | $239.443,00 | 225 / 12 | $53.957,90 | 35 / 7 | $47.660,90 | 35 / 5 |
Hypertension W/O Mcc | 22 | 43 / 4 | $18.641,00 | 362 / 12 | $4.248,36 | 382 / 16 | $3.371,27 | 380 / 19 |
Major Small & Large Bowel Procedures W Cc | 22 | 86 / 15 | $78.681,80 | 989 / 24 | $14.072,20 | 390 / 13 | $13.190,80 | 387 / 21 |
Coronary Bypass W Cardiac Cath W Mcc | 22 | 34 / 6 | $215.618,00 | 265 / 15 | $39.859,90 | 114 / 5 | $38.878,00 | 114 / 5 |
Coronary Bypass W Cardiac Cath W/O Mcc | 22 | 54 / 11 | $166.409,00 | 412 / 17 | $26.368,60 | 216 / 4 | $25.264,60 | 216 / 12 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 21 | 68 / 8 | $38.682,30 | 445 / 17 | $7.605,81 | 251 / 14 | $5.427,71 | 251 / 12 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 21 | 55 / 5 | $32.801,10 | 135 / 4 | $10.458,50 | 88 / 8 | $9.782,67 | 88 / 9 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 21 | 35 / 7 | $55.860,70 | 532 / 21 | $9.692,38 | 319 / 13 | $8.715,62 | 319 / 20 |
Pulmonary Embolism W Mcc | 21 | 22 / 5 | $59.023,00 | 483 / 16 | $9.086,19 | 134 / 11 | $7.894,48 | 134 / 11 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 21 | 32 / 7 | $37.513,50 | 696 / 20 | $5.363,29 | 468 / 18 | $4.202,90 | 465 / 18 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 20 | 46 / 6 | $60.311,60 | 353 / 12 | $10.880,90 | 87 / 6 | $9.263,90 | 87 / 7 |
Respiratory Infections & Inflammations W Cc | 20 | 68 / 17 | $34.203,90 | 826 / 24 | $7.985,30 | 492 / 23 | $7.321,30 | 489 / 26 |
Other Disorders Of Nervous System W Cc | 20 | 36 / 7 | $22.121,80 | 213 / 11 | $5.587,30 | 201 / 11 | $4.864,10 | 201 / 14 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 10 | $33.999,60 | 498 / 12 | $8.845,80 | 202 / 11 | $7.994,60 | 202 / 15 |
Cellulitis W Mcc | 20 | 38 / 7 | $28.086,00 | 332 / 13 | $8.141,15 | 142 / 9 | $7.208,75 | 142 / 9 |
Depressive Neuroses | 20 | 30 / 3 | $11.274,50 | 65 / 2 | $4.424,05 | 69 / 3 | $3.817,65 | 69 / 3 |
Nonspecific Cerebrovascular Disorders W Cc | 20 | 36 / 9 | $24.349,30 | 211 / 14 | $6.104,15 | 188 / 14 | $5.376,15 | 188 / 16 |
Other Resp System O.R. Procedures W Mcc | 19 | 44 / 7 | $96.278,70 | 325 / 17 | $19.789,60 | 108 / 8 | $19.277,60 | 108 / 11 |
Fractures Of Hip & Pelvis W/O Mcc | 19 | 42 / 5 | $17.667,40 | 421 / 20 | $4.535,53 | 323 / 19 | $3.519,95 | 324 / 19 |
Red Blood Cell Disorders W Mcc | 19 | 52 / 7 | $29.056,10 | 431 / 12 | $7.558,00 | 356 / 16 | $6.990,42 | 354 / 17 |
Postoperative & Post-Traumatic Infections W/O Mcc | 19 | 35 / 5 | $24.977,50 | 208 / 10 | $6.216,63 | 120 / 7 | $5.388,16 | 120 / 8 |
Disorders Of Pancreas Except Malignancy W Cc | 18 | 43 / 10 | $26.282,50 | 519 / 18 | $5.883,61 | 388 / 16 | $4.993,67 | 387 / 18 |
Disorders Of The Biliary Tract W Cc | 18 | 36 / 5 | $42.215,50 | 342 / 10 | $6.505,72 | 124 / 8 | $5.703,94 | 124 / 9 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 6 | $23.790,70 | 615 / 15 | $4.543,28 | 185 / 13 | $3.095,39 | 184 / 12 |
Respiratory Neoplasms W Mcc | 17 | 35 / 7 | $53.635,00 | 416 / 14 | $9.944,41 | 162 / 9 | $9.232,88 | 162 / 9 |
Major Chest Procedures W Cc | 17 | 57 / 8 | $81.251,70 | 331 / 12 | $14.706,90 | 142 / 5 | $13.852,30 | 142 / 9 |
Peripheral Vascular Disorders W Mcc | 17 | 32 / 4 | $43.648,20 | 374 / 12 | $8.103,71 | 76 / 3 | $6.847,71 | 76 / 3 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 17 | 40 / 9 | $103.050,00 | 668 / 18 | $12.525,80 | 269 / 8 | $11.740,90 | 268 / 13 |
Other Kidney & Urinary Tract Diagnoses W Cc | 17 | 86 / 9 | $21.230,30 | 281 / 7 | $6.156,12 | 211 / 10 | $5.233,76 | 211 / 8 |
Other Digestive System Diagnoses W Mcc | 16 | 46 / 6 | $31.778,80 | 189 / 7 | $9.698,50 | 155 / 7 | $9.149,50 | 155 / 9 |
Renal Failure W/O Cc/Mcc | 16 | 40 / 6 | $19.839,60 | 554 / 21 | $4.265,25 | 331 / 17 | $3.195,38 | 330 / 18 |
Diabetes W Mcc | 16 | 41 / 6 | $30.196,70 | 283 / 10 | $8.008,81 | 98 / 8 | $7.005,12 | 98 / 7 |
Extracranial Procedures W Cc | 16 | 30 / 6 | $39.357,40 | 154 / 6 | $9.734,31 | 86 / 5 | $8.043,56 | 86 / 5 |
Signs & Symptoms W/O Mcc | 16 | 75 / 15 | $16.232,60 | 422 / 17 | $4.622,88 | 649 / 23 | $3.942,88 | 648 / 27 |
Other Kidney & Urinary Tract Procedures W Mcc | 16 | 22 / 4 | $92.750,20 | 132 / 6 | $18.037,20 | 45 / 1 | $17.583,20 | 45 / 3 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 15 | 38 / 7 | $33.743,70 | 257 / 9 | $7.419,20 | 55 / 6 | $5.890,00 | 55 / 4 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 15 | 31 / 2 | $21.650,00 | 182 / 4 | $4.618,07 | 205 / 3 | $3.732,73 | 204 / 4 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 15 | 76 / 8 | $54.744,30 | 334 / 10 | $6.806,80 | 69 / 2 | $6.324,67 | 69 / 4 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 15 | 29 / 6 | $83.947,10 | 249 / 7 | $16.184,10 | 8 / 3 | $12.899,90 | 8 / 1 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 15 | 39 / 8 | $15.990,10 | 88 / 3 | $4.842,67 | 113 / 3 | $3.788,80 | 113 / 5 |
Nonspecific Cerebrovascular Disorders W Mcc | 15 | 36 / 10 | $46.838,70 | 241 / 15 | $9.689,00 | 88 / 12 | $8.805,87 | 88 / 12 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 14 | $45.124,50 | 498 / 18 | $9.434,07 | 276 / 15 | $8.388,73 | 275 / 16 |
Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 15 | 17 / 2 | $48.925,00 | 38 / 4 | $11.576,40 | 7 / 3 | $10.610,00 | 7 / 2 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 15 | 66 / 8 | $379.920,00 | 157 / 11 | $86.930,30 | 66 / 4 | $85.963,90 | 66 / 6 |
Other Vascular Procedures W/O Cc/Mcc | 15 | 41 / 10 | $39.979,10 | 178 / 9 | $9.940,07 | 187 / 7 | $9.059,00 | 186 / 12 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 35 | $15.967,60 | 903 / 32 | $4.743,50 | 1147 / 53 | $3.881,79 | 1138 / 58 |
Peripheral Vascular Disorders W/O Cc/Mcc | 14 | 31 / 6 | $14.439,60 | 119 / 4 | $4.786,86 | 109 / 5 | $3.290,86 | 109 / 3 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 10 | $52.120,80 | 440 / 8 | $12.202,60 | 9 / 8 | $8.539,14 | 9 / 2 |
Medical Back Problems W Mcc | 14 | 25 / 5 | $32.123,30 | 84 / 4 | $7.979,79 | 12 / 2 | $7.289,50 | 12 / 3 |
Complications Of Treatment W Cc | 14 | 38 / 7 | $19.284,30 | 81 / 2 | $6.137,43 | 97 / 3 | $5.442,57 | 97 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 15 | $21.091,10 | 323 / 13 | $7.206,29 | 237 / 21 | $5.982,29 | 236 / 17 |
Disorders Of The Biliary Tract W Mcc | 14 | 25 / 5 | $41.276,30 | 112 / 4 | $9.218,71 | 32 / 3 | $8.533,00 | 32 / 3 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 13 | 34 / 7 | $53.124,70 | 350 / 16 | $9.024,77 | 160 / 8 | $7.613,69 | 160 / 13 |
Coronary Bypass W/O Cardiac Cath W Mcc | 13 | 46 / 8 | $176.432,00 | 149 / 8 | $35.444,90 | 14 / 7 | $27.741,20 | 14 / 2 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 11 | $19.982,80 | 218 / 5 | $5.699,77 | 72 / 8 | $4.080,08 | 72 / 3 |
Complications Of Treatment W Mcc | 12 | 39 / 7 | $47.997,20 | 164 / 4 | $10.037,20 | 47 / 2 | $9.431,83 | 47 / 3 |
Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 11 | $144.397,00 | 604 / 17 | $18.369,20 | 133 / 3 | $17.355,90 | 133 / 9 |
Nervous System Neoplasms W Mcc | 12 | 36 / 8 | $33.773,40 | 122 / 7 | $10.745,00 | 6 / 8 | $5.707,25 | 6 / 2 |
Acute Myocardial Infarction, Expired W Mcc | 12 | 18 / 5 | $42.527,60 | 77 / 3 | $17.031,80 | 8 / 8 | $8.339,92 | 8 / 1 |
Other Circulatory System O.R. Procedures | 12 | 43 / 8 | $63.977,30 | 182 / 6 | $15.257,80 | 74 / 4 | $14.548,40 | 74 / 4 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 12 | 38 / 7 | $183.176,00 | 190 / 7 | $30.108,80 | 36 / 1 | $28.900,80 | 36 / 3 |
Transurethral Procedures W Cc | 12 | 29 / 5 | $36.390,20 | 191 / 5 | $7.672,50 | 122 / 6 | $6.765,83 | 122 / 6 |
Pancreas, Liver & Shunt Procedures W Mcc | 12 | 31 / 3 | $250.482,00 | 93 / 3 | $35.544,80 | 21 / 1 | $34.736,90 | 21 / 2 |
Postoperative & Post-Traumatic Infections W Mcc | 11 | 32 / 6 | $50.962,60 | 118 / 4 | $10.725,60 | 41 / 4 | $10.091,50 | 41 / 4 |
Fractures Of Hip & Pelvis W Mcc | 11 | 10 / 2 | $35.802,60 | 42 / 2 | $7.820,64 | 14 / 1 | $6.834,45 | 14 / 1 |
Other Respiratory System Diagnoses W/O Mcc | 11 | 35 / 4 | $20.555,50 | 119 / 3 | $5.155,00 | 125 / 4 | $4.497,55 | 125 / 4 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 16 | $19.431,70 | 358 / 12 | $5.565,09 | 408 / 14 | $4.576,00 | 404 / 17 | Total 148 procedures | 6.497 | 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.