Hospital Costs > In Illinois > Memorial Medical Center Springfield, 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 | 581 | 91 / 5 | $56.419,50 | 1561 / 59 | $15.192,80 | 964 / 63 | $10.990,70 | 945 / 36 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 548 | 58 / 5 | $40.759,30 | 1351 / 38 | $12.549,80 | 1354 / 62 | $10.734,60 | 1327 / 50 |
G.I. Hemorrhage W Cc | 190 | 38 / 2 | $22.030,70 | 945 / 20 | $6.869,69 | 1214 / 59 | $5.594,32 | 1212 / 62 |
Heart Failure & Shock W Mcc | 183 | 101 / 9 | $27.926,50 | 970 / 29 | $9.820,49 | 1142 / 54 | $8.490,08 | 1139 / 48 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 149 | 47 / 3 | $24.667,60 | 269 / 5 | $7.803,70 | 516 / 39 | $5.477,42 | 514 / 29 |
Hip & Femur Procedures Except Major Joint W Cc | 145 | 12 / 2 | $45.822,40 | 874 / 24 | $12.242,30 | 829 / 46 | $10.657,40 | 819 / 42 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 143 | 132 / 16 | $16.756,00 | 970 / 20 | $5.222,63 | 1281 / 54 | $3.951,62 | 1270 / 64 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 143 | 42 / 3 | $23.050,30 | 666 / 16 | $7.012,68 | 806 / 45 | $5.559,23 | 804 / 38 |
Renal Failure W Cc | 140 | 83 / 8 | $17.978,40 | 771 / 20 | $6.683,89 | 695 / 65 | $4.911,28 | 688 / 29 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 138 | 60 / 2 | $86.556,60 | 995 / 53 | $16.395,40 | 782 / 52 | $11.570,40 | 777 / 43 |
Heart Failure & Shock W Cc | 133 | 145 / 18 | $18.765,30 | 1018 / 26 | $6.610,54 | 1075 / 60 | $5.350,81 | 1073 / 46 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 122 | 85 / 6 | $22.329,80 | 1003 / 24 | $7.455,14 | 1109 / 63 | $5.767,98 | 1105 / 45 |
Pulmonary Edema & Respiratory Failure | 120 | 83 / 3 | $28.450,60 | 936 / 28 | $8.444,34 | 977 / 53 | $6.911,09 | 976 / 43 |
Chronic Obstructive Pulmonary Disease W Mcc | 114 | 88 / 10 | $24.830,00 | 1115 / 33 | $7.767,25 | 1065 / 50 | $6.303,66 | 1060 / 44 |
Spinal Fusion Except Cervical W/O Mcc | 114 | 80 / 3 | $92.357,80 | 658 / 22 | $28.772,80 | 654 / 34 | $22.805,20 | 650 / 28 |
Simple Pneumonia & Pleurisy W Mcc | 111 | 94 / 11 | $27.345,40 | 858 / 20 | $9.882,05 | 619 / 67 | $7.455,26 | 619 / 18 |
Simple Pneumonia & Pleurisy W Cc | 106 | 97 / 13 | $19.595,10 | 1091 / 21 | $7.055,46 | 985 / 77 | $5.064,90 | 982 / 41 |
Renal Failure W Mcc | 106 | 89 / 12 | $34.095,40 | 1008 / 41 | $10.835,90 | 901 / 67 | $8.720,97 | 901 / 43 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 100 | 31 / 1 | $33.004,10 | 550 / 16 | $11.372,80 | 748 / 47 | $9.596,70 | 747 / 36 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 96 | 10 / 1 | $21.428,30 | 678 / 21 | $5.877,14 | 485 / 51 | $3.615,01 | 482 / 28 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 88 | 78 / 9 | $14.347,70 | 880 / 30 | $4.932,68 | 1118 / 60 | $3.736,57 | 1115 / 56 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 85 | 83 / 6 | $43.386,10 | 791 / 33 | $12.258,10 | 643 / 54 | $9.734,58 | 642 / 33 |
Cellulitis W/O Mcc | 83 | 106 / 22 | $15.869,00 | 976 / 30 | $5.674,01 | 1113 / 47 | $4.360,63 | 1107 / 55 |
Kidney & Urinary Tract Infections W/O Mcc | 82 | 151 / 29 | $16.749,20 | 1186 / 29 | $5.233,63 | 1087 / 56 | $4.015,59 | 1079 / 57 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 81 | 80 / 10 | $13.321,30 | 348 / 5 | $5.315,14 | 827 / 45 | $4.132,80 | 824 / 39 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 81 | 50 / 2 | $59.224,70 | 890 / 38 | $16.134,60 | 895 / 55 | $13.724,20 | 887 / 45 |
Major Small & Large Bowel Procedures W Cc | 79 | 30 / 3 | $59.858,30 | 632 / 14 | $17.039,40 | 600 / 32 | $13.997,00 | 594 / 31 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 79 | 45 / 3 | $108.109,00 | 587 / 28 | $33.828,10 | 700 / 38 | $31.501,00 | 694 / 37 |
Chronic Obstructive Pulmonary Disease W Cc | 76 | 103 / 20 | $18.409,70 | 839 / 24 | $6.470,74 | 942 / 59 | $4.908,76 | 939 / 41 |
G.I. Hemorrhage W Mcc | 73 | 48 / 2 | $46.285,00 | 906 / 35 | $12.054,00 | 875 / 53 | $10.766,70 | 870 / 51 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 73 | 50 / 8 | $22.682,90 | 502 / 17 | $8.409,04 | 778 / 64 | $6.771,07 | 775 / 52 |
Major Cardiovasc Procedures W/O Mcc | 64 | 38 / 4 | $94.962,10 | 535 / 17 | $22.158,10 | 462 / 22 | $19.948,90 | 462 / 23 |
Pulmonary Embolism W/O Mcc | 63 | 12 / 2 | $22.475,20 | 520 / 13 | $6.683,30 | 445 / 29 | $5.090,60 | 443 / 28 |
Syncope & Collapse | 62 | 107 / 14 | $15.348,00 | 422 / 9 | $4.954,06 | 717 / 40 | $3.764,82 | 714 / 42 |
Extracranial Procedures W/O Cc/Mcc | 60 | 38 / 1 | $27.707,40 | 370 / 6 | $7.776,90 | 422 / 26 | $5.532,23 | 421 / 22 |
Cervical Spinal Fusion W/O Cc/Mcc | 59 | 46 / 1 | $62.507,80 | 489 / 14 | $16.235,60 | 420 / 18 | $12.236,60 | 419 / 13 |
Other Digestive System Diagnoses W Cc | 59 | 38 / 4 | $22.992,60 | 565 / 21 | $6.593,54 | 609 / 39 | $5.415,64 | 606 / 44 |
Medical Back Problems W/O Mcc | 58 | 63 / 14 | $22.686,60 | 712 / 30 | $6.310,47 | 496 / 51 | $4.215,33 | 496 / 29 |
Other Circulatory System Diagnoses W Mcc | 58 | 58 / 7 | $34.224,90 | 324 / 10 | $12.468,10 | 595 / 33 | $11.104,60 | 593 / 36 |
G.I. Obstruction W Cc | 57 | 35 / 5 | $17.550,30 | 471 / 12 | $6.199,33 | 753 / 52 | $4.764,53 | 751 / 45 |
Chest Pain | 56 | 95 / 11 | $12.385,90 | 268 / 5 | $4.604,16 | 399 / 40 | $2.831,52 | 398 / 16 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 56 | 44 / 3 | $112.806,00 | 615 / 27 | $24.249,00 | 478 / 27 | $19.459,30 | 474 / 23 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 54 | 66 / 10 | $14.175,70 | 686 / 16 | $4.981,41 | 793 / 45 | $3.568,35 | 789 / 43 |
Major Chest Procedures W Cc | 54 | 22 / 4 | $48.030,00 | 95 / 2 | $16.513,20 | 197 / 11 | $14.585,20 | 197 / 15 |
Other Vascular Procedures W Cc | 53 | 50 / 4 | $54.369,60 | 273 / 6 | $16.509,00 | 529 / 21 | $15.133,30 | 526 / 27 |
G.I. Obstruction W/O Cc/Mcc | 48 | 23 / 3 | $11.672,00 | 258 / 1 | $4.224,19 | 551 / 26 | $3.021,81 | 550 / 34 |
Transient Ischemia | 48 | 77 / 13 | $18.760,30 | 567 / 19 | $5.257,21 | 573 / 52 | $3.443,44 | 570 / 38 |
Kidney & Urinary Tract Infections W Mcc | 46 | 98 / 20 | $28.983,40 | 1135 / 53 | $7.998,02 | 1148 / 72 | $6.654,26 | 1144 / 63 |
Major Small & Large Bowel Procedures W Mcc | 46 | 39 / 4 | $161.328,00 | 874 / 41 | $49.234,40 | 947 / 60 | $36.467,00 | 945 / 53 |
Acute Myocardial Infarction, Discharged Alive W Cc | 46 | 45 / 5 | $23.980,70 | 473 / 12 | $6.993,35 | 680 / 31 | $5.819,93 | 678 / 34 |
Respiratory Infections & Inflammations W Mcc | 46 | 90 / 23 | $34.890,50 | 591 / 16 | $12.458,90 | 813 / 48 | $11.157,40 | 803 / 36 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 45 | 56 / 10 | $37.593,60 | 582 / 31 | $10.998,20 | 615 / 41 | $9.593,98 | 613 / 42 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 45 | 81 / 15 | $26.034,70 | 769 / 35 | $7.668,64 | 444 / 49 | $5.951,69 | 441 / 27 |
Revision Of Hip Or Knee Replacement W Cc | 45 | 42 / 6 | $82.803,50 | 317 / 12 | $24.322,90 | 132 / 20 | $17.349,40 | 132 / 3 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 44 | 106 / 15 | $10.806,90 | 427 / 8 | $4.086,23 | 754 / 51 | $2.631,00 | 750 / 45 |
Signs & Symptoms W/O Mcc | 44 | 47 / 8 | $15.937,20 | 398 / 9 | $4.743,61 | 496 / 28 | $3.665,86 | 495 / 25 |
Heart Failure & Shock W/O Cc/Mcc | 43 | 67 / 14 | $11.328,20 | 390 / 5 | $4.645,65 | 883 / 53 | $3.624,28 | 877 / 56 |
Hip & Femur Procedures Except Major Joint W Mcc | 42 | 20 / 3 | $69.648,60 | 411 / 16 | $19.621,70 | 427 / 26 | $17.511,40 | 424 / 24 |
Seizures W/O Mcc | 42 | 66 / 10 | $24.209,10 | 743 / 41 | $5.584,90 | 390 / 44 | $3.896,12 | 388 / 30 |
Red Blood Cell Disorders W/O Mcc | 42 | 101 / 19 | $19.216,40 | 827 / 35 | $6.156,07 | 789 / 69 | $4.285,88 | 784 / 44 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 40 | 24 / 3 | $47.169,40 | 418 / 13 | $13.235,70 | 264 / 13 | $8.394,03 | 264 / 8 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 40 | 8 / 1 | $24.221,20 | 18 / 1 | $11.832,00 | 55 / 3 | $7.678,10 | 55 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 37 | 11 / 2 | $28.583,00 | 134 / 1 | $8.769,95 | 241 / 9 | $6.328,95 | 241 / 13 |
Diabetes W Cc | 35 | 57 / 9 | $21.087,40 | 775 / 34 | $6.232,49 | 303 / 53 | $4.010,49 | 303 / 19 |
Respiratory Infections & Inflammations W Cc | 35 | 53 / 10 | $22.507,90 | 372 / 5 | $9.187,94 | 467 / 41 | $7.268,09 | 464 / 25 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 35 | 21 / 5 | $38.184,70 | 224 / 4 | $10.763,30 | 430 / 15 | $9.175,09 | 430 / 18 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 34 | 59 / 8 | $42.717,50 | 207 / 9 | $15.112,60 | 335 / 39 | $11.731,00 | 330 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 34 | 62 / 15 | $25.873,80 | 468 / 18 | $9.822,00 | 354 / 54 | $6.357,91 | 352 / 22 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 33 | 59 / 7 | $163.911,00 | 603 / 33 | $43.294,60 | 654 / 35 | $39.860,20 | 653 / 39 |
Major Chest Procedures W/O Cc/Mcc | 33 | 29 / 4 | $38.850,10 | 69 / 2 | $12.132,80 | 47 / 4 | $9.245,12 | 47 / 2 |
Respiratory Neoplasms W Mcc | 33 | 19 / 4 | $32.625,90 | 142 / 3 | $11.294,40 | 249 / 21 | $9.793,52 | 249 / 19 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 32 | 41 / 11 | $23.205,40 | 407 / 15 | $7.739,94 | 493 / 35 | $6.626,94 | 491 / 31 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 31 | 38 / 3 | $77.461,40 | 322 / 15 | $16.416,50 | 255 / 8 | $15.078,80 | 255 / 13 |
Pulmonary Embolism W Mcc | 31 | 12 / 2 | $32.583,60 | 209 / 5 | $9.856,94 | 259 / 24 | $8.624,48 | 259 / 18 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 31 | 87 / 8 | $139.563,00 | 248 / 4 | $33.389,80 | 229 / 7 | $31.693,00 | 229 / 10 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 30 | 36 / 4 | $46.888,10 | 236 / 8 | $13.284,00 | 201 / 17 | $10.228,80 | 200 / 13 |
Other Disorders Of Nervous System W Cc | 30 | 26 / 3 | $26.954,70 | 321 / 12 | $6.187,50 | 166 / 15 | $4.693,07 | 166 / 9 |
Other Vascular Procedures W Mcc | 29 | 68 / 11 | $60.452,70 | 164 / 2 | $20.297,40 | 335 / 14 | $19.073,40 | 333 / 16 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 29 | 59 / 8 | $94.865,00 | 220 / 5 | $29.086,60 | 261 / 19 | $20.902,80 | 260 / 14 |
Other Digestive System Diagnoses W/O Cc/Mcc | 29 | 14 / 2 | $19.829,80 | 169 / 5 | $4.894,69 | 105 / 7 | $3.306,79 | 105 / 8 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 21 | $13.494,60 | 550 / 19 | $4.995,76 | 822 / 51 | $3.519,55 | 818 / 51 |
Extracranial Procedures W Cc | 28 | 18 / 2 | $30.030,50 | 80 / 1 | $10.167,00 | 187 / 9 | $9.091,71 | 187 / 11 |
Other Kidney & Urinary Tract Diagnoses W Cc | 28 | 75 / 12 | $26.562,40 | 439 / 25 | $7.325,39 | 322 / 35 | $5.576,04 | 322 / 24 |
Major Cardiovasc Procedures W Mcc | 28 | 40 / 6 | $127.585,00 | 251 / 6 | $34.844,20 | 309 / 10 | $33.125,80 | 309 / 13 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 27 | 36 / 6 | $129.319,00 | 388 / 20 | $34.063,40 | 449 / 22 | $32.072,00 | 449 / 24 |
Other Disorders Of Nervous System W Mcc | 27 | 13 / 2 | $38.259,00 | 134 / 3 | $10.511,60 | 101 / 7 | $9.046,33 | 101 / 5 |
Cellulitis W Mcc | 27 | 31 / 7 | $38.842,50 | 571 / 33 | $11.635,50 | 651 / 45 | $9.637,74 | 649 / 50 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 26 | 39 / 7 | $94.914,80 | 610 / 31 | $24.291,30 | 491 / 36 | $19.188,40 | 488 / 27 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 26 | 45 / 4 | $129.140,00 | 439 / 23 | $33.612,90 | 379 / 21 | $30.373,80 | 379 / 19 |
G.I. Hemorrhage W/O Cc/Mcc | 26 | 42 / 7 | $15.044,20 | 335 / 10 | $5.360,77 | 340 / 32 | $3.456,92 | 337 / 20 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 25 | 64 / 8 | $29.000,50 | 277 / 6 | $7.627,00 | 223 / 12 | $5.294,24 | 223 / 15 |
Disorders Of The Biliary Tract W Cc | 25 | 29 / 4 | $20.909,30 | 78 / 2 | $7.712,16 | 73 / 15 | $5.287,80 | 73 / 7 |
Seizures W Mcc | 25 | 41 / 8 | $24.357,90 | 97 / 1 | $9.578,68 | 209 / 11 | $8.422,08 | 209 / 12 |
Major Chest Procedures W Mcc | 25 | 24 / 3 | $103.876,00 | 105 / 3 | $38.736,60 | 175 / 9 | $32.022,00 | 174 / 9 |
Coronary Bypass W Cardiac Cath W Mcc | 24 | 32 / 2 | $149.789,00 | 114 / 2 | $49.645,00 | 172 / 13 | $40.737,00 | 172 / 8 |
Peripheral Vascular Disorders W Cc | 24 | 60 / 21 | $14.963,80 | 177 / 4 | $6.359,96 | 203 / 34 | $4.658,42 | 203 / 12 |
Kidney Transplant | 24 | 77 / 7 | $228.608,00 | 123 / 4 | $30.385,20 | 98 / 2 | $24.384,00 | 98 / 3 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 24 | 21 / 4 | $47.845,10 | 74 / 3 | $12.348,10 | 56 / 4 | $11.081,50 | 56 / 2 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 24 | 45 / 7 | $81.170,70 | 423 / 21 | $11.589,10 | 275 / 8 | $10.277,90 | 275 / 17 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 23 | 20 / 2 | $56.323,20 | 32 / 1 | $17.503,70 | 38 / 3 | $16.035,50 | 38 / 2 |
Disorders Of Pancreas Except Malignancy W Cc | 23 | 38 / 9 | $21.408,90 | 345 / 9 | $7.678,52 | 218 / 34 | $4.544,04 | 218 / 12 |
Diabetes W Mcc | 23 | 34 / 3 | $30.399,40 | 287 / 10 | $9.054,48 | 263 / 14 | $7.885,83 | 263 / 15 |
Other Circulatory System Diagnoses W Cc | 23 | 43 / 7 | $16.187,60 | 103 / 2 | $6.815,26 | 222 / 18 | $5.213,43 | 221 / 14 |
Other Resp System O.R. Procedures W Mcc | 23 | 40 / 7 | $79.582,60 | 209 / 4 | $24.260,70 | 303 / 15 | $22.556,70 | 302 / 17 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 23 | 34 / 4 | $54.004,30 | 321 / 12 | $13.503,40 | 348 / 12 | $12.318,70 | 347 / 20 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 23 | 22 / 2 | $96.556,00 | 156 / 6 | $19.060,10 | 107 / 5 | $17.754,50 | 107 / 4 |
Coronary Bypass W Cardiac Cath W/O Mcc | 23 | 53 / 5 | $118.917,00 | 220 / 1 | $31.403,60 | 332 / 9 | $27.111,70 | 332 / 14 |
Red Blood Cell Disorders W Mcc | 22 | 49 / 16 | $22.759,30 | 232 / 6 | $8.248,18 | 476 / 32 | $7.406,41 | 474 / 37 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 22 | 73 / 11 | $65.729,50 | 227 / 7 | $18.579,40 | 173 / 21 | $10.667,30 | 171 / 10 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 22 | 22 / 4 | $66.792,00 | 157 / 4 | $19.198,30 | 151 / 13 | $15.955,70 | 150 / 5 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 22 | 94 / 10 | $173.303,00 | 150 / 4 | $47.723,40 | 121 / 3 | $46.005,10 | 121 / 3 |
Major Male Pelvic Procedures W/O Cc/Mcc | 21 | 52 / 5 | $30.805,80 | 91 / 1 | $9.801,43 | 134 / 4 | $6.360,48 | 134 / 7 |
Hypertension W/O Mcc | 21 | 44 / 9 | $15.205,30 | 232 / 12 | $5.175,52 | 112 / 29 | $2.683,52 | 112 / 7 |
Postoperative & Post-Traumatic Infections W Mcc | 21 | 22 / 4 | $27.376,30 | 25 / 1 | $10.959,60 | 16 / 2 | $9.312,38 | 16 / 1 |
Postoperative & Post-Traumatic Infections W/O Mcc | 21 | 33 / 4 | $16.482,90 | 66 / 1 | $6.513,62 | 182 / 5 | $5.835,57 | 182 / 9 |
G.I. Obstruction W Mcc | 21 | 21 / 4 | $41.407,40 | 271 / 8 | $10.803,70 | 202 / 17 | $9.231,81 | 202 / 13 |
Other Digestive System Diagnoses W Mcc | 21 | 41 / 12 | $31.249,70 | 178 / 2 | $10.931,00 | 255 / 16 | $9.833,48 | 255 / 13 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 21 | 34 / 8 | $52.221,10 | 280 / 10 | $13.113,20 | 204 / 12 | $10.579,70 | 204 / 11 |
Cervical Spinal Fusion W Cc | 20 | 33 / 4 | $74.824,00 | 194 / 3 | $18.961,90 | 219 / 4 | $17.665,20 | 218 / 6 |
Peripheral Vascular Disorders W Mcc | 20 | 29 / 9 | $30.330,70 | 207 / 10 | $8.838,05 | 181 / 12 | $7.532,10 | 181 / 11 |
Digestive Malignancy W Cc | 20 | 27 / 9 | $27.155,80 | 104 / 2 | $8.233,90 | 122 / 10 | $6.958,50 | 121 / 11 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 20 | 56 / 6 | $43.951,40 | 244 / 11 | $12.391,20 | 217 / 14 | $11.223,80 | 217 / 12 |
Permanent Cardiac Pacemaker Implant W Mcc | 20 | 32 / 6 | $88.524,80 | 257 / 12 | $23.259,30 | 267 / 15 | $22.118,90 | 267 / 15 |
Renal Failure W/O Cc/Mcc | 20 | 36 / 7 | $10.830,50 | 152 / 4 | $4.359,35 | 133 / 17 | $2.796,95 | 132 / 5 |
Fractures Of Hip & Pelvis W/O Mcc | 20 | 41 / 12 | $16.532,20 | 354 / 9 | $4.915,50 | 197 / 20 | $3.245,10 | 198 / 12 |
Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 2 | $35.460,40 | 480 / 10 | $9.425,60 | 388 / 9 | $8.101,65 | 387 / 10 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 20 | 33 / 4 | $23.411,20 | 406 / 6 | $5.169,30 | 274 / 9 | $3.726,30 | 272 / 10 |
Other Resp System O.R. Procedures W Cc | 19 | 28 / 6 | $35.622,60 | 51 / 1 | $12.230,20 | 46 / 2 | $9.910,32 | 46 / 4 |
Permanent Cardiac Pacemaker Implant W Cc | 19 | 58 / 15 | $66.851,90 | 442 / 17 | $16.764,40 | 428 / 23 | $15.370,20 | 427 / 26 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 13 | $74.118,90 | 624 / 22 | $13.996,80 | 474 / 9 | $12.623,30 | 471 / 17 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 19 | 37 / 12 | $44.591,50 | 366 / 20 | $13.220,60 | 231 / 29 | $10.827,10 | 230 / 19 |
Transurethral Procedures W Cc | 19 | 22 / 5 | $19.454,60 | 23 / 1 | $8.275,11 | 183 / 9 | $7.202,47 | 183 / 15 |
Stomach, Esophageal & Duodenal Proc W Cc | 19 | 31 / 5 | $57.774,50 | 66 / 1 | $16.938,20 | 44 / 2 | $14.318,70 | 44 / 2 |
Degenerative Nervous System Disorders W/O Mcc | 19 | 59 / 19 | $27.122,80 | 441 / 23 | $6.311,00 | 223 / 18 | $5.052,68 | 223 / 17 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 18 | 36 / 7 | $22.479,90 | 201 / 7 | $5.098,56 | 84 / 11 | $3.618,33 | 84 / 14 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 18 | 11 / 1 | $7.933,17 | 10 / 1 | $4.486,06 | 30 / 4 | $3.403,00 | 30 / 3 |
Complications Of Treatment W Cc | 18 | 34 / 9 | $23.157,40 | 138 / 3 | $6.627,00 | 103 / 8 | $5.462,72 | 103 / 8 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 18 | 18 / 5 | $47.227,80 | 97 / 3 | $16.006,10 | 159 / 7 | $14.400,40 | 159 / 6 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 18 | 35 / 9 | $20.582,70 | 72 / 2 | $7.932,22 | 168 / 10 | $6.740,89 | 168 / 10 |
Transurethral Prostatectomy W Cc/Mcc | 17 | 7 / 2 | $26.933,20 | 11 / 1 | $8.989,24 | 18 / 2 | $7.781,29 | 18 / 2 |
Complications Of Treatment W Mcc | 17 | 34 / 8 | $54.906,60 | 189 / 4 | $12.694,30 | 31 / 3 | $8.952,00 | 31 / 2 |
Other Circulatory System O.R. Procedures | 17 | 38 / 6 | $68.251,80 | 214 / 8 | $17.768,10 | 123 / 12 | $15.572,20 | 123 / 5 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 17 | 49 / 11 | $28.088,50 | 217 / 6 | $7.282,00 | 193 / 11 | $6.147,47 | 193 / 14 |
Atherosclerosis W/O Mcc | 16 | 42 / 6 | $16.105,00 | 207 / 8 | $4.189,75 | / 10 | $3.029,44 | / |
Other Vascular Procedures W/O Cc/Mcc | 16 | 40 / 4 | $36.973,60 | 136 / 1 | $10.969,60 | 281 / 6 | $9.752,38 | 280 / 6 |
Peritoneal Adhesiolysis W Cc | 16 | 23 / 5 | $56.729,70 | 125 / 4 | $16.632,60 | 84 / 5 | $12.603,80 | 84 / 4 |
Disorders Of The Biliary Tract W Mcc | 16 | 23 / 6 | $44.234,10 | 121 / 6 | $10.663,70 | 66 / 6 | $9.375,12 | 66 / 7 |
Respiratory Neoplasms W Cc | 16 | 31 / 11 | $21.125,40 | 71 / 3 | $7.713,69 | 152 / 13 | $6.402,62 | 151 / 11 |
Disorders Of Pancreas Except Malignancy W Mcc | 16 | 30 / 6 | $67.575,60 | 281 / 14 | $13.660,20 | 185 / 9 | $11.519,90 | 185 / 8 |
Pleural Effusion W Mcc | 15 | 15 / 2 | $34.754,70 | 75 / 3 | $10.393,30 | 75 / 5 | $8.969,87 | 75 / 4 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 15 | 49 / 8 | $265.724,00 | 276 / 16 | $71.838,40 | 330 / 15 | $68.928,90 | 330 / 17 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 15 | $19.654,50 | 212 / 6 | $6.103,93 | 300 / 14 | $5.022,87 | 300 / 19 |
Other Skin, Subcut Tiss & Breast Proc W Cc | 15 | 9 / 2 | $34.585,70 | 29 / 2 | $11.814,10 | 18 / 5 | $7.671,93 | 18 / 1 |
Coagulation Disorders | 15 | 12 / 2 | $38.933,40 | 31 / 2 | $10.851,10 | 15 / 2 | $9.318,33 | 15 / 2 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 15 | 23 / 8 | $11.781,30 | 63 / 2 | $6.383,80 | 111 / 21 | $2.975,13 | 111 / 5 |
Digestive Malignancy W Mcc | 15 | 22 / 6 | $39.193,70 | 29 / 1 | $13.764,50 | 38 / 2 | $12.312,90 | 38 / 3 |
Acute Myocardial Infarction, Expired W Mcc | 15 | 15 / 2 | $36.745,90 | 63 / 3 | $11.128,80 | 57 / 4 | $9.743,80 | 57 / 4 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 15 | 54 / 10 | $56.653,90 | 166 / 6 | $17.984,10 | 94 / 9 | $13.558,80 | 94 / 1 |
Kidney & Ureter Procedures For Neoplasm W Cc | 14 | 30 / 8 | $49.866,60 | 61 / 4 | $13.005,60 | 64 / 3 | $11.908,50 | 64 / 3 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 14 | 33 / 9 | $19.971,10 | 159 / 5 | $4.944,14 | 121 / 14 | $3.859,57 | 121 / 13 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 14 | 40 / 7 | $82.532,70 | 94 / 4 | $19.540,40 | 84 / 4 | $18.225,60 | 84 / 5 |
Kidney & Ureter Procedures For Non-Neoplasm W/O Cc/Mcc | 14 | 11 / 2 | $33.662,50 | 12 / 2 | $8.650,14 | 12 / 1 | $7.610,64 | 12 / 2 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 14 | 32 / 5 | $29.119,10 | 119 / 4 | $7.149,64 | 56 / 6 | $4.776,00 | 56 / 2 |
Hernia Procedures Except Inguinal & Femoral W Cc | 14 | 20 / 5 | $44.135,10 | 61 / 2 | $11.238,60 | 67 / 4 | $9.757,00 | 67 / 6 |
Pneumothorax W Cc | 14 | 11 / 2 | $20.742,20 | 21 / 1 | $7.023,71 | 24 / 1 | $5.085,29 | 24 / 2 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 14 | 32 / 6 | $12.325,10 | 41 / 1 | $4.668,93 | 139 / 9 | $3.403,64 | 139 / 13 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 9 | $41.436,10 | 45 / 2 | $15.687,80 | 186 / 9 | $14.208,80 | 185 / 12 |
Nervous System Neoplasms W/O Mcc | 13 | 17 / 4 | $28.734,20 | 26 / 1 | $6.743,92 | 26 / 1 | $5.533,46 | 26 / 3 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 15 | $38.096,50 | 365 / 11 | $10.366,10 | 467 / 23 | $9.097,54 | 465 / 28 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 13 | 38 / 9 | $49.745,80 | 149 / 6 | $12.843,10 | 71 / 10 | $10.761,20 | 71 / 4 |
Lymphoma & Non-Acute Leukemia W Cc | 13 | 23 / 5 | $43.891,00 | 56 / 3 | $11.394,80 | 44 / 4 | $9.993,54 | 44 / 4 |
Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 26 | $15.673,50 | 225 / 7 | $5.943,77 | 413 / 23 | $4.586,23 | 409 / 28 |
Stomach, Esophageal & Duodenal Proc W Mcc | 13 | 28 / 4 | $126.540,00 | 87 / 2 | $40.512,20 | 76 / 6 | $33.657,00 | 76 / 3 |
Knee Procedures W Pdx Of Infection W Cc | 13 | 3 / 1 | $38.540,50 | 3 / 1 | $12.989,20 | 3 / 1 | $11.720,70 | 3 / 1 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 12 | $12.893,10 | 210 / 3 | $4.507,31 | 200 / 16 | $3.126,15 | 199 / 11 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 12 | 41 / 12 | $41.483,70 | 110 / 2 | $12.690,80 | 130 / 11 | $10.566,90 | 131 / 9 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 12 | 26 / 4 | $37.544,80 | 34 / 1 | $12.623,30 | 29 / 1 | $10.449,80 | 29 / 1 |
Fever | 12 | 34 / 9 | $13.962,20 | 36 / 1 | $5.778,67 | 83 / 5 | $4.358,42 | 83 / 8 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 12 | 30 / 6 | $142.211,00 | 81 / 2 | $31.790,00 | 25 / 1 | $30.011,20 | 25 / 1 |
Signs & Symptoms W Mcc | 12 | 29 / 7 | $22.064,30 | 75 / 2 | $7.164,17 | 49 / 2 | $6.047,92 | 49 / 1 |
Peritoneal Adhesiolysis W/O Cc/Mcc | 12 | 12 / 1 | $39.301,30 | 26 / 1 | $10.362,40 | 23 / 1 | $8.869,50 | 23 / 1 |
Nervous System Neoplasms W Mcc | 12 | 36 / 11 | $25.122,00 | 45 / 1 | $8.326,67 | 51 / 8 | $6.874,00 | 51 / 6 |
Other O.R. Procedures For Injuries W Mcc | 12 | 25 / 6 | $88.103,70 | 70 / 2 | $25.813,50 | 25 / 2 | $20.930,20 | 25 / 1 |
Skin Graft For Skin Ulcer Or Cellulitis W Mcc | 12 | 10 / 1 | $170.337,00 | 22 / 2 | $54.410,80 | 7 / 2 | $18.206,40 | 7 / 1 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 12 | 79 / 15 | $22.041,50 | 89 / 7 | $6.985,50 | 54 / 6 | $6.174,83 | 54 / 3 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 12 | 20 / 3 | $38.341,20 | 33 / 1 | $14.357,00 | 11 / 1 | $11.683,80 | 11 / 1 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 11 | $21.350,60 | 211 / 3 | $6.705,25 | 54 / 15 | $4.464,17 | 54 / 2 |
Aftercare, Musculoskeletal System & Connective Tissue W Cc | 12 | 6 / 3 | $21.715,90 | 7 / 1 | $6.878,83 | 5 / 2 | $5.587,67 | 5 / 2 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 20 | $19.466,80 | 360 / 13 | $5.408,42 | 288 / 24 | $3.860,33 | 288 / 21 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 11 | 29 / 3 | $39.157,70 | 49 / 2 | $9.730,91 | 59 / 1 | $8.480,00 | 59 / 2 |
Headaches W/O Mcc | 11 | 32 / 7 | $17.530,20 | 69 / 3 | $6.080,18 | 47 / 8 | $3.111,09 | 47 / 4 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 11 | 70 / 15 | $402.589,00 | 176 / 9 | $143.188,00 | 157 / 15 | $100.536,00 | 157 / 7 |
Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 9 | $12.605,80 | 49 / 1 | $5.466,45 | 69 / 8 | $4.008,09 | 69 / 7 |
Anal & Stomal Procedures W Cc | 11 | 8 / 1 | $38.665,70 | 7 / 1 | $10.371,90 | 2 / 1 | $7.516,00 | 2 / 1 |
Spinal Procedures W/O Cc/Mcc | 11 | 16 / 2 | $47.531,00 | 17 / 1 | $12.817,80 | 4 / 1 | $9.173,45 | 4 / 1 |
Fractures Of Hip & Pelvis W Mcc | 11 | 10 / 4 | $31.392,60 | 29 / 2 | $8.458,73 | 18 / 4 | $7.045,27 | 18 / 4 |
Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 7 | $17.757,70 | 86 / 1 | $6.401,27 | 136 / 5 | $5.114,36 | 136 / 6 |
Transurethral Prostatectomy W/O Cc/Mcc | 11 | 18 / 4 | $16.430,50 | 17 / 1 | $5.032,00 | 47 / 4 | $4.059,64 | 47 / 4 |
Angina Pectoris | 11 | 14 / 2 | $12.216,30 | 7 / 1 | $3.921,18 | 18 / 1 | $2.797,27 | 18 / 1 |
Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 6 | $21.232,50 | 33 / 1 | $9.619,55 | 72 / 2 | $8.542,64 | 72 / 2 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 11 | 20 / 9 | $29.873,30 | 68 / 4 | $8.142,45 | 67 / 4 | $6.577,18 | 67 / 6 |
Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 13 | $11.231,60 | 66 / 3 | $6.433,00 | 49 / 22 | $2.936,00 | 49 / 3 |
Lymphoma & Non-Acute Leukemia W Mcc | 11 | 25 / 8 | $53.635,10 | 20 / 1 | $19.090,60 | 12 / 2 | $17.536,60 | 12 / 2 | Total 203 procedures | 8.672 | 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.