Hospital Costs > In Illinois > Silver Cross Hospital And Medical Centers, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 254 | 45 / 4 | $17.517,30 | 1066 / 27 | $5.346,20 | 833 / 57 | $3.652,35 | 828 / 37 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 227 | 337 / 33 | $46.593,00 | 1114 / 27 | $13.871,00 | 1136 / 36 | $11.277,10 | 1109 / 45 |
Kidney & Urinary Tract Infections W/O Mcc | 209 | 41 / 4 | $16.309,90 | 1123 / 26 | $5.090,33 | 963 / 51 | $3.937,11 | 956 / 43 |
Heart Failure & Shock W Mcc | 159 | 125 / 12 | $32.479,60 | 1246 / 41 | $9.169,32 | 1036 / 39 | $8.340,27 | 1034 / 40 |
Simple Pneumonia & Pleurisy W Cc | 148 | 56 / 5 | $22.096,50 | 1361 / 36 | $6.341,36 | 936 / 46 | $5.031,01 | 933 / 38 |
Cellulitis W/O Mcc | 142 | 48 / 6 | $15.561,80 | 926 / 29 | $5.813,28 | 816 / 55 | $4.137,34 | 811 / 34 |
Heart Failure & Shock W Cc | 134 | 144 / 17 | $19.850,80 | 1168 / 37 | $6.417,02 | 811 / 50 | $5.149,33 | 810 / 30 |
Chronic Obstructive Pulmonary Disease W Mcc | 123 | 79 / 8 | $25.763,20 | 1184 / 40 | $8.354,28 | 590 / 69 | $5.857,95 | 589 / 19 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 117 | 49 / 5 | $14.257,40 | 867 / 27 | $4.757,50 | 798 / 49 | $3.517,32 | 795 / 36 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 117 | 399 / 62 | $47.139,40 | 1674 / 53 | $12.468,00 | 1278 / 58 | $10.597,00 | 1257 / 45 |
Renal Failure W Cc | 108 | 113 / 17 | $19.026,20 | 881 / 24 | $5.901,51 | 1060 / 29 | $5.244,10 | 1052 / 49 |
Simple Pneumonia & Pleurisy W Mcc | 106 | 99 / 12 | $32.871,10 | 1220 / 34 | $11.213,30 | 648 / 86 | $7.499,40 | 648 / 20 |
Syncope & Collapse | 105 | 64 / 2 | $20.316,10 | 882 / 32 | $5.306,07 | 546 / 53 | $3.591,30 | 543 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 100 | 82 / 10 | $28.993,30 | 1086 / 35 | $6.763,63 | 855 / 35 | $5.628,24 | 853 / 43 |
Chronic Obstructive Pulmonary Disease W Cc | 95 | 84 / 11 | $19.124,90 | 917 / 29 | $6.991,64 | 615 / 81 | $4.646,27 | 613 / 25 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 90 | 31 / 1 | $15.073,80 | 789 / 23 | $5.236,17 | 482 / 55 | $3.313,36 | 481 / 26 |
Medical Back Problems W/O Mcc | 87 | 35 / 5 | $16.009,60 | 274 / 6 | $5.684,06 | 481 / 31 | $4.198,25 | 481 / 28 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 82 | 68 / 5 | $13.485,50 | 794 / 22 | $4.732,74 | 643 / 70 | $2.552,68 | 639 / 37 |
G.I. Hemorrhage W Cc | 82 | 136 / 22 | $25.346,10 | 1228 / 46 | $6.488,10 | 712 / 43 | $5.100,90 | 711 / 31 |
Heart Failure & Shock W/O Cc/Mcc | 82 | 28 / 3 | $14.616,60 | 805 / 25 | $4.455,61 | 565 / 41 | $3.358,48 | 563 / 34 |
Chest Pain | 81 | 70 / 5 | $18.572,70 | 811 / 32 | $4.406,12 | 479 / 32 | $2.903,01 | 476 / 22 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 78 | 18 / 2 | $15.120,30 | 747 / 27 | $4.879,51 | 629 / 45 | $3.346,31 | 626 / 37 |
Renal Failure W Mcc | 77 | 118 / 17 | $32.659,80 | 927 / 31 | $10.717,30 | 967 / 65 | $8.851,99 | 967 / 48 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 74 | 87 / 12 | $16.603,40 | 702 / 15 | $5.920,08 | 738 / 67 | $4.048,30 | 735 / 34 |
Signs & Symptoms W/O Mcc | 70 | 22 / 3 | $19.543,50 | 628 / 22 | $5.202,94 | 459 / 41 | $3.606,00 | 458 / 23 |
Red Blood Cell Disorders W/O Mcc | 70 | 73 / 8 | $21.202,80 | 1008 / 44 | $5.394,80 | 781 / 49 | $4.275,09 | 776 / 42 |
Kidney & Urinary Tract Infections W Mcc | 70 | 74 / 9 | $24.409,30 | 882 / 31 | $6.889,17 | 777 / 31 | $6.069,63 | 776 / 38 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 70 | 32 / 3 | $22.130,70 | 725 / 24 | $5.340,24 | 575 / 35 | $3.710,31 | 571 / 37 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 62 | 106 / 11 | $47.230,80 | 896 / 45 | $11.478,90 | 707 / 43 | $9.909,16 | 706 / 39 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 61 | 62 / 10 | $24.613,40 | 631 / 27 | $7.455,29 | 694 / 30 | $6.649,00 | 691 / 45 |
G.I. Obstruction W Cc | 58 | 34 / 4 | $19.990,10 | 654 / 21 | $6.126,79 | 604 / 50 | $4.585,93 | 603 / 32 |
Transient Ischemia | 58 | 67 / 6 | $20.802,90 | 721 / 29 | $4.809,21 | 392 / 38 | $3.256,50 | 391 / 22 |
O.R. Procedures For Obesity W/O Cc/Mcc | 58 | 20 / 2 | $37.959,60 | 161 / 2 | $10.795,00 | 113 / 5 | $7.973,31 | 113 / 3 |
Dysequilibrium | 58 | 12 / 1 | $14.795,50 | 121 / 3 | $4.024,64 | 167 / 6 | $3.049,88 | 167 / 14 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 56 | 132 / 18 | $31.566,30 | 584 / 20 | $7.879,91 | 417 / 43 | $5.325,70 | 415 / 21 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 56 | 11 / 2 | $15.941,80 | 224 / 6 | $4.989,27 | 107 / 16 | $3.323,52 | 107 / 9 |
Hip & Femur Procedures Except Major Joint W Cc | 54 | 89 / 15 | $48.178,60 | 976 / 28 | $12.999,60 | 859 / 65 | $10.712,10 | 848 / 45 |
Spinal Fusion Except Cervical W/O Mcc | 53 | 141 / 16 | $86.058,70 | 591 / 15 | $27.513,80 | 391 / 27 | $21.191,80 | 390 / 10 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 53 | 73 / 11 | $27.144,90 | 819 / 37 | $7.109,26 | 719 / 32 | $6.426,08 | 716 / 44 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 50 | 146 / 23 | $66.849,00 | 615 / 23 | $14.706,80 | 562 / 41 | $10.808,60 | 558 / 30 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 47 | 78 / 12 | $41.819,30 | 895 / 34 | $10.957,90 | 887 / 35 | $9.959,70 | 886 / 43 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 43 | 53 / 8 | $24.130,90 | 398 / 10 | $7.368,16 | 508 / 20 | $6.644,44 | 505 / 31 |
G.I. Hemorrhage W/O Cc/Mcc | 42 | 26 / 3 | $18.232,40 | 475 / 21 | $4.454,29 | 328 / 13 | $3.427,05 | 325 / 19 |
G.I. Hemorrhage W Mcc | 41 | 80 / 17 | $43.250,70 | 814 / 31 | $11.096,70 | 772 / 35 | $10.471,10 | 769 / 43 |
Degenerative Nervous System Disorders W/O Mcc | 40 | 38 / 7 | $17.196,20 | 139 / 4 | $6.031,80 | 200 / 13 | $4.979,40 | 200 / 15 |
G.I. Obstruction W/O Cc/Mcc | 38 | 33 / 6 | $13.787,10 | 430 / 13 | $4.283,50 | 356 / 29 | $2.777,66 | 356 / 20 |
Peripheral Vascular Disorders W Cc | 37 | 47 / 10 | $19.062,20 | 362 / 17 | $6.581,05 | 345 / 42 | $4.992,78 | 343 / 25 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 37 | 94 / 20 | $41.655,80 | 370 / 10 | $13.076,90 | 500 / 9 | $12.439,70 | 493 / 21 |
Other Digestive System Diagnoses W Cc | 37 | 60 / 16 | $20.738,50 | 451 / 16 | $6.510,30 | 483 / 37 | $5.174,16 | 480 / 30 |
Pulmonary Embolism W/O Mcc | 36 | 38 / 7 | $24.017,20 | 606 / 20 | $8.316,64 | 313 / 50 | $4.824,58 | 313 / 21 |
Major Small & Large Bowel Procedures W Cc | 36 | 72 / 15 | $61.738,90 | 674 / 17 | $14.570,20 | 496 / 9 | $13.613,80 | 491 / 22 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 36 | 53 / 3 | $38.953,90 | 450 / 21 | $12.943,00 | 117 / 34 | $4.874,33 | 117 / 6 |
Organic Disturbances & Mental Retardation | 35 | 24 / 2 | $18.478,90 | 146 / 5 | $6.001,26 | 69 / 4 | $4.902,74 | 69 / 4 |
Seizures W/O Mcc | 35 | 73 / 12 | $14.991,80 | 259 / 8 | $4.883,23 | 286 / 21 | $3.719,23 | 285 / 20 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 34 | 173 / 48 | $30.291,40 | 1636 / 56 | $6.671,41 | 1202 / 34 | $5.880,35 | 1197 / 52 |
Pulmonary Edema & Respiratory Failure | 34 | 169 / 40 | $29.768,00 | 1032 / 31 | $11.827,10 | 837 / 90 | $6.757,00 | 837 / 31 |
Bronchitis & Asthma W Cc/Mcc | 33 | 43 / 10 | $21.771,30 | 450 / 18 | $5.496,00 | 380 / 11 | $4.513,94 | 376 / 24 |
Respiratory Infections & Inflammations W Mcc | 33 | 103 / 33 | $41.430,40 | 838 / 27 | $11.433,60 | 565 / 16 | $10.601,80 | 557 / 20 |
Fractures Of Hip & Pelvis W/O Mcc | 30 | 31 / 6 | $14.260,00 | 253 / 5 | $4.517,37 | 349 / 15 | $3.569,10 | 350 / 23 |
Peripheral Vascular Disorders W/O Cc/Mcc | 30 | 15 / 1 | $10.863,90 | 62 / 2 | $4.697,83 | 101 / 10 | $3.245,30 | 101 / 6 |
Cellulitis W Mcc | 29 | 29 / 5 | $33.753,60 | 458 / 24 | $8.672,66 | 310 / 12 | $7.924,24 | 309 / 14 |
Acute Myocardial Infarction, Discharged Alive W Cc | 28 | 63 / 11 | $27.628,80 | 636 / 19 | $8.884,04 | 355 / 53 | $5.228,14 | 354 / 16 |
Other Circulatory System Diagnoses W Mcc | 28 | 88 / 19 | $42.464,00 | 556 / 25 | $15.569,60 | 549 / 60 | $10.936,60 | 547 / 30 |
Diabetes W Cc | 27 | 65 / 15 | $23.010,00 | 887 / 44 | $5.245,19 | 538 / 27 | $4.320,15 | 538 / 29 |
Red Blood Cell Disorders W Mcc | 27 | 44 / 11 | $22.751,70 | 231 / 5 | $8.740,22 | 284 / 43 | $6.783,15 | 284 / 17 |
Hypertension W/O Mcc | 27 | 38 / 6 | $13.897,90 | 172 / 7 | $5.040,30 | 146 / 27 | $2.772,22 | 146 / 9 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 27 | 29 / 4 | $42.796,20 | 460 / 21 | $9.943,19 | 395 / 19 | $8.787,33 | 393 / 23 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 26 | 18 / 2 | $15.185,70 | 59 / 1 | $5.218,54 | 19 / 9 | $3.139,19 | 19 / 1 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 24 | 14 / 2 | $16.561,90 | 167 / 4 | $4.191,46 | 163 / 7 | $3.208,12 | 163 / 9 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 24 | 44 / 7 | $17.663,90 | 160 / 3 | $5.820,46 | 64 / 10 | $4.036,04 | 64 / 4 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 26 | $36.472,60 | 556 / 28 | $12.928,00 | 232 / 52 | $8.128,86 | 232 / 13 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 22 | 51 / 18 | $20.278,40 | 294 / 6 | $7.010,32 | 470 / 19 | $6.587,05 | 468 / 29 |
Other Kidney & Urinary Tract Diagnoses W Cc | 22 | 81 / 15 | $20.337,30 | 259 / 7 | $6.161,00 | 233 / 17 | $5.299,55 | 233 / 17 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 22 | 25 / 6 | $20.052,60 | 164 / 6 | $4.545,18 | 96 / 6 | $3.698,27 | 96 / 9 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 22 | 31 / 3 | $25.708,60 | 477 / 10 | $4.801,82 | 247 / 6 | $3.678,91 | 246 / 9 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 21 | 33 / 5 | $20.075,20 | 169 / 3 | $6.393,95 | 31 / 16 | $3.152,81 | 31 / 7 |
Renal Failure W/O Cc/Mcc | 21 | 35 / 6 | $12.385,20 | 241 / 7 | $3.992,62 | 237 / 7 | $3.002,10 | 236 / 8 |
Peripheral Vascular Disorders W Mcc | 21 | 28 / 8 | $39.692,30 | 346 / 20 | $10.271,80 | 402 / 26 | $9.410,05 | 402 / 26 |
Bronchitis & Asthma W/O Cc/Mcc | 21 | 24 / 4 | $14.420,30 | 121 / 4 | $4.285,71 | 78 / 2 | $2.791,24 | 78 / 4 |
Hip & Femur Procedures Except Major Joint W Mcc | 21 | 41 / 12 | $59.255,60 | 296 / 5 | $17.502,00 | 304 / 13 | $16.582,80 | 301 / 13 |
Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 19 | $147.250,00 | 792 / 35 | $37.805,30 | 966 / 40 | $36.912,00 | 964 / 54 |
Disorders Of Pancreas Except Malignancy W Cc | 20 | 41 / 11 | $22.913,90 | 404 / 12 | $6.379,55 | 261 / 21 | $4.632,00 | 260 / 16 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 20 | 75 / 12 | $60.984,10 | 191 / 4 | $11.827,30 | 225 / 3 | $11.190,20 | 223 / 11 |
Other Digestive System Diagnoses W Mcc | 20 | 42 / 13 | $48.023,20 | 434 / 18 | $19.105,00 | 198 / 36 | $9.472,45 | 198 / 8 |
Respiratory Neoplasms W Cc | 20 | 27 / 7 | $28.249,80 | 169 / 6 | $9.330,50 | 47 / 21 | $5.724,65 | 46 / 2 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 19 | 28 / 3 | $39.354,90 | 214 / 3 | $10.380,70 | 180 / 7 | $7.754,11 | 180 / 5 |
Respiratory Infections & Inflammations W Cc | 19 | 69 / 23 | $29.586,10 | 673 / 20 | $10.736,50 | 420 / 54 | $7.191,05 | 417 / 20 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 19 | 44 / 9 | $97.015,80 | 196 / 7 | $28.298,20 | 221 / 6 | $27.618,60 | 221 / 9 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 16 | $48.221,30 | 428 / 16 | $12.224,70 | 165 / 31 | $8.148,79 | 165 / 7 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 19 | 27 / 3 | $22.456,70 | 197 / 8 | $4.435,63 | 123 / 6 | $3.335,84 | 123 / 11 |
Other Circulatory System Diagnoses W Cc | 19 | 47 / 9 | $18.131,80 | 150 / 3 | $6.166,05 | 198 / 11 | $5.112,89 | 197 / 12 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 18 | 35 / 9 | $22.144,30 | 91 / 3 | $7.671,61 | 87 / 8 | $6.135,72 | 87 / 5 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 18 | 39 / 9 | $42.197,40 | 186 / 5 | $12.348,50 | 209 / 3 | $11.392,90 | 208 / 9 |
Disorders Of The Biliary Tract W Cc | 17 | 37 / 9 | $28.695,80 | 187 / 6 | $6.533,12 | 158 / 6 | $5.863,00 | 158 / 12 |
Other Disorders Of Nervous System W Cc | 17 | 39 / 12 | $20.750,90 | 192 / 4 | $5.625,06 | 193 / 10 | $4.824,12 | 193 / 13 |
Interstitial Lung Disease W Mcc | 17 | 8 / 2 | $37.468,80 | 36 / 3 | $11.637,40 | 5 / 7 | $8.029,88 | 5 / 1 |
Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 17 | $48.927,50 | 206 / 5 | $16.738,00 | 244 / 22 | $14.327,40 | 243 / 12 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 20 | $84.378,20 | 331 / 9 | $30.655,90 | 13 / 50 | $14.404,80 | 13 / 1 |
Other Digestive System Diagnoses W/O Cc/Mcc | 17 | 26 / 5 | $16.978,50 | 112 / 1 | $5.936,65 | 69 / 13 | $3.079,71 | 69 / 5 |
Pulmonary Embolism W Mcc | 17 | 26 / 9 | $36.295,20 | 265 / 7 | $12.071,70 | 63 / 32 | $7.457,06 | 63 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 17 | 30 / 8 | $41.692,50 | 330 / 7 | $9.111,06 | 164 / 12 | $6.027,76 | 164 / 8 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 17 | 36 / 8 | $44.704,10 | 132 / 4 | $11.090,40 | 122 / 5 | $10.472,60 | 123 / 7 |
Respiratory Signs & Symptoms | 16 | 30 / 4 | $16.267,60 | 65 / 3 | $4.373,06 | 85 / 3 | $3.523,06 | 85 / 4 |
Diabetes W Mcc | 16 | 41 / 7 | $31.799,80 | 311 / 12 | $8.487,00 | 232 / 7 | $7.726,50 | 232 / 12 |
G.I. Obstruction W Mcc | 16 | 26 / 8 | $34.221,20 | 185 / 4 | $9.866,88 | 188 / 11 | $9.139,88 | 188 / 12 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 8 | $44.887,80 | 385 / 10 | $9.722,31 | 327 / 2 | $8.722,81 | 327 / 10 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 22 | $43.211,50 | 213 / 10 | $12.218,30 | 289 / 8 | $11.463,10 | 284 / 14 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 10 | $17.292,10 | 414 / 12 | $4.100,00 | 309 / 7 | $3.350,13 | 308 / 19 |
Psychoses | 15 | 260 / 26 | $10.012,50 | 58 / 4 | $6.269,07 | 202 / 4 | $5.528,80 | 202 / 13 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 15 | 41 / 15 | $30.245,80 | 142 / 4 | $11.486,70 | 237 / 13 | $10.871,70 | 236 / 20 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 41 | $95.798,30 | 442 / 19 | $31.451,50 | 640 / 24 | $30.857,30 | 634 / 34 |
Digestive Malignancy W Cc | 15 | 32 / 11 | $27.450,10 | 107 / 4 | $8.326,67 | 85 / 13 | $6.615,60 | 84 / 7 |
Headaches W/O Mcc | 15 | 28 / 3 | $17.453,90 | 67 / 2 | $4.309,80 | 68 / 2 | $3.322,07 | 68 / 8 |
Other Kidney & Urinary Tract Procedures W Mcc | 14 | 24 / 5 | $56.317,00 | 43 / 2 | $18.598,00 | 56 / 3 | $18.018,00 | 56 / 4 |
Bone Diseases & Arthropathies W/O Mcc | 14 | 30 / 9 | $18.595,10 | 146 / 10 | $4.621,00 | 81 / 4 | $3.812,43 | 81 / 10 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 8 | $58.051,50 | 157 / 5 | $15.071,30 | 185 / 5 | $14.169,00 | 184 / 11 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 14 | 28 / 8 | $30.882,10 | 64 / 3 | $11.647,10 | 31 / 7 | $9.123,86 | 31 / 2 |
Peritoneal Adhesiolysis W Cc | 14 | 25 / 6 | $47.203,60 | 71 / 1 | $16.700,60 | 42 / 6 | $11.529,40 | 42 / 1 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 14 | 62 / 8 | $40.214,90 | 212 / 8 | $11.837,80 | 227 / 10 | $11.364,10 | 227 / 14 |
Other Vascular Procedures W Mcc | 14 | 83 / 22 | $84.041,10 | 424 / 13 | $32.548,30 | 113 / 47 | $17.134,90 | 113 / 2 |
Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 13 | $61.186,10 | 474 / 11 | $17.303,40 | 131 / 20 | $10.608,10 | 131 / 2 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 14 | 52 / 14 | $28.924,80 | 230 / 7 | $6.864,21 | 134 / 7 | $5.801,36 | 134 / 9 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 14 | 26 / 13 | $31.133,10 | 154 / 8 | $6.767,57 | 55 / 6 | $5.862,43 | 55 / 5 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 14 | 14 / 3 | $44.119,00 | 51 / 2 | $15.470,50 | 22 / 4 | $8.423,79 | 22 / 1 |
Other Kidney & Urinary Tract Diagnoses W/O Cc/Mcc | 13 | 11 / 2 | $17.018,90 | 16 / 2 | $4.819,08 | 2 / 2 | $3.229,77 | 2 / 1 |
Nonspecific Cva & Precerebral Occlusion W/O Infarct W/O Mcc | 13 | 10 / 1 | $27.080,00 | 21 / 1 | $5.429,38 | 17 / 1 | $4.567,23 | 17 / 1 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 14 | $114.555,00 | 341 / 15 | $30.902,80 | 356 / 11 | $29.996,40 | 356 / 16 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 18 | $68.367,90 | 353 / 12 | $19.535,90 | 429 / 15 | $18.547,60 | 427 / 21 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 13 | 53 / 14 | $53.770,00 | 301 / 13 | $20.612,60 | 30 / 31 | $8.606,38 | 30 / 1 |
Transurethral Prostatectomy W/O Cc/Mcc | 12 | 17 / 3 | $26.866,90 | 47 / 2 | $4.730,25 | 32 / 1 | $3.706,25 | 32 / 3 |
Fever | 12 | 34 / 9 | $19.413,40 | 102 / 3 | $7.656,50 | 22 / 11 | $3.729,08 | 22 / 1 |
Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 13 | $53.565,90 | 46 / 1 | $21.689,70 | 202 / 11 | $20.841,70 | 202 / 13 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 12 | 38 / 5 | $72.420,30 | 13 / 1 | $32.678,70 | 88 / 1 | $31.946,00 | 88 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 12 | 17 / 3 | $18.297,10 | 52 / 2 | $5.089,92 | 66 / 4 | $4.551,92 | 66 / 6 |
Disorders Of The Biliary Tract W Mcc | 12 | 27 / 8 | $36.970,60 | 82 / 2 | $9.346,25 | 34 / 4 | $8.601,58 | 34 / 4 |
Major Chest Procedures W/O Cc/Mcc | 12 | 47 / 8 | $54.689,20 | 145 / 6 | $10.893,30 | 75 / 2 | $9.845,33 | 75 / 3 |
Pleural Effusion W Cc | 12 | 16 / 7 | $18.367,10 | 14 / 1 | $6.071,33 | 19 / 1 | $5.644,67 | 19 / 1 |
Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 9 | $40.115,50 | 128 / 5 | $10.623,80 | 80 / 4 | $9.669,08 | 80 / 4 |
Respiratory Neoplasms W Mcc | 12 | 40 / 18 | $37.146,50 | 210 / 6 | $10.478,80 | 253 / 10 | $9.828,17 | 253 / 20 |
Diabetes W/O Cc/Mcc | 12 | 26 / 5 | $13.917,80 | 106 / 2 | $8.027,67 | 7 / 8 | $2.292,33 | 7 / 1 |
Atherosclerosis W/O Mcc | 11 | 47 / 11 | $15.381,40 | 178 / 5 | $3.935,82 | / 5 | $3.042,73 | / |
Nervous System Neoplasms W Mcc | 11 | 37 / 12 | $32.311,40 | 109 / 5 | $7.745,09 | 49 / 6 | $6.833,82 | 49 / 5 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 11 | 20 / 5 | $45.930,80 | 38 / 1 | $11.246,60 | 56 / 2 | $10.651,70 | 56 / 2 |
Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 24 | $24.475,00 | 267 / 4 | $6.498,00 | 641 / 7 | $6.264,55 | 639 / 36 |
Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 6 | $29.100,50 | 106 / 2 | $10.103,70 | 150 / 6 | $9.509,55 | 150 / 7 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 18 | $49.957,50 | 258 / 6 | $11.414,60 | 196 / 2 | $10.501,90 | 196 / 10 |
O.R. Procedures For Obesity W Cc | 11 | 23 / 5 | $41.327,20 | 35 / 1 | $13.213,10 | 5 / 5 | $8.811,36 | 5 / 1 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 12 | $26.800,70 | 316 / 5 | $6.008,64 | 79 / 5 | $4.696,64 | 79 / 3 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 11 | 20 / 9 | $34.953,60 | 103 / 7 | $8.455,36 | 39 / 5 | $6.086,09 | 39 / 3 |
Medical Back Problems W Mcc | 11 | 28 / 12 | $24.664,30 | 40 / 1 | $9.251,82 | 63 / 4 | $8.342,00 | 63 / 6 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 11 | 63 / 8 | $67.631,10 | 128 / 2 | $19.367,60 | 36 / 7 | $11.828,40 | 36 / 1 |
Major Male Pelvic Procedures W/O Cc/Mcc | 11 | 62 / 10 | $34.449,00 | 128 / 4 | $12.505,50 | 49 / 9 | $5.513,09 | 49 / 2 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 17 | $58.881,80 | 250 / 7 | $11.111,10 | 254 / 6 | $10.094,40 | 254 / 13 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 11 | $62.321,30 | 135 / 2 | $17.045,20 | 165 / 7 | $16.226,30 | 164 / 8 | Total 154 procedures | 6.128 | 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.