Hospital Costs > In Pennsylvania > Main Line Hospital Paoli, 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 | 196 | 368 / 32 | $55.502,30 | 1526 / 82 | $13.257,00 | 891 / 65 | $10.882,10 | 872 / 54 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 137 | 138 / 15 | $38.903,80 | 2452 / 114 | $4.554,42 | 514 / 32 | $3.415,52 | 512 / 40 |
| Heart Failure & Shock W Cc | 115 | 163 / 23 | $45.727,10 | 2474 / 117 | $6.027,18 | 646 / 44 | $5.024,07 | 645 / 46 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 108 | 408 / 54 | $92.556,90 | 2571 / 113 | $11.578,00 | 1324 / 57 | $10.683,20 | 1301 / 72 |
| Kidney & Urinary Tract Infections W/O Mcc | 84 | 149 / 22 | $35.938,50 | 2406 / 109 | $4.892,75 | 344 / 47 | $3.488,83 | 344 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 79 | 71 / 8 | $23.809,90 | 1586 / 78 | $3.544,01 | 320 / 32 | $2.285,00 | 318 / 33 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 78 | 104 / 15 | $51.034,90 | 1768 / 78 | $7.498,83 | 303 / 63 | $4.983,03 | 302 / 22 |
| Medical Back Problems W/O Mcc | 72 | 49 / 8 | $42.647,00 | 1303 / 70 | $5.229,75 | 273 / 22 | $3.915,99 | 273 / 23 |
| Renal Failure W Cc | 72 | 149 / 23 | $45.730,30 | 2175 / 107 | $5.736,67 | 446 / 30 | $4.696,22 | 443 / 30 |
| Simple Pneumonia & Pleurisy W Cc | 71 | 132 / 18 | $45.700,70 | 2479 / 108 | $5.854,90 | 720 / 33 | $4.831,77 | 717 / 48 |
| G.I. Hemorrhage W Cc | 67 | 151 / 26 | $51.918,40 | 2197 / 103 | $6.494,10 | 351 / 50 | $4.761,07 | 351 / 28 |
| Cellulitis W/O Mcc | 67 | 122 / 26 | $38.684,60 | 2382 / 114 | $5.232,58 | 507 / 43 | $3.889,52 | 504 / 37 |
| Hip & Femur Procedures Except Major Joint W Cc | 63 | 80 / 9 | $72.030,50 | 1580 / 70 | $11.729,40 | 690 / 38 | $10.409,80 | 685 / 40 |
| Syncope & Collapse | 63 | 106 / 15 | $42.879,90 | 1743 / 91 | $4.451,38 | 392 / 26 | $3.440,19 | 390 / 35 |
| Heart Failure & Shock W Mcc | 60 | 224 / 47 | $68.769,70 | 2326 / 112 | $8.989,28 | 758 / 43 | $8.005,42 | 758 / 42 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 56 | 105 / 18 | $40.488,50 | 1914 / 95 | $4.941,71 | 434 / 35 | $3.757,68 | 434 / 36 |
| Red Blood Cell Disorders W/O Mcc | 52 | 91 / 11 | $37.515,40 | 1722 / 82 | $5.178,58 | 262 / 40 | $3.711,81 | 262 / 23 |
| Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 26 | $40.610,30 | 2079 / 104 | $5.552,61 | 514 / 27 | $4.556,18 | 512 / 38 |
| Transient Ischemia | 51 | 74 / 16 | $39.809,10 | 1432 / 81 | $4.314,20 | 162 / 27 | $2.944,78 | 162 / 20 |
| Chronic Obstructive Pulmonary Disease W Mcc | 50 | 152 / 27 | $67.212,70 | 2431 / 113 | $7.514,06 | 695 / 55 | $5.968,50 | 691 / 47 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 50 | 39 / 5 | $34.263,10 | 369 / 16 | $7.312,50 | 99 / 14 | $4.766,56 | 99 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 49 | 139 / 27 | $54.924,70 | 1311 / 54 | $7.770,94 | 136 / 46 | $4.839,10 | 136 / 9 |
| Spinal Fusion Except Cervical W/O Mcc | 49 | 145 / 17 | $82.146,70 | 555 / 34 | $24.006,30 | 667 / 22 | $22.864,70 | 663 / 39 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 47 | 119 / 25 | $32.220,90 | 2202 / 98 | $4.452,98 | 363 / 39 | $3.199,34 | 363 / 33 |
| Renal Failure W Mcc | 43 | 152 / 25 | $92.300,70 | 2080 / 101 | $10.535,80 | 800 / 64 | $8.542,77 | 800 / 45 |
| Respiratory Infections & Inflammations W Cc | 42 | 46 / 8 | $53.312,80 | 1188 / 54 | $8.389,86 | 442 / 26 | $7.228,69 | 439 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 41 | 166 / 42 | $54.904,20 | 2340 / 103 | $6.290,41 | 712 / 21 | $5.399,07 | 710 / 40 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 41 | 13 / 3 | $42.835,40 | 354 / 16 | $4.398,51 | 58 / 2 | $3.423,76 | 58 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 39 | 129 / 19 | $83.182,10 | 1388 / 55 | $10.553,90 | 646 / 26 | $9.740,64 | 645 / 35 |
| Bronchitis & Asthma W Cc/Mcc | 38 | 38 / 4 | $46.702,60 | 981 / 52 | $5.218,05 | 253 / 10 | $4.228,61 | 250 / 24 |
| Respiratory Infections & Inflammations W Mcc | 38 | 98 / 16 | $101.033,00 | 1659 / 77 | $12.792,10 | 1073 / 48 | $11.958,60 | 1059 / 63 |
| Other Digestive System Diagnoses W Cc | 36 | 61 / 11 | $41.276,00 | 1155 / 50 | $6.013,83 | 282 / 21 | $4.835,42 | 279 / 26 |
| Heart Failure & Shock W/O Cc/Mcc | 36 | 74 / 23 | $28.830,10 | 1681 / 82 | $3.940,78 | 276 / 18 | $3.066,11 | 274 / 25 |
| G.I. Obstruction W Cc | 35 | 57 / 14 | $44.657,30 | 1526 / 65 | $5.558,49 | 260 / 25 | $4.137,37 | 259 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 35 | 67 / 17 | $39.647,40 | 1354 / 62 | $4.929,31 | 229 / 32 | $3.255,94 | 227 / 20 |
| G.I. Obstruction W/O Cc/Mcc | 34 | 37 / 7 | $31.258,30 | 1134 / 45 | $4.077,09 | 219 / 19 | $2.564,35 | 219 / 13 |
| Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 38 | $78.621,80 | 2332 / 104 | $8.842,18 | 821 / 40 | $7.678,00 | 821 / 45 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 34 | 29 / 8 | $67.787,10 | 90 / 10 | $24.018,00 | 62 / 14 | $17.609,40 | 62 / 4 |
| Pulmonary Embolism W/O Mcc | 31 | 43 / 10 | $43.704,00 | 1104 / 47 | $6.330,32 | 229 / 21 | $4.661,48 | 229 / 18 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 31 | 165 / 40 | $78.751,40 | 851 / 35 | $14.891,00 | 265 / 43 | $10.042,50 | 265 / 15 |
| Seizures W/O Mcc | 31 | 77 / 18 | $43.907,00 | 1175 / 58 | $4.545,71 | 468 / 13 | $3.999,13 | 466 / 32 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 29 | 33 / 7 | $37.126,80 | 695 / 31 | $4.747,03 | 60 / 9 | $3.088,17 | 60 / 6 |
| Signs & Symptoms W/O Mcc | 27 | 64 / 17 | $43.068,60 | 1261 / 53 | $6.428,15 | 235 / 44 | $3.283,56 | 234 / 15 |
| Major Small & Large Bowel Procedures W Cc | 27 | 81 / 22 | $92.864,40 | 1145 / 43 | $15.865,90 | 700 / 26 | $14.347,40 | 694 / 35 |
| Permanent Cardiac Pacemaker Implant W Cc | 26 | 51 / 8 | $88.061,80 | 685 / 32 | $15.898,80 | 354 / 13 | $14.869,30 | 353 / 22 |
| Red Blood Cell Disorders W Mcc | 26 | 45 / 7 | $55.619,20 | 914 / 35 | $7.736,62 | 404 / 17 | $7.127,65 | 402 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 32 | $63.422,90 | 1721 / 88 | $7.890,00 | 1057 / 47 | $7.231,88 | 1054 / 76 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 25 | 31 / 3 | $48.032,80 | 542 / 20 | $9.739,28 | 326 / 12 | $8.579,08 | 325 / 16 |
| G.I. Hemorrhage W/O Cc/Mcc | 24 | 44 / 9 | $34.484,30 | 866 / 47 | $4.171,38 | 246 / 13 | $3.262,00 | 244 / 19 |
| Chest Pain | 23 | 128 / 29 | $31.140,50 | 1420 / 70 | $3.676,26 | 201 / 21 | $2.551,13 | 200 / 15 |
| Other Respiratory System Diagnoses W/O Mcc | 23 | 23 / 5 | $46.604,50 | 297 / 23 | $5.000,35 | 39 / 6 | $3.810,52 | 39 / 6 |
| Disorders Of The Biliary Tract W Cc | 23 | 31 / 5 | $48.753,80 | 384 / 18 | $6.260,87 | 69 / 4 | $5.261,96 | 69 / 5 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 22 | 44 / 9 | $73.738,80 | 425 / 13 | $15.099,10 | 341 / 13 | $11.688,40 | 339 / 14 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 30 | $35.238,50 | 1854 / 90 | $5.146,18 | 167 / 59 | $2.956,23 | 167 / 23 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 22 | 44 / 9 | $49.831,30 | 416 / 16 | $6.933,09 | 36 / 5 | $5.142,73 | 36 / 2 |
| Other Disorders Of Nervous System W Cc | 22 | 34 / 11 | $44.876,00 | 520 / 29 | $5.558,23 | 149 / 8 | $4.624,59 | 149 / 10 |
| Hypertension W/O Mcc | 20 | 45 / 12 | $30.087,40 | 637 / 21 | $3.719,60 | 115 / 4 | $2.690,00 | 115 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 21 | $46.120,10 | 1132 / 64 | $6.210,20 | 472 / 18 | $5.427,45 | 471 / 35 |
| Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W/O Cc/Mcc | 19 | 6 / 1 | $29.588,30 | 11 / 1 | $7.246,53 | 3 / 1 | $5.376,74 | 3 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 17 | $64.007,80 | 1038 / 53 | $7.268,63 | 252 / 23 | $6.013,79 | 251 / 18 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 38 | $71.236,60 | 1476 / 75 | $10.663,10 | 463 / 48 | $8.900,83 | 463 / 39 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 18 | 25 / 6 | $33.126,90 | 297 / 18 | $4.013,94 | 56 / 3 | $3.005,56 | 56 / 4 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 18 | 29 / 6 | $37.206,60 | 193 / 11 | $9.681,11 | 89 / 11 | $7.097,78 | 89 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 23 | $56.238,30 | 1235 / 51 | $7.246,50 | 116 / 15 | $5.742,17 | 116 / 12 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 19 | $183.760,00 | 991 / 36 | $31.817,10 | 286 / 24 | $27.260,60 | 284 / 15 |
| Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 8 | $35.223,60 | 811 / 36 | $4.267,44 | 180 / 10 | $3.197,17 | 181 / 14 |
| Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 19 | $45.062,10 | 721 / 35 | $5.754,94 | 197 / 8 | $4.968,88 | 197 / 17 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 17 | 25 / 7 | $49.096,50 | 307 / 23 | $5.063,59 | 67 / 7 | $3.997,35 | 67 / 8 |
| Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 13 | $23.522,50 | 239 / 16 | $6.443,76 | 155 / 11 | $4.845,65 | 155 / 9 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 17 | 38 / 10 | $58.399,60 | 338 / 11 | $12.537,30 | 44 / 9 | $9.432,88 | 44 / 3 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 47 | $67.016,80 | 2022 / 91 | $7.587,71 | 470 / 37 | $6.306,12 | 470 / 37 |
| G.I. Hemorrhage W Mcc | 17 | 104 / 34 | $100.737,00 | 1563 / 74 | $11.053,00 | 490 / 37 | $9.627,53 | 491 / 34 |
| Diabetes W Cc | 17 | 75 / 23 | $36.362,80 | 1334 / 54 | $4.957,29 | 413 / 14 | $4.170,06 | 413 / 24 |
| Otitis Media & Uri W/O Mcc | 16 | 28 / 7 | $38.903,90 | 207 / 15 | $3.874,62 | 21 / 1 | $2.887,50 | 21 / 3 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 16 | 108 / 18 | $39.821,80 | 788 / 33 | $4.348,19 | 124 / 5 | $3.295,62 | 124 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 37 | $97.865,60 | 1495 / 59 | $13.798,40 | 444 / 29 | $12.301,10 | 439 / 31 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 15 | 29 / 8 | $30.969,70 | 201 / 6 | $4.519,07 | 33 / 2 | $3.318,00 | 33 / 2 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 12 | $66.466,00 | 553 / 21 | $13.371,10 | 411 / 14 | $12.240,30 | 408 / 23 |
| Transurethral Procedures W Cc | 15 | 26 / 7 | $42.243,90 | 235 / 10 | $9.581,53 | 8 / 15 | $5.525,87 | 8 / 1 |
| Other Resp System O.R. Procedures W Cc | 15 | 32 / 7 | $71.291,10 | 255 / 11 | $12.117,20 | 23 / 3 | $9.452,60 | 23 / 1 |
| Respiratory Neoplasms W Cc | 15 | 32 / 11 | $41.102,90 | 335 / 11 | $7.033,00 | 148 / 2 | $6.384,40 | 147 / 6 |
| Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 13 | $83.846,10 | 325 / 10 | $21.811,10 | 233 / 10 | $18.446,50 | 233 / 10 |
| Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 38 | $59.569,40 | 1813 / 81 | $6.316,64 | 313 / 14 | $5.442,86 | 312 / 23 |
| Seizures W Mcc | 14 | 52 / 14 | $48.216,30 | 462 / 14 | $8.863,36 | 136 / 4 | $7.994,86 | 136 / 6 |
| Pulmonary Embolism W Mcc | 14 | 29 / 8 | $58.710,70 | 479 / 14 | $8.151,21 | 79 / 3 | $7.539,29 | 79 / 3 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 14 | 32 / 6 | $29.609,90 | 121 / 4 | $6.897,64 | 14 / 4 | $4.065,86 | 14 / 2 |
| Peripheral Vascular Disorders W Mcc | 14 | 35 / 10 | $39.721,10 | 347 / 13 | $7.811,93 | 35 / 3 | $6.381,07 | 35 / 4 |
| Dysequilibrium | 14 | 51 / 13 | $39.238,80 | 497 / 29 | $3.728,79 | 63 / 5 | $2.516,64 | 63 / 7 |
| Fever | 14 | 32 / 13 | $31.365,50 | 237 / 7 | $4.960,57 | 49 / 1 | $4.093,36 | 49 / 3 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 10 | $59.538,70 | 422 / 13 | $7.140,64 | 139 / 3 | $6.527,29 | 139 / 6 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 14 | 37 / 8 | $78.855,50 | 259 / 8 | $11.484,00 | 52 / 1 | $10.438,40 | 52 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 16 | $39.602,20 | 790 / 27 | $5.510,79 | 186 / 8 | $4.464,57 | 186 / 9 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 14 | 55 / 11 | $59.212,10 | 183 / 6 | $17.115,10 | 62 / 4 | $13.162,10 | 62 / 4 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 30 | $33.170,10 | 1692 / 78 | $4.209,21 | 428 / 20 | $3.173,14 | 426 / 31 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 15 | $68.668,30 | 500 / 23 | $13.557,60 | 155 / 17 | $11.082,00 | 154 / 7 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 23 | $83.120,80 | 412 / 18 | $23.302,30 | 182 / 27 | $17.641,20 | 182 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 34 | $62.116,80 | 1613 / 69 | $6.624,92 | 346 / 16 | $5.783,62 | 343 / 22 |
| Other Vascular Procedures W Cc | 13 | 89 / 25 | $77.879,30 | 633 / 32 | $15.090,80 | 370 / 9 | $14.246,10 | 368 / 22 |
| Major Chest Trauma W Cc | 13 | 23 / 8 | $59.640,70 | 130 / 11 | $5.936,08 | 33 / 1 | $4.970,54 | 33 / 4 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 21 | $29.607,50 | 792 / 38 | $5.733,62 | 273 / 17 | $4.799,46 | 272 / 24 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 13 | $54.533,50 | 522 / 23 | $5.943,38 | 65 / 6 | $4.561,77 | 65 / 2 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 10 | $70.176,30 | 278 / 13 | $15.877,60 | 234 / 8 | $14.761,60 | 234 / 12 |
| Endocrine Disorders W Cc | 12 | 26 / 8 | $46.488,40 | 256 / 11 | $6.793,67 | 25 / 6 | $4.903,25 | 25 / 2 |
| Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 11 | $29.461,10 | 299 / 17 | $3.849,42 | 55 / 4 | $2.652,08 | 55 / 5 |
| Major Cardiovasc Procedures W Mcc | 12 | 56 / 15 | $168.609,00 | 425 / 14 | $32.674,70 | 79 / 6 | $27.320,50 | 79 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 24 | $113.288,00 | 815 / 31 | $14.323,30 | 385 / 18 | $12.048,20 | 380 / 14 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 12 | 16 / 5 | $41.803,70 | 43 / 2 | $11.080,30 | 2 / 2 | $7.377,58 | 2 / 1 |
| Respiratory Infections & Inflammations W/O Cc/Mcc | 12 | 17 / 4 | $32.662,20 | 91 / 5 | $5.755,83 | 35 / 1 | $4.943,92 | 35 / 2 |
| Organic Disturbances & Mental Retardation | 11 | 48 / 15 | $48.086,40 | 486 / 27 | $6.044,73 | 92 / 3 | $5.049,18 | 92 / 6 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 19 | $49.185,40 | 893 / 39 | $3.823,36 | 164 / 7 | $3.042,91 | 163 / 10 |
| Bone Diseases & Arthropathies W/O Mcc | 11 | 33 / 11 | $37.488,90 | 268 / 15 | $4.318,18 | 40 / 2 | $3.439,82 | 40 / 5 |
| Kidney & Ureter Procedures For Non-Neoplasm W Cc | 11 | 34 / 7 | $69.958,30 | 143 / 4 | $12.456,00 | 14 / 1 | $9.314,45 | 14 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 15 | $143.419,00 | 827 / 23 | $20.266,20 | 505 / 14 | $19.379,40 | 502 / 18 |
| Cellulitis W Mcc | 11 | 47 / 17 | $65.131,30 | 844 / 42 | $8.611,55 | 245 / 16 | $7.620,36 | 244 / 22 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 33 | $62.761,10 | 967 / 35 | $11.754,50 | 37 / 20 | $8.678,55 | 37 / 6 |
| G.I. Obstruction W Mcc | 11 | 31 / 10 | $69.517,90 | 451 / 16 | $9.699,91 | 155 / 4 | $8.922,73 | 155 / 7 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 12 | $49.280,50 | 409 / 16 | $7.348,27 | 251 / 5 | $6.362,00 | 251 / 14 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 14 | $95.294,70 | 295 / 14 | $17.427,20 | 65 / 9 | $14.517,50 | 64 / 7 | Total 118 procedures | 3.671 | 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.