Hospital Costs > In New Jersey > Robert Wood Johnson University Hospital Somerset, 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 | 233 | 283 / 22 | $116.185,00 | 2733 / 51 | $11.941,90 | 1462 / 10 | $10.954,70 | 1433 / 12 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 176 | 388 / 22 | $77.028,90 | 2149 / 35 | $13.799,90 | 1318 / 14 | $11.631,40 | 1286 / 9 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 176 | 100 / 8 | $51.809,70 | 2653 / 49 | $4.906,64 | 808 / 12 | $3.637,18 | 803 / 13 |
Heart Failure & Shock W Mcc | 142 | 142 / 19 | $106.596,00 | 2582 / 54 | $9.644,18 | 1319 / 15 | $8.747,50 | 1316 / 13 |
Heart Failure & Shock W Cc | 133 | 145 / 21 | $76.428,50 | 2743 / 56 | $6.408,64 | 1216 / 13 | $5.466,28 | 1213 / 15 |
Chronic Obstructive Pulmonary Disease W Mcc | 119 | 83 / 7 | $101.644,00 | 2554 / 54 | $7.683,83 | 1358 / 15 | $6.652,99 | 1352 / 13 |
Renal Failure W Cc | 116 | 105 / 10 | $69.181,10 | 2404 / 51 | $6.205,96 | 980 / 12 | $5.162,47 | 972 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 101 | 60 / 9 | $68.536,60 | 2147 / 53 | $5.178,54 | 716 / 10 | $4.026,14 | 713 / 14 |
Simple Pneumonia & Pleurisy W Mcc | 99 | 106 / 9 | $103.936,00 | 2475 / 52 | $9.457,67 | 1177 / 11 | $8.104,74 | 1177 / 9 |
Syncope & Collapse | 99 | 70 / 9 | $57.545,30 | 1892 / 52 | $5.062,99 | 466 / 17 | $3.517,51 | 464 / 12 |
Kidney & Urinary Tract Infections W/O Mcc | 95 | 138 / 25 | $61.736,10 | 2692 / 52 | $5.343,96 | 976 / 19 | $3.946,73 | 969 / 14 |
G.I. Hemorrhage W Cc | 94 | 124 / 17 | $72.351,70 | 2389 / 49 | $6.505,17 | 1023 / 13 | $5.385,33 | 1021 / 13 |
Respiratory Infections & Inflammations W Mcc | 91 | 47 / 2 | $111.219,00 | 1705 / 37 | $12.431,30 | 927 / 14 | $11.493,60 | 917 / 13 |
Simple Pneumonia & Pleurisy W Cc | 87 | 116 / 22 | $74.435,50 | 2787 / 56 | $6.445,37 | 910 / 12 | $5.009,07 | 907 / 8 |
Cellulitis W/O Mcc | 81 | 108 / 29 | $51.673,40 | 2570 / 45 | $5.572,05 | 928 / 13 | $4.223,38 | 922 / 12 |
Renal Failure W Mcc | 77 | 118 / 12 | $100.905,00 | 2117 / 48 | $10.078,10 | 957 / 12 | $8.835,10 | 957 / 11 |
Chest Pain | 77 | 74 / 6 | $42.754,30 | 1632 / 42 | $3.911,78 | 477 / 8 | $2.901,90 | 475 / 10 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 73 | 93 / 18 | $48.889,40 | 2485 / 46 | $4.567,29 | 857 / 12 | $3.548,40 | 854 / 12 |
Transient Ischemia | 71 | 54 / 7 | $57.410,00 | 1621 / 48 | $4.595,69 | 708 / 10 | $3.598,69 | 704 / 18 |
Red Blood Cell Disorders W/O Mcc | 70 | 73 / 12 | $69.119,30 | 1991 / 56 | $5.218,47 | 687 / 9 | $4.172,27 | 683 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 69 | 99 / 12 | $107.728,00 | 1541 / 44 | $12.153,60 | 543 / 19 | $9.447,38 | 542 / 7 |
Chronic Obstructive Pulmonary Disease W Cc | 68 | 111 / 23 | $83.170,40 | 2434 / 56 | $6.326,43 | 1121 / 15 | $5.074,56 | 1117 / 13 |
Kidney & Urinary Tract Infections W Mcc | 66 | 78 / 13 | $73.499,50 | 1905 / 41 | $7.202,39 | 838 / 12 | $6.146,06 | 837 / 11 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 65 | 60 / 10 | $122.001,00 | 1768 / 50 | $10.843,00 | 820 / 17 | $9.769,35 | 819 / 17 |
Hip & Femur Procedures Except Major Joint W Cc | 62 | 81 / 15 | $80.087,20 | 1709 / 29 | $12.883,20 | 741 / 15 | $10.499,00 | 734 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 60 | 122 / 21 | $89.632,30 | 2054 / 50 | $7.077,32 | 884 / 17 | $5.669,10 | 882 / 14 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 60 | 128 / 18 | $81.803,40 | 1573 / 39 | $7.098,68 | 511 / 9 | $5.461,37 | 509 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 60 | 63 / 12 | $97.131,30 | 1890 / 51 | $7.959,03 | 879 / 12 | $6.939,68 | 876 / 14 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 58 | 138 / 17 | $134.855,00 | 1393 / 31 | $13.491,00 | 638 / 5 | $11.061,10 | 634 / 6 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 55 | 95 / 21 | $44.037,50 | 1944 / 50 | $3.985,91 | 378 / 20 | $2.336,91 | 375 / 8 |
Medical Back Problems W/O Mcc | 53 | 68 / 16 | $64.332,70 | 1468 / 45 | $6.208,30 | 476 / 21 | $4.193,38 | 476 / 11 |
Heart Failure & Shock W/O Cc/Mcc | 52 | 58 / 16 | $50.673,60 | 1980 / 50 | $4.378,12 | 586 / 12 | $3.378,81 | 584 / 12 |
G.I. Obstruction W Cc | 49 | 43 / 6 | $78.867,30 | 1719 / 45 | $6.287,80 | 674 / 17 | $4.667,45 | 673 / 10 |
G.I. Hemorrhage W Mcc | 46 | 75 / 12 | $104.579,00 | 1581 / 39 | $11.476,40 | 641 / 13 | $10.047,10 | 642 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 45 | 81 / 13 | $83.795,70 | 1709 / 43 | $7.222,82 | 624 / 9 | $6.239,36 | 621 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 42 | 165 / 31 | $69.787,30 | 2488 / 40 | $6.924,98 | 1171 / 11 | $5.838,43 | 1166 / 12 |
Seizures W/O Mcc | 41 | 67 / 20 | $51.858,00 | 1243 / 35 | $4.914,95 | 351 / 8 | $3.846,56 | 349 / 8 |
Pulmonary Edema & Respiratory Failure | 40 | 163 / 22 | $107.973,00 | 2216 / 47 | $8.728,38 | 911 / 23 | $6.820,35 | 911 / 8 |
Acute Myocardial Infarction, Discharged Alive W Cc | 40 | 51 / 12 | $89.691,10 | 1412 / 48 | $6.871,27 | 682 / 14 | $5.823,52 | 680 / 17 |
Peripheral Vascular Disorders W Cc | 39 | 45 / 11 | $67.540,40 | 1232 / 43 | $6.528,62 | 363 / 15 | $5.038,56 | 361 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 38 | 64 / 13 | $55.690,80 | 1540 / 39 | $4.886,74 | 389 / 7 | $3.488,55 | 386 / 8 |
Major Chest Procedures W/O Cc/Mcc | 38 | 24 / 3 | $36.773,30 | 53 / 3 | $11.144,60 | 80 / 1 | $9.994,32 | 80 / 2 |
Permanent Cardiac Pacemaker Implant W Cc | 37 | 40 / 9 | $142.754,00 | 916 / 31 | $17.404,30 | 381 / 8 | $15.044,60 | 380 / 4 |
Major Small & Large Bowel Procedures W Cc | 35 | 73 / 15 | $119.363,00 | 1339 / 28 | $15.089,50 | 544 / 4 | $13.781,70 | 538 / 2 |
Other Digestive System Diagnoses W Cc | 33 | 64 / 14 | $62.402,80 | 1373 / 39 | $6.356,12 | 370 / 8 | $4.992,58 | 367 / 6 |
Bronchitis & Asthma W Cc/Mcc | 33 | 43 / 9 | $77.939,00 | 1079 / 40 | $5.692,94 | 338 / 5 | $4.409,39 | 334 / 7 |
Respiratory Infections & Inflammations W Cc | 33 | 55 / 12 | $90.814,60 | 1438 / 38 | $8.693,03 | 729 / 8 | $7.809,55 | 724 / 10 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 32 | 92 / 26 | $235.875,00 | 1377 / 38 | $33.949,80 | 785 / 14 | $32.538,60 | 779 / 15 |
Diabetes W Cc | 31 | 61 / 13 | $56.690,30 | 1570 / 40 | $5.311,42 | 515 / 10 | $4.299,81 | 515 / 11 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 28 | 73 / 15 | $91.767,10 | 1046 / 26 | $10.055,20 | 428 / 8 | $8.857,71 | 427 / 6 |
Other Disorders Of Nervous System W Cc | 27 | 29 / 3 | $61.962,10 | 598 / 21 | $5.777,00 | 228 / 3 | $4.983,89 | 228 / 10 |
Seizures W Mcc | 27 | 39 / 6 | $107.314,00 | 747 / 24 | $10.040,60 | 347 / 7 | $9.186,48 | 347 / 9 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 26 | $163.275,00 | 1801 / 51 | $16.281,30 | 1157 / 19 | $14.865,90 | 1144 / 20 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 27 | 62 / 7 | $37.326,70 | 420 / 3 | $6.982,70 | 361 / 3 | $5.816,41 | 360 / 6 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 27 | 30 / 8 | $112.948,00 | 681 / 25 | $15.130,00 | 288 / 10 | $11.865,40 | 287 / 3 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 27 | 73 / 13 | $192.593,00 | 944 / 23 | $20.582,20 | 388 / 2 | $18.607,40 | 386 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 27 | 69 / 20 | $79.783,00 | 1414 / 39 | $7.721,26 | 608 / 9 | $6.893,93 | 603 / 12 |
Pulmonary Embolism W/O Mcc | 26 | 48 / 11 | $86.015,00 | 1272 / 34 | $6.557,04 | 509 / 9 | $5.209,62 | 507 / 7 |
G.I. Hemorrhage W/O Cc/Mcc | 26 | 42 / 13 | $44.529,50 | 955 / 37 | $4.625,42 | 238 / 12 | $3.244,27 | 236 / 7 |
Other Vascular Procedures W Cc | 26 | 76 / 17 | $124.332,00 | 991 / 34 | $16.046,80 | 477 / 5 | $14.794,20 | 474 / 6 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 30 | $58.382,20 | 2082 / 50 | $5.036,24 | 369 / 16 | $3.206,16 | 368 / 1 |
Other Vascular Procedures W Mcc | 24 | 73 / 16 | $182.442,00 | 947 / 36 | $21.271,20 | 470 / 8 | $20.412,10 | 468 / 10 |
Permanent Cardiac Pacemaker Implant W Mcc | 24 | 28 / 8 | $224.104,00 | 590 / 26 | $26.516,00 | 430 / 10 | $25.271,50 | 430 / 14 |
Red Blood Cell Disorders W Mcc | 24 | 47 / 11 | $103.068,00 | 1102 / 42 | $8.163,17 | 429 / 8 | $7.218,67 | 427 / 10 |
Fever | 24 | 22 / 5 | $58.463,50 | 330 / 20 | $5.651,25 | 79 / 4 | $4.308,25 | 79 / 1 |
Major Small & Large Bowel Procedures W Mcc | 24 | 61 / 21 | $291.470,00 | 1226 / 40 | $32.192,50 | 597 / 11 | $30.720,40 | 595 / 13 |
Other Circulatory System Diagnoses W Mcc | 22 | 94 / 24 | $142.784,00 | 1374 / 44 | $12.956,20 | 835 / 15 | $12.288,30 | 830 / 22 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 22 | 49 / 13 | $269.235,00 | 887 / 27 | $32.412,30 | 302 / 4 | $29.234,70 | 302 / 3 |
Disorders Of Pancreas Except Malignancy W Cc | 20 | 41 / 7 | $67.407,00 | 931 / 30 | $5.978,30 | 411 / 5 | $5.044,40 | 410 / 10 |
Respiratory Signs & Symptoms | 20 | 26 / 3 | $43.778,90 | 296 / 8 | $4.391,90 | 75 / 2 | $3.472,10 | 75 / 2 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 20 | 42 / 14 | $57.539,40 | 798 / 33 | $4.919,30 | 238 / 5 | $3.714,40 | 238 / 8 |
Disorders Of The Biliary Tract W Cc | 20 | 34 / 7 | $83.291,00 | 469 / 20 | $6.765,65 | 119 / 2 | $5.656,65 | 119 / 4 |
G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 17 | $50.560,40 | 1290 / 39 | $4.081,75 | 258 / 10 | $2.635,05 | 258 / 7 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 20 | 72 / 18 | $316.228,00 | 1010 / 40 | $37.364,90 | 449 / 7 | $35.797,40 | 448 / 9 |
Fractures Of Hip & Pelvis W/O Mcc | 20 | 41 / 16 | $44.849,10 | 889 / 30 | $4.500,35 | 183 / 5 | $3.205,90 | 184 / 4 |
Dysequilibrium | 20 | 45 / 11 | $46.986,20 | 538 / 26 | $4.017,60 | 133 / 3 | $2.917,00 | 133 / 5 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 16 | $71.300,00 | 1068 / 36 | $7.496,10 | 408 / 8 | $6.428,40 | 407 / 10 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 20 | 43 / 10 | $214.922,00 | 651 / 19 | $28.681,80 | 209 / 2 | $27.360,40 | 209 / 3 |
Other Digestive System Diagnoses W/O Cc/Mcc | 19 | 24 / 6 | $48.798,40 | 348 / 24 | $4.472,00 | 66 / 6 | $3.069,37 | 66 / 3 |
Other Digestive System Diagnoses W Mcc | 19 | 43 / 10 | $96.984,40 | 709 / 24 | $11.050,50 | 131 / 4 | $9.001,37 | 131 / 2 |
Psychoses | 19 | 256 / 16 | $59.918,10 | 599 / 14 | $7.981,84 | 86 / 7 | $5.048,16 | 86 / 1 |
Major Chest Procedures W Cc | 19 | 55 / 6 | $92.257,10 | 375 / 7 | $16.849,50 | 195 / 4 | $14.556,70 | 195 / 3 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 26 | $49.138,00 | 1900 / 42 | $4.696,00 | 339 / 12 | $3.084,58 | 337 / 5 |
Digestive Malignancy W Cc | 19 | 28 / 8 | $74.609,00 | 375 / 22 | $8.857,21 | 107 / 9 | $6.864,74 | 106 / 3 |
Transurethral Procedures W Cc | 18 | 23 / 10 | $78.684,40 | 362 / 26 | $8.205,39 | 199 / 5 | $7.324,06 | 199 / 12 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 18 | 75 / 18 | $135.518,00 | 868 / 32 | $15.267,50 | 39 / 15 | $9.991,39 | 39 / 1 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 18 | 26 / 10 | $136.220,00 | 387 / 16 | $17.364,10 | 168 / 1 | $16.249,30 | 167 / 3 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 18 | 58 / 7 | $100.552,00 | 507 / 14 | $11.972,20 | 214 / 2 | $11.160,90 | 214 / 3 |
Other Circulatory System Diagnoses W Cc | 18 | 48 / 9 | $66.857,30 | 649 / 23 | $7.047,94 | 195 / 9 | $5.109,44 | 194 / 7 |
G.I. Obstruction W Mcc | 18 | 24 / 8 | $124.240,00 | 532 / 21 | $11.011,70 | 289 / 7 | $10.127,20 | 289 / 10 |
Other Resp System O.R. Procedures W Mcc | 17 | 46 / 8 | $182.149,00 | 532 / 11 | $23.499,10 | 193 / 3 | $20.534,10 | 193 / 1 |
Cellulitis W Mcc | 17 | 41 / 16 | $98.573,60 | 944 / 36 | $9.490,94 | 478 / 7 | $8.635,53 | 476 / 11 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 17 | 107 / 17 | $62.690,90 | 843 / 29 | $4.466,18 | 270 / 5 | $3.700,88 | 270 / 10 |
Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 21 | $69.651,60 | 852 / 34 | $6.116,29 | 268 / 5 | $5.188,53 | 268 / 9 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 17 | 23 / 11 | $77.344,30 | 288 / 16 | $6.729,06 | 43 / 1 | $5.722,59 | 43 / 1 |
Signs & Symptoms W/O Mcc | 17 | 74 / 20 | $52.513,90 | 1310 / 31 | $4.653,53 | 349 / 5 | $3.454,88 | 348 / 4 |
Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 20 | $62.664,90 | 828 / 29 | $6.185,94 | 171 / 6 | $5.085,81 | 171 / 2 |
Acute Myocardial Infarction, Expired W Mcc | 16 | 14 / 5 | $116.257,00 | 195 / 13 | $10.916,40 | 43 / 2 | $9.350,06 | 43 / 2 |
Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 7 | $86.068,80 | 919 / 14 | $8.920,69 | 393 / 4 | $8.125,88 | 392 / 5 |
Peripheral Vascular Disorders W/O Cc/Mcc | 16 | 29 / 9 | $53.002,10 | 396 / 23 | $4.361,94 | 169 / 5 | $3.645,44 | 169 / 8 |
Tendonitis, Myositis & Bursitis W/O Mcc | 16 | 26 / 9 | $68.549,00 | 331 / 24 | $5.448,12 | 88 / 5 | $4.176,00 | 88 / 5 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 13 | $147.330,00 | 875 / 19 | $18.851,30 | 445 / 7 | $17.719,90 | 442 / 7 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 12 | $59.999,50 | 706 / 25 | $5.690,47 | 204 / 4 | $4.688,87 | 204 / 8 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 19 | $68.092,50 | 843 / 43 | $5.077,27 | 120 / 12 | $3.366,13 | 120 / 1 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 8 | $134.482,00 | 797 / 16 | $19.354,10 | 353 / 1 | $18.021,30 | 351 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 14 | $89.539,90 | 771 / 30 | $10.863,50 | 364 / 10 | $8.921,47 | 364 / 5 |
Respiratory Neoplasms W Cc | 15 | 32 / 13 | $67.102,30 | 466 / 17 | $7.593,93 | 163 / 5 | $6.485,27 | 162 / 7 |
Hypertension W/O Mcc | 14 | 51 / 16 | $39.045,50 | 732 / 21 | $4.000,71 | 237 / 6 | $2.983,29 | 235 / 8 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 14 | 33 / 8 | $49.720,10 | 367 / 12 | $4.592,71 | 83 / 3 | $3.636,71 | 83 / 2 |
Diabetes W/O Cc/Mcc | 14 | 24 / 9 | $38.590,90 | 283 / 14 | $3.853,14 | 28 / 3 | $2.602,36 | 28 / 2 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 14 | 84 / 11 | $305.846,00 | 492 / 16 | $32.084,30 | 329 / 8 | $30.666,80 | 329 / 10 |
Endocrine Disorders W Cc | 13 | 25 / 6 | $92.024,40 | 302 / 15 | $6.665,38 | 106 / 6 | $5.732,46 | 106 / 7 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 12 | $129.581,00 | 657 / 26 | $12.166,50 | 320 / 5 | $11.407,80 | 319 / 5 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 10 | $45.818,40 | 434 / 19 | $4.203,15 | 158 / 2 | $3.182,85 | 158 / 6 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 13 | 17 / 5 | $117.937,00 | 190 / 7 | $13.753,00 | 64 / 2 | $10.502,80 | 63 / 1 |
Organic Disturbances & Mental Retardation | 13 | 46 / 14 | $104.457,00 | 565 / 30 | $8.003,31 | 365 / 11 | $6.947,15 | 365 / 14 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 13 | 33 / 11 | $43.908,20 | 353 / 20 | $4.448,38 | 162 / 5 | $3.544,69 | 162 / 10 |
Respiratory Neoplasms W Mcc | 13 | 39 / 13 | $95.691,70 | 585 / 15 | $10.171,70 | 167 / 2 | $9.266,46 | 167 / 2 |
Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 12 | $55.404,10 | 381 / 24 | $4.723,67 | 58 / 9 | $2.678,08 | 58 / 2 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 12 | $51.078,20 | 900 / 20 | $4.147,17 | 229 / 2 | $3.186,17 | 228 / 3 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 12 | $57.334,00 | 417 / 10 | $7.665,17 | 194 / 6 | $6.952,17 | 194 / 7 |
Otitis Media & Uri W/O Mcc | 12 | 32 / 9 | $45.410,10 | 215 / 12 | $4.198,67 | 36 / 1 | $3.098,33 | 36 / 2 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 18 | $65.942,10 | 758 / 24 | $10.467,20 | 500 / 9 | $9.263,58 | 498 / 11 |
Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 24 | $92.782,10 | 517 / 11 | $20.934,00 | 450 / 4 | $19.876,50 | 450 / 7 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 13 | $80.097,50 | 493 / 14 | $12.522,00 | 308 / 3 | $11.407,30 | 307 / 6 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 11 | 18 / 5 | $54.203,50 | 106 / 7 | $4.876,55 | 18 / 3 | $3.678,73 | 18 / 3 |
Disorders Of The Biliary Tract W Mcc | 11 | 28 / 5 | $116.040,00 | 250 / 10 | $10.261,50 | 63 / 2 | $9.297,36 | 63 / 3 |
Atherosclerosis W/O Mcc | 11 | 47 / 20 | $57.214,90 | 544 / 34 | $3.932,64 | / 8 | $3.071,73 | / |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 11 | 43 / 13 | $57.378,80 | 390 / 14 | $4.744,73 | 59 / 1 | $3.439,45 | 59 / 2 |
Diabetes W Mcc | 11 | 46 / 17 | $128.548,00 | 742 / 31 | $9.647,82 | 432 / 10 | $8.930,45 | 432 / 13 |
Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 6 | $140.127,00 | 349 / 11 | $13.255,40 | 219 / 5 | $12.187,20 | 219 / 6 |
Major Male Pelvic Procedures W/O Cc/Mcc | 11 | 62 / 6 | $42.677,00 | 200 / 3 | $8.254,09 | 203 / 1 | $7.118,82 | 203 / 1 | Total 132 procedures | 5.074 | 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.