Hospital Costs > In New Jersey > Morristown 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 | 988 | 17 / 2 | $52.307,20 | 1391 / 6 | $17.493,60 | 2101 / 44 | $14.051,70 | 2059 / 34 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 931 | 8 / 1 | $73.242,50 | 2331 / 12 | $15.364,90 | 2188 / 43 | $13.125,60 | 2150 / 38 |
Heart Failure & Shock W Mcc | 300 | 29 / 1 | $69.375,50 | 2335 / 16 | $13.042,90 | 2206 / 47 | $11.335,10 | 2196 / 44 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 239 | 11 / 1 | $82.932,90 | 915 / 8 | $16.667,40 | 1157 / 23 | $13.588,00 | 1150 / 21 |
Heart Failure & Shock W Cc | 228 | 58 / 6 | $45.391,40 | 2467 / 14 | $8.373,42 | 2038 / 43 | $6.595,30 | 2033 / 36 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 199 | 6 / 1 | $26.924,10 | 1682 / 10 | $4.629,95 | 1204 / 32 | $3.026,87 | 1199 / 29 |
G.I. Hemorrhage W Cc | 195 | 33 / 3 | $41.531,00 | 1997 / 9 | $8.280,21 | 1868 / 38 | $6.813,30 | 1864 / 36 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 183 | 93 / 6 | $30.338,90 | 2182 / 7 | $6.128,43 | 1930 / 33 | $4.643,37 | 1916 / 34 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 174 | 37 / 3 | $40.167,10 | 2040 / 5 | $8.744,33 | 1849 / 34 | $6.909,82 | 1841 / 32 |
Kidney & Urinary Tract Infections W/O Mcc | 168 | 69 / 10 | $29.654,70 | 2204 / 5 | $6.342,54 | 1868 / 34 | $4.773,37 | 1857 / 32 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 163 | 12 / 1 | $174.761,00 | 361 / 3 | $42.603,60 | 390 / 8 | $37.203,00 | 390 / 5 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 149 | 12 / 1 | $269.435,00 | 350 / 5 | $63.661,70 | 358 / 8 | $59.573,90 | 358 / 7 |
Medical Back Problems W/O Mcc | 144 | 10 / 1 | $33.990,40 | 1131 / 5 | $9.880,35 | 891 / 49 | $4.959,51 | 888 / 28 |
Cellulitis W/O Mcc | 143 | 47 / 9 | $29.214,20 | 2092 / 8 | $7.007,08 | 1828 / 37 | $5.196,20 | 1820 / 32 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 142 | 1 / 1 | $125.375,00 | 392 / 4 | $31.164,60 | 441 / 8 | $24.996,90 | 440 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 140 | 6 / 1 | $55.478,40 | 1623 / 13 | $10.000,30 | 1422 / 41 | $8.387,26 | 1419 / 35 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 128 | 55 / 5 | $39.595,70 | 1506 / 5 | $8.637,23 | 1585 / 33 | $7.152,05 | 1582 / 37 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 125 | 66 / 4 | $53.244,70 | 1277 / 13 | $8.892,55 | 1225 / 28 | $7.117,80 | 1222 / 27 |
Hip & Femur Procedures Except Major Joint W Cc | 125 | 24 / 2 | $70.851,10 | 1560 / 18 | $17.362,10 | 1722 / 45 | $14.167,30 | 1703 / 42 |
Major Cardiovasc Procedures W/O Mcc | 124 | 5 / 1 | $88.764,00 | 482 / 9 | $27.400,90 | 753 / 27 | $23.535,70 | 752 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 121 | 42 / 6 | $33.850,10 | 1769 / 10 | $6.512,98 | 1516 / 36 | $5.011,54 | 1511 / 36 |
Kidney & Urinary Tract Infections W Mcc | 119 | 30 / 4 | $43.856,00 | 1586 / 9 | $9.180,55 | 1431 / 35 | $7.408,97 | 1427 / 32 |
Pulmonary Edema & Respiratory Failure | 117 | 86 / 2 | $49.993,10 | 1755 / 6 | $10.029,90 | 1725 / 31 | $8.568,09 | 1720 / 33 |
Simple Pneumonia & Pleurisy W Cc | 115 | 88 / 14 | $39.449,20 | 2306 / 8 | $8.027,50 | 2083 / 38 | $6.333,90 | 2075 / 36 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 113 | 7 / 1 | $120.013,00 | 668 / 7 | $25.717,10 | 784 / 16 | $23.423,80 | 779 / 17 |
Syncope & Collapse | 112 | 57 / 6 | $33.963,20 | 1551 / 8 | $6.020,03 | 1305 / 35 | $4.602,23 | 1298 / 35 |
Simple Pneumonia & Pleurisy W Mcc | 108 | 97 / 7 | $55.747,20 | 2032 / 7 | $11.642,80 | 1990 / 36 | $10.092,20 | 1990 / 38 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 104 | 24 / 2 | $184.036,00 | 1191 / 22 | $43.690,20 | 1210 / 40 | $39.214,10 | 1201 / 39 |
Extracranial Procedures W/O Cc/Mcc | 103 | 5 / 1 | $27.550,10 | 361 / 2 | $8.827,93 | 546 / 19 | $5.904,46 | 545 / 9 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 103 | 29 / 4 | $71.261,10 | 1477 / 19 | $14.291,70 | 1418 / 44 | $12.202,30 | 1406 / 42 |
Spinal Fusion Except Cervical W/O Mcc | 102 | 92 / 1 | $111.652,00 | 851 / 15 | $32.850,20 | 1085 / 22 | $27.848,20 | 1080 / 19 |
Renal Failure W Cc | 99 | 122 / 14 | $40.524,90 | 2064 / 9 | $8.538,32 | 1692 / 43 | $6.106,88 | 1683 / 28 |
Renal Failure W Mcc | 91 | 104 / 8 | $58.370,20 | 1734 / 8 | $13.034,80 | 1631 / 43 | $10.795,50 | 1629 / 36 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 90 | 76 / 11 | $29.694,80 | 2124 / 8 | $5.738,16 | 1769 / 31 | $4.418,31 | 1764 / 32 |
Major Chest Procedures W Cc | 89 | 9 / 1 | $45.221,80 | 74 / 1 | $20.704,00 | 341 / 9 | $17.004,20 | 339 / 8 |
G.I. Hemorrhage W Mcc | 89 | 33 / 2 | $71.900,80 | 1361 / 12 | $14.499,30 | 1271 / 37 | $12.713,70 | 1262 / 34 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 88 | 9 / 1 | $312.188,00 | 200 / 3 | $78.800,70 | 178 / 6 | $66.095,80 | 178 / 5 |
Chronic Obstructive Pulmonary Disease W Mcc | 88 | 114 / 19 | $46.740,20 | 2113 / 7 | $9.565,68 | 2003 / 37 | $7.971,80 | 1995 / 36 |
Major Small & Large Bowel Procedures W Cc | 87 | 23 / 1 | $76.254,60 | 953 / 5 | $20.479,30 | 1165 / 33 | $17.224,00 | 1152 / 29 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 81 | 45 / 1 | $55.880,90 | 1559 / 20 | $9.441,07 | 1260 / 36 | $7.934,02 | 1257 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 80 | 88 / 8 | $64.335,30 | 1197 / 10 | $14.074,70 | 1124 / 36 | $11.674,00 | 1118 / 27 |
Respiratory Infections & Inflammations W Mcc | 79 | 57 / 4 | $63.245,10 | 1321 / 7 | $15.380,00 | 1343 / 33 | $13.188,30 | 1328 / 27 |
Other Vascular Procedures W Mcc | 78 | 23 / 1 | $118.622,00 | 717 / 10 | $27.576,50 | 771 / 35 | $25.188,90 | 768 / 32 |
Coronary Bypass W Cardiac Cath W/O Mcc | 76 | 6 / 1 | $163.551,00 | 404 / 3 | $39.110,90 | 497 / 8 | $32.283,00 | 497 / 5 |
Other Vascular Procedures W Cc | 72 | 33 / 1 | $89.613,60 | 747 / 8 | $20.817,10 | 859 / 34 | $18.140,50 | 854 / 28 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 71 | 25 / 2 | $98.582,80 | 453 / 6 | $15.890,60 | 436 / 6 | $13.822,70 | 432 / 8 |
Revision Of Hip Or Knee Replacement W Cc | 71 | 20 / 1 | $78.080,00 | 282 / 5 | $27.169,70 | 521 / 14 | $23.561,40 | 519 / 13 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 68 | 11 / 2 | $69.093,20 | 95 / 5 | $29.679,60 | 192 / 14 | $23.723,90 | 191 / 10 |
Other Circulatory System Diagnoses W Mcc | 68 | 48 / 2 | $78.881,70 | 1136 / 20 | $15.302,00 | 926 / 35 | $12.882,80 | 919 / 26 |
Chronic Obstructive Pulmonary Disease W Cc | 67 | 112 / 24 | $39.277,90 | 2050 / 10 | $7.669,51 | 1821 / 37 | $6.154,12 | 1814 / 38 |
Major Chest Procedures W/O Cc/Mcc | 67 | 8 / 1 | $33.203,10 | 37 / 2 | $14.863,00 | 121 / 6 | $10.979,90 | 121 / 5 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 67 | 25 / 1 | $41.284,40 | 484 / 8 | $9.528,37 | 570 / 16 | $7.048,51 | 569 / 14 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 62 | 33 / 3 | $95.728,10 | 738 / 12 | $18.586,40 | 769 / 30 | $16.768,70 | 762 / 32 |
Transient Ischemia | 61 | 64 / 10 | $32.281,30 | 1249 / 9 | $5.698,36 | 1068 / 29 | $4.178,11 | 1063 / 28 |
Coronary Bypass W/O Cardiac Cath W Mcc | 61 | 6 / 1 | $210.856,00 | 177 / 2 | $49.145,30 | 183 / 5 | $42.855,20 | 182 / 4 |
Red Blood Cell Disorders W/O Mcc | 61 | 82 / 15 | $35.814,30 | 1685 / 11 | $6.638,16 | 1423 / 33 | $5.262,74 | 1414 / 32 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 58 | 12 / 1 | $49.999,80 | 419 / 9 | $8.866,60 | 341 / 10 | $7.292,55 | 340 / 12 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 55 | 8 / 1 | $210.644,00 | 91 / 2 | $52.946,20 | 82 / 5 | $43.580,60 | 82 / 4 |
Acute Myocardial Infarction, Discharged Alive W Cc | 54 | 37 / 6 | $48.153,30 | 1156 / 11 | $8.536,69 | 1115 / 33 | $7.155,37 | 1113 / 36 |
G.I. Obstruction W/O Cc/Mcc | 54 | 17 / 3 | $25.177,90 | 1007 / 5 | $5.137,09 | 839 / 28 | $3.524,28 | 836 / 27 |
Major Small & Large Bowel Procedures W Mcc | 53 | 32 / 3 | $178.626,00 | 962 / 20 | $41.653,40 | 960 / 34 | $36.716,50 | 958 / 32 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 51 | 13 / 2 | $29.359,60 | 599 / 7 | $7.956,53 | 488 / 30 | $4.544,27 | 486 / 20 |
Major Cardiovasc Procedures W Mcc | 51 | 18 / 1 | $162.897,00 | 396 / 5 | $44.034,30 | 408 / 16 | $36.332,60 | 407 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 51 | 51 / 7 | $33.937,50 | 1213 / 7 | $6.204,02 | 1210 / 31 | $4.879,22 | 1206 / 32 |
Heart Failure & Shock W/O Cc/Mcc | 50 | 60 / 17 | $26.901,40 | 1623 / 5 | $5.524,86 | 1287 / 33 | $4.076,00 | 1277 / 29 |
Other Digestive System Diagnoses W Cc | 50 | 47 / 7 | $39.918,70 | 1135 / 13 | $8.040,60 | 1064 / 33 | $6.721,60 | 1060 / 33 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 50 | 31 / 1 | $687.326,00 | 369 / 9 | $149.326,00 | 296 / 11 | $128.260,00 | 295 / 9 |
G.I. Obstruction W Cc | 48 | 44 / 7 | $37.671,90 | 1412 / 12 | $7.347,75 | 1172 / 30 | $5.477,92 | 1169 / 26 |
Coronary Bypass W Cardiac Cath W Mcc | 48 | 12 / 2 | $239.055,00 | 307 / 1 | $56.842,60 | 329 / 7 | $51.210,20 | 329 / 6 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 47 | 84 / 14 | $97.031,50 | 1480 / 15 | $18.624,00 | 1393 / 39 | $16.458,80 | 1379 / 34 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 47 | 18 / 2 | $54.633,70 | 518 / 8 | $13.613,60 | 570 / 15 | $10.666,20 | 570 / 13 |
Pulmonary Embolism W/O Mcc | 47 | 27 / 4 | $45.502,80 | 1123 / 11 | $8.265,40 | 989 / 27 | $6.504,51 | 986 / 25 |
Fractures Of Hip & Pelvis W/O Mcc | 46 | 15 / 2 | $29.493,50 | 742 / 10 | $5.856,24 | 615 / 26 | $4.287,67 | 615 / 23 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 46 | 46 / 4 | $252.971,00 | 907 / 27 | $48.040,20 | 783 / 34 | $42.789,00 | 782 / 31 |
Permanent Cardiac Pacemaker Implant W Cc | 46 | 31 / 4 | $75.575,10 | 567 / 6 | $20.694,90 | 727 / 27 | $18.281,50 | 725 / 23 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 45 | 18 / 1 | $158.260,00 | 506 / 8 | $42.260,30 | 549 / 23 | $34.731,90 | 549 / 23 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 44 | 10 / 1 | $76.639,60 | 278 / 6 | $15.012,90 | 222 / 10 | $12.442,80 | 223 / 10 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 44 | 4 / 1 | $156.386,00 | 87 / 3 | $37.365,80 | 87 / 2 | $33.208,90 | 87 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 44 | 52 / 8 | $51.218,20 | 1182 / 14 | $10.202,20 | 913 / 34 | $7.816,00 | 908 / 19 |
Peripheral Vascular Disorders W Cc | 42 | 42 / 10 | $42.368,90 | 1047 / 13 | $7.864,83 | 925 / 32 | $6.769,48 | 922 / 37 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 42 | 27 / 3 | $77.229,40 | 400 / 3 | $15.113,80 | 430 / 8 | $11.997,00 | 428 / 6 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 41 | 25 / 1 | $56.208,70 | 321 / 1 | $16.976,60 | 320 / 11 | $11.464,70 | 318 / 7 |
Other Vascular Procedures W/O Cc/Mcc | 40 | 16 / 1 | $63.455,50 | 403 / 11 | $14.097,20 | 363 / 16 | $10.763,90 | 362 / 6 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 40 | 15 / 2 | $143.424,00 | 222 / 5 | $25.969,00 | 210 / 5 | $24.365,60 | 210 / 8 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 40 | 15 / 1 | $55.176,10 | 303 / 3 | $19.216,40 | 324 / 18 | $11.515,00 | 322 / 7 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 40 | 9 / 1 | $52.542,10 | 342 / 9 | $14.087,70 | 365 / 16 | $9.476,97 | 365 / 11 |
Cellulitis W Mcc | 40 | 18 / 2 | $56.612,50 | 786 / 10 | $12.002,80 | 718 / 30 | $10.167,40 | 716 / 27 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 39 | 15 / 2 | $31.686,50 | 299 / 5 | $5.985,15 | 219 / 7 | $4.487,54 | 219 / 9 |
Red Blood Cell Disorders W Mcc | 39 | 32 / 3 | $52.822,20 | 879 / 9 | $10.172,70 | 786 / 28 | $8.926,03 | 782 / 28 |
Seizures W/O Mcc | 38 | 70 / 21 | $32.421,70 | 1011 / 9 | $6.316,61 | 696 / 27 | $4.490,74 | 693 / 24 |
O.R. Procedures For Obesity W/O Cc/Mcc | 37 | 40 / 3 | $29.408,50 | 78 / 4 | $12.749,60 | 252 / 18 | $9.556,92 | 252 / 10 |
Other Resp System O.R. Procedures W Cc | 37 | 11 / 1 | $51.860,30 | 168 / 1 | $15.718,40 | 177 / 11 | $11.950,80 | 177 / 4 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 37 | 20 / 3 | $68.984,40 | 506 / 9 | $17.477,40 | 566 / 23 | $14.803,50 | 565 / 22 |
Permanent Cardiac Pacemaker Implant W Mcc | 36 | 17 / 3 | $137.776,00 | 480 / 14 | $31.449,20 | 525 / 25 | $29.685,70 | 525 / 25 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 36 | 62 / 4 | $167.929,00 | 392 / 7 | $43.211,50 | 330 / 16 | $30.669,00 | 330 / 11 |
Postoperative & Post-Traumatic Infections W/O Mcc | 35 | 19 / 2 | $34.786,50 | 329 / 5 | $8.168,49 | 232 / 12 | $6.246,46 | 232 / 10 |
Disorders Of Pancreas Except Malignancy W Cc | 35 | 26 / 1 | $36.269,90 | 739 / 8 | $7.536,23 | 659 / 21 | $5.888,71 | 656 / 21 |
Other Circulatory System O.R. Procedures | 34 | 21 / 1 | $124.876,00 | 388 / 16 | $24.833,40 | 374 / 24 | $22.612,40 | 374 / 26 |
Seizures W Mcc | 33 | 33 / 3 | $70.191,40 | 640 / 11 | $12.677,20 | 514 / 16 | $10.676,80 | 514 / 15 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 33 | 11 / 1 | $99.261,40 | 310 / 7 | $22.305,50 | 283 / 13 | $18.943,90 | 281 / 10 |
Postoperative & Post-Traumatic Infections W Mcc | 32 | 11 / 1 | $61.392,60 | 148 / 2 | $14.651,90 | 88 / 3 | $11.949,10 | 88 / 3 |
Degenerative Nervous System Disorders W/O Mcc | 32 | 46 / 10 | $37.694,00 | 643 / 7 | $7.785,88 | 543 / 25 | $6.337,19 | 543 / 22 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 31 | 70 / 13 | $70.888,60 | 959 / 13 | $14.487,10 | 918 / 29 | $12.350,90 | 914 / 28 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 31 | 65 / 3 | $71.525,60 | 604 / 8 | $18.117,90 | 664 / 10 | $14.970,00 | 660 / 10 |
G.I. Obstruction W Mcc | 30 | 12 / 1 | $74.526,90 | 472 / 10 | $13.801,70 | 421 / 17 | $12.032,50 | 421 / 19 |
Pulmonary Embolism W Mcc | 30 | 13 / 1 | $72.071,60 | 523 / 6 | $12.166,40 | 457 / 9 | $10.360,70 | 456 / 9 |
Other Resp System O.R. Procedures W Mcc | 30 | 33 / 2 | $117.977,00 | 411 / 2 | $28.243,70 | 391 / 14 | $24.776,20 | 390 / 11 |
Other Circulatory System Diagnoses W Cc | 30 | 36 / 2 | $36.091,50 | 502 / 3 | $7.769,47 | 491 / 15 | $6.754,57 | 490 / 18 |
Chest Pain | 30 | 121 / 24 | $28.765,70 | 1348 / 13 | $4.944,73 | 1016 / 22 | $3.592,13 | 1010 / 24 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 30 | 15 / 3 | $121.596,00 | 202 / 1 | $24.468,40 | 220 / 7 | $22.672,70 | 219 / 8 |
Hip & Femur Procedures Except Major Joint W Mcc | 29 | 33 / 5 | $115.603,00 | 775 / 11 | $27.624,00 | 817 / 24 | $22.965,80 | 814 / 22 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 29 | 11 / 2 | $37.748,80 | 192 / 3 | $8.750,07 | 168 / 9 | $7.359,83 | 168 / 11 |
Cervical Spinal Fusion W/O Cc/Mcc | 29 | 75 / 1 | $71.896,10 | 596 / 10 | $18.339,30 | 678 / 11 | $14.579,50 | 675 / 10 |
Nervous System Neoplasms W Mcc | 29 | 19 / 2 | $44.680,00 | 190 / 1 | $10.732,20 | 181 / 8 | $9.042,41 | 181 / 9 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 29 | 35 / 5 | $500.864,00 | 509 / 25 | $103.531,00 | 444 / 30 | $83.810,30 | 443 / 27 |
Other Digestive System Diagnoses W Mcc | 29 | 33 / 5 | $70.659,70 | 640 / 10 | $14.868,80 | 584 / 25 | $12.919,40 | 583 / 26 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 28 | 23 / 4 | $72.717,70 | 246 / 2 | $17.195,60 | 208 / 8 | $13.469,60 | 208 / 6 |
Medical Back Problems W Mcc | 28 | 11 / 2 | $63.167,60 | 263 / 5 | $13.332,20 | 250 / 6 | $11.718,20 | 250 / 7 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 28 | 22 / 5 | $154.603,00 | 152 / 3 | $45.148,20 | 182 / 7 | $40.675,20 | 182 / 8 |
Extracranial Procedures W Cc | 28 | 18 / 1 | $44.988,20 | 203 / 2 | $12.655,20 | 318 / 4 | $11.499,50 | 318 / 6 |
Other Disorders Of Nervous System W Mcc | 27 | 13 / 1 | $70.187,20 | 270 / 5 | $14.716,70 | 244 / 10 | $11.865,10 | 244 / 10 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 27 | 38 / 2 | $98.942,40 | 647 / 5 | $25.193,90 | 709 / 19 | $22.255,70 | 706 / 17 |
Digestive Malignancy W Mcc | 27 | 11 / 1 | $81.570,60 | 118 / 3 | $18.103,90 | 92 / 5 | $15.342,90 | 92 / 6 |
Other Kidney & Urinary Tract Diagnoses W Cc | 27 | 76 / 11 | $36.840,50 | 622 / 3 | $8.219,81 | 544 / 25 | $6.559,63 | 544 / 19 |
Peripheral Vascular Disorders W Mcc | 26 | 23 / 3 | $62.187,00 | 492 / 8 | $11.438,20 | 400 / 21 | $9.390,73 | 400 / 15 |
Respiratory Infections & Inflammations W Cc | 26 | 62 / 16 | $41.805,60 | 1002 / 4 | $10.764,90 | 1164 / 27 | $9.467,12 | 1159 / 28 |
Signs & Symptoms W/O Mcc | 25 | 66 / 14 | $37.401,70 | 1173 / 13 | $5.715,80 | 879 / 18 | $4.468,32 | 876 / 21 |
Bronchitis & Asthma W Cc/Mcc | 25 | 51 / 16 | $39.903,20 | 881 / 11 | $7.204,04 | 766 / 23 | $5.787,44 | 762 / 26 |
Diabetes W Cc | 24 | 68 / 20 | $40.586,00 | 1411 / 16 | $6.964,46 | 1227 / 30 | $5.861,54 | 1222 / 41 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 24 | 29 / 10 | $34.548,00 | 657 / 15 | $6.093,29 | 631 / 29 | $4.870,46 | 627 / 28 |
Other Respiratory System Diagnoses W/O Mcc | 24 | 22 / 2 | $28.077,70 | 209 / 2 | $6.552,38 | 156 / 6 | $4.848,04 | 156 / 8 |
Transurethral Procedures W Cc | 24 | 17 / 5 | $46.569,70 | 261 / 6 | $10.426,50 | 286 / 20 | $8.430,42 | 286 / 18 |
Otitis Media & Uri W/O Mcc | 24 | 20 / 4 | $36.543,40 | 203 / 6 | $5.515,62 | 100 / 9 | $3.810,08 | 100 / 10 |
Respiratory Neoplasms W Mcc | 24 | 28 / 5 | $70.323,50 | 498 / 5 | $14.137,60 | 455 / 19 | $11.814,30 | 453 / 15 |
Diabetes W Mcc | 23 | 34 / 6 | $48.668,20 | 541 / 3 | $10.978,80 | 367 / 15 | $8.480,39 | 367 / 10 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 23 | 9 / 1 | $175.538,00 | 88 / 3 | $40.261,20 | 42 / 3 | $31.372,70 | 42 / 2 |
Signs & Symptoms W Mcc | 23 | 18 / 1 | $49.855,50 | 235 / 5 | $9.595,17 | 159 / 10 | $7.709,91 | 159 / 7 |
Dysequilibrium | 23 | 42 / 9 | $29.788,00 | 411 / 2 | $5.094,04 | 329 / 15 | $3.735,96 | 329 / 17 |
G.I. Hemorrhage W/O Cc/Mcc | 22 | 46 / 15 | $26.309,50 | 734 / 7 | $5.744,32 | 651 / 29 | $4.202,45 | 647 / 26 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 22 | 34 / 9 | $64.129,60 | 610 / 9 | $14.340,20 | 670 / 30 | $10.816,30 | 668 / 22 |
Major Chest Procedures W Mcc | 22 | 27 / 2 | $104.377,00 | 106 / 1 | $37.711,60 | 232 / 7 | $35.717,90 | 231 / 7 |
Digestive Malignancy W Cc | 22 | 25 / 7 | $50.254,00 | 298 / 6 | $10.273,00 | 288 / 18 | $9.067,36 | 286 / 22 |
Fever | 21 | 25 / 6 | $35.236,10 | 265 / 7 | $6.907,81 | 232 / 15 | $5.881,43 | 232 / 17 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 21 | 103 / 13 | $45.629,00 | 813 / 17 | $5.803,90 | 393 / 18 | $4.074,19 | 393 / 15 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 21 | 26 / 8 | $40.690,00 | 320 / 5 | $10.124,50 | 385 / 20 | $7.185,67 | 384 / 11 |
Atherosclerosis W/O Mcc | 21 | 37 / 11 | $33.456,60 | 483 / 17 | $5.215,43 | / 21 | $3.692,95 | / |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 33 | $28.962,40 | 1680 / 5 | $5.918,05 | 1225 / 33 | $3.981,62 | 1216 / 25 |
Other Disorders Of Nervous System W Cc | 20 | 36 / 8 | $40.781,40 | 501 / 4 | $7.284,70 | 371 / 16 | $5.686,30 | 371 / 15 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 20 | 16 / 3 | $88.414,80 | 266 / 4 | $19.977,90 | 285 / 14 | $17.841,10 | 284 / 13 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 20 | 36 / 12 | $50.488,30 | 588 / 10 | $13.535,50 | 494 / 27 | $9.224,05 | 492 / 10 |
Hypertension W/O Mcc | 20 | 45 / 10 | $27.793,30 | 608 / 6 | $5.337,85 | 407 / 21 | $3.457,75 | 405 / 16 |
Disorders Of The Biliary Tract W Cc | 20 | 34 / 7 | $44.346,00 | 359 / 4 | $8.626,30 | 278 / 15 | $6.718,10 | 278 / 14 |
Bone Diseases & Arthropathies W/O Mcc | 20 | 24 / 4 | $25.961,20 | 219 / 4 | $6.367,20 | 103 / 14 | $3.967,80 | 103 / 9 |
Other O.R. Procedures For Injuries W Cc | 20 | 15 / 1 | $66.595,00 | 117 / 2 | $16.360,40 | 83 / 3 | $12.939,00 | 83 / 2 |
Acute Myocardial Infarction, Expired W Mcc | 20 | 10 / 3 | $105.316,00 | 187 / 10 | $14.070,90 | 128 / 11 | $11.947,00 | 128 / 11 |
Complications Of Treatment W Cc | 20 | 32 / 2 | $32.866,40 | 244 / 2 | $8.256,20 | 201 / 10 | $6.415,50 | 201 / 8 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 20 | 24 / 6 | $32.740,80 | 212 / 4 | $7.238,00 | 168 / 9 | $4.566,50 | 168 / 11 |
Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 19 | 10 / 4 | $211.392,00 | 46 / 1 | $55.127,20 | 55 / 3 | $53.471,20 | 55 / 3 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 19 | 19 / 1 | $72.364,80 | 124 / 3 | $16.019,10 | 98 / 3 | $13.543,50 | 98 / 4 |
Complications Of Treatment W Mcc | 19 | 32 / 3 | $80.350,50 | 260 / 6 | $14.724,90 | 195 / 5 | $12.633,80 | 195 / 5 |
Stomach, Esophageal & Duodenal Proc W Mcc | 19 | 22 / 1 | $190.465,00 | 171 / 3 | $46.258,70 | 144 / 5 | $40.479,70 | 144 / 4 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 26 | $27.971,40 | 1555 / 5 | $5.796,79 | 1386 / 32 | $4.181,11 | 1378 / 31 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W/O Cc/Mcc | 19 | 1 / 1 | $157.962,00 | 7 / 1 | $46.186,30 | 4 / 1 | $36.558,90 | 4 / 1 |
Cervical Spinal Fusion W Cc | 19 | 34 / 1 | $87.708,90 | 254 / 2 | $23.832,30 | 228 / 3 | $18.121,90 | 227 / 2 |
Respiratory Neoplasms W Cc | 18 | 29 / 10 | $39.742,60 | 316 / 3 | $10.938,40 | 99 / 26 | $6.064,28 | 98 / 1 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 18 | 35 / 7 | $53.829,20 | 401 / 8 | $9.724,78 | 314 / 15 | $8.229,11 | 314 / 16 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Mcc | 18 | 7 / 1 | $63.735,20 | 27 / 1 | $14.664,40 | 15 / 1 | $11.725,40 | 15 / 1 |
Major Chest Trauma W Cc | 18 | 18 / 2 | $40.573,70 | 100 / 2 | $8.837,28 | 88 / 4 | $6.165,28 | 88 / 5 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 17 | 14 / 4 | $54.632,10 | 164 / 3 | $9.363,35 | 128 / 5 | $8.128,94 | 128 / 7 |
Peritoneal Adhesiolysis W Cc | 17 | 22 / 3 | $70.927,20 | 176 / 4 | $18.609,10 | 222 / 8 | $16.697,50 | 222 / 10 |
Peripheral Vascular Disorders W/O Cc/Mcc | 17 | 28 / 8 | $29.203,10 | 326 / 4 | $5.475,88 | 260 / 16 | $4.240,47 | 260 / 15 |
Cardiac Congenital & Valvular Disorders W/O Mcc | 17 | 8 / 1 | $46.659,10 | 34 / 2 | $6.677,76 | 17 / 2 | $5.409,00 | 17 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 17 | 39 / 8 | $70.631,90 | 558 / 7 | $15.172,20 | 513 / 19 | $13.707,30 | 512 / 18 |
Peritoneal Adhesiolysis W/O Cc/Mcc | 16 | 8 / 1 | $55.011,70 | 59 / 3 | $12.914,60 | 50 / 3 | $10.539,20 | 50 / 3 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 19 | $44.147,10 | 883 / 6 | $9.722,38 | 904 / 29 | $8.520,94 | 902 / 33 |
Traumatic Stupor & Coma, Coma >1 Hr W Mcc | 16 | 11 / 2 | $128.307,00 | 57 / 3 | $17.725,10 | 4 / 3 | $10.508,40 | 4 / 1 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 8 | $25.608,10 | 666 / 2 | $5.189,69 | 557 / 11 | $4.057,00 | 556 / 11 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 16 | 22 / 7 | $23.167,80 | 304 / 2 | $5.547,00 | 273 / 13 | $3.705,75 | 272 / 11 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 16 | 27 / 3 | $122.360,00 | 122 / 4 | $37.067,20 | 67 / 6 | $18.276,50 | 67 / 3 |
Endocrine Disorders W Mcc | 15 | 11 / 2 | $63.716,10 | 96 / 3 | $13.247,50 | 77 / 3 | $11.603,20 | 77 / 3 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 15 | 31 / 10 | $23.702,50 | 216 / 3 | $5.741,87 | 227 / 15 | $3.843,07 | 226 / 15 |
Nonspecific Cerebrovascular Disorders W Cc | 15 | 41 / 4 | $36.825,70 | 347 / 2 | $7.849,27 | 288 / 6 | $6.056,07 | 288 / 4 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 15 | 16 / 4 | $85.174,10 | 118 / 5 | $15.079,50 | 103 / 7 | $12.320,10 | 103 / 8 |
Inflammatory Bowel Disease W Cc | 15 | 17 / 4 | $48.502,10 | 121 / 4 | $8.727,60 | 87 / 5 | $6.631,27 | 87 / 6 |
Other Digestive System O.R. Procedures W Cc | 15 | 12 / 1 | $64.742,70 | 58 / 1 | $16.657,90 | 56 / 2 | $15.432,30 | 56 / 2 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 15 | 54 / 4 | $72.954,00 | 300 / 3 | $21.873,30 | 381 / 9 | $17.946,90 | 381 / 8 |
Cardiac Congenital & Valvular Disorders W Mcc | 15 | 8 / 1 | $53.820,30 | 25 / 1 | $11.178,80 | 12 / 1 | $10.062,30 | 12 / 1 |
Stomach, Esophageal & Duodenal Proc W Cc | 14 | 36 / 2 | $97.913,30 | 174 / 3 | $21.571,70 | 156 / 3 | $19.735,90 | 156 / 3 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 14 | 15 / 3 | $104.862,00 | 91 / 2 | $21.495,50 | 77 / 3 | $17.352,50 | 76 / 3 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 14 | 32 / 4 | $39.452,90 | 182 / 4 | $8.357,93 | 117 / 5 | $5.615,50 | 117 / 3 |
Respiratory Signs & Symptoms | 14 | 32 / 8 | $30.693,60 | 240 / 2 | $5.610,86 | 201 / 8 | $4.543,79 | 201 / 10 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 14 | 34 / 4 | $43.173,60 | 118 / 2 | $11.752,80 | 166 / 2 | $10.530,20 | 165 / 2 |
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 14 | 18 / 2 | $32.505,30 | 60 / 2 | $9.355,57 | 97 / 4 | $8.055,14 | 97 / 4 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W/O Cc/Mcc | 14 | 3 / 1 | $26.853,30 | 6 / 1 | $6.062,07 | 7 / 1 | $4.877,14 | 7 / 1 |
Pleural Effusion W Mcc | 13 | 17 / 2 | $94.679,70 | 184 / 3 | $14.673,20 | 170 / 4 | $12.612,50 | 170 / 4 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 13 | 63 / 10 | $46.095,30 | 271 / 2 | $14.703,90 | 318 / 10 | $12.407,80 | 318 / 8 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 13 | 34 / 9 | $30.200,50 | 288 / 2 | $5.848,15 | 206 / 8 | $4.529,92 | 206 / 9 |
Other Skin, Subcut Tiss & Breast Proc W Cc | 13 | 11 / 3 | $48.747,20 | 57 / 1 | $11.842,80 | 65 / 5 | $10.457,50 | 65 / 5 |
Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc | 13 | 13 / 1 | $65.353,80 | 43 / 1 | $16.317,20 | 35 / 1 | $14.475,50 | 35 / 1 |
Degenerative Nervous System Disorders W Mcc | 13 | 25 / 6 | $56.409,20 | 157 / 1 | $13.519,30 | 141 / 7 | $12.144,40 | 141 / 7 |
Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W/O Cc/Mcc | 13 | 10 / 2 | $47.584,50 | 29 / 3 | $9.530,46 | 18 / 1 | $7.163,15 | 18 / 1 |
Pneumothorax W Cc | 13 | 12 / 2 | $35.643,80 | 66 / 1 | $10.584,40 | 53 / 6 | $5.892,23 | 53 / 2 |
Kidney & Ureter Procedures For Neoplasm W Cc | 13 | 31 / 3 | $74.671,30 | 129 / 2 | $16.198,00 | 116 / 1 | $14.607,60 | 116 / 3 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 13 | 16 / 9 | $30.377,60 | 122 / 6 | $5.489,15 | 62 / 9 | $3.921,31 | 62 / 6 |
Major Chest Trauma W/O Cc/Mcc | 13 | 2 / 1 | $33.605,50 | 5 / 1 | $8.680,85 | 4 / 1 | $3.594,92 | 4 / 1 |
Extracranial Procedures W Mcc | 12 | 11 / 2 | $116.888,00 | 34 / 2 | $24.977,90 | 32 / 2 | $23.246,20 | 32 / 2 |
Organic Disturbances & Mental Retardation | 12 | 47 / 15 | $39.514,30 | 442 / 6 | $8.603,33 | 313 / 19 | $6.452,50 | 313 / 10 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 20 | $260.838,00 | 876 / 25 | $61.468,20 | 649 / 37 | $35.890,40 | 648 / 16 |
Cardiac Defib Implant W Cardiac Cath W/O Ami/Hf/Shock W/O Mcc | 12 | 4 / 1 | $166.938,00 | 5 / 1 | $46.477,80 | 9 / 2 | $44.828,30 | 9 / 2 |
Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 12 | $34.363,80 | 310 / 13 | $5.914,50 | 92 / 19 | $3.229,75 | 92 / 5 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 16 | $31.740,60 | 751 / 6 | $5.220,50 | 604 / 13 | $3.949,92 | 603 / 15 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 10 | $66.437,90 | 220 / 1 | $19.744,20 | 388 / 13 | $18.237,20 | 387 / 15 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 15 | $42.630,90 | 634 / 13 | $7.320,42 | 475 / 19 | $5.830,67 | 475 / 18 |
Coagulation Disorders | 12 | 15 / 4 | $99.926,20 | 89 / 6 | $14.156,30 | 55 / 5 | $12.879,80 | 55 / 5 |
Lymphoma & Non-Acute Leukemia W Cc | 12 | 24 / 4 | $82.221,20 | 114 / 4 | $12.999,20 | 82 / 5 | $11.360,20 | 82 / 6 |
Pancreas, Liver & Shunt Procedures W Cc | 11 | 44 / 4 | $67.840,20 | 37 / 1 | $23.269,80 | 28 / 4 | $16.492,60 | 28 / 2 |
Complications Of Treatment W/O Cc/Mcc | 11 | 10 / 2 | $21.301,10 | 15 / 1 | $5.434,73 | 7 / 1 | $4.354,18 | 7 / 1 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 11 | 19 / 6 | $59.914,00 | 128 / 1 | $15.469,50 | 131 / 6 | $12.690,60 | 130 / 5 |
Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 11 | 17 / 3 | $82.469,70 | 94 / 4 | $13.304,50 | 41 / 2 | $9.527,27 | 41 / 2 |
Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 6 | $58.000,50 | 248 / 1 | $14.009,00 | 230 / 8 | $12.617,40 | 230 / 7 |
Other Multiple Significant Trauma W Cc | 11 | 14 / 2 | $64.073,50 | 38 / 1 | $13.861,00 | 15 / 1 | $8.988,73 | 15 / 1 |
Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 14 | $35.339,40 | 272 / 7 | $6.774,36 | 214 / 15 | $5.103,09 | 214 / 16 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 11 | 44 / 4 | $78.289,80 | 91 / 1 | $21.486,50 | 114 / 2 | $19.938,10 | 114 / 2 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 11 | 80 / 14 | $52.037,40 | 323 / 11 | $8.997,91 | 244 / 9 | $8.315,82 | 244 / 8 |
Traumatic Stupor & Coma, Coma >1 Hr W Cc | 11 | 13 / 4 | $67.167,70 | 29 / 1 | $9.279,55 | 17 / 1 | $8.312,00 | 17 / 4 |
Other Cardiothoracic Procedures W Cc | 11 | 11 / 1 | $158.903,00 | 19 / 1 | $40.223,40 | 9 / 1 | $24.056,50 | 9 / 1 |
Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc | 11 | 17 / 2 | $48.626,10 | 21 / 2 | $12.664,30 | 25 / 1 | $11.114,50 | 25 / 1 |
Pleural Effusion W Cc | 11 | 17 / 6 | $39.890,00 | 83 / 1 | $8.884,55 | 78 / 6 | $7.478,09 | 78 / 6 |
Peritoneal Adhesiolysis W Mcc | 11 | 12 / 2 | $124.932,00 | 38 / 1 | $32.043,00 | 40 / 1 | $29.401,10 | 40 / 2 |
Respiratory Infections & Inflammations W/O Cc/Mcc | 11 | 18 / 5 | $36.031,20 | 97 / 2 | $8.365,82 | 80 / 7 | $5.829,18 | 80 / 4 |
Otitis Media & Uri W Mcc | 11 | 10 / 1 | $37.758,80 | 13 / 1 | $8.282,73 | 7 / 1 | $6.762,55 | 7 / 1 |
Endocrine Disorders W Cc | 11 | 27 / 8 | $31.539,20 | 191 / 1 | $8.933,27 | 113 / 14 | $5.783,82 | 113 / 8 |
Psychoses | 11 | 264 / 19 | $36.200,40 | 524 / 4 | $7.804,82 | 381 / 5 | $6.543,00 | 381 / 8 |
Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Cc | 11 | 16 / 4 | $60.277,40 | 50 / 3 | $12.967,00 | 44 / 1 | $11.674,50 | 44 / 3 | Total 234 procedures | 12.546 | 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.