Hospital Costs > In California > Mission Hospital Regional Med Center, 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 Cc | 16 | 75 / 20 | $47.636,40 | 1150 / 35 | $7.637,69 | 968 / 15 | $6.577,69 | 966 / 12 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 32 | $78.290,50 | 1540 / 73 | $12.514,60 | 1343 / 28 | $11.729,00 | 1333 / 31 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 13 | 62 / 6 | $30.503,10 | 62 / 5 | $9.472,85 | 28 / 4 | $6.999,69 | 28 / 1 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 34 | 90 / 11 | $35.625,30 | 752 / 23 | $5.036,62 | 371 / 3 | $3.997,09 | 371 / 4 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 28 | 38 / 10 | $76.888,40 | 453 / 11 | $14.838,00 | 311 / 12 | $11.363,80 | 309 / 3 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 33 | 56 / 15 | $55.837,30 | 627 / 27 | $7.887,52 | 531 / 7 | $6.716,12 | 530 / 17 |
Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 11 | 21 / 4 | $76.871,60 | 84 / 3 | $14.517,70 | 70 / 2 | $13.421,00 | 70 / 2 |
Bronchitis & Asthma W Cc/Mcc | 27 | 49 / 7 | $40.847,90 | 904 / 30 | $6.954,93 | 605 / 13 | $5.081,78 | 601 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 49 | 112 / 17 | $38.686,50 | 1882 / 80 | $6.277,00 | 1566 / 33 | $5.126,22 | 1561 / 31 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 38 | 85 / 16 | $51.155,90 | 1551 / 52 | $11.163,60 | 967 / 93 | $7.084,79 | 964 / 3 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 51 | 99 / 5 | $23.510,00 | 1577 / 31 | $4.483,63 | 1140 / 23 | $2.947,33 | 1135 / 11 |
Cellulitis W Mcc | 12 | 46 / 22 | $46.176,60 | 694 / 27 | $9.890,50 | 562 / 7 | $9.079,83 | 560 / 11 |
Cellulitis W/O Mcc | 72 | 117 / 20 | $34.868,60 | 2294 / 106 | $7.091,89 | 1553 / 71 | $4.785,32 | 1546 / 14 |
Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 21 | $105.615,00 | 789 / 29 | $16.506,90 | 506 / 8 | $12.841,60 | 503 / 6 |
Chest Pain | 35 | 116 / 38 | $37.275,40 | 1542 / 93 | $5.319,03 | 838 / 50 | $3.308,89 | 833 / 9 |
Chronic Obstructive Pulmonary Disease W Cc | 33 | 146 / 40 | $44.613,10 | 2156 / 101 | $6.972,21 | 1672 / 22 | $5.822,91 | 1665 / 14 |
Chronic Obstructive Pulmonary Disease W Mcc | 52 | 150 / 38 | $56.127,30 | 2301 / 111 | $8.557,98 | 1805 / 23 | $7.445,79 | 1797 / 20 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 32 | $39.191,70 | 1936 / 80 | $5.786,07 | 1296 / 20 | $4.066,50 | 1285 / 9 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 21 | $97.848,80 | 746 / 18 | $15.258,50 | 642 / 8 | $14.250,50 | 635 / 8 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 43 | 145 / 19 | $64.035,00 | 1441 / 66 | $9.052,88 | 1024 / 36 | $6.387,77 | 1021 / 8 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 14 | 41 / 12 | $193.281,00 | 220 / 13 | $26.074,90 | 185 / 5 | $25.041,80 | 185 / 7 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 18 | 80 / 15 | $216.233,00 | 446 / 22 | $30.034,80 | 278 / 2 | $29.028,70 | 278 / 5 |
Degenerative Nervous System Disorders W Mcc | 11 | 27 / 8 | $60.496,60 | 167 / 4 | $11.663,00 | 105 / 2 | $10.679,70 | 105 / 1 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 17 | $48.039,50 | 760 / 32 | $6.923,92 | 503 / 6 | $6.089,38 | 503 / 7 |
Diabetes W Cc | 19 | 73 / 16 | $43.157,60 | 1461 / 70 | $6.103,47 | 1006 / 6 | $5.148,53 | 1002 / 9 |
Dysequilibrium | 17 | 48 / 10 | $35.167,20 | 468 / 16 | $5.024,00 | 129 / 5 | $2.900,82 | 129 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 20 | $48.707,40 | 1131 / 47 | $8.680,04 | 875 / 7 | $7.673,33 | 870 / 9 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 123 | 152 / 11 | $37.951,30 | 2425 / 124 | $6.227,64 | 1787 / 58 | $4.452,41 | 1774 / 25 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 19 | $199.533,00 | 627 / 23 | $35.838,70 | 555 / 10 | $34.957,30 | 555 / 12 |
Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 13 | $26.272,50 | 680 / 13 | $5.233,94 | 596 / 8 | $4.225,94 | 596 / 8 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 26 | 36 / 6 | $36.074,70 | 680 / 26 | $5.489,92 | 497 / 5 | $4.559,46 | 495 / 9 |
G.I. Hemorrhage W Cc | 57 | 161 / 38 | $37.868,90 | 1890 / 60 | $7.652,19 | 1509 / 28 | $5.975,42 | 1505 / 18 |
G.I. Hemorrhage W Mcc | 34 | 87 / 22 | $77.952,10 | 1415 / 80 | $13.624,70 | 1190 / 41 | $12.165,10 | 1182 / 31 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 18 | $26.972,40 | 746 / 16 | $5.218,09 | 659 / 5 | $4.231,91 | 655 / 14 |
G.I. Obstruction W Cc | 43 | 49 / 9 | $38.527,60 | 1427 / 54 | $7.122,65 | 816 / 36 | $4.825,93 | 814 / 4 |
G.I. Obstruction W Mcc | 11 | 31 / 11 | $47.955,50 | 322 / 8 | $14.413,30 | 206 / 25 | $9.276,18 | 206 / 2 |
G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 21 | $31.041,70 | 1129 / 46 | $4.567,00 | 818 / 11 | $3.480,60 | 815 / 14 |
Heart Failure & Shock W Cc | 70 | 208 / 36 | $40.776,10 | 2349 / 90 | $7.160,76 | 1906 / 23 | $6.347,13 | 1901 / 31 |
Heart Failure & Shock W Mcc | 102 | 182 / 34 | $73.669,70 | 2394 / 145 | $12.664,00 | 2132 / 108 | $10.921,80 | 2122 / 73 |
Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 23 | $30.211,80 | 1713 / 48 | $5.539,00 | 1161 / 24 | $3.910,77 | 1151 / 10 |
Hip & Femur Procedures Except Major Joint W Cc | 49 | 94 / 20 | $88.658,00 | 1803 / 73 | $13.517,30 | 1409 / 13 | $12.412,90 | 1391 / 18 |
Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 12 | $118.871,00 | 788 / 25 | $20.811,30 | 640 / 8 | $19.761,20 | 637 / 10 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 20 | $66.837,90 | 766 / 23 | $11.276,40 | 523 / 5 | $9.367,29 | 521 / 5 |
Hypertension W/O Mcc | 12 | 53 / 14 | $36.758,60 | 716 / 17 | $4.707,50 | 462 / 1 | $3.600,83 | 460 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 46 | 78 / 20 | $244.016,00 | 1400 / 71 | $42.317,10 | 1283 / 54 | $41.348,40 | 1273 / 60 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 54 | 128 / 24 | $51.013,20 | 1766 / 79 | $8.371,02 | 1160 / 39 | $6.083,72 | 1157 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 40 | 128 / 32 | $66.647,00 | 1230 / 40 | $13.299,00 | 674 / 36 | $9.807,15 | 673 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 33 | $42.769,30 | 1401 / 58 | $6.023,40 | 421 / 22 | $3.534,80 | 418 / 1 |
Kidney & Urinary Tract Infections W Mcc | 45 | 99 / 22 | $46.746,90 | 1638 / 83 | $8.443,58 | 1436 / 33 | $7.435,33 | 1432 / 32 |
Kidney & Urinary Tract Infections W/O Mcc | 101 | 132 / 16 | $31.041,40 | 2257 / 77 | $5.686,26 | 1821 / 17 | $4.715,50 | 1810 / 23 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 18 | 38 / 12 | $91.064,70 | 777 / 43 | $12.014,30 | 693 / 9 | $11.075,60 | 690 / 18 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 13 | $107.208,00 | 371 / 16 | $17.668,80 | 145 / 4 | $13.717,40 | 144 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 16 | 31 / 10 | $66.264,50 | 508 / 25 | $9.416,75 | 311 / 3 | $6.717,25 | 311 / 2 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 19 | 36 / 8 | $107.075,00 | 595 / 26 | $18.389,00 | 385 / 33 | $12.080,70 | 382 / 3 |
Major Cardiovasc Procedures W Mcc | 13 | 55 / 17 | $294.270,00 | 618 / 37 | $44.598,20 | 540 / 20 | $43.240,00 | 539 / 25 |
Major Chest Procedures W Cc | 15 | 59 / 15 | $118.687,00 | 448 / 17 | $18.959,10 | 371 / 7 | $17.996,90 | 369 / 10 |
Major Chest Procedures W Mcc | 11 | 38 / 14 | $211.239,00 | 284 / 9 | $34.577,20 | 209 / 3 | $33.695,60 | 208 / 5 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 26 | 47 / 8 | $45.422,40 | 903 / 24 | $8.752,38 | 651 / 13 | $7.174,15 | 649 / 5 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 13 | $114.985,00 | 648 / 38 | $17.598,30 | 616 / 38 | $16.953,30 | 615 / 39 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 21 | 44 / 12 | $111.069,00 | 708 / 15 | $19.675,50 | 426 / 2 | $18.525,00 | 424 / 4 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 258 | 307 / 33 | $84.659,20 | 2284 / 105 | $15.213,80 | 1646 / 28 | $12.423,20 | 1609 / 15 |
Major Small & Large Bowel Procedures W Cc | 41 | 67 / 15 | $112.013,00 | 1306 / 41 | $18.268,00 | 1177 / 11 | $17.299,50 | 1163 / 30 |
Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 23 | $225.787,00 | 1115 / 41 | $36.292,40 | 775 / 11 | $33.277,40 | 773 / 4 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 18 | 46 / 12 | $79.763,00 | 669 / 18 | $11.582,10 | 559 / 4 | $10.508,30 | 559 / 14 |
Medical Back Problems W Mcc | 20 | 19 / 2 | $51.515,50 | 218 / 6 | $10.661,50 | 142 / 5 | $9.511,10 | 142 / 4 |
Medical Back Problems W/O Mcc | 75 | 46 / 4 | $41.209,50 | 1266 / 58 | $6.464,52 | 853 / 21 | $4.878,61 | 850 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 33 | 93 / 26 | $35.209,20 | 1167 / 29 | $7.926,94 | 960 / 11 | $6.937,85 | 957 / 9 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 57 | 109 / 26 | $34.800,50 | 2254 / 105 | $5.394,54 | 1558 / 25 | $4.138,14 | 1553 / 16 |
Other Circulatory System Diagnoses W Mcc | 19 | 97 / 31 | $89.034,60 | 1209 / 63 | $15.282,70 | 1099 / 41 | $14.502,10 | 1091 / 49 |
Other Digestive System Diagnoses W Cc | 24 | 73 / 18 | $38.722,40 | 1109 / 46 | $8.288,00 | 841 / 59 | $5.900,38 | 837 / 11 |
Other Digestive System Diagnoses W Mcc | 17 | 45 / 17 | $68.969,50 | 623 / 44 | $12.108,90 | 426 / 9 | $11.045,40 | 425 / 7 |
Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 7 | $34.287,40 | 308 / 6 | $7.614,75 | 181 / 11 | $3.747,92 | 181 / 1 |
Other Disorders Of Nervous System W Cc | 17 | 39 / 10 | $52.342,90 | 569 / 33 | $7.613,24 | 480 / 20 | $6.615,59 | 480 / 19 |
Other Kidney & Urinary Tract Diagnoses W Cc | 14 | 89 / 25 | $51.011,20 | 761 / 36 | $8.245,64 | 466 / 17 | $6.095,43 | 466 / 5 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 31 | 70 / 20 | $59.386,50 | 874 / 23 | $10.660,50 | 651 / 7 | $9.799,65 | 649 / 9 |
Other Vascular Procedures W Cc | 11 | 91 / 33 | $99.947,30 | 840 / 19 | $17.814,20 | 792 / 7 | $17.261,50 | 787 / 10 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 14 | 26 / 7 | $55.066,30 | 251 / 10 | $7.898,71 | 151 / 2 | $7.123,86 | 151 / 4 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 31 | $151.649,00 | 834 / 36 | $25.520,40 | 418 / 27 | $18.972,90 | 415 / 1 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 31 | 165 / 41 | $100.759,00 | 1169 / 44 | $14.610,50 | 993 / 9 | $12.467,60 | 986 / 10 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 15 | 30 / 4 | $128.361,00 | 217 / 1 | $20.494,50 | 161 / 1 | $19.376,50 | 160 / 1 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 18 | 51 / 1 | $99.432,20 | 487 / 6 | $13.993,10 | 371 / 3 | $11.098,30 | 370 / 3 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 12 | 83 / 18 | $120.799,00 | 531 / 24 | $15.324,00 | 317 / 9 | $12.037,50 | 313 / 4 |
Peripheral Vascular Disorders W Cc | 19 | 65 / 14 | $34.956,10 | 919 / 20 | $6.938,05 | 796 / 6 | $6.176,79 | 793 / 9 |
Peripheral Vascular Disorders W Mcc | 13 | 36 / 9 | $44.970,00 | 386 / 3 | $9.671,69 | 348 / 2 | $8.832,31 | 348 / 5 |
Permanent Cardiac Pacemaker Implant W Cc | 23 | 54 / 12 | $87.875,50 | 683 / 21 | $18.100,10 | 636 / 8 | $17.102,60 | 635 / 11 |
Permanent Cardiac Pacemaker Implant W Mcc | 13 | 39 / 11 | $119.616,00 | 420 / 11 | $23.631,80 | 293 / 2 | $22.524,10 | 293 / 2 |
Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 19 | $93.994,80 | 946 / 68 | $14.787,40 | 924 / 64 | $13.974,40 | 921 / 69 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 13 | $33.856,20 | 798 / 19 | $5.090,00 | 401 / 4 | $3.611,00 | 400 / 2 |
Postoperative & Post-Traumatic Infections W Mcc | 13 | 30 / 6 | $85.972,20 | 195 / 7 | $13.145,70 | 116 / 2 | $12.867,50 | 116 / 3 |
Pulmonary Edema & Respiratory Failure | 30 | 173 / 45 | $85.747,10 | 2165 / 138 | $11.065,50 | 1968 / 92 | $9.870,03 | 1962 / 91 |
Pulmonary Embolism W Mcc | 12 | 31 / 8 | $83.368,90 | 543 / 19 | $11.816,80 | 434 / 10 | $10.106,40 | 434 / 9 |
Pulmonary Embolism W/O Mcc | 24 | 50 / 7 | $44.655,80 | 1115 / 31 | $8.058,62 | 698 / 24 | $5.561,71 | 695 / 5 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 20 | $38.682,70 | 659 / 16 | $9.460,73 | 468 / 8 | $7.370,18 | 466 / 2 |
Red Blood Cell Disorders W/O Mcc | 31 | 112 / 25 | $37.470,00 | 1720 / 74 | $6.411,13 | 1202 / 28 | $4.794,39 | 1194 / 12 |
Renal Failure W Cc | 68 | 153 / 23 | $41.022,40 | 2077 / 81 | $6.976,32 | 1371 / 20 | $5.579,32 | 1362 / 12 |
Renal Failure W Mcc | 43 | 152 / 44 | $72.470,90 | 1923 / 108 | $12.515,80 | 1678 / 67 | $11.056,70 | 1676 / 50 |
Renal Failure W/O Cc/Mcc | 11 | 45 / 10 | $23.346,20 | 647 / 3 | $4.849,00 | 439 / 5 | $3.421,27 | 438 / 2 |
Respiratory Infections & Inflammations W Cc | 26 | 62 / 22 | $53.605,60 | 1193 / 42 | $9.328,42 | 931 / 10 | $8.399,19 | 926 / 10 |
Respiratory Infections & Inflammations W Mcc | 66 | 70 / 14 | $84.712,10 | 1541 / 68 | $14.052,80 | 1383 / 25 | $13.439,50 | 1368 / 33 |
Respiratory Neoplasms W Mcc | 12 | 40 / 14 | $46.961,10 | 345 / 1 | $11.409,70 | 347 / 1 | $10.609,70 | 346 / 1 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 32 | $135.760,00 | 1731 / 86 | $25.299,00 | 1453 / 122 | $16.998,00 | 1439 / 35 |
Revision Of Hip Or Knee Replacement W Cc | 16 | 70 / 17 | $128.256,00 | 562 / 12 | $24.612,60 | 525 / 6 | $23.784,60 | 523 / 7 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 41 | $321.784,00 | 1020 / 103 | $49.995,90 | 944 / 81 | $49.305,70 | 943 / 90 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 371 | 156 / 18 | $88.209,00 | 2528 / 169 | $14.417,90 | 2209 / 73 | $13.190,90 | 2169 / 68 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 110 | 97 / 19 | $45.309,60 | 2174 / 126 | $7.960,04 | 1696 / 34 | $6.568,48 | 1689 / 34 |
Signs & Symptoms W/O Mcc | 28 | 63 / 10 | $31.398,50 | 1063 / 32 | $5.148,61 | 835 / 6 | $4.372,61 | 832 / 10 |
Simple Pneumonia & Pleurisy W Cc | 78 | 125 / 18 | $47.638,80 | 2511 / 124 | $7.287,96 | 1750 / 27 | $5.781,17 | 1742 / 15 |
Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 42 | $57.214,30 | 2050 / 66 | $10.142,30 | 1770 / 16 | $9.301,64 | 1770 / 23 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 27 | $37.800,30 | 1772 / 66 | $5.341,06 | 1431 / 18 | $4.263,72 | 1423 / 19 |
Spinal Fusion Except Cervical W Mcc | 11 | 14 / 2 | $254.747,00 | 66 / 2 | $46.011,50 | 48 / 1 | $45.025,20 | 48 / 2 |
Spinal Fusion Except Cervical W/O Mcc | 81 | 113 / 11 | $141.466,00 | 1073 / 30 | $27.702,10 | 871 / 5 | $24.767,10 | 867 / 6 |
Syncope & Collapse | 37 | 132 / 30 | $30.870,70 | 1467 / 44 | $5.431,89 | 935 / 10 | $3.986,70 | 929 / 6 |
Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 4 | $38.117,00 | 282 / 4 | $6.163,36 | 206 / 1 | $5.066,64 | 206 / 1 |
Transient Ischemia | 23 | 102 / 33 | $36.666,00 | 1367 / 55 | $5.349,78 | 927 / 14 | $3.907,26 | 922 / 9 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 17 | 27 / 7 | $39.618,40 | 262 / 13 | $5.514,29 | 142 / 2 | $4.373,59 | 142 / 3 |
Traumatic Injury W/O Mcc | 11 | 7 / 2 | $37.923,20 | 21 / 1 | $5.442,27 | 15 / 1 | $4.346,18 | 15 / 1 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 28 | 38 / 7 | $61.080,60 | 473 / 15 | $8.152,96 | 322 / 5 | $7.075,25 | 322 / 7 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 14 | 37 / 14 | $71.189,90 | 243 / 4 | $12.538,10 | 126 / 1 | $11.674,10 | 126 / 3 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 18 | 36 / 10 | $51.347,40 | 379 / 10 | $7.345,06 | 160 / 15 | $4.038,28 | 160 / 2 | Total 119 procedures | 3.995 | 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.