Hospital Costs > In Texas > Providence Health 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 | 315 | 203 / 20 | $35.145,40 | 1063 / 44 | $10.407,70 | 264 / 22 | $9.082,24 | 264 / 15 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 227 | 337 / 31 | $45.152,80 | 1039 / 45 | $12.611,50 | 312 / 44 | $9.994,89 | 312 / 45 |
Pulmonary Edema & Respiratory Failure | 188 | 30 / 2 | $28.925,40 | 975 / 24 | $7.010,65 | 290 / 15 | $6.071,30 | 290 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 154 | 53 / 5 | $20.144,30 | 798 / 26 | $6.192,02 | 324 / 16 | $5.021,82 | 323 / 27 |
Heart Failure & Shock W Cc | 130 | 148 / 20 | $20.628,30 | 1249 / 40 | $5.621,75 | 305 / 21 | $4.690,53 | 305 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 126 | 57 / 9 | $25.272,00 | 812 / 13 | $6.296,81 | 353 / 28 | $5.043,66 | 352 / 28 |
Renal Failure W Cc | 118 | 103 / 16 | $18.661,50 | 846 / 19 | $5.645,79 | 320 / 27 | $4.558,77 | 318 / 25 |
Simple Pneumonia & Pleurisy W Cc | 110 | 93 / 13 | $21.320,70 | 1283 / 49 | $5.512,51 | 351 / 13 | $4.513,30 | 349 / 23 |
G.I. Hemorrhage W Cc | 96 | 122 / 16 | $19.711,80 | 726 / 12 | $5.676,50 | 230 / 15 | $4.609,58 | 230 / 18 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 94 | 181 / 33 | $17.278,00 | 1035 / 31 | $4.523,05 | 378 / 25 | $3.311,19 | 377 / 34 |
Transient Ischemia | 92 | 33 / 7 | $17.260,30 | 437 / 6 | $4.439,12 | 123 / 25 | $2.853,57 | 123 / 6 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 85 | 111 / 10 | $60.464,20 | 462 / 14 | $11.542,30 | 160 / 7 | $9.669,74 | 160 / 24 |
Kidney & Urinary Tract Infections W/O Mcc | 81 | 152 / 38 | $15.521,70 | 1012 / 39 | $4.508,44 | 307 / 24 | $3.446,36 | 307 / 26 |
Heart Failure & Shock W Mcc | 79 | 205 / 51 | $27.878,90 | 966 / 30 | $8.299,30 | 319 / 13 | $7.439,13 | 319 / 19 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 79 | 87 / 17 | $14.360,40 | 881 / 31 | $4.126,25 | 289 / 19 | $3.115,42 | 289 / 26 |
Renal Failure W Mcc | 76 | 119 / 30 | $29.798,40 | 750 / 29 | $8.506,91 | 325 / 12 | $7.780,75 | 325 / 30 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 73 | 88 / 14 | $15.621,90 | 583 / 7 | $4.561,79 | 249 / 13 | $3.552,86 | 249 / 21 |
Chest Pain | 66 | 85 / 12 | $17.307,30 | 715 / 17 | $3.659,12 | 189 / 10 | $2.535,68 | 188 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 63 | 39 / 8 | $18.988,10 | 508 / 5 | $4.635,62 | 153 / 18 | $3.113,90 | 151 / 10 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 63 | 87 / 11 | $12.237,80 | 623 / 8 | $3.380,90 | 363 / 13 | $2.321,00 | 360 / 29 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 62 | 64 / 20 | $17.990,00 | 306 / 5 | $6.244,92 | 231 / 13 | $5.589,60 | 229 / 29 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 60 | 71 / 15 | $47.746,80 | 560 / 13 | $12.542,90 | 249 / 12 | $11.735,90 | 247 / 20 |
Chronic Obstructive Pulmonary Disease W Cc | 58 | 121 / 23 | $22.933,40 | 1296 / 38 | $5.518,40 | 214 / 22 | $4.206,98 | 214 / 18 |
Cellulitis W/O Mcc | 58 | 131 / 33 | $15.939,20 | 990 / 32 | $4.838,03 | 454 / 24 | $3.836,38 | 451 / 34 |
Signs & Symptoms W/O Mcc | 57 | 34 / 4 | $18.252,20 | 557 / 11 | $4.173,23 | 115 / 10 | $3.027,37 | 115 / 6 |
Simple Pneumonia & Pleurisy W Mcc | 56 | 149 / 43 | $29.797,80 | 1021 / 36 | $7.928,11 | 316 / 10 | $7.056,70 | 316 / 22 |
Hip & Femur Procedures Except Major Joint W Cc | 56 | 87 / 23 | $39.724,70 | 628 / 10 | $10.583,20 | 208 / 6 | $9.503,88 | 207 / 14 |
Spinal Fusion Except Cervical W/O Mcc | 55 | 139 / 30 | $52.615,10 | 136 / 6 | $22.078,70 | 111 / 9 | $19.058,80 | 110 / 17 |
Chronic Obstructive Pulmonary Disease W Mcc | 52 | 150 / 42 | $24.094,80 | 1059 / 38 | $6.580,73 | 292 / 15 | $5.559,67 | 291 / 20 |
Syncope & Collapse | 49 | 120 / 23 | $16.507,90 | 529 / 3 | $4.271,22 | 275 / 11 | $3.304,71 | 273 / 17 |
Red Blood Cell Disorders W/O Mcc | 45 | 98 / 25 | $15.477,70 | 492 / 9 | $4.774,38 | 260 / 21 | $3.709,53 | 260 / 25 |
Heart Failure & Shock W/O Cc/Mcc | 44 | 66 / 13 | $17.134,00 | 1071 / 37 | $3.991,39 | 401 / 20 | $3.215,55 | 399 / 25 |
Other Vascular Procedures W Mcc | 43 | 54 / 14 | $44.236,10 | 56 / 1 | $16.933,00 | 33 / 2 | $16.120,70 | 33 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 43 | 80 / 22 | $22.996,40 | 522 / 7 | $6.818,60 | 172 / 12 | $5.791,67 | 172 / 9 |
Diabetes W Cc | 39 | 53 / 13 | $14.779,70 | 325 / 1 | $4.844,72 | 124 / 9 | $3.650,64 | 124 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 39 | 129 / 37 | $33.914,30 | 484 / 6 | $9.736,85 | 92 / 12 | $8.086,62 | 92 / 6 |
Renal Failure W/O Cc/Mcc | 39 | 17 / 2 | $12.686,30 | 258 / 6 | $3.774,13 | 59 / 9 | $2.531,44 | 58 / 2 |
Organic Disturbances & Mental Retardation | 38 | 21 / 1 | $17.008,40 | 128 / 2 | $5.557,05 | 20 / 1 | $4.359,29 | 20 / 1 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 38 | 150 / 36 | $20.731,00 | 126 / 1 | $6.191,71 | 150 / 10 | $4.871,89 | 150 / 16 |
Pulmonary Embolism W/O Mcc | 38 | 36 / 4 | $20.607,00 | 414 / 4 | $5.685,50 | 141 / 6 | $4.467,76 | 141 / 11 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 38 | 63 / 7 | $23.068,80 | 191 / 2 | $8.269,00 | 45 / 5 | $7.218,66 | 45 / 2 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 37 | 87 / 28 | $82.372,60 | 270 / 4 | $30.236,80 | 86 / 27 | $25.372,80 | 86 / 9 |
G.I. Obstruction W Cc | 36 | 56 / 17 | $21.915,40 | 795 / 18 | $5.345,22 | 172 / 18 | $4.008,25 | 171 / 12 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 35 | 85 / 21 | $15.629,20 | 860 / 18 | $4.185,43 | 245 / 12 | $3.081,60 | 245 / 14 |
Cervical Spinal Fusion W/O Cc/Mcc | 34 | 70 / 18 | $30.469,60 | 63 / 2 | $12.614,40 | 26 / 8 | $9.477,41 | 26 / 7 |
G.I. Hemorrhage W Mcc | 33 | 88 / 24 | $30.354,60 | 334 / 5 | $9.445,06 | 180 / 5 | $8.806,30 | 180 / 17 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 32 | 64 / 23 | $23.696,20 | 374 / 5 | $6.875,41 | 92 / 8 | $5.678,50 | 92 / 6 |
Other Circulatory System Diagnoses W Mcc | 31 | 85 / 27 | $20.515,10 | 56 / 2 | $10.016,50 | 137 / 4 | $9.315,74 | 137 / 8 |
Respiratory Infections & Inflammations W Cc | 31 | 57 / 15 | $27.837,90 | 599 / 20 | $7.578,16 | 269 / 8 | $6.900,29 | 267 / 20 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 30 | 31 / 5 | $14.704,50 | 286 / 2 | $3.956,63 | 65 / 2 | $2.766,40 | 65 / 2 |
Other Vascular Procedures W Cc | 30 | 72 / 24 | $49.287,40 | 195 / 8 | $15.802,90 | 60 / 38 | $12.414,70 | 60 / 7 |
Extracranial Procedures W/O Cc/Mcc | 29 | 69 / 20 | $21.347,50 | 180 / 6 | $5.942,69 | 182 / 7 | $4.923,31 | 182 / 15 |
Major Small & Large Bowel Procedures W Cc | 28 | 80 / 23 | $39.618,70 | 184 / 1 | $14.107,60 | 9 / 9 | $10.728,50 | 9 / 1 |
Hypertension W/O Mcc | 28 | 37 / 7 | $14.723,10 | 211 / 4 | $3.761,54 | 106 / 5 | $2.671,04 | 106 / 8 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 27 | 68 / 10 | $48.100,80 | 93 / 1 | $10.785,60 | 66 / 3 | $9.734,00 | 65 / 7 |
Red Blood Cell Disorders W Mcc | 26 | 45 / 13 | $29.614,90 | 447 / 21 | $7.690,15 | 50 / 20 | $5.851,85 | 50 / 5 |
Major Male Pelvic Procedures W/O Cc/Mcc | 25 | 48 / 7 | $19.203,00 | 16 / 2 | $7.324,84 | 72 / 3 | $5.771,72 | 72 / 6 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 25 | 39 / 10 | $22.509,40 | 40 / 1 | $8.796,64 | 74 / 2 | $7.361,68 | 74 / 6 |
Bronchitis & Asthma W Cc/Mcc | 25 | 51 / 18 | $23.380,00 | 517 / 16 | $5.457,28 | 92 / 16 | $3.781,16 | 92 / 9 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 29 | $16.185,80 | 847 / 29 | $4.152,68 | 459 / 18 | $3.201,92 | 457 / 37 |
Respiratory Infections & Inflammations W Mcc | 25 | 111 / 39 | $32.820,90 | 509 / 14 | $10.675,60 | 382 / 14 | $10.220,70 | 381 / 28 |
Other Digestive System Diagnoses W Cc | 24 | 73 / 20 | $21.512,40 | 484 / 8 | $5.541,54 | 290 / 10 | $4.844,46 | 287 / 23 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 24 | 101 / 38 | $28.791,00 | 398 / 5 | $9.496,67 | 338 / 11 | $8.637,62 | 338 / 16 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 24 | 64 / 14 | $68.237,30 | 61 / 2 | $19.931,10 | 121 / 2 | $19.066,80 | 120 / 11 |
Seizures W/O Mcc | 23 | 85 / 24 | $16.076,30 | 305 / 2 | $4.447,52 | 164 / 8 | $3.474,09 | 163 / 10 |
G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 15 | $12.651,20 | 337 / 6 | $3.656,43 | 252 / 10 | $2.632,48 | 252 / 20 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 22 | 48 / 13 | $17.574,60 | 133 / 5 | $5.288,50 | 58 / 3 | $4.491,00 | 58 / 7 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 21 | 26 / 6 | $21.667,40 | 49 / 1 | $7.586,19 | 17 / 20 | $4.953,38 | 17 / 2 |
Other Vascular Procedures W/O Cc/Mcc | 21 | 35 / 11 | $39.807,30 | 177 / 8 | $9.370,95 | 92 / 3 | $8.412,57 | 92 / 6 |
Diabetes W Mcc | 21 | 36 / 15 | $25.890,70 | 193 / 2 | $7.601,52 | 66 / 4 | $6.731,71 | 66 / 6 |
Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 55 | $20.859,30 | 626 / 12 | $6.311,62 | 202 / 19 | $5.259,05 | 202 / 13 |
Hip & Femur Procedures Except Major Joint W Mcc | 20 | 42 / 21 | $63.616,30 | 343 / 8 | $17.460,00 | 267 / 21 | $16.342,90 | 265 / 23 |
Other Circulatory System Diagnoses W Cc | 20 | 46 / 12 | $17.212,80 | 131 / 3 | $5.463,65 | 130 / 5 | $4.824,40 | 129 / 8 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 20 | 80 / 26 | $78.826,10 | 262 / 11 | $17.320,20 | 100 / 1 | $16.368,60 | 100 / 8 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 20 | 37 / 8 | $37.045,90 | 107 / 3 | $12.591,50 | 31 / 8 | $10.086,80 | 31 / 2 |
Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 24 | $81.671,00 | 208 / 4 | $25.859,20 | 95 / 5 | $24.900,80 | 95 / 10 |
Permanent Cardiac Pacemaker Implant W Cc | 19 | 58 / 20 | $62.855,10 | 386 / 19 | $15.175,70 | 63 / 8 | $13.039,90 | 63 / 6 |
Other Resp System O.R. Procedures W Mcc | 19 | 44 / 11 | $44.790,90 | 35 / 2 | $18.087,00 | 14 / 1 | $16.449,10 | 14 / 1 |
Peripheral Vascular Disorders W Cc | 19 | 65 / 23 | $16.571,80 | 245 / 4 | $5.331,26 | 185 / 4 | $4.599,47 | 185 / 13 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 18 | 50 / 11 | $13.088,60 | 67 / 1 | $5.076,89 | 134 / 2 | $4.373,89 | 134 / 8 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 18 | 45 / 17 | $78.892,10 | 94 / 2 | $24.253,10 | 35 / 3 | $23.035,50 | 35 / 3 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 17 | 27 / 8 | $42.883,20 | 31 / 1 | $15.353,90 | 12 / 3 | $13.028,40 | 12 / 2 |
Cellulitis W Mcc | 17 | 41 / 16 | $24.718,60 | 241 / 6 | $7.970,35 | 83 / 5 | $6.909,12 | 83 / 3 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 24 | $99.378,10 | 249 / 4 | $27.975,90 | 154 / 6 | $27.227,50 | 154 / 15 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 18 | $58.461,80 | 229 / 3 | $16.982,40 | 120 / 3 | $16.076,20 | 120 / 8 |
G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 15 | $15.357,70 | 352 / 7 | $4.113,65 | 77 / 6 | $2.868,94 | 77 / 6 |
Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 28 | $21.265,60 | 342 / 3 | $6.018,76 | 290 / 5 | $5.127,06 | 290 / 21 |
Other Resp System O.R. Procedures W Cc | 16 | 31 / 8 | $38.766,60 | 72 / 1 | $10.188,90 | 17 / 1 | $9.298,50 | 17 / 2 |
Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 15 | $20.210,60 | 305 / 2 | $5.287,31 | 173 / 4 | $4.417,19 | 173 / 11 |
Respiratory Signs & Symptoms | 16 | 30 / 6 | $18.027,30 | 90 / 3 | $4.031,75 | 29 / 1 | $3.027,56 | 29 / 2 |
Major Cardiovasc Procedures W/O Mcc | 16 | 85 / 33 | $91.383,80 | 506 / 22 | $21.343,00 | 34 / 35 | $16.013,20 | 34 / 4 |
Medical Back Problems W/O Mcc | 16 | 105 / 34 | $18.843,40 | 444 / 5 | $5.152,69 | 40 / 15 | $3.342,50 | 40 / 1 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 16 | 73 / 24 | $16.638,20 | 53 / 2 | $6.178,50 | 150 / 4 | $5.019,25 | 150 / 19 |
Angina Pectoris | 15 | 10 / 3 | $14.483,70 | 16 / 1 | $3.522,40 | 4 / 1 | $2.243,33 | 4 / 1 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 31 | $100.672,00 | 186 / 6 | $31.419,00 | 144 / 9 | $30.829,10 | 144 / 15 |
Other Circulatory System O.R. Procedures | 15 | 40 / 14 | $54.552,10 | 128 / 6 | $15.870,80 | 102 / 6 | $15.211,60 | 102 / 13 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 15 | 33 / 5 | $21.945,40 | 11 / 1 | $8.284,60 | 18 / 3 | $6.787,00 | 18 / 3 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 15 | 40 / 17 | $48.346,90 | 243 / 6 | $11.545,50 | 229 / 5 | $10.777,30 | 229 / 11 |
Coronary Bypass W Cardiac Cath W/O Mcc | 14 | 62 / 22 | $88.911,90 | 70 / 1 | $25.102,20 | 34 / 2 | $21.580,70 | 34 / 4 |
Signs & Symptoms W Mcc | 14 | 27 / 7 | $28.485,20 | 131 / 6 | $6.712,36 | 6 / 3 | $5.284,64 | 6 / 2 |
Peripheral Vascular Disorders W Mcc | 14 | 35 / 13 | $23.634,50 | 98 / 1 | $7.463,29 | 55 / 2 | $6.638,50 | 55 / 6 |
Permanent Cardiac Pacemaker Implant W Mcc | 14 | 38 / 14 | $70.429,70 | 142 / 5 | $19.173,00 | 36 / 2 | $18.336,10 | 36 / 3 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 20 | $31.273,10 | 216 / 4 | $10.030,80 | 30 / 34 | $7.261,23 | 30 / 4 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 24 | $43.105,00 | 212 / 2 | $11.519,00 | 119 / 3 | $10.614,90 | 116 / 10 |
Seizures W Mcc | 13 | 53 / 21 | $32.070,20 | 210 / 3 | $8.436,54 | 92 / 5 | $7.663,31 | 92 / 11 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 13 | 23 / 10 | $46.031,40 | 88 / 2 | $12.953,10 | 33 / 3 | $12.033,50 | 33 / 5 |
Dysequilibrium | 13 | 52 / 15 | $15.495,30 | 136 / 2 | $3.820,85 | 64 / 4 | $2.521,31 | 64 / 3 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 13 | 27 / 9 | $26.801,40 | 8 / 1 | $10.874,30 | 44 / 2 | $10.275,80 | 44 / 5 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 13 | 105 / 17 | $119.290,00 | 160 / 3 | $27.777,70 | 44 / 1 | $26.778,80 | 44 / 3 |
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 13 | 19 / 2 | $26.836,90 | 31 / 2 | $6.649,85 | 19 / 1 | $5.495,54 | 19 / 1 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 26 | $16.580,10 | 139 / 1 | $5.288,67 | 35 / 1 | $4.407,50 | 35 / 2 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 20 | $25.139,60 | 52 / 2 | $10.187,20 | 101 / 5 | $9.918,58 | 101 / 15 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 17 | $16.006,30 | 167 / 2 | $4.433,25 | 131 / 2 | $3.403,75 | 131 / 4 |
Major Chest Procedures W Cc | 11 | 63 / 16 | $59.982,50 | 192 / 1 | $21.811,30 | 22 / 20 | $11.913,00 | 22 / 1 |
Other Digestive System Diagnoses W Mcc | 11 | 51 / 19 | $21.935,00 | 59 / 1 | $9.146,27 | 37 / 2 | $8.230,55 | 37 / 2 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 18 | $22.050,40 | 104 / 2 | $6.108,82 | 24 / 3 | $4.955,55 | 24 / 3 |
Pulmonary Embolism W Mcc | 11 | 32 / 13 | $58.571,90 | 476 / 24 | $11.174,70 | 318 / 25 | $9.016,18 | 318 / 21 |
Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 13 | $14.043,10 | 113 / 1 | $3.827,55 | 92 / 4 | $2.918,45 | 92 / 8 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 27 | $28.646,70 | 321 / 11 | $7.762,82 | 131 / 3 | $6.953,18 | 131 / 8 | Total 119 procedures | 4.866 | 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.