Hospital Costs > In Florida > Physicians Regional Medical Center - Pine Ridge, 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 | 17 | 74 / 34 | $66.274,20 | 1349 / 93 | $5.977,47 | 288 / 26 | $5.121,00 | 288 / 40 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 46 | $99.220,40 | 1698 / 115 | $10.853,00 | 944 / 83 | $10.129,80 | 942 / 89 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 19 | $38.226,80 | 712 / 45 | $4.451,42 | 81 / 22 | $3.248,75 | 81 / 17 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 16 | 50 / 17 | $81.341,00 | 468 / 22 | $10.640,20 | 126 / 9 | $9.586,25 | 126 / 18 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 15 | 74 / 24 | $60.392,60 | 668 / 41 | $6.302,00 | 190 / 13 | $5.179,87 | 190 / 31 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 13 | 50 / 10 | $169.509,00 | 225 / 12 | $19.559,50 | 91 / 5 | $18.355,80 | 91 / 14 |
Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 13 | 19 / 9 | $115.512,00 | 112 / 13 | $12.137,80 | 17 / 4 | $11.118,70 | 17 / 6 |
Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 32 | $47.087,30 | 984 / 90 | $5.092,57 | 185 / 25 | $4.050,29 | 182 / 31 |
Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 20 | $30.810,90 | 311 / 40 | $3.840,50 | 120 / 11 | $3.085,83 | 120 / 25 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 51 | 110 / 46 | $48.764,70 | 2050 / 138 | $4.701,51 | 286 / 46 | $3.590,90 | 286 / 44 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 39 | 84 / 29 | $65.606,20 | 1741 / 108 | $7.736,67 | 863 / 78 | $6.918,62 | 860 / 84 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 39 | 111 / 55 | $26.790,30 | 1676 / 98 | $3.319,23 | 297 / 37 | $2.257,05 | 295 / 43 |
Cellulitis W Mcc | 12 | 46 / 22 | $107.286,00 | 955 / 72 | $11.240,20 | 557 / 63 | $9.041,50 | 555 / 55 |
Cellulitis W/O Mcc | 60 | 129 / 43 | $46.800,60 | 2521 / 154 | $5.045,57 | 494 / 56 | $3.873,00 | 491 / 54 |
Cervical Spinal Fusion W Cc | 12 | 41 / 14 | $108.313,00 | 298 / 21 | $16.331,80 | 79 / 5 | $15.121,20 | 79 / 10 |
Cervical Spinal Fusion W/O Cc/Mcc | 23 | 81 / 26 | $96.563,60 | 759 / 46 | $12.661,30 | 249 / 19 | $11.378,60 | 249 / 36 |
Chest Pain | 12 | 139 / 73 | $35.354,90 | 1507 / 112 | $3.631,92 | 183 / 34 | $2.527,92 | 182 / 33 |
Chronic Obstructive Pulmonary Disease W Cc | 55 | 124 / 56 | $45.883,40 | 2184 / 121 | $5.425,47 | 524 / 46 | $4.565,55 | 522 / 59 |
Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 68 | $63.034,40 | 2389 / 140 | $6.631,70 | 435 / 41 | $5.729,74 | 434 / 51 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 46 | 74 / 39 | $35.660,30 | 1865 / 113 | $4.765,76 | 312 / 82 | $3.151,22 | 312 / 43 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 34 | 154 / 53 | $57.568,20 | 1353 / 87 | $6.333,71 | 231 / 34 | $5.021,71 | 231 / 32 |
Complications Of Treatment W Cc | 17 | 35 / 11 | $46.982,30 | 319 / 29 | $5.689,41 | 38 / 14 | $4.838,59 | 38 / 13 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 11 | 31 / 10 | $297.434,00 | 162 / 9 | $31.917,80 | 33 / 3 | $30.931,70 | 33 / 6 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 16 | 82 / 17 | $231.860,00 | 465 / 32 | $25.443,40 | 109 / 11 | $24.389,40 | 109 / 17 |
Diabetes W Cc | 28 | 64 / 26 | $49.080,00 | 1528 / 106 | $4.860,71 | 195 / 37 | $3.813,57 | 195 / 30 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 16 | $58.480,30 | 534 / 38 | $5.412,31 | 128 / 15 | $4.947,08 | 128 / 24 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 15 | 61 / 15 | $88.743,80 | 469 / 27 | $10.481,90 | 39 / 8 | $9.110,20 | 39 / 5 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 15 | 23 / 13 | $38.990,30 | 419 / 36 | $3.881,27 | 80 / 13 | $2.833,80 | 80 / 19 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 14 | 67 / 16 | $530.972,00 | 288 / 21 | $71.699,70 | 12 / 3 | $70.675,80 | 12 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 44 | $91.606,00 | 1441 / 115 | $7.936,64 | 611 / 73 | $6.897,36 | 606 / 73 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 86 | 189 / 72 | $48.010,00 | 2628 / 155 | $4.715,12 | 799 / 73 | $3.628,59 | 794 / 79 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 13 | 31 / 16 | $102.260,00 | 321 / 32 | $17.072,50 | 2 / 27 | $10.964,90 | 2 / 1 |
Extracranial Procedures W Cc | 13 | 33 / 11 | $97.715,20 | 355 / 26 | $9.059,15 | 99 / 9 | $8.133,62 | 99 / 14 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 33 | $32.503,70 | 783 / 66 | $4.227,00 | 188 / 34 | $3.221,67 | 189 / 38 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 29 | $40.014,50 | 728 / 80 | $4.351,09 | 69 / 19 | $3.152,55 | 69 / 20 |
G.I. Hemorrhage W Cc | 70 | 148 / 44 | $54.984,00 | 2249 / 130 | $5.951,90 | 477 / 60 | $4.885,19 | 476 / 55 |
G.I. Hemorrhage W Mcc | 22 | 99 / 40 | $79.022,80 | 1429 / 94 | $9.971,18 | 303 / 40 | $9.152,27 | 303 / 40 |
G.I. Hemorrhage W/O Cc/Mcc | 27 | 41 / 20 | $40.120,10 | 920 / 89 | $4.542,59 | 49 / 54 | $2.766,30 | 49 / 14 |
G.I. Obstruction W Cc | 34 | 58 / 26 | $50.435,70 | 1605 / 110 | $5.161,76 | 371 / 40 | $4.310,94 | 370 / 49 |
G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 27 | $38.135,40 | 1218 / 82 | $3.811,00 | 185 / 40 | $2.511,25 | 185 / 29 |
Heart Failure & Shock W Cc | 89 | 189 / 53 | $48.001,30 | 2517 / 135 | $5.718,35 | 467 / 57 | $4.866,75 | 467 / 55 |
Heart Failure & Shock W Mcc | 62 | 222 / 69 | $68.754,70 | 2325 / 123 | $9.064,39 | 1058 / 87 | $8.366,97 | 1056 / 97 |
Heart Failure & Shock W/O Cc/Mcc | 28 | 82 / 41 | $33.054,20 | 1780 / 101 | $4.019,14 | 634 / 40 | $3.420,29 | 632 / 69 |
Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 44 | $95.437,40 | 1853 / 102 | $10.838,50 | 322 / 34 | $9.783,52 | 321 / 43 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 20 | $76.860,00 | 824 / 57 | $9.077,56 | 154 / 20 | $8.003,78 | 154 / 26 |
Hypertension W/O Mcc | 12 | 53 / 37 | $35.679,10 | 707 / 73 | $3.726,00 | 166 / 19 | $2.824,67 | 165 / 37 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 44 | $269.057,00 | 1454 / 94 | $35.836,10 | 329 / 88 | $28.186,40 | 329 / 43 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 88 | 94 / 12 | $66.997,00 | 1965 / 122 | $6.291,86 | 437 / 48 | $5.147,16 | 436 / 52 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 67 | 101 / 15 | $97.322,60 | 1493 / 97 | $10.194,80 | 286 / 53 | $8.752,39 | 285 / 33 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 41 | 61 / 18 | $43.630,00 | 1415 / 84 | $4.468,83 | 280 / 31 | $3.346,49 | 278 / 39 |
Kidney & Ureter Procedures For Neoplasm W Cc | 18 | 26 / 6 | $132.100,00 | 173 / 11 | $13.850,90 | 11 / 6 | $9.693,39 | 11 / 1 |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 60 | $50.226,50 | 1688 / 102 | $6.235,50 | 257 / 35 | $5.356,95 | 257 / 31 |
Kidney & Urinary Tract Infections W/O Mcc | 68 | 165 / 68 | $48.763,10 | 2631 / 160 | $4.485,75 | 427 / 45 | $3.562,46 | 427 / 47 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 23 | 33 / 19 | $100.975,00 | 809 / 63 | $9.602,74 | 210 / 31 | $8.331,87 | 210 / 35 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 17 | 23 / 10 | $117.578,00 | 396 / 28 | $14.027,80 | 40 / 7 | $12.212,70 | 40 / 5 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 17 | 30 / 17 | $66.792,10 | 512 / 40 | $8.100,06 | 35 / 37 | $5.153,65 | 35 / 5 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 21 | $113.764,00 | 605 / 54 | $11.516,90 | 181 / 24 | $10.399,30 | 181 / 29 |
Major Cardiovasc Procedures W/O Mcc | 22 | 79 / 32 | $174.570,00 | 940 / 68 | $19.625,80 | 324 / 27 | $18.745,70 | 324 / 48 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 25 | 48 / 23 | $63.300,30 | 1033 / 89 | $6.999,88 | 334 / 49 | $6.226,76 | 333 / 50 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 17 | 12 / 6 | $44.406,00 | 119 / 23 | $7.255,18 | 9 / 23 | $3.592,24 | 9 / 5 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 61 | 35 / 6 | $94.609,50 | 733 / 35 | $12.865,20 | 175 / 27 | $10.944,70 | 173 / 19 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 26 | $186.752,00 | 888 / 65 | $22.502,40 | 527 / 61 | $19.598,20 | 524 / 59 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 530 | 111 / 10 | $99.135,40 | 2467 / 121 | $12.101,10 | 525 / 37 | $10.352,50 | 521 / 52 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 44 | 25 / 4 | $114.053,00 | 437 / 33 | $14.525,50 | 127 / 13 | $13.341,50 | 127 / 25 |
Major Male Pelvic Procedures W/O Cc/Mcc | 27 | 46 / 4 | $95.104,50 | 352 / 10 | $9.445,48 | 100 / 6 | $6.019,30 | 100 / 6 |
Major Small & Large Bowel Procedures W Cc | 42 | 66 / 18 | $142.512,00 | 1427 / 81 | $13.799,60 | 266 / 20 | $12.736,80 | 264 / 42 |
Major Small & Large Bowel Procedures W Mcc | 33 | 52 / 15 | $251.039,00 | 1171 / 74 | $28.715,60 | 332 / 34 | $27.874,90 | 330 / 47 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 20 | 44 / 13 | $112.728,00 | 738 / 51 | $9.117,40 | 182 / 12 | $7.967,00 | 182 / 25 |
Medical Back Problems W/O Mcc | 25 | 96 / 47 | $44.981,30 | 1342 / 113 | $4.817,04 | 219 / 32 | $3.802,00 | 219 / 36 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 44 | $91.646,90 | 1723 / 115 | $6.815,21 | 35 / 52 | $4.908,93 | 35 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 60 | $39.213,20 | 2357 / 133 | $4.370,42 | 179 / 68 | $2.973,70 | 179 / 29 |
O.R. Procedures For Obesity W Cc | 12 | 22 / 4 | $80.255,70 | 101 / 5 | $10.936,80 | 30 / 2 | $9.931,42 | 30 / 4 |
O.R. Procedures For Obesity W/O Cc/Mcc | 47 | 30 / 3 | $72.615,40 | 362 / 16 | $8.963,25 | 87 / 7 | $7.779,94 | 87 / 10 |
Other Circulatory System Diagnoses W Cc | 13 | 53 / 23 | $39.729,60 | 540 / 39 | $5.524,23 | 160 / 19 | $4.963,00 | 159 / 24 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 44 | $84.379,20 | 1179 / 81 | $10.533,40 | 213 / 31 | $9.610,08 | 213 / 32 |
Other Digestive System Diagnoses W Cc | 31 | 66 / 27 | $56.122,00 | 1336 / 105 | $5.609,65 | 216 / 30 | $4.704,55 | 214 / 39 |
Other Digestive System Diagnoses W/O Cc/Mcc | 13 | 30 / 17 | $39.388,80 | 333 / 47 | $4.001,00 | 40 / 22 | $2.794,85 | 40 / 18 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 30 | $67.888,30 | 839 / 74 | $5.833,64 | 72 / 29 | $4.728,27 | 72 / 16 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 29 | $65.139,10 | 930 / 46 | $8.453,13 | 37 / 12 | $7.098,13 | 37 / 8 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 21 | $155.959,00 | 492 / 40 | $21.119,00 | 165 / 26 | $20.138,50 | 165 / 31 |
Other Respiratory System Diagnoses W/O Mcc | 11 | 35 / 14 | $45.898,10 | 295 / 29 | $4.590,82 | 41 / 7 | $3.819,91 | 41 / 10 |
Other Vascular Procedures W Cc | 23 | 79 / 26 | $127.904,00 | 1004 / 63 | $15.659,70 | 146 / 49 | $13.027,10 | 146 / 16 |
Other Vascular Procedures W Mcc | 14 | 83 / 35 | $87.065,80 | 464 / 24 | $17.521,40 | 60 / 13 | $16.485,90 | 60 / 11 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 33 | $154.399,00 | 848 / 56 | $17.857,30 | 143 / 17 | $16.732,70 | 143 / 27 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 50 | 146 / 42 | $107.738,00 | 1235 / 77 | $12.216,50 | 262 / 44 | $10.034,20 | 262 / 35 |
Peripheral Vascular Disorders W Cc | 29 | 55 / 24 | $55.147,70 | 1183 / 110 | $5.693,38 | 343 / 43 | $4.984,97 | 341 / 59 |
Peripheral Vascular Disorders W Mcc | 14 | 35 / 16 | $64.804,60 | 505 / 47 | $7.746,43 | 24 / 17 | $6.208,21 | 24 / 5 |
Peritoneal Adhesiolysis W Cc | 11 | 28 / 10 | $119.523,00 | 268 / 17 | $12.295,80 | 34 / 2 | $11.309,60 | 34 / 3 |
Permanent Cardiac Pacemaker Implant W Cc | 18 | 59 / 27 | $167.408,00 | 943 / 85 | $15.409,90 | 287 / 41 | $14.537,10 | 286 / 53 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 25 | $134.114,00 | 700 / 65 | $12.156,60 | 133 / 26 | $10.952,10 | 132 / 24 |
Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 24 | $90.929,90 | 938 / 71 | $9.326,73 | 432 / 45 | $8.283,53 | 431 / 53 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 24 | $33.664,20 | 796 / 64 | $3.819,00 | 104 / 20 | $2.912,33 | 104 / 19 |
Postoperative & Post-Traumatic Infections W Mcc | 12 | 31 / 8 | $75.937,70 | 182 / 16 | $9.670,75 | 18 / 2 | $9.366,75 | 18 / 4 |
Postoperative & Post-Traumatic Infections W/O Mcc | 15 | 39 / 17 | $43.928,70 | 388 / 35 | $5.570,73 | 66 / 19 | $4.922,20 | 66 / 22 |
Pulmonary Edema & Respiratory Failure | 16 | 187 / 58 | $56.360,80 | 1866 / 96 | $7.037,88 | 448 / 35 | $6.287,88 | 448 / 50 |
Pulmonary Embolism W/O Mcc | 19 | 55 / 24 | $43.654,30 | 1103 / 55 | $5.514,58 | 187 / 15 | $4.563,00 | 187 / 27 |
Red Blood Cell Disorders W/O Mcc | 48 | 95 / 36 | $42.180,30 | 1795 / 127 | $4.709,17 | 546 / 42 | $4.031,17 | 544 / 63 |
Renal Failure W Cc | 71 | 150 / 54 | $52.211,50 | 2287 / 143 | $5.692,15 | 334 / 61 | $4.572,32 | 332 / 43 |
Renal Failure W Mcc | 40 | 155 / 58 | $60.628,20 | 1768 / 102 | $8.606,67 | 251 / 42 | $7.627,67 | 251 / 37 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 33 | $50.136,90 | 1149 / 53 | $7.601,94 | 220 / 22 | $6.798,39 | 218 / 32 |
Respiratory Infections & Inflammations W Mcc | 20 | 116 / 45 | $92.638,00 | 1613 / 90 | $11.295,80 | 79 / 52 | $9.282,15 | 79 / 7 |
Respiratory Neoplasms W Cc | 11 | 36 / 17 | $56.695,50 | 428 / 37 | $6.750,45 | 69 / 17 | $5.874,82 | 68 / 21 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 46 | $110.920,00 | 1613 / 99 | $15.118,70 | 613 / 88 | $12.730,30 | 605 / 70 |
Revision Of Hip Or Knee Replacement W Cc | 18 | 68 / 23 | $132.469,00 | 578 / 42 | $18.501,20 | 160 / 12 | $17.564,30 | 160 / 19 |
Seizures W/O Mcc | 11 | 97 / 45 | $58.489,40 | 1278 / 106 | $4.489,91 | 178 / 25 | $3.509,55 | 177 / 34 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 74 | 442 / 98 | $92.104,10 | 2567 / 123 | $10.502,20 | 578 / 51 | $9.636,89 | 577 / 59 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 64 | 143 / 38 | $59.514,00 | 2406 / 119 | $6.135,52 | 506 / 39 | $5.211,02 | 504 / 61 |
Signs & Symptoms W/O Mcc | 15 | 76 / 36 | $39.918,50 | 1224 / 101 | $4.734,60 | 147 / 72 | $3.103,20 | 147 / 26 |
Simple Pneumonia & Pleurisy W Cc | 87 | 116 / 30 | $49.389,70 | 2545 / 122 | $5.671,48 | 566 / 49 | $4.700,08 | 563 / 67 |
Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 67 | $101.762,00 | 2465 / 152 | $8.246,71 | 463 / 49 | $7.273,29 | 463 / 54 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 30 | $38.704,50 | 1780 / 106 | $4.457,36 | 326 / 60 | $3.073,21 | 324 / 44 |
Spinal Fusion Except Cervical W/O Mcc | 92 | 102 / 16 | $110.074,00 | 834 / 27 | $22.322,20 | 154 / 21 | $19.467,10 | 153 / 22 |
Syncope & Collapse | 24 | 145 / 79 | $40.880,70 | 1711 / 112 | $4.467,83 | 252 / 58 | $3.268,04 | 250 / 42 |
Transient Ischemia | 21 | 104 / 62 | $41.624,40 | 1472 / 96 | $4.154,38 | 192 / 35 | $3.005,43 | 192 / 32 |
Transurethral Procedures W Cc | 12 | 29 / 16 | $82.716,00 | 367 / 39 | $7.281,00 | 65 / 14 | $6.273,00 | 65 / 18 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 14 | 52 / 25 | $58.807,70 | 463 / 41 | $6.415,21 | 87 / 16 | $5.553,50 | 87 / 22 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 11 | 43 / 23 | $50.856,50 | 378 / 33 | $4.798,64 | 101 / 16 | $3.704,82 | 101 / 17 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 13 | 33 / 18 | $46.841,60 | 361 / 43 | $4.115,92 | 51 / 14 | $2.902,38 | 51 / 17 | Total 118 procedures | 3.742 | 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.