Hospital Costs > In Maryland > Medstar Harbor 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 | 183 | 381 / 19 | $28.231,70 | 165 / 33 | $26.217,60 | 2656 / 33 | $22.918,20 | 2610 / 33 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 179 | 337 / 20 | $20.342,30 | 276 / 25 | $18.811,10 | 2663 / 25 | $17.326,40 | 2618 / 25 |
Heart Failure & Shock W Cc | 95 | 183 / 28 | $9.447,08 | 99 / 26 | $8.638,40 | 2441 / 23 | $7.946,53 | 2435 / 29 |
Chronic Obstructive Pulmonary Disease W Cc | 67 | 112 / 23 | $9.823,69 | 88 / 27 | $9.107,19 | 2252 / 27 | $8.117,52 | 2245 / 29 |
Pulmonary Edema & Respiratory Failure | 63 | 140 / 20 | $13.881,20 | 97 / 10 | $12.800,10 | 2138 / 10 | $12.160,10 | 2132 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 62 | 145 / 21 | $11.145,40 | 95 / 24 | $9.994,06 | 2261 / 21 | $8.366,85 | 2252 / 18 |
Chronic Obstructive Pulmonary Disease W Mcc | 61 | 141 / 21 | $11.007,80 | 76 / 16 | $10.213,10 | 2197 / 16 | $8.828,10 | 2189 / 13 |
Cellulitis W/O Mcc | 61 | 128 / 25 | $9.898,38 | 232 / 36 | $9.167,67 | 2506 / 36 | $8.105,69 | 2498 / 38 |
Heart Failure & Shock W Mcc | 61 | 223 / 29 | $13.931,80 | 108 / 28 | $12.862,20 | 2304 / 28 | $11.870,90 | 2294 / 28 |
Spinal Fusion Except Cervical W/O Mcc | 52 | 142 / 15 | $61.990,40 | 244 / 27 | $57.246,20 | 1360 / 27 | $54.846,40 | 1355 / 28 |
Simple Pneumonia & Pleurisy W Cc | 51 | 152 / 28 | $9.927,61 | 106 / 27 | $9.272,14 | 2473 / 27 | $7.578,41 | 2464 / 23 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 47 | 228 / 33 | $8.438,40 | 121 / 34 | $7.792,40 | 2541 / 34 | $6.843,30 | 2526 / 35 |
Kidney & Urinary Tract Infections W/O Mcc | 44 | 189 / 33 | $8.563,84 | 160 / 34 | $7.946,39 | 2518 / 35 | $6.846,95 | 2507 / 34 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 35 | 85 / 19 | $8.300,91 | 109 / 32 | $7.739,63 | 1977 / 33 | $6.506,60 | 1966 / 32 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 26 | $7.971,68 | 37 / 21 | $7.360,53 | 1940 / 19 | $6.510,65 | 1935 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 33 | $8.116,55 | 157 / 29 | $7.493,76 | 2384 / 29 | $6.651,09 | 2375 / 27 |
Renal Failure W Cc | 31 | 190 / 31 | $11.044,50 | 150 / 35 | $10.234,70 | 2311 / 34 | $9.129,55 | 2301 / 35 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 32 | $12.202,50 | 62 / 29 | $11.260,30 | 1985 / 29 | $10.292,90 | 1981 / 29 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 19 | $13.173,80 | 26 / 11 | $12.197,00 | 1294 / 11 | $11.495,80 | 1284 / 12 |
Diabetes W Cc | 24 | 68 / 22 | $10.543,60 | 98 / 30 | $9.779,00 | 1551 / 31 | $8.945,50 | 1546 / 31 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 26 | $12.746,90 | 81 / 30 | $11.762,30 | 1626 / 29 | $10.944,50 | 1623 / 31 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 29 | $6.494,87 | 38 / 19 | $6.070,83 | 1659 / 19 | $4.871,91 | 1646 / 18 |
Syncope & Collapse | 22 | 147 / 27 | $9.614,45 | 91 / 35 | $8.874,50 | 1856 / 35 | $7.994,50 | 1848 / 37 |
Renal Failure W Mcc | 20 | 175 / 23 | $19.985,90 | 229 / 35 | $18.512,00 | 2117 / 35 | $17.235,80 | 2113 / 35 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 28 | $11.403,10 | 182 / 37 | $10.587,30 | 1945 / 37 | $9.427,10 | 1936 / 36 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 20 | $10.693,20 | 40 / 23 | $9.940,50 | 1314 / 23 | $8.663,40 | 1310 / 22 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 21 | $25.903,70 | 74 / 28 | $23.879,20 | 1780 / 28 | $23.039,60 | 1766 / 28 |
Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 22 | $8.490,58 | 18 / 16 | $8.004,16 | 928 / 16 | $6.459,68 | 926 / 13 |
Seizures W/O Mcc | 19 | 89 / 26 | $8.580,89 | 43 / 26 | $7.991,53 | 1171 / 27 | $6.788,26 | 1169 / 25 |
Signs & Symptoms W/O Mcc | 18 | 73 / 24 | $9.630,00 | 80 / 34 | $8.886,11 | 1291 / 34 | $8.146,56 | 1288 / 34 |
G.I. Obstruction W Cc | 18 | 74 / 22 | $9.972,22 | 56 / 28 | $9.374,44 | 1627 / 30 | $7.923,94 | 1622 / 27 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 31 | $7.027,00 | 81 / 33 | $6.501,88 | 1903 / 33 | $5.493,18 | 1897 / 33 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 25 | $58.541,90 | 92 / 28 | $53.954,10 | 1518 / 28 | $52.689,10 | 1508 / 29 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 12 | $8.124,50 | 40 / 16 | $7.503,88 | 845 / 16 | $6.521,88 | 844 / 17 |
Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 9 | $18.482,20 | 82 / 14 | $17.136,80 | 950 / 15 | $15.303,90 | 947 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 16 | 152 / 31 | $24.738,80 | 196 / 34 | $22.804,60 | 1610 / 34 | $22.045,50 | 1603 / 34 |
G.I. Hemorrhage W Cc | 16 | 202 / 39 | $9.943,50 | 44 / 21 | $9.179,50 | 2173 / 21 | $8.201,50 | 2169 / 20 |
Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 33 | $11.530,60 | 26 / 7 | $10.847,70 | 1469 / 9 | $8.621,07 | 1469 / 1 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 27 | $12.949,50 | 147 / 30 | $12.028,40 | 1871 / 31 | $10.933,20 | 1867 / 29 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 14 | 77 / 6 | $9.925,64 | 13 / 6 | $9.146,79 | 284 / 6 | $8.973,07 | 284 / 6 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 11 | $57.334,20 | 30 / 18 | $52.835,30 | 987 / 18 | $51.879,90 | 986 / 18 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 22 | $43.884,90 | 271 / 32 | $40.811,90 | 1536 / 32 | $34.199,70 | 1522 / 30 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 26 | $23.142,20 | 57 / 27 | $21.334,10 | 2022 / 27 | $20.561,60 | 2000 / 28 |
Postoperative & Post-Traumatic Infections W/O Mcc | 13 | 41 / 9 | $10.877,20 | 18 / 9 | $10.021,80 | 432 / 9 | $9.928,31 | 432 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 24 | $7.902,46 | 18 / 17 | $7.302,23 | 1449 / 17 | $6.182,23 | 1445 / 17 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 18 | $14.762,40 | 40 / 13 | $13.742,50 | 919 / 13 | $12.357,00 | 915 / 12 |
Cervical Spinal Fusion W/O Cc/Mcc | 13 | 91 / 11 | $43.029,20 | 247 / 17 | $39.931,80 | 881 / 17 | $35.515,30 | 878 / 17 |
Chest Pain | 13 | 138 / 27 | $7.839,85 | 70 / 35 | $7.237,08 | 1612 / 33 | $6.491,23 | 1603 / 35 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 16 | $51.588,60 | 37 / 23 | $47.540,10 | 1214 / 23 | $46.705,60 | 1211 / 23 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 10 | $40.841,20 | 49 / 11 | $37.894,20 | 507 / 11 | $33.697,80 | 506 / 11 |
Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 10 | $42.036,80 | 35 / 14 | $39.639,80 | 611 / 15 | $27.547,20 | 609 / 11 |
Bone Diseases & Arthropathies W/O Mcc | 12 | 32 / 16 | $11.812,40 | 68 / 31 | $10.897,80 | 286 / 31 | $10.089,80 | 286 / 31 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 19 | $10.285,90 | 32 / 19 | $9.483,25 | 781 / 19 | $9.083,25 | 781 / 22 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 20 | $13.738,20 | 61 / 23 | $12.675,90 | 1375 / 23 | $11.665,20 | 1370 / 24 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 18 | $9.496,82 | 29 / 25 | $8.766,00 | 871 / 25 | $7.890,36 | 868 / 25 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 10 | $33.704,00 | 15 / 11 | $31.056,70 | 513 / 11 | $30.623,30 | 512 / 11 |
Transient Ischemia | 11 | 114 / 33 | $7.716,91 | 28 / 19 | $7.128,64 | 1526 / 18 | $6.139,55 | 1518 / 19 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 8 | $36.794,20 | 33 / 11 | $34.060,80 | 472 / 11 | $30.167,10 | 472 / 11 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 18 | $8.022,82 | 34 / 20 | $7.410,55 | 728 / 20 | $6.418,55 | 726 / 20 | Total 59 procedures | 1.834 | 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.