Hospital Costs > In California > Los Robles Hospital & Medical Center, 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 | 399 | 188 / 16 | $116.034,00 | 2579 / 192 | $16.108,70 | 1608 / 56 | $12.343,20 | 1571 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 307 | 211 / 36 | $142.614,00 | 2798 / 251 | $14.777,40 | 2345 / 91 | $13.870,90 | 2303 / 105 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 140 | 67 / 9 | $78.168,40 | 2537 / 230 | $7.614,63 | 1746 / 27 | $6.673,78 | 1739 / 37 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 123 | 152 / 11 | $51.408,90 | 2652 / 181 | $5.266,48 | 1347 / 9 | $4.007,43 | 1336 / 12 |
Kidney & Urinary Tract Infections W/O Mcc | 111 | 122 / 12 | $53.900,60 | 2663 / 194 | $5.717,68 | 1587 / 20 | $4.433,14 | 1576 / 17 |
Spinal Fusion Except Cervical W/O Mcc | 90 | 104 / 10 | $259.290,00 | 1341 / 89 | $32.797,20 | 1121 / 43 | $28.626,90 | 1116 / 39 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 86 | 110 / 10 | $126.588,00 | 1354 / 78 | $18.668,80 | 729 / 73 | $11.330,60 | 725 / 1 |
Simple Pneumonia & Pleurisy W Cc | 84 | 119 / 16 | $72.507,90 | 2777 / 201 | $7.211,39 | 1626 / 26 | $5.641,85 | 1619 / 11 |
Heart Failure & Shock W Mcc | 81 | 203 / 47 | $102.889,00 | 2572 / 194 | $11.078,20 | 1838 / 35 | $9.831,58 | 1833 / 25 |
G.I. Hemorrhage W Cc | 80 | 138 / 19 | $61.599,60 | 2323 / 156 | $8.032,27 | 1285 / 47 | $5.676,16 | 1282 / 8 |
Heart Failure & Shock W Cc | 74 | 204 / 33 | $67.581,90 | 2718 / 204 | $7.383,54 | 1533 / 27 | $5.812,30 | 1528 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 69 | 97 / 16 | $48.363,20 | 2480 / 171 | $4.868,22 | 1352 / 6 | $3.930,77 | 1347 / 13 |
Cellulitis W/O Mcc | 69 | 120 / 22 | $50.899,80 | 2563 / 190 | $6.066,70 | 1523 / 14 | $4.755,01 | 1516 / 13 |
Renal Failure W Cc | 67 | 154 / 24 | $58.902,00 | 2351 / 164 | $6.592,31 | 1447 / 12 | $5.674,82 | 1438 / 16 |
Combined Anterior/Posterior Spinal Fusion W Cc | 63 | 4 / 2 | $464.198,00 | 113 / 11 | $67.306,40 | 75 / 8 | $55.820,10 | 75 / 5 |
Medical Back Problems W/O Mcc | 62 | 59 / 7 | $51.076,60 | 1409 / 87 | $5.787,37 | 832 / 7 | $4.829,48 | 829 / 10 |
Simple Pneumonia & Pleurisy W Mcc | 60 | 145 / 33 | $102.971,00 | 2472 / 180 | $10.568,80 | 1918 / 26 | $9.765,07 | 1918 / 33 |
Chronic Obstructive Pulmonary Disease W Mcc | 59 | 143 / 31 | $119.108,00 | 2569 / 199 | $9.089,86 | 2013 / 43 | $7.999,64 | 2005 / 49 |
Syncope & Collapse | 56 | 113 / 14 | $49.520,10 | 1835 / 118 | $5.032,54 | 936 / 8 | $3.987,23 | 930 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 54 | 128 / 24 | $64.536,50 | 1931 / 121 | $7.547,06 | 1129 / 13 | $6.042,09 | 1126 / 5 |
Hip & Femur Procedures Except Major Joint W Cc | 53 | 90 / 16 | $116.489,00 | 1983 / 119 | $13.383,30 | 1388 / 10 | $12.336,40 | 1370 / 16 |
Chronic Obstructive Pulmonary Disease W Cc | 50 | 129 / 23 | $70.505,40 | 2409 / 170 | $6.413,44 | 1452 / 6 | $5.445,12 | 1447 / 9 |
Kidney & Urinary Tract Infections W Mcc | 49 | 95 / 19 | $85.001,80 | 1929 / 163 | $10.012,80 | 1648 / 101 | $8.383,04 | 1644 / 75 |
Red Blood Cell Disorders W/O Mcc | 49 | 94 / 10 | $50.705,60 | 1916 / 124 | $6.639,73 | 1011 / 41 | $4.528,47 | 1005 / 9 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 49 | 5 / 2 | $395.634,00 | 110 / 13 | $50.688,10 | 92 / 6 | $45.058,80 | 92 / 7 |
Transient Ischemia | 47 | 78 / 12 | $53.033,70 | 1594 / 112 | $4.862,30 | 774 / 5 | $3.672,00 | 770 / 6 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 45 | 79 / 21 | $539.369,00 | 1590 / 156 | $65.857,70 | 1580 / 145 | $63.194,20 | 1570 / 145 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 44 | 106 / 8 | $39.534,80 | 1921 / 114 | $3.869,84 | 927 / 6 | $2.764,68 | 922 / 8 |
Respiratory Infections & Inflammations W Cc | 43 | 45 / 9 | $95.362,00 | 1451 / 106 | $9.412,58 | 998 / 11 | $8.654,28 | 993 / 13 |
Renal Failure W Mcc | 43 | 152 / 44 | $91.524,50 | 2075 / 146 | $11.960,90 | 1625 / 45 | $10.774,50 | 1623 / 36 |
Fractures Of Hip & Pelvis W/O Mcc | 41 | 20 / 2 | $44.531,00 | 887 / 55 | $4.821,54 | 451 / 5 | $3.823,29 | 451 / 5 |
Chest Pain | 39 | 112 / 34 | $41.463,40 | 1614 / 112 | $4.233,21 | 578 / 5 | $3.000,44 | 574 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 38 | 123 / 28 | $47.883,30 | 2036 / 124 | $5.440,82 | 823 / 10 | $4.129,84 | 820 / 3 |
Heart Failure & Shock W/O Cc/Mcc | 36 | 74 / 11 | $46.875,20 | 1967 / 111 | $4.647,50 | 913 / 6 | $3.655,94 | 906 / 6 |
Respiratory Infections & Inflammations W Mcc | 36 | 100 / 37 | $183.805,00 | 1799 / 149 | $16.461,20 | 1649 / 84 | $15.915,90 | 1633 / 98 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 35 | 56 / 9 | $98.803,60 | 390 / 29 | $7.619,80 | 173 / 2 | $7.335,00 | 173 / 2 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 35 | 61 / 13 | $115.078,00 | 785 / 37 | $15.414,30 | 599 / 6 | $13.823,50 | 595 / 7 |
Pulmonary Edema & Respiratory Failure | 33 | 170 / 42 | $108.180,00 | 2217 / 159 | $10.349,90 | 1930 / 68 | $9.562,45 | 1924 / 79 |
G.I. Obstruction W Cc | 33 | 59 / 19 | $76.230,20 | 1715 / 130 | $8.462,85 | 1417 / 90 | $6.289,79 | 1412 / 52 |
G.I. Obstruction W/O Cc/Mcc | 32 | 39 / 9 | $42.236,50 | 1254 / 77 | $4.352,75 | 612 / 7 | $3.108,44 | 611 / 8 |
Major Small & Large Bowel Procedures W Cc | 31 | 77 / 24 | $219.627,00 | 1526 / 113 | $24.711,10 | 1330 / 89 | $19.404,80 | 1316 / 62 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 31 | 58 / 16 | $66.571,10 | 699 / 40 | $9.066,42 | 227 / 26 | $5.309,29 | 227 / 1 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 31 | 25 / 5 | $93.177,80 | 879 / 56 | $11.203,50 | 643 / 4 | $10.113,40 | 640 / 9 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 31 | 61 / 24 | $438.567,00 | 1079 / 130 | $49.805,90 | 905 / 80 | $47.423,90 | 904 / 79 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 30 | 96 / 29 | $63.868,60 | 1624 / 116 | $11.284,40 | 605 / 121 | $6.200,97 | 602 / 2 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 29 | 159 / 32 | $70.714,70 | 1503 / 80 | $10.195,40 | 523 / 72 | $5.491,21 | 521 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 25 | $87.055,60 | 1871 / 132 | $8.416,03 | 1176 / 5 | $7.539,90 | 1173 / 9 |
G.I. Hemorrhage W Mcc | 28 | 93 / 28 | $131.437,00 | 1650 / 147 | $15.810,20 | 1482 / 94 | $14.908,50 | 1472 / 98 |
Permanent Cardiac Pacemaker Implant W Cc | 28 | 49 / 7 | $117.355,00 | 852 / 50 | $18.037,50 | 621 / 6 | $17.000,90 | 620 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 28 | 74 / 20 | $55.261,30 | 1537 / 94 | $5.192,04 | 892 / 6 | $4.125,18 | 888 / 10 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 28 | 97 / 24 | $87.844,20 | 1620 / 90 | $11.515,20 | 848 / 6 | $9.858,18 | 847 / 3 |
Other Digestive System Diagnoses W Cc | 27 | 70 / 15 | $57.601,70 | 1348 / 99 | $8.453,30 | 409 / 65 | $5.052,59 | 406 / 1 |
Signs & Symptoms W/O Mcc | 27 | 64 / 11 | $60.537,20 | 1325 / 84 | $5.050,30 | 524 / 5 | $3.705,11 | 523 / 4 |
Respiratory Neoplasms W Cc | 26 | 21 / 2 | $61.232,60 | 450 / 20 | $8.085,65 | 278 / 1 | $7.341,04 | 277 / 3 |
G.I. Hemorrhage W/O Cc/Mcc | 25 | 43 / 6 | $42.645,70 | 944 / 48 | $5.695,60 | 389 / 13 | $3.542,72 | 386 / 5 |
Cervical Spinal Fusion W/O Cc/Mcc | 25 | 79 / 14 | $151.851,00 | 863 / 52 | $27.390,30 | 262 / 56 | $11.423,50 | 262 / 2 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 25 | 19 / 4 | $59.248,90 | 311 / 25 | $6.147,08 | 99 / 9 | $3.958,36 | 99 / 2 |
Major Small & Large Bowel Procedures W Mcc | 24 | 61 / 16 | $477.955,00 | 1291 / 94 | $56.572,90 | 1265 / 76 | $54.555,90 | 1262 / 77 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 24 | 49 / 10 | $81.195,70 | 1088 / 71 | $8.217,79 | 700 / 7 | $7.331,46 | 698 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 24 | 144 / 47 | $128.368,00 | 1590 / 134 | $14.337,20 | 1341 / 64 | $13.382,60 | 1335 / 75 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 23 | 46 / 13 | $145.667,00 | 482 / 28 | $19.098,30 | 388 / 6 | $18.054,80 | 387 / 10 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 22 | 47 / 7 | $157.137,00 | 466 / 15 | $20.784,30 | 418 / 7 | $19.684,60 | 418 / 10 |
Bronchitis & Asthma W Cc/Mcc | 22 | 54 / 11 | $71.256,00 | 1073 / 74 | $7.035,00 | 629 / 16 | $5.182,32 | 625 / 7 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 22 | 24 / 5 | $102.240,00 | 258 / 30 | $7.429,86 | 84 / 5 | $5.179,00 | 84 / 3 |
Revision Of Hip Or Knee Replacement W Cc | 22 | 64 / 13 | $200.596,00 | 651 / 30 | $23.754,70 | 457 / 5 | $21.765,20 | 455 / 4 |
Other Vascular Procedures W Cc | 22 | 80 / 22 | $134.938,00 | 1029 / 46 | $23.107,80 | 466 / 44 | $14.773,20 | 463 / 2 |
Peripheral Vascular Disorders W Cc | 22 | 62 / 11 | $59.812,90 | 1210 / 79 | $7.084,91 | 571 / 7 | $5.478,18 | 569 / 3 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 21 | 40 / 5 | $50.031,90 | 895 / 41 | $4.624,52 | 365 / 1 | $3.501,48 | 364 / 1 |
Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 15 | $84.420,80 | 1406 / 91 | $8.160,90 | 1090 / 25 | $7.068,33 | 1088 / 25 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 25 | $48.646,40 | 2042 / 108 | $4.921,57 | 1148 / 4 | $3.882,33 | 1139 / 7 |
Other Circulatory System Diagnoses W Mcc | 20 | 96 / 30 | $108.960,00 | 1305 / 95 | $16.299,00 | 1002 / 61 | $13.571,80 | 995 / 30 |
Female Reproductive System Reconstructive Procedures | 20 | 6 / 1 | $100.160,00 | 38 / 5 | $8.238,25 | 24 / 2 | $6.798,25 | 24 / 1 |
Other Vascular Procedures W Mcc | 20 | 77 / 22 | $156.594,00 | 887 / 47 | $23.560,80 | 653 / 5 | $22.896,80 | 650 / 8 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 19 | 97 / 19 | $482.930,00 | 464 / 32 | $64.289,90 | 349 / 10 | $58.729,40 | 349 / 11 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 19 | 43 / 12 | $40.158,90 | 729 / 33 | $5.112,21 | 425 / 4 | $4.286,95 | 423 / 5 |
Red Blood Cell Disorders W Mcc | 19 | 52 / 12 | $114.521,00 | 1110 / 89 | $12.238,60 | 991 / 60 | $11.214,70 | 987 / 60 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 34 | $225.670,00 | 1842 / 137 | $22.204,50 | 1733 / 99 | $21.329,60 | 1719 / 108 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 15 | $245.444,00 | 914 / 53 | $27.048,90 | 796 / 36 | $24.256,90 | 793 / 33 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 18 | 37 / 9 | $129.986,00 | 627 / 37 | $22.104,10 | 202 / 37 | $10.572,00 | 202 / 1 |
Peripheral Vascular Disorders W Mcc | 18 | 31 / 4 | $57.203,20 | 466 / 10 | $9.898,61 | 243 / 3 | $8.014,67 | 243 / 1 |
Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 22 | $53.818,80 | 793 / 22 | $7.027,56 | 563 / 5 | $5.972,89 | 562 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 26 | $76.596,60 | 1399 / 111 | $9.810,50 | 605 / 44 | $6.885,94 | 600 / 2 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 18 | 48 / 13 | $92.660,60 | 522 / 32 | $7.861,78 | 281 / 3 | $6.722,22 | 281 / 5 |
Major Cardiovasc Procedures W/O Mcc | 17 | 84 / 24 | $212.313,00 | 978 / 52 | $28.302,10 | 767 / 35 | $23.916,30 | 766 / 16 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 31 | $219.034,00 | 1110 / 85 | $18.792,10 | 1079 / 74 | $17.655,20 | 1075 / 76 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 13 | $91.705,80 | 712 / 32 | $11.299,00 | 518 / 2 | $10.099,90 | 518 / 8 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 17 | 40 / 9 | $98.513,70 | 650 / 31 | $14.750,60 | 480 / 3 | $13.609,90 | 479 / 6 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 17 | 21 / 3 | $47.685,40 | 442 / 16 | $6.050,29 | 196 / 12 | $3.338,41 | 196 / 2 |
Diabetes W Cc | 16 | 76 / 19 | $51.899,60 | 1545 / 95 | $5.696,88 | 887 / 4 | $4.870,88 | 883 / 5 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 14 | $298.080,00 | 728 / 44 | $75.691,60 | 665 / 57 | $40.899,10 | 665 / 36 |
Cervical Spinal Fusion W Cc | 16 | 37 / 11 | $153.152,00 | 360 / 18 | $20.183,90 | 255 / 3 | $18.971,90 | 254 / 5 |
Dysequilibrium | 16 | 49 / 11 | $55.116,40 | 555 / 33 | $4.279,25 | 195 / 2 | $3.145,25 | 195 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 14 | $103.160,00 | 814 / 49 | $11.400,40 | 635 / 3 | $10.496,40 | 633 / 10 |
Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 12 | $193.768,00 | 944 / 63 | $21.453,70 | 689 / 15 | $20.323,70 | 686 / 15 |
Other Digestive System Diagnoses W Mcc | 16 | 46 / 18 | $185.888,00 | 761 / 82 | $18.886,50 | 733 / 69 | $18.016,50 | 732 / 74 |
Postoperative & Post-Traumatic Infections W/O Mcc | 15 | 39 / 8 | $60.044,70 | 434 / 14 | $6.856,20 | 156 / 2 | $5.664,40 | 156 / 2 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 18 | $593.326,00 | 987 / 91 | $78.103,30 | 977 / 86 | $62.445,10 | 976 / 84 |
Disorders Of The Biliary Tract W Cc | 15 | 39 / 9 | $84.782,70 | 471 / 33 | $8.329,60 | 216 / 6 | $6.220,27 | 216 / 4 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 16 | $78.761,10 | 1268 / 70 | $7.304,29 | 1020 / 12 | $6.611,71 | 1017 / 21 |
Seizures W/O Mcc | 14 | 94 / 28 | $44.304,60 | 1180 / 56 | $5.230,57 | 563 / 4 | $4.190,57 | 560 / 4 |
Major Chest Procedures W Mcc | 14 | 35 / 11 | $306.508,00 | 319 / 19 | $64.241,00 | 158 / 22 | $31.074,60 | 158 / 3 |
Other Kidney & Urinary Tract Procedures W Mcc | 14 | 24 / 3 | $207.631,00 | 220 / 6 | $23.904,90 | 157 / 1 | $23.043,10 | 156 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 12 | $210.481,00 | 673 / 52 | $26.736,30 | 665 / 48 | $24.256,40 | 664 / 49 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 14 | 55 / 5 | $112.274,00 | 514 / 10 | $15.778,80 | 349 / 10 | $10.902,20 | 348 / 2 |
Other Circulatory System O.R. Procedures | 14 | 41 / 13 | $279.199,00 | 455 / 34 | $33.147,10 | 435 / 31 | $29.382,50 | 435 / 28 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 13 | 63 / 23 | $103.279,00 | 511 / 49 | $12.973,90 | 304 / 7 | $12.228,10 | 304 / 8 |
Cellulitis W Mcc | 13 | 45 / 21 | $94.830,60 | 939 / 77 | $10.439,10 | 676 / 14 | $9.789,23 | 674 / 20 |
Respiratory Neoplasms W Mcc | 13 | 39 / 13 | $131.991,00 | 627 / 34 | $18.280,50 | 524 / 35 | $12.940,60 | 521 / 18 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 32 | $41.719,00 | 1827 / 83 | $4.835,08 | 1196 / 5 | $3.902,15 | 1190 / 11 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 8 | $39.126,40 | 812 / 16 | $4.290,77 | 502 / 2 | $3.591,69 | 501 / 3 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 29 | $196.838,00 | 951 / 60 | $26.252,50 | 465 / 36 | $19.395,30 | 461 / 2 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 13 | 82 / 17 | $164.473,00 | 587 / 34 | $15.331,50 | 468 / 10 | $14.499,70 | 464 / 20 |
Other Disorders Of Nervous System W Cc | 12 | 44 / 15 | $60.050,70 | 596 / 42 | $5.942,25 | 244 / 3 | $5.038,25 | 244 / 2 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 19 | $41.162,90 | 619 / 26 | $6.069,67 | 284 / 1 | $4.965,67 | 284 / 2 |
Other Resp System O.R. Procedures W Mcc | 12 | 51 / 6 | $297.887,00 | 587 / 25 | $35.955,80 | 556 / 17 | $35.051,80 | 555 / 17 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 10 | $201.814,00 | 359 / 27 | $24.263,80 | 338 / 21 | $22.082,70 | 337 / 21 |
Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 18 | $45.806,90 | 731 / 27 | $6.541,08 | 290 / 5 | $5.234,58 | 290 / 3 |
Coronary Bypass W Cardiac Cath W Mcc | 12 | 44 / 12 | $424.116,00 | 415 / 23 | $77.411,80 | 261 / 30 | $45.363,40 | 261 / 3 |
Pulmonary Embolism W Mcc | 12 | 31 / 8 | $115.310,00 | 574 / 27 | $11.883,40 | 272 / 13 | $8.748,42 | 272 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 13 | $175.356,00 | 445 / 39 | $19.163,20 | 379 / 14 | $17.957,90 | 378 / 15 |
Major Male Pelvic Procedures W/O Cc/Mcc | 12 | 61 / 18 | $78.584,80 | 338 / 22 | $9.900,42 | 93 / 6 | $5.949,25 | 93 / 1 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 12 | $163.939,00 | 412 / 24 | $23.394,30 | 279 / 13 | $18.861,20 | 277 / 7 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 11 | $91.806,40 | 474 / 17 | $8.213,00 | 268 / 3 | $7.615,67 | 268 / 3 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 23 | $136.545,00 | 559 / 37 | $12.997,00 | 344 / 2 | $11.731,50 | 342 / 5 |
Major Male Pelvic Procedures W Cc/Mcc | 11 | 19 / 6 | $114.016,00 | 55 / 4 | $12.138,90 | 20 / 1 | $10.346,20 | 20 / 1 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 11 | 27 / 5 | $118.847,00 | 165 / 3 | $13.519,00 | 95 / 1 | $13.190,30 | 95 / 2 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 13 | $195.065,00 | 575 / 35 | $27.455,40 | 465 / 13 | $26.690,20 | 465 / 14 |
Mastectomy For Malignancy W/O Cc/Mcc | 11 | 6 / 2 | $118.981,00 | 11 / 1 | $7.260,00 | 5 / 1 | $5.383,73 | 5 / 1 | Total 128 procedures | 4.595 | 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.