Hospital Costs > In Illinois > Presence Saint Joseph 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 | 422 | 121 / 8 | $69.653,00 | 2275 / 97 | $11.770,80 | 1195 / 37 | $10.473,90 | 1176 / 40 |
Heart Failure & Shock W Mcc | 270 | 42 / 4 | $46.009,70 | 1876 / 80 | $9.014,90 | 1071 / 32 | $8.389,90 | 1068 / 44 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 260 | 305 / 27 | $61.324,50 | 1740 / 66 | $14.071,40 | 1206 / 40 | $11.399,80 | 1177 / 49 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 242 | 52 / 6 | $27.039,60 | 2007 / 88 | $5.048,40 | 1008 / 44 | $3.767,09 | 1000 / 43 |
Psychoses | 226 | 102 / 11 | $22.648,20 | 376 / 25 | $6.293,08 | 156 / 5 | $5.343,57 | 156 / 9 |
Cellulitis W/O Mcc | 200 | 20 / 3 | $26.960,50 | 1989 / 102 | $5.502,34 | 941 / 42 | $4.233,04 | 935 / 45 |
Renal Failure W Cc | 195 | 36 / 3 | $32.335,50 | 1808 / 87 | $6.062,30 | 1041 / 38 | $5.227,89 | 1033 / 48 |
Chronic Obstructive Pulmonary Disease W Cc | 181 | 21 / 1 | $31.759,10 | 1800 / 87 | $6.056,24 | 937 / 43 | $4.906,17 | 934 / 40 |
Renal Failure W Mcc | 179 | 31 / 2 | $48.717,10 | 1551 / 79 | $9.514,60 | 696 / 34 | $8.363,86 | 696 / 31 |
Heart Failure & Shock W Cc | 172 | 107 / 9 | $31.950,80 | 2055 / 95 | $6.377,54 | 1166 / 47 | $5.414,59 | 1163 / 51 |
Kidney & Urinary Tract Infections W/O Mcc | 164 | 71 / 5 | $27.365,00 | 2090 / 93 | $4.992,68 | 1076 / 43 | $4.010,58 | 1068 / 53 |
Chronic Obstructive Pulmonary Disease W Mcc | 146 | 57 / 4 | $38.305,50 | 1866 / 81 | $8.007,57 | 994 / 59 | $6.232,51 | 989 / 41 |
Kidney & Urinary Tract Infections W Mcc | 136 | 22 / 1 | $32.456,90 | 1265 / 62 | $6.796,23 | 726 / 29 | $5.988,23 | 725 / 35 |
Respiratory Infections & Inflammations W Mcc | 132 | 20 / 2 | $69.100,00 | 1397 / 71 | $11.849,60 | 653 / 30 | $10.825,00 | 645 / 23 |
G.I. Hemorrhage W Cc | 131 | 87 / 7 | $31.890,60 | 1655 / 74 | $6.518,06 | 979 / 45 | $5.342,86 | 977 / 45 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 124 | 59 / 5 | $47.863,20 | 1697 / 88 | $7.434,93 | 1051 / 56 | $5.911,39 | 1048 / 60 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 112 | 8 / 1 | $50.951,30 | 806 / 45 | $10.008,30 | 360 / 30 | $8.612,32 | 360 / 21 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 107 | 54 / 4 | $28.623,70 | 1573 / 71 | $5.511,31 | 906 / 52 | $4.203,63 | 903 / 46 |
Medical Back Problems W/O Mcc | 101 | 24 / 3 | $36.386,20 | 1182 / 73 | $5.958,32 | 559 / 42 | $4.322,70 | 557 / 34 |
Simple Pneumonia & Pleurisy W Mcc | 99 | 106 / 14 | $51.372,10 | 1946 / 88 | $9.220,40 | 1237 / 45 | $8.203,84 | 1237 / 55 |
Syncope & Collapse | 99 | 70 / 6 | $30.930,90 | 1469 / 86 | $5.312,58 | 664 / 54 | $3.706,18 | 661 / 39 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 96 | 73 / 5 | $74.439,20 | 1315 / 74 | $13.428,90 | 677 / 61 | $9.812,62 | 676 / 37 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 95 | 71 / 7 | $23.097,60 | 1782 / 78 | $4.523,78 | 921 / 31 | $3.593,02 | 918 / 41 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 91 | 33 / 5 | $45.869,00 | 1457 / 83 | $8.228,20 | 627 / 57 | $6.566,55 | 624 / 38 |
Hip & Femur Procedures Except Major Joint W Cc | 86 | 57 / 5 | $68.191,40 | 1510 / 80 | $12.366,90 | 810 / 48 | $10.630,80 | 801 / 41 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 86 | 110 / 8 | $75.515,40 | 785 / 34 | $14.382,90 | 603 / 40 | $10.957,00 | 599 / 32 |
Simple Pneumonia & Pleurisy W Cc | 83 | 120 / 24 | $31.702,30 | 2044 / 88 | $6.406,94 | 1029 / 47 | $5.100,88 | 1026 / 44 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 81 | 69 / 6 | $20.960,30 | 1448 / 70 | $4.909,25 | 656 / 73 | $2.560,21 | 652 / 38 |
Red Blood Cell Disorders W/O Mcc | 80 | 63 / 6 | $25.310,40 | 1270 / 70 | $5.065,09 | 905 / 28 | $4.414,29 | 900 / 55 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 79 | 41 / 2 | $24.079,00 | 1501 / 72 | $5.043,06 | 690 / 46 | $3.477,34 | 688 / 35 |
Other Circulatory System Diagnoses W Mcc | 75 | 41 / 4 | $56.855,30 | 879 / 49 | $11.070,80 | 209 / 12 | $9.598,44 | 209 / 6 |
Transient Ischemia | 71 | 54 / 2 | $32.274,10 | 1248 / 74 | $5.300,01 | 503 / 57 | $3.377,58 | 501 / 33 |
Peripheral Vascular Disorders W Cc | 68 | 17 / 2 | $28.710,60 | 769 / 50 | $5.935,09 | 463 / 22 | $5.230,38 | 461 / 34 |
Chest Pain | 67 | 84 / 8 | $26.877,90 | 1289 / 65 | $5.369,93 | 467 / 51 | $2.897,19 | 465 / 21 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 67 | 58 / 7 | $56.656,10 | 1265 / 64 | $10.504,60 | 783 / 28 | $9.676,37 | 782 / 39 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 67 | 140 / 22 | $38.119,30 | 1968 / 79 | $6.646,85 | 1157 / 32 | $5.818,69 | 1152 / 48 |
G.I. Hemorrhage W Mcc | 66 | 55 / 5 | $55.926,20 | 1129 / 57 | $10.486,80 | 630 / 22 | $10.009,70 | 631 / 34 |
Heart Failure & Shock W/O Cc/Mcc | 64 | 46 / 5 | $26.786,20 | 1619 / 94 | $4.335,19 | 741 / 31 | $3.504,69 | 737 / 46 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 62 | 64 / 7 | $34.183,20 | 1137 / 65 | $6.734,10 | 535 / 24 | $6.075,52 | 532 / 31 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 62 | 126 / 15 | $47.493,10 | 1135 / 55 | $7.330,52 | 662 / 31 | $5.678,24 | 660 / 41 |
Signs & Symptoms W/O Mcc | 60 | 32 / 4 | $23.813,40 | 846 / 45 | $4.648,40 | 406 / 24 | $3.533,92 | 405 / 20 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 58 | 73 / 6 | $94.365,20 | 1455 / 75 | $15.312,80 | 854 / 47 | $13.542,40 | 846 / 42 |
Spinal Fusion Except Cervical W/O Mcc | 56 | 138 / 14 | $152.517,00 | 1126 / 47 | $27.561,00 | 710 / 28 | $23.250,50 | 706 / 34 |
Other Disorders Of Nervous System W Cc | 54 | 8 / 1 | $31.492,70 | 397 / 20 | $5.514,80 | 182 / 8 | $4.765,17 | 182 / 12 |
Pulmonary Edema & Respiratory Failure | 54 | 149 / 24 | $45.727,70 | 1660 / 75 | $8.148,09 | 1070 / 45 | $7.044,15 | 1068 / 46 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 53 | 71 / 11 | $207.881,00 | 1292 / 77 | $37.273,10 | 1066 / 56 | $36.454,10 | 1059 / 67 |
Seizures W/O Mcc | 51 | 57 / 4 | $30.525,00 | 972 / 68 | $5.285,86 | 342 / 30 | $3.829,43 | 340 / 26 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 50 | 14 / 3 | $27.401,00 | 557 / 32 | $4.749,96 | 274 / 11 | $3.820,04 | 274 / 19 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 49 | 47 / 7 | $36.807,60 | 870 / 44 | $7.342,51 | 433 / 18 | $6.495,82 | 431 / 28 |
Bronchitis & Asthma W Cc/Mcc | 49 | 27 / 2 | $26.444,00 | 623 / 30 | $5.637,43 | 351 / 18 | $4.444,55 | 347 / 19 |
Degenerative Nervous System Disorders W/O Mcc | 46 | 32 / 5 | $30.871,70 | 519 / 34 | $6.013,17 | 282 / 11 | $5.225,00 | 282 / 20 |
Other Digestive System Diagnoses W Cc | 45 | 52 / 11 | $34.793,10 | 1016 / 60 | $6.032,16 | 596 / 20 | $5.389,31 | 593 / 42 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 43 | 59 / 10 | $34.920,90 | 1241 / 67 | $5.450,05 | 589 / 39 | $3.725,44 | 585 / 38 |
Other Kidney & Urinary Tract Diagnoses W Cc | 43 | 60 / 7 | $33.367,60 | 574 / 39 | $5.994,53 | 310 / 13 | $5.524,58 | 310 / 22 |
G.I. Obstruction W Cc | 42 | 50 / 11 | $35.779,30 | 1366 / 79 | $5.552,71 | 693 / 27 | $4.687,95 | 692 / 41 |
Major Cardiovasc Procedures W/O Mcc | 41 | 60 / 9 | $127.389,00 | 780 / 35 | $29.510,80 | 180 / 41 | $17.607,10 | 180 / 8 |
Diabetes W Cc | 41 | 51 / 5 | $29.362,20 | 1152 / 61 | $5.222,49 | 617 / 25 | $4.413,12 | 616 / 38 |
Red Blood Cell Disorders W Mcc | 40 | 31 / 3 | $36.540,70 | 615 / 38 | $7.734,45 | 305 / 20 | $6.834,58 | 305 / 18 |
Seizures W Mcc | 40 | 26 / 2 | $64.379,20 | 608 / 32 | $10.038,50 | 201 / 16 | $8.396,08 | 201 / 9 |
Dysequilibrium | 40 | 25 / 3 | $27.995,80 | 387 / 26 | $4.028,95 | 131 / 7 | $2.911,35 | 131 / 8 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 39 | 54 / 11 | $23.096,20 | 1363 / 66 | $5.481,69 | 361 / 69 | $3.099,85 | 359 / 20 |
Respiratory Infections & Inflammations W Cc | 39 | 49 / 7 | $43.564,70 | 1032 / 51 | $8.396,56 | 660 / 24 | $7.684,36 | 656 / 34 |
Peripheral Vascular Disorders W Mcc | 38 | 11 / 1 | $38.839,70 | 336 / 19 | $8.241,87 | 199 / 4 | $7.638,92 | 199 / 13 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 36 | 37 / 8 | $40.123,20 | 822 / 49 | $7.795,61 | 404 / 38 | $6.403,25 | 403 / 23 |
Tendonitis, Myositis & Bursitis W/O Mcc | 36 | 8 / 2 | $33.992,90 | 267 / 18 | $5.524,33 | 86 / 9 | $4.154,56 | 86 / 10 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 35 | 89 / 17 | $23.403,20 | 574 / 36 | $6.582,26 | 181 / 36 | $3.475,94 | 181 / 11 |
Other Vascular Procedures W Cc | 34 | 68 / 11 | $104.688,00 | 877 / 44 | $16.196,20 | 547 / 17 | $15.237,20 | 544 / 28 |
Organic Disturbances & Mental Retardation | 33 | 26 / 3 | $26.868,50 | 302 / 23 | $6.097,00 | 110 / 6 | $5.148,64 | 110 / 6 |
Other Vascular Procedures W Mcc | 32 | 65 / 9 | $94.691,30 | 540 / 26 | $18.793,90 | 164 / 5 | $17.624,90 | 164 / 5 |
Bronchitis & Asthma W/O Cc/Mcc | 32 | 13 / 2 | $18.058,50 | 178 / 9 | $5.724,47 | 59 / 10 | $2.681,81 | 59 / 3 |
Renal Failure W/O Cc/Mcc | 32 | 24 / 2 | $23.846,90 | 663 / 30 | $4.040,50 | 345 / 9 | $3.210,50 | 344 / 14 |
Hypertension W/O Mcc | 31 | 34 / 3 | $21.054,20 | 439 / 25 | $4.064,45 | 280 / 7 | $3.106,55 | 278 / 16 |
Fractures Of Hip & Pelvis W/O Mcc | 31 | 30 / 5 | $26.890,30 | 690 / 34 | $4.499,74 | 281 / 14 | $3.420,13 | 282 / 17 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 31 | 25 / 7 | $67.214,30 | 538 / 39 | $12.191,90 | 344 / 22 | $11.608,70 | 343 / 33 |
Extracranial Procedures W/O Cc/Mcc | 31 | 67 / 6 | $36.421,50 | 579 / 19 | $6.500,71 | 419 / 8 | $5.526,26 | 418 / 21 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 30 | 38 / 5 | $28.272,90 | 432 / 23 | $7.152,67 | 146 / 29 | $4.418,60 | 146 / 9 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 30 | 62 / 8 | $175.612,00 | 656 / 37 | $33.137,70 | 200 / 9 | $31.779,40 | 200 / 12 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 30 | 36 / 4 | $42.147,50 | 363 / 22 | $6.823,77 | 154 / 6 | $5.900,03 | 154 / 10 |
Other Disorders Of Nervous System W/O Cc/Mcc | 30 | 6 / 1 | $27.514,80 | 90 / 3 | $4.252,13 | 32 / 2 | $3.244,13 | 32 / 2 |
Cellulitis W Mcc | 29 | 29 / 5 | $46.998,10 | 703 / 44 | $8.976,28 | 423 / 18 | $8.395,90 | 421 / 29 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 29 | 36 / 5 | $87.379,50 | 554 / 24 | $17.303,30 | 130 / 4 | $16.223,10 | 130 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 29 | 71 / 11 | $111.089,00 | 597 / 25 | $21.580,50 | 329 / 18 | $18.167,50 | 327 / 13 |
Major Small & Large Bowel Procedures W Cc | 29 | 79 / 19 | $84.615,00 | 1053 / 47 | $17.103,70 | 447 / 33 | $13.405,60 | 444 / 18 |
Major Small & Large Bowel Procedures W Mcc | 29 | 56 / 14 | $182.994,00 | 987 / 57 | $33.310,00 | 720 / 24 | $32.510,50 | 718 / 35 |
Bone Diseases & Arthropathies W/O Mcc | 29 | 15 / 2 | $26.701,80 | 221 / 23 | $4.604,52 | 69 / 3 | $3.648,93 | 69 / 8 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 28 | 65 / 13 | $70.923,30 | 594 / 37 | $12.651,40 | 342 / 12 | $11.788,50 | 337 / 21 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 28 | 28 / 8 | $63.703,00 | 609 / 31 | $10.030,90 | 416 / 5 | $9.126,89 | 416 / 17 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 28 | 48 / 5 | $44.983,90 | 254 / 12 | $10.954,10 | 135 / 5 | $10.327,90 | 135 / 8 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 27 | 61 / 9 | $135.177,00 | 423 / 18 | $20.451,10 | 157 / 5 | $19.602,60 | 156 / 7 |
Acute Myocardial Infarction, Discharged Alive W Cc | 26 | 65 / 12 | $39.930,80 | 1035 / 47 | $6.560,65 | 613 / 21 | $5.681,88 | 612 / 27 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 26 | 44 / 4 | $34.943,30 | 429 / 19 | $5.815,77 | 164 / 3 | $5.130,85 | 164 / 9 |
Coronary Bypass W/O Cardiac Cath W Mcc | 25 | 34 / 2 | $163.323,00 | 137 / 7 | $34.782,80 | 11 / 4 | $27.172,20 | 11 / 1 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 25 | 22 / 4 | $24.339,80 | 225 / 17 | $4.494,76 | 105 / 5 | $3.769,00 | 105 / 10 |
Diabetes W Mcc | 24 | 33 / 2 | $47.665,20 | 532 / 29 | $11.891,30 | 231 / 33 | $7.721,54 | 231 / 11 |
Peripheral Vascular Disorders W/O Cc/Mcc | 24 | 21 / 4 | $19.764,40 | 215 / 12 | $4.231,29 | 98 / 2 | $3.220,62 | 98 / 5 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 24 | 39 / 7 | $165.982,00 | 534 / 32 | $29.335,90 | 266 / 9 | $28.313,90 | 266 / 10 |
Respiratory Neoplasms W Mcc | 24 | 28 / 8 | $73.381,70 | 520 / 37 | $10.525,80 | 234 / 11 | $9.720,46 | 234 / 18 |
Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 24 | 8 / 1 | $90.510,70 | 99 / 5 | $13.140,30 | 52 / 3 | $12.236,30 | 52 / 3 |
Hip & Femur Procedures Except Major Joint W Mcc | 23 | 39 / 10 | $98.490,40 | 684 / 34 | $17.862,30 | 353 / 16 | $16.970,50 | 350 / 18 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 23 | 28 / 4 | $72.967,20 | 248 / 17 | $13.063,80 | 151 / 13 | $12.144,20 | 151 / 13 |
Other Disorders Of Nervous System W Mcc | 22 | 18 / 3 | $41.682,30 | 160 / 4 | $9.345,18 | 83 / 3 | $8.687,73 | 83 / 4 |
Cervical Spinal Fusion W/O Cc/Mcc | 22 | 82 / 7 | $78.116,30 | 659 / 25 | $13.950,80 | 351 / 8 | $11.888,50 | 350 / 10 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 22 | 33 / 7 | $60.277,70 | 361 / 16 | $15.981,30 | 131 / 25 | $10.063,10 | 131 / 7 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 22 | 67 / 9 | $44.822,20 | 537 / 27 | $8.455,14 | 268 / 17 | $5.465,00 | 268 / 17 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 22 | 20 / 2 | $47.011,70 | 149 / 8 | $10.386,30 | 71 / 2 | $9.640,09 | 71 / 4 |
Complications Of Treatment W Cc | 22 | 30 / 6 | $28.071,50 | 195 / 9 | $6.967,82 | 87 / 10 | $5.331,64 | 87 / 7 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 22 | 49 / 7 | $168.575,00 | 644 / 32 | $29.145,10 | 211 / 4 | $28.057,40 | 211 / 9 |
Extracranial Procedures W Cc | 22 | 24 / 3 | $36.959,00 | 141 / 4 | $9.692,27 | 169 / 7 | $8.871,91 | 169 / 9 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 21 | 23 / 4 | $30.137,90 | 194 / 13 | $4.712,29 | 81 / 3 | $3.788,86 | 81 / 6 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 21 | 17 / 3 | $26.748,50 | 350 / 21 | $4.178,48 | 186 / 6 | $3.301,90 | 186 / 15 |
Permanent Cardiac Pacemaker Implant W Mcc | 21 | 31 / 5 | $118.829,00 | 415 / 22 | $23.256,80 | 54 / 14 | $18.777,60 | 54 / 3 |
Degenerative Nervous System Disorders W Mcc | 21 | 17 / 2 | $71.264,70 | 188 / 12 | $12.797,60 | 137 / 7 | $11.936,70 | 137 / 8 |
Transurethral Procedures W Cc | 21 | 20 / 3 | $46.204,40 | 259 / 20 | $7.802,48 | 120 / 6 | $6.763,24 | 120 / 11 |
Postoperative & Post-Traumatic Infections W/O Mcc | 20 | 34 / 5 | $39.577,10 | 369 / 18 | $6.080,00 | 144 / 2 | $5.595,20 | 144 / 8 |
Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 2 | $68.655,80 | 861 / 25 | $14.479,20 | 553 / 24 | $8.763,00 | 551 / 17 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 20 | 98 / 14 | $183.155,00 | 382 / 15 | $29.242,80 | 103 / 1 | $28.453,90 | 103 / 2 |
Disorders Of Pancreas Except Malignancy W Cc | 20 | 41 / 11 | $30.425,20 | 638 / 30 | $5.881,30 | 358 / 10 | $4.912,50 | 357 / 22 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 19 | 34 / 8 | $36.638,30 | 290 / 13 | $7.369,68 | 160 / 6 | $6.670,74 | 160 / 9 |
Medical Back Problems W Mcc | 19 | 20 / 4 | $44.979,50 | 182 / 11 | $11.786,50 | 48 / 13 | $8.159,47 | 48 / 3 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 19 | 62 / 9 | $430.958,00 | 215 / 11 | $84.183,40 | 53 / 2 | $83.294,20 | 53 / 2 |
Other Circulatory System O.R. Procedures | 19 | 36 / 4 | $72.296,30 | 231 / 12 | $16.240,40 | 99 / 3 | $15.157,00 | 99 / 3 |
Revision Of Hip Or Knee Replacement W Cc | 18 | 68 / 12 | $92.275,40 | 401 / 21 | $20.248,30 | 306 / 6 | $19.392,30 | 305 / 12 |
Other Digestive System Diagnoses W Mcc | 18 | 44 / 15 | $43.516,60 | 371 / 14 | $10.040,80 | 191 / 4 | $9.438,17 | 191 / 7 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 18 | 77 / 13 | $94.915,60 | 432 / 23 | $18.300,20 | 127 / 20 | $10.294,80 | 125 / 4 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 18 | 26 / 5 | $85.832,40 | 254 / 13 | $16.974,80 | 166 / 6 | $16.237,00 | 165 / 9 |
Disorders Of The Biliary Tract W Cc | 18 | 36 / 8 | $49.378,90 | 389 / 23 | $6.511,11 | 154 / 5 | $5.837,33 | 154 / 11 |
Respiratory Neoplasms W Cc | 18 | 29 / 9 | $46.039,20 | 372 / 26 | $7.237,17 | 168 / 7 | $6.502,94 | 167 / 14 |
Permanent Cardiac Pacemaker Implant W Cc | 18 | 59 / 16 | $85.088,90 | 664 / 36 | $15.534,60 | 341 / 10 | $14.793,30 | 340 / 18 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 17 | 19 / 6 | $82.037,60 | 249 / 11 | $14.407,90 | 123 / 4 | $13.630,50 | 123 / 5 |
Pulmonary Embolism W/O Mcc | 17 | 57 / 23 | $43.284,50 | 1097 / 58 | $6.109,18 | 587 / 15 | $5.324,24 | 584 / 35 |
Fever | 17 | 29 / 5 | $27.673,00 | 202 / 8 | $6.497,18 | 66 / 7 | $4.238,88 | 66 / 6 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 7 | $56.535,00 | 540 / 17 | $9.899,24 | 352 / 4 | $8.831,94 | 352 / 11 |
Otitis Media & Uri W/O Mcc | 15 | 29 / 5 | $20.865,80 | 105 / 6 | $4.175,20 | 40 / 1 | $3.134,13 | 40 / 4 |
Nonspecific Cerebrovascular Disorders W Mcc | 15 | 36 / 2 | $52.472,10 | 274 / 13 | $9.815,33 | 153 / 4 | $9.574,27 | 153 / 8 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 9 | $54.671,80 | 454 / 22 | $12.511,30 | 87 / 21 | $5.566,67 | 87 / 3 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 15 | 31 / 4 | $46.593,90 | 205 / 10 | $6.185,87 | 77 / 1 | $5.068,00 | 77 / 3 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 15 | 49 / 8 | $346.943,00 | 380 / 21 | $63.037,40 | 247 / 9 | $62.180,80 | 247 / 11 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 15 | 14 / 3 | $20.980,70 | 83 / 7 | $4.272,47 | 34 / 3 | $3.466,07 | 34 / 4 |
Other Kidney & Urinary Tract Procedures W Mcc | 15 | 23 / 4 | $65.818,00 | 68 / 4 | $18.512,10 | 52 / 2 | $17.951,00 | 52 / 3 |
Nervous System Neoplasms W Mcc | 15 | 33 / 8 | $51.899,30 | 224 / 16 | $7.418,27 | 41 / 3 | $6.695,07 | 41 / 4 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 15 | 51 / 12 | $73.507,50 | 424 / 23 | $11.374,10 | 203 / 5 | $10.247,70 | 202 / 14 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 15 | 19 / 3 | $124.176,00 | 118 / 2 | $29.350,50 | 94 / 2 | $28.379,90 | 94 / 2 |
G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 14 | $20.843,30 | 580 / 29 | $4.374,53 | 280 / 8 | $3.329,20 | 278 / 16 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 11 | $76.822,60 | 558 / 25 | $16.091,30 | 228 / 23 | $11.495,90 | 227 / 13 |
Other Resp System O.R. Procedures W Mcc | 15 | 48 / 11 | $113.718,00 | 398 / 20 | $24.202,70 | 340 / 14 | $23.477,30 | 339 / 20 |
Carotid Artery Stent Procedure W/O Cc/Mcc | 15 | 17 / 2 | $57.530,00 | 68 / 2 | $10.609,90 | 53 / 3 | $9.882,47 | 53 / 3 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 15 | 54 / 13 | $64.641,10 | 304 / 11 | $11.022,90 | 260 / 4 | $10.141,90 | 260 / 15 |
G.I. Obstruction W Mcc | 14 | 28 / 10 | $46.656,30 | 316 / 13 | $9.233,50 | 110 / 4 | $8.538,64 | 110 / 5 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 14 | 32 / 6 | $31.751,60 | 288 / 19 | $4.433,71 | 100 / 5 | $3.229,14 | 100 / 8 |
Aftercare, Musculoskeletal System & Connective Tissue W Cc | 14 | 4 / 2 | $36.851,90 | 16 / 4 | $6.205,29 | 7 / 1 | $5.862,43 | 7 / 3 |
Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 4 | $36.584,10 | 344 / 11 | $6.115,71 | 182 / 4 | $5.345,43 | 182 / 7 |
Endocrine Disorders W Cc | 14 | 24 / 8 | $36.636,10 | 222 / 15 | $5.948,14 | 45 / 3 | $5.171,00 | 45 / 5 |
Coronary Bypass W Cardiac Cath W Mcc | 14 | 42 / 8 | $232.224,00 | 295 / 12 | $39.064,40 | 93 / 2 | $38.115,90 | 93 / 4 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 13 | 29 / 5 | $232.880,00 | 149 / 9 | $36.591,40 | 76 / 4 | $35.847,80 | 76 / 5 |
Headaches W/O Mcc | 13 | 30 / 5 | $27.075,70 | 151 / 6 | $4.297,77 | 93 / 1 | $3.551,92 | 93 / 9 |
Biopsies Of Musculoskeletal System & Connective Tissue W Mcc | 13 | 4 / 1 | $104.597,00 | 6 / 1 | $18.768,10 | 2 / 1 | $18.022,20 | 2 / 1 |
Fractures Of Hip & Pelvis W Mcc | 13 | 8 / 1 | $35.858,00 | 43 / 4 | $7.748,23 | 16 / 3 | $6.916,23 | 16 / 3 |
Endocrine Disorders W Mcc | 13 | 13 / 4 | $56.862,90 | 86 / 4 | $9.578,08 | 21 / 3 | $8.743,62 | 21 / 2 |
Cranial & Peripheral Nerve Disorders W Mcc | 13 | 23 / 4 | $39.388,20 | 92 / 3 | $10.863,30 | 12 / 3 | $6.677,92 | 12 / 1 |
Signs & Symptoms W Mcc | 13 | 28 / 6 | $25.756,20 | 109 / 3 | $6.824,08 | 94 / 1 | $6.683,77 | 94 / 2 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 12 | 86 / 16 | $201.152,00 | 431 / 20 | $47.013,00 | 155 / 18 | $25.633,90 | 155 / 6 |
Stomach, Esophageal & Duodenal Proc W Mcc | 12 | 29 / 5 | $205.512,00 | 183 / 9 | $37.223,60 | 105 / 3 | $36.204,30 | 105 / 5 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 10 | $44.289,80 | 262 / 7 | $9.185,83 | 237 / 3 | $8.172,50 | 237 / 9 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 12 | 28 / 15 | $46.902,30 | 227 / 20 | $6.921,00 | 77 / 7 | $6.113,00 | 77 / 9 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 12 | 17 / 3 | $24.343,00 | 86 / 5 | $5.069,92 | 42 / 3 | $4.264,58 | 42 / 3 |
Acute Myocardial Infarction, Expired W Mcc | 12 | 18 / 4 | $54.498,20 | 124 / 7 | $10.230,80 | 45 / 3 | $9.422,83 | 45 / 3 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 12 | 42 / 11 | $28.556,80 | 270 / 16 | $4.698,50 | 98 / 7 | $3.695,83 | 98 / 15 |
Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 9 | $23.281,80 | 209 / 12 | $4.306,33 | 115 / 3 | $3.397,00 | 115 / 9 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 25 | $26.946,00 | 1057 / 61 | $3.946,33 | 568 / 16 | $3.045,00 | 567 / 35 |
Nonspecific Cerebrovascular Disorders W/O Cc/Mcc | 11 | 10 / 1 | $26.951,80 | 32 / 1 | $4.448,82 | 17 / 1 | $3.576,09 | 17 / 1 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 14 | $21.886,80 | 568 / 25 | $6.993,18 | 124 / 34 | $2.970,73 | 124 / 6 |
Peritoneal Adhesiolysis W Cc | 11 | 28 / 8 | $87.400,40 | 217 / 10 | $14.068,70 | 118 / 2 | $13.494,90 | 118 / 5 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 11 | 44 / 9 | $100.521,00 | 148 / 6 | $29.075,00 | 17 / 9 | $15.263,50 | 17 / 1 |
Major Cardiovasc Procedures W Mcc | 11 | 57 / 19 | $213.860,00 | 532 / 22 | $31.327,60 | 205 / 2 | $30.670,20 | 205 / 7 |
Coronary Bypass W Cardiac Cath W/O Mcc | 11 | 65 / 15 | $150.452,00 | 356 / 15 | $27.167,90 | 43 / 3 | $21.919,00 | 43 / 3 |
Connective Tissue Disorders W Cc | 11 | 13 / 3 | $33.002,80 | 19 / 1 | $12.211,10 | 2 / 2 | $5.755,55 | 2 / 1 |
Cervical Spinal Fusion W Cc | 11 | 42 / 10 | $106.211,00 | 292 / 10 | $17.423,70 | 169 / 2 | $16.603,40 | 168 / 3 |
Biopsies Of Musculoskeletal System & Connective Tissue W/O Cc/Mcc | 11 | 7 / 2 | $88.577,20 | 18 / 2 | $10.321,20 | 9 / 1 | $9.335,00 | 9 / 1 |
Other Skin, Subcut Tiss & Breast Proc W Cc | 11 | 13 / 5 | $45.385,70 | 54 / 5 | $9.363,18 | 42 / 2 | $8.813,36 | 42 / 3 | Total 179 procedures | 8.531 | 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.