Hospital Costs > In New York > Long Island Jewish Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 505 | 76 / 11 | $75.884,60 | 2376 / 134 | $21.906,40 | 2743 / 117 | $19.102,90 | 2698 / 118 |
Syncope & Collapse | 195 | 14 / 6 | $38.057,60 | 1653 / 106 | $9.641,74 | 1837 / 86 | $7.613,49 | 1829 / 86 |
Heart Failure & Shock W Cc | 179 | 101 / 12 | $50.253,50 | 2551 / 134 | $12.363,40 | 2671 / 113 | $10.360,70 | 2665 / 114 |
Kidney & Urinary Tract Infections W/O Mcc | 170 | 68 / 6 | $38.427,80 | 2467 / 130 | $10.089,10 | 2630 / 110 | $8.345,81 | 2619 / 112 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 159 | 49 / 9 | $49.382,40 | 2242 / 121 | $13.348,20 | 2489 / 110 | $10.711,60 | 2479 / 110 |
Heart Failure & Shock W Mcc | 150 | 134 / 16 | $82.767,60 | 2478 / 127 | $18.805,50 | 2575 / 109 | $16.532,00 | 2564 / 110 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 149 | 126 / 17 | $41.077,20 | 2492 / 136 | $9.806,68 | 2621 / 111 | $7.718,34 | 2606 / 111 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 147 | 417 / 40 | $75.784,70 | 2130 / 111 | $24.912,80 | 2606 / 111 | $19.981,70 | 2560 / 107 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 127 | 64 / 7 | $60.986,20 | 1398 / 62 | $13.486,70 | 1597 / 48 | $11.422,40 | 1594 / 49 |
Chest Pain | 126 | 35 / 12 | $29.797,40 | 1380 / 89 | $8.199,11 | 1614 / 67 | $6.532,73 | 1605 / 69 |
G.I. Hemorrhage W Cc | 117 | 101 / 17 | $62.070,20 | 2329 / 127 | $13.083,50 | 2353 / 107 | $10.322,70 | 2349 / 105 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 116 | 50 / 9 | $35.723,40 | 2275 / 128 | $9.359,54 | 2449 / 109 | $7.547,34 | 2440 / 111 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 115 | 81 / 10 | $99.713,20 | 1156 / 45 | $23.631,10 | 1433 / 44 | $18.612,90 | 1425 / 44 |
Cellulitis W/O Mcc | 112 | 77 / 16 | $36.970,90 | 2345 / 130 | $10.709,80 | 2528 / 113 | $8.457,28 | 2520 / 112 |
Red Blood Cell Disorders W/O Mcc | 100 | 46 / 7 | $50.223,00 | 1908 / 114 | $11.387,20 | 1918 / 93 | $8.566,83 | 1909 / 88 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 84 | 42 / 8 | $51.333,20 | 1506 / 85 | $13.597,50 | 1656 / 67 | $11.659,50 | 1652 / 66 |
G.I. Hemorrhage W Mcc | 81 | 40 / 7 | $86.924,70 | 1491 / 84 | $20.055,70 | 1604 / 68 | $17.802,50 | 1594 / 67 |
Renal Failure W Mcc | 80 | 115 / 13 | $75.157,30 | 1960 / 102 | $19.119,60 | 2087 / 85 | $15.834,40 | 2083 / 81 |
Heart Failure & Shock W/O Cc/Mcc | 79 | 31 / 7 | $34.189,10 | 1802 / 111 | $8.943,79 | 1953 / 95 | $7.401,73 | 1940 / 97 |
Kidney & Urinary Tract Infections W Mcc | 79 | 65 / 7 | $55.699,10 | 1755 / 79 | $13.798,20 | 1902 / 70 | $11.863,40 | 1898 / 72 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 72 | 78 / 15 | $29.403,30 | 1744 / 108 | $7.956,44 | 1928 / 95 | $5.957,67 | 1922 / 94 |
Medical Back Problems W/O Mcc | 65 | 56 / 10 | $45.346,60 | 1350 / 85 | $10.658,90 | 1420 / 71 | $8.245,71 | 1415 / 69 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 61 | 100 / 21 | $44.944,40 | 1999 / 114 | $11.087,50 | 2080 / 94 | $8.100,23 | 2075 / 92 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 61 | 40 / 6 | $74.893,70 | 985 / 53 | $18.665,00 | 1062 / 49 | $16.229,50 | 1058 / 51 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 60 | 122 / 23 | $57.692,70 | 1839 / 100 | $13.502,00 | 1990 / 88 | $10.515,00 | 1986 / 86 |
Renal Failure W Cc | 59 | 162 / 35 | $52.916,30 | 2295 / 122 | $12.640,00 | 2364 / 101 | $10.005,80 | 2354 / 100 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 58 | 66 / 13 | $190.775,00 | 1228 / 78 | $58.250,40 | 1497 / 73 | $50.981,10 | 1487 / 71 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 58 | 38 / 7 | $60.992,00 | 1284 / 73 | $15.463,90 | 1415 / 65 | $13.040,90 | 1410 / 62 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 56 | 67 / 16 | $52.393,60 | 1577 / 88 | $15.544,50 | 1855 / 86 | $12.693,40 | 1852 / 86 |
Simple Pneumonia & Pleurisy W Cc | 55 | 148 / 40 | $43.070,10 | 2411 / 126 | $12.655,60 | 2708 / 119 | $9.424,42 | 2699 / 115 |
Hip & Femur Procedures Except Major Joint W Cc | 53 | 90 / 19 | $84.153,60 | 1756 / 97 | $21.566,90 | 2006 / 89 | $19.482,70 | 1984 / 90 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 51 | 117 / 20 | $89.840,70 | 1435 / 82 | $21.156,70 | 1575 / 69 | $18.708,30 | 1568 / 72 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 50 | 81 / 9 | $101.955,00 | 1535 / 92 | $26.619,30 | 1800 / 79 | $24.181,50 | 1786 / 83 |
Other Circulatory System Diagnoses W Mcc | 50 | 66 / 11 | $99.007,50 | 1266 / 75 | $23.640,30 | 1342 / 63 | $20.397,30 | 1334 / 64 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 47 | 53 / 8 | $131.870,00 | 736 / 29 | $34.291,00 | 986 / 29 | $31.328,90 | 981 / 31 |
Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 44 | $48.271,70 | 2143 / 115 | $14.325,30 | 2509 / 107 | $11.992,00 | 2501 / 106 |
Signs & Symptoms W/O Mcc | 44 | 47 / 11 | $34.085,80 | 1108 / 74 | $9.251,59 | 1276 / 63 | $7.541,66 | 1273 / 66 |
Simple Pneumonia & Pleurisy W Mcc | 44 | 161 / 36 | $62.608,60 | 2135 / 111 | $17.384,80 | 2479 / 105 | $15.446,00 | 2473 / 109 |
Red Blood Cell Disorders W Mcc | 44 | 27 / 6 | $64.716,10 | 991 / 71 | $15.261,90 | 1059 / 57 | $13.406,20 | 1055 / 60 |
Major Small & Large Bowel Procedures W Mcc | 43 | 42 / 7 | $221.453,00 | 1100 / 56 | $56.078,70 | 1212 / 53 | $46.667,40 | 1209 / 50 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 42 | 53 / 11 | $85.552,00 | 379 / 24 | $21.839,10 | 577 / 25 | $18.987,40 | 573 / 26 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 41 | 7 / 2 | $43.934,70 | 71 / 9 | $16.927,20 | 143 / 10 | $14.936,20 | 143 / 11 |
G.I. Hemorrhage W/O Cc/Mcc | 40 | 28 / 6 | $33.319,90 | 853 / 63 | $9.168,20 | 975 / 51 | $7.363,50 | 971 / 53 |
Major Small & Large Bowel Procedures W Cc | 40 | 68 / 15 | $99.470,60 | 1208 / 66 | $30.907,90 | 1445 / 75 | $22.279,40 | 1431 / 65 |
Peripheral Vascular Disorders W Cc | 38 | 46 / 15 | $45.743,70 | 1098 / 72 | $12.077,50 | 1201 / 61 | $9.860,37 | 1198 / 60 |
Respiratory Infections & Inflammations W Mcc | 38 | 98 / 19 | $90.325,20 | 1595 / 72 | $23.404,40 | 1783 / 75 | $19.664,70 | 1767 / 73 |
Diabetes W Cc | 37 | 55 / 15 | $40.712,10 | 1419 / 89 | $11.050,50 | 1546 / 76 | $8.762,68 | 1541 / 75 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 37 | 65 / 17 | $41.193,10 | 1377 / 74 | $10.137,50 | 1552 / 66 | $7.790,54 | 1548 / 68 |
Pulmonary Edema & Respiratory Failure | 37 | 166 / 30 | $68.332,30 | 2035 / 102 | $14.600,50 | 2166 / 90 | $12.826,70 | 2160 / 91 |
Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 42 | $45.360,30 | 2176 / 131 | $11.641,10 | 2375 / 107 | $9.893,14 | 2368 / 108 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 36 | 57 / 8 | $95.621,90 | 737 / 30 | $24.664,20 | 871 / 27 | $21.412,40 | 863 / 31 |
Permanent Cardiac Pacemaker Implant W Cc | 35 | 42 / 9 | $96.050,60 | 750 / 33 | $28.191,10 | 950 / 39 | $25.568,30 | 946 / 39 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 34 | 23 / 6 | $71.366,20 | 518 / 30 | $24.077,50 | 704 / 32 | $20.987,10 | 702 / 35 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 31 | $71.588,50 | 1479 / 92 | $19.703,50 | 1769 / 80 | $18.013,90 | 1756 / 85 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 33 | 36 / 9 | $319.596,00 | 207 / 13 | $92.186,00 | 257 / 12 | $83.996,10 | 257 / 15 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 22 | $36.627,30 | 1886 / 118 | $9.628,18 | 2056 / 100 | $7.797,18 | 2044 / 101 |
Cellulitis W Mcc | 33 | 25 / 7 | $72.286,40 | 878 / 54 | $18.083,80 | 947 / 53 | $15.752,70 | 945 / 54 |
Major Chest Procedures W Cc | 32 | 42 / 5 | $89.000,00 | 364 / 25 | $27.783,60 | 490 / 29 | $25.865,80 | 488 / 31 |
Other Kidney & Urinary Tract Diagnoses W Cc | 31 | 72 / 15 | $50.469,20 | 754 / 42 | $12.224,60 | 828 / 38 | $10.372,50 | 828 / 39 |
Other Vascular Procedures W Cc | 31 | 71 / 23 | $119.911,00 | 972 / 49 | $27.069,00 | 1101 / 41 | $24.873,30 | 1096 / 46 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 31 | 31 / 14 | $37.187,40 | 697 / 67 | $9.877,00 | 778 / 61 | $7.711,45 | 776 / 61 |
Transient Ischemia | 31 | 94 / 29 | $39.397,80 | 1421 / 92 | $10.053,50 | 1583 / 86 | $6.784,58 | 1575 / 76 |
Seizures W/O Mcc | 30 | 78 / 30 | $39.151,30 | 1120 / 96 | $9.851,23 | 1255 / 72 | $8.234,20 | 1253 / 75 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 29 | 17 / 3 | $70.117,70 | 144 / 9 | $21.139,60 | 192 / 11 | $18.160,20 | 192 / 11 |
Otitis Media & Uri W/O Mcc | 28 | 16 / 7 | $36.242,70 | 202 / 27 | $8.753,86 | 208 / 21 | $6.811,64 | 208 / 22 |
Other Digestive System Diagnoses W Cc | 28 | 69 / 21 | $48.659,50 | 1246 / 69 | $12.473,70 | 1397 / 60 | $10.691,70 | 1393 / 62 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 28 | 36 / 6 | $55.240,70 | 523 / 25 | $20.202,60 | 716 / 34 | $14.650,20 | 716 / 30 |
Other Digestive System Diagnoses W Mcc | 28 | 34 / 9 | $64.799,90 | 597 / 36 | $19.457,90 | 715 / 37 | $17.092,80 | 714 / 39 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 27 | 89 / 15 | $270.671,00 | 355 / 13 | $76.177,40 | 404 / 14 | $64.922,60 | 404 / 11 |
Respiratory Infections & Inflammations W Cc | 27 | 61 / 19 | $68.881,40 | 1329 / 75 | $16.881,30 | 1468 / 75 | $14.845,00 | 1463 / 76 |
Other Vascular Procedures W Mcc | 27 | 70 / 17 | $111.168,00 | 667 / 41 | $35.691,60 | 930 / 43 | $30.673,10 | 927 / 42 |
Hypertension W/O Mcc | 26 | 39 / 12 | $34.935,20 | 696 / 53 | $8.642,85 | 745 / 37 | $6.483,00 | 743 / 39 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 25 | $36.290,70 | 1757 / 96 | $9.231,00 | 1929 / 83 | $7.624,96 | 1921 / 84 |
Bronchitis & Asthma W Cc/Mcc | 26 | 50 / 16 | $42.171,40 | 922 / 58 | $11.780,30 | 1050 / 50 | $9.498,73 | 1046 / 47 |
Fractures Of Hip & Pelvis W/O Mcc | 26 | 35 / 10 | $34.477,10 | 798 / 56 | $9.279,46 | 903 / 56 | $7.508,62 | 902 / 56 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 26 | 14 / 3 | $89.482,40 | 295 / 32 | $14.366,70 | 287 / 26 | $12.145,20 | 287 / 28 |
Respiratory Signs & Symptoms | 25 | 21 / 8 | $39.849,80 | 287 / 24 | $9.084,76 | 301 / 16 | $7.701,24 | 301 / 21 |
Respiratory Neoplasms W Cc | 25 | 22 / 4 | $57.551,00 | 434 / 29 | $14.810,50 | 485 / 28 | $12.219,00 | 484 / 28 |
Diabetes W Mcc | 25 | 32 / 8 | $62.149,00 | 650 / 38 | $17.683,20 | 728 / 36 | $15.314,80 | 727 / 37 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 25 | 71 / 9 | $73.812,70 | 619 / 25 | $23.610,10 | 807 / 27 | $21.975,70 | 803 / 29 |
Postoperative & Post-Traumatic Infections W Mcc | 24 | 19 / 4 | $62.347,00 | 150 / 6 | $20.183,80 | 209 / 11 | $18.741,50 | 209 / 13 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 24 | 94 / 15 | $195.642,00 | 403 / 18 | $55.656,00 | 503 / 19 | $46.819,50 | 503 / 19 |
Degenerative Nervous System Disorders W/O Mcc | 24 | 54 / 24 | $37.485,20 | 637 / 49 | $12.221,70 | 813 / 50 | $9.988,50 | 813 / 50 |
Major Cardiovasc Procedures W Mcc | 24 | 44 / 12 | $208.140,00 | 527 / 26 | $62.099,00 | 576 / 25 | $46.836,40 | 575 / 17 |
Kidney & Ureter Procedures For Non-Neoplasm W/O Cc/Mcc | 23 | 4 / 1 | $41.534,40 | 23 / 3 | $16.260,10 | 37 / 3 | $12.532,20 | 37 / 2 |
G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 16 | $27.905,70 | 1083 / 69 | $8.299,04 | 1290 / 68 | $6.494,91 | 1287 / 72 |
G.I. Obstruction W Cc | 23 | 69 / 23 | $47.903,00 | 1574 / 82 | $12.467,00 | 1694 / 82 | $9.137,83 | 1689 / 79 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 23 | 66 / 11 | $43.443,70 | 513 / 24 | $12.869,30 | 755 / 22 | $11.168,80 | 754 / 26 |
Pulmonary Embolism W/O Mcc | 23 | 51 / 12 | $51.630,20 | 1176 / 51 | $13.285,40 | 1243 / 54 | $9.310,39 | 1240 / 51 |
Major Chest Procedures W/O Cc/Mcc | 23 | 36 / 7 | $38.587,70 | 66 / 5 | $18.712,00 | 250 / 14 | $17.402,60 | 250 / 18 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 22 | 25 / 6 | $51.794,50 | 430 / 36 | $14.175,50 | 576 / 32 | $12.535,30 | 575 / 35 |
Other Circulatory System Diagnoses W Cc | 22 | 44 / 10 | $55.689,30 | 622 / 33 | $11.930,40 | 646 / 30 | $10.075,60 | 645 / 30 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 21 | 47 / 14 | $46.152,90 | 654 / 43 | $11.392,80 | 686 / 39 | $8.529,05 | 686 / 34 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 21 | 29 / 7 | $131.468,00 | 103 / 12 | $67.190,40 | 205 / 21 | $43.898,80 | 205 / 10 |
Digestive Malignancy W Cc | 21 | 26 / 7 | $80.969,70 | 378 / 28 | $16.185,40 | 369 / 25 | $12.320,80 | 367 / 21 |
Bronchitis & Asthma W/O Cc/Mcc | 21 | 24 / 10 | $29.978,80 | 303 / 28 | $8.561,05 | 364 / 21 | $6.911,29 | 364 / 22 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 21 | 15 / 3 | $86.937,20 | 262 / 12 | $26.369,20 | 328 / 15 | $20.571,50 | 327 / 15 |
Other Digestive System Diagnoses W/O Cc/Mcc | 21 | 22 / 7 | $28.025,70 | 262 / 28 | $9.112,95 | 355 / 33 | $7.175,05 | 355 / 32 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 20 | 27 / 10 | $35.919,90 | 328 / 30 | $8.952,10 | 355 / 23 | $7.377,05 | 355 / 23 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 16 | $51.287,20 | 956 / 46 | $13.994,40 | 1092 / 49 | $11.844,90 | 1090 / 50 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 20 | 72 / 33 | $230.907,00 | 845 / 74 | $63.221,90 | 1042 / 60 | $58.167,20 | 1041 / 66 |
Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 28 | $48.909,60 | 1170 / 71 | $12.665,00 | 1401 / 70 | $11.309,80 | 1399 / 72 |
Organic Disturbances & Mental Retardation | 20 | 39 / 18 | $73.739,40 | 550 / 49 | $15.139,20 | 539 / 40 | $12.338,70 | 539 / 40 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 19 | 35 / 10 | $149.488,00 | 232 / 16 | $33.955,30 | 257 / 9 | $31.645,60 | 257 / 13 |
Endocrine Disorders W Cc | 19 | 19 / 7 | $46.675,60 | 257 / 16 | $12.428,10 | 296 / 18 | $10.848,60 | 296 / 20 |
Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 12 | $138.309,00 | 854 / 46 | $32.334,10 | 928 / 37 | $29.717,50 | 925 / 38 |
Tendonitis, Myositis & Bursitis W/O Mcc | 19 | 23 / 7 | $44.889,50 | 298 / 30 | $10.683,70 | 321 / 25 | $8.795,32 | 320 / 26 |
Respiratory Neoplasms W Mcc | 19 | 33 / 9 | $71.454,30 | 510 / 22 | $20.276,20 | 618 / 27 | $17.011,30 | 615 / 27 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 19 | 105 / 39 | $39.747,50 | 787 / 61 | $9.260,37 | 789 / 43 | $7.307,05 | 788 / 43 |
Signs & Symptoms W Mcc | 19 | 22 / 5 | $47.492,10 | 227 / 10 | $13.534,90 | 262 / 10 | $11.930,30 | 262 / 11 |
Bone Diseases & Arthropathies W/O Mcc | 19 | 25 / 9 | $39.379,10 | 272 / 21 | $9.544,74 | 266 / 18 | $7.711,79 | 266 / 20 |
Major Cardiovasc Procedures W/O Mcc | 19 | 82 / 27 | $126.379,00 | 771 / 39 | $33.630,90 | 973 / 33 | $32.027,00 | 972 / 36 |
Fever | 18 | 28 / 11 | $37.891,30 | 281 / 26 | $10.608,10 | 326 / 26 | $9.145,72 | 326 / 29 |
Peripheral Vascular Disorders W Mcc | 18 | 31 / 14 | $75.640,40 | 538 / 36 | $18.651,50 | 583 / 36 | $16.538,40 | 583 / 37 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 18 | 45 / 14 | $202.014,00 | 633 / 38 | $49.683,70 | 655 / 31 | $40.137,70 | 655 / 24 |
Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 32 | $75.335,90 | 454 / 31 | $41.081,70 | 1327 / 48 | $39.088,30 | 1322 / 55 |
Diabetes W/O Cc/Mcc | 18 | 20 / 10 | $22.129,40 | 203 / 27 | $8.060,22 | 266 / 24 | $6.098,72 | 266 / 24 |
Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 17 | 10 / 4 | $53.541,60 | 42 / 6 | $12.471,20 | 57 / 4 | $10.884,80 | 57 / 7 |
Disorders Of The Biliary Tract W Cc | 17 | 37 / 15 | $56.297,60 | 422 / 32 | $15.370,90 | 457 / 35 | $10.429,90 | 457 / 29 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 18 | $33.634,00 | 795 / 50 | $8.650,24 | 847 / 40 | $6.538,35 | 846 / 37 |
Tracheostomy For Face,Mouth & Neck Diagnoses W Mcc | 17 | 6 / 1 | $219.964,00 | 26 / 4 | $51.934,60 | 23 / 2 | $48.680,60 | 23 / 3 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 16 | 30 / 13 | $29.905,50 | 279 / 23 | $8.794,44 | 355 / 23 | $5.899,38 | 354 / 20 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 16 | 28 / 13 | $38.157,80 | 249 / 30 | $9.671,81 | 301 / 26 | $8.112,62 | 301 / 27 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 16 | 40 / 10 | $89.107,90 | 606 / 29 | $23.054,30 | 654 / 31 | $20.654,60 | 653 / 32 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 16 | 28 / 7 | $122.192,00 | 365 / 19 | $36.008,80 | 396 / 22 | $24.914,10 | 394 / 18 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 16 | 60 / 12 | $109.271,00 | 525 / 23 | $23.338,90 | 518 / 16 | $18.604,40 | 518 / 14 |
Other Respiratory System Diagnoses W/O Mcc | 16 | 30 / 9 | $41.685,20 | 285 / 21 | $10.340,00 | 304 / 14 | $8.257,31 | 304 / 17 |
Other Resp System O.R. Procedures W Cc | 15 | 32 / 6 | $87.292,80 | 291 / 14 | $26.984,30 | 310 / 16 | $17.565,50 | 310 / 14 |
Coronary Bypass W Cardiac Cath W Mcc | 15 | 41 / 9 | $211.279,00 | 257 / 11 | $68.094,30 | 380 / 12 | $58.496,90 | 380 / 12 |
Peripheral Vascular Disorders W/O Cc/Mcc | 15 | 30 / 12 | $42.604,20 | 387 / 27 | $8.982,80 | 391 / 23 | $7.309,80 | 391 / 23 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 15 | 38 / 10 | $54.879,10 | 407 / 22 | $15.613,00 | 438 / 27 | $11.009,10 | 438 / 22 |
Other Kidney & Urinary Tract Procedures W Mcc | 15 | 23 / 8 | $155.600,00 | 202 / 18 | $33.487,30 | 202 / 11 | $28.508,40 | 201 / 13 |
Headaches W/O Mcc | 15 | 28 / 7 | $39.366,90 | 201 / 12 | $9.036,20 | 228 / 11 | $6.915,53 | 228 / 11 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 24 | $128.047,00 | 432 / 33 | $56.674,70 | 890 / 48 | $45.277,90 | 889 / 38 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 14 | 67 / 20 | $678.690,00 | 367 / 24 | $199.527,00 | 381 / 26 | $156.256,00 | 380 / 15 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 14 | 39 / 10 | $111.535,00 | 331 / 28 | $23.330,20 | 331 / 26 | $18.784,50 | 332 / 25 |
Cranial & Peripheral Nerve Disorders W Mcc | 14 | 22 / 5 | $56.098,50 | 123 / 5 | $14.532,40 | 140 / 3 | $13.248,00 | 140 / 3 |
Transurethral Procedures W Cc | 14 | 27 / 10 | $72.874,90 | 348 / 27 | $15.329,30 | 374 / 25 | $12.346,40 | 374 / 25 |
Viral Illness W/O Mcc | 14 | 13 / 5 | $39.335,10 | 51 / 5 | $10.229,60 | 56 / 5 | $8.375,71 | 56 / 5 |
Other Resp System O.R. Procedures W Mcc | 14 | 49 / 12 | $137.784,00 | 462 / 17 | $37.260,90 | 555 / 18 | $34.279,10 | 554 / 21 |
Seizures W Mcc | 13 | 53 / 18 | $60.399,10 | 576 / 31 | $17.333,20 | 719 / 25 | $15.527,60 | 719 / 30 |
Dysequilibrium | 13 | 52 / 26 | $41.849,30 | 519 / 58 | $7.880,62 | 538 / 37 | $6.457,08 | 538 / 41 |
Postoperative & Post-Traumatic Infections W/O Mcc | 13 | 41 / 12 | $56.237,80 | 426 / 36 | $12.284,90 | 441 / 33 | $11.110,60 | 441 / 34 |
Pleural Effusion W Cc | 13 | 15 / 4 | $74.062,10 | 114 / 11 | $14.629,50 | 116 / 11 | $12.859,50 | 116 / 11 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 13 | $29.594,20 | 735 / 35 | $8.399,69 | 835 / 32 | $6.803,46 | 833 / 34 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 13 | 56 / 14 | $97.222,30 | 485 / 26 | $24.305,80 | 539 / 27 | $15.856,20 | 537 / 21 |
Kidney & Ureter Procedures For Neoplasm W Cc | 13 | 31 / 8 | $68.295,70 | 114 / 7 | $22.163,20 | 172 / 8 | $20.151,20 | 172 / 11 |
Endocrine Disorders W Mcc | 13 | 13 / 5 | $65.576,50 | 99 / 5 | $19.125,30 | 108 / 6 | $16.983,70 | 108 / 8 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 17 | $54.536,20 | 891 / 41 | $11.623,60 | 930 / 38 | $9.507,31 | 927 / 38 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 8 | $48.987,80 | 444 / 19 | $9.832,46 | 418 / 17 | $5.435,38 | 417 / 12 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 17 | $65.879,90 | 756 / 43 | $18.082,10 | 896 / 37 | $16.258,40 | 893 / 40 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 13 | 53 / 12 | $85.500,60 | 484 / 16 | $21.364,20 | 565 / 16 | $18.853,80 | 561 / 19 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 7 | $76.451,80 | 311 / 8 | $33.692,30 | 457 / 10 | $23.805,50 | 457 / 7 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 18 | $151.452,00 | 841 / 38 | $37.113,80 | 904 / 34 | $34.483,20 | 900 / 38 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 15 | $53.749,70 | 359 / 24 | $17.131,90 | 506 / 27 | $15.460,80 | 506 / 30 |
Soft Tissue Procedures W/O Cc/Mcc | 12 | 11 / 4 | $40.387,40 | 12 / 3 | $13.085,00 | 23 / 3 | $11.615,80 | 23 / 4 |
Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 6 | $105.927,00 | 398 / 9 | $23.242,00 | 408 / 7 | $20.767,20 | 408 / 10 |
Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 15 | $107.060,00 | 370 / 20 | $35.337,20 | 574 / 23 | $33.567,80 | 574 / 25 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 12 | 33 / 8 | $108.246,00 | 183 / 6 | $32.778,10 | 265 / 9 | $30.640,80 | 264 / 9 |
Cardiac Congenital & Valvular Disorders W Mcc | 12 | 11 / 3 | $73.682,80 | 32 / 6 | $16.429,80 | 33 / 6 | $14.538,70 | 33 / 6 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 12 | 22 / 8 | $246.653,00 | 176 / 13 | $59.853,80 | 190 / 15 | $53.982,40 | 190 / 15 |
Nervous System Neoplasms W Mcc | 12 | 36 / 13 | $74.673,10 | 279 / 18 | $15.692,00 | 294 / 12 | $13.580,30 | 294 / 17 |
Cardiac Congenital & Valvular Disorders W/O Mcc | 12 | 12 / 4 | $53.806,40 | 36 / 7 | $10.561,90 | 33 / 6 | $8.644,83 | 33 / 6 |
Major Male Pelvic Procedures W/O Cc/Mcc | 12 | 61 / 11 | $50.609,60 | 247 / 14 | $16.970,20 | 347 / 14 | $10.851,50 | 347 / 14 |
Transurethral Prostatectomy W/O Cc/Mcc | 12 | 17 / 6 | $36.221,60 | 66 / 10 | $9.757,83 | 78 / 7 | $7.273,67 | 78 / 8 |
Other Disorders Of Nervous System W/O Cc/Mcc | 11 | 24 / 14 | $29.760,00 | 98 / 14 | $9.101,91 | 137 / 15 | $6.388,36 | 137 / 15 |
Other Circulatory System O.R. Procedures | 11 | 44 / 16 | $173.552,00 | 440 / 28 | $37.416,10 | 439 / 26 | $29.685,00 | 439 / 26 |
Otitis Media & Uri W Mcc | 11 | 10 / 4 | $47.964,30 | 15 / 3 | $12.474,30 | 18 / 3 | $10.620,00 | 18 / 3 |
Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 7 | $83.001,60 | 320 / 9 | $20.088,70 | 334 / 9 | $17.851,80 | 334 / 9 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 11 | 19 / 7 | $80.764,50 | 162 / 8 | $22.080,30 | 196 / 8 | $20.066,10 | 195 / 9 |
Peritoneal Adhesiolysis W Cc | 11 | 28 / 9 | $83.698,50 | 208 / 10 | $26.520,30 | 247 / 16 | $18.700,50 | 247 / 11 |
Coronary Bypass W Cardiac Cath W/O Mcc | 11 | 65 / 19 | $154.667,00 | 373 / 16 | $62.628,70 | 403 / 29 | $28.920,30 | 403 / 9 |
Thyroid, Parathyroid & Thyroglossal Procedures W Cc | 11 | 5 / 3 | $40.793,10 | 6 / 3 | $14.101,80 | 10 / 1 | $12.782,10 | 10 / 3 | Total 173 procedures | 6.726 | 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.