Hospital Costs > In New Jersey > Our Lady Of Lourdes Medical 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 | 50 | 41 / 8 | $54.688,10 | 1244 / 20 | $9.963,90 | 961 / 42 | $6.552,50 | 959 / 26 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 74 | 51 / 9 | $103.417,00 | 1712 / 39 | $13.597,10 | 1141 / 41 | $10.819,80 | 1136 / 28 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 18 | $42.335,20 | 752 / 27 | $6.579,12 | 670 / 38 | $5.055,50 | 666 / 33 |
| Acute Myocardial Infarction, Expired W Mcc | 22 | 8 / 2 | $106.169,00 | 188 / 11 | $13.898,60 | 126 / 10 | $11.907,70 | 126 / 10 |
| Atherosclerosis W/O Mcc | 13 | 45 / 18 | $45.724,90 | 531 / 28 | $5.739,15 | / 27 | $4.329,38 | / |
| Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 18 | $55.734,60 | 1036 / 32 | $7.355,10 | 686 / 25 | $5.375,90 | 682 / 23 |
| Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 11 | $34.512,90 | 337 / 10 | $5.781,46 | 257 / 20 | $4.117,23 | 257 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 51 | 110 / 25 | $47.836,80 | 2034 / 29 | $7.108,22 | 1496 / 45 | $4.977,76 | 1491 / 34 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 56 | 67 / 14 | $75.223,50 | 1816 / 36 | $10.454,40 | 1231 / 47 | $7.705,46 | 1228 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 61 | 89 / 16 | $34.425,50 | 1856 / 30 | $5.187,59 | 1546 / 44 | $3.620,69 | 1540 / 41 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 20 | 9 / 3 | $403.622,00 | 76 / 7 | $49.429,20 | 37 / 1 | $47.070,80 | 37 / 2 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 57 | 5 / 2 | $300.489,00 | 240 / 9 | $38.871,10 | 115 / 3 | $33.416,60 | 115 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 22 | 47 / 7 | $560.877,00 | 280 / 12 | $66.432,50 | 142 / 2 | $61.884,20 | 142 / 2 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 53 | 65 / 8 | $449.661,00 | 537 / 13 | $40.845,60 | 373 / 6 | $35.991,70 | 373 / 4 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 52 | 64 / 5 | $481.964,00 | 462 / 14 | $51.608,70 | 125 / 1 | $46.077,50 | 125 / 1 |
| Cellulitis W Mcc | 23 | 35 / 11 | $74.901,30 | 891 / 25 | $11.719,20 | 552 / 27 | $9.024,52 | 550 / 17 |
| Cellulitis W/O Mcc | 59 | 130 / 38 | $51.743,70 | 2571 / 46 | $7.620,20 | 1774 / 45 | $5.112,44 | 1766 / 30 |
| Chest Pain | 41 | 110 / 16 | $44.422,20 | 1646 / 43 | $6.114,71 | 1189 / 43 | $3.955,71 | 1182 / 32 |
| Chronic Obstructive Pulmonary Disease W Cc | 50 | 129 / 32 | $54.206,90 | 2299 / 34 | $8.066,72 | 1750 / 41 | $5.970,04 | 1743 / 35 |
| Chronic Obstructive Pulmonary Disease W Mcc | 40 | 162 / 41 | $73.443,80 | 2471 / 37 | $10.114,50 | 1869 / 45 | $7.604,85 | 1861 / 31 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 34 | 86 / 21 | $37.819,00 | 1908 / 17 | $6.375,74 | 1572 / 42 | $4.591,71 | 1561 / 35 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 48 | 45 / 6 | $90.663,40 | 710 / 10 | $16.326,60 | 650 / 23 | $14.378,30 | 643 / 21 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 116 | 74 / 5 | $61.065,00 | 1401 / 19 | $9.367,03 | 1180 / 35 | $6.933,58 | 1177 / 25 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 14 | 28 / 4 | $107.430,00 | 284 / 6 | $13.093,60 | 124 / 4 | $10.844,60 | 124 / 3 |
| Coronary Bypass W Cardiac Cath W Mcc | 53 | 7 / 1 | $359.866,00 | 393 / 8 | $46.039,30 | 102 / 1 | $38.289,00 | 102 / 1 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 45 | 31 / 2 | $287.934,00 | 581 / 10 | $34.747,40 | 449 / 2 | $30.385,30 | 449 / 2 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 32 | 27 / 4 | $305.926,00 | 226 / 7 | $36.937,20 | 54 / 1 | $31.173,30 | 54 / 1 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 38 | 50 / 5 | $241.541,00 | 568 / 15 | $28.158,90 | 338 / 4 | $22.343,10 | 337 / 1 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 16 | 52 / 11 | $65.970,90 | 724 / 29 | $8.217,88 | 411 / 25 | $5.474,00 | 411 / 15 |
| Diabetes W Cc | 26 | 66 / 18 | $55.671,20 | 1563 / 39 | $7.546,50 | 980 / 38 | $5.087,42 | 976 / 31 |
| Diabetes W Mcc | 16 | 41 / 12 | $98.644,70 | 726 / 27 | $11.450,70 | 463 / 20 | $9.084,31 | 463 / 14 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 26 | 44 / 4 | $58.638,10 | 536 / 11 | $7.984,04 | 281 / 10 | $5.873,73 | 281 / 5 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 19 | 57 / 6 | $188.709,00 | 560 / 20 | $17.673,70 | 388 / 16 | $13.879,50 | 388 / 11 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 11 | $70.677,60 | 939 / 33 | $8.376,60 | 701 / 28 | $6.174,53 | 698 / 22 |
| Disorders Of Pancreas Except Malignancy W Mcc | 17 | 29 / 2 | $122.672,00 | 347 / 10 | $15.671,60 | 232 / 9 | $12.664,00 | 232 / 8 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 11 | 70 / 11 | $846.571,00 | 414 / 13 | $115.356,00 | 204 / 3 | $108.871,00 | 204 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 25 | $108.444,00 | 1457 / 47 | $10.763,30 | 951 / 40 | $7.982,35 | 946 / 25 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 71 | 204 / 33 | $45.733,60 | 2600 / 45 | $6.658,86 | 1870 / 45 | $4.575,17 | 1856 / 32 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 16 | 28 / 12 | $169.541,00 | 418 / 18 | $21.841,80 | 274 / 12 | $18.652,60 | 272 / 8 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 30 | 33 / 5 | $228.093,00 | 673 / 23 | $34.857,60 | 276 / 14 | $28.456,10 | 276 / 6 |
| Extracranial Procedures W Cc | 12 | 34 / 5 | $122.500,00 | 366 / 9 | $12.730,40 | 274 / 5 | $10.385,40 | 274 / 3 |
| Extracranial Procedures W/O Cc/Mcc | 23 | 75 / 9 | $60.029,00 | 839 / 25 | $8.246,57 | 729 / 15 | $6.835,00 | 726 / 16 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 19 | $35.842,70 | 818 / 18 | $6.202,36 | 681 / 28 | $4.511,36 | 680 / 28 |
| G.I. Hemorrhage W Cc | 77 | 141 / 22 | $78.511,90 | 2404 / 52 | $8.824,16 | 1702 / 46 | $6.368,84 | 1698 / 31 |
| G.I. Hemorrhage W Mcc | 40 | 81 / 15 | $111.269,00 | 1601 / 42 | $14.041,60 | 1119 / 35 | $11.796,50 | 1111 / 26 |
| G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 22 | $59.665,70 | 993 / 47 | $6.326,67 | 719 / 38 | $4.451,60 | 715 / 32 |
| G.I. Obstruction W Cc | 26 | 66 / 17 | $54.507,40 | 1639 / 35 | $7.807,04 | 1308 / 38 | $5.885,15 | 1303 / 33 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 21 | $44.380,60 | 1264 / 34 | $5.478,81 | 1020 / 32 | $4.007,31 | 1017 / 33 |
| Heart Failure & Shock W Cc | 147 | 131 / 17 | $55.438,60 | 2620 / 31 | $8.518,10 | 2010 / 45 | $6.547,76 | 2005 / 35 |
| Heart Failure & Shock W Mcc | 112 | 172 / 31 | $97.882,90 | 2558 / 52 | $12.531,00 | 1919 / 43 | $10.126,30 | 1913 / 30 |
| Heart Failure & Shock W/O Cc/Mcc | 54 | 56 / 14 | $40.913,30 | 1907 / 33 | $6.116,09 | 1432 / 46 | $4.292,93 | 1421 / 35 |
| Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 33 | $123.349,00 | 2003 / 49 | $15.583,00 | 1444 / 36 | $12.534,40 | 1426 / 28 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 37 | 87 / 22 | $239.038,00 | 1389 / 40 | $37.649,30 | 733 / 25 | $31.791,90 | 727 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 55 | 127 / 23 | $59.686,80 | 1865 / 24 | $8.908,49 | 1438 / 40 | $6.671,82 | 1435 / 30 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 47 | 121 / 17 | $93.471,70 | 1457 / 32 | $13.659,50 | 992 / 32 | $11.004,10 | 987 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 23 | $47.863,00 | 1468 / 26 | $9.282,54 | 1085 / 46 | $4.538,71 | 1081 / 27 |
| Kidney & Urinary Tract Infections W Mcc | 43 | 101 / 23 | $94.970,90 | 1940 / 49 | $10.264,90 | 1475 / 40 | $7.532,74 | 1471 / 33 |
| Kidney & Urinary Tract Infections W/O Mcc | 71 | 162 / 30 | $49.375,90 | 2640 / 44 | $7.037,39 | 1862 / 44 | $4.769,13 | 1851 / 30 |
| Kidney Transplant | 26 | 75 / 2 | $602.850,00 | 178 / 3 | $30.476,00 | 32 / 1 | $19.061,60 | 32 / 1 |
| Major Cardiovasc Procedures W Mcc | 24 | 44 / 8 | $225.024,00 | 554 / 14 | $38.733,30 | 323 / 8 | $33.427,50 | 323 / 6 |
| Major Cardiovasc Procedures W/O Mcc | 28 | 73 / 15 | $200.674,00 | 967 / 32 | $24.583,00 | 641 / 18 | $21.797,90 | 640 / 15 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 22 | $57.732,10 | 1004 / 19 | $10.058,10 | 823 / 31 | $7.941,75 | 821 / 26 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 16 | 40 / 9 | $102.304,00 | 629 / 18 | $14.648,30 | 413 / 14 | $12.357,30 | 412 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 36 | 528 / 48 | $154.391,00 | 2664 / 55 | $16.701,90 | 1910 / 39 | $13.284,10 | 1868 / 29 |
| Major Small & Large Bowel Procedures W Cc | 27 | 81 / 20 | $172.895,00 | 1488 / 39 | $19.398,10 | 758 / 27 | $14.579,60 | 750 / 10 |
| Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 23 | $251.056,00 | 1172 / 32 | $35.663,60 | 656 / 22 | $31.701,20 | 654 / 16 |
| Medical Back Problems W/O Mcc | 20 | 101 / 32 | $44.016,30 | 1327 / 18 | $7.330,70 | 1028 / 34 | $5.328,60 | 1025 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 34 | $90.134,40 | 1721 / 45 | $9.412,61 | 1049 / 35 | $7.231,33 | 1046 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 52 | 114 / 28 | $46.654,90 | 2469 / 41 | $6.613,21 | 1789 / 45 | $4.463,56 | 1784 / 33 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 17 | 60 / 9 | $111.308,00 | 404 / 24 | $11.475,50 | 216 / 10 | $9.040,53 | 216 / 8 |
| Organic Disturbances & Mental Retardation | 14 | 45 / 13 | $48.824,70 | 491 / 11 | $8.339,64 | 319 / 15 | $6.483,57 | 319 / 11 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 13 | $47.884,50 | 591 / 10 | $8.455,08 | 290 / 19 | $5.493,77 | 289 / 10 |
| Other Circulatory System Diagnoses W Mcc | 26 | 90 / 20 | $123.031,00 | 1346 / 40 | $15.202,70 | 787 / 34 | $12.012,20 | 783 / 19 |
| Other Circulatory System O.R. Procedures | 18 | 37 / 9 | $125.552,00 | 390 / 17 | $20.218,80 | 164 / 11 | $16.365,40 | 164 / 3 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 22 | $62.006,60 | 1371 / 38 | $8.546,55 | 871 / 38 | $6.024,95 | 867 / 24 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 17 | $101.273,00 | 722 / 26 | $13.534,20 | 428 / 19 | $11.123,50 | 427 / 12 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 64 | 41 / 3 | $99.472,30 | 860 / 36 | $9.519,22 | 677 / 31 | $7.573,23 | 677 / 29 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 18 | $174.816,00 | 1106 / 38 | $15.552,20 | 933 / 34 | $12.661,80 | 929 / 31 |
| Other Kidney & Urinary Tract Procedures W Cc | 12 | 14 / 3 | $206.713,00 | 92 / 7 | $21.058,80 | 72 / 5 | $17.974,60 | 72 / 4 |
| Other Skin, Subcut Tiss & Breast Proc W Mcc | 12 | 10 / 1 | $125.194,00 | 38 / 1 | $19.349,60 | 14 / 1 | $14.555,40 | 14 / 1 |
| Other Vascular Procedures W Cc | 26 | 76 / 17 | $179.911,00 | 1105 / 43 | $19.777,00 | 684 / 30 | $16.307,30 | 681 / 15 |
| Other Vascular Procedures W Mcc | 53 | 44 / 3 | $160.106,00 | 904 / 32 | $23.387,50 | 451 / 19 | $20.217,30 | 449 / 9 |
| Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 11 | $85.276,80 | 496 / 21 | $12.693,60 | 403 / 9 | $11.298,70 | 402 / 14 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 52 | 48 / 6 | $168.432,00 | 888 / 19 | $23.859,70 | 624 / 11 | $21.021,50 | 620 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 202 | 29 / 4 | $104.224,00 | 1205 / 22 | $17.122,80 | 1004 / 26 | $12.531,50 | 997 / 16 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 35 | 12 / 2 | $130.726,00 | 222 / 3 | $21.906,50 | 168 / 3 | $19.663,30 | 167 / 2 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 66 | 10 / 2 | $80.498,80 | 420 / 4 | $13.992,60 | 414 / 7 | $11.631,00 | 412 / 4 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 13 | 41 / 8 | $181.307,00 | 257 / 10 | $23.888,10 | 94 / 2 | $18.841,20 | 94 / 1 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 41 | 54 / 5 | $135.454,00 | 563 / 14 | $15.382,80 | 310 / 3 | $11.960,00 | 306 / 1 |
| Peripheral Vascular Disorders W Cc | 21 | 63 / 25 | $58.049,00 | 1205 / 37 | $8.268,33 | 615 / 38 | $5.594,05 | 612 / 17 |
| Peripheral Vascular Disorders W Mcc | 13 | 36 / 13 | $83.230,50 | 561 / 23 | $11.271,90 | 314 / 18 | $8.569,08 | 314 / 10 |
| Permanent Cardiac Pacemaker Implant W Cc | 42 | 35 / 7 | $157.819,00 | 937 / 33 | $20.200,30 | 561 / 24 | $16.381,30 | 560 / 12 |
| Permanent Cardiac Pacemaker Implant W Mcc | 18 | 34 / 13 | $221.289,00 | 588 / 25 | $26.711,70 | 377 / 11 | $23.969,30 | 377 / 9 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 36 | 21 / 4 | $139.381,00 | 704 / 29 | $15.996,90 | 503 / 17 | $13.824,70 | 502 / 15 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 10 | $110.862,00 | 967 / 19 | $20.283,50 | 502 / 23 | $8.541,23 | 500 / 9 |
| Pulmonary Edema & Respiratory Failure | 99 | 104 / 3 | $70.998,90 | 2064 / 24 | $10.290,90 | 1623 / 36 | $8.189,81 | 1618 / 31 |
| Pulmonary Embolism W/O Mcc | 16 | 58 / 20 | $56.343,20 | 1203 / 16 | $8.389,12 | 919 / 28 | $6.177,31 | 916 / 23 |
| Red Blood Cell Disorders W Mcc | 17 | 54 / 17 | $75.166,90 | 1053 / 32 | $11.707,30 | 603 / 38 | $7.805,76 | 600 / 17 |
| Red Blood Cell Disorders W/O Mcc | 39 | 104 / 27 | $63.628,80 | 1979 / 52 | $7.127,10 | 1402 / 42 | $5.221,18 | 1393 / 31 |
| Renal Failure W Cc | 68 | 153 / 28 | $58.889,20 | 2350 / 39 | $8.433,28 | 1762 / 42 | $6.312,15 | 1752 / 32 |
| Renal Failure W Mcc | 43 | 152 / 25 | $86.924,70 | 2046 / 35 | $12.641,40 | 1506 / 42 | $10.316,60 | 1505 / 28 |
| Renal Failure W/O Cc/Mcc | 15 | 41 / 13 | $38.864,70 | 808 / 17 | $5.589,27 | 593 / 18 | $3.884,53 | 592 / 14 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 43 | 88 / 16 | $112.200,00 | 1623 / 28 | $17.093,20 | 1046 / 24 | $14.341,10 | 1036 / 17 |
| Seizures W/O Mcc | 12 | 96 / 39 | $43.382,00 | 1171 / 21 | $6.872,92 | 665 / 37 | $4.431,00 | 662 / 21 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 22 | $292.195,00 | 986 / 37 | $44.345,90 | 614 / 27 | $38.885,50 | 613 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 200 | 316 / 27 | $111.371,00 | 2715 / 48 | $15.758,20 | 1888 / 46 | $11.999,50 | 1853 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 70 | 137 / 23 | $65.558,60 | 2465 / 35 | $9.232,66 | 1836 / 40 | $6.889,74 | 1828 / 30 |
| Signs & Symptoms W/O Mcc | 16 | 75 / 21 | $33.537,90 | 1095 / 9 | $6.455,81 | 749 / 27 | $4.156,50 | 746 / 14 |
| Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 40 | $55.536,60 | 2652 / 37 | $8.540,13 | 1966 / 45 | $6.096,16 | 1958 / 32 |
| Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 32 | $83.925,10 | 2374 / 34 | $12.388,00 | 1812 / 44 | $9.438,84 | 1812 / 32 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 32 | $37.082,80 | 1764 / 16 | $6.290,58 | 802 / 40 | $3.505,08 | 798 / 15 |
| Skin Graft For Skin Ulcer Or Cellulitis W Mcc | 12 | 10 / 1 | $78.550,90 | 9 / 1 | $20.316,60 | 2 / 1 | $12.772,80 | 2 / 1 |
| Syncope & Collapse | 62 | 107 / 22 | $42.643,50 | 1739 / 24 | $7.589,35 | 1271 / 51 | $4.538,69 | 1264 / 33 |
| Transient Ischemia | 39 | 86 / 22 | $45.494,50 | 1528 / 34 | $6.170,54 | 1185 / 41 | $4.485,38 | 1179 / 33 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 11 | 43 / 13 | $43.543,70 | 360 / 10 | $6.551,45 | 259 / 10 | $4.883,82 | 259 / 12 | Total 115 procedures | 4.311 | 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.