Hospital Costs > In Indiana > Methodist Hospitals Gary, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 27 | $23.585,90 | 248 / 7 | $11.140,30 | 1078 / 29 | $10.570,20 | 1073 / 38 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 22 | 102 / 9 | $13.123,70 | 253 / 10 | $5.254,68 | 499 / 17 | $4.453,59 | 498 / 17 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 14 | 20 / 4 | $111.717,00 | 99 / 3 | $32.868,40 | 131 / 5 | $32.552,30 | 131 / 5 |
Atherosclerosis W/O Mcc | 21 | 37 / 3 | $15.707,00 | 193 / 7 | $4.786,76 | / 12 | $3.801,52 | / |
Bronchitis & Asthma W Cc/Mcc | 23 | 53 / 7 | $17.768,60 | 296 / 6 | $6.578,52 | 634 / 15 | $5.198,30 | 630 / 18 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 43 | 118 / 16 | $14.105,70 | 425 / 9 | $5.902,44 | 1573 / 48 | $5.135,65 | 1568 / 51 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 54 | 69 / 9 | $24.652,40 | 637 / 23 | $8.481,11 | 1241 / 38 | $7.729,33 | 1238 / 45 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 41 | 109 / 19 | $11.522,60 | 526 / 20 | $4.596,46 | 1395 / 48 | $3.279,66 | 1389 / 50 |
Cellulitis W Mcc | 21 | 37 / 6 | $26.882,00 | 300 / 11 | $10.315,00 | 629 / 23 | $9.499,00 | 627 / 24 |
Cellulitis W/O Mcc | 87 | 102 / 6 | $14.253,60 | 761 / 20 | $6.188,93 | 1737 / 61 | $5.031,14 | 1729 / 65 |
Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 18 | $67.064,20 | 546 / 17 | $14.793,30 | 629 / 18 | $13.909,80 | 626 / 23 |
Chest Pain | 35 | 116 / 9 | $14.049,10 | 406 / 16 | $4.762,40 | 1051 / 36 | $3.650,91 | 1044 / 34 |
Chronic Obstructive Pulmonary Disease W Cc | 120 | 59 / 4 | $18.745,70 | 868 / 29 | $6.721,45 | 1584 / 60 | $5.650,92 | 1577 / 59 |
Chronic Obstructive Pulmonary Disease W Mcc | 117 | 85 / 10 | $24.345,30 | 1072 / 39 | $8.292,40 | 1730 / 62 | $7.273,04 | 1722 / 63 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 78 | 42 / 3 | $16.277,60 | 937 / 38 | $5.416,59 | 1557 / 51 | $4.557,62 | 1546 / 57 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 39 | 54 / 3 | $46.093,50 | 254 / 11 | $14.118,80 | 545 / 18 | $13.222,80 | 539 / 23 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 84 | 104 / 8 | $33.771,70 | 697 / 29 | $8.015,85 | 970 / 40 | $6.265,93 | 967 / 42 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 12 | 76 / 15 | $136.943,00 | 430 / 16 | $26.970,90 | 465 / 13 | $25.945,40 | 464 / 15 |
Cranial & Peripheral Nerve Disorders W Mcc | 25 | 11 / 1 | $16.494,30 | 11 / 1 | $9.041,60 | 52 / 4 | $7.892,64 | 52 / 4 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 37 | 31 / 3 | $29.986,00 | 464 / 19 | $7.308,73 | 543 / 21 | $6.416,43 | 543 / 22 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 11 | 87 / 5 | $123.604,00 | 277 / 9 | $33.279,00 | 368 / 8 | $32.710,60 | 368 / 9 |
Degenerative Nervous System Disorders W/O Mcc | 21 | 57 / 7 | $18.842,00 | 189 / 3 | $6.921,38 | 376 / 13 | $5.553,14 | 376 / 13 |
Diabetes W Cc | 60 | 32 / 2 | $17.501,70 | 515 / 18 | $6.080,75 | 1030 / 32 | $5.216,47 | 1026 / 35 |
Diabetes W Mcc | 27 | 30 / 3 | $32.585,00 | 331 / 13 | $9.418,56 | 353 / 16 | $8.386,56 | 353 / 15 |
Diabetes W/O Cc/Mcc | 33 | 7 / 1 | $13.295,80 | 92 / 2 | $4.561,82 | 158 / 4 | $3.549,21 | 158 / 5 |
Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 10 | $23.688,20 | 430 / 14 | $6.588,35 | 334 / 17 | $4.851,94 | 333 / 10 |
Disorders Of Pancreas Except Malignancy W Mcc | 13 | 33 / 5 | $34.823,80 | 103 / 3 | $11.617,80 | 114 / 4 | $10.366,40 | 114 / 6 |
Disorders Of The Biliary Tract W Cc | 12 | 42 / 8 | $21.808,20 | 91 / 1 | $7.490,42 | 293 / 7 | $6.876,42 | 293 / 9 |
Dysequilibrium | 19 | 46 / 5 | $19.053,20 | 219 / 6 | $4.882,32 | 320 / 9 | $3.662,84 | 320 / 9 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 11 | 70 / 8 | $179.602,00 | 10 / 1 | $79.703,10 | 37 / 1 | $78.711,50 | 37 / 3 |
Endocrine Disorders W Cc | 11 | 27 / 6 | $24.445,90 | 131 / 4 | $7.760,27 | 110 / 7 | $5.773,55 | 110 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 36 | 60 / 7 | $21.091,80 | 251 / 6 | $9.348,22 | 598 / 28 | $6.864,42 | 593 / 19 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 126 | 149 / 7 | $19.538,80 | 1328 / 40 | $5.748,87 | 1885 / 60 | $4.593,67 | 1871 / 64 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 20 | 24 / 3 | $79.473,00 | 233 / 6 | $20.439,70 | 306 / 9 | $19.569,20 | 304 / 9 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 25 | 38 / 4 | $91.795,60 | 171 / 9 | $32.002,50 | 409 / 15 | $30.895,90 | 409 / 20 |
Extracranial Procedures W/O Cc/Mcc | 12 | 86 / 21 | $34.676,80 | 544 / 20 | $7.477,83 | 686 / 25 | $6.464,00 | 683 / 27 |
G.I. Hemorrhage W Cc | 69 | 149 / 15 | $21.278,70 | 871 / 23 | $7.191,88 | 1659 / 50 | $6.275,29 | 1655 / 54 |
G.I. Hemorrhage W Mcc | 34 | 87 / 12 | $35.040,80 | 508 / 17 | $11.744,90 | 909 / 32 | $10.885,40 | 904 / 35 |
G.I. Hemorrhage W/O Cc/Mcc | 33 | 35 / 1 | $16.734,10 | 416 / 14 | $5.336,52 | 717 / 19 | $4.448,76 | 713 / 21 |
G.I. Obstruction W Cc | 34 | 58 / 9 | $20.921,80 | 718 / 28 | $6.452,38 | 1228 / 41 | $5.659,50 | 1224 / 43 |
G.I. Obstruction W Mcc | 18 | 24 / 4 | $27.591,10 | 101 / 3 | $10.434,40 | 230 / 11 | $9.514,67 | 230 / 13 |
G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 17 | $14.643,40 | 504 / 18 | $4.795,54 | 932 / 29 | $3.759,85 | 929 / 31 |
Headaches W/O Mcc | 14 | 29 / 4 | $19.626,10 | 100 / 3 | $6.177,64 | 143 / 7 | $4.181,86 | 143 / 6 |
Heart Failure & Shock W Cc | 185 | 95 / 4 | $18.503,90 | 990 / 28 | $7.076,71 | 1929 / 65 | $6.382,96 | 1924 / 68 |
Heart Failure & Shock W Mcc | 203 | 84 / 4 | $26.181,70 | 838 / 27 | $10.169,10 | 1737 / 59 | $9.555,26 | 1732 / 64 |
Heart Failure & Shock W/O Cc/Mcc | 56 | 54 / 6 | $11.629,70 | 423 / 9 | $5.275,14 | 1357 / 49 | $4.165,41 | 1346 / 49 |
Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 26 | $60.268,80 | 1356 / 46 | $13.093,20 | 1351 / 47 | $12.189,70 | 1333 / 49 |
Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 16 | $86.641,70 | 592 / 19 | $19.957,80 | 604 / 20 | $19.333,10 | 601 / 22 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 12 | $63.747,30 | 743 / 27 | $11.459,00 | 671 / 24 | $10.424,50 | 668 / 26 |
Hypertension W/O Mcc | 17 | 48 / 7 | $17.573,90 | 320 / 10 | $5.106,53 | 494 / 13 | $3.725,65 | 492 / 13 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 48 | 76 / 9 | $111.871,00 | 638 / 22 | $37.660,10 | 1015 / 29 | $35.684,10 | 1009 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 64 | 118 / 14 | $28.991,30 | 1085 / 42 | $7.828,78 | 1418 / 51 | $6.605,55 | 1415 / 51 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 54 | 114 / 9 | $43.870,70 | 808 / 34 | $11.891,20 | 952 / 35 | $10.867,70 | 948 / 36 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 26 | 76 / 16 | $24.342,10 | 869 / 39 | $5.772,08 | 1127 / 39 | $4.634,85 | 1123 / 43 |
Kidney & Urinary Tract Infections W Mcc | 67 | 77 / 5 | $22.612,90 | 756 / 28 | $7.727,69 | 1346 / 46 | $7.148,46 | 1342 / 48 |
Kidney & Urinary Tract Infections W/O Mcc | 130 | 103 / 6 | $16.402,20 | 1129 / 36 | $5.696,08 | 1922 / 61 | $4.855,95 | 1911 / 65 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 7 | $65.893,30 | 213 / 11 | $17.355,40 | 209 / 12 | $14.547,00 | 208 / 9 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 7 | $52.502,60 | 438 / 12 | $8.577,93 | 419 / 10 | $7.449,07 | 418 / 13 |
Major Cardiovasc Procedures W Mcc | 11 | 57 / 13 | $98.934,70 | 115 / 3 | $33.630,70 | 290 / 8 | $32.633,60 | 290 / 10 |
Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 17 | $96.418,20 | 547 / 20 | $22.814,90 | 650 / 24 | $21.914,10 | 649 / 25 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 9 | $25.543,10 | 503 / 13 | $8.193,50 | 776 / 23 | $7.646,83 | 774 / 26 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 12 | $30.618,10 | 144 / 5 | $12.488,60 | 370 / 12 | $11.972,60 | 369 / 16 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 15 | 38 / 7 | $20.302,70 | 63 / 2 | $8.353,87 | 303 / 9 | $8.099,87 | 303 / 12 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 77 | 487 / 46 | $74.270,80 | 2098 / 63 | $14.539,60 | 1952 / 55 | $13.433,10 | 1910 / 70 |
Major Small & Large Bowel Procedures W Cc | 18 | 90 / 21 | $58.141,60 | 592 / 20 | $18.480,30 | 914 / 35 | $15.308,60 | 906 / 37 |
Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 12 | $120.506,00 | 560 / 21 | $32.861,70 | 648 / 19 | $31.478,00 | 646 / 20 |
Medical Back Problems W/O Mcc | 44 | 77 / 6 | $21.955,70 | 671 / 22 | $6.360,98 | 960 / 29 | $5.124,89 | 957 / 33 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 77 | 49 / 2 | $26.774,60 | 805 / 24 | $7.965,42 | 1033 / 29 | $7.184,12 | 1030 / 33 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 163 | 21 / 1 | $15.189,90 | 980 / 32 | $5.394,75 | 1775 / 60 | $4.427,94 | 1770 / 61 |
Multiple Sclerosis & Cerebellar Ataxia W Cc | 19 | 3 / 1 | $20.503,80 | 5 / 1 | $7.958,11 | 5 / 1 | $5.440,74 | 5 / 1 |
Multiple Sclerosis & Cerebellar Ataxia W/O Cc/Mcc | 11 | 13 / 1 | $16.175,50 | 4 / 1 | $6.146,27 | 7 / 1 | $4.387,27 | 7 / 1 |
Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Mcc | 11 | 16 / 3 | $51.445,20 | 9 / 1 | $21.403,50 | 29 / 2 | $20.721,90 | 29 / 2 |
Nonspecific Cerebrovascular Disorders W Mcc | 14 | 37 / 7 | $37.497,10 | 170 / 8 | $10.800,30 | 216 / 9 | $10.431,30 | 216 / 12 |
Organic Disturbances & Mental Retardation | 18 | 41 / 4 | $16.343,30 | 112 / 2 | $6.817,33 | 249 / 4 | $5.964,33 | 249 / 5 |
Other Circulatory System Diagnoses W Cc | 17 | 49 / 6 | $16.487,80 | 107 / 1 | $6.760,18 | 425 / 9 | $6.184,53 | 424 / 13 |
Other Circulatory System Diagnoses W Mcc | 44 | 72 / 4 | $31.998,60 | 266 / 10 | $12.526,60 | 678 / 25 | $11.493,50 | 676 / 27 |
Other Circulatory System O.R. Procedures | 13 | 42 / 7 | $43.298,40 | 73 / 4 | $16.602,90 | 57 / 5 | $14.135,70 | 57 / 5 |
Other Digestive System Diagnoses W Cc | 33 | 64 / 9 | $19.697,80 | 390 / 15 | $7.272,64 | 924 / 33 | $6.210,24 | 920 / 34 |
Other Digestive System Diagnoses W Mcc | 17 | 45 / 7 | $27.316,60 | 119 / 5 | $11.214,80 | 302 / 12 | $10.102,30 | 301 / 12 |
Other Disorders Of Nervous System W Cc | 13 | 43 / 9 | $25.104,80 | 280 / 7 | $6.380,62 | 397 / 9 | $5.810,46 | 397 / 11 |
Other Kidney & Urinary Tract Diagnoses W Cc | 21 | 82 / 9 | $23.223,80 | 344 / 13 | $7.078,33 | 403 / 21 | $5.868,14 | 403 / 18 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 48 | 53 / 3 | $25.328,10 | 252 / 8 | $10.291,40 | 543 / 22 | $9.272,60 | 541 / 21 |
Other Kidney & Urinary Tract Procedures W Mcc | 11 | 27 / 6 | $94.042,00 | 135 / 5 | $23.206,00 | 147 / 6 | $22.523,70 | 146 / 6 |
Other O.R. Procedures For Injuries W Mcc | 11 | 26 / 4 | $80.257,50 | 58 / 1 | $25.414,00 | 65 / 1 | $24.326,00 | 65 / 2 |
Other Resp System O.R. Procedures W Cc | 16 | 31 / 3 | $67.042,60 | 241 / 7 | $14.721,40 | 245 / 5 | $13.803,00 | 245 / 6 |
Other Skin, Subcut Tiss & Breast Proc W Mcc | 17 | 5 / 1 | $41.460,80 | 6 / 1 | $16.637,10 | 22 / 1 | $15.355,40 | 22 / 1 |
Other Vascular Procedures W Cc | 22 | 80 / 15 | $98.994,50 | 835 / 29 | $18.908,90 | 738 / 27 | $16.714,10 | 734 / 29 |
Other Vascular Procedures W Mcc | 29 | 68 / 6 | $82.933,80 | 413 / 11 | $22.804,30 | 514 / 19 | $20.872,10 | 511 / 19 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 21 | 79 / 15 | $102.186,00 | 518 / 22 | $24.439,20 | 540 / 29 | $20.055,00 | 536 / 25 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 38 | 158 / 23 | $73.446,90 | 749 / 25 | $15.371,30 | 1002 / 37 | $12.529,80 | 995 / 38 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 18 | 77 / 9 | $79.112,80 | 334 / 14 | $13.675,30 | 372 / 12 | $12.704,90 | 368 / 17 |
Peripheral Vascular Disorders W Cc | 43 | 41 / 4 | $18.818,80 | 351 / 14 | $6.941,07 | 805 / 26 | $6.199,53 | 802 / 27 |
Peripheral Vascular Disorders W Mcc | 22 | 27 / 3 | $25.669,00 | 122 / 4 | $9.398,36 | 320 / 12 | $8.619,27 | 320 / 13 |
Peripheral Vascular Disorders W/O Cc/Mcc | 17 | 28 / 3 | $15.004,40 | 128 / 3 | $5.182,88 | 270 / 6 | $4.322,88 | 270 / 6 |
Permanent Cardiac Pacemaker Implant W Cc | 21 | 56 / 9 | $79.230,90 | 613 / 23 | $17.730,50 | 631 / 21 | $17.071,40 | 630 / 23 |
Permanent Cardiac Pacemaker Implant W Mcc | 19 | 33 / 5 | $82.638,30 | 220 / 13 | $23.707,50 | 305 / 12 | $22.706,60 | 305 / 16 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 10 | $14.457,20 | 278 / 15 | $5.121,94 | 556 / 23 | $4.041,50 | 555 / 23 |
Postoperative & Post-Traumatic Infections W/O Mcc | 14 | 40 / 5 | $18.942,70 | 110 / 2 | $7.020,79 | 231 / 5 | $6.232,93 | 231 / 6 |
Psychoses | 122 | 173 / 8 | $10.530,60 | 74 / 3 | $7.330,61 | 331 / 12 | $6.169,86 | 331 / 11 |
Pulmonary Edema & Respiratory Failure | 54 | 149 / 30 | $33.378,40 | 1219 / 49 | $8.535,61 | 1556 / 52 | $7.975,46 | 1551 / 58 |
Pulmonary Embolism W Mcc | 22 | 21 / 2 | $35.921,90 | 261 / 12 | $10.464,10 | 403 / 17 | $9.792,91 | 403 / 21 |
Pulmonary Embolism W/O Mcc | 24 | 50 / 9 | $27.679,90 | 752 / 27 | $7.517,08 | 802 / 32 | $5.827,33 | 799 / 32 |
Red Blood Cell Disorders W Mcc | 37 | 34 / 3 | $24.202,10 | 275 / 9 | $8.919,92 | 714 / 20 | $8.399,38 | 710 / 23 |
Red Blood Cell Disorders W/O Mcc | 103 | 43 / 1 | $17.210,90 | 642 / 16 | $5.973,99 | 1428 / 40 | $5.277,85 | 1419 / 43 |
Renal Failure W Cc | 114 | 107 / 7 | $21.029,90 | 1081 / 32 | $7.195,74 | 1683 / 57 | $6.083,82 | 1674 / 56 |
Renal Failure W Mcc | 83 | 112 / 11 | $31.254,90 | 830 / 23 | $10.723,40 | 1429 / 47 | $10.038,40 | 1429 / 49 |
Renal Failure W/O Cc/Mcc | 17 | 39 / 8 | $14.623,80 | 348 / 11 | $4.897,76 | 606 / 19 | $3.959,18 | 605 / 21 |
Respiratory Infections & Inflammations W Cc | 21 | 67 / 12 | $28.820,20 | 643 / 22 | $9.269,62 | 950 / 34 | $8.477,62 | 945 / 33 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 30 | $35.252,40 | 600 / 17 | $13.178,90 | 1107 / 40 | $12.087,80 | 1093 / 39 |
Respiratory Signs & Symptoms | 19 | 27 / 2 | $15.254,30 | 53 / 1 | $5.245,84 | 163 / 5 | $4.157,63 | 163 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 42 | 89 / 16 | $48.844,20 | 586 / 24 | $15.562,90 | 1169 / 40 | $14.920,80 | 1156 / 44 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 36 | 35 / 5 | $117.893,00 | 365 / 18 | $33.982,90 | 500 / 19 | $32.575,60 | 499 / 25 |
Seizures W Mcc | 38 | 28 / 2 | $40.928,00 | 374 / 14 | $12.055,90 | 363 / 15 | $9.289,21 | 363 / 12 |
Seizures W/O Mcc | 56 | 52 / 3 | $16.854,40 | 363 / 11 | $5.714,62 | 798 / 25 | $4.734,66 | 795 / 27 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 22 | 70 / 11 | $123.714,00 | 346 / 12 | $40.730,50 | 594 / 20 | $38.536,70 | 593 / 23 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 167 | 349 / 24 | $42.311,30 | 1437 / 47 | $12.583,30 | 1733 / 56 | $11.559,70 | 1700 / 61 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 53 | 154 / 18 | $26.618,70 | 1392 / 48 | $7.547,34 | 1754 / 59 | $6.691,55 | 1747 / 62 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 5 | $17.646,20 | 115 / 1 | $5.411,00 | 235 / 3 | $4.844,83 | 235 / 5 |
Signs & Symptoms W/O Mcc | 29 | 62 / 7 | $17.701,80 | 523 / 13 | $5.347,93 | 785 / 23 | $4.251,48 | 782 / 25 |
Simple Pneumonia & Pleurisy W Cc | 108 | 95 / 5 | $23.144,30 | 1461 / 52 | $7.184,39 | 2045 / 63 | $6.253,84 | 2037 / 69 |
Simple Pneumonia & Pleurisy W Mcc | 104 | 101 / 12 | $31.643,60 | 1147 / 40 | $10.078,80 | 1615 / 55 | $8.949,21 | 1615 / 57 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 39 | 54 / 4 | $15.701,40 | 802 / 24 | $5.508,26 | 1327 / 44 | $4.093,90 | 1319 / 46 |
Skin Ulcers W Mcc | 14 | 6 / 1 | $19.901,70 | 4 / 1 | $8.939,86 | 12 / 1 | $8.325,86 | 12 / 1 |
Spinal Fusion Except Cervical W/O Mcc | 20 | 174 / 27 | $116.043,00 | 904 / 25 | $28.435,80 | 925 / 26 | $25.358,60 | 920 / 33 |
Syncope & Collapse | 69 | 100 / 6 | $16.463,20 | 524 / 15 | $5.511,70 | 1375 / 41 | $4.768,10 | 1368 / 45 |
Tendonitis, Myositis & Bursitis W/O Mcc | 14 | 28 / 3 | $15.024,30 | 69 / 2 | $6.195,71 | 222 / 6 | $5.234,43 | 222 / 7 |
Transient Ischemia | 81 | 44 / 2 | $19.391,50 | 614 / 27 | $5.525,21 | 1128 / 39 | $4.311,89 | 1122 / 41 |
Transurethral Procedures W Cc | 16 | 25 / 4 | $30.020,60 | 120 / 2 | $8.849,25 | 258 / 6 | $8.005,25 | 258 / 6 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 12 | 32 / 4 | $17.855,90 | 86 / 1 | $6.069,50 | 149 / 4 | $4.417,50 | 149 / 4 |
Vaginal Delivery W/O Complicating Diagnoses | 12 | 13 / 1 | $6.795,92 | 4 / 1 | $4.538,17 | 23 / 2 | $3.427,67 | 23 / 2 | Total 130 procedures | 5.155 | 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.