Hospital Costs > In Washington DC > Medstar Georgetown University 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 | 228 | 336 / 2 | $69.876,80 | 1988 / 3 | $21.326,60 | 2097 / 5 | $14.041,30 | 2055 / 2 |
Spinal Fusion Except Cervical W/O Mcc | 116 | 78 / 1 | $141.710,00 | 1075 / 4 | $38.569,60 | 1216 / 5 | $31.183,00 | 1211 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 99 | 417 / 3 | $88.289,90 | 2530 / 7 | $25.022,70 | 2700 / 6 | $18.059,10 | 2655 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 95 | 180 / 2 | $28.723,10 | 2108 / 7 | $9.077,85 | 2371 / 6 | $5.805,77 | 2356 / 4 |
Renal Failure W Cc | 57 | 164 / 4 | $43.773,70 | 2122 / 7 | $12.716,70 | 2323 / 6 | $9.233,25 | 2313 / 6 |
Cervical Spinal Fusion W/O Cc/Mcc | 56 | 48 / 1 | $91.015,80 | 737 / 3 | $23.065,70 | 745 / 4 | $16.077,60 | 742 / 2 |
G.I. Hemorrhage W Cc | 56 | 162 / 3 | $39.396,20 | 1937 / 6 | $11.599,40 | 2103 / 6 | $7.738,70 | 2099 / 4 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 55 | 36 / 1 | $41.794,80 | 495 / 2 | $11.687,50 | 647 / 3 | $7.908,87 | 646 / 2 |
Kidney & Urinary Tract Infections W/O Mcc | 55 | 178 / 4 | $25.685,80 | 2008 / 5 | $9.435,75 | 2365 / 6 | $6.005,40 | 2354 / 4 |
Renal Failure W Mcc | 55 | 140 / 3 | $71.700,60 | 1913 / 6 | $22.086,00 | 2110 / 6 | $16.685,10 | 2106 / 6 |
Red Blood Cell Disorders W/O Mcc | 52 | 91 / 3 | $53.644,20 | 1939 / 7 | $15.461,00 | 1989 / 7 | $12.051,20 | 1980 / 7 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 51 | 115 / 3 | $28.436,90 | 2070 / 7 | $9.152,16 | 2256 / 6 | $5.870,16 | 2248 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 50 | 118 / 2 | $89.841,50 | 1436 / 5 | $24.788,80 | 1567 / 5 | $18.476,60 | 1560 / 5 |
Cellulitis W/O Mcc | 49 | 140 / 3 | $33.972,30 | 2271 / 7 | $11.106,70 | 2391 / 6 | $7.093,08 | 2383 / 5 |
Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 4 | $33.882,70 | 2138 / 6 | $10.856,60 | 2480 / 6 | $7.622,27 | 2471 / 4 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 44 | 32 / 1 | $162.149,00 | 557 / 2 | $41.674,70 | 558 / 2 | $30.500,70 | 558 / 2 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 42 | 27 / 2 | $87.318,30 | 369 / 3 | $26.420,50 | 404 / 3 | $18.837,00 | 403 / 4 |
Kidney Transplant | 41 | 61 / 2 | $228.924,00 | 124 / 2 | $44.022,00 | 153 / 2 | $31.509,70 | 153 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 4 | $60.683,20 | 1877 / 6 | $13.093,00 | 1928 / 5 | $9.220,10 | 1924 / 5 |
Heart Failure & Shock W Cc | 40 | 238 / 6 | $38.119,50 | 2269 / 7 | $11.621,70 | 2524 / 6 | $8.499,12 | 2518 / 5 |
Degenerative Nervous System Disorders W/O Mcc | 37 | 41 / 2 | $35.844,70 | 608 / 4 | $12.693,40 | 762 / 4 | $8.668,00 | 762 / 3 |
G.I. Hemorrhage W Mcc | 36 | 85 / 2 | $82.089,80 | 1454 / 7 | $22.597,00 | 1607 / 6 | $17.895,30 | 1597 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 36 | 90 / 5 | $56.802,00 | 1572 / 7 | $16.660,60 | 1691 / 6 | $12.772,80 | 1687 / 6 |
Syncope & Collapse | 35 | 134 / 3 | $24.255,40 | 1183 / 5 | $8.128,23 | 1682 / 6 | $6.014,83 | 1674 / 4 |
Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 3 | $58.726,30 | 2081 / 6 | $16.740,30 | 2220 / 6 | $11.472,20 | 2214 / 5 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 34 | 36 / 1 | $43.627,20 | 490 / 3 | $11.430,10 | 459 / 3 | $7.828,94 | 459 / 3 |
Signs & Symptoms W/O Mcc | 33 | 58 / 2 | $20.668,30 | 686 / 2 | $8.379,27 | 991 / 4 | $4.894,27 | 988 / 2 |
Disorders Of Pancreas Except Malignancy W Cc | 33 | 28 / 1 | $27.103,10 | 543 / 2 | $10.454,20 | 822 / 3 | $7.236,94 | 819 / 2 |
Major Chest Procedures W/O Cc/Mcc | 32 | 30 / 1 | $61.521,70 | 181 / 2 | $17.909,40 | 159 / 3 | $11.674,10 | 159 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 32 | 70 / 3 | $43.359,30 | 1409 / 5 | $9.813,88 | 1530 / 5 | $7.234,81 | 1526 / 5 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 31 | 12 / 1 | $118.870,00 | 121 / 2 | $34.178,20 | 116 / 2 | $24.260,10 | 116 / 2 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 31 | 17 / 1 | $61.006,80 | 189 / 1 | $15.116,00 | 192 / 1 | $11.558,90 | 191 / 1 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 30 | 36 / 1 | $71.838,80 | 414 / 1 | $20.499,00 | 458 / 2 | $13.872,80 | 455 / 2 |
Seizures W/O Mcc | 30 | 78 / 3 | $33.429,90 | 1035 / 6 | $9.630,33 | 1157 / 6 | $6.650,67 | 1155 / 6 |
Multiple Sclerosis & Cerebellar Ataxia W Cc | 30 | 1 / 1 | $48.910,70 | 17 / 1 | $12.741,00 | 18 / 1 | $8.672,30 | 18 / 1 |
Multiple Sclerosis & Cerebellar Ataxia W/O Cc/Mcc | 30 | 2 / 1 | $40.937,00 | 17 / 1 | $9.852,30 | 12 / 1 | $5.621,03 | 12 / 1 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 29 | 45 / 1 | $82.049,60 | 175 / 2 | $23.153,70 | 225 / 3 | $18.622,80 | 224 / 3 |
Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 2 | $86.898,90 | 1935 / 6 | $22.291,40 | 1948 / 6 | $15.576,20 | 1944 / 6 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 28 | 70 / 2 | $225.871,00 | 457 / 3 | $60.100,70 | 496 / 3 | $48.891,00 | 496 / 3 |
Disorders Of The Biliary Tract W Cc | 27 | 27 / 1 | $34.405,70 | 267 / 3 | $11.311,00 | 403 / 3 | $8.511,30 | 403 / 3 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 27 | 54 / 2 | $857.327,00 | 417 / 4 | $232.277,00 | 442 / 4 | $207.616,00 | 441 / 4 |
Major Chest Procedures W Cc | 27 | 47 / 1 | $75.936,40 | 311 / 1 | $24.030,10 | 397 / 3 | $18.856,30 | 395 / 2 |
Cervical Spinal Fusion W Cc | 27 | 26 / 1 | $120.175,00 | 319 / 1 | $31.061,60 | 358 / 2 | $25.162,40 | 357 / 1 |
Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 4 | $34.507,20 | 1716 / 4 | $12.339,80 | 2324 / 5 | $9.580,69 | 2316 / 5 |
Other Digestive System Diagnoses W Mcc | 25 | 37 / 2 | $77.914,30 | 671 / 2 | $21.245,20 | 706 / 2 | $16.406,10 | 705 / 2 |
Major Small & Large Bowel Procedures W Cc | 25 | 83 / 3 | $99.225,60 | 1207 / 4 | $28.602,90 | 1449 / 5 | $22.420,70 | 1435 / 5 |
Chest Pain | 25 | 126 / 4 | $15.727,40 | 563 / 3 | $6.755,96 | 1432 / 4 | $4.873,52 | 1424 / 3 |
Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 5 | $35.044,40 | 1913 / 7 | $10.356,70 | 2230 / 6 | $7.943,68 | 2223 / 5 |
Other Vascular Procedures W Cc | 24 | 78 / 3 | $97.560,20 | 822 / 3 | $25.908,30 | 1040 / 4 | $21.968,00 | 1035 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 5 | $41.014,50 | 2064 / 5 | $12.128,80 | 2318 / 6 | $8.749,46 | 2308 / 5 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 24 | 31 / 1 | $119.313,00 | 174 / 3 | $29.388,40 | 183 / 3 | $24.942,90 | 183 / 2 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 24 | 29 / 2 | $84.883,00 | 292 / 2 | $22.447,80 | 291 / 2 | $15.292,80 | 292 / 2 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 24 | 40 / 3 | $64.379,20 | 608 / 3 | $18.748,80 | 628 / 4 | $11.730,70 | 628 / 3 |
Heart Failure & Shock W Mcc | 24 | 260 / 7 | $81.553,60 | 2467 / 7 | $20.481,50 | 2536 / 6 | $15.120,10 | 2525 / 6 |
Disorders Of The Biliary Tract W Mcc | 23 | 16 / 1 | $95.832,90 | 237 / 2 | $23.436,30 | 250 / 2 | $17.596,60 | 250 / 2 |
Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim | 23 | 6 / 1 | $107.833,00 | 69 / 1 | $25.227,30 | 67 / 1 | $20.062,70 | 67 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 4 | $274.031,00 | 1471 / 5 | $74.051,20 | 1562 / 4 | $58.805,90 | 1552 / 4 |
Complications Of Treatment W Cc | 22 | 30 / 1 | $60.374,50 | 350 / 2 | $13.234,00 | 323 / 2 | $9.211,18 | 323 / 2 |
Skin Graft For Skin Ulcer Or Cellulitis W Cc | 22 | 1 / 1 | $103.143,00 | 2 / 1 | $29.635,50 | 2 / 1 | $21.516,80 | 2 / 1 |
Peripheral Vascular Disorders W Cc | 22 | 62 / 2 | $42.205,10 | 1044 / 5 | $12.193,60 | 1091 / 4 | $8.036,23 | 1088 / 3 |
Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 2 | $244.316,00 | 1155 / 5 | $64.202,00 | 1209 / 5 | $46.098,40 | 1206 / 4 |
Headaches W/O Mcc | 22 | 21 / 1 | $22.016,70 | 121 / 1 | $8.201,27 | 175 / 2 | $4.793,73 | 175 / 1 |
Pancreas, Liver & Shunt Procedures W Mcc | 21 | 22 / 1 | $192.143,00 | 80 / 2 | $56.932,60 | 76 / 2 | $47.492,50 | 76 / 2 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 21 | 32 / 1 | $31.738,00 | 235 / 3 | $12.914,50 | 255 / 2 | $7.504,62 | 255 / 2 |
Other Skin, Subcut Tiss & Breast Proc W Cc | 21 | 4 / 1 | $87.775,00 | 92 / 2 | $19.873,90 | 98 / 2 | $14.276,00 | 98 / 2 |
Medical Back Problems W/O Mcc | 21 | 100 / 3 | $25.822,00 | 861 / 3 | $10.076,00 | 1252 / 4 | $6.302,43 | 1248 / 4 |
Other Circulatory System Diagnoses W Mcc | 21 | 95 / 4 | $92.638,50 | 1227 / 6 | $26.386,00 | 1279 / 6 | $17.857,00 | 1271 / 5 |
Pancreas, Liver & Shunt Procedures W Cc | 20 | 35 / 1 | $97.524,20 | 86 / 1 | $28.139,20 | 70 / 2 | $20.717,80 | 70 / 2 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 2 | $24.514,70 | 650 / 3 | $10.287,50 | 1151 / 6 | $7.145,85 | 1147 / 3 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 20 | 24 / 2 | $87.327,10 | 260 / 1 | $26.334,10 | 373 / 2 | $23.104,80 | 371 / 2 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 20 | 44 / 2 | $531.764,00 | 521 / 4 | $153.743,00 | 558 / 4 | $133.369,00 | 557 / 4 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 20 | 71 / 2 | $41.661,20 | 269 / 3 | $11.762,80 | 329 / 3 | $9.843,55 | 329 / 2 |
Diabetes W Cc | 19 | 73 / 6 | $25.435,10 | 1014 / 4 | $9.408,42 | 1349 / 4 | $6.514,47 | 1344 / 3 |
Other Circulatory System O.R. Procedures | 19 | 36 / 2 | $114.646,00 | 358 / 3 | $30.769,90 | 388 / 3 | $23.737,90 | 388 / 3 |
G.I. Hemorrhage W/O Cc/Mcc | 19 | 49 / 5 | $22.421,70 | 645 / 4 | $7.950,00 | 871 / 5 | $5.533,84 | 867 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 2 | $64.270,10 | 1317 / 6 | $17.141,90 | 1367 / 5 | $11.539,10 | 1362 / 5 |
Other Kidney & Urinary Tract Diagnoses W Cc | 19 | 84 / 2 | $54.906,00 | 793 / 2 | $13.188,50 | 744 / 2 | $8.501,84 | 744 / 2 |
Respiratory Neoplasms W Cc | 18 | 29 / 2 | $42.994,70 | 353 / 4 | $12.838,20 | 420 / 4 | $9.480,56 | 419 / 3 |
Stomach, Esophageal & Duodenal Proc W Cc | 18 | 32 / 1 | $163.229,00 | 215 / 2 | $40.037,50 | 210 / 2 | $26.546,80 | 210 / 2 |
Revision Of Hip Or Knee Replacement W Cc | 18 | 68 / 1 | $104.573,00 | 472 / 2 | $33.148,20 | 524 / 2 | $23.766,90 | 522 / 2 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 1 | $47.837,10 | 1112 / 3 | $15.441,40 | 1283 / 3 | $10.292,30 | 1278 / 3 |
Disorders Of Pancreas Except Malignancy W Mcc | 18 | 28 / 2 | $58.307,10 | 253 / 2 | $19.642,20 | 300 / 2 | $15.125,70 | 300 / 2 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 2 | $130.063,00 | 1096 / 3 | $31.533,60 | 1106 / 3 | $24.414,40 | 1102 / 3 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 17 | 21 / 1 | $102.314,00 | 154 / 2 | $26.979,00 | 164 / 2 | $20.001,30 | 164 / 2 |
Other O.R. Procedures For Injuries W Cc | 17 | 18 / 1 | $94.750,20 | 155 / 2 | $29.549,60 | 102 / 2 | $14.051,90 | 102 / 1 |
Other O.R. Procedures For Injuries W Mcc | 17 | 20 / 2 | $214.789,00 | 188 / 2 | $61.217,10 | 195 / 2 | $50.920,70 | 195 / 2 |
Digestive Malignancy W Mcc | 17 | 20 / 1 | $148.359,00 | 149 / 1 | $37.929,50 | 153 / 1 | $28.733,60 | 153 / 1 |
Pulmonary Embolism W/O Mcc | 17 | 57 / 3 | $48.459,60 | 1149 / 5 | $13.345,40 | 1120 / 5 | $7.356,35 | 1117 / 4 |
Pancreas, Liver & Shunt Procedures W/O Cc/Mcc | 16 | 13 / 1 | $68.192,50 | 24 / 1 | $19.278,60 | 20 / 1 | $14.449,10 | 20 / 1 |
Respiratory Neoplasms W Mcc | 16 | 36 / 2 | $94.769,20 | 582 / 2 | $30.203,90 | 599 / 2 | $15.812,00 | 596 / 2 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 16 | 26 / 1 | $70.358,90 | 235 / 1 | $20.188,00 | 136 / 1 | $11.058,20 | 136 / 1 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 16 | 24 / 1 | $71.599,30 | 285 / 2 | $18.755,50 | 285 / 2 | $11.741,20 | 285 / 2 |
Lymphoma & Non-Acute Leukemia W Mcc | 16 | 20 / 1 | $103.163,00 | 73 / 1 | $30.510,50 | 72 / 2 | $25.444,60 | 72 / 2 |
Transient Ischemia | 16 | 109 / 4 | $21.709,80 | 783 / 3 | $7.760,31 | 1398 / 5 | $5.242,38 | 1391 / 3 |
Nervous System Neoplasms W Mcc | 16 | 32 / 2 | $71.152,40 | 270 / 2 | $15.973,60 | 252 / 2 | $11.139,50 | 252 / 2 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 2 | $292.805,00 | 721 / 2 | $77.832,00 | 756 / 2 | $64.195,10 | 756 / 2 |
Other Vascular Procedures W Mcc | 16 | 81 / 3 | $112.623,00 | 676 / 3 | $33.567,60 | 821 / 3 | $26.193,40 | 818 / 3 |
Digestive Malignancy W Cc | 15 | 32 / 2 | $59.724,40 | 343 / 3 | $17.273,60 | 293 / 3 | $9.237,33 | 291 / 2 |
Other Resp System O.R. Procedures W Cc | 15 | 32 / 2 | $74.546,80 | 265 / 2 | $21.541,50 | 298 / 2 | $16.653,20 | 298 / 2 |
Peripheral Vascular Disorders W Mcc | 15 | 34 / 2 | $55.403,80 | 460 / 3 | $14.376,20 | 446 / 3 | $10.239,10 | 446 / 2 |
Major Chest Procedures W Mcc | 15 | 34 / 1 | $158.352,00 | 219 / 1 | $50.569,50 | 286 / 1 | $41.242,70 | 285 / 1 |
Spinal Procedures W Cc Or Spinal Neurostimulators | 15 | 12 / 1 | $123.139,00 | 37 / 1 | $35.507,50 | 33 / 1 | $24.000,90 | 33 / 1 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 4 | $343.461,00 | 1037 / 5 | $91.526,50 | 1088 / 5 | $70.486,10 | 1087 / 5 |
Amputation For Musculoskeletal Sys & Conn Tissue Dis W Cc | 15 | 5 / 1 | $120.950,00 | 29 / 1 | $26.963,90 | 26 / 1 | $17.025,00 | 26 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 15 | 32 / 2 | $51.353,20 | 330 / 1 | $14.986,90 | 461 / 1 | $11.780,90 | 461 / 2 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 3 | $146.006,00 | 1764 / 6 | $31.875,90 | 1813 / 6 | $25.108,70 | 1799 / 6 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 15 | 40 / 2 | $88.557,20 | 543 / 3 | $20.961,60 | 586 / 3 | $16.371,80 | 582 / 3 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 3 | $17.738,30 | 984 / 4 | $8.137,27 | 1772 / 5 | $5.483,87 | 1764 / 4 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 15 | 23 / 1 | $23.458,10 | 313 / 2 | $8.749,07 | 337 / 2 | $4.209,13 | 336 / 1 |
Other Resp System O.R. Procedures W Mcc | 14 | 49 / 2 | $201.765,00 | 561 / 2 | $68.325,40 | 571 / 2 | $37.349,20 | 570 / 2 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 4 | $22.893,00 | 948 / 4 | $7.362,93 | 1188 / 4 | $4.779,21 | 1185 / 4 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 3 | $77.451,30 | 647 / 2 | $20.856,40 | 721 / 4 | $16.394,00 | 717 / 3 |
Complications Of Treatment W Mcc | 14 | 37 / 2 | $87.196,20 | 274 / 2 | $24.058,10 | 227 / 2 | $14.485,40 | 227 / 2 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 14 | 17 / 2 | $49.151,40 | 152 / 2 | $14.147,10 | 161 / 2 | $9.472,36 | 161 / 2 |
Other Circulatory System Diagnoses W Cc | 14 | 52 / 3 | $40.472,80 | 545 / 3 | $12.221,10 | 583 / 3 | $8.125,79 | 582 / 2 |
Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 14 | 13 / 2 | $45.855,70 | 36 / 2 | $11.937,60 | 17 / 2 | $6.041,14 | 17 / 1 |
Other Disorders Of Nervous System W/O Cc/Mcc | 13 | 22 / 1 | $43.952,00 | 142 / 2 | $8.118,08 | 101 / 2 | $4.743,85 | 101 / 1 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 3 | $103.836,00 | 1671 / 5 | $29.214,50 | 1801 / 5 | $23.088,80 | 1785 / 5 |
Periph/Cranial Nerve & Other Nerv Syst Proc W Mcc | 13 | 12 / 1 | $160.072,00 | 45 / 1 | $52.351,50 | 43 / 1 | $30.126,90 | 43 / 1 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 13 | 16 / 2 | $21.419,30 | 43 / 1 | $8.597,62 | 84 / 2 | $5.914,62 | 84 / 2 |
Hiv W Major Related Condition W Mcc | 12 | 25 / 2 | $65.894,20 | 33 / 1 | $26.324,90 | 54 / 2 | $23.385,80 | 54 / 2 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 4 | $301.707,00 | 922 / 5 | $76.576,90 | 979 / 5 | $62.740,70 | 978 / 5 |
Complications Of Treatment W/O Cc/Mcc | 12 | 9 / 1 | $51.920,30 | 30 / 2 | $9.612,58 | 25 / 2 | $6.825,92 | 25 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 4 | $40.779,30 | 834 / 3 | $13.732,20 | 740 / 4 | $7.497,75 | 738 / 2 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 3 | $21.015,80 | 513 / 3 | $8.216,33 | 500 / 3 | $4.460,50 | 499 / 1 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 3 | $36.760,40 | 331 / 4 | $9.204,08 | 281 / 4 | $5.394,58 | 281 / 3 |
Other Digestive System O.R. Procedures W Mcc | 12 | 17 / 2 | $239.788,00 | 110 / 2 | $82.212,70 | 111 / 2 | $46.322,00 | 111 / 2 |
Diabetes W Mcc | 12 | 45 / 3 | $36.455,50 | 406 / 1 | $13.689,20 | 639 / 1 | $11.375,50 | 638 / 1 |
Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 4 | $82.696,90 | 1743 / 3 | $20.544,30 | 1741 / 4 | $14.311,80 | 1722 / 3 |
Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc | 11 | 13 / 1 | $62.138,60 | 30 / 1 | $17.598,50 | 27 / 1 | $12.984,00 | 27 / 1 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 11 | 29 / 3 | $60.306,60 | 108 / 2 | $16.159,50 | 88 / 3 | $9.847,45 | 88 / 1 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W/O Mcc | 11 | 13 / 1 | $71.174,40 | 4 / 1 | $30.742,50 | 19 / 1 | $25.175,10 | 19 / 1 |
Nonspecific Cerebrovascular Disorders W/O Cc/Mcc | 11 | 10 / 1 | $34.182,30 | 38 / 1 | $8.250,27 | 37 / 1 | $5.887,55 | 37 / 1 |
Nervous System Neoplasms W/O Mcc | 11 | 19 / 2 | $33.420,90 | 47 / 1 | $10.468,90 | 77 / 2 | $8.108,64 | 77 / 2 |
Hypertension W/O Mcc | 11 | 54 / 4 | $24.924,20 | 536 / 5 | $7.623,91 | 649 / 4 | $4.769,36 | 647 / 2 |
G.I. Obstruction W Cc | 11 | 81 / 5 | $31.909,70 | 1259 / 4 | $10.191,20 | 1573 / 4 | $7.183,82 | 1568 / 4 |
Skin Graft For Skin Ulcer Or Cellulitis W Mcc | 11 | 11 / 2 | $133.607,00 | 18 / 1 | $39.747,20 | 21 / 2 | $32.452,60 | 21 / 2 | Total 137 procedures | 3.657 | 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.