Hospital Costs > In Maryland > Medstar Good Samaritan Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Rehabilitation W Cc/Mcc | 739 | 2 / 2 | $20.397,80 | 11 / 5 | $18.874,90 | 15 / 5 | $17.467,10 | 15 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 284 | 234 / 9 | $18.438,70 | 198 / 20 | $17.021,60 | 2592 / 20 | $16.112,80 | 2547 / 19 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 274 | 293 / 14 | $32.728,50 | 343 / 38 | $30.519,50 | 2673 / 38 | $25.192,50 | 2627 / 36 |
| Heart Failure & Shock W Cc | 184 | 96 / 12 | $9.535,15 | 106 / 28 | $8.857,86 | 2384 / 28 | $7.714,08 | 2378 / 22 |
| Heart Failure & Shock W Mcc | 180 | 104 / 3 | $12.931,00 | 79 / 21 | $11.963,90 | 2160 / 21 | $11.054,20 | 2150 / 21 |
| Rehabilitation W/O Cc/Mcc | 148 | 7 / 3 | $14.511,10 | 9 / 4 | $13.410,20 | 14 / 4 | $12.649,30 | 14 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 125 | 150 / 17 | $6.469,45 | 31 / 9 | $6.055,24 | 1932 / 9 | $4.652,50 | 1918 / 5 |
| Renal Failure W Cc | 100 | 121 / 12 | $9.045,62 | 48 / 14 | $8.377,47 | 2079 / 14 | $7.385,44 | 2069 / 15 |
| Pulmonary Edema & Respiratory Failure | 91 | 112 / 14 | $18.285,40 | 308 / 27 | $16.889,70 | 2221 / 27 | $15.876,70 | 2215 / 27 |
| Kidney & Urinary Tract Infections W/O Mcc | 87 | 146 / 25 | $7.754,93 | 99 / 28 | $7.184,11 | 2411 / 28 | $6.193,20 | 2400 / 26 |
| Chronic Obstructive Pulmonary Disease W Cc | 84 | 95 / 17 | $8.254,37 | 27 / 6 | $7.638,76 | 1922 / 6 | $6.447,75 | 1915 / 5 |
| Renal Failure W Mcc | 82 | 113 / 3 | $15.304,00 | 74 / 17 | $14.164,60 | 1899 / 17 | $12.698,10 | 1895 / 14 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 76 | 50 / 4 | $8.773,88 | 10 / 6 | $8.105,01 | 1056 / 6 | $7.242,84 | 1053 / 3 |
| Other Circulatory System Diagnoses W Mcc | 72 | 44 / 2 | $18.415,60 | 34 / 18 | $16.987,10 | 1211 / 18 | $16.085,10 | 1203 / 19 |
| Simple Pneumonia & Pleurisy W Cc | 71 | 132 / 25 | $9.517,92 | 82 / 23 | $8.846,07 | 2438 / 23 | $7.427,10 | 2429 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 69 | 97 / 19 | $7.913,84 | 137 / 26 | $7.337,84 | 2313 / 26 | $6.174,20 | 2305 / 22 |
| Syncope & Collapse | 67 | 102 / 15 | $6.768,78 | 13 / 12 | $6.277,15 | 1541 / 12 | $5.285,19 | 1534 / 14 |
| Other Vascular Procedures W Mcc | 62 | 35 / 1 | $26.448,40 | 9 / 8 | $24.405,60 | 700 / 9 | $23.646,50 | 697 / 10 |
| G.I. Hemorrhage W Cc | 62 | 156 / 23 | $8.976,79 | 24 / 14 | $8.313,61 | 1998 / 14 | $7.258,98 | 1994 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 62 | 140 / 20 | $10.337,30 | 48 / 9 | $9.605,73 | 2141 / 9 | $8.502,95 | 2133 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 61 | 146 / 22 | $10.829,70 | 86 / 21 | $10.028,60 | 2326 / 22 | $8.808,66 | 2316 / 22 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 57 | 67 / 6 | $44.097,30 | 35 / 20 | $40.806,60 | 1128 / 20 | $37.436,00 | 1120 / 18 |
| Kidney & Urinary Tract Infections W Mcc | 55 | 89 / 6 | $9.073,62 | 31 / 14 | $8.398,47 | 1444 / 15 | $7.456,65 | 1440 / 12 |
| Bone Diseases & Arthropathies W/O Mcc | 53 | 5 / 1 | $9.691,94 | 41 / 22 | $8.944,64 | 269 / 22 | $8.122,91 | 269 / 24 |
| Simple Pneumonia & Pleurisy W Mcc | 53 | 152 / 15 | $11.834,50 | 31 / 11 | $10.920,10 | 1972 / 11 | $10.011,20 | 1972 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 51 | 110 / 20 | $7.923,00 | 35 / 19 | $7.427,18 | 1885 / 21 | $6.186,39 | 1880 / 18 |
| Cellulitis W/O Mcc | 51 | 138 / 28 | $8.368,27 | 118 / 23 | $7.767,06 | 2318 / 23 | $6.616,35 | 2310 / 24 |
| Red Blood Cell Disorders W/O Mcc | 49 | 94 / 16 | $8.505,75 | 51 / 22 | $7.849,22 | 1830 / 22 | $7.162,20 | 1821 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 48 | 134 / 24 | $9.952,62 | 25 / 18 | $9.186,46 | 1812 / 18 | $8.279,12 | 1808 / 19 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 45 | 143 / 16 | $11.236,20 | 14 / 12 | $10.474,40 | 1460 / 13 | $8.774,09 | 1457 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 43 | 125 / 18 | $18.214,30 | 59 / 24 | $16.833,30 | 1479 / 24 | $15.491,90 | 1472 / 24 |
| Transient Ischemia | 42 | 83 / 18 | $7.341,74 | 24 / 16 | $6.844,79 | 1486 / 16 | $5.759,33 | 1478 / 17 |
| Heart Failure & Shock W/O Cc/Mcc | 42 | 68 / 17 | $6.061,86 | 26 / 17 | $5.600,62 | 1624 / 17 | $4.779,74 | 1611 / 17 |
| Respiratory Infections & Inflammations W Mcc | 41 | 95 / 5 | $19.645,70 | 93 / 17 | $18.155,50 | 1688 / 17 | $16.797,70 | 1672 / 17 |
| Chest Pain | 41 | 110 / 15 | $6.181,66 | 26 / 17 | $5.744,98 | 1431 / 17 | $4.873,00 | 1423 / 17 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 40 | 91 / 9 | $24.100,30 | 50 / 22 | $22.371,80 | 1660 / 22 | $19.825,50 | 1646 / 16 |
| Seizures W/O Mcc | 40 | 68 / 12 | $7.003,85 | 17 / 13 | $6.479,35 | 1009 / 12 | $5.597,45 | 1007 / 13 |
| Signs & Symptoms W/O Mcc | 39 | 52 / 15 | $8.167,79 | 45 / 23 | $7.542,18 | 1231 / 23 | $6.643,72 | 1228 / 23 |
| Medical Back Problems W/O Mcc | 37 | 84 / 16 | $8.049,78 | 25 / 18 | $7.482,22 | 1208 / 18 | $6.054,11 | 1204 / 14 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 37 | 59 / 7 | $9.906,87 | 16 / 9 | $9.140,62 | 1060 / 9 | $8.424,51 | 1055 / 9 |
| G.I. Hemorrhage W Mcc | 36 | 85 / 11 | $15.877,70 | 30 / 17 | $14.647,90 | 1397 / 17 | $13.837,00 | 1387 / 18 |
| Other Vascular Procedures W Cc | 35 | 67 / 8 | $26.872,80 | 26 / 20 | $24.908,50 | 1062 / 20 | $22.901,30 | 1057 / 19 |
| Diabetes W Cc | 34 | 58 / 15 | $6.563,24 | 10 / 7 | $6.188,71 | 910 / 7 | $4.928,26 | 906 / 5 |
| Red Blood Cell Disorders W Mcc | 33 | 38 / 5 | $11.914,50 | 33 / 20 | $11.074,20 | 928 / 20 | $10.127,70 | 924 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 12 | $11.260,40 | 32 / 14 | $10.512,70 | 1626 / 16 | $9.384,84 | 1623 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 24 | $5.425,56 | 24 / 17 | $5.105,25 | 1636 / 18 | $3.843,38 | 1630 / 16 |
| Hypertension W/O Mcc | 32 | 33 / 2 | $6.557,06 | 26 / 16 | $5.604,75 | 612 / 11 | $4.476,75 | 610 / 12 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 31 | 94 / 15 | $19.353,80 | 142 / 29 | $17.845,00 | 1746 / 29 | $17.028,50 | 1733 / 29 |
| Respiratory Infections & Inflammations W Cc | 31 | 57 / 12 | $10.465,70 | 14 / 6 | $9.717,81 | 974 / 7 | $8.566,90 | 969 / 7 |
| Spinal Fusion Except Cervical W/O Mcc | 30 | 164 / 20 | $45.361,00 | 75 / 16 | $41.937,20 | 1329 / 16 | $39.493,40 | 1324 / 18 |
| Degenerative Nervous System Disorders W/O Mcc | 28 | 50 / 13 | $7.572,18 | 3 / 3 | $6.991,96 | 514 / 3 | $6.170,86 | 514 / 7 |
| Organic Disturbances & Mental Retardation | 28 | 31 / 7 | $7.211,82 | 4 / 4 | $6.660,86 | 228 / 4 | $5.798,00 | 228 / 4 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 28 | 44 / 2 | $13.616,00 | 20 / 7 | $12.692,00 | 749 / 7 | $10.280,10 | 747 / 5 |
| Peripheral Vascular Disorders W Cc | 27 | 57 / 9 | $11.362,10 | 64 / 24 | $10.531,80 | 1192 / 24 | $9.527,78 | 1189 / 25 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 27 | 97 / 10 | $6.783,19 | 54 / 15 | $6.259,11 | 704 / 15 | $5.745,93 | 703 / 16 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 23 | $7.200,37 | 55 / 19 | $6.746,41 | 1832 / 20 | $5.492,78 | 1821 / 14 |
| Seizures W Mcc | 27 | 39 / 6 | $11.093,50 | 9 / 8 | $10.292,60 | 232 / 8 | $8.510,11 | 232 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 26 | 67 / 3 | $20.874,40 | 12 / 9 | $19.296,00 | 818 / 9 | $18.411,70 | 810 / 9 |
| Bronchitis & Asthma W Cc/Mcc | 25 | 51 / 12 | $8.190,68 | 25 / 14 | $7.562,52 | 918 / 14 | $6.697,24 | 914 / 17 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 25 | 31 / 3 | $15.427,40 | 14 / 10 | $14.348,00 | 417 / 10 | $12.407,60 | 416 / 9 |
| Pulmonary Embolism W/O Mcc | 24 | 50 / 16 | $10.015,10 | 33 / 19 | $9.366,25 | 1184 / 19 | $8.131,46 | 1181 / 19 |
| G.I. Obstruction W Cc | 23 | 69 / 18 | $8.359,48 | 23 / 19 | $7.841,48 | 1425 / 20 | $6.334,30 | 1420 / 18 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 21 | $11.053,50 | 47 / 24 | $10.324,20 | 1254 / 24 | $8.187,78 | 1252 / 23 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 22 | 41 / 5 | $39.269,80 | 9 / 9 | $36.250,40 | 536 / 9 | $34.484,10 | 536 / 7 |
| Respiratory Signs & Symptoms | 21 | 25 / 3 | $6.521,10 | 4 / 3 | $6.023,43 | 234 / 3 | $5.217,33 | 234 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 14 | $13.827,00 | 28 / 11 | $12.745,90 | 915 / 11 | $12.328,00 | 911 / 11 |
| Diabetes W Mcc | 21 | 36 / 3 | $12.508,00 | 17 / 6 | $11.603,80 | 574 / 6 | $10.291,00 | 573 / 5 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 20 | 41 / 8 | $5.495,75 | 6 / 5 | $5.076,05 | 642 / 5 | $4.412,05 | 641 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 21 | $7.262,95 | 57 / 24 | $6.709,05 | 1812 / 24 | $5.801,85 | 1804 / 26 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 20 | 51 / 9 | $45.498,30 | 14 / 10 | $42.067,80 | 789 / 10 | $40.015,40 | 788 / 10 |
| G.I. Hemorrhage W/O Cc/Mcc | 20 | 48 / 16 | $8.786,55 | 66 / 33 | $8.201,05 | 954 / 33 | $6.684,80 | 950 / 29 |
| Disorders Of Pancreas Except Malignancy W Cc | 19 | 42 / 11 | $7.154,58 | 7 / 7 | $6.604,89 | 663 / 7 | $5.904,26 | 660 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 20 | $9.146,05 | 32 / 26 | $8.510,95 | 1534 / 25 | $7.365,84 | 1530 / 25 |
| Other Disorders Of Nervous System W Cc | 19 | 37 / 10 | $7.524,58 | 5 / 4 | $6.980,47 | 356 / 4 | $5.599,37 | 356 / 6 |
| Other Circulatory System O.R. Procedures | 19 | 36 / 4 | $23.795,20 | 9 / 7 | $20.969,50 | 244 / 6 | $18.123,70 | 244 / 5 |
| Cellulitis W Mcc | 18 | 40 / 6 | $10.968,80 | 12 / 4 | $10.121,70 | 582 / 4 | $9.250,61 | 580 / 4 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 18 | 29 / 8 | $6.093,61 | 2 / 2 | $5.694,61 | 239 / 2 | $4.856,67 | 239 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 12 | $63.147,90 | 84 / 26 | $58.187,10 | 1271 / 26 | $57.432,40 | 1268 / 26 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 18 | 58 / 4 | $17.349,70 | 13 / 7 | $16.072,00 | 427 / 7 | $14.903,90 | 427 / 7 |
| Renal Failure W/O Cc/Mcc | 17 | 39 / 16 | $5.826,06 | 16 / 12 | $5.388,94 | 667 / 12 | $4.288,71 | 666 / 10 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 17 | 45 / 13 | $7.850,18 | 30 / 18 | $7.255,65 | 707 / 18 | $6.050,94 | 705 / 18 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 17 | 36 / 12 | $5.995,47 | 11 / 10 | $5.541,53 | 588 / 10 | $4.619,18 | 584 / 10 |
| Other Circulatory System Diagnoses W Cc | 16 | 50 / 11 | $9.151,62 | 15 / 14 | $8.686,69 | 417 / 16 | $6.145,25 | 416 / 8 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 17 | $8.244,62 | 15 / 11 | $7.625,75 | 551 / 11 | $6.591,81 | 551 / 10 |
| Signs & Symptoms W Mcc | 16 | 25 / 11 | $8.144,88 | 2 / 2 | $7.514,19 | 117 / 2 | $6.950,19 | 117 / 2 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 15 | 54 / 8 | $26.310,10 | 8 / 7 | $24.651,40 | 411 / 7 | $19.109,10 | 410 / 3 |
| Peripheral Vascular Disorders W Mcc | 15 | 34 / 10 | $9.903,27 | 5 / 5 | $9.137,27 | 296 / 5 | $8.418,33 | 296 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 17 | $11.611,70 | 46 / 21 | $10.713,60 | 1020 / 21 | $9.875,47 | 1018 / 20 |
| Allergic Reactions W/O Mcc | 15 | 7 / 1 | $5.740,27 | 1 / 1 | $5.392,53 | 18 / 1 | $4.166,47 | 18 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 16 | $6.183,29 | 12 / 11 | $5.716,71 | 713 / 11 | $4.685,86 | 712 / 12 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 22 | $25.433,80 | 23 / 15 | $23.650,60 | 1367 / 15 | $20.192,10 | 1353 / 9 |
| Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 7 | $8.895,50 | 7 / 6 | $8.210,14 | 391 / 6 | $7.433,00 | 391 / 7 |
| Disorders Of Pancreas Except Malignancy W Mcc | 14 | 32 / 4 | $10.553,70 | 2 / 2 | $9.737,50 | 39 / 2 | $8.960,36 | 39 / 2 |
| Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 10 | $32.426,80 | 11 / 10 | $30.162,50 | 589 / 10 | $26.136,30 | 587 / 10 |
| G.I. Obstruction W Mcc | 13 | 29 / 5 | $14.269,20 | 6 / 4 | $13.168,30 | 417 / 4 | $11.986,10 | 417 / 2 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 13 | 51 / 7 | $112.835,00 | 21 / 8 | $104.712,00 | 486 / 8 | $91.398,20 | 485 / 8 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 27 | $28.179,00 | 170 / 34 | $26.066,70 | 2043 / 34 | $23.638,50 | 2021 / 33 |
| Dysequilibrium | 13 | 52 / 15 | $5.463,92 | 5 / 5 | $5.052,08 | 387 / 4 | $4.116,69 | 387 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 9 | $39.994,50 | 45 / 15 | $36.863,20 | 908 / 15 | $35.844,10 | 904 / 15 |
| Disorders Of The Biliary Tract W Cc | 13 | 41 / 9 | $12.933,90 | 21 / 16 | $11.929,50 | 466 / 16 | $11.191,00 | 466 / 16 |
| Hiv W Major Related Condition W Mcc | 13 | 24 / 4 | $29.149,20 | 4 / 1 | $26.876,50 | 63 / 1 | $25.665,50 | 63 / 1 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 12 | $55.764,20 | 29 / 17 | $51.386,60 | 961 / 17 | $50.549,70 | 960 / 17 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 13 | $6.879,33 | 6 / 3 | $6.349,25 | 460 / 3 | $5.749,25 | 460 / 4 |
| Respiratory Neoplasms W Cc | 12 | 35 / 12 | $8.364,83 | 3 / 3 | $7.721,67 | 223 / 3 | $6.919,00 | 222 / 3 |
| Major Cardiovasc Procedures W/O Mcc | 12 | 89 / 21 | $37.581,20 | 20 / 18 | $35.196,90 | 907 / 18 | $28.034,70 | 906 / 12 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 13 | $18.246,70 | 24 / 11 | $16.849,20 | 695 / 11 | $15.784,80 | 694 / 11 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 7 | $7.434,50 | 17 / 15 | $6.868,83 | 328 / 15 | $5.855,50 | 328 / 15 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 14 | $32.337,20 | 66 / 15 | $30.181,80 | 816 / 16 | $25.136,90 | 812 / 14 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 12 | 20 / 3 | $28.541,60 | 13 / 3 | $26.302,60 | 159 / 3 | $25.798,60 | 159 / 3 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 12 | 18 / 3 | $16.677,30 | 3 / 2 | $14.074,00 | 110 / 2 | $11.876,50 | 109 / 2 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 11 | 31 / 4 | $21.151,30 | 13 / 1 | $19.495,60 | 280 / 1 | $18.945,80 | 280 / 1 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 9 | $7.130,09 | 7 / 7 | $6.592,55 | 335 / 7 | $5.385,27 | 334 / 8 |
| Other Resp System O.R. Procedures W Mcc | 11 | 52 / 10 | $26.348,10 | 6 / 5 | $24.435,00 | 323 / 5 | $23.057,50 | 322 / 5 |
| Transurethral Procedures W Cc | 11 | 30 / 6 | $9.750,82 | 4 / 4 | $9.004,27 | 253 / 4 | $7.910,45 | 253 / 4 |
| Peritoneal Adhesiolysis W Cc | 11 | 28 / 10 | $23.512,50 | 7 / 6 | $21.677,50 | 271 / 6 | $20.796,00 | 271 / 7 |
| Acute Adjustment Reaction & Psychosocial Dysfunction | 11 | 19 / 3 | $9.248,45 | 5 / 3 | $8.528,36 | 77 / 3 | $8.086,18 | 77 / 3 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 20 | $6.354,27 | 26 / 22 | $5.875,45 | 1186 / 22 | $4.778,73 | 1183 / 23 | Total 117 procedures | 5.326 | 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.