Hospital Costs > In Kentucky > Saint Joseph Hospital Lexington, 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 | 13 | 17 / 2 | $12.327,30 | 13 / 2 | $3.888,92 | 1 / 1 | $2.632,77 | 1 / 1 |
Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 16 | $17.187,50 | 184 / 4 | $6.270,47 | 99 / 10 | $4.697,47 | 99 / 4 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 46 | 79 / 8 | $28.173,10 | 378 / 10 | $9.800,39 | 472 / 14 | $8.932,52 | 472 / 15 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 9 | $13.755,10 | 111 / 2 | $4.426,19 | 159 / 4 | $3.462,00 | 158 / 7 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 11 | 23 / 2 | $45.070,90 | 10 / 1 | $22.630,50 | 25 / 1 | $22.021,60 | 25 / 1 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 14 | 52 / 7 | $30.646,10 | 57 / 1 | $10.537,90 | 93 / 2 | $9.330,57 | 93 / 2 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 17 | 72 / 8 | $16.654,10 | 54 / 1 | $6.213,00 | 148 / 1 | $5.007,24 | 148 / 4 |
Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 12 | 20 / 3 | $27.952,00 | 2 / 1 | $11.457,20 | 5 / 1 | $10.220,00 | 5 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 44 | 117 / 15 | $12.948,90 | 313 / 10 | $4.627,95 | 336 / 6 | $3.655,41 | 336 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 42 | 81 / 11 | $21.235,70 | 404 / 11 | $7.221,62 | 438 / 9 | $6.270,98 | 435 / 12 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 43 | 107 / 14 | $9.082,81 | 242 / 7 | $3.375,05 | 200 / 6 | $2.128,91 | 199 / 4 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 13 | 37 / 5 | $81.472,60 | 20 / 1 | $28.563,00 | 16 / 1 | $27.614,40 | 16 / 1 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 17 | 52 / 4 | $142.979,00 | 17 / 1 | $52.451,80 | 42 / 1 | $51.200,20 | 42 / 1 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 20 | 98 / 7 | $88.689,50 | 37 / 1 | $30.005,50 | 27 / 2 | $25.944,90 | 27 / 2 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 44 | 72 / 3 | $131.361,00 | 41 / 1 | $47.062,60 | 82 / 1 | $44.055,90 | 82 / 1 |
Cellulitis W Mcc | 26 | 32 / 2 | $25.370,60 | 253 / 5 | $8.396,62 | 44 / 5 | $6.593,19 | 44 / 2 |
Cellulitis W/O Mcc | 51 | 138 / 10 | $15.749,00 | 959 / 32 | $5.169,96 | 343 / 16 | $3.743,73 | 340 / 11 |
Cervical Spinal Fusion W Cc | 13 | 40 / 4 | $33.816,50 | 17 / 1 | $15.950,80 | 59 / 1 | $14.797,00 | 59 / 1 |
Cervical Spinal Fusion W/O Cc/Mcc | 29 | 75 / 4 | $30.484,00 | 64 / 2 | $12.332,70 | 207 / 1 | $11.124,60 | 207 / 6 |
Chest Pain | 34 | 117 / 14 | $11.397,10 | 213 / 9 | $3.603,35 | 162 / 5 | $2.482,03 | 161 / 4 |
Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 38 | $15.821,20 | 595 / 23 | $5.692,19 | 45 / 20 | $3.831,62 | 45 / 3 |
Chronic Obstructive Pulmonary Disease W Mcc | 46 | 156 / 26 | $17.325,90 | 506 / 16 | $6.641,57 | 311 / 8 | $5.576,00 | 310 / 10 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 35 | $10.861,70 | 339 / 13 | $4.743,93 | 238 / 27 | $3.064,79 | 238 / 5 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 25 | 68 / 7 | $41.265,50 | 175 / 4 | $13.938,00 | 419 / 10 | $12.327,40 | 413 / 11 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 60 | 128 / 11 | $20.043,30 | 110 / 4 | $6.202,43 | 322 / 2 | $5.169,97 | 322 / 9 |
Coronary Bypass W Cardiac Cath W Mcc | 15 | 41 / 4 | $100.122,00 | 17 / 1 | $40.808,30 | 123 / 3 | $39.260,60 | 123 / 5 |
Coronary Bypass W Cardiac Cath W/O Mcc | 33 | 43 / 4 | $64.024,50 | 21 / 1 | $25.044,60 | 119 / 1 | $23.729,70 | 119 / 3 |
Coronary Bypass W/O Cardiac Cath W Mcc | 19 | 40 / 3 | $100.333,00 | 31 / 1 | $35.603,10 | 103 / 2 | $34.441,80 | 102 / 2 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 48 | 40 / 3 | $51.240,90 | 23 / 1 | $21.322,70 | 57 / 2 | $17.899,10 | 57 / 2 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 17 | 51 / 6 | $17.744,20 | 163 / 2 | $5.156,59 | 29 / 1 | $3.719,94 | 29 / 1 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 19 | 79 / 5 | $63.354,00 | 36 / 1 | $23.115,80 | 29 / 1 | $21.905,50 | 29 / 2 |
Diabetes W Cc | 18 | 74 / 18 | $16.010,20 | 400 / 14 | $4.871,11 | 185 / 5 | $3.800,44 | 185 / 5 |
Diabetes W Mcc | 12 | 45 / 8 | $25.547,10 | 186 / 4 | $8.341,25 | 196 / 7 | $7.538,75 | 196 / 9 |
Digestive Malignancy W Cc | 15 | 32 / 4 | $16.600,20 | 23 / 1 | $6.998,47 | 40 / 1 | $6.148,33 | 40 / 1 |
Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 6 | $15.609,80 | 137 / 4 | $5.346,59 | 176 / 4 | $4.439,06 | 176 / 5 |
Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 7 | $41.394,00 | 137 / 4 | $17.044,20 | 9 / 8 | $8.097,08 | 9 / 1 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 10 | $12.443,80 | 81 / 5 | $3.896,50 | 112 / 2 | $2.979,42 | 112 / 3 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 15 | 66 / 6 | $295.781,00 | 78 / 2 | $105.882,00 | 174 / 1 | $103.465,00 | 174 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 35 | 61 / 4 | $19.776,50 | 198 / 6 | $7.093,31 | 49 / 7 | $5.466,66 | 49 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 90 | 185 / 14 | $14.843,50 | 732 / 23 | $4.427,71 | 469 / 9 | $3.376,91 | 467 / 15 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 6 | $40.784,60 | 24 / 1 | $14.804,50 | 33 / 1 | $13.760,30 | 32 / 1 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 7 | $57.867,60 | 31 / 1 | $26.800,40 | 116 / 2 | $25.572,10 | 116 / 2 |
Extracranial Procedures W Cc | 37 | 9 / 1 | $26.846,40 | 56 / 2 | $8.939,03 | 61 / 2 | $7.823,32 | 61 / 2 |
Extracranial Procedures W/O Cc/Mcc | 73 | 25 / 1 | $18.220,60 | 99 / 2 | $6.168,74 | 82 / 5 | $4.594,60 | 82 / 4 |
Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 7 | $13.698,80 | 232 / 5 | $4.246,93 | 114 / 4 | $3.005,14 | 115 / 4 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 17 | 45 / 4 | $11.355,40 | 87 / 3 | $4.465,12 | 98 / 3 | $3.297,18 | 98 / 6 |
G.I. Hemorrhage W Cc | 88 | 130 / 8 | $17.413,60 | 530 / 13 | $5.959,20 | 183 / 17 | $4.535,88 | 183 / 7 |
G.I. Hemorrhage W Mcc | 48 | 73 / 7 | $28.137,40 | 269 / 5 | $10.009,90 | 281 / 6 | $9.102,85 | 281 / 8 |
G.I. Obstruction W Cc | 35 | 57 / 6 | $13.143,90 | 172 / 6 | $5.958,54 | 203 / 25 | $4.053,54 | 202 / 5 |
G.I. Obstruction W Mcc | 15 | 27 / 3 | $17.802,30 | 16 / 1 | $9.091,67 | 67 / 3 | $8.175,33 | 67 / 3 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 14 | $11.294,50 | 228 / 8 | $3.682,58 | 119 / 5 | $2.373,08 | 119 / 4 |
Heart Failure & Shock W Cc | 59 | 219 / 18 | $16.402,90 | 733 / 18 | $5.720,27 | 360 / 11 | $4.736,20 | 360 / 9 |
Heart Failure & Shock W Mcc | 250 | 53 / 3 | $25.052,10 | 742 / 21 | $8.460,13 | 368 / 13 | $7.503,41 | 368 / 15 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 18 | $10.411,10 | 302 / 12 | $4.069,52 | 180 / 9 | $2.934,30 | 178 / 6 |
Hernia Procedures Except Inguinal & Femoral W Cc | 11 | 23 / 3 | $29.641,50 | 14 / 1 | $9.461,82 | 8 / 1 | $7.287,64 | 8 / 1 |
Hip & Femur Procedures Except Major Joint W Cc | 39 | 104 / 13 | $36.040,50 | 455 / 8 | $11.071,80 | 167 / 10 | $9.399,82 | 166 / 6 |
Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 8 | $57.765,20 | 276 / 8 | $16.929,60 | 176 / 4 | $15.730,40 | 175 / 6 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 9 | $26.262,30 | 111 / 4 | $9.549,69 | 27 / 7 | $7.236,54 | 27 / 1 |
Hypertension W/O Mcc | 23 | 42 / 4 | $13.412,70 | 151 / 7 | $3.725,09 | 87 / 3 | $2.587,48 | 87 / 4 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 77 | 47 / 3 | $81.813,70 | 264 / 7 | $29.734,30 | 224 / 9 | $27.173,80 | 224 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 61 | 121 / 13 | $24.009,10 | 726 / 18 | $6.385,25 | 427 / 10 | $5.133,20 | 426 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 56 | 112 / 9 | $31.969,80 | 409 / 10 | $9.877,50 | 151 / 6 | $8.328,70 | 150 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 30 | 72 / 13 | $17.652,50 | 406 / 10 | $4.668,63 | 184 / 5 | $3.175,13 | 182 / 4 |
Kidney & Ureter Procedures For Neoplasm W Cc | 13 | 31 / 2 | $28.120,10 | 7 / 1 | $11.268,30 | 19 / 1 | $10.097,50 | 19 / 2 |
Kidney & Ureter Procedures For Neoplasm W Mcc | 14 | 7 / 1 | $56.112,90 | 4 / 1 | $20.604,30 | 5 / 1 | $19.492,50 | 5 / 1 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 11 | 29 / 2 | $25.799,50 | 10 / 1 | $8.447,73 | 20 / 2 | $7.167,64 | 20 / 2 |
Kidney & Urinary Tract Infections W Mcc | 75 | 69 / 5 | $17.247,80 | 385 / 8 | $6.385,61 | 299 / 8 | $5.425,40 | 298 / 8 |
Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 21 | $13.572,60 | 727 / 20 | $4.574,50 | 373 / 10 | $3.514,13 | 373 / 11 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 9 | $36.702,80 | 199 / 8 | $9.786,41 | 282 / 6 | $8.606,82 | 282 / 9 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 4 | $30.189,40 | 13 / 1 | $13.666,10 | 64 / 1 | $12.569,30 | 64 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 7 | $26.084,50 | 96 / 2 | $7.424,55 | 30 / 3 | $5.138,73 | 30 / 2 |
Major Cardiovasc Procedures W Mcc | 25 | 43 / 3 | $80.632,50 | 58 / 2 | $29.508,40 | 118 / 3 | $28.473,10 | 118 / 3 |
Major Cardiovasc Procedures W/O Mcc | 68 | 35 / 1 | $55.873,60 | 95 / 2 | $18.385,90 | 123 / 1 | $17.175,60 | 123 / 4 |
Major Chest Procedures W Cc | 35 | 39 / 3 | $37.999,80 | 39 / 1 | $14.551,20 | 73 / 2 | $12.932,90 | 73 / 2 |
Major Chest Procedures W Mcc | 34 | 15 / 2 | $61.960,10 | 17 / 1 | $24.798,50 | 15 / 1 | $23.684,00 | 15 / 1 |
Major Chest Procedures W/O Cc/Mcc | 12 | 47 / 8 | $27.723,50 | 23 / 1 | $9.917,83 | 22 / 1 | $8.619,17 | 22 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 13 | $19.026,70 | 249 / 6 | $6.669,31 | 368 / 5 | $6.309,85 | 367 / 10 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 8 | $22.556,00 | 59 / 2 | $9.947,92 | 7 / 1 | $8.525,33 | 7 / 2 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 10 | $52.057,80 | 143 / 5 | $17.431,90 | 133 / 8 | $16.229,10 | 133 / 8 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 93 | 471 / 20 | $40.802,90 | 797 / 10 | $12.023,30 | 454 / 8 | $10.251,30 | 451 / 8 |
Major Male Pelvic Procedures W/O Cc/Mcc | 16 | 57 / 3 | $21.955,40 | 27 / 1 | $7.566,62 | 60 / 2 | $5.645,12 | 60 / 2 |
Major Small & Large Bowel Procedures W Cc | 47 | 61 / 6 | $37.215,60 | 137 / 2 | $13.750,30 | 227 / 2 | $12.573,80 | 225 / 6 |
Major Small & Large Bowel Procedures W Mcc | 30 | 55 / 7 | $65.505,40 | 100 / 2 | $26.284,30 | 36 / 2 | $23.370,50 | 36 / 1 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 33 | 31 / 3 | $30.153,30 | 137 / 3 | $10.072,10 | 96 / 6 | $7.556,15 | 96 / 4 |
Medical Back Problems W/O Mcc | 16 | 105 / 18 | $15.204,20 | 238 / 9 | $4.876,75 | 176 / 4 | $3.704,50 | 176 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 16 | $17.237,40 | 257 / 10 | $6.385,27 | 243 / 4 | $5.604,85 | 241 / 7 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 25 | $11.259,50 | 460 / 17 | $4.250,64 | 303 / 11 | $3.136,08 | 303 / 8 |
Nonspecific Cerebrovascular Disorders W Cc | 15 | 41 / 4 | $18.210,00 | 97 / 7 | $5.543,87 | 11 / 3 | $4.093,60 | 11 / 2 |
Nonspecific Cerebrovascular Disorders W Mcc | 14 | 37 / 6 | $23.996,90 | 58 / 3 | $8.630,50 | 8 / 1 | $7.370,07 | 8 / 2 |
Other Circulatory System Diagnoses W Cc | 17 | 49 / 7 | $15.398,40 | 90 / 2 | $5.442,35 | 66 / 3 | $4.560,53 | 66 / 3 |
Other Circulatory System Diagnoses W Mcc | 17 | 99 / 11 | $24.155,10 | 103 / 4 | $9.844,18 | 9 / 1 | $8.030,24 | 9 / 2 |
Other Circulatory System O.R. Procedures | 15 | 40 / 4 | $39.214,40 | 50 / 1 | $14.634,80 | 35 / 2 | $13.584,40 | 35 / 2 |
Other Digestive System Diagnoses W Cc | 25 | 72 / 7 | $16.614,60 | 221 / 6 | $5.624,04 | 219 / 6 | $4.710,44 | 217 / 8 |
Other Digestive System Diagnoses W Mcc | 14 | 48 / 6 | $46.948,90 | 417 / 8 | $11.712,50 | 320 / 6 | $10.268,20 | 319 / 8 |
Other Disorders Of Nervous System W Cc | 14 | 42 / 6 | $13.715,90 | 65 / 1 | $5.186,50 | 50 / 2 | $4.057,57 | 50 / 3 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 8 | $24.018,80 | 225 / 4 | $9.346,47 | 182 / 7 | $7.925,32 | 182 / 5 |
Other Kidney & Urinary Tract Procedures W Cc | 12 | 14 / 2 | $35.741,20 | 15 / 1 | $12.437,20 | 8 / 1 | $11.336,30 | 8 / 1 |
Other Kidney & Urinary Tract Procedures W Mcc | 11 | 27 / 5 | $62.286,00 | 60 / 3 | $19.460,00 | 53 / 1 | $17.977,30 | 53 / 2 |
Other O.R. Procedures For Injuries W Mcc | 17 | 20 / 2 | $56.932,90 | 13 / 1 | $21.374,40 | 18 / 1 | $20.287,10 | 18 / 1 |
Other Resp System O.R. Procedures W Mcc | 25 | 38 / 5 | $62.926,30 | 118 / 5 | $20.911,60 | 132 / 4 | $19.663,20 | 132 / 4 |
Other Vascular Procedures W Cc | 67 | 37 / 2 | $61.652,30 | 391 / 7 | $17.148,30 | 622 / 10 | $15.671,60 | 619 / 13 |
Other Vascular Procedures W Mcc | 55 | 42 / 2 | $58.629,40 | 144 / 3 | $18.869,40 | 139 / 4 | $17.381,90 | 139 / 4 |
Other Vascular Procedures W/O Cc/Mcc | 29 | 27 / 3 | $24.446,40 | 30 / 1 | $9.469,03 | 94 / 3 | $8.433,59 | 94 / 3 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 32 | 68 / 6 | $52.077,40 | 43 / 3 | $17.922,70 | 155 / 2 | $16.828,40 | 155 / 3 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 78 | 118 / 9 | $35.876,70 | 47 / 3 | $12.013,00 | 83 / 7 | $9.283,72 | 83 / 3 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 12 | 33 / 3 | $43.087,10 | 6 / 1 | $15.398,80 | 10 / 1 | $14.407,80 | 10 / 1 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 32 | 37 / 2 | $34.582,60 | 28 / 1 | $10.126,20 | 107 / 2 | $9.026,62 | 107 / 2 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 14 | 40 / 3 | $51.743,20 | 16 / 1 | $16.348,90 | 21 / 1 | $15.434,40 | 21 / 1 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 33 | 62 / 2 | $41.104,80 | 49 / 1 | $11.641,90 | 108 / 4 | $10.127,90 | 107 / 3 |
Peripheral Vascular Disorders W Cc | 34 | 50 / 3 | $16.214,50 | 232 / 7 | $5.707,68 | 199 / 5 | $4.645,03 | 199 / 9 |
Peripheral Vascular Disorders W Mcc | 17 | 32 / 3 | $30.571,70 | 212 / 5 | $8.256,71 | 125 / 3 | $7.159,53 | 125 / 3 |
Peritoneal Adhesiolysis W Cc | 12 | 27 / 3 | $45.286,70 | 58 / 1 | $13.163,30 | 61 / 2 | $11.939,20 | 61 / 2 |
Permanent Cardiac Pacemaker Implant W Cc | 27 | 50 / 3 | $38.559,60 | 68 / 1 | $14.828,80 | 61 / 2 | $13.022,30 | 61 / 2 |
Permanent Cardiac Pacemaker Implant W Mcc | 33 | 19 / 1 | $54.063,00 | 48 / 2 | $20.544,80 | 98 / 3 | $19.480,40 | 98 / 3 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 27 | 30 / 2 | $30.920,70 | 48 / 1 | $11.835,90 | 117 / 2 | $10.821,10 | 117 / 2 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 13 | $22.447,60 | 163 / 5 | $7.890,45 | 83 / 3 | $6.757,00 | 83 / 3 |
Postoperative & Post-Traumatic Infections W/O Mcc | 17 | 37 / 4 | $16.815,70 | 71 / 1 | $5.610,65 | 92 / 2 | $5.159,24 | 92 / 3 |
Pulmonary Edema & Respiratory Failure | 111 | 92 / 10 | $20.923,20 | 459 / 13 | $6.937,41 | 89 / 5 | $5.650,11 | 89 / 4 |
Pulmonary Embolism W Mcc | 20 | 23 / 4 | $22.793,20 | 74 / 1 | $8.640,60 | 72 / 4 | $7.513,60 | 72 / 4 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 10 | $19.622,50 | 368 / 4 | $5.721,87 | 135 / 4 | $4.450,67 | 135 / 4 |
Rectal Resection W Cc | 11 | 13 / 1 | $41.351,40 | 5 / 1 | $13.878,30 | 8 / 1 | $12.672,00 | 8 / 2 |
Red Blood Cell Disorders W/O Mcc | 50 | 93 / 6 | $13.597,90 | 320 / 11 | $4.694,48 | 354 / 7 | $3.821,50 | 353 / 13 |
Renal Failure W Cc | 83 | 138 / 10 | $15.852,70 | 548 / 13 | $5.403,88 | 227 / 4 | $4.429,64 | 226 / 6 |
Renal Failure W Mcc | 95 | 100 / 6 | $23.818,70 | 400 / 15 | $8.553,84 | 215 / 8 | $7.570,82 | 215 / 7 |
Respiratory Infections & Inflammations W Cc | 15 | 73 / 16 | $22.058,90 | 350 / 10 | $8.083,00 | 78 / 14 | $6.393,67 | 78 / 2 |
Respiratory Infections & Inflammations W Mcc | 54 | 82 / 6 | $31.436,20 | 433 / 14 | $11.107,00 | 260 / 15 | $9.927,00 | 260 / 13 |
Respiratory Neoplasms W Mcc | 13 | 39 / 10 | $30.648,00 | 114 / 3 | $10.357,00 | 42 / 6 | $8.314,62 | 42 / 2 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 47 | 84 / 12 | $35.713,30 | 222 / 7 | $13.025,50 | 358 / 13 | $12.042,50 | 354 / 14 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 16 | $91.121,80 | 181 / 9 | $32.403,10 | 103 / 12 | $26.507,00 | 103 / 7 |
Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 9 | $53.324,50 | 90 / 2 | $19.800,30 | 50 / 4 | $16.147,50 | 50 / 3 |
Seizures W Mcc | 20 | 46 / 4 | $19.968,20 | 54 / 4 | $8.756,00 | 47 / 4 | $7.292,80 | 47 / 3 |
Seizures W/O Mcc | 49 | 59 / 5 | $13.890,50 | 204 / 5 | $4.625,78 | 68 / 6 | $3.199,59 | 68 / 3 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 28 | 64 / 5 | $106.219,00 | 224 / 8 | $34.540,50 | 316 / 8 | $33.495,00 | 315 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 345 | 176 / 5 | $35.195,80 | 1066 / 32 | $11.006,50 | 713 / 28 | $9.811,55 | 712 / 27 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 56 | 151 / 12 | $23.017,20 | 1068 / 30 | $6.170,14 | 376 / 10 | $5.070,14 | 375 / 15 |
Signs & Symptoms W/O Mcc | 16 | 75 / 12 | $12.512,40 | 201 / 8 | $4.043,56 | 241 / 3 | $3.287,94 | 240 / 9 |
Simple Pneumonia & Pleurisy W Cc | 58 | 145 / 24 | $17.204,40 | 818 / 28 | $5.709,67 | 346 / 10 | $4.506,88 | 344 / 11 |
Simple Pneumonia & Pleurisy W Mcc | 206 | 23 / 4 | $21.936,70 | 505 / 15 | $8.064,54 | 247 / 6 | $6.932,76 | 247 / 9 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 21 | $12.251,00 | 435 / 18 | $5.261,84 | 239 / 48 | $2.974,63 | 237 / 7 |
Spinal Fusion Except Cervical W/O Mcc | 85 | 109 / 4 | $65.270,20 | 288 / 2 | $22.596,80 | 220 / 1 | $20.035,70 | 219 / 2 |
Stomach, Esophageal & Duodenal Proc W Cc | 14 | 36 / 5 | $34.520,10 | 6 / 1 | $14.471,30 | 22 / 1 | $13.249,20 | 22 / 1 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 13 | 35 / 6 | $28.286,10 | 30 / 2 | $9.157,38 | 21 / 3 | $6.955,77 | 21 / 2 |
Syncope & Collapse | 52 | 117 / 7 | $15.245,20 | 410 / 13 | $4.274,12 | 309 / 5 | $3.352,96 | 307 / 8 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 8 | $234.255,00 | 212 / 5 | $76.283,70 | 373 / 5 | $74.419,50 | 372 / 7 |
Transient Ischemia | 80 | 45 / 2 | $14.734,10 | 283 / 11 | $4.123,94 | 193 / 2 | $3.005,45 | 193 / 6 | Total 145 procedures | 5.134 | 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.