Hospital Costs > In Ohio > Kettering 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 | 482 | 133 / 5 | $63.629,10 | 1825 / 106 | $14.980,70 | 465 / 93 | $10.262,70 | 462 / 39 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 277 | 241 / 9 | $40.532,80 | 1341 / 68 | $12.733,00 | 385 / 82 | $9.319,39 | 385 / 28 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 135 | 140 / 9 | $24.994,20 | 1886 / 100 | $5.625,54 | 331 / 85 | $3.268,30 | 330 / 18 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 108 | 88 / 6 | $77.070,40 | 817 / 49 | $13.963,90 | 167 / 32 | $9.702,69 | 167 / 9 |
Heart Failure & Shock W Mcc | 106 | 178 / 24 | $33.407,80 | 1308 / 74 | $10.489,70 | 620 / 84 | $7.839,59 | 620 / 45 |
G.I. Hemorrhage W Cc | 104 | 114 / 9 | $32.758,40 | 1698 / 85 | $7.296,12 | 427 / 82 | $4.838,09 | 426 / 32 |
Spinal Fusion Except Cervical W/O Mcc | 104 | 90 / 5 | $136.124,00 | 1036 / 55 | $27.772,70 | 398 / 36 | $21.221,10 | 397 / 28 |
Renal Failure W Cc | 98 | 123 / 17 | $29.523,30 | 1674 / 90 | $7.535,35 | 667 / 86 | $4.894,70 | 660 / 42 |
Heart Failure & Shock W Cc | 92 | 186 / 31 | $22.039,30 | 1401 / 74 | $7.086,41 | 256 / 86 | $4.630,07 | 256 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 88 | 119 / 5 | $25.655,60 | 1303 / 70 | $7.835,82 | 247 / 74 | $4.930,66 | 246 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 73 | 88 / 10 | $19.723,60 | 1037 / 62 | $5.806,45 | 324 / 71 | $3.641,00 | 324 / 25 |
Renal Failure W Mcc | 70 | 125 / 22 | $39.959,70 | 1292 / 75 | $12.062,30 | 348 / 80 | $7.825,07 | 348 / 28 |
Other Vascular Procedures W Cc | 63 | 40 / 2 | $83.717,60 | 688 / 35 | $17.596,30 | 136 / 28 | $12.969,10 | 136 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 60 | 122 / 17 | $35.954,00 | 1387 / 71 | $7.939,78 | 222 / 67 | $4.859,98 | 222 / 18 |
Extracranial Procedures W/O Cc/Mcc | 57 | 41 / 1 | $50.047,30 | 767 / 32 | $6.908,32 | 116 / 15 | $4.742,44 | 116 / 6 |
Hip & Femur Procedures Except Major Joint W Cc | 56 | 87 / 8 | $79.372,10 | 1699 / 89 | $13.100,90 | 569 / 64 | $10.196,50 | 567 / 36 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 55 | 113 / 11 | $50.871,40 | 979 / 48 | $13.437,70 | 282 / 52 | $8.744,78 | 281 / 24 |
Simple Pneumonia & Pleurisy W Cc | 51 | 152 / 30 | $21.234,70 | 1271 / 75 | $7.044,16 | 425 / 88 | $4.585,78 | 422 / 28 |
Pulmonary Edema & Respiratory Failure | 50 | 153 / 35 | $37.231,70 | 1396 / 72 | $9.737,36 | 436 / 81 | $6.275,80 | 436 / 29 |
Chronic Obstructive Pulmonary Disease W Cc | 48 | 131 / 33 | $24.827,90 | 1436 / 83 | $7.239,50 | 42 / 89 | $3.822,75 | 42 / 5 |
Simple Pneumonia & Pleurisy W Mcc | 47 | 158 / 34 | $28.490,90 | 937 / 62 | $10.290,20 | 98 / 87 | $6.581,53 | 98 / 10 |
G.I. Hemorrhage W Mcc | 47 | 74 / 10 | $58.577,00 | 1168 / 68 | $12.684,60 | 412 / 59 | $9.429,04 | 413 / 36 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 46 | 120 / 22 | $21.748,00 | 1702 / 90 | $5.457,78 | 221 / 83 | $3.038,15 | 221 / 13 |
Red Blood Cell Disorders W/O Mcc | 45 | 98 / 13 | $24.954,30 | 1251 / 69 | $5.865,36 | 175 / 62 | $3.583,67 | 175 / 13 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 45 | 143 / 24 | $54.770,10 | 1309 / 65 | $7.981,18 | 209 / 51 | $4.992,11 | 209 / 10 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 44 | 80 / 11 | $136.224,00 | 891 / 50 | $37.909,50 | 493 / 52 | $29.440,70 | 489 / 38 |
Cellulitis W/O Mcc | 44 | 145 / 37 | $20.237,60 | 1506 / 87 | $6.753,00 | 181 / 90 | $3.527,95 | 181 / 10 |
Kidney & Urinary Tract Infections W/O Mcc | 44 | 189 / 42 | $22.442,30 | 1800 / 100 | $5.636,41 | 204 / 86 | $3.314,52 | 204 / 13 |
Medical Back Problems W/O Mcc | 44 | 77 / 14 | $31.312,40 | 1060 / 59 | $6.321,59 | 112 / 45 | $3.557,11 | 112 / 7 |
Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 43 | $28.870,00 | 1398 / 78 | $8.429,44 | 370 / 88 | $5.634,95 | 369 / 31 |
Major Small & Large Bowel Procedures W Cc | 42 | 66 / 6 | $82.705,00 | 1039 / 52 | $17.734,20 | 105 / 44 | $11.912,70 | 105 / 8 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 41 | 77 / 5 | $160.487,00 | 319 / 9 | $33.842,00 | 66 / 5 | $27.347,30 | 66 / 2 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 39 | 111 / 24 | $13.898,00 | 854 / 49 | $4.117,36 | 250 / 63 | $2.200,77 | 248 / 15 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 39 | 25 / 1 | $82.138,80 | 131 / 7 | $24.152,40 | 48 / 6 | $17.333,90 | 48 / 7 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 38 | 87 / 20 | $40.594,30 | 828 / 50 | $12.318,20 | 179 / 63 | $8.230,61 | 179 / 15 |
Other Vascular Procedures W Mcc | 37 | 60 / 8 | $103.832,00 | 624 / 35 | $22.464,30 | 161 / 27 | $17.586,50 | 161 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 37 | 65 / 10 | $29.098,80 | 1069 / 56 | $5.834,54 | 240 / 53 | $3.273,59 | 238 / 16 |
Syncope & Collapse | 37 | 132 / 25 | $25.964,90 | 1268 / 77 | $5.305,14 | 249 / 63 | $3.263,46 | 247 / 18 |
Major Cardiovasc Procedures W/O Mcc | 37 | 64 / 6 | $90.721,40 | 501 / 24 | $22.866,70 | 152 / 25 | $17.344,80 | 152 / 10 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 36 | 80 / 8 | $229.570,00 | 273 / 7 | $51.704,50 | 41 / 5 | $41.561,20 | 41 / 2 |
Other Circulatory System Diagnoses W Mcc | 35 | 81 / 16 | $43.040,60 | 573 / 41 | $12.475,00 | 288 / 42 | $9.929,09 | 287 / 32 |
G.I. Obstruction W Cc | 34 | 58 / 11 | $31.634,20 | 1251 / 72 | $7.366,91 | 32 / 61 | $3.485,38 | 32 / 2 |
Seizures W/O Mcc | 34 | 74 / 12 | $28.018,70 | 893 / 41 | $5.568,35 | 87 / 33 | $3.266,26 | 87 / 5 |
Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 15 | $17.612,60 | 1116 / 63 | $4.873,82 | 270 / 60 | $3.059,03 | 268 / 17 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 33 | 33 / 6 | $43.314,70 | 376 / 17 | $7.724,64 | 62 / 9 | $5.379,85 | 62 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 28 | $31.162,30 | 1015 / 59 | $8.741,24 | 398 / 64 | $6.215,00 | 396 / 32 |
Peripheral Vascular Disorders W Cc | 31 | 53 / 7 | $23.595,60 | 571 / 37 | $6.809,32 | 102 / 33 | $4.409,84 | 102 / 8 |
Cervical Spinal Fusion W/O Cc/Mcc | 30 | 74 / 7 | $76.685,30 | 648 / 30 | $15.073,80 | 143 / 18 | $10.681,20 | 143 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 30 | 96 / 22 | $24.869,30 | 692 / 43 | $8.071,87 | 91 / 54 | $5.259,70 | 90 / 6 |
Acute Myocardial Infarction, Discharged Alive W Cc | 30 | 61 / 11 | $33.729,90 | 870 / 49 | $7.476,27 | 259 / 45 | $5.069,47 | 259 / 23 |
Thyroid, Parathyroid & Thyroglossal Procedures W/O Cc/Mcc | 29 | 8 / 1 | $34.331,70 | 26 / 1 | $5.526,38 | 3 / 1 | $3.811,76 | 3 / 1 |
Permanent Cardiac Pacemaker Implant W Cc | 29 | 48 / 7 | $54.515,40 | 274 / 16 | $16.773,60 | 259 / 22 | $14.374,70 | 258 / 16 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 31 | $43.830,40 | 436 / 33 | $15.655,50 | 427 / 54 | $12.251,80 | 422 / 30 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 28 | 68 / 11 | $43.591,00 | 1041 / 61 | $10.027,80 | 51 / 54 | $5.483,82 | 51 / 9 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 26 | 74 / 16 | $98.097,20 | 465 / 33 | $20.190,60 | 22 / 19 | $14.978,70 | 22 / 1 |
Coronary Bypass W Cardiac Cath W/O Mcc | 25 | 51 / 8 | $193.974,00 | 482 / 23 | $32.437,60 | 193 / 15 | $24.846,80 | 193 / 10 |
Transient Ischemia | 25 | 100 / 27 | $20.834,90 | 724 / 41 | $4.973,96 | 291 / 42 | $3.146,40 | 291 / 19 |
Other Digestive System Diagnoses W Cc | 25 | 72 / 16 | $31.497,70 | 917 / 52 | $7.724,44 | 22 / 48 | $3.994,80 | 22 / 4 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 24 | 40 / 6 | $65.152,20 | 612 / 21 | $11.757,70 | 216 / 16 | $8.137,04 | 216 / 6 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 22 | 35 / 5 | $42.314,00 | 187 / 8 | $14.085,30 | 138 / 14 | $11.011,80 | 137 / 8 |
Major Chest Procedures W Cc | 21 | 53 / 4 | $95.066,90 | 390 / 12 | $21.513,00 | 64 / 13 | $12.790,80 | 64 / 2 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 21 | 19 / 2 | $65.452,60 | 139 / 4 | $14.101,10 | 33 / 3 | $10.146,50 | 33 / 1 |
Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 33 | $24.163,10 | 871 / 57 | $7.480,00 | 142 / 61 | $5.126,10 | 142 / 13 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 21 | 68 / 11 | $51.601,30 | 599 / 25 | $8.115,57 | 39 / 18 | $4.476,81 | 39 / 2 |
Respiratory Infections & Inflammations W Mcc | 21 | 115 / 37 | $34.462,40 | 570 / 40 | $13.580,10 | 508 / 61 | $10.499,50 | 503 / 37 |
Other Vascular Procedures W/O Cc/Mcc | 21 | 35 / 4 | $69.068,60 | 436 / 17 | $11.686,10 | 156 / 9 | $8.897,90 | 155 / 4 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 20 | 78 / 9 | $178.306,00 | 408 / 13 | $38.606,80 | 196 / 11 | $26.650,90 | 196 / 5 |
Disorders Of Pancreas Except Malignancy W Cc | 20 | 41 / 9 | $29.685,30 | 617 / 31 | $7.549,40 | 130 / 32 | $4.282,45 | 130 / 7 |
Cervical Spinal Fusion W Cc | 20 | 33 / 5 | $78.637,00 | 215 / 13 | $20.699,60 | 72 / 11 | $15.022,70 | 72 / 3 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 14 | $31.234,40 | 688 / 39 | $8.436,21 | 57 / 34 | $5.404,63 | 57 / 3 |
Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 19 | $130.293,00 | 654 / 34 | $33.625,40 | 91 / 36 | $24.854,10 | 91 / 15 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 19 | 43 / 9 | $31.190,70 | 623 / 34 | $5.449,74 | 73 / 20 | $3.166,95 | 73 / 6 |
Peripheral Vascular Disorders W Mcc | 19 | 30 / 5 | $30.354,80 | 209 / 10 | $9.363,84 | 9 / 12 | $5.869,95 | 9 / 1 |
Diabetes W Cc | 19 | 73 / 22 | $17.178,00 | 488 / 36 | $5.921,42 | 248 / 44 | $3.918,74 | 248 / 21 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 16 | $117.956,00 | 366 / 24 | $35.684,10 | 151 / 28 | $27.168,80 | 151 / 13 |
Signs & Symptoms W/O Mcc | 19 | 72 / 16 | $19.126,30 | 610 / 38 | $5.354,95 | 138 / 42 | $3.083,16 | 138 / 12 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 18 | 35 / 5 | $61.153,60 | 217 / 7 | $17.499,90 | 9 / 9 | $7.827,22 | 9 / 1 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 18 | 77 / 10 | $83.931,10 | 367 / 22 | $13.510,70 | 40 / 13 | $9.337,33 | 39 / 1 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 18 | 32 / 4 | $143.243,00 | 119 / 9 | $35.224,50 | 48 / 4 | $29.622,80 | 48 / 2 |
Permanent Cardiac Pacemaker Implant W Mcc | 17 | 35 / 8 | $85.682,90 | 245 / 18 | $24.802,20 | 60 / 23 | $18.888,80 | 60 / 5 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 37 | $16.142,80 | 923 / 63 | $5.007,65 | 332 / 67 | $3.166,00 | 332 / 26 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 24 | $25.505,70 | 494 / 34 | $8.872,71 | 150 / 36 | $6.647,35 | 150 / 10 |
Pulmonary Embolism W/O Mcc | 17 | 57 / 18 | $22.500,50 | 522 / 29 | $6.824,24 | 261 / 31 | $4.726,94 | 261 / 20 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 17 | 71 / 7 | $156.972,00 | 488 / 19 | $31.428,50 | 112 / 19 | $18.939,90 | 111 / 5 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 18 | $115.099,00 | 288 / 19 | $40.268,20 | 5 / 29 | $25.342,10 | 5 / 1 |
Major Cardiovasc Procedures W Mcc | 16 | 52 / 14 | $148.429,00 | 343 / 16 | $34.461,30 | 64 / 13 | $27.049,20 | 64 / 7 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 16 | 39 / 11 | $84.153,20 | 519 / 24 | $13.157,20 | 210 / 13 | $10.626,90 | 210 / 10 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 16 | 38 / 7 | $39.751,20 | 340 / 17 | $5.450,25 | 25 / 6 | $3.089,88 | 25 / 2 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 14 | $66.035,10 | 545 / 24 | $13.950,10 | 336 / 17 | $11.774,90 | 333 / 16 |
Complications Of Treatment W Cc | 16 | 36 / 7 | $22.088,40 | 123 / 6 | $6.734,12 | 31 / 5 | $4.809,62 | 31 / 3 |
Peripheral Vascular Disorders W/O Cc/Mcc | 16 | 29 / 5 | $18.410,80 | 195 / 12 | $5.231,50 | 16 / 14 | $2.605,50 | 16 / 2 |
Major Male Pelvic Procedures W/O Cc/Mcc | 16 | 57 / 6 | $85.745,40 | 346 / 9 | $10.986,20 | 91 / 8 | $5.938,69 | 91 / 5 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 15 | 66 / 13 | $454.955,00 | 232 / 9 | $105.823,00 | 104 / 8 | $93.239,60 | 104 / 7 |
Respiratory Neoplasms W Mcc | 15 | 37 / 8 | $37.956,30 | 230 / 8 | $12.474,40 | 67 / 18 | $8.616,07 | 67 / 5 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 15 | 38 / 5 | $34.411,60 | 266 / 10 | $8.992,00 | 52 / 7 | $5.878,73 | 52 / 3 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 12 | $31.351,30 | 485 / 35 | $6.871,27 | 87 / 25 | $4.128,93 | 87 / 10 |
Nervous System Neoplasms W Mcc | 15 | 33 / 6 | $50.511,40 | 218 / 7 | $10.264,00 | 13 / 4 | $6.126,27 | 13 / 2 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 12 | $16.930,50 | 395 / 18 | $4.686,93 | 35 / 14 | $2.586,60 | 35 / 3 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 15 | 49 / 13 | $221.171,00 | 188 / 12 | $54.322,90 | 32 / 7 | $46.970,30 | 32 / 5 |
Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 8 | $36.798,30 | 829 / 30 | $5.161,93 | 163 / 20 | $3.151,80 | 164 / 9 |
G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 16 | $20.846,50 | 856 / 46 | $4.655,33 | 1 / 31 | $1.741,80 | 1 / 1 |
Disorders Of Pancreas Except Malignancy W Mcc | 15 | 31 / 5 | $44.573,40 | 160 / 8 | $11.544,90 | 25 / 4 | $8.680,67 | 25 / 1 |
Chest Pain | 15 | 136 / 34 | $16.366,20 | 620 / 35 | $4.456,73 | 251 / 48 | $2.620,20 | 250 / 16 |
G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 13 | $21.279,40 | 601 / 33 | $4.980,79 | 133 / 23 | $3.025,36 | 133 / 11 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 16 | $31.935,70 | 507 / 35 | $8.458,36 | 103 / 27 | $6.181,79 | 103 / 8 |
Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 14 | $126.755,00 | 813 / 42 | $20.852,70 | 287 / 31 | $16.493,00 | 284 / 20 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 25 | $45.923,70 | 735 / 46 | $12.434,60 | 402 / 44 | $8.739,29 | 401 / 32 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 11 | $55.079,20 | 523 / 25 | $11.810,40 | 173 / 25 | $8.184,57 | 173 / 8 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 20 | $71.244,70 | 597 / 34 | $15.421,10 | 131 / 29 | $10.681,80 | 128 / 9 |
Other Circulatory System Diagnoses W Cc | 14 | 52 / 14 | $37.321,50 | 515 / 37 | $6.706,79 | 51 / 19 | $4.482,79 | 51 / 4 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 11 | $115.979,00 | 735 / 28 | $24.193,60 | 283 / 24 | $17.505,60 | 281 / 14 |
Other Disorders Of Nervous System W Cc | 13 | 43 / 10 | $22.652,60 | 224 / 9 | $6.528,92 | 49 / 10 | $4.044,62 | 49 / 4 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 13 | 33 / 6 | $44.429,40 | 200 / 8 | $6.669,54 | 50 / 3 | $4.661,31 | 50 / 3 |
Carotid Artery Stent Procedure W/O Cc/Mcc | 13 | 19 / 5 | $29.655,70 | 11 / 2 | $11.019,00 | 19 / 3 | $8.343,62 | 19 / 2 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 11 | $64.437,50 | 225 / 4 | $17.563,00 | 214 / 6 | $14.969,20 | 214 / 8 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 14 | $144.855,00 | 457 / 23 | $35.247,60 | 118 / 22 | $25.623,40 | 118 / 9 |
Postoperative & Post-Traumatic Infections W/O Mcc | 12 | 42 / 10 | $20.512,20 | 142 / 7 | $6.760,42 | 96 / 5 | $5.206,17 | 96 / 5 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 9 | $46.503,20 | 388 / 11 | $9.411,50 | 20 / 10 | $5.039,17 | 20 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 6 | $67.947,90 | 229 / 9 | $17.685,00 | 41 / 9 | $12.225,80 | 41 / 6 |
Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 19 | $38.706,80 | 548 / 27 | $10.178,80 | 310 / 25 | $7.696,50 | 309 / 18 |
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 12 | 20 / 4 | $37.986,90 | 84 / 5 | $9.053,00 | 5 / 3 | $4.821,00 | 5 / 1 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 12 | 39 / 12 | $90.525,90 | 288 / 15 | $15.112,80 | 99 / 10 | $11.229,40 | 99 / 7 |
Complications Of Treatment W Mcc | 11 | 40 / 6 | $46.202,50 | 153 / 4 | $12.182,70 | 50 / 4 | $9.473,73 | 50 / 3 |
Hypertension W/O Mcc | 11 | 54 / 14 | $17.942,10 | 337 / 19 | $4.383,09 | 90 / 13 | $2.607,64 | 90 / 5 |
Other O.R. Procedures For Injuries W Mcc | 11 | 26 / 7 | $115.644,00 | 121 / 5 | $26.059,50 | 27 / 2 | $21.050,10 | 27 / 2 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 19 | $21.287,00 | 520 / 19 | $4.756,36 | 45 / 14 | $2.956,82 | 45 / 4 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 11 | 44 / 6 | $151.136,00 | 204 / 9 | $27.732,60 | 50 / 9 | $16.913,50 | 50 / 1 |
Cellulitis W Mcc | 11 | 47 / 19 | $31.335,20 | 406 / 31 | $9.861,45 | 116 / 34 | $7.084,55 | 116 / 15 |
Digestive Malignancy W Cc | 11 | 36 / 8 | $47.265,30 | 282 / 11 | $10.370,70 | 51 / 8 | $6.298,64 | 51 / 3 |
Fractures Of Hip & Pelvis W Mcc | 11 | 10 / 2 | $38.793,20 | 49 / 1 | $8.289,55 | 8 / 1 | $6.032,64 | 8 / 1 | Total 130 procedures | 4.684 | 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.