Hospital Costs > In California > Mercy San Juan Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 569 | 50 / 5 | $84.073,60 | 2478 / 152 | $16.151,40 | 2509 / 150 | $15.307,50 | 2465 / 161 |
| Pulmonary Edema & Respiratory Failure | 277 | 8 / 1 | $60.356,30 | 1938 / 75 | $11.440,30 | 2038 / 112 | $10.521,10 | 2032 / 119 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 199 | 365 / 48 | $94.256,90 | 2405 / 141 | $18.707,90 | 2470 / 154 | $17.110,70 | 2424 / 171 |
| Heart Failure & Shock W Mcc | 175 | 109 / 5 | $71.828,90 | 2371 / 137 | $13.317,50 | 2368 / 134 | $12.545,10 | 2358 / 141 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 121 | 86 / 15 | $56.399,00 | 2362 / 176 | $9.902,25 | 2359 / 159 | $9.038,58 | 2349 / 178 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 121 | 154 / 13 | $42.755,20 | 2534 / 150 | $7.503,58 | 2508 / 141 | $6.576,51 | 2493 / 157 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 120 | 63 / 2 | $61.939,30 | 1895 / 113 | $9.959,36 | 1894 / 116 | $8.919,63 | 1890 / 130 |
| Kidney & Urinary Tract Infections W/O Mcc | 108 | 125 / 13 | $38.969,80 | 2477 / 141 | $7.810,19 | 2483 / 149 | $6.596,65 | 2472 / 149 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 90 | 78 / 3 | $119.524,00 | 1575 / 128 | $17.109,10 | 1504 / 110 | $16.138,30 | 1497 / 120 |
| Heart Failure & Shock W Cc | 86 | 192 / 24 | $46.357,60 | 2491 / 127 | $9.281,01 | 2535 / 139 | $8.576,34 | 2529 / 160 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 77 | 54 / 1 | $126.479,00 | 1702 / 78 | $21.060,40 | 1663 / 82 | $19.907,60 | 1649 / 87 |
| G.I. Hemorrhage W Cc | 74 | 144 / 24 | $42.832,70 | 2023 / 82 | $9.444,28 | 2214 / 128 | $8.511,04 | 2210 / 139 |
| Cellulitis W/O Mcc | 72 | 117 / 20 | $39.631,90 | 2402 / 137 | $8.099,46 | 2432 / 135 | $7.323,10 | 2424 / 163 |
| Renal Failure W Cc | 70 | 151 / 21 | $44.208,50 | 2132 / 96 | $9.128,90 | 2228 / 124 | $8.310,81 | 2218 / 140 |
| Kidney & Urinary Tract Infections W Mcc | 67 | 77 / 8 | $46.231,60 | 1626 / 79 | $10.240,10 | 1769 / 111 | $9.347,22 | 1765 / 117 |
| Simple Pneumonia & Pleurisy W Mcc | 67 | 138 / 27 | $60.509,70 | 2101 / 78 | $13.125,70 | 2313 / 124 | $12.312,80 | 2307 / 134 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 63 | 61 / 10 | $289.479,00 | 1494 / 104 | $51.855,20 | 1484 / 111 | $50.172,50 | 1474 / 111 |
| Renal Failure W Mcc | 63 | 132 / 26 | $70.900,80 | 1900 / 104 | $13.933,50 | 1954 / 112 | $13.233,30 | 1950 / 129 |
| G.I. Hemorrhage W Mcc | 63 | 58 / 4 | $81.386,30 | 1449 / 86 | $15.594,40 | 1477 / 87 | $14.868,90 | 1467 / 96 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 61 | 105 / 22 | $38.286,90 | 2339 / 127 | $7.084,41 | 2312 / 128 | $6.170,21 | 2304 / 140 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 60 | 41 / 6 | $76.855,90 | 994 / 48 | $13.472,30 | 946 / 35 | $12.802,90 | 942 / 43 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 59 | 102 / 10 | $47.840,70 | 2035 / 123 | $8.201,12 | 1962 / 134 | $6.737,61 | 1957 / 125 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 58 | 14 / 3 | $67.265,30 | 853 / 38 | $13.339,70 | 869 / 52 | $12.238,80 | 866 / 54 |
| Transient Ischemia | 49 | 76 / 11 | $42.023,00 | 1475 / 84 | $7.096,00 | 1522 / 96 | $6.109,80 | 1514 / 106 |
| Simple Pneumonia & Pleurisy W Cc | 47 | 156 / 43 | $45.608,20 | 2475 / 111 | $9.282,45 | 2606 / 138 | $8.429,04 | 2597 / 158 |
| Chronic Obstructive Pulmonary Disease W Mcc | 46 | 156 / 44 | $49.324,00 | 2166 / 74 | $10.700,30 | 2358 / 128 | $9.881,74 | 2350 / 137 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 45 | 81 / 17 | $50.634,50 | 1495 / 83 | $10.920,40 | 1494 / 110 | $9.373,36 | 1491 / 94 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 45 | 80 / 10 | $86.075,50 | 1599 / 84 | $15.086,20 | 1617 / 96 | $14.196,10 | 1604 / 102 |
| Red Blood Cell Disorders W/O Mcc | 44 | 99 / 12 | $38.482,80 | 1740 / 82 | $7.898,45 | 1825 / 99 | $7.147,68 | 1816 / 114 |
| Hip & Femur Procedures Except Major Joint W Cc | 44 | 99 / 24 | $96.996,10 | 1866 / 86 | $17.023,00 | 1884 / 107 | $15.980,30 | 1864 / 114 |
| Chronic Obstructive Pulmonary Disease W Cc | 44 | 135 / 29 | $45.879,00 | 2183 / 109 | $8.831,75 | 2237 / 116 | $8.004,98 | 2230 / 131 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 44 | 58 / 6 | $52.228,00 | 1515 / 87 | $7.666,75 | 1484 / 89 | $6.624,11 | 1480 / 98 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 44 | 106 / 8 | $32.495,30 | 1817 / 80 | $5.945,18 | 1850 / 98 | $4.899,95 | 1844 / 110 |
| Chest Pain | 43 | 108 / 30 | $42.657,10 | 1631 / 119 | $6.492,30 | 1512 / 100 | $5.335,72 | 1503 / 100 |
| Medical Back Problems W/O Mcc | 42 | 79 / 17 | $71.024,40 | 1484 / 124 | $8.204,60 | 1334 / 81 | $6.992,07 | 1329 / 86 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 41 | 25 / 3 | $68.700,00 | 502 / 23 | $10.398,90 | 463 / 24 | $9.364,00 | 462 / 26 |
| G.I. Obstruction W Cc | 40 | 52 / 12 | $45.538,50 | 1544 / 73 | $8.620,70 | 1618 / 97 | $7.746,30 | 1613 / 109 |
| Syncope & Collapse | 40 | 129 / 27 | $45.269,50 | 1778 / 101 | $7.321,55 | 1730 / 104 | $6.322,65 | 1722 / 107 |
| Seizures W/O Mcc | 39 | 69 / 8 | $52.409,70 | 1249 / 72 | $7.593,26 | 1142 / 56 | $6.519,74 | 1140 / 61 |
| Other Disorders Of Nervous System W Cc | 39 | 17 / 1 | $55.078,50 | 581 / 37 | $9.873,10 | 545 / 45 | $7.473,13 | 544 / 35 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 38 | 85 / 16 | $53.470,80 | 1597 / 66 | $11.133,20 | 1727 / 91 | $10.202,40 | 1724 / 100 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 38 | 54 / 17 | $267.114,00 | 939 / 72 | $46.424,30 | 859 / 61 | $45.358,80 | 858 / 66 |
| Seizures W Mcc | 38 | 28 / 3 | $108.749,00 | 748 / 45 | $16.134,30 | 717 / 42 | $15.340,40 | 717 / 46 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 37 | 159 / 36 | $137.482,00 | 1401 / 89 | $18.374,50 | 1359 / 67 | $16.388,50 | 1351 / 80 |
| Other Circulatory System Diagnoses W Mcc | 36 | 80 / 15 | $99.846,40 | 1271 / 82 | $17.073,80 | 1231 / 76 | $16.559,90 | 1223 / 81 |
| Other Vascular Procedures W Cc | 36 | 66 / 9 | $113.299,00 | 934 / 27 | $21.759,90 | 1003 / 36 | $20.886,90 | 998 / 43 |
| Other Vascular Procedures W Mcc | 34 | 63 / 10 | $162.004,00 | 910 / 55 | $28.918,10 | 886 / 54 | $28.305,20 | 883 / 59 |
| Nonspecific Cerebrovascular Disorders W Mcc | 33 | 18 / 3 | $56.751,20 | 295 / 13 | $13.769,30 | 339 / 18 | $12.937,20 | 339 / 20 |
| Respiratory Infections & Inflammations W Mcc | 32 | 104 / 40 | $74.772,70 | 1455 / 55 | $16.328,90 | 1621 / 81 | $15.603,30 | 1605 / 87 |
| Extracranial Procedures W/O Cc/Mcc | 31 | 67 / 13 | $71.111,80 | 872 / 36 | $9.914,29 | 882 / 44 | $8.676,77 | 879 / 48 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 29 | 71 / 13 | $184.357,00 | 930 / 57 | $30.075,90 | 939 / 65 | $28.207,60 | 934 / 66 |
| Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 29 | 13 / 2 | $314.223,00 | 165 / 8 | $49.006,80 | 155 / 5 | $47.958,30 | 155 / 6 |
| Nonspecific Cerebrovascular Disorders W Cc | 29 | 27 / 3 | $60.803,50 | 439 / 25 | $10.058,70 | 442 / 26 | $9.193,38 | 442 / 28 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 29 | 25 / 3 | $55.335,50 | 386 / 13 | $7.377,69 | 352 / 16 | $6.377,07 | 352 / 20 |
| Cellulitis W Mcc | 28 | 30 / 6 | $75.163,00 | 892 / 61 | $13.191,00 | 874 / 58 | $12.329,80 | 872 / 63 |
| Major Cardiovasc Procedures W/O Mcc | 28 | 73 / 14 | $203.623,00 | 968 / 48 | $31.203,40 | 951 / 48 | $30.166,40 | 950 / 51 |
| Diabetes W Mcc | 26 | 31 / 5 | $66.405,50 | 676 / 30 | $12.427,30 | 671 / 30 | $12.013,30 | 670 / 36 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 20 | $39.031,00 | 1934 / 78 | $7.114,42 | 1935 / 85 | $6.139,12 | 1924 / 91 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 25 | 78 / 15 | $45.580,70 | 706 / 23 | $9.158,04 | 742 / 34 | $8.477,16 | 742 / 41 |
| Other Digestive System Diagnoses W Cc | 25 | 72 / 17 | $55.688,60 | 1330 / 95 | $10.272,50 | 1229 / 114 | $7.735,88 | 1225 / 81 |
| Spinal Fusion Except Cervical W/O Mcc | 24 | 170 / 42 | $195.175,00 | 1262 / 65 | $37.617,60 | 1266 / 72 | $33.720,20 | 1261 / 70 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 20 | $52.919,50 | 1203 / 58 | $11.098,20 | 1298 / 79 | $10.324,80 | 1293 / 91 |
| Red Blood Cell Disorders W Mcc | 24 | 47 / 7 | $46.299,20 | 780 / 25 | $11.949,50 | 937 / 56 | $10.271,70 | 933 / 43 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 24 | 67 / 12 | $57.982,80 | 1283 / 64 | $9.964,00 | 1312 / 74 | $8.907,33 | 1310 / 78 |
| Diabetes W Cc | 23 | 69 / 12 | $45.176,70 | 1490 / 79 | $8.052,00 | 1444 / 75 | $7.208,35 | 1439 / 86 |
| Major Chest Procedures W/O Cc/Mcc | 23 | 36 / 3 | $62.938,90 | 184 / 4 | $15.719,30 | 226 / 9 | $14.616,80 | 226 / 10 |
| Degenerative Nervous System Disorders W/O Mcc | 22 | 56 / 9 | $46.725,10 | 743 / 28 | $9.111,27 | 726 / 25 | $8.026,77 | 726 / 28 |
| Peripheral Vascular Disorders W Cc | 22 | 62 / 11 | $46.606,00 | 1111 / 52 | $9.223,09 | 1145 / 60 | $8.616,55 | 1142 / 73 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 22 | 102 / 17 | $38.151,90 | 775 / 28 | $6.982,36 | 728 / 24 | $6.046,18 | 727 / 27 |
| Pulmonary Embolism W/O Mcc | 22 | 52 / 8 | $48.343,50 | 1147 / 36 | $9.456,73 | 1224 / 53 | $8.905,00 | 1221 / 68 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 23 | $37.984,00 | 1872 / 75 | $6.752,05 | 1841 / 82 | $5.870,14 | 1828 / 91 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 21 | 77 / 12 | $247.094,00 | 471 / 29 | $38.339,10 | 450 / 24 | $37.444,00 | 450 / 26 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 21 | 41 / 10 | $46.140,10 | 769 / 45 | $7.379,19 | 723 / 38 | $6.342,24 | 721 / 45 |
| Signs & Symptoms W/O Mcc | 20 | 71 / 18 | $38.124,80 | 1184 / 46 | $6.941,30 | 1188 / 57 | $6.089,90 | 1185 / 66 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 41 | $77.462,00 | 1551 / 92 | $10.258,20 | 1503 / 75 | $9.289,35 | 1500 / 93 |
| Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 21 | $298.666,00 | 1230 / 66 | $49.200,80 | 1228 / 67 | $48.354,30 | 1225 / 70 |
| Other Disorders Of Nervous System W Mcc | 19 | 21 / 4 | $96.882,00 | 302 / 23 | $16.414,00 | 299 / 23 | $15.321,30 | 299 / 25 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 19 | 49 / 12 | $41.526,10 | 626 / 27 | $10.616,20 | 650 / 42 | $7.619,68 | 650 / 32 |
| Hypertension W/O Mcc | 18 | 47 / 9 | $37.721,10 | 723 / 19 | $6.482,00 | 698 / 15 | $5.408,78 | 696 / 19 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 18 | 58 / 18 | $84.484,20 | 456 / 39 | $15.777,20 | 426 / 33 | $14.880,30 | 426 / 38 |
| Hip & Femur Procedures Except Major Joint W Mcc | 18 | 44 / 10 | $129.480,00 | 824 / 34 | $24.752,40 | 838 / 44 | $23.943,40 | 835 / 46 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 18 | 33 / 10 | $118.870,00 | 322 / 15 | $19.957,60 | 309 / 17 | $18.293,00 | 309 / 19 |
| Other Digestive System Diagnoses W Mcc | 18 | 44 / 16 | $61.499,60 | 568 / 29 | $14.840,40 | 635 / 42 | $14.064,00 | 634 / 50 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 8 | $38.518,10 | 849 / 27 | $6.550,35 | 773 / 32 | $5.370,24 | 772 / 32 |
| Major Cardiovasc Procedures W Mcc | 17 | 51 / 13 | $268.595,00 | 594 / 25 | $44.851,50 | 545 / 21 | $43.778,60 | 544 / 26 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 16 | $339.632,00 | 949 / 71 | $50.699,30 | 936 / 69 | $49.999,40 | 935 / 74 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 16 | $162.064,00 | 860 / 38 | $28.699,60 | 858 / 44 | $27.564,50 | 854 / 45 |
| Major Chest Procedures W Cc | 17 | 57 / 13 | $97.134,20 | 396 / 8 | $22.305,70 | 455 / 16 | $21.104,90 | 453 / 20 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 17 | 56 / 14 | $115.278,00 | 363 / 28 | $11.922,70 | 344 / 20 | $10.710,60 | 344 / 23 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 14 | $177.739,00 | 573 / 13 | $38.795,10 | 606 / 23 | $37.728,20 | 606 / 24 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 16 | 28 / 8 | $55.720,60 | 308 / 23 | $7.345,94 | 265 / 17 | $6.292,44 | 265 / 20 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 16 | 24 / 5 | $80.304,20 | 174 / 5 | $17.243,30 | 193 / 7 | $16.328,20 | 193 / 8 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 18 | $54.900,20 | 988 / 39 | $10.756,90 | 1029 / 51 | $10.073,30 | 1027 / 61 |
| Respiratory Neoplasms W Mcc | 16 | 36 / 10 | $91.075,10 | 574 / 23 | $15.239,80 | 573 / 24 | $14.326,50 | 570 / 27 |
| Digestive Malignancy W Cc | 15 | 32 / 8 | $48.968,30 | 291 / 8 | $11.390,50 | 339 / 11 | $10.575,50 | 337 / 17 |
| Other Vascular Procedures W/O Cc/Mcc | 15 | 41 / 11 | $114.207,00 | 533 / 14 | $15.270,80 | 504 / 13 | $14.385,90 | 503 / 15 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 11 | $77.401,10 | 537 / 37 | $11.370,10 | 557 / 33 | $10.240,10 | 556 / 39 |
| Psychoses | 14 | 261 / 29 | $75.301,50 | 608 / 37 | $11.362,30 | 573 / 23 | $10.240,40 | 573 / 24 |
| Other Disorders Of Nervous System W/O Cc/Mcc | 14 | 21 / 2 | $40.430,60 | 133 / 1 | $6.757,93 | 126 / 3 | $5.809,93 | 126 / 3 |
| Disorders Of The Biliary Tract W Cc | 14 | 40 / 10 | $52.908,90 | 412 / 18 | $9.716,21 | 413 / 20 | $8.756,21 | 413 / 22 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 11 | $140.362,00 | 428 / 32 | $22.699,40 | 419 / 31 | $19.895,90 | 418 / 28 |
| Lymphoma & Non-Acute Leukemia W Cc | 14 | 22 / 3 | $58.099,60 | 84 / 2 | $13.974,00 | 99 / 4 | $13.543,70 | 99 / 4 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 34 | $38.962,40 | 944 / 11 | $11.564,00 | 1310 / 63 | $10.679,30 | 1305 / 65 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 42 | $123.411,00 | 1359 / 56 | $22.065,60 | 1409 / 63 | $21.035,80 | 1395 / 85 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 22 | $99.153,50 | 764 / 30 | $22.406,30 | 876 / 52 | $21.468,60 | 872 / 57 |
| Pulmonary Embolism W Mcc | 13 | 30 / 7 | $65.892,60 | 507 / 9 | $13.282,60 | 539 / 20 | $12.818,20 | 538 / 24 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 28 | $35.887,30 | 1191 / 60 | $6.372,08 | 1233 / 74 | $5.352,85 | 1230 / 82 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 32 | $85.613,40 | 744 / 57 | $10.391,20 | 710 / 44 | $9.176,38 | 709 / 56 |
| Signs & Symptoms W Mcc | 13 | 28 / 7 | $52.660,60 | 245 / 3 | $10.463,50 | 223 / 1 | $9.771,23 | 223 / 2 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 14 | $123.697,00 | 622 / 35 | $17.385,30 | 591 / 29 | $16.648,80 | 587 / 35 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 21 | $80.516,50 | 843 / 45 | $14.466,90 | 844 / 51 | $13.271,40 | 841 / 54 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 12 | 69 / 17 | $848.210,00 | 415 / 15 | $151.399,00 | 363 / 12 | $150.044,00 | 362 / 15 |
| Coagulation Disorders | 12 | 15 / 4 | $50.559,30 | 44 / 1 | $14.748,20 | 62 / 2 | $13.737,30 | 62 / 2 |
| Nervous System Neoplasms W Mcc | 12 | 36 / 11 | $77.262,50 | 281 / 10 | $11.861,60 | 241 / 6 | $10.847,10 | 241 / 6 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 10 | $93.778,20 | 285 / 7 | $20.104,90 | 304 / 14 | $19.089,40 | 303 / 15 |
| Degenerative Nervous System Disorders W Mcc | 12 | 26 / 7 | $65.323,80 | 177 / 6 | $15.451,30 | 181 / 7 | $14.431,80 | 181 / 7 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 21 | $35.860,30 | 826 / 18 | $8.480,83 | 966 / 50 | $7.372,67 | 962 / 56 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 12 | 34 / 11 | $55.764,10 | 231 / 18 | $9.471,92 | 227 / 18 | $8.368,75 | 227 / 23 |
| G.I. Obstruction W Mcc | 12 | 30 / 10 | $58.982,80 | 403 / 17 | $14.215,80 | 467 / 23 | $13.399,60 | 467 / 27 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 9 | $40.460,20 | 822 / 17 | $6.529,92 | 795 / 25 | $5.513,75 | 793 / 25 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 11 | $55.409,80 | 814 / 29 | $7.579,25 | 802 / 33 | $6.567,42 | 798 / 34 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 16 | $415.023,00 | 610 / 31 | $50.057,50 | 609 / 33 | $48.832,20 | 609 / 33 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 19 | $65.823,40 | 916 / 66 | $7.225,25 | 855 / 53 | $6.110,58 | 854 / 56 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 20 | $169.488,00 | 494 / 34 | $24.040,70 | 480 / 25 | $23.032,20 | 479 / 32 |
| Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 22 | $202.653,00 | 652 / 31 | $29.659,20 | 624 / 23 | $28.769,20 | 622 / 25 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 11 | 17 / 5 | $61.510,90 | 73 / 3 | $14.826,20 | 90 / 4 | $13.941,60 | 90 / 5 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 19 | $83.738,70 | 751 / 34 | $14.787,50 | 823 / 48 | $13.583,80 | 819 / 56 |
| Major Chest Procedures W Mcc | 11 | 38 / 14 | $251.330,00 | 305 / 12 | $43.692,50 | 296 / 14 | $41.839,70 | 295 / 16 |
| Organic Disturbances & Mental Retardation | 11 | 48 / 13 | $69.286,90 | 548 / 25 | $9.817,00 | 480 / 16 | $8.818,09 | 480 / 17 |
| Other Resp System O.R. Procedures W Mcc | 11 | 52 / 7 | $219.185,00 | 573 / 19 | $34.605,60 | 550 / 14 | $33.818,80 | 549 / 15 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 18 | $34.136,50 | 860 / 32 | $7.262,82 | 859 / 44 | $5.460,36 | 855 / 39 |
| Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc | 11 | 17 / 3 | $99.514,60 | 52 / 2 | $14.614,50 | 48 / 3 | $13.400,80 | 48 / 3 |
| Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 11 | 17 / 6 | $85.948,30 | 97 / 3 | $13.568,50 | 84 / 4 | $12.467,10 | 84 / 5 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 13 | $811.742,00 | 555 / 46 | $130.240,00 | 557 / 51 | $127.908,00 | 556 / 52 | Total 134 procedures | 5.245 | 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.