Hospital Costs > In Massachusetts > Lahey Hospital & Medical Center, Burlington, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 11 | 20 / 2 | $37.362,50 | 14 / 1 | $15.649,70 | 124 / 1 | $14.091,90 | 124 / 1 |
Acute Myocardial Infarction, Discharged Alive W Cc | 39 | 52 / 7 | $15.016,80 | 118 / 21 | $8.917,54 | 1195 / 24 | $7.644,05 | 1193 / 23 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 44 | 81 / 14 | $15.722,40 | 61 / 11 | $13.958,20 | 1453 / 31 | $12.488,20 | 1441 / 31 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 13 | $14.753,90 | 131 / 20 | $6.527,71 | 704 / 17 | $5.285,86 | 700 / 14 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 11 | 16 / 10 | $12.561,60 | 5 / 2 | $12.813,20 | 92 / 10 | $11.269,90 | 92 / 9 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 17 | 107 / 27 | $10.970,60 | 162 / 23 | $5.969,12 | 532 / 24 | $4.559,59 | 531 / 15 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 12 | 18 / 3 | $14.921,70 | 2 / 1 | $14.426,80 | 132 / 1 | $12.701,90 | 131 / 1 |
Atherosclerosis W/O Mcc | 21 | 37 / 5 | $8.375,10 | 20 / 4 | $5.300,29 | / 12 | $4.224,67 | / |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 20 | 46 / 8 | $20.399,60 | 13 / 1 | $15.970,80 | 479 / 8 | $14.405,50 | 475 / 8 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 39 | 50 / 7 | $14.268,70 | 31 / 3 | $9.393,74 | 611 / 14 | $7.358,41 | 610 / 8 |
Biliary Tract Proc Except Only Cholecyst W Or W/O C.D.E. W Mcc | 15 | 1 / 1 | $25.775,70 | 1 / 1 | $34.318,30 | 2 / 1 | $32.788,10 | 2 / 1 |
Bone Diseases & Arthropathies W/O Mcc | 11 | 33 / 10 | $8.492,45 | 28 / 6 | $6.225,82 | 156 / 9 | $4.650,00 | 156 / 5 |
Bronchitis & Asthma W Cc/Mcc | 30 | 46 / 8 | $8.541,67 | 29 / 8 | $7.495,03 | 861 / 22 | $6.252,30 | 857 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 84 | 77 / 6 | $10.912,90 | 169 / 22 | $7.217,08 | 1805 / 37 | $5.846,21 | 1800 / 35 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 57 | 66 / 7 | $12.144,70 | 46 / 8 | $10.193,00 | 1515 / 32 | $8.741,98 | 1512 / 28 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 45 | 105 / 11 | $6.365,04 | 50 / 4 | $5.030,87 | 1409 / 31 | $3.303,98 | 1403 / 16 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 12 | 38 / 7 | $87.084,20 | 25 / 4 | $45.528,70 | 206 / 1 | $44.267,50 | 206 / 1 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 62 | 58 / 5 | $56.631,60 | 7 / 2 | $42.459,60 | 435 / 2 | $39.816,90 | 435 / 4 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 27 | 89 / 7 | $98.502,10 | 13 / 1 | $65.032,70 | 390 / 1 | $62.939,10 | 390 / 3 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 17 | 25 / 3 | $57.692,80 | 2 / 1 | $39.583,80 | 93 / 2 | $34.554,80 | 93 / 2 |
Cellulitis W Mcc | 18 | 40 / 12 | $10.959,80 | 11 / 6 | $12.036,70 | 765 / 20 | $10.601,30 | 763 / 20 |
Cellulitis W/O Mcc | 127 | 62 / 9 | $6.823,24 | 39 / 6 | $6.977,71 | 2003 / 36 | $5.566,39 | 1995 / 28 |
Cervical Spinal Fusion W Cc | 14 | 39 / 7 | $39.060,90 | 36 / 3 | $24.477,60 | 324 / 2 | $22.822,20 | 323 / 2 |
Cervical Spinal Fusion W/O Cc/Mcc | 23 | 81 / 9 | $31.340,80 | 73 / 4 | $18.754,70 | 766 / 4 | $16.402,20 | 763 / 6 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 19 | 72 / 4 | $19.106,90 | 61 / 2 | $9.316,42 | 266 / 1 | $8.602,32 | 266 / 2 |
Chest Pain | 34 | 117 / 14 | $6.629,79 | 39 / 5 | $5.096,50 | 1190 / 20 | $3.959,26 | 1183 / 16 |
Chronic Obstructive Pulmonary Disease W Cc | 68 | 111 / 18 | $8.688,78 | 43 / 6 | $7.727,54 | 1932 / 35 | $6.479,75 | 1925 / 31 |
Chronic Obstructive Pulmonary Disease W Mcc | 81 | 121 / 12 | $10.862,60 | 70 / 10 | $9.639,73 | 2092 / 37 | $8.251,75 | 2084 / 36 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 22 | $7.072,62 | 49 / 10 | $6.231,46 | 1671 / 30 | $4.866,85 | 1660 / 30 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 13 | $24.765,60 | 25 / 3 | $17.898,30 | 766 / 12 | $16.725,80 | 759 / 12 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 55 | 133 / 13 | $17.284,50 | 57 / 5 | $9.281,91 | 1340 / 13 | $7.731,04 | 1337 / 15 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 22 | 20 / 3 | $19.351,30 | 7 / 2 | $14.574,90 | 215 / 4 | $13.618,60 | 215 / 4 |
Complications Of Treatment W Cc | 31 | 21 / 5 | $12.371,10 | 14 / 1 | $8.311,81 | 258 / 5 | $7.379,81 | 258 / 4 |
Complications Of Treatment W Mcc | 19 | 32 / 5 | $14.999,40 | 5 / 1 | $14.321,30 | 206 / 2 | $13.231,50 | 206 / 2 |
Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 6 | $69.269,50 | 5 / 1 | $53.827,20 | 332 / 1 | $51.753,20 | 332 / 1 |
Coronary Bypass W Cardiac Cath W/O Mcc | 32 | 44 / 6 | $48.466,80 | 7 / 1 | $36.623,40 | 532 / 2 | $34.766,90 | 532 / 3 |
Coronary Bypass W/O Cardiac Cath W Mcc | 15 | 44 / 7 | $54.808,50 | 3 / 1 | $44.736,20 | 182 / 1 | $42.835,30 | 181 / 1 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 58 | 32 / 3 | $35.830,60 | 6 / 1 | $30.951,50 | 503 / 3 | $27.828,60 | 502 / 5 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 27 | 41 / 5 | $13.365,10 | 75 / 15 | $7.749,74 | 562 / 13 | $6.547,07 | 562 / 10 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 11 | 31 / 6 | $64.407,80 | 4 / 2 | $39.356,10 | 95 / 1 | $37.571,50 | 95 / 1 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 14 | 41 / 5 | $40.906,60 | 6 / 2 | $23.213,00 | 149 / 1 | $21.851,30 | 149 / 1 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 56 | 43 / 3 | $34.827,10 | 5 / 1 | $32.652,00 | 334 / 3 | $30.929,60 | 334 / 3 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 17 | 57 / 6 | $45.582,20 | 41 / 3 | $19.582,00 | 217 / 1 | $18.190,90 | 216 / 1 |
Degenerative Nervous System Disorders W Mcc | 14 | 24 / 4 | $16.279,60 | 6 / 2 | $14.882,40 | 159 / 6 | $13.133,00 | 159 / 6 |
Degenerative Nervous System Disorders W/O Mcc | 30 | 48 / 5 | $13.220,80 | 72 / 13 | $8.241,70 | 604 / 13 | $6.716,23 | 604 / 11 |
Diabetes W Cc | 27 | 65 / 14 | $8.856,67 | 50 / 13 | $7.127,56 | 1254 / 23 | $5.970,00 | 1249 / 25 |
Diabetes W Mcc | 18 | 39 / 6 | $10.581,60 | 6 / 2 | $11.437,20 | 566 / 11 | $10.166,70 | 565 / 10 |
Digestive Malignancy W Cc | 20 | 27 / 6 | $13.819,60 | 14 / 1 | $10.589,80 | 269 / 7 | $8.716,80 | 267 / 6 |
Digestive Malignancy W Mcc | 27 | 11 / 3 | $34.396,10 | 19 / 3 | $20.876,40 | 128 / 3 | $19.229,80 | 128 / 5 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 34 | 36 / 6 | $13.787,30 | 61 / 10 | $8.480,44 | 377 / 11 | $6.665,35 | 377 / 7 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 47 | 29 / 3 | $24.006,50 | 40 / 3 | $16.666,60 | 392 / 9 | $13.934,60 | 392 / 5 |
Disorders Of Pancreas Except Malignancy W Cc | 25 | 36 / 10 | $10.434,00 | 40 / 7 | $8.193,20 | 734 / 24 | $6.357,68 | 731 / 16 |
Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 7 | $27.928,90 | 50 / 4 | $17.874,80 | 311 / 6 | $15.628,60 | 311 / 7 |
Disorders Of The Biliary Tract W Cc | 41 | 13 / 5 | $14.629,20 | 28 / 5 | $8.909,12 | 358 / 14 | $7.747,07 | 358 / 13 |
Disorders Of The Biliary Tract W Mcc | 23 | 16 / 4 | $18.532,20 | 11 / 3 | $13.762,60 | 160 / 5 | $11.555,30 | 160 / 5 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 13 | 16 / 5 | $18.880,70 | 30 / 7 | $6.558,31 | 69 / 6 | $5.077,54 | 69 / 5 |
Dysequilibrium | 24 | 41 / 7 | $10.132,40 | 48 / 10 | $5.333,50 | 371 / 13 | $4.042,08 | 371 / 9 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 19 | 62 / 6 | $308.791,00 | 93 / 4 | $179.227,00 | 412 / 5 | $172.709,00 | 411 / 6 |
Endocrine Disorders W Cc | 12 | 26 / 10 | $9.670,75 | 7 / 2 | $8.230,75 | 187 / 5 | $6.846,08 | 187 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 48 | 48 / 8 | $14.424,40 | 67 / 16 | $10.316,00 | 1144 / 27 | $8.923,90 | 1139 / 25 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 167 | 108 / 12 | $8.972,36 | 146 / 10 | $6.555,80 | 2147 / 39 | $5.107,84 | 2133 / 30 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 16 | 28 / 6 | $30.606,10 | 11 / 2 | $21.943,00 | 323 / 2 | $20.461,80 | 321 / 3 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 20 | 43 / 6 | $56.957,90 | 29 / 1 | $38.669,10 | 584 / 4 | $36.572,10 | 584 / 4 |
Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 15 | $17.861,30 | 95 / 9 | $8.816,15 | 803 / 5 | $7.482,77 | 800 / 8 |
Fever | 13 | 33 / 10 | $9.230,00 | 9 / 1 | $7.252,62 | 257 / 8 | $6.391,85 | 257 / 8 |
Fractures Of Hip & Pelvis W Mcc | 17 | 4 / 1 | $12.248,10 | 1 / 1 | $10.749,60 | 53 / 3 | $9.161,00 | 53 / 3 |
Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 14 | $8.919,59 | 54 / 11 | $5.945,00 | 655 / 19 | $4.411,35 | 655 / 12 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W Mcc | 11 | 11 / 3 | $17.367,50 | 5 / 4 | $11.204,50 | 35 / 4 | $9.618,36 | 35 / 4 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 35 | 27 / 6 | $10.871,20 | 75 / 16 | $6.376,49 | 546 / 18 | $4.819,74 | 544 / 12 |
G.I. Hemorrhage W Cc | 114 | 104 / 10 | $14.254,30 | 243 / 27 | $8.511,01 | 1938 / 37 | $7.056,78 | 1934 / 32 |
G.I. Hemorrhage W Mcc | 53 | 68 / 7 | $24.876,70 | 170 / 23 | $15.932,30 | 1442 / 30 | $14.356,80 | 1432 / 30 |
G.I. Obstruction W Cc | 57 | 35 / 4 | $8.539,44 | 27 / 5 | $7.560,74 | 1411 / 28 | $6.266,81 | 1406 / 25 |
G.I. Obstruction W Mcc | 16 | 26 / 8 | $15.215,50 | 8 / 3 | $13.898,80 | 413 / 8 | $11.913,50 | 413 / 6 |
G.I. Obstruction W/O Cc/Mcc | 34 | 37 / 8 | $7.410,82 | 46 / 8 | $5.662,12 | 925 / 22 | $3.746,41 | 922 / 14 |
Heart Failure & Shock W Cc | 217 | 66 / 7 | $9.814,09 | 120 / 11 | $8.390,55 | 2192 / 42 | $6.984,70 | 2186 / 31 |
Heart Failure & Shock W Mcc | 241 | 57 / 3 | $16.271,60 | 210 / 24 | $12.879,90 | 2195 / 44 | $11.229,10 | 2185 / 41 |
Heart Failure & Shock W/O Cc/Mcc | 40 | 70 / 12 | $7.028,25 | 58 / 5 | $5.795,15 | 1483 / 34 | $4.390,40 | 1471 / 24 |
Hernia Procedures Except Inguinal & Femoral W Cc | 12 | 22 / 3 | $16.020,70 | 2 / 1 | $13.948,50 | 109 / 1 | $12.221,80 | 109 / 1 |
Hip & Femur Procedures Except Major Joint W Cc | 65 | 78 / 9 | $25.530,40 | 89 / 14 | $16.315,20 | 1780 / 34 | $14.737,10 | 1761 / 34 |
Hip & Femur Procedures Except Major Joint W Mcc | 29 | 33 / 6 | $37.914,00 | 42 / 9 | $25.036,70 | 766 / 13 | $21.634,80 | 763 / 12 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 5 | $22.728,50 | 11 / 1 | $19.862,80 | 293 / 2 | $18.302,20 | 292 / 2 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 65 | 59 / 5 | $61.467,40 | 113 / 15 | $43.169,40 | 1264 / 20 | $40.538,40 | 1254 / 21 |
Inflammatory Bowel Disease W Cc | 14 | 18 / 5 | $10.519,10 | 3 / 1 | $8.779,07 | 99 / 4 | $7.179,64 | 99 / 4 |
Interstitial Lung Disease W Mcc | 12 | 13 / 3 | $14.613,20 | 2 / 1 | $13.867,40 | 73 / 1 | $12.085,60 | 73 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 86 | 96 / 9 | $15.220,70 | 165 / 23 | $8.841,43 | 1668 / 34 | $7.487,31 | 1664 / 31 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 97 | 72 / 6 | $25.306,30 | 213 / 24 | $15.335,80 | 1354 / 27 | $13.520,40 | 1348 / 27 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 47 | 55 / 8 | $15.122,90 | 261 / 28 | $6.643,87 | 1231 / 25 | $4.945,17 | 1227 / 22 |
Kidney & Ureter Procedures For Neoplasm W Cc | 33 | 12 / 1 | $32.707,10 | 10 / 2 | $17.309,20 | 125 / 2 | $15.122,50 | 125 / 2 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 20 | 20 / 3 | $25.187,20 | 8 / 3 | $12.652,70 | 105 / 2 | $11.105,50 | 105 / 1 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 21 | 24 / 2 | $24.222,10 | 5 / 2 | $14.679,20 | 121 / 1 | $13.052,30 | 121 / 1 |
Kidney & Urinary Tract Infections W Mcc | 69 | 75 / 8 | $11.783,60 | 98 / 20 | $9.584,30 | 1622 / 36 | $8.227,17 | 1618 / 32 |
Kidney & Urinary Tract Infections W/O Mcc | 120 | 113 / 12 | $7.823,60 | 102 / 6 | $6.431,73 | 2016 / 34 | $5.038,10 | 2005 / 25 |
Kidney Transplant | 23 | 78 / 4 | $129.802,00 | 22 / 3 | $32.198,60 | 143 / 2 | $30.290,00 | 143 / 4 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 12 | $21.171,60 | 21 / 1 | $14.078,20 | 791 / 10 | $12.527,20 | 787 / 10 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 17 | 30 / 6 | $15.767,40 | 11 / 1 | $10.295,90 | 524 / 9 | $9.094,59 | 523 / 11 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 22 | 33 / 4 | $28.763,50 | 34 / 5 | $16.713,30 | 530 / 5 | $14.767,30 | 526 / 5 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 22 | 25 / 5 | $21.586,20 | 25 / 2 | $12.554,80 | 422 / 4 | $10.405,40 | 422 / 5 |
Lymphoma & Non-Acute Leukemia W Mcc | 12 | 24 / 4 | $36.256,40 | 8 / 2 | $25.801,70 | 64 / 2 | $24.092,20 | 64 / 2 |
Major Bladder Procedures W Cc | 20 | 18 / 2 | $44.055,70 | 3 / 2 | $24.996,40 | 38 / 1 | $21.332,90 | 38 / 1 |
Major Cardiovasc Procedures W Mcc | 24 | 44 / 5 | $70.342,70 | 28 / 3 | $42.939,00 | 506 / 3 | $40.761,40 | 505 / 4 |
Major Cardiovasc Procedures W/O Mcc | 22 | 79 / 11 | $47.040,40 | 46 / 5 | $27.846,00 | 858 / 8 | $26.224,90 | 857 / 9 |
Major Chest Procedures W Cc | 27 | 47 / 5 | $27.672,60 | 12 / 2 | $20.451,70 | 391 / 5 | $18.620,40 | 389 / 5 |
Major Chest Procedures W Mcc | 11 | 38 / 6 | $60.919,70 | 15 / 2 | $36.792,70 | 198 / 3 | $33.107,10 | 197 / 1 |
Major Chest Procedures W/O Cc/Mcc | 18 | 41 / 6 | $26.722,60 | 22 / 6 | $14.878,90 | 198 / 7 | $13.256,00 | 198 / 7 |
Major Chest Trauma W Cc | 15 | 21 / 6 | $13.347,20 | 6 / 4 | $9.120,93 | 91 / 7 | $6.212,20 | 91 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 46 | 27 / 5 | $10.250,40 | 29 / 5 | $10.065,20 | 872 / 25 | $8.301,83 | 870 / 17 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 35 | 21 / 3 | $18.321,20 | 28 / 6 | $15.481,00 | 543 / 11 | $14.238,80 | 542 / 11 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 10 | $17.916,80 | 45 / 5 | $13.105,30 | 301 / 11 | $8.098,54 | 301 / 2 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 9 | $28.568,90 | 26 / 3 | $18.469,70 | 741 / 8 | $16.987,00 | 737 / 10 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 37 | 28 / 2 | $38.750,80 | 31 / 6 | $26.815,10 | 810 / 15 | $24.781,30 | 807 / 15 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 387 | 198 / 6 | $22.789,50 | 38 / 3 | $17.935,60 | 2379 / 42 | $16.018,40 | 2334 / 41 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 21 | 48 / 3 | $35.556,60 | 26 / 3 | $22.177,90 | 431 / 5 | $20.482,00 | 431 / 5 |
Major Male Pelvic Procedures W/O Cc/Mcc | 30 | 43 / 4 | $21.458,70 | 26 / 4 | $11.155,40 | 299 / 2 | $8.723,47 | 299 / 4 |
Major Small & Large Bowel Procedures W Cc | 107 | 15 / 3 | $29.690,20 | 52 / 6 | $21.314,30 | 1324 / 23 | $19.269,50 | 1310 / 23 |
Major Small & Large Bowel Procedures W Mcc | 60 | 25 / 3 | $51.040,60 | 34 / 2 | $41.341,60 | 942 / 21 | $36.322,40 | 940 / 16 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 37 | 27 / 5 | $22.683,40 | 41 / 8 | $13.935,30 | 655 / 12 | $12.332,50 | 655 / 10 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 22 | 31 / 3 | $34.449,20 | 70 / 6 | $20.098,40 | 327 / 9 | $18.185,10 | 328 / 9 |
Medical Back Problems W Mcc | 16 | 23 / 5 | $16.231,10 | 14 / 5 | $12.507,80 | 199 / 6 | $10.585,90 | 199 / 4 |
Medical Back Problems W/O Mcc | 76 | 45 / 6 | $10.745,00 | 65 / 9 | $7.233,11 | 1124 / 23 | $5.712,17 | 1120 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 13 | $15.007,60 | 151 / 20 | $10.146,20 | 1393 / 28 | $8.652,96 | 1390 / 25 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 75 | 91 / 11 | $7.869,89 | 132 / 15 | $6.037,27 | 1968 / 36 | $4.815,24 | 1960 / 30 |
Nervous System Neoplasms W Mcc | 27 | 21 / 3 | $15.991,50 | 9 / 2 | $11.186,20 | 203 / 5 | $9.598,67 | 203 / 3 |
Nonspecific Cerebrovascular Disorders W Cc | 18 | 38 / 2 | $18.401,00 | 101 / 6 | $9.351,17 | 408 / 6 | $7.979,50 | 408 / 6 |
Nonspecific Cerebrovascular Disorders W Mcc | 20 | 31 / 1 | $18.508,60 | 17 / 1 | $13.471,50 | 309 / 3 | $12.035,20 | 309 / 3 |
O.R. Procedures For Obesity W/O Cc/Mcc | 17 | 60 / 7 | $17.099,50 | 12 / 1 | $13.084,90 | 349 / 3 | $11.614,50 | 348 / 4 |
Organic Disturbances & Mental Retardation | 14 | 45 / 8 | $11.351,90 | 39 / 10 | $8.355,93 | 360 / 13 | $6.883,36 | 360 / 11 |
Other Circulatory System Diagnoses W Cc | 20 | 46 / 9 | $13.603,20 | 62 / 8 | $7.971,75 | 472 / 12 | $6.565,95 | 471 / 7 |
Other Circulatory System Diagnoses W Mcc | 36 | 80 / 9 | $22.372,60 | 79 / 9 | $16.073,00 | 1101 / 18 | $14.526,30 | 1093 / 15 |
Other Digestive System Diagnoses W Cc | 68 | 29 / 5 | $9.076,18 | 21 / 6 | $8.299,74 | 1131 / 27 | $7.031,24 | 1127 / 24 |
Other Digestive System Diagnoses W Mcc | 32 | 30 / 5 | $23.734,40 | 82 / 11 | $15.501,40 | 625 / 15 | $13.856,40 | 624 / 15 |
Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 11 | $5.250,00 | 5 / 1 | $5.726,55 | 254 / 8 | $4.451,45 | 254 / 8 |
Other Disorders Of Nervous System W Cc | 34 | 22 / 4 | $15.099,00 | 88 / 23 | $8.346,47 | 496 / 24 | $6.825,41 | 495 / 21 |
Other Disorders Of Nervous System W Mcc | 28 | 12 / 1 | $18.129,60 | 10 / 4 | $13.583,30 | 249 / 6 | $12.010,00 | 249 / 5 |
Other Disorders Of Nervous System W/O Cc/Mcc | 13 | 22 / 3 | $14.250,60 | 27 / 4 | $5.766,54 | 89 / 2 | $4.363,31 | 89 / 2 |
Other Disorders Of The Eye W/O Mcc | 13 | 7 / 1 | $11.331,50 | 2 / 1 | $5.843,46 | 10 / 1 | $4.352,38 | 10 / 1 |
Other Kidney & Urinary Tract Diagnoses W Cc | 42 | 61 / 3 | $13.792,60 | 85 / 18 | $8.684,74 | 679 / 17 | $7.601,17 | 679 / 18 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 34 | 67 / 8 | $32.159,20 | 449 / 27 | $18.535,10 | 1063 / 31 | $16.367,60 | 1059 / 31 |
Other Multiple Significant Trauma W Cc | 12 | 13 / 3 | $18.098,10 | 2 / 1 | $11.926,40 | 23 / 1 | $10.297,10 | 23 / 1 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 14 | 26 / 3 | $20.516,30 | 6 / 1 | $16.667,40 | 187 / 2 | $15.338,10 | 187 / 2 |
Other O.R. Procedures For Injuries W Cc | 17 | 18 / 4 | $25.975,10 | 6 / 1 | $16.028,50 | 114 / 1 | $14.663,70 | 114 / 1 |
Other O.R. Procedures For Injuries W Mcc | 12 | 25 / 4 | $64.187,10 | 22 / 2 | $38.580,60 | 154 / 3 | $34.372,70 | 154 / 2 |
Other Resp System O.R. Procedures W Cc | 14 | 33 / 6 | $25.984,40 | 17 / 2 | $14.469,30 | 223 / 3 | $13.083,90 | 223 / 2 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 8 | $46.118,90 | 42 / 3 | $31.723,70 | 482 / 5 | $28.190,40 | 481 / 4 |
Other Respiratory System Diagnoses W/O Mcc | 17 | 29 / 7 | $10.835,10 | 23 / 9 | $6.757,00 | 211 / 11 | $5.480,88 | 211 / 10 |
Other Vascular Procedures W Cc | 28 | 74 / 13 | $31.538,80 | 40 / 3 | $21.271,00 | 953 / 11 | $19.708,20 | 948 / 11 |
Other Vascular Procedures W Mcc | 30 | 67 / 5 | $34.285,30 | 28 / 3 | $26.571,50 | 756 / 7 | $24.819,20 | 753 / 7 |
Otitis Media & Uri W/O Mcc | 18 | 26 / 8 | $7.727,67 | 9 / 4 | $5.634,44 | 139 / 6 | $4.496,56 | 139 / 7 |
Pancreas, Liver & Shunt Procedures W Cc | 17 | 38 / 4 | $30.231,90 | 1 / 1 | $23.347,30 | 87 / 1 | $21.756,50 | 87 / 1 |
Pancreas, Liver & Shunt Procedures W Mcc | 21 | 22 / 3 | $45.219,60 | 1 / 1 | $42.986,70 | 50 / 1 | $40.821,10 | 50 / 1 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 19 | 21 / 5 | $15.281,40 | 25 / 8 | $9.719,79 | 213 / 9 | $8.225,26 | 213 / 8 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 25 | 75 / 8 | $49.781,50 | 33 / 5 | $26.206,10 | 848 / 5 | $24.928,50 | 843 / 8 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 76 | 120 / 8 | $47.038,00 | 170 / 12 | $17.682,30 | 1335 / 11 | $15.956,60 | 1328 / 14 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 12 | 33 / 9 | $45.679,80 | 11 / 2 | $24.583,70 | 226 / 6 | $22.934,80 | 225 / 5 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 20 | 49 / 8 | $39.745,90 | 58 / 5 | $15.172,20 | 510 / 6 | $14.096,70 | 508 / 10 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 13 | 41 / 7 | $58.152,20 | 28 / 4 | $26.142,20 | 206 / 2 | $24.156,10 | 206 / 3 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 32 | 63 / 6 | $48.360,80 | 94 / 6 | $17.005,20 | 484 / 3 | $15.015,10 | 480 / 3 |
Peripheral Vascular Disorders W Cc | 43 | 41 / 5 | $8.610,37 | 18 / 6 | $7.657,44 | 873 / 15 | $6.518,79 | 870 / 11 |
Peripheral Vascular Disorders W Mcc | 24 | 25 / 5 | $15.288,20 | 28 / 8 | $11.795,10 | 471 / 8 | $10.590,30 | 471 / 9 |
Peritoneal Adhesiolysis W Cc | 28 | 11 / 2 | $26.059,10 | 9 / 1 | $19.594,70 | 233 / 2 | $17.540,00 | 233 / 2 |
Permanent Cardiac Pacemaker Implant W Cc | 45 | 32 / 4 | $42.733,90 | 112 / 15 | $21.325,00 | 822 / 14 | $20.111,60 | 818 / 14 |
Permanent Cardiac Pacemaker Implant W Mcc | 15 | 37 / 9 | $60.296,80 | 77 / 6 | $32.037,00 | 529 / 6 | $30.237,30 | 529 / 5 |
Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 12 | $21.933,70 | 148 / 19 | $11.934,70 | 784 / 20 | $10.644,80 | 782 / 19 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 21 | $10.256,90 | 110 / 18 | $5.532,55 | 500 / 19 | $3.882,18 | 499 / 7 |
Postoperative & Post-Traumatic Infections W Mcc | 27 | 16 / 3 | $18.627,10 | 9 / 3 | $15.648,40 | 130 / 1 | $13.457,00 | 130 / 1 |
Postoperative & Post-Traumatic Infections W/O Mcc | 20 | 34 / 5 | $9.624,00 | 12 / 6 | $8.592,65 | 304 / 6 | $6.925,85 | 304 / 5 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 16 | 22 / 3 | $24.067,60 | 4 / 1 | $16.514,40 | 116 / 1 | $14.511,00 | 116 / 1 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 12 | 19 / 3 | $58.497,00 | 9 / 2 | $40.808,60 | 78 / 1 | $38.043,20 | 78 / 1 |
Pulmonary Edema & Respiratory Failure | 51 | 152 / 18 | $12.346,20 | 48 / 7 | $10.494,30 | 1832 / 35 | $9.055,82 | 1827 / 30 |
Pulmonary Embolism W Mcc | 13 | 30 / 8 | $14.226,30 | 10 / 3 | $11.185,80 | 419 / 6 | $9.953,54 | 419 / 3 |
Pulmonary Embolism W/O Mcc | 42 | 32 / 7 | $8.945,48 | 22 / 3 | $8.003,07 | 977 / 21 | $6.452,19 | 974 / 18 |
Red Blood Cell Disorders W Mcc | 25 | 46 / 5 | $17.162,70 | 95 / 18 | $10.946,30 | 857 / 23 | $9.549,52 | 853 / 16 |
Red Blood Cell Disorders W/O Mcc | 57 | 86 / 7 | $11.529,90 | 191 / 26 | $6.900,79 | 1601 / 29 | $5.851,18 | 1592 / 29 |
Renal Failure W Cc | 116 | 105 / 10 | $8.700,70 | 36 / 7 | $8.002,87 | 1932 / 36 | $6.757,91 | 1922 / 33 |
Renal Failure W Mcc | 108 | 87 / 5 | $16.640,80 | 119 / 15 | $12.797,40 | 1723 / 31 | $11.287,90 | 1721 / 30 |
Respiratory Infections & Inflammations W Cc | 27 | 61 / 16 | $12.239,70 | 35 / 11 | $10.859,30 | 1176 / 23 | $9.547,33 | 1171 / 21 |
Respiratory Infections & Inflammations W Mcc | 61 | 75 / 8 | $19.947,50 | 102 / 21 | $16.567,40 | 1557 / 33 | $14.768,00 | 1541 / 33 |
Respiratory Neoplasms W Mcc | 16 | 36 / 6 | $15.629,10 | 20 / 6 | $14.489,30 | 545 / 10 | $13.521,70 | 542 / 12 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 46 | 85 / 7 | $25.105,10 | 64 / 8 | $18.986,80 | 1491 / 27 | $17.439,50 | 1477 / 26 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 22 | 49 / 7 | $83.571,30 | 139 / 13 | $49.756,50 | 868 / 16 | $43.877,50 | 867 / 14 |
Revision Of Hip Or Knee Replacement W Cc | 20 | 66 / 5 | $46.003,00 | 52 / 3 | $28.670,80 | 575 / 6 | $25.610,90 | 573 / 6 |
Seizures W Mcc | 19 | 47 / 9 | $11.518,30 | 10 / 2 | $12.107,50 | 522 / 8 | $10.802,70 | 522 / 8 |
Seizures W/O Mcc | 64 | 44 / 7 | $12.620,40 | 156 / 25 | $6.669,02 | 895 / 26 | $5.085,14 | 892 / 18 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 55 | 37 / 3 | $78.245,50 | 81 / 9 | $51.239,10 | 922 / 13 | $48.172,20 | 921 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 496 | 84 / 4 | $20.222,90 | 272 / 23 | $15.873,30 | 2339 / 45 | $13.838,70 | 2297 / 40 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 112 | 95 / 6 | $10.601,90 | 77 / 10 | $9.147,63 | 2049 / 37 | $7.473,25 | 2041 / 30 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 19 | 28 / 7 | $9.316,26 | 27 / 4 | $6.116,00 | 229 / 11 | $4.804,74 | 229 / 5 |
Signs & Symptoms W/O Mcc | 26 | 65 / 13 | $9.449,54 | 75 / 11 | $6.107,35 | 915 / 25 | $4.598,42 | 912 / 15 |
Simple Pneumonia & Pleurisy W Cc | 122 | 82 / 9 | $9.140,59 | 68 / 11 | $8.176,75 | 2101 / 38 | $6.374,34 | 2093 / 25 |
Simple Pneumonia & Pleurisy W Mcc | 113 | 92 / 6 | $14.969,50 | 121 / 16 | $12.198,30 | 2106 / 41 | $10.685,00 | 2101 / 38 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 17 | $6.847,52 | 38 / 6 | $5.913,09 | 1502 / 27 | $4.442,74 | 1494 / 21 |
Soft Tissue Procedures W Cc | 13 | 9 / 2 | $13.497,60 | 1 / 1 | $13.049,40 | 21 / 1 | $11.579,70 | 21 / 1 |
Spinal Fusion Except Cervical W/O Mcc | 55 | 139 / 11 | $52.308,70 | 131 / 8 | $33.541,30 | 1202 / 9 | $30.811,70 | 1197 / 12 |
Stomach, Esophageal & Duodenal Proc W Cc | 14 | 36 / 5 | $47.204,30 | 31 / 2 | $24.330,90 | 144 / 1 | $18.642,00 | 144 / 1 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 13 | 35 / 5 | $18.894,80 | 6 / 1 | $12.431,00 | 177 / 2 | $10.976,40 | 176 / 2 |
Syncope & Collapse | 68 | 101 / 12 | $9.490,47 | 87 / 16 | $6.274,09 | 1461 / 31 | $5.038,35 | 1454 / 27 |
Tendonitis, Myositis & Bursitis W/O Mcc | 15 | 27 / 7 | $9.918,20 | 27 / 4 | $6.965,40 | 248 / 9 | $5.657,67 | 247 / 10 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 16 | 48 / 6 | $147.871,00 | 54 / 2 | $92.491,40 | 458 / 1 | $87.094,20 | 457 / 4 |
Transient Ischemia | 51 | 74 / 7 | $14.104,40 | 245 / 28 | $6.072,47 | 1234 / 24 | $4.614,80 | 1228 / 17 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 50 | 17 / 2 | $13.609,80 | 17 / 1 | $9.260,94 | 380 / 4 | $7.776,18 | 379 / 5 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 31 | 20 / 3 | $16.304,10 | 5 / 1 | $15.016,60 | 215 / 3 | $13.619,90 | 215 / 3 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 36 | 18 / 2 | $8.828,11 | 9 / 1 | $6.368,42 | 233 / 3 | $4.614,50 | 233 / 3 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 13 | 33 / 8 | $8.558,62 | 11 / 1 | $6.049,85 | 267 / 8 | $4.241,23 | 266 / 3 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 11 | 32 / 5 | $36.259,00 | 3 / 1 | $21.713,00 | 89 / 2 | $19.795,70 | 89 / 2 | Total 203 procedures | 7.978 | 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.