Hospital Costs > In Kentucky > St Elizabeth Medical Center Edgewood, 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 | 366 | 213 / 5 | $41.617,20 | 853 / 14 | $15.369,50 | 491 / 44 | $10.301,20 | 488 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 253 | 263 / 9 | $42.164,90 | 1426 / 45 | $12.018,60 | 970 / 48 | $10.146,00 | 962 / 39 |
Heart Failure & Shock W Mcc | 229 | 65 / 5 | $31.293,70 | 1172 / 41 | $9.711,42 | 860 / 46 | $8.118,45 | 860 / 34 |
Psychoses | 192 | 124 / 5 | $12.421,10 | 123 / 8 | $6.402,22 | 135 / 7 | $5.257,20 | 135 / 7 |
Heart Failure & Shock W Cc | 166 | 112 / 5 | $20.990,00 | 1289 / 39 | $6.962,89 | 794 / 49 | $5.135,20 | 793 / 26 |
Kidney & Urinary Tract Infections W/O Mcc | 160 | 75 / 3 | $13.463,10 | 703 / 18 | $5.159,48 | 1109 / 38 | $4.028,23 | 1101 / 37 |
Pulmonary Edema & Respiratory Failure | 160 | 50 / 3 | $28.904,50 | 972 / 37 | $8.340,05 | 709 / 43 | $6.601,52 | 709 / 32 |
Simple Pneumonia & Pleurisy W Cc | 137 | 67 / 5 | $16.820,80 | 773 / 21 | $6.526,93 | 1023 / 51 | $5.096,76 | 1020 / 37 |
Chronic Obstructive Pulmonary Disease W Cc | 131 | 50 / 4 | $17.711,40 | 769 / 31 | $6.192,08 | 826 / 43 | $4.822,41 | 823 / 29 |
Simple Pneumonia & Pleurisy W Mcc | 131 | 74 / 7 | $30.828,30 | 1093 / 40 | $9.308,33 | 943 / 41 | $7.816,55 | 943 / 35 |
Renal Failure W Cc | 130 | 91 / 6 | $17.620,30 | 741 / 22 | $6.196,90 | 893 / 28 | $5.079,66 | 885 / 30 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 129 | 146 / 7 | $13.387,30 | 557 / 15 | $5.137,38 | 914 / 42 | $3.703,40 | 909 / 32 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 124 | 67 / 3 | $27.397,70 | 391 / 12 | $8.272,10 | 241 / 27 | $5.049,79 | 241 / 5 |
G.I. Hemorrhage W Cc | 111 | 107 / 5 | $19.885,00 | 741 / 23 | $6.797,84 | 814 / 41 | $5.189,03 | 812 / 33 |
Chronic Obstructive Pulmonary Disease W Mcc | 106 | 96 / 8 | $24.053,70 | 1054 / 42 | $8.172,96 | 666 / 52 | $5.944,96 | 662 / 27 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 93 | 73 / 4 | $12.148,40 | 565 / 25 | $4.781,43 | 1007 / 38 | $3.656,90 | 1004 / 33 |
Renal Failure W Mcc | 91 | 104 / 7 | $38.237,40 | 1210 / 34 | $12.193,80 | 937 / 42 | $8.795,55 | 937 / 32 |
Cellulitis W/O Mcc | 90 | 99 / 5 | $13.430,30 | 650 / 21 | $5.783,47 | 782 / 43 | $4.113,09 | 777 / 25 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 85 | 111 / 7 | $56.268,80 | 369 / 10 | $15.017,60 | 125 / 20 | $9.552,33 | 125 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 84 | 123 / 5 | $18.912,80 | 679 / 18 | $7.137,23 | 812 / 40 | $5.486,32 | 810 / 25 |
Syncope & Collapse | 81 | 88 / 3 | $17.534,00 | 629 / 22 | $5.347,10 | 895 / 30 | $3.937,15 | 890 / 30 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 80 | 81 / 6 | $14.516,90 | 470 / 14 | $5.439,24 | 786 / 30 | $4.100,23 | 783 / 22 |
Hip & Femur Procedures Except Major Joint W Cc | 73 | 70 / 3 | $37.202,50 | 510 / 11 | $12.188,20 | 733 / 26 | $10.481,80 | 726 / 21 |
Chest Pain | 73 | 78 / 4 | $14.572,70 | 459 / 16 | $4.310,21 | 653 / 26 | $3.076,25 | 649 / 24 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 63 | 87 / 9 | $10.854,60 | 434 / 13 | $4.037,24 | 743 / 29 | $2.626,06 | 739 / 19 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 63 | 60 / 6 | $25.846,60 | 714 / 19 | $7.998,63 | 754 / 23 | $6.734,43 | 751 / 22 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 62 | 120 / 12 | $20.441,00 | 504 / 13 | $6.820,65 | 756 / 22 | $5.493,76 | 754 / 17 |
G.I. Hemorrhage W Mcc | 60 | 61 / 4 | $39.233,90 | 668 / 18 | $10.796,40 | 544 / 16 | $9.769,33 | 545 / 16 |
G.I. Obstruction W Cc | 53 | 39 / 3 | $14.805,40 | 275 / 12 | $6.008,25 | 673 / 27 | $4.666,26 | 672 / 22 |
Kidney & Urinary Tract Infections W Mcc | 52 | 92 / 8 | $19.438,80 | 537 / 14 | $7.448,96 | 704 / 30 | $5.958,06 | 703 / 23 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 50 | 43 / 3 | $47.734,30 | 274 / 9 | $14.777,20 | 426 / 13 | $12.396,90 | 420 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 48 | 120 / 11 | $33.801,60 | 479 / 12 | $11.286,40 | 380 / 17 | $9.039,25 | 379 / 10 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 47 | 24 / 1 | $52.739,50 | 184 / 3 | $12.650,90 | 201 / 6 | $9.711,40 | 201 / 3 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 47 | 77 / 6 | $98.793,90 | 476 / 14 | $34.038,60 | 633 / 15 | $30.816,00 | 627 / 16 |
Major Small & Large Bowel Procedures W Mcc | 46 | 39 / 3 | $107.092,00 | 456 / 14 | $34.529,50 | 487 / 15 | $29.514,80 | 485 / 14 |
Permanent Cardiac Pacemaker Implant W Cc | 46 | 31 / 1 | $73.517,50 | 544 / 6 | $16.633,80 | 478 / 6 | $15.711,00 | 477 / 9 |
Respiratory Infections & Inflammations W Mcc | 45 | 91 / 7 | $36.584,10 | 640 / 26 | $12.594,00 | 630 / 31 | $10.751,90 | 622 / 24 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 44 | 81 / 9 | $40.885,90 | 846 / 25 | $12.428,80 | 1182 / 27 | $10.956,30 | 1176 / 29 |
Transient Ischemia | 44 | 81 / 9 | $12.694,70 | 159 / 4 | $5.025,16 | 477 / 23 | $3.352,80 | 476 / 14 |
Medical Back Problems W/O Mcc | 43 | 78 / 5 | $12.029,70 | 100 / 4 | $5.355,70 | 265 / 11 | $3.905,74 | 265 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 43 | 83 / 6 | $24.249,30 | 657 / 19 | $8.310,95 | 979 / 26 | $6.986,09 | 976 / 23 |
Red Blood Cell Disorders W/O Mcc | 42 | 101 / 10 | $16.001,30 | 537 / 19 | $5.395,02 | 722 / 32 | $4.204,29 | 717 / 21 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 42 | 89 / 14 | $62.521,00 | 969 / 34 | $15.253,20 | 851 / 34 | $13.521,60 | 843 / 32 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 42 | 10 / 1 | $153.125,00 | 144 / 2 | $34.661,00 | 73 / 2 | $31.264,90 | 73 / 2 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 40 | 80 / 18 | $16.611,60 | 978 / 43 | $5.149,60 | 495 / 45 | $3.323,62 | 494 / 21 |
Major Small & Large Bowel Procedures W Cc | 40 | 68 / 7 | $54.801,10 | 523 / 17 | $15.337,80 | 701 / 13 | $14.350,80 | 695 / 21 |
Other Circulatory System Diagnoses W Mcc | 40 | 76 / 4 | $35.792,40 | 361 / 13 | $12.350,80 | 145 / 16 | $9.353,88 | 145 / 5 |
Diabetes W Cc | 39 | 53 / 5 | $13.354,30 | 227 / 6 | $5.422,21 | 726 / 16 | $4.564,67 | 724 / 23 |
Other Digestive System Diagnoses W Cc | 39 | 58 / 3 | $26.578,10 | 742 / 22 | $7.340,00 | 437 / 21 | $5.101,72 | 434 / 14 |
Other Vascular Procedures W Cc | 39 | 63 / 5 | $63.993,10 | 429 / 9 | $17.334,70 | 95 / 11 | $12.720,20 | 95 / 2 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 38 | 51 / 1 | $25.659,80 | 207 / 4 | $7.221,34 | 285 / 6 | $5.527,00 | 284 / 5 |
Respiratory Neoplasms W Mcc | 38 | 15 / 2 | $38.402,60 | 242 / 9 | $11.505,80 | 172 / 11 | $9.312,71 | 172 / 6 |
Signs & Symptoms W/O Mcc | 38 | 53 / 5 | $11.232,20 | 143 / 3 | $5.009,16 | 297 / 20 | $3.381,87 | 296 / 12 |
Other Vascular Procedures W Mcc | 36 | 61 / 4 | $76.735,30 | 342 / 7 | $23.202,60 | 173 / 9 | $17.652,70 | 173 / 5 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 36 | 6 / 1 | $36.076,70 | 32 / 1 | $13.506,60 | 54 / 3 | $10.523,10 | 54 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 35 | 61 / 4 | $18.515,90 | 153 / 3 | $8.768,91 | 110 / 22 | $5.729,14 | 110 / 4 |
Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 12 | $12.735,20 | 566 / 18 | $4.936,15 | 423 / 38 | $3.234,38 | 421 / 14 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 33 | 40 / 5 | $13.996,20 | 90 / 2 | $7.178,21 | 414 / 8 | $6.443,00 | 413 / 12 |
Pulmonary Embolism W/O Mcc | 33 | 41 / 3 | $20.916,60 | 432 / 6 | $6.682,64 | 528 / 10 | $5.245,24 | 526 / 11 |
Seizures W/O Mcc | 33 | 75 / 7 | $11.964,60 | 133 / 2 | $5.612,88 | 186 / 15 | $3.528,15 | 185 / 6 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 33 | 32 / 6 | $53.754,80 | 168 / 6 | $18.457,10 | 249 / 11 | $17.179,80 | 247 / 12 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 31 | 32 / 4 | $96.990,60 | 195 / 4 | $31.382,70 | 229 / 7 | $27.700,40 | 229 / 6 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 31 | 62 / 12 | $11.668,80 | 388 / 12 | $4.967,19 | 773 / 44 | $3.478,00 | 769 / 29 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 30 | 65 / 3 | $54.472,50 | 137 / 5 | $14.047,20 | 105 / 7 | $10.102,70 | 104 / 2 |
Permanent Cardiac Pacemaker Implant W Mcc | 30 | 22 / 2 | $101.360,00 | 335 / 7 | $28.918,60 | 333 / 8 | $23.170,70 | 333 / 7 |
G.I. Obstruction W/O Cc/Mcc | 29 | 42 / 4 | $9.527,83 | 114 / 4 | $4.268,86 | 452 / 10 | $2.901,66 | 451 / 13 |
Revision Of Hip Or Knee Replacement W Cc | 29 | 57 / 4 | $60.921,00 | 153 / 4 | $22.793,90 | 119 / 7 | $17.193,80 | 119 / 4 |
Extracranial Procedures W Cc | 29 | 17 / 2 | $36.253,00 | 131 / 4 | $10.613,00 | 97 / 6 | $8.107,34 | 97 / 3 |
Depressive Neuroses | 27 | 23 / 4 | $10.470,50 | 58 / 7 | $4.514,56 | 33 / 4 | $3.354,96 | 33 / 4 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 27 | 34 / 1 | $14.944,20 | 299 / 10 | $4.387,67 | 285 / 8 | $3.306,26 | 284 / 9 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 27 | 18 / 1 | $69.081,40 | 61 / 2 | $18.896,90 | 83 / 3 | $16.824,40 | 83 / 2 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 26 | 40 / 3 | $34.309,60 | 101 / 2 | $11.546,40 | 224 / 3 | $10.457,20 | 223 / 3 |
Poisoning & Toxic Effects Of Drugs W Mcc | 25 | 47 / 6 | $29.855,80 | 342 / 11 | $9.867,52 | 188 / 13 | $7.208,48 | 187 / 6 |
G.I. Hemorrhage W/O Cc/Mcc | 25 | 43 / 4 | $12.150,00 | 177 / 2 | $4.920,08 | 222 / 12 | $3.219,64 | 220 / 5 |
Coronary Bypass W Cardiac Cath W/O Mcc | 25 | 51 / 9 | $101.512,00 | 131 / 5 | $32.822,70 | 112 / 12 | $23.593,60 | 112 / 2 |
Other Kidney & Urinary Tract Diagnoses W Cc | 25 | 78 / 5 | $13.993,10 | 89 / 2 | $6.218,08 | 134 / 7 | $4.976,20 | 134 / 3 |
Major Chest Procedures W Cc | 25 | 49 / 8 | $66.778,50 | 248 / 8 | $18.076,60 | 127 / 8 | $13.675,70 | 127 / 5 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 24 | 94 / 6 | $121.792,00 | 171 / 3 | $35.253,30 | 186 / 4 | $30.403,00 | 186 / 3 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 24 | 38 / 2 | $14.219,60 | 161 / 6 | $4.871,04 | 220 / 9 | $3.652,00 | 220 / 9 |
Major Cardiovasc Procedures W/O Mcc | 24 | 77 / 10 | $69.411,70 | 250 / 5 | $25.126,60 | 37 / 11 | $16.106,00 | 37 / 1 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 23 | 43 / 3 | $16.937,30 | 39 / 1 | $7.399,57 | 64 / 4 | $5.389,00 | 64 / 3 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 23 | 65 / 9 | $84.524,10 | 159 / 6 | $24.201,40 | 232 / 8 | $20.548,00 | 231 / 5 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 23 | 23 / 1 | $11.368,70 | 28 / 1 | $4.718,87 | 57 / 2 | $2.941,74 | 57 / 1 |
Signs & Symptoms W Mcc | 22 | 19 / 1 | $17.721,10 | 37 / 1 | $7.555,09 | 37 / 2 | $5.879,50 | 37 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 16 | $15.067,10 | 257 / 4 | $5.760,91 | 270 / 20 | $3.323,73 | 268 / 8 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 22 | 18 / 2 | $60.968,20 | 180 / 6 | $17.555,10 | 94 / 7 | $13.059,00 | 94 / 4 |
Extracranial Procedures W/O Cc/Mcc | 22 | 76 / 12 | $23.742,10 | 248 / 7 | $6.859,23 | 342 / 11 | $5.312,91 | 342 / 10 |
Respiratory Infections & Inflammations W Cc | 22 | 66 / 11 | $28.260,90 | 619 / 23 | $8.707,14 | 656 / 24 | $7.671,18 | 653 / 24 |
Other Circulatory System O.R. Procedures | 22 | 33 / 2 | $58.242,60 | 145 / 4 | $19.666,70 | 84 / 6 | $14.794,10 | 84 / 4 |
Dysequilibrium | 22 | 43 / 3 | $13.094,00 | 87 / 2 | $4.522,45 | 138 / 3 | $2.937,23 | 138 / 3 |
Respiratory Neoplasms W Cc | 21 | 26 / 3 | $22.740,80 | 98 / 2 | $7.464,57 | 142 / 3 | $6.353,10 | 141 / 4 |
Spinal Fusion Except Cervical W/O Mcc | 21 | 173 / 13 | $90.229,60 | 641 / 7 | $30.401,10 | 138 / 11 | $19.373,00 | 137 / 1 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 21 | 43 / 5 | $43.686,10 | 367 / 11 | $12.090,20 | 113 / 12 | $7.638,10 | 113 / 5 |
Organic Disturbances & Mental Retardation | 20 | 39 / 3 | $11.366,40 | 41 / 1 | $6.339,60 | 28 / 5 | $4.512,60 | 28 / 2 |
Other Disorders Of Nervous System W Cc | 20 | 36 / 4 | $14.353,30 | 77 / 2 | $6.037,30 | 41 / 4 | $3.998,65 | 41 / 2 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 20 | 25 / 2 | $48.197,80 | 77 / 2 | $11.810,60 | 27 / 1 | $9.747,10 | 27 / 2 |
Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 15 | $24.561,90 | 502 / 16 | $6.899,75 | 438 / 21 | $5.370,75 | 437 / 15 |
Nervous System Neoplasms W Mcc | 20 | 28 / 3 | $36.540,60 | 144 / 3 | $11.364,00 | 100 / 4 | $7.540,85 | 100 / 3 |
Transurethral Procedures W Cc | 20 | 21 / 2 | $24.847,40 | 63 / 4 | $8.038,90 | 148 / 6 | $6.912,15 | 148 / 6 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 20 | 80 / 13 | $76.795,00 | 239 / 9 | $20.436,10 | 176 / 11 | $17.002,60 | 176 / 4 |
Other Resp System O.R. Procedures W Mcc | 20 | 43 / 8 | $67.220,90 | 134 / 7 | $22.435,80 | 235 / 6 | $21.109,10 | 234 / 7 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 19 | 49 / 5 | $10.981,90 | 42 / 1 | $6.270,32 | 158 / 3 | $4.463,79 | 158 / 2 |
Cellulitis W Mcc | 19 | 39 / 6 | $26.980,20 | 302 / 7 | $9.902,16 | 227 / 10 | $7.556,58 | 226 / 8 |
Red Blood Cell Disorders W Mcc | 19 | 52 / 9 | $23.865,30 | 264 / 10 | $8.636,74 | 622 / 16 | $7.882,37 | 619 / 18 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 19 | 97 / 5 | $232.458,00 | 280 / 5 | $78.312,70 | 173 / 7 | $48.351,30 | 173 / 2 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 19 | 105 / 10 | $10.787,90 | 153 / 4 | $4.649,11 | 216 / 7 | $3.572,63 | 216 / 7 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 7 | $40.210,30 | 266 / 10 | $10.725,60 | 501 / 10 | $9.562,53 | 499 / 13 |
Other Circulatory System Diagnoses W Cc | 19 | 47 / 5 | $22.550,80 | 250 / 6 | $6.223,05 | 288 / 6 | $5.484,74 | 287 / 8 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 18 | 38 / 5 | $37.118,70 | 251 / 7 | $11.445,10 | 6 / 6 | $8.379,72 | 6 / 1 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 18 | 36 / 2 | $84.032,90 | 95 / 2 | $27.675,60 | 25 / 6 | $15.741,90 | 25 / 2 |
Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 7 | $10.393,90 | 31 / 1 | $5.624,71 | 71 / 3 | $4.383,94 | 71 / 3 |
Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 6 | $14.379,50 | 260 / 6 | $4.671,29 | 294 / 7 | $3.457,41 | 295 / 7 |
Seizures W Mcc | 17 | 49 / 5 | $21.940,10 | 70 / 5 | $9.128,71 | 142 / 5 | $8.009,12 | 142 / 5 |
Renal Failure W/O Cc/Mcc | 17 | 39 / 9 | $12.987,50 | 269 / 12 | $4.540,59 | 292 / 17 | $3.135,00 | 291 / 10 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 17 | 40 / 8 | $52.757,40 | 312 / 4 | $12.536,70 | 277 / 5 | $11.767,60 | 276 / 7 |
Fever | 17 | 29 / 1 | $18.842,20 | 87 / 3 | $6.238,94 | 65 / 2 | $4.237,00 | 65 / 2 |
G.I. Obstruction W Mcc | 16 | 26 / 2 | $30.595,80 | 138 / 5 | $11.520,10 | 219 / 7 | $9.421,38 | 219 / 7 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 16 | 37 / 5 | $40.480,90 | 324 / 5 | $12.142,00 | 390 / 6 | $9.671,88 | 390 / 7 |
Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 5 | $18.796,80 | 341 / 9 | $6.251,19 | 300 / 9 | $4.326,94 | 297 / 5 |
Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 7 | $14.355,00 | 101 / 2 | $6.933,44 | 70 / 17 | $4.032,88 | 70 / 3 |
Peripheral Vascular Disorders W Mcc | 16 | 33 / 4 | $27.334,10 | 154 / 2 | $8.774,00 | 239 / 5 | $7.977,56 | 239 / 5 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 16 | 35 / 4 | $28.230,90 | 29 / 2 | $11.564,80 | 56 / 1 | $10.529,20 | 56 / 1 |
Other Digestive System Diagnoses W Mcc | 15 | 47 / 5 | $25.133,40 | 98 / 2 | $11.499,30 | 132 / 5 | $9.002,27 | 132 / 3 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 12 | $53.069,90 | 213 / 7 | $20.923,70 | 299 / 13 | $16.554,70 | 296 / 8 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 15 | 76 / 4 | $42.537,30 | 276 / 8 | $8.170,80 | 27 / 5 | $5.768,00 | 27 / 1 |
Other Resp System O.R. Procedures W Cc | 14 | 33 / 5 | $36.597,20 | 57 / 2 | $11.662,50 | 113 / 4 | $10.794,90 | 113 / 4 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 7 | $38.056,80 | 119 / 2 | $12.751,80 | 118 / 4 | $9.998,07 | 118 / 2 |
Diabetes W Mcc | 14 | 43 / 6 | $28.346,20 | 247 / 7 | $8.245,79 | 143 / 5 | $7.199,57 | 143 / 7 |
Other Kidney & Urinary Tract Procedures W Mcc | 14 | 24 / 3 | $83.452,40 | 116 / 5 | $20.638,10 | 90 / 3 | $19.227,20 | 90 / 4 |
Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 14 | 14 / 1 | $174.697,00 | 28 / 1 | $43.700,10 | 23 / 1 | $42.836,00 | 23 / 2 |
Pulmonary Embolism W Mcc | 14 | 29 / 6 | $31.695,90 | 193 / 6 | $10.465,40 | 100 / 9 | $7.684,29 | 100 / 6 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 11 | $44.823,90 | 719 / 14 | $11.250,10 | 736 / 13 | $10.415,00 | 734 / 13 |
Peripheral Vascular Disorders W Cc | 14 | 70 / 12 | $14.971,50 | 178 / 3 | $6.094,29 | 408 / 11 | $5.117,07 | 406 / 12 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 13 | 31 / 4 | $46.260,40 | 40 / 2 | $18.567,70 | 88 / 7 | $14.840,90 | 87 / 3 |
Disorders Of Pancreas Except Malignancy W Mcc | 13 | 33 / 6 | $26.335,50 | 40 / 1 | $10.205,00 | 46 / 1 | $9.052,38 | 46 / 4 |
Major Chest Procedures W/O Cc/Mcc | 13 | 46 / 7 | $61.344,90 | 178 / 9 | $15.926,20 | 14 / 8 | $8.269,62 | 14 / 1 |
Hypertension W/O Mcc | 13 | 52 / 11 | $14.406,50 | 194 / 9 | $4.210,38 | 116 / 9 | $2.691,23 | 116 / 5 |
Atherosclerosis W/O Mcc | 13 | 45 / 11 | $17.362,40 | 251 / 10 | $4.211,38 | / 9 | $3.327,46 | / |
Major Cardiovasc Procedures W Mcc | 13 | 55 / 8 | $122.535,00 | 227 / 6 | $35.859,20 | 197 / 7 | $30.505,90 | 197 / 6 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 13 | 63 / 6 | $27.946,20 | 75 / 2 | $12.102,50 | 57 / 4 | $9.374,85 | 57 / 2 |
Coronary Bypass W Cardiac Cath W Mcc | 12 | 44 / 6 | $151.522,00 | 118 / 5 | $44.530,40 | 110 / 5 | $38.721,20 | 110 / 3 |
Degenerative Nervous System Disorders W Mcc | 12 | 26 / 2 | $16.935,10 | 8 / 1 | $9.924,75 | 36 / 1 | $8.922,00 | 36 / 1 |
Neuroses Except Depressive | 12 | 15 / 1 | $9.441,08 | 14 / 2 | $4.741,58 | 8 / 2 | $3.768,17 | 8 / 2 |
Kidney & Ureter Procedures For Neoplasm W Cc | 12 | 32 / 3 | $57.760,80 | 89 / 3 | $14.131,90 | 26 / 4 | $10.529,40 | 26 / 3 |
Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Mcc | 12 | 15 / 3 | $49.668,80 | 7 / 1 | $20.752,20 | 23 / 3 | $19.545,20 | 23 / 3 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 12 | 28 / 3 | $18.001,90 | 38 / 1 | $8.427,17 | 17 / 2 | $5.155,17 | 17 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 9 | $31.476,80 | 133 / 3 | $10.063,60 | 152 / 8 | $7.560,83 | 152 / 7 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 8 | $48.985,80 | 125 / 3 | $17.282,40 | 147 / 7 | $13.626,10 | 147 / 4 |
Postoperative & Post-Traumatic Infections W/O Mcc | 12 | 42 / 7 | $16.954,40 | 74 / 2 | $7.380,08 | 64 / 4 | $4.900,58 | 64 / 2 |
Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 13 | $35.089,10 | 124 / 3 | $14.987,50 | 222 / 11 | $11.219,70 | 222 / 7 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 5 | $11.448,60 | 45 / 1 | $4.767,17 | 72 / 2 | $3.570,17 | 72 / 2 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 11 | 43 / 6 | $10.351,40 | 17 / 1 | $4.870,55 | 99 / 3 | $3.696,36 | 99 / 3 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 11 | 87 / 10 | $76.898,60 | 78 / 2 | $31.902,40 | 9 / 8 | $19.929,70 | 9 / 1 |
Other Skin, Subcut Tiss & Breast Proc W Mcc | 11 | 11 / 2 | $56.645,80 | 17 / 2 | $16.418,00 | 15 / 2 | $14.597,60 | 15 / 1 |
Hernia Procedures Except Inguinal & Femoral W Cc | 11 | 23 / 3 | $32.440,40 | 19 / 2 | $10.228,60 | 45 / 2 | $8.894,18 | 45 / 2 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 11 | 31 / 6 | $27.252,70 | 37 / 3 | $11.806,90 | 38 / 4 | $9.236,91 | 38 / 2 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 13 | $164.935,00 | 608 / 15 | $51.199,10 | 425 / 17 | $35.408,50 | 424 / 13 |
Disorders Of The Biliary Tract W Cc | 11 | 43 / 5 | $29.336,90 | 200 / 4 | $7.656,36 | 71 / 3 | $5.280,55 | 71 / 1 | Total 158 procedures | 6.664 | 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.