Hospital Costs > In Illinois > Sherman Hospital, 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 | 327 | 245 / 16 | $41.198,30 | 825 / 15 | $14.384,90 | 866 / 49 | $10.847,30 | 849 / 28 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 147 | 128 / 15 | $27.054,50 | 2009 / 89 | $5.780,53 | 1116 / 75 | $3.835,10 | 1108 / 54 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 140 | 24 / 2 | $21.503,50 | 1478 / 75 | $4.487,48 | 813 / 66 | $2.681,09 | 809 / 50 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 123 | 393 / 59 | $81.401,90 | 2451 / 108 | $13.779,10 | 1875 / 86 | $11.965,60 | 1840 / 84 |
| Kidney & Urinary Tract Infections W/O Mcc | 122 | 111 / 14 | $30.346,00 | 2233 / 106 | $5.149,59 | 1352 / 54 | $4.204,11 | 1343 / 64 |
| Cellulitis W/O Mcc | 115 | 74 / 10 | $23.037,80 | 1742 / 82 | $6.163,24 | 861 / 73 | $4.169,88 | 855 / 37 |
| Simple Pneumonia & Pleurisy W Mcc | 112 | 93 / 10 | $66.623,20 | 2199 / 106 | $10.341,80 | 1849 / 77 | $9.541,99 | 1849 / 88 |
| Simple Pneumonia & Pleurisy W Cc | 112 | 91 / 10 | $38.552,70 | 2286 / 103 | $8.964,79 | 1122 / 99 | $5.173,26 | 1118 / 51 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 83 | 78 / 9 | $31.519,60 | 1686 / 84 | $5.956,89 | 915 / 71 | $4.208,81 | 912 / 47 |
| Heart Failure & Shock W Cc | 81 | 197 / 38 | $39.265,30 | 2301 / 111 | $6.444,15 | 1377 / 51 | $5.623,59 | 1372 / 63 |
| Renal Failure W Cc | 80 | 141 / 30 | $37.649,80 | 1975 / 96 | $6.420,59 | 1450 / 49 | $5.676,49 | 1441 / 69 |
| Chronic Obstructive Pulmonary Disease W Cc | 79 | 100 / 18 | $37.311,30 | 1997 / 101 | $6.514,65 | 1169 / 60 | $5.116,28 | 1165 / 60 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 73 | 93 / 17 | $26.755,40 | 1981 / 93 | $4.728,96 | 1172 / 48 | $3.789,62 | 1169 / 62 |
| Heart Failure & Shock W Mcc | 73 | 211 / 48 | $51.083,00 | 2014 / 92 | $11.634,20 | 1185 / 89 | $8.564,33 | 1182 / 50 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 69 | 51 / 5 | $26.093,10 | 1581 / 82 | $6.038,97 | 714 / 73 | $3.503,59 | 712 / 36 |
| Heart Failure & Shock W/O Cc/Mcc | 64 | 46 / 5 | $28.273,70 | 1666 / 97 | $5.463,30 | 781 / 81 | $3.538,58 | 777 / 52 |
| Chronic Obstructive Pulmonary Disease W Mcc | 64 | 138 / 31 | $52.461,60 | 2234 / 109 | $9.107,19 | 1638 / 85 | $7.069,62 | 1630 / 78 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 62 | 126 / 15 | $51.251,40 | 1237 / 67 | $9.076,32 | 789 / 60 | $5.889,94 | 787 / 49 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 60 | 122 / 23 | $47.765,80 | 1693 / 87 | $6.847,00 | 1014 / 39 | $5.851,27 | 1011 / 56 |
| G.I. Hemorrhage W Cc | 58 | 160 / 31 | $40.378,40 | 1966 / 99 | $7.360,86 | 1093 / 79 | $5.458,17 | 1091 / 54 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 54 | 39 / 4 | $26.626,40 | 1522 / 83 | $4.752,74 | 918 / 40 | $3.606,56 | 913 / 59 |
| Syncope & Collapse | 53 | 116 / 19 | $27.462,60 | 1328 / 70 | $5.348,47 | 784 / 56 | $3.830,96 | 780 / 51 |
| Renal Failure W Mcc | 52 | 143 / 29 | $68.916,60 | 1879 / 96 | $14.473,00 | 1555 / 93 | $10.486,30 | 1553 / 79 |
| Pulmonary Edema & Respiratory Failure | 52 | 151 / 25 | $59.679,70 | 1924 / 91 | $13.470,10 | 927 / 93 | $6.841,98 | 927 / 37 |
| Medical Back Problems W/O Mcc | 47 | 74 / 19 | $30.787,40 | 1037 / 60 | $5.520,96 | 399 / 30 | $4.099,34 | 399 / 20 |
| Red Blood Cell Disorders W/O Mcc | 46 | 97 / 16 | $33.497,60 | 1627 / 101 | $6.258,78 | 1247 / 75 | $4.886,39 | 1239 / 66 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 45 | 151 / 25 | $90.160,50 | 1052 / 63 | $22.656,20 | 361 / 75 | $10.304,60 | 361 / 12 |
| G.I. Obstruction W/O Cc/Mcc | 45 | 26 / 4 | $25.629,10 | 1019 / 59 | $4.984,44 | 470 / 52 | $2.930,04 | 469 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 39 | $39.449,20 | 2017 / 81 | $7.337,66 | 1174 / 59 | $5.840,48 | 1169 / 49 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 44 | 87 / 14 | $108.900,00 | 1600 / 88 | $15.873,70 | 1109 / 53 | $14.627,00 | 1097 / 63 |
| Chest Pain | 42 | 109 / 16 | $23.378,90 | 1136 / 57 | $4.548,60 | 793 / 38 | $3.251,67 | 788 / 38 |
| Kidney & Urinary Tract Infections W Mcc | 39 | 105 / 24 | $49.242,00 | 1671 / 90 | $7.408,23 | 1169 / 53 | $6.696,82 | 1165 / 67 |
| Transient Ischemia | 37 | 88 / 21 | $34.810,20 | 1319 / 79 | $6.143,43 | 666 / 67 | $3.546,86 | 662 / 47 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 37 | 58 / 6 | $110.838,00 | 498 / 25 | $15.970,80 | 230 / 16 | $11.234,90 | 228 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 35 | 91 / 24 | $46.122,60 | 1424 / 86 | $10.122,30 | 728 / 79 | $6.449,80 | 725 / 46 |
| Respiratory Infections & Inflammations W Mcc | 34 | 102 / 32 | $86.360,30 | 1558 / 83 | $14.151,20 | 1396 / 69 | $13.547,00 | 1381 / 76 |
| Hip & Femur Procedures Except Major Joint W Cc | 34 | 109 / 30 | $49.182,50 | 1021 / 36 | $14.946,10 | 717 / 82 | $10.454,40 | 711 / 34 |
| Dysequilibrium | 34 | 31 / 6 | $28.804,30 | 398 / 27 | $4.241,41 | 234 / 10 | $3.279,53 | 234 / 15 |
| Fractures Of Hip & Pelvis W/O Mcc | 33 | 28 / 3 | $23.296,40 | 607 / 25 | $5.158,85 | 328 / 27 | $3.535,21 | 329 / 20 |
| Signs & Symptoms W/O Mcc | 32 | 59 / 11 | $31.520,90 | 1066 / 58 | $4.596,81 | 676 / 23 | $3.991,81 | 673 / 37 |
| G.I. Obstruction W Cc | 32 | 60 / 21 | $33.298,40 | 1303 / 71 | $6.846,97 | 726 / 66 | $4.731,38 | 725 / 43 |
| Major Cardiovasc Procedures W/O Mcc | 31 | 70 / 15 | $108.918,00 | 662 / 25 | $30.695,30 | 135 / 42 | $17.282,00 | 135 / 6 |
| Hypertension W/O Mcc | 31 | 34 / 3 | $24.061,40 | 513 / 31 | $4.239,35 | 295 / 11 | $3.149,29 | 293 / 17 |
| Permanent Cardiac Pacemaker Implant W Cc | 30 | 47 / 7 | $76.935,40 | 586 / 29 | $16.683,20 | 373 / 21 | $14.984,80 | 372 / 19 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 30 | 27 / 3 | $54.697,30 | 336 / 13 | $15.269,40 | 275 / 22 | $11.756,30 | 274 / 16 |
| Extracranial Procedures W/O Cc/Mcc | 29 | 69 / 8 | $41.773,00 | 660 / 25 | $10.275,00 | 390 / 35 | $5.453,55 | 390 / 20 |
| Peripheral Vascular Disorders W Cc | 27 | 57 / 18 | $37.365,50 | 971 / 73 | $6.277,56 | 599 / 31 | $5.560,52 | 596 / 46 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 27 | 69 / 20 | $70.932,10 | 1369 / 70 | $15.656,00 | 952 / 69 | $7.985,19 | 947 / 55 |
| Other Digestive System Diagnoses W Cc | 26 | 71 / 20 | $32.719,60 | 958 / 56 | $6.379,58 | 532 / 32 | $5.255,62 | 529 / 35 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 35 | $71.533,10 | 1276 / 73 | $10.806,70 | 701 / 29 | $9.892,81 | 700 / 38 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 36 | $44.184,50 | 1424 / 78 | $7.866,04 | 584 / 46 | $6.502,85 | 581 / 32 |
| Major Cardiovasc Procedures W Mcc | 25 | 43 / 9 | $216.566,00 | 540 / 23 | $45.213,00 | 461 / 19 | $38.453,20 | 460 / 20 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 25 | 22 / 3 | $45.304,80 | 372 / 12 | $7.815,92 | 323 / 4 | $6.806,00 | 322 / 16 |
| Pulmonary Embolism W/O Mcc | 25 | 49 / 15 | $47.360,30 | 1141 / 62 | $7.048,36 | 895 / 41 | $6.084,56 | 892 / 53 |
| Other Vascular Procedures W Cc | 25 | 77 / 18 | $99.613,00 | 837 / 40 | $24.229,50 | 463 / 49 | $14.750,30 | 460 / 16 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 25 | $52.726,20 | 1200 / 57 | $13.996,00 | 795 / 75 | $9.702,08 | 794 / 41 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 23 | $35.235,30 | 1249 / 68 | $5.021,50 | 777 / 26 | $3.968,17 | 773 / 47 |
| Diabetes W Cc | 24 | 68 / 18 | $31.900,60 | 1236 / 69 | $7.550,75 | 434 / 66 | $4.199,08 | 434 / 22 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 14 | $150.989,00 | 831 / 46 | $24.657,60 | 723 / 32 | $22.368,30 | 719 / 39 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 23 | 33 / 12 | $62.695,30 | 604 / 30 | $10.685,70 | 534 / 12 | $9.789,70 | 532 / 28 |
| Major Small & Large Bowel Procedures W Cc | 23 | 85 / 25 | $94.535,80 | 1163 / 60 | $17.613,00 | 1107 / 39 | $16.666,90 | 1094 / 60 |
| G.I. Hemorrhage W/O Cc/Mcc | 22 | 46 / 8 | $28.834,20 | 789 / 43 | $4.683,91 | 514 / 20 | $3.805,36 | 510 / 30 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 22 | 47 / 4 | $46.948,50 | 87 / 2 | $16.654,90 | 270 / 6 | $15.556,70 | 269 / 12 |
| Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 18 | $131.024,00 | 662 / 24 | $37.340,40 | 200 / 38 | $26.361,90 | 199 / 6 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 22 | 49 / 7 | $225.284,00 | 813 / 42 | $38.129,40 | 676 / 29 | $36.366,10 | 675 / 35 |
| Seizures W/O Mcc | 22 | 86 / 23 | $27.552,80 | 871 / 56 | $6.636,73 | 250 / 59 | $3.659,86 | 249 / 14 |
| Other Disorders Of Nervous System W Cc | 20 | 36 / 9 | $27.473,40 | 333 / 15 | $6.698,85 | 145 / 23 | $4.607,05 | 145 / 8 |
| Respiratory Signs & Symptoms | 20 | 26 / 2 | $27.920,80 | 213 / 15 | $4.591,40 | 105 / 5 | $3.690,60 | 105 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 20 | 73 / 18 | $85.856,90 | 696 / 50 | $13.786,50 | 514 / 26 | $13.005,60 | 508 / 35 |
| G.I. Hemorrhage W Mcc | 20 | 101 / 32 | $67.491,10 | 1306 / 72 | $11.969,00 | 162 / 52 | $8.725,00 | 162 / 4 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 19 | 43 / 13 | $24.145,80 | 493 / 26 | $6.483,37 | 104 / 32 | $3.310,00 | 104 / 8 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 19 | 37 / 9 | $42.673,30 | 457 / 20 | $10.220,90 | 475 / 21 | $9.137,95 | 473 / 30 |
| Renal Failure W/O Cc/Mcc | 19 | 37 / 8 | $48.622,20 | 843 / 36 | $5.481,74 | 717 / 26 | $4.656,47 | 715 / 30 |
| Bronchitis & Asthma W Cc/Mcc | 19 | 57 / 20 | $31.777,00 | 749 / 46 | $6.428,95 | 328 / 38 | $4.384,26 | 324 / 17 |
| Red Blood Cell Disorders W Mcc | 19 | 52 / 19 | $29.618,20 | 448 / 22 | $7.955,68 | 471 / 27 | $7.382,63 | 469 / 36 |
| Respiratory Infections & Inflammations W Cc | 19 | 69 / 23 | $44.875,50 | 1057 / 54 | $10.994,40 | 240 / 57 | $6.846,42 | 238 / 10 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 28 | $66.157,10 | 1006 / 60 | $13.115,00 | 844 / 41 | $12.376,80 | 839 / 48 |
| Organic Disturbances & Mental Retardation | 18 | 41 / 12 | $22.991,70 | 237 / 13 | $6.444,50 | 192 / 10 | $5.639,17 | 192 / 10 |
| Permanent Cardiac Pacemaker Implant W Mcc | 18 | 34 / 7 | $130.512,00 | 463 / 26 | $28.096,50 | 326 / 27 | $23.079,70 | 326 / 22 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 18 | 29 / 8 | $22.798,80 | 200 / 13 | $4.761,17 | 119 / 11 | $3.856,28 | 119 / 12 |
| Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 21 | $36.776,10 | 626 / 44 | $6.023,06 | 195 / 12 | $4.955,76 | 195 / 14 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 17 | 71 / 13 | $142.027,00 | 448 / 20 | $30.770,10 | 186 / 22 | $19.886,40 | 185 / 10 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 39 | $222.153,00 | 1336 / 79 | $44.204,10 | 1342 / 74 | $43.335,90 | 1332 / 78 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 16 | $221.187,00 | 817 / 48 | $48.746,20 | 603 / 44 | $38.647,10 | 602 / 35 |
| Pancreas, Liver & Shunt Procedures W Cc | 16 | 39 / 5 | $124.817,00 | 112 / 9 | $19.171,20 | 59 / 3 | $18.567,30 | 59 / 4 |
| Cellulitis W Mcc | 16 | 42 / 17 | $44.371,90 | 674 / 41 | $9.206,44 | 465 / 25 | $8.602,44 | 463 / 36 |
| Other Circulatory System Diagnoses W Cc | 15 | 51 / 13 | $30.508,70 | 423 / 19 | $6.051,80 | 305 / 9 | $5.571,80 | 304 / 17 |
| Fever | 15 | 31 / 7 | $26.031,90 | 184 / 5 | $6.899,40 | 38 / 8 | $3.942,00 | 38 / 4 |
| Respiratory Neoplasms W Mcc | 15 | 37 / 15 | $66.865,10 | 484 / 31 | $10.636,00 | 273 / 13 | $9.993,87 | 273 / 22 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 25 | $42.686,60 | 868 / 52 | $9.230,60 | 514 / 47 | $6.681,47 | 512 / 35 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 14 | 32 / 6 | $27.677,60 | 259 / 16 | $4.712,43 | 150 / 10 | $3.461,07 | 150 / 15 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 14 | 52 / 14 | $51.629,60 | 428 / 28 | $8.625,79 | 106 / 20 | $5.687,14 | 106 / 8 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 23 | $44.033,40 | 1100 / 51 | $6.962,79 | 490 / 29 | $5.454,21 | 489 / 21 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 14 | 29 / 7 | $21.465,80 | 188 / 6 | $6.544,36 | 121 / 15 | $3.441,43 | 121 / 11 |
| Other Digestive System Diagnoses W Mcc | 14 | 48 / 18 | $76.375,00 | 669 / 36 | $14.341,10 | 597 / 30 | $13.257,60 | 596 / 34 |
| Spinal Fusion Except Cervical W/O Mcc | 14 | 180 / 37 | $58.318,10 | 192 / 3 | $25.280,80 | 421 / 16 | $21.370,30 | 418 / 11 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 12 | $55.525,80 | 411 / 21 | $10.841,50 | 361 / 17 | $9.104,38 | 361 / 17 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 13 | 41 / 10 | $29.131,60 | 275 / 17 | $4.932,38 | 104 / 10 | $3.728,69 | 104 / 17 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 18 | $38.169,20 | 768 / 40 | $5.996,23 | 460 / 16 | $5.156,85 | 459 / 29 |
| Diabetes W Mcc | 13 | 44 / 10 | $59.334,90 | 631 / 34 | $8.979,00 | 305 / 12 | $8.144,54 | 305 / 18 |
| Other Vascular Procedures W Mcc | 13 | 84 / 23 | $122.872,00 | 748 / 42 | $25.123,40 | 483 / 34 | $20.539,80 | 481 / 23 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 20 | $93.862,00 | 660 / 30 | $20.119,40 | 597 / 27 | $19.280,00 | 594 / 33 |
| Respiratory Neoplasms W Cc | 13 | 34 / 14 | $57.249,10 | 432 / 30 | $7.674,23 | 135 / 12 | $6.293,15 | 134 / 10 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 13 | 63 / 9 | $51.237,80 | 314 / 16 | $13.383,50 | 11 / 16 | $8.481,69 | 11 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 18 | $114.309,00 | 721 / 42 | $21.756,50 | 614 / 28 | $20.831,00 | 611 / 35 |
| Extracranial Procedures W Cc | 13 | 33 / 10 | $75.195,50 | 329 / 18 | $10.243,20 | 212 / 12 | $9.408,69 | 212 / 14 |
| Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 13 | 16 / 4 | $21.742,80 | 87 / 8 | $4.497,08 | 37 / 5 | $3.473,08 | 37 / 5 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 12 | 42 / 10 | $40.008,10 | 373 / 19 | $6.399,92 | 143 / 4 | $5.594,58 | 143 / 7 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 12 | $20.434,40 | 223 / 13 | $4.442,33 | 210 / 6 | $3.814,33 | 210 / 14 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 31 | $22.009,00 | 538 / 33 | $5.540,83 | 221 / 26 | $3.578,08 | 221 / 15 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 11 | $31.542,40 | 381 / 23 | $4.620,50 | 140 / 15 | $3.124,58 | 140 / 8 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 16 | $133.630,00 | 412 / 21 | $37.599,40 | 63 / 31 | $24.294,50 | 63 / 3 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 18 | $29.028,90 | 279 / 7 | $8.218,75 | 305 / 15 | $5.636,17 | 304 / 20 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 12 | 41 / 12 | $58.677,30 | 207 / 12 | $12.075,80 | 53 / 8 | $9.323,67 | 53 / 3 |
| Pulmonary Embolism W Mcc | 12 | 31 / 14 | $52.932,80 | 447 / 31 | $9.564,33 | 262 / 18 | $8.657,67 | 262 / 19 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 12 | 32 / 11 | $35.406,60 | 230 / 16 | $4.981,08 | 88 / 6 | $3.874,42 | 88 / 8 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 12 | $43.157,40 | 358 / 8 | $15.555,50 | 82 / 16 | $7.414,82 | 82 / 4 |
| Pleural Effusion W Mcc | 11 | 19 / 5 | $49.474,40 | 128 / 7 | $9.867,82 | 86 / 4 | $9.210,36 | 86 / 5 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 19 | $53.922,40 | 692 / 43 | $6.350,73 | 410 / 19 | $5.469,18 | 410 / 26 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 11 | 105 / 15 | $270.284,00 | 353 / 14 | $54.686,10 | 278 / 9 | $54.022,80 | 278 / 9 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 11 | $94.940,40 | 337 / 19 | $24.399,50 | 98 / 23 | $13.109,80 | 98 / 2 |
| Major Chest Procedures W Cc | 11 | 63 / 17 | $105.117,00 | 413 / 21 | $27.281,00 | 119 / 24 | $13.583,10 | 119 / 8 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 11 | 48 / 9 | $214.836,00 | 184 / 9 | $38.913,80 | 144 / 6 | $38.038,20 | 143 / 7 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 11 | 107 / 20 | $174.697,00 | 360 / 10 | $32.326,60 | 234 / 6 | $31.785,50 | 234 / 11 |
| G.I. Obstruction W Mcc | 11 | 31 / 13 | $88.605,90 | 504 / 27 | $12.959,90 | 303 / 22 | $10.251,50 | 303 / 19 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 11 | 39 / 6 | $181.346,00 | 188 / 6 | $39.832,50 | 49 / 6 | $29.634,10 | 49 / 1 | Total 126 procedures | 4.422 | 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.