Hospital Costs > In Illinois > Saint Francis Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Adjustment Reaction & Psychosocial Dysfunction | 15 | 15 / 2 | $22.962,30 | 50 / 2 | $4.845,67 | 38 / 2 | $4.126,73 | 38 / 2 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 13 | 18 / 3 | $73.741,60 | 104 / 4 | $11.933,50 | 62 / 4 | $10.912,00 | 62 / 4 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc | 17 | 9 / 2 | $94.484,80 | 31 / 2 | $17.407,00 | 16 / 1 | $16.627,70 | 16 / 1 |
Acute Myocardial Infarction, Discharged Alive W Cc | 40 | 51 / 6 | $34.627,00 | 894 / 36 | $7.321,33 | 793 / 40 | $6.113,10 | 791 / 41 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 44 | 81 / 13 | $50.278,20 | 1150 / 53 | $11.089,10 | 980 / 42 | $10.241,10 | 978 / 49 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 31 | $22.580,20 | 550 / 34 | $5.259,25 | 346 / 21 | $3.932,92 | 346 / 25 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 12 | 22 / 5 | $155.684,00 | 148 / 6 | $30.008,70 | 103 / 3 | $28.956,70 | 103 / 3 |
Atherosclerosis W/O Mcc | 11 | 47 / 11 | $16.580,70 | 227 / 10 | $4.642,18 | / 12 | $3.880,00 | / |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 40 | 26 / 2 | $76.163,80 | 447 / 28 | $13.046,50 | 370 / 16 | $12.081,20 | 367 / 25 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 35 | 54 / 4 | $39.895,90 | 466 / 24 | $7.467,97 | 469 / 9 | $6.329,69 | 468 / 27 |
Bone Diseases & Arthropathies W/O Mcc | 12 | 32 / 11 | $19.079,60 | 149 / 13 | $5.298,58 | 155 / 10 | $4.591,92 | 155 / 16 |
Bronchitis & Asthma W Cc/Mcc | 25 | 51 / 15 | $21.430,00 | 438 / 16 | $6.182,84 | 650 / 29 | $5.268,92 | 646 / 42 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 86 | 75 / 8 | $22.259,20 | 1227 / 43 | $5.926,60 | 1290 / 68 | $4.637,41 | 1285 / 69 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 59 | 64 / 12 | $37.918,60 | 1259 / 68 | $9.021,93 | 1124 / 72 | $7.425,32 | 1121 / 72 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 44 | 106 / 15 | $19.064,80 | 1338 / 62 | $4.337,64 | 1472 / 60 | $3.460,55 | 1466 / 81 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 66 | 54 / 5 | $233.275,00 | 459 / 19 | $35.062,30 | 258 / 13 | $32.360,40 | 258 / 13 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 45 | 71 / 6 | $354.440,00 | 419 / 17 | $55.362,60 | 291 / 10 | $54.659,20 | 291 / 10 |
Cellulitis W Mcc | 22 | 36 / 11 | $42.371,60 | 642 / 38 | $9.492,68 | 471 / 30 | $8.617,05 | 469 / 37 |
Cellulitis W/O Mcc | 89 | 100 / 21 | $18.308,30 | 1281 / 47 | $5.797,61 | 1472 / 54 | $4.689,75 | 1465 / 68 |
Cervical Spinal Fusion W Cc | 19 | 34 / 5 | $125.186,00 | 330 / 12 | $19.848,50 | 208 / 5 | $17.371,40 | 207 / 5 |
Cervical Spinal Fusion W Mcc | 18 | 4 / 1 | $167.087,00 | 23 / 1 | $32.850,10 | 17 / 1 | $32.242,10 | 17 / 1 |
Cervical Spinal Fusion W/O Cc/Mcc | 19 | 85 / 9 | $83.690,30 | 686 / 26 | $14.293,50 | 448 / 10 | $12.397,70 | 446 / 15 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 20 | 71 / 11 | $45.987,80 | 303 / 20 | $7.557,05 | 162 / 9 | $7.257,85 | 162 / 10 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Mcc | 15 | 19 / 4 | $55.413,90 | 22 / 1 | $15.284,60 | 7 / 1 | $15.126,70 | 7 / 1 |
Chest Pain | 23 | 128 / 34 | $20.432,40 | 950 / 43 | $4.618,04 | 1049 / 41 | $3.647,61 | 1042 / 51 |
Chronic Obstructive Pulmonary Disease W Cc | 83 | 96 / 17 | $24.142,30 | 1390 / 49 | $6.341,51 | 1514 / 52 | $5.531,29 | 1508 / 75 |
Chronic Obstructive Pulmonary Disease W Mcc | 85 | 117 / 22 | $32.059,20 | 1589 / 61 | $7.789,56 | 1377 / 51 | $6.674,27 | 1371 / 63 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 33 | $15.724,60 | 870 / 28 | $5.278,05 | 1361 / 58 | $4.183,95 | 1350 / 71 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 40 | 53 / 6 | $63.677,60 | 518 / 29 | $13.836,50 | 529 / 27 | $13.112,50 | 523 / 38 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 84 | 104 / 8 | $38.445,00 | 894 / 33 | $7.768,75 | 1034 / 38 | $6.426,54 | 1031 / 62 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 18 | 24 / 5 | $43.087,70 | 127 / 6 | $11.271,20 | 112 / 4 | $10.599,20 | 112 / 6 |
Complications Of Treatment W Cc | 34 | 18 / 2 | $32.748,90 | 243 / 13 | $7.028,53 | 190 / 13 | $6.301,26 | 190 / 16 |
Complications Of Treatment W Mcc | 47 | 8 / 1 | $76.715,90 | 255 / 10 | $14.109,00 | 179 / 6 | $12.299,50 | 179 / 5 |
Coronary Bypass W Cardiac Cath W/O Mcc | 20 | 56 / 7 | $256.043,00 | 562 / 24 | $45.745,20 | 498 / 21 | $32.325,20 | 498 / 25 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 31 | 57 / 6 | $194.189,00 | 532 / 25 | $25.900,70 | 437 / 14 | $24.806,60 | 436 / 24 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 46 | 22 / 4 | $31.392,20 | 487 / 30 | $6.696,52 | 509 / 25 | $6.093,39 | 509 / 34 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 28 | 14 / 1 | $195.085,00 | 125 / 6 | $36.301,40 | 72 / 3 | $35.270,60 | 72 / 4 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 13 | 42 / 7 | $133.574,00 | 186 / 10 | $19.155,00 | 81 / 2 | $18.320,60 | 81 / 3 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 74 | 29 / 2 | $130.639,00 | 297 / 11 | $27.253,80 | 175 / 4 | $26.147,90 | 175 / 9 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 11 | 63 / 8 | $103.020,00 | 221 / 10 | $14.712,50 | 104 / 3 | $13.612,90 | 104 / 5 |
Degenerative Nervous System Disorders W Mcc | 21 | 17 / 1 | $39.649,80 | 105 / 2 | $10.832,40 | 85 / 3 | $10.140,60 | 85 / 5 |
Degenerative Nervous System Disorders W/O Mcc | 50 | 28 / 4 | $45.817,90 | 732 / 51 | $8.093,32 | 610 / 37 | $6.753,78 | 610 / 41 |
Diabetes W Cc | 48 | 44 / 3 | $20.350,00 | 715 / 28 | $5.872,10 | 853 / 46 | $4.810,33 | 849 / 51 |
Diabetes W Mcc | 23 | 34 / 3 | $33.821,00 | 353 / 16 | $9.084,78 | 372 / 15 | $8.508,78 | 372 / 23 |
Digestive Malignancy W Cc | 15 | 32 / 11 | $47.940,40 | 285 / 21 | $8.295,60 | 164 / 12 | $7.408,13 | 162 / 14 |
Digestive Malignancy W Mcc | 19 | 18 / 4 | $67.882,60 | 101 / 8 | $13.927,80 | 56 / 3 | $13.105,80 | 56 / 4 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 30 | 40 / 3 | $26.846,60 | 318 / 7 | $6.310,77 | 269 / 9 | $5.808,37 | 269 / 14 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 43 | 33 / 2 | $47.072,70 | 279 / 14 | $12.029,10 | 249 / 12 | $11.608,00 | 249 / 15 |
Disorders Of Pancreas Except Malignancy W Cc | 36 | 25 / 2 | $30.153,20 | 631 / 29 | $6.455,89 | 634 / 24 | $5.784,78 | 631 / 37 |
Disorders Of Pancreas Except Malignancy W Mcc | 34 | 12 / 1 | $89.056,40 | 324 / 19 | $14.099,20 | 261 / 10 | $13.467,20 | 261 / 14 |
Disorders Of The Biliary Tract W Cc | 19 | 35 / 7 | $43.356,90 | 350 / 21 | $7.215,42 | 263 / 9 | $6.575,42 | 263 / 17 |
Disorders Of The Biliary Tract W Mcc | 13 | 26 / 7 | $86.468,90 | 229 / 13 | $14.607,20 | 186 / 12 | $12.557,40 | 186 / 13 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 41 | 40 / 5 | $715.859,00 | 384 / 18 | $131.833,00 | 307 / 11 | $130.593,00 | 306 / 13 |
Endocrine Disorders W Cc | 18 | 20 / 6 | $30.141,90 | 179 / 11 | $6.890,89 | 151 / 8 | $6.222,44 | 151 / 11 |
Endocrine Disorders W Mcc | 16 | 10 / 2 | $55.029,20 | 84 / 3 | $10.934,10 | 55 / 4 | $10.406,10 | 55 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 61 | 35 / 3 | $38.672,10 | 911 / 49 | $8.607,72 | 781 / 45 | $7.330,39 | 776 / 49 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 176 | 100 / 10 | $22.748,90 | 1689 / 64 | $5.441,07 | 1796 / 61 | $4.471,15 | 1783 / 80 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 11 | $78.627,90 | 228 / 10 | $16.486,70 | 161 / 4 | $16.158,00 | 160 / 7 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 12 | $222.321,00 | 662 / 39 | $36.503,30 | 560 / 28 | $35.270,30 | 560 / 31 |
Extracranial Procedures W Cc | 32 | 14 / 1 | $74.953,20 | 327 / 17 | $15.545,40 | 183 / 17 | $9.010,88 | 183 / 10 |
Extracranial Procedures W/O Cc/Mcc | 34 | 64 / 4 | $54.210,50 | 798 / 35 | $7.213,06 | 612 / 16 | $6.144,82 | 610 / 33 |
Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 15 | $18.378,80 | 455 / 13 | $5.097,82 | 511 / 24 | $3.962,76 | 511 / 27 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 33 | 29 / 5 | $22.912,80 | 458 / 22 | $6.903,79 | 381 / 35 | $4.140,88 | 381 / 28 |
G.I. Hemorrhage W Cc | 132 | 86 / 6 | $35.895,20 | 1816 / 86 | $7.055,04 | 1538 / 65 | $6.028,55 | 1534 / 78 |
G.I. Hemorrhage W Mcc | 72 | 49 / 3 | $57.515,10 | 1153 / 61 | $11.450,40 | 894 / 42 | $10.825,30 | 889 / 54 |
G.I. Obstruction W Cc | 49 | 43 / 8 | $25.517,30 | 1020 / 45 | $6.696,25 | 1201 / 65 | $5.564,45 | 1198 / 72 |
G.I. Obstruction W Mcc | 17 | 25 / 7 | $84.074,60 | 489 / 26 | $12.468,50 | 412 / 21 | $11.903,80 | 412 / 23 |
G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 17 | $16.830,30 | 649 / 23 | $4.648,50 | 901 / 43 | $3.678,90 | 898 / 53 |
Headaches W/O Mcc | 13 | 30 / 5 | $18.373,80 | 80 / 4 | $6.520,77 | 66 / 10 | $3.310,62 | 66 / 7 |
Heart Failure & Shock W Cc | 127 | 151 / 20 | $27.211,20 | 1816 / 75 | $6.859,99 | 1678 / 69 | $5.961,74 | 1673 / 80 |
Heart Failure & Shock W Mcc | 188 | 96 / 7 | $46.219,60 | 1882 / 81 | $10.164,10 | 1587 / 65 | $9.241,38 | 1582 / 73 |
Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 31 | $17.467,20 | 1106 / 49 | $5.002,17 | 1368 / 69 | $4.181,83 | 1357 / 76 |
Hernia Procedures Except Inguinal & Femoral W Cc | 19 | 15 / 4 | $62.349,10 | 111 / 8 | $10.897,30 | 70 / 3 | $9.821,16 | 70 / 7 |
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 12 | 20 / 3 | $38.020,30 | 85 / 2 | $13.140,90 | 27 / 3 | $5.755,08 | 27 / 1 |
Hip & Femur Procedures Except Major Joint W Cc | 71 | 72 / 7 | $65.319,40 | 1468 / 75 | $12.553,40 | 1139 / 53 | $11.418,90 | 1125 / 61 |
Hip & Femur Procedures Except Major Joint W Mcc | 44 | 18 / 1 | $104.263,00 | 718 / 38 | $20.822,90 | 500 / 33 | $18.241,20 | 497 / 28 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 19 | 37 / 9 | $51.475,60 | 604 / 35 | $10.438,70 | 517 / 24 | $9.355,79 | 515 / 34 |
Hypertension W/O Mcc | 15 | 50 / 15 | $17.213,20 | 307 / 16 | $4.730,20 | 463 / 22 | $3.605,93 | 461 / 26 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 10 | $76.624,50 | 239 / 10 | $15.695,00 | 178 / 6 | $14.810,60 | 178 / 8 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 116 | 17 / 1 | $190.322,00 | 1227 / 73 | $36.921,00 | 1054 / 55 | $36.210,10 | 1047 / 66 |
Inflammatory Bowel Disease W Cc | 11 | 21 / 4 | $41.137,30 | 110 / 4 | $7.004,18 | 75 / 1 | $6.239,09 | 75 / 2 |
Interstitial Lung Disease W Mcc | 11 | 14 / 6 | $44.353,30 | 58 / 5 | $10.312,20 | 38 / 5 | $9.878,73 | 38 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 167 | 28 / 2 | $32.998,00 | 1282 / 50 | $7.723,12 | 1335 / 63 | $6.417,82 | 1332 / 76 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 134 | 44 / 1 | $55.988,10 | 1069 / 56 | $11.684,60 | 924 / 46 | $10.742,50 | 921 / 57 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 59 | 43 / 4 | $30.026,70 | 1100 / 54 | $6.440,20 | 1001 / 58 | $4.343,95 | 997 / 56 |
Kidney & Ureter Procedures For Neoplasm W Cc | 11 | 33 / 9 | $85.701,90 | 146 / 9 | $12.929,10 | 66 / 2 | $11.937,10 | 66 / 4 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 14 | 31 / 7 | $69.229,40 | 142 / 6 | $11.739,60 | 60 / 2 | $11.136,20 | 60 / 4 |
Kidney & Ureter Procedures For Non-Neoplasm W Mcc | 14 | 16 / 3 | $133.501,00 | 59 / 5 | $25.456,50 | 31 / 1 | $24.495,80 | 31 / 1 |
Kidney & Urinary Tract Infections W Mcc | 57 | 87 / 15 | $35.066,20 | 1362 / 71 | $7.355,82 | 1099 / 48 | $6.572,11 | 1095 / 61 |
Kidney & Urinary Tract Infections W/O Mcc | 65 | 168 / 35 | $19.020,90 | 1462 / 45 | $5.760,97 | 1483 / 76 | $4.336,28 | 1474 / 69 |
Kidney Transplant | 44 | 59 / 5 | $199.633,00 | 92 / 3 | $32.189,80 | 12 / 3 | $17.382,40 | 12 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 24 | 32 / 11 | $60.560,70 | 582 / 27 | $10.751,40 | 524 / 14 | $9.695,38 | 522 / 26 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 21 | 19 / 5 | $96.535,00 | 341 / 20 | $18.068,50 | 312 / 16 | $16.097,00 | 311 / 18 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 11 | $45.671,10 | 376 / 13 | $8.255,23 | 408 / 6 | $7.329,69 | 407 / 18 |
Limb Reattachment, Hip & Femur Proc For Multiple Significant Trauma | 15 | 7 / 1 | $164.861,00 | 42 / 1 | $28.799,10 | 33 / 1 | $27.222,10 | 33 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 28 | 27 / 4 | $74.175,50 | 451 / 25 | $13.009,20 | 295 / 11 | $11.273,80 | 294 / 18 |
Lymphoma & Non-Acute Leukemia W Cc | 11 | 25 / 6 | $33.613,80 | 28 / 1 | $10.033,70 | 33 / 2 | $9.265,73 | 33 / 2 |
Lymphoma & Non-Acute Leukemia W Mcc | 18 | 18 / 4 | $76.189,50 | 41 / 4 | $19.813,30 | 36 / 3 | $19.413,30 | 36 / 4 |
Major Cardiovasc Procedures W Mcc | 29 | 39 / 5 | $188.141,00 | 481 / 19 | $35.170,00 | 354 / 14 | $34.332,40 | 353 / 16 |
Major Cardiovasc Procedures W/O Mcc | 74 | 31 / 1 | $135.078,00 | 820 / 40 | $21.739,40 | 539 / 15 | $20.709,80 | 539 / 30 |
Major Chest Procedures W Cc | 50 | 24 / 5 | $91.022,00 | 368 / 14 | $14.838,50 | 153 / 6 | $13.968,10 | 153 / 12 |
Major Chest Procedures W Mcc | 28 | 21 / 1 | $133.432,00 | 186 / 8 | $33.541,90 | 34 / 4 | $24.858,00 | 34 / 2 |
Major Chest Procedures W/O Cc/Mcc | 12 | 47 / 8 | $71.655,50 | 200 / 9 | $11.516,20 | 96 / 3 | $10.385,80 | 96 / 5 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 38 | 35 / 7 | $25.169,80 | 485 / 22 | $7.651,55 | 583 / 32 | $6.923,13 | 581 / 39 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 35 | 21 / 5 | $55.444,50 | 467 / 33 | $11.765,00 | 312 / 18 | $11.334,30 | 311 / 31 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 29 | 36 / 5 | $123.684,00 | 757 / 43 | $25.365,20 | 749 / 41 | $23.136,20 | 746 / 43 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 334 | 240 / 15 | $65.594,80 | 1881 / 79 | $14.561,50 | 1407 / 52 | $11.822,90 | 1374 / 61 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 13 | $85.285,50 | 360 / 20 | $16.546,80 | 284 / 9 | $15.522,80 | 284 / 15 |
Major Small & Large Bowel Procedures W Cc | 52 | 56 / 10 | $92.078,30 | 1133 / 54 | $15.983,60 | 851 / 22 | $14.984,20 | 843 / 48 |
Major Small & Large Bowel Procedures W Mcc | 43 | 42 / 6 | $166.482,00 | 901 / 45 | $32.698,20 | 681 / 19 | $31.997,90 | 679 / 30 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 10 | $57.157,80 | 549 / 19 | $10.357,80 | 420 / 7 | $9.333,77 | 420 / 14 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 17 | 36 / 8 | $80.917,70 | 287 / 19 | $12.495,40 | 195 / 9 | $11.783,80 | 196 / 14 |
Medical Back Problems W Mcc | 32 | 7 / 1 | $52.286,40 | 220 / 16 | $12.020,10 | 147 / 14 | $9.610,00 | 147 / 12 |
Medical Back Problems W/O Mcc | 86 | 36 / 6 | $20.327,50 | 560 / 18 | $6.401,85 | 827 / 53 | $4.819,26 | 824 / 51 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 78 | 48 / 5 | $31.872,30 | 1037 / 56 | $7.547,14 | 846 / 46 | $6.683,85 | 843 / 54 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 71 | 95 / 19 | $18.151,00 | 1342 / 51 | $5.150,37 | 1709 / 71 | $4.335,03 | 1704 / 79 |
Nervous System Neoplasms W Mcc | 20 | 28 / 7 | $41.209,80 | 174 / 11 | $8.602,65 | 118 / 9 | $7.815,45 | 118 / 11 |
Nonspecific Cerebrovascular Disorders W Mcc | 15 | 36 / 2 | $73.206,70 | 351 / 15 | $11.431,90 | 263 / 14 | $10.951,90 | 263 / 15 |
Nonspecific Cva & Precerebral Occlusion W/O Infarct W/O Mcc | 11 | 12 / 2 | $39.979,30 | 44 / 2 | $6.613,64 | 38 / 2 | $5.624,55 | 38 / 2 |
O.R. Procedures For Obesity W Cc | 11 | 23 / 5 | $81.845,80 | 103 / 6 | $13.114,10 | 34 / 4 | $10.211,30 | 34 / 3 |
O.R. Procedures For Obesity W/O Cc/Mcc | 18 | 59 / 6 | $71.078,70 | 359 / 9 | $10.316,60 | 231 / 2 | $9.177,00 | 231 / 6 |
Organic Disturbances & Mental Retardation | 13 | 46 / 17 | $19.355,50 | 164 / 7 | $6.643,92 | 224 / 16 | $5.784,23 | 224 / 15 |
Other Circulatory System Diagnoses W Cc | 31 | 35 / 4 | $41.219,00 | 551 / 28 | $6.603,97 | 353 / 15 | $5.807,06 | 352 / 19 |
Other Circulatory System Diagnoses W Mcc | 101 | 22 / 1 | $65.902,60 | 1001 / 58 | $14.071,10 | 580 / 47 | $11.061,60 | 578 / 33 |
Other Circulatory System O.R. Procedures | 15 | 40 / 8 | $77.832,20 | 257 / 17 | $17.445,00 | 176 / 10 | $16.568,20 | 176 / 10 |
Other Digestive System Diagnoses W Cc | 56 | 41 / 7 | $32.006,60 | 935 / 52 | $7.200,29 | 812 / 56 | $5.822,62 | 808 / 53 |
Other Digestive System Diagnoses W Mcc | 34 | 28 / 5 | $44.689,20 | 385 / 15 | $10.784,60 | 308 / 13 | $10.142,80 | 307 / 20 |
Other Digestive System O.R. Procedures W Cc | 12 | 15 / 3 | $79.841,20 | 73 / 4 | $19.907,10 | 17 / 5 | $11.990,40 | 17 / 2 |
Other Digestive System O.R. Procedures W Mcc | 11 | 18 / 5 | $124.953,00 | 74 / 4 | $21.943,80 | 19 / 1 | $20.592,50 | 19 / 1 |
Other Disorders Of Nervous System W Cc | 25 | 31 / 5 | $27.353,40 | 331 / 14 | $6.511,04 | 380 / 22 | $5.740,40 | 380 / 23 |
Other Disorders Of Nervous System W Mcc | 37 | 5 / 1 | $48.281,90 | 197 / 9 | $10.151,50 | 124 / 5 | $9.528,84 | 124 / 7 |
Other Ear, Nose, Mouth & Throat Diagnoses W Cc | 15 | 5 / 1 | $18.280,60 | 5 / 1 | $6.133,80 | 8 / 2 | $5.327,40 | 8 / 2 |
Other Kidney & Urinary Tract Diagnoses W Cc | 66 | 39 / 3 | $32.452,10 | 561 / 38 | $7.021,91 | 413 / 31 | $5.902,36 | 413 / 31 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 98 | 14 / 2 | $57.880,10 | 864 / 52 | $11.445,40 | 777 / 42 | $10.683,30 | 775 / 47 |
Other Kidney & Urinary Tract Procedures W Mcc | 15 | 23 / 4 | $102.399,00 | 150 / 9 | $19.232,80 | 78 / 4 | $18.910,70 | 78 / 5 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 16 | 24 / 7 | $54.783,50 | 110 / 5 | $12.491,90 | 110 / 7 | $11.585,90 | 110 / 9 |
Other O.R. Procedures For Injuries W Cc | 17 | 18 / 2 | $59.541,90 | 98 / 4 | $12.488,10 | 29 / 1 | $10.629,70 | 29 / 2 |
Other O.R. Procedures For Injuries W Mcc | 17 | 20 / 2 | $152.057,00 | 159 / 7 | $29.611,50 | 113 / 3 | $28.883,90 | 113 / 5 |
Other Resp System O.R. Procedures W Cc | 21 | 26 / 4 | $61.193,20 | 220 / 12 | $15.686,00 | 95 / 11 | $10.517,20 | 95 / 5 |
Other Resp System O.R. Procedures W Mcc | 28 | 35 / 5 | $119.038,00 | 414 / 21 | $23.492,00 | 307 / 13 | $22.671,40 | 306 / 18 |
Other Respiratory System Diagnoses W Mcc | 16 | 20 / 2 | $47.339,70 | 52 / 2 | $9.353,19 | 25 / 1 | $8.709,19 | 25 / 2 |
Other Respiratory System Diagnoses W/O Mcc | 15 | 31 / 5 | $21.832,40 | 135 / 1 | $5.613,73 | 123 / 5 | $4.487,33 | 123 / 6 |
Other Vascular Procedures W Cc | 56 | 47 / 3 | $134.523,00 | 1027 / 57 | $18.612,40 | 842 / 36 | $17.858,10 | 837 / 46 |
Other Vascular Procedures W Mcc | 40 | 57 / 6 | $132.034,00 | 792 / 45 | $20.478,90 | 406 / 15 | $19.723,70 | 404 / 20 |
Otitis Media & Uri W/O Mcc | 11 | 33 / 7 | $15.223,80 | 57 / 2 | $4.883,27 | 97 / 5 | $3.789,45 | 97 / 6 |
Pancreas, Liver & Shunt Procedures W Cc | 12 | 43 / 8 | $99.985,80 | 88 / 6 | $17.224,70 | 29 / 1 | $16.518,00 | 29 / 2 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 20 | 20 / 9 | $24.061,90 | 86 / 1 | $7.182,20 | 95 / 12 | $6.337,40 | 95 / 14 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Mcc | 16 | 9 / 2 | $53.198,20 | 21 / 4 | $11.736,20 | 10 / 2 | $11.132,20 | 10 / 3 |
Pelvic Evisceration, Rad Hysterectomy & Rad Vulvectomy W Cc/Mcc | 12 | 8 / 1 | $99.148,80 | 11 / 1 | $17.851,80 | 7 / 1 | $16.745,10 | 7 / 1 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 38 | 62 / 5 | $121.616,00 | 677 / 34 | $20.322,00 | 458 / 12 | $19.366,20 | 454 / 22 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 110 | 86 / 5 | $99.888,80 | 1161 / 70 | $13.654,30 | 858 / 29 | $11.904,10 | 852 / 51 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 17 | 28 / 6 | $125.205,00 | 211 / 13 | $18.546,40 | 102 / 3 | $17.691,80 | 102 / 3 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 37 | 32 / 1 | $100.913,00 | 495 / 27 | $11.747,60 | 323 / 10 | $10.738,30 | 323 / 20 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 27 | 68 / 9 | $77.345,20 | 310 / 14 | $12.620,00 | 294 / 8 | $11.815,30 | 291 / 17 |
Peripheral Vascular Disorders W Cc | 41 | 43 / 9 | $33.747,20 | 897 / 63 | $6.546,34 | 664 / 40 | $5.748,68 | 661 / 51 |
Peripheral Vascular Disorders W Mcc | 21 | 28 / 8 | $37.821,10 | 324 / 16 | $8.963,29 | 237 / 16 | $7.964,43 | 237 / 19 |
Permanent Cardiac Pacemaker Implant W Cc | 41 | 36 / 3 | $114.258,00 | 839 / 47 | $16.830,30 | 477 / 26 | $15.710,90 | 476 / 32 |
Permanent Cardiac Pacemaker Implant W Mcc | 17 | 35 / 8 | $147.383,00 | 503 / 30 | $23.525,20 | 288 / 16 | $22.397,60 | 288 / 17 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 12 | $89.414,80 | 628 / 28 | $13.702,20 | 372 / 13 | $12.486,20 | 371 / 22 |
Poisoning & Toxic Effects Of Drugs W Mcc | 35 | 37 / 1 | $47.824,40 | 675 / 18 | $10.002,00 | 609 / 14 | $9.174,60 | 607 / 19 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 10 | $18.738,50 | 470 / 17 | $4.797,07 | 612 / 22 | $4.279,73 | 611 / 31 |
Postoperative & Post-Traumatic Infections W Mcc | 23 | 20 / 2 | $74.727,10 | 178 / 7 | $12.821,30 | 97 / 4 | $12.295,40 | 97 / 5 |
Postoperative & Post-Traumatic Infections W/O Mcc | 22 | 32 / 3 | $31.531,00 | 303 / 13 | $6.687,45 | 241 / 7 | $6.304,91 | 241 / 11 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 14 | 17 / 2 | $147.794,00 | 71 / 3 | $35.245,70 | 60 / 3 | $34.557,10 | 60 / 3 |
Pulmonary Edema & Respiratory Failure | 110 | 93 / 4 | $41.298,80 | 1547 / 63 | $8.485,50 | 1381 / 57 | $7.551,48 | 1377 / 67 |
Pulmonary Embolism W Mcc | 15 | 28 / 11 | $50.166,30 | 423 / 27 | $9.846,07 | 357 / 23 | $9.359,67 | 357 / 29 |
Pulmonary Embolism W/O Mcc | 28 | 46 / 12 | $26.105,40 | 694 / 29 | $6.740,57 | 749 / 30 | $5.673,21 | 746 / 44 |
Red Blood Cell Disorders W Mcc | 25 | 46 / 13 | $31.906,70 | 505 / 27 | $8.389,40 | 562 / 36 | $7.668,44 | 560 / 43 |
Red Blood Cell Disorders W/O Mcc | 39 | 104 / 21 | $25.299,70 | 1268 / 68 | $5.773,95 | 1316 / 61 | $5.028,92 | 1307 / 73 |
Renal Failure W Cc | 116 | 105 / 14 | $22.242,30 | 1203 / 42 | $6.549,26 | 1366 / 60 | $5.571,09 | 1358 / 64 |
Renal Failure W Mcc | 107 | 88 / 11 | $38.833,20 | 1232 / 58 | $9.831,10 | 1073 / 44 | $9.079,40 | 1073 / 54 |
Respiratory Infections & Inflammations W Cc | 44 | 44 / 5 | $36.627,70 | 888 / 36 | $8.542,73 | 681 / 28 | $7.717,27 | 676 / 36 |
Respiratory Infections & Inflammations W Mcc | 114 | 28 / 4 | $66.975,00 | 1374 / 68 | $12.698,50 | 1046 / 51 | $11.826,80 | 1032 / 55 |
Respiratory Neoplasms W Cc | 20 | 27 / 7 | $33.623,20 | 242 / 15 | $7.952,00 | 273 / 16 | $7.288,00 | 272 / 22 |
Respiratory Neoplasms W Mcc | 41 | 13 / 2 | $53.472,80 | 415 / 19 | $11.193,90 | 345 / 19 | $10.575,80 | 344 / 28 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 127 | 17 / 1 | $90.863,80 | 1423 / 73 | $15.155,40 | 1072 / 46 | $14.434,60 | 1062 / 62 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 37 | 34 / 2 | $169.404,00 | 647 / 33 | $32.139,50 | 325 / 14 | $29.512,00 | 325 / 14 |
Revision Of Hip Or Knee Replacement W Cc | 19 | 67 / 11 | $93.804,60 | 411 / 23 | $20.753,70 | 323 / 10 | $19.674,10 | 322 / 15 |
Seizures W Mcc | 44 | 22 / 1 | $48.102,00 | 461 / 26 | $10.617,50 | 371 / 22 | $9.376,05 | 371 / 20 |
Seizures W/O Mcc | 66 | 42 / 3 | $22.019,50 | 648 / 33 | $5.504,98 | 731 / 39 | $4.554,68 | 728 / 52 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 52 | 40 / 1 | $227.060,00 | 829 / 49 | $41.081,60 | 537 / 30 | $37.504,30 | 536 / 33 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 608 | 43 / 3 | $61.114,20 | 2113 / 85 | $12.190,40 | 1647 / 52 | $11.317,00 | 1615 / 66 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 131 | 76 / 5 | $28.551,90 | 1530 / 47 | $7.354,34 | 1480 / 60 | $6.229,02 | 1474 / 71 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 13 | 34 / 10 | $21.386,60 | 185 / 9 | $5.242,08 | 195 / 15 | $4.407,62 | 195 / 17 |
Signs & Symptoms W/O Mcc | 16 | 75 / 23 | $21.033,30 | 701 / 29 | $5.141,81 | 848 / 38 | $4.391,81 | 845 / 45 |
Simple Pneumonia & Pleurisy W Cc | 43 | 160 / 53 | $21.551,70 | 1308 / 33 | $7.534,58 | 1612 / 88 | $5.621,86 | 1605 / 70 |
Simple Pneumonia & Pleurisy W Mcc | 47 | 158 / 44 | $49.494,60 | 1902 / 83 | $10.789,10 | 1445 / 83 | $8.583,68 | 1445 / 65 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 36 | $18.804,40 | 1104 / 47 | $7.816,31 | 913 / 92 | $3.603,31 | 908 / 58 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 49 | 4 / 1 | $265.431,00 | 69 / 4 | $43.462,60 | 34 / 1 | $42.404,70 | 34 / 1 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Mcc | 12 | 6 / 1 | $377.358,00 | 11 / 1 | $70.380,70 | 2 / 1 | $57.761,10 | 2 / 1 |
Spinal Fusion Except Cervical W/O Mcc | 84 | 110 / 6 | $132.225,00 | 1015 / 43 | $27.227,00 | 637 / 25 | $22.725,70 | 633 / 26 |
Stomach, Esophageal & Duodenal Proc W Cc | 17 | 33 / 6 | $91.891,80 | 160 / 8 | $17.259,50 | 56 / 4 | $14.820,30 | 56 / 3 |
Stomach, Esophageal & Duodenal Proc W Mcc | 14 | 27 / 3 | $233.249,00 | 198 / 10 | $39.778,90 | 134 / 5 | $39.008,60 | 134 / 7 |
Syncope & Collapse | 59 | 110 / 16 | $21.684,60 | 1007 / 40 | $5.336,54 | 1205 / 55 | $4.396,07 | 1198 / 68 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 23 | 41 / 4 | $338.170,00 | 372 / 19 | $65.088,40 | 272 / 11 | $63.842,40 | 272 / 13 |
Transient Ischemia | 21 | 104 / 33 | $23.131,50 | 862 / 37 | $5.174,14 | 1105 / 49 | $4.253,76 | 1099 / 66 |
Transurethral Procedures W Cc | 16 | 25 / 7 | $45.833,90 | 257 / 19 | $8.974,75 | 263 / 17 | $8.068,81 | 263 / 22 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 17 | 27 / 6 | $19.506,50 | 100 / 3 | $6.349,88 | 129 / 12 | $4.187,06 | 129 / 12 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 27 | 39 / 5 | $23.453,60 | 130 / 3 | $7.374,85 | 220 / 14 | $6.346,11 | 220 / 19 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 38 | 13 / 1 | $63.671,00 | 219 / 15 | $12.656,10 | 137 / 7 | $11.861,10 | 137 / 11 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 17 | 37 / 8 | $23.989,20 | 224 / 12 | $6.482,94 | 72 / 17 | $3.536,35 | 72 / 11 |
Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 14 | 14 / 3 | $52.653,10 | 69 / 3 | $12.151,60 | 21 / 1 | $8.368,57 | 21 / 1 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 12 | 34 / 7 | $45.186,90 | 201 / 8 | $6.994,17 | 132 / 5 | $5.759,83 | 132 / 7 |
Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc | 18 | 10 / 2 | $61.287,30 | 33 / 3 | $10.341,30 | 12 / 2 | $9.342,17 | 12 / 3 |
Viral Illness W Mcc | 17 | 7 / 2 | $29.735,50 | 6 / 1 | $11.225,30 | 7 / 1 | $10.440,40 | 7 / 1 |
Viral Illness W/O Mcc | 13 | 14 / 2 | $23.347,50 | 27 / 2 | $5.702,85 | 20 / 1 | $4.582,85 | 20 / 1 | Total 206 procedures | 8.657 | 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.