Hospital Costs > In Virginia > Mary Washington Hospital, Inc, 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 | 423 | 169 / 10 | $54.294,80 | 1479 / 34 | $13.641,10 | 1062 / 27 | $11.166,60 | 1039 / 37 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 419 | 123 / 8 | $41.057,40 | 1364 / 52 | $12.049,20 | 1328 / 45 | $10.691,90 | 1305 / 49 |
Kidney & Urinary Tract Infections W/O Mcc | 222 | 34 / 1 | $16.833,10 | 1205 / 43 | $5.195,18 | 1327 / 46 | $4.185,83 | 1318 / 53 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 215 | 68 / 3 | $19.487,90 | 1324 / 50 | $5.076,17 | 1346 / 41 | $4.006,38 | 1335 / 59 |
Psychoses | 193 | 123 / 5 | $19.610,00 | 320 / 9 | $6.758,72 | 212 / 10 | $5.554,52 | 212 / 8 |
Chronic Obstructive Pulmonary Disease W Cc | 188 | 18 / 2 | $19.107,40 | 914 / 34 | $6.094,89 | 1082 / 32 | $5.038,92 | 1078 / 47 |
Simple Pneumonia & Pleurisy W Cc | 180 | 35 / 2 | $20.862,00 | 1225 / 39 | $6.588,42 | 950 / 42 | $5.037,81 | 947 / 40 |
Heart Failure & Shock W Cc | 161 | 117 / 9 | $18.965,70 | 1044 / 41 | $6.417,47 | 1237 / 39 | $5.488,37 | 1233 / 51 |
Chronic Obstructive Pulmonary Disease W Mcc | 159 | 47 / 1 | $25.878,30 | 1189 / 44 | $7.496,21 | 1224 / 40 | $6.490,31 | 1218 / 46 |
G.I. Hemorrhage W Cc | 153 | 66 / 4 | $24.364,90 | 1151 / 45 | $6.826,88 | 1058 / 45 | $5.420,59 | 1056 / 51 |
Renal Failure W Cc | 140 | 83 / 6 | $19.692,60 | 953 / 45 | $6.364,73 | 1093 / 45 | $5.282,07 | 1085 / 53 |
Cellulitis W/O Mcc | 137 | 53 / 3 | $16.506,80 | 1053 / 39 | $5.708,69 | 1192 / 40 | $4.422,56 | 1186 / 51 |
Kidney & Urinary Tract Infections W Mcc | 136 | 22 / 1 | $24.804,80 | 908 / 47 | $7.433,50 | 927 / 40 | $6.268,35 | 924 / 44 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 128 | 79 / 8 | $24.670,70 | 1224 / 45 | $7.119,60 | 1138 / 43 | $5.796,74 | 1134 / 49 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 120 | 46 / 2 | $16.527,60 | 1137 / 42 | $4.791,93 | 1178 / 42 | $3.793,62 | 1175 / 51 |
Heart Failure & Shock W Mcc | 119 | 165 / 17 | $29.737,10 | 1066 / 47 | $9.440,08 | 1172 / 38 | $8.542,99 | 1169 / 50 |
Renal Failure W Mcc | 116 | 80 / 5 | $32.088,60 | 893 / 40 | $10.174,80 | 1161 / 38 | $9.286,22 | 1161 / 51 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 112 | 77 / 6 | $39.653,00 | 937 / 32 | $7.412,31 | 770 / 28 | $5.861,60 | 768 / 27 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 108 | 74 / 9 | $28.490,70 | 1044 / 46 | $6.993,21 | 865 / 34 | $5.646,53 | 863 / 44 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 99 | 62 / 4 | $19.746,10 | 1040 / 51 | $5.526,90 | 1054 / 45 | $4.353,77 | 1050 / 52 |
Spinal Fusion Except Cervical W/O Mcc | 98 | 96 / 8 | $62.522,00 | 249 / 8 | $24.457,40 | 463 / 10 | $21.588,00 | 460 / 13 |
Simple Pneumonia & Pleurisy W Mcc | 97 | 108 / 10 | $30.002,50 | 1034 / 41 | $9.194,20 | 1083 / 38 | $7.968,64 | 1083 / 47 |
Syncope & Collapse | 93 | 76 / 5 | $20.257,80 | 876 / 45 | $4.909,63 | 825 / 38 | $3.874,85 | 821 / 45 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 89 | 79 / 6 | $38.476,10 | 644 / 28 | $11.120,40 | 689 / 32 | $9.858,10 | 688 / 33 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 83 | 113 / 8 | $79.229,60 | 857 / 26 | $13.901,70 | 509 / 19 | $10.672,80 | 507 / 18 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 81 | 39 / 2 | $14.699,20 | 746 / 21 | $4.852,72 | 992 / 31 | $3.723,33 | 983 / 43 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 76 | 74 / 8 | $16.755,50 | 1171 / 53 | $3.937,71 | 953 / 38 | $2.785,01 | 948 / 44 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 74 | 52 / 4 | $25.192,30 | 714 / 35 | $7.360,27 | 799 / 31 | $6.579,24 | 796 / 41 |
Bronchitis & Asthma W Cc/Mcc | 69 | 12 / 1 | $18.377,00 | 319 / 23 | $5.780,29 | 466 / 18 | $4.715,83 | 462 / 28 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 69 | 54 / 7 | $25.611,30 | 694 / 29 | $7.648,39 | 644 / 21 | $6.582,36 | 641 / 25 |
Hip & Femur Procedures Except Major Joint W Cc | 66 | 77 / 7 | $46.371,60 | 903 / 34 | $12.078,90 | 970 / 34 | $10.968,90 | 957 / 40 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 63 | 38 / 4 | $29.853,70 | 382 / 19 | $9.863,59 | 489 / 18 | $9.062,52 | 488 / 29 |
Other Circulatory System Diagnoses W Mcc | 62 | 54 / 5 | $36.251,70 | 378 / 12 | $12.594,10 | 605 / 21 | $11.148,20 | 603 / 22 |
Medical Back Problems W/O Mcc | 61 | 60 / 6 | $21.500,30 | 636 / 26 | $5.855,02 | 452 / 24 | $4.163,38 | 452 / 20 |
Red Blood Cell Disorders W/O Mcc | 61 | 82 / 6 | $19.610,00 | 868 / 31 | $5.625,13 | 809 / 39 | $4.306,69 | 804 / 38 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 54 | 19 / 1 | $24.741,50 | 468 / 24 | $7.586,76 | 472 / 19 | $6.593,89 | 470 / 23 |
Heart Failure & Shock W/O Cc/Mcc | 53 | 57 / 3 | $14.711,80 | 821 / 34 | $4.718,32 | 857 / 38 | $3.605,28 | 853 / 38 |
G.I. Obstruction W Cc | 51 | 41 / 5 | $19.100,50 | 591 / 24 | $5.970,14 | 585 / 25 | $4.566,73 | 584 / 29 |
Pulmonary Edema & Respiratory Failure | 50 | 153 / 29 | $30.826,70 | 1085 / 51 | $7.865,12 | 1063 / 34 | $7.035,76 | 1061 / 51 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 50 | 43 / 2 | $14.551,60 | 684 / 17 | $4.818,14 | 860 / 25 | $3.557,34 | 856 / 31 |
Respiratory Infections & Inflammations W Mcc | 49 | 87 / 11 | $41.311,30 | 834 / 35 | $11.933,20 | 781 / 26 | $11.098,90 | 773 / 32 |
Chest Pain | 48 | 103 / 12 | $18.989,30 | 843 / 39 | $4.315,48 | 707 / 35 | $3.144,29 | 702 / 41 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 48 | 54 / 11 | $23.065,40 | 789 / 38 | $5.254,17 | 671 / 32 | $3.823,44 | 667 / 35 |
Respiratory Infections & Inflammations W Cc | 47 | 41 / 3 | $26.616,00 | 547 / 22 | $8.538,13 | 722 / 20 | $7.802,13 | 717 / 29 |
Diabetes W Cc | 47 | 45 / 4 | $17.285,90 | 495 / 27 | $5.413,45 | 729 / 26 | $4.569,11 | 727 / 42 |
G.I. Hemorrhage W Mcc | 46 | 75 / 9 | $44.083,10 | 839 / 35 | $11.164,90 | 729 / 28 | $10.320,80 | 728 / 33 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 45 | 86 / 9 | $63.106,20 | 983 / 36 | $15.240,80 | 802 / 31 | $13.329,10 | 794 / 32 |
Pulmonary Embolism W/O Mcc | 45 | 29 / 2 | $20.306,60 | 397 / 18 | $7.569,33 | 407 / 32 | $5.015,38 | 406 / 17 |
Signs & Symptoms W/O Mcc | 44 | 47 / 2 | $16.235,80 | 423 / 13 | $4.631,50 | 581 / 17 | $3.820,14 | 580 / 25 |
Extracranial Procedures W/O Cc/Mcc | 44 | 54 / 4 | $22.817,00 | 217 / 8 | $6.742,07 | 506 / 9 | $5.777,55 | 505 / 21 |
Transient Ischemia | 44 | 81 / 15 | $23.541,60 | 888 / 42 | $4.744,02 | 810 / 31 | $3.721,11 | 806 / 43 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 44 | 80 / 13 | $103.301,00 | 529 / 21 | $33.920,40 | 634 / 21 | $30.826,70 | 628 / 21 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 43 | 53 / 5 | $27.173,20 | 528 / 23 | $7.691,14 | 587 / 19 | $6.840,07 | 582 / 27 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 43 | 81 / 3 | $15.414,10 | 358 / 13 | $4.677,21 | 272 / 5 | $3.707,58 | 272 / 11 |
Major Chest Procedures W/O Cc/Mcc | 43 | 20 / 3 | $29.702,70 | 29 / 5 | $11.214,50 | 66 / 3 | $9.683,30 | 66 / 4 |
Seizures W/O Mcc | 41 | 67 / 8 | $23.010,40 | 699 / 24 | $5.177,02 | 481 / 18 | $4.025,59 | 479 / 23 |
Degenerative Nervous System Disorders W/O Mcc | 40 | 38 / 3 | $21.061,80 | 271 / 13 | $6.480,10 | 231 / 15 | $5.077,60 | 231 / 15 |
Dysequilibrium | 38 | 27 / 3 | $20.463,80 | 257 / 10 | $4.291,24 | 226 / 9 | $3.252,71 | 226 / 13 |
Peripheral Vascular Disorders W Cc | 38 | 46 / 6 | $17.980,70 | 314 / 10 | $6.233,63 | 474 / 17 | $5.264,68 | 472 / 21 |
Major Chest Procedures W Cc | 38 | 36 / 4 | $39.917,90 | 48 / 5 | $15.721,00 | 148 / 3 | $13.896,30 | 148 / 9 |
Acute Myocardial Infarction, Discharged Alive W Cc | 38 | 53 / 9 | $33.013,60 | 852 / 36 | $7.698,79 | 668 / 38 | $5.801,34 | 666 / 33 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 37 | 88 / 17 | $40.818,40 | 841 / 39 | $11.600,50 | 1019 / 46 | $10.367,40 | 1016 / 48 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 37 | 27 / 7 | $30.478,00 | 143 / 9 | $10.606,90 | 249 / 16 | $8.337,46 | 249 / 13 |
Other Digestive System Diagnoses W Cc | 37 | 60 / 11 | $23.220,60 | 576 / 25 | $6.417,70 | 573 / 20 | $5.344,84 | 570 / 26 |
Other Vascular Procedures W Mcc | 36 | 61 / 7 | $53.022,10 | 99 / 5 | $19.206,20 | 258 / 4 | $18.382,30 | 257 / 8 |
Organic Disturbances & Mental Retardation | 36 | 23 / 1 | $20.750,10 | 195 / 12 | $6.457,28 | 186 / 6 | $5.598,94 | 186 / 11 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 35 | 65 / 9 | $103.941,00 | 537 / 16 | $21.511,00 | 568 / 10 | $20.464,70 | 564 / 16 |
Other Circulatory System Diagnoses W Cc | 35 | 31 / 2 | $20.779,30 | 213 / 8 | $6.219,06 | 334 / 11 | $5.667,51 | 333 / 15 |
Major Cardiovasc Procedures W/O Mcc | 33 | 68 / 9 | $63.661,00 | 168 / 7 | $21.275,30 | 115 / 10 | $17.080,70 | 115 / 4 |
G.I. Obstruction W/O Cc/Mcc | 33 | 38 / 5 | $13.946,20 | 445 / 23 | $4.396,18 | 535 / 23 | $3.007,27 | 534 / 26 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 33 | 63 / 6 | $69.992,00 | 588 / 15 | $14.019,60 | 399 / 14 | $12.173,20 | 396 / 15 |
Other Vascular Procedures W Cc | 32 | 70 / 11 | $51.295,10 | 222 / 10 | $15.635,40 | 350 / 11 | $14.151,30 | 348 / 14 |
Coronary Bypass W Cardiac Cath W/O Mcc | 31 | 45 / 3 | $102.368,00 | 136 / 7 | $27.119,50 | 243 / 3 | $25.802,50 | 243 / 6 |
Disorders Of Pancreas Except Malignancy W Cc | 31 | 30 / 5 | $22.264,30 | 383 / 22 | $6.385,32 | 307 / 19 | $4.790,13 | 306 / 19 |
Other Vascular Procedures W/O Cc/Mcc | 31 | 25 / 3 | $33.047,10 | 89 / 4 | $10.879,60 | 211 / 6 | $9.191,29 | 210 / 11 |
Cervical Spinal Fusion W/O Cc/Mcc | 31 | 73 / 11 | $50.280,10 | 342 / 9 | $14.190,20 | 413 / 9 | $12.177,90 | 412 / 14 |
Other Resp System O.R. Procedures W Cc | 29 | 18 / 1 | $37.716,30 | 65 / 4 | $12.397,10 | 89 / 4 | $10.447,60 | 89 / 3 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 29 | 32 / 3 | $17.428,50 | 422 / 17 | $4.921,34 | 290 / 17 | $3.315,69 | 289 / 13 |
Major Small & Large Bowel Procedures W Cc | 29 | 79 / 14 | $47.274,40 | 345 / 14 | $16.728,10 | 415 / 26 | $13.272,60 | 412 / 16 |
Poisoning & Toxic Effects Of Drugs W Mcc | 28 | 44 / 4 | $34.203,50 | 450 / 20 | $9.182,71 | 441 / 14 | $8.315,57 | 440 / 19 |
Peripheral Vascular Disorders W Mcc | 28 | 21 / 2 | $27.922,10 | 163 / 8 | $8.754,39 | 226 / 7 | $7.864,93 | 226 / 9 |
Renal Failure W/O Cc/Mcc | 28 | 28 / 3 | $14.476,00 | 337 / 23 | $4.295,68 | 447 / 17 | $3.445,11 | 446 / 27 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 27 | 54 / 6 | $349.286,00 | 131 / 4 | $99.378,70 | 135 / 1 | $97.296,00 | 135 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 27 | 29 / 4 | $40.093,30 | 260 / 12 | $10.636,90 | 369 / 13 | $8.939,52 | 369 / 14 |
Bronchitis & Asthma W/O Cc/Mcc | 26 | 19 / 2 | $16.266,50 | 153 / 4 | $5.173,58 | 136 / 10 | $3.180,12 | 136 / 5 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 26 | 36 / 5 | $18.650,60 | 337 / 14 | $5.068,04 | 302 / 11 | $3.903,73 | 302 / 13 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 26 | 62 / 8 | $70.809,20 | 75 / 3 | $22.465,30 | 205 / 3 | $20.073,60 | 204 / 6 |
Red Blood Cell Disorders W Mcc | 25 | 46 / 8 | $28.357,00 | 411 / 14 | $8.046,36 | 433 / 12 | $7.235,16 | 431 / 20 |
Major Small & Large Bowel Procedures W Mcc | 25 | 60 / 11 | $87.214,10 | 266 / 9 | $29.711,30 | 278 / 10 | $27.176,20 | 276 / 11 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 25 | 68 / 7 | $51.977,00 | 352 / 15 | $13.026,10 | 352 / 11 | $11.872,20 | 347 / 15 |
Hypertension W/O Mcc | 25 | 40 / 3 | $17.023,30 | 302 / 14 | $4.547,24 | 292 / 15 | $3.141,60 | 290 / 17 |
Permanent Cardiac Pacemaker Implant W Mcc | 25 | 27 / 6 | $103.035,00 | 346 / 9 | $25.324,50 | 391 / 8 | $24.273,10 | 391 / 10 |
G.I. Hemorrhage W/O Cc/Mcc | 24 | 44 / 5 | $20.117,80 | 552 / 23 | $4.902,17 | 409 / 20 | $3.577,92 | 405 / 20 |
Pulmonary Embolism W Mcc | 24 | 19 / 2 | $33.862,90 | 229 / 15 | $10.877,40 | 57 / 21 | $7.420,46 | 57 / 4 |
Seizures W Mcc | 24 | 42 / 6 | $28.957,40 | 151 / 7 | $9.331,42 | 222 / 7 | $8.467,08 | 222 / 11 |
Respiratory Neoplasms W Mcc | 23 | 29 / 5 | $37.638,70 | 221 / 10 | $10.762,90 | 250 / 8 | $9.797,65 | 250 / 12 |
Cellulitis W Mcc | 23 | 35 / 7 | $24.082,30 | 213 / 10 | $8.689,48 | 288 / 8 | $7.782,00 | 287 / 11 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 23 | 33 / 3 | $38.434,00 | 368 / 12 | $11.596,60 | 354 / 15 | $8.684,26 | 353 / 12 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 23 | 95 / 9 | $93.178,80 | 52 / 4 | $32.005,30 | 112 / 4 | $28.614,20 | 112 / 5 |
Other Kidney & Urinary Tract Diagnoses W Cc | 23 | 80 / 7 | $18.186,00 | 191 / 10 | $6.450,74 | 363 / 11 | $5.715,78 | 363 / 15 |
Permanent Cardiac Pacemaker Implant W Cc | 23 | 54 / 12 | $77.598,60 | 594 / 16 | $16.751,50 | 461 / 14 | $15.633,80 | 460 / 15 |
Fractures Of Hip & Pelvis W/O Mcc | 23 | 38 / 6 | $14.397,90 | 261 / 18 | $4.600,78 | 298 / 15 | $3.474,87 | 299 / 15 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 23 | 25 / 3 | $29.114,60 | 36 / 3 | $9.254,48 | 83 / 3 | $8.185,78 | 83 / 8 |
Fever | 23 | 23 / 2 | $17.654,70 | 70 / 6 | $5.761,13 | 97 / 9 | $4.472,39 | 97 / 9 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 22 | 22 / 2 | $77.685,00 | 223 / 6 | $20.004,80 | 280 / 7 | $18.863,10 | 278 / 10 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 22 | 34 / 5 | $29.248,30 | 126 / 13 | $11.594,40 | 255 / 7 | $10.986,50 | 254 / 14 |
Diabetes W/O Cc/Mcc | 22 | 16 / 1 | $18.640,20 | 166 / 4 | $4.019,73 | 104 / 5 | $3.103,18 | 104 / 5 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 21 | 47 / 8 | $25.990,90 | 376 / 18 | $5.865,19 | 264 / 9 | $4.904,62 | 264 / 14 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 21 | 19 / 1 | $40.480,30 | 50 / 3 | $12.331,10 | 102 / 3 | $11.457,40 | 102 / 4 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 21 | 45 / 9 | $27.992,90 | 215 / 8 | $7.260,81 | 144 / 6 | $5.833,38 | 144 / 5 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 21 | 36 / 7 | $58.999,70 | 385 / 11 | $14.152,90 | 335 / 11 | $12.153,60 | 334 / 11 |
Other Disorders Of Nervous System W Cc | 21 | 35 / 6 | $24.785,80 | 275 / 14 | $5.877,81 | 229 / 9 | $4.991,71 | 229 / 15 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 20 | 71 / 6 | $9.265,75 | 7 / 1 | $7.321,35 | 99 / 5 | $6.655,95 | 99 / 4 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 20 | 72 / 12 | $136.177,00 | 429 / 14 | $34.997,60 | 292 / 5 | $33.058,70 | 291 / 8 |
Tendonitis, Myositis & Bursitis W/O Mcc | 20 | 22 / 2 | $22.872,90 | 180 / 10 | $5.559,35 | 157 / 6 | $4.616,75 | 157 / 12 |
Other Digestive System Diagnoses W Mcc | 19 | 43 / 7 | $33.059,70 | 210 / 15 | $10.224,90 | 153 / 10 | $9.146,68 | 153 / 9 |
Nervous System Neoplasms W Mcc | 19 | 29 / 3 | $29.063,10 | 80 / 4 | $8.441,89 | 98 / 2 | $7.508,21 | 98 / 3 |
Bone Diseases & Arthropathies W/O Mcc | 18 | 26 / 3 | $14.500,80 | 98 / 2 | $4.882,44 | 73 / 3 | $3.739,78 | 73 / 2 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 18 | 29 / 4 | $19.549,10 | 148 / 8 | $4.928,11 | 80 / 5 | $3.617,56 | 80 / 6 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 18 | 46 / 5 | $201.192,00 | 145 / 5 | $62.491,80 | 86 / 1 | $51.616,80 | 86 / 1 |
Other Resp System O.R. Procedures W Mcc | 18 | 45 / 6 | $52.364,10 | 70 / 3 | $20.763,70 | 146 / 1 | $19.865,20 | 146 / 3 |
Interstitial Lung Disease W Mcc | 18 | 7 / 2 | $39.308,00 | 42 / 3 | $10.534,20 | 30 / 1 | $9.597,56 | 30 / 1 |
Diabetes W Mcc | 18 | 39 / 9 | $32.298,90 | 322 / 21 | $9.475,94 | 324 / 18 | $8.251,72 | 324 / 21 |
Major Chest Procedures W Mcc | 18 | 31 / 4 | $91.171,10 | 67 / 7 | $31.700,90 | 84 / 5 | $27.833,30 | 84 / 5 |
Respiratory Neoplasms W Cc | 18 | 29 / 6 | $21.814,20 | 82 / 5 | $7.583,33 | 215 / 8 | $6.868,44 | 214 / 10 |
Respiratory Signs & Symptoms | 18 | 28 / 2 | $20.923,00 | 132 / 4 | $4.760,50 | 77 / 5 | $3.489,78 | 77 / 4 |
G.I. Obstruction W Mcc | 18 | 24 / 4 | $43.950,70 | 290 / 12 | $11.262,20 | 299 / 13 | $10.219,30 | 299 / 16 |
Major Cardiovasc Procedures W Mcc | 17 | 51 / 8 | $128.076,00 | 254 / 8 | $34.141,20 | 305 / 3 | $33.082,10 | 305 / 7 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 17 | 52 / 10 | $64.807,40 | 229 / 10 | $16.990,30 | 295 / 7 | $15.869,80 | 294 / 13 |
Disorders Of The Biliary Tract W Mcc | 17 | 22 / 2 | $40.105,00 | 101 / 5 | $10.101,90 | 56 / 3 | $9.085,94 | 56 / 4 |
Coronary Bypass W Cardiac Cath W Mcc | 16 | 40 / 5 | $134.349,00 | 75 / 1 | $41.505,20 | 152 / 1 | $40.120,50 | 152 / 3 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 10 | $100.175,00 | 211 / 6 | $29.887,20 | 258 / 7 | $28.178,70 | 258 / 8 |
Peripheral Vascular Disorders W/O Cc/Mcc | 15 | 30 / 5 | $15.485,50 | 139 / 5 | $4.439,13 | 158 / 3 | $3.576,73 | 158 / 4 |
Degenerative Nervous System Disorders W Mcc | 15 | 23 / 4 | $28.855,10 | 56 / 4 | $10.838,70 | 66 / 4 | $9.566,40 | 66 / 5 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 15 | 29 / 3 | $17.323,30 | 78 / 3 | $5.000,07 | 138 / 2 | $4.281,40 | 138 / 4 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 14 | 55 / 11 | $79.687,40 | 334 / 10 | $16.377,60 | 262 / 9 | $15.138,90 | 262 / 11 |
Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 12 | $88.795,20 | 375 / 11 | $20.605,30 | 315 / 8 | $19.567,90 | 314 / 12 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 14 | 81 / 9 | $75.521,90 | 299 / 9 | $14.290,70 | 187 / 8 | $10.804,30 | 185 / 6 |
Other Respiratory System Diagnoses W/O Mcc | 14 | 32 / 7 | $22.658,20 | 148 / 6 | $5.559,86 | 84 / 6 | $4.176,86 | 84 / 6 |
Postoperative & Post-Traumatic Infections W Mcc | 14 | 29 / 4 | $43.849,30 | 88 / 6 | $12.300,20 | 11 / 2 | $9.159,50 | 11 / 1 |
Stomach, Esophageal & Duodenal Proc W Cc | 14 | 36 / 6 | $35.432,20 | 9 / 2 | $15.737,40 | 53 / 3 | $14.662,50 | 53 / 5 |
Digestive Malignancy W Cc | 14 | 33 / 8 | $28.047,80 | 116 / 6 | $8.020,64 | 149 / 7 | $7.224,93 | 147 / 10 |
Disorders Of The Biliary Tract W Cc | 14 | 40 / 9 | $34.713,40 | 271 / 14 | $7.058,71 | 201 / 9 | $6.130,14 | 201 / 14 |
Postoperative & Post-Traumatic Infections W/O Mcc | 13 | 41 / 8 | $25.108,80 | 211 / 10 | $6.513,23 | 171 / 6 | $5.757,92 | 171 / 8 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 5 | $18.962,50 | 230 / 8 | $4.484,46 | 61 / 6 | $2.722,92 | 61 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 13 | 16 / 2 | $13.742,80 | 23 / 2 | $5.430,15 | 63 / 1 | $4.526,77 | 63 / 2 |
Headaches W/O Mcc | 13 | 30 / 4 | $21.836,60 | 119 / 5 | $4.569,23 | 78 / 3 | $3.402,46 | 78 / 5 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 12 | $95.688,90 | 222 / 9 | $28.831,80 | 178 / 1 | $27.634,50 | 178 / 5 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 9 | $51.810,50 | 278 / 10 | $12.082,80 | 266 / 7 | $11.051,70 | 266 / 12 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 13 | 17 / 3 | $50.783,00 | 98 / 6 | $12.013,20 | 72 / 1 | $10.944,60 | 71 / 4 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 14 | $23.588,50 | 154 / 7 | $7.050,46 | 348 / 8 | $5.792,31 | 347 / 13 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 13 | 85 / 11 | $119.182,00 | 262 / 8 | $31.589,50 | 323 / 10 | $30.476,80 | 323 / 13 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 13 | 37 / 6 | $162.062,00 | 161 / 9 | $35.998,20 | 72 / 4 | $31.253,80 | 72 / 3 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 12 | 42 / 10 | $21.408,50 | 181 / 9 | $5.211,92 | 93 / 5 | $3.667,42 | 93 / 5 |
Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 13 | $18.518,70 | 104 / 11 | $6.042,00 | 149 / 10 | $5.169,33 | 149 / 13 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 12 | 15 / 3 | $33.369,60 | 61 / 3 | $10.954,10 | 67 / 2 | $10.187,80 | 67 / 3 |
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 12 | 20 / 3 | $35.108,70 | 72 / 3 | $7.591,42 | 50 / 3 | $6.414,08 | 50 / 3 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 12 | 104 / 9 | $126.693,00 | 35 / 2 | $47.499,40 | 20 / 1 | $39.569,40 | 20 / 1 |
Major Male Pelvic Procedures W/O Cc/Mcc | 12 | 61 / 9 | $27.654,90 | 62 / 1 | $8.686,50 | 138 / 2 | $6.397,83 | 138 / 7 |
Coronary Bypass W/O Cardiac Cath W Mcc | 12 | 47 / 7 | $110.151,00 | 48 / 2 | $32.171,60 | 52 / 1 | $31.123,90 | 52 / 2 |
Other Circulatory System O.R. Procedures | 12 | 43 / 10 | $57.302,90 | 140 / 7 | $16.727,20 | 81 / 3 | $14.661,20 | 81 / 5 |
Pleural Effusion W Mcc | 12 | 18 / 4 | $27.303,90 | 28 / 2 | $9.949,92 | 90 / 3 | $9.227,58 | 90 / 7 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 12 | 57 / 13 | $67.224,30 | 331 / 9 | $13.079,20 | 173 / 10 | $9.455,50 | 173 / 7 |
Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 6 | $18.324,20 | 134 / 5 | $4.581,83 | 157 / 4 | $3.608,17 | 157 / 9 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 11 | $42.621,50 | 237 / 11 | $12.162,00 | 44 / 7 | $9.256,18 | 44 / 3 |
Aftercare W Cc/Mcc | 11 | 2 / 1 | $9.446,73 | 1 / 1 | $6.544,27 | 1 / 1 | $5.295,91 | 1 / 1 |
Peritoneal Adhesiolysis W Cc | 11 | 28 / 8 | $46.969,50 | 69 / 5 | $14.216,20 | 98 / 3 | $12.949,30 | 98 / 6 |
Signs & Symptoms W Mcc | 11 | 30 / 7 | $30.591,90 | 146 / 7 | $7.189,73 | 82 / 4 | $6.495,18 | 82 / 6 |
Other Kidney & Urinary Tract Procedures W Mcc | 11 | 27 / 7 | $52.114,40 | 30 / 1 | $19.092,90 | 70 / 1 | $18.539,50 | 70 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 10 | $36.381,40 | 190 / 8 | $9.738,27 | 128 / 10 | $7.383,82 | 128 / 5 |
Transurethral Procedures W Cc | 11 | 30 / 6 | $28.976,80 | 108 / 5 | $8.133,82 | 206 / 4 | $7.383,27 | 206 / 5 |
Endocrine Disorders W Cc | 11 | 27 / 7 | $22.862,20 | 110 / 7 | $6.693,91 | 116 / 5 | $5.808,09 | 116 / 8 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 11 | 18 / 3 | $21.135,50 | 41 / 1 | $5.075,64 | 35 / 1 | $4.012,36 | 35 / 2 | Total 173 procedures | 8.106 | 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.