Hospital Costs > In New York > Lenox Hill 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 | 447 | 158 / 7 | $56.895,20 | 1573 / 87 | $21.358,80 | 2420 / 94 | $16.453,80 | 2374 / 87 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 250 | 9 / 4 | $60.057,60 | 451 / 28 | $19.507,00 | 1384 / 32 | $16.776,10 | 1376 / 35 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 207 | 309 / 45 | $108.509,00 | 2706 / 145 | $21.369,60 | 2710 / 114 | $18.147,90 | 2665 / 116 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 181 | 95 / 12 | $38.186,90 | 2436 / 133 | $7.877,27 | 2463 / 95 | $6.268,07 | 2448 / 95 |
Chest Pain | 120 | 39 / 13 | $29.222,50 | 1367 / 87 | $6.319,87 | 1403 / 50 | $4.671,57 | 1395 / 46 |
Syncope & Collapse | 117 | 53 / 16 | $35.044,80 | 1581 / 103 | $7.748,74 | 1656 / 72 | $5.812,75 | 1648 / 65 |
Major Male Pelvic Procedures W/O Cc/Mcc | 114 | 4 / 1 | $33.069,20 | 115 / 9 | $12.952,30 | 335 / 9 | $10.160,10 | 335 / 10 |
Cellulitis W/O Mcc | 114 | 75 / 15 | $40.414,40 | 2419 / 133 | $8.866,32 | 2357 / 97 | $6.799,79 | 2349 / 96 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 110 | 56 / 11 | $34.674,80 | 2252 / 127 | $7.500,98 | 2278 / 93 | $5.962,44 | 2270 / 92 |
Kidney & Urinary Tract Infections W/O Mcc | 106 | 127 / 24 | $44.675,60 | 2580 / 136 | $8.568,72 | 2464 / 100 | $6.460,65 | 2453 / 91 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 98 | 13 / 4 | $78.942,40 | 330 / 22 | $18.717,50 | 533 / 18 | $16.692,00 | 529 / 19 |
Transurethral Prostatectomy W/O Cc/Mcc | 98 | 2 / 2 | $22.726,90 | 36 / 8 | $7.633,54 | 70 / 3 | $5.918,89 | 70 / 4 |
Red Blood Cell Disorders W/O Mcc | 98 | 48 / 9 | $48.156,40 | 1890 / 112 | $9.301,89 | 1794 / 80 | $6.909,15 | 1785 / 76 |
G.I. Hemorrhage W Cc | 90 | 128 / 26 | $59.952,60 | 2308 / 126 | $10.384,40 | 2206 / 89 | $8.443,79 | 2202 / 86 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 86 | 102 / 14 | $59.535,10 | 1379 / 59 | $11.143,80 | 1486 / 37 | $9.040,51 | 1483 / 40 |
Heart Failure & Shock W Mcc | 79 | 205 / 40 | $108.916,00 | 2586 / 133 | $18.247,30 | 2528 / 108 | $14.947,40 | 2517 / 104 |
Chronic Obstructive Pulmonary Disease W Mcc | 75 | 127 / 24 | $66.602,40 | 2427 / 130 | $12.381,20 | 2356 / 96 | $9.867,24 | 2348 / 86 |
Spinal Fusion Except Cervical W/O Mcc | 75 | 119 / 8 | $121.601,00 | 944 / 46 | $38.399,40 | 1253 / 43 | $32.847,50 | 1248 / 46 |
Simple Pneumonia & Pleurisy W Cc | 72 | 131 / 29 | $49.273,40 | 2541 / 136 | $10.590,60 | 2502 / 110 | $7.706,11 | 2493 / 98 |
Simple Pneumonia & Pleurisy W Mcc | 69 | 136 / 23 | $84.696,90 | 2378 / 123 | $16.824,70 | 2406 / 102 | $13.555,00 | 2400 / 95 |
Heart Failure & Shock W Cc | 65 | 213 / 50 | $60.239,30 | 2670 / 139 | $10.624,20 | 2511 / 102 | $8.376,23 | 2505 / 97 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 63 | 87 / 19 | $31.883,10 | 1807 / 110 | $6.286,22 | 1732 / 80 | $4.215,41 | 1726 / 73 |
Medical Back Problems W/O Mcc | 60 | 61 / 13 | $44.281,80 | 1333 / 84 | $9.210,00 | 1368 / 62 | $7.346,03 | 1363 / 62 |
Hypertension W/O Mcc | 56 | 12 / 5 | $33.974,20 | 684 / 51 | $6.749,54 | 650 / 26 | $4.828,14 | 648 / 24 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 54 | 153 / 49 | $72.386,00 | 2503 / 136 | $12.067,40 | 2437 / 103 | $9.770,26 | 2427 / 103 |
Chronic Obstructive Pulmonary Disease W Cc | 49 | 130 / 32 | $51.596,90 | 2272 / 133 | $9.843,04 | 2250 / 93 | $8.097,49 | 2243 / 93 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 48 | 78 / 17 | $69.780,10 | 1663 / 95 | $13.912,80 | 1580 / 68 | $10.332,30 | 1577 / 58 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 47 | 114 / 27 | $59.358,00 | 2118 / 119 | $10.766,40 | 2014 / 92 | $7.143,72 | 2009 / 83 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 47 | 69 / 9 | $324.782,00 | 402 / 19 | $75.782,60 | 446 / 13 | $72.943,60 | 446 / 15 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 46 | 78 / 23 | $263.632,00 | 1445 / 90 | $53.822,70 | 1474 / 63 | $49.492,00 | 1464 / 65 |
Other Vascular Procedures W Cc | 46 | 56 / 13 | $94.520,10 | 798 / 40 | $23.883,90 | 1015 / 32 | $21.251,20 | 1010 / 30 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 46 | 43 / 5 | $38.834,90 | 447 / 21 | $10.976,90 | 703 / 17 | $9.037,57 | 702 / 20 |
Renal Failure W Cc | 46 | 175 / 42 | $60.101,80 | 2362 / 126 | $10.466,60 | 2259 / 87 | $8.547,83 | 2249 / 84 |
Heart Failure & Shock W/O Cc/Mcc | 44 | 66 / 22 | $41.174,60 | 1913 / 117 | $7.187,23 | 1834 / 79 | $5.808,14 | 1821 / 80 |
Respiratory Infections & Inflammations W Mcc | 43 | 93 / 14 | $134.164,00 | 1764 / 80 | $23.992,30 | 1787 / 77 | $20.189,30 | 1771 / 75 |
G.I. Hemorrhage W Mcc | 42 | 79 / 17 | $122.958,00 | 1634 / 88 | $22.161,30 | 1636 / 74 | $19.685,50 | 1626 / 77 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 41 | 59 / 10 | $112.580,00 | 611 / 23 | $33.262,10 | 896 / 28 | $26.602,00 | 891 / 19 |
Renal Failure W Mcc | 41 | 154 / 31 | $97.292,80 | 2102 / 107 | $18.613,50 | 2102 / 81 | $16.359,30 | 2098 / 83 |
Other Vascular Procedures W Mcc | 40 | 57 / 10 | $168.441,00 | 923 / 53 | $38.251,80 | 973 / 48 | $35.263,50 | 970 / 52 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 40 | 53 / 14 | $35.064,40 | 1736 / 94 | $7.502,58 | 1751 / 71 | $5.380,77 | 1743 / 66 |
Signs & Symptoms W/O Mcc | 40 | 51 / 14 | $33.875,60 | 1103 / 73 | $7.264,98 | 1163 / 45 | $5.908,27 | 1160 / 50 |
Peripheral Vascular Disorders W Cc | 39 | 45 / 14 | $50.847,30 | 1154 / 74 | $9.788,77 | 1094 / 45 | $8.077,44 | 1091 / 45 |
Seizures W/O Mcc | 38 | 70 / 26 | $30.236,90 | 962 / 82 | $7.755,50 | 1098 / 56 | $6.172,13 | 1096 / 55 |
Hip & Femur Procedures Except Major Joint W Cc | 38 | 105 / 32 | $92.918,30 | 1832 / 101 | $19.127,90 | 1936 / 80 | $16.831,80 | 1916 / 81 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 37 | 86 / 24 | $83.722,30 | 1863 / 105 | $12.842,20 | 1776 / 74 | $10.922,70 | 1773 / 74 |
Kidney & Urinary Tract Infections W Mcc | 37 | 107 / 27 | $79.100,10 | 1920 / 89 | $11.756,70 | 1786 / 64 | $9.543,24 | 1782 / 58 |
Other Vascular Procedures W/O Cc/Mcc | 36 | 20 / 6 | $43.799,60 | 225 / 16 | $15.672,70 | 506 / 16 | $14.532,00 | 505 / 19 |
Thyroid, Parathyroid & Thyroglossal Procedures W/O Cc/Mcc | 36 | 6 / 3 | $25.353,80 | 12 / 5 | $8.315,19 | 26 / 2 | $6.655,56 | 26 / 2 |
G.I. Hemorrhage W/O Cc/Mcc | 36 | 32 / 8 | $32.710,10 | 846 / 60 | $7.426,58 | 849 / 41 | $5.356,19 | 845 / 34 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 35 | 27 / 11 | $36.252,50 | 682 / 65 | $8.011,34 | 713 / 51 | $6.218,09 | 711 / 50 |
Major Cardiovasc Procedures W/O Mcc | 34 | 67 / 14 | $107.080,00 | 648 / 37 | $36.957,20 | 816 / 37 | $25.003,20 | 815 / 23 |
Degenerative Nervous System Disorders W/O Mcc | 34 | 44 / 17 | $62.018,40 | 836 / 70 | $10.734,00 | 742 / 42 | $8.365,00 | 742 / 41 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 33 | 36 / 3 | $86.008,10 | 363 / 16 | $28.472,90 | 456 / 14 | $21.352,50 | 455 / 11 |
Dysequilibrium | 33 | 32 / 11 | $30.734,10 | 418 / 50 | $6.627,06 | 488 / 29 | $5.148,27 | 488 / 30 |
Major Chest Procedures W Cc | 32 | 42 / 5 | $82.099,60 | 336 / 23 | $25.380,50 | 453 / 23 | $20.962,80 | 451 / 24 |
Transurethral Procedures W/O Cc/Mcc | 32 | 2 / 2 | $19.657,50 | 1 / 1 | $8.158,97 | 9 / 1 | $6.938,16 | 9 / 2 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 31 | 60 / 7 | $43.989,80 | 287 / 16 | $11.135,90 | 297 / 13 | $9.249,81 | 297 / 13 |
Other Circulatory System Diagnoses W Mcc | 31 | 85 / 18 | $117.390,00 | 1332 / 78 | $25.199,70 | 1373 / 67 | $22.848,80 | 1365 / 71 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 31 | 26 / 7 | $67.225,10 | 488 / 28 | $19.834,90 | 677 / 23 | $18.252,40 | 675 / 27 |
Major Small & Large Bowel Procedures W Cc | 30 | 78 / 19 | $160.933,00 | 1477 / 77 | $31.844,20 | 1523 / 76 | $28.743,40 | 1509 / 76 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 30 | 62 / 24 | $227.110,00 | 830 / 71 | $56.371,30 | 996 / 53 | $52.384,70 | 995 / 54 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 30 | 95 / 34 | $117.441,00 | 1761 / 104 | $20.904,80 | 1709 / 86 | $16.029,70 | 1696 / 75 |
Diabetes W Cc | 29 | 63 / 20 | $44.176,60 | 1474 / 93 | $8.729,55 | 1425 / 57 | $7.049,62 | 1420 / 59 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 26 | $36.912,00 | 1892 / 119 | $7.542,03 | 1919 / 80 | $6.047,97 | 1908 / 81 |
Other Circulatory System O.R. Procedures | 29 | 26 / 6 | $115.139,00 | 359 / 19 | $30.073,70 | 428 / 18 | $28.008,90 | 428 / 21 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 28 | 35 / 2 | $92.366,90 | 158 / 9 | $38.124,40 | 213 / 14 | $26.688,10 | 212 / 12 |
Peripheral Vascular Disorders W/O Cc/Mcc | 28 | 17 / 5 | $38.487,40 | 376 / 26 | $7.039,43 | 353 / 14 | $5.695,79 | 353 / 17 |
G.I. Obstruction W/O Cc/Mcc | 28 | 43 / 12 | $37.375,90 | 1213 / 79 | $6.999,14 | 1178 / 60 | $4.734,86 | 1175 / 57 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 28 | 68 / 17 | $55.446,60 | 1223 / 69 | $11.577,60 | 1275 / 44 | $10.026,40 | 1270 / 48 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 28 | 154 / 44 | $64.839,50 | 1933 / 106 | $11.264,40 | 1872 / 75 | $8.729,07 | 1868 / 72 |
Organic Disturbances & Mental Retardation | 27 | 32 / 14 | $64.140,20 | 541 / 46 | $10.927,30 | 455 / 31 | $8.327,78 | 455 / 24 |
Fractures Of Hip & Pelvis W/O Mcc | 27 | 34 / 9 | $36.986,40 | 832 / 58 | $7.648,81 | 840 / 47 | $5.756,52 | 839 / 43 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 27 | 69 / 7 | $42.728,40 | 218 / 14 | $22.592,60 | 729 / 24 | $16.658,60 | 725 / 21 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 27 | 91 / 13 | $205.682,00 | 420 / 19 | $51.115,10 | 493 / 16 | $45.327,00 | 493 / 17 |
Kidney & Ureter Procedures For Neoplasm W Cc | 27 | 17 / 3 | $85.657,80 | 145 / 9 | $19.134,00 | 153 / 4 | $17.091,90 | 153 / 8 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 26 | 21 / 8 | $33.021,20 | 311 / 28 | $7.435,38 | 316 / 14 | $6.045,31 | 316 / 15 |
G.I. Obstruction W Cc | 26 | 66 / 20 | $56.723,20 | 1654 / 87 | $9.200,62 | 1590 / 65 | $7.355,92 | 1585 / 68 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 26 | 62 / 10 | $94.095,70 | 216 / 10 | $37.071,10 | 506 / 13 | $28.017,80 | 505 / 12 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 25 | 40 / 6 | $153.982,00 | 846 / 39 | $32.975,20 | 877 / 30 | $29.902,10 | 873 / 30 |
O.R. Procedures For Obesity W/O Cc/Mcc | 25 | 52 / 10 | $39.092,20 | 171 / 21 | $18.944,90 | 246 / 25 | $9.464,80 | 246 / 12 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 25 | 29 / 6 | $142.436,00 | 221 / 14 | $30.991,30 | 224 / 8 | $26.594,60 | 224 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 36 | $118.974,00 | 1573 / 90 | $20.486,80 | 1550 / 66 | $17.617,40 | 1543 / 67 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 24 | 45 / 6 | $60.624,70 | 269 / 18 | $16.888,90 | 528 / 18 | $15.569,90 | 526 / 20 |
Revision Of Hip Or Knee Replacement W Cc | 23 | 63 / 7 | $131.745,00 | 571 / 22 | $33.481,00 | 643 / 21 | $30.876,10 | 641 / 23 |
Red Blood Cell Disorders W Mcc | 23 | 48 / 17 | $63.887,20 | 984 / 70 | $13.387,80 | 964 / 46 | $10.757,60 | 960 / 38 |
Other Digestive System Diagnoses W Cc | 23 | 74 / 26 | $53.270,00 | 1304 / 73 | $10.132,30 | 1249 / 50 | $7.895,65 | 1245 / 45 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 23 | 17 / 4 | $60.824,80 | 109 / 11 | $15.040,40 | 113 / 4 | $11.482,30 | 113 / 5 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 23 | 70 / 17 | $107.923,00 | 798 / 35 | $21.824,40 | 813 / 21 | $18.161,90 | 805 / 22 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 23 | 38 / 12 | $26.411,50 | 692 / 37 | $6.946,35 | 739 / 28 | $5.049,22 | 738 / 26 |
Atherosclerosis W/O Mcc | 23 | 35 / 12 | $30.414,80 | 451 / 42 | $6.366,87 | / 23 | $5.069,65 | / |
Respiratory Signs & Symptoms | 23 | 23 / 9 | $32.666,30 | 250 / 18 | $7.526,04 | 259 / 11 | $5.730,78 | 259 / 12 |
Transurethral Procedures W Cc | 23 | 18 / 3 | $38.128,00 | 206 / 10 | $12.362,50 | 349 / 14 | $10.221,70 | 349 / 17 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 23 | 45 / 12 | $58.822,30 | 703 / 47 | $9.508,22 | 568 / 28 | $6.609,96 | 568 / 21 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 31 | $106.766,00 | 1578 / 94 | $24.647,40 | 1760 / 74 | $22.103,50 | 1746 / 77 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 31 | $50.870,90 | 1507 / 83 | $8.786,00 | 1415 / 60 | $5.913,77 | 1411 / 53 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 21 | 103 / 37 | $35.395,80 | 748 / 58 | $7.415,57 | 653 / 34 | $5.309,10 | 652 / 29 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 21 | 26 / 8 | $53.515,30 | 356 / 22 | $14.433,50 | 477 / 17 | $12.583,00 | 477 / 24 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 21 | 24 / 5 | $80.377,40 | 167 / 11 | $19.788,00 | 189 / 6 | $17.856,30 | 189 / 9 |
Permanent Cardiac Pacemaker Implant W Cc | 21 | 56 / 20 | $117.178,00 | 851 / 41 | $24.915,60 | 912 / 30 | $22.894,80 | 908 / 33 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 21 | 60 / 13 | $719.388,00 | 386 / 26 | $183.262,00 | 407 / 18 | $169.697,00 | 406 / 25 |
Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 21 | $240.195,00 | 1142 / 60 | $52.842,40 | 1236 / 49 | $49.073,80 | 1233 / 53 |
Pulmonary Embolism W/O Mcc | 20 | 54 / 14 | $42.779,90 | 1090 / 47 | $9.766,40 | 1198 / 41 | $8.331,80 | 1195 / 44 |
Extracranial Procedures W/O Cc/Mcc | 20 | 78 / 18 | $31.288,00 | 473 / 29 | $10.019,20 | 888 / 27 | $8.737,55 | 885 / 32 |
Respiratory Infections & Inflammations W Cc | 20 | 68 / 26 | $75.262,80 | 1369 / 80 | $15.547,80 | 1440 / 72 | $13.286,50 | 1435 / 69 |
Transurethral Prostatectomy W Cc/Mcc | 19 | 5 / 2 | $37.547,90 | 23 / 5 | $13.192,90 | 41 / 2 | $11.821,20 | 41 / 4 |
Other Digestive System Diagnoses W/O Cc/Mcc | 19 | 24 / 8 | $30.476,60 | 278 / 31 | $7.165,84 | 301 / 22 | $5.180,05 | 301 / 18 |
Transient Ischemia | 19 | 106 / 39 | $49.329,90 | 1568 / 99 | $7.985,11 | 1528 / 72 | $6.155,47 | 1520 / 69 |
Bronchitis & Asthma W Cc/Mcc | 19 | 57 / 23 | $41.659,70 | 916 / 57 | $9.074,53 | 956 / 33 | $7.217,89 | 952 / 34 |
Bronchitis & Asthma W/O Cc/Mcc | 18 | 27 / 12 | $28.687,70 | 293 / 27 | $7.031,61 | 309 / 15 | $4.910,56 | 309 / 11 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 21 | $246.185,00 | 853 / 62 | $56.895,10 | 941 / 49 | $51.136,90 | 940 / 52 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 18 | 26 / 11 | $37.063,50 | 241 / 29 | $7.853,56 | 253 / 17 | $5.981,67 | 253 / 15 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 30 | $116.041,00 | 1084 / 61 | $20.457,20 | 1041 / 54 | $14.995,30 | 1037 / 46 |
Other Kidney & Urinary Tract Diagnoses W Cc | 18 | 85 / 23 | $45.774,90 | 708 / 37 | $9.977,33 | 749 / 25 | $8.539,56 | 749 / 28 |
Headaches W/O Mcc | 18 | 25 / 4 | $34.228,50 | 185 / 10 | $7.149,00 | 208 / 5 | $5.772,44 | 208 / 4 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 17 | 46 / 15 | $282.839,00 | 716 / 44 | $62.326,60 | 730 / 41 | $49.721,70 | 730 / 39 |
Postoperative & Post-Traumatic Infections W/O Mcc | 17 | 37 / 9 | $42.845,10 | 383 / 29 | $9.827,24 | 392 / 22 | $8.561,59 | 392 / 25 |
Coronary Bypass W Cardiac Cath W/O Mcc | 17 | 59 / 16 | $173.911,00 | 438 / 22 | $43.756,30 | 591 / 16 | $41.161,10 | 591 / 24 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 17 | 29 / 12 | $30.404,00 | 282 / 24 | $7.144,18 | 348 / 15 | $5.680,41 | 347 / 18 |
Major Chest Procedures W/O Cc/Mcc | 17 | 42 / 8 | $79.086,90 | 214 / 16 | $16.983,80 | 238 / 10 | $15.219,50 | 238 / 14 |
Other Respiratory System Diagnoses W/O Mcc | 17 | 29 / 8 | $34.429,10 | 253 / 15 | $8.449,94 | 240 / 9 | $5.955,24 | 240 / 7 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 17 | 12 / 6 | $23.308,00 | 94 / 9 | $7.505,47 | 107 / 16 | $4.989,88 | 107 / 11 |
Disorders Of The Biliary Tract W Cc | 17 | 37 / 15 | $83.860,80 | 470 / 35 | $11.049,30 | 380 / 22 | $8.106,35 | 380 / 14 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 19 | $81.161,80 | 1087 / 54 | $13.222,40 | 1002 / 44 | $9.619,82 | 1000 / 35 |
Other Digestive System Diagnoses W Mcc | 17 | 45 / 18 | $97.106,20 | 710 / 46 | $18.324,50 | 691 / 33 | $15.541,50 | 690 / 33 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 17 | 36 / 9 | $91.020,40 | 302 / 25 | $17.519,30 | 296 / 12 | $15.501,10 | 297 / 15 |
Peripheral Vascular Disorders W Mcc | 16 | 33 / 16 | $90.117,40 | 571 / 38 | $17.273,40 | 577 / 32 | $15.275,20 | 577 / 34 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 16 | 50 / 10 | $70.162,90 | 410 / 15 | $18.123,30 | 524 / 13 | $15.872,70 | 520 / 16 |
Cellulitis W Mcc | 16 | 42 / 21 | $62.072,90 | 826 / 48 | $14.945,40 | 897 / 43 | $12.917,60 | 895 / 41 |
Fever | 16 | 30 / 13 | $36.225,10 | 271 / 24 | $8.874,38 | 266 / 21 | $6.627,12 | 266 / 18 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 16 | 28 / 7 | $104.049,00 | 325 / 15 | $30.815,50 | 365 / 18 | $22.526,40 | 363 / 13 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 16 | 13 / 3 | $45.243,70 | 120 / 12 | $8.518,12 | 124 / 8 | $6.909,12 | 123 / 8 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 15 | $62.279,60 | 725 / 39 | $15.691,70 | 859 / 29 | $13.732,20 | 856 / 31 |
Degenerative Nervous System Disorders W Mcc | 15 | 23 / 8 | $92.543,70 | 212 / 15 | $22.002,80 | 201 / 12 | $16.165,30 | 201 / 9 |
Other Circulatory System Diagnoses W Cc | 15 | 51 / 17 | $54.736,80 | 619 / 31 | $9.392,20 | 589 / 16 | $8.248,20 | 588 / 20 |
Cervical Spinal Fusion W/O Cc/Mcc | 15 | 89 / 17 | $60.710,30 | 469 / 19 | $21.557,40 | 809 / 19 | $17.724,50 | 806 / 21 |
Bone Diseases & Arthropathies W/O Mcc | 15 | 29 / 12 | $43.032,70 | 281 / 26 | $8.942,47 | 219 / 15 | $5.767,13 | 219 / 9 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 15 | 31 / 12 | $30.010,80 | 124 / 18 | $9.848,93 | 205 / 11 | $7.566,67 | 205 / 10 |
Pleural Effusion W Cc | 15 | 13 / 2 | $70.676,20 | 111 / 10 | $11.273,90 | 101 / 5 | $9.272,20 | 101 / 5 |
Respiratory Neoplasms W Cc | 14 | 33 / 13 | $75.973,90 | 490 / 34 | $11.715,90 | 437 / 18 | $9.917,07 | 436 / 18 |
Other Kidney & Urinary Tract Procedures W Mcc | 14 | 24 / 9 | $201.272,00 | 218 / 20 | $42.780,60 | 226 / 20 | $38.530,60 | 225 / 22 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 22 | $564.182,00 | 534 / 45 | $116.340,00 | 528 / 25 | $106.791,00 | 527 / 29 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 14 | 36 / 12 | $154.564,00 | 150 / 15 | $62.466,40 | 183 / 18 | $40.683,00 | 183 / 8 |
Disorders Of The Biliary Tract W Mcc | 14 | 25 / 10 | $119.749,00 | 253 / 19 | $17.076,70 | 223 / 8 | $14.451,10 | 223 / 9 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 13 | $43.298,90 | 350 / 30 | $11.892,40 | 555 / 26 | $10.121,70 | 554 / 30 |
Major Cardiovasc Procedures W Mcc | 14 | 54 / 20 | $149.611,00 | 349 / 13 | $46.752,60 | 552 / 9 | $44.578,60 | 551 / 15 |
Inguinal & Femoral Hernia Procedures W/O Cc/Mcc | 14 | 4 / 2 | $27.765,10 | 5 / 2 | $9.045,14 | 8 / 1 | $7.594,14 | 8 / 2 |
Other Disorders Of Nervous System W Cc | 14 | 42 / 17 | $56.686,20 | 587 / 33 | $9.471,71 | 547 / 20 | $7.493,57 | 546 / 21 |
Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/Mcc | 13 | 6 / 2 | $30.877,30 | 5 / 2 | $9.236,23 | 9 / 1 | $7.895,15 | 9 / 1 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 17 | $76.037,80 | 945 / 43 | $11.584,60 | 934 / 37 | $9.731,15 | 931 / 39 |
Major Chest Procedures W Mcc | 13 | 36 / 9 | $179.335,00 | 252 / 8 | $47.731,50 | 307 / 6 | $44.605,10 | 306 / 10 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 13 | 21 / 7 | $185.032,00 | 159 / 10 | $43.443,20 | 166 / 5 | $40.538,00 | 166 / 5 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 12 | $65.343,70 | 439 / 28 | $12.085,60 | 412 / 19 | $10.098,20 | 412 / 19 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 13 | $100.233,00 | 627 / 34 | $20.692,50 | 636 / 28 | $18.368,00 | 635 / 27 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 12 | 17 / 9 | $33.856,40 | 82 / 12 | $7.648,75 | 92 / 7 | $6.609,92 | 92 / 8 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 12 | 36 / 9 | $56.297,90 | 176 / 12 | $14.086,90 | 207 / 8 | $12.373,90 | 206 / 12 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 36 | $69.081,60 | 1366 / 82 | $11.043,70 | 1350 / 60 | $9.574,00 | 1348 / 62 |
Other Digestive System O.R. Procedures W Cc | 12 | 15 / 4 | $89.297,80 | 82 / 5 | $20.568,90 | 84 / 4 | $18.737,60 | 84 / 4 |
Other Disorders Of Nervous System W/O Cc/Mcc | 12 | 23 / 13 | $29.863,10 | 99 / 15 | $6.813,42 | 115 / 4 | $5.313,75 | 115 / 8 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 14 | $64.275,20 | 394 / 15 | $20.278,90 | 535 / 18 | $14.909,00 | 531 / 14 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 12 | 57 / 19 | $478.408,00 | 267 / 21 | $95.379,30 | 269 / 16 | $89.715,40 | 269 / 20 |
Respiratory Neoplasms W Mcc | 12 | 40 / 16 | $163.028,00 | 641 / 32 | $24.421,40 | 629 / 30 | $18.659,80 | 626 / 30 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 10 | $126.468,00 | 330 / 21 | $23.905,60 | 336 / 14 | $21.457,80 | 335 / 17 |
Major Male Pelvic Procedures W Cc/Mcc | 11 | 19 / 4 | $49.268,60 | 29 / 2 | $17.431,10 | 49 / 1 | $13.969,50 | 49 / 4 |
Digestive Malignancy W Cc | 11 | 36 / 17 | $67.869,30 | 366 / 26 | $12.765,90 | 346 / 15 | $10.793,00 | 344 / 18 |
Female Reproductive System Reconstructive Procedures | 11 | 14 / 2 | $19.091,90 | 10 / 1 | $9.654,55 | 32 / 1 | $8.368,73 | 32 / 1 |
Cardiac Congenital & Valvular Disorders W Mcc | 11 | 12 / 4 | $72.084,20 | 31 / 5 | $12.939,50 | 19 / 3 | $11.356,90 | 19 / 3 |
Pancreas, Liver & Shunt Procedures W Cc | 11 | 44 / 7 | $119.443,00 | 108 / 7 | $25.403,00 | 106 / 2 | $23.387,30 | 106 / 6 | Total 167 procedures | 6.285 | 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.