Hospital Costs > In Illinois > Rush University Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 839 | 36 / 2 | $54.132,30 | 1470 / 49 | $22.404,70 | 2256 / 108 | $15.010,80 | 2212 / 102 |
Heart Failure & Shock W Cc | 218 | 65 / 3 | $27.572,20 | 1832 / 77 | $10.772,10 | 2543 / 117 | $8.635,86 | 2537 / 116 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 190 | 87 / 7 | $24.772,40 | 1864 / 78 | $8.994,53 | 2518 / 112 | $6.627,65 | 2503 / 110 |
Spinal Fusion Except Cervical W/O Mcc | 167 | 40 / 2 | $105.110,00 | 790 / 30 | $44.237,00 | 1158 / 52 | $29.549,50 | 1153 / 53 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 147 | 369 / 49 | $76.330,80 | 2383 / 103 | $21.463,80 | 2708 / 113 | $18.113,80 | 2663 / 112 |
Seizures W/O Mcc | 145 | 7 / 1 | $30.366,40 | 967 / 66 | $9.775,17 | 1129 / 78 | $6.442,79 | 1127 / 71 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 135 | 35 / 3 | $27.791,00 | 2040 / 101 | $8.582,47 | 2371 / 110 | $6.533,27 | 2362 / 106 |
Kidney & Urinary Tract Infections W/O Mcc | 118 | 115 / 15 | $22.531,70 | 1808 / 73 | $8.876,70 | 2490 / 110 | $6.628,92 | 2479 / 106 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 115 | 67 / 7 | $42.813,80 | 1580 / 78 | $12.064,70 | 1938 / 92 | $9.405,58 | 1934 / 92 |
Signs & Symptoms W/O Mcc | 107 | 3 / 1 | $24.550,70 | 875 / 49 | $8.490,41 | 1202 / 63 | $6.219,48 | 1199 / 63 |
Renal Failure W Cc | 107 | 114 / 18 | $29.768,80 | 1682 / 80 | $10.500,90 | 2252 / 103 | $8.515,67 | 2242 / 102 |
Renal Failure W Mcc | 103 | 92 / 13 | $43.499,50 | 1397 / 67 | $16.518,60 | 2025 / 96 | $14.241,20 | 2021 / 97 |
Heart Failure & Shock W Mcc | 102 | 182 / 34 | $47.597,50 | 1924 / 84 | $15.813,70 | 2437 / 112 | $13.205,70 | 2426 / 113 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 101 | 68 / 3 | $64.551,70 | 1198 / 65 | $18.781,10 | 1494 / 77 | $15.776,80 | 1487 / 78 |
Cellulitis W/O Mcc | 96 | 93 / 18 | $21.141,20 | 1588 / 74 | $9.674,77 | 2364 / 114 | $6.878,64 | 2356 / 109 |
G.I. Hemorrhage W Cc | 90 | 128 / 17 | $34.040,50 | 1750 / 81 | $11.176,30 | 2245 / 106 | $8.751,61 | 2241 / 106 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 89 | 37 / 3 | $33.419,40 | 1114 / 60 | $11.894,90 | 1538 / 89 | $9.687,99 | 1535 / 89 |
Other Kidney & Urinary Tract Diagnoses W Cc | 86 | 25 / 1 | $33.614,50 | 575 / 40 | $11.257,50 | 756 / 46 | $8.689,63 | 756 / 48 |
Multiple Sclerosis & Cerebellar Ataxia W/O Cc/Mcc | 83 | 1 / 1 | $22.854,00 | 9 / 2 | $10.287,30 | 16 / 4 | $6.590,95 | 16 / 3 |
Red Blood Cell Disorders W/O Mcc | 82 | 61 / 5 | $31.446,80 | 1561 / 93 | $9.693,57 | 1821 / 101 | $7.123,48 | 1812 / 99 |
Major Chest Procedures W/O Cc/Mcc | 81 | 4 / 1 | $46.938,90 | 101 / 4 | $17.170,50 | 235 / 9 | $15.060,90 | 235 / 10 |
Major Chest Procedures W Cc | 78 | 13 / 1 | $67.777,30 | 253 / 6 | $25.171,10 | 440 / 23 | $20.370,10 | 438 / 23 |
Simple Pneumonia & Pleurisy W Cc | 74 | 129 / 31 | $28.175,20 | 1846 / 74 | $10.611,30 | 2566 / 113 | $8.183,23 | 2557 / 109 |
Medical Back Problems W/O Mcc | 73 | 48 / 10 | $25.536,30 | 850 / 43 | $10.266,90 | 1352 / 74 | $7.134,51 | 1347 / 74 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 73 | 30 / 3 | $121.343,00 | 269 / 6 | $40.297,20 | 428 / 16 | $35.716,50 | 428 / 19 |
Chest Pain | 72 | 79 / 6 | $24.750,50 | 1194 / 59 | $7.441,72 | 1536 / 75 | $5.502,42 | 1527 / 74 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 68 | 93 / 15 | $31.386,80 | 1680 / 83 | $9.497,57 | 2009 / 95 | $7.113,91 | 2004 / 93 |
Other Circulatory System Diagnoses W Mcc | 67 | 49 / 5 | $49.516,10 | 731 / 35 | $18.746,00 | 1227 / 67 | $16.393,60 | 1219 / 70 |
Other Vascular Procedures W Mcc | 67 | 30 / 2 | $98.654,40 | 589 / 29 | $30.824,00 | 883 / 46 | $28.141,60 | 880 / 48 |
Kidney Transplant | 65 | 43 / 3 | $187.776,00 | 78 / 2 | $30.029,60 | 129 / 1 | $27.421,60 | 129 / 4 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 65 | 32 / 3 | $38.480,30 | 244 / 16 | $12.195,00 | 349 / 19 | $10.481,20 | 349 / 19 |
Revision Of Hip Or Knee Replacement W Cc | 64 | 27 / 3 | $101.354,00 | 456 / 24 | $32.155,20 | 607 / 30 | $27.229,30 | 605 / 30 |
Chronic Obstructive Pulmonary Disease W Cc | 64 | 115 / 28 | $24.357,20 | 1405 / 50 | $10.804,50 | 2243 / 111 | $8.036,83 | 2236 / 108 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 64 | 8 / 2 | $32.156,60 | 504 / 33 | $11.553,90 | 642 / 43 | $7.440,91 | 642 / 41 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 62 | 126 / 15 | $55.096,30 | 1316 / 73 | $13.508,60 | 1517 / 82 | $9.469,15 | 1514 / 83 |
Syncope & Collapse | 61 | 108 / 15 | $27.773,10 | 1346 / 72 | $8.804,46 | 1757 / 96 | $6.503,11 | 1749 / 93 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 60 | 12 / 1 | $63.083,40 | 225 / 9 | $24.980,00 | 447 / 22 | $22.030,30 | 447 / 24 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 58 | 43 / 5 | $52.615,90 | 817 / 46 | $16.828,30 | 1013 / 59 | $14.175,40 | 1009 / 59 |
Peripheral Vascular Disorders W Cc | 56 | 28 / 4 | $33.757,10 | 898 / 64 | $11.448,80 | 1115 / 71 | $8.302,48 | 1112 / 71 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 56 | 40 / 5 | $42.282,40 | 1007 / 56 | $14.183,10 | 1324 / 67 | $10.678,10 | 1319 / 67 |
Degenerative Nervous System Disorders W/O Mcc | 55 | 24 / 3 | $33.660,80 | 578 / 37 | $12.832,50 | 695 / 50 | $7.682,33 | 695 / 47 |
Other Digestive System Diagnoses W Cc | 55 | 42 / 8 | $32.593,40 | 954 / 55 | $11.210,30 | 1321 / 75 | $8.711,40 | 1317 / 76 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 55 | 15 / 1 | $56.649,30 | 326 / 16 | $20.263,10 | 516 / 30 | $15.572,20 | 512 / 31 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 52 | 5 / 1 | $42.519,60 | 346 / 17 | $13.873,30 | 432 / 20 | $10.712,30 | 432 / 20 |
Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 41 | $39.746,40 | 1550 / 51 | $14.993,30 | 2282 / 104 | $12.023,00 | 2276 / 105 |
Major Small & Large Bowel Procedures W Cc | 52 | 56 / 10 | $88.906,00 | 1098 / 49 | $25.043,50 | 1415 / 67 | $21.169,50 | 1401 / 70 |
Cervical Spinal Fusion W/O Cc/Mcc | 51 | 53 / 3 | $61.736,90 | 481 / 13 | $22.588,70 | 790 / 28 | $17.197,80 | 787 / 29 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 48 | 159 / 36 | $39.492,00 | 2019 / 82 | $12.810,40 | 2373 / 103 | $9.149,29 | 2363 / 103 |
Heart Failure & Shock W/O Cc/Mcc | 47 | 63 / 11 | $25.984,20 | 1595 / 92 | $8.338,70 | 1889 / 101 | $6.343,36 | 1876 / 100 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 47 | 46 / 5 | $82.416,30 | 677 / 46 | $21.968,70 | 827 / 53 | $18.963,40 | 819 / 54 |
Other Vascular Procedures W Cc | 46 | 56 / 5 | $108.445,00 | 903 / 46 | $31.264,50 | 1049 / 57 | $22.233,20 | 1044 / 54 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 45 | 78 / 19 | $53.617,90 | 1601 / 92 | $14.333,20 | 1809 / 96 | $11.466,60 | 1806 / 96 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 44 | 45 / 2 | $36.991,40 | 416 / 18 | $12.700,20 | 662 / 33 | $8.124,32 | 661 / 33 |
G.I. Hemorrhage W Mcc | 43 | 78 / 16 | $97.407,50 | 1545 / 81 | $36.594,70 | 1678 / 82 | $32.243,50 | 1668 / 82 |
Bronchitis & Asthma W Cc/Mcc | 43 | 33 / 5 | $22.776,30 | 492 / 23 | $10.127,60 | 1001 / 59 | $7.950,93 | 997 / 61 |
Cervical Spinal Fusion W Cc | 42 | 14 / 1 | $77.687,90 | 211 / 4 | $28.072,90 | 335 / 10 | $23.703,00 | 334 / 13 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 40 | 35 / 1 | $91.843,40 | 201 / 7 | $22.607,00 | 218 / 9 | $18.305,30 | 217 / 10 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 39 | 16 / 1 | $102.117,00 | 149 / 7 | $32.268,00 | 175 / 10 | $24.010,50 | 175 / 9 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 38 | 11 / 1 | $21.678,80 | 188 / 10 | $8.834,97 | 311 / 22 | $5.994,24 | 311 / 22 |
G.I. Obstruction W Cc | 38 | 54 / 15 | $38.187,40 | 1420 / 84 | $11.383,80 | 1669 / 87 | $8.423,42 | 1664 / 86 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 38 | 38 / 3 | $76.021,00 | 436 / 21 | $21.943,80 | 510 / 20 | $18.320,90 | 510 / 21 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 38 | 93 / 19 | $72.791,90 | 1194 / 60 | $23.533,00 | 1697 / 88 | $20.466,70 | 1683 / 89 |
Signs & Symptoms W Mcc | 36 | 6 / 1 | $47.072,90 | 225 / 10 | $12.851,60 | 221 / 7 | $9.723,75 | 221 / 8 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 36 | 14 / 2 | $201.626,00 | 205 / 7 | $49.976,80 | 228 / 9 | $47.764,60 | 228 / 9 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 35 | 46 / 6 | $455.301,00 | 234 / 12 | $143.034,00 | 318 / 14 | $133.821,00 | 317 / 15 |
Major Cardiovasc Procedures W/O Mcc | 34 | 67 / 13 | $154.287,00 | 887 / 47 | $40.620,20 | 923 / 47 | $28.864,60 | 922 / 46 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 34 | 116 / 23 | $24.803,90 | 1617 / 85 | $8.492,38 | 1810 / 96 | $4.660,35 | 1804 / 93 |
Pulmonary Embolism W/O Mcc | 34 | 40 / 8 | $41.272,20 | 1068 / 53 | $10.994,60 | 1226 / 60 | $8.958,38 | 1223 / 61 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 34 | 62 / 6 | $58.558,60 | 458 / 9 | $21.995,40 | 757 / 26 | $17.782,90 | 753 / 25 |
Other Endocrine, Nutrit & Metab O.R. Proc W Mcc | 33 | 1 / 1 | $77.620,60 | 5 / 1 | $28.681,60 | 16 / 1 | $26.205,90 | 16 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 33 | 40 / 10 | $29.285,30 | 629 / 33 | $12.757,40 | 987 / 57 | $9.390,30 | 985 / 55 |
Peripheral Vascular Disorders W Mcc | 33 | 16 / 4 | $48.364,80 | 417 / 29 | $15.788,10 | 540 / 35 | $12.772,10 | 540 / 35 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 33 | 91 / 24 | $232.320,00 | 1371 / 81 | $57.739,00 | 1502 / 83 | $51.201,40 | 1492 / 83 |
Diabetes W Cc | 33 | 59 / 10 | $32.522,50 | 1247 / 73 | $10.470,00 | 1457 / 82 | $7.385,64 | 1452 / 79 |
Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 52 | $31.748,30 | 1575 / 59 | $11.834,10 | 2371 / 111 | $9.987,91 | 2363 / 112 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 32 | 63 / 8 | $111.389,00 | 499 / 26 | $22.251,10 | 561 / 27 | $18.114,40 | 557 / 27 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 32 | 164 / 35 | $96.535,80 | 1124 / 67 | $21.973,40 | 1398 / 73 | $17.187,40 | 1390 / 79 |
Other Circulatory System Diagnoses W Cc | 31 | 35 / 4 | $30.213,80 | 413 / 17 | $10.635,20 | 594 / 24 | $8.319,61 | 593 / 27 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 31 | 12 / 3 | $148.485,00 | 30 / 1 | $63.775,30 | 62 / 3 | $53.740,50 | 62 / 4 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 31 | 32 / 5 | $160.462,00 | 517 / 30 | $47.572,00 | 678 / 38 | $41.983,80 | 678 / 38 |
Red Blood Cell Disorders W Mcc | 30 | 41 / 8 | $36.373,00 | 613 / 37 | $13.371,10 | 976 / 63 | $10.949,40 | 972 / 65 |
Other Digestive System Diagnoses W Mcc | 30 | 32 / 7 | $54.894,90 | 511 / 26 | $18.326,50 | 641 / 35 | $14.196,80 | 640 / 35 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 30 | 40 / 3 | $34.904,10 | 428 / 18 | $11.204,00 | 470 / 20 | $8.032,60 | 470 / 20 |
Other Disorders Of Nervous System W Cc | 29 | 27 / 4 | $39.085,70 | 487 / 32 | $11.187,80 | 587 / 30 | $8.374,79 | 586 / 32 |
Complications Of Treatment W Cc | 29 | 23 / 4 | $27.668,30 | 194 / 8 | $12.116,80 | 301 / 21 | $8.489,03 | 301 / 21 |
Hypertension W/O Mcc | 29 | 36 / 4 | $18.346,10 | 354 / 19 | $7.306,62 | 710 / 41 | $5.558,48 | 708 / 40 |
Stomach, Esophageal & Duodenal Proc W Cc | 29 | 21 / 2 | $115.100,00 | 191 / 11 | $30.314,00 | 181 / 11 | $21.357,80 | 181 / 11 |
Respiratory Infections & Inflammations W Cc | 29 | 59 / 14 | $47.096,40 | 1095 / 58 | $15.571,00 | 1368 / 68 | $11.503,80 | 1363 / 68 |
Nervous System Neoplasms W Mcc | 29 | 19 / 4 | $57.506,90 | 240 / 18 | $15.545,30 | 274 / 17 | $12.098,10 | 274 / 18 |
Disorders Of Pancreas Except Malignancy W Cc | 29 | 32 / 4 | $32.448,80 | 678 / 33 | $10.555,20 | 899 / 43 | $8.481,31 | 896 / 48 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 29 | 14 / 1 | $104.099,00 | 109 / 8 | $28.809,60 | 120 / 8 | $25.055,70 | 120 / 8 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 28 | 25 / 4 | $68.707,90 | 254 / 15 | $18.615,80 | 304 / 17 | $15.749,00 | 305 / 18 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 28 | 28 / 8 | $44.715,80 | 369 / 21 | $16.145,90 | 469 / 36 | $13.100,70 | 468 / 36 |
Bone Diseases & Arthropathies W/O Mcc | 28 | 16 / 3 | $20.122,10 | 167 / 15 | $8.472,86 | 249 / 24 | $6.575,14 | 249 / 24 |
Digestive Malignancy W Cc | 28 | 19 / 6 | $46.781,20 | 278 / 20 | $14.090,10 | 345 / 23 | $10.699,20 | 343 / 23 |
Respiratory Neoplasms W Cc | 28 | 19 / 5 | $39.706,20 | 314 / 22 | $12.839,10 | 456 / 27 | $10.472,00 | 455 / 28 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 28 | 12 / 3 | $41.137,80 | 207 / 17 | $12.659,80 | 251 / 21 | $9.482,43 | 251 / 21 |
Respiratory Infections & Inflammations W Mcc | 28 | 108 / 38 | $56.991,50 | 1216 / 52 | $19.002,90 | 1641 / 86 | $15.847,50 | 1625 / 84 |
Complications Of Treatment W Mcc | 28 | 23 / 4 | $61.197,00 | 219 / 7 | $18.211,40 | 248 / 8 | $15.539,40 | 248 / 9 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 26 | $21.573,10 | 1376 / 61 | $8.183,36 | 1972 / 98 | $6.450,93 | 1961 / 94 |
Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc | 27 | 2 / 1 | $53.076,70 | 24 / 1 | $16.821,80 | 44 / 4 | $12.946,10 | 44 / 5 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 27 | 37 / 4 | $68.482,40 | 628 / 22 | $16.759,90 | 709 / 19 | $13.995,80 | 709 / 21 |
Acute Leukemia W/O Major O.R. Procedure W Mcc | 27 | 9 / 2 | $308.169,00 | 49 / 3 | $95.720,70 | 41 / 3 | $57.766,30 | 41 / 3 |
Endocrine Disorders W Cc | 26 | 12 / 3 | $29.076,70 | 166 / 8 | $10.880,90 | 263 / 17 | $8.847,42 | 263 / 17 |
Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 37 | $79.363,10 | 1698 / 90 | $22.483,80 | 1931 / 98 | $16.755,60 | 1911 / 96 |
Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 32 | $48.071,80 | 1653 / 89 | $12.990,30 | 1834 / 90 | $10.054,20 | 1830 / 90 |
Respiratory Neoplasms W Mcc | 26 | 26 / 6 | $48.675,60 | 365 / 16 | $18.997,30 | 561 / 39 | $13.969,10 | 558 / 39 |
Chemo W Acute Leukemia As Sdx W Cc Or High Dose Chemo Agent | 26 | 4 / 1 | $58.990,90 | 8 / 1 | $27.824,20 | 14 / 2 | $23.987,30 | 14 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 26 | 76 / 21 | $30.781,40 | 1131 / 56 | $8.739,23 | 1483 / 73 | $6.615,73 | 1479 / 76 |
Multiple Sclerosis & Cerebellar Ataxia W Cc | 26 | 2 / 1 | $27.017,50 | 8 / 1 | $13.197,90 | 15 / 3 | $7.844,12 | 15 / 2 |
Major Chest Procedures W Mcc | 26 | 23 / 2 | $100.821,00 | 92 / 2 | $45.393,90 | 265 / 12 | $38.389,00 | 264 / 13 |
Otitis Media & Uri W/O Mcc | 25 | 19 / 2 | $20.233,90 | 97 / 4 | $7.629,16 | 191 / 11 | $5.904,08 | 191 / 11 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 24 | 18 / 2 | $133.829,00 | 69 / 1 | $46.206,90 | 125 / 7 | $42.616,30 | 125 / 9 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 24 | 45 / 3 | $77.285,10 | 315 / 15 | $24.966,20 | 478 / 18 | $22.833,00 | 477 / 19 |
Other Kidney & Urinary Tract Procedures W Mcc | 24 | 14 / 1 | $100.406,00 | 147 / 8 | $31.948,10 | 204 / 9 | $28.620,80 | 203 / 9 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 24 | 94 / 10 | $202.408,00 | 413 / 17 | $50.835,60 | 504 / 23 | $46.929,90 | 504 / 22 |
Acute Myocardial Infarction, Discharged Alive W Cc | 24 | 67 / 14 | $54.630,10 | 1243 / 59 | $12.895,70 | 1325 / 62 | $9.136,50 | 1323 / 62 |
Permanent Cardiac Pacemaker Implant W Cc | 24 | 53 / 11 | $104.184,00 | 795 / 44 | $25.936,70 | 920 / 46 | $23.435,20 | 916 / 48 |
Transient Ischemia | 23 | 102 / 31 | $28.524,70 | 1133 / 59 | $8.490,00 | 1507 / 84 | $5.890,74 | 1499 / 82 |
Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 17 | $177.397,00 | 956 / 53 | $49.725,70 | 1141 / 62 | $43.075,20 | 1139 / 63 |
Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 23 | 5 / 1 | $61.243,30 | 82 / 4 | $18.979,40 | 97 / 4 | $13.760,20 | 97 / 4 |
G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 14 | $18.850,50 | 773 / 34 | $7.110,52 | 1242 / 65 | $5.475,70 | 1239 / 65 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 22 | 22 / 4 | $106.956,00 | 331 / 16 | $32.443,90 | 381 / 18 | $23.560,00 | 379 / 18 |
Nervous System Neoplasms W/O Mcc | 22 | 8 / 1 | $45.134,10 | 75 / 4 | $11.569,10 | 92 / 3 | $9.209,86 | 92 / 5 |
Seizures W Mcc | 22 | 44 / 10 | $50.434,70 | 492 / 28 | $18.685,10 | 608 / 35 | $12.401,70 | 608 / 34 |
Major Cardiovasc Procedures W Mcc | 22 | 46 / 10 | $186.197,00 | 472 / 18 | $51.363,40 | 583 / 25 | $47.341,90 | 582 / 27 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 21 | 43 / 5 | $205.536,00 | 156 / 6 | $88.557,90 | 419 / 19 | $80.368,60 | 418 / 20 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 20 | 28 / 3 | $55.189,80 | 171 / 4 | $14.997,90 | 211 / 5 | $12.662,50 | 210 / 6 |
Extracranial Procedures W/O Cc/Mcc | 20 | 78 / 15 | $54.501,10 | 801 / 36 | $11.507,20 | 883 / 38 | $8.681,10 | 880 / 40 |
Degenerative Nervous System Disorders W Mcc | 20 | 18 / 3 | $51.968,20 | 143 / 7 | $18.018,20 | 188 / 12 | $14.741,30 | 188 / 13 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 20 | 11 / 3 | $36.738,90 | 111 / 9 | $12.517,10 | 156 / 10 | $9.236,00 | 156 / 10 |
Other Resp System O.R. Procedures W Cc | 20 | 27 / 5 | $50.459,10 | 161 / 6 | $19.171,30 | 300 / 14 | $16.697,00 | 300 / 14 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 20 | 49 / 2 | $362.503,00 | 233 / 7 | $98.265,90 | 271 / 8 | $91.920,70 | 271 / 8 |
Digestive Malignancy W Mcc | 20 | 17 / 3 | $52.967,20 | 75 / 3 | $20.892,70 | 124 / 8 | $18.385,30 | 124 / 9 |
Fever | 20 | 26 / 4 | $37.110,80 | 278 / 15 | $9.900,50 | 311 / 14 | $8.031,50 | 311 / 16 |
Organic Disturbances & Mental Retardation | 20 | 39 / 10 | $25.430,60 | 284 / 18 | $9.976,15 | 438 / 29 | $8.040,40 | 438 / 31 |
Dysequilibrium | 20 | 45 / 14 | $21.078,10 | 268 / 12 | $7.887,25 | 501 / 30 | $5.333,90 | 501 / 28 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 19 | 46 / 13 | $101.748,00 | 665 / 38 | $33.109,30 | 823 / 45 | $25.231,20 | 820 / 45 |
Respiratory Signs & Symptoms | 19 | 27 / 3 | $27.487,70 | 209 / 14 | $8.253,32 | 269 / 14 | $6.149,21 | 269 / 15 |
Chemo W Acute Leukemia As Sdx Or W High Dose Chemo Agent W Mcc | 19 | 10 / 1 | $165.478,00 | 15 / 1 | $80.739,40 | 20 / 2 | $54.591,60 | 20 / 2 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 19 | 27 / 2 | $38.003,40 | 175 / 6 | $11.711,50 | 218 / 11 | $8.037,00 | 218 / 11 |
Extracranial Procedures W Cc | 19 | 27 / 6 | $61.466,00 | 290 / 14 | $17.861,90 | 355 / 19 | $13.212,10 | 355 / 19 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 18 | 28 / 1 | $225.415,00 | 102 / 4 | $56.459,60 | 111 / 4 | $52.776,50 | 111 / 5 |
Peritoneal Adhesiolysis W Cc | 18 | 21 / 3 | $106.799,00 | 256 / 13 | $36.217,90 | 268 / 13 | $20.492,70 | 268 / 13 |
Other Resp System O.R. Procedures W Mcc | 18 | 45 / 10 | $155.329,00 | 489 / 27 | $43.029,10 | 569 / 28 | $37.277,80 | 568 / 28 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 31 | $17.374,20 | 954 / 34 | $8.425,33 | 1805 / 96 | $5.768,06 | 1797 / 92 |
Pulmonary Edema & Respiratory Failure | 18 | 185 / 53 | $42.934,30 | 1601 / 71 | $13.905,70 | 2116 / 96 | $11.629,80 | 2110 / 96 |
Diabetes W Mcc | 17 | 40 / 6 | $39.886,50 | 458 / 26 | $14.926,30 | 691 / 36 | $12.857,80 | 690 / 36 |
Lymphoma & Non-Acute Leukemia W Cc | 17 | 19 / 4 | $63.381,50 | 96 / 6 | $17.370,40 | 100 / 7 | $13.549,30 | 100 / 7 |
Connective Tissue Disorders W Cc | 17 | 7 / 2 | $59.042,20 | 32 / 3 | $13.820,10 | 28 / 3 | $10.524,40 | 28 / 3 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 17 | 49 / 11 | $41.081,80 | 353 / 20 | $12.908,90 | 450 / 28 | $9.004,94 | 449 / 29 |
Autologous Bone Marrow Transplant W Cc/Mcc | 17 | 18 / 3 | $124.650,00 | 10 / 2 | $58.200,10 | 39 / 2 | $51.003,50 | 39 / 4 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 17 | 38 / 12 | $58.463,90 | 340 / 12 | $19.323,90 | 557 / 29 | $15.502,90 | 553 / 29 |
Cranial & Peripheral Nerve Disorders W Mcc | 17 | 19 / 3 | $43.952,60 | 105 / 5 | $14.206,90 | 134 / 5 | $12.169,50 | 134 / 6 |
Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Cc | 17 | 10 / 2 | $61.060,20 | 51 / 3 | $22.260,00 | 59 / 3 | $13.073,40 | 59 / 3 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 33 | $60.804,60 | 1339 / 69 | $17.289,80 | 1673 / 82 | $14.982,20 | 1660 / 83 |
G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 12 | $24.157,50 | 687 / 37 | $8.021,94 | 913 / 44 | $6.026,35 | 909 / 44 |
Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc | 16 | 10 / 1 | $87.730,40 | 51 / 2 | $21.172,20 | 52 / 2 | $17.800,10 | 52 / 2 |
Renal Failure W/O Cc/Mcc | 16 | 40 / 10 | $17.422,80 | 466 / 14 | $7.441,31 | 802 / 33 | $5.603,00 | 800 / 32 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 16 | 26 / 6 | $94.055,10 | 274 / 14 | $23.273,10 | 254 / 14 | $16.183,60 | 254 / 13 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 16 | 31 / 6 | $58.486,20 | 391 / 14 | $14.884,10 | 480 / 14 | $12.717,00 | 480 / 17 |
Kidney & Ureter Procedures For Neoplasm W Cc | 16 | 28 / 7 | $77.927,30 | 136 / 7 | $23.251,70 | 142 / 11 | $16.468,60 | 142 / 10 |
Other Circulatory System O.R. Procedures | 16 | 39 / 7 | $72.909,40 | 234 / 13 | $25.547,30 | 370 / 22 | $22.545,90 | 370 / 23 |
Postoperative & Post-Traumatic Infections W/O Mcc | 16 | 38 / 7 | $27.985,70 | 258 / 11 | $10.912,70 | 406 / 17 | $9.126,81 | 406 / 17 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 16 | 29 / 5 | $72.817,20 | 150 / 7 | $22.614,80 | 178 / 9 | $15.768,20 | 178 / 10 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 9 | $18.616,70 | 465 / 16 | $7.640,88 | 812 / 38 | $5.923,50 | 811 / 36 |
Other O.R. Procedures For Injuries W Cc | 16 | 19 / 3 | $74.967,80 | 129 / 8 | $24.213,10 | 137 / 8 | $15.621,60 | 137 / 8 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Mcc | 16 | 18 / 3 | $100.756,00 | 44 / 4 | $29.486,90 | 46 / 4 | $24.849,40 | 46 / 4 |
G.I. Obstruction W Mcc | 15 | 27 / 9 | $63.714,50 | 426 / 23 | $19.026,90 | 502 / 27 | $14.941,10 | 502 / 27 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 18 | $209.065,00 | 778 / 44 | $60.796,60 | 984 / 49 | $51.776,80 | 983 / 49 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 15 | 14 / 2 | $60.470,30 | 55 / 3 | $24.670,90 | 81 / 5 | $18.109,30 | 80 / 4 |
Chemo W Acute Leukemia As Sdx W/O Cc/Mcc | 15 | 4 / 1 | $41.053,40 | 7 / 1 | $13.901,60 | 8 / 1 | $11.898,10 | 8 / 1 |
Other Respiratory System Diagnoses W/O Mcc | 15 | 31 / 5 | $22.827,50 | 153 / 4 | $8.859,93 | 274 / 11 | $6.850,00 | 274 / 12 |
Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W/O Cc/Mcc | 15 | 9 / 2 | $51.419,30 | 36 / 4 | $15.844,20 | 35 / 4 | $9.147,40 | 35 / 4 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 15 | 39 / 6 | $133.163,00 | 208 / 14 | $32.115,30 | 242 / 14 | $28.600,10 | 242 / 14 |
Other O.R. Procedures For Injuries W Mcc | 15 | 22 / 3 | $147.005,00 | 157 / 6 | $45.637,00 | 178 / 7 | $40.273,30 | 178 / 8 |
Pancreas, Liver & Shunt Procedures W Cc | 15 | 40 / 6 | $106.213,00 | 97 / 7 | $31.458,00 | 98 / 8 | $22.672,30 | 98 / 7 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W/O Mcc | 14 | 10 / 1 | $142.595,00 | 26 / 2 | $36.635,50 | 27 / 1 | $32.738,10 | 27 / 1 |
Other Ear, Nose, Mouth & Throat Diagnoses W Cc | 14 | 6 / 2 | $41.180,50 | 20 / 3 | $10.317,60 | 19 / 3 | $8.071,64 | 19 / 3 |
Minor Skin Disorders W/O Mcc | 14 | 11 / 2 | $21.554,10 | 38 / 5 | $8.667,79 | 48 / 5 | $6.335,57 | 48 / 5 |
Lymphoma & Non-Acute Leukemia W Mcc | 14 | 22 / 5 | $233.352,00 | 120 / 8 | $54.076,40 | 125 / 8 | $42.270,30 | 125 / 8 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 23 | $114.318,00 | 627 / 29 | $29.303,60 | 901 / 47 | $26.718,50 | 896 / 49 |
Postoperative & Post-Traumatic Infections W Mcc | 14 | 29 / 5 | $53.117,90 | 126 / 4 | $22.046,40 | 146 / 11 | $13.944,40 | 146 / 7 |
Coagulation Disorders | 14 | 13 / 3 | $94.149,10 | 86 / 5 | $31.482,60 | 93 / 5 | $29.269,10 | 93 / 5 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 18 | $28.374,10 | 581 / 33 | $9.173,79 | 761 / 40 | $7.140,14 | 759 / 40 |
Other Infectious & Parasitic Diseases Diagnoses W Mcc | 14 | 7 / 2 | $56.892,50 | 19 / 3 | $25.210,40 | 29 / 3 | $22.354,60 | 29 / 4 |
Headaches W/O Mcc | 14 | 29 / 4 | $35.439,80 | 188 / 12 | $9.604,00 | 200 / 14 | $5.443,79 | 200 / 14 |
Other Digestive System Diagnoses W/O Cc/Mcc | 14 | 29 / 7 | $25.526,00 | 233 / 13 | $8.100,36 | 341 / 17 | $6.276,93 | 341 / 17 |
Connective Tissue Disorders W Mcc | 14 | 12 / 2 | $47.331,60 | 7 / 1 | $24.073,20 | 23 / 1 | $21.157,70 | 23 / 2 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 14 | 110 / 29 | $25.334,60 | 624 / 38 | $8.553,50 | 714 / 48 | $5.918,64 | 713 / 43 |
Amputation For Musculoskeletal Sys & Conn Tissue Dis W Cc | 14 | 6 / 1 | $57.777,20 | 13 / 1 | $22.910,90 | 17 / 1 | $14.165,30 | 17 / 1 |
Hernia Procedures Except Inguinal & Femoral W Cc | 14 | 20 / 5 | $74.407,60 | 124 / 10 | $24.573,00 | 119 / 10 | $13.376,50 | 119 / 10 |
Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 10 | $21.581,10 | 237 / 16 | $7.777,46 | 347 / 18 | $5.893,38 | 347 / 17 |
Pulmonary Embolism W Mcc | 13 | 30 / 13 | $39.815,30 | 320 / 14 | $15.473,70 | 546 / 37 | $13.342,50 | 545 / 37 |
Spinal Procedures W Cc Or Spinal Neurostimulators | 13 | 14 / 3 | $82.745,30 | 21 / 3 | $37.547,70 | 21 / 4 | $21.670,50 | 21 / 2 |
Other Disorders Of Nervous System W Mcc | 13 | 27 / 7 | $63.912,10 | 254 / 13 | $16.692,20 | 278 / 14 | $13.555,80 | 278 / 14 |
Permanent Cardiac Pacemaker Implant W Mcc | 13 | 39 / 12 | $119.554,00 | 419 / 23 | $35.931,20 | 570 / 29 | $32.975,50 | 570 / 31 |
Viral Illness W/O Mcc | 13 | 14 / 2 | $25.719,70 | 31 / 4 | $9.114,69 | 50 / 4 | $6.697,62 | 50 / 4 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 13 | 103 / 14 | $310.208,00 | 391 / 16 | $81.075,60 | 459 / 18 | $75.366,20 | 459 / 18 |
Atherosclerosis W/O Mcc | 13 | 45 / 9 | $24.541,70 | 385 / 16 | $8.223,92 | / 18 | $5.448,46 | / |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 13 | 33 / 7 | $26.353,80 | 249 / 15 | $9.267,69 | 347 / 24 | $5.673,85 | 346 / 25 |
Disorders Of The Biliary Tract W Cc | 13 | 41 / 11 | $38.149,20 | 307 / 18 | $11.605,20 | 437 / 22 | $9.416,54 | 437 / 23 |
Acute Leukemia W/O Major O.R. Procedure W Cc | 13 | 7 / 1 | $106.147,00 | 8 / 1 | $31.144,80 | 3 / 1 | $18.619,30 | 3 / 1 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Mcc | 12 | 12 / 1 | $140.188,00 | 27 / 1 | $45.283,20 | 40 / 1 | $40.426,20 | 40 / 1 |
Medical Back Problems W Mcc | 12 | 27 / 11 | $118.110,00 | 321 / 19 | $28.384,20 | 324 / 19 | $24.521,00 | 324 / 19 |
Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 9 | $50.797,30 | 198 / 10 | $19.495,20 | 275 / 18 | $13.964,50 | 275 / 17 |
Other Kidney & Urinary Tract Procedures W Cc | 12 | 14 / 2 | $96.775,20 | 80 / 3 | $23.137,50 | 83 / 3 | $20.577,60 | 83 / 3 |
Intracranial Vascular Procedures W Pdx Hemorrhage W Mcc | 12 | 8 / 1 | $330.639,00 | 10 / 1 | $88.367,80 | 13 / 1 | $80.895,60 | 13 / 1 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 15 | $165.502,00 | 633 / 31 | $49.377,80 | 867 / 40 | $43.782,70 | 866 / 42 |
Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 7 | $110.898,00 | 531 / 17 | $19.276,70 | 534 / 15 | $16.834,60 | 533 / 16 |
Transurethral Procedures W Cc | 12 | 29 / 11 | $64.508,10 | 329 / 28 | $16.061,10 | 378 / 28 | $12.925,20 | 378 / 28 |
Cellulitis W Mcc | 12 | 46 / 21 | $41.437,40 | 624 / 37 | $14.533,10 | 845 / 54 | $11.738,20 | 843 / 55 |
Other Disorders Of Nervous System W/O Cc/Mcc | 12 | 23 / 3 | $42.773,60 | 139 / 6 | $11.020,60 | 106 / 6 | $5.070,92 | 106 / 6 |
Spinal Fusion Except Cervical W Mcc | 12 | 13 / 3 | $138.546,00 | 27 / 1 | $57.251,30 | 60 / 4 | $53.994,80 | 60 / 4 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 21 | $24.182,50 | 634 / 29 | $8.380,55 | 865 / 40 | $6.259,82 | 864 / 40 |
Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 11 | 17 / 2 | $214.672,00 | 49 / 2 | $62.853,70 | 67 / 1 | $59.611,20 | 67 / 2 |
Kidney & Ureter Procedures For Non-Neoplasm W Mcc | 11 | 19 / 5 | $115.853,00 | 49 / 3 | $35.231,30 | 57 / 4 | $31.283,70 | 57 / 4 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 22 | $94.276,50 | 663 / 32 | $30.356,20 | 897 / 48 | $26.382,00 | 894 / 48 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 12 | $22.607,50 | 298 / 18 | $7.886,36 | 436 / 23 | $6.011,55 | 435 / 25 |
Combined Anterior/Posterior Spinal Fusion W Cc | 11 | 35 / 2 | $251.464,00 | 75 / 1 | $77.178,00 | 96 / 2 | $65.298,00 | 96 / 1 |
Cirrhosis & Alcoholic Hepatitis W Cc | 11 | 15 / 3 | $27.480,80 | 47 / 3 | $10.137,60 | 78 / 2 | $8.680,09 | 78 / 3 |
Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 9 | $21.774,90 | 166 / 5 | $9.107,09 | 295 / 19 | $6.868,09 | 294 / 20 |
Amputation For Musculoskeletal Sys & Conn Tissue Dis W Mcc | 11 | 8 / 1 | $101.641,00 | 13 / 1 | $29.174,30 | 13 / 1 | $25.738,50 | 13 / 1 |
Bone Diseases & Arthropathies W Mcc | 11 | 3 / 1 | $21.851,00 | 1 / 1 | $12.966,70 | 4 / 1 | $10.978,00 | 4 / 1 |
Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 13 | $24.104,10 | 280 / 20 | $7.487,09 | 347 / 23 | $5.572,36 | 347 / 24 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 11 | 40 / 11 | $55.906,20 | 183 / 10 | $20.075,40 | 284 / 18 | $16.696,50 | 284 / 18 | Total 226 procedures | 8.770 | 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.