Hospital Costs > In New York > Kaleida Health, 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 | 481 | 134 / 6 | $36.716,80 | 570 / 45 | $17.773,90 | 2013 / 76 | $13.668,70 | 1971 / 60 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 416 | 125 / 15 | $37.515,90 | 1184 / 63 | $16.975,60 | 2413 / 94 | $14.354,20 | 2370 / 90 |
Heart Failure & Shock W Mcc | 211 | 77 / 6 | $23.896,50 | 655 / 37 | $13.222,30 | 2199 / 79 | $11.250,80 | 2189 / 76 |
Heart Failure & Shock W Cc | 177 | 102 / 13 | $15.529,90 | 633 / 40 | $9.223,33 | 2356 / 87 | $7.573,36 | 2350 / 83 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 161 | 31 / 3 | $19.071,30 | 416 / 24 | $9.685,09 | 1756 / 60 | $7.970,72 | 1752 / 61 |
G.I. Hemorrhage W Cc | 147 | 72 / 8 | $17.067,40 | 487 / 34 | $9.097,62 | 2067 / 79 | $7.601,82 | 2063 / 75 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 145 | 36 / 2 | $35.209,30 | 531 / 23 | $15.497,50 | 1338 / 45 | $13.347,40 | 1332 / 44 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 141 | 134 / 20 | $12.289,70 | 428 / 31 | $7.320,96 | 2384 / 86 | $5.852,67 | 2369 / 87 |
Renal Failure W Mcc | 138 | 58 / 4 | $25.942,60 | 516 / 24 | $13.355,80 | 1761 / 52 | $11.488,70 | 1758 / 49 |
Renal Failure W Cc | 127 | 94 / 8 | $16.930,50 | 665 / 35 | $9.202,09 | 2053 / 75 | $7.260,99 | 2043 / 71 |
Chronic Obstructive Pulmonary Disease W Mcc | 115 | 87 / 11 | $20.685,50 | 778 / 40 | $10.419,90 | 2177 / 79 | $8.689,31 | 2169 / 77 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 115 | 92 / 17 | $18.365,50 | 624 / 41 | $9.873,89 | 2200 / 86 | $8.015,46 | 2191 / 81 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 114 | 82 / 11 | $27.358,60 | 26 / 3 | $17.257,00 | 1162 / 24 | $13.615,80 | 1155 / 24 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 111 | 23 / 3 | $27.297,50 | 342 / 23 | $14.577,20 | 1500 / 60 | $12.909,50 | 1488 / 58 |
Kidney & Urinary Tract Infections W/O Mcc | 106 | 127 / 24 | $12.779,50 | 619 / 36 | $7.430,70 | 2380 / 87 | $6.076,00 | 2369 / 85 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 104 | 57 / 7 | $13.840,50 | 402 / 29 | $7.723,39 | 1893 / 70 | $6.225,69 | 1888 / 72 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 104 | 84 / 10 | $13.948,80 | 26 / 1 | $10.029,60 | 1354 / 34 | $7.810,92 | 1351 / 31 |
Cellulitis W/O Mcc | 101 | 88 / 22 | $14.688,50 | 820 / 50 | $8.179,42 | 2253 / 91 | $6.342,98 | 2245 / 85 |
Pulmonary Edema & Respiratory Failure | 100 | 103 / 6 | $24.873,40 | 723 / 38 | $10.951,30 | 1860 / 70 | $9.168,75 | 1855 / 66 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 99 | 9 / 2 | $17.095,60 | 375 / 19 | $7.633,61 | 1382 / 50 | $5.679,53 | 1378 / 48 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 97 | 69 / 18 | $14.042,90 | 840 / 46 | $7.068,27 | 2240 / 89 | $5.756,54 | 2232 / 89 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 90 | 61 / 10 | $9.416,76 | 287 / 21 | $5.898,57 | 1769 / 73 | $4.399,29 | 1763 / 75 |
Simple Pneumonia & Pleurisy W Cc | 86 | 117 / 21 | $13.464,60 | 393 / 33 | $8.938,73 | 2456 / 94 | $7.473,94 | 2447 / 91 |
Simple Pneumonia & Pleurisy W Mcc | 85 | 120 / 18 | $21.176,80 | 456 / 31 | $12.555,40 | 2147 / 77 | $10.910,00 | 2142 / 75 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 80 | 43 / 6 | $20.781,00 | 377 / 23 | $10.843,00 | 1656 / 59 | $9.627,83 | 1653 / 62 |
Spinal Fusion Except Cervical W/O Mcc | 77 | 117 / 7 | $65.893,80 | 304 / 23 | $32.333,90 | 890 / 33 | $24.933,00 | 885 / 23 |
Red Blood Cell Disorders W/O Mcc | 76 | 67 / 13 | $14.573,50 | 409 / 24 | $7.812,26 | 1736 / 66 | $6.530,04 | 1727 / 68 |
Chronic Obstructive Pulmonary Disease W Cc | 76 | 103 / 18 | $15.313,70 | 543 / 40 | $8.597,37 | 2125 / 81 | $7.226,39 | 2118 / 80 |
Acute Myocardial Infarction, Discharged Alive W Cc | 73 | 20 / 2 | $18.803,20 | 246 / 24 | $9.755,63 | 1239 / 56 | $8.039,41 | 1237 / 51 |
Respiratory Infections & Inflammations W Mcc | 69 | 67 / 8 | $24.425,70 | 212 / 14 | $15.507,20 | 1432 / 45 | $13.835,10 | 1417 / 38 |
Syncope & Collapse | 64 | 105 / 39 | $12.975,90 | 266 / 22 | $7.128,75 | 1646 / 62 | $5.752,67 | 1638 / 64 |
G.I. Hemorrhage W Mcc | 58 | 63 / 11 | $29.769,40 | 320 / 15 | $14.982,90 | 1385 / 46 | $13.709,00 | 1375 / 47 |
Heart Failure & Shock W/O Cc/Mcc | 58 | 52 / 13 | $12.098,10 | 484 / 36 | $6.785,67 | 1826 / 73 | $5.755,10 | 1813 / 76 |
Other Circulatory System Diagnoses W Mcc | 57 | 59 / 8 | $44.766,60 | 621 / 31 | $17.713,30 | 1125 / 42 | $14.787,40 | 1117 / 34 |
G.I. Obstruction W Cc | 57 | 35 / 3 | $14.930,50 | 284 / 20 | $8.540,47 | 1500 / 62 | $6.738,19 | 1495 / 58 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 56 | 68 / 15 | $114.996,00 | 684 / 44 | $47.107,40 | 1299 / 52 | $41.776,20 | 1289 / 48 |
Seizures W/O Mcc | 56 | 52 / 15 | $15.369,90 | 281 / 24 | $7.419,41 | 1044 / 52 | $5.843,50 | 1042 / 48 |
Other Vascular Procedures W Cc | 55 | 48 / 9 | $42.066,20 | 112 / 9 | $20.391,40 | 919 / 21 | $19.073,70 | 914 / 24 |
Chest Pain | 54 | 97 / 27 | $10.864,80 | 183 / 11 | $6.170,93 | 1445 / 49 | $4.945,80 | 1437 / 52 |
Hip & Femur Procedures Except Major Joint W Cc | 54 | 89 / 18 | $30.715,70 | 247 / 25 | $15.935,60 | 1700 / 62 | $14.024,80 | 1681 / 60 |
Transient Ischemia | 53 | 72 / 17 | $17.215,50 | 431 / 32 | $6.961,45 | 1470 / 61 | $5.602,74 | 1462 / 65 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 53 | 78 / 7 | $51.721,60 | 670 / 48 | $20.736,00 | 1587 / 56 | $18.729,40 | 1573 / 54 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 51 | 67 / 9 | $105.498,00 | 94 / 6 | $39.063,70 | 363 / 8 | $35.794,50 | 363 / 10 |
Seizures W Mcc | 49 | 17 / 2 | $33.906,40 | 244 / 5 | $14.576,90 | 628 / 16 | $12.848,00 | 628 / 16 |
Other Vascular Procedures W Mcc | 48 | 49 / 9 | $65.079,50 | 210 / 17 | $28.313,60 | 835 / 22 | $26.456,00 | 832 / 25 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 48 | 78 / 17 | $24.966,00 | 702 / 26 | $10.639,50 | 1482 / 48 | $9.309,48 | 1479 / 49 |
Major Cardiovasc Procedures W/O Mcc | 47 | 54 / 9 | $65.487,80 | 195 / 12 | $26.764,70 | 764 / 20 | $23.895,50 | 763 / 21 |
Cervical Spinal Fusion W/O Cc/Mcc | 45 | 59 / 6 | $41.399,50 | 221 / 12 | $17.743,50 | 617 / 12 | $13.799,20 | 614 / 11 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 45 | 47 / 16 | $136.350,00 | 430 / 45 | $53.759,60 | 937 / 43 | $48.833,20 | 936 / 42 |
Diabetes W Cc | 44 | 48 / 10 | $18.259,80 | 580 / 31 | $8.353,00 | 1287 / 53 | $6.113,45 | 1282 / 48 |
Kidney & Urinary Tract Infections W Mcc | 43 | 101 / 23 | $14.687,40 | 227 / 11 | $9.614,81 | 1672 / 51 | $8.467,05 | 1668 / 52 |
Major Small & Large Bowel Procedures W Cc | 42 | 66 / 13 | $57.730,20 | 582 / 34 | $21.465,00 | 1285 / 50 | $18.542,80 | 1271 / 50 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 41 | 59 / 10 | $46.616,90 | 23 / 2 | $25.437,40 | 811 / 13 | $23.970,80 | 806 / 16 |
Major Small & Large Bowel Procedures W Mcc | 41 | 44 / 8 | $109.624,00 | 474 / 24 | $46.096,10 | 896 / 37 | $35.401,20 | 894 / 21 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 40 | 58 / 7 | $97.343,10 | 178 / 8 | $38.248,30 | 417 / 8 | $35.065,50 | 417 / 12 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 40 | 35 / 3 | $39.805,80 | 25 / 3 | $17.590,20 | 185 / 3 | $16.163,70 | 184 / 5 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 40 | 48 / 4 | $85.043,80 | 162 / 9 | $30.214,00 | 446 / 8 | $25.130,10 | 445 / 10 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 39 | 54 / 15 | $9.215,03 | 162 / 14 | $6.838,69 | 1702 / 65 | $5.165,72 | 1694 / 61 |
Signs & Symptoms W/O Mcc | 37 | 54 / 17 | $14.371,60 | 295 / 17 | $6.991,65 | 1128 / 42 | $5.660,46 | 1125 / 44 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 36 | 60 / 12 | $18.066,70 | 142 / 12 | $10.602,20 | 1142 / 37 | $8.906,22 | 1137 / 39 |
Pulmonary Embolism W/O Mcc | 34 | 40 / 6 | $14.185,60 | 121 / 10 | $8.738,76 | 1064 / 36 | $6.929,18 | 1061 / 32 |
Cellulitis W Mcc | 34 | 24 / 6 | $24.160,50 | 216 / 13 | $12.497,40 | 797 / 31 | $10.969,00 | 795 / 31 |
Renal Failure W/O Cc/Mcc | 34 | 22 / 3 | $10.208,40 | 127 / 4 | $6.339,12 | 775 / 21 | $5.130,09 | 773 / 26 |
Respiratory Infections & Inflammations W Cc | 34 | 54 / 14 | $26.189,20 | 523 / 27 | $12.497,20 | 1264 / 53 | $10.145,30 | 1259 / 50 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 34 | 29 / 4 | $89.116,10 | 148 / 10 | $38.590,70 | 502 / 16 | $33.363,60 | 502 / 15 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 22 | $10.924,20 | 347 / 29 | $6.991,76 | 1883 / 77 | $5.778,12 | 1872 / 79 |
Peripheral Vascular Disorders W Cc | 33 | 51 / 18 | $17.286,50 | 282 / 14 | $8.745,33 | 1022 / 38 | $7.374,76 | 1019 / 35 |
Medical Back Problems W/O Mcc | 32 | 89 / 32 | $15.264,90 | 241 / 20 | $8.060,19 | 1286 / 52 | $6.544,84 | 1282 / 53 |
G.I. Obstruction W/O Cc/Mcc | 32 | 39 / 9 | $9.458,84 | 112 / 10 | $6.365,16 | 1183 / 52 | $4.753,19 | 1180 / 59 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 32 | 61 / 10 | $27.233,70 | 34 / 3 | $17.242,60 | 705 / 17 | $15.462,00 | 698 / 17 |
Revision Of Hip Or Knee Replacement W Cc | 31 | 55 / 3 | $70.564,30 | 221 / 11 | $26.235,30 | 530 / 10 | $23.862,50 | 528 / 12 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 31 | 22 / 4 | $12.578,60 | 82 / 6 | $7.295,23 | 772 / 34 | $6.023,42 | 768 / 37 |
Acute Myocardial Infarction, Expired W Mcc | 30 | 2 / 2 | $52.931,50 | 116 / 6 | $19.243,20 | 179 / 10 | $16.635,40 | 179 / 10 |
O.R. Procedures For Obesity W/O Cc/Mcc | 28 | 49 / 8 | $27.941,90 | 61 / 11 | $13.963,50 | 259 / 18 | $9.588,46 | 259 / 13 |
Permanent Cardiac Pacemaker Implant W Cc | 28 | 49 / 13 | $48.895,30 | 205 / 12 | $21.412,90 | 820 / 21 | $20.048,40 | 816 / 25 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 28 | 37 / 5 | $53.642,90 | 165 / 5 | $27.191,40 | 634 / 22 | $21.079,10 | 631 / 12 |
Disorders Of The Biliary Tract W Cc | 27 | 27 / 8 | $19.359,90 | 61 / 4 | $9.578,85 | 387 / 15 | $8.258,93 | 387 / 15 |
Diabetes W Mcc | 27 | 30 / 7 | $30.569,40 | 291 / 11 | $13.481,30 | 644 / 20 | $11.475,40 | 643 / 19 |
Nonspecific Cerebrovascular Disorders W Mcc | 27 | 24 / 1 | $22.083,10 | 41 / 1 | $13.467,40 | 316 / 2 | $12.212,40 | 316 / 2 |
Other Digestive System Diagnoses W Cc | 27 | 70 / 22 | $16.241,40 | 201 / 12 | $9.297,00 | 1177 / 42 | $7.281,48 | 1173 / 40 |
Poisoning & Toxic Effects Of Drugs W Mcc | 27 | 45 / 3 | $32.367,10 | 401 / 11 | $14.429,60 | 857 / 19 | $11.909,60 | 854 / 19 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 26 | 90 / 16 | $165.712,00 | 133 / 6 | $60.175,70 | 287 / 5 | $54.536,70 | 287 / 5 |
Nervous System Neoplasms W Mcc | 26 | 22 / 5 | $24.274,60 | 40 / 3 | $11.888,50 | 222 / 6 | $10.164,20 | 222 / 6 |
Degenerative Nervous System Disorders W/O Mcc | 26 | 52 / 22 | $26.676,60 | 429 / 24 | $9.879,81 | 743 / 38 | $8.399,54 | 743 / 42 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 26 | 69 / 17 | $23.126,70 | 8 / 1 | $15.885,00 | 471 / 11 | $14.577,40 | 467 / 14 |
Nonspecific Cva & Precerebral Occlusion W/O Infarct W/O Mcc | 26 | 2 / 1 | $17.856,00 | 8 / 3 | $7.801,08 | 46 / 3 | $6.648,42 | 46 / 3 |
Coronary Bypass W Cardiac Cath W/O Mcc | 26 | 50 / 9 | $102.268,00 | 135 / 7 | $35.043,20 | 511 / 11 | $32.957,20 | 511 / 15 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 25 | 76 / 24 | $28.321,00 | 341 / 15 | $13.537,10 | 905 / 33 | $12.195,00 | 901 / 36 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 25 | 41 / 6 | $53.432,80 | 298 / 11 | $16.663,60 | 502 / 10 | $15.100,00 | 498 / 12 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 24 | 32 / 7 | $27.628,70 | 142 / 6 | $13.805,40 | 763 / 23 | $11.538,00 | 760 / 20 |
Other Vascular Procedures W/O Cc/Mcc | 24 | 32 / 10 | $39.138,40 | 164 / 12 | $16.308,90 | 440 / 17 | $12.132,70 | 439 / 12 |
G.I. Hemorrhage W/O Cc/Mcc | 24 | 44 / 16 | $11.346,10 | 148 / 7 | $6.852,04 | 863 / 35 | $5.487,96 | 859 / 37 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc | 24 | 4 / 1 | $51.981,30 | 3 / 1 | $21.549,20 | 33 / 1 | $19.936,30 | 33 / 1 |
Disorders Of Pancreas Except Malignancy W Cc | 23 | 38 / 9 | $15.918,70 | 148 / 5 | $8.530,57 | 807 / 24 | $6.951,39 | 804 / 26 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 23 | 53 / 8 | $36.715,30 | 177 / 4 | $17.446,30 | 380 / 7 | $13.710,90 | 380 / 6 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 23 | 41 / 9 | $29.772,30 | 133 / 8 | $14.239,80 | 627 / 21 | $11.681,70 | 627 / 19 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 23 | 50 / 13 | $13.659,20 | 83 / 2 | $9.921,13 | 824 / 31 | $7.944,13 | 822 / 22 |
Other Digestive System Diagnoses W Mcc | 22 | 40 / 14 | $36.988,50 | 275 / 16 | $18.691,90 | 659 / 35 | $14.460,10 | 658 / 27 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 22 | 34 / 5 | $34.506,50 | 161 / 7 | $13.844,50 | 784 / 23 | $12.391,20 | 780 / 29 |
Major Cardiovasc Procedures W Mcc | 22 | 46 / 13 | $136.063,00 | 290 / 10 | $48.542,50 | 549 / 12 | $44.443,10 | 548 / 14 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 22 | 35 / 15 | $32.835,00 | 65 / 6 | $17.557,10 | 589 / 15 | $15.213,10 | 588 / 17 |
Extracranial Procedures W/O Cc/Mcc | 22 | 76 / 16 | $29.361,20 | 423 / 26 | $10.267,70 | 745 / 28 | $6.934,82 | 742 / 20 |
Other Kidney & Urinary Tract Diagnoses W Cc | 22 | 81 / 20 | $13.566,20 | 77 / 4 | $8.831,68 | 645 / 20 | $7.335,00 | 645 / 22 |
Permanent Cardiac Pacemaker Implant W Mcc | 22 | 30 / 6 | $67.568,60 | 128 / 8 | $34.937,30 | 498 / 21 | $27.478,50 | 498 / 15 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 21 | 45 / 9 | $19.898,60 | 76 / 5 | $9.612,10 | 402 / 10 | $8.199,43 | 401 / 13 |
Red Blood Cell Disorders W Mcc | 21 | 50 / 19 | $26.161,10 | 349 / 20 | $11.949,10 | 941 / 35 | $10.344,60 | 937 / 37 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 21 | 50 / 18 | $114.870,00 | 345 / 26 | $46.700,70 | 802 / 34 | $40.598,60 | 801 / 29 |
Pulmonary Embolism W Mcc | 21 | 22 / 2 | $26.103,30 | 110 / 5 | $12.642,00 | 503 / 10 | $11.468,70 | 502 / 9 |
Other Circulatory System Diagnoses W Cc | 21 | 45 / 11 | $17.178,50 | 127 / 3 | $9.118,48 | 518 / 15 | $7.005,14 | 517 / 15 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 21 | 29 / 7 | $92.161,30 | 33 / 6 | $40.886,10 | 177 / 4 | $39.723,50 | 177 / 6 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 20 | 44 / 16 | $321.722,00 | 356 / 31 | $123.823,00 | 538 / 36 | $110.735,00 | 537 / 35 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 20 | 69 / 13 | $24.936,30 | 192 / 10 | $9.956,30 | 561 / 14 | $7.016,25 | 560 / 13 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 20 | 61 / 14 | $440.574,00 | 221 / 13 | $172.474,00 | 388 / 15 | $159.342,00 | 387 / 19 |
Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 20 | 8 / 2 | $33.269,60 | 19 / 2 | $13.253,70 | 61 / 3 | $10.625,80 | 61 / 4 |
Hip & Femur Procedures Except Major Joint W Mcc | 20 | 42 / 11 | $40.480,00 | 59 / 5 | $23.029,30 | 755 / 18 | $21.387,90 | 752 / 19 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 20 | 22 / 3 | $100.340,00 | 23 / 1 | $41.534,10 | 108 / 2 | $39.540,70 | 108 / 3 |
Other Disorders Of Nervous System W Cc | 20 | 36 / 13 | $16.281,50 | 107 / 3 | $8.441,70 | 515 / 16 | $7.072,15 | 514 / 16 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 19 | 50 / 7 | $52.520,50 | 128 / 8 | $22.355,10 | 385 / 6 | $18.000,20 | 384 / 8 |
Respiratory Neoplasms W Mcc | 19 | 33 / 9 | $31.862,20 | 134 / 5 | $15.758,60 | 442 / 14 | $11.666,00 | 440 / 9 |
Nonspecific Cerebrovascular Disorders W Cc | 19 | 37 / 3 | $18.480,20 | 103 / 2 | $9.646,74 | 348 / 7 | $6.723,05 | 348 / 4 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 19 | 36 / 5 | $61.591,60 | 44 / 2 | $26.615,60 | 155 / 2 | $22.303,10 | 155 / 2 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 19 | 42 / 16 | $12.070,00 | 173 / 9 | $6.514,21 | 768 / 24 | $5.342,21 | 767 / 29 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 19 | 35 / 10 | $36.855,20 | 3 / 1 | $23.208,30 | 162 / 3 | $21.984,10 | 162 / 3 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 19 | 105 / 39 | $10.625,70 | 151 / 11 | $6.741,84 | 677 / 30 | $5.443,58 | 676 / 31 |
Carotid Artery Stent Procedure W Cc | 19 | 2 / 1 | $44.430,60 | 6 / 1 | $19.075,60 | 12 / 1 | $14.368,60 | 12 / 1 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 26 | $11.871,40 | 105 / 9 | $7.108,28 | 673 / 44 | $5.699,17 | 671 / 44 |
Atherosclerosis W/O Mcc | 18 | 40 / 17 | $17.434,70 | 253 / 21 | $7.178,06 | / 27 | $5.716,50 | / |
Peripheral Vascular Disorders W Mcc | 18 | 31 / 14 | $31.821,60 | 230 / 11 | $12.092,60 | 475 / 17 | $10.656,60 | 475 / 17 |
Vaginal Delivery W/O Complicating Diagnoses | 18 | 7 / 2 | $7.113,22 | 5 / 3 | $5.926,11 | 48 / 4 | $4.276,28 | 48 / 4 |
Complications Of Treatment W Mcc | 18 | 33 / 6 | $23.365,60 | 22 / 2 | $14.497,70 | 117 / 5 | $10.833,10 | 117 / 2 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 17 | 27 / 12 | $12.238,40 | 43 / 3 | $7.308,71 | 231 / 11 | $5.559,71 | 231 / 11 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 17 | 14 / 3 | $48.771,50 | 50 / 6 | $15.255,80 | 120 / 6 | $13.644,90 | 120 / 6 |
Disorders Of The Biliary Tract W Mcc | 17 | 22 / 7 | $22.140,10 | 16 / 1 | $14.661,20 | 122 / 6 | $10.577,60 | 122 / 3 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 17 | 51 / 17 | $13.597,20 | 82 / 6 | $8.287,24 | 604 / 22 | $6.946,71 | 604 / 24 |
Respiratory Neoplasms W Cc | 16 | 31 / 11 | $16.473,90 | 38 / 2 | $10.593,60 | 368 / 15 | $8.467,50 | 367 / 13 |
Bone Diseases & Arthropathies W/O Mcc | 16 | 28 / 11 | $10.955,80 | 57 / 1 | $7.136,12 | 201 / 7 | $5.375,44 | 201 / 7 |
Tendonitis, Myositis & Bursitis W/O Mcc | 16 | 26 / 9 | $17.082,30 | 97 / 8 | $8.696,94 | 305 / 17 | $7.227,19 | 304 / 18 |
Postoperative & Post-Traumatic Infections W/O Mcc | 16 | 38 / 10 | $16.712,20 | 69 / 5 | $9.526,81 | 345 / 21 | $7.603,00 | 345 / 20 |
Cesarean Section W Cc/Mcc | 16 | 7 / 1 | $16.234,50 | 3 / 2 | $9.970,50 | 19 / 2 | $8.522,50 | 19 / 2 |
Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 19 | $10.355,60 | 93 / 4 | $6.988,25 | 835 / 39 | $5.669,19 | 834 / 42 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 16 | 35 / 10 | $45.705,40 | 124 / 4 | $19.996,20 | 260 / 6 | $15.475,10 | 260 / 5 |
Other Circulatory System O.R. Procedures | 16 | 39 / 13 | $59.685,70 | 156 / 8 | $24.561,80 | 366 / 7 | $22.323,60 | 366 / 8 |
Coronary Bypass W Cardiac Cath W Mcc | 16 | 40 / 8 | $128.855,00 | 61 / 5 | $51.887,70 | 278 / 5 | $46.709,20 | 278 / 6 |
Cervical Spinal Fusion W Cc | 16 | 37 / 7 | $60.816,60 | 138 / 9 | $22.890,20 | 252 / 7 | $18.840,20 | 251 / 6 |
Respiratory Signs & Symptoms | 16 | 30 / 12 | $11.363,60 | 24 / 2 | $6.789,56 | 239 / 9 | $5.311,81 | 239 / 10 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 16 | 30 / 11 | $27.397,80 | 106 / 14 | $8.900,62 | 207 / 9 | $7.592,81 | 207 / 11 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 15 | 23 / 6 | $12.891,70 | 88 / 4 | $6.623,33 | 412 / 8 | $5.270,87 | 411 / 11 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 15 | 40 / 11 | $28.355,20 | 30 / 2 | $17.924,30 | 416 / 10 | $12.504,50 | 413 / 9 |
Organic Disturbances & Mental Retardation | 15 | 44 / 22 | $14.634,20 | 84 / 4 | $9.301,00 | 419 / 20 | $7.705,33 | 419 / 19 |
Stomach, Esophageal & Duodenal Proc W Mcc | 15 | 26 / 5 | $133.325,00 | 98 / 4 | $47.017,60 | 182 / 4 | $44.680,70 | 182 / 7 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 15 | 55 / 10 | $14.167,10 | 70 / 1 | $9.271,73 | 417 / 9 | $7.143,00 | 417 / 10 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 15 | 29 / 8 | $51.520,80 | 60 / 2 | $22.089,80 | 332 / 5 | $20.900,30 | 330 / 8 |
Carotid Artery Stent Procedure W/O Cc/Mcc | 14 | 18 / 2 | $26.268,40 | 4 / 1 | $14.013,10 | 89 / 2 | $12.978,30 | 89 / 2 |
Digestive Malignancy W Cc | 14 | 33 / 14 | $19.875,90 | 41 / 4 | $10.975,40 | 304 / 13 | $9.488,79 | 302 / 13 |
Disorders Of Pancreas Except Malignancy W Mcc | 14 | 32 / 6 | $51.460,30 | 200 / 4 | $17.639,90 | 310 / 5 | $15.618,00 | 310 / 6 |
Degenerative Nervous System Disorders W Mcc | 14 | 24 / 9 | $29.258,20 | 59 / 2 | $12.971,10 | 127 / 2 | $11.493,00 | 127 / 3 |
Other Digestive System Diagnoses W/O Cc/Mcc | 14 | 29 / 13 | $9.836,93 | 30 / 3 | $6.648,50 | 327 / 18 | $5.851,14 | 327 / 25 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 14 | $45.636,50 | 255 / 15 | $18.088,10 | 512 / 15 | $12.923,10 | 509 / 10 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 14 | 34 / 8 | $22.658,40 | 13 / 2 | $12.630,70 | 160 / 6 | $10.137,40 | 159 / 6 |
Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 28 | $13.377,10 | 137 / 5 | $8.178,79 | 786 / 29 | $5.855,43 | 782 / 25 |
Carotid Artery Stent Procedure W Mcc | 13 | 1 / 1 | $100.647,00 | 1 / 1 | $37.494,40 | 1 / 1 | $32.102,10 | 1 / 1 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 13 | 50 / 10 | $55.856,00 | 56 / 5 | $26.551,90 | 168 / 6 | $21.463,20 | 167 / 5 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 13 | 16 / 8 | $12.935,80 | 6 / 1 | $7.398,85 | 76 / 5 | $5.493,23 | 76 / 5 |
Extracranial Procedures W Cc | 13 | 33 / 9 | $41.097,30 | 168 / 6 | $13.497,20 | 335 / 8 | $11.947,90 | 335 / 9 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 13 | 34 / 14 | $27.183,10 | 72 / 5 | $13.444,00 | 362 / 16 | $9.457,92 | 362 / 8 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 13 | $33.219,20 | 186 / 5 | $17.767,30 | 572 / 19 | $15.046,50 | 571 / 18 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 14 | $30.843,90 | 172 / 13 | $11.464,20 | 363 / 25 | $7.042,77 | 362 / 14 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 13 | 40 / 11 | $27.800,20 | 30 / 4 | $14.705,30 | 244 / 8 | $13.093,50 | 245 / 10 |
G.I. Obstruction W Mcc | 13 | 29 / 12 | $25.855,30 | 75 / 3 | $13.961,80 | 433 / 13 | $12.305,10 | 433 / 12 |
Other Disorders Of Nervous System W Mcc | 13 | 27 / 6 | $22.006,20 | 25 / 1 | $13.236,80 | 253 / 2 | $12.276,30 | 253 / 3 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 13 | 41 / 13 | $14.520,50 | 56 / 2 | $7.292,54 | 288 / 11 | $5.325,38 | 288 / 9 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 13 | 56 / 14 | $29.305,30 | 14 / 1 | $16.165,50 | 460 / 15 | $12.781,00 | 458 / 14 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 12 | 28 / 9 | $29.432,20 | 18 / 2 | $13.726,30 | 74 / 3 | $9.277,42 | 74 / 2 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 12 | 22 / 8 | $93.776,00 | 74 / 3 | $40.368,80 | 144 / 3 | $34.622,10 | 144 / 2 |
Hypertension W/O Mcc | 12 | 53 / 24 | $11.038,00 | 85 / 8 | $6.344,17 | 689 / 22 | $5.208,17 | 687 / 28 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 12 | 30 / 9 | $30.150,20 | 58 / 2 | $14.497,60 | 197 / 5 | $12.979,50 | 197 / 8 |
Signs & Symptoms W Mcc | 12 | 29 / 9 | $19.685,80 | 48 / 3 | $10.252,70 | 209 / 6 | $9.205,75 | 209 / 6 |
Complications Of Treatment W Cc | 12 | 40 / 13 | $16.669,50 | 47 / 3 | $9.029,33 | 273 / 10 | $7.828,33 | 273 / 11 |
Diabetes W/O Cc/Mcc | 12 | 26 / 15 | $13.886,00 | 104 / 11 | $6.254,75 | 208 / 17 | $4.199,33 | 208 / 9 |
Other O.R. Procedures For Injuries W Mcc | 11 | 26 / 6 | $68.662,30 | 28 / 1 | $31.358,90 | 118 / 2 | $29.381,60 | 118 / 2 |
Peritoneal Adhesiolysis W Cc | 11 | 28 / 9 | $45.480,50 | 61 / 4 | $18.860,50 | 224 / 8 | $16.926,30 | 224 / 8 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 11 | 29 / 15 | $13.804,30 | 17 / 2 | $9.844,00 | 229 / 15 | $8.655,73 | 229 / 17 |
Stomach, Esophageal & Duodenal Proc W Cc | 11 | 39 / 10 | $70.987,00 | 113 / 7 | $23.859,50 | 134 / 6 | $17.882,00 | 134 / 5 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 10 | $39.688,40 | 57 / 3 | $22.023,10 | 246 / 9 | $16.454,40 | 246 / 7 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 15 | $59.354,60 | 102 / 1 | $29.495,90 | 458 / 10 | $27.012,00 | 457 / 10 |
Coagulation Disorders | 11 | 16 / 9 | $35.721,40 | 22 / 3 | $15.144,80 | 45 / 5 | $11.624,80 | 45 / 3 |
Major Chest Procedures W Cc | 11 | 63 / 18 | $54.698,60 | 151 / 11 | $20.986,10 | 410 / 13 | $19.262,80 | 408 / 16 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 11 | 18 / 11 | $10.560,50 | 23 / 3 | $6.736,55 | 121 / 12 | $5.433,00 | 121 / 15 |
Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 15 | $10.365,60 | 54 / 2 | $6.647,82 | 331 / 13 | $5.257,55 | 331 / 12 |
Endocrine Disorders W Mcc | 11 | 15 / 7 | $25.181,70 | 20 / 1 | $13.689,50 | 81 / 1 | $12.210,60 | 81 / 1 |
Other Kidney & Urinary Tract Procedures W Cc | 11 | 15 / 7 | $42.726,10 | 25 / 2 | $18.770,50 | 68 / 3 | $17.168,50 | 68 / 3 |
Endocrine Disorders W Cc | 11 | 27 / 14 | $18.131,20 | 50 / 2 | $9.401,00 | 223 / 8 | $7.893,91 | 223 / 7 | Total 192 procedures | 8.017 | 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.