Hospital Costs > In Oklahoma > St Anthony Hospital Oklahoma City, 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 | 607 | 80 / 3 | $53.172,80 | 1428 / 28 | $16.968,60 | 2077 / 50 | $13.925,40 | 2035 / 46 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 323 | 195 / 5 | $46.172,20 | 1634 / 43 | $15.251,60 | 2328 / 55 | $13.790,10 | 2287 / 55 |
Pulmonary Edema & Respiratory Failure | 138 | 66 / 2 | $27.452,90 | 884 / 22 | $11.260,00 | 2000 / 38 | $10.177,40 | 1994 / 38 |
Renal Failure W Mcc | 131 | 65 / 2 | $40.183,80 | 1299 / 18 | $13.099,10 | 1819 / 29 | $12.006,50 | 1815 / 29 |
Renal Failure W Cc | 125 | 96 / 5 | $27.956,10 | 1596 / 32 | $9.650,50 | 2227 / 39 | $8.309,22 | 2217 / 40 |
Revision Of Hip Or Knee Replacement W Cc | 121 | 5 / 1 | $67.095,20 | 197 / 4 | $23.931,70 | 475 / 9 | $22.085,90 | 473 / 10 |
Simple Pneumonia & Pleurisy W Mcc | 94 | 111 / 4 | $28.061,30 | 911 / 18 | $12.336,50 | 2176 / 38 | $11.127,60 | 2171 / 39 |
G.I. Hemorrhage W Cc | 92 | 126 / 6 | $28.033,40 | 1443 / 25 | $9.936,71 | 2251 / 38 | $8.809,89 | 2247 / 38 |
Heart Failure & Shock W Mcc | 91 | 193 / 5 | $34.894,70 | 1388 / 32 | $12.972,90 | 2296 / 47 | $11.778,20 | 2286 / 47 |
Seizures W/O Mcc | 74 | 34 / 1 | $16.769,40 | 359 / 4 | $8.374,99 | 1209 / 11 | $7.216,31 | 1207 / 11 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 73 | 202 / 10 | $18.239,50 | 1169 / 37 | $8.223,74 | 2570 / 54 | $7.108,71 | 2555 / 53 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 68 | 58 / 5 | $24.132,00 | 650 / 10 | $10.482,90 | 1500 / 19 | $9.410,68 | 1497 / 19 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 66 | 61 / 1 | $14.333,50 | 309 / 5 | $7.935,42 | 747 / 11 | $6.481,09 | 746 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 65 | 117 / 7 | $26.465,50 | 889 / 19 | $10.197,10 | 1848 / 29 | $8.540,58 | 1844 / 29 |
Hip & Femur Procedures Except Major Joint W Cc | 57 | 86 / 6 | $51.825,60 | 1114 / 20 | $15.475,10 | 1733 / 30 | $14.273,40 | 1714 / 30 |
Heart Failure & Shock W Cc | 54 | 224 / 12 | $19.928,20 | 1181 / 31 | $9.498,50 | 2527 / 49 | $8.528,19 | 2521 / 50 |
Spinal Fusion Except Cervical W/O Mcc | 53 | 141 / 9 | $99.873,20 | 734 / 13 | $28.180,50 | 978 / 19 | $26.206,60 | 973 / 19 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 52 | 114 / 8 | $16.595,70 | 1148 / 36 | $7.947,15 | 2400 / 52 | $6.764,19 | 2391 / 52 |
Transient Ischemia | 52 | 73 / 5 | $21.349,90 | 762 / 11 | $7.838,63 | 1552 / 18 | $6.319,60 | 1544 / 18 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 52 | 155 / 7 | $23.860,80 | 1147 / 35 | $9.951,65 | 2277 / 50 | $8.476,46 | 2268 / 50 |
Syncope & Collapse | 51 | 118 / 4 | $18.544,50 | 729 / 9 | $8.113,59 | 1809 / 19 | $7.131,06 | 1801 / 19 |
Respiratory Infections & Inflammations W Mcc | 50 | 86 / 5 | $46.378,40 | 981 / 14 | $15.998,70 | 1543 / 22 | $14.573,00 | 1527 / 22 |
G.I. Hemorrhage W Mcc | 47 | 74 / 3 | $49.565,90 | 996 / 9 | $14.808,60 | 1376 / 16 | $13.574,10 | 1366 / 17 |
Cellulitis W/O Mcc | 47 | 142 / 5 | $21.937,40 | 1656 / 35 | $9.107,49 | 2448 / 49 | $7.399,94 | 2440 / 49 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 45 | 79 / 6 | $122.663,00 | 764 / 10 | $38.084,70 | 1073 / 15 | $36.555,30 | 1066 / 17 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 44 | 87 / 7 | $66.061,20 | 1066 / 21 | $18.498,70 | 1443 / 30 | $16.862,00 | 1429 / 31 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 43 | 153 / 11 | $54.898,50 | 336 / 5 | $15.930,80 | 1187 / 21 | $13.912,50 | 1180 / 22 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 43 | 145 / 11 | $31.058,00 | 567 / 11 | $10.399,10 | 1420 / 24 | $8.331,98 | 1417 / 24 |
Chest Pain | 42 | 109 / 4 | $19.562,30 | 890 / 19 | $7.340,95 | 1602 / 24 | $6.232,21 | 1593 / 24 |
Poisoning & Toxic Effects Of Drugs W Mcc | 41 | 31 / 3 | $25.278,70 | 220 / 5 | $11.447,20 | 705 / 12 | $9.862,93 | 703 / 12 |
Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 18 | $15.305,30 | 982 / 37 | $8.248,33 | 2516 / 59 | $6.840,08 | 2505 / 59 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 40 | 85 / 7 | $47.881,40 | 1078 / 18 | $14.206,50 | 1518 / 23 | $13.056,20 | 1505 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 39 | 129 / 8 | $35.903,10 | 547 / 6 | $14.210,70 | 1310 / 14 | $13.097,00 | 1304 / 14 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 38 | 27 / 1 | $73.419,40 | 415 / 6 | $23.155,30 | 630 / 12 | $20.987,10 | 627 / 12 |
Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 20 | $22.413,70 | 934 / 31 | $10.814,90 | 2323 / 51 | $9.566,19 | 2315 / 51 |
Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 22 | $20.777,40 | 1212 / 39 | $9.704,44 | 2569 / 67 | $8.210,33 | 2560 / 66 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 10 | $18.108,20 | 865 / 20 | $8.465,74 | 2044 / 33 | $7.501,80 | 2039 / 33 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 34 | 9 / 1 | $74.482,70 | 68 / 4 | $19.427,60 | 64 / 4 | $18.071,00 | 64 / 4 |
Chronic Obstructive Pulmonary Disease W Cc | 33 | 146 / 15 | $19.824,70 | 983 / 29 | $9.631,67 | 2260 / 47 | $8.149,94 | 2253 / 47 |
Kidney & Urinary Tract Infections W Mcc | 31 | 113 / 8 | $19.146,50 | 522 / 10 | $10.097,50 | 1738 / 27 | $9.032,74 | 1734 / 27 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 29 | 32 / 4 | $16.957,30 | 396 / 8 | $8.096,66 | 876 / 14 | $7.394,62 | 875 / 14 |
Other Circulatory System Diagnoses W Mcc | 29 | 87 / 5 | $51.064,80 | 770 / 8 | $15.771,60 | 1111 / 12 | $14.621,40 | 1103 / 13 |
G.I. Obstruction W Cc | 28 | 64 / 6 | $16.606,00 | 410 / 5 | $9.092,50 | 1626 / 19 | $7.869,96 | 1621 / 19 |
Extracranial Procedures W/O Cc/Mcc | 28 | 70 / 8 | $32.273,50 | 485 / 8 | $10.043,40 | 896 / 10 | $9.053,82 | 893 / 10 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 28 | 53 / 1 | $13.356,20 | 28 / 1 | $10.643,40 | 71 / 1 | $9.421,61 | 71 / 1 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 10 | $14.490,20 | 921 / 13 | $7.094,46 | 1924 / 25 | $5.891,42 | 1918 / 25 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 26 | 66 / 7 | $123.753,00 | 348 / 7 | $40.200,80 | 381 / 13 | $34.804,80 | 380 / 10 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 26 | 67 / 5 | $46.313,60 | 256 / 4 | $16.307,40 | 692 / 9 | $15.162,60 | 685 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 26 | 76 / 8 | $23.811,70 | 823 / 9 | $7.952,19 | 1478 / 15 | $6.538,50 | 1474 / 15 |
Hypertension W/O Mcc | 25 | 40 / 2 | $18.747,60 | 368 / 6 | $7.430,52 | 721 / 10 | $5.880,56 | 719 / 10 |
Diabetes W Cc | 25 | 67 / 8 | $21.081,00 | 774 / 13 | $8.790,44 | 1459 / 23 | $7.394,48 | 1454 / 23 |
Nonspecific Cerebrovascular Disorders W Mcc | 25 | 26 / 4 | $40.745,20 | 196 / 3 | $14.880,10 | 344 / 6 | $13.130,70 | 344 / 6 |
Other Resp System O.R. Procedures W Mcc | 24 | 39 / 2 | $82.526,10 | 237 / 3 | $27.361,20 | 370 / 4 | $24.242,80 | 369 / 4 |
Seizures W Mcc | 24 | 42 / 4 | $42.677,20 | 390 / 6 | $14.751,20 | 632 / 7 | $12.886,30 | 632 / 7 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 24 | 45 / 4 | $51.497,90 | 123 / 3 | $20.268,50 | 396 / 9 | $18.424,90 | 395 / 9 |
Peripheral Vascular Disorders W Cc | 23 | 61 / 3 | $19.089,10 | 365 / 5 | $9.579,13 | 1153 / 14 | $8.703,43 | 1150 / 14 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 23 | 77 / 7 | $84.304,30 | 329 / 7 | $23.287,00 | 709 / 11 | $22.141,00 | 705 / 12 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 22 | 42 / 4 | $195.814,00 | 137 / 4 | $66.772,90 | 288 / 5 | $65.189,80 | 288 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 11 | $26.037,90 | 728 / 12 | $11.134,70 | 1688 / 25 | $9.816,77 | 1685 / 25 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 21 | 50 / 7 | $118.081,00 | 367 / 5 | $36.464,40 | 621 / 13 | $35.140,30 | 620 / 14 |
Pulmonary Embolism W/O Mcc | 21 | 53 / 6 | $21.661,60 | 478 / 7 | $10.159,40 | 1165 / 13 | $7.919,71 | 1162 / 13 |
Other Vascular Procedures W Mcc | 21 | 76 / 6 | $82.955,50 | 415 / 5 | $24.187,50 | 476 / 6 | $20.496,90 | 474 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 8 | $26.264,10 | 491 / 6 | $10.975,50 | 1168 / 13 | $9.097,20 | 1163 / 13 |
Hip & Femur Procedures Except Major Joint W Mcc | 20 | 42 / 6 | $59.442,00 | 300 / 6 | $20.765,10 | 618 / 11 | $19.501,40 | 615 / 11 |
Renal Failure W/O Cc/Mcc | 20 | 36 / 6 | $19.481,30 | 542 / 9 | $7.539,35 | 832 / 12 | $6.502,10 | 830 / 12 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 20 | 48 / 3 | $28.028,70 | 422 / 6 | $9.266,35 | 680 / 8 | $8.251,05 | 680 / 8 |
Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 9 | $100.607,00 | 388 / 11 | $34.904,80 | 791 / 15 | $33.471,20 | 789 / 14 |
Other Vascular Procedures W Cc | 19 | 83 / 9 | $53.265,10 | 260 / 6 | $18.864,80 | 824 / 13 | $17.604,70 | 819 / 13 |
Major Cardiovasc Procedures W Mcc | 19 | 49 / 6 | $116.764,00 | 196 / 2 | $35.426,00 | 345 / 5 | $34.186,20 | 344 / 7 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 15 | $21.861,50 | 1061 / 17 | $8.534,05 | 1852 / 26 | $7.320,53 | 1843 / 26 |
Nonspecific Cerebrovascular Disorders W Cc | 19 | 37 / 4 | $24.603,10 | 216 / 4 | $8.650,26 | 410 / 6 | $8.023,21 | 410 / 6 |
G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 6 | $11.845,50 | 271 / 3 | $7.870,06 | 1270 / 12 | $5.924,83 | 1267 / 12 |
Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 9 | $79.730,80 | 373 / 7 | $24.772,40 | 490 / 12 | $20.218,90 | 490 / 10 |
Major Small & Large Bowel Procedures W Cc | 18 | 90 / 10 | $54.106,20 | 507 / 12 | $18.914,00 | 1187 / 19 | $17.390,20 | 1173 / 19 |
Respiratory Neoplasms W Mcc | 17 | 35 / 4 | $48.011,90 | 355 / 4 | $14.182,50 | 530 / 6 | $13.018,10 | 527 / 6 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 17 | 23 / 3 | $47.805,90 | 81 / 2 | $18.719,10 | 330 / 6 | $16.306,20 | 329 / 6 |
Medical Back Problems W/O Mcc | 17 | 104 / 7 | $21.700,10 | 651 / 6 | $8.998,24 | 1373 / 10 | $7.376,06 | 1368 / 10 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 16 | 53 / 7 | $50.572,60 | 161 / 2 | $14.622,40 | 491 / 12 | $13.531,20 | 489 / 12 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 16 | 75 / 4 | $35.342,80 | 217 / 2 | $10.546,20 | 339 / 3 | $10.094,20 | 339 / 3 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 7 | $33.446,40 | 981 / 9 | $10.306,40 | 1352 / 12 | $9.199,06 | 1348 / 12 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 16 | 37 / 3 | $28.661,30 | 180 / 2 | $10.949,10 | 385 / 6 | $9.600,56 | 385 / 6 |
Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 8 | $30.835,80 | 543 / 7 | $9.590,19 | 738 / 10 | $8.438,44 | 738 / 10 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 16 | 50 / 5 | $24.177,80 | 143 / 3 | $10.210,90 | 437 / 5 | $8.844,94 | 436 / 5 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 15 | 34 / 1 | $6.946,73 | 45 / 1 | $6.392,73 | 95 / 1 | $5.497,20 | 94 / 1 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 15 | 101 / 6 | $199.605,00 | 221 / 3 | $55.973,90 | 182 / 5 | $48.859,90 | 182 / 5 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 24 | $19.520,70 | 1228 / 30 | $7.650,20 | 1987 / 44 | $6.617,40 | 1976 / 44 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 19 | $14.805,90 | 715 / 27 | $8.019,53 | 1898 / 49 | $6.685,80 | 1890 / 49 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 15 | 36 / 6 | $55.817,30 | 181 / 5 | $16.554,90 | 252 / 6 | $14.884,40 | 252 / 6 |
Respiratory Neoplasms W Cc | 14 | 33 / 5 | $37.748,40 | 291 / 5 | $11.020,90 | 333 / 6 | $7.933,50 | 332 / 6 |
Stomach, Esophageal & Duodenal Proc W Mcc | 14 | 27 / 3 | $170.951,00 | 150 / 4 | $52.090,60 | 198 / 5 | $48.634,90 | 198 / 5 |
Psychoses | 14 | 261 / 10 | $20.968,40 | 350 / 7 | $9.930,79 | 522 / 10 | $8.480,93 | 522 / 10 |
Revision Of Hip Or Knee Replacement W Mcc | 14 | 10 / 1 | $92.159,50 | 6 / 1 | $31.135,70 | 9 / 1 | $30.060,10 | 9 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 7 | $48.208,00 | 240 / 5 | $15.841,60 | 493 / 8 | $13.769,90 | 489 / 8 |
Disorders Of The Biliary Tract W Mcc | 14 | 25 / 1 | $34.434,80 | 72 / 2 | $13.378,40 | 178 / 3 | $12.159,90 | 178 / 3 |
Cellulitis W Mcc | 13 | 45 / 4 | $50.264,70 | 734 / 6 | $14.825,50 | 918 / 6 | $13.645,00 | 916 / 6 |
Dysequilibrium | 13 | 52 / 5 | $16.034,20 | 152 / 3 | $7.582,15 | 531 / 7 | $6.292,31 | 531 / 7 |
Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 9 | $64.205,80 | 406 / 6 | $19.904,50 | 752 / 12 | $18.649,90 | 749 / 12 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 12 | $30.758,30 | 762 / 11 | $10.204,10 | 1324 / 17 | $9.136,15 | 1322 / 17 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 18 | $13.458,80 | 658 / 18 | $7.791,92 | 1922 / 36 | $6.751,00 | 1909 / 36 |
Transurethral Procedures W Cc | 13 | 28 / 3 | $35.517,50 | 184 / 5 | $11.331,40 | 329 / 5 | $9.405,85 | 329 / 5 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 13 | 63 / 7 | $66.642,80 | 398 / 5 | $16.499,70 | 454 / 7 | $15.403,80 | 454 / 8 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 13 | 41 / 5 | $14.473,90 | 55 / 3 | $8.185,08 | 372 / 5 | $7.095,85 | 372 / 5 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 13 | $23.602,40 | 406 / 9 | $12.044,20 | 1359 / 20 | $11.328,40 | 1354 / 21 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 12 | 20 / 2 | $56.442,20 | 83 / 2 | $18.661,00 | 119 / 2 | $17.739,70 | 119 / 2 |
Other Circulatory System O.R. Procedures | 12 | 43 / 5 | $56.169,20 | 137 / 2 | $20.702,20 | 279 / 3 | $19.052,50 | 279 / 3 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 9 | $17.962,20 | 464 / 6 | $8.006,42 | 953 / 12 | $6.681,58 | 949 / 12 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 6 | $38.123,10 | 264 / 3 | $15.745,00 | 476 / 7 | $13.151,30 | 475 / 8 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 6 | $42.659,40 | 311 / 6 | $13.565,10 | 775 / 11 | $12.191,70 | 771 / 11 |
Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 12 | $54.582,80 | 401 / 11 | $17.479,60 | 680 / 16 | $14.617,20 | 677 / 16 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 12 | $45.202,70 | 248 / 6 | $17.333,90 | 375 / 13 | $11.990,40 | 372 / 11 |
Pulmonary Embolism W Mcc | 11 | 32 / 4 | $33.900,20 | 230 / 1 | $12.395,10 | 488 / 6 | $10.922,40 | 487 / 6 |
Carotid Artery Stent Procedure W Cc | 11 | 9 / 3 | $38.103,30 | 4 / 2 | $16.608,30 | 19 / 3 | $15.543,20 | 19 / 3 |
Pleural Effusion W Mcc | 11 | 19 / 2 | $39.675,70 | 89 / 2 | $12.520,80 | 161 / 3 | $11.851,50 | 161 / 3 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 8 | $93.467,50 | 180 / 1 | $33.248,40 | 447 / 7 | $32.055,80 | 447 / 7 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 7 | $29.623,20 | 151 / 4 | $11.128,90 | 548 / 7 | $9.923,36 | 547 / 7 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 11 | 77 / 11 | $93.568,50 | 210 / 7 | $27.099,50 | 332 / 11 | $22.251,00 | 331 / 10 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 11 | $44.711,10 | 491 / 9 | $13.595,80 | 719 / 14 | $10.909,20 | 716 / 14 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 3 | $52.655,70 | 156 / 3 | $19.526,60 | 385 / 4 | $18.225,80 | 385 / 4 |
Knee Procedures W/O Pdx Of Infection W Cc/Mcc | 11 | 7 / 1 | $33.825,90 | 6 / 2 | $13.847,50 | 17 / 2 | $12.636,50 | 17 / 2 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 5 | $23.441,80 | 211 / 3 | $7.995,27 | 347 / 4 | $6.885,27 | 347 / 4 |
Peritoneal Adhesiolysis W Cc | 11 | 28 / 7 | $51.863,20 | 97 / 5 | $17.114,30 | 207 / 7 | $15.828,00 | 207 / 8 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 7 | $40.259,10 | 306 / 5 | $13.881,80 | 599 / 8 | $11.184,70 | 599 / 8 |
Peripheral Vascular Disorders W Mcc | 11 | 38 / 6 | $20.770,00 | 63 / 1 | $11.133,10 | 427 / 6 | $9.741,09 | 427 / 6 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 13 | $38.512,80 | 606 / 7 | $13.019,00 | 790 / 12 | $10.756,30 | 787 / 11 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 7 | $15.772,70 | 316 / 6 | $7.950,09 | 888 / 9 | $6.952,09 | 887 / 9 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 10 | $49.926,70 | 832 / 11 | $11.530,90 | 956 / 12 | $10.582,30 | 952 / 13 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Mcc | 11 | 13 / 1 | $98.265,90 | 11 / 1 | $27.904,50 | 7 / 1 | $25.906,70 | 7 / 1 | Total 127 procedures | 4.672 | 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.