Hospital Costs > In Illinois > Presence Resurrection Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 500 | 80 / 6 | $62.398,30 | 2143 / 88 | $13.179,50 | 1641 / 76 | $11.306,50 | 1609 / 65 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 200 | 364 / 36 | $62.928,00 | 1800 / 73 | $14.954,70 | 1708 / 57 | $12.581,30 | 1671 / 82 |
| Heart Failure & Shock W Mcc | 186 | 98 / 8 | $60.314,50 | 2201 / 110 | $11.551,00 | 1614 / 87 | $9.306,22 | 1609 / 75 |
| Heart Failure & Shock W Cc | 160 | 118 / 11 | $35.042,40 | 2180 / 103 | $6.937,79 | 1396 / 72 | $5.636,89 | 1391 / 64 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 136 | 71 / 3 | $43.828,20 | 2138 / 97 | $7.625,38 | 1452 / 69 | $6.184,54 | 1446 / 68 |
| Kidney & Urinary Tract Infections W/O Mcc | 113 | 120 / 17 | $26.922,30 | 2074 / 89 | $5.511,84 | 1069 / 68 | $4.005,84 | 1061 / 51 |
| G.I. Hemorrhage W Cc | 96 | 122 / 15 | $40.770,80 | 1973 / 102 | $7.399,78 | 1112 / 81 | $5.484,26 | 1110 / 56 |
| Simple Pneumonia & Pleurisy W Cc | 93 | 110 / 18 | $37.539,00 | 2266 / 102 | $7.381,44 | 1316 / 86 | $5.316,20 | 1311 / 59 |
| Renal Failure W Cc | 93 | 128 / 23 | $36.905,20 | 1955 / 94 | $7.271,54 | 1238 / 78 | $5.431,09 | 1230 / 58 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 87 | 95 / 14 | $44.243,70 | 1622 / 84 | $8.528,32 | 914 / 75 | $5.707,15 | 911 / 47 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 82 | 86 / 7 | $55.260,10 | 1050 / 53 | $12.024,10 | 877 / 50 | $10.531,80 | 875 / 53 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 80 | 44 / 2 | $152.595,00 | 1038 / 61 | $35.257,40 | 735 / 48 | $31.813,80 | 729 / 42 |
| Simple Pneumonia & Pleurisy W Mcc | 80 | 125 / 22 | $49.797,10 | 1913 / 85 | $12.524,50 | 1323 / 92 | $8.357,31 | 1323 / 58 |
| Cellulitis W/O Mcc | 79 | 110 / 25 | $25.594,00 | 1907 / 94 | $6.567,09 | 1112 / 82 | $4.360,39 | 1106 / 54 |
| Renal Failure W Mcc | 76 | 119 / 18 | $59.591,80 | 1755 / 93 | $11.324,50 | 1359 / 71 | $9.807,33 | 1359 / 70 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 76 | 47 / 7 | $45.445,10 | 1450 / 82 | $9.119,22 | 946 / 74 | $7.056,37 | 943 / 59 |
| Kidney & Urinary Tract Infections W Mcc | 75 | 69 / 8 | $29.864,40 | 1165 / 54 | $7.583,01 | 888 / 61 | $6.207,92 | 886 / 49 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 72 | 203 / 44 | $32.821,40 | 2272 / 106 | $6.601,62 | 1018 / 94 | $3.772,08 | 1010 / 44 |
| Hip & Femur Procedures Except Major Joint W Cc | 68 | 75 / 8 | $60.413,80 | 1363 / 63 | $13.269,20 | 1188 / 70 | $11.597,00 | 1174 / 66 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 67 | 58 / 7 | $65.949,20 | 1408 / 75 | $12.468,30 | 1156 / 64 | $10.859,50 | 1151 / 63 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 67 | 121 / 12 | $63.911,00 | 1439 / 83 | $8.993,25 | 833 / 56 | $5.978,42 | 831 / 51 |
| Heart Failure & Shock W/O Cc/Mcc | 67 | 43 / 4 | $32.576,70 | 1767 / 103 | $4.919,81 | 778 / 63 | $3.534,85 | 774 / 50 |
| Chronic Obstructive Pulmonary Disease W Mcc | 65 | 137 / 30 | $38.727,80 | 1879 / 83 | $9.174,60 | 1240 / 87 | $6.506,88 | 1234 / 53 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 62 | 39 / 3 | $55.185,90 | 837 / 49 | $10.740,00 | 559 / 40 | $9.369,94 | 557 / 38 |
| Major Small & Large Bowel Procedures W Cc | 62 | 46 / 5 | $102.402,00 | 1232 / 68 | $20.286,00 | 920 / 55 | $15.341,40 | 912 / 54 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 61 | 105 / 26 | $27.138,70 | 2008 / 96 | $4.929,85 | 1103 / 59 | $3.725,46 | 1100 / 55 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 59 | 91 / 10 | $25.236,80 | 1633 / 88 | $3.906,24 | 699 / 44 | $2.584,81 | 695 / 42 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 58 | 138 / 18 | $103.418,00 | 1197 / 72 | $19.123,80 | 846 / 64 | $11.833,80 | 840 / 50 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 57 | 104 / 21 | $31.782,90 | 1695 / 85 | $5.625,88 | 962 / 56 | $4.253,95 | 959 / 51 |
| Red Blood Cell Disorders W/O Mcc | 52 | 91 / 14 | $32.834,30 | 1602 / 97 | $5.730,02 | 883 / 59 | $4.394,69 | 878 / 53 |
| Chronic Obstructive Pulmonary Disease W Cc | 50 | 129 / 38 | $34.620,40 | 1897 / 92 | $7.009,06 | 1039 / 84 | $4.993,42 | 1036 / 48 |
| G.I. Hemorrhage W Mcc | 43 | 78 / 16 | $69.685,90 | 1338 / 76 | $12.765,80 | 963 / 60 | $11.077,70 | 957 / 60 |
| G.I. Obstruction W Cc | 42 | 50 / 11 | $32.756,90 | 1284 / 68 | $6.968,33 | 611 / 69 | $4.596,57 | 610 / 33 |
| Permanent Cardiac Pacemaker Implant W Cc | 41 | 36 / 3 | $78.037,70 | 601 / 31 | $18.104,80 | 574 / 35 | $16.492,80 | 573 / 38 |
| Pulmonary Edema & Respiratory Failure | 40 | 163 / 35 | $51.793,10 | 1787 / 86 | $8.677,08 | 1295 / 66 | $7.408,02 | 1292 / 60 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 39 | 63 / 13 | $32.511,50 | 1175 / 61 | $7.292,21 | 374 / 63 | $3.469,31 | 371 / 22 |
| Major Small & Large Bowel Procedures W Mcc | 39 | 46 / 8 | $155.700,00 | 837 / 38 | $35.085,60 | 579 / 31 | $30.413,40 | 577 / 27 |
| Other Vascular Procedures W Cc | 33 | 69 / 12 | $90.492,50 | 756 / 35 | $17.716,20 | 665 / 30 | $16.096,40 | 662 / 33 |
| Respiratory Infections & Inflammations W Mcc | 32 | 104 / 34 | $60.583,00 | 1273 / 59 | $13.530,40 | 968 / 66 | $11.613,10 | 958 / 49 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 32 | 61 / 10 | $82.017,30 | 674 / 45 | $14.811,70 | 551 / 36 | $13.310,80 | 545 / 40 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 27 | $40.827,80 | 1314 / 76 | $7.604,61 | 567 / 47 | $6.134,74 | 564 / 37 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 30 | 70 / 10 | $138.378,00 | 771 / 44 | $29.084,40 | 533 / 46 | $19.975,90 | 529 / 30 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 29 | 62 / 10 | $45.388,50 | 1119 / 54 | $7.243,83 | 684 / 37 | $5.827,14 | 682 / 35 |
| Permanent Cardiac Pacemaker Implant W Mcc | 29 | 23 / 3 | $108.810,00 | 378 / 19 | $25.245,90 | 341 / 20 | $23.320,30 | 341 / 23 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 29 | $97.388,40 | 1487 / 79 | $16.733,60 | 1126 / 63 | $14.710,80 | 1114 / 65 |
| Red Blood Cell Disorders W Mcc | 26 | 45 / 12 | $50.606,50 | 840 / 57 | $9.163,08 | 625 / 49 | $7.900,96 | 622 / 46 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 25 | 31 / 5 | $51.347,40 | 599 / 34 | $12.161,80 | 488 / 35 | $9.194,32 | 486 / 31 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 24 | $25.527,60 | 1480 / 77 | $5.527,12 | 590 / 70 | $3.306,32 | 588 / 33 |
| Seizures W/O Mcc | 25 | 83 / 20 | $25.669,00 | 795 / 46 | $5.191,16 | 474 / 29 | $4.007,56 | 472 / 38 |
| Hip & Femur Procedures Except Major Joint W Mcc | 25 | 37 / 8 | $107.062,00 | 734 / 40 | $20.948,80 | 557 / 35 | $18.924,00 | 554 / 30 |
| Peripheral Vascular Disorders W Cc | 24 | 60 / 21 | $30.533,70 | 824 / 56 | $6.683,88 | 592 / 44 | $5.545,62 | 590 / 45 |
| Other Vascular Procedures W Mcc | 24 | 73 / 14 | $104.329,00 | 631 / 34 | $22.612,60 | 537 / 25 | $21.043,00 | 534 / 28 |
| Other Circulatory System Diagnoses W Mcc | 24 | 92 / 22 | $54.504,80 | 841 / 44 | $13.061,80 | 752 / 39 | $11.863,40 | 749 / 45 |
| Medical Back Problems W/O Mcc | 24 | 97 / 34 | $28.667,00 | 964 / 53 | $6.810,25 | 545 / 57 | $4.293,50 | 543 / 33 |
| Seizures W Mcc | 23 | 43 / 9 | $43.214,30 | 397 / 16 | $9.816,48 | 202 / 13 | $8.400,74 | 202 / 10 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 23 | 13 / 2 | $93.436,10 | 283 / 14 | $20.470,00 | 189 / 13 | $15.032,00 | 189 / 9 |
| Fractures Of Hip & Pelvis W/O Mcc | 22 | 39 / 10 | $23.755,50 | 621 / 27 | $5.023,86 | 333 / 23 | $3.544,68 | 334 / 22 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 22 | 43 / 10 | $101.609,00 | 664 / 37 | $21.622,30 | 535 / 27 | $19.726,30 | 532 / 31 |
| Renal Failure W/O Cc/Mcc | 21 | 35 / 6 | $21.882,00 | 608 / 26 | $4.957,71 | 261 / 23 | $3.045,67 | 260 / 10 |
| Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 19 | $43.736,10 | 945 / 63 | $8.604,05 | 403 / 52 | $4.562,33 | 399 / 27 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 33 | $26.276,40 | 1587 / 85 | $6.150,05 | 363 / 74 | $3.200,10 | 362 / 17 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 20 | 72 / 14 | $206.058,00 | 766 / 42 | $42.136,90 | 629 / 31 | $39.345,60 | 628 / 38 |
| G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 17 | $21.791,20 | 901 / 48 | $4.368,95 | 487 / 32 | $2.949,45 | 486 / 30 |
| Spinal Fusion Except Cervical W/O Mcc | 20 | 174 / 33 | $132.051,00 | 1012 / 42 | $26.848,30 | 916 / 22 | $25.186,10 | 911 / 40 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 19 | 36 / 10 | $60.523,50 | 364 / 17 | $13.493,80 | 388 / 14 | $12.108,30 | 385 / 22 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 16 | $76.453,80 | 708 / 37 | $11.532,80 | 564 / 26 | $9.944,68 | 562 / 31 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 26 | $44.612,80 | 1198 / 76 | $6.898,16 | 627 / 48 | $5.445,11 | 624 / 45 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 19 | 69 / 11 | $152.601,00 | 476 / 22 | $25.828,00 | 418 / 13 | $24.270,40 | 417 / 22 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 19 | 38 / 8 | $60.235,20 | 398 / 14 | $14.544,80 | 438 / 21 | $13.077,10 | 437 / 24 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 19 | 47 / 9 | $41.628,00 | 360 / 21 | $7.752,21 | 200 / 17 | $6.208,42 | 200 / 16 |
| Transient Ischemia | 18 | 107 / 36 | $32.797,10 | 1273 / 75 | $6.320,83 | 569 / 69 | $3.438,61 | 566 / 37 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 18 | 85 / 17 | $30.288,40 | 528 / 31 | $6.861,33 | 328 / 29 | $5.608,11 | 328 / 25 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 6 | $47.188,10 | 780 / 15 | $5.245,67 | 310 / 11 | $3.806,67 | 307 / 11 |
| Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 21 | $29.871,50 | 496 / 29 | $6.763,41 | 298 / 26 | $5.272,71 | 298 / 21 |
| Coronary Bypass W Cardiac Cath W Mcc | 17 | 39 / 6 | $245.817,00 | 320 / 14 | $47.747,40 | 259 / 8 | $45.212,80 | 259 / 13 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 17 | 46 / 11 | $135.699,00 | 426 / 22 | $31.250,50 | 326 / 16 | $29.249,20 | 326 / 17 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 14 | $80.786,90 | 668 / 23 | $14.891,20 | 567 / 16 | $13.401,50 | 564 / 22 |
| Acute Myocardial Infarction, Expired W Mcc | 16 | 14 / 1 | $91.657,50 | 176 / 9 | $15.042,80 | 151 / 8 | $13.490,40 | 151 / 9 |
| Peripheral Vascular Disorders W Mcc | 16 | 33 / 13 | $51.025,40 | 437 / 31 | $9.816,56 | 292 / 24 | $8.396,62 | 292 / 24 |
| Major Cardiovasc Procedures W Mcc | 16 | 52 / 14 | $156.336,00 | 373 / 12 | $34.928,10 | 311 / 11 | $33.129,20 | 311 / 14 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 15 | 47 / 17 | $18.866,70 | 344 / 11 | $5.273,80 | 279 / 21 | $3.833,00 | 279 / 20 |
| Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 27 | $124.718,00 | 764 / 34 | $25.343,90 | 455 / 34 | $19.914,20 | 455 / 22 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 15 | 27 / 5 | $32.149,30 | 253 / 16 | $5.644,20 | 92 / 10 | $4.196,87 | 92 / 11 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 15 | 83 / 13 | $144.346,00 | 335 / 14 | $32.597,70 | 327 / 9 | $30.564,00 | 327 / 13 |
| G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 14 | $31.180,50 | 827 / 44 | $5.095,33 | 371 / 24 | $3.510,27 | 368 / 22 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 9 | $51.233,10 | 423 / 19 | $8.464,47 | 326 / 8 | $6.821,53 | 325 / 17 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 14 | 81 / 17 | $91.976,10 | 423 / 21 | $13.756,90 | 350 / 13 | $12.347,60 | 346 / 19 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 14 | 55 / 14 | $97.050,10 | 484 / 26 | $12.321,30 | 362 / 16 | $11.002,60 | 361 / 25 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 14 | 29 / 7 | $32.419,70 | 291 / 17 | $4.903,07 | 83 / 8 | $3.177,50 | 83 / 6 |
| Pleural Effusion W Cc | 14 | 14 / 5 | $43.598,60 | 95 / 8 | $7.599,14 | 47 / 4 | $6.569,57 | 47 / 5 |
| Diabetes W Cc | 14 | 78 / 26 | $34.768,70 | 1307 / 77 | $5.780,71 | 552 / 43 | $4.339,43 | 552 / 32 |
| Cellulitis W Mcc | 14 | 44 / 19 | $44.953,40 | 683 / 42 | $12.011,50 | 320 / 47 | $7.945,93 | 319 / 16 |
| Syncope & Collapse | 14 | 155 / 48 | $34.446,20 | 1568 / 93 | $5.126,79 | 749 / 47 | $3.800,21 | 746 / 46 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 17 | $58.319,30 | 485 / 34 | $13.096,80 | 291 / 28 | $11.192,50 | 290 / 26 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 13 | 68 / 13 | $407.133,00 | 183 / 10 | $95.962,60 | 101 / 3 | $92.750,00 | 101 / 4 |
| Other Resp System O.R. Procedures W Mcc | 13 | 50 / 13 | $121.313,00 | 424 / 22 | $24.767,10 | 297 / 17 | $22.490,00 | 296 / 16 |
| Peritoneal Adhesiolysis W Cc | 12 | 27 / 7 | $85.348,20 | 212 / 9 | $16.879,60 | 183 / 7 | $15.012,20 | 183 / 10 |
| Complications Of Treatment W Cc | 12 | 40 / 14 | $34.164,90 | 251 / 16 | $6.923,08 | 160 / 9 | $6.002,08 | 160 / 13 |
| Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 12 | 30 / 6 | $158.834,00 | 100 / 4 | $35.046,80 | 58 / 2 | $33.113,30 | 58 / 2 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 12 | 28 / 15 | $50.133,80 | 241 / 21 | $7.702,00 | 83 / 14 | $6.204,17 | 83 / 11 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 14 | $77.855,10 | 323 / 16 | $17.331,80 | 313 / 11 | $15.928,90 | 313 / 17 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 14 | $210.917,00 | 516 / 21 | $38.643,20 | 399 / 19 | $28.845,70 | 399 / 18 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 29 | $53.558,70 | 1191 / 65 | $10.911,70 | 1120 / 55 | $9.162,33 | 1115 / 58 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 19 | $46.626,10 | 843 / 46 | $9.346,58 | 244 / 38 | $4.600,42 | 243 / 15 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 28 | $20.969,80 | 699 / 28 | $4.824,91 | 633 / 30 | $3.916,73 | 632 / 35 |
| Hernia Procedures Except Inguinal & Femoral W Cc | 11 | 23 / 8 | $60.044,50 | 105 / 7 | $11.571,80 | 66 / 6 | $9.756,91 | 66 / 5 |
| Other Skin, Subcut Tiss & Breast Proc W Cc | 11 | 13 / 5 | $63.292,50 | 82 / 6 | $11.258,90 | 57 / 3 | $9.601,82 | 57 / 6 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 29 | $40.087,40 | 1057 / 52 | $8.503,00 | 267 / 52 | $4.731,73 | 267 / 18 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 11 | 34 / 10 | $106.330,00 | 179 / 9 | $19.799,20 | 139 / 8 | $18.522,30 | 138 / 9 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 11 | $100.752,00 | 353 / 21 | $18.945,60 | 362 / 19 | $17.254,50 | 361 / 23 |
| Otitis Media & Uri W/O Mcc | 11 | 33 / 7 | $25.627,10 | 152 / 11 | $4.596,27 | 41 / 4 | $3.135,00 | 41 / 5 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 13 | $69.193,30 | 257 / 16 | $12.964,80 | 160 / 12 | $11.151,50 | 161 / 11 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 21 | $59.444,90 | 550 / 29 | $11.514,70 | 298 / 19 | $10.085,10 | 298 / 18 | Total 113 procedures | 4.706 | 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.