Hospital Costs > In Ohio > St Elizabeth Health Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 20 | $26.968,50 | 604 / 37 | $6.800,76 | 640 / 33 | $5.741,59 | 639 / 42 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 35 | $32.359,30 | 528 / 34 | $10.629,30 | 696 / 43 | $9.418,36 | 695 / 50 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 14 | $23.402,60 | 404 / 17 | $5.303,58 | 449 / 20 | $4.152,92 | 446 / 27 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 13 | 53 / 12 | $41.147,30 | 180 / 9 | $12.418,40 | 160 / 9 | $9.930,38 | 160 / 11 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 19 | $33.567,20 | 359 / 16 | $7.244,55 | 110 / 9 | $4.825,73 | 110 / 8 |
Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 32 | 5 / 1 | $45.800,80 | 26 / 3 | $13.966,20 | 19 / 3 | $11.213,70 | 19 / 1 |
Biopsies Of Musculoskeletal System & Connective Tissue W/O Cc/Mcc | 17 | 3 / 1 | $41.822,80 | 5 / 1 | $10.970,10 | 10 / 1 | $9.809,59 | 10 / 1 |
Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 9 | $13.987,80 | 161 / 13 | $6.168,52 | 339 / 25 | $4.411,10 | 335 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 58 | 103 / 16 | $15.986,30 | 622 / 41 | $5.564,93 | 1033 / 66 | $4.330,14 | 1029 / 67 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 70 | 53 / 5 | $27.368,30 | 813 / 48 | $8.078,66 | 633 / 56 | $6.571,19 | 630 / 47 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 67 | 83 / 7 | $13.634,20 | 820 / 44 | $4.216,22 | 951 / 67 | $2.784,40 | 946 / 64 |
Cellulitis W/O Mcc | 53 | 136 / 31 | $15.683,90 | 944 / 66 | $5.926,49 | 1108 / 78 | $4.354,06 | 1102 / 71 |
Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 19 | $57.077,10 | 423 / 18 | $13.742,60 | 447 / 9 | $12.393,40 | 445 / 20 |
Chest Pain | 44 | 107 / 10 | $15.581,80 | 550 / 31 | $4.395,93 | 738 / 45 | $3.190,09 | 733 / 47 |
Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 30 | $19.695,50 | 966 / 63 | $6.278,88 | 1187 / 67 | $5.139,75 | 1183 / 75 |
Chronic Obstructive Pulmonary Disease W Mcc | 62 | 140 / 32 | $24.409,70 | 1078 / 61 | $7.762,97 | 1074 / 70 | $6.313,19 | 1069 / 70 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 31 | $18.086,00 | 1119 / 75 | $5.175,35 | 1053 / 73 | $3.787,17 | 1044 / 76 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 21 | $41.339,80 | 178 / 14 | $13.424,20 | 213 / 16 | $11.103,80 | 209 / 16 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 49 | 139 / 20 | $31.189,90 | 573 / 33 | $7.345,39 | 474 / 39 | $5.405,88 | 472 / 28 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 12 | $18.730,00 | 187 / 16 | $6.157,73 | 132 / 18 | $4.360,47 | 132 / 12 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 15 | 83 / 12 | $80.099,30 | 96 / 1 | $26.846,50 | 48 / 1 | $22.608,50 | 48 / 1 |
Degenerative Nervous System Disorders W/O Mcc | 29 | 49 / 8 | $16.632,10 | 126 / 10 | $6.418,14 | 155 / 16 | $4.826,97 | 155 / 10 |
Diabetes W Cc | 33 | 59 / 11 | $18.704,20 | 598 / 41 | $5.851,21 | 715 / 42 | $4.546,12 | 713 / 44 |
Diabetes W Mcc | 12 | 45 / 12 | $41.554,90 | 477 / 28 | $9.598,50 | 348 / 23 | $8.363,17 | 348 / 26 |
Diabetes W/O Cc/Mcc | 12 | 26 / 5 | $10.555,40 | 48 / 2 | $4.265,33 | 117 / 5 | $3.201,33 | 117 / 6 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 10 | $28.193,70 | 79 / 5 | $10.935,90 | 76 / 3 | $9.628,75 | 76 / 4 |
Dysequilibrium | 11 | 54 / 14 | $19.401,10 | 232 / 14 | $4.631,27 | 184 / 16 | $3.095,64 | 184 / 13 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 22 | 59 / 8 | $237.457,00 | 27 / 3 | $66.137,40 | 2 / 1 | $63.612,10 | 2 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 20 | $21.291,40 | 264 / 18 | $7.920,58 | 362 / 36 | $6.377,11 | 360 / 27 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 83 | 192 / 27 | $17.714,60 | 1088 / 65 | $5.363,40 | 1537 / 78 | $4.161,93 | 1525 / 89 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 15 | $107.365,00 | 277 / 16 | $25.842,80 | 54 / 6 | $23.985,80 | 54 / 3 |
Extracranial Procedures W/O Cc/Mcc | 33 | 65 / 7 | $31.044,90 | 470 / 18 | $6.856,00 | 451 / 14 | $5.599,09 | 450 / 24 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 12 | $21.063,00 | 548 / 23 | $5.221,36 | 409 / 21 | $3.727,00 | 409 / 20 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 15 | $16.849,60 | 256 / 17 | $5.248,46 | 373 / 17 | $4.126,46 | 373 / 21 |
G.I. Hemorrhage W Cc | 72 | 146 / 21 | $21.445,10 | 893 / 55 | $6.818,40 | 1222 / 68 | $5.601,01 | 1220 / 72 |
G.I. Hemorrhage W Mcc | 42 | 79 / 12 | $40.547,70 | 709 / 40 | $11.743,70 | 721 / 49 | $10.284,40 | 721 / 46 |
G.I. Obstruction W Cc | 19 | 73 / 24 | $15.470,60 | 323 / 22 | $6.182,32 | 995 / 47 | $5.111,58 | 992 / 59 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 20 | $12.584,50 | 327 / 22 | $4.550,55 | 426 / 30 | $2.869,18 | 425 / 25 |
Heart Failure & Shock W Cc | 133 | 145 / 9 | $20.161,90 | 1202 / 62 | $6.708,18 | 1111 / 75 | $5.380,63 | 1109 / 68 |
Heart Failure & Shock W Mcc | 130 | 154 / 14 | $29.915,60 | 1080 / 60 | $9.960,32 | 989 / 70 | $8.286,65 | 988 / 65 |
Heart Failure & Shock W/O Cc/Mcc | 44 | 66 / 6 | $14.226,80 | 750 / 44 | $4.885,34 | 832 / 61 | $3.585,20 | 828 / 51 |
Hip & Femur Procedures Except Major Joint W Cc | 59 | 84 / 7 | $45.524,50 | 866 / 53 | $12.343,20 | 795 / 50 | $10.606,40 | 786 / 53 |
Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 16 | $60.375,70 | 311 / 19 | $18.638,20 | 348 / 24 | $16.929,80 | 345 / 25 |
Hypertension W/O Mcc | 25 | 40 / 3 | $17.389,80 | 315 / 18 | $4.628,52 | 303 / 16 | $3.164,24 | 301 / 15 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 50 | 74 / 8 | $115.093,00 | 688 / 41 | $34.736,30 | 468 / 46 | $29.244,20 | 464 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 80 | 102 / 11 | $27.257,50 | 949 / 50 | $7.341,90 | 961 / 57 | $5.774,11 | 958 / 57 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 70 | 98 / 8 | $41.385,00 | 737 / 39 | $11.228,40 | 617 / 39 | $9.666,41 | 616 / 40 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 36 | 66 / 11 | $18.668,70 | 486 / 25 | $5.416,22 | 764 / 45 | $3.950,11 | 760 / 48 |
Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 41 | $34.752,20 | 1356 / 80 | $8.397,31 | 1348 / 75 | $7.151,62 | 1344 / 80 |
Kidney & Urinary Tract Infections W/O Mcc | 62 | 171 / 31 | $14.438,80 | 847 / 51 | $5.478,97 | 1434 / 80 | $4.289,95 | 1425 / 81 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 13 | $41.256,20 | 293 / 13 | $11.158,80 | 204 / 19 | $8.309,92 | 204 / 11 |
Major Cardiovasc Procedures W Mcc | 11 | 57 / 19 | $96.745,80 | 104 / 9 | $32.249,00 | 11 / 10 | $23.804,80 | 11 / 1 |
Major Cardiovasc Procedures W/O Mcc | 25 | 76 / 12 | $74.561,60 | 311 / 17 | $20.959,40 | 217 / 15 | $17.940,30 | 217 / 12 |
Major Chest Procedures W Cc | 11 | 63 / 10 | $66.748,90 | 245 / 5 | $15.946,60 | 78 / 3 | $13.050,00 | 78 / 3 |
Major Chest Procedures W Mcc | 11 | 38 / 9 | $106.598,00 | 111 / 8 | $31.956,80 | 124 / 10 | $29.830,50 | 124 / 11 |
Major Chest Trauma W Cc | 12 | 24 / 2 | $21.349,20 | 32 / 2 | $7.324,50 | 8 / 2 | $4.227,00 | 8 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 21 | $22.894,90 | 392 / 25 | $7.979,58 | 482 / 30 | $6.607,08 | 480 / 31 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 63 | 501 / 68 | $43.039,10 | 926 / 53 | $13.457,50 | 1235 / 58 | $11.457,40 | 1204 / 81 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 27 | $57.578,40 | 580 / 33 | $16.740,90 | 119 / 39 | $12.025,00 | 119 / 10 |
Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 16 | $115.334,00 | 519 / 32 | $33.386,20 | 442 / 35 | $29.026,00 | 440 / 37 |
Medical Back Problems W Mcc | 13 | 26 / 8 | $24.547,80 | 37 / 1 | $9.512,08 | 21 / 4 | $7.649,46 | 21 / 2 |
Medical Back Problems W/O Mcc | 73 | 48 / 4 | $18.731,70 | 437 / 29 | $6.062,14 | 494 / 41 | $4.211,81 | 494 / 35 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 21 | $25.797,00 | 752 / 47 | $7.473,90 | 691 / 46 | $6.366,45 | 688 / 49 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 79 | 87 / 6 | $15.578,70 | 1029 / 55 | $5.067,52 | 1109 / 75 | $3.729,90 | 1106 / 70 |
Organic Disturbances & Mental Retardation | 15 | 44 / 6 | $15.004,10 | 91 / 3 | $6.960,67 | 220 / 8 | $5.763,47 | 220 / 8 |
Other Circulatory System Diagnoses W Cc | 16 | 50 / 12 | $16.023,20 | 100 / 10 | $6.231,56 | 214 / 16 | $5.181,06 | 213 / 15 |
Other Circulatory System Diagnoses W Mcc | 40 | 76 / 13 | $36.415,40 | 382 / 27 | $11.253,70 | 277 / 28 | $9.893,83 | 277 / 31 |
Other Circulatory System O.R. Procedures | 14 | 41 / 7 | $40.100,10 | 54 / 4 | $16.739,90 | 107 / 3 | $15.291,10 | 107 / 3 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 25 | $17.505,10 | 262 / 17 | $6.931,38 | 539 / 39 | $5.267,44 | 536 / 35 |
Other Digestive System Diagnoses W Mcc | 18 | 44 / 8 | $44.034,90 | 378 / 16 | $11.932,10 | 361 / 16 | $10.526,90 | 360 / 20 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 16 | $24.153,70 | 363 / 18 | $7.108,58 | 411 / 19 | $5.894,42 | 411 / 21 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 25 | 76 / 16 | $30.406,40 | 399 / 28 | $9.961,64 | 359 / 29 | $8.606,92 | 359 / 29 |
Other Resp System O.R. Procedures W Mcc | 13 | 50 / 12 | $52.701,20 | 72 / 4 | $18.801,20 | 24 / 1 | $17.061,60 | 24 / 4 |
Other Respiratory System Diagnoses W/O Mcc | 11 | 35 / 7 | $19.785,50 | 110 / 4 | $5.526,00 | 115 / 1 | $4.431,09 | 115 / 2 |
Other Vascular Procedures W Cc | 29 | 73 / 14 | $63.448,20 | 420 / 21 | $16.347,90 | 265 / 17 | $13.735,40 | 264 / 14 |
Other Vascular Procedures W Mcc | 27 | 70 / 14 | $58.592,10 | 142 / 11 | $19.325,30 | 154 / 8 | $17.520,10 | 154 / 9 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 23 | $85.176,50 | 337 / 27 | $19.197,20 | 300 / 12 | $17.928,40 | 298 / 17 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 67 | 129 / 18 | $71.865,00 | 719 / 45 | $13.294,00 | 376 / 26 | $10.342,20 | 376 / 22 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 18 | 51 / 9 | $63.567,80 | 294 / 19 | $11.426,80 | 264 / 13 | $10.190,90 | 264 / 19 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 13 | 82 / 15 | $58.090,10 | 164 / 9 | $12.187,40 | 217 / 7 | $11.137,80 | 215 / 11 |
Peripheral Vascular Disorders W Cc | 24 | 60 / 10 | $16.677,40 | 255 / 18 | $6.615,00 | 590 / 29 | $5.541,00 | 588 / 37 |
Permanent Cardiac Pacemaker Implant W Cc | 18 | 59 / 13 | $58.899,80 | 331 / 19 | $16.323,60 | 193 / 19 | $14.003,60 | 193 / 11 |
Permanent Cardiac Pacemaker Implant W Mcc | 21 | 31 / 6 | $68.842,80 | 132 / 9 | $21.181,30 | 131 / 9 | $19.870,00 | 131 / 11 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 12 | $54.098,50 | 324 / 18 | $14.269,90 | 159 / 17 | $11.094,00 | 158 / 9 |
Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 19 | $32.558,20 | 404 / 21 | $9.122,17 | 348 / 17 | $7.875,17 | 347 / 20 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 10 | $17.656,70 | 432 / 21 | $4.961,06 | 132 / 18 | $2.995,59 | 132 / 5 |
Postoperative & Post-Traumatic Infections W Mcc | 15 | 28 / 3 | $23.929,80 | 16 / 1 | $10.649,90 | 35 / 1 | $10.008,30 | 35 / 1 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 13 | 25 / 3 | $32.861,40 | 22 / 3 | $10.628,70 | 17 / 1 | $9.943,00 | 17 / 1 |
Psychoses | 214 | 111 / 5 | $11.495,40 | 99 / 8 | $6.983,16 | 218 / 13 | $5.576,47 | 218 / 14 |
Pulmonary Edema & Respiratory Failure | 34 | 169 / 46 | $24.898,60 | 724 / 42 | $8.162,21 | 1173 / 61 | $7.193,03 | 1171 / 68 |
Pulmonary Embolism W Mcc | 12 | 31 / 9 | $41.794,80 | 344 / 12 | $9.361,83 | 147 / 10 | $7.968,00 | 147 / 12 |
Pulmonary Embolism W/O Mcc | 18 | 56 / 17 | $23.998,30 | 605 / 32 | $6.653,44 | 611 / 28 | $5.392,67 | 608 / 33 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 17 | $22.681,40 | 228 / 14 | $8.123,31 | 190 / 25 | $6.516,54 | 190 / 18 |
Red Blood Cell Disorders W/O Mcc | 34 | 109 / 21 | $16.962,40 | 618 / 39 | $5.596,68 | 1140 / 56 | $4.714,79 | 1132 / 69 |
Renal Failure W Cc | 90 | 131 / 19 | $20.509,00 | 1028 / 57 | $6.656,29 | 1160 / 68 | $5.337,72 | 1152 / 72 |
Renal Failure W Mcc | 61 | 134 / 27 | $35.418,60 | 1068 / 63 | $10.504,40 | 1041 / 68 | $9.005,84 | 1041 / 71 |
Respiratory Infections & Inflammations W Cc | 20 | 68 / 21 | $26.965,70 | 565 / 39 | $9.120,60 | 839 / 40 | $8.091,40 | 834 / 48 |
Respiratory Infections & Inflammations W Mcc | 40 | 96 / 21 | $38.341,40 | 713 / 46 | $11.959,50 | 545 / 44 | $10.566,00 | 539 / 42 |
Respiratory Neoplasms W Mcc | 14 | 38 / 9 | $37.685,90 | 223 / 7 | $11.084,60 | 242 / 12 | $9.744,79 | 242 / 14 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 45 | 86 / 18 | $59.884,10 | 902 / 49 | $14.880,10 | 683 / 46 | $12.918,00 | 675 / 46 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 16 | $112.006,00 | 326 / 21 | $31.286,20 | 312 / 18 | $29.332,20 | 312 / 21 |
Seizures W/O Mcc | 30 | 78 / 14 | $18.643,20 | 473 / 29 | $5.431,23 | 405 / 28 | $3.915,37 | 403 / 26 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 21 | 71 / 14 | $104.922,00 | 213 / 16 | $33.666,40 | 71 / 15 | $29.169,30 | 71 / 8 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 187 | 329 / 28 | $43.553,50 | 1504 / 80 | $12.186,00 | 1037 / 75 | $10.240,90 | 1025 / 66 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 65 | 142 / 13 | $21.988,60 | 973 / 52 | $7.152,17 | 1303 / 60 | $5.985,98 | 1298 / 74 |
Signs & Symptoms W/O Mcc | 19 | 72 / 16 | $12.325,70 | 194 / 17 | $4.956,58 | 767 / 33 | $4.194,16 | 764 / 44 |
Simple Pneumonia & Pleurisy W Cc | 52 | 151 / 29 | $17.088,50 | 808 / 52 | $6.634,73 | 1220 / 77 | $5.240,31 | 1216 / 80 |
Simple Pneumonia & Pleurisy W Mcc | 74 | 131 / 17 | $28.423,60 | 934 / 61 | $9.570,46 | 769 / 76 | $7.620,84 | 769 / 60 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 24 | $14.077,60 | 625 / 37 | $5.115,00 | 1003 / 52 | $3.682,06 | 998 / 52 |
Spinal Fusion Except Cervical W/O Mcc | 36 | 158 / 26 | $83.703,60 | 569 / 32 | $23.751,00 | 568 / 18 | $22.279,40 | 565 / 36 |
Syncope & Collapse | 98 | 71 / 3 | $17.816,60 | 658 / 43 | $5.180,42 | 792 / 61 | $3.841,23 | 788 / 58 |
Tendonitis, Myositis & Bursitis W/O Mcc | 13 | 29 / 5 | $21.235,80 | 161 / 11 | $5.989,62 | 151 / 9 | $4.596,08 | 151 / 10 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 30 | 34 / 5 | $163.436,00 | 77 / 7 | $51.418,70 | 49 / 3 | $48.609,30 | 49 / 6 |
Transient Ischemia | 37 | 88 / 18 | $21.137,90 | 745 / 42 | $5.068,76 | 836 / 45 | $3.761,19 | 832 / 53 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 12 | 32 / 5 | $11.666,80 | 34 / 1 | $5.595,50 | 39 / 7 | $3.441,83 | 39 / 4 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 23 | 43 / 10 | $27.042,90 | 200 / 7 | $7.325,48 | 110 / 5 | $5.719,13 | 110 / 5 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 17 | 34 / 8 | $42.427,60 | 105 / 5 | $12.091,80 | 82 / 4 | $10.879,60 | 82 / 5 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 26 | 28 / 3 | $17.981,30 | 132 / 6 | $5.378,85 | 82 / 5 | $3.608,77 | 82 / 4 | Total 118 procedures | 4.084 | 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.