Hospital Costs > In Maryland > Medstar Montgomery Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Psychoses | 194 | 122 / 18 | $6.870,62 | 7 / 3 | $6.365,51 | 205 / 3 | $5.535,53 | 205 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 163 | 353 / 24 | $14.584,20 | 62 / 1 | $13.528,30 | 1698 / 1 | $11.445,90 | 1665 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 144 | 420 / 25 | $22.559,90 | 34 / 14 | $20.895,20 | 2548 / 14 | $18.608,20 | 2502 / 15 |
| Kidney & Urinary Tract Infections W/O Mcc | 119 | 114 / 15 | $7.212,36 | 60 / 18 | $6.685,02 | 2262 / 18 | $5.637,70 | 2251 / 18 |
| Heart Failure & Shock W Cc | 100 | 178 / 27 | $9.349,40 | 91 / 23 | $8.640,56 | 2413 / 24 | $7.840,95 | 2407 / 25 |
| Simple Pneumonia & Pleurisy W Cc | 84 | 119 / 23 | $8.075,12 | 31 / 8 | $7.489,07 | 2107 / 8 | $6.394,74 | 2099 / 8 |
| Cellulitis W/O Mcc | 78 | 111 / 20 | $9.133,29 | 172 / 30 | $8.433,36 | 2451 / 30 | $7.445,01 | 2443 / 31 |
| Kidney & Urinary Tract Infections W Mcc | 74 | 70 / 2 | $8.618,22 | 19 / 7 | $7.957,42 | 1313 / 6 | $7.043,26 | 1309 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 72 | 203 / 26 | $6.400,69 | 28 / 8 | $5.938,32 | 1937 / 8 | $4.662,22 | 1923 / 7 |
| G.I. Hemorrhage W Cc | 70 | 148 / 19 | $10.286,60 | 57 / 25 | $9.510,37 | 2235 / 25 | $8.645,63 | 2231 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 70 | 137 / 19 | $9.461,59 | 48 / 12 | $8.774,39 | 2122 / 13 | $7.692,69 | 2114 / 11 |
| Heart Failure & Shock W Mcc | 68 | 216 / 27 | $12.180,90 | 57 / 14 | $11.267,50 | 1832 / 14 | $9.799,84 | 1827 / 11 |
| Hip & Femur Procedures Except Major Joint W Cc | 64 | 79 / 7 | $19.708,40 | 26 / 17 | $18.202,60 | 1938 / 17 | $16.925,60 | 1918 / 17 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 63 | 103 / 21 | $7.734,48 | 120 / 24 | $7.201,78 | 2324 / 24 | $6.253,22 | 2315 / 25 |
| Pulmonary Edema & Respiratory Failure | 61 | 142 / 22 | $12.567,20 | 56 / 7 | $11.613,80 | 2059 / 7 | $10.743,80 | 2053 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 54 | 107 / 19 | $7.515,06 | 26 / 15 | $6.969,52 | 1799 / 15 | $5.833,35 | 1794 / 14 |
| Red Blood Cell Disorders W/O Mcc | 50 | 93 / 15 | $8.324,26 | 45 / 21 | $7.688,42 | 1764 / 21 | $6.681,76 | 1755 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 50 | 100 / 18 | $4.724,28 | 14 / 11 | $4.445,24 | 1404 / 11 | $3.293,04 | 1398 / 12 |
| Medical Back Problems W/O Mcc | 49 | 72 / 11 | $8.574,35 | 33 / 21 | $7.982,29 | 1277 / 22 | $6.482,45 | 1273 / 18 |
| Renal Failure W Cc | 49 | 172 / 28 | $8.352,73 | 25 / 7 | $7.711,90 | 1960 / 7 | $6.848,55 | 1950 / 10 |
| Spinal Fusion Except Cervical W/O Mcc | 44 | 150 / 18 | $27.504,10 | 6 / 1 | $25.483,40 | 642 / 1 | $22.738,10 | 638 / 1 |
| Transient Ischemia | 44 | 81 / 17 | $9.105,02 | 52 / 34 | $8.407,25 | 1617 / 34 | $7.421,80 | 1609 / 35 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 43 | 125 / 18 | $11.630,80 | 7 / 6 | $10.792,80 | 476 / 6 | $9.287,44 | 475 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 43 | 139 / 25 | $11.119,70 | 42 / 25 | $10.295,90 | 1906 / 25 | $9.054,72 | 1902 / 25 |
| Renal Failure W Mcc | 43 | 152 / 16 | $14.297,50 | 53 / 11 | $13.257,80 | 1784 / 11 | $11.681,40 | 1780 / 7 |
| Simple Pneumonia & Pleurisy W Mcc | 42 | 163 / 21 | $13.691,80 | 75 / 20 | $12.631,80 | 2240 / 20 | $11.683,30 | 2234 / 20 |
| Chronic Obstructive Pulmonary Disease W Mcc | 40 | 162 / 28 | $10.119,80 | 39 / 8 | $9.377,15 | 2061 / 8 | $8.123,50 | 2053 / 7 |
| Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 31 | $8.525,03 | 35 / 12 | $7.869,97 | 2077 / 11 | $7.031,75 | 2070 / 12 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 36 | 26 / 4 | $6.715,97 | 14 / 10 | $6.242,89 | 604 / 10 | $5.090,33 | 602 / 11 |
| Fractures Of Hip & Pelvis W/O Mcc | 35 | 26 / 4 | $6.515,91 | 14 / 13 | $6.061,83 | 752 / 13 | $4.913,46 | 751 / 13 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 33 | 91 / 7 | $5.599,09 | 28 / 4 | $5.213,85 | 447 / 4 | $4.225,15 | 446 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 32 | 94 / 19 | $11.546,40 | 51 / 25 | $10.713,20 | 1399 / 24 | $8.703,22 | 1396 / 17 |
| Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 21 | $5.772,34 | 20 / 12 | $5.334,78 | 1512 / 12 | $4.471,78 | 1500 / 12 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 29 | 60 / 5 | $9.332,79 | 4 / 2 | $8.668,55 | 587 / 2 | $7.161,66 | 586 / 2 |
| Syncope & Collapse | 29 | 140 / 25 | $7.490,00 | 26 / 18 | $6.960,34 | 1677 / 18 | $5.985,45 | 1669 / 17 |
| G.I. Obstruction W/O Cc/Mcc | 26 | 45 / 9 | $5.473,65 | 12 / 11 | $5.063,81 | 1012 / 11 | $3.993,04 | 1009 / 13 |
| G.I. Obstruction W Cc | 26 | 66 / 15 | $6.934,12 | 11 / 10 | $6.456,69 | 1098 / 11 | $5.291,77 | 1095 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 20 | $6.593,24 | 2 / 2 | $6.087,12 | 461 / 2 | $5.412,56 | 460 / 3 |
| Bronchitis & Asthma W Cc/Mcc | 24 | 52 / 13 | $6.951,96 | 9 / 5 | $6.420,21 | 727 / 3 | $5.617,54 | 723 / 9 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 25 | $6.702,83 | 31 / 9 | $6.190,54 | 1813 / 9 | $5.389,21 | 1802 / 13 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 23 | 78 / 12 | $8.764,96 | 3 / 1 | $8.086,87 | 77 / 1 | $7.459,39 | 77 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 17 | $13.553,50 | 1 / 1 | $12.498,30 | 293 / 1 | $11.868,00 | 290 / 1 |
| G.I. Hemorrhage W/O Cc/Mcc | 23 | 45 / 14 | $7.589,35 | 38 / 24 | $7.070,91 | 887 / 24 | $5.683,22 | 883 / 22 |
| Hip & Femur Procedures Except Major Joint W Mcc | 22 | 40 / 2 | $25.634,50 | 7 / 6 | $23.634,20 | 808 / 6 | $22.643,70 | 805 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 14 | $11.762,40 | 31 / 15 | $10.854,20 | 1266 / 15 | $9.918,95 | 1261 / 15 |
| Respiratory Infections & Inflammations W Mcc | 22 | 114 / 15 | $15.917,60 | 30 / 10 | $14.676,50 | 1467 / 10 | $14.017,50 | 1451 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 19 | $9.689,52 | 38 / 30 | $8.949,05 | 1553 / 30 | $7.797,05 | 1549 / 29 |
| Diabetes W Cc | 21 | 71 / 24 | $8.121,86 | 32 / 14 | $7.558,95 | 1358 / 14 | $6.540,95 | 1353 / 13 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 19 | 34 / 10 | $4.838,26 | 5 / 5 | $4.469,68 | 323 / 4 | $3.833,05 | 320 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 22 | $10.424,20 | 8 / 5 | $9.620,53 | 385 / 5 | $8.731,26 | 385 / 5 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 19 | $8.280,16 | 14 / 11 | $7.718,21 | 950 / 10 | $6.329,84 | 947 / 10 |
| Signs & Symptoms W/O Mcc | 19 | 72 / 23 | $5.807,79 | 8 / 3 | $5.494,79 | 878 / 3 | $4.465,84 | 875 / 4 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 21 | $8.639,05 | 15 / 13 | $7.973,58 | 1168 / 13 | $7.210,63 | 1164 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 19 | $9.338,26 | 10 / 6 | $8.682,00 | 1281 / 6 | $7.846,53 | 1278 / 6 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 9 | $15.589,60 | 15 / 14 | $14.384,00 | 842 / 14 | $13.242,70 | 839 / 14 |
| Renal Failure W/O Cc/Mcc | 18 | 38 / 15 | $4.391,33 | 2 / 2 | $4.065,39 | 265 / 2 | $3.060,94 | 264 / 2 |
| Seizures W/O Mcc | 18 | 90 / 27 | $8.563,50 | 41 / 25 | $7.906,22 | 1196 / 25 | $7.033,33 | 1194 / 26 |
| Peripheral Vascular Disorders W Cc | 18 | 66 / 16 | $8.746,44 | 23 / 8 | $8.148,94 | 941 / 8 | $6.874,06 | 938 / 8 |
| Respiratory Signs & Symptoms | 17 | 29 / 4 | $8.341,94 | 9 / 7 | $7.704,59 | 284 / 7 | $6.708,82 | 284 / 7 |
| Red Blood Cell Disorders W Mcc | 17 | 54 / 15 | $11.564,00 | 27 / 17 | $10.693,70 | 798 / 17 | $9.003,12 | 794 / 11 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 20 | $15.012,30 | 103 / 26 | $13.849,00 | 1430 / 26 | $12.853,20 | 1425 / 24 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 17 | 86 / 16 | $9.304,76 | 23 / 15 | $8.582,76 | 714 / 15 | $8.019,94 | 714 / 17 |
| Hypertension W/O Mcc | 16 | 49 / 13 | $5.699,06 | 15 / 10 | $5.272,56 | 561 / 10 | $4.140,56 | 559 / 9 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 23 | $7.683,81 | 77 / 30 | $7.098,06 | 1850 / 30 | $6.116,06 | 1842 / 30 |
| Dysequilibrium | 16 | 49 / 12 | $8.716,25 | 33 / 26 | $8.050,50 | 545 / 26 | $6.992,50 | 545 / 26 |
| Respiratory Neoplasms W Mcc | 15 | 37 / 10 | $14.261,40 | 13 / 10 | $13.389,80 | 346 / 12 | $10.609,50 | 345 / 7 |
| Seizures W Mcc | 15 | 51 / 15 | $10.450,20 | 4 / 4 | $9.644,27 | 283 / 4 | $8.763,20 | 283 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 17 | $11.437,50 | 43 / 20 | $10.545,90 | 1028 / 20 | $10.063,80 | 1026 / 22 |
| Other Disorders Of Nervous System W Cc | 14 | 42 / 13 | $9.763,29 | 27 / 16 | $9.012,93 | 575 / 16 | $8.059,79 | 574 / 17 |
| Cellulitis W Mcc | 14 | 44 / 9 | $19.133,80 | 112 / 18 | $17.644,90 | 953 / 18 | $16.696,30 | 951 / 19 |
| Cervical Spinal Fusion W/O Cc/Mcc | 13 | 91 / 11 | $18.760,50 | 8 / 3 | $17.764,50 | 428 / 3 | $12.275,40 | 427 / 1 |
| Bone Diseases & Arthropathies W/O Mcc | 13 | 31 / 15 | $8.074,62 | 25 / 16 | $7.616,54 | 194 / 16 | $5.163,00 | 194 / 7 |
| Organic Disturbances & Mental Retardation | 13 | 46 / 16 | $7.630,85 | 8 / 6 | $7.038,85 | 324 / 6 | $6.571,15 | 324 / 7 |
| Chest Pain | 13 | 138 / 27 | $6.014,00 | 24 / 15 | $5.562,46 | 1354 / 15 | $4.444,92 | 1346 / 14 |
| Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 22 | $7.666,77 | 5 / 5 | $7.081,08 | 508 / 5 | $6.145,69 | 508 / 6 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 23 | $27.991,60 | 38 / 19 | $25.806,40 | 1497 / 19 | $24.779,90 | 1483 / 20 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 10 | $13.672,80 | 3 / 3 | $12.731,60 | 577 / 3 | $10.757,30 | 577 / 3 |
| Disorders Of The Biliary Tract W Cc | 12 | 42 / 10 | $10.743,80 | 15 / 14 | $9.917,08 | 420 / 13 | $8.914,42 | 420 / 14 |
| Other Circulatory System Diagnoses W Cc | 12 | 54 / 14 | $6.672,00 | 3 / 3 | $6.162,42 | 255 / 3 | $5.357,08 | 254 / 4 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 8 | $4.525,42 | 1 / 1 | $4.191,00 | 81 / 1 | $3.089,67 | 81 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 12 | $13.666,20 | 6 / 4 | $12.593,50 | 415 / 4 | $12.375,30 | 414 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 27 | $35.767,40 | 9 / 6 | $33.449,50 | 36 / 6 | $23.964,40 | 36 / 2 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 14 | $9.816,09 | 2 / 1 | $9.060,27 | 35 / 1 | $8.187,55 | 35 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 11 | $28.213,90 | 8 / 6 | $26.012,60 | 814 / 6 | $24.915,90 | 811 / 7 |
| Respiratory Neoplasms W Cc | 11 | 36 / 13 | $9.755,55 | 7 / 6 | $9.000,09 | 360 / 6 | $8.342,64 | 359 / 6 |
| Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 9 | $8.977,64 | 8 / 7 | $8.287,73 | 389 / 7 | $7.409,18 | 389 / 6 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 11 | 29 / 6 | $15.377,50 | 26 / 8 | $14.286,00 | 295 / 8 | $13.698,50 | 295 / 8 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 26 | $13.110,50 | 6 / 4 | $12.090,50 | 668 / 4 | $11.430,20 | 666 / 4 | Total 88 procedures | 3.128 | 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.