Hospital Costs > In Arizona > Scottsdale Osborn 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 | 343 | 232 / 12 | $66.874,00 | 1910 / 30 | $14.645,90 | 1086 / 25 | $11.200,50 | 1062 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 110 | 165 / 8 | $27.767,90 | 2047 / 32 | $5.662,78 | 1750 / 19 | $4.401,39 | 1737 / 20 |
Simple Pneumonia & Pleurisy W Cc | 99 | 104 / 5 | $36.036,00 | 2220 / 42 | $7.141,66 | 1737 / 22 | $5.761,43 | 1729 / 20 |
Spinal Fusion Except Cervical W/O Mcc | 92 | 102 / 7 | $110.975,00 | 846 / 12 | $26.827,70 | 549 / 14 | $22.115,70 | 546 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 90 | 92 / 2 | $37.556,80 | 1444 / 20 | $7.373,70 | 1249 / 14 | $6.235,12 | 1246 / 18 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 86 | 430 / 29 | $73.453,50 | 2336 / 41 | $14.363,00 | 1760 / 33 | $11.635,30 | 1725 / 25 |
Kidney & Urinary Tract Infections W/O Mcc | 84 | 149 / 3 | $23.111,70 | 1857 / 19 | $5.754,39 | 1737 / 18 | $4.597,61 | 1726 / 19 |
Medical Back Problems W/O Mcc | 83 | 39 / 1 | $30.894,50 | 1042 / 19 | $6.548,83 | 826 / 17 | $4.815,59 | 823 / 14 |
Heart Failure & Shock W Cc | 77 | 201 / 6 | $33.854,60 | 2135 / 35 | $7.184,29 | 1722 / 21 | $6.026,68 | 1717 / 19 |
Cellulitis W/O Mcc | 69 | 120 / 8 | $23.485,80 | 1774 / 29 | $6.341,04 | 1432 / 21 | $4.653,91 | 1425 / 17 |
Hip & Femur Procedures Except Major Joint W Cc | 65 | 78 / 3 | $70.136,80 | 1547 / 28 | $13.940,80 | 1073 / 24 | $11.230,50 | 1059 / 13 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 63 | 87 / 4 | $21.827,80 | 1493 / 29 | $4.730,95 | 1283 / 22 | $3.145,11 | 1278 / 21 |
Renal Failure W Cc | 58 | 163 / 8 | $31.767,00 | 1782 / 29 | $6.789,78 | 1197 / 16 | $5.378,29 | 1189 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 58 | 108 / 7 | $24.460,20 | 1860 / 22 | $5.376,12 | 1494 / 20 | $4.061,71 | 1489 / 17 |
G.I. Hemorrhage W Cc | 56 | 162 / 12 | $48.786,90 | 2135 / 36 | $7.138,89 | 1401 / 16 | $5.824,04 | 1398 / 15 |
Cervical Spinal Fusion W/O Cc/Mcc | 48 | 56 / 3 | $81.516,50 | 677 / 11 | $16.147,80 | 219 / 14 | $11.212,00 | 219 / 4 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 48 | 19 / 1 | $45.988,70 | 406 / 10 | $7.873,38 | 239 / 4 | $6.436,48 | 239 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 19 | $32.355,20 | 1750 / 22 | $7.537,92 | 1690 / 17 | $6.555,11 | 1683 / 22 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 44 | 58 / 5 | $26.635,80 | 973 / 10 | $5.854,84 | 884 / 17 | $4.112,73 | 880 / 11 |
Heart Failure & Shock W Mcc | 43 | 241 / 22 | $52.772,70 | 2064 / 37 | $10.718,90 | 1611 / 26 | $9.302,05 | 1606 / 20 |
Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 9 | $31.626,80 | 1796 / 23 | $6.786,90 | 1576 / 18 | $5.640,00 | 1569 / 20 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 41 | 127 / 10 | $46.892,60 | 880 / 12 | $11.602,10 | 883 / 13 | $10.545,40 | 881 / 15 |
Simple Pneumonia & Pleurisy W Mcc | 40 | 165 / 20 | $55.081,10 | 2018 / 38 | $10.166,30 | 1499 / 20 | $8.676,33 | 1499 / 20 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 38 | 16 / 1 | $33.527,70 | 313 / 7 | $6.365,16 | 152 / 3 | $4.003,92 | 152 / 1 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 36 | 95 / 5 | $77.402,00 | 1277 / 17 | $15.394,00 | 1034 / 14 | $14.278,00 | 1024 / 17 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 10 | $32.381,40 | 1721 / 32 | $5.888,18 | 1455 / 20 | $4.899,82 | 1450 / 22 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 33 | 65 / 5 | $138.984,00 | 318 / 7 | $26.678,10 | 119 / 3 | $24.562,80 | 119 / 3 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 33 | 60 / 8 | $25.080,90 | 1458 / 21 | $5.305,45 | 1454 / 14 | $4.308,00 | 1446 / 17 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 33 | 29 / 1 | $22.382,20 | 442 / 6 | $5.589,88 | 478 / 8 | $4.508,06 | 476 / 9 |
Chest Pain | 31 | 120 / 6 | $27.568,70 | 1310 / 22 | $4.898,16 | 882 / 17 | $3.381,19 | 877 / 14 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 10 | $39.224,10 | 1303 / 18 | $8.566,27 | 1070 / 17 | $7.271,53 | 1067 / 16 |
Syncope & Collapse | 30 | 139 / 9 | $32.859,90 | 1524 / 27 | $5.531,13 | 911 / 18 | $3.947,17 | 906 / 13 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 30 | 66 / 5 | $79.712,00 | 662 / 17 | $14.802,40 | 511 / 11 | $12.908,00 | 508 / 12 |
Other Vascular Procedures W Cc | 28 | 74 / 3 | $109.281,00 | 909 / 20 | $17.815,20 | 719 / 13 | $16.558,50 | 715 / 17 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 28 | 168 / 24 | $75.014,10 | 775 / 11 | $13.515,20 | 984 / 12 | $12.407,50 | 977 / 23 |
Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 21 | $53.434,60 | 2253 / 39 | $8.237,56 | 1400 / 19 | $6.705,52 | 1394 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 15 | $37.982,70 | 1254 / 30 | $8.261,33 | 881 / 17 | $6.750,59 | 878 / 11 |
Transient Ischemia | 27 | 98 / 9 | $30.586,90 | 1194 / 17 | $5.314,30 | 1090 / 15 | $4.220,37 | 1085 / 17 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 13 | $45.488,70 | 1089 / 22 | $8.072,15 | 826 / 18 | $5.969,19 | 824 / 13 |
G.I. Obstruction W Cc | 26 | 66 / 11 | $33.160,50 | 1299 / 27 | $6.770,12 | 1117 / 20 | $5.325,08 | 1114 / 20 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 25 | 19 / 1 | $29.522,90 | 191 / 3 | $5.671,56 | 111 / 2 | $4.099,96 | 111 / 2 |
Seizures W/O Mcc | 25 | 83 / 7 | $23.623,40 | 716 / 6 | $5.681,40 | 836 / 9 | $4.846,68 | 833 / 10 |
Diabetes W Cc | 25 | 67 / 4 | $30.316,60 | 1181 / 18 | $6.276,16 | 882 / 14 | $4.855,08 | 878 / 13 |
Permanent Cardiac Pacemaker Implant W Cc | 24 | 53 / 3 | $88.721,10 | 693 / 18 | $17.629,80 | 576 / 15 | $16.502,30 | 575 / 14 |
Renal Failure W Mcc | 24 | 171 / 21 | $65.556,70 | 1840 / 32 | $11.429,30 | 1338 / 18 | $9.756,04 | 1338 / 19 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 24 | 27 / 2 | $67.806,90 | 233 / 6 | $13.122,60 | 101 / 2 | $11.261,30 | 101 / 1 |
Revision Of Hip Or Knee Replacement W Cc | 23 | 63 / 7 | $105.615,00 | 477 / 13 | $21.480,50 | 260 / 10 | $18.787,10 | 259 / 7 |
Pulmonary Edema & Respiratory Failure | 23 | 180 / 24 | $35.268,90 | 1307 / 13 | $9.136,87 | 1039 / 20 | $7.002,26 | 1037 / 10 |
Pulmonary Embolism W/O Mcc | 23 | 51 / 8 | $28.804,00 | 796 / 13 | $7.725,57 | 565 / 22 | $5.290,87 | 562 / 12 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 13 | $19.980,00 | 897 / 4 | $5.950,41 | 1382 / 15 | $5.165,68 | 1373 / 21 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 22 | 73 / 9 | $101.257,00 | 464 / 12 | $13.603,00 | 269 / 6 | $11.583,00 | 267 / 6 |
Major Cardiovasc Procedures W/O Mcc | 22 | 79 / 10 | $121.601,00 | 743 / 19 | $21.922,10 | 542 / 10 | $20.742,30 | 542 / 11 |
Other Kidney & Urinary Tract Diagnoses W Cc | 21 | 82 / 8 | $29.171,60 | 503 / 11 | $7.036,29 | 493 / 10 | $6.228,67 | 493 / 13 |
Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 9 | $23.432,10 | 1483 / 15 | $5.159,95 | 1414 / 13 | $4.256,33 | 1403 / 14 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 21 | 23 / 1 | $122.357,00 | 366 / 12 | $21.327,60 | 209 / 9 | $17.202,80 | 208 / 4 |
Respiratory Infections & Inflammations W Mcc | 21 | 115 / 19 | $79.695,80 | 1508 / 29 | $13.890,00 | 1114 / 19 | $12.124,80 | 1100 / 17 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 16 | $39.888,40 | 630 / 10 | $10.528,40 | 5 / 9 | $6.408,55 | 5 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 11 | $31.755,10 | 700 / 11 | $7.797,20 | 615 / 12 | $7.039,80 | 613 / 12 |
Respiratory Infections & Inflammations W Cc | 19 | 69 / 10 | $45.157,50 | 1064 / 15 | $9.682,47 | 1000 / 10 | $8.683,53 | 995 / 12 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 19 | 55 / 4 | $88.687,30 | 196 / 3 | $18.808,70 | 11 / 3 | $10.941,90 | 11 / 1 |
G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 9 | $20.660,70 | 849 / 14 | $5.045,74 | 378 / 18 | $2.798,95 | 378 / 7 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 11 | $31.817,30 | 1762 / 20 | $5.769,63 | 1202 / 17 | $3.946,11 | 1193 / 12 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 18 | 71 / 11 | $52.363,40 | 602 / 14 | $7.683,72 | 497 / 10 | $6.530,83 | 496 / 14 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 18 | 46 / 2 | $262.225,00 | 270 / 3 | $53.686,90 | 93 / 2 | $52.180,60 | 93 / 2 |
Other Digestive System Diagnoses W Cc | 18 | 79 / 13 | $28.391,20 | 811 / 10 | $7.236,94 | 823 / 17 | $5.852,78 | 819 / 17 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 18 | 37 / 3 | $134.604,00 | 187 / 4 | $20.870,60 | 76 / 1 | $18.103,70 | 76 / 1 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 5 | $134.806,00 | 475 / 3 | $30.678,60 | 257 / 3 | $28.576,50 | 257 / 3 |
G.I. Hemorrhage W Mcc | 18 | 103 / 15 | $67.081,10 | 1301 / 25 | $12.770,70 | 1117 / 19 | $11.789,40 | 1109 / 21 |
Peripheral Vascular Disorders W Cc | 18 | 66 / 11 | $29.878,10 | 802 / 20 | $7.284,28 | 392 / 14 | $5.090,00 | 390 / 6 |
Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 8 | $126.577,00 | 812 / 22 | $21.034,60 | 451 / 15 | $17.778,90 | 448 / 11 |
Signs & Symptoms W/O Mcc | 17 | 74 / 8 | $24.855,50 | 885 / 11 | $5.381,82 | 834 / 13 | $4.371,65 | 831 / 11 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 17 | 30 / 2 | $50.930,60 | 327 / 3 | $11.004,10 | 226 / 7 | $8.099,76 | 226 / 4 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 17 | 33 / 2 | $182.036,00 | 189 / 6 | $37.142,30 | 57 / 6 | $30.036,00 | 57 / 2 |
Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 5 | $28.121,10 | 664 / 9 | $6.407,76 | 645 / 11 | $5.255,76 | 641 / 10 |
Respiratory Signs & Symptoms | 17 | 29 / 2 | $27.852,00 | 212 / 3 | $5.268,06 | 161 / 4 | $4.149,18 | 161 / 4 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 17 | 101 / 8 | $226.221,00 | 452 / 11 | $37.618,50 | 134 / 11 | $29.309,50 | 134 / 1 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 5 | $59.052,10 | 698 / 13 | $11.442,50 | 471 / 11 | $9.122,29 | 469 / 8 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 16 | 108 / 4 | $25.522,80 | 630 / 6 | $5.124,38 | 362 / 4 | $3.980,12 | 362 / 4 |
Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 10 | $42.169,20 | 602 / 13 | $9.547,69 | 298 / 10 | $7.655,94 | 297 / 5 |
Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 7 | $24.699,10 | 648 / 13 | $5.171,88 | 521 / 8 | $3.989,62 | 521 / 8 |
Cervical Spinal Fusion W Cc | 16 | 37 / 4 | $98.590,40 | 281 / 4 | $20.248,90 | 118 / 3 | $15.627,20 | 117 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 13 | $53.919,40 | 1210 / 28 | $10.478,20 | 592 / 24 | $6.842,62 | 587 / 10 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 15 | 40 / 5 | $90.990,70 | 555 / 14 | $14.779,50 | 470 / 9 | $13.366,10 | 466 / 10 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 15 | 48 / 9 | $151.234,00 | 480 / 11 | $31.260,30 | 175 / 10 | $26.813,70 | 175 / 2 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 20 | $99.125,70 | 1205 / 22 | $19.715,80 | 162 / 24 | $12.285,40 | 161 / 1 |
Bone Diseases & Arthropathies W/O Mcc | 15 | 29 / 1 | $17.396,00 | 132 / 2 | $5.443,80 | 143 / 2 | $4.447,80 | 143 / 2 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 6 | $26.521,60 | 695 / 11 | $5.134,64 | 397 / 9 | $3.595,64 | 396 / 8 |
Postoperative & Post-Traumatic Infections W/O Mcc | 14 | 40 / 4 | $37.499,40 | 356 / 12 | $7.771,71 | 126 / 9 | $5.440,57 | 126 / 7 |
Limb Reattachment, Hip & Femur Proc For Multiple Significant Trauma | 14 | 8 / 1 | $240.032,00 | 55 / 1 | $37.922,10 | 55 / 1 | $36.322,50 | 55 / 1 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 14 | 55 / 7 | $90.780,40 | 386 / 12 | $17.699,00 | 335 / 11 | $16.550,20 | 334 / 13 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 9 | $62.312,40 | 427 / 9 | $14.264,60 | 443 / 10 | $13.095,70 | 442 / 14 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 17 | $191.547,00 | 1011 / 23 | $33.730,90 | 680 / 15 | $31.992,50 | 678 / 17 |
Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 14 | $46.757,10 | 741 / 12 | $8.159,46 | 391 / 15 | $5.457,69 | 391 / 7 |
Major Chest Trauma W Cc | 13 | 23 / 3 | $43.835,00 | 106 / 3 | $8.205,38 | 51 / 2 | $5.306,92 | 51 / 1 |
Other Disorders Of Nervous System W Cc | 13 | 43 / 6 | $34.653,90 | 434 / 7 | $6.564,62 | 378 / 8 | $5.731,38 | 378 / 9 |
Other Resp System O.R. Procedures W Mcc | 13 | 50 / 8 | $154.313,00 | 488 / 12 | $26.647,00 | 287 / 9 | $22.144,20 | 286 / 8 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 5 | $25.994,50 | 695 / 11 | $4.818,62 | 558 / 9 | $3.762,92 | 557 / 8 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 13 | 68 / 6 | $400.908,00 | 174 / 4 | $97.717,90 | 33 / 3 | $78.296,50 | 33 / 3 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 16 | $55.507,00 | 855 / 15 | $11.653,60 | 373 / 7 | $10.258,20 | 372 / 7 |
Hypertension W/O Mcc | 12 | 53 / 7 | $26.135,80 | 570 / 8 | $4.821,83 | 491 / 7 | $3.719,50 | 489 / 7 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 7 | $22.325,40 | 640 / 9 | $5.296,25 | 647 / 10 | $4.188,58 | 643 / 10 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 9 | $87.951,70 | 370 / 11 | $17.873,80 | 220 / 9 | $14.585,10 | 220 / 6 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 12 | 28 / 1 | $77.533,80 | 167 / 1 | $14.149,10 | 64 / 1 | $10.688,70 | 64 / 1 |
Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 1 | $20.475,30 | 220 / 1 | $5.058,75 | 180 / 3 | $3.456,83 | 180 / 3 |
Traumatic Stupor & Coma, Coma >1 Hr W Cc | 12 | 12 / 1 | $55.421,70 | 27 / 1 | $14.389,00 | 1 / 1 | $5.798,00 | 1 / 1 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 3 | $28.347,20 | 362 / 5 | $6.306,83 | 203 / 5 | $3.366,58 | 203 / 3 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 9 | $49.696,20 | 414 / 10 | $12.671,80 | 102 / 8 | $9.842,45 | 102 / 2 |
Disorders Of The Biliary Tract W Cc | 11 | 43 / 3 | $38.316,50 | 309 / 6 | $7.493,45 | 273 / 2 | $6.681,09 | 273 / 4 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 9 | $115.245,00 | 729 / 15 | $23.595,60 | 493 / 12 | $19.228,80 | 490 / 9 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 14 | $82.045,40 | 301 / 2 | $23.073,70 | 250 / 10 | $17.517,80 | 249 / 6 |
Other O.R. Procedures For Injuries W Cc | 11 | 24 / 4 | $78.481,40 | 135 / 5 | $14.470,60 | 62 / 4 | $12.019,50 | 62 / 4 |
Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 10 | $29.074,80 | 479 / 5 | $6.923,55 | 488 / 6 | $6.053,73 | 488 / 7 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 11 | 31 / 3 | $145.889,00 | 87 / 2 | $31.416,40 | 6 / 1 | $26.323,50 | 6 / 1 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 11 | 27 / 3 | $68.327,90 | 122 / 5 | $14.312,40 | 9 / 4 | $9.461,45 | 9 / 1 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 23 | $47.830,20 | 1650 / 32 | $8.071,27 | 1206 / 16 | $6.773,45 | 1202 / 13 | Total 115 procedures | 3.544 | 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.