Hospital Costs > In Illinois > Loyola University 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 | 230 | 286 / 29 | $58.058,30 | 2031 / 78 | $19.281,80 | 2447 / 111 | $14.634,60 | 2403 / 107 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 158 | 406 / 45 | $42.916,00 | 922 / 19 | $19.554,30 | 2372 / 103 | $15.934,80 | 2327 / 107 |
Heart Failure & Shock W Cc | 151 | 127 / 12 | $32.002,30 | 2057 / 96 | $10.194,30 | 2446 / 116 | $7.984,77 | 2440 / 111 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 126 | 149 / 19 | $21.285,00 | 1528 / 52 | $7.863,78 | 2378 / 107 | $5.827,58 | 2363 / 104 |
Renal Failure W Cc | 122 | 99 / 13 | $25.266,20 | 1445 / 56 | $10.093,90 | 2104 / 102 | $7.479,61 | 2094 / 95 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 114 | 23 / 2 | $108.923,00 | 112 / 2 | $45.901,30 | 433 / 20 | $39.658,60 | 433 / 21 |
G.I. Hemorrhage W Cc | 99 | 119 / 14 | $31.369,70 | 1636 / 72 | $10.043,00 | 2149 / 105 | $8.031,89 | 2145 / 104 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 92 | 74 / 8 | $22.351,10 | 1743 / 76 | $7.598,34 | 2203 / 106 | $5.561,43 | 2195 / 101 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 91 | 116 / 10 | $30.274,20 | 1634 / 55 | $11.116,20 | 2218 / 101 | $8.110,51 | 2209 / 100 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 91 | 97 / 7 | $44.780,60 | 1068 / 49 | $11.982,60 | 1418 / 78 | $8.320,80 | 1415 / 81 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 90 | 33 / 1 | $163.973,00 | 129 / 3 | $64.656,20 | 368 / 14 | $60.222,00 | 368 / 15 |
Kidney & Urinary Tract Infections W/O Mcc | 83 | 150 / 28 | $20.836,80 | 1661 / 58 | $7.814,57 | 2374 / 104 | $6.051,35 | 2363 / 101 |
Heart Failure & Shock W Mcc | 82 | 202 / 44 | $48.250,20 | 1941 / 86 | $15.668,20 | 2294 / 111 | $11.773,50 | 2284 / 107 |
Cellulitis W/O Mcc | 76 | 113 / 27 | $19.844,90 | 1464 / 66 | $8.698,93 | 2217 / 110 | $6.188,55 | 2209 / 103 |
Renal Failure W Mcc | 70 | 125 / 21 | $48.964,50 | 1556 / 80 | $15.754,10 | 1943 / 95 | $13.142,60 | 1939 / 96 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 68 | 27 / 1 | $91.176,00 | 416 / 20 | $25.590,00 | 459 / 28 | $14.336,70 | 455 / 25 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 64 | 132 / 15 | $62.283,70 | 501 / 16 | $17.775,10 | 1346 / 59 | $16.104,00 | 1339 / 78 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 62 | 120 / 22 | $37.141,00 | 1431 / 66 | $10.144,00 | 1797 / 86 | $8.169,55 | 1793 / 90 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 61 | 100 / 19 | $22.521,70 | 1248 / 48 | $7.897,36 | 1916 / 89 | $6.358,21 | 1911 / 91 |
Simple Pneumonia & Pleurisy W Cc | 59 | 144 / 40 | $26.139,00 | 1711 / 63 | $9.427,53 | 2433 / 106 | $7.400,17 | 2424 / 104 |
Chronic Obstructive Pulmonary Disease W Mcc | 56 | 146 / 35 | $30.944,30 | 1530 / 56 | $13.078,60 | 2284 / 114 | $9.290,70 | 2276 / 108 |
G.I. Hemorrhage W Mcc | 55 | 66 / 10 | $50.202,60 | 1012 / 44 | $16.380,70 | 1395 / 74 | $13.790,50 | 1385 / 75 |
Major Small & Large Bowel Procedures W Cc | 55 | 53 / 8 | $74.195,10 | 922 / 38 | $23.985,10 | 1350 / 65 | $19.735,20 | 1336 / 68 |
Red Blood Cell Disorders W/O Mcc | 54 | 89 / 12 | $23.098,30 | 1129 / 52 | $9.055,48 | 1687 / 99 | $6.266,33 | 1678 / 94 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 54 | 29 / 2 | $490.140,00 | 264 / 14 | $166.470,00 | 346 / 17 | $141.111,00 | 345 / 18 |
Medical Back Problems W/O Mcc | 52 | 69 / 17 | $28.803,90 | 969 / 55 | $8.422,40 | 1274 / 72 | $6.472,94 | 1270 / 71 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 50 | 74 / 13 | $142.814,00 | 960 / 52 | $53.025,30 | 1277 / 81 | $41.113,10 | 1267 / 76 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 49 | 21 / 2 | $27.145,00 | 319 / 8 | $10.684,40 | 432 / 19 | $7.428,22 | 432 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 48 | 120 / 17 | $62.824,60 | 1181 / 62 | $21.805,80 | 1344 / 80 | $13.408,50 | 1338 / 75 |
Respiratory Infections & Inflammations W Mcc | 47 | 89 / 22 | $61.285,80 | 1294 / 61 | $18.867,30 | 1648 / 85 | $15.899,20 | 1632 / 85 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 47 | 46 / 5 | $85.642,20 | 695 / 49 | $25.749,20 | 788 / 54 | $17.475,20 | 781 / 53 |
Kidney & Urinary Tract Infections W Mcc | 47 | 97 / 19 | $22.296,30 | 727 / 26 | $10.083,40 | 1690 / 84 | $8.592,23 | 1686 / 85 |
Spinal Fusion Except Cervical W/O Mcc | 45 | 149 / 18 | $89.117,50 | 628 / 18 | $40.660,10 | 1118 / 51 | $28.575,60 | 1113 / 50 |
Other Kidney & Urinary Tract Diagnoses W Cc | 44 | 59 / 6 | $29.285,50 | 507 / 30 | $11.540,50 | 691 / 47 | $7.777,32 | 691 / 45 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 44 | 57 / 11 | $39.586,50 | 623 / 35 | $14.701,00 | 904 / 55 | $12.188,90 | 900 / 58 |
Peripheral Vascular Disorders W Cc | 43 | 41 / 7 | $23.479,30 | 566 / 30 | $9.044,19 | 1036 / 66 | $7.460,95 | 1033 / 67 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 43 | 33 / 2 | $58.396,20 | 353 / 17 | $18.776,40 | 467 / 19 | $15.944,30 | 467 / 20 |
Kidney Transplant | 43 | 60 / 6 | $246.063,00 | 137 / 6 | $34.004,90 | 140 / 4 | $28.998,80 | 140 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 42 | 84 / 18 | $34.124,60 | 1134 / 64 | $11.163,10 | 1449 / 87 | $9.039,43 | 1446 / 84 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 42 | 46 / 4 | $85.456,70 | 165 / 2 | $34.403,90 | 505 / 26 | $27.985,50 | 504 / 27 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 40 | 16 / 2 | $44.050,30 | 355 / 18 | $17.469,60 | 570 / 38 | $15.008,30 | 569 / 38 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 40 | 83 / 24 | $48.411,70 | 1502 / 88 | $13.484,90 | 1719 / 94 | $10.102,50 | 1716 / 94 |
Major Cardiovasc Procedures W/O Mcc | 39 | 62 / 11 | $83.161,40 | 414 / 12 | $32.425,90 | 868 / 46 | $26.494,80 | 867 / 45 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 39 | 8 / 1 | $51.789,80 | 91 / 5 | $18.452,80 | 147 / 8 | $14.017,40 | 147 / 8 |
Other Circulatory System Diagnoses W Mcc | 39 | 77 / 14 | $52.294,80 | 794 / 39 | $18.357,60 | 1118 / 66 | $14.694,50 | 1110 / 67 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 39 | 57 / 11 | $31.299,50 | 686 / 30 | $11.584,20 | 1214 / 65 | $9.464,54 | 1209 / 63 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 38 | 35 / 7 | $27.770,50 | 581 / 28 | $11.443,20 | 951 / 56 | $9.000,08 | 949 / 54 |
Major Small & Large Bowel Procedures W Mcc | 38 | 47 / 9 | $131.852,00 | 671 / 25 | $46.545,80 | 1110 / 59 | $41.430,50 | 1108 / 62 |
Heart Failure & Shock W/O Cc/Mcc | 38 | 72 / 19 | $20.599,00 | 1323 / 65 | $6.929,58 | 1756 / 94 | $5.382,37 | 1743 / 95 |
Other Resp System O.R. Procedures W Mcc | 37 | 26 / 3 | $94.742,20 | 313 / 10 | $32.713,80 | 491 / 26 | $28.763,10 | 490 / 25 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 37 | 63 / 6 | $102.890,00 | 523 / 17 | $30.213,90 | 866 / 49 | $25.517,80 | 861 / 48 |
Other Vascular Procedures W Mcc | 36 | 61 / 7 | $91.359,40 | 507 / 20 | $29.477,20 | 820 / 44 | $26.182,60 | 817 / 45 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 36 | 62 / 6 | $122.793,00 | 273 / 7 | $38.450,60 | 418 / 14 | $35.151,40 | 418 / 18 |
Kidney & Ureter Procedures For Neoplasm W Cc | 35 | 10 / 1 | $43.508,90 | 38 / 1 | $19.453,20 | 124 / 8 | $15.093,10 | 124 / 8 |
Pulmonary Edema & Respiratory Failure | 35 | 168 / 39 | $45.225,70 | 1651 / 73 | $13.203,30 | 1975 / 92 | $9.946,09 | 1969 / 91 |
Nervous System Neoplasms W Mcc | 35 | 13 / 2 | $43.709,40 | 182 / 12 | $15.538,50 | 185 / 16 | $9.123,80 | 185 / 16 |
Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 55 | $36.662,90 | 1439 / 44 | $13.519,70 | 2202 / 100 | $11.358,60 | 2196 / 102 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 33 | 117 / 24 | $20.150,90 | 1400 / 67 | $7.594,39 | 1661 / 95 | $3.940,73 | 1655 / 90 |
Other Vascular Procedures W Cc | 32 | 70 / 13 | $74.448,90 | 580 / 15 | $22.985,60 | 984 / 47 | $20.357,40 | 979 / 53 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 32 | 23 / 3 | $49.983,50 | 259 / 7 | $17.751,60 | 553 / 27 | $15.401,50 | 549 / 28 |
Chest Pain | 32 | 119 / 25 | $17.078,70 | 696 / 23 | $6.456,12 | 1361 / 68 | $4.471,75 | 1353 / 65 |
Seizures W/O Mcc | 32 | 76 / 15 | $22.231,40 | 659 / 35 | $8.457,41 | 1014 / 75 | $5.617,09 | 1012 / 66 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 31 | 22 / 4 | $35.607,90 | 278 / 11 | $11.846,80 | 372 / 18 | $9.381,58 | 372 / 18 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 31 | 94 / 20 | $52.621,10 | 1195 / 56 | $16.594,70 | 1597 / 81 | $13.948,60 | 1584 / 82 |
Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 33 | $50.275,20 | 1054 / 40 | $18.515,00 | 1776 / 95 | $14.696,10 | 1757 / 91 |
Major Cardiovasc Procedures W Mcc | 30 | 38 / 4 | $185.111,00 | 468 / 17 | $51.664,60 | 579 / 26 | $46.929,30 | 578 / 26 |
Other Circulatory System Diagnoses W Cc | 30 | 36 / 5 | $35.523,40 | 491 / 23 | $10.565,30 | 537 / 23 | $7.318,70 | 536 / 25 |
Transient Ischemia | 29 | 96 / 26 | $26.398,00 | 1025 / 50 | $6.883,48 | 1441 / 74 | $5.433,86 | 1433 / 81 |
Red Blood Cell Disorders W Mcc | 29 | 42 / 9 | $38.901,10 | 665 / 41 | $12.622,90 | 958 / 62 | $10.591,70 | 954 / 63 |
Permanent Cardiac Pacemaker Implant W Cc | 29 | 48 / 8 | $79.240,90 | 614 / 34 | $26.544,80 | 830 / 48 | $20.336,40 | 826 / 47 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 27 | $97.345,40 | 1486 / 78 | $24.510,50 | 1718 / 89 | $21.032,30 | 1704 / 90 |
Major Bladder Procedures W Cc | 29 | 12 / 2 | $93.164,40 | 33 / 1 | $35.049,40 | 30 / 3 | $20.394,00 | 30 / 1 |
Other Digestive System Diagnoses W Cc | 28 | 69 / 18 | $29.865,70 | 858 / 42 | $9.796,32 | 1235 / 70 | $7.764,50 | 1231 / 73 |
Signs & Symptoms W/O Mcc | 28 | 63 / 14 | $24.825,90 | 883 / 50 | $7.840,54 | 1077 / 62 | $5.283,68 | 1074 / 58 |
Major Chest Procedures W Cc | 28 | 46 / 7 | $74.752,90 | 295 / 9 | $24.678,60 | 389 / 21 | $18.509,80 | 387 / 22 |
Other Respiratory System Diagnoses W Mcc | 28 | 11 / 1 | $50.199,80 | 54 / 3 | $13.635,00 | 51 / 4 | $11.141,80 | 51 / 4 |
Degenerative Nervous System Disorders W/O Mcc | 28 | 50 / 14 | $29.768,40 | 493 / 28 | $9.145,43 | 644 / 44 | $7.087,07 | 644 / 45 |
Other Resp System O.R. Procedures W Cc | 27 | 20 / 2 | $44.608,60 | 114 / 2 | $16.564,70 | 265 / 12 | $14.378,10 | 265 / 13 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 27 | 65 / 9 | $136.452,00 | 431 / 24 | $48.755,00 | 826 / 45 | $44.025,90 | 825 / 47 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 27 | 47 / 5 | $55.320,20 | 84 / 1 | $19.397,90 | 206 / 8 | $17.503,40 | 205 / 9 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 27 | 28 / 3 | $97.964,10 | 144 / 5 | $28.448,10 | 192 / 8 | $25.645,30 | 192 / 10 |
Complications Of Treatment W Cc | 27 | 25 / 5 | $26.897,60 | 184 / 7 | $9.726,44 | 293 / 19 | $8.204,70 | 293 / 20 |
Bronchitis & Asthma W Cc/Mcc | 27 | 49 / 14 | $29.861,70 | 707 / 43 | $8.962,11 | 943 / 55 | $6.983,30 | 939 / 58 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 26 | 38 / 5 | $42.834,90 | 349 / 7 | $15.783,20 | 658 / 17 | $12.349,00 | 658 / 20 |
Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 55 | $20.975,70 | 1101 / 37 | $8.593,77 | 2105 / 101 | $7.123,08 | 2098 / 102 |
Pulmonary Embolism W/O Mcc | 26 | 48 / 14 | $25.690,50 | 677 / 26 | $11.402,10 | 1067 / 61 | $6.935,54 | 1064 / 58 |
G.I. Obstruction W Cc | 26 | 66 / 25 | $27.551,70 | 1110 / 56 | $9.100,88 | 1540 / 84 | $6.928,35 | 1535 / 85 |
Diabetes W Cc | 25 | 67 / 17 | $24.752,60 | 984 / 51 | $8.172,08 | 1327 / 74 | $6.334,48 | 1322 / 74 |
Endocrine Disorders W Cc | 25 | 13 / 4 | $22.328,00 | 101 / 3 | $9.369,08 | 213 / 15 | $7.452,76 | 213 / 15 |
Pulmonary Embolism W Mcc | 25 | 18 / 4 | $42.159,90 | 350 / 16 | $14.339,60 | 477 / 36 | $10.698,40 | 476 / 35 |
Postoperative & Post-Traumatic Infections W/O Mcc | 25 | 29 / 2 | $27.376,60 | 250 / 10 | $9.649,68 | 364 / 16 | $7.968,80 | 364 / 16 |
Syncope & Collapse | 25 | 144 / 38 | $25.073,40 | 1222 / 61 | $7.339,24 | 1661 / 86 | $5.832,20 | 1653 / 88 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 23 | $28.935,20 | 1065 / 50 | $8.308,75 | 1367 / 68 | $5.588,67 | 1363 / 74 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 24 | 40 / 3 | $220.771,00 | 186 / 8 | $86.937,80 | 327 / 18 | $68.716,70 | 327 / 16 |
Cervical Spinal Fusion W Cc | 23 | 30 / 3 | $93.437,00 | 266 / 8 | $35.504,90 | 289 / 13 | $20.249,20 | 288 / 11 |
Non-Extensive Burns | 23 | 8 / 1 | $24.222,30 | 6 / 1 | $15.417,10 | 12 / 1 | $10.448,30 | 12 / 1 |
Disorders Of The Biliary Tract W Cc | 22 | 32 / 6 | $54.371,50 | 418 / 24 | $11.992,70 | 422 / 23 | $9.009,77 | 422 / 22 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 22 | 49 / 7 | $188.622,00 | 707 / 36 | $51.783,70 | 893 / 41 | $45.613,80 | 892 / 43 |
Lung Transplant | 22 | 3 / 1 | $390.504,00 | 8 / 1 | $94.902,30 | 11 / 1 | $75.757,30 | 11 / 1 |
Tracheostomy For Face,Mouth & Neck Diagnoses W Cc | 22 | 11 / 1 | $98.158,90 | 16 / 1 | $29.067,60 | 26 / 1 | $25.640,50 | 26 / 1 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 21 | 70 / 10 | $24.745,20 | 111 / 11 | $10.303,10 | 300 / 16 | $9.324,43 | 300 / 18 |
Pancreas, Liver & Shunt Procedures W Cc | 21 | 34 / 4 | $79.614,30 | 62 / 3 | $25.642,90 | 79 / 6 | $21.413,30 | 79 / 6 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 21 | 42 / 8 | $106.582,00 | 269 / 9 | $43.347,30 | 626 / 36 | $38.954,40 | 626 / 37 |
Autologous Bone Marrow Transplant W Cc/Mcc | 21 | 15 / 2 | $117.583,00 | 8 / 1 | $53.067,60 | 30 / 1 | $47.329,00 | 30 / 1 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 21 | 21 / 1 | $88.132,40 | 18 / 1 | $39.059,30 | 103 / 2 | $36.203,00 | 103 / 2 |
Other Disorders Of Nervous System W Cc | 21 | 35 / 8 | $33.082,20 | 416 / 23 | $9.049,52 | 525 / 28 | $7.192,52 | 524 / 30 |
Stomach, Esophageal & Duodenal Proc W Cc | 21 | 29 / 4 | $80.755,20 | 139 / 5 | $23.657,20 | 167 / 9 | $20.564,90 | 167 / 9 |
Digestive Malignancy W Cc | 20 | 27 / 9 | $28.680,90 | 123 / 5 | $11.292,30 | 303 / 21 | $9.422,60 | 301 / 22 |
G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 17 | $19.370,40 | 791 / 36 | $7.030,40 | 1126 / 64 | $4.427,95 | 1123 / 64 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 20 | 46 / 9 | $55.901,60 | 316 / 15 | $18.501,20 | 477 / 28 | $14.293,60 | 473 / 28 |
Kidney & Ureter Procedures For Non-Neoplasm W Mcc | 19 | 11 / 2 | $67.361,50 | 21 / 1 | $28.909,50 | 40 / 3 | $25.831,50 | 40 / 3 |
Revision Of Hip Or Knee Replacement W Cc | 19 | 67 / 11 | $60.034,60 | 145 / 5 | $34.552,20 | 563 / 31 | $25.195,70 | 561 / 29 |
Other Respiratory System Diagnoses W/O Mcc | 19 | 27 / 3 | $28.096,30 | 210 / 8 | $9.242,63 | 244 / 12 | $6.001,11 | 244 / 11 |
Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 14 | $85.187,70 | 581 / 25 | $28.374,10 | 854 / 46 | $24.476,00 | 851 / 47 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 19 | 70 / 11 | $39.233,20 | 455 / 22 | $12.157,50 | 601 / 31 | $7.284,84 | 600 / 31 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 19 | 28 / 3 | $32.101,60 | 142 / 2 | $13.335,40 | 453 / 12 | $11.478,40 | 453 / 16 |
Respiratory Infections & Inflammations W Cc | 19 | 69 / 23 | $26.960,10 | 562 / 13 | $13.003,60 | 1227 / 66 | $9.934,16 | 1222 / 66 |
Lymphoma & Non-Acute Leukemia W Cc | 19 | 17 / 3 | $43.365,40 | 53 / 2 | $17.274,70 | 87 / 6 | $12.118,40 | 87 / 5 |
Other Digestive System Diagnoses W Mcc | 19 | 43 / 14 | $51.966,90 | 486 / 22 | $16.972,10 | 576 / 34 | $12.798,20 | 575 / 32 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 19 | 23 / 4 | $77.219,70 | 248 / 12 | $18.392,70 | 237 / 12 | $14.868,80 | 237 / 12 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 19 | 105 / 24 | $19.597,70 | 476 / 27 | $7.843,79 | 627 / 46 | $5.141,53 | 626 / 36 |
Cellulitis W Mcc | 18 | 40 / 15 | $33.373,80 | 448 / 23 | $13.657,10 | 805 / 53 | $11.085,90 | 803 / 53 |
Coronary Bypass W/O Cardiac Cath W Mcc | 18 | 41 / 4 | $137.163,00 | 91 / 3 | $47.365,60 | 186 / 12 | $43.351,90 | 185 / 11 |
Complications Of Treatment W Mcc | 18 | 33 / 7 | $60.407,00 | 214 / 6 | $21.599,80 | 267 / 10 | $17.219,40 | 267 / 10 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 18 | 51 / 8 | $44.088,50 | 83 / 1 | $25.305,80 | 393 / 23 | $18.388,60 | 393 / 21 |
Peripheral Vascular Disorders W Mcc | 18 | 31 / 11 | $50.464,30 | 433 / 30 | $14.319,00 | 513 / 34 | $11.645,40 | 513 / 34 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 18 | 50 / 12 | $29.516,50 | 456 / 26 | $9.018,44 | 621 / 37 | $7.164,50 | 621 / 40 |
Respiratory Neoplasms W Mcc | 18 | 34 / 12 | $54.675,10 | 423 / 22 | $16.402,90 | 551 / 37 | $13.693,80 | 548 / 38 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 18 | 20 / 2 | $54.036,80 | 93 / 4 | $18.445,10 | 132 / 4 | $15.678,80 | 132 / 4 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 18 | 36 / 5 | $94.906,40 | 124 / 7 | $26.307,20 | 199 / 12 | $23.824,90 | 199 / 12 |
Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 14 | $28.879,60 | 590 / 27 | $11.000,50 | 736 / 45 | $6.389,76 | 733 / 43 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 17 | 34 / 5 | $61.233,00 | 206 / 12 | $19.377,30 | 276 / 17 | $16.285,30 | 276 / 17 |
Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 10 | $62.801,20 | 495 / 15 | $23.217,00 | 765 / 29 | $16.351,80 | 762 / 27 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 17 | 23 / 11 | $32.890,40 | 165 / 11 | $12.625,50 | 212 / 20 | $8.182,65 | 212 / 20 |
Signs & Symptoms W Mcc | 17 | 24 / 3 | $43.658,80 | 211 / 9 | $12.661,40 | 226 / 6 | $9.872,41 | 226 / 9 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 16 | 50 / 12 | $37.045,10 | 318 / 15 | $10.640,10 | 433 / 26 | $8.723,25 | 432 / 28 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 16 | 37 / 9 | $57.355,90 | 203 / 10 | $16.516,20 | 256 / 15 | $13.808,70 | 257 / 16 |
Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 16 | $27.619,70 | 707 / 37 | $7.687,81 | 824 / 39 | $5.481,00 | 823 / 39 |
Stomach, Esophageal & Duodenal Proc W Mcc | 15 | 26 / 2 | $168.334,00 | 149 / 7 | $52.277,40 | 188 / 10 | $45.636,90 | 188 / 9 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 10 | $22.719,10 | 591 / 28 | $7.530,80 | 730 / 37 | $4.978,87 | 729 / 35 |
Pleural Effusion W Cc | 15 | 13 / 4 | $36.641,80 | 76 / 5 | $11.142,00 | 85 / 8 | $7.810,27 | 85 / 7 |
Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 15 | 13 / 2 | $52.476,90 | 68 / 2 | $17.295,70 | 95 / 3 | $13.260,50 | 95 / 3 |
Other Digestive System Diagnoses W/O Cc/Mcc | 15 | 28 / 6 | $22.806,50 | 205 / 9 | $7.059,67 | 306 / 16 | $5.284,60 | 306 / 16 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 16 | $90.223,60 | 575 / 28 | $29.798,10 | 831 / 43 | $25.862,70 | 828 / 46 |
Heart Transplant Or Implant Of Heart Assist System W Mcc | 15 | 22 / 4 | $562.691,00 | 15 / 1 | $213.013,00 | 36 / 1 | $202.397,00 | 36 / 1 |
Major Chest Procedures W/O Cc/Mcc | 15 | 44 / 6 | $56.086,80 | 149 / 8 | $16.322,50 | 213 / 7 | $14.050,40 | 213 / 9 |
Other Infectious & Parasitic Diseases Diagnoses W Mcc | 15 | 6 / 1 | $109.880,00 | 36 / 4 | $27.098,50 | 20 / 4 | $20.811,90 | 20 / 3 |
Extracranial Procedures W/O Cc/Mcc | 15 | 83 / 20 | $34.439,10 | 540 / 15 | $9.804,40 | 859 / 34 | $8.264,87 | 856 / 39 |
Major Male Pelvic Procedures W/O Cc/Mcc | 14 | 59 / 8 | $33.448,40 | 120 / 3 | $13.080,70 | 309 / 11 | $9.175,29 | 309 / 13 |
Other O.R. Procedures For Injuries W Cc | 14 | 21 / 5 | $49.080,30 | 67 / 3 | $17.299,10 | 117 / 4 | $14.765,40 | 117 / 6 |
Chemo W Acute Leukemia As Sdx W Cc Or High Dose Chemo Agent | 14 | 12 / 2 | $77.897,10 | 11 / 2 | $24.833,60 | 11 / 1 | $22.462,60 | 11 / 1 |
Cirrhosis & Alcoholic Hepatitis W Cc | 14 | 12 / 2 | $21.970,10 | 29 / 1 | $11.387,80 | 46 / 3 | $6.420,50 | 46 / 1 |
Pancreas, Liver & Shunt Procedures W Mcc | 14 | 29 / 4 | $176.378,00 | 69 / 5 | $57.791,10 | 88 / 4 | $51.168,80 | 88 / 5 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 14 | 22 / 7 | $88.712,30 | 269 / 13 | $26.105,70 | 313 / 14 | $19.322,90 | 312 / 14 |
Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 8 | $34.633,90 | 461 / 8 | $12.948,40 | 802 / 22 | $11.108,70 | 800 / 24 |
Postoperative & Post-Traumatic Infections W Mcc | 14 | 29 / 5 | $45.054,90 | 95 / 2 | $17.336,30 | 165 / 7 | $15.263,30 | 165 / 8 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 14 | 17 / 1 | $159.113,00 | 82 / 5 | $49.095,20 | 89 / 5 | $42.424,50 | 89 / 5 |
Other Digestive System O.R. Procedures W Cc | 14 | 13 / 2 | $79.521,10 | 72 / 3 | $21.734,30 | 85 / 6 | $18.770,40 | 85 / 6 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 14 | 55 / 6 | $203.161,00 | 83 / 3 | $84.672,30 | 189 / 6 | $67.431,60 | 189 / 4 |
Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim | 13 | 16 / 1 | $43.310,20 | 15 / 1 | $20.952,20 | 43 / 3 | $15.048,50 | 43 / 2 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 13 | 16 / 4 | $20.832,00 | 82 / 6 | $7.194,08 | 105 / 9 | $4.913,31 | 105 / 9 |
Other Disorders Of Nervous System W Mcc | 13 | 27 / 7 | $50.165,40 | 204 / 11 | $15.536,80 | 267 / 13 | $13.053,80 | 267 / 13 |
Major Chest Procedures W Mcc | 13 | 36 / 9 | $155.755,00 | 215 / 10 | $44.072,30 | 255 / 11 | $37.387,70 | 254 / 12 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 13 | 30 / 6 | $78.055,80 | 74 / 4 | $23.213,20 | 94 / 5 | $20.045,50 | 94 / 6 |
Bone Diseases & Arthropathies W/O Mcc | 13 | 31 / 10 | $22.953,10 | 192 / 19 | $7.505,15 | 216 / 22 | $5.642,92 | 216 / 22 |
Transurethral Procedures W Cc | 13 | 28 / 10 | $39.366,20 | 214 / 15 | $12.306,40 | 348 / 26 | $10.162,30 | 348 / 27 |
Skin Ulcers W Mcc | 13 | 7 / 1 | $32.326,50 | 12 / 1 | $13.529,50 | 20 / 1 | $10.724,20 | 20 / 1 |
Other Vascular Procedures W/O Cc/Mcc | 13 | 43 / 6 | $49.215,10 | 286 / 5 | $15.275,00 | 480 / 13 | $13.186,10 | 479 / 15 |
Respiratory Neoplasms W Cc | 13 | 34 / 14 | $32.598,00 | 232 / 13 | $11.169,60 | 415 / 25 | $9.308,15 | 414 / 27 |
O.R. Procedures For Obesity W Cc | 12 | 22 / 4 | $46.238,60 | 43 / 2 | $18.685,80 | 92 / 6 | $13.912,60 | 92 / 6 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 13 | $61.798,90 | 417 / 17 | $22.634,70 | 594 / 28 | $15.418,80 | 593 / 29 |
Fever | 12 | 34 / 9 | $26.987,00 | 195 / 6 | $8.825,08 | 272 / 13 | $6.753,83 | 272 / 14 |
Tracheostomy For Face,Mouth & Neck Diagnoses W Mcc | 12 | 11 / 1 | $157.166,00 | 9 / 1 | $46.376,20 | 14 / 1 | $40.952,90 | 14 / 1 |
Major Bladder Procedures W Mcc | 12 | 7 / 2 | $181.316,00 | 10 / 1 | $51.327,40 | 8 / 1 | $44.704,40 | 8 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 22 | $43.774,80 | 341 / 8 | $18.442,90 | 758 / 39 | $11.867,40 | 754 / 39 |
Kidney & Ureter Procedures For Non-Neoplasm W/O Cc/Mcc | 12 | 13 / 3 | $34.042,70 | 15 / 3 | $11.968,50 | 27 / 3 | $10.367,40 | 27 / 4 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 12 | 42 / 11 | $23.693,80 | 217 / 10 | $8.135,08 | 281 / 22 | $5.195,17 | 281 / 21 |
Hernia Procedures Except Inguinal & Femoral W Cc | 12 | 22 / 7 | $62.548,50 | 112 / 9 | $17.595,60 | 103 / 9 | $11.665,70 | 103 / 9 |
Spinal Fusion Except Cervical W Mcc | 12 | 13 / 3 | $173.785,00 | 40 / 3 | $56.294,20 | 58 / 3 | $52.185,70 | 58 / 3 |
Seizures W Mcc | 12 | 54 / 20 | $43.524,10 | 407 / 19 | $15.490,00 | 639 / 33 | $13.077,80 | 639 / 35 |
Spinal Procedures W Cc Or Spinal Neurostimulators | 12 | 15 / 4 | $65.462,50 | 13 / 1 | $26.411,20 | 32 / 3 | $23.963,30 | 32 / 4 |
Organic Disturbances & Mental Retardation | 12 | 47 / 18 | $22.784,40 | 231 / 11 | $10.103,70 | 418 / 30 | $7.694,67 | 418 / 29 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 11 | 39 / 6 | $147.766,00 | 130 / 5 | $46.308,50 | 209 / 7 | $44.444,20 | 209 / 8 |
Viral Illness W/O Mcc | 11 | 16 / 3 | $24.624,50 | 30 / 3 | $8.002,09 | 46 / 3 | $6.299,91 | 46 / 3 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Mcc | 11 | 14 / 4 | $50.189,20 | 19 / 2 | $19.354,00 | 20 / 6 | $12.596,20 | 20 / 5 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 11 | 29 / 3 | $31.857,10 | 24 / 1 | $15.303,50 | 100 / 3 | $10.523,20 | 100 / 4 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 42 | $45.629,20 | 2021 / 102 | $13.088,10 | 2097 / 103 | $9.604,18 | 2085 / 102 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 8 | $22.506,40 | 198 / 9 | $6.813,55 | 341 / 22 | $5.564,27 | 340 / 24 |
Interstitial Lung Disease W Mcc | 11 | 14 / 6 | $63.410,80 | 74 / 9 | $16.666,10 | 77 / 9 | $13.261,20 | 77 / 9 |
Major Head & Neck Procedures W Cc/Mcc Or Major Device | 11 | 12 / 2 | $106.077,00 | 22 / 2 | $27.125,50 | 21 / 2 | $23.527,50 | 21 / 2 |
Headaches W/O Mcc | 11 | 32 / 7 | $31.809,50 | 175 / 10 | $7.282,55 | 202 / 11 | $5.473,64 | 202 / 15 |
Acute Leukemia W/O Major O.R. Procedure W Mcc | 11 | 25 / 4 | $172.327,00 | 18 / 2 | $108.951,00 | 11 / 4 | $38.365,20 | 11 / 2 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 11 | 29 / 4 | $172.792,00 | 45 / 2 | $65.131,40 | 50 / 4 | $49.292,50 | 50 / 2 |
Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 10 | $42.930,90 | 147 / 6 | $16.108,00 | 270 / 14 | $13.899,50 | 270 / 16 |
Medical Back Problems W Mcc | 11 | 28 / 12 | $33.472,50 | 95 / 3 | $12.432,60 | 195 / 15 | $10.539,20 | 195 / 15 | Total 195 procedures | 6.199 | 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.