Hospital Costs > In Texas > Medical City Dallas Hospital, 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 | 256 | 309 / 25 | $131.913,00 | 2631 / 215 | $17.028,60 | 1352 / 200 | $11.703,20 | 1320 / 146 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 162 | 354 / 56 | $121.607,00 | 2749 / 213 | $14.133,50 | 2034 / 187 | $12.477,10 | 1997 / 190 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 103 | 172 / 28 | $46.695,90 | 2613 / 204 | $6.317,36 | 2017 / 173 | $4.837,01 | 2003 / 171 |
Renal Failure W Mcc | 94 | 101 / 20 | $88.144,50 | 2057 / 158 | $12.670,50 | 1460 / 147 | $10.130,30 | 1459 / 140 |
Heart Failure & Shock W Cc | 94 | 184 / 33 | $74.097,40 | 2738 / 215 | $8.583,19 | 1933 / 195 | $6.392,64 | 1928 / 175 |
Kidney & Urinary Tract Infections W/O Mcc | 84 | 149 / 35 | $51.568,90 | 2654 / 222 | $6.794,08 | 2097 / 198 | $5.181,04 | 2086 / 189 |
Heart Failure & Shock W Mcc | 83 | 201 / 49 | $122.705,00 | 2610 / 204 | $14.427,00 | 2331 / 191 | $12.133,30 | 2321 / 195 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 65 | 117 / 27 | $70.256,20 | 1994 / 137 | $8.230,72 | 1385 / 114 | $6.537,74 | 1382 / 113 |
Cellulitis W/O Mcc | 64 | 125 / 29 | $43.827,40 | 2486 / 187 | $8.990,81 | 1809 / 191 | $5.150,23 | 1801 / 163 |
Simple Pneumonia & Pleurisy W Cc | 61 | 142 / 48 | $74.355,40 | 2786 / 221 | $9.850,85 | 2030 / 209 | $6.221,33 | 2022 / 183 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 59 | 148 / 37 | $83.355,10 | 2548 / 197 | $10.216,40 | 1911 / 185 | $7.052,98 | 1903 / 169 |
Syncope & Collapse | 58 | 111 / 20 | $47.181,40 | 1813 / 123 | $6.394,57 | 1324 / 114 | $4.656,10 | 1317 / 103 |
Seizures W/O Mcc | 58 | 50 / 6 | $46.410,80 | 1197 / 76 | $6.479,72 | 802 / 67 | $4.751,60 | 799 / 65 |
Pulmonary Edema & Respiratory Failure | 57 | 146 / 30 | $91.115,30 | 2180 / 158 | $9.664,19 | 1523 / 132 | $7.889,09 | 1518 / 128 |
Renal Failure W Cc | 56 | 165 / 51 | $57.741,90 | 2340 / 178 | $8.114,96 | 1741 / 161 | $6.246,25 | 1731 / 153 |
Chronic Obstructive Pulmonary Disease W Cc | 56 | 123 / 24 | $70.497,20 | 2408 / 170 | $7.603,88 | 1763 / 147 | $6.010,75 | 1756 / 144 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 55 | 111 / 34 | $45.635,90 | 2452 / 200 | $6.393,11 | 1927 / 181 | $4.721,84 | 1920 / 171 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 54 | 64 / 7 | $400.250,00 | 530 / 25 | $40.588,10 | 375 / 20 | $36.011,60 | 375 / 22 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 53 | 115 / 27 | $130.865,00 | 1595 / 112 | $15.262,20 | 1386 / 101 | $13.968,30 | 1380 / 104 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 53 | 108 / 21 | $49.436,20 | 2059 / 155 | $6.851,36 | 1559 / 141 | $5.117,92 | 1554 / 134 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 52 | 39 / 3 | $110.860,00 | 397 / 20 | $9.872,10 | 235 / 18 | $8.054,25 | 235 / 17 |
O.R. Procedures For Obesity W/O Cc/Mcc | 51 | 26 / 6 | $75.754,00 | 367 / 30 | $11.557,70 | 184 / 25 | $8.675,61 | 184 / 17 |
Hip & Femur Procedures Except Major Joint W Cc | 50 | 93 / 28 | $110.225,00 | 1951 / 136 | $13.341,70 | 1262 / 116 | $11.831,50 | 1245 / 114 |
Other Circulatory System Diagnoses W Mcc | 50 | 66 / 13 | $105.801,00 | 1299 / 98 | $15.359,30 | 648 / 89 | $11.324,40 | 646 / 64 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 47 | 79 / 30 | $81.338,00 | 1705 / 134 | $9.759,64 | 1409 / 122 | $8.748,98 | 1406 / 123 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 46 | 104 / 20 | $38.057,70 | 1900 / 137 | $4.968,22 | 1575 / 115 | $3.676,63 | 1569 / 120 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 45 | 71 / 10 | $516.116,00 | 467 / 25 | $64.753,50 | 251 / 23 | $52.234,50 | 251 / 17 |
Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 49 | $93.646,60 | 2546 / 194 | $9.016,66 | 2029 / 159 | $8.041,70 | 2021 / 171 |
Simple Pneumonia & Pleurisy W Mcc | 43 | 162 / 53 | $130.502,00 | 2509 / 192 | $12.016,70 | 1938 / 175 | $9.851,12 | 1938 / 173 |
Medical Back Problems W/O Mcc | 42 | 79 / 14 | $39.053,70 | 1231 / 81 | $6.724,36 | 1054 / 76 | $5.407,67 | 1051 / 82 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 41 | 147 / 33 | $96.980,30 | 1616 / 134 | $11.941,30 | 1012 / 128 | $6.360,93 | 1009 / 95 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 41 | 83 / 24 | $458.699,00 | 1577 / 116 | $48.515,00 | 1416 / 109 | $46.091,30 | 1406 / 112 |
Chest Pain | 41 | 110 / 27 | $47.761,40 | 1671 / 129 | $5.676,71 | 1191 / 109 | $3.966,63 | 1184 / 98 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 39 | 157 / 37 | $128.816,00 | 1364 / 115 | $17.487,50 | 408 / 116 | $10.418,60 | 408 / 46 |
Red Blood Cell Disorders W/O Mcc | 39 | 104 / 30 | $51.633,70 | 1922 / 154 | $6.448,97 | 1535 / 119 | $5.583,23 | 1526 / 139 |
Heart Failure & Shock W/O Cc/Mcc | 38 | 72 / 18 | $39.348,40 | 1883 / 150 | $5.764,16 | 1486 / 132 | $4.401,11 | 1474 / 127 |
G.I. Hemorrhage W Cc | 37 | 181 / 53 | $93.204,70 | 2417 / 170 | $9.755,00 | 1966 / 159 | $7.136,05 | 1962 / 157 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 36 | 87 / 28 | $96.742,30 | 1888 / 136 | $11.343,40 | 1684 / 131 | $9.799,31 | 1681 / 131 |
Kidney & Urinary Tract Infections W Mcc | 35 | 109 / 42 | $64.590,70 | 1856 / 146 | $9.239,63 | 1295 / 136 | $6.989,80 | 1291 / 117 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 34 | 62 / 21 | $90.171,90 | 1438 / 98 | $11.472,30 | 1104 / 93 | $8.648,03 | 1099 / 92 |
Signs & Symptoms W/O Mcc | 34 | 57 / 11 | $41.081,90 | 1243 / 77 | $5.696,85 | 875 / 62 | $4.460,00 | 872 / 64 |
Major Small & Large Bowel Procedures W Cc | 33 | 75 / 19 | $184.417,00 | 1505 / 95 | $21.289,30 | 1089 / 89 | $16.466,30 | 1076 / 89 |
Major Small & Large Bowel Procedures W Mcc | 31 | 54 / 13 | $411.719,00 | 1280 / 84 | $51.324,60 | 1100 / 78 | $41.064,60 | 1098 / 78 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 38 | $220.626,00 | 1840 / 141 | $20.613,50 | 1577 / 131 | $18.535,60 | 1563 / 133 |
Revision Of Hip Or Knee Replacement W Cc | 28 | 58 / 11 | $228.774,00 | 658 / 39 | $22.950,90 | 292 / 25 | $19.248,20 | 291 / 27 |
Fever | 27 | 19 / 4 | $58.448,10 | 329 / 18 | $6.928,11 | 194 / 13 | $5.403,74 | 194 / 14 |
G.I. Hemorrhage W Mcc | 26 | 95 / 31 | $106.815,00 | 1589 / 115 | $13.227,80 | 1042 / 98 | $11.463,90 | 1034 / 90 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 26 | 37 / 11 | $285.819,00 | 718 / 53 | $49.045,50 | 315 / 55 | $28.988,80 | 315 / 34 |
Transient Ischemia | 25 | 100 / 38 | $38.493,00 | 1405 / 83 | $5.753,48 | 1243 / 84 | $4.631,08 | 1237 / 95 |
Permanent Cardiac Pacemaker Implant W Cc | 24 | 53 / 16 | $141.553,00 | 913 / 64 | $24.122,00 | 198 / 67 | $14.026,90 | 197 / 20 |
Bronchitis & Asthma W Cc/Mcc | 24 | 52 / 19 | $59.252,60 | 1047 / 82 | $7.893,04 | 695 / 78 | $5.438,96 | 691 / 64 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 23 | 33 / 13 | $106.445,00 | 819 / 68 | $11.737,60 | 606 / 53 | $10.218,50 | 604 / 63 |
Other Vascular Procedures W Cc | 23 | 79 / 31 | $106.464,00 | 891 / 70 | $18.611,90 | 124 / 73 | $12.900,40 | 124 / 14 |
Respiratory Infections & Inflammations W Mcc | 23 | 113 / 41 | $130.298,00 | 1758 / 124 | $14.076,60 | 1249 / 105 | $12.712,10 | 1234 / 108 |
Major Chest Procedures W Cc | 23 | 51 / 7 | $100.624,00 | 407 / 15 | $16.717,70 | 226 / 10 | $14.873,60 | 225 / 14 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 22 | 78 / 24 | $218.416,00 | 980 / 80 | $23.805,10 | 714 / 69 | $22.176,00 | 710 / 75 |
Respiratory Infections & Inflammations W Cc | 22 | 66 / 23 | $91.065,00 | 1439 / 113 | $10.611,90 | 1187 / 105 | $9.616,23 | 1182 / 111 |
G.I. Obstruction W Cc | 22 | 70 / 28 | $46.895,50 | 1561 / 93 | $7.274,27 | 989 / 89 | $5.107,05 | 986 / 74 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 34 | $48.538,00 | 2040 / 144 | $5.952,68 | 1600 / 123 | $4.658,09 | 1589 / 129 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 32 | $46.525,70 | 1882 / 158 | $5.887,77 | 1589 / 132 | $4.701,09 | 1581 / 140 |
Kidney Transplant | 22 | 79 / 14 | $267.992,00 | 144 / 15 | $28.259,20 | 34 / 7 | $19.269,70 | 34 / 5 |
Pulmonary Embolism W/O Mcc | 21 | 53 / 16 | $57.338,90 | 1207 / 67 | $9.958,76 | 842 / 69 | $5.933,19 | 839 / 59 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 21 | 75 / 15 | $153.558,00 | 813 / 49 | $14.625,00 | 563 / 32 | $13.357,50 | 560 / 44 |
Major Cardiovasc Procedures W/O Mcc | 21 | 80 / 28 | $180.997,00 | 951 / 67 | $21.595,60 | 496 / 39 | $20.303,90 | 496 / 55 |
Other Disorders Of Nervous System W Cc | 21 | 35 / 8 | $77.733,00 | 612 / 28 | $9.645,38 | 593 / 27 | $8.679,24 | 592 / 28 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 20 | 20 / 6 | $130.479,00 | 211 / 19 | $13.203,00 | 125 / 10 | $12.061,80 | 125 / 13 |
Dysequilibrium | 20 | 45 / 8 | $43.006,90 | 524 / 28 | $5.394,45 | 398 / 24 | $4.189,35 | 398 / 28 |
Other Circulatory System Diagnoses W Cc | 20 | 46 / 12 | $90.770,80 | 671 / 41 | $11.960,90 | 475 / 37 | $6.588,95 | 474 / 32 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 20 | 41 / 11 | $35.586,20 | 817 / 34 | $5.394,35 | 629 / 29 | $4.341,40 | 628 / 35 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 24 | $57.309,60 | 1346 / 85 | $7.489,55 | 927 / 61 | $6.216,10 | 923 / 68 |
Other Vascular Procedures W Mcc | 20 | 77 / 31 | $157.298,00 | 890 / 71 | $21.274,10 | 446 / 53 | $20.167,00 | 444 / 60 |
Major Chest Procedures W/O Cc/Mcc | 20 | 39 / 2 | $87.672,40 | 226 / 10 | $12.031,80 | 117 / 5 | $10.905,70 | 117 / 9 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 20 | 42 / 9 | $34.873,90 | 668 / 32 | $6.226,80 | 605 / 29 | $5.091,65 | 603 / 32 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 22 | $65.123,00 | 929 / 41 | $10.950,90 | 542 / 33 | $9.270,42 | 540 / 31 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 19 | 76 / 15 | $156.312,00 | 581 / 44 | $16.468,40 | 179 / 40 | $10.704,80 | 177 / 20 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 19 | 73 / 27 | $638.563,00 | 1098 / 87 | $66.951,80 | 1061 / 85 | $62.677,80 | 1060 / 86 |
Peripheral Vascular Disorders W Cc | 18 | 66 / 24 | $52.254,90 | 1163 / 78 | $7.462,00 | 840 / 66 | $6.345,22 | 837 / 72 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 18 | 63 / 13 | $1.601.660,00 | 447 / 35 | $178.382,00 | 408 / 33 | $169.989,00 | 407 / 35 |
Stomach, Esophageal & Duodenal Proc W Cc | 18 | 32 / 5 | $136.873,00 | 206 / 13 | $27.984,30 | 25 / 13 | $13.427,80 | 25 / 4 |
Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 30 | $52.900,60 | 784 / 62 | $7.730,00 | 707 / 54 | $6.628,61 | 704 / 67 |
Autologous Bone Marrow Transplant W Cc/Mcc | 17 | 18 / 2 | $444.772,00 | 57 / 6 | $45.104,50 | 18 / 3 | $42.706,20 | 18 / 4 |
Lymphoma & Non-Acute Leukemia W Mcc | 17 | 19 / 3 | $224.435,00 | 119 / 6 | $24.374,10 | 59 / 5 | $23.183,00 | 59 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 18 | $176.836,00 | 882 / 49 | $21.063,80 | 532 / 38 | $19.694,10 | 529 / 43 |
Renal Failure W/O Cc/Mcc | 17 | 39 / 16 | $27.974,60 | 720 / 54 | $5.250,41 | 658 / 51 | $4.229,71 | 657 / 57 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 24 | $538.688,00 | 983 / 77 | $55.563,10 | 949 / 74 | $52.276,40 | 948 / 77 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 17 | 26 / 7 | $215.470,00 | 149 / 13 | $25.228,40 | 77 / 11 | $19.070,20 | 77 / 10 |
Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 22 | $80.108,70 | 900 / 58 | $9.314,12 | 433 / 27 | $8.286,44 | 432 / 32 |
Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 16 | 11 / 2 | $67.385,10 | 54 / 5 | $7.875,81 | 26 / 4 | $6.520,19 | 26 / 5 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 16 | 12 / 2 | $104.948,00 | 98 / 6 | $11.516,20 | 59 / 5 | $10.103,10 | 59 / 6 |
Peritoneal Adhesiolysis W Cc | 16 | 23 / 6 | $122.567,00 | 270 / 16 | $15.595,20 | 149 / 8 | $14.299,20 | 149 / 14 |
Bronchitis & Asthma W/O Cc/Mcc | 16 | 29 / 8 | $51.366,10 | 380 / 36 | $6.090,88 | 215 / 33 | $3.728,31 | 215 / 26 |
Nonspecific Cerebrovascular Disorders W Cc | 16 | 40 / 14 | $67.747,90 | 451 / 24 | $8.436,44 | 309 / 23 | $6.240,25 | 309 / 23 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 16 | 52 / 13 | $62.291,80 | 710 / 42 | $7.222,12 | 433 / 31 | $5.564,56 | 433 / 31 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 15 | 51 / 20 | $97.742,10 | 523 / 41 | $15.602,20 | 231 / 39 | $10.543,10 | 230 / 27 |
Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 14 | $23.989,70 | 629 / 36 | $5.856,13 | 697 / 46 | $4.633,27 | 696 / 52 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 15 | 31 / 7 | $62.015,70 | 239 / 15 | $7.876,00 | 90 / 10 | $5.292,73 | 90 / 7 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 26 | $146.413,00 | 871 / 57 | $19.808,30 | 533 / 47 | $18.645,60 | 530 / 49 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 15 | 38 / 7 | $101.591,00 | 480 / 33 | $11.739,20 | 434 / 31 | $10.882,20 | 434 / 33 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 24 | $94.779,30 | 1092 / 90 | $11.074,70 | 756 / 80 | $8.638,80 | 752 / 79 |
Transurethral Procedures W Cc | 15 | 26 / 6 | $59.666,50 | 311 / 12 | $9.248,73 | 203 / 11 | $7.369,93 | 203 / 11 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 15 | 32 / 7 | $46.882,60 | 363 / 19 | $5.905,33 | 212 / 14 | $4.605,60 | 212 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 40 | $52.913,70 | 1520 / 100 | $7.156,93 | 1081 / 95 | $4.522,07 | 1077 / 82 |
Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 58 | $174.720,00 | 1212 / 97 | $26.958,10 | 564 / 68 | $22.218,10 | 561 / 65 |
Seizures W Mcc | 15 | 51 / 19 | $202.432,00 | 774 / 59 | $21.113,50 | 758 / 57 | $18.363,20 | 758 / 57 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 12 | $121.320,00 | 689 / 36 | $14.404,60 | 448 / 25 | $13.152,00 | 447 / 33 |
Other Kidney & Urinary Tract Diagnoses W Cc | 14 | 89 / 24 | $38.308,10 | 643 / 29 | $7.517,00 | 541 / 32 | $6.524,14 | 541 / 36 |
Major Chest Procedures W Mcc | 14 | 35 / 12 | $307.073,00 | 320 / 25 | $37.412,80 | 79 / 20 | $27.759,60 | 79 / 9 |
Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 16 | $50.916,60 | 780 / 46 | $7.296,57 | 483 / 31 | $5.996,43 | 483 / 34 |
Chemo W Acute Leukemia As Sdx W/O Cc/Mcc | 14 | 5 / 1 | $83.054,20 | 14 / 2 | $11.396,50 | 3 / 2 | $7.459,79 | 3 / 1 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Mcc | 14 | 20 / 3 | $372.917,00 | 59 / 5 | $38.195,80 | 58 / 5 | $35.562,70 | 58 / 5 |
Other Vascular Procedures W/O Cc/Mcc | 14 | 42 / 18 | $65.278,40 | 412 / 32 | $11.583,30 | 342 / 31 | $10.401,10 | 341 / 38 |
Other Circulatory System O.R. Procedures | 14 | 41 / 15 | $176.128,00 | 442 / 37 | $22.310,60 | 278 / 30 | $19.015,80 | 278 / 32 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 23 | $144.026,00 | 883 / 63 | $16.143,90 | 511 / 49 | $12.982,30 | 505 / 53 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 13 | $94.526,10 | 564 / 55 | $9.141,50 | 360 / 40 | $7.018,00 | 359 / 39 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 14 | 30 / 5 | $29.666,10 | 192 / 6 | $6.016,07 | 209 / 9 | $5.151,36 | 209 / 11 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 19 | $106.716,00 | 638 / 41 | $12.237,40 | 318 / 19 | $11.370,70 | 317 / 26 |
Organic Disturbances & Mental Retardation | 13 | 46 / 14 | $35.729,10 | 413 / 15 | $7.550,23 | 285 / 13 | $6.178,85 | 285 / 13 |
Major Male Pelvic Procedures W/O Cc/Mcc | 13 | 60 / 15 | $85.928,40 | 347 / 20 | $9.187,62 | 246 / 12 | $7.862,31 | 246 / 19 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 27 | $70.998,90 | 712 / 57 | $8.591,46 | 338 / 45 | $5.746,92 | 337 / 39 |
Other Resp System O.R. Procedures W Mcc | 13 | 50 / 16 | $325.984,00 | 588 / 49 | $35.502,40 | 548 / 47 | $33.695,00 | 547 / 48 |
Respiratory Neoplasms W Mcc | 13 | 39 / 13 | $114.642,00 | 612 / 30 | $11.949,20 | 359 / 23 | $10.697,20 | 358 / 23 |
Other O.R. Procedures For Injuries W Mcc | 13 | 24 / 9 | $130.054,00 | 140 / 10 | $24.151,80 | 1 / 5 | $16.008,50 | 1 / 1 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 13 | 56 / 10 | $636.445,00 | 288 / 17 | $72.523,60 | 209 / 13 | $70.903,30 | 209 / 17 |
Other Disorders Of Nervous System W/O Cc/Mcc | 13 | 22 / 3 | $30.128,40 | 101 / 4 | $5.950,31 | 81 / 6 | $4.279,46 | 81 / 5 |
Other O.R. Procedures For Injuries W Cc | 13 | 22 / 5 | $126.615,00 | 169 / 10 | $14.136,80 | 17 / 8 | $9.956,38 | 17 / 4 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 13 | 34 / 13 | $78.420,20 | 470 / 22 | $10.448,00 | 345 / 16 | $9.205,77 | 345 / 23 |
Periph/Cranial Nerve & Other Nerv Syst Proc W Mcc | 12 | 13 / 2 | $301.546,00 | 59 / 3 | $33.143,30 | 36 / 2 | $28.216,90 | 36 / 2 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 12 | $50.905,80 | 830 / 23 | $5.670,00 | 633 / 14 | $5.174,17 | 632 / 19 |
Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 14 | $73.220,00 | 352 / 22 | $11.860,00 | 266 / 21 | $10.982,80 | 266 / 24 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 18 | $104.982,00 | 733 / 53 | $13.036,20 | 533 / 44 | $12.265,50 | 532 / 48 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 18 | $189.560,00 | 503 / 31 | $18.141,00 | 352 / 14 | $17.008,00 | 351 / 29 |
Other Disorders Of Nervous System W Mcc | 12 | 28 / 11 | $116.186,00 | 310 / 20 | $12.738,50 | 236 / 18 | $11.723,40 | 236 / 19 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 50 | $116.283,00 | 1758 / 126 | $13.593,20 | 1042 / 107 | $10.450,60 | 1039 / 87 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 12 | 43 / 16 | $158.788,00 | 208 / 21 | $19.971,80 | 98 / 14 | $18.965,00 | 98 / 19 |
Chemo W Acute Leukemia As Sdx Or W High Dose Chemo Agent W Mcc | 12 | 17 / 4 | $539.912,00 | 38 / 4 | $65.544,80 | 23 / 3 | $58.602,70 | 23 / 3 |
Hypertension W/O Mcc | 12 | 53 / 21 | $42.624,10 | 750 / 67 | $5.305,75 | 562 / 48 | $4.143,83 | 560 / 52 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 12 | 76 / 25 | $297.473,00 | 583 / 47 | $26.566,70 | 451 / 37 | $25.256,00 | 450 / 44 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 12 | 30 / 4 | $342.271,00 | 128 / 7 | $29.914,90 | 62 / 4 | $28.968,20 | 62 / 6 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 12 | 33 / 9 | $112.809,00 | 194 / 15 | $13.145,50 | 54 / 5 | $10.741,30 | 54 / 6 |
Diabetes W Cc | 12 | 80 / 39 | $30.645,70 | 1196 / 71 | $6.533,58 | 1045 / 78 | $5.251,00 | 1041 / 82 |
Major Cardiovasc Procedures W Mcc | 12 | 56 / 21 | $399.590,00 | 638 / 46 | $49.504,70 | 591 / 41 | $48.056,80 | 590 / 45 |
Cervical Spinal Fusion W Cc | 12 | 41 / 14 | $167.853,00 | 366 / 31 | $22.082,80 | 175 / 27 | $16.713,20 | 174 / 22 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 23 | $46.369,10 | 912 / 53 | $8.009,83 | 265 / 37 | $6.042,00 | 264 / 15 |
Transurethral Prostatectomy W/O Cc/Mcc | 12 | 17 / 3 | $40.890,20 | 73 / 6 | $6.560,75 | 41 / 6 | $3.886,67 | 41 / 5 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 11 | 43 / 13 | $274.483,00 | 277 / 20 | $29.250,50 | 213 / 18 | $24.493,80 | 213 / 19 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 11 | 31 / 5 | $325.292,00 | 167 / 9 | $37.052,50 | 73 / 4 | $35.460,80 | 73 / 6 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 18 | $52.395,60 | 433 / 32 | $9.912,73 | 23 / 33 | $4.930,27 | 23 / 2 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 21 | $108.575,00 | 598 / 35 | $18.063,10 | 12 / 35 | $8.814,82 | 12 / 1 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 26 | $36.636,70 | 1201 / 84 | $5.410,82 | 972 / 73 | $3.865,36 | 969 / 77 |
Peripheral Vascular Disorders W Mcc | 11 | 38 / 16 | $99.091,40 | 577 / 46 | $11.236,40 | 362 / 40 | $8.981,45 | 362 / 41 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Mcc | 11 | 13 / 5 | $207.474,00 | 41 / 6 | $30.875,60 | 14 / 3 | $28.280,80 | 14 / 3 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 21 | $144.758,00 | 553 / 58 | $15.496,70 | 401 / 46 | $14.128,90 | 401 / 49 | Total 152 procedures | 4.360 | 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.