Hospital Costs > In Texas > Memorial Hermann Hospital System, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 11 | 20 / 12 | $52.246,50 | 64 / 3 | $14.371,40 | 44 / 11 | $10.353,40 | 44 / 6 |
Acute Myocardial Infarction, Discharged Alive W Cc | 77 | 17 / 1 | $29.865,90 | 732 / 16 | $9.429,29 | 849 / 85 | $6.247,70 | 847 / 66 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 187 | 1 / 1 | $40.960,70 | 851 / 27 | $12.120,60 | 1084 / 90 | $10.584,40 | 1079 / 92 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 38 | 15 / 2 | $24.903,80 | 453 / 10 | $7.499,87 | 600 / 41 | $4.690,74 | 596 / 34 |
Acute Myocardial Infarction, Expired W Mcc | 30 | 2 / 1 | $42.151,10 | 74 / 1 | $12.907,70 | 66 / 8 | $10.024,30 | 66 / 3 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 11 | 16 / 2 | $31.447,60 | 53 / 1 | $9.605,09 | 31 / 1 | $8.904,18 | 31 / 1 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 22 | 102 / 6 | $18.363,10 | 452 / 6 | $5.681,32 | 441 / 15 | $4.214,59 | 440 / 14 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 17 | 13 / 5 | $48.528,80 | 88 / 9 | $13.203,00 | 89 / 13 | $11.497,90 | 88 / 12 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Mcc | 11 | 2 / 1 | $71.577,60 | 1 / 1 | $21.317,10 | 1 / 1 | $20.108,80 | 1 / 1 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 12 | 20 / 9 | $63.802,10 | 99 / 7 | $15.629,60 | 76 / 9 | $14.569,40 | 76 / 11 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 24 | 10 / 3 | $103.764,00 | 85 / 6 | $30.316,30 | 106 / 12 | $29.356,50 | 106 / 16 |
Amputation For Musculoskeletal Sys & Conn Tissue Dis W Mcc | 15 | 4 / 3 | $95.817,40 | 12 / 2 | $26.005,20 | 10 / 4 | $24.302,80 | 10 / 4 |
Atherosclerosis W/O Mcc | 14 | 44 / 12 | $21.639,90 | 351 / 14 | $5.083,79 | / | $4.209,79 | / |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 23 | 43 / 12 | $60.559,30 | 354 / 27 | $14.037,80 | 402 / 35 | $12.721,10 | 399 / 38 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 29 | 60 / 15 | $45.990,20 | 550 / 36 | $10.969,70 | 315 / 54 | $5.656,76 | 314 / 36 |
Bone Diseases & Arthropathies W/O Mcc | 11 | 33 / 6 | $20.508,40 | 178 / 6 | $5.813,00 | 169 / 7 | $4.806,45 | 169 / 11 |
Bronchitis & Asthma W Cc/Mcc | 48 | 28 / 4 | $23.570,10 | 530 / 17 | $6.986,35 | 708 / 61 | $5.500,12 | 704 / 65 |
Bronchitis & Asthma W/O Cc/Mcc | 18 | 27 / 6 | $15.191,80 | 136 / 2 | $5.956,72 | 235 / 31 | $3.912,33 | 235 / 29 |
Cardiac Arrest, Unexplained W Mcc | 11 | 4 / 2 | $52.962,90 | 4 / 1 | $9.404,18 | 5 / 2 | $8.469,09 | 5 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 116 | 47 / 4 | $21.876,00 | 1198 / 51 | $6.502,90 | 1473 / 129 | $4.938,18 | 1468 / 127 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 120 | 14 / 2 | $27.378,30 | 815 / 22 | $8.945,29 | 1238 / 97 | $7.722,12 | 1235 / 102 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 81 | 69 / 6 | $18.072,60 | 1275 / 58 | $5.137,54 | 1489 / 122 | $3.507,80 | 1483 / 114 |
Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 11 | 17 / 6 | $155.019,00 | 16 / 1 | $53.571,00 | 53 / 5 | $52.617,80 | 53 / 6 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 22 | 96 / 12 | $136.561,00 | 234 / 8 | $33.114,50 | 239 / 11 | $31.915,80 | 239 / 16 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 24 | 92 / 16 | $194.653,00 | 207 / 10 | $56.293,80 | 91 / 17 | $44.515,80 | 91 / 7 |
Cellulitis W Mcc | 100 | 1 / 1 | $27.127,30 | 306 / 9 | $10.427,90 | 513 / 46 | $8.826,39 | 511 / 50 |
Cellulitis W/O Mcc | 229 | 13 / 1 | $18.129,90 | 1259 / 57 | $6.778,46 | 1786 / 164 | $5.127,93 | 1778 / 158 |
Cervical Spinal Fusion W Cc | 11 | 42 / 15 | $68.936,60 | 165 / 6 | $27.943,50 | 152 / 30 | $16.274,50 | 151 / 18 |
Cervical Spinal Fusion W/O Cc/Mcc | 37 | 67 / 15 | $51.031,90 | 354 / 20 | $17.756,30 | 498 / 61 | $12.773,80 | 495 / 61 |
Chest Pain | 58 | 93 / 15 | $23.456,90 | 1139 / 52 | $5.050,36 | 1248 / 89 | $4.132,38 | 1241 / 104 |
Chronic Obstructive Pulmonary Disease W Cc | 149 | 38 / 2 | $21.549,90 | 1167 / 32 | $7.578,55 | 1644 / 146 | $5.746,95 | 1637 / 135 |
Chronic Obstructive Pulmonary Disease W Mcc | 230 | 9 / 1 | $26.426,30 | 1237 / 45 | $8.807,47 | 1769 / 153 | $7.360,67 | 1761 / 155 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 92 | 29 / 3 | $17.039,30 | 1020 / 29 | $6.125,22 | 1551 / 128 | $4.551,34 | 1540 / 123 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 76 | 22 / 3 | $47.950,80 | 279 / 5 | $14.707,20 | 472 / 42 | $12.696,80 | 466 / 40 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 141 | 52 / 2 | $31.582,10 | 585 / 13 | $8.816,59 | 1032 / 104 | $6.423,23 | 1029 / 96 |
Cirrhosis & Alcoholic Hepatitis W Cc | 14 | 12 / 4 | $21.411,60 | 27 / 1 | $6.519,43 | 38 / 4 | $5.929,29 | 38 / 9 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 40 | 7 / 3 | $35.377,10 | 87 / 4 | $11.664,20 | 119 / 14 | $10.784,60 | 119 / 14 |
Complications Of Treatment W Cc | 16 | 36 / 6 | $28.417,10 | 199 / 8 | $7.386,69 | 187 / 10 | $6.282,75 | 187 / 13 |
Complications Of Treatment W Mcc | 29 | 22 / 4 | $42.346,60 | 122 / 5 | $12.809,20 | 84 / 16 | $10.175,70 | 84 / 10 |
Coronary Bypass W Cardiac Cath W Mcc | 20 | 36 / 10 | $178.396,00 | 186 / 8 | $48.501,60 | 223 / 34 | $43.444,80 | 223 / 32 |
Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 24 | $134.389,00 | 290 / 6 | $36.296,40 | 320 / 40 | $26.939,50 | 320 / 31 |
Coronary Bypass W/O Cardiac Cath W Mcc | 15 | 44 / 11 | $151.667,00 | 118 / 9 | $40.464,50 | 93 / 14 | $33.707,90 | 93 / 13 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 21 | 67 / 17 | $105.385,00 | 288 / 9 | $27.256,70 | 335 / 40 | $22.307,40 | 334 / 35 |
Cranial & Peripheral Nerve Disorders W Mcc | 18 | 18 / 4 | $36.904,60 | 81 / 5 | $9.872,50 | 54 / 6 | $7.939,44 | 54 / 6 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 36 | 32 / 6 | $23.556,30 | 313 / 13 | $7.057,47 | 476 / 28 | $5.831,47 | 476 / 36 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 14 | 84 / 18 | $102.252,00 | 198 / 6 | $27.983,40 | 203 / 20 | $26.847,40 | 203 / 23 |
Degenerative Nervous System Disorders W Mcc | 26 | 12 / 1 | $28.176,20 | 52 / 1 | $10.969,30 | 79 / 7 | $9.938,31 | 79 / 9 |
Degenerative Nervous System Disorders W/O Mcc | 35 | 43 / 3 | $22.919,70 | 323 / 7 | $7.195,66 | 510 / 27 | $6.160,09 | 510 / 39 |
Diabetes W Cc | 85 | 12 / 2 | $22.692,70 | 866 / 33 | $6.487,42 | 1073 / 77 | $5.321,35 | 1069 / 83 |
Diabetes W Mcc | 74 | 1 / 1 | $35.072,30 | 381 / 16 | $10.587,10 | 366 / 42 | $8.475,93 | 366 / 31 |
Diabetes W/O Cc/Mcc | 17 | 21 / 4 | $18.472,40 | 165 / 5 | $4.878,06 | 204 / 16 | $4.128,29 | 204 / 18 |
Digestive Malignancy W Cc | 23 | 24 / 2 | $32.550,80 | 169 / 6 | $9.115,87 | 229 / 12 | $8.112,91 | 227 / 16 |
Digestive Malignancy W Mcc | 18 | 19 / 2 | $52.220,00 | 73 / 3 | $16.022,70 | 46 / 6 | $12.613,10 | 46 / 5 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 33 | 37 / 8 | $25.469,50 | 301 / 28 | $7.144,06 | 324 / 37 | $6.146,33 | 324 / 42 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 44 | 32 / 4 | $32.793,80 | 134 / 9 | $12.817,00 | 244 / 35 | $11.574,00 | 244 / 34 |
Disorders Of Pancreas Except Malignancy W Cc | 55 | 8 / 1 | $27.178,70 | 545 / 22 | $8.414,42 | 582 / 50 | $5.578,31 | 579 / 40 |
Disorders Of Pancreas Except Malignancy W Mcc | 33 | 13 / 2 | $32.836,00 | 83 / 4 | $12.133,00 | 136 / 13 | $10.756,00 | 136 / 10 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 25 | 13 / 2 | $23.189,20 | 305 / 17 | $6.070,08 | 312 / 33 | $3.993,24 | 311 / 27 |
Disorders Of The Biliary Tract W Cc | 25 | 29 / 3 | $38.758,20 | 311 / 11 | $8.276,08 | 336 / 21 | $7.417,76 | 336 / 25 |
Disorders Of The Biliary Tract W Mcc | 24 | 15 / 2 | $45.304,30 | 124 / 4 | $11.017,00 | 93 / 5 | $10.086,40 | 93 / 9 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 11 | 18 / 3 | $37.749,90 | 93 / 5 | $8.889,55 | 51 / 5 | $4.463,45 | 51 / 4 |
Dysequilibrium | 33 | 32 / 4 | $25.590,00 | 356 / 12 | $5.177,15 | 377 / 21 | $4.059,45 | 377 / 27 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 30 | 51 / 7 | $305.142,00 | 89 / 6 | $100.470,00 | 76 / 13 | $88.424,40 | 76 / 9 |
Endocrine Disorders W Cc | 19 | 19 / 3 | $22.832,90 | 108 / 4 | $7.865,89 | 141 / 8 | $6.027,63 | 141 / 11 |
Endocrine Disorders W Mcc | 16 | 10 / 2 | $29.168,00 | 30 / 2 | $11.527,90 | 59 / 4 | $10.513,80 | 59 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 82 | 19 / 4 | $33.194,50 | 747 / 30 | $9.155,44 | 997 / 73 | $8.144,57 | 992 / 84 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 220 | 63 / 4 | $23.066,90 | 1720 / 87 | $6.315,38 | 1899 / 172 | $4.604,48 | 1885 / 161 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 13 | $57.724,00 | 110 / 5 | $17.241,50 | 172 / 8 | $16.420,60 | 171 / 9 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 40 | 23 / 4 | $112.588,00 | 302 / 12 | $33.900,00 | 459 / 43 | $32.257,10 | 459 / 48 |
Extracranial Procedures W Cc | 35 | 11 / 3 | $51.383,90 | 243 / 15 | $11.425,20 | 246 / 21 | $9.799,83 | 246 / 26 |
Extracranial Procedures W Mcc | 11 | 12 / 4 | $104.543,00 | 28 / 3 | $22.740,20 | 30 / 4 | $21.511,00 | 30 / 5 |
Extracranial Procedures W/O Cc/Mcc | 59 | 39 / 7 | $38.635,90 | 609 / 45 | $9.541,30 | 670 / 70 | $6.403,85 | 667 / 65 |
Fractures Of Hip & Pelvis W Mcc | 14 | 7 / 3 | $28.093,20 | 23 / 2 | $9.245,00 | 38 / 4 | $7.984,57 | 38 / 4 |
Fractures Of Hip & Pelvis W/O Mcc | 53 | 8 / 1 | $17.599,30 | 414 / 10 | $5.736,47 | 666 / 45 | $4.435,02 | 665 / 51 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W Mcc | 21 | 3 / 1 | $34.811,70 | 22 / 1 | $9.402,24 | 20 / 3 | $8.266,81 | 20 / 3 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 35 | 27 / 4 | $19.828,80 | 373 / 7 | $5.883,51 | 539 / 25 | $4.773,11 | 537 / 30 |
G.I. Hemorrhage W Cc | 225 | 20 / 2 | $30.561,80 | 1590 / 79 | $7.995,72 | 1681 / 141 | $6.328,81 | 1677 / 136 |
G.I. Hemorrhage W Mcc | 158 | 3 / 1 | $40.356,20 | 702 / 21 | $12.337,30 | 883 / 80 | $10.795,60 | 878 / 75 |
G.I. Hemorrhage W/O Cc/Mcc | 27 | 41 / 6 | $20.822,50 | 579 / 25 | $5.915,44 | 750 / 66 | $4.614,74 | 746 / 68 |
G.I. Obstruction W Cc | 92 | 10 / 2 | $24.609,50 | 969 / 30 | $7.154,00 | 1162 / 87 | $5.463,33 | 1159 / 88 |
G.I. Obstruction W Mcc | 34 | 8 / 3 | $36.738,50 | 208 / 5 | $15.181,00 | 253 / 26 | $9.777,03 | 253 / 17 |
G.I. Obstruction W/O Cc/Mcc | 45 | 26 / 5 | $18.091,50 | 730 / 32 | $5.263,96 | 917 / 72 | $3.728,62 | 914 / 73 |
Heart Failure & Shock W Cc | 274 | 36 / 3 | $23.191,70 | 1508 / 58 | $7.502,48 | 1871 / 170 | $6.268,45 | 1866 / 170 |
Heart Failure & Shock W Mcc | 451 | 4 / 1 | $30.884,40 | 1139 / 42 | $10.599,90 | 1595 / 150 | $9.265,13 | 1590 / 139 |
Heart Failure & Shock W/O Cc/Mcc | 87 | 24 / 2 | $17.083,20 | 1068 / 36 | $5.781,21 | 1556 / 133 | $4.606,93 | 1543 / 131 |
Hernia Procedures Except Inguinal & Femoral W Cc | 11 | 23 / 7 | $45.859,00 | 69 / 4 | $11.497,50 | 56 / 4 | $9.275,45 | 56 / 8 |
Hip & Femur Procedures Except Major Joint W Cc | 159 | 9 / 1 | $50.594,00 | 1067 / 49 | $13.323,10 | 1346 / 114 | $12.170,00 | 1328 / 122 |
Hip & Femur Procedures Except Major Joint W Mcc | 65 | 3 / 1 | $70.206,30 | 417 / 12 | $19.586,10 | 497 / 44 | $18.214,80 | 494 / 42 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 24 | 32 / 10 | $44.042,30 | 480 / 32 | $14.505,50 | 474 / 73 | $9.136,96 | 472 / 50 |
Hiv W Major Related Condition W Mcc | 37 | 4 / 1 | $56.908,20 | 23 / 3 | $18.087,20 | 20 / 1 | $17.121,10 | 20 / 2 |
Hypertension W/O Mcc | 28 | 37 / 7 | $18.694,20 | 366 / 16 | $5.078,11 | 507 / 44 | $3.807,36 | 505 / 48 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 25 | 11 / 2 | $56.731,60 | 154 / 10 | $16.254,70 | 146 / 15 | $14.086,60 | 146 / 14 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 174 | 2 / 1 | $101.150,00 | 506 / 10 | $35.115,10 | 517 / 74 | $29.626,80 | 513 / 52 |
Inflammation Of The Male Reproductive System W/O Mcc | 19 | 2 / 1 | $22.417,40 | 14 / 1 | $6.566,79 | 15 / 3 | $4.711,00 | 15 / 1 |
Inflammatory Bowel Disease W Cc | 18 | 14 / 1 | $22.138,90 | 47 / 2 | $7.795,94 | 74 / 2 | $6.234,33 | 74 / 5 |
Interstitial Lung Disease W Mcc | 14 | 11 / 2 | $30.774,40 | 21 / 1 | $13.085,10 | 37 / 6 | $9.800,50 | 37 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 135 | 48 / 8 | $29.557,30 | 1120 / 41 | $8.207,20 | 1241 / 113 | $6.217,61 | 1238 / 100 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 121 | 53 / 8 | $42.083,40 | 752 / 19 | $12.009,40 | 913 / 67 | $10.687,80 | 910 / 72 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 70 | 32 / 5 | $26.280,80 | 961 / 36 | $6.833,63 | 1140 / 91 | $4.675,57 | 1136 / 88 |
Kidney & Ureter Procedures For Neoplasm W Cc | 11 | 33 / 9 | $62.582,00 | 106 / 7 | $14.158,50 | 45 / 8 | $11.328,00 | 45 / 6 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 14 | 31 / 7 | $46.725,20 | 68 / 5 | $15.367,60 | 55 / 14 | $10.895,80 | 55 / 7 |
Kidney & Urinary Tract Infections W Mcc | 168 | 9 / 2 | $24.628,20 | 894 / 34 | $8.147,96 | 1340 / 112 | $7.114,75 | 1336 / 122 |
Kidney & Urinary Tract Infections W/O Mcc | 254 | 22 / 3 | $19.914,00 | 1571 / 82 | $6.131,83 | 1937 / 174 | $4.890,69 | 1926 / 178 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 16 | 13 / 3 | $18.417,90 | 68 / 2 | $5.438,56 | 99 / 1 | $4.732,75 | 99 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 55 | 4 / 2 | $56.894,30 | 546 / 35 | $13.085,70 | 516 / 65 | $9.672,73 | 514 / 52 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 30 | 11 / 3 | $67.175,80 | 223 / 9 | $17.764,50 | 157 / 27 | $13.811,90 | 156 / 16 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 24 | 23 / 4 | $44.488,00 | 360 / 32 | $9.917,04 | 366 / 48 | $7.051,12 | 365 / 42 |
Limb Reattachment, Hip & Femur Proc For Multiple Significant Trauma | 15 | 7 / 1 | $69.742,30 | 10 / 1 | $22.439,30 | 12 / 1 | $21.208,50 | 12 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 41 | 14 / 2 | $57.267,20 | 328 / 16 | $13.661,60 | 381 / 23 | $12.014,00 | 378 / 31 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Mcc | 12 | 11 / 4 | $95.363,80 | 34 / 3 | $24.432,60 | 34 / 4 | $23.130,80 | 34 / 4 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 15 | $44.370,20 | 264 / 7 | $10.359,10 | 338 / 13 | $9.172,91 | 338 / 21 |
Major Cardiovasc Procedures W Mcc | 54 | 15 / 2 | $115.599,00 | 188 / 8 | $39.100,90 | 366 / 35 | $34.652,10 | 365 / 37 |
Major Cardiovasc Procedures W/O Mcc | 64 | 38 / 5 | $93.163,20 | 519 / 24 | $25.209,10 | 584 / 61 | $21.179,70 | 584 / 60 |
Major Chest Procedures W Cc | 21 | 53 / 9 | $74.506,50 | 294 / 8 | $21.804,40 | 193 / 19 | $14.528,50 | 193 / 11 |
Major Chest Procedures W Mcc | 20 | 29 / 7 | $133.752,00 | 187 / 8 | $34.412,80 | 191 / 17 | $32.806,60 | 190 / 21 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 36 | 37 / 5 | $22.861,90 | 389 / 7 | $8.432,67 | 807 / 48 | $7.832,17 | 805 / 63 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 38 | 18 / 3 | $35.455,30 | 224 / 8 | $12.814,80 | 383 / 23 | $12.044,10 | 382 / 30 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 19 | 34 / 5 | $27.093,60 | 158 / 5 | $8.697,53 | 275 / 20 | $7.722,05 | 275 / 28 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 14 | 15 / 3 | $45.995,00 | 33 / 3 | $18.227,70 | 42 / 5 | $14.590,40 | 42 / 5 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 21 | $60.372,90 | 480 / 21 | $14.938,70 | 594 / 33 | $13.742,70 | 590 / 46 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 50 | 16 / 2 | $75.275,40 | 445 / 14 | $22.547,40 | 507 / 45 | $19.390,40 | 504 / 39 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 639 | 69 / 4 | $50.739,70 | 1327 / 66 | $17.190,30 | 1416 / 202 | $11.846,00 | 1383 / 153 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 14 | $65.322,70 | 242 / 9 | $21.090,20 | 171 / 19 | $13.893,70 | 171 / 11 |
Major Male Pelvic Procedures W/O Cc/Mcc | 19 | 54 / 11 | $50.082,90 | 243 / 14 | $12.052,60 | 178 / 19 | $6.776,42 | 178 / 14 |
Major Small & Large Bowel Procedures W Cc | 82 | 27 / 4 | $68.278,30 | 821 / 39 | $17.757,10 | 893 / 69 | $15.203,20 | 885 / 77 |
Major Small & Large Bowel Procedures W Mcc | 73 | 15 / 2 | $130.270,00 | 653 / 31 | $36.994,40 | 669 / 65 | $31.852,70 | 667 / 63 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 36 | 28 / 4 | $53.425,00 | 503 / 33 | $17.562,90 | 266 / 48 | $8.400,11 | 266 / 27 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 14 | 17 / 4 | $37.500,90 | 117 / 7 | $8.576,07 | 103 / 6 | $7.375,29 | 103 / 10 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 26 | 27 / 3 | $52.455,80 | 187 / 6 | $12.629,30 | 180 / 11 | $11.549,20 | 181 / 15 |
Medical Back Problems W Mcc | 30 | 9 / 1 | $35.560,30 | 109 / 2 | $10.863,80 | 134 / 12 | $9.374,63 | 134 / 12 |
Medical Back Problems W/O Mcc | 64 | 57 / 7 | $25.297,60 | 838 / 28 | $6.558,28 | 1012 / 74 | $5.285,78 | 1009 / 77 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 226 | 4 / 2 | $24.921,50 | 699 / 27 | $8.240,91 | 1088 / 97 | $7.307,89 | 1085 / 103 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 158 | 23 / 3 | $18.693,80 | 1418 / 60 | $5.763,62 | 1900 / 163 | $4.658,64 | 1894 / 169 |
Nervous System Neoplasms W Mcc | 15 | 33 / 7 | $35.069,50 | 135 / 5 | $9.053,53 | 131 / 7 | $8.034,53 | 131 / 10 |
Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Mcc | 19 | 8 / 2 | $91.082,00 | 41 / 2 | $21.231,70 | 24 / 2 | $19.857,30 | 24 / 3 |
Nonspecific Cerebrovascular Disorders W Mcc | 13 | 38 / 13 | $29.337,70 | 109 / 1 | $10.981,60 | 190 / 13 | $10.071,40 | 190 / 15 |
Nonspecific Cva & Precerebral Occlusion W/O Infarct W/O Mcc | 14 | 9 / 1 | $32.366,50 | 29 / 1 | $6.641,00 | 37 / 2 | $5.427,36 | 37 / 4 |
O.R. Procedures For Obesity W/O Cc/Mcc | 18 | 59 / 25 | $48.061,40 | 251 / 18 | $16.239,60 | 124 / 37 | $8.081,83 | 124 / 13 |
Organic Disturbances & Mental Retardation | 25 | 34 / 6 | $20.945,60 | 197 / 5 | $7.130,64 | 271 / 10 | $6.087,96 | 271 / 12 |
Other Circulatory System Diagnoses W Cc | 17 | 49 / 15 | $25.448,40 | 317 / 13 | $7.197,00 | 387 / 23 | $5.992,35 | 386 / 28 |
Other Circulatory System Diagnoses W Mcc | 119 | 12 / 2 | $36.013,40 | 368 / 11 | $13.118,40 | 635 / 70 | $11.262,30 | 633 / 62 |
Other Circulatory System O.R. Procedures | 46 | 10 / 3 | $63.138,50 | 174 / 10 | $17.682,20 | 183 / 15 | $16.654,50 | 183 / 23 |
Other Digestive System Diagnoses W Cc | 65 | 32 / 4 | $27.551,10 | 777 / 27 | $7.738,06 | 937 / 64 | $6.259,35 | 933 / 70 |
Other Digestive System Diagnoses W Mcc | 57 | 12 / 2 | $46.035,50 | 405 / 24 | $12.493,10 | 400 / 40 | $10.821,40 | 399 / 40 |
Other Digestive System Diagnoses W/O Cc/Mcc | 19 | 24 / 4 | $22.277,90 | 200 / 6 | $5.468,47 | 258 / 9 | $4.491,16 | 258 / 12 |
Other Digestive System O.R. Procedures W Cc | 13 | 14 / 4 | $63.156,40 | 56 / 3 | $17.803,00 | 44 / 4 | $13.780,70 | 44 / 5 |
Other Digestive System O.R. Procedures W Mcc | 21 | 8 / 3 | $104.323,00 | 54 / 4 | $34.633,40 | 47 / 9 | $24.252,00 | 47 / 6 |
Other Disorders Of Nervous System W Cc | 16 | 40 / 10 | $25.316,70 | 290 / 10 | $7.043,81 | 332 / 21 | $5.459,69 | 332 / 24 |
Other Disorders Of Nervous System W Mcc | 16 | 24 / 8 | $37.683,60 | 123 / 3 | $10.714,90 | 140 / 12 | $9.863,31 | 140 / 14 |
Other Disorders Of Nervous System W/O Cc/Mcc | 12 | 23 / 4 | $19.730,90 | 59 / 1 | $5.403,50 | 86 / 5 | $4.305,25 | 86 / 6 |
Other Endocrine, Nutrit & Metab O.R. Proc W Cc | 13 | 10 / 4 | $60.407,10 | 18 / 2 | $15.429,40 | 15 / 7 | $12.419,40 | 15 / 6 |
Other Endocrine, Nutrit & Metab O.R. Proc W Mcc | 15 | 4 / 2 | $81.918,70 | 8 / 1 | $22.719,00 | 12 / 4 | $21.360,80 | 12 / 4 |
Other Kidney & Urinary Tract Diagnoses W Cc | 53 | 51 / 6 | $21.683,50 | 296 / 8 | $7.479,04 | 506 / 31 | $6.336,25 | 506 / 31 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 87 | 21 / 2 | $35.896,50 | 542 / 13 | $13.740,00 | 572 / 48 | $9.439,31 | 570 / 33 |
Other Kidney & Urinary Tract Procedures W Cc | 11 | 15 / 6 | $72.610,90 | 61 / 4 | $15.813,80 | 45 / 8 | $14.047,70 | 45 / 10 |
Other Kidney & Urinary Tract Procedures W Mcc | 14 | 24 / 11 | $71.365,40 | 81 / 4 | $21.404,40 | 111 / 16 | $20.229,20 | 110 / 21 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 11 | 29 / 10 | $52.343,10 | 101 / 7 | $14.113,50 | 148 / 12 | $12.626,30 | 148 / 18 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Mcc | 12 | 7 / 2 | $72.967,20 | 13 / 1 | $22.545,30 | 18 / 3 | $21.234,50 | 18 / 3 |
Other O.R. Procedures For Injuries W Mcc | 13 | 24 / 9 | $78.462,90 | 56 / 1 | $23.787,80 | 52 / 4 | $23.072,80 | 52 / 5 |
Other Resp System O.R. Procedures W Cc | 12 | 35 / 12 | $59.585,50 | 205 / 11 | $18.919,70 | 79 / 23 | $10.348,80 | 79 / 10 |
Other Resp System O.R. Procedures W Mcc | 40 | 23 / 6 | $90.390,40 | 286 / 13 | $30.431,80 | 316 / 43 | $22.909,40 | 315 / 34 |
Other Respiratory System Diagnoses W/O Mcc | 11 | 35 / 10 | $19.533,30 | 106 / 1 | $6.234,00 | 183 / 9 | $5.141,09 | 183 / 11 |
Other Skin, Subcut Tiss & Breast Proc W Mcc | 16 | 6 / 2 | $55.197,40 | 16 / 1 | $17.046,60 | 25 / 5 | $15.845,80 | 25 / 5 |
Other Vascular Procedures W Cc | 98 | 11 / 1 | $76.902,50 | 620 / 40 | $17.650,80 | 687 / 66 | $16.315,80 | 684 / 82 |
Other Vascular Procedures W Mcc | 142 | 4 / 2 | $79.791,00 | 377 / 21 | $21.786,50 | 486 / 58 | $20.591,50 | 484 / 65 |
Other Vascular Procedures W/O Cc/Mcc | 24 | 32 / 9 | $48.344,10 | 274 / 16 | $13.600,80 | 158 / 42 | $8.908,83 | 157 / 13 |
Otitis Media & Uri W/O Mcc | 19 | 25 / 3 | $16.595,50 | 70 / 1 | $5.956,42 | 106 / 9 | $3.949,63 | 106 / 12 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 17 | 23 / 4 | $30.702,20 | 149 / 2 | $8.323,06 | 152 / 6 | $7.134,82 | 152 / 9 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 55 | 45 / 5 | $68.346,20 | 150 / 5 | $21.481,90 | 409 / 44 | $18.801,30 | 406 / 45 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 103 | 93 / 7 | $50.292,50 | 231 / 3 | $15.457,60 | 828 / 98 | $11.767,30 | 823 / 98 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 19 | 26 / 5 | $64.165,20 | 49 / 1 | $19.418,40 | 135 / 10 | $18.397,40 | 134 / 12 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 25 | 44 / 6 | $52.062,40 | 178 / 3 | $12.766,80 | 347 / 20 | $10.895,20 | 346 / 21 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 27 | 27 / 6 | $87.444,80 | 101 / 2 | $20.988,60 | 127 / 9 | $20.008,20 | 127 / 14 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 27 | 68 / 10 | $80.577,60 | 345 / 21 | $17.533,00 | 301 / 43 | $11.912,30 | 298 / 37 |
Peripheral Vascular Disorders W Cc | 72 | 15 / 1 | $22.557,90 | 520 / 17 | $7.440,28 | 794 / 65 | $6.174,89 | 791 / 66 |
Peripheral Vascular Disorders W Mcc | 52 | 5 / 1 | $31.350,00 | 226 / 11 | $9.728,96 | 283 / 28 | $8.333,33 | 283 / 33 |
Peripheral Vascular Disorders W/O Cc/Mcc | 28 | 17 / 2 | $17.459,60 | 177 / 6 | $5.527,64 | 280 / 20 | $4.434,71 | 280 / 22 |
Peritoneal Adhesiolysis W Cc | 19 | 20 / 4 | $63.254,20 | 149 / 7 | $17.338,60 | 105 / 11 | $13.144,00 | 105 / 9 |
Peritoneal Adhesiolysis W Mcc | 14 | 9 / 3 | $103.320,00 | 22 / 2 | $28.612,60 | 35 / 4 | $27.174,30 | 35 / 4 |
Permanent Cardiac Pacemaker Implant W Cc | 55 | 22 / 2 | $45.942,30 | 158 / 3 | $17.719,70 | 430 / 52 | $15.402,50 | 429 / 43 |
Permanent Cardiac Pacemaker Implant W Mcc | 44 | 9 / 2 | $66.224,20 | 119 / 3 | $25.086,50 | 375 / 26 | $23.917,50 | 375 / 33 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 17 | 40 / 9 | $35.336,20 | 87 / 2 | $15.479,20 | 388 / 32 | $12.601,60 | 387 / 28 |
Pleural Effusion W Mcc | 18 | 12 / 4 | $34.221,20 | 71 / 1 | $10.892,70 | 102 / 10 | $9.412,78 | 102 / 9 |
Poisoning & Toxic Effects Of Drugs W Mcc | 52 | 20 / 1 | $33.133,80 | 426 / 17 | $9.812,48 | 458 / 37 | $8.365,06 | 457 / 34 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 34 | 27 / 3 | $19.303,60 | 491 / 6 | $5.110,29 | 618 / 25 | $4.295,15 | 617 / 32 |
Postoperative & Post-Traumatic Infections W Mcc | 26 | 17 / 2 | $43.580,80 | 86 / 2 | $16.241,50 | 98 / 8 | $12.318,30 | 98 / 8 |
Postoperative & Post-Traumatic Infections W/O Mcc | 21 | 33 / 6 | $24.579,00 | 203 / 5 | $7.332,86 | 305 / 19 | $6.941,43 | 305 / 29 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 18 | 20 / 4 | $48.648,10 | 71 / 4 | $13.774,00 | 89 / 7 | $12.887,60 | 89 / 11 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 21 | 11 / 3 | $74.455,60 | 14 / 1 | $25.791,70 | 11 / 3 | $24.662,30 | 11 / 4 |
Psychoses | 54 | 225 / 15 | $20.150,10 | 330 / 11 | $7.551,74 | 384 / 18 | $6.575,24 | 384 / 24 |
Pulmonary Edema & Respiratory Failure | 154 | 54 / 4 | $32.336,30 | 1161 / 45 | $9.466,74 | 1392 / 127 | $7.581,21 | 1388 / 115 |
Pulmonary Embolism W Mcc | 25 | 18 / 3 | $36.539,70 | 272 / 4 | $10.832,50 | 301 / 20 | $8.930,48 | 301 / 18 |
Pulmonary Embolism W/O Mcc | 37 | 37 / 5 | $29.641,60 | 824 / 27 | $7.709,81 | 882 / 50 | $6.061,24 | 879 / 61 |
Red Blood Cell Disorders W Mcc | 77 | 5 / 1 | $25.821,60 | 339 / 14 | $9.562,45 | 633 / 67 | $7.930,00 | 629 / 64 |
Red Blood Cell Disorders W/O Mcc | 128 | 23 / 2 | $22.062,30 | 1076 / 52 | $6.967,51 | 1323 / 135 | $5.048,05 | 1314 / 121 |
Renal Failure W Cc | 206 | 29 / 3 | $21.034,00 | 1082 / 31 | $7.428,34 | 1651 / 146 | $6.025,66 | 1642 / 148 |
Renal Failure W Mcc | 269 | 5 / 2 | $32.189,10 | 900 / 45 | $10.843,30 | 1231 / 116 | $9.509,39 | 1231 / 117 |
Renal Failure W/O Cc/Mcc | 28 | 28 / 6 | $22.271,00 | 622 / 36 | $5.249,54 | 679 / 50 | $4.364,36 | 678 / 59 |
Respiratory Infections & Inflammations W Cc | 65 | 25 / 1 | $26.947,10 | 561 / 18 | $9.546,65 | 939 / 83 | $8.448,17 | 934 / 91 |
Respiratory Infections & Inflammations W Mcc | 145 | 15 / 1 | $37.116,00 | 660 / 23 | $13.339,70 | 1041 / 96 | $11.818,10 | 1028 / 91 |
Respiratory Infections & Inflammations W/O Cc/Mcc | 16 | 13 / 4 | $24.718,40 | 59 / 3 | $8.033,44 | 79 / 12 | $5.807,94 | 79 / 12 |
Respiratory Neoplasms W Cc | 21 | 26 / 4 | $34.807,30 | 257 / 4 | $8.898,52 | 220 / 13 | $6.894,05 | 219 / 15 |
Respiratory Neoplasms W Mcc | 34 | 18 / 2 | $40.944,90 | 274 / 7 | $14.528,70 | 333 / 28 | $10.473,90 | 332 / 21 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 124 | 18 / 2 | $51.973,10 | 677 / 21 | $15.382,60 | 1011 / 88 | $14.163,90 | 1001 / 101 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 63 | 11 / 2 | $84.998,90 | 145 / 2 | $30.522,00 | 309 / 25 | $29.316,30 | 309 / 37 |
Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 20 | $81.545,10 | 306 / 10 | $23.690,70 | 364 / 27 | $20.259,90 | 363 / 33 |
Seizures W Mcc | 53 | 13 / 3 | $34.008,30 | 246 / 6 | $10.641,10 | 391 / 35 | $9.533,15 | 391 / 39 |
Seizures W/O Mcc | 53 | 55 / 7 | $21.350,50 | 624 / 16 | $6.314,53 | 805 / 62 | $4.772,28 | 802 / 66 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 101 | 7 / 1 | $94.000,30 | 148 / 5 | $36.753,10 | 201 / 41 | $31.817,60 | 201 / 25 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 1077 | 2 / 1 | $39.540,10 | 1299 / 59 | $13.146,80 | 1591 / 168 | $11.212,50 | 1559 / 150 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 254 | 8 / 1 | $26.539,50 | 1385 / 66 | $8.397,32 | 1709 / 169 | $6.596,61 | 1702 / 148 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 10 | $28.448,20 | 271 / 8 | $7.921,82 | 225 / 18 | $4.768,82 | 225 / 16 |
Signs & Symptoms W Mcc | 14 | 27 / 7 | $29.795,60 | 141 / 7 | $8.265,57 | 102 / 15 | $6.760,43 | 102 / 15 |
Signs & Symptoms W/O Mcc | 28 | 63 / 15 | $20.132,00 | 663 / 18 | $5.715,64 | 896 / 63 | $4.510,32 | 893 / 67 |
Simple Pneumonia & Pleurisy W Cc | 184 | 33 / 5 | $21.449,50 | 1296 / 50 | $7.681,64 | 1777 / 181 | $5.823,04 | 1769 / 155 |
Simple Pneumonia & Pleurisy W Mcc | 262 | 10 / 2 | $30.623,60 | 1074 / 41 | $10.280,50 | 1648 / 138 | $9.005,35 | 1648 / 147 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 86 | 15 / 2 | $17.554,10 | 970 / 37 | $6.011,15 | 1472 / 139 | $4.360,20 | 1464 / 132 |
Skin Ulcers W Mcc | 20 | 3 / 1 | $19.733,20 | 2 / 1 | $9.175,25 | 11 / 2 | $8.317,95 | 11 / 3 |
Soft Tissue Procedures W Cc | 17 | 5 / 1 | $45.400,60 | 16 / 1 | $13.961,40 | 12 / 3 | $9.771,24 | 12 / 3 |
Spinal Fusion Except Cervical W/O Mcc | 68 | 126 / 22 | $79.883,20 | 522 / 30 | $33.179,80 | 381 / 106 | $21.138,00 | 380 / 45 |
Stomach, Esophageal & Duodenal Proc W Cc | 12 | 38 / 8 | $78.851,20 | 134 / 8 | $19.436,40 | 30 / 7 | $13.756,00 | 30 / 6 |
Stomach, Esophageal & Duodenal Proc W Mcc | 24 | 17 / 5 | $113.009,00 | 72 / 5 | $41.306,60 | 84 / 11 | $34.159,50 | 84 / 9 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 14 | 34 / 6 | $39.821,00 | 100 / 7 | $10.201,40 | 126 / 9 | $9.112,86 | 126 / 15 |
Syncope & Collapse | 106 | 63 / 6 | $25.257,50 | 1230 / 50 | $6.222,91 | 1371 / 109 | $4.763,22 | 1364 / 107 |
Tendonitis, Myositis & Bursitis W/O Mcc | 32 | 11 / 1 | $21.475,10 | 162 / 4 | $6.365,25 | 226 / 9 | $5.296,16 | 226 / 12 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 41 | 23 / 5 | $154.358,00 | 65 / 6 | $56.394,20 | 138 / 17 | $54.894,00 | 138 / 20 |
Transient Ischemia | 74 | 51 / 10 | $25.610,90 | 994 / 35 | $6.542,47 | 1108 / 103 | $4.256,84 | 1102 / 85 |
Transurethral Procedures W Cc | 22 | 19 / 1 | $42.193,60 | 233 / 7 | $9.668,00 | 296 / 14 | $8.511,86 | 296 / 18 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 12 | 32 / 7 | $22.920,60 | 137 / 3 | $5.901,58 | 189 / 7 | $4.796,00 | 189 / 9 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 13 | 53 / 16 | $21.576,00 | 94 / 1 | $7.899,00 | 299 / 21 | $6.888,77 | 299 / 30 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 16 | 35 / 10 | $39.758,20 | 93 / 4 | $13.599,10 | 65 / 9 | $10.690,90 | 65 / 4 |
Upper Limb & Toe Amputation For Circ System Disorders W Mcc | 11 | 3 / 2 | $44.228,10 | 1 / 1 | $16.604,50 | 4 / 2 | $15.748,70 | 4 / 2 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 15 | 31 / 5 | $24.823,00 | 232 / 6 | $7.449,27 | 250 / 13 | $4.092,47 | 249 / 10 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 22 | 24 / 4 | $35.682,40 | 159 / 9 | $12.801,70 | 85 / 14 | $5.184,14 | 85 / 6 |
Vaginal Delivery W/O Complicating Diagnoses | 13 | 12 / 3 | $8.842,31 | 14 / 1 | $5.278,00 | 3 / 4 | $2.448,92 | 3 / 1 | Total 235 procedures | 14.179 | 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.