Hospital Costs > In Illinois > Little Company Of Mary Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 32 | 93 / 19 | $69.997,90 | 1459 / 78 | $11.377,90 | 368 / 48 | $8.700,88 | 368 / 12 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 32 | 92 / 19 | $18.502,10 | 457 / 25 | $5.140,31 | 97 / 19 | $3.189,88 | 97 / 3 |
Bone Diseases & Arthropathies W/O Mcc | 14 | 30 / 9 | $18.470,30 | 145 / 9 | $4.747,71 | 64 / 7 | $3.608,71 | 64 / 6 |
Bronchitis & Asthma W Cc/Mcc | 30 | 46 / 11 | $22.060,50 | 464 / 21 | $6.279,87 | 377 / 34 | $4.496,20 | 373 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 86 | 75 / 8 | $24.649,50 | 1383 / 56 | $5.150,53 | 938 / 35 | $4.229,86 | 935 / 48 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 69 | 54 / 9 | $29.277,40 | 918 / 45 | $7.477,39 | 699 / 32 | $6.654,54 | 696 / 47 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 50 | 100 / 13 | $21.391,70 | 1470 / 74 | $4.078,24 | 766 / 50 | $2.643,88 | 762 / 46 |
Cellulitis W Mcc | 15 | 43 / 18 | $29.805,80 | 380 / 15 | $8.814,80 | 357 / 15 | $8.130,40 | 355 / 21 |
Cellulitis W/O Mcc | 95 | 94 / 19 | $19.636,40 | 1443 / 62 | $5.451,34 | 1262 / 40 | $4.489,84 | 1256 / 60 |
Chest Pain | 72 | 79 / 6 | $21.315,00 | 1006 / 48 | $4.631,67 | 641 / 42 | $3.066,61 | 637 / 29 |
Cholecystectomy Except By Laparoscope W/O C.D.E. W Cc | 11 | 7 / 1 | $59.902,90 | 15 / 1 | $12.142,60 | 8 / 1 | $11.103,80 | 8 / 1 |
Chronic Obstructive Pulmonary Disease W Cc | 103 | 76 / 8 | $26.033,30 | 1519 / 62 | $6.468,83 | 1005 / 58 | $4.959,31 | 1002 / 45 |
Chronic Obstructive Pulmonary Disease W Mcc | 105 | 97 / 12 | $30.469,10 | 1506 / 53 | $7.277,18 | 1098 / 37 | $6.333,20 | 1093 / 46 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 38 | 82 / 17 | $21.049,30 | 1335 / 57 | $5.257,63 | 781 / 57 | $3.560,21 | 778 / 42 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 29 | 64 / 12 | $65.220,60 | 535 / 34 | $20.838,10 | 210 / 51 | $11.095,40 | 206 / 9 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 47 | 141 / 22 | $46.983,80 | 1124 / 54 | $7.873,19 | 756 / 42 | $5.821,26 | 754 / 43 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 21 | 47 / 9 | $19.788,50 | 214 / 7 | $5.698,71 | 237 / 9 | $4.806,19 | 237 / 15 |
Degenerative Nervous System Disorders W/O Mcc | 28 | 50 / 14 | $34.383,20 | 591 / 40 | $6.504,04 | 389 / 22 | $5.603,61 | 389 / 28 |
Diabetes W Cc | 49 | 43 / 2 | $22.840,40 | 871 / 43 | $5.614,71 | 626 / 38 | $4.422,33 | 625 / 40 |
Diabetes W Mcc | 21 | 36 / 4 | $35.968,60 | 397 / 19 | $8.171,24 | 177 / 4 | $7.438,00 | 177 / 8 |
Diabetes W/O Cc/Mcc | 13 | 25 / 4 | $16.338,20 | 145 / 6 | $3.863,38 | 93 / 2 | $3.005,08 | 93 / 3 |
Digestive Malignancy W Cc | 14 | 33 / 12 | $41.937,00 | 254 / 18 | $8.058,50 | 143 / 7 | $7.143,79 | 141 / 13 |
Digestive Malignancy W Mcc | 11 | 26 / 8 | $51.526,30 | 72 / 2 | $21.073,90 | 9 / 9 | $10.492,40 | 9 / 1 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 11 | $32.825,20 | 136 / 3 | $11.253,90 | 22 / 7 | $8.825,18 | 22 / 3 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 20 | $23.724,60 | 432 / 14 | $5.924,36 | 402 / 13 | $5.011,00 | 401 / 24 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 11 | $23.448,50 | 311 / 19 | $4.319,58 | 182 / 12 | $3.283,17 | 182 / 14 |
Disorders Of The Biliary Tract W Cc | 17 | 37 / 9 | $27.528,90 | 170 / 5 | $6.702,71 | 121 / 7 | $5.684,65 | 121 / 10 |
Dysequilibrium | 26 | 39 / 11 | $25.618,50 | 358 / 22 | $4.154,04 | 150 / 9 | $2.971,77 | 150 / 12 |
Endocrine Disorders W Cc | 11 | 27 / 11 | $37.120,30 | 225 / 16 | $6.418,36 | 69 / 5 | $5.397,82 | 69 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 28 | 68 / 19 | $28.593,00 | 585 / 24 | $7.813,86 | 507 / 25 | $6.643,29 | 504 / 30 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 107 | 168 / 25 | $23.616,30 | 1771 / 70 | $5.092,79 | 1153 / 48 | $3.858,91 | 1145 / 57 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 11 | $79.171,50 | 230 / 11 | $16.840,00 | 160 / 5 | $16.126,80 | 159 / 6 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 15 | 48 / 13 | $103.368,00 | 241 / 8 | $28.617,90 | 215 / 7 | $27.490,30 | 215 / 8 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 15 | 47 / 17 | $15.555,70 | 214 / 4 | $4.857,07 | 235 / 13 | $3.707,20 | 235 / 18 |
G.I. Hemorrhage W Cc | 105 | 113 / 12 | $26.363,50 | 1320 / 53 | $6.552,69 | 1082 / 47 | $5.445,90 | 1080 / 53 |
G.I. Hemorrhage W Mcc | 53 | 68 / 11 | $43.365,90 | 819 / 32 | $10.497,90 | 586 / 23 | $9.881,45 | 587 / 31 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 13 | $17.371,10 | 444 / 18 | $4.552,06 | 501 / 17 | $3.774,31 | 497 / 29 |
G.I. Obstruction W Cc | 35 | 57 / 18 | $24.908,20 | 990 / 41 | $5.624,63 | 958 / 30 | $5.035,31 | 955 / 59 |
G.I. Obstruction W Mcc | 12 | 30 / 12 | $39.776,10 | 249 / 7 | $9.172,42 | 83 / 3 | $8.308,50 | 83 / 4 |
Heart Failure & Shock W Cc | 143 | 135 / 13 | $27.133,10 | 1812 / 74 | $6.656,74 | 1128 / 61 | $5.392,82 | 1126 / 49 |
Heart Failure & Shock W Mcc | 171 | 113 / 11 | $36.585,20 | 1486 / 55 | $9.252,44 | 1012 / 44 | $8.317,44 | 1011 / 39 |
Heart Failure & Shock W/O Cc/Mcc | 36 | 74 / 20 | $20.667,10 | 1326 / 67 | $4.442,25 | 879 / 40 | $3.618,28 | 873 / 55 |
Hip & Femur Procedures Except Major Joint W Cc | 38 | 105 / 28 | $55.573,90 | 1226 / 48 | $11.883,10 | 933 / 37 | $10.863,50 | 920 / 49 |
Hip & Femur Procedures Except Major Joint W Mcc | 22 | 40 / 11 | $73.876,70 | 464 / 18 | $17.727,40 | 345 / 15 | $16.916,20 | 342 / 16 |
Hypertension W/O Mcc | 28 | 37 / 5 | $24.530,80 | 524 / 33 | $4.147,71 | 228 / 9 | $2.962,96 | 226 / 14 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 9 | $75.479,00 | 233 / 9 | $15.395,20 | 169 / 5 | $14.525,80 | 169 / 7 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 48 | 76 / 15 | $131.697,00 | 858 / 46 | $32.482,10 | 704 / 27 | $31.532,10 | 698 / 39 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 65 | 117 / 21 | $36.960,90 | 1424 / 64 | $6.849,37 | 1002 / 40 | $5.844,11 | 999 / 55 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 38 | 130 / 25 | $47.132,90 | 891 / 44 | $10.726,50 | 650 / 26 | $9.749,87 | 649 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 31 | $32.978,50 | 1188 / 62 | $4.979,07 | 673 / 25 | $3.824,07 | 669 / 41 |
Kidney & Urinary Tract Infections W Mcc | 50 | 94 / 18 | $28.836,90 | 1127 / 52 | $8.378,72 | 680 / 74 | $5.916,06 | 679 / 30 |
Kidney & Urinary Tract Infections W/O Mcc | 103 | 130 / 19 | $22.486,70 | 1802 / 71 | $4.967,25 | 1178 / 40 | $4.071,59 | 1170 / 60 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 22 | $47.564,30 | 416 / 15 | $10.314,20 | 443 / 8 | $9.267,00 | 442 / 20 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 18 | $66.581,20 | 411 / 23 | $14.476,20 | 156 / 20 | $10.259,50 | 156 / 9 |
Lymphoma & Non-Acute Leukemia W Cc | 13 | 23 / 5 | $47.272,20 | 68 / 5 | $9.818,92 | 26 / 1 | $9.024,62 | 26 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 25 | 48 / 15 | $29.296,40 | 630 / 34 | $7.619,76 | 301 / 28 | $6.147,20 | 300 / 18 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 33 | 23 / 6 | $33.779,00 | 194 / 6 | $10.943,50 | 76 / 10 | $9.544,58 | 76 / 3 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 18 | $74.221,10 | 438 / 17 | $26.328,90 | 186 / 42 | $16.695,90 | 186 / 7 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 89 | 475 / 67 | $61.250,40 | 1735 / 65 | $14.300,70 | 1254 / 48 | $11.483,80 | 1223 / 53 |
Major Male Pelvic Procedures W/O Cc/Mcc | 15 | 58 / 7 | $39.961,50 | 187 / 6 | $10.702,00 | 59 / 8 | $5.639,87 | 59 / 3 |
Major Small & Large Bowel Procedures W Cc | 21 | 87 / 26 | $62.275,10 | 691 / 18 | $15.558,50 | 714 / 18 | $14.406,00 | 707 / 38 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 28 | $92.993,00 | 322 / 7 | $28.335,20 | 263 / 8 | $27.031,30 | 261 / 9 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 12 | 41 / 12 | $41.400,30 | 107 / 1 | $10.800,80 | 102 / 3 | $10.148,40 | 103 / 6 |
Medical Back Problems W/O Mcc | 42 | 79 / 22 | $21.798,30 | 657 / 25 | $5.504,95 | 679 / 28 | $4.530,33 | 676 / 43 |
Minor Skin Disorders W/O Mcc | 11 | 14 / 3 | $19.033,60 | 33 / 4 | $4.657,09 | 11 / 1 | $3.760,18 | 11 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 55 | 71 / 9 | $28.954,60 | 915 / 47 | $7.366,04 | 563 / 37 | $6.122,84 | 560 / 35 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 84 | 82 / 11 | $21.254,40 | 1667 / 72 | $4.619,08 | 1011 / 43 | $3.661,71 | 1008 / 48 |
Organic Disturbances & Mental Retardation | 19 | 40 / 11 | $22.898,80 | 234 / 12 | $6.460,32 | 188 / 11 | $5.601,00 | 188 / 9 |
Other Circulatory System Diagnoses W Cc | 14 | 52 / 14 | $25.871,90 | 325 / 9 | $8.953,64 | 207 / 22 | $5.151,79 | 206 / 13 |
Other Circulatory System Diagnoses W Mcc | 51 | 65 / 10 | $48.977,60 | 721 / 34 | $11.059,20 | 403 / 10 | $10.380,20 | 402 / 18 |
Other Circulatory System O.R. Procedures | 16 | 39 / 7 | $77.811,30 | 256 / 16 | $16.780,80 | 145 / 6 | $15.879,30 | 145 / 7 |
Other Digestive System Diagnoses W Cc | 37 | 60 / 16 | $24.109,50 | 627 / 27 | $6.211,76 | 567 / 29 | $5.327,38 | 564 / 39 |
Other Digestive System Diagnoses W Mcc | 23 | 39 / 11 | $40.515,20 | 322 / 10 | $10.320,50 | 233 / 5 | $9.697,83 | 233 / 10 |
Other Disorders Of Nervous System W Cc | 13 | 43 / 16 | $24.814,30 | 276 / 8 | $5.620,54 | 180 / 9 | $4.755,92 | 180 / 11 |
Other Kidney & Urinary Tract Diagnoses W Cc | 18 | 85 / 17 | $26.440,30 | 435 / 24 | $6.214,39 | 336 / 19 | $5.640,11 | 336 / 27 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 50 | 51 / 7 | $31.100,80 | 421 / 21 | $8.988,38 | 269 / 13 | $8.272,02 | 269 / 17 |
Other Kidney & Urinary Tract Procedures W Mcc | 14 | 24 / 5 | $82.038,90 | 111 / 6 | $20.646,80 | 38 / 6 | $17.158,30 | 38 / 2 |
Other Resp System O.R. Procedures W Mcc | 13 | 50 / 13 | $103.227,00 | 361 / 16 | $22.259,80 | 265 / 7 | $21.726,50 | 264 / 11 |
Other Vascular Procedures W Cc | 18 | 84 / 25 | $89.983,50 | 754 / 34 | $15.447,90 | 475 / 8 | $14.785,10 | 472 / 20 |
Other Vascular Procedures W Mcc | 29 | 68 / 11 | $84.935,10 | 435 / 14 | $19.390,80 | 303 / 7 | $18.772,30 | 302 / 13 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 25 | 15 / 5 | $26.979,40 | 110 / 4 | $7.017,44 | 71 / 9 | $6.063,44 | 71 / 8 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 20 | $127.250,00 | 712 / 40 | $25.035,90 | 307 / 33 | $17.963,40 | 305 / 11 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 28 | 168 / 39 | $89.987,50 | 1048 / 62 | $17.797,30 | 499 / 60 | $10.639,00 | 497 / 25 |
Peripheral Vascular Disorders W Cc | 45 | 39 / 6 | $25.699,40 | 665 / 39 | $6.363,56 | 441 / 35 | $5.180,00 | 439 / 32 |
Peripheral Vascular Disorders W Mcc | 36 | 13 / 2 | $41.170,60 | 362 / 23 | $9.177,56 | 110 / 20 | $7.083,92 | 110 / 10 |
Peripheral Vascular Disorders W/O Cc/Mcc | 15 | 30 / 9 | $18.665,20 | 203 / 11 | $4.632,07 | 129 / 9 | $3.399,80 | 129 / 8 |
Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 20 | $59.636,00 | 340 / 12 | $16.356,30 | 391 / 16 | $15.113,70 | 390 / 22 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 10 | $25.320,10 | 658 / 32 | $4.539,53 | 163 / 17 | $3.042,67 | 162 / 8 |
Psychoses | 20 | 255 / 23 | $18.539,10 | 291 / 20 | $7.034,90 | 163 / 15 | $5.367,20 | 163 / 12 |
Pulmonary Edema & Respiratory Failure | 33 | 170 / 41 | $38.313,60 | 1443 / 55 | $7.617,79 | 822 / 29 | $6.736,06 | 822 / 29 |
Pulmonary Embolism W Mcc | 11 | 32 / 15 | $38.055,90 | 291 / 12 | $9.351,73 | 276 / 13 | $8.761,00 | 276 / 22 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 26 | $34.452,00 | 953 / 39 | $6.284,29 | 735 / 20 | $5.638,86 | 732 / 43 |
Red Blood Cell Disorders W Mcc | 33 | 38 / 7 | $35.719,80 | 595 / 35 | $7.906,55 | 384 / 26 | $7.066,18 | 382 / 27 |
Red Blood Cell Disorders W/O Mcc | 45 | 98 / 17 | $24.880,50 | 1244 / 67 | $5.716,84 | 676 / 58 | $4.160,51 | 672 / 36 |
Renal Failure W Cc | 116 | 105 / 14 | $29.585,10 | 1676 / 77 | $6.534,42 | 1020 / 58 | $5.205,41 | 1012 / 46 |
Renal Failure W Mcc | 121 | 75 / 8 | $35.380,70 | 1063 / 45 | $9.565,34 | 906 / 36 | $8.732,61 | 906 / 44 |
Renal Failure W/O Cc/Mcc | 16 | 40 / 10 | $16.634,60 | 449 / 13 | $4.121,25 | 329 / 11 | $3.190,44 | 328 / 13 |
Respiratory Infections & Inflammations W Cc | 44 | 44 / 5 | $35.830,70 | 868 / 35 | $8.153,00 | 551 / 16 | $7.445,50 | 548 / 29 |
Respiratory Infections & Inflammations W Mcc | 79 | 57 / 7 | $50.038,10 | 1075 / 43 | $12.079,60 | 887 / 37 | $11.359,10 | 877 / 42 |
Respiratory Neoplasms W Cc | 18 | 29 / 9 | $39.244,80 | 307 / 20 | $7.454,72 | 192 / 9 | $6.670,22 | 191 / 16 |
Respiratory Neoplasms W Mcc | 18 | 34 / 12 | $46.737,70 | 343 / 14 | $10.247,10 | 222 / 8 | $9.661,28 | 222 / 15 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 48 | 83 / 12 | $68.439,80 | 1110 / 54 | $16.247,30 | 518 / 58 | $12.502,00 | 511 / 22 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 25 | 46 / 5 | $117.020,00 | 359 / 17 | $30.317,00 | 49 / 9 | $25.060,60 | 49 / 1 |
Seizures W/O Mcc | 23 | 85 / 22 | $21.671,60 | 636 / 29 | $5.139,91 | 275 / 28 | $3.703,48 | 274 / 18 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 24 | 68 / 11 | $121.307,00 | 323 / 18 | $33.206,80 | 185 / 10 | $31.531,90 | 185 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 192 | 324 / 36 | $52.527,40 | 1873 / 68 | $11.458,60 | 1310 / 32 | $10.665,10 | 1288 / 49 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 65 | 142 / 24 | $33.561,60 | 1795 / 69 | $6.757,66 | 1022 / 37 | $5.687,22 | 1019 / 39 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 11 | $27.353,80 | 265 / 18 | $4.680,42 | 144 / 10 | $4.041,83 | 144 / 15 |
Signs & Symptoms W/O Mcc | 17 | 74 / 22 | $23.347,60 | 827 / 43 | $4.520,18 | 525 / 18 | $3.709,59 | 524 / 29 |
Simple Pneumonia & Pleurisy W Cc | 66 | 137 / 36 | $27.194,10 | 1787 / 70 | $6.211,33 | 1255 / 40 | $5.262,39 | 1251 / 55 |
Simple Pneumonia & Pleurisy W Mcc | 71 | 134 / 27 | $40.662,60 | 1580 / 56 | $9.579,41 | 1159 / 54 | $8.068,06 | 1159 / 51 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 34 | $24.856,50 | 1449 / 72 | $4.640,73 | 962 / 33 | $3.643,67 | 957 / 63 |
Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 40 | $80.359,10 | 529 / 10 | $24.354,20 | 699 / 13 | $23.112,90 | 695 / 33 |
Syncope & Collapse | 69 | 100 / 10 | $26.010,40 | 1270 / 66 | $4.775,59 | 644 / 37 | $3.692,48 | 641 / 37 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 9 | $206.042,00 | 157 / 7 | $57.291,10 | 168 / 6 | $56.691,50 | 168 / 8 |
Transient Ischemia | 56 | 69 / 7 | $29.618,20 | 1163 / 64 | $5.094,36 | 721 / 46 | $3.616,46 | 717 / 50 |
Transurethral Procedures W Cc | 14 | 27 / 9 | $35.292,40 | 182 / 8 | $8.016,64 | 185 / 8 | $7.208,79 | 185 / 17 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 15 | 29 / 8 | $22.473,50 | 132 / 7 | $4.860,40 | 84 / 5 | $3.829,60 | 84 / 7 | Total 118 procedures | 4.502 | 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.