Hospital Costs > In Maryland > Mercy Medical Center Baltimore, 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 | 602 | 82 / 4 | $23.673,90 | 55 / 20 | $21.933,50 | 2592 / 20 | $19.549,00 | 2546 / 21 |
| Spinal Fusion Except Cervical W/O Mcc | 162 | 44 / 1 | $36.361,60 | 31 / 7 | $33.648,10 | 1209 / 7 | $31.070,00 | 1204 / 8 |
| Heart Failure & Shock W Cc | 71 | 207 / 32 | $10.394,40 | 147 / 31 | $9.590,48 | 2567 / 31 | $8.833,75 | 2561 / 31 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 71 | 204 / 27 | $7.829,49 | 86 / 29 | $7.227,51 | 2494 / 29 | $6.477,99 | 2479 / 31 |
| Kidney & Urinary Tract Infections W/O Mcc | 61 | 172 / 29 | $6.917,18 | 49 / 17 | $6.408,71 | 2240 / 17 | $5.554,11 | 2229 / 17 |
| Cellulitis W/O Mcc | 52 | 137 / 27 | $7.428,44 | 64 / 13 | $6.886,19 | 2116 / 13 | $5.846,60 | 2108 / 15 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 28 | $10.386,40 | 359 / 37 | $9.615,86 | 2491 / 37 | $8.539,48 | 2482 / 36 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 39 | 10 / 1 | $18.485,50 | 13 / 6 | $17.127,30 | 507 / 6 | $15.533,90 | 507 / 6 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 38 | 28 / 1 | $18.839,60 | 12 / 9 | $17.377,90 | 533 / 9 | $16.235,20 | 529 / 10 |
| Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 30 | $10.044,80 | 102 / 29 | $9.270,30 | 2285 / 29 | $8.421,00 | 2278 / 30 |
| Other Vascular Procedures W Cc | 37 | 65 / 6 | $25.519,90 | 21 / 17 | $23.618,60 | 1038 / 17 | $21.868,60 | 1033 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 36 | 480 / 37 | $22.524,80 | 385 / 33 | $20.763,30 | 2759 / 33 | $20.089,50 | 2714 / 34 |
| Major Small & Large Bowel Procedures W Cc | 36 | 72 / 10 | $38.034,80 | 152 / 28 | $35.057,10 | 1534 / 27 | $34.085,50 | 1520 / 29 |
| Renal Failure W Cc | 35 | 186 / 30 | $10.652,00 | 133 / 30 | $9.829,29 | 2302 / 30 | $8.998,20 | 2292 / 32 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 35 | 61 / 6 | $20.492,50 | 2 / 1 | $19.006,90 | 730 / 1 | $16.716,00 | 726 / 1 |
| Other Vascular Procedures W Mcc | 35 | 62 / 8 | $26.920,80 | 11 / 10 | $24.814,50 | 725 / 10 | $24.055,70 | 722 / 11 |
| Cervical Spinal Fusion W/O Cc/Mcc | 34 | 70 / 4 | $18.322,70 | 6 / 2 | $16.944,70 | 715 / 2 | $15.396,00 | 712 / 3 |
| Heart Failure & Shock W Mcc | 33 | 251 / 35 | $13.496,50 | 96 / 25 | $12.447,10 | 2287 / 24 | $11.744,20 | 2277 / 27 |
| Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 20 | $7.615,45 | 92 / 31 | $7.032,88 | 1869 / 31 | $6.156,27 | 1856 / 30 |
| Red Blood Cell Disorders W/O Mcc | 33 | 110 / 25 | $9.451,48 | 82 / 31 | $8.719,91 | 1901 / 31 | $8.059,55 | 1892 / 32 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 32 | 88 / 21 | $6.979,94 | 39 / 13 | $6.447,22 | 1844 / 13 | $5.580,22 | 1833 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 20 | $12.928,10 | 88 / 33 | $11.920,20 | 1642 / 32 | $11.372,10 | 1639 / 34 |
| Cervical Spinal Fusion W Cc | 29 | 24 / 2 | $21.370,90 | 2 / 2 | $19.758,60 | 230 / 2 | $18.220,90 | 229 / 3 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 28 | 19 / 1 | $38.029,20 | 1 / 1 | $35.442,50 | 2 / 1 | $29.943,10 | 2 / 1 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 27 | 20 / 3 | $7.982,11 | 15 / 13 | $7.370,22 | 336 / 13 | $6.519,26 | 336 / 14 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 34 | $13.934,00 | 437 / 41 | $12.852,90 | 2794 / 41 | $12.007,90 | 2785 / 42 |
| Other Circulatory System Diagnoses W Mcc | 27 | 89 / 18 | $15.581,90 | 14 / 8 | $14.364,00 | 1041 / 8 | $13.871,60 | 1034 / 10 |
| Revision Of Hip Or Knee Replacement W Cc | 26 | 60 / 5 | $30.450,50 | 9 / 9 | $28.395,70 | 487 / 9 | $22.425,70 | 485 / 5 |
| Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 26 | 3 / 1 | $18.360,40 | 4 / 4 | $16.989,40 | 102 / 4 | $15.437,30 | 102 / 4 |
| G.I. Hemorrhage W Cc | 25 | 193 / 33 | $11.930,10 | 117 / 35 | $11.054,80 | 2348 / 35 | $10.200,00 | 2344 / 36 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 25 | 21 / 3 | $10.026,90 | 5 / 3 | $9.260,96 | 219 / 3 | $8.056,48 | 219 / 4 |
| Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 25 | 4 / 1 | $17.491,40 | 4 / 3 | $16.206,90 | 61 / 3 | $13.991,20 | 61 / 3 |
| Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 34 | $11.490,60 | 98 / 21 | $10.602,50 | 2337 / 21 | $9.732,12 | 2329 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 33 | $16.464,90 | 235 / 37 | $15.200,20 | 2066 / 37 | $14.123,50 | 2061 / 37 |
| Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 9 | $55.166,60 | 49 / 24 | $50.836,30 | 1243 / 24 | $49.998,70 | 1240 / 24 |
| Medical Back Problems W/O Mcc | 23 | 98 / 22 | $8.022,78 | 24 / 17 | $7.407,30 | 1292 / 17 | $6.566,96 | 1287 / 20 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 21 | $11.857,30 | 18 / 16 | $11.063,70 | 1525 / 16 | $9.546,64 | 1522 / 14 |
| Other Vascular Procedures W/O Cc/Mcc | 22 | 34 / 5 | $16.104,10 | 5 / 5 | $14.852,60 | 494 / 5 | $13.975,50 | 493 / 6 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 19 | $13.908,30 | 122 / 31 | $12.836,90 | 1420 / 31 | $11.799,10 | 1416 / 31 |
| Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc | 22 | 6 / 1 | $28.773,30 | 5 / 2 | $26.609,60 | 58 / 2 | $24.718,10 | 58 / 2 |
| G.I. Obstruction W Cc | 21 | 71 / 20 | $13.977,80 | 221 / 36 | $12.665,80 | 1727 / 36 | $11.459,80 | 1722 / 36 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 21 | 55 / 3 | $20.953,20 | 26 / 8 | $19.312,40 | 519 / 8 | $18.797,30 | 519 / 8 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 21 | 68 / 12 | $13.111,60 | 25 / 12 | $12.175,40 | 746 / 12 | $10.571,00 | 745 / 11 |
| Peripheral Vascular Disorders W Cc | 21 | 63 / 13 | $11.530,30 | 69 / 26 | $10.633,30 | 1209 / 26 | $10.057,30 | 1206 / 27 |
| Signs & Symptoms W/O Mcc | 21 | 70 / 22 | $9.224,10 | 69 / 32 | $8.509,86 | 1288 / 32 | $7.879,00 | 1285 / 33 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 29 | $8.926,10 | 231 / 38 | $8.309,55 | 1964 / 38 | $7.203,85 | 1958 / 38 |
| G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 13 | $7.144,25 | 43 / 27 | $6.599,60 | 1253 / 26 | $5.690,80 | 1250 / 27 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 19 | 50 / 6 | $27.262,50 | 9 / 8 | $25.132,10 | 487 / 8 | $24.236,10 | 486 / 8 |
| Chest Pain | 19 | 132 / 24 | $10.111,70 | 153 / 39 | $9.330,21 | 1676 / 40 | $8.570,63 | 1667 / 40 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 19 | 36 / 5 | $19.620,30 | 9 / 7 | $18.570,50 | 433 / 7 | $12.716,20 | 430 / 4 |
| Digestive Malignancy W Cc | 19 | 28 / 4 | $13.258,30 | 11 / 8 | $12.225,10 | 360 / 8 | $11.652,40 | 358 / 10 |
| Extracranial Procedures W/O Cc/Mcc | 19 | 79 / 13 | $10.677,00 | 15 / 11 | $9.932,21 | 856 / 11 | $8.236,05 | 853 / 11 |
| G.I. Hemorrhage W/O Cc/Mcc | 19 | 49 / 17 | $8.059,11 | 48 / 28 | $7.441,84 | 948 / 27 | $6.550,89 | 944 / 28 |
| Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W/O Cc/Mcc | 19 | 6 / 1 | $12.749,50 | 2 / 2 | $11.839,30 | 41 / 2 | $10.246,20 | 41 / 2 |
| G.I. Hemorrhage W Mcc | 19 | 102 / 20 | $14.388,20 | 16 / 11 | $13.261,90 | 1295 / 10 | $12.882,90 | 1285 / 12 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 18 | 51 / 3 | $22.589,90 | 2 / 1 | $20.829,90 | 420 / 1 | $19.821,90 | 420 / 3 |
| Renal Failure W Mcc | 18 | 177 / 24 | $13.662,70 | 38 / 8 | $12.592,80 | 1848 / 8 | $12.256,80 | 1844 / 12 |
| Syncope & Collapse | 18 | 151 / 30 | $7.178,67 | 21 / 17 | $6.625,17 | 1685 / 16 | $6.026,06 | 1677 / 18 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 15 | $13.438,60 | 79 / 27 | $12.386,60 | 1096 / 27 | $12.030,80 | 1094 / 27 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 22 | $9.599,47 | 37 / 29 | $8.934,88 | 1555 / 29 | $7.846,88 | 1551 / 30 |
| Major Cardiovasc Procedures W/O Mcc | 17 | 84 / 18 | $34.243,30 | 13 / 13 | $31.711,80 | 877 / 13 | $26.873,20 | 876 / 10 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 16 | 38 / 8 | $7.952,00 | 6 / 3 | $7.331,25 | 314 / 3 | $7.031,25 | 314 / 3 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 16 | 54 / 10 | $11.144,10 | 25 / 14 | $10.282,60 | 523 / 14 | $9.450,56 | 523 / 14 |
| Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 16 | 24 / 2 | $51.387,40 | 2 / 1 | $47.479,10 | 41 / 1 | $44.052,10 | 41 / 1 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 16 | 47 / 3 | $39.872,70 | 13 / 8 | $37.327,10 | 223 / 8 | $28.684,60 | 222 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 23 | $9.260,06 | 164 / 37 | $8.552,94 | 1926 / 37 | $7.418,94 | 1918 / 37 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 9 | $24.233,30 | 53 / 18 | $22.343,40 | 745 / 18 | $21.359,40 | 745 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 34 | $13.936,50 | 413 / 41 | $12.952,90 | 2157 / 41 | $11.198,40 | 2152 / 41 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 39 | $15.484,70 | 392 / 37 | $14.376,90 | 2543 / 37 | $12.883,40 | 2533 / 38 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 15 | 41 / 9 | $12.419,10 | 2 / 1 | $11.451,80 | 242 / 1 | $10.886,50 | 241 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 17 | $12.539,40 | 45 / 18 | $11.570,60 | 1318 / 18 | $10.604,20 | 1313 / 17 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 15 | 13 / 2 | $28.120,50 | 9 / 3 | $25.924,00 | 102 / 3 | $24.957,60 | 102 / 3 |
| Pelvic Evisceration, Rad Hysterectomy & Rad Vulvectomy W Cc/Mcc | 14 | 6 / 1 | $32.121,90 | 1 / 1 | $29.616,90 | 16 / 1 | $28.296,90 | 16 / 1 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 14 | 31 / 7 | $8.083,43 | 20 / 9 | $7.458,50 | 385 / 9 | $6.852,79 | 385 / 12 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 24 | $25.490,00 | 68 / 27 | $23.493,40 | 1774 / 27 | $22.887,70 | 1760 / 27 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 34 | $13.499,90 | 69 / 18 | $12.443,30 | 2288 / 18 | $12.078,70 | 2282 / 22 |
| Complications Of Treatment W Cc | 13 | 39 / 8 | $11.020,60 | 7 / 6 | $10.281,20 | 299 / 6 | $8.416,54 | 299 / 6 |
| Mastectomy For Malignancy W/O Cc/Mcc | 13 | 4 / 1 | $12.581,80 | 1 / 1 | $11.741,80 | 10 / 1 | $8.760,15 | 10 / 1 |
| Transient Ischemia | 13 | 112 / 32 | $8.225,23 | 37 / 27 | $7.595,46 | 1576 / 26 | $6.674,85 | 1568 / 28 |
| Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 22 | $11.172,70 | 46 / 23 | $10.303,30 | 807 / 22 | $9.744,54 | 807 / 23 |
| Dysequilibrium | 13 | 52 / 15 | $8.294,31 | 28 / 24 | $7.659,23 | 542 / 24 | $6.726,31 | 542 / 24 |
| Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc | 13 | 15 / 2 | $19.003,20 | 2 / 2 | $17.528,10 | 55 / 2 | $16.415,50 | 55 / 2 |
| Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc | 13 | 11 / 3 | $14.943,30 | 1 / 1 | $13.780,60 | 28 / 1 | $13.039,70 | 28 / 1 |
| Signs & Symptoms W Mcc | 12 | 29 / 14 | $17.739,80 | 38 / 16 | $16.353,90 | 279 / 16 | $15.748,60 | 279 / 16 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 27 | $17.494,90 | 97 / 27 | $16.134,20 | 1691 / 27 | $15.232,90 | 1678 / 27 |
| Other Circulatory System O.R. Procedures | 12 | 43 / 10 | $20.284,30 | 4 / 4 | $18.698,00 | 243 / 4 | $18.095,30 | 243 / 4 |
| Respiratory Neoplasms W Cc | 12 | 35 / 12 | $21.116,10 | 70 / 20 | $19.472,30 | 508 / 20 | $18.464,30 | 507 / 20 |
| Malignancy Of Hepatobiliary System Or Pancreas W Cc | 12 | 19 / 4 | $13.211,50 | 8 / 7 | $12.189,70 | 183 / 7 | $11.235,00 | 183 / 7 |
| Extracranial Procedures W Cc | 12 | 34 / 9 | $9.520,25 | 4 / 3 | $8.790,25 | 54 / 3 | $7.782,25 | 54 / 3 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 7 | $29.419,30 | 9 / 8 | $27.115,00 | 406 / 8 | $26.411,00 | 404 / 8 |
| Bone Diseases & Arthropathies W/O Mcc | 12 | 32 / 16 | $9.859,67 | 43 / 24 | $9.098,92 | 271 / 24 | $8.290,92 | 271 / 25 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 12 | 41 / 4 | $28.003,40 | 31 / 8 | $25.808,80 | 341 / 8 | $25.203,50 | 342 / 9 |
| Knee Procedures W/O Pdx Of Infection W Cc/Mcc | 11 | 7 / 2 | $12.146,80 | 1 / 1 | $11.339,10 | 7 / 1 | $9.275,73 | 7 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 29 | $24.771,40 | 79 / 30 | $22.841,30 | 2032 / 30 | $21.747,50 | 2010 / 30 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 33 | $11.719,40 | 8 / 7 | $10.815,70 | 681 / 7 | $9.829,55 | 680 / 9 |
| Cellulitis W Mcc | 11 | 47 / 12 | $13.037,00 | 25 / 10 | $12.020,60 | 831 / 10 | $11.470,80 | 829 / 12 |
| Diabetes W Cc | 11 | 81 / 28 | $7.967,91 | 30 / 12 | $7.355,45 | 1368 / 12 | $6.593,27 | 1363 / 15 |
| Other Digestive System O.R. Procedures W Cc | 11 | 16 / 3 | $17.923,90 | 1 / 1 | $16.526,90 | 59 / 1 | $15.764,70 | 59 / 1 |
| Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 11 | 21 / 3 | $12.610,10 | 1 / 1 | $11.638,20 | 122 / 1 | $10.547,30 | 122 / 1 |
| Hernia Procedures Except Inguinal & Femoral W Cc | 11 | 23 / 4 | $17.617,50 | 3 / 2 | $16.401,80 | 121 / 2 | $13.700,50 | 121 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 29 | $12.214,50 | 116 / 27 | $11.263,00 | 1866 / 27 | $10.716,10 | 1862 / 28 |
| Soft Tissue Procedures W/O Cc/Mcc | 11 | 12 / 1 | $15.604,50 | 1 / 1 | $14.398,90 | 24 / 1 | $13.194,50 | 24 / 1 | Total 102 procedures | 2.973 | 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.