Hospital Costs > In New Jersey > Robert Wood Johnson University Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 23 | 8 / 1 | $112.851,00 | 141 / 10 | $16.533,00 | 126 / 10 | $14.475,20 | 126 / 11 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc | 11 | 15 / 2 | $140.046,00 | 41 / 2 | $23.663,00 | 34 / 2 | $20.784,10 | 34 / 2 |
Acute Leukemia W/O Major O.R. Procedure W Mcc | 27 | 9 / 2 | $418.909,00 | 59 / 2 | $58.320,40 | 34 / 2 | $52.850,80 | 34 / 2 |
Acute Myocardial Infarction, Discharged Alive W Cc | 50 | 41 / 8 | $83.329,60 | 1404 / 45 | $10.162,80 | 1277 / 45 | $8.463,20 | 1275 / 45 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 54 | 71 / 18 | $145.201,00 | 1804 / 54 | $17.234,30 | 1664 / 55 | $14.836,50 | 1651 / 51 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 19 | 34 / 15 | $54.526,60 | 812 / 38 | $7.385,68 | 775 / 40 | $6.104,63 | 771 / 41 |
Acute Myocardial Infarction, Expired W Mcc | 20 | 10 / 3 | $217.896,00 | 201 / 15 | $23.859,10 | 193 / 15 | $21.381,70 | 193 / 15 |
Aicd Generator Procedures | 12 | 5 / 2 | $257.905,00 | 8 / 2 | $40.184,30 | 6 / 2 | $37.858,70 | 6 / 2 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 34 | 90 / 8 | $62.107,70 | 842 / 28 | $7.171,35 | 657 / 27 | $5.321,94 | 656 / 26 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 12 | 37 / 3 | $28.811,40 | 110 / 3 | $4.839,92 | 69 / 2 | $3.860,58 | 68 / 2 |
Atherosclerosis W/O Mcc | 15 | 43 / 16 | $63.619,30 | 547 / 35 | $6.868,13 | / 33 | $5.506,27 | / |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 29 | 37 / 3 | $115.554,00 | 547 / 12 | $17.124,20 | 495 / 12 | $14.842,30 | 491 / 14 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 27 | 62 / 7 | $57.073,30 | 642 / 16 | $10.045,90 | 678 / 18 | $8.353,59 | 677 / 19 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 15 | 48 / 8 | $132.455,00 | 207 / 13 | $29.335,20 | 217 / 12 | $27.422,40 | 216 / 13 |
Bone Diseases & Arthropathies W/O Mcc | 28 | 16 / 2 | $47.183,60 | 285 / 16 | $7.234,39 | 205 / 16 | $5.505,25 | 205 / 17 |
Bronchitis & Asthma W Cc/Mcc | 31 | 45 / 11 | $79.160,20 | 1080 / 41 | $8.726,77 | 935 / 35 | $6.897,74 | 931 / 37 |
Bronchitis & Asthma W/O Cc/Mcc | 19 | 26 / 6 | $60.098,10 | 383 / 25 | $6.723,84 | 311 / 23 | $4.941,95 | 311 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 118 | 45 / 7 | $61.714,80 | 2127 / 48 | $7.850,08 | 1905 / 49 | $6.284,69 | 1900 / 52 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 65 | 58 / 10 | $133.374,00 | 1916 / 57 | $14.355,20 | 1837 / 58 | $12.010,40 | 1834 / 58 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 105 | 46 / 6 | $44.457,50 | 1947 / 51 | $5.731,09 | 1753 / 48 | $4.301,83 | 1747 / 49 |
Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 20 | 9 / 3 | $328.687,00 | 74 / 6 | $60.009,10 | 62 / 6 | $57.259,90 | 62 / 6 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 35 | 15 / 3 | $233.930,00 | 226 / 6 | $45.909,60 | 208 / 9 | $44.381,00 | 208 / 11 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 34 | 16 / 2 | $287.413,00 | 115 / 6 | $53.018,10 | 102 / 6 | $49.771,00 | 102 / 7 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 37 | 33 / 4 | $448.021,00 | 260 / 8 | $82.036,70 | 237 / 8 | $77.503,40 | 237 / 9 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 73 | 48 / 6 | $218.108,00 | 440 / 7 | $43.618,30 | 456 / 9 | $41.479,80 | 456 / 12 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 59 | 57 / 4 | $318.245,00 | 399 / 9 | $65.614,10 | 388 / 11 | $62.452,60 | 388 / 12 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 12 | 30 / 5 | $164.882,00 | 93 / 4 | $38.314,50 | 105 / 4 | $36.567,80 | 105 / 5 |
Cellulitis W Mcc | 17 | 41 / 16 | $121.359,00 | 962 / 41 | $14.012,00 | 817 / 38 | $11.266,10 | 815 / 35 |
Cellulitis W/O Mcc | 98 | 91 / 24 | $72.027,60 | 2633 / 60 | $8.426,51 | 2282 / 49 | $6.459,73 | 2274 / 49 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 87 | 22 / 3 | $68.700,30 | 363 / 16 | $10.527,70 | 306 / 12 | $9.403,34 | 306 / 15 |
Chest Pain | 54 | 97 / 10 | $54.097,20 | 1693 / 48 | $6.224,37 | 1425 / 44 | $4.825,93 | 1417 / 43 |
Chronic Obstructive Pulmonary Disease W Cc | 71 | 108 / 21 | $80.838,70 | 2428 / 54 | $9.268,39 | 2142 / 50 | $7.320,85 | 2135 / 50 |
Chronic Obstructive Pulmonary Disease W Mcc | 71 | 131 / 23 | $114.491,00 | 2564 / 57 | $13.014,00 | 2441 / 57 | $10.718,50 | 2433 / 56 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 36 | 84 / 20 | $55.657,20 | 2075 / 48 | $7.207,17 | 1837 / 48 | $5.528,94 | 1826 / 48 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 47 | 46 / 7 | $192.785,00 | 913 / 39 | $24.326,00 | 872 / 41 | $21.423,90 | 864 / 41 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 151 | 45 / 3 | $88.930,40 | 1599 / 41 | $10.851,00 | 1488 / 43 | $9.052,66 | 1485 / 43 |
Cirrhosis & Alcoholic Hepatitis W Cc | 14 | 12 / 2 | $68.156,60 | 92 / 6 | $9.050,43 | 63 / 6 | $7.589,86 | 63 / 6 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 11 | 31 / 7 | $144.926,00 | 294 / 11 | $16.128,80 | 213 / 9 | $13.544,10 | 213 / 8 |
Coagulation Disorders | 12 | 15 / 4 | $108.192,00 | 92 / 7 | $15.518,20 | 58 / 6 | $13.343,70 | 58 / 7 |
Complications Of Treatment W Cc | 24 | 28 / 1 | $83.618,10 | 363 / 16 | $10.269,20 | 309 / 14 | $8.599,92 | 309 / 15 |
Complications Of Treatment W Mcc | 16 | 35 / 5 | $203.577,00 | 310 / 8 | $27.856,40 | 297 / 8 | $22.693,60 | 297 / 8 |
Complications Of Treatment W/O Cc/Mcc | 14 | 7 / 1 | $45.287,30 | 28 / 2 | $6.613,50 | 20 / 2 | $5.550,64 | 20 / 2 |
Coronary Bypass W Cardiac Cath W Mcc | 30 | 26 / 4 | $394.459,00 | 410 / 10 | $66.217,20 | 389 / 10 | $60.719,50 | 389 / 11 |
Coronary Bypass W Cardiac Cath W/O Mcc | 43 | 33 / 3 | $207.532,00 | 508 / 5 | $39.971,40 | 565 / 9 | $37.277,30 | 565 / 12 |
Coronary Bypass W/O Cardiac Cath W Mcc | 35 | 24 / 3 | $277.827,00 | 215 / 5 | $49.305,50 | 198 / 6 | $46.320,40 | 197 / 6 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 82 | 14 / 2 | $173.138,00 | 515 / 10 | $31.863,80 | 536 / 9 | $29.632,10 | 535 / 12 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 34 | 34 / 3 | $63.300,00 | 714 / 27 | $8.618,47 | 601 / 27 | $6.919,76 | 601 / 29 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 18 | 24 / 3 | $355.560,00 | 174 / 5 | $50.465,50 | 149 / 5 | $46.755,60 | 149 / 5 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 16 | 39 / 2 | $137.375,00 | 191 / 3 | $24.664,80 | 162 / 4 | $22.771,80 | 162 / 4 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 31 | 67 / 6 | $219.225,00 | 451 / 12 | $38.011,10 | 419 / 15 | $35.157,90 | 419 / 16 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 30 | 44 / 2 | $135.654,00 | 252 / 7 | $20.505,60 | 226 / 6 | $18.680,60 | 225 / 6 |
Degenerative Nervous System Disorders W Mcc | 16 | 22 / 3 | $151.794,00 | 225 / 10 | $20.508,40 | 210 / 11 | $17.173,40 | 210 / 11 |
Degenerative Nervous System Disorders W/O Mcc | 32 | 46 / 10 | $60.804,10 | 832 / 30 | $9.292,25 | 688 / 36 | $7.645,38 | 688 / 37 |
Diabetes W Cc | 56 | 36 / 5 | $75.583,30 | 1616 / 52 | $8.526,20 | 1356 / 49 | $6.532,84 | 1351 / 45 |
Diabetes W Mcc | 20 | 37 / 8 | $106.858,00 | 733 / 30 | $14.457,70 | 685 / 30 | $12.605,70 | 684 / 30 |
Digestive Malignancy W Cc | 31 | 16 / 3 | $85.879,40 | 385 / 25 | $11.915,90 | 328 / 24 | $10.178,50 | 326 / 25 |
Digestive Malignancy W Mcc | 19 | 18 / 3 | $197.871,00 | 154 / 9 | $24.917,50 | 144 / 9 | $21.691,90 | 144 / 9 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 20 | 50 / 6 | $81.180,80 | 564 / 16 | $9.202,15 | 426 / 12 | $7.263,75 | 426 / 14 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 21 | 55 / 4 | $123.978,00 | 545 / 19 | $17.752,40 | 416 / 17 | $14.582,50 | 416 / 14 |
Disorders Of Pancreas Except Malignancy W Cc | 20 | 41 / 7 | $89.462,40 | 956 / 34 | $9.395,60 | 843 / 31 | $7.442,25 | 840 / 31 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 12 | $55.671,50 | 449 / 21 | $6.695,82 | 410 / 19 | $5.229,27 | 409 / 19 |
Disorders Of The Biliary Tract W Cc | 23 | 31 / 6 | $91.591,60 | 476 / 21 | $10.253,50 | 400 / 19 | $8.480,30 | 400 / 19 |
Disorders Of The Biliary Tract W Mcc | 20 | 19 / 1 | $172.625,00 | 260 / 12 | $22.358,00 | 253 / 12 | $17.805,40 | 253 / 12 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 16 | 13 / 2 | $69.296,50 | 109 / 9 | $7.713,00 | 80 / 9 | $5.774,50 | 80 / 9 |
Dysequilibrium | 18 | 47 / 13 | $54.092,10 | 552 / 29 | $6.316,78 | 440 / 28 | $4.591,44 | 440 / 28 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 35 | 46 / 5 | $971.816,00 | 426 / 15 | $165.851,00 | 380 / 13 | $155.323,00 | 379 / 15 |
Endocrine Disorders W Cc | 21 | 17 / 1 | $77.164,70 | 301 / 14 | $10.493,40 | 241 / 16 | $8.259,90 | 241 / 17 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 46 | 50 / 7 | $134.745,00 | 1470 / 49 | $14.852,80 | 1394 / 50 | $12.156,90 | 1389 / 50 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 182 | 94 / 7 | $64.350,80 | 2713 / 55 | $7.700,27 | 2397 / 52 | $5.914,23 | 2382 / 49 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 30 | 14 / 4 | $213.957,00 | 427 / 21 | $29.452,30 | 407 / 21 | $26.451,60 | 405 / 21 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 30 | 33 / 5 | $359.922,00 | 746 / 31 | $51.073,00 | 717 / 31 | $46.629,10 | 717 / 32 |
Extracranial Procedures W Cc | 11 | 35 / 6 | $72.806,70 | 321 / 6 | $14.193,90 | 349 / 8 | $12.833,50 | 349 / 9 |
Extracranial Procedures W/O Cc/Mcc | 38 | 60 / 5 | $37.441,70 | 588 / 7 | $9.437,47 | 852 / 25 | $8.165,89 | 849 / 25 |
Fever | 25 | 21 / 4 | $76.286,70 | 336 / 22 | $8.655,52 | 279 / 20 | $6.878,72 | 279 / 21 |
Fractures Of Hip & Pelvis W/O Mcc | 24 | 37 / 13 | $50.935,20 | 903 / 37 | $7.160,58 | 820 / 34 | $5.453,25 | 819 / 35 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 40 | 22 / 3 | $56.005,80 | 791 / 31 | $7.573,65 | 687 / 28 | $5.831,95 | 685 / 32 |
G.I. Hemorrhage W Cc | 145 | 74 / 8 | $86.978,80 | 2413 / 55 | $9.966,30 | 2162 / 53 | $8.120,68 | 2158 / 51 |
G.I. Hemorrhage W Mcc | 47 | 74 / 11 | $117.457,00 | 1619 / 47 | $16.559,90 | 1458 / 49 | $14.520,10 | 1448 / 48 |
G.I. Hemorrhage W/O Cc/Mcc | 20 | 48 / 17 | $47.904,40 | 968 / 42 | $6.954,70 | 861 / 40 | $5.474,90 | 857 / 42 |
G.I. Obstruction W Cc | 48 | 44 / 7 | $73.007,50 | 1711 / 44 | $9.506,83 | 1610 / 46 | $7.656,31 | 1605 / 46 |
G.I. Obstruction W/O Cc/Mcc | 24 | 47 / 13 | $47.220,00 | 1282 / 36 | $6.341,42 | 1164 / 38 | $4.630,08 | 1161 / 40 |
Heart Failure & Shock W Cc | 248 | 45 / 5 | $86.034,60 | 2753 / 58 | $10.041,50 | 2486 / 55 | $8.222,20 | 2480 / 54 |
Heart Failure & Shock W Mcc | 164 | 120 / 14 | $133.152,00 | 2620 / 57 | $17.033,40 | 2514 / 60 | $14.639,30 | 2503 / 59 |
Heart Failure & Shock W/O Cc/Mcc | 73 | 37 / 7 | $56.443,30 | 1995 / 54 | $6.891,88 | 1766 / 52 | $5.423,99 | 1753 / 51 |
Heart Transplant Or Implant Of Heart Assist System W Mcc | 12 | 25 / 2 | $869.206,00 | 38 / 1 | $216.430,00 | 42 / 1 | $208.716,00 | 42 / 1 |
Hip & Femur Procedures Except Major Joint W Cc | 56 | 87 / 17 | $89.695,80 | 1813 / 38 | $17.350,00 | 1840 / 44 | $15.449,80 | 1821 / 47 |
Hip & Femur Procedures Except Major Joint W Mcc | 18 | 44 / 11 | $230.015,00 | 961 / 27 | $31.540,30 | 917 / 27 | $28.228,60 | 914 / 27 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 20 | 36 / 12 | $74.780,50 | 815 / 33 | $14.512,10 | 815 / 30 | $12.545,30 | 812 / 33 |
Hypertension W/O Mcc | 36 | 29 / 4 | $52.701,20 | 776 / 32 | $6.381,83 | 641 / 27 | $4.716,72 | 639 / 27 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 8 | $170.603,00 | 354 / 17 | $24.394,50 | 337 / 17 | $21.755,00 | 336 / 17 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 44 | 80 / 16 | $365.338,00 | 1553 / 51 | $56.075,00 | 1499 / 55 | $51.002,90 | 1489 / 53 |
Inflammatory Bowel Disease W Cc | 16 | 16 / 3 | $69.270,90 | 136 / 7 | $9.160,38 | 107 / 7 | $7.570,12 | 107 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 105 | 77 / 11 | $76.170,50 | 2018 / 48 | $10.151,60 | 1825 / 49 | $8.390,40 | 1821 / 49 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 77 | 91 / 10 | $140.039,00 | 1609 / 49 | $19.230,70 | 1512 / 53 | $16.514,50 | 1505 / 52 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 49 | 53 / 9 | $54.190,10 | 1529 / 36 | $7.348,78 | 1387 / 39 | $5.713,75 | 1383 / 42 |
Kidney & Ureter Procedures For Neoplasm W Cc | 20 | 24 / 1 | $123.122,00 | 169 / 4 | $18.778,50 | 143 / 4 | $16.474,30 | 143 / 4 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 27 | 13 / 2 | $66.858,50 | 123 / 3 | $13.354,90 | 117 / 3 | $11.612,20 | 117 / 3 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 17 | 28 / 5 | $113.830,00 | 195 / 8 | $17.040,90 | 162 / 9 | $14.783,50 | 162 / 9 |
Kidney & Ureter Procedures For Non-Neoplasm W Mcc | 11 | 19 / 2 | $285.224,00 | 74 / 2 | $45.300,60 | 73 / 2 | $41.396,70 | 73 / 2 |
Kidney & Urinary Tract Infections W Mcc | 82 | 62 / 9 | $109.811,00 | 1948 / 52 | $11.812,60 | 1787 / 49 | $9.568,06 | 1783 / 48 |
Kidney & Urinary Tract Infections W/O Mcc | 224 | 33 / 3 | $68.505,60 | 2706 / 55 | $8.083,00 | 2433 / 52 | $6.294,92 | 2422 / 53 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 17 | 12 / 5 | $44.203,10 | 146 / 15 | $6.664,76 | 120 / 14 | $5.421,24 | 120 / 15 |
Kidney Transplant | 23 | 78 / 3 | $309.176,00 | 153 / 2 | $35.043,30 | 154 / 2 | $31.612,70 | 154 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 15 | $116.851,00 | 835 / 34 | $15.264,60 | 805 / 31 | $12.898,90 | 801 / 34 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 17 | 30 / 10 | $70.208,70 | 520 / 24 | $11.292,40 | 544 / 23 | $9.769,29 | 543 / 25 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 11 | $79.245,50 | 484 / 13 | $17.453,00 | 567 / 17 | $15.717,00 | 563 / 20 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 18 | 29 / 9 | $60.903,60 | 403 / 14 | $13.431,00 | 462 / 14 | $11.789,90 | 462 / 18 |
Lymphoma & Non-Acute Leukemia W Cc | 21 | 15 / 2 | $158.862,00 | 138 / 8 | $17.465,50 | 114 / 8 | $14.854,40 | 114 / 8 |
Lymphoma & Non-Acute Leukemia W Mcc | 15 | 21 / 3 | $269.511,00 | 126 / 5 | $33.493,40 | 93 / 4 | $28.965,70 | 93 / 5 |
Major Cardiovasc Procedures W Mcc | 33 | 35 / 4 | $332.412,00 | 625 / 20 | $53.597,80 | 589 / 20 | $47.638,20 | 588 / 20 |
Major Cardiovasc Procedures W/O Mcc | 50 | 51 / 6 | $132.111,00 | 803 / 23 | $28.214,90 | 865 / 30 | $26.476,60 | 864 / 32 |
Major Chest Procedures W Cc | 36 | 38 / 3 | $82.462,20 | 338 / 5 | $21.291,50 | 412 / 12 | $19.334,40 | 410 / 11 |
Major Chest Procedures W/O Cc/Mcc | 43 | 20 / 2 | $47.131,00 | 103 / 4 | $15.388,30 | 211 / 7 | $13.953,40 | 211 / 8 |
Major Chest Trauma W Cc | 12 | 24 / 5 | $73.827,10 | 140 / 7 | $9.551,00 | 118 / 5 | $7.568,67 | 118 / 7 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 37 | 36 / 6 | $118.483,00 | 1108 / 42 | $13.247,60 | 1071 / 42 | $10.916,80 | 1069 / 41 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 19 | 37 / 6 | $172.215,00 | 669 / 28 | $24.008,30 | 656 / 28 | $21.349,20 | 655 / 28 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 12 | 17 / 6 | $57.978,60 | 127 / 6 | $7.849,17 | 115 / 7 | $6.132,50 | 114 / 7 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 31 | 22 / 3 | $93.355,90 | 477 / 24 | $11.834,20 | 410 / 21 | $10.077,90 | 410 / 22 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 9 | $142.853,00 | 826 / 19 | $27.988,50 | 830 / 22 | $25.801,90 | 827 / 22 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 265 | 300 / 13 | $83.831,10 | 2274 / 40 | $18.191,10 | 2416 / 46 | $16.423,80 | 2370 / 48 |
Major Male Pelvic Procedures W/O Cc/Mcc | 24 | 49 / 2 | $49.874,00 | 242 / 4 | $11.363,20 | 329 / 4 | $9.947,21 | 329 / 5 |
Major Small & Large Bowel Procedures W Cc | 46 | 62 / 10 | $134.653,00 | 1405 / 34 | $22.502,60 | 1355 / 39 | $19.896,60 | 1341 / 39 |
Major Small & Large Bowel Procedures W Mcc | 33 | 52 / 13 | $386.069,00 | 1269 / 43 | $55.657,70 | 1238 / 47 | $49.612,40 | 1235 / 47 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 18 | 46 / 11 | $100.451,00 | 723 / 19 | $15.098,70 | 680 / 20 | $12.713,60 | 680 / 19 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 30 | 4 / 1 | $80.128,10 | 192 / 10 | $11.135,40 | 165 / 10 | $9.568,77 | 165 / 11 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 19 | 34 / 6 | $130.813,00 | 337 / 15 | $16.889,50 | 275 / 13 | $14.520,90 | 276 / 13 |
Medical Back Problems W Mcc | 15 | 24 / 4 | $81.098,90 | 295 / 9 | $13.927,80 | 256 / 8 | $12.208,30 | 256 / 9 |
Medical Back Problems W/O Mcc | 84 | 38 / 5 | $71.020,10 | 1483 / 48 | $8.722,79 | 1314 / 42 | $6.826,36 | 1309 / 47 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 53 | 73 / 11 | $119.782,00 | 1742 / 53 | $14.683,00 | 1680 / 54 | $12.406,50 | 1676 / 54 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 116 | 50 / 5 | $64.732,40 | 2532 / 54 | $7.830,26 | 2326 / 54 | $6.257,90 | 2317 / 53 |
Nervous System Neoplasms W Mcc | 27 | 21 / 3 | $114.441,00 | 304 / 15 | $12.358,20 | 214 / 14 | $9.946,52 | 214 / 12 |
Nervous System Neoplasms W/O Mcc | 17 | 13 / 3 | $80.395,60 | 100 / 5 | $9.843,06 | 81 / 6 | $8.275,53 | 81 / 6 |
Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 6 | $108.846,00 | 463 / 10 | $13.311,10 | 459 / 10 | $11.027,50 | 459 / 10 |
Organic Disturbances & Mental Retardation | 31 | 28 / 2 | $92.417,30 | 562 / 28 | $12.191,10 | 502 / 30 | $9.455,23 | 502 / 29 |
Other Circulatory System Diagnoses W Cc | 29 | 37 / 3 | $78.771,50 | 665 / 26 | $9.390,07 | 560 / 20 | $7.674,48 | 559 / 22 |
Other Circulatory System Diagnoses W Mcc | 57 | 59 / 5 | $150.721,00 | 1381 / 45 | $19.063,30 | 1229 / 45 | $16.514,50 | 1221 / 45 |
Other Circulatory System O.R. Procedures | 29 | 26 / 4 | $203.719,00 | 450 / 31 | $29.513,00 | 419 / 30 | $26.235,60 | 419 / 31 |
Other Digestive System Diagnoses W Cc | 37 | 60 / 11 | $93.591,70 | 1433 / 49 | $11.618,90 | 1376 / 49 | $9.647,68 | 1372 / 49 |
Other Digestive System Diagnoses W Mcc | 18 | 44 / 11 | $159.591,00 | 760 / 32 | $19.099,40 | 709 / 32 | $16.611,20 | 708 / 32 |
Other Digestive System Diagnoses W/O Cc/Mcc | 17 | 26 / 8 | $49.825,40 | 350 / 25 | $6.850,06 | 300 / 23 | $5.163,71 | 300 / 24 |
Other Digestive System O.R. Procedures W Cc | 13 | 14 / 2 | $138.126,00 | 94 / 3 | $19.018,70 | 69 / 3 | $16.978,40 | 69 / 3 |
Other Digestive System O.R. Procedures W Mcc | 15 | 14 / 1 | $296.576,00 | 114 / 3 | $36.524,00 | 89 / 3 | $32.652,70 | 89 / 3 |
Other Disorders Of Nervous System W Cc | 15 | 41 / 13 | $101.823,00 | 618 / 26 | $11.069,70 | 602 / 26 | $9.139,87 | 601 / 27 |
Other Heart Assist System Implant | 12 | 1 / 1 | $834.653,00 | 2 / 1 | $140.664,00 | 2 / 1 | $135.150,00 | 2 / 1 |
Other Kidney & Urinary Tract Diagnoses W Cc | 53 | 51 / 5 | $78.674,30 | 853 / 34 | $10.063,30 | 732 / 33 | $8.348,81 | 732 / 33 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 43 | 58 / 9 | $127.188,00 | 1095 / 36 | $16.489,00 | 1012 / 36 | $14.171,00 | 1008 / 36 |
Other Kidney & Urinary Tract Procedures W Cc | 13 | 13 / 2 | $199.317,00 | 91 / 6 | $23.139,50 | 78 / 6 | $20.027,20 | 78 / 6 |
Other O.R. Procedures For Injuries W Cc | 13 | 22 / 3 | $103.239,00 | 161 / 7 | $16.865,30 | 130 / 4 | $15.320,40 | 130 / 5 |
Other Resp System O.R. Procedures W Cc | 19 | 28 / 5 | $152.143,00 | 326 / 16 | $18.950,60 | 296 / 15 | $16.523,50 | 296 / 16 |
Other Resp System O.R. Procedures W Mcc | 27 | 36 / 3 | $283.885,00 | 585 / 20 | $38.052,00 | 552 / 20 | $34.033,40 | 551 / 20 |
Other Respiratory System Diagnoses W/O Mcc | 16 | 30 / 7 | $69.727,30 | 316 / 14 | $7.841,69 | 253 / 9 | $6.242,19 | 253 / 13 |
Other Vascular Procedures W Cc | 36 | 66 / 9 | $158.517,00 | 1081 / 41 | $22.988,40 | 992 / 41 | $20.580,30 | 987 / 42 |
Other Vascular Procedures W Mcc | 60 | 37 / 2 | $189.162,00 | 954 / 38 | $31.866,10 | 898 / 42 | $28.862,20 | 895 / 41 |
Other Vascular Procedures W/O Cc/Mcc | 21 | 35 / 4 | $80.365,70 | 481 / 19 | $14.920,80 | 483 / 19 | $13.288,40 | 482 / 20 |
Otitis Media & Uri W/O Mcc | 17 | 27 / 6 | $46.942,10 | 216 / 13 | $6.582,94 | 169 / 14 | $5.075,65 | 169 / 16 |
Pancreas, Liver & Shunt Procedures W Mcc | 11 | 32 / 3 | $291.134,00 | 101 / 3 | $46.523,60 | 58 / 2 | $42.981,20 | 58 / 3 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 29 | 11 / 1 | $79.468,20 | 289 / 17 | $10.864,40 | 237 / 16 | $8.937,52 | 237 / 17 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 92 | 12 / 2 | $184.550,00 | 931 / 22 | $29.343,20 | 912 / 24 | $27.036,70 | 907 / 24 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 204 | 27 / 3 | $113.011,00 | 1274 / 27 | $17.758,60 | 1350 / 28 | $16.222,30 | 1343 / 32 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 20 | 25 / 5 | $221.592,00 | 269 / 10 | $27.999,90 | 254 / 8 | $25.510,10 | 253 / 9 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 20 | 49 / 8 | $89.049,50 | 458 / 9 | $16.025,80 | 517 / 11 | $14.502,00 | 515 / 12 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 30 | 24 / 3 | $225.755,00 | 274 / 11 | $29.915,70 | 229 / 11 | $26.922,40 | 229 / 10 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 60 | 35 / 3 | $129.664,00 | 551 / 13 | $17.821,50 | 516 / 9 | $16.032,80 | 512 / 11 |
Peripheral Vascular Disorders W Cc | 50 | 34 / 7 | $82.250,20 | 1248 / 51 | $9.819,24 | 1085 / 48 | $7.988,20 | 1082 / 49 |
Peripheral Vascular Disorders W Mcc | 22 | 27 / 5 | $162.806,00 | 593 / 30 | $20.287,20 | 580 / 30 | $16.098,00 | 580 / 30 |
Peripheral Vascular Disorders W/O Cc/Mcc | 22 | 23 / 5 | $57.065,30 | 399 / 24 | $6.770,23 | 335 / 21 | $5.341,50 | 335 / 23 |
Permanent Cardiac Pacemaker Implant W Cc | 55 | 22 / 2 | $160.058,00 | 939 / 34 | $23.474,60 | 872 / 35 | $21.403,70 | 868 / 36 |
Permanent Cardiac Pacemaker Implant W Mcc | 32 | 20 / 4 | $262.083,00 | 604 / 31 | $36.870,40 | 576 / 30 | $33.698,80 | 576 / 31 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 39 | 18 / 2 | $118.980,00 | 686 / 26 | $18.078,10 | 637 / 25 | $16.408,10 | 636 / 28 |
Pleural Effusion W Cc | 11 | 17 / 6 | $71.847,60 | 112 / 8 | $9.874,09 | 93 / 8 | $8.428,64 | 93 / 8 |
Pneumothorax W Cc | 11 | 14 / 3 | $49.609,30 | 83 / 4 | $9.139,00 | 76 / 4 | $7.888,45 | 76 / 6 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 21 | 40 / 4 | $53.203,50 | 904 / 22 | $6.589,43 | 733 / 22 | $4.999,90 | 732 / 22 |
Postoperative & Post-Traumatic Infections W Mcc | 21 | 22 / 2 | $157.458,00 | 223 / 9 | $21.171,00 | 207 / 9 | $18.348,00 | 207 / 9 |
Postoperative & Post-Traumatic Infections W/O Mcc | 36 | 18 / 1 | $63.854,10 | 441 / 18 | $9.510,56 | 365 / 17 | $7.972,44 | 365 / 19 |
Psychoses | 15 | 260 / 18 | $96.150,50 | 615 / 18 | $10.057,90 | 477 / 15 | $7.675,47 | 477 / 14 |
Pulmonary Edema & Respiratory Failure | 45 | 158 / 18 | $99.091,70 | 2198 / 44 | $12.314,70 | 2010 / 45 | $10.265,10 | 2004 / 44 |
Pulmonary Embolism W Mcc | 15 | 28 / 7 | $119.325,00 | 576 / 14 | $14.905,90 | 536 / 14 | $12.753,70 | 535 / 14 |
Pulmonary Embolism W/O Mcc | 40 | 34 / 7 | $77.698,30 | 1267 / 33 | $9.681,42 | 1154 / 32 | $7.773,85 | 1151 / 33 |
Red Blood Cell Disorders W Mcc | 20 | 51 / 14 | $134.834,00 | 1113 / 45 | $15.411,30 | 1043 / 45 | $12.689,20 | 1039 / 45 |
Red Blood Cell Disorders W/O Mcc | 83 | 60 / 10 | $68.305,00 | 1988 / 55 | $8.217,75 | 1744 / 51 | $6.595,04 | 1735 / 51 |
Renal Failure W Cc | 134 | 88 / 7 | $87.659,30 | 2434 / 56 | $9.969,01 | 2195 / 52 | $8.056,27 | 2185 / 52 |
Renal Failure W Mcc | 65 | 130 / 18 | $130.383,00 | 2153 / 55 | $15.863,50 | 1972 / 55 | $13.417,80 | 1968 / 54 |
Renal Failure W/O Cc/Mcc | 21 | 35 / 7 | $51.219,00 | 848 / 28 | $6.437,67 | 737 / 24 | $4.841,86 | 735 / 26 |
Respiratory Infections & Inflammations W Cc | 36 | 52 / 9 | $107.199,00 | 1472 / 41 | $13.283,70 | 1345 / 38 | $11.078,50 | 1340 / 39 |
Respiratory Infections & Inflammations W Mcc | 60 | 76 / 10 | $180.864,00 | 1798 / 46 | $21.453,30 | 1731 / 46 | $17.723,70 | 1715 / 47 |
Respiratory Neoplasms W Cc | 35 | 13 / 3 | $83.373,70 | 495 / 30 | $11.233,30 | 418 / 30 | $9.444,97 | 417 / 30 |
Respiratory Neoplasms W Mcc | 22 | 30 / 6 | $134.646,00 | 631 / 26 | $18.723,30 | 609 / 26 | $16.452,70 | 606 / 27 |
Respiratory Signs & Symptoms | 19 | 27 / 4 | $50.680,20 | 309 / 13 | $6.879,32 | 238 / 12 | $5.296,37 | 238 / 12 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 63 | 68 / 9 | $134.260,00 | 1727 / 44 | $21.212,10 | 1619 / 46 | $19.174,00 | 1605 / 49 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 39 | 32 / 4 | $288.184,00 | 910 / 32 | $47.078,20 | 842 / 33 | $42.553,90 | 841 / 33 |
Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 12 | $124.323,00 | 553 / 13 | $28.650,10 | 606 / 16 | $27.093,10 | 604 / 16 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 19 | 50 / 6 | $105.785,00 | 435 / 6 | $23.312,60 | 462 / 9 | $21.722,70 | 461 / 9 |
Seizures W Mcc | 16 | 50 / 14 | $179.415,00 | 772 / 26 | $21.134,10 | 760 / 26 | $18.401,10 | 760 / 26 |
Seizures W/O Mcc | 47 | 61 / 15 | $67.932,90 | 1301 / 48 | $7.849,00 | 1073 / 42 | $5.999,98 | 1071 / 41 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 20 | 72 / 18 | $377.530,00 | 1056 / 44 | $58.184,40 | 992 / 45 | $52.094,80 | 991 / 46 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 254 | 262 / 17 | $147.854,00 | 2802 / 57 | $18.504,40 | 2591 / 57 | $16.106,20 | 2546 / 57 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 80 | 127 / 19 | $99.115,90 | 2565 / 55 | $11.255,80 | 2348 / 54 | $8.959,51 | 2338 / 52 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 23 | 24 / 2 | $60.500,80 | 375 / 15 | $7.237,74 | 297 / 15 | $5.592,52 | 297 / 15 |
Signs & Symptoms W Mcc | 22 | 19 / 2 | $95.917,60 | 283 / 13 | $10.979,10 | 200 / 11 | $8.932,55 | 200 / 11 |
Signs & Symptoms W/O Mcc | 57 | 34 / 3 | $63.378,50 | 1330 / 37 | $7.265,49 | 1140 / 34 | $5.773,14 | 1137 / 33 |
Simple Pneumonia & Pleurisy W Cc | 172 | 38 / 3 | $81.012,30 | 2804 / 57 | $9.618,31 | 2504 / 51 | $7.734,06 | 2495 / 54 |
Simple Pneumonia & Pleurisy W Mcc | 72 | 133 / 15 | $117.941,00 | 2500 / 54 | $14.183,10 | 2283 / 53 | $12.028,80 | 2277 / 55 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 38 | 55 / 12 | $59.565,90 | 1942 / 49 | $7.182,37 | 1755 / 46 | $5.389,63 | 1747 / 47 |
Spinal Fusion Except Cervical W/O Mcc | 39 | 155 / 8 | $127.097,00 | 984 / 18 | $33.269,10 | 1219 / 24 | $31.385,60 | 1214 / 25 |
Stomach, Esophageal & Duodenal Proc W Cc | 14 | 36 / 2 | $210.887,00 | 219 / 4 | $27.709,10 | 205 / 4 | $24.419,20 | 205 / 4 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 15 | 33 / 3 | $81.753,80 | 218 / 4 | $13.453,60 | 190 / 4 | $11.502,90 | 189 / 4 |
Syncope & Collapse | 115 | 54 / 5 | $68.319,30 | 1919 / 56 | $7.518,93 | 1659 / 50 | $5.823,38 | 1651 / 51 |
Tendonitis, Myositis & Bursitis W/O Mcc | 19 | 23 / 6 | $70.694,90 | 332 / 25 | $8.443,53 | 278 / 24 | $6.407,11 | 277 / 24 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 23 | 41 / 8 | $489.067,00 | 500 / 23 | $91.040,90 | 449 / 25 | $85.142,10 | 448 / 29 |
Transient Ischemia | 39 | 86 / 22 | $47.859,60 | 1549 / 36 | $6.900,69 | 1452 / 44 | $5.503,77 | 1444 / 48 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 16 | 28 / 9 | $66.628,90 | 314 / 17 | $7.553,81 | 246 / 10 | $5.825,31 | 246 / 15 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 31 | 35 / 6 | $66.802,00 | 492 / 15 | $10.155,10 | 421 / 15 | $8.540,77 | 420 / 18 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 21 | 30 / 6 | $151.556,00 | 340 / 12 | $20.609,50 | 306 / 13 | $18.141,50 | 306 / 15 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 32 | 22 / 3 | $53.316,20 | 384 / 13 | $7.275,53 | 312 / 13 | $5.599,78 | 312 / 14 |
Traumatic Stupor & Coma, Coma >1 Hr W/O Cc/Mcc | 11 | 10 / 2 | $56.984,70 | 21 / 2 | $8.199,27 | 13 / 1 | $6.603,64 | 13 / 2 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 12 | $50.022,10 | 367 / 23 | $6.890,00 | 330 / 21 | $5.230,33 | 329 / 22 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 13 | 33 / 5 | $74.340,80 | 251 / 10 | $9.476,85 | 203 / 6 | $7.517,77 | 203 / 8 |
Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc | 11 | 17 / 2 | $82.119,20 | 44 / 4 | $14.150,40 | 38 / 3 | $12.395,80 | 38 / 4 |
Viral Illness W/O Mcc | 18 | 9 / 2 | $49.595,60 | 57 / 4 | $7.686,78 | 43 / 6 | $6.129,89 | 43 / 6 | Total 219 procedures | 8.959 | 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.