Hospital Costs > In Texas > Scott & White Memorial Hospital, 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 | 839 | 12 / 2 | $41.137,40 | 1369 / 60 | $14.414,60 | 1761 / 192 | $11.636,50 | 1726 / 163 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 574 | 94 / 5 | $47.908,10 | 1184 / 56 | $15.959,50 | 1783 / 187 | $12.837,70 | 1743 / 192 |
Heart Failure & Shock W Mcc | 314 | 26 / 3 | $33.742,20 | 1323 / 54 | $11.748,40 | 1798 / 172 | $9.706,88 | 1793 / 162 |
Pulmonary Edema & Respiratory Failure | 240 | 15 / 1 | $31.245,30 | 1109 / 38 | $9.929,62 | 1522 / 139 | $7.887,65 | 1517 / 127 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 205 | 11 / 2 | $28.138,80 | 1016 / 30 | $9.524,57 | 1374 / 132 | $6.519,78 | 1371 / 111 |
Heart Failure & Shock W Cc | 194 | 87 / 8 | $21.252,40 | 1323 / 45 | $8.153,24 | 1785 / 188 | $6.107,56 | 1780 / 160 |
Renal Failure W Cc | 191 | 38 / 4 | $18.595,50 | 836 / 18 | $7.721,26 | 1560 / 152 | $5.859,09 | 1551 / 138 |
G.I. Hemorrhage W Cc | 182 | 42 / 5 | $22.796,10 | 1011 / 23 | $8.165,38 | 1699 / 145 | $6.360,88 | 1695 / 138 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 178 | 98 / 10 | $18.292,10 | 1176 / 39 | $6.329,29 | 1979 / 174 | $4.743,79 | 1965 / 167 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 155 | 17 / 1 | $18.044,30 | 855 / 16 | $6.594,44 | 1470 / 133 | $4.930,99 | 1465 / 126 |
Kidney & Urinary Tract Infections W/O Mcc | 149 | 85 / 11 | $18.625,20 | 1420 / 68 | $6.531,26 | 1847 / 193 | $4.752,16 | 1836 / 171 |
Renal Failure W Mcc | 145 | 52 / 10 | $31.019,10 | 819 / 33 | $11.645,20 | 1293 / 135 | $9.641,33 | 1293 / 123 |
Simple Pneumonia & Pleurisy W Mcc | 143 | 62 / 10 | $30.118,20 | 1039 / 39 | $11.533,10 | 1576 / 169 | $8.854,81 | 1576 / 138 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 140 | 67 / 8 | $24.374,20 | 1197 / 48 | $9.245,75 | 1680 / 179 | $6.538,24 | 1673 / 147 |
Syncope & Collapse | 139 | 39 / 3 | $19.350,80 | 796 / 11 | $6.240,85 | 1247 / 110 | $4.471,30 | 1240 / 99 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 135 | 43 / 6 | $45.832,10 | 855 / 26 | $14.027,50 | 1002 / 95 | $11.044,40 | 997 / 77 |
Cellulitis W/O Mcc | 132 | 58 / 5 | $18.830,20 | 1341 / 63 | $7.087,98 | 1803 / 172 | $5.147,92 | 1795 / 161 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 132 | 9 / 3 | $110.081,00 | 618 / 22 | $38.674,90 | 807 / 92 | $32.779,50 | 801 / 83 |
Respiratory Infections & Inflammations W Mcc | 129 | 22 / 3 | $41.602,20 | 846 / 32 | $14.426,60 | 1108 / 110 | $12.099,20 | 1094 / 98 |
Kidney & Urinary Tract Infections W Mcc | 113 | 35 / 4 | $23.081,00 | 794 / 27 | $8.690,13 | 1241 / 126 | $6.876,65 | 1237 / 108 |
Chronic Obstructive Pulmonary Disease W Mcc | 112 | 90 / 11 | $28.213,60 | 1359 / 53 | $9.598,33 | 1709 / 170 | $7.233,82 | 1701 / 151 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 111 | 55 / 6 | $18.622,70 | 1401 / 55 | $6.173,61 | 1725 / 177 | $4.365,29 | 1720 / 157 |
Transient Ischemia | 106 | 19 / 5 | $19.699,00 | 644 / 10 | $6.711,30 | 1066 / 104 | $4.173,67 | 1061 / 83 |
Hip & Femur Procedures Except Major Joint W Cc | 100 | 43 / 9 | $50.427,90 | 1061 / 46 | $14.921,00 | 1348 / 135 | $12.174,90 | 1330 / 123 |
Simple Pneumonia & Pleurisy W Cc | 98 | 105 / 18 | $21.090,60 | 1260 / 48 | $8.314,84 | 1741 / 196 | $5.768,44 | 1733 / 153 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 90 | 106 / 9 | $72.808,80 | 736 / 42 | $15.664,20 | 1016 / 102 | $12.600,80 | 1009 / 116 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 89 | 37 / 10 | $30.153,90 | 965 / 51 | $9.355,62 | 1113 / 117 | $7.381,75 | 1110 / 106 |
Red Blood Cell Disorders W/O Mcc | 86 | 57 / 8 | $20.998,50 | 987 / 40 | $8.418,73 | 1033 / 148 | $4.552,27 | 1026 / 90 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 84 | 40 / 5 | $30.182,20 | 969 / 39 | $9.910,98 | 1271 / 119 | $7.815,55 | 1268 / 108 |
G.I. Hemorrhage W Mcc | 84 | 37 / 7 | $44.304,90 | 844 / 32 | $14.104,60 | 1097 / 106 | $11.690,50 | 1089 / 96 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 80 | 108 / 13 | $42.205,60 | 1008 / 61 | $10.591,80 | 1120 / 124 | $6.762,76 | 1117 / 107 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 78 | 53 / 8 | $58.064,70 | 868 / 39 | $18.072,50 | 1080 / 122 | $14.474,30 | 1070 / 106 |
Chest Pain | 72 | 79 / 11 | $16.624,40 | 649 / 12 | $5.189,78 | 1134 / 94 | $3.811,67 | 1127 / 91 |
Other Vascular Procedures W Cc | 71 | 34 / 4 | $65.554,10 | 453 / 27 | $18.952,70 | 649 / 75 | $15.950,20 | 646 / 79 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 71 | 47 / 6 | $210.464,00 | 245 / 13 | $57.441,80 | 276 / 19 | $53.927,80 | 276 / 20 |
Extracranial Procedures W/O Cc/Mcc | 69 | 29 / 6 | $27.439,70 | 357 / 18 | $8.232,46 | 681 / 64 | $6.449,20 | 678 / 66 |
Major Small & Large Bowel Procedures W Cc | 66 | 43 / 7 | $60.774,40 | 655 / 25 | $20.070,10 | 1013 / 86 | $15.952,00 | 1002 / 87 |
Seizures W/O Mcc | 65 | 43 / 5 | $22.924,50 | 692 / 21 | $6.548,55 | 717 / 69 | $4.525,69 | 714 / 60 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 65 | 60 / 12 | $42.934,40 | 930 / 32 | $13.914,40 | 1280 / 110 | $11.425,40 | 1270 / 109 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 62 | 34 / 9 | $31.342,00 | 688 / 23 | $9.890,66 | 829 / 85 | $7.523,92 | 824 / 66 |
Diabetes W Cc | 60 | 32 / 4 | $19.210,20 | 635 / 15 | $6.872,95 | 1086 / 87 | $5.371,02 | 1082 / 86 |
Chronic Obstructive Pulmonary Disease W Cc | 59 | 120 / 22 | $18.559,30 | 851 / 17 | $7.079,37 | 1531 / 129 | $5.563,53 | 1525 / 129 |
G.I. Obstruction W Cc | 58 | 34 / 6 | $18.079,40 | 516 / 4 | $7.349,45 | 1170 / 91 | $5.476,33 | 1167 / 89 |
Hip & Femur Procedures Except Major Joint W Mcc | 57 | 8 / 3 | $72.945,90 | 456 / 15 | $22.482,40 | 637 / 58 | $19.721,80 | 634 / 55 |
Major Small & Large Bowel Procedures W Mcc | 56 | 29 / 6 | $105.227,00 | 430 / 12 | $33.663,70 | 555 / 56 | $30.167,40 | 553 / 51 |
Other Circulatory System Diagnoses W Mcc | 56 | 60 / 11 | $53.236,40 | 818 / 55 | $16.086,40 | 868 / 96 | $12.512,70 | 862 / 87 |
Major Cardiovasc Procedures W/O Mcc | 56 | 46 / 9 | $103.995,00 | 621 / 32 | $24.361,60 | 702 / 55 | $22.694,50 | 701 / 67 |
Acute Myocardial Infarction, Discharged Alive W Cc | 56 | 35 / 5 | $31.774,20 | 804 / 23 | $8.874,61 | 853 / 81 | $6.250,12 | 851 / 67 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 55 | 37 / 7 | $132.282,00 | 398 / 23 | $46.578,80 | 458 / 75 | $35.960,80 | 457 / 59 |
Diabetes W Mcc | 55 | 7 / 2 | $30.029,90 | 280 / 6 | $10.959,80 | 359 / 44 | $8.408,65 | 359 / 30 |
Medical Back Problems W/O Mcc | 55 | 66 / 10 | $30.879,10 | 1039 / 61 | $8.918,38 | 1308 / 96 | $6.749,56 | 1303 / 95 |
Other Digestive System Diagnoses W Cc | 55 | 42 / 6 | $21.712,30 | 499 / 10 | $8.248,62 | 893 / 74 | $6.105,35 | 889 / 64 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 54 | 46 / 6 | $100.988,00 | 503 / 29 | $23.385,20 | 655 / 65 | $21.322,00 | 651 / 71 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 52 | 50 / 12 | $20.441,40 | 612 / 10 | $6.388,21 | 1071 / 83 | $4.487,88 | 1067 / 80 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 52 | 19 / 1 | $62.100,90 | 206 / 4 | $22.262,20 | 321 / 26 | $16.392,10 | 320 / 27 |
Respiratory Infections & Inflammations W Cc | 51 | 37 / 6 | $26.227,00 | 526 / 16 | $10.474,20 | 957 / 103 | $8.496,73 | 952 / 95 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 51 | 99 / 18 | $13.851,10 | 847 / 19 | $5.102,37 | 1412 / 118 | $3.311,49 | 1406 / 108 |
Poisoning & Toxic Effects Of Drugs W Mcc | 50 | 22 / 2 | $28.415,40 | 316 / 10 | $10.927,60 | 523 / 48 | $8.607,90 | 521 / 39 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 48 | 17 / 3 | $75.071,10 | 444 / 13 | $24.529,90 | 615 / 49 | $20.832,30 | 612 / 46 |
Seizures W Mcc | 47 | 19 / 6 | $37.393,80 | 312 / 13 | $13.671,70 | 488 / 50 | $10.440,60 | 488 / 51 |
Kidney Transplant | 46 | 57 / 7 | $184.035,00 | 76 / 5 | $33.405,60 | 77 / 12 | $21.799,70 | 77 / 13 |
Red Blood Cell Disorders W Mcc | 45 | 26 / 5 | $29.032,90 | 430 / 19 | $11.173,60 | 539 / 81 | $7.610,58 | 537 / 52 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 43 | 26 / 3 | $59.978,60 | 207 / 7 | $18.364,00 | 336 / 14 | $16.465,50 | 336 / 17 |
Other Resp System O.R. Procedures W Mcc | 43 | 20 / 5 | $84.943,60 | 249 / 10 | $28.320,30 | 294 / 40 | $22.353,10 | 293 / 30 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 43 | 25 / 2 | $24.749,80 | 351 / 14 | $7.470,44 | 417 / 33 | $5.485,00 | 417 / 27 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 43 | 58 / 5 | $41.766,30 | 654 / 18 | $15.832,20 | 534 / 49 | $9.241,86 | 532 / 30 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 42 | 54 / 5 | $56.677,30 | 436 / 15 | $16.645,70 | 590 / 42 | $13.688,90 | 586 / 45 |
Other Vascular Procedures W Mcc | 42 | 55 / 15 | $83.544,50 | 421 / 26 | $24.959,90 | 434 / 75 | $20.016,70 | 432 / 58 |
Other Digestive System Diagnoses W Mcc | 42 | 20 / 4 | $29.633,50 | 156 / 3 | $12.558,00 | 354 / 41 | $10.480,60 | 353 / 39 |
Peripheral Vascular Disorders W Cc | 39 | 45 / 7 | $24.536,50 | 619 / 23 | $8.032,74 | 761 / 73 | $6.050,74 | 758 / 61 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 39 | 42 / 5 | $455.956,00 | 235 / 16 | $124.121,00 | 253 / 23 | $117.680,00 | 252 / 25 |
Disorders Of Pancreas Except Malignancy W Cc | 38 | 23 / 5 | $24.382,90 | 452 / 15 | $8.683,66 | 579 / 52 | $5.563,58 | 576 / 39 |
Revision Of Hip Or Knee Replacement W Cc | 37 | 49 / 8 | $70.382,50 | 219 / 6 | $24.893,20 | 427 / 32 | $21.151,90 | 425 / 36 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 36 | 34 / 7 | $20.192,70 | 191 / 11 | $7.468,17 | 295 / 41 | $5.976,97 | 295 / 38 |
Spinal Fusion Except Cervical W/O Mcc | 34 | 160 / 42 | $99.282,40 | 726 / 45 | $32.659,70 | 873 / 102 | $24.776,30 | 869 / 100 |
Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 22 | $17.359,00 | 1089 / 38 | $5.788,06 | 1461 / 134 | $4.343,47 | 1449 / 124 |
Other Disorders Of Nervous System W Cc | 33 | 23 / 1 | $21.534,80 | 204 / 3 | $7.665,64 | 333 / 24 | $5.461,79 | 333 / 25 |
Signs & Symptoms W/O Mcc | 33 | 58 / 12 | $19.747,90 | 643 / 16 | $5.918,52 | 868 / 68 | $4.430,82 | 865 / 63 |
Nervous System Neoplasms W Mcc | 32 | 16 / 2 | $28.776,80 | 74 / 3 | $10.963,30 | 128 / 11 | $7.998,31 | 128 / 9 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 31 | 45 / 8 | $42.365,00 | 234 / 21 | $15.251,50 | 298 / 45 | $12.150,20 | 298 / 43 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 30 | 26 / 7 | $34.929,70 | 219 / 7 | $13.591,00 | 285 / 27 | $11.157,10 | 284 / 22 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 30 | 43 / 6 | $23.024,90 | 400 / 8 | $9.262,87 | 711 / 56 | $7.381,87 | 709 / 58 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 30 | 36 / 6 | $25.934,60 | 178 / 5 | $8.603,83 | 292 / 26 | $6.799,07 | 292 / 28 |
Bronchitis & Asthma W Cc/Mcc | 30 | 46 / 13 | $25.638,40 | 605 / 25 | $8.226,60 | 573 / 82 | $4.993,67 | 569 / 52 |
Coronary Bypass W Cardiac Cath W Mcc | 30 | 26 / 4 | $199.423,00 | 235 / 21 | $57.716,10 | 293 / 44 | $47.827,00 | 293 / 42 |
Nonspecific Cerebrovascular Disorders W Cc | 29 | 27 / 4 | $23.621,70 | 197 / 2 | $7.244,21 | 229 / 17 | $5.661,52 | 229 / 18 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 28 | 36 / 9 | $208.117,00 | 164 / 12 | $64.111,20 | 193 / 27 | $58.636,70 | 193 / 23 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 28 | 12 / 3 | $41.177,60 | 52 / 2 | $14.718,30 | 144 / 17 | $12.558,90 | 144 / 17 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 28 | 35 / 9 | $105.860,00 | 263 / 6 | $32.741,40 | 363 / 36 | $30.007,60 | 363 / 39 |
Headaches W/O Mcc | 28 | 15 / 2 | $17.069,10 | 63 / 1 | $6.039,79 | 123 / 15 | $3.887,43 | 123 / 14 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 28 | 28 / 8 | $41.766,60 | 301 / 9 | $12.313,10 | 621 / 59 | $10.348,70 | 619 / 66 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 28 | 65 / 12 | $53.387,70 | 374 / 11 | $15.697,10 | 591 / 47 | $13.607,60 | 585 / 55 |
Pulmonary Embolism W Mcc | 28 | 15 / 2 | $33.295,90 | 223 / 2 | $11.657,10 | 406 / 26 | $9.806,25 | 406 / 27 |
Hypertension W/O Mcc | 28 | 37 / 7 | $19.363,90 | 393 / 19 | $6.423,04 | 478 / 63 | $3.673,64 | 476 / 46 |
Major Chest Procedures W Cc | 27 | 47 / 6 | $67.714,40 | 252 / 4 | $19.445,40 | 256 / 16 | $15.382,60 | 254 / 18 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 27 | 36 / 5 | $78.298,80 | 122 / 7 | $32.724,20 | 104 / 19 | $18.815,50 | 104 / 11 |
Extracranial Procedures W Cc | 27 | 19 / 7 | $39.450,00 | 155 / 5 | $11.763,40 | 268 / 25 | $10.116,70 | 268 / 29 |
G.I. Obstruction W Mcc | 26 | 16 / 5 | $34.916,60 | 192 / 4 | $12.499,00 | 321 / 22 | $10.404,00 | 321 / 24 |
G.I. Obstruction W/O Cc/Mcc | 26 | 45 / 12 | $13.950,50 | 448 / 9 | $5.796,00 | 837 / 79 | $3.522,42 | 834 / 69 |
Cellulitis W Mcc | 26 | 32 / 10 | $30.526,30 | 394 / 15 | $11.110,70 | 548 / 53 | $9.010,42 | 546 / 56 |
Dysequilibrium | 26 | 39 / 5 | $18.963,50 | 216 / 4 | $5.409,77 | 346 / 25 | $3.820,42 | 346 / 24 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 26 | 38 / 9 | $42.949,50 | 353 / 19 | $12.311,50 | 527 / 41 | $10.186,20 | 527 / 47 |
Other Disorders Of Nervous System W Mcc | 26 | 14 / 2 | $28.949,80 | 67 / 1 | $11.027,60 | 104 / 14 | $9.125,96 | 104 / 11 |
Other Kidney & Urinary Tract Diagnoses W Cc | 26 | 77 / 14 | $46.891,00 | 723 / 40 | $10.661,50 | 747 / 46 | $8.522,58 | 747 / 46 |
Nonspecific Cerebrovascular Disorders W Mcc | 26 | 25 / 6 | $44.791,60 | 227 / 6 | $12.541,40 | 175 / 23 | $9.884,69 | 175 / 14 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 26 | 45 / 17 | $112.549,00 | 327 / 10 | $35.499,90 | 461 / 59 | $31.699,50 | 461 / 51 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 25 | 99 / 5 | $19.233,80 | 470 / 7 | $5.952,32 | 429 / 17 | $4.180,24 | 428 / 12 |
Pulmonary Embolism W/O Mcc | 25 | 49 / 12 | $19.645,30 | 370 / 2 | $7.785,56 | 856 / 52 | $5.979,88 | 853 / 60 |
Coronary Bypass W/O Cardiac Cath W Mcc | 25 | 34 / 8 | $132.894,00 | 84 / 4 | $40.135,60 | 131 / 13 | $36.895,80 | 130 / 15 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 25 | 29 / 7 | $18.940,60 | 144 / 4 | $6.110,36 | 231 / 19 | $4.592,76 | 231 / 22 |
Permanent Cardiac Pacemaker Implant W Mcc | 25 | 27 / 6 | $88.786,40 | 259 / 10 | $25.885,80 | 344 / 29 | $23.377,60 | 344 / 32 |
Permanent Cardiac Pacemaker Implant W Cc | 24 | 53 / 16 | $73.363,10 | 543 / 30 | $18.718,10 | 612 / 58 | $16.893,20 | 611 / 64 |
Disorders Of Pancreas Except Malignancy W Mcc | 24 | 22 / 5 | $50.460,80 | 194 / 9 | $17.695,10 | 137 / 25 | $10.773,50 | 137 / 11 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 24 | 37 / 8 | $24.258,30 | 628 / 16 | $5.687,67 | 536 / 32 | $3.980,79 | 535 / 28 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 31 | $14.761,40 | 709 / 19 | $5.868,57 | 1363 / 131 | $4.147,74 | 1355 / 122 |
Fractures Of Hip & Pelvis W/O Mcc | 23 | 38 / 8 | $20.465,00 | 531 / 26 | $6.151,65 | 601 / 51 | $4.240,87 | 601 / 46 |
Major Cardiovasc Procedures W Mcc | 23 | 45 / 11 | $153.298,00 | 365 / 19 | $39.050,30 | 404 / 34 | $36.199,30 | 403 / 39 |
Atherosclerosis W/O Mcc | 22 | 36 / 6 | $16.177,80 | 209 / 2 | $5.256,23 | / | $3.919,55 | / |
Degenerative Nervous System Disorders W/O Mcc | 22 | 56 / 9 | $21.311,00 | 273 / 5 | $7.585,00 | 459 / 36 | $5.898,68 | 459 / 29 |
Acute Adjustment Reaction & Psychosocial Dysfunction | 22 | 9 / 1 | $21.229,20 | 47 / 1 | $7.053,55 | 33 / 2 | $3.816,50 | 33 / 1 |
Other Circulatory System Diagnoses W Cc | 22 | 44 / 10 | $19.813,60 | 185 / 5 | $7.441,77 | 426 / 26 | $6.200,77 | 425 / 29 |
Renal Failure W/O Cc/Mcc | 21 | 35 / 12 | $15.529,30 | 393 / 17 | $5.843,86 | 482 / 59 | $3.541,29 | 481 / 36 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 21 | 15 / 5 | $54.294,80 | 138 / 7 | $18.477,50 | 213 / 19 | $15.606,80 | 213 / 19 |
Postoperative & Post-Traumatic Infections W/O Mcc | 21 | 33 / 6 | $26.178,70 | 224 / 7 | $7.844,95 | 248 / 20 | $6.343,38 | 248 / 23 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 21 | 97 / 13 | $142.226,00 | 262 / 10 | $34.793,80 | 273 / 15 | $32.634,20 | 273 / 18 |
Major Chest Trauma W Cc | 21 | 15 / 2 | $33.321,30 | 77 / 2 | $8.198,95 | 82 / 5 | $6.018,05 | 82 / 5 |
Respiratory Neoplasms W Mcc | 21 | 31 / 6 | $34.653,00 | 170 / 1 | $12.987,50 | 369 / 26 | $10.818,40 | 368 / 25 |
Major Chest Procedures W Mcc | 21 | 28 / 6 | $179.139,00 | 250 / 19 | $51.709,00 | 299 / 26 | $42.490,00 | 298 / 26 |
O.R. Procedures For Obesity W Cc | 21 | 13 / 2 | $60.382,50 | 69 / 6 | $13.635,00 | 73 / 7 | $12.154,80 | 73 / 10 |
Cervical Spinal Fusion W/O Cc/Mcc | 21 | 83 / 26 | $88.885,20 | 726 / 60 | $19.386,60 | 613 / 69 | $13.777,40 | 610 / 68 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 20 | 31 / 7 | $32.189,80 | 50 / 3 | $14.823,70 | 109 / 13 | $11.351,20 | 109 / 9 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 20 | 54 / 10 | $77.742,50 | 162 / 13 | $16.179,90 | 136 / 14 | $14.315,00 | 135 / 20 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 20 | 18 / 4 | $13.348,70 | 103 / 1 | $5.551,25 | 343 / 26 | $4.225,05 | 342 / 32 |
O.R. Procedures For Obesity W/O Cc/Mcc | 20 | 57 / 23 | $58.675,10 | 317 / 26 | $11.289,70 | 272 / 19 | $9.801,50 | 272 / 31 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 20 | 33 / 4 | $40.699,40 | 103 / 3 | $13.520,90 | 162 / 13 | $11.216,50 | 163 / 13 |
Major Male Pelvic Procedures W/O Cc/Mcc | 19 | 54 / 11 | $55.009,30 | 269 / 15 | $12.086,60 | 229 / 20 | $7.512,32 | 229 / 18 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 19 | 24 / 6 | $65.033,80 | 53 / 2 | $21.860,00 | 81 / 9 | $19.386,30 | 81 / 11 |
Peripheral Vascular Disorders W Mcc | 19 | 30 / 8 | $30.798,40 | 217 / 9 | $10.334,50 | 256 / 35 | $8.100,58 | 256 / 29 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 19 | 76 / 15 | $68.942,20 | 256 / 18 | $17.098,50 | 290 / 42 | $11.799,70 | 287 / 34 |
Kidney & Ureter Procedures For Neoplasm W Cc | 19 | 25 / 6 | $59.889,20 | 96 / 6 | $14.745,60 | 84 / 10 | $12.653,50 | 84 / 11 |
Peritoneal Adhesiolysis W Cc | 18 | 21 / 5 | $49.838,20 | 86 / 1 | $17.950,70 | 136 / 13 | $13.908,20 | 136 / 12 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 18 | 26 / 7 | $70.149,80 | 180 / 8 | $20.121,20 | 249 / 15 | $17.995,70 | 247 / 15 |
Other Vascular Procedures W/O Cc/Mcc | 18 | 38 / 14 | $53.518,60 | 321 / 23 | $12.869,80 | 396 / 37 | $11.154,70 | 395 / 42 |
Major Chest Procedures W/O Cc/Mcc | 18 | 41 / 3 | $56.763,10 | 155 / 5 | $13.181,40 | 147 / 9 | $11.439,90 | 147 / 10 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 18 | 37 / 14 | $49.019,70 | 253 / 7 | $14.537,70 | 407 / 27 | $12.388,60 | 404 / 34 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 18 | 35 / 6 | $19.625,60 | 52 / 1 | $9.201,78 | 278 / 23 | $7.801,22 | 278 / 29 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 18 | 29 / 9 | $32.923,30 | 199 / 8 | $9.201,22 | 431 / 41 | $7.624,89 | 430 / 50 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 17 | 17 / 5 | $103.392,00 | 84 / 5 | $31.970,70 | 89 / 15 | $28.097,90 | 89 / 14 |
Other O.R. Procedures For Injuries W Mcc | 17 | 20 / 6 | $85.515,40 | 66 / 2 | $28.280,10 | 72 / 7 | $25.567,50 | 72 / 9 |
Complications Of Treatment W Mcc | 17 | 34 / 6 | $42.986,90 | 129 / 6 | $13.765,10 | 110 / 18 | $10.719,90 | 110 / 13 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 16 | 38 / 10 | $114.078,00 | 173 / 6 | $24.414,00 | 156 / 14 | $21.527,60 | 156 / 15 |
Complications Of Treatment W Cc | 16 | 36 / 6 | $24.983,60 | 159 / 4 | $7.681,88 | 198 / 11 | $6.368,94 | 198 / 15 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 16 | 14 / 6 | $47.130,20 | 86 / 8 | $16.324,70 | 109 / 19 | $11.855,60 | 108 / 16 |
Transurethral Procedures W Cc | 16 | 25 / 5 | $30.527,80 | 127 / 2 | $9.957,44 | 257 / 16 | $8.004,88 | 257 / 15 |
Other Digestive System O.R. Procedures W Mcc | 16 | 13 / 5 | $95.284,80 | 44 / 2 | $31.031,00 | 58 / 8 | $25.564,00 | 58 / 8 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 17 | $40.754,60 | 428 / 26 | $12.200,80 | 647 / 69 | $10.150,90 | 644 / 69 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 16 | $12.950,30 | 212 / 2 | $5.866,75 | 642 / 63 | $4.180,25 | 638 / 57 |
Degenerative Nervous System Disorders W Mcc | 16 | 22 / 4 | $32.419,10 | 75 / 3 | $13.114,60 | 119 / 11 | $11.249,60 | 119 / 11 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 16 | 24 / 9 | $78.964,70 | 284 / 18 | $26.235,30 | 272 / 37 | $15.531,60 | 271 / 26 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 16 | 15 / 7 | $45.401,90 | 37 / 1 | $15.006,80 | 72 / 13 | $11.163,20 | 72 / 11 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 15 | 32 / 7 | $18.662,10 | 131 / 1 | $6.147,80 | 180 / 15 | $4.279,20 | 180 / 9 |
Cranial & Peripheral Nerve Disorders W Mcc | 15 | 21 / 5 | $40.917,20 | 94 / 7 | $11.954,50 | 79 / 11 | $8.602,67 | 79 / 8 |
Other Digestive System O.R. Procedures W Cc | 15 | 12 / 2 | $50.763,90 | 34 / 2 | $14.360,10 | 28 / 2 | $12.603,60 | 28 / 4 |
Stomach, Esophageal & Duodenal Proc W Cc | 15 | 35 / 6 | $53.019,70 | 48 / 1 | $18.767,70 | 101 / 6 | $16.354,40 | 101 / 9 |
Stomach, Esophageal & Duodenal Proc W Mcc | 15 | 26 / 8 | $105.210,00 | 61 / 4 | $36.174,30 | 67 / 7 | $32.466,60 | 67 / 8 |
Tendonitis, Myositis & Bursitis W/O Mcc | 15 | 27 / 7 | $19.082,20 | 129 / 2 | $6.965,07 | 200 / 11 | $5.003,87 | 200 / 10 |
Other Resp System O.R. Procedures W Cc | 15 | 32 / 9 | $43.569,60 | 104 / 3 | $14.042,70 | 186 / 16 | $12.175,70 | 186 / 20 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 15 | 83 / 17 | $152.375,00 | 355 / 21 | $37.140,90 | 406 / 29 | $34.418,00 | 406 / 32 |
Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc | 14 | 14 / 1 | $26.515,40 | 4 / 1 | $12.809,70 | 10 / 1 | $9.233,79 | 10 / 1 |
Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc | 14 | 12 / 2 | $31.909,20 | 6 / 1 | $14.886,20 | 25 / 2 | $12.620,50 | 25 / 3 |
Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Mcc | 14 | 13 / 3 | $64.759,90 | 23 / 1 | $24.691,30 | 31 / 4 | $21.046,10 | 31 / 4 |
Other O.R. Procedures For Injuries W Cc | 14 | 21 / 4 | $41.109,40 | 38 / 2 | $13.808,50 | 60 / 5 | $11.919,90 | 60 / 7 |
Fever | 14 | 32 / 8 | $19.413,10 | 101 / 1 | $7.037,79 | 224 / 15 | $5.668,07 | 224 / 16 |
Postoperative & Post-Traumatic Infections W Mcc | 14 | 29 / 5 | $38.501,60 | 61 / 1 | $19.455,50 | 48 / 10 | $10.540,90 | 48 / 3 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 14 | 55 / 9 | $264.618,00 | 152 / 5 | $69.481,20 | 159 / 12 | $64.132,20 | 159 / 13 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 12 | $60.076,90 | 394 / 17 | $15.137,30 | 473 / 30 | $13.458,60 | 472 / 36 |
Angina Pectoris | 14 | 11 / 4 | $17.351,60 | 23 / 3 | $5.110,21 | 41 / 5 | $3.802,86 | 41 / 4 |
Peripheral Vascular Disorders W/O Cc/Mcc | 14 | 31 / 10 | $10.411,80 | 55 / 1 | $5.861,29 | 201 / 25 | $3.766,64 | 201 / 11 |
Endocrine Disorders W Cc | 14 | 24 / 7 | $16.331,10 | 37 / 2 | $9.452,07 | 144 / 14 | $6.063,43 | 144 / 13 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 14 | $27.488,40 | 561 / 23 | $6.846,92 | 540 / 33 | $4.773,15 | 538 / 31 |
Medical Back Problems W Mcc | 13 | 26 / 9 | $44.772,40 | 179 / 8 | $12.244,50 | 167 / 15 | $9.878,23 | 167 / 15 |
Digestive Malignancy W Cc | 13 | 34 / 6 | $24.958,50 | 81 / 2 | $9.781,00 | 232 / 13 | $8.215,15 | 230 / 17 |
Organic Disturbances & Mental Retardation | 13 | 46 / 14 | $18.414,50 | 145 / 4 | $7.897,08 | 263 / 16 | $6.041,69 | 263 / 9 |
Respiratory Signs & Symptoms | 13 | 33 / 9 | $17.364,20 | 84 / 1 | $5.705,77 | 208 / 14 | $4.657,62 | 208 / 17 |
Lymphoma & Non-Acute Leukemia W Mcc | 13 | 23 / 5 | $45.729,40 | 11 / 1 | $20.202,50 | 18 / 2 | $18.050,50 | 18 / 3 |
Signs & Symptoms W Mcc | 13 | 28 / 8 | $21.117,50 | 60 / 1 | $8.213,92 | 107 / 14 | $6.870,38 | 107 / 16 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 13 | 56 / 12 | $62.055,50 | 287 / 6 | $13.220,20 | 399 / 22 | $11.401,10 | 397 / 23 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 28 | $53.502,80 | 611 / 45 | $8.618,33 | 513 / 46 | $6.632,50 | 512 / 51 |
Cervical Spinal Fusion W Cc | 12 | 41 / 14 | $95.235,00 | 271 / 20 | $21.555,20 | 272 / 26 | $19.477,30 | 271 / 30 |
Limb Reattachment, Hip & Femur Proc For Multiple Significant Trauma | 12 | 10 / 5 | $91.292,70 | 19 / 2 | $26.805,00 | 19 / 4 | $23.512,60 | 19 / 3 |
Digestive Malignancy W Mcc | 12 | 25 / 5 | $29.759,30 | 11 / 1 | $14.775,20 | 49 / 5 | $12.786,50 | 49 / 6 |
Psychoses | 12 | 263 / 22 | $15.222,20 | 186 / 3 | $7.879,67 | 367 / 23 | $6.398,92 | 367 / 23 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 22 | $83.089,80 | 475 / 36 | $15.372,00 | 403 / 38 | $12.760,30 | 400 / 39 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc | 12 | 14 / 3 | $69.030,90 | 15 / 2 | $20.618,90 | 21 / 5 | $17.079,50 | 21 / 5 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 44 | $16.496,80 | 966 / 25 | $5.625,50 | 1494 / 114 | $4.408,58 | 1483 / 121 |
Acute Myocardial Infarction, Expired W Mcc | 12 | 18 / 8 | $43.527,80 | 83 / 2 | $13.845,80 | 134 / 10 | $12.440,00 | 134 / 10 |
Disorders Of The Biliary Tract W Cc | 11 | 43 / 12 | $28.929,30 | 194 / 1 | $8.573,91 | 274 / 22 | $6.692,09 | 274 / 23 |
Disorders Of The Biliary Tract W Mcc | 11 | 28 / 7 | $45.470,20 | 126 / 5 | $13.633,00 | 65 / 11 | $9.374,73 | 65 / 4 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 11 | 18 / 5 | $44.487,60 | 30 / 2 | $16.795,50 | 43 / 4 | $14.590,40 | 42 / 5 |
Heart Transplant Or Implant Of Heart Assist System W Mcc | 11 | 26 / 6 | $603.429,00 | 21 / 2 | $187.215,00 | 17 / 4 | $175.884,00 | 17 / 4 |
Major Bladder Procedures W Cc | 11 | 27 / 5 | $84.592,40 | 26 / 2 | $21.840,40 | 20 / 5 | $18.904,50 | 20 / 5 |
Biopsies Of Musculoskeletal System & Connective Tissue W Mcc | 11 | 5 / 2 | $85.608,00 | 4 / 1 | $24.432,30 | 4 / 2 | $20.696,90 | 4 / 1 |
Pneumothorax W Cc | 11 | 14 / 4 | $28.134,10 | 48 / 2 | $8.008,18 | 52 / 4 | $5.875,18 | 52 / 5 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Mcc | 11 | 12 / 5 | $117.987,00 | 42 / 4 | $30.051,80 | 46 / 5 | $26.388,10 | 46 / 5 |
Endocrine Disorders W Mcc | 11 | 15 / 5 | $49.809,10 | 78 / 3 | $14.013,30 | 62 / 7 | $10.621,50 | 62 / 7 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 11 | 37 / 8 | $36.366,50 | 85 / 4 | $10.954,90 | 124 / 14 | $9.097,73 | 124 / 13 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 9 | $23.413,40 | 213 / 4 | $5.901,36 | 288 / 9 | $4.402,18 | 287 / 12 | Total 207 procedures | 10.346 | 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.