Hospital Costs > In Texas > Seton Medical Center Austin, 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 | 480 | 135 / 9 | $97.313,40 | 2443 / 192 | $14.366,20 | 635 / 129 | $10.523,40 | 627 / 75 |
| Heart Failure & Shock W Cc | 121 | 157 / 21 | $43.786,20 | 2428 / 178 | $6.912,73 | 961 / 138 | $5.264,80 | 960 / 75 |
| Kidney & Urinary Tract Infections W/O Mcc | 104 | 129 / 24 | $34.045,70 | 2344 / 179 | $5.100,39 | 1298 / 88 | $4.165,01 | 1289 / 110 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 98 | 418 / 82 | $83.905,50 | 2475 / 174 | $12.130,70 | 916 / 122 | $10.082,20 | 913 / 82 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 98 | 177 / 31 | $37.571,30 | 2415 / 175 | $5.136,16 | 1059 / 98 | $3.791,72 | 1051 / 83 |
| Simple Pneumonia & Pleurisy W Cc | 92 | 111 / 23 | $39.408,40 | 2304 / 158 | $6.344,18 | 788 / 88 | $4.899,37 | 785 / 59 |
| Renal Failure W Cc | 83 | 138 / 31 | $35.165,60 | 1905 / 125 | $5.991,25 | 939 / 57 | $5.122,05 | 931 / 75 |
| Major Small & Large Bowel Procedures W Cc | 82 | 27 / 4 | $135.840,00 | 1408 / 86 | $20.833,70 | 1150 / 88 | $17.048,70 | 1137 / 91 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 80 | 86 / 16 | $29.725,50 | 2128 / 152 | $5.017,94 | 604 / 116 | $3.386,01 | 602 / 47 |
| Cellulitis W/O Mcc | 80 | 109 / 19 | $28.566,80 | 2066 / 143 | $5.310,45 | 1144 / 59 | $4.385,59 | 1138 / 92 |
| Spinal Fusion Except Cervical W/O Mcc | 70 | 124 / 21 | $156.648,00 | 1144 / 92 | $25.854,90 | 426 / 56 | $21.406,60 | 423 / 51 |
| G.I. Hemorrhage W Cc | 69 | 149 / 30 | $37.451,90 | 1875 / 110 | $6.492,06 | 977 / 70 | $5.342,64 | 975 / 73 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 66 | 116 / 26 | $56.778,00 | 1833 / 116 | $8.053,94 | 1161 / 108 | $6.084,86 | 1158 / 93 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 65 | 10 / 2 | $107.791,00 | 427 / 20 | $16.400,00 | 165 / 10 | $13.837,40 | 165 / 10 |
| Transient Ischemia | 64 | 61 / 16 | $24.856,00 | 950 / 31 | $4.536,38 | 548 / 33 | $3.422,16 | 545 / 36 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 62 | 126 / 20 | $69.733,70 | 1497 / 121 | $8.030,32 | 778 / 90 | $5.872,71 | 776 / 71 |
| Chronic Obstructive Pulmonary Disease W Mcc | 58 | 144 / 37 | $57.108,90 | 2317 / 169 | $7.456,47 | 857 / 75 | $6.104,95 | 852 / 67 |
| Respiratory Infections & Inflammations W Cc | 56 | 32 / 3 | $60.896,30 | 1261 / 87 | $8.889,25 | 793 / 66 | $7.958,71 | 788 / 74 |
| Simple Pneumonia & Pleurisy W Mcc | 55 | 150 / 44 | $69.172,30 | 2226 / 162 | $9.497,84 | 1344 / 109 | $8.394,27 | 1344 / 118 |
| Heart Failure & Shock W Mcc | 55 | 229 / 68 | $84.921,20 | 2498 / 193 | $10.865,20 | 1937 / 161 | $10.162,20 | 1930 / 177 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 51 | 51 / 13 | $33.293,70 | 1196 / 62 | $5.117,57 | 487 / 43 | $3.620,43 | 484 / 30 |
| Hip & Femur Procedures Except Major Joint W Cc | 50 | 93 / 28 | $81.795,30 | 1729 / 109 | $11.863,00 | 883 / 59 | $10.767,90 | 870 / 77 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 50 | 76 / 27 | $48.679,80 | 1472 / 107 | $9.059,04 | 698 / 115 | $6.385,16 | 695 / 61 |
| Syncope & Collapse | 49 | 120 / 23 | $30.018,50 | 1431 / 72 | $4.775,25 | 700 / 43 | $3.748,47 | 697 / 52 |
| Chronic Obstructive Pulmonary Disease W Cc | 48 | 131 / 29 | $41.007,50 | 2094 / 129 | $5.890,98 | 1012 / 58 | $4.964,23 | 1009 / 75 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 48 | 120 / 30 | $61.819,80 | 1159 / 58 | $10.558,60 | 589 / 33 | $9.573,65 | 588 / 40 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 46 | 115 / 27 | $28.332,90 | 1558 / 91 | $5.183,89 | 727 / 57 | $4.037,83 | 724 / 57 |
| Seizures W/O Mcc | 45 | 63 / 13 | $33.971,00 | 1043 / 56 | $4.888,09 | 336 / 20 | $3.819,96 | 334 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 43 | 80 / 22 | $48.064,10 | 1493 / 93 | $7.934,00 | 571 / 64 | $6.473,26 | 568 / 50 |
| Renal Failure W Mcc | 41 | 154 / 58 | $64.228,90 | 1814 / 125 | $9.676,68 | 848 / 65 | $8.641,58 | 848 / 74 |
| Kidney & Urinary Tract Infections W Mcc | 41 | 103 / 36 | $43.399,90 | 1576 / 112 | $6.910,12 | 765 / 55 | $6.050,22 | 764 / 62 |
| Other Digestive System Diagnoses W Cc | 40 | 57 / 10 | $52.360,40 | 1292 / 78 | $6.107,77 | 518 / 24 | $5.227,38 | 515 / 31 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 40 | 167 / 52 | $48.039,50 | 2223 / 156 | $6.691,00 | 921 / 65 | $5.599,92 | 919 / 79 |
| Respiratory Infections & Inflammations W Mcc | 39 | 97 / 26 | $78.175,40 | 1486 / 90 | $11.713,00 | 765 / 46 | $11.053,70 | 757 / 66 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 38 | 55 / 9 | $100.610,00 | 759 / 51 | $17.252,60 | 375 / 54 | $12.001,80 | 370 / 32 |
| Chest Pain | 38 | 113 / 30 | $28.351,40 | 1333 / 78 | $4.075,89 | 644 / 34 | $3.069,50 | 640 / 46 |
| G.I. Obstruction W Cc | 38 | 54 / 15 | $46.108,20 | 1552 / 92 | $6.217,66 | 457 / 62 | $4.412,84 | 456 / 34 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 37 | 59 / 6 | $90.856,80 | 717 / 40 | $13.314,40 | 238 / 18 | $11.306,30 | 236 / 24 |
| Major Cardiovasc Procedures W/O Mcc | 37 | 64 / 15 | $119.409,00 | 735 / 47 | $20.840,70 | 317 / 27 | $18.716,00 | 317 / 35 |
| Red Blood Cell Disorders W/O Mcc | 36 | 107 / 33 | $47.250,90 | 1878 / 148 | $7.993,36 | 725 / 143 | $4.207,36 | 720 / 61 |
| Pulmonary Edema & Respiratory Failure | 36 | 167 / 47 | $54.257,60 | 1834 / 111 | $7.490,83 | 835 / 38 | $6.755,06 | 835 / 54 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 34 | 97 / 32 | $122.544,00 | 1692 / 127 | $18.143,10 | 1001 / 125 | $14.120,90 | 991 / 99 |
| Signs & Symptoms W/O Mcc | 34 | 57 / 11 | $39.567,60 | 1213 / 74 | $5.724,24 | 472 / 64 | $3.622,15 | 471 / 24 |
| Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 24 | $25.785,70 | 1589 / 104 | $4.412,06 | 769 / 50 | $3.528,53 | 765 / 57 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 25 | $30.100,70 | 1713 / 104 | $4.650,19 | 780 / 45 | $3.559,13 | 777 / 55 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 30 | 63 / 24 | $30.010,90 | 1610 / 116 | $4.538,77 | 782 / 47 | $3.486,03 | 778 / 61 |
| G.I. Obstruction W/O Cc/Mcc | 29 | 42 / 10 | $30.631,40 | 1122 / 75 | $4.042,21 | 498 / 24 | $2.961,34 | 497 / 43 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 28 | 168 / 46 | $113.319,00 | 1277 / 101 | $14.089,40 | 179 / 67 | $9.728,21 | 179 / 27 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 27 | 37 / 8 | $72.800,80 | 649 / 45 | $9.888,89 | 271 / 16 | $8.444,48 | 271 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 40 | $20.104,00 | 1396 / 69 | $3.804,92 | 633 / 48 | $2.542,20 | 629 / 45 |
| Major Small & Large Bowel Procedures W Mcc | 25 | 60 / 19 | $197.832,00 | 1034 / 62 | $32.883,50 | 658 / 50 | $31.739,60 | 656 / 62 |
| Bronchitis & Asthma W Cc/Mcc | 25 | 51 / 18 | $31.462,40 | 741 / 47 | $5.519,92 | 354 / 19 | $4.455,92 | 350 / 28 |
| Extracranial Procedures W/O Cc/Mcc | 24 | 74 / 25 | $42.787,20 | 678 / 51 | $6.485,71 | 373 / 23 | $5.410,04 | 373 / 35 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 34 | $94.441,00 | 1531 / 106 | $15.047,40 | 1186 / 110 | $12.108,20 | 1178 / 104 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 23 | 38 / 9 | $29.313,60 | 739 / 25 | $4.606,13 | 279 / 16 | $3.301,74 | 278 / 15 |
| Diabetes W Cc | 23 | 69 / 28 | $37.400,30 | 1350 / 92 | $5.687,57 | 363 / 48 | $4.105,39 | 363 / 23 |
| Major Cardiovasc Procedures W Mcc | 22 | 46 / 12 | $198.633,00 | 508 / 34 | $34.946,50 | 266 / 23 | $32.050,50 | 266 / 28 |
| Other Circulatory System Diagnoses W Mcc | 22 | 94 / 35 | $122.313,00 | 1343 / 104 | $15.363,00 | 1116 / 90 | $14.663,90 | 1108 / 97 |
| Revision Of Hip Or Knee Replacement W Cc | 22 | 64 / 14 | $120.044,00 | 541 / 27 | $19.181,70 | 141 / 8 | $17.390,40 | 141 / 10 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 22 | 18 / 5 | $77.009,60 | 165 / 13 | $11.717,00 | 68 / 6 | $10.729,70 | 68 / 7 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 21 | 49 / 14 | $39.653,20 | 469 / 51 | $5.780,19 | 103 / 13 | $4.847,71 | 103 / 10 |
| Degenerative Nervous System Disorders W/O Mcc | 21 | 57 / 10 | $55.007,90 | 801 / 49 | $6.121,95 | 255 / 10 | $5.156,19 | 255 / 15 |
| Other Circulatory System Diagnoses W Cc | 21 | 45 / 11 | $48.881,90 | 594 / 35 | $6.732,86 | 363 / 15 | $5.877,62 | 362 / 25 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 21 | 103 / 7 | $28.858,60 | 676 / 18 | $4.472,19 | 174 / 4 | $3.460,81 | 174 / 5 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 21 | 60 / 10 | $701.207,00 | 376 / 31 | $120.189,00 | 260 / 21 | $118.570,00 | 259 / 27 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 21 | $57.155,10 | 857 / 35 | $9.081,20 | 268 / 10 | $8.265,00 | 268 / 14 |
| Heart Transplant Or Implant Of Heart Assist System W Mcc | 20 | 17 / 4 | $940.488,00 | 48 / 6 | $165.281,00 | 8 / 1 | $157.157,00 | 8 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 15 | $41.107,00 | 840 / 47 | $7.194,25 | 378 / 17 | $6.336,25 | 377 / 22 |
| Pulmonary Embolism W/O Mcc | 20 | 54 / 17 | $33.498,10 | 932 / 41 | $6.205,20 | 498 / 19 | $5.183,35 | 496 / 32 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 20 | 75 / 14 | $122.509,00 | 537 / 40 | $12.386,60 | 243 / 13 | $11.376,70 | 241 / 27 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 36 | $60.936,40 | 1280 / 81 | $7.350,74 | 370 / 17 | $6.382,58 | 368 / 22 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 19 | 47 / 16 | $83.785,40 | 479 / 38 | $10.722,10 | 129 / 7 | $9.618,16 | 129 / 15 |
| Seizures W Mcc | 19 | 47 / 15 | $86.182,60 | 703 / 53 | $11.164,80 | 473 / 41 | $10.246,30 | 473 / 49 |
| Other Digestive System Diagnoses W Mcc | 19 | 43 / 11 | $61.973,10 | 572 / 41 | $10.325,40 | 205 / 16 | $9.490,21 | 205 / 20 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 44 | $58.571,70 | 1302 / 68 | $10.275,50 | 557 / 37 | $9.133,89 | 556 / 38 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 46 | $179.710,00 | 1172 / 78 | $41.637,30 | 268 / 99 | $27.555,10 | 268 / 25 |
| Cervical Spinal Fusion W/O Cc/Mcc | 18 | 86 / 29 | $92.547,10 | 744 / 62 | $13.252,80 | 417 / 17 | $12.200,80 | 416 / 50 |
| Major Chest Procedures W Cc | 18 | 56 / 12 | $108.287,00 | 422 / 18 | $15.215,40 | 159 / 7 | $14.108,20 | 159 / 9 |
| Otitis Media & Uri W/O Mcc | 17 | 27 / 5 | $28.890,30 | 176 / 10 | $9.312,59 | 14 / 13 | $2.603,06 | 14 / 1 |
| Endocrine Disorders W Cc | 17 | 21 / 4 | $56.643,30 | 283 / 15 | $8.162,41 | 70 / 10 | $5.419,24 | 70 / 3 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 21 | $89.957,20 | 936 / 61 | $24.662,90 | 340 / 60 | $7.853,88 | 339 / 24 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 19 | $181.860,00 | 590 / 40 | $29.812,40 | 254 / 20 | $28.094,80 | 254 / 27 |
| Medical Back Problems W/O Mcc | 16 | 105 / 34 | $37.609,20 | 1200 / 76 | $5.392,69 | 611 / 28 | $4.426,06 | 609 / 45 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 15 | $51.327,10 | 869 / 50 | $5.798,25 | 421 / 12 | $5.061,12 | 420 / 25 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 26 | $37.013,10 | 963 / 57 | $7.500,50 | 276 / 67 | $4.816,38 | 275 / 19 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 16 | 39 / 16 | $75.436,50 | 461 / 25 | $11.760,80 | 254 / 6 | $10.937,20 | 254 / 13 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 16 | 73 / 24 | $49.594,80 | 582 / 41 | $6.754,81 | 317 / 14 | $5.661,00 | 316 / 37 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 16 | 60 / 16 | $82.888,10 | 449 / 44 | $14.219,90 | 21 / 43 | $8.818,88 | 21 / 4 |
| Other Resp System O.R. Procedures W Mcc | 15 | 48 / 14 | $144.650,00 | 473 / 33 | $25.498,90 | 247 / 34 | $21.291,50 | 246 / 26 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 24 | $122.319,00 | 869 / 58 | $16.847,50 | 147 / 39 | $13.629,50 | 147 / 16 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 15 | 73 / 23 | $122.135,00 | 369 / 25 | $22.073,00 | 144 / 13 | $19.399,90 | 143 / 16 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 21 | $69.815,30 | 659 / 47 | $9.926,53 | 327 / 22 | $8.738,47 | 327 / 33 |
| Other Vascular Procedures W Cc | 15 | 87 / 39 | $74.500,50 | 583 / 37 | $14.756,70 | 279 / 17 | $13.814,10 | 278 / 33 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 23 | $34.900,80 | 596 / 22 | $6.153,27 | 290 / 8 | $5.448,40 | 290 / 16 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 15 | 101 / 17 | $221.645,00 | 260 / 14 | $45.883,60 | 96 / 6 | $44.881,20 | 96 / 9 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 31 | $161.890,00 | 868 / 64 | $20.018,70 | 416 / 29 | $18.898,20 | 413 / 46 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 18 | $57.653,20 | 684 / 51 | $9.642,07 | 344 / 24 | $8.633,73 | 343 / 33 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 14 | 39 / 8 | $61.914,60 | 223 / 9 | $10.833,70 | 62 / 6 | $9.458,36 | 62 / 6 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 8 | $54.334,90 | 404 / 26 | $9.021,29 | 94 / 21 | $6.201,07 | 94 / 9 |
| Respiratory Infections & Inflammations W/O Cc/Mcc | 14 | 15 / 5 | $35.672,90 | 96 / 7 | $6.118,86 | 43 / 4 | $5.119,00 | 43 / 4 |
| G.I. Obstruction W Mcc | 14 | 28 / 12 | $56.209,90 | 385 / 18 | $9.288,57 | 118 / 5 | $8.608,93 | 118 / 6 |
| Complications Of Treatment W Mcc | 14 | 37 / 9 | $58.531,90 | 206 / 13 | $10.397,60 | 26 / 2 | $8.868,64 | 26 / 3 |
| Cervical Spinal Fusion W Cc | 14 | 39 / 12 | $130.651,00 | 338 / 26 | $18.022,70 | 182 / 12 | $16.935,30 | 181 / 23 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 12 | $93.252,00 | 635 / 31 | $12.733,90 | 272 / 11 | $11.750,90 | 271 / 20 |
| G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 18 | $23.457,90 | 670 / 40 | $4.527,29 | 438 / 19 | $3.636,79 | 434 / 35 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 21 | $150.765,00 | 837 / 45 | $20.110,40 | 470 / 29 | $19.059,40 | 467 / 36 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 14 | 55 / 16 | $104.409,00 | 430 / 25 | $18.445,90 | 124 / 17 | $13.879,70 | 124 / 12 |
| Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 15 | $235.442,00 | 301 / 29 | $48.964,40 | 82 / 35 | $37.252,70 | 82 / 9 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 14 | $50.753,70 | 421 / 41 | $7.277,00 | 137 / 15 | $5.825,46 | 137 / 13 |
| Other Vascular Procedures W Mcc | 13 | 84 / 37 | $281.294,00 | 1001 / 83 | $44.079,10 | 986 / 83 | $37.391,10 | 983 / 82 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 26 | $62.326,20 | 971 / 80 | $9.148,54 | 260 / 61 | $6.743,15 | 260 / 24 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 16 | $32.979,70 | 632 / 24 | $4.866,38 | 219 / 12 | $3.623,38 | 218 / 11 |
| Fever | 13 | 33 / 9 | $29.267,50 | 222 / 8 | $5.367,38 | 111 / 2 | $4.611,31 | 111 / 4 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 16 | $52.078,70 | 681 / 40 | $5.684,08 | 223 / 11 | $4.741,31 | 223 / 11 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 13 | 51 / 20 | $404.666,00 | 439 / 37 | $66.161,50 | 275 / 31 | $64.147,20 | 275 / 35 |
| Respiratory Neoplasms W Cc | 13 | 34 / 9 | $39.245,90 | 308 / 6 | $7.240,62 | 87 / 3 | $5.969,38 | 86 / 5 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 13 | 63 / 23 | $152.315,00 | 365 / 16 | $27.702,20 | 283 / 14 | $26.406,70 | 283 / 26 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 28 | $103.229,00 | 710 / 41 | $17.441,20 | 278 / 19 | $16.417,40 | 276 / 25 |
| Pleural Effusion W Cc | 12 | 16 / 4 | $37.560,30 | 77 / 5 | $6.645,42 | 21 / 1 | $5.671,00 | 21 / 1 |
| Other Disorders Of Nervous System W Cc | 12 | 44 / 14 | $39.907,50 | 493 / 23 | $5.642,08 | 142 / 8 | $4.585,58 | 142 / 11 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 12 | 28 / 8 | $66.685,10 | 276 / 8 | $6.989,83 | 74 / 2 | $6.089,83 | 74 / 3 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 12 | 34 / 9 | $262.081,00 | 78 / 10 | $58.074,30 | 22 / 11 | $41.753,90 | 22 / 3 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 16 | $122.356,00 | 435 / 23 | $20.273,00 | 118 / 5 | $19.706,20 | 118 / 7 |
| Disorders Of The Biliary Tract W Cc | 12 | 42 / 11 | $43.918,20 | 355 / 18 | $6.774,75 | 82 / 9 | $5.332,25 | 82 / 3 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 29 | $228.099,00 | 819 / 61 | $33.288,60 | 481 / 42 | $32.106,20 | 480 / 56 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 16 | $46.251,00 | 398 / 27 | $7.864,36 | 138 / 7 | $7.248,91 | 138 / 15 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 11 | 58 / 11 | $333.880,00 | 219 / 12 | $56.192,80 | 68 / 6 | $55.143,70 | 68 / 7 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 11 | 87 / 21 | $149.061,00 | 344 / 20 | $23.787,50 | 56 / 4 | $22.804,10 | 56 / 6 |
| Stomach, Esophageal & Duodenal Proc W Cc | 11 | 39 / 9 | $81.532,60 | 141 / 9 | $14.673,30 | 28 / 3 | $13.622,60 | 28 / 5 |
| Nervous System Neoplasms W Mcc | 11 | 37 / 9 | $93.415,80 | 291 / 14 | $13.018,30 | 133 / 12 | $8.044,45 | 133 / 11 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 11 | 43 / 14 | $34.468,50 | 326 / 20 | $6.172,36 | 114 / 6 | $5.330,73 | 114 / 7 |
| Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 20 | $49.881,00 | 289 / 17 | $10.160,40 | 200 / 15 | $9.140,64 | 199 / 19 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 11 | 17 / 5 | $56.248,40 | 66 / 3 | $10.047,80 | 37 / 2 | $9.117,27 | 37 / 2 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 11 | 43 / 13 | $116.985,00 | 180 / 7 | $21.319,90 | 11 / 10 | $14.978,60 | 11 / 2 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 10 | $32.417,00 | 304 / 12 | $4.615,91 | 55 / 3 | $3.476,64 | 55 / 4 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 14 | $90.888,80 | 330 / 25 | $15.161,50 | 52 / 11 | $12.389,40 | 52 / 6 |
| Cellulitis W Mcc | 11 | 47 / 22 | $60.809,10 | 816 / 57 | $10.336,30 | 625 / 41 | $9.489,27 | 623 / 63 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 34 | $38.791,00 | 1009 / 48 | $6.571,00 | 701 / 25 | $5.862,64 | 699 / 49 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 10 | $37.080,90 | 414 / 32 | $4.775,27 | 156 / 14 | $3.178,45 | 156 / 12 |
| Other Resp System O.R. Procedures W Cc | 11 | 36 / 13 | $79.511,30 | 280 / 19 | $11.810,50 | 110 / 6 | $10.739,60 | 110 / 14 | Total 140 procedures | 4.513 | 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.