Hospital Costs > In Washington > Peacehealth St Joseph 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 | 310 | 260 / 10 | $45.130,00 | 1035 / 11 | $17.071,00 | 2107 / 36 | $14.067,90 | 2065 / 40 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 234 | 282 / 18 | $39.821,90 | 1308 / 17 | $14.701,80 | 2166 / 39 | $13.057,80 | 2128 / 41 |
Heart Failure & Shock W Mcc | 126 | 158 / 10 | $28.870,10 | 1015 / 11 | $11.252,80 | 1983 / 28 | $10.315,90 | 1976 / 33 |
Simple Pneumonia & Pleurisy W Mcc | 116 | 89 / 3 | $28.810,70 | 961 / 12 | $10.860,30 | 1902 / 24 | $9.714,46 | 1902 / 33 |
Pulmonary Edema & Respiratory Failure | 104 | 99 / 7 | $27.004,80 | 857 / 8 | $10.018,20 | 1524 / 31 | $7.890,66 | 1519 / 23 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 98 | 177 / 4 | $18.130,20 | 1150 / 8 | $5.711,77 | 1763 / 19 | $4.417,93 | 1750 / 20 |
G.I. Hemorrhage W Cc | 97 | 121 / 6 | $24.225,50 | 1143 / 11 | $7.714,13 | 1660 / 26 | $6.275,71 | 1656 / 24 |
Simple Pneumonia & Pleurisy W Cc | 78 | 125 / 2 | $18.982,30 | 1025 / 11 | $7.580,67 | 1891 / 30 | $5.976,79 | 1883 / 23 |
Heart Failure & Shock W Cc | 76 | 202 / 11 | $18.276,40 | 962 / 9 | $7.650,58 | 2024 / 29 | $6.569,66 | 2019 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 72 | 110 / 7 | $27.759,40 | 981 / 15 | $8.807,76 | 1472 / 36 | $6.804,11 | 1469 / 30 |
Cellulitis W/O Mcc | 69 | 120 / 7 | $17.646,10 | 1200 / 10 | $6.582,28 | 1785 / 25 | $5.124,10 | 1777 / 22 |
Respiratory Infections & Inflammations W Mcc | 67 | 69 / 2 | $36.771,80 | 649 / 14 | $15.657,70 | 1516 / 32 | $14.338,10 | 1500 / 34 |
Chronic Obstructive Pulmonary Disease W Mcc | 66 | 136 / 4 | $21.666,90 | 873 / 11 | $8.972,62 | 1792 / 28 | $7.420,18 | 1784 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 66 | 102 / 7 | $33.422,10 | 457 / 8 | $12.998,80 | 1142 / 27 | $11.773,50 | 1136 / 28 |
Kidney & Urinary Tract Infections W/O Mcc | 62 | 171 / 4 | $17.385,50 | 1272 / 10 | $5.730,73 | 1809 / 11 | $4.705,76 | 1798 / 23 |
Renal Failure W Mcc | 61 | 134 / 13 | $27.698,20 | 629 / 8 | $11.412,60 | 1561 / 27 | $10.513,30 | 1559 / 30 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 59 | 102 / 7 | $19.631,30 | 1029 / 13 | $6.194,07 | 1415 / 26 | $4.833,36 | 1410 / 18 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 59 | 148 / 23 | $25.120,50 | 1266 / 16 | $8.649,46 | 1701 / 30 | $6.576,49 | 1694 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 58 | 65 / 5 | $29.057,20 | 907 / 12 | $9.001,38 | 1333 / 22 | $8.048,83 | 1330 / 29 |
Kidney & Urinary Tract Infections W Mcc | 57 | 87 / 2 | $21.917,10 | 702 / 12 | $8.427,70 | 1472 / 22 | $7.521,74 | 1468 / 27 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 57 | 68 / 2 | $35.974,50 | 653 / 7 | $13.498,80 | 1401 / 31 | $12.078,90 | 1389 / 32 |
Renal Failure W Cc | 54 | 167 / 15 | $18.810,10 | 861 / 9 | $7.344,72 | 1735 / 24 | $6.233,94 | 1725 / 30 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 54 | 142 / 10 | $54.179,40 | 315 / 3 | $16.940,80 | 1151 / 21 | $13.503,40 | 1144 / 26 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 52 | 48 / 1 | $84.258,10 | 328 / 6 | $24.632,80 | 804 / 10 | $23.779,20 | 799 / 15 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 52 | 37 / 1 | $27.559,80 | 244 / 6 | $8.634,42 | 520 / 10 | $6.654,35 | 519 / 15 |
G.I. Hemorrhage W Mcc | 51 | 70 / 2 | $32.798,80 | 420 / 5 | $13.075,60 | 1189 / 25 | $12.161,50 | 1181 / 26 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 48 | 118 / 6 | $17.650,00 | 1285 / 15 | $5.537,88 | 1447 / 22 | $4.016,15 | 1442 / 11 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 44 | 144 / 5 | $26.951,30 | 374 / 6 | $8.309,59 | 1149 / 18 | $6.853,89 | 1146 / 18 |
Medical Back Problems W/O Mcc | 39 | 82 / 3 | $22.920,20 | 723 / 14 | $6.307,23 | 1008 / 12 | $5.270,82 | 1005 / 16 |
Transient Ischemia | 39 | 86 / 3 | $21.635,00 | 779 / 10 | $5.182,15 | 1058 / 9 | $4.151,79 | 1053 / 12 |
Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 7 | $18.042,00 | 812 / 8 | $7.354,05 | 1619 / 24 | $5.717,62 | 1612 / 15 |
G.I. Obstruction W Cc | 37 | 55 / 6 | $19.201,50 | 596 / 10 | $6.702,51 | 1163 / 16 | $5.464,59 | 1160 / 16 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 36 | 88 / 12 | $107.438,00 | 577 / 12 | $50.909,00 | 1276 / 34 | $41.044,50 | 1266 / 33 |
Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 17 | $41.079,30 | 686 / 6 | $14.631,40 | 1621 / 28 | $13.446,30 | 1602 / 33 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 34 | 97 / 11 | $68.861,60 | 1120 / 21 | $19.032,90 | 1406 / 27 | $16.531,80 | 1392 / 27 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 34 | 116 / 9 | $15.136,70 | 1007 / 14 | $4.217,09 | 1235 / 13 | $3.072,76 | 1230 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 33 | 69 / 7 | $22.800,00 | 771 / 12 | $5.689,67 | 992 / 12 | $4.327,03 | 988 / 15 |
Major Cardiovasc Procedures W/O Mcc | 32 | 69 / 6 | $82.392,70 | 405 / 6 | $27.176,30 | 691 / 13 | $22.474,90 | 690 / 8 |
Other Digestive System Diagnoses W Cc | 32 | 65 / 6 | $21.567,20 | 489 / 10 | $7.324,62 | 878 / 15 | $6.045,78 | 874 / 18 |
Major Small & Large Bowel Procedures W Cc | 31 | 77 / 8 | $55.836,40 | 552 / 10 | $20.538,00 | 1055 / 25 | $16.206,70 | 1042 / 18 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 30 | 94 / 6 | $24.155,70 | 595 / 10 | $5.305,87 | 504 / 6 | $4.484,93 | 503 / 11 |
Respiratory Infections & Inflammations W Cc | 29 | 59 / 2 | $27.487,40 | 589 / 11 | $10.686,20 | 1131 / 19 | $9.283,07 | 1126 / 19 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 29 | 87 / 5 | $178.666,00 | 163 / 3 | $60.379,80 | 356 / 8 | $59.271,30 | 356 / 9 |
Heart Failure & Shock W/O Cc/Mcc | 28 | 82 / 6 | $17.431,10 | 1101 / 10 | $5.017,43 | 1233 / 12 | $4.012,00 | 1223 / 16 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 28 | 73 / 10 | $41.327,00 | 649 / 19 | $11.888,20 | 825 / 20 | $11.087,10 | 822 / 21 |
Extracranial Procedures W/O Cc/Mcc | 28 | 70 / 4 | $34.362,60 | 535 / 7 | $8.457,32 | 692 / 12 | $6.502,36 | 689 / 14 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 28 | 37 / 4 | $57.321,50 | 212 / 4 | $25.348,60 | 794 / 20 | $24.212,10 | 791 / 22 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 28 | 38 / 3 | $38.629,90 | 149 / 1 | $14.495,40 | 371 / 3 | $12.134,60 | 368 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 12 | $22.596,80 | 569 / 7 | $8.249,64 | 1191 / 18 | $7.634,79 | 1188 / 27 |
Cervical Spinal Fusion W/O Cc/Mcc | 27 | 77 / 6 | $43.991,80 | 257 / 4 | $17.678,00 | 693 / 16 | $14.900,70 | 690 / 19 |
Acute Myocardial Infarction, Discharged Alive W Cc | 26 | 65 / 9 | $22.353,80 | 391 / 6 | $7.862,85 | 1036 / 17 | $6.832,69 | 1034 / 22 |
Chest Pain | 26 | 125 / 9 | $17.430,40 | 724 / 10 | $5.498,88 | 741 / 21 | $3.193,54 | 736 / 5 |
Cellulitis W Mcc | 25 | 33 / 2 | $38.258,10 | 550 / 14 | $11.077,10 | 716 / 13 | $10.156,60 | 714 / 15 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 10 | $28.018,60 | 566 / 13 | $9.021,21 | 1031 / 17 | $8.253,88 | 1026 / 24 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 23 | 70 / 5 | $60.181,40 | 470 / 4 | $19.633,90 | 638 / 14 | $14.188,80 | 631 / 11 |
Spinal Fusion Except Cervical W/O Mcc | 23 | 171 / 25 | $98.526,30 | 717 / 10 | $35.050,80 | 1023 / 23 | $26.733,40 | 1018 / 18 |
Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 7 | $96.255,50 | 349 / 6 | $39.165,00 | 901 / 14 | $35.442,70 | 899 / 15 |
Other Vascular Procedures W Cc | 23 | 79 / 10 | $63.517,70 | 423 / 6 | $21.046,40 | 848 / 16 | $17.881,80 | 843 / 11 |
Major Cardiovasc Procedures W Mcc | 23 | 45 / 3 | $132.745,00 | 278 / 2 | $46.559,80 | 403 / 7 | $36.182,70 | 402 / 3 |
Hip & Femur Procedures Except Major Joint W Mcc | 22 | 40 / 5 | $59.393,50 | 299 / 5 | $22.732,30 | 757 / 17 | $21.499,00 | 754 / 18 |
Syncope & Collapse | 21 | 148 / 15 | $13.981,40 | 329 / 1 | $5.389,43 | 1174 / 12 | $4.341,81 | 1167 / 16 |
Diabetes W Cc | 21 | 71 / 6 | $21.398,40 | 787 / 12 | $6.149,38 | 1097 / 10 | $5.391,48 | 1093 / 17 |
Seizures W/O Mcc | 21 | 87 / 6 | $18.131,50 | 441 / 1 | $6.277,00 | 586 / 10 | $4.228,33 | 583 / 4 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 20 | 42 / 2 | $18.657,90 | 339 / 2 | $5.605,55 | 499 / 5 | $4.567,35 | 497 / 6 |
Peripheral Vascular Disorders W Cc | 20 | 64 / 3 | $21.556,90 | 478 / 4 | $7.172,50 | 855 / 6 | $6.433,30 | 852 / 6 |
Permanent Cardiac Pacemaker Implant W Cc | 20 | 57 / 8 | $40.013,10 | 80 / 1 | $19.839,30 | 764 / 16 | $18.860,20 | 761 / 20 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 19 | 99 / 11 | $133.432,00 | 226 / 6 | $52.872,10 | 246 / 13 | $32.038,70 | 246 / 5 |
Pulmonary Embolism W/O Mcc | 19 | 55 / 11 | $27.339,80 | 740 / 12 | $8.066,58 | 885 / 18 | $6.068,26 | 882 / 16 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 19 | 49 / 2 | $21.393,80 | 252 / 3 | $7.792,47 | 328 / 7 | $5.143,47 | 328 / 3 |
G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 6 | $14.975,40 | 525 / 12 | $4.514,21 | 859 / 6 | $3.551,26 | 856 / 14 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 11 | $19.962,90 | 895 / 11 | $5.952,89 | 1326 / 9 | $5.050,58 | 1317 / 17 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 18 | 37 / 4 | $38.334,90 | 125 / 2 | $14.823,10 | 500 / 10 | $13.872,20 | 496 / 15 |
Permanent Cardiac Pacemaker Implant W Mcc | 18 | 34 / 3 | $64.923,30 | 109 / 2 | $27.783,10 | 470 / 11 | $26.817,90 | 470 / 11 |
Nonspecific Cerebrovascular Disorders W Cc | 17 | 39 / 9 | $22.670,20 | 178 / 4 | $7.250,53 | 319 / 6 | $6.315,94 | 319 / 11 |
G.I. Obstruction W Mcc | 17 | 25 / 4 | $33.077,10 | 172 / 5 | $12.012,60 | 365 / 5 | $11.067,90 | 365 / 6 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 17 | 30 / 4 | $34.025,30 | 164 / 1 | $13.247,70 | 319 / 8 | $8.880,82 | 319 / 2 |
Other Disorders Of Nervous System W Cc | 16 | 40 / 4 | $21.954,20 | 208 / 2 | $6.634,62 | 394 / 4 | $5.797,12 | 394 / 5 |
Seizures W Mcc | 16 | 50 / 7 | $30.405,70 | 179 / 4 | $11.285,40 | 456 / 7 | $10.065,90 | 456 / 9 |
Psychoses | 16 | 259 / 12 | $19.320,80 | 313 / 6 | $7.465,19 | 386 / 7 | $6.621,94 | 386 / 8 |
Other Circulatory System Diagnoses W Mcc | 16 | 100 / 15 | $42.268,80 | 547 / 9 | $14.823,00 | 1087 / 16 | $14.367,80 | 1079 / 18 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 16 | 53 / 4 | $42.061,00 | 74 / 1 | $16.273,70 | 366 / 9 | $11.031,60 | 365 / 4 |
Other Digestive System Diagnoses W Mcc | 16 | 46 / 7 | $28.416,40 | 133 / 3 | $12.312,80 | 494 / 9 | $11.771,80 | 493 / 12 |
Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 8 | $21.909,30 | 365 / 5 | $7.065,73 | 537 / 8 | $5.394,53 | 535 / 7 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 15 | 61 / 5 | $60.279,50 | 361 / 9 | $18.244,30 | 492 / 9 | $17.035,00 | 492 / 9 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 10 | $14.488,60 | 672 / 5 | $5.683,87 | 1068 / 11 | $3.746,87 | 1062 / 6 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 6 | $14.024,60 | 263 / 1 | $4.724,40 | 574 / 4 | $4.118,53 | 573 / 10 |
Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 5 | $16.780,10 | 371 / 6 | $5.281,93 | 556 / 9 | $4.068,07 | 556 / 9 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 14 | 50 / 8 | $42.150,10 | 327 / 6 | $14.878,70 | 457 / 15 | $9.575,64 | 457 / 6 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 14 | 26 / 2 | $21.344,40 | 63 / 3 | $8.362,00 | 180 / 6 | $7.490,29 | 180 / 6 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 9 | $14.881,20 | 767 / 4 | $5.309,71 | 1417 / 4 | $4.269,43 | 1406 / 9 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 1 | $44.615,60 | 63 / 1 | $18.425,40 | 361 / 4 | $17.203,10 | 360 / 7 |
Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 13 | $25.998,10 | 243 / 4 | $10.469,40 | 665 / 14 | $9.547,36 | 663 / 17 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 5 | $35.584,90 | 93 / 1 | $16.061,70 | 571 / 9 | $14.844,90 | 570 / 13 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 13 | 53 / 6 | $28.141,50 | 218 / 4 | $8.256,46 | 325 / 6 | $7.123,54 | 325 / 7 |
Major Chest Procedures W Cc | 13 | 61 / 10 | $57.277,50 | 178 / 5 | $19.384,20 | 377 / 5 | $18.158,40 | 375 / 9 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 9 | $26.823,10 | 443 / 10 | $10.739,00 | 356 / 12 | $5.697,00 | 356 / 3 |
Other Vascular Procedures W Mcc | 13 | 84 / 12 | $84.883,60 | 434 / 7 | $24.589,40 | 699 / 8 | $23.634,30 | 696 / 11 |
Pulmonary Embolism W Mcc | 13 | 30 / 8 | $38.263,10 | 297 / 5 | $11.419,60 | 461 / 10 | $10.475,00 | 460 / 12 |
Medical Back Problems W Mcc | 13 | 26 / 6 | $26.362,50 | 48 / 1 | $12.035,40 | 227 / 5 | $10.997,50 | 227 / 7 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 4 | $18.703,60 | 157 / 3 | $7.519,92 | 297 / 4 | $5.981,08 | 297 / 4 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 13 | 50 / 4 | $70.645,20 | 100 / 2 | $31.727,50 | 161 / 6 | $21.090,60 | 160 / 6 |
Other Vascular Procedures W/O Cc/Mcc | 13 | 43 / 7 | $41.463,90 | 196 / 2 | $12.709,50 | 418 / 6 | $11.582,70 | 417 / 10 |
Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 1 | $15.278,20 | 135 / 1 | $6.079,42 | 195 / 1 | $3.751,58 | 195 / 1 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 12 | 15 / 3 | $35.893,90 | 68 / 1 | $11.272,30 | 78 / 2 | $10.645,30 | 78 / 3 |
Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 9 | $48.992,20 | 260 / 8 | $18.047,20 | 327 / 11 | $12.424,60 | 327 / 9 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 3 | $16.366,80 | 393 / 3 | $5.171,58 | 666 / 3 | $4.257,92 | 662 / 5 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 6 | $16.205,90 | 423 / 3 | $4.851,92 | 364 / 6 | $3.235,25 | 363 / 2 |
Other Resp System O.R. Procedures W Mcc | 12 | 51 / 5 | $132.360,00 | 453 / 8 | $40.423,70 | 580 / 8 | $39.578,30 | 579 / 8 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 5 | $21.366,60 | 436 / 3 | $6.465,50 | 736 / 2 | $5.648,50 | 732 / 7 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Mcc | 12 | 13 / 2 | $34.750,80 | 8 / 2 | $14.335,30 | 22 / 2 | $13.114,00 | 22 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 9 | $36.783,70 | 201 / 5 | $12.303,20 | 695 / 8 | $11.081,20 | 692 / 13 |
Respiratory Neoplasms W Mcc | 12 | 40 / 5 | $25.832,50 | 74 / 1 | $12.662,80 | 440 / 7 | $11.642,80 | 438 / 7 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 5 | $60.824,20 | 195 / 3 | $28.145,20 | 307 / 9 | $16.092,20 | 306 / 4 |
Complications Of Treatment W Cc | 12 | 40 / 6 | $21.453,40 | 114 / 2 | $7.271,17 | 195 / 3 | $6.348,83 | 195 / 5 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 8 | $21.551,10 | 348 / 5 | $5.629,91 | 562 / 3 | $4.525,55 | 558 / 11 |
Major Male Pelvic Procedures W/O Cc/Mcc | 11 | 62 / 8 | $30.453,00 | 88 / 3 | $11.794,20 | 239 / 4 | $7.652,36 | 239 / 5 |
Dysequilibrium | 11 | 54 / 3 | $17.370,10 | 187 / 2 | $4.619,36 | 259 / 1 | $3.404,45 | 259 / 2 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 15 | $44.614,00 | 242 / 4 | $16.571,60 | 683 / 13 | $15.464,00 | 679 / 21 |
Disorders Of The Biliary Tract W Cc | 11 | 43 / 6 | $30.787,20 | 222 / 6 | $7.781,64 | 296 / 5 | $6.886,73 | 296 / 5 | Total 119 procedures | 4.163 | 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.