Hospital Costs > In Florida > Orlando Health, 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 | 50 | 41 / 8 | $48.820,70 | 1168 / 64 | $9.235,12 | 1198 / 96 | $7.665,64 | 1196 / 98 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 81 | 44 / 5 | $79.153,00 | 1549 / 85 | $14.590,20 | 1540 / 118 | $13.255,90 | 1527 / 118 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 15 | $26.441,40 | 500 / 18 | $8.390,31 | 691 / 68 | $5.210,62 | 687 / 63 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 24 | 100 / 13 | $29.923,50 | 690 / 38 | $6.832,54 | 698 / 55 | $5.651,67 | 697 / 55 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 20 | 10 / 2 | $81.022,60 | 163 / 10 | $14.593,70 | 146 / 12 | $13.486,00 | 145 / 14 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 11 | 21 / 3 | $126.095,00 | 156 / 4 | $19.871,80 | 127 / 4 | $18.830,40 | 127 / 4 |
Angina Pectoris | 13 | 12 / 5 | $28.621,30 | 49 / 6 | $6.209,46 | 56 / 13 | $4.354,92 | 56 / 13 |
Atherosclerosis W/O Mcc | 16 | 42 / 16 | $33.243,80 | 481 / 49 | $6.288,25 | / 62 | $5.213,62 | / |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 22 | $90.369,80 | 504 / 27 | $13.974,50 | 386 / 36 | $12.413,20 | 383 / 38 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 26 | $52.646,40 | 605 / 35 | $10.566,10 | 233 / 56 | $5.355,00 | 233 / 40 |
Bone Diseases & Arthropathies W/O Mcc | 12 | 32 / 9 | $37.548,30 | 269 / 24 | $7.557,58 | 161 / 24 | $4.693,50 | 161 / 23 |
Bronchitis & Asthma W Cc/Mcc | 52 | 24 / 7 | $36.234,80 | 834 / 59 | $8.168,81 | 895 / 94 | $6.505,17 | 891 / 90 |
Bronchitis & Asthma W/O Cc/Mcc | 22 | 23 / 11 | $28.284,30 | 288 / 36 | $6.839,18 | 287 / 49 | $4.519,95 | 287 / 43 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 120 | 43 / 9 | $27.046,90 | 1494 / 66 | $7.393,18 | 1854 / 138 | $6.083,39 | 1849 / 137 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 52 | 71 / 19 | $62.299,20 | 1712 / 103 | $10.751,20 | 1648 / 118 | $9.553,25 | 1645 / 119 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 127 | 31 / 12 | $18.920,40 | 1329 / 57 | $6.071,26 | 1774 / 132 | $4.430,04 | 1768 / 129 |
Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 16 | 12 / 4 | $285.910,00 | 69 / 8 | $49.599,20 | 44 / 7 | $48.306,60 | 44 / 7 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 20 | 30 / 9 | $313.681,00 | 242 / 31 | $45.342,80 | 176 / 30 | $39.656,60 | 176 / 30 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 12 | 34 / 7 | $248.446,00 | 110 / 7 | $40.125,30 | 49 / 6 | $38.559,80 | 49 / 5 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 15 | 54 / 11 | $386.991,00 | 242 / 22 | $63.985,30 | 85 / 19 | $56.743,90 | 85 / 13 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 48 | 70 / 8 | $228.563,00 | 454 / 29 | $36.575,20 | 292 / 31 | $33.212,90 | 292 / 32 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 27 | 89 / 13 | $362.226,00 | 424 / 30 | $62.373,10 | 374 / 33 | $60.749,70 | 374 / 35 |
Cellulitis W Mcc | 43 | 15 / 3 | $61.221,00 | 818 / 55 | $12.835,50 | 668 / 69 | $9.756,72 | 666 / 62 |
Cellulitis W/O Mcc | 155 | 38 / 7 | $32.500,80 | 2217 / 104 | $7.668,12 | 2207 / 147 | $6.147,68 | 2199 / 143 |
Cervical Spinal Fusion W/O Cc/Mcc | 25 | 79 / 24 | $63.487,90 | 507 / 17 | $17.128,90 | 512 / 55 | $12.857,80 | 509 / 58 |
Cesarean Section W Cc/Mcc | 17 | 6 / 1 | $61.200,90 | 41 / 3 | $10.414,10 | 24 / 2 | $9.092,24 | 24 / 2 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 85 | 23 / 2 | $91.137,80 | 387 / 21 | $11.520,90 | 346 / 21 | $10.426,40 | 346 / 20 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Mcc | 12 | 22 / 3 | $114.735,00 | 47 / 2 | $20.482,20 | 31 / 1 | $20.070,90 | 31 / 2 |
Chest Pain | 126 | 35 / 12 | $30.936,70 | 1412 / 91 | $6.552,11 | 1331 / 131 | $4.393,98 | 1324 / 117 |
Chronic Obstructive Pulmonary Disease W Cc | 110 | 69 / 18 | $41.553,90 | 2106 / 110 | $8.325,01 | 2008 / 150 | $6.735,95 | 2001 / 143 |
Chronic Obstructive Pulmonary Disease W Mcc | 126 | 76 / 18 | $60.371,70 | 2356 / 133 | $10.195,30 | 2159 / 150 | $8.595,08 | 2151 / 144 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 85 | 35 / 10 | $32.496,20 | 1778 / 100 | $6.903,32 | 1814 / 141 | $5.389,34 | 1803 / 136 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 47 | 46 / 5 | $98.090,00 | 749 / 61 | $17.010,30 | 653 / 66 | $14.399,00 | 646 / 68 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 133 | 58 / 8 | $56.096,20 | 1333 / 83 | $9.721,53 | 1301 / 118 | $7.486,05 | 1298 / 113 |
Cirrhosis & Alcoholic Hepatitis W Cc | 12 | 14 / 7 | $28.137,20 | 50 / 10 | $8.148,42 | 59 / 12 | $7.130,08 | 59 / 13 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 16 | 26 / 7 | $85.082,40 | 263 / 21 | $13.951,80 | 114 / 18 | $10.660,10 | 114 / 17 |
Coagulation Disorders | 12 | 15 / 4 | $114.952,00 | 93 / 9 | $17.260,80 | 71 / 9 | $16.147,60 | 71 / 9 |
Complications Of Treatment W Cc | 17 | 35 / 11 | $45.961,20 | 314 / 27 | $9.663,24 | 289 / 33 | $8.124,06 | 289 / 33 |
Complications Of Treatment W Mcc | 16 | 35 / 9 | $76.642,90 | 254 / 19 | $13.414,90 | 167 / 18 | $11.973,10 | 167 / 18 |
Connective Tissue Disorders W Cc | 12 | 12 / 3 | $26.907,60 | 9 / 1 | $10.174,80 | 5 / 4 | $6.780,00 | 5 / 4 |
Coronary Bypass W Cardiac Cath W/O Mcc | 22 | 54 / 17 | $202.962,00 | 504 / 27 | $33.860,80 | 213 / 39 | $25.163,40 | 213 / 27 |
Coronary Bypass W/O Cardiac Cath W Mcc | 16 | 43 / 11 | $245.050,00 | 205 / 14 | $47.085,90 | 104 / 15 | $34.555,90 | 103 / 14 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 30 | 58 / 13 | $194.406,00 | 534 / 32 | $30.787,10 | 406 / 37 | $23.822,50 | 405 / 36 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 23 | 45 / 17 | $45.091,10 | 644 / 51 | $8.998,00 | 644 / 62 | $7.466,87 | 644 / 63 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 43 | 55 / 4 | $186.333,00 | 418 / 28 | $34.671,30 | 309 / 31 | $30.072,90 | 309 / 31 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 12 | 62 / 12 | $98.674,50 | 213 / 11 | $19.538,00 | 73 / 12 | $12.880,20 | 73 / 6 |
Degenerative Nervous System Disorders W Mcc | 11 | 27 / 10 | $67.392,40 | 184 / 19 | $13.745,70 | 146 / 18 | $12.329,60 | 146 / 18 |
Degenerative Nervous System Disorders W/O Mcc | 41 | 37 / 7 | $43.112,90 | 703 / 61 | $8.596,15 | 640 / 69 | $7.002,07 | 640 / 70 |
Diabetes W Cc | 53 | 39 / 7 | $35.350,30 | 1319 / 75 | $7.638,34 | 1374 / 109 | $6.624,06 | 1369 / 108 |
Diabetes W Mcc | 23 | 34 / 7 | $56.842,50 | 613 / 41 | $10.605,30 | 506 / 45 | $9.535,61 | 506 / 45 |
Diabetes W/O Cc/Mcc | 17 | 21 / 6 | $17.009,50 | 152 / 5 | $6.107,47 | 212 / 28 | $4.275,18 | 212 / 27 |
Digestive Malignancy W Cc | 21 | 26 / 4 | $52.113,00 | 311 / 20 | $10.461,50 | 255 / 25 | $8.548,57 | 253 / 24 |
Digestive Malignancy W Mcc | 13 | 24 / 4 | $81.664,50 | 119 / 5 | $16.481,50 | 90 / 5 | $15.212,00 | 90 / 5 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 15 | $42.641,60 | 486 / 34 | $8.145,36 | 429 / 33 | $7.355,79 | 429 / 37 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 13 | 63 / 17 | $57.181,10 | 345 / 20 | $15.277,80 | 402 / 27 | $14.133,80 | 402 / 28 |
Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 23 | $39.844,00 | 792 / 46 | $8.142,21 | 791 / 60 | $6.770,43 | 788 / 61 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 14 | 24 / 14 | $27.505,10 | 355 / 26 | $7.053,43 | 371 / 44 | $4.555,79 | 370 / 45 |
Disorders Of The Biliary Tract W Cc | 18 | 36 / 11 | $43.943,10 | 356 / 19 | $9.303,00 | 323 / 37 | $7.263,17 | 323 / 35 |
Dysequilibrium | 33 | 32 / 10 | $23.304,30 | 313 / 21 | $6.363,27 | 466 / 70 | $4.758,58 | 466 / 69 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 47 | 34 / 5 | $610.695,00 | 326 / 27 | $114.184,00 | 208 / 25 | $109.579,00 | 208 / 27 |
Endocrine Disorders W Cc | 17 | 21 / 5 | $67.438,50 | 297 / 30 | $11.783,30 | 281 / 30 | $9.666,94 | 281 / 30 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 55 | 41 / 12 | $54.275,50 | 1215 / 80 | $10.567,20 | 1213 / 104 | $9.460,38 | 1208 / 107 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 319 | 22 / 8 | $30.831,00 | 2208 / 89 | $7.102,81 | 2340 / 149 | $5.678,75 | 2325 / 148 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 21 | 23 / 8 | $100.282,00 | 314 / 30 | $19.143,30 | 243 / 36 | $17.838,20 | 242 / 42 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 26 | 37 / 13 | $178.941,00 | 579 / 46 | $33.351,60 | 344 / 48 | $29.577,20 | 344 / 50 |
Extracranial Procedures W/O Cc/Mcc | 33 | 65 / 19 | $52.542,80 | 781 / 40 | $8.969,45 | 793 / 61 | $7.371,61 | 790 / 62 |
Fever | 23 | 23 / 10 | $31.498,70 | 239 / 28 | $7.658,30 | 274 / 40 | $6.776,09 | 274 / 41 |
Fractures Of Hip & Pelvis W/O Mcc | 22 | 39 / 23 | $21.660,90 | 569 / 37 | $6.739,55 | 818 / 81 | $5.437,86 | 817 / 82 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 21 | 41 / 21 | $24.060,70 | 491 / 37 | $7.085,05 | 654 / 83 | $5.486,05 | 652 / 81 |
G.I. Hemorrhage W Cc | 146 | 73 / 11 | $44.558,90 | 2060 / 100 | $9.041,86 | 2040 / 145 | $7.461,47 | 2036 / 142 |
G.I. Hemorrhage W Mcc | 54 | 67 / 12 | $66.930,80 | 1298 / 78 | $14.048,30 | 1238 / 108 | $12.483,00 | 1230 / 106 |
G.I. Hemorrhage W/O Cc/Mcc | 31 | 37 / 16 | $23.182,60 | 662 / 41 | $6.742,77 | 875 / 96 | $5.561,48 | 871 / 95 |
G.I. Obstruction W Cc | 67 | 25 / 7 | $35.180,70 | 1350 / 70 | $8.253,24 | 1498 / 123 | $6.729,10 | 1493 / 122 |
G.I. Obstruction W Mcc | 12 | 30 / 13 | $119.397,00 | 528 / 48 | $18.143,80 | 518 / 48 | $16.542,80 | 518 / 49 |
G.I. Obstruction W/O Cc/Mcc | 41 | 30 / 13 | $30.829,90 | 1124 / 65 | $6.340,93 | 1196 / 98 | $4.883,07 | 1193 / 93 |
Headaches W/O Mcc | 12 | 31 / 11 | $33.994,80 | 183 / 13 | $6.822,92 | 207 / 21 | $5.745,58 | 207 / 22 |
Heart Failure & Shock W Cc | 215 | 67 / 8 | $33.230,90 | 2106 / 88 | $8.657,04 | 2259 / 150 | $7.178,41 | 2253 / 143 |
Heart Failure & Shock W Mcc | 173 | 111 / 16 | $58.664,00 | 2176 / 100 | $12.511,70 | 2090 / 149 | $10.724,60 | 2081 / 143 |
Heart Failure & Shock W/O Cc/Mcc | 51 | 59 / 22 | $21.810,10 | 1397 / 59 | $6.712,12 | 1792 / 121 | $5.533,27 | 1779 / 121 |
Hip & Femur Procedures Except Major Joint W Cc | 108 | 35 / 7 | $76.625,40 | 1659 / 73 | $14.584,50 | 1491 / 124 | $12.740,00 | 1473 / 120 |
Hip & Femur Procedures Except Major Joint W Mcc | 38 | 24 / 3 | $113.466,00 | 765 / 45 | $21.166,50 | 567 / 65 | $19.045,60 | 564 / 64 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 44 | 12 / 4 | $60.501,60 | 708 / 40 | $12.551,40 | 699 / 68 | $10.722,30 | 696 / 67 |
Hiv W Major Related Condition W Cc | 21 | 4 / 2 | $51.795,70 | 26 / 5 | $10.767,10 | 12 / 5 | $9.522,48 | 12 / 4 |
Hiv W Major Related Condition W Mcc | 27 | 11 / 2 | $85.235,50 | 55 / 7 | $19.689,20 | 26 / 11 | $18.540,50 | 26 / 11 |
Hypertension W/O Mcc | 38 | 27 / 13 | $25.942,80 | 566 / 47 | $6.536,97 | 639 / 83 | $4.673,76 | 637 / 80 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 22 | 14 / 3 | $103.265,00 | 303 / 14 | $17.441,50 | 233 / 22 | $16.118,40 | 233 / 23 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 74 | 50 / 4 | $166.727,00 | 1112 / 49 | $35.497,00 | 679 / 84 | $31.339,40 | 673 / 75 |
Inflammatory Bowel Disease W Cc | 19 | 13 / 4 | $43.327,70 | 113 / 9 | $8.891,58 | 112 / 15 | $7.803,16 | 112 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 127 | 56 / 4 | $40.739,80 | 1535 / 63 | $9.171,92 | 1665 / 118 | $7.473,68 | 1661 / 115 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 106 | 63 / 4 | $72.409,90 | 1290 / 66 | $14.177,90 | 1156 / 98 | $11.846,70 | 1150 / 94 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 63 | 39 / 10 | $35.432,70 | 1253 / 64 | $7.748,21 | 1414 / 105 | $5.901,97 | 1410 / 105 |
Kidney & Ureter Procedures For Neoplasm W Cc | 12 | 32 / 9 | $89.493,20 | 152 / 7 | $14.896,20 | 103 / 8 | $13.547,00 | 103 / 9 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 12 | 33 / 8 | $98.273,20 | 190 / 16 | $15.305,40 | 130 / 13 | $13.365,80 | 130 / 15 |
Kidney & Urinary Tract Infections W Mcc | 98 | 47 / 10 | $43.094,40 | 1567 / 85 | $9.101,64 | 1579 / 127 | $8.001,41 | 1575 / 126 |
Kidney & Urinary Tract Infections W/O Mcc | 174 | 65 / 14 | $27.844,10 | 2122 / 86 | $7.217,76 | 2321 / 153 | $5.834,99 | 2310 / 149 |
Knee Procedures W Pdx Of Infection W Cc | 11 | 5 / 2 | $129.560,00 | 11 / 2 | $15.367,00 | 7 / 1 | $14.004,50 | 7 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 18 | 38 / 24 | $75.404,70 | 697 / 46 | $14.438,30 | 452 / 78 | $9.341,33 | 451 / 64 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 18 | 22 / 9 | $78.579,10 | 283 / 13 | $17.559,20 | 302 / 35 | $15.940,10 | 301 / 36 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 29 | 18 / 8 | $57.089,30 | 471 / 31 | $10.087,90 | 462 / 56 | $7.984,79 | 461 / 55 |
Limb Reattachment, Hip & Femur Proc For Multiple Significant Trauma | 11 | 11 / 3 | $120.440,00 | 32 / 2 | $23.287,50 | 8 / 3 | $20.692,40 | 8 / 2 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 44 | 11 / 4 | $74.474,10 | 452 / 27 | $14.833,50 | 422 / 51 | $12.594,40 | 419 / 53 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 36 | 13 / 2 | $65.739,50 | 426 / 25 | $11.831,40 | 276 / 41 | $8.499,47 | 276 / 36 |
Lymphoma & Non-Acute Leukemia W Cc | 11 | 25 / 7 | $39.036,90 | 36 / 2 | $12.417,30 | 77 / 7 | $11.160,70 | 77 / 7 |
Major Cardiovasc Procedures W Mcc | 53 | 16 / 3 | $174.819,00 | 443 / 32 | $37.757,80 | 265 / 41 | $32.003,40 | 265 / 40 |
Major Cardiovasc Procedures W/O Mcc | 58 | 44 / 10 | $145.305,00 | 861 / 51 | $25.098,30 | 666 / 68 | $22.119,40 | 665 / 67 |
Major Chest Procedures W Cc | 27 | 47 / 7 | $110.323,00 | 429 / 25 | $17.352,90 | 292 / 26 | $16.021,20 | 290 / 34 |
Major Chest Procedures W/O Cc/Mcc | 32 | 30 / 3 | $92.193,60 | 231 / 16 | $13.118,80 | 168 / 15 | $11.877,80 | 168 / 18 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 74 | 6 / 3 | $46.848,10 | 917 / 67 | $10.303,90 | 916 / 94 | $8.643,84 | 914 / 90 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 52 | 8 / 2 | $75.593,80 | 568 / 38 | $15.451,10 | 484 / 43 | $13.249,10 | 483 / 46 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 13 | 16 / 10 | $31.365,60 | 105 / 18 | $8.350,62 | 103 / 24 | $5.713,62 | 102 / 23 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 25 | 28 / 7 | $44.744,80 | 361 / 28 | $10.290,80 | 326 / 37 | $8.425,88 | 326 / 38 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 50 | 46 / 8 | $77.004,30 | 646 / 23 | $17.117,60 | 530 / 53 | $13.062,20 | 527 / 50 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 27 | 38 / 12 | $151.806,00 | 842 / 54 | $25.432,70 | 777 / 66 | $23.700,50 | 774 / 68 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 550 | 100 / 9 | $76.089,60 | 2133 / 73 | $16.625,60 | 1615 / 145 | $12.350,50 | 1578 / 121 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 29 | 40 / 8 | $101.600,00 | 412 / 27 | $19.308,80 | 327 / 40 | $16.213,50 | 327 / 39 |
Major Skin Disorders W/O Mcc | 11 | 11 / 4 | $45.031,50 | 21 / 5 | $8.345,00 | 12 / 5 | $7.076,82 | 12 / 5 |
Major Small & Large Bowel Procedures W Cc | 72 | 37 / 6 | $124.191,00 | 1362 / 72 | $19.037,00 | 1037 / 95 | $16.079,80 | 1025 / 94 |
Major Small & Large Bowel Procedures W Mcc | 39 | 46 / 9 | $257.413,00 | 1179 / 78 | $45.398,40 | 1137 / 90 | $42.883,10 | 1135 / 90 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 31 | 33 / 7 | $89.305,90 | 705 / 45 | $14.314,10 | 448 / 50 | $9.521,39 | 448 / 49 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 11 | 20 / 10 | $28.449,90 | 59 / 5 | $9.551,18 | 144 / 20 | $8.640,82 | 144 / 21 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 19 | 34 / 4 | $72.764,40 | 271 / 15 | $14.275,80 | 159 / 20 | $11.133,70 | 160 / 16 |
Medical Back Problems W Mcc | 11 | 28 / 14 | $53.068,90 | 226 / 16 | $12.302,30 | 230 / 24 | $11.068,90 | 230 / 24 |
Medical Back Problems W/O Mcc | 74 | 47 / 14 | $32.487,30 | 1100 / 72 | $7.970,51 | 1174 / 122 | $5.893,59 | 1170 / 115 |
Minor Skin Disorders W/O Mcc | 17 | 8 / 2 | $23.230,90 | 41 / 4 | $7.022,65 | 41 / 5 | $5.601,76 | 41 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 64 | 62 / 8 | $45.056,30 | 1405 / 76 | $9.234,28 | 1293 / 96 | $8.062,80 | 1290 / 96 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 115 | 51 / 8 | $23.945,10 | 1833 / 71 | $6.809,77 | 2178 / 144 | $5.466,64 | 2170 / 142 |
Multiple Sclerosis & Cerebellar Ataxia W Cc | 16 | 5 / 1 | $42.692,90 | 15 / 1 | $9.525,12 | 9 / 2 | $6.766,50 | 9 / 1 |
Multiple Sclerosis & Cerebellar Ataxia W/O Cc/Mcc | 26 | 3 / 1 | $22.773,80 | 8 / 1 | $7.380,58 | 13 / 3 | $6.032,46 | 13 / 3 |
Nervous System Neoplasms W Mcc | 40 | 8 / 1 | $60.188,50 | 246 / 24 | $12.786,20 | 182 / 23 | $9.054,00 | 182 / 23 |
Nervous System Neoplasms W/O Mcc | 12 | 18 / 4 | $29.557,60 | 30 / 3 | $8.747,33 | 57 / 7 | $6.660,83 | 57 / 6 |
Nonspecific Cerebrovascular Disorders W Cc | 19 | 37 / 8 | $36.662,70 | 345 / 20 | $8.538,32 | 367 / 36 | $6.962,95 | 367 / 36 |
Nonspecific Cerebrovascular Disorders W Mcc | 17 | 34 / 8 | $68.858,10 | 341 / 17 | $12.473,40 | 283 / 20 | $11.394,40 | 283 / 21 |
O.R. Procedures For Obesity W/O Cc/Mcc | 18 | 59 / 13 | $81.567,20 | 379 / 20 | $13.773,40 | 251 / 25 | $9.550,44 | 251 / 22 |
Organic Disturbances & Mental Retardation | 16 | 43 / 22 | $39.976,80 | 447 / 41 | $8.473,44 | 390 / 51 | $7.157,62 | 390 / 50 |
Other Circulatory System Diagnoses W Cc | 42 | 24 / 3 | $37.696,80 | 521 / 37 | $8.390,36 | 464 / 51 | $6.522,19 | 463 / 51 |
Other Circulatory System Diagnoses W Mcc | 113 | 16 / 3 | $82.888,50 | 1167 / 79 | $16.499,30 | 1015 / 101 | $13.639,80 | 1008 / 96 |
Other Circulatory System O.R. Procedures | 38 | 18 / 4 | $147.628,00 | 416 / 36 | $23.936,10 | 371 / 33 | $22.556,10 | 371 / 37 |
Other Digestive System Diagnoses W Cc | 57 | 40 / 6 | $40.292,60 | 1140 / 69 | $8.768,74 | 1092 / 109 | $6.848,63 | 1088 / 101 |
Other Digestive System Diagnoses W Mcc | 30 | 32 / 5 | $48.844,60 | 446 / 28 | $13.418,80 | 399 / 54 | $10.820,80 | 398 / 51 |
Other Digestive System Diagnoses W/O Cc/Mcc | 15 | 28 / 15 | $24.231,30 | 221 / 18 | $7.085,67 | 302 / 53 | $5.180,20 | 302 / 51 |
Other Disorders Of Nervous System W Cc | 19 | 37 / 14 | $47.246,10 | 538 / 41 | $7.961,63 | 519 / 45 | $7.118,84 | 518 / 47 |
Other Disorders Of Nervous System W Mcc | 19 | 21 / 7 | $126.253,00 | 313 / 25 | $22.381,90 | 315 / 25 | $21.244,20 | 315 / 25 |
Other Disorders Of Nervous System W/O Cc/Mcc | 18 | 17 / 5 | $38.509,60 | 130 / 18 | $6.971,78 | 95 / 19 | $4.493,33 | 95 / 19 |
Other Kidney & Urinary Tract Diagnoses W Cc | 31 | 72 / 13 | $38.013,20 | 634 / 43 | $9.100,00 | 507 / 68 | $6.338,71 | 507 / 62 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 38 | 63 / 12 | $50.658,70 | 803 / 39 | $11.422,00 | 729 / 55 | $10.372,70 | 727 / 56 |
Other Kidney & Urinary Tract Procedures W Mcc | 15 | 23 / 8 | $157.783,00 | 204 / 15 | $26.540,80 | 178 / 14 | $24.663,40 | 177 / 16 |
Other Multiple Significant Trauma W Mcc | 11 | 12 / 1 | $111.070,00 | 16 / 1 | $21.501,00 | 4 / 1 | $15.465,70 | 4 / 1 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 11 | 29 / 16 | $79.408,50 | 172 / 20 | $15.574,50 | 112 / 26 | $11.621,00 | 112 / 23 |
Other O.R. Procedures For Injuries W Mcc | 18 | 19 / 4 | $168.237,00 | 167 / 14 | $32.506,80 | 133 / 13 | $30.996,40 | 133 / 15 |
Other Resp System O.R. Procedures W Cc | 14 | 33 / 13 | $85.131,10 | 288 / 25 | $14.676,10 | 220 / 23 | $12.999,10 | 220 / 26 |
Other Resp System O.R. Procedures W Mcc | 14 | 49 / 18 | $162.099,00 | 499 / 42 | $29.324,90 | 476 / 49 | $27.865,70 | 475 / 51 |
Other Respiratory System Diagnoses W/O Mcc | 14 | 32 / 11 | $27.358,40 | 199 / 9 | $7.402,71 | 232 / 30 | $5.837,50 | 232 / 31 |
Other Skin, Subcut Tiss & Breast Proc W Cc | 17 | 7 / 2 | $66.076,60 | 84 / 5 | $11.828,00 | 61 / 3 | $9.858,71 | 61 / 4 |
Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 13 | 14 / 2 | $47.069,80 | 37 / 2 | $9.524,69 | 29 / 3 | $6.960,69 | 29 / 3 |
Other Vascular Procedures W Cc | 38 | 64 / 15 | $112.880,00 | 932 / 53 | $18.909,50 | 834 / 71 | $17.741,60 | 829 / 77 |
Other Vascular Procedures W Mcc | 79 | 22 / 3 | $142.258,00 | 842 / 71 | $25.819,60 | 734 / 80 | $24.291,90 | 731 / 82 |
Other Vascular Procedures W/O Cc/Mcc | 18 | 38 / 13 | $83.356,90 | 489 / 32 | $15.240,10 | 178 / 40 | $8.999,17 | 177 / 24 |
Otitis Media & Uri W/O Mcc | 13 | 31 / 11 | $28.672,20 | 172 / 15 | $6.009,62 | 156 / 17 | $4.875,92 | 156 / 18 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 30 | 10 / 2 | $44.055,90 | 219 / 13 | $9.669,13 | 191 / 17 | $7.720,50 | 191 / 17 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 45 | 55 / 9 | $130.426,00 | 731 / 39 | $22.459,40 | 640 / 68 | $21.172,20 | 636 / 69 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 99 | 97 / 18 | $96.144,30 | 1120 / 56 | $17.060,90 | 675 / 102 | $11.161,40 | 671 / 81 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 19 | 35 / 9 | $146.588,00 | 225 / 17 | $25.691,20 | 169 / 22 | $22.172,60 | 169 / 22 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 48 | 47 / 9 | $105.876,00 | 481 / 42 | $16.322,60 | 416 / 57 | $13.301,10 | 412 / 55 |
Peripheral Vascular Disorders W Cc | 48 | 36 / 11 | $44.654,60 | 1088 / 89 | $8.553,73 | 1011 / 104 | $7.329,33 | 1008 / 105 |
Peripheral Vascular Disorders W Mcc | 29 | 20 / 5 | $64.802,50 | 504 / 46 | $12.218,50 | 467 / 50 | $10.546,10 | 467 / 50 |
Peripheral Vascular Disorders W/O Cc/Mcc | 29 | 16 / 7 | $16.556,80 | 158 / 15 | $6.695,38 | 322 / 60 | $5.115,90 | 322 / 59 |
Peritoneal Adhesiolysis W Cc | 17 | 22 / 6 | $107.544,00 | 257 / 15 | $21.224,00 | 135 / 20 | $13.895,10 | 135 / 17 |
Peritoneal Adhesiolysis W Mcc | 11 | 12 / 4 | $165.314,00 | 49 / 3 | $30.119,20 | 39 / 3 | $28.252,70 | 39 / 4 |
Permanent Cardiac Pacemaker Implant W Cc | 40 | 37 / 10 | $137.429,00 | 907 / 81 | $21.005,90 | 458 / 83 | $15.626,80 | 457 / 69 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 18 | $192.584,00 | 567 / 47 | $29.052,60 | 485 / 49 | $27.189,10 | 485 / 49 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 27 | 30 / 14 | $107.612,00 | 676 / 62 | $16.437,30 | 502 / 61 | $13.821,10 | 501 / 63 |
Pneumothorax W Cc | 13 | 12 / 7 | $48.034,10 | 82 / 16 | $9.856,23 | 74 / 16 | $7.811,92 | 74 / 16 |
Poisoning & Toxic Effects Of Drugs W Mcc | 26 | 46 / 14 | $44.593,40 | 631 / 32 | $11.405,90 | 637 / 68 | $9.374,12 | 635 / 67 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 19 | 42 / 17 | $22.856,50 | 594 / 26 | $6.381,42 | 778 / 74 | $5.464,42 | 777 / 74 |
Postoperative & Post-Traumatic Infections W Mcc | 14 | 29 / 7 | $64.701,80 | 155 / 13 | $13.922,40 | 113 / 19 | $12.762,60 | 113 / 20 |
Postoperative & Post-Traumatic Infections W/O Mcc | 21 | 33 / 11 | $45.759,70 | 394 / 37 | $8.638,52 | 357 / 43 | $7.769,71 | 357 / 45 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 14 | 24 / 6 | $109.411,00 | 161 / 15 | $16.723,50 | 106 / 13 | $14.067,40 | 106 / 14 |
Psychoses | 11 | 264 / 33 | $23.582,50 | 390 / 19 | $8.675,36 | 465 / 42 | $7.434,73 | 465 / 42 |
Pulmonary Edema & Respiratory Failure | 63 | 140 / 22 | $53.532,90 | 1825 / 89 | $10.499,20 | 1873 / 129 | $9.235,84 | 1868 / 134 |
Pulmonary Embolism W Mcc | 27 | 16 / 2 | $65.178,40 | 506 / 24 | $11.758,50 | 408 / 32 | $9.815,04 | 408 / 29 |
Pulmonary Embolism W/O Mcc | 57 | 17 / 4 | $44.047,50 | 1110 / 57 | $8.667,68 | 1091 / 75 | $7.133,58 | 1088 / 73 |
Rectal Resection W Cc | 12 | 12 / 3 | $140.061,00 | 44 / 3 | $21.618,80 | 30 / 3 | $16.946,40 | 30 / 3 |
Rectal Resection W/O Cc/Mcc | 14 | 5 / 2 | $88.379,10 | 21 / 3 | $12.616,10 | 19 / 2 | $11.035,00 | 19 / 3 |
Red Blood Cell Disorders W Mcc | 38 | 33 / 9 | $50.089,70 | 836 / 59 | $11.022,40 | 924 / 87 | $10.083,40 | 920 / 89 |
Red Blood Cell Disorders W/O Mcc | 124 | 26 / 5 | $29.877,00 | 1495 / 87 | $8.276,24 | 1733 / 143 | $6.511,70 | 1724 / 138 |
Renal Failure W Cc | 126 | 95 / 19 | $42.120,50 | 2100 / 110 | $8.630,80 | 2067 / 148 | $7.332,60 | 2057 / 144 |
Renal Failure W Mcc | 106 | 89 / 13 | $62.157,00 | 1785 / 103 | $12.978,10 | 1653 / 140 | $10.903,70 | 1651 / 133 |
Renal Failure W/O Cc/Mcc | 21 | 35 / 21 | $22.249,00 | 620 / 35 | $6.317,71 | 774 / 71 | $5.125,43 | 772 / 72 |
Respiratory Infections & Inflammations W Cc | 36 | 52 / 19 | $63.197,40 | 1284 / 68 | $11.328,60 | 1247 / 92 | $10.032,90 | 1242 / 92 |
Respiratory Infections & Inflammations W Mcc | 54 | 82 / 17 | $88.753,60 | 1576 / 79 | $15.688,70 | 1427 / 109 | $13.781,50 | 1412 / 105 |
Respiratory Neoplasms W Cc | 26 | 21 / 5 | $50.630,20 | 393 / 30 | $9.819,08 | 370 / 46 | $8.503,12 | 369 / 45 |
Respiratory Neoplasms W Mcc | 24 | 28 / 7 | $53.048,90 | 410 / 22 | $12.896,30 | 443 / 40 | $11.681,20 | 441 / 41 |
Respiratory Signs & Symptoms | 22 | 24 / 7 | $32.803,00 | 252 / 23 | $6.719,68 | 235 / 33 | $5.223,82 | 235 / 32 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 44 | 87 / 26 | $105.581,00 | 1563 / 91 | $17.253,50 | 1341 / 111 | $16.010,00 | 1328 / 116 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 21 | 50 / 17 | $265.270,00 | 881 / 72 | $45.079,70 | 799 / 76 | $40.495,70 | 798 / 75 |
Revision Of Hip Or Knee Replacement W Cc | 41 | 46 / 11 | $130.993,00 | 568 / 41 | $23.331,60 | 415 / 49 | $20.999,30 | 413 / 51 |
Revision Of Hip Or Knee Replacement W Mcc | 12 | 12 / 4 | $140.495,00 | 18 / 2 | $28.883,20 | 7 / 3 | $27.871,70 | 7 / 3 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 43 | 26 / 4 | $105.205,00 | 433 / 26 | $19.554,00 | 339 / 29 | $16.733,90 | 338 / 31 |
Seizures W Mcc | 35 | 31 / 6 | $59.943,70 | 570 / 42 | $12.178,30 | 541 / 54 | $11.134,10 | 541 / 57 |
Seizures W/O Mcc | 45 | 63 / 15 | $33.715,80 | 1041 / 67 | $6.984,69 | 1074 / 95 | $6.000,51 | 1072 / 98 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 44 | 48 / 6 | $219.804,00 | 809 / 46 | $41.464,50 | 632 / 64 | $39.447,60 | 631 / 65 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 482 | 91 / 2 | $79.699,80 | 2427 / 103 | $14.768,60 | 2173 / 148 | $13.070,80 | 2135 / 141 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 111 | 96 / 16 | $44.595,10 | 2160 / 86 | $9.355,18 | 2216 / 140 | $8.083,53 | 2207 / 143 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 13 | 34 / 13 | $20.770,80 | 174 / 8 | $6.823,15 | 302 / 32 | $5.812,23 | 302 / 34 |
Signs & Symptoms W Mcc | 28 | 13 / 2 | $39.611,60 | 196 / 17 | $9.071,18 | 185 / 25 | $8.309,36 | 185 / 26 |
Signs & Symptoms W/O Mcc | 55 | 36 / 8 | $24.249,70 | 866 / 46 | $6.693,33 | 1129 / 103 | $5.662,80 | 1126 / 104 |
Simple Pneumonia & Pleurisy W Cc | 142 | 62 / 11 | $43.504,50 | 2422 / 105 | $8.420,20 | 2392 / 145 | $7.196,08 | 2383 / 146 |
Simple Pneumonia & Pleurisy W Mcc | 115 | 90 / 13 | $65.241,30 | 2179 / 104 | $12.294,00 | 2070 / 143 | $10.472,80 | 2068 / 141 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 55 | 38 / 12 | $27.338,70 | 1537 / 69 | $7.074,55 | 1732 / 126 | $5.295,20 | 1724 / 124 |
Skin Debridement W Mcc | 11 | 6 / 1 | $88.266,70 | 14 / 1 | $16.499,50 | 14 / 2 | $15.080,80 | 14 / 2 |
Skin Ulcers W Mcc | 14 | 6 / 3 | $80.746,00 | 28 / 4 | $12.996,60 | 22 / 4 | $11.138,10 | 22 / 4 |
Soft Tissue Procedures W Cc | 13 | 9 / 2 | $65.256,00 | 28 / 2 | $12.670,10 | 16 / 3 | $10.104,80 | 16 / 3 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 11 | 29 / 5 | $212.631,00 | 57 / 6 | $48.331,80 | 21 / 5 | $37.945,60 | 21 / 4 |
Spinal Fusion Except Cervical W/O Mcc | 116 | 78 / 10 | $110.961,00 | 845 / 30 | $27.318,70 | 705 / 70 | $23.207,70 | 701 / 71 |
Stomach, Esophageal & Duodenal Proc W Cc | 16 | 34 / 6 | $130.909,00 | 202 / 12 | $22.847,60 | 113 / 8 | $16.970,20 | 113 / 9 |
Stomach, Esophageal & Duodenal Proc W Mcc | 11 | 30 / 9 | $274.656,00 | 213 / 20 | $49.539,50 | 146 / 18 | $40.547,80 | 146 / 16 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 12 | 36 / 12 | $87.154,60 | 222 / 16 | $12.367,40 | 146 / 13 | $9.705,00 | 146 / 13 |
Syncope & Collapse | 150 | 31 / 8 | $30.257,90 | 1443 / 74 | $7.091,17 | 1612 / 132 | $5.573,14 | 1605 / 126 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 47 | 18 / 2 | $355.087,00 | 394 / 30 | $79.023,40 | 265 / 34 | $63.591,10 | 265 / 33 |
Transient Ischemia | 86 | 39 / 13 | $33.846,50 | 1301 / 69 | $7.313,55 | 1363 / 123 | $5.069,83 | 1356 / 113 |
Transurethral Procedures W Cc | 26 | 15 / 4 | $47.459,40 | 262 / 19 | $10.739,20 | 281 / 44 | $8.326,31 | 281 / 42 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 27 | 17 / 7 | $27.523,80 | 184 / 24 | $7.033,59 | 240 / 47 | $5.733,04 | 240 / 46 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 39 | 27 / 4 | $33.021,00 | 293 / 24 | $9.402,36 | 377 / 43 | $7.764,38 | 376 / 43 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 16 | 35 / 9 | $53.487,30 | 165 / 12 | $15.813,90 | 121 / 26 | $11.583,90 | 121 / 20 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 32 | 22 / 6 | $20.886,30 | 176 / 13 | $6.910,53 | 306 / 28 | $5.556,16 | 306 / 30 |
Traumatic Stupor & Coma, Coma >1 Hr W Cc | 20 | 5 / 1 | $41.763,20 | 23 / 1 | $10.627,00 | 18 / 1 | $8.368,10 | 18 / 1 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 30 | 16 / 4 | $34.310,00 | 306 / 28 | $6.889,07 | 328 / 48 | $5.218,13 | 327 / 47 |
Vaginal Delivery W/O Complicating Diagnoses | 13 | 12 / 2 | $21.146,50 | 65 / 5 | $5.872,23 | 52 / 3 | $4.396,08 | 52 / 3 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 15 | 28 / 4 | $140.760,00 | 134 / 7 | $21.162,50 | 76 / 5 | $18.868,70 | 76 / 6 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Mcc | 11 | 13 / 5 | $211.757,00 | 43 / 5 | $39.140,50 | 31 / 4 | $37.265,40 | 31 / 4 | Total 230 procedures | 10.441 | 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.