Hospital Costs > In Maryland > Sinai Hospital Of Baltimore, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Rehabilitation W Cc/Mcc | 587 | 3 / 3 | $20.168,40 | 9 / 4 | $18.611,10 | 16 / 4 | $18.085,90 | 16 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 355 | 221 / 8 | $25.869,50 | 97 / 27 | $23.947,10 | 2642 / 27 | $21.428,60 | 2596 / 28 |
Rehabilitation W/O Cc/Mcc | 334 | 3 / 1 | $15.416,20 | 11 / 5 | $14.243,40 | 15 / 5 | $13.677,70 | 15 / 5 |
Psychoses | 251 | 84 / 12 | $11.368,70 | 97 / 24 | $10.506,80 | 559 / 24 | $9.505,00 | 559 / 24 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 219 | 297 / 16 | $26.962,10 | 646 / 38 | $24.872,80 | 2803 / 38 | $23.949,70 | 2758 / 39 |
Heart Failure & Shock W Cc | 196 | 85 / 10 | $8.938,29 | 75 / 19 | $8.251,18 | 2321 / 19 | $7.390,97 | 2315 / 18 |
Kidney & Urinary Tract Infections W/O Mcc | 142 | 91 / 12 | $8.382,35 | 146 / 33 | $7.739,90 | 2515 / 33 | $6.835,98 | 2504 / 33 |
Heart Failure & Shock W Mcc | 134 | 150 / 9 | $12.530,30 | 62 / 16 | $11.558,10 | 2110 / 15 | $10.796,60 | 2100 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 132 | 143 / 15 | $8.288,07 | 112 / 32 | $7.696,29 | 2520 / 32 | $6.645,27 | 2505 / 33 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 125 | 58 / 6 | $13.288,10 | 85 / 32 | $12.291,30 | 2016 / 32 | $11.097,50 | 2012 / 31 |
Renal Failure W Cc | 125 | 96 / 6 | $9.499,82 | 69 / 21 | $8.772,88 | 2149 / 21 | $7.687,19 | 2139 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 116 | 50 / 6 | $8.463,03 | 184 / 32 | $7.826,04 | 2416 / 32 | $6.940,97 | 2407 / 32 |
Syncope & Collapse | 112 | 57 / 4 | $8.501,17 | 55 / 29 | $7.862,36 | 1800 / 29 | $6.956,81 | 1792 / 30 |
Chest Pain | 111 | 45 / 2 | $6.492,51 | 33 / 21 | $6.036,36 | 1454 / 21 | $5.018,97 | 1446 / 19 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 109 | 79 / 2 | $10.461,90 | 9 / 9 | $9.667,24 | 1456 / 9 | $8.726,10 | 1453 / 9 |
G.I. Hemorrhage W Cc | 97 | 121 / 16 | $12.452,30 | 130 / 38 | $11.544,80 | 2352 / 38 | $10.282,40 | 2348 / 38 |
Simple Pneumonia & Pleurisy W Cc | 95 | 108 / 20 | $8.479,65 | 44 / 13 | $7.878,99 | 2232 / 13 | $6.706,75 | 2224 / 12 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 94 | 102 / 4 | $20.808,10 | 12 / 12 | $19.272,60 | 1406 / 11 | $17.534,20 | 1398 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 87 | 81 / 5 | $20.714,80 | 106 / 29 | $19.101,60 | 1560 / 30 | $18.143,80 | 1553 / 30 |
Medical Back Problems W/O Mcc | 84 | 38 / 3 | $8.493,25 | 31 / 20 | $7.842,65 | 1323 / 20 | $6.905,89 | 1318 / 21 |
Renal Failure W Mcc | 82 | 113 / 3 | $17.711,50 | 144 / 29 | $16.358,60 | 2066 / 29 | $15.294,40 | 2062 / 29 |
Chronic Obstructive Pulmonary Disease W Cc | 81 | 98 / 19 | $9.173,59 | 59 / 21 | $8.483,58 | 2189 / 20 | $7.572,60 | 2182 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 80 | 81 / 8 | $8.366,85 | 46 / 23 | $7.741,51 | 1973 / 23 | $6.862,00 | 1968 / 24 |
Red Blood Cell Disorders W/O Mcc | 74 | 69 / 8 | $9.387,30 | 79 / 30 | $8.697,37 | 1866 / 30 | $7.492,78 | 1857 / 28 |
Cellulitis W/O Mcc | 74 | 115 / 21 | $8.923,95 | 158 / 28 | $8.239,32 | 2429 / 27 | $7.310,03 | 2421 / 29 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 70 | 56 / 5 | $11.348,60 | 48 / 23 | $10.463,00 | 1526 / 23 | $9.620,54 | 1523 / 25 |
Coronary Bypass W Cardiac Cath W/O Mcc | 69 | 9 / 1 | $46.876,40 | 6 / 6 | $43.931,70 | 593 / 6 | $41.180,60 | 593 / 6 |
Hip & Femur Procedures Except Major Joint W Cc | 68 | 75 / 5 | $28.094,00 | 166 / 33 | $25.945,70 | 2044 / 33 | $24.425,50 | 2022 / 34 |
Pulmonary Edema & Respiratory Failure | 66 | 137 / 18 | $18.993,20 | 340 / 29 | $17.508,70 | 2225 / 29 | $16.894,70 | 2219 / 29 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 60 | 147 / 23 | $13.400,00 | 241 / 33 | $12.428,70 | 2495 / 33 | $10.996,20 | 2485 / 33 |
Spinal Fusion Except Cervical W/O Mcc | 59 | 135 / 14 | $47.307,10 | 91 / 19 | $43.834,20 | 1331 / 19 | $39.625,00 | 1326 / 19 |
Heart Failure & Shock W/O Cc/Mcc | 58 | 52 / 10 | $6.872,90 | 51 / 23 | $6.343,79 | 1823 / 23 | $5.719,24 | 1810 / 29 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 57 | 36 / 2 | $9.435,44 | 9 / 3 | $8.741,30 | 228 / 3 | $7.952,37 | 228 / 3 |
Diabetes W Cc | 55 | 37 / 5 | $8.444,02 | 36 / 15 | $7.795,71 | 1406 / 15 | $6.936,95 | 1401 / 18 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 54 | 18 / 1 | $29.687,00 | 12 / 9 | $27.557,80 | 492 / 9 | $24.592,60 | 491 / 9 |
Seizures W/O Mcc | 54 | 54 / 7 | $7.503,91 | 27 / 17 | $6.953,81 | 1072 / 17 | $5.995,93 | 1070 / 17 |
Revision Of Hip Or Knee Replacement W Cc | 52 | 36 / 1 | $39.674,40 | 27 / 12 | $36.899,50 | 648 / 12 | $31.159,80 | 646 / 13 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 51 | 99 / 17 | $5.744,49 | 29 / 21 | $5.339,98 | 1730 / 21 | $4.209,84 | 1724 / 21 |
Degenerative Nervous System Disorders W/O Mcc | 50 | 28 / 4 | $9.047,22 | 18 / 13 | $8.355,08 | 661 / 13 | $7.317,64 | 661 / 13 |
Kidney & Urinary Tract Infections W Mcc | 50 | 94 / 8 | $13.422,00 | 166 / 32 | $12.381,60 | 1893 / 32 | $11.519,90 | 1889 / 32 |
Other Circulatory System Diagnoses W Mcc | 50 | 66 / 8 | $23.629,60 | 94 / 28 | $21.904,90 | 1346 / 28 | $20.614,30 | 1338 / 28 |
Major Small & Large Bowel Procedures W Cc | 48 | 60 / 7 | $39.407,40 | 179 / 29 | $35.406,00 | 1533 / 29 | $33.962,20 | 1519 / 28 |
Transient Ischemia | 46 | 79 / 15 | $7.876,09 | 30 / 21 | $7.303,76 | 1535 / 21 | $6.185,70 | 1527 / 20 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 46 | 74 / 13 | $7.050,20 | 46 / 14 | $6.508,30 | 1892 / 14 | $5.823,78 | 1881 / 23 |
Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 25 | $10.946,70 | 72 / 15 | $10.099,60 | 2291 / 15 | $9.329,80 | 2283 / 16 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 45 | 56 / 4 | $15.815,90 | 53 / 18 | $14.659,60 | 970 / 18 | $13.219,40 | 966 / 16 |
G.I. Hemorrhage W Mcc | 44 | 77 / 7 | $18.944,50 | 59 / 28 | $17.469,70 | 1570 / 28 | $16.570,00 | 1560 / 28 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 43 | 75 / 6 | $60.477,30 | 9 / 7 | $55.730,90 | 530 / 7 | $54.773,10 | 530 / 7 |
Other Kidney & Urinary Tract Diagnoses W Cc | 42 | 61 / 4 | $11.013,20 | 39 / 24 | $10.191,00 | 799 / 24 | $9.483,57 | 799 / 25 |
Organic Disturbances & Mental Retardation | 42 | 18 / 5 | $9.184,74 | 23 / 14 | $8.479,33 | 414 / 14 | $7.560,48 | 414 / 14 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 42 | 81 / 8 | $11.292,30 | 34 / 16 | $10.418,50 | 1655 / 15 | $9.619,79 | 1652 / 17 |
Signs & Symptoms W/O Mcc | 41 | 50 / 14 | $7.480,00 | 32 / 18 | $6.909,98 | 1178 / 18 | $6.025,27 | 1175 / 17 |
Peripheral Vascular Disorders W Cc | 41 | 43 / 4 | $9.773,34 | 35 / 14 | $9.071,93 | 1055 / 16 | $7.627,88 | 1052 / 11 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 40 | 6 / 1 | $39.984,80 | 6 / 4 | $36.994,10 | 148 / 4 | $33.680,30 | 148 / 4 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 39 | 92 / 10 | $26.377,30 | 76 / 29 | $24.309,50 | 1793 / 29 | $23.768,90 | 1779 / 29 |
Acute Myocardial Infarction, Discharged Alive W Cc | 39 | 52 / 13 | $15.712,70 | 136 / 34 | $14.488,80 | 1429 / 33 | $13.774,10 | 1427 / 33 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 39 | 50 / 3 | $11.803,60 | 16 / 8 | $10.945,60 | 724 / 8 | $9.608,28 | 723 / 8 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 38 | 31 / 2 | $21.769,90 | 11 / 11 | $20.134,90 | 556 / 12 | $18.594,90 | 554 / 11 |
G.I. Hemorrhage W/O Cc/Mcc | 38 | 30 / 5 | $9.113,24 | 73 / 34 | $8.414,26 | 976 / 34 | $7.458,47 | 972 / 34 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 38 | 87 / 9 | $22.210,70 | 206 / 33 | $20.475,70 | 1791 / 33 | $19.714,40 | 1778 / 33 |
Other Digestive System Diagnoses W Cc | 36 | 61 / 12 | $10.442,00 | 36 / 20 | $9.643,61 | 1306 / 20 | $8.573,64 | 1302 / 21 |
Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 23 | $19.418,90 | 353 / 38 | $17.904,10 | 2501 / 38 | $17.133,00 | 2495 / 38 |
Cervical Spinal Fusion W Cc | 36 | 18 / 1 | $35.836,80 | 22 / 9 | $33.150,00 | 379 / 9 | $30.524,40 | 378 / 9 |
Pulmonary Embolism W/O Mcc | 35 | 39 / 10 | $12.529,00 | 84 / 29 | $11.562,30 | 1263 / 29 | $10.534,20 | 1260 / 29 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 35 | 20 / 1 | $34.110,40 | 74 / 14 | $31.628,10 | 641 / 14 | $28.481,90 | 637 / 14 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 34 | 54 / 7 | $45.463,20 | 13 / 8 | $41.900,60 | 592 / 8 | $40.903,00 | 591 / 8 |
G.I. Obstruction W Cc | 34 | 58 / 10 | $10.103,60 | 57 / 29 | $9.363,53 | 1679 / 28 | $8.534,94 | 1674 / 32 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 34 | 37 / 2 | $39.923,10 | 4 / 3 | $36.814,00 | 613 / 3 | $34.969,30 | 612 / 6 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 33 | 14 / 1 | $7.399,67 | 8 / 7 | $6.916,97 | 290 / 8 | $5.514,30 | 290 / 7 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 33 | 29 / 5 | $10.177,70 | 62 / 26 | $9.430,82 | 791 / 26 | $8.478,45 | 789 / 26 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 33 | 35 / 2 | $8.828,64 | 26 / 15 | $8.149,21 | 634 / 14 | $7.333,21 | 634 / 15 |
Permanent Cardiac Pacemaker Implant W Cc | 32 | 45 / 3 | $30.466,20 | 24 / 15 | $28.085,20 | 956 / 15 | $27.103,20 | 952 / 15 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 32 | 61 / 15 | $6.712,53 | 35 / 17 | $6.205,47 | 1694 / 16 | $5.111,47 | 1686 / 18 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 32 | 92 / 16 | $54.431,30 | 72 / 26 | $50.318,10 | 1426 / 26 | $46.302,00 | 1416 / 26 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 31 | 93 / 9 | $7.362,45 | 65 / 17 | $6.796,74 | 730 / 17 | $6.074,68 | 729 / 18 |
Major Chest Procedures W Cc | 31 | 43 / 3 | $23.613,40 | 7 / 6 | $21.912,10 | 425 / 6 | $19.719,60 | 423 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 31 | 71 / 15 | $8.452,87 | 24 / 21 | $7.809,32 | 1492 / 21 | $6.680,03 | 1488 / 22 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 30 | 36 / 2 | $10.794,70 | 10 / 8 | $9.964,10 | 448 / 8 | $8.959,30 | 447 / 8 |
Renal Failure W/O Cc/Mcc | 30 | 26 / 6 | $6.919,83 | 30 / 21 | $6.395,47 | 785 / 21 | $5.354,40 | 783 / 22 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 29 | 34 / 3 | $43.511,40 | 16 / 14 | $40.238,10 | 612 / 14 | $38.208,00 | 612 / 14 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 29 | 71 / 4 | $27.083,90 | 1 / 1 | $24.967,20 | 817 / 1 | $24.092,10 | 812 / 3 |
Hypertension W/O Mcc | 29 | 36 / 3 | $6.508,66 | 24 / 14 | $6.016,38 | 665 / 15 | $4.979,14 | 663 / 17 |
Cervical Spinal Fusion W/O Cc/Mcc | 29 | 75 / 6 | $24.513,80 | 24 / 6 | $22.845,70 | 833 / 6 | $19.381,70 | 830 / 5 |
Red Blood Cell Disorders W Mcc | 28 | 43 / 7 | $12.238,90 | 37 / 21 | $11.289,40 | 954 / 21 | $10.545,10 | 950 / 21 |
Major Small & Large Bowel Procedures W Mcc | 28 | 57 / 7 | $49.944,50 | 33 / 21 | $46.211,30 | 1136 / 21 | $42.809,90 | 1134 / 19 |
Other Circulatory System Diagnoses W Cc | 28 | 38 / 3 | $13.251,90 | 58 / 27 | $12.266,30 | 660 / 27 | $11.460,50 | 659 / 27 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 28 | 36 / 3 | $99.866,60 | 15 / 6 | $92.047,10 | 480 / 6 | $90.586,50 | 479 / 6 |
Postoperative & Post-Traumatic Infections W/O Mcc | 27 | 27 / 5 | $11.673,40 | 24 / 10 | $10.803,00 | 420 / 10 | $9.529,30 | 420 / 10 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 27 | 29 / 4 | $25.497,40 | 100 / 26 | $23.593,00 | 916 / 26 | $21.638,40 | 913 / 25 |
Respiratory Infections & Inflammations W Cc | 27 | 61 / 15 | $12.821,50 | 44 / 14 | $11.826,50 | 1341 / 14 | $11.057,90 | 1336 / 14 |
Seizures W Mcc | 27 | 39 / 6 | $20.841,60 | 64 / 21 | $19.214,40 | 761 / 21 | $18.457,30 | 761 / 21 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 27 | 46 / 9 | $9.323,30 | 17 / 10 | $8.602,04 | 822 / 10 | $7.935,07 | 820 / 11 |
Respiratory Infections & Inflammations W Mcc | 26 | 110 / 13 | $30.702,40 | 403 / 27 | $28.294,10 | 1808 / 27 | $27.736,60 | 1792 / 27 |
Dysequilibrium | 26 | 39 / 5 | $6.586,27 | 15 / 15 | $6.148,46 | 464 / 15 | $4.752,42 | 464 / 12 |
Bronchitis & Asthma W Cc/Mcc | 26 | 50 / 11 | $8.710,62 | 32 / 17 | $8.098,46 | 949 / 17 | $7.040,96 | 945 / 18 |
Disorders Of Pancreas Except Malignancy W Cc | 26 | 35 / 5 | $11.180,80 | 45 / 29 | $10.319,30 | 925 / 29 | $9.343,27 | 922 / 29 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 26 | 28 / 2 | $6.517,77 | 4 / 4 | $6.027,38 | 258 / 4 | $4.864,50 | 258 / 4 |
Bone Diseases & Arthropathies W/O Mcc | 26 | 18 / 4 | $7.936,92 | 22 / 13 | $7.167,27 | 237 / 11 | $6.331,58 | 237 / 14 |
Signs & Symptoms W Mcc | 26 | 15 / 3 | $27.962,70 | 126 / 19 | $25.775,50 | 286 / 19 | $24.963,20 | 286 / 19 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 25 | 67 / 5 | $74.093,30 | 66 / 26 | $68.297,80 | 1074 / 26 | $66.140,40 | 1073 / 26 |
Other Vascular Procedures W Mcc | 25 | 72 / 12 | $40.467,30 | 46 / 23 | $37.392,70 | 974 / 23 | $35.551,90 | 971 / 23 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 25 | 71 / 13 | $12.294,40 | 41 / 17 | $11.390,60 | 1319 / 17 | $10.615,40 | 1314 / 18 |
Other Disorders Of Nervous System W Cc | 24 | 32 / 6 | $11.210,70 | 33 / 19 | $10.425,50 | 597 / 19 | $8.807,33 | 596 / 19 |
Other Vascular Procedures W Cc | 24 | 78 / 14 | $27.667,60 | 31 / 22 | $25.594,20 | 1084 / 22 | $23.652,00 | 1079 / 22 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 24 | 71 / 4 | $30.621,90 | 15 / 9 | $28.228,10 | 604 / 9 | $27.269,40 | 600 / 11 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 23 | 43 / 4 | $17.297,00 | 8 / 6 | $16.021,70 | 489 / 6 | $14.582,40 | 485 / 7 |
Spinal Procedures W/O Cc/Mcc | 23 | 7 / 1 | $16.405,70 | 2 / 2 | $15.135,00 | 18 / 2 | $14.034,50 | 18 / 2 |
Peripheral Vascular Disorders W Mcc | 23 | 26 / 4 | $32.091,30 | 238 / 19 | $29.752,90 | 591 / 19 | $27.601,10 | 591 / 19 |
Major Cardiovasc Procedures W/O Mcc | 23 | 78 / 12 | $41.066,60 | 28 / 21 | $37.905,30 | 992 / 21 | $36.131,00 | 991 / 21 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 23 | 38 / 6 | $8.769,13 | 57 / 22 | $8.088,48 | 882 / 22 | $7.563,96 | 881 / 24 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 23 | 21 / 2 | $24.819,70 | 8 / 7 | $22.880,90 | 354 / 6 | $22.044,70 | 352 / 7 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 22 | 22 / 3 | $7.338,18 | 11 / 9 | $6.833,32 | 244 / 9 | $5.804,14 | 244 / 9 |
Headaches W/O Mcc | 22 | 21 / 3 | $6.269,59 | 6 / 6 | $5.853,82 | 166 / 5 | $4.577,55 | 166 / 4 |
Other Digestive System Diagnoses W Mcc | 21 | 41 / 5 | $31.281,50 | 181 / 21 | $28.842,70 | 755 / 21 | $27.533,00 | 754 / 21 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 21 | 77 / 3 | $42.889,30 | 9 / 7 | $39.534,00 | 455 / 6 | $38.317,60 | 455 / 7 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 21 | 35 / 5 | $20.277,60 | 20 / 17 | $18.702,80 | 860 / 17 | $17.553,80 | 856 / 17 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 20 | 25 / 1 | $36.011,10 | 3 / 3 | $33.183,20 | 269 / 3 | $32.700,00 | 268 / 3 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 20 | 20 / 2 | $12.575,20 | 11 / 5 | $11.665,50 | 276 / 5 | $10.584,50 | 276 / 6 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 20 | 44 / 7 | $30.259,60 | 141 / 21 | $29.531,70 | 749 / 21 | $24.773,80 | 749 / 21 |
Diabetes W Mcc | 20 | 37 / 4 | $16.861,80 | 47 / 16 | $15.662,30 | 709 / 16 | $13.821,20 | 708 / 15 |
Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 20 | 8 / 2 | $20.896,60 | 5 / 5 | $19.377,30 | 105 / 5 | $17.130,80 | 105 / 5 |
Fractures Of Hip & Pelvis W/O Mcc | 19 | 42 / 14 | $10.300,40 | 91 / 25 | $9.506,47 | 914 / 25 | $8.613,84 | 913 / 25 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 19 | 74 / 7 | $25.021,00 | 27 / 13 | $23.063,30 | 888 / 13 | $22.361,00 | 880 / 13 |
Nervous System Neoplasms W Mcc | 19 | 29 / 3 | $16.383,20 | 10 / 6 | $15.499,30 | 273 / 6 | $11.971,90 | 273 / 6 |
Degenerative Nervous System Disorders W Mcc | 19 | 19 / 2 | $16.545,70 | 7 / 3 | $15.260,10 | 179 / 3 | $14.354,80 | 179 / 3 |
Knee Procedures W/O Pdx Of Infection W/O Cc/Mcc | 19 | 4 / 1 | $17.236,60 | 3 / 1 | $16.201,50 | 35 / 1 | $13.135,80 | 35 / 1 |
Peripheral Vascular Disorders W/O Cc/Mcc | 19 | 26 / 3 | $8.876,84 | 30 / 13 | $8.195,26 | 390 / 13 | $7.300,95 | 390 / 14 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 18 | 39 / 5 | $26.852,70 | 27 / 14 | $24.756,90 | 711 / 14 | $23.745,40 | 709 / 15 |
Complications Of Treatment W Cc | 18 | 34 / 5 | $14.836,80 | 33 / 9 | $13.682,60 | 360 / 9 | $12.943,00 | 360 / 9 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 17 | 79 / 12 | $27.831,30 | 24 / 13 | $25.906,60 | 805 / 13 | $21.904,10 | 801 / 11 |
Knee Procedures W/O Pdx Of Infection W Cc/Mcc | 17 | 3 / 1 | $25.059,50 | 3 / 2 | $23.106,90 | 22 / 2 | $22.005,70 | 22 / 2 |
Other Resp System O.R. Procedures W Mcc | 17 | 46 / 6 | $39.705,50 | 23 / 13 | $36.607,50 | 557 / 13 | $35.060,20 | 556 / 12 |
Other Respiratory System Diagnoses W/O Mcc | 17 | 29 / 5 | $8.557,35 | 8 / 6 | $7.901,47 | 279 / 6 | $6.979,12 | 279 / 7 |
Respiratory Neoplasms W Cc | 17 | 30 / 8 | $9.041,29 | 4 / 4 | $8.337,47 | 329 / 4 | $7.912,06 | 328 / 5 |
Bronchitis & Asthma W/O Cc/Mcc | 17 | 28 / 4 | $6.218,41 | 13 / 9 | $5.897,35 | 290 / 10 | $4.546,53 | 290 / 6 |
Coronary Bypass W Cardiac Cath W Mcc | 17 | 39 / 4 | $67.273,40 | 4 / 3 | $61.986,20 | 393 / 3 | $61.278,40 | 393 / 3 |
Otitis Media & Uri W/O Mcc | 17 | 27 / 3 | $6.171,82 | 4 / 3 | $5.707,82 | 145 / 3 | $4.586,88 | 145 / 3 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 16 | 31 / 5 | $20.188,60 | 19 / 8 | $18.612,80 | 511 / 8 | $17.860,80 | 511 / 8 |
Postoperative & Post-Traumatic Infections W Mcc | 16 | 27 / 4 | $10.434,20 | 1 / 1 | $9.624,12 | 9 / 1 | $9.018,12 | 9 / 2 |
G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 16 | $9.896,25 | 130 / 30 | $9.133,19 | 1310 / 30 | $8.299,19 | 1307 / 30 |
Other Disorders Of Nervous System W/O Cc/Mcc | 16 | 19 / 3 | $8.345,62 | 8 / 6 | $7.709,19 | 142 / 6 | $6.655,19 | 142 / 6 |
Peritoneal Adhesiolysis W Cc | 16 | 23 / 6 | $26.092,20 | 10 / 8 | $24.055,60 | 282 / 8 | $23.071,60 | 282 / 9 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 16 | 37 / 8 | $14.721,80 | 23 / 14 | $13.580,30 | 460 / 14 | $12.651,30 | 460 / 14 |
Nonspecific Cerebrovascular Disorders W Cc | 16 | 40 / 5 | $11.981,60 | 17 / 12 | $11.051,10 | 453 / 12 | $10.369,10 | 453 / 13 |
Disorders Of The Biliary Tract W Cc | 16 | 38 / 6 | $15.293,00 | 32 / 19 | $14.107,20 | 478 / 19 | $13.131,20 | 478 / 20 |
Respiratory Signs & Symptoms | 16 | 30 / 5 | $6.459,31 | 3 / 2 | $5.962,38 | 242 / 2 | $5.354,38 | 242 / 3 |
Respiratory Neoplasms W Mcc | 15 | 37 / 10 | $22.395,80 | 51 / 21 | $20.763,00 | 632 / 21 | $19.392,70 | 629 / 22 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 15 | 55 / 11 | $15.098,70 | 86 / 23 | $14.026,70 | 560 / 23 | $12.000,40 | 560 / 23 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 15 | 66 / 3 | $125.968,00 | 1 / 1 | $116.058,00 | 239 / 1 | $115.251,00 | 238 / 1 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 15 | 54 / 5 | $27.027,20 | 7 / 5 | $25.048,30 | 452 / 5 | $22.278,10 | 452 / 5 |
Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc | 15 | 9 / 1 | $26.476,50 | 4 / 3 | $24.492,40 | 46 / 3 | $23.353,20 | 46 / 3 |
Other Resp System O.R. Procedures W Cc | 15 | 32 / 6 | $17.951,30 | 7 / 7 | $16.554,50 | 283 / 6 | $15.669,10 | 283 / 7 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 6 | $37.399,40 | 40 / 11 | $34.468,50 | 951 / 11 | $33.660,00 | 948 / 11 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 7 | $37.252,60 | 25 / 12 | $34.335,90 | 901 / 12 | $33.391,90 | 897 / 13 |
Medical Back Problems W Mcc | 14 | 25 / 4 | $11.815,60 | 4 / 2 | $10.908,90 | 152 / 2 | $9.697,43 | 152 / 3 |
Female Reproductive System Reconstructive Procedures | 14 | 11 / 3 | $14.756,70 | 4 / 4 | $13.618,10 | 38 / 4 | $12.411,20 | 38 / 4 |
Spinal Procedures W Cc Or Spinal Neurostimulators | 14 | 13 / 2 | $25.458,60 | 1 / 1 | $23.594,60 | 18 / 1 | $20.620,70 | 18 / 1 |
Endocrine Disorders W Cc | 14 | 24 / 4 | $9.569,00 | 6 / 5 | $8.830,21 | 232 / 5 | $8.050,79 | 232 / 5 |
Aftercare, Musculoskeletal System & Connective Tissue W Cc | 14 | 4 / 2 | $26.934,60 | 10 / 2 | $24.815,40 | 23 / 2 | $24.646,30 | 23 / 2 |
Aftercare, Musculoskeletal System & Connective Tissue W/O Cc/Mcc | 14 | 3 / 1 | $18.619,10 | 2 / 1 | $17.371,80 | 5 / 1 | $13.104,50 | 5 / 1 |
Diabetes W/O Cc/Mcc | 14 | 24 / 3 | $5.814,86 | 8 / 4 | $5.372,14 | 225 / 4 | $4.599,57 | 225 / 5 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 14 | 39 / 3 | $16.478,70 | 4 / 4 | $15.197,60 | 270 / 4 | $14.333,60 | 271 / 4 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 14 | 62 / 7 | $16.117,00 | 9 / 5 | $14.864,20 | 398 / 5 | $14.007,10 | 398 / 6 |
Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim | 14 | 15 / 2 | $33.299,10 | 5 / 1 | $31.191,30 | 73 / 2 | $23.020,40 | 73 / 1 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 14 | 32 / 6 | $16.214,70 | 28 / 7 | $14.959,40 | 256 / 7 | $13.839,40 | 256 / 7 |
Depressive Neuroses | 13 | 37 / 12 | $6.832,15 | 21 / 12 | $6.308,62 | 118 / 12 | $5.560,31 | 118 / 12 |
Other Circulatory System O.R. Procedures | 13 | 42 / 9 | $37.830,40 | 44 / 17 | $34.867,80 | 448 / 17 | $33.944,70 | 448 / 17 |
Lymphoma & Non-Acute Leukemia W Mcc | 13 | 23 / 3 | $34.272,20 | 5 / 1 | $31.588,20 | 101 / 1 | $30.746,40 | 101 / 1 |
Ventricular Shunt Procedures W/O Cc/Mcc | 13 | 11 / 2 | $18.610,40 | 1 / 1 | $17.156,80 | 44 / 1 | $16.504,50 | 44 / 1 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 13 | 38 / 4 | $21.651,30 | 10 / 3 | $19.962,00 | 320 / 3 | $19.125,10 | 320 / 3 |
Major Chest Procedures W/O Cc/Mcc | 13 | 46 / 7 | $21.483,60 | 9 / 6 | $19.814,80 | 251 / 6 | $18.611,10 | 251 / 6 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 13 | 50 / 5 | $39.301,50 | 12 / 7 | $36.378,20 | 229 / 7 | $32.160,80 | 228 / 8 |
Cellulitis W Mcc | 13 | 45 / 10 | $12.463,70 | 23 / 9 | $11.496,30 | 781 / 9 | $10.752,90 | 779 / 9 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 3 | $6.290,62 | 10 / 8 | $5.811,46 | 394 / 8 | $4.979,46 | 393 / 9 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 13 | 35 / 4 | $25.714,50 | 23 / 3 | $24.060,30 | 236 / 3 | $19.785,10 | 235 / 3 |
Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 11 | $14.577,60 | 24 / 8 | $13.448,80 | 876 / 8 | $12.459,90 | 873 / 8 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W/O Cc/Mcc | 13 | 3 / 1 | $31.587,90 | 1 / 1 | $29.449,80 | 13 / 1 | $24.281,80 | 13 / 1 |
Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 13 | $8.588,83 | 17 / 13 | $7.930,08 | 301 / 13 | $7.028,75 | 300 / 15 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 12 | 19 / 2 | $25.517,80 | 2 / 2 | $23.529,10 | 148 / 2 | $22.417,10 | 148 / 2 |
Other O.R. Procedures For Injuries W Cc | 12 | 23 / 3 | $23.022,00 | 2 / 2 | $21.215,80 | 165 / 2 | $20.810,50 | 165 / 2 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 12 | 34 / 4 | $73.673,00 | 4 / 2 | $67.883,80 | 127 / 2 | $67.075,80 | 127 / 2 |
Stomach, Esophageal & Duodenal Proc W Mcc | 12 | 29 / 3 | $55.205,00 | 2 / 2 | $50.873,60 | 203 / 2 | $49.938,90 | 203 / 2 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 8 | $8.427,92 | 10 / 10 | $7.993,25 | 333 / 10 | $5.275,50 | 332 / 7 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 15 | $8.754,50 | 33 / 22 | $8.080,75 | 826 / 21 | $7.272,75 | 822 / 22 |
Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 5 | $8.762,42 | 1 / 1 | $8.085,92 | 3 / 1 | $7.379,25 | 3 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Mcc | 12 | 11 / 2 | $42.671,80 | 4 / 1 | $39.432,20 | 53 / 1 | $38.253,30 | 53 / 1 |
Digestive Malignancy W Cc | 12 | 35 / 8 | $17.094,90 | 24 / 11 | $15.762,00 | 388 / 11 | $15.058,00 | 386 / 11 |
Knee Procedures W Pdx Of Infection W Cc | 12 | 4 / 1 | $31.892,80 | 1 / 1 | $29.807,30 | 12 / 1 | $24.586,80 | 12 / 1 |
Lymphoma & Non-Acute Leukemia W Cc | 12 | 24 / 6 | $17.768,80 | 4 / 4 | $16.380,90 | 123 / 4 | $15.775,60 | 123 / 4 |
Major Cardiovasc Procedures W Mcc | 12 | 56 / 9 | $39.670,80 | 6 / 6 | $36.562,70 | 390 / 6 | $35.653,30 | 389 / 7 |
Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 5 | $22.837,30 | 48 / 7 | $21.049,20 | 406 / 7 | $20.480,50 | 406 / 7 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 11 | 20 / 5 | $17.132,80 | 16 / 9 | $15.797,90 | 197 / 9 | $15.035,70 | 197 / 9 |
Stomach, Esophageal & Duodenal Proc W Cc | 11 | 39 / 5 | $39.163,00 | 13 / 3 | $36.092,10 | 221 / 3 | $35.327,00 | 221 / 4 |
Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 11 | 17 / 2 | $65.528,40 | 2 / 2 | $60.389,90 | 66 / 2 | $59.124,50 | 66 / 2 |
Acute Myocardial Infarction, Expired W Mcc | 11 | 19 / 4 | $16.357,50 | 7 / 4 | $15.088,20 | 161 / 4 | $14.099,10 | 161 / 4 |
Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc | 11 | 17 / 3 | $25.812,90 | 3 / 3 | $23.802,90 | 58 / 3 | $22.595,60 | 58 / 3 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 6 | $42.381,60 | 13 / 6 | $39.063,60 | 598 / 6 | $37.972,70 | 598 / 6 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 12 | $31.523,30 | 157 / 20 | $29.047,90 | 672 / 20 | $28.611,50 | 671 / 21 |
Major Chest Trauma W Cc | 11 | 25 / 3 | $13.787,00 | 7 / 3 | $12.722,40 | 142 / 3 | $11.625,60 | 142 / 3 |
Pulmonary Embolism W Mcc | 11 | 32 / 9 | $17.235,60 | 23 / 10 | $15.892,70 | 566 / 10 | $15.127,60 | 565 / 10 | Total 200 procedures | 8.406 | 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.