Hospital Costs > In Pennsylvania > Lancaster General Hospital, 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 | 662 | 64 / 1 | $35.767,70 | 508 / 33 | $14.256,40 | 1265 / 87 | $11.522,40 | 1234 / 75 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 533 | 65 / 3 | $36.467,20 | 1121 / 55 | $12.609,40 | 915 / 80 | $10.080,70 | 912 / 54 |
Heart Failure & Shock W Mcc | 246 | 54 / 1 | $30.859,60 | 1138 / 54 | $9.698,35 | 911 / 68 | $8.167,01 | 910 / 52 |
Heart Failure & Shock W Cc | 232 | 55 / 3 | $23.167,20 | 1505 / 67 | $6.740,19 | 893 / 80 | $5.200,92 | 892 / 60 |
Spinal Fusion Except Cervical W/O Mcc | 175 | 38 / 4 | $63.775,70 | 262 / 18 | $26.627,90 | 765 / 37 | $23.799,90 | 761 / 48 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 174 | 32 / 1 | $33.065,00 | 658 / 32 | $7.497,93 | 606 / 37 | $5.592,17 | 604 / 33 |
G.I. Hemorrhage W Cc | 164 | 56 / 4 | $22.622,70 | 994 / 47 | $7.078,14 | 970 / 73 | $5.340,10 | 968 / 55 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 158 | 34 / 4 | $19.983,60 | 472 / 25 | $6.999,19 | 622 / 44 | $5.353,03 | 621 / 41 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 149 | 126 / 12 | $17.860,30 | 1108 / 55 | $5.425,22 | 1050 / 80 | $3.788,92 | 1042 / 62 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 145 | 62 / 5 | $22.059,50 | 981 / 51 | $7.100,08 | 951 / 58 | $5.623,60 | 948 / 56 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 135 | 43 / 4 | $32.372,40 | 421 / 15 | $10.722,50 | 559 / 29 | $9.493,10 | 558 / 31 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 132 | 28 / 2 | $14.697,60 | 950 / 45 | $3.993,98 | 846 / 54 | $2.702,78 | 842 / 57 |
Renal Failure W Cc | 127 | 94 / 10 | $18.845,60 | 868 / 44 | $6.477,99 | 978 / 64 | $5.160,92 | 970 / 59 |
Chronic Obstructive Pulmonary Disease W Mcc | 125 | 77 / 2 | $30.956,40 | 1532 / 70 | $8.422,60 | 567 / 86 | $5.835,42 | 566 / 38 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 124 | 39 / 2 | $18.065,90 | 856 / 41 | $5.725,96 | 516 / 69 | $3.830,45 | 514 / 39 |
Cellulitis W/O Mcc | 119 | 70 / 9 | $18.333,90 | 1285 / 66 | $6.049,02 | 993 / 83 | $4.268,13 | 987 / 58 |
Kidney & Urinary Tract Infections W/O Mcc | 109 | 124 / 12 | $16.548,60 | 1147 / 58 | $5.194,99 | 1097 / 65 | $4.020,16 | 1089 / 63 |
Pulmonary Edema & Respiratory Failure | 109 | 94 / 5 | $30.622,70 | 1073 / 51 | $8.442,71 | 904 / 65 | $6.812,12 | 904 / 53 |
Hip & Femur Procedures Except Major Joint W Cc | 108 | 35 / 1 | $39.207,90 | 593 / 32 | $12.206,50 | 802 / 48 | $10.621,00 | 793 / 52 |
Syncope & Collapse | 104 | 65 / 3 | $17.537,70 | 631 / 34 | $5.153,83 | 787 / 54 | $3.837,49 | 783 / 54 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 104 | 24 / 1 | $28.303,40 | 869 / 43 | $7.846,33 | 671 / 45 | $6.624,60 | 668 / 49 |
Simple Pneumonia & Pleurisy W Cc | 102 | 101 / 11 | $20.858,60 | 1224 / 54 | $6.738,43 | 761 / 78 | $4.868,97 | 758 / 50 |
Kidney & Urinary Tract Infections W Mcc | 101 | 44 / 1 | $20.265,20 | 591 / 29 | $7.142,28 | 716 / 41 | $5.971,49 | 715 / 42 |
Transient Ischemia | 94 | 31 / 2 | $14.324,70 | 258 / 18 | $5.264,39 | 576 / 64 | $3.446,05 | 573 / 42 |
Renal Failure W Mcc | 94 | 101 / 5 | $26.660,70 | 556 / 27 | $9.710,82 | 724 / 40 | $8.419,69 | 724 / 42 |
Simple Pneumonia & Pleurisy W Mcc | 93 | 112 / 7 | $29.337,10 | 995 / 45 | $9.195,02 | 839 / 51 | $7.703,81 | 839 / 48 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 91 | 105 / 8 | $57.048,90 | 384 / 16 | $14.827,30 | 791 / 42 | $11.626,10 | 786 / 40 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 90 | 37 / 1 | $34.869,30 | 613 / 38 | $11.369,60 | 952 / 59 | $10.154,90 | 950 / 68 |
Chronic Obstructive Pulmonary Disease W Cc | 89 | 90 / 10 | $22.139,50 | 1218 / 57 | $6.636,07 | 685 / 76 | $4.714,42 | 683 / 48 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 79 | 20 / 3 | $58.440,20 | 441 / 17 | $15.801,50 | 595 / 29 | $13.652,10 | 589 / 31 |
Acute Myocardial Infarction, Discharged Alive W Cc | 74 | 19 / 2 | $24.413,00 | 496 / 29 | $6.767,16 | 556 / 36 | $5.573,45 | 555 / 42 |
Medical Back Problems W/O Mcc | 73 | 48 / 7 | $23.629,30 | 761 / 38 | $6.030,73 | 438 / 44 | $4.141,05 | 438 / 33 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 72 | 94 / 12 | $16.888,20 | 1188 / 55 | $5.118,49 | 990 / 72 | $3.646,18 | 987 / 56 |
Respiratory Infections & Inflammations W Mcc | 69 | 67 / 2 | $35.692,70 | 616 / 28 | $12.296,90 | 585 / 43 | $10.645,40 | 577 / 37 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 68 | 34 / 3 | $15.314,70 | 274 / 17 | $5.300,50 | 708 / 45 | $3.864,00 | 704 / 46 |
G.I. Hemorrhage W Mcc | 68 | 53 / 1 | $41.212,10 | 739 / 34 | $11.188,30 | 693 / 40 | $10.208,40 | 694 / 46 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 67 | 57 / 5 | $93.042,00 | 412 / 21 | $31.911,90 | 378 / 33 | $28.505,20 | 378 / 27 |
Nonspecific Cerebrovascular Disorders W Cc | 65 | 5 / 1 | $21.964,30 | 164 / 2 | $6.736,95 | 187 / 5 | $5.368,91 | 187 / 4 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 65 | 55 / 6 | $103.971,00 | 88 / 3 | $31.849,60 | 140 / 7 | $29.476,20 | 140 / 9 |
G.I. Obstruction W Cc | 65 | 27 / 2 | $20.373,10 | 683 / 31 | $6.176,72 | 663 / 42 | $4.649,66 | 662 / 38 |
Heart Failure & Shock W/O Cc/Mcc | 64 | 46 / 6 | $17.724,90 | 1129 / 56 | $4.933,28 | 897 / 67 | $3.639,03 | 890 / 58 |
Other Digestive System Diagnoses W Cc | 63 | 34 / 4 | $21.857,40 | 508 / 22 | $6.885,14 | 453 / 36 | $5.128,02 | 450 / 34 |
Diabetes W Cc | 62 | 30 / 1 | $22.263,70 | 833 / 33 | $6.989,69 | 599 / 59 | $4.391,63 | 598 / 34 |
Pulmonary Embolism W/O Mcc | 61 | 13 / 3 | $20.184,60 | 391 / 16 | $6.410,72 | 599 / 25 | $5.364,51 | 596 / 37 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 58 | 10 / 1 | $57.138,50 | 209 / 8 | $19.817,60 | 272 / 10 | $17.381,90 | 270 / 10 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 58 | 37 / 4 | $65.980,50 | 229 / 7 | $13.559,70 | 358 / 12 | $12.471,00 | 354 / 19 |
Permanent Cardiac Pacemaker Implant W Cc | 53 | 24 / 2 | $69.484,90 | 479 / 19 | $17.855,50 | 591 / 34 | $16.683,80 | 590 / 39 |
Other Vascular Procedures W Cc | 51 | 51 / 5 | $57.962,10 | 328 / 13 | $16.046,60 | 221 / 20 | $13.489,60 | 221 / 11 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 50 | 21 / 2 | $46.967,30 | 108 / 5 | $15.687,60 | 208 / 6 | $14.438,80 | 208 / 9 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 50 | 46 / 2 | $41.744,40 | 203 / 8 | $15.911,20 | 323 / 30 | $11.670,00 | 320 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 50 | 76 / 9 | $20.324,40 | 430 / 15 | $8.100,42 | 538 / 47 | $6.080,60 | 535 / 30 |
Poisoning & Toxic Effects Of Drugs W Mcc | 46 | 26 / 1 | $34.477,90 | 458 / 10 | $10.374,10 | 90 / 21 | $6.793,33 | 90 / 3 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 45 | 71 / 6 | $155.729,00 | 100 / 6 | $49.198,20 | 59 / 9 | $42.586,60 | 59 / 3 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 45 | 21 / 4 | $23.587,00 | 133 / 4 | $7.439,20 | 93 / 7 | $5.611,69 | 93 / 5 |
Major Small & Large Bowel Procedures W Cc | 44 | 64 / 14 | $53.629,40 | 497 / 18 | $18.146,40 | 446 / 43 | $13.401,00 | 443 / 17 |
Other Vascular Procedures W Mcc | 43 | 54 / 6 | $74.969,70 | 322 / 13 | $20.116,30 | 232 / 11 | $18.189,70 | 231 / 8 |
Revision Of Hip Or Knee Replacement W Cc | 43 | 44 / 3 | $60.923,90 | 154 / 4 | $21.840,20 | 89 / 11 | $16.786,80 | 89 / 6 |
Seizures W/O Mcc | 42 | 66 / 12 | $17.029,90 | 373 / 21 | $5.368,07 | 470 / 32 | $4.002,52 | 468 / 33 |
Major Small & Large Bowel Procedures W Mcc | 42 | 43 / 4 | $106.087,00 | 442 / 14 | $32.748,50 | 481 / 30 | $29.460,90 | 479 / 29 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 40 | 17 / 2 | $60.629,00 | 403 / 14 | $14.783,90 | 399 / 27 | $12.692,20 | 398 / 27 |
Respiratory Infections & Inflammations W Cc | 40 | 48 / 9 | $26.965,60 | 564 / 24 | $8.557,28 | 328 / 29 | $7.026,67 | 325 / 19 |
Hip & Femur Procedures Except Major Joint W Mcc | 39 | 23 / 1 | $57.297,60 | 272 / 9 | $20.646,90 | 149 / 21 | $15.507,20 | 149 / 6 |
Other Circulatory System Diagnoses W Mcc | 38 | 78 / 13 | $36.943,10 | 397 / 11 | $12.127,40 | 413 / 25 | $10.429,60 | 412 / 23 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 38 | 93 / 19 | $57.617,20 | 854 / 36 | $17.499,30 | 940 / 66 | $13.876,60 | 931 / 55 |
Cervical Spinal Fusion W/O Cc/Mcc | 37 | 67 / 4 | $40.269,10 | 202 / 7 | $16.942,00 | 593 / 17 | $13.582,20 | 590 / 18 |
Hypertension W/O Mcc | 35 | 30 / 3 | $14.303,10 | 190 / 4 | $4.570,89 | 249 / 11 | $3.017,71 | 247 / 10 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 35 | 53 / 4 | $77.965,20 | 122 / 6 | $25.070,70 | 388 / 12 | $23.356,80 | 387 / 18 |
Extracranial Procedures W/O Cc/Mcc | 35 | 63 / 4 | $19.746,50 | 130 / 9 | $7.599,77 | 402 / 29 | $5.481,17 | 401 / 20 |
Major Cardiovasc Procedures W Mcc | 35 | 33 / 4 | $105.238,00 | 139 / 7 | $34.104,90 | 228 / 8 | $31.214,40 | 228 / 11 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 35 | 65 / 8 | $82.753,50 | 313 / 12 | $22.381,80 | 473 / 21 | $19.443,30 | 469 / 18 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 35 | 20 / 3 | $38.843,70 | 130 / 6 | $15.281,20 | 70 / 19 | $9.600,46 | 70 / 6 |
Red Blood Cell Disorders W/O Mcc | 34 | 109 / 22 | $18.253,30 | 738 / 39 | $5.383,79 | 422 / 49 | $3.893,09 | 421 / 36 |
Bronchitis & Asthma W Cc/Mcc | 33 | 43 / 7 | $19.921,20 | 377 / 16 | $5.838,03 | 435 / 24 | $4.631,61 | 431 / 32 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 33 | 40 / 8 | $20.689,80 | 310 / 13 | $7.539,27 | 356 / 26 | $6.290,64 | 355 / 23 |
Other Circulatory System O.R. Procedures | 33 | 22 / 2 | $52.014,30 | 111 / 3 | $16.789,60 | 129 / 2 | $15.640,10 | 129 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 32 | 64 / 9 | $29.658,30 | 627 / 20 | $7.563,88 | 384 / 19 | $6.402,88 | 382 / 25 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 32 | 69 / 12 | $25.215,10 | 251 / 8 | $9.584,94 | 265 / 16 | $8.258,50 | 265 / 15 |
Coronary Bypass W Cardiac Cath W/O Mcc | 32 | 44 / 3 | $116.077,00 | 207 / 11 | $31.491,10 | 432 / 20 | $29.906,40 | 432 / 27 |
Cellulitis W Mcc | 31 | 27 / 3 | $20.465,70 | 133 / 6 | $9.526,94 | 56 / 23 | $6.739,35 | 56 / 9 |
Other Disorders Of Nervous System W Cc | 31 | 25 / 7 | $17.728,00 | 136 / 5 | $5.855,68 | 211 / 13 | $4.905,48 | 211 / 14 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 30 | 59 / 12 | $25.582,00 | 205 / 11 | $7.702,90 | 485 / 17 | $6.430,37 | 484 / 25 |
Fractures Of Hip & Pelvis W/O Mcc | 30 | 31 / 2 | $15.437,90 | 308 / 11 | $4.808,10 | 191 / 21 | $3.233,17 | 192 / 16 |
Diabetes W Mcc | 30 | 27 / 1 | $27.759,20 | 235 / 8 | $9.143,97 | 182 / 6 | $7.473,33 | 182 / 6 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 30 | 63 / 14 | $14.370,30 | 655 / 30 | $4.778,57 | 861 / 44 | $3.557,77 | 857 / 52 |
Major Cardiovasc Procedures W/O Mcc | 30 | 71 / 12 | $63.183,70 | 160 / 10 | $20.376,20 | 380 / 13 | $19.181,90 | 380 / 18 |
Complications Of Treatment W Cc | 30 | 22 / 2 | $19.435,90 | 83 / 3 | $6.848,13 | 82 / 3 | $5.282,40 | 82 / 3 |
Peripheral Vascular Disorders W Cc | 29 | 55 / 8 | $24.352,40 | 606 / 31 | $6.007,38 | 315 / 25 | $4.891,03 | 313 / 29 |
Other Disorders Of Nervous System W Mcc | 29 | 11 / 3 | $34.813,10 | 106 / 1 | $11.252,20 | 32 / 2 | $7.778,34 | 32 / 1 |
Disorders Of Pancreas Except Malignancy W Cc | 28 | 33 / 5 | $18.067,20 | 230 / 11 | $7.172,82 | 177 / 22 | $4.440,57 | 177 / 8 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 28 | 70 / 6 | $79.354,20 | 93 / 3 | $25.991,00 | 42 / 3 | $22.436,60 | 42 / 2 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 28 | 38 / 7 | $31.754,10 | 65 / 2 | $13.035,00 | 352 / 8 | $11.816,70 | 349 / 16 |
Signs & Symptoms W/O Mcc | 27 | 64 / 17 | $16.472,00 | 442 / 19 | $4.498,19 | 381 / 18 | $3.503,26 | 380 / 18 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 27 | 35 / 8 | $17.450,00 | 279 / 9 | $5.277,26 | 221 / 19 | $3.653,96 | 221 / 14 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 27 | 41 / 5 | $21.495,90 | 254 / 5 | $6.220,63 | 211 / 13 | $4.701,81 | 211 / 11 |
Nonspecific Cerebrovascular Disorders W Mcc | 26 | 25 / 1 | $30.078,20 | 114 / 2 | $10.309,80 | 111 / 2 | $9.002,46 | 111 / 1 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 25 | 29 / 2 | $77.844,10 | 80 / 3 | $20.082,00 | 102 / 3 | $18.999,70 | 102 / 4 |
Chest Pain | 25 | 126 / 27 | $14.943,20 | 490 / 22 | $4.180,76 | 770 / 35 | $3.228,68 | 765 / 45 |
G.I. Obstruction W/O Cc/Mcc | 25 | 46 / 12 | $14.408,00 | 490 / 25 | $4.553,92 | 529 / 32 | $3.000,20 | 528 / 27 |
G.I. Hemorrhage W/O Cc/Mcc | 25 | 43 / 8 | $14.970,30 | 330 / 19 | $4.739,84 | 351 / 25 | $3.471,64 | 348 / 26 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 27 | $17.675,60 | 1078 / 49 | $5.409,16 | 715 / 73 | $3.503,80 | 713 / 49 |
Other Vascular Procedures W/O Cc/Mcc | 24 | 32 / 4 | $28.404,40 | 50 / 1 | $11.129,30 | 140 / 10 | $8.773,04 | 139 / 6 |
Permanent Cardiac Pacemaker Implant W Mcc | 24 | 28 / 3 | $105.588,00 | 362 / 14 | $26.122,30 | 415 / 23 | $24.797,70 | 415 / 24 |
Other Kidney & Urinary Tract Diagnoses W Cc | 24 | 79 / 15 | $20.650,70 | 266 / 9 | $7.011,54 | 126 / 19 | $4.937,75 | 126 / 8 |
Endocrine Disorders W Mcc | 23 | 5 / 1 | $27.414,60 | 26 / 1 | $11.078,40 | 29 / 1 | $9.014,70 | 29 / 1 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 23 | 40 / 8 | $93.750,60 | 183 / 9 | $27.187,40 | 143 / 4 | $26.035,90 | 143 / 7 |
Endocrine Disorders W Cc | 22 | 16 / 3 | $18.762,50 | 59 / 2 | $6.662,27 | 82 / 4 | $5.546,23 | 82 / 5 |
Medical Back Problems W Mcc | 22 | 17 / 3 | $44.933,10 | 181 / 6 | $11.796,20 | 144 / 8 | $9.537,73 | 144 / 9 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 22 | 47 / 10 | $52.458,10 | 182 / 10 | $12.288,70 | 358 / 13 | $10.974,30 | 357 / 22 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 22 | 34 / 6 | $31.627,30 | 228 / 11 | $10.455,20 | 321 / 21 | $8.550,55 | 320 / 15 |
Seizures W Mcc | 22 | 44 / 8 | $34.668,50 | 256 / 6 | $10.535,10 | 372 / 11 | $9.390,18 | 372 / 16 |
Respiratory Neoplasms W Cc | 21 | 26 / 6 | $25.052,30 | 125 / 3 | $8.169,95 | 127 / 8 | $6.228,38 | 126 / 5 |
O.R. Procedures For Obesity W/O Cc/Mcc | 21 | 56 / 9 | $30.258,80 | 88 / 4 | $12.404,30 | 50 / 10 | $7.356,86 | 50 / 2 |
G.I. Obstruction W Mcc | 21 | 21 / 3 | $21.300,40 | 41 / 2 | $9.586,19 | 121 / 2 | $8.638,67 | 121 / 5 |
Degenerative Nervous System Disorders W/O Mcc | 21 | 57 / 15 | $24.804,50 | 381 / 19 | $6.568,19 | 193 / 19 | $4.954,62 | 193 / 16 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 20 | 34 / 10 | $16.990,90 | 119 / 4 | $8.894,70 | 39 / 20 | $3.239,75 | 39 / 4 |
Cervical Spinal Fusion W Cc | 20 | 33 / 4 | $45.029,70 | 60 / 1 | $21.285,60 | 250 / 5 | $18.791,20 | 249 / 8 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 20 | 25 / 4 | $79.315,50 | 96 / 4 | $20.239,50 | 150 / 7 | $18.950,10 | 149 / 8 |
Headaches W/O Mcc | 20 | 23 / 5 | $13.411,80 | 32 / 3 | $4.569,25 | 83 / 3 | $3.438,30 | 83 / 7 |
Red Blood Cell Disorders W Mcc | 20 | 51 / 12 | $45.327,60 | 765 / 27 | $11.193,00 | 854 / 45 | $9.522,45 | 850 / 46 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 20 | 36 / 5 | $45.559,60 | 382 / 12 | $12.854,20 | 496 / 23 | $9.546,45 | 494 / 19 |
Respiratory Signs & Symptoms | 19 | 27 / 6 | $19.246,30 | 105 / 1 | $4.717,84 | 110 / 5 | $3.729,26 | 110 / 8 |
Other Circulatory System Diagnoses W Cc | 19 | 47 / 9 | $21.237,60 | 225 / 4 | $6.423,47 | 73 / 9 | $4.588,21 | 73 / 4 |
Other Digestive System Diagnoses W Mcc | 19 | 43 / 8 | $31.707,80 | 188 / 6 | $10.800,50 | 151 / 6 | $9.133,05 | 151 / 6 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 19 | 17 / 4 | $58.937,30 | 163 / 9 | $20.842,20 | 3 / 18 | $10.614,80 | 3 / 1 |
Other Digestive System Diagnoses W/O Cc/Mcc | 19 | 24 / 5 | $15.216,60 | 85 / 4 | $4.610,89 | 131 / 6 | $3.478,42 | 131 / 9 |
Pulmonary Embolism W Mcc | 19 | 24 / 3 | $35.195,90 | 250 / 6 | $11.602,90 | 109 / 15 | $7.725,32 | 109 / 5 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 19 | 28 / 5 | $26.978,70 | 114 / 3 | $10.057,90 | 80 / 16 | $5.497,53 | 80 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 19 | 37 / 4 | $30.025,40 | 140 / 4 | $12.528,70 | 246 / 8 | $10.905,50 | 245 / 7 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 19 | 42 / 12 | $14.265,70 | 272 / 9 | $4.626,16 | 333 / 13 | $3.410,79 | 332 / 17 |
Other Disorders Of Nervous System W/O Cc/Mcc | 19 | 16 / 4 | $14.830,60 | 31 / 1 | $4.559,47 | 56 / 3 | $3.676,58 | 56 / 5 |
Renal Failure W/O Cc/Mcc | 19 | 37 / 8 | $13.345,40 | 281 / 11 | $4.835,68 | 217 / 22 | $2.960,89 | 216 / 12 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 10 | $109.939,00 | 310 / 14 | $31.209,30 | 348 / 13 | $29.805,20 | 348 / 19 |
Other Kidney & Urinary Tract Procedures W Mcc | 19 | 19 / 1 | $57.144,90 | 44 / 1 | $23.294,50 | 37 / 1 | $17.138,90 | 37 / 1 |
Transurethral Procedures W Cc | 18 | 23 / 6 | $30.704,30 | 130 / 7 | $8.724,56 | 89 / 8 | $6.473,83 | 89 / 5 |
Complications Of Treatment W Mcc | 18 | 33 / 5 | $29.306,30 | 51 / 5 | $10.818,90 | 69 / 1 | $9.944,61 | 69 / 4 |
Vaginal Delivery W/O Complicating Diagnoses | 18 | 7 / 2 | $8.555,61 | 10 / 1 | $4.323,72 | 2 / 1 | $2.339,44 | 2 / 1 |
Peritoneal Adhesiolysis W Cc | 18 | 21 / 3 | $49.099,70 | 84 / 3 | $16.739,70 | 16 / 4 | $10.873,60 | 16 / 1 |
Peripheral Vascular Disorders W Mcc | 17 | 32 / 7 | $23.186,90 | 90 / 5 | $8.288,71 | 137 / 6 | $7.244,29 | 137 / 7 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 17 | 21 / 3 | $16.842,40 | 171 / 5 | $4.540,94 | 185 / 5 | $3.299,65 | 185 / 7 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 17 | 23 / 2 | $46.548,20 | 73 / 5 | $15.324,30 | 158 / 4 | $13.820,30 | 157 / 6 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 17 | 27 / 9 | $60.582,20 | 122 / 5 | $16.804,30 | 154 / 5 | $16.012,40 | 153 / 12 |
Coronary Bypass W Cardiac Cath W Mcc | 17 | 39 / 5 | $146.685,00 | 104 / 5 | $46.114,90 | 247 / 8 | $44.508,00 | 247 / 13 |
Tendonitis, Myositis & Bursitis W/O Mcc | 16 | 26 / 8 | $17.048,80 | 96 / 5 | $5.416,31 | 82 / 11 | $4.140,94 | 82 / 10 |
Dysequilibrium | 16 | 49 / 11 | $13.351,10 | 94 / 3 | $4.327,75 | 241 / 11 | $3.312,69 | 241 / 17 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 17 | $126.650,00 | 365 / 13 | $39.008,90 | 541 / 19 | $37.586,70 | 540 / 26 |
Disorders Of The Biliary Tract W Cc | 16 | 38 / 9 | $29.299,90 | 197 / 8 | $7.690,19 | 239 / 12 | $6.438,88 | 239 / 19 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 15 | 54 / 5 | $208.160,00 | 86 / 3 | $62.429,10 | 127 / 4 | $60.605,70 | 127 / 9 |
Postoperative & Post-Traumatic Infections W Mcc | 15 | 28 / 4 | $31.965,40 | 40 / 3 | $10.762,10 | 31 / 1 | $9.789,87 | 31 / 1 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 15 | 48 / 14 | $47.210,30 | 32 / 3 | $24.722,70 | 88 / 17 | $18.268,30 | 88 / 8 |
Major Chest Procedures W Mcc | 15 | 34 / 5 | $93.874,30 | 74 / 2 | $34.203,60 | 18 / 3 | $23.961,10 | 18 / 1 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 12 | $24.049,50 | 422 / 23 | $5.563,60 | 194 / 29 | $3.552,27 | 193 / 14 |
Concussion W Cc | 15 | 5 / 1 | $25.951,80 | 6 / 1 | $6.677,27 | 4 / 2 | $4.413,53 | 4 / 1 |
Nonspecific Cerebrovascular Disorders W/O Cc/Mcc | 15 | 6 / 1 | $12.396,80 | 3 / 1 | $4.777,47 | 7 / 1 | $2.984,87 | 7 / 1 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 14 | 60 / 9 | $39.644,90 | 24 / 1 | $15.715,40 | 34 / 2 | $11.771,70 | 34 / 2 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 14 | 26 / 6 | $37.670,60 | 38 / 1 | $11.555,60 | 66 / 2 | $10.699,50 | 66 / 2 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 14 | 24 / 6 | $58.405,20 | 105 / 3 | $13.466,60 | 36 / 2 | $10.861,90 | 36 / 1 |
Lymphoma & Non-Acute Leukemia W Cc | 14 | 22 / 5 | $29.834,90 | 22 / 1 | $9.797,43 | 16 / 1 | $8.672,64 | 16 / 2 |
Major Chest Trauma W Mcc | 14 | 5 / 3 | $29.794,90 | 4 / 2 | $9.319,71 | 4 / 1 | $7.858,07 | 4 / 4 |
Respiratory Neoplasms W Mcc | 14 | 38 / 8 | $32.526,10 | 140 / 2 | $11.895,90 | 131 / 6 | $9.073,79 | 131 / 6 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 14 | 62 / 10 | $36.027,40 | 167 / 7 | $14.016,90 | 37 / 7 | $9.099,93 | 37 / 2 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 14 | 55 / 11 | $52.123,40 | 125 / 2 | $19.992,00 | 49 / 14 | $13.003,50 | 49 / 3 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 14 | 20 / 3 | $88.569,30 | 70 / 2 | $26.906,60 | 62 / 1 | $25.690,30 | 62 / 3 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 14 | 30 / 9 | $16.937,20 | 75 / 2 | $5.032,14 | 79 / 4 | $3.780,71 | 79 / 5 |
Fever | 13 | 33 / 14 | $21.616,90 | 128 / 3 | $5.689,08 | 131 / 7 | $4.775,54 | 131 / 9 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 13 | 78 / 10 | $29.137,70 | 155 / 4 | $7.545,38 | 67 / 3 | $6.310,23 | 67 / 5 |
Extracranial Procedures W Cc | 13 | 33 / 4 | $35.424,20 | 123 / 3 | $10.073,30 | 170 / 2 | $8.873,38 | 170 / 5 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 13 | 42 / 6 | $50.590,40 | 19 / 1 | $27.146,50 | 1 / 9 | $11.607,30 | 1 / 1 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 13 | 33 / 7 | $21.152,50 | 54 / 3 | $9.063,85 | 33 / 7 | $4.372,85 | 33 / 5 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 13 | $18.220,10 | 150 / 5 | $6.156,15 | 183 / 7 | $5.257,08 | 183 / 10 |
Major Chest Procedures W Cc | 13 | 61 / 13 | $45.003,20 | 72 / 4 | $20.766,80 | 8 / 11 | $11.062,20 | 8 / 1 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 13 | 17 / 3 | $48.702,30 | 90 / 3 | $13.096,90 | 20 / 4 | $9.330,77 | 20 / 1 |
Postoperative & Post-Traumatic Infections W/O Mcc | 13 | 41 / 11 | $27.098,10 | 242 / 5 | $10.430,40 | 63 / 16 | $4.887,00 | 63 / 4 |
Spinal Fusion Except Cervical W Mcc | 12 | 13 / 3 | $74.274,10 | 3 / 1 | $38.174,70 | 18 / 1 | $36.651,60 | 18 / 1 |
Cranial & Peripheral Nerve Disorders W Mcc | 12 | 24 / 2 | $40.971,50 | 95 / 1 | $10.596,40 | 106 / 3 | $9.694,08 | 106 / 3 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 12 | 39 / 9 | $34.495,10 | 64 / 2 | $11.737,10 | 77 / 2 | $10.819,90 | 77 / 4 |
Limb Reattachment, Hip & Femur Proc For Multiple Significant Trauma | 12 | 10 / 2 | $73.317,10 | 11 / 1 | $20.685,20 | 7 / 1 | $19.299,10 | 7 / 1 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 12 | 28 / 8 | $24.524,10 | 93 / 4 | $7.058,25 | 53 / 4 | $5.823,58 | 53 / 5 |
Major Male Pelvic Procedures W/O Cc/Mcc | 12 | 61 / 8 | $30.789,00 | 90 / 1 | $13.892,90 | 31 / 8 | $5.198,83 | 31 / 1 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 12 | 41 / 9 | $31.317,60 | 52 / 4 | $10.912,50 | 86 / 2 | $9.899,33 | 87 / 3 |
Periph/Cranial Nerve & Other Nerv Syst Proc W Mcc | 12 | 13 / 4 | $77.584,80 | 15 / 1 | $25.187,10 | 4 / 1 | $18.994,50 | 4 / 1 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 10 | $21.516,70 | 179 / 8 | $4.748,58 | 142 / 11 | $3.415,67 | 142 / 13 |
Coagulation Disorders | 12 | 15 / 4 | $79.855,80 | 78 / 2 | $43.728,60 | 103 / 2 | $42.817,90 | 103 / 2 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 12 | $25.260,50 | 134 / 5 | $9.991,00 | 31 / 11 | $5.565,75 | 31 / 2 |
Major Chest Trauma W Cc | 11 | 25 / 9 | $31.226,50 | 70 / 4 | $6.851,64 | 41 / 3 | $5.090,27 | 41 / 6 |
Other Resp System O.R. Procedures W Cc | 11 | 36 / 11 | $42.223,30 | 99 / 3 | $12.277,30 | 136 / 5 | $11.225,60 | 136 / 10 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 12 | $28.825,00 | 93 / 5 | $9.396,45 | 252 / 8 | $8.279,73 | 252 / 15 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Mcc | 11 | 12 / 2 | $76.007,00 | 19 / 1 | $19.709,70 | 18 / 1 | $18.627,00 | 18 / 1 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 11 | 31 / 6 | $86.012,10 | 14 / 1 | $27.580,60 | 19 / 2 | $24.255,90 | 19 / 1 |
Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 4 | $30.900,40 | 70 / 1 | $11.945,70 | 14 / 2 | $8.351,00 | 14 / 1 |
Inflammatory Bowel Disease W Cc | 11 | 21 / 6 | $26.393,80 | 70 / 3 | $6.780,73 | 34 / 2 | $5.389,00 | 34 / 2 |
Fractures Of Hip & Pelvis W Mcc | 11 | 10 / 2 | $29.522,10 | 26 / 2 | $8.521,09 | 25 / 1 | $7.194,45 | 25 / 1 |
Digestive Malignancy W Cc | 11 | 36 / 10 | $24.393,90 | 72 / 1 | $9.046,55 | 67 / 9 | $6.426,73 | 67 / 4 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Mcc | 11 | 14 / 1 | $25.496,50 | 2 / 1 | $12.693,50 | 1 / 1 | $8.577,45 | 1 / 1 | Total 193 procedures | 9.214 | 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.