Hospital Costs > In North Carolina > Novant Health Presbyterian 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 | 275 | 292 / 17 | $59.449,70 | 1673 / 62 | $13.998,90 | 1372 / 56 | $11.746,50 | 1339 / 62 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 214 | 302 / 27 | $41.795,40 | 1396 / 66 | $12.793,00 | 1603 / 67 | $11.241,40 | 1571 / 67 |
Spinal Fusion Except Cervical W/O Mcc | 158 | 47 / 6 | $118.996,00 | 931 / 31 | $27.610,20 | 888 / 26 | $24.931,50 | 883 / 29 |
Heart Failure & Shock W Cc | 131 | 147 / 16 | $21.294,70 | 1328 / 60 | $7.748,62 | 1808 / 74 | $6.168,03 | 1803 / 69 |
Red Blood Cell Disorders W/O Mcc | 129 | 22 / 4 | $21.683,30 | 1047 / 50 | $6.361,64 | 1408 / 53 | $5.233,02 | 1399 / 55 |
Heart Failure & Shock W Mcc | 128 | 156 / 23 | $31.942,70 | 1210 / 65 | $10.827,60 | 1480 / 71 | $9.001,05 | 1476 / 66 |
Chest Pain | 125 | 36 / 3 | $15.081,50 | 501 / 22 | $5.166,54 | 1193 / 42 | $3.971,27 | 1186 / 42 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 105 | 170 / 18 | $20.352,40 | 1430 / 59 | $6.249,80 | 1909 / 76 | $4.615,09 | 1895 / 76 |
Renal Failure W Cc | 104 | 117 / 19 | $18.524,90 | 826 / 47 | $7.194,68 | 1654 / 71 | $6.038,12 | 1645 / 71 |
G.I. Hemorrhage W Cc | 100 | 118 / 16 | $21.374,30 | 883 / 51 | $7.604,51 | 1626 / 75 | $6.200,84 | 1622 / 73 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 99 | 83 / 12 | $27.695,30 | 973 / 56 | $7.965,38 | 1433 / 66 | $6.651,59 | 1430 / 66 |
Syncope & Collapse | 93 | 76 / 5 | $17.405,20 | 610 / 28 | $5.838,60 | 1312 / 46 | $4.622,03 | 1305 / 46 |
Renal Failure W Mcc | 90 | 105 / 15 | $33.438,50 | 974 / 62 | $10.884,60 | 1375 / 62 | $9.868,77 | 1375 / 66 |
Chronic Obstructive Pulmonary Disease W Cc | 85 | 94 / 13 | $17.831,50 | 786 / 36 | $7.179,62 | 1635 / 69 | $5.735,41 | 1628 / 67 |
Kidney & Urinary Tract Infections W/O Mcc | 85 | 148 / 19 | $18.285,00 | 1384 / 59 | $6.062,86 | 1990 / 73 | $4.983,75 | 1979 / 73 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 84 | 112 / 15 | $59.242,10 | 439 / 15 | $14.019,60 | 967 / 18 | $12.346,60 | 960 / 20 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 83 | 124 / 16 | $23.504,40 | 1117 / 57 | $7.889,53 | 1714 / 67 | $6.603,08 | 1707 / 72 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 75 | 93 / 14 | $44.792,70 | 831 / 53 | $12.489,00 | 995 / 48 | $11.009,50 | 990 / 49 |
Cellulitis W/O Mcc | 75 | 114 / 13 | $19.932,40 | 1473 / 65 | $6.655,20 | 1806 / 68 | $5.148,55 | 1798 / 68 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 74 | 114 / 17 | $29.447,30 | 489 / 21 | $7.890,07 | 1100 / 29 | $6.692,96 | 1097 / 33 |
Chronic Obstructive Pulmonary Disease W Mcc | 74 | 128 / 21 | $22.713,50 | 948 / 52 | $8.453,91 | 1763 / 69 | $7.351,34 | 1755 / 73 |
Simple Pneumonia & Pleurisy W Cc | 72 | 131 / 19 | $23.707,60 | 1512 / 63 | $7.377,53 | 1968 / 72 | $6.100,71 | 1960 / 72 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 70 | 96 / 13 | $16.821,10 | 1182 / 54 | $5.660,87 | 1935 / 71 | $4.738,13 | 1928 / 71 |
Major Small & Large Bowel Procedures W Cc | 58 | 50 / 7 | $54.783,60 | 522 / 26 | $15.971,40 | 756 / 19 | $14.577,20 | 748 / 31 |
Simple Pneumonia & Pleurisy W Mcc | 58 | 147 / 34 | $31.179,40 | 1113 / 58 | $10.321,30 | 1690 / 66 | $9.125,12 | 1690 / 68 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 56 | 35 / 3 | $30.465,80 | 304 / 9 | $8.006,23 | 490 / 15 | $6.495,48 | 489 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 55 | 106 / 18 | $19.476,80 | 1009 / 51 | $6.304,78 | 1572 / 63 | $5.132,75 | 1567 / 65 |
G.I. Hemorrhage W Mcc | 53 | 68 / 12 | $31.204,60 | 362 / 21 | $11.741,70 | 908 / 36 | $10.884,20 | 903 / 40 |
Pulmonary Edema & Respiratory Failure | 50 | 153 / 36 | $33.740,70 | 1237 / 68 | $9.000,06 | 1380 / 66 | $7.551,00 | 1376 / 66 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 50 | 100 / 18 | $11.494,80 | 522 / 28 | $4.981,56 | 1476 / 57 | $3.481,18 | 1470 / 58 |
Major Cardiovasc Procedures W/O Mcc | 48 | 53 / 10 | $115.797,00 | 717 / 21 | $24.282,50 | 726 / 16 | $23.073,90 | 725 / 18 |
Extracranial Procedures W/O Cc/Mcc | 47 | 51 / 8 | $39.445,10 | 624 / 23 | $7.702,81 | 659 / 22 | $6.343,72 | 656 / 22 |
Other Vascular Procedures W Cc | 45 | 57 / 8 | $92.086,80 | 766 / 25 | $19.069,20 | 806 / 19 | $17.405,70 | 801 / 20 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 45 | 73 / 5 | $161.138,00 | 323 / 12 | $34.425,70 | 285 / 5 | $33.030,10 | 285 / 9 |
Cervical Spinal Fusion W/O Cc/Mcc | 44 | 60 / 9 | $72.436,60 | 604 / 23 | $16.096,10 | 533 / 22 | $13.089,90 | 530 / 19 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 43 | 80 / 20 | $26.389,50 | 751 / 45 | $8.731,12 | 1233 / 52 | $7.707,77 | 1230 / 56 |
Red Blood Cell Disorders W Mcc | 42 | 29 / 5 | $34.367,30 | 568 / 28 | $9.246,57 | 628 / 27 | $7.914,83 | 625 / 29 |
Signs & Symptoms W/O Mcc | 42 | 49 / 4 | $19.552,10 | 629 / 23 | $5.614,62 | 940 / 29 | $4.690,02 | 937 / 31 |
Transient Ischemia | 41 | 84 / 11 | $17.993,70 | 503 / 27 | $5.701,00 | 1161 / 47 | $4.391,34 | 1155 / 48 |
Diabetes W Cc | 40 | 52 / 13 | $17.299,70 | 497 / 35 | $6.373,25 | 1056 / 53 | $5.285,92 | 1052 / 54 |
Psychoses | 39 | 237 / 14 | $21.993,20 | 366 / 14 | $8.500,36 | 329 / 19 | $6.155,38 | 329 / 19 |
Seizures W/O Mcc | 39 | 69 / 10 | $14.789,10 | 252 / 8 | $6.223,18 | 759 / 28 | $4.629,31 | 756 / 27 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 38 | 93 / 18 | $49.659,90 | 607 / 38 | $15.972,30 | 1110 / 50 | $14.631,70 | 1098 / 51 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 38 | 78 / 6 | $253.121,00 | 322 / 15 | $58.916,70 | 327 / 11 | $57.253,70 | 327 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 37 | 65 / 15 | $19.489,20 | 538 / 33 | $5.969,03 | 1168 / 49 | $4.742,54 | 1164 / 53 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 37 | 64 / 14 | $29.121,20 | 358 / 22 | $10.375,80 | 582 / 27 | $9.479,87 | 580 / 30 |
Kidney & Urinary Tract Infections W Mcc | 37 | 107 / 26 | $29.797,50 | 1160 / 67 | $9.492,38 | 1403 / 67 | $7.326,81 | 1399 / 65 |
Revision Of Hip Or Knee Replacement W Cc | 36 | 50 / 6 | $91.777,60 | 395 / 14 | $20.938,20 | 282 / 9 | $19.088,90 | 281 / 9 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 35 | 34 / 9 | $57.951,80 | 240 / 10 | $12.457,30 | 395 / 13 | $11.374,80 | 393 / 18 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 34 | 32 / 4 | $17.412,30 | 42 / 4 | $8.238,56 | 270 / 8 | $6.643,76 | 270 / 8 |
Major Male Pelvic Procedures W/O Cc/Mcc | 34 | 39 / 2 | $35.206,30 | 141 / 11 | $9.076,00 | 225 / 8 | $7.485,76 | 225 / 14 |
Respiratory Infections & Inflammations W Mcc | 34 | 102 / 28 | $28.934,90 | 355 / 28 | $12.717,10 | 980 / 48 | $11.631,80 | 970 / 52 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 33 | 55 / 7 | $102.653,00 | 270 / 10 | $25.679,80 | 243 / 9 | $20.705,00 | 242 / 8 |
Medical Back Problems W/O Mcc | 32 | 89 / 12 | $14.653,70 | 207 / 4 | $6.413,16 | 985 / 24 | $5.205,47 | 982 / 27 |
Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 19 | $15.258,60 | 876 / 42 | $5.480,78 | 1467 / 57 | $4.364,00 | 1455 / 56 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 32 | 64 / 16 | $26.769,20 | 514 / 31 | $8.561,50 | 870 / 33 | $7.655,09 | 865 / 40 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 32 | 61 / 12 | $47.643,80 | 273 / 13 | $14.372,40 | 548 / 11 | $13.260,70 | 542 / 15 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 32 | 32 / 6 | $40.480,40 | 309 / 13 | $11.039,20 | 470 / 12 | $9.685,97 | 470 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 21 | $28.293,60 | 875 / 49 | $8.087,55 | 1016 / 47 | $7.120,65 | 1013 / 48 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 31 | 69 / 12 | $88.165,50 | 362 / 11 | $22.437,20 | 551 / 12 | $20.196,90 | 547 / 12 |
Permanent Cardiac Pacemaker Implant W Cc | 31 | 46 / 9 | $59.847,30 | 343 / 13 | $16.770,80 | 457 / 14 | $15.626,60 | 456 / 14 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 31 | 93 / 18 | $136.743,00 | 895 / 44 | $35.610,30 | 864 / 33 | $33.393,40 | 858 / 34 |
Major Cardiovasc Procedures W Mcc | 31 | 37 / 8 | $121.843,00 | 221 / 10 | $34.395,60 | 313 / 6 | $33.177,10 | 313 / 10 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 20 | $14.488,30 | 727 / 38 | $6.208,73 | 1574 / 59 | $4.596,97 | 1563 / 59 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 29 | 67 / 11 | $75.324,50 | 633 / 28 | $14.310,90 | 524 / 18 | $12.985,10 | 521 / 22 |
Bronchitis & Asthma W Cc/Mcc | 29 | 47 / 9 | $22.140,60 | 468 / 31 | $6.873,31 | 643 / 30 | $5.253,24 | 639 / 29 |
Renal Failure W/O Cc/Mcc | 29 | 27 / 5 | $13.277,30 | 277 / 16 | $5.184,24 | 603 / 22 | $3.949,55 | 602 / 22 |
Other Circulatory System Diagnoses W Mcc | 28 | 88 / 14 | $28.780,90 | 188 / 9 | $12.552,60 | 653 / 19 | $11.354,00 | 651 / 26 |
G.I. Obstruction W/O Cc/Mcc | 28 | 43 / 6 | $14.214,60 | 472 / 19 | $5.274,54 | 953 / 36 | $3.814,00 | 950 / 37 |
Other Vascular Procedures W/O Cc/Mcc | 27 | 29 / 6 | $61.196,00 | 387 / 16 | $12.053,60 | 374 / 10 | $10.819,30 | 373 / 14 |
Peripheral Vascular Disorders W Mcc | 27 | 22 / 3 | $27.566,10 | 156 / 13 | $9.714,70 | 312 / 10 | $8.567,33 | 312 / 9 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 27 | 42 / 7 | $78.240,90 | 324 / 15 | $17.725,80 | 334 / 12 | $16.539,70 | 333 / 17 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 27 | 68 / 10 | $58.318,70 | 167 / 5 | $12.976,70 | 304 / 4 | $11.938,80 | 301 / 8 |
Major Small & Large Bowel Procedures W Mcc | 27 | 58 / 13 | $112.220,00 | 497 / 25 | $31.750,40 | 535 / 16 | $29.966,80 | 533 / 20 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 26 | 20 / 1 | $28.187,30 | 113 / 5 | $7.509,69 | 133 / 5 | $5.784,73 | 133 / 6 |
Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 32 | $49.024,80 | 1014 / 48 | $13.696,10 | 1015 / 58 | $11.068,90 | 1002 / 53 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 25 | 32 / 8 | $49.877,90 | 289 / 13 | $14.613,80 | 384 / 15 | $12.594,80 | 383 / 14 |
Diabetes W Mcc | 24 | 33 / 11 | $33.332,90 | 345 / 28 | $9.748,29 | 406 / 20 | $8.724,42 | 406 / 22 |
Peripheral Vascular Disorders W Cc | 24 | 60 / 10 | $26.248,60 | 687 / 26 | $7.519,83 | 680 / 25 | $5.792,00 | 677 / 22 |
Combined Anterior/Posterior Spinal Fusion W Cc | 23 | 23 / 2 | $211.709,00 | 56 / 4 | $51.931,30 | 60 / 4 | $50.460,70 | 60 / 4 |
Pulmonary Embolism W/O Mcc | 23 | 51 / 15 | $16.189,30 | 199 / 11 | $7.419,09 | 815 / 39 | $5.848,17 | 812 / 40 |
Major Chest Procedures W Cc | 22 | 52 / 11 | $74.897,50 | 296 / 14 | $19.732,60 | 200 / 10 | $14.590,50 | 199 / 9 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 22 | 44 / 6 | $41.742,90 | 183 / 7 | $13.038,70 | 229 / 8 | $10.530,00 | 228 / 5 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 21 | 24 / 5 | $86.752,00 | 123 / 10 | $23.131,50 | 129 / 15 | $18.263,20 | 128 / 9 |
G.I. Obstruction W Cc | 21 | 71 / 22 | $19.436,20 | 612 / 25 | $6.782,24 | 1234 / 44 | $5.666,71 | 1230 / 47 |
Respiratory Infections & Inflammations W Cc | 21 | 67 / 18 | $24.530,70 | 454 / 34 | $9.257,81 | 805 / 38 | $7.999,71 | 800 / 39 |
Cellulitis W Mcc | 19 | 39 / 12 | $24.349,30 | 221 / 14 | $9.805,89 | 516 / 15 | $8.847,05 | 514 / 20 |
Other Disorders Of Nervous System W Cc | 19 | 37 / 12 | $28.876,90 | 357 / 21 | $7.313,95 | 379 / 17 | $5.736,16 | 379 / 20 |
Seizures W Mcc | 19 | 47 / 11 | $33.057,50 | 224 / 9 | $10.704,80 | 341 / 13 | $9.170,21 | 341 / 11 |
Other Vascular Procedures W Mcc | 18 | 79 / 15 | $105.075,00 | 636 / 25 | $24.229,90 | 664 / 18 | $23.071,40 | 661 / 21 |
Signs & Symptoms W Mcc | 17 | 24 / 4 | $26.853,40 | 116 / 7 | $8.060,71 | 141 / 4 | $7.306,82 | 141 / 8 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 17 | 37 / 7 | $12.463,80 | 36 / 4 | $5.879,76 | 249 / 6 | $4.790,82 | 249 / 6 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 23 | $23.613,30 | 591 / 26 | $7.294,06 | 970 / 32 | $6.377,76 | 966 / 34 |
O.R. Procedures For Obesity W/O Cc/Mcc | 17 | 60 / 7 | $46.810,50 | 238 / 8 | $11.558,60 | 144 / 7 | $8.269,88 | 144 / 7 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 17 | $21.836,40 | 348 / 21 | $8.409,18 | 725 / 28 | $7.425,88 | 723 / 31 |
G.I. Obstruction W Mcc | 16 | 26 / 10 | $49.270,10 | 336 / 19 | $13.103,80 | 427 / 15 | $12.162,20 | 427 / 17 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 16 | 24 / 5 | $41.678,60 | 61 / 6 | $11.097,90 | 51 / 3 | $8.344,75 | 51 / 4 |
Cervical Spinal Fusion W Cc | 16 | 37 / 9 | $78.634,70 | 214 / 10 | $19.613,50 | 234 / 7 | $18.344,10 | 233 / 8 |
Nonspecific Cerebrovascular Disorders W Mcc | 16 | 35 / 9 | $42.190,60 | 212 / 8 | $11.831,80 | 253 / 6 | $10.880,20 | 253 / 10 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 12 | $14.440,00 | 277 / 17 | $5.283,75 | 621 / 26 | $4.304,31 | 620 / 30 |
Peripheral Vascular Disorders W/O Cc/Mcc | 16 | 29 / 3 | $29.510,00 | 328 / 10 | $5.930,12 | 251 / 6 | $4.178,31 | 251 / 6 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 16 | 38 / 8 | $89.613,80 | 109 / 9 | $21.833,90 | 147 / 5 | $20.912,80 | 147 / 9 |
Major Chest Procedures W Mcc | 16 | 33 / 7 | $133.354,00 | 185 / 13 | $37.096,80 | 225 / 6 | $35.004,10 | 224 / 8 |
Respiratory Neoplasms W Cc | 16 | 31 / 9 | $32.476,00 | 229 / 11 | $8.591,31 | 295 / 8 | $7.518,12 | 294 / 10 |
Other Kidney & Urinary Tract Procedures W Mcc | 15 | 23 / 5 | $45.174,10 | 17 / 3 | $19.498,90 | 72 / 4 | $18.612,70 | 72 / 5 |
Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 14 | $18.617,90 | 204 / 6 | $7.420,53 | 500 / 15 | $6.274,87 | 500 / 15 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 14 | $26.012,30 | 378 / 23 | $6.986,80 | 495 / 18 | $6.010,60 | 495 / 25 |
Hypertension W/O Mcc | 15 | 50 / 11 | $13.948,10 | 175 / 11 | $5.173,27 | 603 / 21 | $4.406,47 | 601 / 22 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 18 | $154.229,00 | 582 / 29 | $38.073,00 | 583 / 26 | $34.330,00 | 582 / 24 |
Other Circulatory System Diagnoses W Cc | 15 | 51 / 15 | $18.715,90 | 163 / 8 | $7.122,13 | 415 / 14 | $6.141,87 | 414 / 18 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 15 | 54 / 6 | $282.827,00 | 173 / 9 | $67.289,10 | 173 / 6 | $65.467,20 | 173 / 6 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 9 | $16.828,20 | 255 / 10 | $6.058,57 | 549 / 14 | $4.834,29 | 547 / 14 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 14 | 36 / 9 | $107.912,00 | 67 / 4 | $35.055,70 | 125 / 4 | $34.049,50 | 125 / 6 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 31 | $38.438,30 | 746 / 40 | $11.769,70 | 1137 / 37 | $10.806,70 | 1132 / 39 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 14 | 18 / 8 | $70.916,00 | 111 / 12 | $16.713,50 | 86 / 7 | $15.381,40 | 86 / 7 |
Respiratory Signs & Symptoms | 14 | 32 / 6 | $14.987,10 | 52 / 3 | $5.544,86 | 199 / 11 | $4.537,07 | 199 / 11 |
Pulmonary Embolism W Mcc | 14 | 29 / 15 | $27.595,30 | 128 / 10 | $10.193,10 | 352 / 16 | $9.304,79 | 352 / 17 |
Cranial & Peripheral Nerve Disorders W Mcc | 14 | 22 / 10 | $15.142,20 | 7 / 2 | $9.061,50 | 71 / 6 | $8.312,43 | 71 / 8 |
Other Resp System O.R. Procedures W Cc | 14 | 33 / 8 | $47.121,40 | 139 / 9 | $13.248,60 | 178 / 3 | $12.011,00 | 178 / 6 |
Postoperative & Post-Traumatic Infections W/O Mcc | 14 | 40 / 10 | $24.106,40 | 191 / 10 | $7.431,29 | 263 / 7 | $6.464,14 | 263 / 9 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 13 | $104.693,00 | 251 / 12 | $28.289,30 | 181 / 5 | $26.898,10 | 181 / 5 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 13 | 31 / 13 | $98.559,30 | 306 / 15 | $21.703,80 | 324 / 10 | $20.555,80 | 322 / 13 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 13 | 29 / 4 | $154.531,00 | 86 / 4 | $34.020,70 | 86 / 3 | $32.707,80 | 86 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 15 | $73.428,30 | 416 / 22 | $18.810,90 | 282 / 7 | $17.493,10 | 280 / 12 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 16 | $45.645,80 | 384 / 21 | $11.194,40 | 558 / 20 | $9.914,77 | 556 / 27 |
Disorders Of Pancreas Except Malignancy W Mcc | 13 | 33 / 9 | $33.137,00 | 85 / 5 | $12.218,50 | 162 / 4 | $10.993,90 | 162 / 10 |
Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 14 | $94.217,80 | 290 / 14 | $26.903,40 | 439 / 13 | $25.509,50 | 439 / 15 |
Other Resp System O.R. Procedures W Mcc | 12 | 51 / 15 | $64.973,80 | 127 / 9 | $21.441,80 | 149 / 5 | $19.895,00 | 149 / 4 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 12 | 39 / 9 | $52.178,60 | 159 / 10 | $12.816,80 | 44 / 5 | $10.285,30 | 44 / 2 |
Organic Disturbances & Mental Retardation | 12 | 47 / 9 | $25.226,40 | 280 / 13 | $7.443,25 | 254 / 11 | $5.991,58 | 254 / 10 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 25 | $15.422,70 | 778 / 34 | $5.730,08 | 1489 / 48 | $4.414,50 | 1481 / 51 |
Complications Of Treatment W Mcc | 12 | 39 / 11 | $32.835,50 | 68 / 8 | $11.830,60 | 113 / 7 | $10.771,80 | 113 / 8 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 12 | 31 / 6 | $66.517,70 | 57 / 4 | $15.150,80 | 17 / 1 | $13.913,90 | 17 / 1 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 12 | 16 / 2 | $73.754,10 | 90 / 3 | $11.635,80 | 65 / 2 | $10.397,70 | 65 / 2 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 7 | $19.934,30 | 157 / 5 | $5.730,33 | 216 / 6 | $4.652,58 | 216 / 6 |
Other Circulatory System O.R. Procedures | 12 | 43 / 10 | $58.141,80 | 144 / 9 | $16.660,90 | 121 / 3 | $15.530,40 | 121 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 16 | $37.175,90 | 252 / 24 | $12.294,30 | 267 / 16 | $11.064,70 | 266 / 15 |
Major Male Pelvic Procedures W Cc/Mcc | 12 | 18 / 2 | $41.550,20 | 20 / 1 | $12.769,40 | 16 / 1 | $9.811,00 | 16 / 1 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 16 | $35.686,80 | 253 / 16 | $11.372,40 | 190 / 11 | $9.427,17 | 190 / 7 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 11 | 87 / 13 | $84.529,90 | 118 / 6 | $26.998,30 | 148 / 6 | $25.428,30 | 148 / 6 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 11 | 31 / 6 | $108.046,00 | 34 / 3 | $34.526,50 | 55 / 2 | $32.798,80 | 55 / 3 |
Coronary Bypass W Cardiac Cath W/O Mcc | 11 | 65 / 18 | $119.159,00 | 221 / 10 | $28.994,30 | 348 / 5 | $27.531,10 | 348 / 11 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 19 | $19.847,90 | 294 / 20 | $5.967,18 | 654 / 28 | $4.959,45 | 650 / 31 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 14 | $24.289,00 | 274 / 16 | $6.787,55 | 320 / 14 | $6.113,27 | 320 / 19 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 14 | $244.891,00 | 239 / 12 | $73.361,30 | 308 / 7 | $67.595,60 | 308 / 9 |
Dysequilibrium | 11 | 54 / 8 | $24.631,90 | 335 / 9 | $5.265,73 | 382 / 8 | $4.096,64 | 382 / 9 |
Other Respiratory System Diagnoses W/O Mcc | 11 | 35 / 10 | $18.268,50 | 96 / 6 | $6.323,55 | 114 / 7 | $4.427,91 | 114 / 5 |
Other Digestive System O.R. Procedures W Cc | 11 | 16 / 6 | $51.780,50 | 37 / 8 | $14.425,50 | 35 / 5 | $13.081,70 | 35 / 5 |
Cesarean Section W Cc/Mcc | 11 | 12 / 4 | $17.102,10 | 4 / 1 | $8.100,18 | 9 / 2 | $7.089,27 | 9 / 2 |
Respiratory Neoplasms W Mcc | 11 | 41 / 18 | $44.313,00 | 308 / 21 | $12.665,90 | 421 / 20 | $11.518,30 | 419 / 21 |
Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 11 | 17 / 4 | $53.985,70 | 72 / 6 | $11.675,00 | 52 / 2 | $10.156,20 | 52 / 4 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 16 | $13.045,60 | 222 / 13 | $5.628,27 | 749 / 24 | $4.608,36 | 745 / 26 | Total 152 procedures | 5.629 | 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.