Hospital Costs > In California > Scripps Mercy 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 | 405 | 135 / 13 | $90.752,10 | 2555 / 174 | $16.737,00 | 2511 / 170 | $15.315,10 | 2467 / 163 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 188 | 376 / 52 | $99.625,00 | 2473 / 160 | $19.468,50 | 2399 / 165 | $16.198,50 | 2354 / 146 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 150 | 125 / 6 | $32.050,00 | 2250 / 84 | $7.721,13 | 2478 / 150 | $6.406,03 | 2463 / 150 |
Heart Failure & Shock W Mcc | 145 | 139 / 11 | $70.404,90 | 2353 / 135 | $13.782,30 | 2356 / 147 | $12.435,10 | 2346 / 134 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 139 | 31 / 3 | $40.309,50 | 2382 / 138 | $8.124,86 | 2359 / 165 | $6.451,73 | 2350 / 152 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 137 | 70 / 10 | $40.412,90 | 2048 / 96 | $10.044,10 | 2336 / 167 | $8.850,09 | 2326 / 170 |
Kidney & Urinary Tract Infections W/O Mcc | 135 | 98 / 6 | $35.137,70 | 2379 / 108 | $7.911,39 | 2497 / 152 | $6.665,81 | 2486 / 151 |
Pulmonary Edema & Respiratory Failure | 115 | 88 / 4 | $62.124,00 | 1960 / 80 | $11.505,70 | 2005 / 114 | $10.190,40 | 1999 / 108 |
Heart Failure & Shock W Cc | 114 | 164 / 8 | $43.971,50 | 2435 / 108 | $9.666,77 | 2548 / 153 | $8.669,15 | 2542 / 162 |
Simple Pneumonia & Pleurisy W Cc | 100 | 103 / 9 | $41.119,80 | 2363 / 79 | $9.515,25 | 2534 / 145 | $7.967,83 | 2525 / 140 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 96 | 30 / 3 | $55.269,30 | 1551 / 103 | $10.777,40 | 1524 / 105 | $9.617,79 | 1521 / 102 |
Simple Pneumonia & Pleurisy W Mcc | 82 | 123 / 15 | $56.326,10 | 2039 / 63 | $12.856,80 | 2229 / 118 | $11.606,00 | 2223 / 115 |
Cellulitis W/O Mcc | 80 | 109 / 15 | $29.643,40 | 2110 / 68 | $8.357,69 | 2386 / 149 | $7.059,64 | 2378 / 146 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 74 | 50 / 5 | $246.136,00 | 1414 / 75 | $43.949,20 | 1309 / 67 | $42.117,00 | 1299 / 69 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 70 | 112 / 15 | $58.351,70 | 1850 / 104 | $11.886,20 | 1901 / 158 | $8.992,80 | 1897 / 133 |
G.I. Hemorrhage W Cc | 69 | 149 / 29 | $48.977,60 | 2143 / 110 | $9.933,52 | 2253 / 143 | $8.835,29 | 2249 / 148 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 61 | 107 / 15 | $74.269,60 | 1313 / 59 | $15.271,10 | 1348 / 78 | $13.453,40 | 1342 / 78 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 58 | 65 / 4 | $59.561,60 | 1678 / 82 | $11.879,00 | 1695 / 110 | $9.887,26 | 1692 / 92 |
Chronic Obstructive Pulmonary Disease W Mcc | 58 | 144 / 32 | $48.759,20 | 2146 / 69 | $10.745,20 | 2321 / 131 | $9.559,43 | 2313 / 127 |
Diabetes W Cc | 56 | 36 / 1 | $43.813,60 | 1466 / 72 | $8.316,77 | 1382 / 81 | $6.670,66 | 1377 / 69 |
Medical Back Problems W/O Mcc | 56 | 65 / 10 | $36.539,90 | 1184 / 43 | $8.694,18 | 1325 / 98 | $6.908,75 | 1320 / 84 |
G.I. Hemorrhage W Mcc | 55 | 66 / 7 | $71.809,20 | 1358 / 68 | $16.232,40 | 1461 / 106 | $14.546,10 | 1451 / 92 |
Hip & Femur Procedures Except Major Joint W Cc | 52 | 91 / 17 | $101.495,00 | 1900 / 96 | $16.927,60 | 1854 / 103 | $15.556,60 | 1834 / 106 |
Renal Failure W Cc | 52 | 169 / 37 | $44.645,90 | 2141 / 100 | $9.361,10 | 2192 / 131 | $8.044,92 | 2182 / 131 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 52 | 109 / 15 | $42.363,70 | 1949 / 99 | $8.015,52 | 1992 / 126 | $7.001,48 | 1987 / 135 |
Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 22 | $47.357,70 | 2206 / 116 | $9.378,33 | 2211 / 137 | $7.783,59 | 2204 / 123 |
Heart Failure & Shock W/O Cc/Mcc | 49 | 61 / 5 | $32.694,30 | 1772 / 57 | $7.067,47 | 1854 / 91 | $6.021,22 | 1841 / 93 |
Renal Failure W Mcc | 48 | 147 / 39 | $80.207,40 | 1995 / 121 | $14.502,80 | 1966 / 126 | $13.347,70 | 1962 / 132 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 46 | 85 / 11 | $101.057,00 | 1527 / 42 | $19.955,30 | 1586 / 63 | $18.728,10 | 1572 / 65 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 44 | 19 / 1 | $30.503,00 | 611 / 18 | $7.869,39 | 722 / 45 | $6.321,30 | 720 / 44 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 41 | 55 / 7 | $42.920,20 | 1024 / 33 | $11.168,20 | 1282 / 81 | $10.133,90 | 1277 / 85 |
Red Blood Cell Disorders W/O Mcc | 40 | 103 / 16 | $37.562,80 | 1723 / 75 | $8.206,25 | 1801 / 107 | $6.954,45 | 1792 / 104 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 39 | 149 / 23 | $67.758,60 | 1478 / 75 | $10.350,10 | 1493 / 79 | $9.113,05 | 1490 / 90 |
Major Small & Large Bowel Procedures W Cc | 38 | 70 / 17 | $133.432,00 | 1402 / 66 | $25.191,20 | 1412 / 92 | $21.093,30 | 1398 / 86 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 38 | 158 / 35 | $90.093,40 | 1050 / 29 | $19.380,50 | 1281 / 86 | $15.101,10 | 1274 / 62 |
Syncope & Collapse | 37 | 132 / 30 | $41.699,30 | 1725 / 93 | $7.959,22 | 1721 / 123 | $6.253,86 | 1713 / 104 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 36 | 66 / 12 | $36.151,40 | 1269 / 32 | $7.522,67 | 1447 / 81 | $6.158,00 | 1443 / 87 |
Chest Pain | 36 | 115 / 37 | $39.597,20 | 1588 / 104 | $7.762,25 | 1506 / 125 | $5.300,08 | 1497 / 98 |
Major Male Pelvic Procedures W/O Cc/Mcc | 36 | 37 / 6 | $110.304,00 | 360 / 25 | $12.517,00 | 328 / 22 | $9.945,50 | 328 / 20 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 36 | 89 / 17 | $107.974,00 | 1730 / 117 | $16.616,00 | 1694 / 116 | $15.354,90 | 1681 / 120 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 35 | 10 / 2 | $43.301,70 | 282 / 18 | $7.567,14 | 280 / 19 | $6.717,66 | 280 / 25 |
Poisoning & Toxic Effects Of Drugs W Mcc | 35 | 37 / 7 | $55.822,90 | 780 / 29 | $13.033,30 | 868 / 51 | $12.204,40 | 865 / 53 |
Other Circulatory System Diagnoses W Mcc | 34 | 82 / 17 | $86.665,10 | 1201 / 60 | $16.840,60 | 1191 / 72 | $15.738,40 | 1183 / 72 |
Transient Ischemia | 34 | 91 / 23 | $40.673,90 | 1457 / 78 | $7.250,24 | 1541 / 104 | $6.229,71 | 1533 / 111 |
Other Vascular Procedures W Mcc | 34 | 63 / 10 | $119.300,00 | 727 / 21 | $26.444,60 | 776 / 27 | $25.237,10 | 773 / 28 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 17 | $33.397,20 | 1838 / 87 | $6.137,94 | 1860 / 105 | $4.999,50 | 1854 / 112 |
Kidney & Urinary Tract Infections W Mcc | 32 | 112 / 34 | $46.170,70 | 1624 / 78 | $10.446,60 | 1744 / 115 | $9.147,09 | 1740 / 109 |
Other Digestive System Diagnoses W Cc | 31 | 66 / 12 | $49.004,20 | 1253 / 75 | $9.676,94 | 1308 / 97 | $8.588,06 | 1304 / 104 |
Respiratory Infections & Inflammations W Mcc | 31 | 105 / 41 | $89.057,10 | 1580 / 76 | $16.733,00 | 1585 / 92 | $15.108,50 | 1569 / 77 |
Permanent Cardiac Pacemaker Implant W Cc | 31 | 46 / 4 | $127.186,00 | 886 / 57 | $21.869,70 | 833 / 43 | $20.502,10 | 829 / 41 |
Peripheral Vascular Disorders W Cc | 31 | 53 / 4 | $33.993,10 | 900 / 18 | $9.728,42 | 1113 / 68 | $8.254,19 | 1110 / 62 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 16 | $44.609,20 | 2008 / 96 | $7.493,07 | 1945 / 94 | $6.260,90 | 1934 / 96 |
G.I. Obstruction W Cc | 30 | 62 / 22 | $44.795,20 | 1530 / 67 | $9.287,40 | 1568 / 110 | $7.147,43 | 1563 / 96 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 28 | 35 / 3 | $191.085,00 | 615 / 22 | $40.216,90 | 623 / 26 | $38.815,40 | 623 / 28 |
Degenerative Nervous System Disorders W/O Mcc | 27 | 51 / 6 | $45.422,60 | 727 / 26 | $9.608,07 | 738 / 33 | $8.248,56 | 738 / 31 |
Red Blood Cell Disorders W Mcc | 26 | 45 / 6 | $54.327,10 | 898 / 38 | $11.853,30 | 973 / 54 | $10.922,30 | 969 / 55 |
Signs & Symptoms W/O Mcc | 26 | 65 / 12 | $36.911,20 | 1167 / 43 | $7.305,96 | 1174 / 62 | $5.989,19 | 1171 / 62 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 25 | 45 / 11 | $42.844,60 | 487 / 32 | $8.757,76 | 451 / 27 | $7.723,56 | 451 / 26 |
Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 11 | $55.857,10 | 1257 / 59 | $10.485,90 | 1288 / 80 | $8.573,28 | 1286 / 72 |
Respiratory Infections & Inflammations W Cc | 24 | 64 / 24 | $50.620,90 | 1157 / 31 | $12.437,10 | 1362 / 85 | $11.401,50 | 1357 / 86 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 24 | 77 / 25 | $49.563,80 | 789 / 13 | $13.878,00 | 901 / 43 | $12.109,20 | 897 / 31 |
Other Kidney & Urinary Tract Diagnoses W Cc | 24 | 79 / 16 | $38.753,60 | 648 / 16 | $9.396,00 | 741 / 37 | $8.476,79 | 741 / 40 |
G.I. Obstruction W/O Cc/Mcc | 24 | 47 / 17 | $30.115,90 | 1113 / 44 | $6.590,79 | 1239 / 79 | $5.398,50 | 1236 / 84 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 21 | $29.926,60 | 1608 / 37 | $7.332,46 | 1840 / 97 | $5.985,50 | 1832 / 102 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 18 | $142.720,00 | 791 / 30 | $27.090,70 | 874 / 43 | $25.714,20 | 869 / 47 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 24 | 23 / 4 | $50.323,20 | 418 / 7 | $12.159,10 | 538 / 41 | $9.516,12 | 537 / 35 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 22 | 54 / 15 | $78.273,00 | 441 / 36 | $17.076,90 | 409 / 46 | $14.361,10 | 409 / 33 |
Atherosclerosis W/O Mcc | 22 | 36 / 5 | $35.094,60 | 495 / 24 | $6.578,14 | / 24 | $5.310,91 | / |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 22 | 70 / 33 | $202.703,00 | 753 / 38 | $39.956,80 | 570 / 18 | $38.066,00 | 569 / 13 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 21 | 47 / 10 | $42.203,00 | 632 / 29 | $8.780,43 | 649 / 32 | $7.608,81 | 649 / 31 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 21 | 103 / 18 | $41.470,30 | 793 / 31 | $7.183,19 | 740 / 26 | $6.358,29 | 739 / 32 |
Diabetes W/O Cc/Mcc | 21 | 17 / 1 | $31.602,80 | 265 / 4 | $6.287,86 | 235 / 4 | $4.728,43 | 235 / 4 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 21 | 35 / 9 | $75.774,70 | 701 / 19 | $14.758,50 | 818 / 47 | $13.327,30 | 814 / 54 |
Major Chest Procedures W Mcc | 20 | 29 / 6 | $278.000,00 | 312 / 16 | $49.184,20 | 314 / 16 | $47.381,20 | 313 / 19 |
Diabetes W Mcc | 20 | 37 / 8 | $70.786,10 | 687 / 34 | $12.647,50 | 648 / 31 | $11.517,60 | 647 / 33 |
Bronchitis & Asthma W Cc/Mcc | 20 | 56 / 13 | $37.800,10 | 854 / 22 | $8.565,10 | 952 / 54 | $7.073,45 | 948 / 52 |
Organic Disturbances & Mental Retardation | 19 | 40 / 6 | $31.147,60 | 359 / 6 | $9.521,84 | 445 / 14 | $8.145,37 | 445 / 12 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 19 | 74 / 14 | $117.928,00 | 831 / 33 | $20.495,80 | 831 / 44 | $19.268,40 | 823 / 44 |
Dysequilibrium | 19 | 46 / 8 | $31.126,40 | 426 / 9 | $6.668,79 | 504 / 26 | $5.382,47 | 504 / 29 |
Cellulitis W Mcc | 19 | 39 / 15 | $48.743,10 | 723 / 31 | $12.944,70 | 853 / 55 | $11.829,90 | 851 / 58 |
Other Circulatory System O.R. Procedures | 19 | 36 / 8 | $109.991,00 | 346 / 14 | $23.076,60 | 354 / 17 | $21.790,10 | 354 / 15 |
Hypertension W/O Mcc | 19 | 46 / 8 | $29.835,00 | 634 / 7 | $6.666,16 | 697 / 16 | $5.379,11 | 695 / 18 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 7 | $38.378,90 | 847 / 26 | $6.820,89 | 798 / 36 | $5.696,50 | 797 / 39 |
Seizures W/O Mcc | 18 | 90 / 24 | $39.839,30 | 1134 / 46 | $7.806,33 | 1167 / 64 | $6.724,83 | 1165 / 68 |
Other Disorders Of Nervous System W Cc | 18 | 38 / 9 | $65.834,40 | 604 / 45 | $11.333,90 | 567 / 47 | $7.889,50 | 566 / 38 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 18 | 71 / 27 | $93.070,10 | 753 / 62 | $10.245,90 | 699 / 41 | $8.958,00 | 698 / 51 |
Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 22 | $244.103,00 | 1153 / 50 | $45.104,10 | 1140 / 51 | $42.986,80 | 1138 / 51 |
Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 13 | $34.399,10 | 796 / 30 | $7.430,00 | 861 / 56 | $6.159,67 | 860 / 58 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 18 | 18 / 5 | $93.495,90 | 284 / 6 | $19.602,30 | 265 / 13 | $16.717,20 | 264 / 8 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 18 | 12 / 1 | $93.272,40 | 177 / 4 | $19.579,10 | 173 / 6 | $15.685,50 | 172 / 5 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 15 | $237.551,00 | 839 / 38 | $42.939,00 | 816 / 41 | $41.093,10 | 815 / 41 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 18 | 38 / 8 | $79.561,80 | 581 / 24 | $15.532,80 | 536 / 30 | $14.111,20 | 535 / 26 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 18 | 22 / 8 | $99.722,30 | 349 / 13 | $20.115,70 | 405 / 22 | $18.838,20 | 404 / 24 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 16 | $99.467,40 | 890 / 61 | $14.617,90 | 843 / 53 | $13.252,80 | 840 / 53 |
Complications Of Treatment W Cc | 17 | 35 / 8 | $39.682,90 | 288 / 7 | $10.297,80 | 274 / 10 | $7.836,94 | 274 / 8 |
Other Digestive System Diagnoses W Mcc | 17 | 45 / 17 | $69.229,90 | 627 / 45 | $14.905,60 | 620 / 45 | $13.822,40 | 619 / 45 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 17 | 101 / 24 | $314.967,00 | 513 / 26 | $41.627,40 | 443 / 8 | $40.132,20 | 443 / 13 |
Other Vascular Procedures W Cc | 17 | 85 / 27 | $131.722,00 | 1017 / 42 | $27.389,00 | 929 / 67 | $19.317,90 | 924 / 30 |
Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 9 | $55.081,90 | 897 / 44 | $9.667,69 | 901 / 45 | $8.521,38 | 898 / 46 |
O.R. Procedures For Obesity W/O Cc/Mcc | 16 | 61 / 12 | $78.097,10 | 373 / 14 | $14.088,90 | 366 / 13 | $12.649,90 | 365 / 17 |
Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 24 | $66.581,10 | 860 / 33 | $9.851,50 | 894 / 42 | $8.916,88 | 891 / 50 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 14 | $94.893,00 | 716 / 34 | $16.417,80 | 664 / 34 | $12.445,10 | 664 / 31 |
Spinal Fusion Except Cervical W/O Mcc | 16 | 178 / 50 | $233.679,00 | 1326 / 82 | $34.679,80 | 1265 / 57 | $33.508,80 | 1260 / 69 |
Other Disorders Of Nervous System W Mcc | 16 | 24 / 7 | $66.549,00 | 260 / 11 | $13.939,40 | 264 / 16 | $12.980,80 | 264 / 18 |
Other Respiratory System Diagnoses W/O Mcc | 16 | 30 / 8 | $35.198,40 | 258 / 9 | $8.479,88 | 260 / 12 | $6.399,44 | 260 / 11 |
Degenerative Nervous System Disorders W Mcc | 15 | 23 / 4 | $162.864,00 | 227 / 9 | $24.591,50 | 221 / 10 | $19.790,50 | 221 / 10 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 15 | 29 / 9 | $126.493,00 | 373 / 13 | $24.350,30 | 367 / 17 | $22.680,70 | 365 / 21 |
Acute Myocardial Infarction, Expired W Mcc | 15 | 15 / 1 | $102.616,00 | 185 / 2 | $23.857,50 | 155 / 2 | $13.695,20 | 155 / 2 |
Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 26 | $238.168,00 | 989 / 59 | $34.432,80 | 977 / 56 | $32.932,00 | 976 / 57 |
Major Cardiovasc Procedures W Mcc | 15 | 53 / 15 | $287.580,00 | 611 / 33 | $47.823,70 | 568 / 31 | $45.955,80 | 567 / 32 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 19 | $42.059,20 | 856 / 19 | $10.399,10 | 996 / 47 | $9.511,87 | 994 / 52 |
G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 14 | $25.351,30 | 714 / 12 | $7.585,00 | 882 / 50 | $5.610,13 | 878 / 43 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 15 | 13 / 3 | $82.756,40 | 93 / 4 | $14.860,00 | 89 / 5 | $13.741,30 | 89 / 4 |
Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 14 | $121.876,00 | 798 / 27 | $23.726,30 | 802 / 37 | $22.488,70 | 799 / 36 |
Coronary Bypass W Cardiac Cath W/O Mcc | 14 | 62 / 14 | $325.235,00 | 596 / 24 | $40.451,90 | 579 / 21 | $38.786,30 | 579 / 24 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 14 | 40 / 14 | $62.091,90 | 393 / 17 | $7.039,29 | 339 / 14 | $6.080,50 | 339 / 18 |
Psychoses | 14 | 261 / 29 | $34.353,90 | 514 / 19 | $9.687,07 | 535 / 15 | $8.870,36 | 535 / 18 |
Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 19 | $151.063,00 | 614 / 21 | $27.861,40 | 601 / 19 | $26.795,90 | 599 / 20 |
Other Resp System O.R. Procedures W Mcc | 14 | 49 / 4 | $143.209,00 | 471 / 4 | $28.561,10 | 457 / 6 | $27.003,10 | 456 / 8 |
Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 12 | $56.201,00 | 432 / 23 | $10.255,40 | 440 / 27 | $9.103,86 | 440 / 26 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 16 | $51.695,90 | 1178 / 44 | $9.529,07 | 1089 / 55 | $7.108,79 | 1086 / 37 |
Other Skin, Subcut Tiss & Breast Proc W Cc | 14 | 10 / 3 | $87.323,40 | 91 / 2 | $14.978,40 | 94 / 2 | $13.481,90 | 94 / 3 |
Nonspecific Cerebrovascular Disorders W Mcc | 13 | 38 / 12 | $107.634,00 | 400 / 34 | $14.153,20 | 329 / 23 | $12.621,50 | 329 / 17 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 13 | 34 / 8 | $30.347,90 | 289 / 5 | $7.372,31 | 325 / 9 | $6.207,15 | 325 / 9 |
Traumatic Injury W/O Mcc | 13 | 5 / 1 | $44.689,50 | 24 / 2 | $7.377,69 | 20 / 2 | $6.252,54 | 20 / 2 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 13 | 27 / 8 | $43.740,60 | 218 / 5 | $11.150,60 | 260 / 13 | $9.914,69 | 260 / 15 |
Hiv W Major Related Condition W Cc | 13 | 11 / 3 | $64.306,90 | 36 / 2 | $12.570,50 | 20 / 3 | $11.258,50 | 20 / 3 |
Digestive Malignancy W Cc | 13 | 34 / 10 | $46.118,90 | 274 / 6 | $13.052,80 | 315 / 16 | $9.758,54 | 313 / 11 |
Respiratory Neoplasms W Cc | 13 | 34 / 11 | $48.474,20 | 385 / 9 | $11.024,40 | 432 / 16 | $9.802,92 | 431 / 19 |
Other Circulatory System Diagnoses W Cc | 12 | 54 / 14 | $62.652,80 | 642 / 21 | $10.437,30 | 609 / 20 | $8.597,33 | 608 / 22 |
Other Injury, Poisoning & Toxic Effect Diag W/O Mcc | 12 | 5 / 3 | $47.988,30 | 6 / 3 | $7.041,92 | 2 / 1 | $5.987,50 | 2 / 1 |
G.I. Obstruction W Mcc | 12 | 30 / 10 | $74.150,20 | 471 / 25 | $15.027,30 | 480 / 31 | $13.858,80 | 480 / 31 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 12 | 69 / 17 | $1.560.330,00 | 446 / 31 | $252.593,00 | 449 / 31 | $240.420,00 | 448 / 31 |
Trauma To The Skin, Subcut Tiss & Breast W Mcc | 12 | 3 / 1 | $60.307,50 | 3 / 1 | $12.978,20 | 3 / 1 | $11.819,60 | 3 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 15 | $132.669,00 | 628 / 38 | $17.785,20 | 589 / 30 | $16.492,00 | 585 / 33 |
Other Kidney & Urinary Tract Procedures W Mcc | 12 | 26 / 4 | $107.733,00 | 155 / 1 | $26.078,10 | 180 / 3 | $24.898,40 | 179 / 4 |
Major Chest Procedures W Cc | 12 | 62 / 18 | $230.536,00 | 503 / 35 | $31.082,10 | 483 / 30 | $24.556,30 | 481 / 26 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 20 | $146.340,00 | 483 / 29 | $23.443,40 | 472 / 22 | $22.204,60 | 471 / 30 |
Cranial & Peripheral Nerve Disorders W Mcc | 12 | 24 / 11 | $73.647,70 | 136 / 12 | $12.812,90 | 131 / 13 | $12.072,10 | 131 / 12 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 12 | 54 / 18 | $56.396,50 | 457 / 14 | $10.450,80 | 466 / 25 | $9.446,83 | 465 / 27 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 13 | $205.757,00 | 579 / 38 | $49.363,50 | 508 / 48 | $28.121,40 | 508 / 22 |
Hiv W Major Related Condition W Mcc | 11 | 26 / 6 | $93.117,60 | 63 / 2 | $22.448,40 | 42 / 2 | $21.329,60 | 42 / 2 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 30 | $138.246,00 | 805 / 43 | $25.538,90 | 635 / 47 | $14.466,90 | 631 / 13 |
Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 11 | 16 / 5 | $66.639,30 | 53 / 3 | $10.278,50 | 48 / 5 | $8.661,82 | 48 / 5 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 11 | $92.848,80 | 493 / 19 | $15.181,80 | 436 / 23 | $10.874,50 | 436 / 18 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 12 | $105.934,00 | 324 / 18 | $16.239,50 | 281 / 11 | $14.771,50 | 282 / 11 |
Angina Pectoris | 11 | 14 / 6 | $35.431,50 | 61 / 6 | $6.280,73 | 64 / 6 | $5.603,00 | 64 / 7 |
Transurethral Prostatectomy W/O Cc/Mcc | 11 | 18 / 5 | $48.982,60 | 80 / 6 | $7.530,27 | 74 / 4 | $6.528,64 | 74 / 5 | Total 148 procedures | 5.236 | 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.