Hospital Costs > In New York > Lutheran Medical Center Brooklyn, 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 | 309 | 209 / 26 | $70.931,50 | 2296 / 128 | $26.311,80 | 2789 / 130 | $22.657,70 | 2744 / 131 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 152 | 412 / 38 | $61.625,20 | 1755 / 96 | $26.875,20 | 2665 / 117 | $24.157,80 | 2619 / 117 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 129 | 146 / 24 | $29.707,70 | 2151 / 118 | $11.554,40 | 2687 / 120 | $9.308,10 | 2672 / 120 |
| Syncope & Collapse | 97 | 72 / 22 | $25.878,50 | 1259 / 85 | $11.135,10 | 1893 / 94 | $9.146,47 | 1885 / 96 |
| Kidney & Urinary Tract Infections W/O Mcc | 89 | 144 / 31 | $34.588,30 | 2364 / 118 | $12.384,20 | 2683 / 123 | $9.928,00 | 2672 / 122 |
| Cellulitis W/O Mcc | 88 | 101 / 26 | $31.193,30 | 2167 / 116 | $12.614,30 | 2588 / 123 | $10.108,50 | 2580 / 120 |
| Heart Failure & Shock W Mcc | 88 | 196 / 35 | $52.891,80 | 2067 / 108 | $20.779,50 | 2597 / 117 | $18.081,00 | 2586 / 119 |
| Renal Failure W Cc | 82 | 139 / 24 | $38.497,70 | 2000 / 102 | $14.738,60 | 2418 / 112 | $12.385,60 | 2408 / 114 |
| Seizures W/O Mcc | 82 | 28 / 7 | $29.387,90 | 929 / 78 | $11.830,30 | 1290 / 83 | $9.681,45 | 1288 / 83 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 69 | 97 / 30 | $29.602,60 | 2119 / 114 | $11.069,70 | 2504 / 119 | $9.070,17 | 2495 / 119 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 66 | 58 / 10 | $159.667,00 | 1080 / 70 | $67.764,50 | 1568 / 83 | $59.964,60 | 1558 / 83 |
| Chronic Obstructive Pulmonary Disease W Mcc | 65 | 137 / 32 | $46.312,40 | 2105 / 112 | $17.486,30 | 2557 / 120 | $14.475,30 | 2549 / 119 |
| Renal Failure W Mcc | 62 | 133 / 19 | $71.551,80 | 1910 / 97 | $23.897,60 | 2154 / 96 | $20.633,40 | 2150 / 97 |
| Degenerative Nervous System Disorders W/O Mcc | 62 | 19 / 7 | $41.235,80 | 684 / 55 | $14.658,70 | 853 / 61 | $12.020,80 | 853 / 61 |
| Medical Back Problems W/O Mcc | 61 | 60 / 12 | $36.632,20 | 1186 / 72 | $12.633,70 | 1472 / 82 | $10.201,10 | 1467 / 82 |
| Hip & Femur Procedures Except Major Joint W Cc | 61 | 82 / 14 | $62.225,90 | 1406 / 78 | $25.357,20 | 2038 / 99 | $22.416,00 | 2016 / 100 |
| Chronic Obstructive Pulmonary Disease W Cc | 59 | 120 / 26 | $38.249,80 | 2028 / 117 | $14.208,30 | 2425 / 122 | $11.704,10 | 2418 / 120 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 58 | 149 / 47 | $53.039,70 | 2315 / 127 | $16.261,70 | 2550 / 125 | $13.264,70 | 2540 / 123 |
| G.I. Hemorrhage W Cc | 57 | 161 / 43 | $46.122,20 | 2096 / 115 | $15.065,00 | 2404 / 117 | $12.197,20 | 2400 / 114 |
| Chest Pain | 54 | 97 / 27 | $22.079,80 | 1060 / 77 | $9.523,28 | 1654 / 76 | $7.732,35 | 1645 / 75 |
| Transient Ischemia | 52 | 73 / 18 | $31.260,90 | 1221 / 80 | $10.971,60 | 1641 / 91 | $8.509,21 | 1633 / 88 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 52 | 109 / 24 | $30.087,50 | 1632 / 89 | $12.078,30 | 2144 / 102 | $10.104,90 | 2139 / 104 |
| Heart Failure & Shock W Cc | 52 | 226 / 59 | $33.414,10 | 2116 / 103 | $14.183,20 | 2722 / 121 | $11.962,60 | 2716 / 123 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 50 | 132 / 29 | $45.866,50 | 1650 / 81 | $16.199,10 | 2047 / 100 | $12.590,30 | 2042 / 97 |
| Other Vascular Procedures W Mcc | 49 | 48 / 8 | $88.316,30 | 480 / 29 | $40.849,90 | 984 / 53 | $37.175,70 | 981 / 53 |
| Red Blood Cell Disorders W/O Mcc | 47 | 96 / 31 | $28.884,40 | 1455 / 82 | $12.296,80 | 1972 / 97 | $10.476,20 | 1963 / 99 |
| Simple Pneumonia & Pleurisy W Mcc | 47 | 158 / 33 | $59.774,80 | 2094 / 105 | $21.169,50 | 2504 / 117 | $17.854,30 | 2498 / 116 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 47 | 76 / 18 | $43.432,00 | 1405 / 77 | $17.305,80 | 1894 / 92 | $14.852,20 | 1891 / 96 |
| Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 47 | $43.549,30 | 2424 / 127 | $14.343,40 | 2787 / 129 | $11.769,00 | 2778 / 126 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 45 | 86 / 10 | $70.747,80 | 1153 / 71 | $30.471,40 | 1836 / 92 | $27.312,20 | 1822 / 93 |
| Other Digestive System Diagnoses W Cc | 43 | 54 / 10 | $36.249,00 | 1051 / 55 | $14.303,50 | 1423 / 69 | $12.131,20 | 1419 / 71 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 41 | 127 / 24 | $78.751,40 | 1357 / 77 | $26.048,20 | 1614 / 80 | $22.432,40 | 1607 / 81 |
| Pulmonary Edema & Respiratory Failure | 38 | 165 / 29 | $38.124,90 | 1437 / 68 | $17.183,40 | 2210 / 100 | $14.985,20 | 2204 / 100 |
| Peripheral Vascular Disorders W Cc | 36 | 48 / 17 | $45.546,30 | 1095 / 71 | $14.776,90 | 1250 / 72 | $12.107,40 | 1247 / 71 |
| G.I. Hemorrhage W Mcc | 36 | 85 / 21 | $58.645,10 | 1169 / 60 | $22.346,20 | 1632 / 75 | $19.222,30 | 1622 / 75 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 35 | 57 / 21 | $157.193,00 | 563 / 59 | $70.118,60 | 1070 / 72 | $64.514,30 | 1069 / 73 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 34 | 116 / 39 | $24.538,40 | 1609 / 100 | $9.316,18 | 1961 / 101 | $7.117,71 | 1955 / 101 |
| Other Vascular Procedures W Cc | 34 | 68 / 20 | $85.308,50 | 701 / 36 | $32.784,60 | 1130 / 51 | $29.583,60 | 1125 / 51 |
| Major Cardiovasc Procedures W/O Mcc | 34 | 67 / 14 | $81.510,70 | 397 / 24 | $40.413,40 | 995 / 42 | $37.929,40 | 994 / 42 |
| Dysequilibrium | 33 | 32 / 11 | $26.978,90 | 371 / 42 | $10.148,10 | 559 / 49 | $8.194,15 | 559 / 50 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 33 | 29 / 13 | $29.607,20 | 602 / 58 | $11.748,90 | 805 / 71 | $9.394,70 | 803 / 69 |
| Diabetes W Cc | 30 | 62 / 19 | $42.009,10 | 1440 / 90 | $13.813,70 | 1599 / 89 | $10.972,40 | 1594 / 86 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 26 | $25.337,50 | 1552 / 92 | $11.083,70 | 2095 / 108 | $9.409,66 | 2083 / 112 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 28 | 68 / 17 | $53.503,90 | 1207 / 66 | $18.193,00 | 1455 / 75 | $15.265,90 | 1450 / 74 |
| Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 37 | $44.722,60 | 1605 / 67 | $16.224,00 | 1939 / 85 | $13.817,90 | 1935 / 83 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 37 | $69.993,70 | 1458 / 88 | $23.746,20 | 1800 / 96 | $21.047,10 | 1787 / 97 |
| Other Circulatory System O.R. Procedures | 26 | 29 / 8 | $69.606,70 | 220 / 12 | $32.594,40 | 436 / 21 | $29.427,20 | 436 / 24 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 36 | $49.373,90 | 1482 / 83 | $17.843,70 | 1726 / 86 | $15.030,70 | 1722 / 83 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 26 | $31.207,50 | 1650 / 88 | $10.817,70 | 1944 / 89 | $8.358,24 | 1936 / 87 |
| Hip & Femur Procedures Except Major Joint W Mcc | 24 | 38 / 8 | $92.439,20 | 647 / 30 | $39.016,90 | 952 / 44 | $33.678,40 | 949 / 45 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 38 | $56.972,20 | 1345 / 56 | $15.022,80 | 1619 / 55 | $12.782,80 | 1616 / 55 |
| Bronchitis & Asthma W Cc/Mcc | 23 | 53 / 19 | $31.839,40 | 752 / 41 | $13.295,00 | 1074 / 56 | $10.972,30 | 1070 / 55 |
| Major Small & Large Bowel Procedures W Cc | 23 | 85 / 26 | $93.420,80 | 1153 / 63 | $35.229,70 | 1526 / 77 | $30.971,00 | 1512 / 77 |
| Other Digestive System Diagnoses W Mcc | 23 | 39 / 13 | $46.063,70 | 406 / 21 | $22.202,70 | 745 / 44 | $19.624,00 | 744 / 47 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 23 | 21 / 6 | $24.196,60 | 150 / 19 | $11.358,00 | 310 / 30 | $9.417,78 | 310 / 31 |
| Respiratory Infections & Inflammations W Mcc | 22 | 114 / 32 | $83.826,00 | 1536 / 69 | $29.637,80 | 1807 / 80 | $25.513,70 | 1791 / 79 |
| Hypertension W/O Mcc | 22 | 43 / 14 | $21.069,60 | 441 / 29 | $9.902,41 | 767 / 45 | $8.016,64 | 765 / 45 |
| Other Circulatory System Diagnoses W Mcc | 22 | 94 / 26 | $70.673,50 | 1056 / 60 | $28.084,80 | 1384 / 74 | $24.492,10 | 1376 / 75 |
| Other Vascular Procedures W/O Cc/Mcc | 21 | 35 / 11 | $54.712,30 | 337 / 22 | $21.579,50 | 543 / 26 | $18.137,30 | 542 / 25 |
| Other Kidney & Urinary Tract Procedures W Mcc | 21 | 17 / 4 | $49.790,10 | 27 / 3 | $37.140,90 | 220 / 16 | $33.769,90 | 219 / 17 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 27 | $75.059,00 | 986 / 54 | $25.002,30 | 1098 / 59 | $20.945,60 | 1094 / 60 |
| Red Blood Cell Disorders W Mcc | 21 | 50 / 19 | $37.222,30 | 630 / 37 | $17.471,30 | 1075 / 66 | $14.514,70 | 1071 / 64 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 32 | $27.577,40 | 1006 / 45 | $11.237,80 | 1592 / 73 | $9.380,57 | 1588 / 76 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 20 | 83 / 21 | $34.682,90 | 593 / 29 | $14.590,80 | 851 / 45 | $12.426,00 | 851 / 46 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 28 | $40.152,90 | 1041 / 64 | $14.719,90 | 1416 / 78 | $12.493,40 | 1414 / 79 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 20 | 48 / 15 | $30.060,60 | 466 / 27 | $13.218,50 | 723 / 44 | $10.897,80 | 723 / 43 |
| Other Circulatory System Diagnoses W Cc | 19 | 47 / 13 | $42.764,20 | 560 / 27 | $14.597,20 | 665 / 34 | $12.178,30 | 664 / 35 |
| Respiratory Infections & Inflammations W Cc | 19 | 69 / 27 | $76.842,00 | 1378 / 81 | $25.076,70 | 1483 / 80 | $20.437,50 | 1478 / 80 |
| Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 19 | 23 / 4 | $134.646,00 | 71 / 3 | $65.428,60 | 175 / 7 | $60.589,60 | 175 / 10 |
| Medical Back Problems W Mcc | 18 | 21 / 6 | $61.703,70 | 260 / 11 | $21.004,10 | 318 / 15 | $18.243,70 | 318 / 15 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 12 | $49.552,90 | 567 / 33 | $21.594,60 | 912 / 45 | $19.070,80 | 909 / 45 |
| Other Disorders Of Nervous System W/O Cc/Mcc | 18 | 17 / 9 | $28.909,40 | 92 / 11 | $10.722,60 | 147 / 20 | $8.602,50 | 147 / 21 |
| Cellulitis W Mcc | 18 | 40 / 19 | $61.556,50 | 822 / 47 | $21.246,40 | 958 / 58 | $17.235,60 | 956 / 58 |
| Bronchitis & Asthma W/O Cc/Mcc | 18 | 27 / 12 | $24.086,10 | 254 / 22 | $10.012,00 | 370 / 26 | $7.981,44 | 370 / 26 |
| Other Respiratory System Diagnoses W/O Mcc | 17 | 29 / 8 | $26.661,70 | 191 / 8 | $11.956,40 | 314 / 20 | $10.202,80 | 314 / 20 |
| Renal Failure W/O Cc/Mcc | 17 | 39 / 10 | $22.966,20 | 633 / 21 | $10.048,60 | 850 / 36 | $7.956,35 | 848 / 36 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 17 | 28 / 10 | $20.713,80 | 228 / 8 | $10.488,80 | 398 / 26 | $8.685,82 | 398 / 26 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 24 | $154.335,00 | 827 / 35 | $60.080,40 | 1262 / 57 | $54.324,30 | 1259 / 59 |
| Coagulation Disorders | 17 | 10 / 5 | $46.799,40 | 38 / 6 | $22.186,10 | 84 / 9 | $19.841,50 | 84 / 10 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 16 | 31 / 11 | $51.669,90 | 333 / 20 | $20.194,30 | 512 / 31 | $18.031,90 | 512 / 31 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 19 | $23.491,30 | 605 / 30 | $10.121,90 | 894 / 47 | $8.394,06 | 893 / 47 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 16 | $119.442,00 | 338 / 19 | $57.435,30 | 740 / 40 | $52.735,00 | 740 / 42 |
| Atherosclerosis W/O Mcc | 16 | 42 / 19 | $27.980,20 | 420 / 36 | $9.815,62 | / 39 | $7.625,75 | / |
| Organic Disturbances & Mental Retardation | 16 | 43 / 21 | $38.230,10 | 432 / 29 | $14.605,70 | 537 / 38 | $11.934,40 | 537 / 39 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 16 | 65 / 18 | $313.015,00 | 96 / 4 | $199.781,00 | 383 / 27 | $156.555,00 | 382 / 16 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 15 | 31 / 14 | $23.351,00 | 209 / 15 | $10.206,10 | 382 / 28 | $8.301,40 | 381 / 28 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 15 | 49 / 21 | $294.005,00 | 322 / 28 | $133.629,00 | 554 / 40 | $123.163,00 | 553 / 43 |
| Signs & Symptoms W/O Mcc | 15 | 76 / 35 | $21.968,30 | 766 / 47 | $10.483,60 | 1308 / 73 | $8.924,40 | 1305 / 74 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 15 | 51 / 14 | $36.964,90 | 317 / 13 | $15.477,90 | 522 / 28 | $13.257,30 | 521 / 28 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 11 | $48.451,90 | 433 / 18 | $21.912,90 | 865 / 36 | $19.229,30 | 861 / 36 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 15 | 27 / 10 | $39.081,60 | 287 / 27 | $11.973,30 | 328 / 31 | $9.743,07 | 327 / 31 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 15 | 32 / 15 | $26.261,90 | 249 / 21 | $11.091,90 | 377 / 28 | $9.602,13 | 377 / 29 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 49 | $28.834,10 | 1682 / 102 | $10.956,00 | 1990 / 107 | $8.939,50 | 1977 / 105 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 14 | 32 / 13 | $22.622,60 | 62 / 8 | $12.898,40 | 246 / 21 | $10.273,30 | 246 / 19 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 16 | $114.964,00 | 727 / 29 | $44.263,90 | 918 / 41 | $39.909,40 | 914 / 41 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 21 | $32.284,70 | 776 / 52 | $11.351,40 | 917 / 62 | $9.253,71 | 916 / 62 |
| Major Cardiovasc Procedures W Mcc | 14 | 54 / 20 | $117.682,00 | 198 / 8 | $64.449,10 | 601 / 26 | $49.785,90 | 600 / 24 |
| Respiratory Neoplasms W Cc | 13 | 34 / 14 | $43.867,20 | 359 / 21 | $16.711,70 | 500 / 34 | $14.192,50 | 499 / 33 |
| Acute Adjustment Reaction & Psychosocial Dysfunction | 13 | 17 / 4 | $22.990,70 | 51 / 2 | $10.088,40 | 79 / 5 | $8.530,92 | 79 / 5 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 13 | 41 / 12 | $47.033,90 | 400 / 32 | $14.983,80 | 448 / 36 | $12.892,00 | 448 / 36 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 13 | 27 / 13 | $40.967,90 | 206 / 16 | $15.211,20 | 291 / 28 | $12.700,10 | 291 / 29 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 26 | $65.106,80 | 534 / 19 | $26.788,20 | 900 / 34 | $23.964,50 | 892 / 37 |
| G.I. Obstruction W Cc | 12 | 80 / 34 | $40.137,30 | 1458 / 73 | $12.800,20 | 1710 / 83 | $9.765,58 | 1705 / 84 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 12 | 86 / 19 | $121.539,00 | 270 / 11 | $51.966,30 | 487 / 21 | $45.134,60 | 487 / 22 |
| Extracranial Procedures W/O Cc/Mcc | 12 | 86 / 24 | $25.072,70 | 287 / 24 | $14.147,80 | 929 / 37 | $12.838,00 | 926 / 39 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 27 | $179.701,00 | 676 / 53 | $67.225,20 | 974 / 62 | $61.302,80 | 973 / 62 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 12 | 42 / 14 | $27.711,70 | 262 / 14 | $11.321,40 | 394 / 20 | $9.392,42 | 394 / 21 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 24 | $55.302,00 | 344 / 18 | $26.977,00 | 714 / 38 | $25.002,20 | 712 / 38 |
| Endocrine Disorders W Cc | 12 | 26 / 13 | $50.876,40 | 272 / 19 | $15.378,80 | 305 / 24 | $12.532,20 | 305 / 24 |
| Bone Diseases & Arthropathies W/O Mcc | 11 | 33 / 16 | $25.193,50 | 213 / 12 | $11.347,40 | 283 / 24 | $9.240,09 | 283 / 24 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 11 | 185 / 42 | $85.204,60 | 966 / 40 | $25.738,40 | 1480 / 51 | $23.486,60 | 1472 / 51 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 15 | $84.545,30 | 523 / 21 | $30.741,70 | 639 / 25 | $27.038,30 | 635 / 25 |
| Disorders Of The Biliary Tract W Mcc | 11 | 28 / 13 | $107.325,00 | 248 / 18 | $23.683,60 | 230 / 18 | $15.004,20 | 230 / 11 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 28 | $28.151,60 | 772 / 50 | $10.306,20 | 979 / 58 | $7.519,82 | 975 / 55 | Total 114 procedures | 3.967 | 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.