Hospital Costs > In Kentucky > Pikeville 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 | 35 | 56 / 7 | $47.186,90 | 1143 / 29 | $9.266,97 | 987 / 27 | $6.660,00 | 985 / 25 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 38 | 87 / 12 | $66.532,40 | 1416 / 32 | $12.969,40 | 1346 / 31 | $11.744,40 | 1336 / 31 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 22 | 31 / 6 | $36.687,50 | 684 / 19 | $5.624,73 | 609 / 14 | $4.717,36 | 605 / 19 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 24 | 6 / 1 | $93.127,80 | 176 / 5 | $15.806,30 | 168 / 5 | $14.801,80 | 167 / 5 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 21 | 68 / 6 | $34.751,10 | 383 / 9 | $8.366,71 | 503 / 12 | $6.566,95 | 502 / 12 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 9 | $30.344,30 | 717 / 14 | $6.475,73 | 685 / 12 | $5.371,36 | 681 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 49 | 112 / 11 | $29.985,50 | 1628 / 40 | $5.888,41 | 1414 / 35 | $4.830,80 | 1409 / 35 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 42 | 81 / 11 | $41.827,00 | 1371 / 31 | $9.400,74 | 1448 / 34 | $8.490,31 | 1445 / 34 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 91 | 60 / 4 | $21.656,80 | 1487 / 41 | $4.481,30 | 1206 / 38 | $3.029,25 | 1201 / 35 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 12 | 38 / 6 | $288.098,00 | 237 / 7 | $43.135,90 | 193 / 5 | $42.424,20 | 193 / 7 |
| Cellulitis W/O Mcc | 45 | 144 / 14 | $32.379,30 | 2214 / 56 | $6.496,40 | 1636 / 52 | $4.885,56 | 1629 / 50 |
| Cervical Spinal Fusion W/O Cc/Mcc | 28 | 76 / 5 | $50.597,40 | 345 / 9 | $17.136,50 | 645 / 15 | $14.142,70 | 642 / 16 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 162 | 2 / 1 | $40.436,00 | 256 / 6 | $9.247,38 | 177 / 7 | $7.350,30 | 177 / 5 |
| Chest Pain | 93 | 58 / 2 | $28.141,40 | 1325 / 38 | $4.478,53 | 968 / 29 | $3.500,33 | 962 / 33 |
| Chronic Obstructive Pulmonary Disease W Cc | 63 | 116 / 14 | $36.855,50 | 1985 / 57 | $7.088,59 | 1679 / 54 | $5.836,73 | 1672 / 54 |
| Chronic Obstructive Pulmonary Disease W Mcc | 97 | 105 / 11 | $47.019,90 | 2116 / 59 | $9.898,89 | 1981 / 58 | $7.919,34 | 1973 / 58 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 58 | 62 / 11 | $25.524,60 | 1561 / 55 | $5.614,69 | 1354 / 52 | $4.168,21 | 1343 / 50 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 79 | 109 / 7 | $51.073,40 | 1233 / 29 | $8.337,87 | 1095 / 28 | $6.680,01 | 1092 / 27 |
| Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 5 | $281.003,00 | 352 / 9 | $56.929,00 | 351 / 7 | $53.997,40 | 351 / 8 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 37 | 39 / 3 | $175.448,00 | 441 / 13 | $37.148,60 | 513 / 13 | $33.247,00 | 513 / 13 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 14 | 74 / 12 | $131.517,00 | 414 / 13 | $27.936,00 | 486 / 11 | $26.918,40 | 485 / 13 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 9 | $28.930,00 | 446 / 7 | $6.527,27 | 403 / 5 | $5.452,00 | 403 / 6 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 13 | 85 / 8 | $108.247,00 | 227 / 5 | $32.742,30 | 286 / 10 | $29.271,50 | 286 / 9 |
| Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 10 | $33.584,80 | 576 / 13 | $9.048,85 | 411 / 13 | $5.710,77 | 411 / 11 |
| Diabetes W Cc | 30 | 62 / 9 | $32.376,80 | 1244 / 30 | $6.157,33 | 1055 / 25 | $5.282,70 | 1051 / 27 |
| Diabetes W Mcc | 16 | 41 / 5 | $77.960,20 | 699 / 16 | $12.503,70 | 590 / 15 | $10.491,10 | 589 / 15 |
| Diabetes W/O Cc/Mcc | 13 | 25 / 5 | $28.831,50 | 250 / 8 | $5.887,46 | 136 / 8 | $3.395,77 | 136 / 6 |
| Digestive Malignancy W Cc | 13 | 34 / 5 | $39.739,90 | 238 / 7 | $9.353,92 | 247 / 6 | $8.364,38 | 245 / 6 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 6 | $30.458,20 | 369 / 7 | $7.075,08 | 257 / 5 | $5.724,50 | 257 / 6 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 22 | 54 / 3 | $90.249,50 | 478 / 11 | $15.209,20 | 357 / 8 | $13.134,60 | 357 / 8 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 10 | $36.594,80 | 745 / 20 | $6.842,75 | 614 / 16 | $5.703,25 | 611 / 17 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 19 | 19 / 6 | $25.321,60 | 332 / 14 | $4.813,84 | 287 / 9 | $3.788,84 | 286 / 10 |
| Disorders Of The Biliary Tract W Cc | 15 | 39 / 4 | $42.323,70 | 343 / 7 | $7.821,27 | 298 / 5 | $6.948,87 | 298 / 6 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 15 | 66 / 6 | $523.719,00 | 284 / 7 | $136.763,00 | 322 / 7 | $134.236,00 | 321 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 26 | 70 / 9 | $48.466,60 | 1129 / 24 | $8.986,54 | 924 / 24 | $7.857,12 | 919 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 100 | 175 / 10 | $28.017,20 | 2067 / 55 | $5.808,88 | 1755 / 51 | $4.409,50 | 1742 / 51 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 9 | $168.104,00 | 541 / 13 | $39.873,20 | 528 / 10 | $34.226,50 | 528 / 9 |
| Extracranial Procedures W/O Cc/Mcc | 28 | 70 / 9 | $43.926,60 | 696 / 16 | $9.246,00 | 592 / 17 | $6.080,07 | 590 / 15 |
| G.I. Hemorrhage W Cc | 70 | 148 / 11 | $36.344,10 | 1832 / 49 | $7.582,50 | 1744 / 47 | $6.468,43 | 1740 / 49 |
| G.I. Hemorrhage W Mcc | 32 | 89 / 11 | $76.476,60 | 1408 / 25 | $14.022,20 | 1333 / 24 | $13.092,40 | 1323 / 24 |
| G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 9 | $22.101,00 | 632 / 16 | $5.175,50 | 637 / 13 | $4.159,62 | 633 / 13 |
| G.I. Obstruction W Cc | 31 | 61 / 8 | $27.611,10 | 1112 / 34 | $6.601,32 | 1248 / 30 | $5.705,06 | 1244 / 32 |
| G.I. Obstruction W/O Cc/Mcc | 32 | 39 / 3 | $27.147,30 | 1064 / 22 | $4.569,91 | 789 / 15 | $3.421,34 | 786 / 18 |
| Heart Failure & Shock W Cc | 100 | 178 / 9 | $43.183,60 | 2413 / 55 | $7.440,50 | 2061 / 53 | $6.644,72 | 2056 / 55 |
| Heart Failure & Shock W Mcc | 80 | 204 / 19 | $70.627,90 | 2357 / 55 | $12.636,20 | 2180 / 55 | $11.154,20 | 2170 / 55 |
| Heart Failure & Shock W/O Cc/Mcc | 54 | 56 / 5 | $30.823,90 | 1725 / 45 | $5.349,17 | 1422 / 41 | $4.275,89 | 1411 / 42 |
| Hip & Femur Procedures Except Major Joint W Cc | 45 | 98 / 9 | $65.190,80 | 1466 / 34 | $14.561,30 | 1601 / 34 | $13.342,00 | 1582 / 35 |
| Hip & Femur Procedures Except Major Joint W Mcc | 23 | 39 / 6 | $114.600,00 | 768 / 16 | $25.381,90 | 774 / 15 | $21.745,30 | 771 / 16 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 21 | 35 / 4 | $49.969,70 | 576 / 13 | $12.965,50 | 629 / 13 | $10.011,70 | 627 / 13 |
| Hypertension W/O Mcc | 16 | 49 / 8 | $24.472,90 | 520 / 17 | $4.621,06 | 443 / 13 | $3.558,44 | 441 / 14 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 13 | 23 / 3 | $69.542,50 | 214 / 3 | $18.348,00 | 278 / 3 | $17.466,90 | 277 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 55 | 69 / 5 | $195.780,00 | 1244 / 22 | $45.588,20 | 1252 / 20 | $40.200,60 | 1242 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 58 | 124 / 14 | $41.532,80 | 1560 / 32 | $8.095,40 | 1453 / 31 | $6.732,84 | 1450 / 30 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 48 | 120 / 11 | $69.711,90 | 1264 / 23 | $13.179,10 | 1013 / 21 | $11.109,40 | 1008 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 41 | 61 / 8 | $29.647,20 | 1090 / 21 | $5.666,34 | 1047 / 19 | $4.445,27 | 1043 / 20 |
| Kidney & Urinary Tract Infections W Mcc | 44 | 100 / 10 | $55.217,10 | 1750 / 38 | $9.256,59 | 1588 / 37 | $8.036,57 | 1584 / 37 |
| Kidney & Urinary Tract Infections W/O Mcc | 88 | 145 / 7 | $30.698,60 | 2248 / 59 | $6.220,57 | 1879 / 54 | $4.786,59 | 1868 / 55 |
| Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 11 | 18 / 1 | $19.514,30 | 78 / 1 | $4.965,91 | 70 / 1 | $4.080,45 | 70 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 7 | $65.526,80 | 404 / 10 | $14.742,60 | 499 / 7 | $13.841,40 | 495 / 9 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 15 | 32 / 6 | $51.680,90 | 334 / 11 | $11.224,20 | 373 / 11 | $9.595,60 | 373 / 12 |
| Major Cardiovasc Procedures W Mcc | 19 | 49 / 7 | $216.202,00 | 539 / 12 | $40.899,20 | 491 / 9 | $39.762,70 | 490 / 11 |
| Major Cardiovasc Procedures W/O Mcc | 36 | 65 / 7 | $135.021,00 | 819 / 16 | $31.975,10 | 772 / 14 | $24.082,40 | 771 / 13 |
| Major Chest Procedures W Cc | 15 | 59 / 10 | $116.699,00 | 443 / 11 | $19.985,50 | 394 / 10 | $18.737,00 | 392 / 11 |
| Major Chest Procedures W Mcc | 14 | 35 / 5 | $144.247,00 | 203 / 6 | $41.673,20 | 161 / 8 | $31.191,40 | 161 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 10 | $45.673,90 | 907 / 18 | $8.790,62 | 854 / 17 | $8.130,62 | 852 / 17 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 8 | $51.311,10 | 389 / 7 | $8.882,73 | 294 / 4 | $8.025,36 | 294 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 15 | $127.164,00 | 771 / 21 | $25.478,80 | 798 / 20 | $24.309,10 | 795 / 20 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 282 | 285 / 8 | $68.373,70 | 1950 / 43 | $16.560,30 | 2075 / 45 | $13.919,50 | 2033 / 46 |
| Major Small & Large Bowel Procedures W Cc | 12 | 96 / 18 | $86.769,80 | 1076 / 28 | $19.002,70 | 1213 / 28 | $17.636,00 | 1199 / 29 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 13 | $188.675,00 | 1002 / 20 | $42.773,70 | 936 / 19 | $36.229,10 | 934 / 19 |
| Medical Back Problems W/O Mcc | 20 | 101 / 15 | $29.245,10 | 989 / 23 | $6.310,45 | 933 / 20 | $5.046,05 | 930 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 35 | 91 / 10 | $82.943,40 | 1707 / 30 | $9.985,11 | 1443 / 28 | $9.007,69 | 1440 / 28 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 45 | 121 / 12 | $28.498,90 | 2075 / 59 | $5.906,76 | 1540 / 57 | $4.118,44 | 1535 / 51 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 29 | 48 / 4 | $40.870,60 | 188 / 5 | $11.626,00 | 303 / 7 | $10.389,70 | 303 / 8 |
| Other Circulatory System Diagnoses W Cc | 21 | 45 / 4 | $39.742,70 | 541 / 12 | $7.143,76 | 400 / 9 | $6.066,29 | 399 / 11 |
| Other Circulatory System Diagnoses W Mcc | 39 | 77 / 5 | $91.512,90 | 1222 / 23 | $17.337,00 | 1045 / 21 | $13.898,90 | 1038 / 21 |
| Other Digestive System Diagnoses W Cc | 23 | 74 / 8 | $38.696,70 | 1106 / 25 | $7.245,87 | 981 / 20 | $6.414,30 | 977 / 23 |
| Other Digestive System Diagnoses W Mcc | 19 | 43 / 4 | $101.949,00 | 727 / 12 | $14.904,40 | 524 / 10 | $12.130,60 | 523 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 13 | $64.762,60 | 925 / 17 | $11.757,20 | 831 / 15 | $11.119,30 | 828 / 15 |
| Other Resp System O.R. Procedures W Cc | 14 | 33 / 5 | $69.902,10 | 251 / 10 | $14.678,30 | 238 / 8 | $13.717,60 | 238 / 8 |
| Other Resp System O.R. Procedures W Mcc | 27 | 36 / 4 | $142.408,00 | 468 / 12 | $27.471,90 | 431 / 10 | $25.785,60 | 430 / 10 |
| Other Vascular Procedures W Cc | 29 | 73 / 10 | $101.752,00 | 857 / 18 | $18.596,20 | 822 / 14 | $17.592,30 | 817 / 16 |
| Other Vascular Procedures W Mcc | 18 | 79 / 9 | $100.104,00 | 601 / 12 | $23.283,90 | 621 / 10 | $22.354,90 | 618 / 10 |
| Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 10 | $66.759,70 | 422 / 10 | $16.589,40 | 348 / 11 | $10.527,20 | 347 / 10 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 31 | 69 / 7 | $125.434,00 | 702 / 20 | $24.144,20 | 664 / 18 | $21.486,80 | 660 / 17 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 81 | 115 / 8 | $97.859,80 | 1137 / 25 | $15.057,50 | 1182 / 21 | $13.866,30 | 1175 / 23 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 12 | 57 / 8 | $98.890,20 | 486 / 9 | $13.475,50 | 433 / 9 | $12.147,70 | 431 / 9 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 23 | 72 / 7 | $84.191,00 | 369 / 9 | $14.619,80 | 423 / 8 | $13.400,70 | 419 / 8 |
| Peripheral Vascular Disorders W Cc | 18 | 66 / 10 | $29.757,00 | 798 / 20 | $7.204,11 | 831 / 19 | $6.320,39 | 828 / 19 |
| Permanent Cardiac Pacemaker Implant W Cc | 20 | 57 / 6 | $131.850,00 | 899 / 14 | $19.741,20 | 753 / 13 | $18.651,30 | 750 / 13 |
| Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 9 | $218.428,00 | 585 / 11 | $31.528,70 | 538 / 9 | $30.756,50 | 538 / 9 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 20 | 37 / 6 | $93.085,80 | 633 / 12 | $15.919,80 | 565 / 12 | $14.788,50 | 564 / 12 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 34 | 38 / 3 | $73.166,90 | 876 / 19 | $12.710,90 | 833 / 18 | $11.493,60 | 830 / 18 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 6 | $27.194,60 | 712 / 16 | $4.930,82 | 499 / 12 | $3.879,47 | 498 / 12 |
| Pulmonary Edema & Respiratory Failure | 77 | 126 / 17 | $52.256,50 | 1794 / 52 | $10.304,60 | 1520 / 50 | $7.884,19 | 1515 / 49 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 12 | $35.847,10 | 980 / 17 | $9.058,00 | 908 / 15 | $6.131,58 | 905 / 13 |
| Red Blood Cell Disorders W Mcc | 18 | 53 / 10 | $65.663,20 | 994 / 21 | $10.627,20 | 877 / 20 | $9.707,50 | 873 / 20 |
| Red Blood Cell Disorders W/O Mcc | 50 | 93 / 6 | $30.147,30 | 1508 / 44 | $5.959,40 | 1309 / 39 | $5.009,18 | 1300 / 40 |
| Renal Failure W Cc | 73 | 148 / 14 | $31.334,10 | 1766 / 46 | $7.224,60 | 1701 / 42 | $6.148,29 | 1692 / 44 |
| Renal Failure W Mcc | 42 | 153 / 20 | $62.042,40 | 1783 / 44 | $12.269,50 | 1725 / 43 | $11.297,30 | 1723 / 43 |
| Renal Failure W/O Cc/Mcc | 19 | 37 / 7 | $26.226,20 | 699 / 23 | $4.687,84 | 484 / 19 | $3.543,53 | 483 / 19 |
| Respiratory Infections & Inflammations W Cc | 24 | 64 / 9 | $50.066,20 | 1147 / 38 | $14.517,80 | 919 / 37 | $8.356,38 | 914 / 32 |
| Respiratory Infections & Inflammations W Mcc | 11 | 125 / 25 | $86.175,70 | 1554 / 38 | $14.836,90 | 1490 / 38 | $14.138,90 | 1474 / 38 |
| Respiratory Neoplasms W Cc | 14 | 33 / 6 | $41.018,60 | 333 / 10 | $8.795,21 | 288 / 9 | $7.454,93 | 287 / 9 |
| Respiratory Neoplasms W Mcc | 15 | 37 / 8 | $95.666,10 | 584 / 18 | $13.947,60 | 536 / 16 | $13.185,50 | 533 / 17 |
| Respiratory Signs & Symptoms | 14 | 32 / 2 | $32.703,90 | 251 / 4 | $5.084,57 | 155 / 1 | $4.109,57 | 155 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 75 | 56 / 8 | $92.504,50 | 1432 / 42 | $17.515,50 | 1399 / 41 | $16.498,90 | 1385 / 41 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 15 | $229.707,00 | 825 / 22 | $86.136,00 | 310 / 22 | $29.329,40 | 310 / 14 |
| Seizures W Mcc | 24 | 42 / 3 | $80.262,80 | 682 / 14 | $11.951,20 | 530 / 11 | $10.936,30 | 530 / 12 |
| Seizures W/O Mcc | 20 | 88 / 16 | $31.344,20 | 991 / 22 | $5.657,30 | 685 / 17 | $4.468,30 | 682 / 18 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 33 | 59 / 4 | $273.285,00 | 950 / 19 | $50.470,50 | 771 / 16 | $42.580,50 | 770 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 375 | 153 / 3 | $74.082,10 | 2343 / 57 | $15.202,90 | 2199 / 57 | $13.149,20 | 2160 / 57 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 100 | 107 / 3 | $39.973,90 | 2033 / 47 | $8.280,20 | 1882 / 47 | $7.004,93 | 1874 / 47 |
| Signs & Symptoms W Mcc | 13 | 28 / 5 | $40.606,40 | 201 / 5 | $8.403,00 | 163 / 3 | $7.762,54 | 163 / 4 |
| Signs & Symptoms W/O Mcc | 29 | 62 / 6 | $37.698,00 | 1178 / 25 | $5.200,90 | 763 / 21 | $4.180,97 | 760 / 21 |
| Simple Pneumonia & Pleurisy W Cc | 85 | 118 / 10 | $39.933,30 | 2323 / 63 | $7.749,81 | 1928 / 63 | $6.045,52 | 1920 / 61 |
| Simple Pneumonia & Pleurisy W Mcc | 57 | 148 / 22 | $47.443,50 | 1831 / 52 | $10.799,30 | 1908 / 52 | $9.718,86 | 1908 / 53 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 46 | 47 / 5 | $32.279,40 | 1676 / 55 | $6.269,52 | 1200 / 54 | $3.906,02 | 1194 / 49 |
| Syncope & Collapse | 44 | 125 / 12 | $28.592,60 | 1377 / 36 | $5.410,68 | 1141 / 31 | $4.286,80 | 1134 / 33 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 27 | 37 / 5 | $300.015,00 | 327 / 7 | $80.491,40 | 410 / 8 | $79.089,40 | 409 / 8 |
| Transient Ischemia | 31 | 94 / 15 | $30.846,00 | 1206 / 31 | $5.175,10 | 1023 / 25 | $4.088,52 | 1018 / 28 | Total 121 procedures | 4.696 | 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.