Hospital Costs > In Maryland > Medstar Southern Maryland Hospital Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 35 | 56 / 16 | $11.499,20 | 55 / 26 | $10.647,40 | 1352 / 26 | $9.584,23 | 1350 / 25 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 44 | 81 / 6 | $16.422,30 | 79 / 23 | $15.143,50 | 1629 / 23 | $14.374,80 | 1616 / 24 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 13 | $8.480,31 | 29 / 20 | $7.913,06 | 815 / 20 | $6.884,50 | 811 / 21 |
| Bone Diseases & Arthropathies W/O Mcc | 17 | 27 / 13 | $7.881,53 | 19 / 11 | $7.274,82 | 247 / 12 | $6.565,18 | 247 / 16 |
| Bronchitis & Asthma W Cc/Mcc | 18 | 58 / 17 | $9.988,17 | 50 / 25 | $9.221,22 | 1016 / 25 | $8.209,67 | 1012 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 44 | 117 / 22 | $7.085,32 | 21 / 13 | $6.547,30 | 1724 / 13 | $5.531,30 | 1719 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 31 | 92 / 13 | $10.293,60 | 19 / 10 | $9.498,65 | 1501 / 9 | $8.688,58 | 1498 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 29 | $5.735,60 | 28 / 20 | $5.303,00 | 1761 / 20 | $4.333,40 | 1755 / 23 |
| Cellulitis W/O Mcc | 38 | 151 / 31 | $7.480,26 | 67 / 14 | $6.945,95 | 2080 / 14 | $5.753,26 | 2072 / 13 |
| Chest Pain | 47 | 104 / 14 | $7.027,06 | 46 / 27 | $6.532,38 | 1498 / 28 | $5.248,74 | 1489 / 25 |
| Chronic Obstructive Pulmonary Disease W Cc | 94 | 85 / 13 | $8.975,93 | 54 / 18 | $8.289,98 | 2141 / 18 | $7.312,88 | 2134 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 122 | 80 / 5 | $11.347,00 | 92 / 18 | $10.499,20 | 2322 / 18 | $9.565,29 | 2314 / 19 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 62 | 58 / 8 | $7.334,45 | 63 / 21 | $6.770,21 | 1927 / 21 | $6.080,40 | 1916 / 27 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 13 | $10.725,50 | 1 / 1 | $9.886,82 | 15 / 1 | $9.555,18 | 15 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 48 | 140 / 15 | $10.629,30 | 10 / 10 | $9.835,54 | 1471 / 10 | $8.866,44 | 1468 / 11 |
| Cranial & Peripheral Nerve Disorders W Mcc | 11 | 25 / 2 | $6.718,55 | 2 / 2 | $6.198,00 | 6 / 2 | $5.758,73 | 6 / 2 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 16 | 52 / 11 | $8.805,81 | 25 / 14 | $8.134,62 | 610 / 13 | $7.004,62 | 610 / 14 |
| Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 20 | $9.273,53 | 21 / 16 | $8.565,53 | 667 / 16 | $7.424,82 | 667 / 14 |
| Depressive Neuroses | 17 | 33 / 9 | $5.395,12 | 8 / 5 | $5.053,59 | 93 / 6 | $4.383,29 | 93 / 7 |
| Diabetes W Cc | 39 | 53 / 13 | $8.939,64 | 55 / 21 | $8.280,03 | 1474 / 21 | $7.524,72 | 1469 / 22 |
| Diabetes W Mcc | 13 | 44 / 8 | $10.357,90 | 5 / 3 | $9.562,15 | 377 / 3 | $8.538,15 | 377 / 3 |
| Diabetes W/O Cc/Mcc | 11 | 27 / 5 | $4.848,27 | 4 / 2 | $4.488,27 | 135 / 2 | $3.391,55 | 135 / 2 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 13 | $12.983,00 | 52 / 22 | $11.970,80 | 551 / 22 | $11.423,90 | 551 / 22 |
| Disorders Of Pancreas Except Malignancy W Cc | 21 | 40 / 10 | $7.215,33 | 8 / 8 | $6.665,24 | 624 / 8 | $5.744,86 | 621 / 8 |
| Disorders Of Pancreas Except Malignancy W Mcc | 16 | 30 / 3 | $11.343,50 | 3 / 3 | $10.461,80 | 90 / 3 | $9.859,81 | 90 / 4 |
| Dysequilibrium | 11 | 54 / 17 | $8.944,91 | 36 / 28 | $8.259,82 | 551 / 28 | $7.267,82 | 551 / 28 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 40 | 56 / 5 | $8.168,42 | 2 / 1 | $7.402,42 | 510 / 1 | $6.648,02 | 507 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 124 | 151 / 18 | $7.666,17 | 77 / 25 | $7.084,10 | 2411 / 24 | $5.983,18 | 2396 / 25 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 8 | $34.841,10 | 5 / 5 | $32.225,60 | 373 / 5 | $30.212,60 | 373 / 4 |
| Fever | 11 | 35 / 7 | $8.451,73 | 6 / 4 | $7.803,55 | 280 / 4 | $6.922,09 | 280 / 5 |
| G.I. Hemorrhage W Cc | 64 | 154 / 21 | $9.872,73 | 42 / 20 | $9.111,72 | 2185 / 20 | $8.263,22 | 2181 / 22 |
| G.I. Hemorrhage W Mcc | 50 | 71 / 3 | $15.798,20 | 28 / 16 | $14.563,40 | 1418 / 16 | $14.057,80 | 1408 / 19 |
| G.I. Hemorrhage W/O Cc/Mcc | 31 | 37 / 9 | $7.160,26 | 31 / 21 | $6.616,32 | 879 / 21 | $5.601,61 | 875 / 21 |
| G.I. Obstruction W Cc | 23 | 69 / 18 | $6.162,04 | 6 / 5 | $5.755,52 | 430 / 5 | $4.388,35 | 429 / 1 |
| G.I. Obstruction W Mcc | 13 | 29 / 5 | $15.643,70 | 11 / 5 | $14.639,50 | 446 / 6 | $12.742,10 | 446 / 5 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 18 | $5.084,54 | 10 / 10 | $4.704,54 | 899 / 9 | $3.678,08 | 896 / 11 |
| Headaches W/O Mcc | 13 | 30 / 6 | $5.812,38 | 3 / 3 | $5.373,08 | 161 / 3 | $4.442,62 | 161 / 3 |
| Heart Failure & Shock W Cc | 227 | 59 / 5 | $8.676,14 | 63 / 15 | $8.030,99 | 2254 / 15 | $7.148,43 | 2248 / 15 |
| Heart Failure & Shock W Mcc | 211 | 77 / 1 | $10.703,80 | 18 / 5 | $9.886,17 | 1448 / 5 | $8.952,54 | 1444 / 5 |
| Heart Failure & Shock W/O Cc/Mcc | 45 | 65 / 14 | $5.934,24 | 23 / 15 | $5.483,56 | 1568 / 15 | $4.635,91 | 1555 / 14 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 26 | $22.662,30 | 54 / 26 | $20.893,80 | 2017 / 26 | $20.027,50 | 1995 / 27 |
| Hypertension W/O Mcc | 18 | 47 / 11 | $5.404,50 | 11 / 7 | $4.998,61 | 540 / 7 | $3.990,61 | 538 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 39 | 85 / 12 | $41.005,40 | 25 / 14 | $37.804,20 | 1062 / 14 | $36.304,70 | 1055 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 133 | 50 / 4 | $9.817,01 | 22 / 17 | $9.084,89 | 1743 / 17 | $7.903,43 | 1739 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 60 | 108 / 13 | $17.285,00 | 50 / 22 | $15.938,80 | 1462 / 22 | $15.137,20 | 1455 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 51 | 51 / 7 | $7.986,82 | 19 / 18 | $7.401,84 | 1462 / 18 | $6.322,47 | 1458 / 19 |
| Kidney & Urinary Tract Infections W Mcc | 42 | 102 / 13 | $8.982,57 | 28 / 11 | $8.248,55 | 1407 / 10 | $7.342,14 | 1403 / 9 |
| Kidney & Urinary Tract Infections W/O Mcc | 109 | 124 / 20 | $7.753,24 | 98 / 27 | $7.170,74 | 2432 / 27 | $6.292,83 | 2421 / 28 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 13 | $16.395,40 | 12 / 12 | $15.123,60 | 838 / 12 | $14.107,00 | 834 / 14 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 5 | $21.223,70 | 7 / 7 | $19.571,20 | 399 / 7 | $18.587,90 | 398 / 6 |
| Major Cardiovasc Procedures W/O Mcc | 16 | 85 / 19 | $28.020,10 | 3 / 3 | $25.831,70 | 807 / 3 | $24.845,70 | 806 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 16 | $8.947,69 | 10 / 7 | $8.329,62 | 788 / 7 | $7.703,00 | 786 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 7 | $39.381,00 | 41 / 14 | $36.297,10 | 907 / 13 | $35.339,20 | 903 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 130 | 434 / 27 | $29.348,00 | 197 / 34 | $27.093,10 | 2675 / 34 | $25.426,10 | 2629 / 37 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 23 | $23.846,20 | 13 / 10 | $21.987,50 | 1408 / 10 | $20.978,20 | 1394 / 13 |
| Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 10 | $51.373,30 | 35 / 22 | $47.338,90 | 1211 / 22 | $46.653,10 | 1208 / 22 |
| Medical Back Problems W/O Mcc | 24 | 97 / 21 | $7.293,71 | 12 / 9 | $6.737,17 | 1156 / 8 | $5.829,17 | 1152 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 53 | 73 / 9 | $11.168,70 | 46 / 21 | $10.331,70 | 1495 / 21 | $9.387,81 | 1492 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 69 | 97 / 19 | $7.983,64 | 146 / 27 | $7.369,93 | 2379 / 27 | $6.599,15 | 2370 / 26 |
| Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 4 | $16.257,80 | 8 / 5 | $14.994,60 | 364 / 5 | $14.098,60 | 364 / 4 |
| Other Circulatory System Diagnoses W Cc | 18 | 48 / 9 | $6.377,33 | 2 / 2 | $5.892,28 | 175 / 2 | $5.014,06 | 174 / 3 |
| Other Circulatory System Diagnoses W Mcc | 61 | 55 / 4 | $17.194,00 | 25 / 11 | $15.898,90 | 1100 / 11 | $14.510,10 | 1092 / 13 |
| Other Circulatory System O.R. Procedures | 13 | 42 / 9 | $28.399,00 | 17 / 12 | $26.172,30 | 411 / 12 | $25.616,00 | 411 / 13 |
| Other Digestive System Diagnoses W Cc | 24 | 73 / 18 | $9.647,58 | 29 / 17 | $8.903,46 | 1265 / 17 | $8.095,46 | 1261 / 17 |
| Other Digestive System Diagnoses W Mcc | 20 | 42 / 6 | $11.947,00 | 7 / 4 | $11.019,00 | 334 / 4 | $10.351,80 | 333 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 17 | 86 / 16 | $12.239,90 | 56 / 27 | $11.370,20 | 822 / 27 | $10.238,50 | 822 / 27 |
| Other Vascular Procedures W Cc | 21 | 81 / 15 | $19.604,30 | 8 / 8 | $18.075,50 | 793 / 8 | $17.272,50 | 788 / 8 |
| Other Vascular Procedures W Mcc | 31 | 66 / 9 | $30.197,00 | 18 / 17 | $27.828,90 | 858 / 17 | $27.259,40 | 855 / 17 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 12 | $30.284,20 | 5 / 5 | $27.920,10 | 908 / 4 | $26.809,90 | 903 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 38 | 158 / 12 | $19.160,20 | 9 / 9 | $17.673,90 | 1366 / 9 | $16.493,30 | 1358 / 11 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 12 | 57 / 8 | $15.012,80 | 2 / 2 | $13.849,80 | 463 / 2 | $12.847,10 | 461 / 3 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 13 | 82 / 7 | $18.256,60 | 2 / 2 | $16.834,70 | 515 / 2 | $15.995,30 | 511 / 4 |
| Peripheral Vascular Disorders W Cc | 22 | 62 / 12 | $9.821,82 | 38 / 16 | $9.060,95 | 1124 / 15 | $8.403,50 | 1121 / 17 |
| Peripheral Vascular Disorders W Mcc | 12 | 37 / 12 | $12.857,20 | 13 / 9 | $11.856,20 | 496 / 9 | $11.253,50 | 496 / 9 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 13 | 32 / 8 | $8.169,31 | 22 / 11 | $7.546,08 | 376 / 11 | $6.519,62 | 376 / 9 |
| Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 11 | $26.886,90 | 14 / 11 | $24.789,30 | 926 / 11 | $23.735,30 | 922 / 11 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 10 | $22.922,50 | 13 / 10 | $21.140,20 | 695 / 10 | $19.939,00 | 693 / 11 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 14 | $6.129,36 | 11 / 8 | $5.663,86 | 700 / 8 | $4.797,57 | 699 / 8 |
| Psychoses | 189 | 126 / 19 | $6.640,97 | 5 / 1 | $6.169,55 | 103 / 1 | $5.145,63 | 103 / 1 |
| Pulmonary Edema & Respiratory Failure | 95 | 108 / 13 | $14.550,10 | 129 / 15 | $13.434,10 | 2155 / 15 | $12.514,40 | 2149 / 15 |
| Pulmonary Embolism W/O Mcc | 23 | 51 / 17 | $13.662,90 | 111 / 32 | $12.603,10 | 1272 / 32 | $11.764,20 | 1269 / 32 |
| Red Blood Cell Disorders W Mcc | 40 | 31 / 2 | $11.426,90 | 23 / 14 | $10.540,50 | 899 / 14 | $9.837,50 | 895 / 16 |
| Red Blood Cell Disorders W/O Mcc | 77 | 66 / 6 | $7.737,13 | 30 / 16 | $7.159,68 | 1698 / 16 | $6.310,12 | 1689 / 15 |
| Renal Failure W Cc | 106 | 115 / 9 | $10.017,80 | 97 / 27 | $9.244,63 | 2242 / 26 | $8.431,27 | 2232 / 28 |
| Renal Failure W Mcc | 91 | 104 / 1 | $14.854,40 | 65 / 14 | $13.764,70 | 1845 / 14 | $12.238,90 | 1841 / 11 |
| Renal Failure W/O Cc/Mcc | 19 | 37 / 14 | $5.626,95 | 13 / 10 | $5.200,16 | 681 / 10 | $4.371,53 | 680 / 12 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 23 | $12.077,40 | 31 / 12 | $11.155,70 | 1190 / 12 | $9.642,57 | 1185 / 12 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 22 | $17.763,80 | 53 / 13 | $16.383,20 | 1607 / 13 | $15.424,40 | 1591 / 14 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 12 | $18.089,00 | 30 / 17 | $16.680,20 | 600 / 17 | $15.843,20 | 597 / 17 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 73 | 58 / 2 | $22.699,40 | 36 / 16 | $20.933,80 | 1654 / 16 | $19.773,30 | 1640 / 15 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 21 | 50 / 8 | $42.474,40 | 9 / 5 | $39.269,90 | 647 / 5 | $35.761,20 | 646 / 7 |
| Seizures W Mcc | 32 | 34 / 2 | $11.971,00 | 11 / 9 | $11.041,20 | 483 / 9 | $10.360,20 | 483 / 9 |
| Seizures W/O Mcc | 49 | 59 / 9 | $7.242,20 | 23 / 15 | $6.689,29 | 1038 / 15 | $5.802,43 | 1036 / 15 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 9 | $45.372,40 | 7 / 6 | $41.848,40 | 563 / 6 | $37.928,60 | 562 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 212 | 304 / 17 | $19.692,50 | 251 / 24 | $18.189,80 | 2641 / 24 | $16.906,30 | 2596 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 56 | 151 / 25 | $10.457,60 | 69 / 19 | $9.676,45 | 2296 / 19 | $8.599,64 | 2287 / 20 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 14 | $9.843,18 | 34 / 22 | $9.091,73 | 365 / 22 | $7.884,45 | 365 / 20 |
| Signs & Symptoms W Mcc | 19 | 22 / 8 | $14.144,10 | 20 / 11 | $13.045,90 | 263 / 11 | $12.222,30 | 263 / 11 |
| Signs & Symptoms W/O Mcc | 47 | 44 / 12 | $9.544,55 | 79 / 33 | $8.818,32 | 1282 / 33 | $7.649,23 | 1279 / 32 |
| Simple Pneumonia & Pleurisy W Cc | 108 | 95 / 16 | $8.736,86 | 49 / 15 | $8.091,61 | 2373 / 15 | $7.132,28 | 2364 / 18 |
| Simple Pneumonia & Pleurisy W Mcc | 82 | 123 / 7 | $11.747,50 | 29 / 10 | $10.864,50 | 1917 / 10 | $9.763,02 | 1917 / 11 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 37 | 56 / 12 | $6.904,54 | 40 / 19 | $6.414,03 | 1747 / 19 | $5.346,16 | 1739 / 19 |
| Syncope & Collapse | 67 | 102 / 15 | $8.235,63 | 51 / 28 | $7.607,18 | 1769 / 28 | $6.581,75 | 1761 / 25 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 16 | 26 / 9 | $9.287,12 | 23 / 18 | $8.656,81 | 306 / 18 | $7.311,50 | 305 / 17 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 8 | $67.009,00 | 3 / 3 | $61.755,80 | 224 / 3 | $60.393,20 | 224 / 4 |
| Transient Ischemia | 65 | 60 / 10 | $8.375,60 | 42 / 28 | $7.753,40 | 1580 / 28 | $6.756,62 | 1572 / 29 | Total 106 procedures | 4.545 | 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.