Hospital Costs > In Colorado > St Mary's Hospital And Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Adjustment Reaction & Psychosocial Dysfunction | 14 | 16 / 1 | $36.405,50 | 72 / 1 | $9.670,00 | 78 / 1 | $8.092,00 | 78 / 1 |
Acute Myocardial Infarction, Discharged Alive W Cc | 22 | 69 / 4 | $22.226,40 | 384 / 2 | $7.579,64 | 736 / 9 | $5.960,86 | 734 / 6 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 5 | $34.130,00 | 583 / 1 | $12.107,70 | 1235 / 7 | $11.159,30 | 1226 / 9 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 21 | 32 / 1 | $24.883,00 | 450 / 2 | $5.974,62 | 396 / 4 | $3.988,19 | 393 / 3 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 16 | 108 / 4 | $22.509,20 | 548 / 3 | $4.939,38 | 409 / 4 | $4.142,62 | 409 / 7 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 9 | $47.777,50 | 247 / 1 | $13.058,10 | 348 / 8 | $11.769,80 | 346 / 9 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 20 | 69 / 5 | $31.132,60 | 314 / 3 | $7.546,85 | 464 / 6 | $6.299,05 | 463 / 8 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 30 | 33 / 2 | $85.757,80 | 142 / 3 | $26.558,60 | 179 / 6 | $22.075,80 | 178 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 41 | 120 / 5 | $21.724,50 | 1181 / 6 | $5.545,20 | 1134 / 15 | $4.425,95 | 1130 / 15 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 9 | $31.161,00 | 1014 / 3 | $8.434,24 | 1116 / 12 | $7.386,90 | 1113 / 14 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 34 | 116 / 4 | $13.912,10 | 858 / 3 | $4.079,00 | 1142 / 13 | $2.949,74 | 1137 / 14 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 18 | 100 / 5 | $129.606,00 | 208 / 1 | $36.947,90 | 358 / 5 | $35.504,60 | 358 / 6 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 16 | 100 / 6 | $186.264,00 | 184 / 1 | $58.344,20 | 321 / 6 | $56.802,80 | 321 / 7 |
Cellulitis W/O Mcc | 37 | 152 / 8 | $26.097,40 | 1933 / 13 | $5.995,81 | 1482 / 18 | $4.702,43 | 1475 / 18 |
Cervical Spinal Fusion W Cc | 13 | 40 / 6 | $60.650,10 | 137 / 1 | $20.099,50 | 253 / 6 | $18.859,70 | 252 / 7 |
Cervical Spinal Fusion W/O Cc/Mcc | 20 | 84 / 11 | $50.914,10 | 352 / 4 | $15.428,50 | 650 / 11 | $14.204,50 | 647 / 15 |
Chest Pain | 41 | 110 / 3 | $16.976,80 | 689 / 1 | $4.341,12 | 807 / 10 | $3.266,20 | 802 / 10 |
Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 18 | $26.136,80 | 1212 / 6 | $8.164,50 | 1568 / 16 | $6.937,19 | 1560 / 19 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 6 | $32.118,10 | 617 / 3 | $7.535,30 | 1060 / 10 | $6.533,10 | 1057 / 16 |
Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 3 | $167.668,00 | 154 / 1 | $56.345,50 | 366 / 3 | $55.170,50 | 366 / 3 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 26 | 62 / 3 | $103.391,00 | 275 / 2 | $30.488,00 | 396 / 4 | $23.603,90 | 395 / 6 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 3 | $30.836,00 | 480 / 3 | $6.182,82 | 378 / 4 | $5.339,27 | 378 / 4 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 17 | 81 / 4 | $107.322,00 | 223 / 3 | $32.244,20 | 332 / 7 | $30.907,70 | 332 / 7 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 17 | 57 / 4 | $57.351,30 | 89 / 1 | $15.485,00 | 134 / 3 | $14.288,50 | 133 / 3 |
Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 5 | $23.450,70 | 342 / 1 | $6.933,18 | 396 / 5 | $5.629,45 | 396 / 6 |
Diabetes W Cc | 15 | 77 / 8 | $27.265,40 | 1085 / 7 | $5.827,60 | 846 / 8 | $4.795,47 | 842 / 9 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 3 | $27.206,10 | 322 / 1 | $6.498,07 | 234 / 3 | $5.535,29 | 234 / 4 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 7 | $32.192,50 | 673 / 6 | $6.522,45 | 417 / 4 | $5.056,45 | 416 / 6 |
Dysequilibrium | 15 | 50 / 3 | $19.494,30 | 233 / 1 | $4.493,47 | 228 / 2 | $3.258,47 | 228 / 3 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 11 | 70 / 4 | $494.910,00 | 270 / 3 | $152.474,00 | 362 / 5 | $149.840,00 | 361 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 9 | $42.775,70 | 1021 / 10 | $8.829,07 | 932 / 13 | $7.913,00 | 927 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 70 | 205 / 8 | $21.648,30 | 1575 / 9 | $5.387,63 | 1575 / 17 | $4.196,16 | 1562 / 21 |
Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 4 | $30.617,20 | 464 / 2 | $7.984,61 | 510 / 7 | $5.787,56 | 509 / 5 |
Fractures Of Hip & Pelvis W/O Mcc | 20 | 41 / 3 | $21.062,40 | 547 / 5 | $5.106,65 | 408 / 11 | $3.721,20 | 408 / 7 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 24 | 38 / 4 | $21.783,70 | 425 / 1 | $5.659,25 | 342 / 9 | $4.032,88 | 342 / 9 |
G.I. Hemorrhage W Cc | 61 | 157 / 6 | $26.065,10 | 1295 / 10 | $7.039,44 | 1458 / 19 | $5.903,54 | 1454 / 22 |
G.I. Hemorrhage W Mcc | 11 | 110 / 14 | $30.402,40 | 336 / 1 | $12.239,70 | 1016 / 12 | $11.313,00 | 1008 / 12 |
G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 2 | $18.853,40 | 508 / 2 | $4.932,29 | 556 / 4 | $3.889,79 | 552 / 3 |
G.I. Obstruction W Cc | 32 | 60 / 3 | $30.031,60 | 1196 / 11 | $6.275,50 | 1013 / 11 | $5.143,84 | 1010 / 14 |
G.I. Obstruction W Mcc | 13 | 29 / 2 | $40.542,70 | 256 / 2 | $11.365,70 | 294 / 3 | $10.197,50 | 294 / 3 |
G.I. Obstruction W/O Cc/Mcc | 29 | 42 / 3 | $19.992,60 | 819 / 8 | $4.795,76 | 694 / 14 | $3.247,24 | 692 / 10 |
Heart Failure & Shock W Cc | 55 | 223 / 9 | $24.866,80 | 1658 / 12 | $6.975,87 | 1690 / 20 | $5.987,09 | 1685 / 24 |
Heart Failure & Shock W Mcc | 66 | 218 / 6 | $39.740,50 | 1647 / 12 | $10.596,40 | 1713 / 23 | $9.502,18 | 1708 / 24 |
Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 6 | $17.501,40 | 1109 / 4 | $4.820,30 | 1049 / 10 | $3.783,00 | 1041 / 8 |
Hip & Femur Procedures Except Major Joint W Cc | 48 | 95 / 5 | $55.525,30 | 1224 / 11 | $14.530,60 | 1588 / 28 | $13.247,40 | 1569 / 30 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 4 | $81.631,90 | 550 / 4 | $25.127,20 | 840 / 10 | $24.029,50 | 837 / 10 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 3 | $39.451,60 | 389 / 3 | $11.318,00 | 619 / 10 | $9.922,56 | 617 / 12 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 50 | 74 / 2 | $153.448,00 | 1044 / 13 | $46.765,30 | 1393 / 22 | $45.178,90 | 1383 / 22 |
Inflammatory Bowel Disease W Cc | 11 | 21 / 1 | $26.719,50 | 72 / 1 | $7.107,36 | 64 / 1 | $6.016,09 | 64 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 56 | 126 / 4 | $38.952,80 | 1481 / 11 | $8.256,38 | 1524 / 19 | $6.954,27 | 1521 / 22 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 39 | 129 / 3 | $55.026,20 | 1045 / 9 | $14.860,30 | 1279 / 18 | $12.777,70 | 1273 / 17 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 36 | 66 / 4 | $30.660,20 | 1128 / 8 | $6.388,61 | 817 / 14 | $4.018,17 | 813 / 11 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 12 | $25.062,70 | 927 / 3 | $7.891,58 | 1240 / 16 | $6.875,95 | 1236 / 16 |
Kidney & Urinary Tract Infections W/O Mcc | 43 | 190 / 10 | $22.240,20 | 1777 / 11 | $5.571,28 | 1316 / 21 | $4.181,14 | 1307 / 16 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 22 | 34 / 3 | $39.413,00 | 247 / 1 | $11.459,00 | 583 / 8 | $10.082,10 | 581 / 10 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 3 | $43.934,60 | 60 / 1 | $17.127,10 | 293 / 6 | $15.871,30 | 292 / 7 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 16 | 39 / 4 | $65.752,70 | 407 / 3 | $15.001,10 | 463 / 7 | $13.065,80 | 459 / 9 |
Major Cardiovasc Procedures W Mcc | 14 | 54 / 4 | $116.171,00 | 193 / 1 | $35.588,90 | 353 / 6 | $34.329,30 | 352 / 7 |
Major Cardiovasc Procedures W/O Mcc | 23 | 78 / 6 | $73.426,70 | 300 / 1 | $23.129,90 | 653 / 4 | $21.977,30 | 652 / 8 |
Major Chest Procedures W Cc | 17 | 57 / 4 | $82.549,70 | 339 / 2 | $18.241,50 | 335 / 3 | $16.922,70 | 333 / 3 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 4 | $29.948,80 | 645 / 6 | $8.300,47 | 775 / 12 | $7.639,06 | 773 / 13 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 4 | $29.190,70 | 187 / 4 | $8.296,92 | 256 / 4 | $7.518,42 | 256 / 5 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 31 | 65 / 6 | $38.814,50 | 154 / 1 | $15.689,80 | 584 / 13 | $13.556,10 | 580 / 15 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 6 | $79.520,30 | 484 / 4 | $25.434,40 | 791 / 17 | $24.158,00 | 788 / 17 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 350 | 225 / 7 | $48.952,80 | 1244 / 10 | $15.431,40 | 1881 / 30 | $13.151,90 | 1839 / 32 |
Major Male Pelvic Procedures W/O Cc/Mcc | 13 | 60 / 5 | $42.938,70 | 203 / 2 | $10.625,50 | 195 / 3 | $7.040,54 | 195 / 4 |
Major Small & Large Bowel Procedures W Cc | 23 | 85 / 11 | $64.399,70 | 735 / 6 | $18.175,30 | 1132 / 22 | $16.839,10 | 1119 / 23 |
Major Small & Large Bowel Procedures W Mcc | 25 | 60 / 4 | $142.922,00 | 759 / 7 | $43.065,00 | 1112 / 15 | $41.458,40 | 1110 / 16 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 24 | 40 / 3 | $52.006,30 | 480 / 3 | $11.892,70 | 568 / 8 | $10.598,10 | 568 / 9 |
Medical Back Problems W/O Mcc | 46 | 75 / 4 | $25.872,60 | 865 / 7 | $6.490,63 | 767 / 17 | $4.696,35 | 764 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 10 | $48.691,70 | 1473 / 20 | $10.151,00 | 1453 / 20 | $9.059,89 | 1450 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 45 | 121 / 6 | $25.120,00 | 1894 / 14 | $5.798,76 | 1790 / 26 | $4.463,80 | 1785 / 22 |
Nonspecific Cerebrovascular Disorders W Cc | 13 | 43 / 5 | $27.967,50 | 270 / 3 | $6.872,62 | 275 / 4 | $5.935,46 | 275 / 7 |
O.R. Procedures For Obesity W/O Cc/Mcc | 21 | 56 / 4 | $52.663,00 | 283 / 3 | $10.870,80 | 262 / 3 | $9.613,62 | 262 / 5 |
Other Circulatory System Diagnoses W Mcc | 25 | 91 / 4 | $37.484,30 | 417 / 1 | $16.929,60 | 692 / 17 | $11.563,50 | 690 / 12 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 6 | $24.906,20 | 674 / 2 | $6.771,40 | 749 / 12 | $5.684,60 | 745 / 11 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 3 | $122.134,00 | 427 / 2 | $32.609,90 | 524 / 3 | $31.537,00 | 523 / 3 |
Other Vascular Procedures W Cc | 19 | 83 / 6 | $63.422,20 | 419 / 1 | $18.008,60 | 760 / 6 | $16.885,70 | 755 / 10 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 11 | 29 / 2 | $37.327,80 | 190 / 1 | $9.034,55 | 201 / 2 | $7.970,73 | 201 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 8 | $94.082,20 | 429 / 3 | $24.849,20 | 790 / 9 | $23.515,60 | 785 / 10 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 56 | 140 / 6 | $58.041,20 | 406 / 2 | $14.439,60 | 1007 / 13 | $12.541,50 | 1000 / 21 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 28 | 41 / 2 | $71.034,20 | 357 / 3 | $14.230,80 | 354 / 4 | $10.944,30 | 353 / 4 |
Peripheral Vascular Disorders W Cc | 13 | 71 / 5 | $37.207,80 | 967 / 7 | $8.304,31 | 1033 / 10 | $7.436,85 | 1030 / 10 |
Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 7 | $83.212,80 | 650 / 4 | $21.690,10 | 620 / 10 | $16.989,50 | 619 / 10 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 5 | $62.218,20 | 423 / 3 | $15.867,20 | 586 / 4 | $15.099,50 | 585 / 4 |
Poisoning & Toxic Effects Of Drugs W Mcc | 25 | 47 / 3 | $64.238,40 | 828 / 12 | $13.595,60 | 877 / 12 | $12.463,30 | 874 / 13 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 4 | $14.282,90 | 273 / 1 | $4.494,93 | 381 / 4 | $3.545,07 | 380 / 4 |
Psychoses | 24 | 251 / 2 | $12.074,70 | 116 / 1 | $7.183,08 | 295 / 2 | $5.943,50 | 295 / 3 |
Pulmonary Edema & Respiratory Failure | 103 | 100 / 4 | $36.631,80 | 1369 / 16 | $9.284,08 | 1419 / 24 | $7.640,40 | 1415 / 24 |
Pulmonary Embolism W Mcc | 13 | 30 / 7 | $35.630,50 | 257 / 2 | $10.721,80 | 388 / 6 | $9.635,54 | 388 / 7 |
Pulmonary Embolism W/O Mcc | 17 | 57 / 10 | $23.179,40 | 560 / 7 | $7.243,41 | 705 / 15 | $5.574,00 | 702 / 17 |
Renal Failure W Cc | 39 | 182 / 9 | $25.651,60 | 1468 / 9 | $6.979,85 | 1345 / 17 | $5.548,85 | 1337 / 21 |
Renal Failure W Mcc | 34 | 161 / 8 | $61.998,20 | 1781 / 20 | $13.632,90 | 1878 / 24 | $12.514,40 | 1874 / 23 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 5 | $18.655,10 | 514 / 2 | $4.541,08 | 523 / 5 | $3.636,54 | 522 / 6 |
Respiratory Infections & Inflammations W Mcc | 24 | 112 / 9 | $60.919,00 | 1282 / 16 | $16.864,80 | 1569 / 23 | $14.927,20 | 1553 / 24 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 32 | 99 / 6 | $76.928,10 | 1267 / 8 | $19.525,30 | 1543 / 18 | $18.173,30 | 1529 / 19 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 23 | 48 / 1 | $207.789,00 | 771 / 4 | $51.696,70 | 934 / 7 | $49.758,70 | 933 / 7 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 25 | 44 / 5 | $58.433,80 | 177 / 1 | $18.991,90 | 375 / 4 | $17.684,00 | 374 / 7 |
Seizures W Mcc | 21 | 45 / 1 | $46.812,50 | 440 / 1 | $11.708,70 | 501 / 4 | $10.550,70 | 501 / 5 |
Seizures W/O Mcc | 20 | 88 / 5 | $25.800,30 | 803 / 4 | $5.395,80 | 511 / 6 | $4.074,80 | 508 / 5 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 3 | $195.504,00 | 733 / 4 | $50.922,10 | 942 / 7 | $49.245,40 | 941 / 7 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 196 | 320 / 6 | $50.191,90 | 1790 / 20 | $13.738,50 | 2018 / 27 | $12.434,70 | 1981 / 30 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 86 | 121 / 2 | $25.862,60 | 1321 / 10 | $7.649,83 | 1566 / 22 | $6.376,73 | 1559 / 22 |
Signs & Symptoms W/O Mcc | 33 | 58 / 5 | $22.697,00 | 800 / 5 | $4.963,85 | 597 / 10 | $3.861,70 | 596 / 11 |
Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 17 | $22.294,90 | 1382 / 12 | $6.837,52 | 1661 / 19 | $5.679,79 | 1654 / 22 |
Simple Pneumonia & Pleurisy W Mcc | 80 | 125 / 5 | $37.035,20 | 1452 / 14 | $10.774,60 | 1751 / 27 | $9.242,65 | 1751 / 28 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 10 | $19.528,80 | 1166 / 10 | $5.098,84 | 1066 / 13 | $3.746,37 | 1060 / 11 |
Spinal Fusion Except Cervical W/O Mcc | 62 | 132 / 9 | $79.639,10 | 518 / 2 | $28.218,50 | 957 / 11 | $25.845,10 | 952 / 20 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 13 | 35 / 2 | $53.066,90 | 165 / 2 | $10.909,90 | 142 / 3 | $9.649,08 | 142 / 4 |
Syncope & Collapse | 26 | 143 / 9 | $21.053,90 | 946 / 4 | $5.139,58 | 1071 / 9 | $4.177,42 | 1064 / 13 |
Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 1 | $21.225,50 | 160 / 1 | $5.864,25 | 182 / 1 | $4.787,00 | 182 / 1 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 4 | $463.018,00 | 488 / 4 | $127.107,00 | 555 / 4 | $123.505,00 | 554 / 4 |
Transient Ischemia | 21 | 104 / 6 | $24.272,30 | 932 / 4 | $4.966,57 | 869 / 8 | $3.812,71 | 865 / 10 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 14 | 52 / 6 | $32.634,40 | 286 / 3 | $8.032,86 | 245 / 8 | $6.478,07 | 245 / 8 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 13 | 41 / 4 | $16.632,40 | 103 / 1 | $5.187,85 | 148 / 4 | $3.976,38 | 148 / 6 | Total 115 procedures | 3.414 | 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.