Hospital Costs > In Wisconsin > St Mary's Hospital Madison, 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 | 608 | 79 / 1 | $32.480,30 | 332 / 14 | $14.942,90 | 1953 / 45 | $13.434,40 | 1911 / 54 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 267 | 251 / 5 | $50.744,50 | 1820 / 56 | $14.179,60 | 2099 / 50 | $12.752,10 | 2062 / 53 |
Heart Failure & Shock W Cc | 212 | 69 / 2 | $25.114,40 | 1675 / 57 | $7.411,04 | 1919 / 51 | $6.362,29 | 1914 / 53 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 142 | 133 / 3 | $20.024,40 | 1392 / 47 | $5.713,93 | 1810 / 45 | $4.494,72 | 1797 / 47 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 138 | 60 / 2 | $51.247,80 | 250 / 10 | $14.689,80 | 1044 / 17 | $12.805,10 | 1037 / 27 |
Simple Pneumonia & Pleurisy W Cc | 129 | 75 / 2 | $22.037,30 | 1352 / 46 | $7.191,77 | 1854 / 46 | $5.934,88 | 1846 / 45 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 127 | 64 / 2 | $30.844,10 | 557 / 20 | $8.034,17 | 1093 / 21 | $6.673,67 | 1090 / 23 |
Heart Failure & Shock W Mcc | 126 | 158 / 3 | $41.840,20 | 1734 / 55 | $11.223,10 | 1932 / 50 | $10.153,40 | 1925 / 51 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 114 | 68 / 2 | $29.057,20 | 1090 / 40 | $7.937,39 | 1360 / 35 | $6.495,92 | 1357 / 33 |
G.I. Hemorrhage W Cc | 105 | 113 / 2 | $22.002,10 | 943 / 44 | $7.318,46 | 1634 / 46 | $6.221,88 | 1630 / 48 |
Chronic Obstructive Pulmonary Disease W Mcc | 103 | 99 / 2 | $32.128,30 | 1603 / 47 | $8.590,80 | 1857 / 39 | $7.578,49 | 1849 / 45 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 102 | 26 / 1 | $25.469,10 | 686 / 22 | $8.799,10 | 1270 / 29 | $7.810,55 | 1267 / 30 |
Cellulitis W/O Mcc | 97 | 92 / 2 | $20.335,90 | 1517 / 47 | $6.431,43 | 1696 / 47 | $4.975,42 | 1689 / 43 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 92 | 115 / 5 | $29.413,80 | 1581 / 57 | $8.463,00 | 1570 / 57 | $6.384,96 | 1563 / 43 |
Kidney & Urinary Tract Infections W/O Mcc | 90 | 143 / 4 | $18.989,30 | 1460 / 48 | $5.937,12 | 1915 / 44 | $4.850,23 | 1904 / 44 |
Renal Failure W Cc | 90 | 131 / 5 | $23.440,90 | 1306 / 47 | $7.000,60 | 1634 / 40 | $5.989,47 | 1625 / 39 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 86 | 17 / 1 | $71.347,90 | 177 / 7 | $22.382,00 | 587 / 8 | $20.653,60 | 583 / 11 |
Spinal Fusion Except Cervical W/O Mcc | 86 | 108 / 2 | $57.175,40 | 178 / 7 | $26.921,00 | 900 / 14 | $25.035,80 | 895 / 23 |
Hip & Femur Procedures Except Major Joint W Cc | 85 | 58 / 1 | $39.667,30 | 624 / 24 | $13.727,60 | 1433 / 40 | $12.495,40 | 1415 / 42 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 85 | 83 / 4 | $51.932,80 | 995 / 27 | $13.881,40 | 1278 / 27 | $12.769,60 | 1272 / 27 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 84 | 41 / 1 | $39.177,00 | 778 / 23 | $12.595,30 | 1297 / 22 | $11.504,30 | 1287 / 25 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 83 | 83 / 3 | $17.540,10 | 1271 / 33 | $5.339,40 | 1679 / 37 | $4.297,42 | 1674 / 36 |
Extracranial Procedures W/O Cc/Mcc | 83 | 19 / 1 | $23.552,60 | 241 / 2 | $7.622,19 | 709 / 12 | $6.654,96 | 706 / 14 |
Chronic Obstructive Pulmonary Disease W Cc | 82 | 97 / 2 | $25.254,50 | 1469 / 42 | $6.928,54 | 1686 / 35 | $5.850,93 | 1679 / 37 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 80 | 81 / 2 | $18.489,30 | 902 / 32 | $5.909,00 | 1457 / 34 | $4.902,55 | 1452 / 34 |
Simple Pneumonia & Pleurisy W Mcc | 72 | 133 / 4 | $33.447,20 | 1250 / 51 | $10.327,30 | 1703 / 45 | $9.160,33 | 1703 / 46 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 70 | 51 / 3 | $123.865,00 | 182 / 9 | $36.847,20 | 359 / 12 | $35.578,40 | 359 / 13 |
G.I. Obstruction W Cc | 69 | 23 / 2 | $21.613,60 | 764 / 25 | $6.658,80 | 1127 / 27 | $5.341,17 | 1124 / 25 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 67 | 35 / 1 | $21.952,70 | 711 / 15 | $5.718,45 | 1061 / 18 | $4.466,97 | 1057 / 20 |
Syncope & Collapse | 61 | 108 / 3 | $20.464,10 | 898 / 25 | $5.498,02 | 1201 / 22 | $4.390,51 | 1194 / 21 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 56 | 37 / 1 | $16.435,80 | 878 / 22 | $5.377,75 | 1403 / 21 | $4.211,82 | 1395 / 21 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 56 | 94 / 3 | $14.790,90 | 964 / 26 | $4.355,04 | 1352 / 22 | $3.228,79 | 1347 / 25 |
Major Small & Large Bowel Procedures W Cc | 55 | 53 / 3 | $54.418,10 | 511 / 14 | $17.870,90 | 1108 / 16 | $16.671,50 | 1095 / 27 |
Heart Failure & Shock W/O Cc/Mcc | 55 | 55 / 1 | $17.655,30 | 1121 / 24 | $5.152,82 | 1234 / 24 | $4.012,31 | 1224 / 21 |
Acute Myocardial Infarction, Discharged Alive W Cc | 54 | 37 / 1 | $24.216,90 | 488 / 11 | $7.754,63 | 984 / 12 | $6.634,56 | 982 / 15 |
Signs & Symptoms W/O Mcc | 53 | 38 / 3 | $19.713,50 | 640 / 17 | $5.282,58 | 790 / 14 | $4.270,58 | 787 / 16 |
Medical Back Problems W/O Mcc | 52 | 69 / 5 | $21.260,30 | 620 / 21 | $6.364,29 | 984 / 22 | $5.205,13 | 981 / 25 |
Revision Of Hip Or Knee Replacement W Cc | 52 | 36 / 1 | $58.643,20 | 133 / 4 | $22.692,10 | 451 / 5 | $21.623,80 | 449 / 8 |
Respiratory Infections & Inflammations W Mcc | 51 | 85 / 5 | $44.207,30 | 914 / 28 | $14.376,20 | 1347 / 25 | $13.215,40 | 1332 / 26 |
Major Cardiovasc Procedures W/O Mcc | 51 | 50 / 3 | $81.002,50 | 388 / 12 | $24.835,50 | 680 / 10 | $22.362,30 | 679 / 12 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 50 | 81 / 3 | $67.182,40 | 1087 / 22 | $18.058,90 | 1454 / 16 | $16.998,20 | 1440 / 20 |
Transient Ischemia | 49 | 76 / 2 | $20.446,50 | 690 / 11 | $5.514,51 | 1027 / 16 | $4.092,96 | 1022 / 16 |
Pulmonary Embolism W/O Mcc | 49 | 25 / 2 | $26.741,90 | 713 / 27 | $7.188,06 | 932 / 22 | $6.231,73 | 929 / 24 |
Respiratory Infections & Inflammations W Cc | 47 | 41 / 3 | $28.700,50 | 636 / 19 | $10.028,80 | 1051 / 19 | $8.871,53 | 1046 / 22 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 47 | 41 / 2 | $90.362,70 | 196 / 7 | $26.676,60 | 413 / 6 | $24.054,60 | 412 / 8 |
Renal Failure W Mcc | 46 | 149 / 6 | $39.516,40 | 1272 / 33 | $11.749,30 | 1590 / 31 | $10.621,20 | 1588 / 33 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 45 | 79 / 4 | $127.438,00 | 804 / 20 | $41.709,60 | 1251 / 20 | $40.182,40 | 1241 / 23 |
Major Small & Large Bowel Procedures W Mcc | 44 | 41 / 3 | $120.581,00 | 561 / 18 | $40.183,50 | 1051 / 23 | $38.855,70 | 1049 / 23 |
Other Digestive System Diagnoses W Cc | 44 | 53 / 3 | $20.860,60 | 457 / 12 | $7.367,55 | 951 / 15 | $6.296,68 | 947 / 18 |
G.I. Hemorrhage W Mcc | 42 | 79 / 3 | $40.686,10 | 716 / 20 | $13.264,60 | 1198 / 21 | $12.204,80 | 1190 / 21 |
Other Vascular Procedures W Cc | 41 | 61 / 4 | $50.277,10 | 213 / 3 | $17.544,30 | 700 / 8 | $16.460,10 | 697 / 11 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 41 | 79 / 3 | $16.595,70 | 977 / 20 | $5.413,78 | 1371 / 14 | $4.198,07 | 1360 / 16 |
Chest Pain | 39 | 112 / 3 | $17.523,70 | 735 / 13 | $4.654,49 | 997 / 11 | $3.546,90 | 991 / 12 |
Permanent Cardiac Pacemaker Implant W Cc | 39 | 38 / 2 | $52.266,10 | 241 / 9 | $18.153,80 | 622 / 9 | $17.008,10 | 621 / 9 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 38 | 19 / 1 | $48.436,00 | 267 / 6 | $15.695,90 | 558 / 6 | $14.528,90 | 557 / 7 |
Red Blood Cell Disorders W/O Mcc | 38 | 105 / 3 | $22.180,00 | 1080 / 21 | $6.422,00 | 1341 / 20 | $5.073,00 | 1332 / 21 |
Diabetes W Cc | 37 | 55 / 3 | $19.450,80 | 655 / 10 | $6.180,73 | 987 / 12 | $5.106,24 | 983 / 14 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 35 | 58 / 2 | $40.128,80 | 157 / 4 | $14.796,30 | 608 / 8 | $13.720,50 | 602 / 10 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 34 | 55 / 2 | $24.350,60 | 178 / 3 | $7.958,06 | 522 / 5 | $6.661,82 | 521 / 10 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 34 | 62 / 4 | $30.474,60 | 648 / 16 | $9.047,09 | 912 / 13 | $7.815,06 | 907 / 13 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 34 | 61 / 2 | $52.770,20 | 123 / 1 | $14.465,50 | 355 / 4 | $12.443,10 | 351 / 4 |
Other Circulatory System Diagnoses W Mcc | 34 | 82 / 4 | $48.499,20 | 706 / 21 | $14.713,80 | 1024 / 19 | $13.720,70 | 1017 / 19 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 33 | 83 / 4 | $162.328,00 | 119 / 6 | $57.129,20 | 308 / 6 | $55.887,60 | 308 / 6 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 32 | 30 / 2 | $17.334,50 | 271 / 2 | $5.679,25 | 496 / 4 | $4.557,50 | 494 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 31 | 42 / 3 | $24.183,60 | 448 / 11 | $8.463,48 | 778 / 8 | $7.657,94 | 776 / 12 |
G.I. Obstruction W/O Cc/Mcc | 31 | 40 / 1 | $16.809,90 | 648 / 11 | $4.896,77 | 821 / 11 | $3.484,90 | 818 / 9 |
Seizures W/O Mcc | 30 | 78 / 5 | $20.769,70 | 584 / 9 | $5.700,23 | 714 / 11 | $4.520,23 | 711 / 11 |
Fractures Of Hip & Pelvis W/O Mcc | 30 | 31 / 2 | $16.007,10 | 330 / 9 | $5.714,57 | 597 / 12 | $4.226,83 | 597 / 12 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 30 | 71 / 5 | $38.488,00 | 603 / 18 | $11.514,40 | 770 / 14 | $10.642,50 | 768 / 18 |
Poisoning & Toxic Effects Of Drugs W Mcc | 28 | 44 / 2 | $37.867,00 | 533 / 13 | $10.092,10 | 599 / 8 | $9.095,36 | 597 / 9 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 27 | 13 / 2 | $21.230,90 | 62 / 2 | $7.873,85 | 133 / 1 | $6.825,26 | 133 / 1 |
Degenerative Nervous System Disorders W/O Mcc | 27 | 51 / 3 | $21.859,00 | 290 / 5 | $7.066,26 | 452 / 6 | $5.876,63 | 452 / 6 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 27 | 97 / 8 | $21.530,70 | 526 / 22 | $5.239,56 | 475 / 13 | $4.365,19 | 474 / 16 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 27 | 39 / 3 | $32.530,70 | 74 / 3 | $13.298,50 | 365 / 3 | $12.016,00 | 362 / 5 |
Pulmonary Embolism W Mcc | 27 | 16 / 1 | $38.977,70 | 305 / 8 | $11.100,60 | 442 / 7 | $10.208,60 | 441 / 9 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 27 | 26 / 2 | $18.136,40 | 235 / 2 | $5.672,48 | 546 / 3 | $4.452,19 | 542 / 4 |
Other Kidney & Urinary Tract Diagnoses W Cc | 26 | 77 / 4 | $21.650,10 | 294 / 4 | $7.324,42 | 482 / 7 | $6.180,50 | 482 / 7 |
Other Digestive System Diagnoses W Mcc | 26 | 36 / 4 | $45.969,40 | 404 / 9 | $12.468,10 | 430 / 5 | $11.138,40 | 429 / 6 |
Hip & Femur Procedures Except Major Joint W Mcc | 25 | 37 / 3 | $57.636,60 | 275 / 5 | $21.314,70 | 683 / 9 | $20.249,40 | 680 / 9 |
Cellulitis W Mcc | 24 | 34 / 2 | $30.815,00 | 399 / 6 | $10.543,50 | 650 / 7 | $9.635,62 | 648 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 11 | $33.458,00 | 1116 / 28 | $8.620,62 | 1167 / 22 | $7.548,96 | 1164 / 23 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 24 | 45 / 1 | $49.432,90 | 101 / 2 | $19.124,50 | 383 / 7 | $17.936,30 | 382 / 9 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 24 | 22 / 1 | $16.018,00 | 94 / 1 | $5.260,50 | 273 / 1 | $4.284,17 | 272 / 3 |
Disorders Of The Biliary Tract W Cc | 23 | 31 / 3 | $31.685,80 | 234 / 5 | $7.761,43 | 265 / 3 | $6.593,09 | 265 / 4 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 23 | 42 / 4 | $67.975,40 | 348 / 9 | $25.011,40 | 773 / 11 | $23.587,60 | 770 / 12 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 23 | 33 / 3 | $33.976,10 | 158 / 2 | $11.853,00 | 663 / 6 | $10.728,70 | 661 / 9 |
Major Chest Procedures W Cc | 23 | 51 / 4 | $51.332,70 | 125 / 2 | $18.054,20 | 327 / 3 | $16.748,50 | 325 / 5 |
Pulmonary Edema & Respiratory Failure | 23 | 180 / 25 | $34.585,30 | 1278 / 47 | $9.987,57 | 1884 / 45 | $9.280,26 | 1878 / 48 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 9 | $27.545,90 | 1069 / 25 | $8.740,83 | 1491 / 25 | $7.585,00 | 1487 / 27 |
Fever | 22 | 24 / 3 | $16.971,50 | 64 / 1 | $6.332,18 | 181 / 1 | $5.193,77 | 181 / 2 |
Other Disorders Of Nervous System W Cc | 22 | 34 / 3 | $26.610,70 | 314 / 7 | $6.785,91 | 392 / 5 | $5.792,64 | 392 / 7 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 22 | 33 / 2 | $41.968,60 | 167 / 3 | $14.283,50 | 456 / 4 | $12.945,30 | 452 / 7 |
Other Vascular Procedures W Mcc | 21 | 76 / 5 | $66.533,50 | 223 / 2 | $22.413,00 | 553 / 2 | $21.294,00 | 550 / 4 |
Disorders Of Pancreas Except Malignancy W Cc | 21 | 40 / 4 | $27.619,30 | 559 / 8 | $7.163,57 | 677 / 6 | $5.998,62 | 674 / 9 |
Major Male Pelvic Procedures W/O Cc/Mcc | 21 | 52 / 3 | $34.487,30 | 129 / 3 | $9.212,05 | 243 / 1 | $7.757,52 | 243 / 6 |
Peripheral Vascular Disorders W Cc | 21 | 63 / 4 | $41.572,50 | 1032 / 10 | $8.883,43 | 1089 / 7 | $8.013,14 | 1086 / 10 |
Dysequilibrium | 21 | 44 / 3 | $18.895,30 | 214 / 4 | $4.844,43 | 317 / 3 | $3.654,67 | 317 / 3 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 20 | 48 / 3 | $28.259,60 | 430 / 6 | $6.933,05 | 514 / 2 | $6.120,00 | 514 / 3 |
Other Digestive System Diagnoses W/O Cc/Mcc | 20 | 23 / 1 | $19.774,40 | 166 / 4 | $5.164,05 | 220 / 2 | $4.080,65 | 220 / 3 |
Permanent Cardiac Pacemaker Implant W Mcc | 20 | 32 / 4 | $66.995,00 | 125 / 7 | $24.738,20 | 358 / 6 | $23.602,40 | 358 / 6 |
Major Cardiovasc Procedures W Mcc | 20 | 48 / 5 | $126.626,00 | 241 / 6 | $39.452,20 | 454 / 5 | $38.149,20 | 453 / 5 |
Coronary Bypass W Cardiac Cath W/O Mcc | 20 | 56 / 5 | $125.030,00 | 261 / 9 | $32.261,30 | 462 / 5 | $30.826,60 | 462 / 11 |
Organic Disturbances & Mental Retardation | 19 | 40 / 2 | $23.138,50 | 243 / 4 | $7.527,26 | 310 / 4 | $6.418,42 | 310 / 5 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 19 | 45 / 3 | $35.331,80 | 227 / 2 | $11.651,50 | 553 / 6 | $10.456,70 | 553 / 7 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 19 | 17 / 1 | $47.035,30 | 96 / 3 | $18.557,40 | 196 / 4 | $15.136,70 | 196 / 5 |
Extracranial Procedures W Cc | 19 | 27 / 3 | $25.510,30 | 48 / 1 | $11.205,50 | 263 / 4 | $10.076,60 | 263 / 5 |
G.I. Obstruction W Mcc | 19 | 23 / 3 | $44.261,80 | 295 / 8 | $12.168,00 | 373 / 6 | $11.166,20 | 373 / 8 |
Cervical Spinal Fusion W/O Cc/Mcc | 18 | 86 / 3 | $40.163,60 | 200 / 2 | $15.645,80 | 664 / 4 | $14.384,70 | 661 / 8 |
Hypertension W/O Mcc | 18 | 47 / 2 | $16.787,10 | 289 / 4 | $4.792,11 | 485 / 5 | $3.704,78 | 483 / 6 |
Respiratory Signs & Symptoms | 18 | 28 / 2 | $28.984,60 | 223 / 4 | $5.452,00 | 210 / 2 | $4.672,00 | 210 / 4 |
Coronary Bypass W Cardiac Cath W Mcc | 18 | 38 / 3 | $149.751,00 | 113 / 2 | $47.256,60 | 267 / 2 | $45.892,80 | 267 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 18 | 38 / 3 | $44.818,80 | 371 / 8 | $13.648,20 | 420 / 6 | $12.431,40 | 419 / 7 |
Other Resp System O.R. Procedures W Mcc | 18 | 45 / 3 | $61.327,20 | 111 / 1 | $26.410,60 | 414 / 2 | $25.205,70 | 413 / 3 |
Other Disorders Of Nervous System W Mcc | 17 | 23 / 3 | $38.995,40 | 139 / 2 | $11.301,10 | 178 / 2 | $10.441,10 | 178 / 3 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 17 | 57 / 3 | $52.942,10 | 75 / 1 | $15.733,00 | 147 / 1 | $14.760,10 | 146 / 1 |
Tendonitis, Myositis & Bursitis W/O Mcc | 17 | 25 / 3 | $20.288,80 | 142 / 3 | $6.289,53 | 212 / 3 | $5.098,94 | 212 / 4 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 4 | $16.112,40 | 347 / 6 | $4.908,59 | 508 / 7 | $3.906,00 | 507 / 6 |
Nervous System Neoplasms W Mcc | 17 | 31 / 3 | $28.196,20 | 66 / 1 | $9.519,18 | 152 / 1 | $8.367,18 | 152 / 1 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 17 | 36 / 4 | $31.458,80 | 53 / 1 | $12.044,90 | 144 / 1 | $10.895,00 | 145 / 2 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 6 | $102.504,00 | 232 / 4 | $35.511,90 | 530 / 3 | $34.361,10 | 530 / 6 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 5 | $168.279,00 | 624 / 8 | $46.141,00 | 845 / 1 | $44.854,10 | 844 / 8 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 3 | $13.706,10 | 261 / 3 | $5.312,69 | 640 / 4 | $4.171,19 | 636 / 4 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 16 | 31 / 3 | $19.515,20 | 146 / 4 | $6.275,19 | 150 / 2 | $4.079,50 | 150 / 3 |
Extracranial Procedures W Mcc | 16 | 7 / 1 | $57.110,50 | 6 / 1 | $21.842,20 | 27 / 1 | $20.828,00 | 27 / 1 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 16 | 82 / 4 | $102.104,00 | 196 / 3 | $29.851,00 | 279 / 3 | $29.046,00 | 279 / 5 |
Disorders Of The Biliary Tract W Mcc | 16 | 23 / 2 | $36.091,50 | 78 / 2 | $12.539,60 | 72 / 3 | $9.556,38 | 72 / 2 |
Respiratory Neoplasms W Cc | 15 | 32 / 4 | $30.962,90 | 209 / 4 | $8.876,60 | 308 / 2 | $7.638,47 | 307 / 4 |
Nonspecific Cerebrovascular Disorders W Cc | 15 | 41 / 2 | $26.234,40 | 246 / 3 | $7.159,73 | 285 / 2 | $6.027,53 | 285 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 2 | $30.084,30 | 157 / 1 | $8.862,93 | 441 / 4 | $7.723,73 | 440 / 4 |
Postoperative & Post-Traumatic Infections W/O Mcc | 15 | 39 / 4 | $17.751,20 | 89 / 1 | $7.199,60 | 280 / 1 | $6.663,87 | 280 / 2 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 15 | 61 / 5 | $39.684,30 | 206 / 3 | $13.070,50 | 297 / 2 | $12.136,30 | 297 / 2 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 15 | 38 / 5 | $28.324,00 | 172 / 2 | $8.703,60 | 305 / 1 | $8.127,33 | 305 / 3 |
Stomach, Esophageal & Duodenal Proc W Mcc | 14 | 27 / 3 | $179.813,00 | 164 / 3 | $57.586,40 | 218 / 3 | $55.879,10 | 218 / 4 |
Endocrine Disorders W Cc | 14 | 24 / 2 | $24.430,60 | 130 / 4 | $7.561,29 | 155 / 1 | $6.277,57 | 155 / 2 |
Diabetes W Mcc | 14 | 43 / 3 | $41.654,30 | 479 / 7 | $10.638,90 | 477 / 3 | $9.275,29 | 477 / 4 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 14 | 40 / 3 | $50.414,10 | 12 / 1 | $20.670,60 | 118 / 2 | $19.682,40 | 118 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 2 | $61.456,80 | 183 / 4 | $17.430,40 | 323 / 4 | $16.193,50 | 322 / 5 |
Epistaxis W/O Mcc | 14 | 6 / 1 | $17.821,40 | 12 / 1 | $5.095,21 | 8 / 1 | $4.016,36 | 8 / 1 |
Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 8 | $22.874,90 | 499 / 11 | $6.322,36 | 549 / 4 | $4.932,14 | 545 / 6 |
Otitis Media & Uri W/O Mcc | 13 | 31 / 3 | $15.631,30 | 59 / 1 | $4.987,46 | 96 / 1 | $3.776,08 | 96 / 2 |
Major Chest Procedures W Mcc | 13 | 36 / 4 | $113.096,00 | 125 / 3 | $35.353,20 | 217 / 4 | $34.136,20 | 216 / 4 |
Transurethral Procedures W Cc | 13 | 28 / 2 | $29.652,50 | 116 / 2 | $9.230,54 | 284 / 2 | $8.411,77 | 284 / 3 |
Interstitial Lung Disease W Mcc | 13 | 12 / 1 | $39.349,50 | 43 / 1 | $11.929,50 | 59 / 1 | $10.918,20 | 59 / 1 |
Stomach, Esophageal & Duodenal Proc W Cc | 13 | 37 / 4 | $53.354,20 | 49 / 2 | $19.093,80 | 131 / 2 | $17.737,80 | 131 / 3 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 13 | 16 / 1 | $15.374,30 | 12 / 1 | $5.691,23 | 63 / 1 | $4.946,92 | 63 / 1 |
Complications Of Treatment W Cc | 13 | 39 / 4 | $22.213,20 | 126 / 1 | $7.232,54 | 166 / 1 | $6.098,08 | 166 / 2 |
Respiratory Neoplasms W Mcc | 13 | 39 / 4 | $53.403,60 | 414 / 5 | $13.545,30 | 491 / 3 | $12.285,10 | 488 / 4 |
Disorders Of Pancreas Except Malignancy W Mcc | 13 | 33 / 3 | $69.177,80 | 286 / 4 | $17.068,20 | 315 / 3 | $15.799,80 | 315 / 3 |
Psychoses | 13 | 262 / 16 | $29.645,60 | 468 / 17 | $9.977,62 | 183 / 17 | $5.456,62 | 183 / 6 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 7 | $35.343,50 | 25 / 1 | $17.966,40 | 344 / 9 | $16.776,50 | 344 / 11 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 12 | 54 / 6 | $27.455,30 | 209 / 4 | $8.133,25 | 288 / 3 | $6.753,58 | 288 / 3 |
Complicated Peptic Ulcer W Cc | 12 | 7 / 1 | $31.890,90 | 18 / 1 | $8.982,67 | 20 / 1 | $7.664,83 | 20 / 1 |
Postoperative & Post-Traumatic Infections W Mcc | 12 | 31 / 3 | $42.507,90 | 79 / 1 | $14.345,40 | 137 / 2 | $13.750,40 | 137 / 2 |
Headaches W/O Mcc | 12 | 31 / 2 | $18.923,00 | 91 / 1 | $5.118,75 | 136 / 1 | $4.041,08 | 136 / 2 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 12 | 43 / 4 | $58.973,20 | 36 / 2 | $20.380,60 | 110 / 1 | $19.478,20 | 110 / 2 |
Lymphoma & Non-Acute Leukemia W Cc | 12 | 24 / 3 | $41.343,80 | 44 / 1 | $11.651,80 | 60 / 2 | $10.534,80 | 60 / 2 |
Seizures W Mcc | 12 | 54 / 7 | $50.690,40 | 494 / 7 | $13.236,70 | 605 / 5 | $12.322,70 | 605 / 9 |
Bone Diseases & Arthropathies W/O Mcc | 12 | 32 / 4 | $14.821,20 | 101 / 1 | $5.477,17 | 144 / 3 | $4.477,83 | 144 / 3 |
Digestive Malignancy W Cc | 12 | 35 / 4 | $28.107,10 | 117 / 3 | $9.103,83 | 213 / 1 | $7.945,17 | 211 / 2 |
Coronary Bypass W/O Cardiac Cath W Mcc | 12 | 47 / 2 | $111.541,00 | 51 / 1 | $36.341,80 | 113 / 1 | $35.091,20 | 112 / 2 |
Medical Back Problems W Mcc | 12 | 27 / 4 | $41.950,20 | 156 / 3 | $11.391,10 | 184 / 2 | $10.217,40 | 184 / 2 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 12 | 57 / 6 | $57.003,60 | 223 / 5 | $12.878,20 | 418 / 4 | $11.672,20 | 416 / 7 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Mcc | 11 | 14 / 1 | $47.794,20 | 17 / 2 | $13.634,00 | 18 / 1 | $12.286,00 | 18 / 2 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 6 | $24.873,70 | 308 / 3 | $9.051,55 | 665 / 1 | $8.159,18 | 661 / 5 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 4 | $29.770,40 | 105 / 1 | $10.893,00 | 298 / 3 | $8.683,91 | 298 / 3 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 3 | $32.364,40 | 247 / 2 | $11.627,70 | 679 / 3 | $10.491,40 | 676 / 3 |
Digestive Malignancy W Mcc | 11 | 26 / 4 | $29.597,90 | 10 / 2 | $14.559,50 | 67 / 1 | $13.520,60 | 67 / 2 |
Peritoneal Adhesiolysis W Cc | 11 | 28 / 5 | $61.998,50 | 145 / 1 | $16.642,60 | 188 / 1 | $15.085,50 | 188 / 3 |
Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 4 | $34.182,00 | 102 / 3 | $12.021,00 | 384 / 6 | $10.960,30 | 383 / 6 |
Renal Failure W/O Cc/Mcc | 11 | 45 / 5 | $12.133,90 | 224 / 4 | $4.898,73 | 373 / 3 | $3.248,73 | 372 / 3 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 11 | 34 / 4 | $61.464,30 | 39 / 2 | $21.012,20 | 174 / 2 | $19.755,10 | 173 / 2 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 11 | 18 / 2 | $15.977,00 | 53 / 1 | $5.121,64 | 61 / 1 | $3.916,91 | 61 / 1 |
Other Respiratory System Diagnoses W/O Mcc | 11 | 35 / 3 | $23.334,30 | 160 / 2 | $6.001,09 | 162 / 1 | $4.884,73 | 162 / 2 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 11 | 34 / 4 | $30.563,90 | 12 / 1 | $12.909,00 | 86 / 1 | $12.043,20 | 86 / 1 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 11 | 16 / 3 | $51.522,20 | 107 / 3 | $13.340,30 | 104 / 2 | $12.404,30 | 104 / 2 | Total 175 procedures | 7.101 | 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.