Hospital Costs > In Virginia > Sentara Norfolk General 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 | 254 | 262 / 25 | $45.321,90 | 1594 / 59 | $14.525,00 | 1709 / 68 | $11.470,50 | 1676 / 63 |
Heart Failure & Shock W Cc | 215 | 67 / 4 | $23.538,40 | 1540 / 60 | $8.951,37 | 1965 / 68 | $6.452,53 | 1960 / 66 |
Heart Failure & Shock W Mcc | 162 | 122 / 12 | $38.094,90 | 1560 / 61 | $12.696,60 | 1836 / 68 | $9.805,45 | 1831 / 67 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 151 | 45 / 1 | $53.697,90 | 1291 / 37 | $12.533,10 | 1349 / 39 | $7.793,90 | 1346 / 39 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 150 | 53 / 2 | $69.497,60 | 670 / 17 | $15.054,10 | 1000 / 27 | $12.499,50 | 993 / 31 |
Red Blood Cell Disorders W/O Mcc | 126 | 24 / 1 | $20.937,00 | 981 / 37 | $7.474,68 | 1468 / 51 | $5.390,84 | 1459 / 51 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 120 | 63 / 7 | $34.402,10 | 1337 / 54 | $9.302,99 | 1419 / 58 | $6.612,73 | 1416 / 56 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 105 | 170 / 14 | $19.103,90 | 1289 / 48 | $6.716,33 | 1954 / 66 | $4.694,29 | 1940 / 66 |
G.I. Hemorrhage W Cc | 103 | 115 / 12 | $30.564,90 | 1592 / 59 | $9.093,74 | 1901 / 64 | $6.915,05 | 1897 / 65 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 103 | 66 / 4 | $49.652,90 | 955 / 40 | $14.186,20 | 1024 / 44 | $11.170,60 | 1019 / 43 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 102 | 6 / 1 | $100.637,00 | 258 / 9 | $29.150,90 | 336 / 13 | $22.334,10 | 335 / 13 |
Renal Failure W Cc | 101 | 120 / 14 | $24.904,00 | 1408 / 57 | $8.451,67 | 1805 / 67 | $6.415,34 | 1795 / 67 |
Chest Pain | 100 | 53 / 3 | $17.395,80 | 718 / 34 | $5.786,55 | 1007 / 50 | $3.570,97 | 1001 / 48 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 95 | 66 / 7 | $18.492,90 | 905 / 45 | $7.087,31 | 1399 / 58 | $4.808,68 | 1394 / 56 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 87 | 120 / 17 | $29.433,10 | 1582 / 57 | $9.915,36 | 1670 / 64 | $6.521,75 | 1663 / 62 |
Major Cardiovasc Procedures W/O Mcc | 81 | 26 / 3 | $98.896,70 | 572 / 19 | $26.164,10 | 612 / 26 | $21.513,20 | 612 / 21 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 77 | 45 / 3 | $127.607,00 | 195 / 9 | $39.270,10 | 206 / 12 | $30.981,50 | 206 / 8 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 77 | 23 / 1 | $59.649,80 | 179 / 6 | $14.832,60 | 295 / 11 | $11.853,40 | 292 / 10 |
Other Vascular Procedures W Cc | 76 | 29 / 2 | $88.969,80 | 740 / 27 | $20.883,60 | 602 / 31 | $15.578,90 | 599 / 26 |
Syncope & Collapse | 74 | 95 / 11 | $20.805,80 | 928 / 48 | $6.619,14 | 1214 / 55 | $4.410,88 | 1207 / 54 |
Renal Failure W Mcc | 74 | 121 / 13 | $38.984,90 | 1244 / 53 | $12.319,20 | 1198 / 61 | $9.424,32 | 1198 / 53 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 73 | 77 / 10 | $13.150,20 | 737 / 34 | $5.301,64 | 1483 / 57 | $3.502,60 | 1477 / 57 |
Kidney & Urinary Tract Infections W/O Mcc | 73 | 160 / 20 | $21.989,40 | 1761 / 58 | $7.206,92 | 1914 / 66 | $4.845,40 | 1903 / 65 |
Other Vascular Procedures W Mcc | 73 | 26 / 2 | $83.067,10 | 416 / 16 | $24.496,50 | 563 / 19 | $21.501,30 | 560 / 18 |
Other Circulatory System Diagnoses W Mcc | 72 | 44 / 3 | $56.985,00 | 883 / 27 | $18.683,70 | 780 / 34 | $11.975,00 | 776 / 29 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 71 | 47 / 4 | $231.125,00 | 278 / 6 | $66.369,10 | 224 / 9 | $50.491,50 | 224 / 8 |
Simple Pneumonia & Pleurisy W Cc | 70 | 133 / 11 | $28.938,00 | 1899 / 61 | $8.833,29 | 1977 / 66 | $6.126,86 | 1969 / 64 |
Spinal Fusion Except Cervical W/O Mcc | 69 | 125 / 13 | $93.624,50 | 670 / 21 | $28.793,60 | 761 / 26 | $23.772,60 | 757 / 24 |
Pulmonary Edema & Respiratory Failure | 66 | 137 / 22 | $36.328,60 | 1354 / 55 | $10.897,40 | 1359 / 62 | $7.510,30 | 1355 / 62 |
Major Cardiovasc Procedures W Mcc | 66 | 11 / 1 | $169.316,00 | 427 / 12 | $44.719,20 | 467 / 12 | $38.606,80 | 466 / 12 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 66 | 29 / 3 | $90.828,40 | 711 / 26 | $21.998,70 | 721 / 28 | $15.791,10 | 714 / 27 |
Cellulitis W/O Mcc | 65 | 124 / 18 | $20.420,70 | 1528 / 52 | $8.282,69 | 1652 / 64 | $4.909,78 | 1645 / 61 |
Other Kidney & Urinary Tract Diagnoses W Cc | 63 | 42 / 3 | $37.218,30 | 626 / 20 | $9.264,29 | 454 / 21 | $6.066,90 | 454 / 20 |
Simple Pneumonia & Pleurisy W Mcc | 62 | 143 / 22 | $38.551,80 | 1508 / 55 | $12.968,00 | 1597 / 68 | $8.908,10 | 1597 / 66 |
Transient Ischemia | 61 | 64 / 12 | $20.906,10 | 730 / 37 | $6.263,72 | 1096 / 48 | $4.236,57 | 1090 / 48 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 60 | 64 / 9 | $134.064,00 | 874 / 28 | $44.316,40 | 858 / 37 | $33.333,40 | 852 / 28 |
Coronary Bypass W/O Cardiac Cath W Mcc | 60 | 7 / 1 | $170.421,00 | 144 / 5 | $45.541,60 | 134 / 5 | $37.004,50 | 133 / 5 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 56 | 7 / 1 | $133.340,00 | 33 / 1 | $37.890,60 | 36 / 1 | $35.664,50 | 36 / 1 |
Chronic Obstructive Pulmonary Disease W Cc | 56 | 123 / 17 | $23.740,40 | 1367 / 50 | $8.243,88 | 1409 / 57 | $5.390,11 | 1404 / 56 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 56 | 45 / 5 | $50.092,80 | 796 / 33 | $16.118,50 | 704 / 37 | $10.234,00 | 702 / 36 |
Kidney Transplant | 54 | 50 / 2 | $241.490,00 | 136 / 3 | $40.008,10 | 80 / 2 | $21.921,40 | 80 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 54 | 69 / 13 | $33.798,70 | 1121 / 41 | $10.521,40 | 1309 / 47 | $7.957,69 | 1306 / 47 |
Heart Failure & Shock W/O Cc/Mcc | 53 | 57 / 3 | $14.236,80 | 751 / 30 | $6.252,98 | 1442 / 51 | $4.306,72 | 1430 / 51 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 51 | 8 / 1 | $103.610,00 | 145 / 5 | $25.548,80 | 125 / 5 | $19.969,90 | 125 / 3 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 50 | 20 / 1 | $234.588,00 | 118 / 2 | $69.606,80 | 124 / 3 | $60.418,40 | 124 / 2 |
Peripheral Vascular Disorders W Cc | 49 | 35 / 2 | $26.505,40 | 697 / 26 | $8.371,86 | 797 / 30 | $6.177,29 | 794 / 30 |
G.I. Hemorrhage W Mcc | 48 | 73 / 8 | $39.961,30 | 689 / 31 | $13.955,80 | 989 / 41 | $11.203,20 | 982 / 40 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 46 | 79 / 13 | $54.744,70 | 1232 / 50 | $14.604,50 | 1258 / 54 | $11.270,80 | 1248 / 53 |
Major Chest Procedures W Cc | 44 | 30 / 2 | $63.724,70 | 222 / 9 | $18.864,90 | 268 / 13 | $15.501,00 | 266 / 12 |
Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 28 | $28.691,60 | 1388 / 53 | $9.781,95 | 1653 / 63 | $7.103,11 | 1645 / 61 |
Medical Back Problems W/O Mcc | 43 | 78 / 9 | $25.010,00 | 829 / 29 | $7.535,33 | 1083 / 34 | $5.510,02 | 1080 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 43 | 59 / 15 | $21.947,40 | 710 / 33 | $6.972,12 | 974 / 45 | $4.286,95 | 970 / 44 |
Other Digestive System Diagnoses W Cc | 41 | 56 / 8 | $21.854,90 | 507 / 21 | $8.244,44 | 897 / 37 | $6.114,22 | 893 / 37 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 26 | $15.442,20 | 1006 / 36 | $6.309,29 | 1707 / 62 | $4.328,00 | 1702 / 61 |
Pulmonary Embolism W/O Mcc | 41 | 33 / 3 | $30.311,50 | 846 / 34 | $8.773,29 | 1026 / 36 | $6.650,51 | 1023 / 35 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 40 | 29 / 2 | $56.884,00 | 220 / 7 | $16.123,10 | 268 / 15 | $10.207,80 | 268 / 10 |
Cervical Spinal Fusion W/O Cc/Mcc | 40 | 64 / 9 | $52.001,40 | 361 / 12 | $17.220,80 | 522 / 18 | $12.954,90 | 519 / 18 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 37 | 63 / 7 | $102.111,00 | 515 / 12 | $24.014,50 | 677 / 18 | $21.653,90 | 673 / 21 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 37 | 89 / 14 | $32.618,40 | 1075 / 45 | $9.728,57 | 937 / 50 | $6.861,19 | 934 / 45 |
O.R. Procedures For Obesity W/O Cc/Mcc | 36 | 41 / 2 | $38.441,10 | 168 / 6 | $11.827,30 | 248 / 9 | $9.490,97 | 248 / 10 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 36 | 45 / 4 | $492.790,00 | 267 / 6 | $149.286,00 | 272 / 7 | $121.304,00 | 271 / 7 |
Other Circulatory System Diagnoses W Cc | 35 | 31 / 2 | $33.040,10 | 461 / 15 | $8.636,86 | 424 / 17 | $6.178,69 | 423 / 17 |
Kidney & Urinary Tract Infections W Mcc | 34 | 110 / 21 | $27.584,90 | 1074 / 51 | $10.135,50 | 1352 / 59 | $7.156,26 | 1348 / 58 |
Other Circulatory System O.R. Procedures | 34 | 21 / 2 | $64.164,50 | 184 / 11 | $21.632,30 | 220 / 12 | $17.560,20 | 220 / 9 |
Coronary Bypass W Cardiac Cath W/O Mcc | 34 | 42 / 2 | $124.335,00 | 254 / 8 | $34.141,20 | 375 / 13 | $28.125,80 | 375 / 15 |
Red Blood Cell Disorders W Mcc | 33 | 38 / 2 | $35.215,20 | 584 / 20 | $11.248,40 | 412 / 27 | $7.160,06 | 410 / 17 |
Diabetes W Cc | 33 | 59 / 9 | $23.778,00 | 928 / 44 | $8.056,70 | 1174 / 48 | $5.657,03 | 1169 / 49 |
Kidney & Ureter Procedures For Neoplasm W Cc | 33 | 12 / 1 | $57.026,30 | 86 / 3 | $14.983,60 | 74 / 2 | $12.306,50 | 74 / 3 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 33 | 65 / 6 | $139.058,00 | 319 / 11 | $37.449,60 | 266 / 13 | $28.526,40 | 266 / 10 |
Permanent Cardiac Pacemaker Implant W Cc | 32 | 45 / 9 | $81.612,10 | 636 / 18 | $19.426,00 | 571 / 18 | $16.469,70 | 570 / 18 |
G.I. Obstruction W Cc | 32 | 60 / 11 | $17.657,40 | 485 / 23 | $8.283,19 | 1021 / 43 | $5.155,12 | 1018 / 41 |
Signs & Symptoms W/O Mcc | 31 | 60 / 8 | $19.651,90 | 637 / 25 | $6.258,90 | 904 / 31 | $4.543,94 | 901 / 31 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 16 | $61.057,30 | 924 / 34 | $17.308,90 | 1184 / 46 | $15.016,60 | 1171 / 44 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 30 | 20 / 1 | $155.727,00 | 154 / 7 | $37.024,60 | 139 / 5 | $35.085,00 | 139 / 7 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 29 | 39 / 4 | $25.454,20 | 367 / 17 | $8.277,31 | 429 / 21 | $5.530,34 | 429 / 19 |
Atherosclerosis W/O Mcc | 28 | 30 / 1 | $20.131,50 | 311 / 11 | $5.898,00 | / | $4.014,14 | / |
Other Vascular Procedures W/O Cc/Mcc | 28 | 28 / 4 | $54.813,80 | 339 / 13 | $15.296,70 | 95 / 16 | $8.439,14 | 95 / 2 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 28 | 18 / 1 | $42.058,70 | 51 / 3 | $13.690,80 | 82 / 1 | $11.961,10 | 82 / 3 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 28 | 38 / 7 | $32.392,60 | 284 / 10 | $9.506,43 | 346 / 11 | $7.374,21 | 345 / 10 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 27 | 28 / 2 | $70.484,30 | 66 / 2 | $20.844,80 | 79 / 3 | $18.251,90 | 79 / 4 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 27 | 13 / 1 | $45.241,90 | 76 / 5 | $12.405,80 | 50 / 5 | $8.338,11 | 50 / 3 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 27 | 15 / 2 | $129.731,00 | 64 / 4 | $39.525,40 | 45 / 4 | $32.180,30 | 45 / 3 |
Permanent Cardiac Pacemaker Implant W Mcc | 26 | 26 / 5 | $150.201,00 | 512 / 13 | $36.880,80 | 516 / 13 | $28.562,00 | 516 / 13 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 26 | 25 / 3 | $62.892,80 | 216 / 7 | $16.474,60 | 202 / 8 | $13.300,10 | 202 / 8 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 26 | 70 / 13 | $35.506,80 | 821 / 31 | $10.885,90 | 867 / 36 | $7.653,50 | 862 / 34 |
Nervous System Neoplasms W Mcc | 26 | 22 / 1 | $37.851,00 | 150 / 5 | $11.239,10 | 134 / 8 | $8.046,58 | 134 / 6 |
Cervical Spinal Fusion W Cc | 26 | 27 / 2 | $88.201,70 | 256 / 8 | $22.006,40 | 246 / 10 | $18.735,60 | 245 / 11 |
Seizures W/O Mcc | 26 | 82 / 15 | $23.920,30 | 731 / 25 | $6.825,08 | 938 / 29 | $5.255,88 | 936 / 30 |
Coronary Bypass W Cardiac Cath W Mcc | 25 | 31 / 2 | $232.547,00 | 297 / 5 | $58.110,50 | 296 / 7 | $48.399,00 | 296 / 7 |
Bronchitis & Asthma W Cc/Mcc | 25 | 51 / 9 | $17.827,00 | 300 / 19 | $8.589,20 | 535 / 34 | $4.885,92 | 531 / 31 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 28 | $51.704,30 | 1111 / 41 | $14.392,80 | 1212 / 53 | $11.672,20 | 1198 / 51 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 24 | 39 / 4 | $144.434,00 | 455 / 13 | $42.422,40 | 432 / 15 | $31.612,50 | 432 / 13 |
G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 12 | $12.234,10 | 298 / 15 | $5.596,17 | 989 / 34 | $3.934,43 | 986 / 36 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 18 | $19.494,70 | 1224 / 45 | $6.627,09 | 1401 / 51 | $4.243,30 | 1390 / 49 |
Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 16 | $38.059,30 | 983 / 38 | $9.474,22 | 964 / 43 | $6.563,61 | 962 / 42 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 22 | 51 / 12 | $21.364,60 | 332 / 17 | $9.734,68 | 758 / 32 | $7.560,09 | 756 / 32 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 22 | 22 / 2 | $86.915,00 | 258 / 7 | $22.592,20 | 190 / 10 | $16.834,50 | 189 / 8 |
Other Kidney & Urinary Tract Procedures W Mcc | 22 | 16 / 1 | $80.169,20 | 107 / 4 | $25.043,40 | 124 / 4 | $21.002,50 | 123 / 3 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 22 | 32 / 4 | $16.867,90 | 110 / 7 | $6.434,59 | 198 / 10 | $4.340,45 | 198 / 9 |
Major Small & Large Bowel Procedures W Cc | 21 | 87 / 19 | $69.541,20 | 846 / 28 | $19.746,90 | 1025 / 39 | $16.012,30 | 1014 / 37 |
Major Male Pelvic Procedures W/O Cc/Mcc | 21 | 52 / 5 | $49.431,60 | 239 / 6 | $11.031,80 | 103 / 8 | $6.039,00 | 103 / 6 |
Respiratory Signs & Symptoms | 20 | 26 / 1 | $21.068,50 | 134 / 5 | $6.039,25 | 221 / 8 | $4.821,55 | 221 / 9 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 54 | $42.350,60 | 883 / 22 | $16.831,30 | 1716 / 58 | $12.590,70 | 1678 / 55 |
Respiratory Infections & Inflammations W Cc | 20 | 68 / 12 | $32.662,00 | 780 / 29 | $11.359,20 | 1113 / 36 | $9.126,55 | 1108 / 38 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 20 | 51 / 8 | $153.842,00 | 578 / 17 | $42.761,40 | 648 / 19 | $35.868,40 | 647 / 21 |
Extracranial Procedures W/O Cc/Mcc | 20 | 78 / 13 | $40.344,80 | 638 / 19 | $10.248,70 | 414 / 24 | $5.509,95 | 413 / 19 |
Major Chest Procedures W Mcc | 19 | 30 / 3 | $159.221,00 | 221 / 10 | $42.902,60 | 263 / 10 | $38.068,50 | 262 / 11 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 19 | 55 / 4 | $58.425,40 | 96 / 5 | $15.610,90 | 127 / 4 | $14.076,70 | 126 / 6 |
Seizures W Mcc | 19 | 47 / 10 | $48.054,80 | 460 / 21 | $13.736,90 | 246 / 24 | $8.573,79 | 246 / 16 |
Other O.R. Procedures For Injuries W Cc | 18 | 17 / 1 | $65.273,30 | 114 / 5 | $23.728,40 | 75 / 5 | $12.559,10 | 75 / 4 |
Organic Disturbances & Mental Retardation | 18 | 41 / 7 | $22.681,20 | 229 / 13 | $8.550,17 | 300 / 16 | $6.319,39 | 300 / 15 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 18 | 18 / 4 | $62.470,40 | 179 / 7 | $18.841,10 | 167 / 10 | $14.517,30 | 167 / 9 |
Major Bladder Procedures W Cc | 18 | 20 / 1 | $84.381,90 | 24 / 1 | $25.183,70 | 14 / 1 | $17.240,70 | 14 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 18 | 38 / 9 | $47.103,00 | 388 / 20 | $15.931,80 | 283 / 23 | $11.149,10 | 282 / 18 |
Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 16 | $112.030,00 | 496 / 18 | $38.785,20 | 476 / 31 | $29.406,60 | 474 / 21 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 17 | 29 / 3 | $23.401,00 | 211 / 9 | $6.206,71 | 292 / 10 | $4.517,76 | 291 / 10 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 17 | 47 / 6 | $242.019,00 | 231 / 8 | $102.947,00 | 129 / 12 | $54.535,40 | 129 / 2 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 17 | 28 / 3 | $87.660,20 | 130 / 5 | $21.681,60 | 155 / 6 | $19.192,30 | 154 / 7 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 17 | 40 / 10 | $70.277,50 | 511 / 16 | $15.720,60 | 499 / 14 | $13.763,60 | 498 / 16 |
Otitis Media & Uri W/O Mcc | 17 | 27 / 1 | $20.992,80 | 106 / 3 | $6.775,29 | 57 / 3 | $3.299,76 | 57 / 2 |
Other Disorders Of Nervous System W Cc | 16 | 40 / 9 | $22.295,60 | 217 / 12 | $8.837,25 | 336 / 19 | $5.465,75 | 336 / 17 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 11 | $16.666,80 | 377 / 15 | $6.069,19 | 590 / 21 | $4.203,06 | 589 / 19 |
Cesarean Section W Cc/Mcc | 16 | 7 / 1 | $39.280,20 | 33 / 2 | $10.683,10 | 17 / 2 | $8.417,00 | 17 / 2 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 33 | $69.178,40 | 1401 / 46 | $17.372,50 | 1480 / 50 | $14.086,90 | 1464 / 51 |
Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 16 | 12 / 2 | $199.147,00 | 42 / 5 | $49.156,10 | 32 / 3 | $45.975,40 | 32 / 2 |
Peripheral Vascular Disorders W/O Cc/Mcc | 16 | 29 / 4 | $14.777,00 | 123 / 4 | $5.751,50 | 275 / 8 | $4.350,88 | 275 / 7 |
Other Resp System O.R. Procedures W Mcc | 16 | 47 / 8 | $82.304,30 | 234 / 10 | $26.265,50 | 318 / 13 | $22.916,20 | 317 / 12 |
Other Resp System O.R. Procedures W Cc | 16 | 31 / 4 | $55.986,40 | 192 / 7 | $16.210,70 | 190 / 10 | $12.255,60 | 190 / 9 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 15 | 19 / 5 | $114.800,00 | 103 / 6 | $32.272,10 | 80 / 6 | $27.305,50 | 80 / 5 |
Kidney & Ureter Procedures For Neoplasm W Mcc | 15 | 6 / 1 | $81.452,90 | 15 / 1 | $28.201,40 | 4 / 1 | $19.328,30 | 4 / 1 |
Tracheostomy For Face,Mouth & Neck Diagnoses W Cc | 15 | 18 / 2 | $123.105,00 | 27 / 2 | $23.513,50 | 5 / 1 | $20.323,90 | 5 / 1 |
Postoperative & Post-Traumatic Infections W/O Mcc | 15 | 39 / 6 | $25.534,20 | 214 / 11 | $8.499,80 | 293 / 12 | $6.792,07 | 293 / 13 |
Dysequilibrium | 15 | 50 / 9 | $21.680,00 | 281 / 13 | $6.080,00 | 326 / 17 | $3.716,47 | 326 / 15 |
G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 9 | $14.369,10 | 298 / 17 | $5.839,53 | 664 / 27 | $4.247,93 | 660 / 26 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 14 | 18 / 5 | $72.025,60 | 115 / 6 | $20.575,80 | 106 / 7 | $16.853,60 | 106 / 7 |
Kidney & Ureter Procedures For Non-Neoplasm W Mcc | 14 | 16 / 2 | $51.299,60 | 8 / 2 | $21.815,60 | 7 / 1 | $19.571,70 | 7 / 1 |
Kidney & Ureter Procedures For Non-Neoplasm W/O Cc/Mcc | 14 | 11 / 1 | $40.849,10 | 22 / 2 | $10.620,60 | 8 / 1 | $7.070,57 | 8 / 1 |
Pulmonary Embolism W Mcc | 14 | 29 / 12 | $58.620,70 | 477 / 23 | $13.626,60 | 455 / 24 | $10.353,90 | 454 / 23 |
Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/Mcc | 14 | 9 / 1 | $37.768,50 | 4 / 1 | $13.950,40 | 2 / 1 | $10.391,90 | 2 / 1 |
Renal Failure W/O Cc/Mcc | 14 | 42 / 14 | $13.361,40 | 282 / 19 | $5.724,57 | 532 / 30 | $3.671,29 | 531 / 29 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 14 | 50 / 16 | $48.035,20 | 437 / 18 | $12.889,90 | 550 / 27 | $10.451,30 | 550 / 28 |
Hypertension W/O Mcc | 14 | 51 / 10 | $15.252,90 | 234 / 11 | $5.851,93 | 377 / 22 | $3.358,36 | 375 / 21 |
Other Digestive System Diagnoses W/O Cc/Mcc | 14 | 29 / 4 | $14.376,50 | 71 / 2 | $6.569,64 | 182 / 10 | $3.772,07 | 182 / 10 |
Disorders Of The Biliary Tract W Cc | 14 | 40 / 9 | $27.830,30 | 176 / 13 | $8.819,64 | 283 / 15 | $6.763,93 | 283 / 15 |
Other Digestive System Diagnoses W Mcc | 14 | 48 / 11 | $29.172,70 | 148 / 9 | $12.559,90 | 379 / 19 | $10.656,70 | 378 / 19 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 14 | 75 / 13 | $33.098,60 | 345 / 13 | $10.947,30 | 57 / 17 | $4.550,79 | 57 / 2 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 13 | 29 / 4 | $48.791,90 | 155 / 6 | $16.429,00 | 88 / 7 | $10.052,00 | 88 / 5 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 13 | 40 / 9 | $45.324,60 | 139 / 6 | $18.061,70 | 87 / 10 | $9.903,62 | 88 / 8 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 13 | 63 / 9 | $77.570,50 | 440 / 16 | $21.352,20 | 204 / 17 | $11.069,20 | 204 / 12 |
Other Respiratory System Diagnoses W/O Mcc | 13 | 33 / 8 | $27.363,90 | 200 / 10 | $7.000,31 | 190 / 9 | $5.233,08 | 190 / 9 |
Other O.R. Procedures For Injuries W Mcc | 13 | 24 / 4 | $83.090,60 | 63 / 2 | $24.527,50 | 40 / 1 | $22.292,30 | 40 / 1 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 17 | $148.958,00 | 513 / 19 | $42.462,00 | 314 / 23 | $33.446,80 | 313 / 10 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 9 | $50.219,90 | 263 / 8 | $14.710,50 | 412 / 14 | $12.487,90 | 409 / 16 |
Nervous System Neoplasms W/O Mcc | 13 | 17 / 4 | $37.086,50 | 59 / 5 | $8.943,92 | 67 / 5 | $7.186,69 | 67 / 5 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 13 | 27 / 5 | $46.894,20 | 73 / 5 | $14.850,40 | 137 / 9 | $12.303,80 | 137 / 8 |
Complications Of Treatment W Cc | 12 | 40 / 7 | $23.003,20 | 133 / 6 | $8.072,75 | 212 / 6 | $6.528,42 | 212 / 6 |
Fever | 12 | 34 / 10 | $19.348,10 | 99 / 8 | $7.812,58 | 166 / 13 | $5.055,92 | 166 / 13 |
Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 15 | $48.020,50 | 680 / 25 | $12.498,50 | 496 / 25 | $8.522,58 | 494 / 20 |
Major Chest Procedures W/O Cc/Mcc | 12 | 47 / 7 | $51.717,80 | 135 / 7 | $13.640,60 | 127 / 7 | $11.081,60 | 127 / 9 |
Hiv W Major Related Condition W Mcc | 12 | 25 / 1 | $73.278,80 | 40 / 1 | $21.821,20 | 23 / 2 | $18.112,50 | 23 / 1 |
Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 17 | $28.514,90 | 471 / 20 | $8.405,00 | 509 / 23 | $6.152,00 | 509 / 23 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 12 | 26 / 3 | $67.992,20 | 120 / 3 | $18.264,40 | 92 / 4 | $13.063,20 | 92 / 4 |
Signs & Symptoms W Mcc | 12 | 29 / 6 | $20.398,20 | 54 / 2 | $8.566,08 | 124 / 8 | $7.081,75 | 124 / 7 |
Postoperative & Post-Traumatic Infections W Mcc | 12 | 31 / 6 | $26.978,90 | 23 / 1 | $13.681,80 | 94 / 3 | $12.178,00 | 94 / 5 |
Medical Back Problems W Mcc | 12 | 27 / 7 | $36.860,60 | 119 / 9 | $11.741,10 | 128 / 8 | $9.287,25 | 128 / 7 |
Cellulitis W Mcc | 12 | 46 / 15 | $33.292,90 | 445 / 18 | $11.931,50 | 658 / 23 | $9.703,42 | 656 / 23 |
Peritoneal Adhesiolysis W/O Cc/Mcc | 12 | 12 / 2 | $34.719,80 | 16 / 3 | $12.272,00 | 27 / 4 | $9.017,92 | 27 / 3 |
Peripheral Vascular Disorders W Mcc | 12 | 37 / 9 | $48.121,10 | 414 / 13 | $12.189,20 | 404 / 13 | $9.442,25 | 404 / 13 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 12 | $25.391,30 | 469 / 13 | $7.084,75 | 514 / 19 | $4.341,58 | 510 / 19 |
Other Cardiothoracic Procedures W Cc | 12 | 10 / 1 | $140.832,00 | 16 / 1 | $37.838,00 | 14 / 1 | $27.483,50 | 14 / 1 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 17 | $23.390,20 | 610 / 28 | $6.794,83 | 704 / 30 | $4.664,00 | 703 / 30 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W/O Cc/Mcc | 12 | 5 / 1 | $115.460,00 | 4 / 1 | $35.140,20 | 3 / 1 | $33.230,90 | 3 / 1 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 16 | $23.840,20 | 433 / 24 | $7.779,25 | 694 / 30 | $6.126,92 | 691 / 30 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 22 | $24.425,00 | 1424 / 41 | $6.708,83 | 1421 / 41 | $4.245,00 | 1413 / 42 |
Extracranial Procedures W Cc | 11 | 35 / 7 | $52.446,70 | 250 / 9 | $12.252,30 | 266 / 10 | $10.101,90 | 266 / 10 |
Digestive Malignancy W Cc | 11 | 36 / 10 | $36.512,70 | 207 / 9 | $12.327,10 | 77 / 12 | $6.529,45 | 77 / 4 |
Disorders Of The Biliary Tract W Mcc | 11 | 28 / 7 | $41.228,80 | 111 / 6 | $13.157,20 | 121 / 7 | $10.551,40 | 121 / 8 |
Complications Of Treatment W Mcc | 11 | 40 / 7 | $28.404,00 | 47 / 3 | $14.925,50 | 37 / 4 | $9.155,09 | 37 / 2 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 11 | 18 / 2 | $27.382,80 | 112 / 2 | $6.432,91 | 82 / 3 | $4.292,55 | 82 / 2 |
Pancreas, Liver & Shunt Procedures W Cc | 11 | 44 / 2 | $79.272,70 | 60 / 1 | $20.896,80 | 42 / 1 | $17.419,00 | 42 / 1 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 12 | $17.644,50 | 291 / 12 | $7.152,27 | 426 / 20 | $4.292,82 | 424 / 18 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 15 | $21.550,70 | 527 / 18 | $6.352,36 | 343 / 19 | $3.925,00 | 343 / 16 |
Cardiac Pacemaker Revision Except Device Replacement W Cc | 11 | 8 / 1 | $36.644,50 | 4 / 1 | $15.336,90 | 5 / 1 | $9.308,91 | 5 / 1 |
Transurethral Procedures W Cc | 11 | 30 / 6 | $42.564,30 | 240 / 7 | $10.553,30 | 273 / 7 | $8.209,09 | 273 / 7 |
Heart Transplant Or Implant Of Heart Assist System W Mcc | 11 | 26 / 4 | $634.165,00 | 25 / 2 | $192.155,00 | 9 / 1 | $160.135,00 | 9 / 1 |
Interstitial Lung Disease W Mcc | 11 | 14 / 4 | $34.979,50 | 30 / 1 | $14.463,50 | 34 / 3 | $9.715,64 | 34 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 14 | $39.578,90 | 251 / 11 | $13.820,10 | 447 / 22 | $9.320,18 | 446 / 16 | Total 187 procedures | 6.922 | 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.