Hospital Costs > In Texas > Memorial Hermann Texas Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 215 | 5 / 1 | $57.062,50 | 1089 / 51 | $19.240,10 | 1485 / 109 | $15.615,80 | 1478 / 107 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 167 | 28 / 4 | $37.349,60 | 1437 / 75 | $14.291,00 | 1972 / 139 | $10.009,00 | 1968 / 137 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 165 | 351 / 55 | $74.732,70 | 2352 / 160 | $24.690,80 | 2664 / 211 | $17.331,40 | 2619 / 209 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 93 | 30 / 5 | $281.129,00 | 373 / 21 | $80.651,90 | 426 / 25 | $68.568,00 | 426 / 25 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 90 | 17 / 1 | $159.082,00 | 376 / 23 | $43.900,80 | 442 / 32 | $36.778,10 | 442 / 34 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 83 | 11 / 2 | $540.892,00 | 292 / 22 | $188.603,00 | 339 / 34 | $137.995,00 | 338 / 32 |
| Heart Failure & Shock W Cc | 83 | 195 / 40 | $38.799,40 | 2285 / 159 | $14.989,70 | 2657 / 210 | $10.014,70 | 2651 / 208 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 78 | 44 / 5 | $183.642,00 | 383 / 17 | $50.272,40 | 474 / 23 | $43.023,10 | 474 / 24 |
| Heart Failure & Shock W Mcc | 72 | 212 / 55 | $67.927,90 | 2312 / 170 | $20.905,40 | 2576 / 200 | $16.715,30 | 2565 / 201 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 67 | 7 / 1 | $39.049,50 | 335 / 19 | $13.125,70 | 488 / 36 | $10.330,90 | 487 / 36 |
| Hip & Femur Procedures Except Major Joint W Cc | 67 | 76 / 20 | $86.266,70 | 1778 / 117 | $23.799,30 | 1910 / 146 | $16.433,60 | 1890 / 143 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 66 | 498 / 103 | $84.128,00 | 2277 / 165 | $24.091,40 | 2490 / 220 | $17.340,20 | 2444 / 216 |
| Renal Failure W Mcc | 66 | 129 / 38 | $38.786,60 | 1229 / 69 | $16.183,00 | 1957 / 157 | $13.269,80 | 1953 / 155 |
| Kidney & Urinary Tract Infections W/O Mcc | 63 | 170 / 52 | $22.234,50 | 1776 / 106 | $10.325,10 | 2619 / 215 | $8.019,98 | 2608 / 216 |
| Renal Failure W Cc | 61 | 160 / 46 | $35.033,60 | 1899 / 124 | $13.828,50 | 2347 / 180 | $9.593,98 | 2337 / 178 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 61 | 65 / 21 | $44.293,80 | 1386 / 95 | $14.845,50 | 1669 / 132 | $11.963,60 | 1665 / 129 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 58 | 138 / 22 | $62.469,40 | 506 / 16 | $22.585,00 | 1343 / 127 | $16.064,80 | 1336 / 126 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 58 | 2 / 1 | $51.763,20 | 156 / 6 | $19.879,10 | 287 / 17 | $16.727,60 | 287 / 17 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 57 | 131 / 23 | $54.453,80 | 1304 / 96 | $15.094,00 | 1596 / 130 | $11.402,10 | 1593 / 130 |
| Traumatic Stupor & Coma, Coma >1 Hr W Mcc | 57 | 1 / 1 | $55.022,60 | 22 / 1 | $21.408,20 | 51 / 2 | $18.431,80 | 51 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 50 | 116 / 37 | $25.525,90 | 1917 / 127 | $10.654,70 | 2451 / 194 | $7.588,92 | 2442 / 195 |
| Seizures W/O Mcc | 50 | 58 / 9 | $37.386,40 | 1095 / 61 | $11.459,70 | 1244 / 84 | $7.930,10 | 1242 / 84 |
| Seizures W Mcc | 50 | 16 / 5 | $47.738,80 | 456 / 24 | $17.384,00 | 625 / 53 | $12.784,50 | 625 / 53 |
| Other Circulatory System Diagnoses W Mcc | 50 | 66 / 13 | $77.599,10 | 1126 / 83 | $22.462,10 | 1302 / 101 | $18.392,70 | 1294 / 102 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 50 | 26 / 3 | $111.624,00 | 236 / 20 | $27.551,20 | 235 / 23 | $19.169,10 | 234 / 22 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 49 | 44 / 7 | $132.426,00 | 859 / 62 | $37.437,20 | 902 / 64 | $24.210,80 | 894 / 63 |
| G.I. Hemorrhage W Cc | 49 | 169 / 44 | $48.116,10 | 2122 / 140 | $15.421,30 | 2324 / 167 | $9.664,39 | 2320 / 163 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 47 | 84 / 20 | $74.259,90 | 1221 / 75 | $23.724,30 | 1648 / 137 | $19.682,00 | 1634 / 136 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 46 | 19 / 4 | $245.395,00 | 240 / 21 | $81.368,20 | 363 / 41 | $72.945,70 | 362 / 42 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 46 | 49 / 5 | $106.492,00 | 482 / 33 | $24.748,50 | 562 / 45 | $18.134,00 | 558 / 44 |
| Kidney Transplant | 45 | 58 / 8 | $195.112,00 | 85 / 8 | $38.143,80 | 128 / 16 | $27.393,90 | 128 / 17 |
| Kidney & Urinary Tract Infections W Mcc | 45 | 99 / 32 | $29.281,40 | 1145 / 55 | $12.892,60 | 1855 / 146 | $10.409,80 | 1851 / 146 |
| Cellulitis W/O Mcc | 44 | 145 / 46 | $25.546,70 | 1904 / 122 | $13.017,50 | 2526 / 197 | $8.439,84 | 2518 / 195 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 43 | 17 / 6 | $238.853,00 | 199 / 15 | $58.902,70 | 221 / 18 | $53.017,80 | 220 / 18 |
| Medical Back Problems W/O Mcc | 42 | 79 / 14 | $31.625,30 | 1073 / 65 | $10.985,10 | 1436 / 98 | $8.596,90 | 1431 / 98 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 42 | 119 / 31 | $32.528,30 | 1725 / 112 | $10.735,50 | 2075 / 154 | $8.060,52 | 2070 / 154 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 41 | 29 / 4 | $274.204,00 | 166 / 7 | $94.866,00 | 194 / 17 | $67.920,20 | 194 / 15 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 41 | 83 / 24 | $245.820,00 | 1411 / 102 | $64.690,20 | 1546 / 114 | $56.012,30 | 1536 / 114 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 41 | 36 / 10 | $81.572,40 | 380 / 32 | $18.101,70 | 388 / 38 | $13.851,10 | 387 / 38 |
| Peripheral Vascular Disorders W Cc | 41 | 43 / 6 | $52.073,60 | 1162 / 77 | $14.525,40 | 1228 / 84 | $10.821,90 | 1225 / 83 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 40 | 14 / 2 | $24.232,70 | 225 / 12 | $10.008,90 | 380 / 26 | $7.533,12 | 380 / 26 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 40 | 235 / 72 | $28.164,20 | 2076 / 131 | $11.976,50 | 2629 / 204 | $7.813,88 | 2614 / 201 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 40 | 63 / 9 | $58.955,80 | 810 / 51 | $15.552,40 | 841 / 50 | $11.487,70 | 841 / 50 |
| Major Cardiovasc Procedures W/O Mcc | 39 | 62 / 14 | $126.885,00 | 775 / 52 | $35.322,70 | 910 / 70 | $28.182,70 | 909 / 69 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 38 | 62 / 10 | $99.502,80 | 478 / 26 | $31.924,70 | 923 / 77 | $27.407,90 | 918 / 77 |
| Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 70 | $27.013,90 | 1769 / 90 | $12.247,50 | 2711 / 213 | $9.557,92 | 2702 / 214 |
| Major Cardiovasc Procedures W Mcc | 37 | 31 / 6 | $189.924,00 | 487 / 33 | $64.459,10 | 584 / 46 | $47.374,90 | 583 / 44 |
| G.I. Hemorrhage W Mcc | 37 | 84 / 21 | $66.205,20 | 1285 / 76 | $20.354,70 | 1574 / 116 | $16.671,70 | 1564 / 114 |
| Spinal Fusion Except Cervical W/O Mcc | 35 | 159 / 41 | $103.891,00 | 774 / 49 | $36.027,10 | 1220 / 115 | $31.433,30 | 1215 / 114 |
| Other Vascular Procedures W Mcc | 35 | 62 / 20 | $135.816,00 | 812 / 63 | $35.425,80 | 889 / 79 | $28.395,20 | 886 / 79 |
| Cervical Spinal Fusion W/O Cc/Mcc | 35 | 69 / 17 | $71.786,10 | 595 / 41 | $25.043,40 | 774 / 74 | $16.718,30 | 771 / 72 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 35 | 15 / 2 | $167.116,00 | 61 / 1 | $56.232,80 | 88 / 6 | $46.090,90 | 88 / 6 |
| Transient Ischemia | 35 | 90 / 28 | $34.332,90 | 1311 / 70 | $10.244,00 | 1616 / 113 | $7.366,97 | 1608 / 113 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 59 | $32.003,90 | 1732 / 100 | $13.305,60 | 2450 / 192 | $9.903,15 | 2440 / 191 |
| Nervous System Neoplasms W Mcc | 33 | 15 / 1 | $36.029,70 | 141 / 7 | $14.145,10 | 266 / 14 | $11.763,10 | 266 / 14 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 32 | 60 / 14 | $196.248,00 | 736 / 49 | $62.328,50 | 1018 / 83 | $55.112,30 | 1017 / 83 |
| Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 32 | 10 / 1 | $202.509,00 | 134 / 4 | $51.654,00 | 147 / 8 | $45.979,80 | 147 / 9 |
| Other Vascular Procedures W Cc | 31 | 71 / 23 | $117.164,00 | 954 / 77 | $31.479,50 | 1093 / 94 | $24.239,60 | 1088 / 93 |
| Craniotomy & Endovascular Intracranial Procedures W Cc | 31 | 24 / 3 | $107.385,00 | 157 / 14 | $33.628,60 | 152 / 22 | $22.030,90 | 152 / 22 |
| Heart Failure & Shock W/O Cc/Mcc | 28 | 82 / 28 | $21.030,60 | 1363 / 70 | $9.498,50 | 1942 / 152 | $7.081,11 | 1929 / 150 |
| Chest Pain | 28 | 123 / 39 | $26.292,60 | 1264 / 69 | $9.490,86 | 1634 / 124 | $7.067,04 | 1625 / 123 |
| Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 67 | $37.218,80 | 1461 / 65 | $16.010,80 | 2403 / 186 | $13.500,00 | 2397 / 186 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 38 | $22.937,30 | 1548 / 89 | $9.885,30 | 1929 / 137 | $5.968,33 | 1923 / 136 |
| Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 26 | 5 / 1 | $67.582,80 | 96 / 7 | $20.479,30 | 138 / 14 | $15.734,10 | 138 / 14 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 26 | 50 / 9 | $83.195,30 | 453 / 46 | $25.306,60 | 535 / 58 | $20.992,70 | 535 / 58 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 38 | $49.255,00 | 1515 / 95 | $15.065,10 | 1814 / 134 | $11.532,50 | 1811 / 132 |
| Syncope & Collapse | 25 | 144 / 41 | $33.291,60 | 1538 / 83 | $10.963,20 | 1845 / 131 | $7.749,76 | 1837 / 130 |
| Red Blood Cell Disorders W/O Mcc | 25 | 118 / 42 | $29.708,80 | 1488 / 97 | $10.688,20 | 1898 / 150 | $7.997,56 | 1889 / 150 |
| Traumatic Stupor & Coma, Coma >1 Hr W Cc | 25 | 2 / 1 | $33.472,30 | 15 / 1 | $14.409,50 | 37 / 1 | $11.740,00 | 37 / 1 |
| Peripheral Vascular Disorders W Mcc | 24 | 25 / 5 | $54.686,10 | 456 / 36 | $16.107,50 | 538 / 45 | $12.699,10 | 538 / 46 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 24 | 77 / 17 | $77.585,30 | 997 / 50 | $22.142,50 | 1078 / 54 | $17.622,00 | 1074 / 53 |
| Heart Transplant Or Implant Of Heart Assist System W Mcc | 24 | 14 / 3 | $936.491,00 | 46 / 5 | $300.742,00 | 30 / 8 | $193.040,00 | 30 / 6 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 23 | 20 / 5 | $149.971,00 | 137 / 12 | $34.544,70 | 143 / 12 | $30.195,40 | 143 / 12 |
| Major Chest Trauma W Cc | 23 | 13 / 1 | $40.196,30 | 99 / 3 | $14.414,00 | 130 / 8 | $8.760,48 | 130 / 8 |
| Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 70 | $40.811,80 | 1950 / 122 | $14.202,50 | 2470 / 190 | $11.165,70 | 2462 / 189 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 33 | $27.064,20 | 986 / 40 | $9.964,87 | 1549 / 102 | $7.696,74 | 1545 / 102 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 23 | 31 / 7 | $174.365,00 | 251 / 18 | $40.550,90 | 276 / 19 | $36.593,00 | 276 / 20 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 22 | 44 / 13 | $86.809,00 | 489 / 39 | $25.365,90 | 534 / 44 | $16.350,30 | 530 / 44 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 22 | 69 / 23 | $41.233,10 | 1060 / 51 | $15.651,00 | 1377 / 90 | $10.125,70 | 1375 / 89 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 22 | 41 / 13 | $171.378,00 | 550 / 35 | $50.280,40 | 642 / 56 | $39.589,30 | 642 / 55 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 22 | 66 / 16 | $185.028,00 | 525 / 44 | $39.865,60 | 582 / 46 | $35.201,70 | 581 / 47 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 22 | 33 / 10 | $104.816,00 | 589 / 32 | $34.459,40 | 528 / 38 | $14.695,00 | 524 / 36 |
| Diabetes W Cc | 21 | 71 / 30 | $32.228,90 | 1242 / 78 | $11.115,00 | 1542 / 110 | $8.606,95 | 1537 / 109 |
| Hip & Femur Procedures Except Major Joint W Mcc | 21 | 41 / 20 | $147.705,00 | 877 / 58 | $34.989,90 | 930 / 65 | $29.925,00 | 927 / 65 |
| Other Disorders Of Nervous System W Mcc | 21 | 19 / 3 | $56.841,20 | 235 / 13 | $18.189,00 | 293 / 20 | $14.714,10 | 293 / 20 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 41 | $65.753,60 | 1405 / 81 | $22.312,60 | 1743 / 126 | $16.919,90 | 1730 / 126 |
| Other Circulatory System Diagnoses W Cc | 20 | 46 / 12 | $38.857,40 | 531 / 29 | $12.731,70 | 621 / 39 | $8.933,75 | 620 / 38 |
| Other O.R. Procedures For Injuries W Mcc | 20 | 17 / 4 | $130.393,00 | 141 / 11 | $44.120,80 | 171 / 13 | $38.854,10 | 171 / 12 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 22 | $150.405,00 | 560 / 31 | $56.607,90 | 720 / 76 | $37.675,70 | 719 / 72 |
| Major Small & Large Bowel Procedures W Cc | 19 | 89 / 31 | $108.072,00 | 1280 / 75 | $35.097,10 | 1360 / 95 | $20.033,40 | 1346 / 93 |
| Traumatic Stupor & Coma, Coma >1 Hr W/O Cc/Mcc | 19 | 3 / 1 | $31.509,70 | 16 / 1 | $10.922,80 | 19 / 1 | $8.674,53 | 19 / 1 |
| Permanent Cardiac Pacemaker Implant W Cc | 19 | 58 / 20 | $82.704,60 | 647 / 36 | $25.093,50 | 900 / 68 | $22.400,10 | 896 / 68 |
| Medical Back Problems W Mcc | 19 | 20 / 4 | $67.644,60 | 271 / 16 | $23.182,40 | 298 / 20 | $14.040,10 | 298 / 20 |
| Degenerative Nervous System Disorders W/O Mcc | 19 | 59 / 12 | $36.372,40 | 622 / 32 | $13.643,20 | 778 / 51 | $8.921,00 | 778 / 51 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 19 | 70 / 21 | $52.358,80 | 601 / 43 | $15.453,40 | 712 / 59 | $9.224,16 | 711 / 58 |
| Atherosclerosis W/O Mcc | 19 | 39 / 8 | $28.564,50 | 428 / 19 | $9.291,05 | / | $7.103,79 | / |
| Cervical Spinal Fusion W Cc | 18 | 35 / 8 | $96.235,70 | 273 / 21 | $29.489,80 | 331 / 31 | $23.346,10 | 330 / 31 |
| Cardiac Congenital & Valvular Disorders W/O Mcc | 18 | 7 / 1 | $40.896,30 | 32 / 5 | $12.325,40 | 32 / 5 | $8.494,28 | 32 / 5 |
| Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc | 17 | 9 / 1 | $104.888,00 | 33 / 5 | $27.545,90 | 40 / 8 | $23.110,40 | 40 / 8 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 17 | 53 / 18 | $35.571,20 | 437 / 44 | $12.247,10 | 480 / 57 | $8.288,00 | 480 / 56 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 58 | $21.171,90 | 1132 / 29 | $11.506,60 | 2356 / 165 | $9.332,47 | 2349 / 167 |
| Respiratory Infections & Inflammations W Mcc | 16 | 120 / 48 | $39.906,20 | 783 / 27 | $19.118,70 | 1662 / 124 | $16.142,50 | 1646 / 127 |
| Diabetes W Mcc | 16 | 41 / 20 | $58.548,60 | 626 / 41 | $17.122,70 | 628 / 52 | $11.226,90 | 627 / 51 |
| Other Multiple Significant Trauma W Cc | 16 | 9 / 1 | $61.078,10 | 32 / 1 | $18.810,70 | 32 / 3 | $11.349,90 | 32 / 2 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 16 | 12 / 3 | $162.010,00 | 21 / 2 | $62.023,50 | 64 / 6 | $57.615,10 | 64 / 7 |
| Other O.R. Procedures For Multiple Significant Trauma W Mcc | 16 | 8 / 1 | $211.937,00 | 18 / 1 | $75.181,20 | 18 / 1 | $50.711,90 | 18 / 1 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 22 | $58.725,10 | 801 / 43 | $19.538,90 | 962 / 59 | $16.067,30 | 959 / 60 |
| Ventricular Shunt Procedures W/O Cc/Mcc | 16 | 8 / 2 | $61.760,40 | 38 / 8 | $18.693,70 | 39 / 8 | $12.878,20 | 39 / 8 |
| Signs & Symptoms W/O Mcc | 16 | 75 / 26 | $42.463,40 | 1256 / 78 | $16.149,90 | 1334 / 84 | $11.841,40 | 1331 / 84 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 28 | $231.108,00 | 1126 / 77 | $75.729,90 | 1207 / 84 | $46.081,90 | 1204 / 81 |
| Other Circulatory System O.R. Procedures | 15 | 40 / 14 | $145.924,00 | 414 / 35 | $38.664,80 | 440 / 38 | $29.699,10 | 440 / 38 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Mcc | 15 | 8 / 2 | $194.941,00 | 53 / 6 | $55.813,70 | 51 / 6 | $32.307,70 | 51 / 6 |
| Complications Of Treatment W Mcc | 15 | 36 / 8 | $34.139,50 | 75 / 2 | $17.571,60 | 246 / 21 | $15.400,10 | 246 / 21 |
| Limb Reattachment, Hip & Femur Proc For Multiple Significant Trauma | 15 | 7 / 2 | $164.442,00 | 41 / 5 | $42.355,50 | 53 / 7 | $35.191,20 | 53 / 7 |
| Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 20 | $96.039,60 | 421 / 16 | $30.641,90 | 612 / 40 | $27.610,90 | 610 / 40 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 14 | 40 / 11 | $33.030,30 | 314 / 18 | $11.780,80 | 430 / 31 | $9.882,50 | 430 / 31 |
| Other Antepartum Diagnoses W Medical Complications | 14 | 11 / 1 | $29.403,90 | 25 / 2 | $10.369,00 | 21 / 1 | $7.992,00 | 21 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 14 | 33 / 12 | $79.534,00 | 473 / 24 | $29.293,60 | 394 / 27 | $9.806,29 | 394 / 26 |
| Pulmonary Embolism W Mcc | 14 | 29 / 10 | $54.216,40 | 450 / 20 | $17.079,50 | 552 / 30 | $13.930,10 | 551 / 30 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 42 | $50.843,50 | 1174 / 71 | $14.236,00 | 1377 / 95 | $11.689,40 | 1372 / 95 |
| Pulmonary Edema & Respiratory Failure | 13 | 190 / 68 | $33.641,80 | 1234 / 51 | $14.781,70 | 1943 / 158 | $9.643,31 | 1937 / 154 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 13 | 29 / 17 | $75.487,80 | 244 / 24 | $20.865,20 | 259 / 27 | $16.312,80 | 259 / 27 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 24 | $16.048,10 | 595 / 16 | $8.751,23 | 1267 / 87 | $5.905,23 | 1264 / 88 |
| Other Multiple Significant Trauma W Mcc | 13 | 10 / 1 | $82.633,50 | 10 / 1 | $25.965,30 | 16 / 1 | $22.279,50 | 16 / 1 |
| Vaginal Delivery W Complicating Diagnoses | 13 | 5 / 1 | $50.817,20 | 16 / 1 | $19.435,20 | 15 / 1 | $15.109,60 | 15 / 1 |
| Otitis Media & Uri W/O Mcc | 13 | 31 / 7 | $25.031,60 | 145 / 7 | $9.071,15 | 197 / 12 | $6.167,15 | 197 / 13 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 14 | $32.106,20 | 630 / 29 | $13.659,60 | 764 / 38 | $7.251,69 | 762 / 37 |
| Spinal Procedures W Mcc | 12 | 5 / 1 | $238.130,00 | 14 / 1 | $70.826,90 | 14 / 1 | $50.547,40 | 14 / 1 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 12 | $108.105,00 | 334 / 15 | $29.017,40 | 402 / 23 | $25.831,00 | 400 / 23 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 12 | 61 / 16 | $92.466,80 | 351 / 21 | $35.624,40 | 303 / 21 | $8.863,58 | 303 / 21 |
| Other O.R. Procedures For Multiple Significant Trauma W Cc | 12 | 7 / 1 | $193.949,00 | 10 / 1 | $77.596,00 | 7 / 1 | $34.055,50 | 7 / 1 |
| Degenerative Nervous System Disorders W Mcc | 12 | 26 / 7 | $75.305,80 | 194 / 11 | $19.854,20 | 200 / 14 | $15.811,40 | 200 / 14 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 12 | $17.193,40 | 170 / 5 | $9.201,50 | 393 / 28 | $7.535,25 | 393 / 29 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 24 | $95.246,80 | 738 / 42 | $20.754,00 | 773 / 47 | $18.665,30 | 769 / 47 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 19 | $26.098,10 | 515 / 18 | $11.577,50 | 927 / 55 | $9.439,33 | 924 / 55 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 16 | $141.317,00 | 490 / 29 | $40.969,80 | 593 / 38 | $36.090,30 | 593 / 39 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 19 | $58.841,00 | 542 / 36 | $26.628,40 | 619 / 54 | $13.816,10 | 618 / 51 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 22 | $46.681,50 | 384 / 18 | $20.129,70 | 479 / 39 | $13.193,90 | 478 / 36 |
| Complications Of Treatment W Cc | 11 | 41 / 11 | $24.629,80 | 154 / 3 | $11.515,90 | 329 / 20 | $9.393,73 | 329 / 21 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 11 | 37 / 8 | $76.443,40 | 212 / 18 | $21.203,90 | 216 / 19 | $12.988,80 | 215 / 19 |
| Other Circulatory System Diagnoses W/O Cc/Mcc | 11 | 10 / 2 | $31.968,10 | 28 / 1 | $10.550,10 | 26 / 2 | $6.599,00 | 26 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 43 | $20.287,30 | 1220 / 64 | $9.089,36 | 1913 / 157 | $7.110,64 | 1905 / 157 |
| Cardiac Congenital & Valvular Disorders W Mcc | 11 | 12 / 2 | $47.765,00 | 23 / 2 | $16.482,40 | 29 / 2 | $13.438,50 | 29 / 2 |
| Hypertension W/O Mcc | 11 | 54 / 22 | $30.655,50 | 642 / 49 | $9.139,64 | 749 / 67 | $6.649,18 | 747 / 67 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 11 | 31 / 5 | $137.179,00 | 75 / 3 | $37.617,50 | 98 / 6 | $35.487,00 | 98 / 7 |
| Extracranial Procedures W Mcc | 11 | 12 / 4 | $107.143,00 | 29 / 4 | $29.303,40 | 36 / 6 | $25.954,40 | 36 / 6 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 22 | $13.477,70 | 285 / 8 | $8.876,64 | 845 / 67 | $7.203,73 | 843 / 67 |
| Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 11 | 17 / 5 | $78.777,10 | 92 / 6 | $17.078,10 | 99 / 7 | $14.111,50 | 99 / 8 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 10 | $28.865,40 | 277 / 9 | $9.849,09 | 366 / 19 | $7.943,73 | 366 / 19 |
| Major Chest Procedures W Cc | 11 | 63 / 16 | $137.363,00 | 462 / 20 | $38.875,30 | 441 / 21 | $20.429,70 | 439 / 21 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 18 | $35.871,50 | 821 / 55 | $10.348,80 | 902 / 61 | $7.435,73 | 901 / 61 |
| Postoperative & Post-Traumatic Infections W Mcc | 11 | 32 / 8 | $74.664,10 | 177 / 10 | $20.922,40 | 182 / 11 | $16.065,50 | 182 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 24 | $133.591,00 | 792 / 43 | $34.832,20 | 874 / 54 | $29.389,00 | 870 / 54 |
| Spinal Procedures W Cc Or Spinal Neurostimulators | 11 | 16 / 4 | $132.190,00 | 39 / 3 | $35.533,80 | 30 / 4 | $23.585,20 | 30 / 4 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Mcc | 11 | 13 / 5 | $326.280,00 | 50 / 7 | $59.716,80 | 50 / 7 | $53.763,50 | 50 / 7 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 28 | $31.149,20 | 479 / 26 | $15.285,70 | 844 / 86 | $9.402,64 | 840 / 83 | Total 156 procedures | 4.943 | 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.