Hospital Costs > In Maryland > Meritus Medical Center, 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 | 389 | 196 / 6 | $16.838,60 | 5 / 3 | $15.657,00 | 1974 / 2 | $13.513,40 | 1932 / 2 |
Rehabilitation W Cc/Mcc | 327 | 5 / 4 | $15.070,00 | 4 / 1 | $13.911,90 | 12 / 1 | $13.343,30 | 12 / 1 |
Simple Pneumonia & Pleurisy W Cc | 247 | 9 / 1 | $8.247,00 | 37 / 11 | $7.661,95 | 2169 / 11 | $6.546,87 | 2161 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 219 | 297 / 16 | $18.054,30 | 175 / 18 | $16.659,20 | 2569 / 18 | $15.820,30 | 2524 / 18 |
Psychoses | 159 | 147 / 23 | $7.671,71 | 17 / 7 | $7.112,25 | 315 / 7 | $6.057,59 | 315 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 155 | 120 / 10 | $6.566,72 | 36 / 11 | $6.115,95 | 2085 / 11 | $4.962,53 | 2071 / 10 |
Kidney & Urinary Tract Infections W/O Mcc | 152 | 82 / 10 | $6.753,42 | 43 / 14 | $6.258,39 | 2146 / 15 | $5.312,36 | 2135 / 15 |
G.I. Hemorrhage W Cc | 151 | 68 / 2 | $8.525,18 | 18 / 9 | $7.894,82 | 1872 / 9 | $6.822,71 | 1868 / 8 |
Renal Failure W Cc | 135 | 87 / 3 | $8.428,42 | 29 / 10 | $7.837,56 | 1878 / 11 | $6.612,14 | 1868 / 6 |
Chronic Obstructive Pulmonary Disease W Mcc | 129 | 73 / 4 | $10.062,60 | 38 / 7 | $9.331,95 | 2071 / 7 | $8.157,04 | 2063 / 8 |
Chronic Obstructive Pulmonary Disease W Cc | 126 | 54 / 4 | $7.626,51 | 18 / 3 | $7.052,17 | 1837 / 3 | $6.193,27 | 1830 / 3 |
Pulmonary Edema & Respiratory Failure | 119 | 84 / 6 | $11.312,60 | 24 / 2 | $10.487,10 | 1890 / 2 | $9.315,44 | 1884 / 2 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 115 | 92 / 11 | $9.043,35 | 37 / 6 | $8.384,06 | 2013 / 6 | $7.358,30 | 2005 / 7 |
Heart Failure & Shock W Cc | 114 | 164 / 20 | $7.598,90 | 24 / 7 | $7.026,54 | 1836 / 7 | $6.214,45 | 1831 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 110 | 52 / 3 | $6.405,70 | 7 / 4 | $5.918,63 | 1523 / 4 | $5.029,90 | 1518 / 4 |
Syncope & Collapse | 100 | 69 / 6 | $5.945,93 | 5 / 5 | $5.520,95 | 1269 / 5 | $4.533,26 | 1262 / 4 |
Heart Failure & Shock W Mcc | 99 | 185 / 16 | $12.700,90 | 67 / 18 | $11.740,40 | 2093 / 18 | $10.749,30 | 2084 / 18 |
Simple Pneumonia & Pleurisy W Mcc | 93 | 112 / 3 | $11.399,30 | 22 / 4 | $10.537,40 | 1835 / 4 | $9.507,94 | 1835 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 90 | 76 / 14 | $6.394,94 | 49 / 9 | $5.961,99 | 1999 / 9 | $4.893,20 | 1991 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 89 | 93 / 13 | $7.652,87 | 3 / 2 | $7.070,09 | 1141 / 2 | $6.054,00 | 1138 / 2 |
Signs & Symptoms W/O Mcc | 83 | 13 / 2 | $8.035,51 | 44 / 22 | $7.456,72 | 1214 / 22 | $6.387,96 | 1211 / 21 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 82 | 49 / 1 | $20.816,20 | 16 / 9 | $19.223,70 | 1558 / 9 | $18.273,10 | 1544 / 9 |
Cellulitis W/O Mcc | 79 | 110 / 19 | $7.306,18 | 58 / 11 | $6.778,70 | 1981 / 11 | $5.521,23 | 1973 / 9 |
Hip & Femur Procedures Except Major Joint W Cc | 72 | 71 / 3 | $16.809,50 | 10 / 7 | $15.536,90 | 1747 / 7 | $14.348,80 | 1728 / 7 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 65 | 59 / 4 | $35.140,20 | 8 / 5 | $32.476,30 | 609 / 5 | $30.458,80 | 603 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 57 | 66 / 2 | $15.144,80 | 121 / 28 | $13.969,60 | 1864 / 28 | $13.055,60 | 1861 / 28 |
Red Blood Cell Disorders W/O Mcc | 57 | 86 / 13 | $6.993,37 | 18 / 10 | $6.525,60 | 1517 / 10 | $5.542,18 | 1508 / 9 |
Respiratory Infections & Inflammations W Cc | 56 | 32 / 2 | $10.663,30 | 20 / 8 | $9.912,82 | 899 / 8 | $8.309,27 | 894 / 4 |
Diabetes W Cc | 56 | 36 / 4 | $7.331,64 | 17 / 8 | $6.801,61 | 1220 / 8 | $5.835,52 | 1215 / 8 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 55 | 95 / 15 | $4.233,42 | 5 / 5 | $3.920,11 | 1095 / 5 | $2.907,16 | 1090 / 5 |
Other Circulatory System O.R. Procedures | 54 | 7 / 1 | $15.213,40 | 1 / 1 | $14.072,40 | 18 / 1 | $13.241,70 | 18 / 1 |
Chest Pain | 52 | 99 / 11 | $4.822,75 | 4 / 1 | $4.460,48 | 1014 / 1 | $3.576,38 | 1008 / 1 |
Renal Failure W Mcc | 52 | 143 / 12 | $12.632,70 | 23 / 6 | $11.678,70 | 1639 / 6 | $10.830,30 | 1637 / 6 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 50 | 23 / 2 | $9.572,98 | 23 / 14 | $8.891,64 | 849 / 13 | $8.111,56 | 847 / 12 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 49 | 44 / 6 | $6.085,75 | 20 / 12 | $5.750,69 | 1343 / 14 | $4.114,98 | 1335 / 11 |
Kidney & Urinary Tract Infections W Mcc | 48 | 96 / 9 | $7.621,98 | 7 / 1 | $7.040,15 | 805 / 1 | $6.101,81 | 804 / 1 |
Spinal Fusion Except Cervical W/O Mcc | 47 | 147 / 16 | $37.831,30 | 37 / 10 | $35.221,60 | 1187 / 10 | $30.236,50 | 1182 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 47 | 55 / 9 | $6.063,87 | 2 / 2 | $5.636,06 | 1062 / 2 | $4.469,36 | 1058 / 4 |
Transient Ischemia | 47 | 78 / 14 | $5.959,04 | 6 / 4 | $5.510,60 | 1177 / 4 | $4.455,28 | 1171 / 4 |
Depressive Neuroses | 46 | 9 / 1 | $4.402,61 | 3 / 1 | $4.141,57 | 20 / 1 | $3.107,26 | 20 / 1 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 45 | 80 / 5 | $13.312,50 | 28 / 12 | $12.278,40 | 1305 / 12 | $11.526,80 | 1295 / 13 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 45 | 75 / 14 | $6.284,40 | 19 / 4 | $5.866,73 | 1625 / 5 | $4.707,91 | 1614 / 5 |
Other Resp System O.R. Procedures W Mcc | 43 | 20 / 1 | $22.019,30 | 1 / 1 | $20.407,60 | 69 / 1 | $18.513,60 | 69 / 1 |
G.I. Obstruction W Cc | 42 | 50 / 8 | $7.696,98 | 19 / 16 | $7.141,64 | 1412 / 16 | $6.273,45 | 1407 / 17 |
G.I. Hemorrhage W Mcc | 42 | 79 / 8 | $15.389,10 | 24 / 15 | $14.186,80 | 1383 / 15 | $13.677,40 | 1373 / 16 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 41 | 155 / 10 | $25.375,00 | 20 / 17 | $23.471,20 | 1470 / 17 | $21.553,20 | 1462 / 18 |
Other Resp System O.R. Procedures W Cc | 40 | 9 / 1 | $12.819,50 | 2 / 2 | $11.922,80 | 60 / 2 | $10.047,70 | 60 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 40 | 128 / 20 | $9.581,88 | 3 / 2 | $8.845,83 | 55 / 1 | $7.894,62 | 55 / 2 |
Acute Myocardial Infarction, Discharged Alive W Cc | 39 | 52 / 13 | $10.159,20 | 37 / 21 | $9.540,00 | 1212 / 22 | $7.792,28 | 1210 / 21 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 38 | 58 / 6 | $9.186,71 | 9 / 4 | $8.510,42 | 869 / 4 | $7.654,24 | 864 / 3 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 37 | 151 / 17 | $12.243,60 | 19 / 17 | $11.297,10 | 1561 / 17 | $10.383,80 | 1558 / 17 |
G.I. Obstruction W/O Cc/Mcc | 37 | 34 / 4 | $5.687,22 | 15 / 14 | $5.299,57 | 1071 / 14 | $4.185,73 | 1068 / 16 |
Major Small & Large Bowel Procedures W Cc | 35 | 73 / 11 | $22.985,90 | 9 / 7 | $21.262,50 | 1338 / 7 | $19.486,30 | 1324 / 8 |
Extracranial Procedures W/O Cc/Mcc | 33 | 65 / 7 | $6.916,61 | 4 / 4 | $6.471,70 | 245 / 4 | $5.076,39 | 245 / 4 |
Signs & Symptoms W Mcc | 32 | 9 / 1 | $12.176,90 | 12 / 9 | $11.233,90 | 241 / 9 | $10.404,90 | 241 / 9 |
Major Small & Large Bowel Procedures W Mcc | 32 | 53 / 6 | $47.709,70 | 28 / 18 | $44.127,70 | 1107 / 18 | $41.315,50 | 1105 / 18 |
Medical Back Problems W/O Mcc | 31 | 90 / 19 | $7.698,26 | 18 / 12 | $7.111,71 | 1221 / 12 | $6.105,26 | 1217 / 16 |
Pulmonary Embolism W/O Mcc | 31 | 43 / 12 | $8.190,06 | 13 / 10 | $7.752,32 | 884 / 11 | $6.067,03 | 881 / 8 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 30 | 31 / 2 | $4.756,00 | 2 / 2 | $4.486,30 | 321 / 2 | $3.376,70 | 320 / 1 |
G.I. Hemorrhage W/O Cc/Mcc | 30 | 38 / 10 | $6.127,50 | 14 / 11 | $5.665,57 | 753 / 10 | $4.620,23 | 749 / 12 |
Other Digestive System Diagnoses W Cc | 30 | 67 / 16 | $8.428,30 | 14 / 12 | $7.780,87 | 1115 / 12 | $6.933,93 | 1111 / 14 |
Skin Debridement W Cc | 30 | 1 / 1 | $11.104,90 | 1 / 1 | $10.330,00 | 12 / 1 | $8.671,93 | 12 / 1 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 29 | 72 / 7 | $11.193,70 | 10 / 5 | $10.388,70 | 577 / 5 | $9.465,62 | 575 / 6 |
Respiratory Infections & Inflammations W Mcc | 29 | 107 / 11 | $14.593,40 | 17 / 7 | $13.593,70 | 1056 / 7 | $11.871,70 | 1042 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 22 | $8.627,96 | 7 / 4 | $7.958,21 | 1139 / 4 | $7.441,64 | 1136 / 8 |
Poisoning & Toxic Effects Of Drugs W Mcc | 27 | 45 / 3 | $9.859,07 | 3 / 1 | $9.214,44 | 270 / 2 | $7.571,44 | 269 / 1 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 26 | 70 / 9 | $25.485,80 | 14 / 10 | $23.498,80 | 810 / 10 | $22.430,50 | 806 / 12 |
Seizures W/O Mcc | 26 | 82 / 20 | $6.566,42 | 11 / 8 | $6.115,73 | 892 / 7 | $5.066,88 | 889 / 9 |
Rehabilitation W/O Cc/Mcc | 26 | 18 / 10 | $10.579,30 | 2 / 1 | $9.754,88 | 9 / 1 | $9.292,12 | 9 / 1 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 25 | 45 / 4 | $7.434,92 | 7 / 4 | $6.911,96 | 311 / 4 | $6.080,24 | 311 / 4 |
Other Circulatory System Diagnoses W Mcc | 25 | 91 / 19 | $17.291,30 | 27 / 12 | $16.294,00 | 857 / 13 | $12.454,60 | 852 / 5 |
Degenerative Nervous System Disorders W/O Mcc | 24 | 54 / 15 | $8.836,79 | 15 / 12 | $8.153,67 | 674 / 12 | $7.497,67 | 674 / 15 |
Tendonitis, Myositis & Bursitis W/O Mcc | 23 | 19 / 4 | $9.549,30 | 24 / 19 | $8.815,65 | 312 / 19 | $7.868,17 | 311 / 19 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 23 | 13 / 3 | $13.290,20 | 1 / 1 | $12.258,70 | 18 / 1 | $11.471,30 | 18 / 1 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 22 | 21 / 3 | $16.250,80 | 1 / 1 | $15.076,10 | 16 / 1 | $13.884,50 | 16 / 1 |
Transurethral Procedures W Cc | 22 | 19 / 1 | $8.020,23 | 1 / 1 | $7.539,23 | 35 / 1 | $6.029,95 | 35 / 1 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 22 | 31 / 8 | $8.613,95 | 31 / 21 | $8.152,36 | 787 / 22 | $6.318,05 | 783 / 18 |
Peripheral Vascular Disorders W Cc | 22 | 62 / 12 | $9.807,00 | 37 / 15 | $9.052,00 | 1104 / 14 | $8.170,55 | 1101 / 15 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 21 | 79 / 9 | $35.006,60 | 14 / 11 | $32.540,50 | 948 / 11 | $28.719,40 | 943 / 10 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 20 | 46 / 6 | $8.928,55 | 7 / 5 | $8.407,10 | 275 / 5 | $6.676,85 | 275 / 5 |
Bronchitis & Asthma W Cc/Mcc | 20 | 56 / 15 | $6.528,50 | 4 / 1 | $6.030,70 | 631 / 1 | $5.189,10 | 627 / 4 |
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Cc | 20 | 2 / 1 | $11.358,20 | 1 / 1 | $10.550,00 | 4 / 1 | $9.660,95 | 4 / 1 |
Renal Failure W/O Cc/Mcc | 20 | 36 / 13 | $7.076,20 | 31 / 22 | $6.537,90 | 798 / 22 | $5.573,10 | 796 / 24 |
Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 30 | $5.591,00 | 15 / 10 | $5.226,95 | 1439 / 11 | $4.305,15 | 1428 / 10 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 19 | 43 / 11 | $7.321,32 | 21 / 16 | $6.837,74 | 627 / 15 | $5.217,89 | 625 / 12 |
Major Cardiovasc Procedures W/O Mcc | 19 | 82 / 16 | $31.905,90 | 8 / 8 | $29.628,80 | 867 / 8 | $26.490,60 | 866 / 8 |
Other Digestive System Diagnoses W Mcc | 19 | 43 / 7 | $19.741,90 | 37 / 14 | $18.196,40 | 726 / 14 | $17.689,50 | 725 / 15 |
Hypertension W/O Mcc | 19 | 46 / 10 | $5.082,37 | 9 / 6 | $4.769,79 | 449 / 6 | $3.567,53 | 447 / 5 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 18 | 29 / 8 | $6.359,72 | 3 / 3 | $5.878,83 | 242 / 3 | $4.874,39 | 242 / 3 |
Other Kidney & Urinary Tract Procedures W Mcc | 18 | 20 / 1 | $22.400,30 | 1 / 1 | $20.650,10 | 101 / 1 | $19.910,50 | 101 / 1 |
O.R. Proc W Diagnoses Of Other Contact W Health Services W Cc | 18 | 1 / 1 | $16.024,40 | 1 / 1 | $14.780,20 | 2 / 1 | $13.852,10 | 2 / 1 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 6 | $24.011,30 | 4 / 4 | $22.138,20 | 644 / 4 | $21.197,70 | 641 / 4 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 17 | 81 / 5 | $25.103,60 | 2 / 2 | $23.142,60 | 37 / 2 | $22.289,90 | 37 / 2 |
Pulmonary Embolism W Mcc | 17 | 26 / 4 | $12.462,50 | 3 / 3 | $11.568,90 | 467 / 3 | $10.554,90 | 466 / 4 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 10 | $13.416,80 | 5 / 5 | $12.493,60 | 705 / 8 | $10.741,40 | 702 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 17 | 39 / 7 | $16.908,40 | 22 / 14 | $15.664,90 | 561 / 14 | $14.723,00 | 560 / 15 |
Red Blood Cell Disorders W Mcc | 17 | 54 / 15 | $9.008,06 | 4 / 3 | $8.411,59 | 402 / 3 | $7.125,94 | 400 / 3 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 12 | $34.920,50 | 1 / 1 | $32.178,70 | 460 / 1 | $31.683,60 | 460 / 2 |
Dysequilibrium | 17 | 48 / 11 | $5.628,29 | 7 / 7 | $5.206,18 | 390 / 7 | $4.137,00 | 390 / 7 |
Other Respiratory System Diagnoses W/O Mcc | 17 | 29 / 5 | $6.738,76 | 2 / 2 | $6.329,41 | 166 / 2 | $4.931,76 | 166 / 1 |
Other Kidney & Urinary Tract Procedures W Cc | 16 | 10 / 1 | $12.555,80 | 1 / 1 | $11.579,90 | 3 / 1 | $10.899,40 | 3 / 1 |
Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 15 | $6.868,12 | 18 / 16 | $6.345,00 | 819 / 16 | $5.439,00 | 818 / 16 |
Seizures W Mcc | 16 | 50 / 14 | $16.956,60 | 30 / 18 | $15.641,40 | 694 / 18 | $14.585,40 | 694 / 18 |
Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 14 | $8.271,75 | 15 / 15 | $7.639,62 | 777 / 15 | $6.655,62 | 774 / 16 |
Other Circulatory System Diagnoses W Cc | 16 | 50 / 11 | $7.917,44 | 12 / 12 | $7.391,50 | 455 / 12 | $6.434,38 | 454 / 12 |
Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 18 | $7.407,53 | 8 / 7 | $6.840,07 | 446 / 6 | $6.033,67 | 446 / 6 |
Organic Disturbances & Mental Retardation | 15 | 44 / 14 | $6.369,60 | 1 / 1 | $5.882,07 | 114 / 1 | $5.158,87 | 114 / 1 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 15 | 31 / 5 | $9.750,00 | 4 / 2 | $9.005,73 | 214 / 2 | $7.800,40 | 214 / 3 |
Fever | 15 | 31 / 4 | $6.633,00 | 2 / 2 | $6.123,20 | 207 / 2 | $5.481,07 | 207 / 2 |
Other Vascular Procedures W Cc | 15 | 87 / 18 | $20.964,40 | 9 / 9 | $19.328,50 | 888 / 9 | $18.526,40 | 883 / 10 |
Other Disorders Of Nervous System W Cc | 15 | 41 / 12 | $5.215,07 | 1 / 1 | $4.923,67 | 14 / 1 | $3.631,47 | 14 / 1 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 6 | $25.844,10 | 8 / 7 | $24.010,80 | 769 / 7 | $21.691,90 | 766 / 6 |
Pleural Effusion W Mcc | 14 | 16 / 3 | $13.446,10 | 3 / 3 | $12.392,90 | 165 / 3 | $12.071,20 | 165 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 12 | $15.028,60 | 9 / 9 | $14.152,50 | 629 / 9 | $10.396,80 | 627 / 3 |
Major Chest Trauma W Cc | 13 | 23 / 2 | $11.633,00 | 3 / 2 | $10.831,10 | 137 / 2 | $9.682,31 | 137 / 2 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Mcc | 13 | 11 / 2 | $17.960,00 | 1 / 1 | $16.565,90 | 1 / 1 | $15.502,50 | 1 / 1 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 11 | $14.442,80 | 3 / 3 | $13.593,60 | 110 / 3 | $10.520,80 | 107 / 3 |
Other Vascular Procedures W Mcc | 13 | 84 / 19 | $21.884,60 | 3 / 2 | $20.180,50 | 340 / 2 | $19.159,00 | 338 / 2 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 6 | $28.203,10 | 8 / 6 | $26.002,90 | 461 / 6 | $24.885,40 | 461 / 6 |
Other Digestive System Diagnoses W/O Cc/Mcc | 13 | 30 / 6 | $6.030,46 | 8 / 7 | $5.798,77 | 234 / 8 | $4.193,08 | 234 / 6 |
Acute Adjustment Reaction & Psychosocial Dysfunction | 13 | 17 / 2 | $7.681,54 | 2 / 1 | $7.091,15 | 65 / 1 | $6.345,31 | 65 / 1 |
Cellulitis W Mcc | 13 | 45 / 10 | $9.180,38 | 3 / 2 | $8.471,69 | 275 / 2 | $7.730,77 | 274 / 2 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 13 | 31 / 10 | $6.275,92 | 5 / 4 | $6.002,15 | 104 / 4 | $4.011,00 | 104 / 2 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 12 | 42 / 6 | $4.754,17 | 1 / 1 | $4.397,58 | 68 / 1 | $3.493,58 | 68 / 1 |
Peripheral Vascular Disorders W Mcc | 12 | 37 / 12 | $13.773,10 | 15 / 10 | $12.706,00 | 518 / 10 | $11.796,70 | 518 / 10 |
Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 11 | $28.232,50 | 6 / 6 | $26.030,20 | 555 / 6 | $24.923,50 | 553 / 9 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 13 | $7.225,50 | 8 / 5 | $6.664,08 | 530 / 4 | $6.258,75 | 530 / 8 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 9 | $16.574,50 | 4 / 4 | $15.407,90 | 472 / 4 | $13.396,40 | 468 / 5 |
Major Chest Procedures W Cc | 11 | 63 / 10 | $32.359,80 | 20 / 12 | $29.827,40 | 498 / 12 | $28.945,90 | 496 / 12 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 11 | 18 / 4 | $6.502,82 | 3 / 3 | $6.121,82 | 84 / 3 | $4.971,73 | 84 / 3 |
O.R. Procedures For Obesity W/O Cc/Mcc | 11 | 66 / 9 | $16.739,40 | 11 / 6 | $15.768,70 | 347 / 6 | $11.569,00 | 346 / 4 |
Diabetes W Mcc | 11 | 46 / 10 | $6.702,27 | 1 / 1 | $6.187,27 | 3 / 1 | $5.529,82 | 3 / 1 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 11 | $17.569,60 | 15 / 11 | $16.358,30 | 690 / 11 | $12.983,50 | 690 / 8 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 20 | $6.100,27 | 38 / 9 | $5.636,36 | 573 / 8 | $4.788,36 | 572 / 10 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 11 | 18 / 5 | $6.965,91 | 9 / 9 | $6.573,45 | 111 / 9 | $5.039,45 | 111 / 7 |
Diabetes W/O Cc/Mcc | 11 | 27 / 5 | $5.935,55 | 11 / 6 | $5.476,45 | 247 / 6 | $5.037,18 | 247 / 7 |
Extracranial Procedures W Cc | 11 | 35 / 10 | $7.990,45 | 2 / 2 | $7.380,55 | 1 / 2 | $6.388,55 | 1 / 1 | Total 137 procedures | 6.368 | 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.