Hospital Costs > In Texas > St Joseph Regional 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 | 25 | 66 / 21 | $43.776,10 | 1097 / 57 | $6.751,40 | 658 / 29 | $5.773,36 | 656 / 47 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 28 | 97 / 34 | $47.391,10 | 1067 / 43 | $10.285,70 | 713 / 38 | $9.482,93 | 712 / 54 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 18 | $37.797,80 | 702 / 27 | $4.970,18 | 272 / 16 | $3.723,73 | 270 / 13 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 14 | 16 / 8 | $43.199,00 | 71 / 4 | $10.919,40 | 17 / 3 | $9.166,93 | 17 / 3 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 19 | 13 / 4 | $61.603,70 | 93 / 6 | $15.557,40 | 78 / 8 | $14.712,80 | 78 / 12 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 11 | 23 / 9 | $74.650,50 | 46 / 2 | $22.196,20 | 12 / 2 | $20.664,70 | 12 / 1 |
Atherosclerosis W/O Mcc | 17 | 41 / 10 | $22.990,90 | 372 / 15 | $4.146,82 | / | $3.070,06 | / |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 18 | 48 / 17 | $37.808,30 | 138 / 5 | $11.529,10 | 221 / 15 | $10.437,00 | 220 / 24 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 38 | 51 / 9 | $33.840,10 | 364 / 19 | $7.043,42 | 210 / 21 | $5.246,92 | 210 / 27 |
Bronchitis & Asthma W Cc/Mcc | 29 | 47 / 14 | $25.109,10 | 589 / 23 | $5.536,59 | 384 / 20 | $4.522,31 | 380 / 31 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 83 | 78 / 10 | $27.757,60 | 1532 / 83 | $5.179,90 | 889 / 56 | $4.189,63 | 886 / 71 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 38 | 85 / 26 | $46.644,90 | 1469 / 89 | $7.685,37 | 556 / 54 | $6.450,42 | 553 / 48 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 73 | 77 / 8 | $20.420,00 | 1414 / 70 | $3.855,26 | 814 / 53 | $2.681,16 | 810 / 57 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 12 | 38 / 8 | $162.709,00 | 163 / 6 | $32.853,50 | 85 / 5 | $31.905,60 | 85 / 7 |
Cellulitis W Mcc | 15 | 43 / 18 | $33.520,40 | 452 / 20 | $8.999,80 | 373 / 19 | $8.203,53 | 371 / 32 |
Cellulitis W/O Mcc | 89 | 100 / 13 | $22.885,50 | 1722 / 93 | $5.401,85 | 950 / 70 | $4.237,93 | 944 / 74 |
Cervical Spinal Fusion W Cc | 14 | 39 / 12 | $79.938,00 | 221 / 13 | $17.587,20 | 163 / 9 | $16.456,50 | 162 / 19 |
Cervical Spinal Fusion W/O Cc/Mcc | 45 | 59 / 9 | $71.900,40 | 597 / 42 | $14.844,90 | 360 / 38 | $11.945,50 | 359 / 45 |
Chest Pain | 42 | 109 / 26 | $24.049,00 | 1163 / 59 | $4.018,81 | 463 / 28 | $2.894,07 | 461 / 26 |
Chronic Obstructive Pulmonary Disease W Cc | 96 | 83 / 7 | $30.626,00 | 1751 / 90 | $5.957,50 | 1139 / 63 | $5.087,75 | 1135 / 86 |
Chronic Obstructive Pulmonary Disease W Mcc | 87 | 115 / 20 | $33.812,60 | 1682 / 91 | $7.311,15 | 1103 / 64 | $6.337,94 | 1098 / 92 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 57 | 63 / 8 | $23.978,50 | 1497 / 72 | $4.723,00 | 958 / 51 | $3.699,44 | 949 / 68 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 19 | 74 / 18 | $76.120,00 | 634 / 37 | $13.297,80 | 329 / 24 | $11.705,70 | 324 / 26 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 47 | 141 / 28 | $48.578,90 | 1168 / 80 | $7.509,98 | 652 / 68 | $5.665,26 | 650 / 61 |
Complications Of Treatment W Cc | 11 | 41 / 11 | $30.586,30 | 221 / 12 | $6.357,64 | 77 / 5 | $5.236,73 | 77 / 5 |
Coronary Bypass W Cardiac Cath W/O Mcc | 32 | 44 / 8 | $162.603,00 | 398 / 23 | $28.697,00 | 343 / 23 | $27.364,10 | 343 / 35 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 19 | 69 / 19 | $136.626,00 | 428 / 32 | $25.296,20 | 236 / 30 | $20.602,90 | 235 / 25 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 13 | 42 / 15 | $79.689,10 | 94 / 6 | $18.086,30 | 49 / 9 | $16.859,10 | 49 / 12 |
Degenerative Nervous System Disorders W/O Mcc | 18 | 60 / 13 | $33.507,10 | 575 / 28 | $6.324,67 | 378 / 12 | $5.560,44 | 378 / 21 |
Diabetes W Cc | 28 | 64 / 23 | $25.401,20 | 1012 / 52 | $5.392,68 | 745 / 35 | $4.601,04 | 743 / 57 |
Diabetes W Mcc | 19 | 38 / 17 | $53.128,90 | 587 / 36 | $8.952,95 | 316 / 22 | $8.208,42 | 316 / 24 |
Diabetes W/O Cc/Mcc | 12 | 26 / 7 | $21.334,10 | 191 / 8 | $3.964,42 | 55 / 6 | $2.764,33 | 55 / 3 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 20 | 50 / 15 | $21.792,60 | 226 / 17 | $6.604,25 | 157 / 29 | $5.072,70 | 157 / 18 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 25 | 51 / 10 | $40.434,90 | 216 / 18 | $11.826,60 | 52 / 20 | $9.331,28 | 52 / 10 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 18 | $29.037,50 | 597 / 26 | $5.734,00 | 335 / 11 | $4.852,00 | 334 / 21 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 15 | 23 / 6 | $25.920,10 | 340 / 21 | $4.333,33 | 170 / 7 | $3.244,47 | 170 / 14 |
Disorders Of The Biliary Tract W Cc | 11 | 43 / 12 | $40.036,30 | 324 / 14 | $6.680,36 | 157 / 8 | $5.858,36 | 157 / 10 |
Endocrine Disorders W Cc | 15 | 23 / 6 | $32.474,70 | 201 / 8 | $6.537,73 | 94 / 3 | $5.626,27 | 94 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 25 | 71 / 30 | $44.314,70 | 1054 / 61 | $7.534,12 | 515 / 25 | $6.655,04 | 512 / 36 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 90 | 185 / 35 | $25.495,80 | 1917 / 114 | $4.883,02 | 1133 / 63 | $3.848,34 | 1125 / 88 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 12 | $90.048,60 | 271 / 11 | $18.143,10 | 208 / 10 | $17.168,20 | 207 / 13 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 15 | 48 / 20 | $153.845,00 | 493 / 28 | $31.668,70 | 105 / 29 | $25.265,90 | 105 / 13 |
Extracranial Procedures W Cc | 15 | 31 / 12 | $55.243,50 | 264 / 19 | $9.978,53 | 103 / 10 | $8.213,53 | 103 / 11 |
Extracranial Procedures W/O Cc/Mcc | 38 | 60 / 15 | $31.847,90 | 481 / 29 | $6.642,16 | 454 / 29 | $5.608,97 | 453 / 44 |
Fever | 13 | 33 / 9 | $23.932,20 | 160 / 4 | $5.305,69 | 121 / 1 | $4.691,92 | 121 / 5 |
Fractures Of Hip & Pelvis W/O Mcc | 25 | 36 / 6 | $19.224,80 | 483 / 19 | $4.663,08 | 332 / 17 | $3.544,36 | 333 / 18 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 16 | $27.220,80 | 553 / 21 | $4.971,00 | 310 / 12 | $3.931,82 | 310 / 16 |
G.I. Hemorrhage W Cc | 67 | 151 / 32 | $32.771,80 | 1700 / 96 | $6.421,12 | 997 / 63 | $5.360,66 | 995 / 74 |
G.I. Hemorrhage W Mcc | 23 | 98 / 34 | $40.445,30 | 704 / 22 | $10.589,80 | 600 / 34 | $9.909,17 | 601 / 51 |
G.I. Hemorrhage W/O Cc/Mcc | 27 | 41 / 6 | $25.106,80 | 708 / 47 | $4.632,52 | 377 / 24 | $3.520,78 | 374 / 28 |
G.I. Obstruction W Cc | 30 | 62 / 21 | $24.888,30 | 988 / 34 | $5.643,70 | 820 / 32 | $4.836,37 | 818 / 57 |
G.I. Obstruction W Mcc | 11 | 31 / 15 | $37.287,60 | 214 / 7 | $9.448,27 | 143 / 7 | $8.815,09 | 143 / 7 |
G.I. Obstruction W/O Cc/Mcc | 25 | 46 / 13 | $17.171,10 | 679 / 28 | $4.083,32 | 628 / 27 | $3.134,36 | 627 / 50 |
Heart Failure & Shock W Cc | 180 | 100 / 12 | $31.774,70 | 2051 / 130 | $6.364,94 | 1222 / 88 | $5.470,94 | 1219 / 101 |
Heart Failure & Shock W Mcc | 138 | 146 / 23 | $37.948,60 | 1551 / 70 | $9.274,81 | 1180 / 81 | $8.555,71 | 1177 / 98 |
Heart Failure & Shock W/O Cc/Mcc | 57 | 53 / 7 | $24.300,80 | 1520 / 94 | $4.536,26 | 831 / 63 | $3.584,68 | 827 / 63 |
Hip & Femur Procedures Except Major Joint W Cc | 50 | 93 / 28 | $68.450,60 | 1515 / 85 | $11.880,90 | 895 / 62 | $10.787,80 | 882 / 78 |
Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 29 | $110.920,00 | 755 / 47 | $18.048,20 | 338 / 29 | $16.849,10 | 335 / 29 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 27 | 29 / 8 | $51.894,10 | 611 / 45 | $9.988,48 | 230 / 30 | $8.256,00 | 230 / 22 |
Hypertension W/O Mcc | 23 | 42 / 11 | $24.500,00 | 521 / 31 | $4.168,65 | 232 / 14 | $2.976,52 | 230 / 16 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 38 | $124.627,00 | 783 / 38 | $29.330,80 | 375 / 21 | $28.478,40 | 375 / 35 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 90 | 92 / 17 | $36.813,20 | 1420 / 70 | $7.299,86 | 936 / 76 | $5.734,59 | 933 / 70 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 35 | 133 / 41 | $56.801,60 | 1080 / 50 | $11.919,80 | 430 / 64 | $9.171,49 | 429 / 31 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 37 | 65 / 20 | $28.877,30 | 1061 / 50 | $5.086,70 | 621 / 39 | $3.761,54 | 617 / 42 |
Kidney & Urinary Tract Infections W Mcc | 37 | 107 / 40 | $38.768,40 | 1467 / 98 | $7.347,68 | 917 / 80 | $6.245,65 | 914 / 76 |
Kidney & Urinary Tract Infections W/O Mcc | 159 | 76 / 8 | $23.272,10 | 1868 / 121 | $4.989,77 | 1033 / 77 | $3.980,72 | 1025 / 88 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 19 | $65.186,90 | 617 / 44 | $11.977,60 | 320 / 54 | $8.716,76 | 320 / 32 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 28 | 19 / 3 | $46.171,90 | 382 / 35 | $7.741,64 | 256 / 21 | $6.399,54 | 256 / 29 |
Major Cardiovasc Procedures W/O Mcc | 19 | 82 / 30 | $106.876,00 | 647 / 34 | $20.140,20 | 350 / 19 | $18.961,80 | 350 / 38 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 29 | 44 / 7 | $36.009,90 | 766 / 37 | $7.263,07 | 463 / 20 | $6.571,52 | 461 / 33 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 11 | $27.711,50 | 167 / 6 | $7.373,00 | 184 / 7 | $6.881,73 | 184 / 20 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 17 | $79.658,50 | 661 / 38 | $13.779,10 | 321 / 27 | $11.667,10 | 318 / 31 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 216 | 348 / 34 | $72.271,70 | 2049 / 138 | $13.694,20 | 1068 / 97 | $11.172,30 | 1045 / 127 |
Major Small & Large Bowel Procedures W Cc | 21 | 87 / 29 | $86.361,50 | 1073 / 54 | $15.482,10 | 704 / 30 | $14.369,60 | 698 / 59 |
Major Small & Large Bowel Procedures W Mcc | 26 | 59 / 18 | $158.006,00 | 855 / 47 | $29.957,50 | 339 / 28 | $27.984,90 | 337 / 35 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 16 | $59.900,20 | 565 / 39 | $11.749,40 | 176 / 35 | $7.932,12 | 176 / 19 |
Medical Back Problems W/O Mcc | 26 | 95 / 24 | $28.860,00 | 974 / 52 | $5.509,54 | 619 / 32 | $4.435,62 | 617 / 46 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 46 | 80 / 31 | $28.323,50 | 878 / 43 | $6.972,93 | 611 / 45 | $6.210,54 | 608 / 55 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 75 | 91 / 18 | $21.618,10 | 1692 / 89 | $4.613,76 | 1086 / 63 | $3.710,00 | 1083 / 86 |
O.R. Procedures For Obesity W/O Cc/Mcc | 12 | 65 / 30 | $52.456,20 | 281 / 19 | $9.748,92 | 180 / 8 | $8.622,92 | 180 / 16 |
Other Circulatory System Diagnoses W Mcc | 25 | 91 / 32 | $43.372,80 | 584 / 24 | $11.373,90 | 510 / 28 | $10.797,10 | 508 / 46 |
Other Circulatory System O.R. Procedures | 15 | 40 / 14 | $73.317,40 | 238 / 13 | $17.793,10 | 80 / 17 | $14.635,70 | 80 / 7 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 27 | $27.000,90 | 758 / 26 | $6.238,47 | 200 / 28 | $4.671,35 | 198 / 14 |
Other Kidney & Urinary Tract Diagnoses W Cc | 17 | 86 / 21 | $27.234,20 | 455 / 12 | $6.360,18 | 262 / 14 | $5.369,59 | 262 / 14 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 23 | $46.270,20 | 743 / 25 | $9.235,06 | 291 / 12 | $8.340,44 | 291 / 15 |
Other Kidney & Urinary Tract Procedures W Mcc | 13 | 25 / 12 | $76.928,60 | 99 / 7 | $18.782,60 | 57 / 4 | $18.036,90 | 57 / 10 |
Other Resp System O.R. Procedures W Mcc | 14 | 49 / 15 | $98.506,10 | 334 / 19 | $24.337,00 | 339 / 27 | $23.476,10 | 338 / 37 |
Other Vascular Procedures W Cc | 15 | 87 / 39 | $83.522,70 | 685 / 47 | $15.272,20 | 398 / 27 | $14.389,40 | 396 / 48 |
Other Vascular Procedures W Mcc | 11 | 86 / 39 | $96.742,70 | 565 / 41 | $18.955,20 | 223 / 17 | $18.104,80 | 222 / 28 |
Other Vascular Procedures W/O Cc/Mcc | 14 | 42 / 18 | $54.298,00 | 333 / 25 | $9.993,57 | 183 / 11 | $9.042,29 | 182 / 17 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 33 | $101.892,00 | 512 / 30 | $19.857,20 | 148 / 28 | $16.786,00 | 148 / 12 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 41 | 155 / 35 | $73.115,80 | 742 / 43 | $12.821,70 | 532 / 36 | $10.713,00 | 529 / 65 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 12 | 57 / 13 | $73.449,60 | 374 / 12 | $11.211,10 | 248 / 8 | $10.060,70 | 248 / 14 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 13 | 41 / 11 | $121.472,00 | 186 / 8 | $18.074,20 | 55 / 4 | $17.166,70 | 55 / 9 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 45 | 50 / 6 | $103.085,00 | 468 / 32 | $12.319,00 | 170 / 12 | $10.651,20 | 168 / 19 |
Peripheral Vascular Disorders W Cc | 23 | 61 / 20 | $27.030,00 | 710 / 30 | $6.130,09 | 579 / 23 | $5.500,48 | 577 / 44 |
Peripheral Vascular Disorders W Mcc | 13 | 36 / 14 | $39.685,50 | 345 / 21 | $8.565,23 | 165 / 15 | $7.445,08 | 165 / 19 |
Peritoneal Adhesiolysis W Cc | 13 | 26 / 9 | $70.161,90 | 172 / 8 | $14.337,30 | 102 / 4 | $13.029,50 | 102 / 8 |
Permanent Cardiac Pacemaker Implant W Cc | 29 | 48 / 12 | $108.854,00 | 814 / 51 | $16.104,60 | 382 / 24 | $15.055,60 | 381 / 38 |
Permanent Cardiac Pacemaker Implant W Mcc | 15 | 37 / 13 | $123.987,00 | 444 / 25 | $22.215,90 | 240 / 14 | $21.414,00 | 240 / 20 |
Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 24 | $66.631,60 | 845 / 51 | $9.053,71 | 405 / 24 | $8.178,43 | 404 / 28 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 15 | $30.021,90 | 753 / 28 | $4.248,00 | 287 / 6 | $3.309,62 | 286 / 16 |
Pulmonary Edema & Respiratory Failure | 45 | 158 / 39 | $36.431,50 | 1361 / 58 | $7.690,27 | 839 / 48 | $6.759,64 | 839 / 55 |
Pulmonary Embolism W/O Mcc | 20 | 54 / 17 | $24.754,20 | 636 / 16 | $6.330,05 | 700 / 22 | $5.567,35 | 697 / 46 |
Red Blood Cell Disorders W Mcc | 30 | 41 / 11 | $35.680,20 | 594 / 35 | $7.891,23 | 278 / 30 | $6.766,87 | 278 / 27 |
Red Blood Cell Disorders W/O Mcc | 47 | 96 / 23 | $26.328,50 | 1329 / 77 | $5.257,38 | 622 / 52 | $4.115,04 | 618 / 53 |
Renal Failure W Cc | 108 | 113 / 18 | $29.088,10 | 1659 / 95 | $6.128,76 | 1032 / 67 | $5.219,19 | 1024 / 84 |
Renal Failure W Mcc | 69 | 126 / 35 | $39.174,20 | 1250 / 72 | $9.455,03 | 843 / 57 | $8.618,54 | 843 / 73 |
Respiratory Infections & Inflammations W Cc | 22 | 66 / 23 | $35.962,00 | 874 / 44 | $8.474,86 | 695 / 45 | $7.747,95 | 690 / 62 |
Respiratory Infections & Inflammations W Mcc | 24 | 112 / 40 | $53.732,50 | 1147 / 55 | $12.089,40 | 870 / 59 | $11.322,00 | 860 / 73 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 41 | 90 / 25 | $62.071,90 | 953 / 48 | $13.988,30 | 434 / 48 | $12.264,30 | 429 / 44 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 25 | 46 / 18 | $117.692,00 | 364 / 15 | $31.777,20 | 272 / 35 | $28.786,30 | 272 / 32 |
Seizures W/O Mcc | 25 | 83 / 22 | $30.715,20 | 980 / 50 | $4.745,32 | 323 / 15 | $3.796,52 | 321 / 25 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 147 | 369 / 63 | $48.800,10 | 1747 / 100 | $11.283,00 | 1194 / 66 | $10.473,50 | 1175 / 104 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 103 | 104 / 15 | $34.135,40 | 1824 / 112 | $6.760,59 | 1002 / 73 | $5.661,69 | 999 / 84 |
Signs & Symptoms W/O Mcc | 45 | 46 / 6 | $23.314,30 | 826 / 34 | $4.539,49 | 498 / 25 | $3.674,07 | 497 / 26 |
Simple Pneumonia & Pleurisy W Cc | 111 | 92 / 12 | $29.722,30 | 1933 / 107 | $6.239,41 | 1235 / 77 | $5.252,48 | 1231 / 95 |
Simple Pneumonia & Pleurisy W Mcc | 56 | 149 / 43 | $43.428,50 | 1697 / 93 | $9.350,64 | 1459 / 96 | $8.611,59 | 1459 / 133 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 48 | 45 / 10 | $20.684,90 | 1245 / 68 | $4.673,50 | 784 / 59 | $3.487,46 | 780 / 62 |
Spinal Fusion Except Cervical W/O Mcc | 53 | 141 / 32 | $98.469,20 | 716 / 41 | $25.681,20 | 301 / 52 | $20.558,20 | 300 / 36 |
Syncope & Collapse | 54 | 115 / 21 | $25.591,20 | 1248 / 52 | $4.779,69 | 747 / 44 | $3.799,17 | 744 / 56 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 16 | 48 / 17 | $267.037,00 | 279 / 24 | $62.500,00 | 237 / 24 | $61.553,90 | 237 / 30 |
Transient Ischemia | 46 | 79 / 23 | $29.046,30 | 1148 / 55 | $4.675,61 | 447 / 39 | $3.313,70 | 446 / 30 |
Transurethral Procedures W Cc | 11 | 30 / 9 | $49.576,20 | 278 / 8 | $7.985,09 | 154 / 5 | $6.939,09 | 154 / 8 |
Transurethral Prostatectomy W/O Cc/Mcc | 12 | 17 / 3 | $33.298,90 | 63 / 5 | $4.883,42 | 34 / 3 | $3.736,92 | 34 / 4 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 18 | 48 / 11 | $35.527,00 | 309 / 16 | $6.995,39 | 146 / 11 | $5.849,67 | 146 / 12 | Total 126 procedures | 4.620 | 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.