Hospital Costs > In California > Stanford Hospital, 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 | 11 | 19 / 3 | $69.246,50 | 82 / 3 | $9.411,55 | 72 / 3 | $7.031,18 | 72 / 2 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 11 | 20 / 7 | $176.459,00 | 146 / 12 | $23.561,00 | 147 / 14 | $20.889,40 | 147 / 14 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc | 11 | 15 / 3 | $259.671,00 | 45 / 3 | $37.543,30 | 46 / 2 | $33.757,10 | 46 / 3 |
Acute Leukemia W/O Major O.R. Procedure W Cc | 13 | 7 / 1 | $158.089,00 | 13 / 1 | $34.504,20 | 13 / 1 | $31.474,20 | 13 / 1 |
Acute Leukemia W/O Major O.R. Procedure W Mcc | 27 | 9 / 1 | $603.496,00 | 64 / 4 | $107.118,00 | 63 / 4 | $93.998,90 | 63 / 4 |
Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 13 | $126.394,00 | 1429 / 103 | $16.814,10 | 1417 / 103 | $12.596,00 | 1415 / 99 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 25 | $183.989,00 | 1818 / 153 | $24.515,40 | 1803 / 154 | $21.489,80 | 1790 / 152 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 22 | 102 / 17 | $87.630,80 | 849 / 48 | $11.332,70 | 792 / 41 | $7.339,64 | 791 / 38 |
Allogeneic Bone Marrow Transplant | 12 | 13 / 1 | $702.608,00 | 27 / 3 | $144.781,00 | 26 / 1 | $134.084,00 | 26 / 2 |
Autologous Bone Marrow Transplant W Cc/Mcc | 13 | 22 / 5 | $623.839,00 | 59 / 6 | $93.580,50 | 59 / 5 | $84.604,50 | 59 / 6 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 30 | 36 / 9 | $138.864,00 | 560 / 38 | $23.651,50 | 570 / 45 | $20.016,10 | 566 / 45 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 44 | 45 / 9 | $107.778,00 | 763 / 68 | $14.507,50 | 760 / 73 | $11.602,40 | 759 / 73 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 15 | 48 / 6 | $218.546,00 | 229 / 8 | $45.794,70 | 233 / 9 | $34.633,20 | 232 / 8 |
Bronchitis & Asthma W Cc/Mcc | 18 | 58 / 15 | $118.973,00 | 1089 / 84 | $14.055,20 | 1079 / 82 | $11.597,90 | 1075 / 83 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 66 | 95 / 6 | $76.142,30 | 2158 / 175 | $10.929,40 | 2112 / 170 | $8.951,59 | 2107 / 166 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 56 | 67 / 5 | $116.507,00 | 1908 / 150 | $16.401,10 | 1871 / 143 | $13.515,60 | 1868 / 139 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 52 | 98 / 4 | $60.339,00 | 1982 / 145 | $9.111,56 | 1910 / 142 | $5.661,63 | 1904 / 126 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 14 | 36 / 5 | $355.930,00 | 248 / 8 | $69.978,30 | 251 / 9 | $66.403,60 | 251 / 9 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 15 | 54 / 9 | $912.233,00 | 293 / 19 | $153.494,00 | 294 / 20 | $144.520,00 | 294 / 20 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 148 | 13 / 2 | $403.765,00 | 532 / 35 | $68.493,60 | 537 / 39 | $62.885,60 | 537 / 39 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 108 | 21 / 2 | $634.968,00 | 474 / 38 | $112.790,00 | 479 / 42 | $105.012,00 | 479 / 42 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 15 | 27 / 5 | $323.493,00 | 127 / 10 | $55.615,90 | 128 / 9 | $53.364,90 | 128 / 10 |
Carotid Artery Stent Procedure W/O Cc/Mcc | 13 | 19 / 5 | $99.769,30 | 94 / 6 | $22.376,50 | 96 / 7 | $18.145,00 | 96 / 7 |
Cellulitis W Mcc | 18 | 40 / 16 | $167.339,00 | 969 / 92 | $24.425,20 | 965 / 92 | $20.263,10 | 963 / 92 |
Cellulitis W/O Mcc | 50 | 139 / 36 | $73.739,40 | 2634 / 223 | $12.160,00 | 2559 / 211 | $9.327,40 | 2551 / 198 |
Cervical Spinal Fusion W Cc | 21 | 32 / 6 | $221.268,00 | 382 / 27 | $36.482,40 | 383 / 26 | $33.921,10 | 382 / 27 |
Cervical Spinal Fusion W/O Cc/Mcc | 44 | 60 / 3 | $192.073,00 | 880 / 58 | $29.434,70 | 874 / 58 | $24.951,10 | 871 / 58 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 72 | 28 / 4 | $100.823,00 | 392 / 30 | $14.882,90 | 382 / 27 | $13.160,60 | 382 / 28 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Mcc | 15 | 19 / 4 | $150.279,00 | 53 / 6 | $31.416,10 | 56 / 6 | $28.452,70 | 56 / 7 |
Chest Pain | 22 | 129 / 50 | $64.258,80 | 1706 / 150 | $8.561,00 | 1628 / 133 | $6.942,45 | 1619 / 131 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 49 | $84.967,80 | 2436 / 187 | $12.890,40 | 2376 / 183 | $9.919,88 | 2369 / 175 |
Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 42 | $152.087,00 | 2575 / 204 | $18.910,20 | 2563 / 201 | $15.928,70 | 2555 / 197 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 35 | $79.157,50 | 2102 / 137 | $10.399,50 | 2083 / 132 | $8.785,91 | 2071 / 131 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 26 | 67 / 9 | $328.507,00 | 921 / 67 | $43.745,30 | 921 / 65 | $38.858,40 | 913 / 67 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 36 | 152 / 26 | $140.579,00 | 1642 / 134 | $16.559,90 | 1615 / 129 | $12.418,50 | 1612 / 125 |
Cirrhosis & Alcoholic Hepatitis W Cc | 11 | 15 / 1 | $68.527,40 | 93 / 1 | $12.551,10 | 88 / 1 | $10.853,30 | 88 / 1 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 12 | 30 / 12 | $145.640,00 | 297 / 24 | $23.380,80 | 287 / 21 | $20.553,10 | 287 / 21 |
Coagulation Disorders | 11 | 16 / 5 | $255.580,00 | 104 / 6 | $33.099,20 | 92 / 6 | $29.204,90 | 92 / 6 |
Combined Anterior/Posterior Spinal Fusion W Cc | 51 | 6 / 4 | $526.413,00 | 116 / 14 | $98.682,00 | 119 / 16 | $94.831,10 | 119 / 17 |
Combined Anterior/Posterior Spinal Fusion W Mcc | 17 | 5 / 2 | $600.794,00 | 16 / 3 | $139.392,00 | 17 / 3 | $134.786,00 | 17 / 3 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 47 | 6 / 3 | $363.923,00 | 108 / 11 | $80.660,20 | 111 / 14 | $69.640,90 | 111 / 14 |
Complications Of Treatment W Cc | 19 | 33 / 6 | $148.998,00 | 367 / 19 | $19.226,20 | 366 / 19 | $15.978,90 | 366 / 19 |
Complications Of Treatment W Mcc | 24 | 27 / 4 | $170.368,00 | 309 / 25 | $27.169,80 | 298 / 22 | $23.305,50 | 298 / 23 |
Coronary Bypass W/O Cardiac Cath W Mcc | 15 | 44 / 4 | $671.651,00 | 241 / 14 | $97.818,20 | 242 / 14 | $91.705,90 | 241 / 14 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 17 | 71 / 13 | $386.570,00 | 594 / 30 | $49.974,50 | 594 / 31 | $44.738,90 | 593 / 32 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 29 | 39 / 6 | $89.264,30 | 736 / 49 | $13.367,10 | 710 / 48 | $9.592,66 | 710 / 44 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 16 | 26 / 7 | $496.049,00 | 179 / 13 | $74.816,00 | 179 / 13 | $69.948,10 | 179 / 13 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 33 | 22 / 3 | $214.996,00 | 227 / 16 | $35.569,10 | 222 / 14 | $32.900,80 | 222 / 15 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 70 | 32 / 2 | $290.058,00 | 489 / 34 | $53.590,70 | 499 / 39 | $50.091,90 | 499 / 39 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 59 | 21 / 3 | $182.528,00 | 267 / 16 | $28.897,40 | 264 / 18 | $24.540,80 | 263 / 16 |
Degenerative Nervous System Disorders W Mcc | 14 | 24 / 5 | $191.392,00 | 232 / 12 | $26.709,50 | 228 / 11 | $22.723,00 | 228 / 12 |
Degenerative Nervous System Disorders W/O Mcc | 21 | 57 / 10 | $101.435,00 | 877 / 55 | $14.192,00 | 842 / 49 | $11.181,40 | 842 / 49 |
Diabetes W Cc | 21 | 71 / 14 | $83.950,80 | 1622 / 125 | $11.310,70 | 1561 / 113 | $9.332,52 | 1556 / 111 |
Digestive Malignancy W Cc | 26 | 21 / 3 | $112.364,00 | 391 / 26 | $17.589,50 | 385 / 24 | $14.742,50 | 383 / 24 |
Digestive Malignancy W Mcc | 22 | 16 / 2 | $202.288,00 | 155 / 8 | $31.470,00 | 152 / 8 | $27.068,50 | 152 / 8 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 42 | 28 / 4 | $113.674,00 | 572 / 55 | $14.356,90 | 555 / 51 | $11.714,50 | 555 / 50 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 61 | 19 / 1 | $234.599,00 | 563 / 67 | $35.750,80 | 559 / 66 | $32.004,50 | 559 / 65 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 12 | $83.643,40 | 954 / 60 | $12.680,20 | 943 / 57 | $10.471,20 | 940 / 58 |
Disorders Of Pancreas Except Malignancy W Mcc | 15 | 31 / 6 | $145.804,00 | 350 / 26 | $23.584,50 | 346 / 26 | $20.321,50 | 346 / 27 |
Disorders Of The Biliary Tract W Cc | 30 | 24 / 2 | $98.162,30 | 478 / 38 | $14.318,50 | 473 / 36 | $12.208,10 | 473 / 37 |
Disorders Of The Biliary Tract W Mcc | 24 | 15 / 2 | $116.730,00 | 251 / 13 | $21.120,60 | 257 / 13 | $18.677,80 | 257 / 13 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 27 | 54 / 7 | $2.148.010,00 | 454 / 36 | $346.137,00 | 454 / 36 | $327.493,00 | 453 / 36 |
Endocrine Disorders W Cc | 17 | 21 / 4 | $102.905,00 | 306 / 17 | $14.101,00 | 299 / 16 | $11.276,40 | 299 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 35 | 61 / 10 | $124.506,00 | 1467 / 136 | $18.644,10 | 1453 / 135 | $15.009,10 | 1448 / 133 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 91 | 184 / 27 | $78.955,40 | 2729 / 227 | $11.049,60 | 2668 / 213 | $8.745,79 | 2653 / 208 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 15 | 29 / 9 | $260.926,00 | 432 / 31 | $37.894,70 | 427 / 30 | $33.510,70 | 425 / 30 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 14 | $511.849,00 | 758 / 60 | $78.839,10 | 758 / 59 | $73.056,00 | 758 / 59 |
Extracranial Procedures W/O Cc/Mcc | 31 | 67 / 13 | $107.353,00 | 924 / 54 | $13.362,40 | 926 / 56 | $11.704,50 | 923 / 56 |
Fever | 21 | 25 / 3 | $84.168,30 | 338 / 11 | $11.758,50 | 327 / 9 | $9.264,10 | 327 / 9 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 20 | $64.810,00 | 915 / 65 | $10.431,00 | 907 / 69 | $7.838,09 | 906 / 69 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 18 | $74.136,60 | 808 / 64 | $10.256,50 | 790 / 61 | $8.384,31 | 788 / 60 |
G.I. Hemorrhage W Cc | 68 | 150 / 30 | $102.296,00 | 2420 / 199 | $14.984,50 | 2411 / 195 | $12.549,30 | 2407 / 196 |
G.I. Hemorrhage W Mcc | 34 | 87 / 22 | $153.524,00 | 1664 / 155 | $25.818,00 | 1659 / 158 | $23.125,50 | 1649 / 157 |
G.I. Hemorrhage W/O Cc/Mcc | 21 | 47 / 9 | $48.769,00 | 974 / 56 | $11.189,60 | 972 / 68 | $7.173,86 | 968 / 64 |
G.I. Obstruction W Cc | 43 | 49 / 9 | $85.777,30 | 1725 / 136 | $12.869,10 | 1719 / 135 | $10.513,70 | 1714 / 136 |
G.I. Obstruction W Mcc | 13 | 29 / 9 | $167.781,00 | 536 / 41 | $26.269,70 | 531 / 41 | $22.438,80 | 531 / 41 |
G.I. Obstruction W/O Cc/Mcc | 29 | 42 / 12 | $51.774,40 | 1291 / 93 | $9.298,21 | 1287 / 100 | $6.379,00 | 1284 / 96 |
Headaches W/O Mcc | 12 | 31 / 4 | $56.114,30 | 230 / 7 | $11.435,20 | 225 / 9 | $6.829,67 | 225 / 7 |
Heart Failure & Shock W Cc | 95 | 183 / 17 | $114.556,00 | 2767 / 232 | $15.389,00 | 2728 / 218 | $12.512,00 | 2722 / 213 |
Heart Failure & Shock W Mcc | 66 | 218 / 62 | $208.578,00 | 2638 / 235 | $28.214,80 | 2635 / 230 | $24.570,90 | 2624 / 230 |
Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 24 | $95.350,40 | 2015 / 136 | $10.646,90 | 1977 / 127 | $8.388,48 | 1964 / 123 |
Heart Transplant Or Implant Of Heart Assist System W Mcc | 23 | 15 / 3 | $2.238.700,00 | 68 / 5 | $420.865,00 | 68 / 5 | $403.454,00 | 68 / 5 |
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 11 | 21 / 7 | $102.894,00 | 132 / 8 | $15.513,10 | 130 / 8 | $13.105,80 | 130 / 8 |
Hip & Femur Procedures Except Major Joint W Cc | 68 | 75 / 10 | $175.516,00 | 2051 / 153 | $26.554,60 | 2031 / 155 | $21.740,50 | 2009 / 152 |
Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 11 | $338.691,00 | 967 / 77 | $52.110,80 | 967 / 77 | $47.872,90 | 964 / 77 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 32 | 24 / 4 | $149.863,00 | 916 / 71 | $20.980,60 | 908 / 71 | $18.487,10 | 905 / 72 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 46 | 78 / 20 | $684.031,00 | 1595 / 160 | $111.887,00 | 1602 / 158 | $102.112,00 | 1592 / 158 |
Interstitial Lung Disease W Mcc | 11 | 14 / 3 | $259.048,00 | 95 / 6 | $35.540,50 | 95 / 6 | $31.112,90 | 95 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 49 | 133 / 29 | $102.967,00 | 2072 / 178 | $14.363,70 | 2040 / 174 | $12.066,90 | 2036 / 171 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 48 | 120 / 25 | $186.597,00 | 1629 / 155 | $26.821,10 | 1619 / 156 | $23.536,90 | 1612 / 157 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 30 | 72 / 18 | $74.552,80 | 1598 / 122 | $10.196,80 | 1561 / 117 | $8.026,77 | 1557 / 115 |
Kidney & Ureter Procedures For Neoplasm W Cc | 25 | 19 / 2 | $209.932,00 | 179 / 7 | $29.177,80 | 178 / 8 | $22.890,40 | 178 / 6 |
Kidney & Ureter Procedures For Neoplasm W Mcc | 12 | 9 / 3 | $262.592,00 | 41 / 3 | $47.060,40 | 40 / 2 | $40.852,30 | 40 / 2 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 22 | 18 / 2 | $149.499,00 | 148 / 6 | $19.399,50 | 146 / 5 | $16.890,60 | 146 / 5 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 20 | 25 / 4 | $121.996,00 | 200 / 9 | $23.194,70 | 199 / 10 | $20.359,90 | 199 / 10 |
Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 46 | $99.384,20 | 1945 / 167 | $15.370,90 | 1927 / 164 | $12.703,50 | 1923 / 164 |
Kidney & Urinary Tract Infections W/O Mcc | 80 | 153 / 34 | $65.999,80 | 2703 / 218 | $10.516,90 | 2625 / 205 | $8.220,29 | 2614 / 195 |
Kidney Transplant | 34 | 68 / 10 | $438.712,00 | 174 / 13 | $47.716,70 | 176 / 11 | $44.199,50 | 176 / 13 |
Knee Procedures W/O Pdx Of Infection W Cc/Mcc | 11 | 7 / 2 | $166.630,00 | 22 / 2 | $23.137,30 | 21 / 2 | $20.781,30 | 21 / 2 |
Liver Transplant W Mcc Or Intestinal Transplant | 15 | 15 / 5 | $1.111.380,00 | 40 / 5 | $174.550,00 | 38 / 3 | $163.819,00 | 38 / 4 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 40 | 15 / 2 | $181.489,00 | 640 / 42 | $26.182,40 | 633 / 43 | $22.474,20 | 629 / 42 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 33 | 15 / 1 | $164.075,00 | 518 / 28 | $21.336,50 | 509 / 28 | $16.606,80 | 509 / 26 |
Lymphoma & Leukemia W Major O.R. Procedure W Cc | 11 | 6 / 1 | $186.088,00 | 10 / 1 | $32.738,20 | 10 / 1 | $29.624,10 | 10 / 1 |
Lymphoma & Leukemia W Major O.R. Procedure W/O Cc/Mcc | 11 | 5 / 1 | $131.307,00 | 6 / 1 | $16.199,00 | 6 / 1 | $13.745,20 | 6 / 1 |
Lymphoma & Non-Acute Leukemia W Mcc | 15 | 21 / 3 | $290.288,00 | 131 / 9 | $49.359,90 | 127 / 8 | $44.299,20 | 127 / 8 |
Major Bladder Procedures W Cc | 28 | 13 / 2 | $224.554,00 | 67 / 4 | $36.066,20 | 65 / 3 | $32.147,30 | 65 / 3 |
Major Bladder Procedures W/O Cc/Mcc | 12 | 9 / 2 | $169.127,00 | 17 / 3 | $27.470,00 | 16 / 2 | $24.463,00 | 16 / 2 |
Major Cardiovasc Procedures W Mcc | 30 | 38 / 2 | $553.453,00 | 646 / 51 | $84.382,50 | 646 / 51 | $79.837,00 | 645 / 51 |
Major Cardiovasc Procedures W/O Mcc | 68 | 35 / 1 | $274.970,00 | 997 / 63 | $45.784,00 | 999 / 63 | $41.858,70 | 998 / 64 |
Major Chest Procedures W Cc | 52 | 23 / 2 | $222.480,00 | 501 / 33 | $33.778,80 | 503 / 34 | $30.437,60 | 501 / 36 |
Major Chest Procedures W Mcc | 18 | 31 / 8 | $525.067,00 | 331 / 27 | $82.101,80 | 331 / 27 | $74.847,20 | 330 / 27 |
Major Chest Procedures W/O Cc/Mcc | 40 | 22 / 2 | $165.096,00 | 257 / 16 | $23.025,40 | 255 / 15 | $20.055,20 | 255 / 15 |
Major Chest Trauma W Cc | 14 | 22 / 3 | $130.402,00 | 145 / 9 | $21.531,60 | 140 / 9 | $10.353,10 | 140 / 7 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 24 | 49 / 10 | $95.980,50 | 1100 / 75 | $15.678,80 | 1099 / 78 | $12.759,00 | 1097 / 76 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 25 | 31 / 3 | $156.132,00 | 668 / 48 | $26.822,00 | 663 / 49 | $23.395,50 | 662 / 47 |
Major Head & Neck Procedures W Cc/Mcc Or Major Device | 19 | 6 / 1 | $216.234,00 | 28 / 2 | $31.434,90 | 22 / 2 | $24.049,70 | 22 / 1 |
Major Head & Neck Procedures W/O Cc/Mcc | 12 | 3 / 1 | $157.132,00 | 7 / 1 | $17.312,80 | 6 / 1 | $14.302,70 | 6 / 1 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 35 | 18 / 2 | $101.325,00 | 479 / 18 | $16.640,60 | 472 / 16 | $14.278,90 | 472 / 16 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 11 | 18 / 5 | $439.366,00 | 119 / 8 | $73.149,80 | 119 / 8 | $65.340,50 | 118 / 8 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 67 | 31 / 2 | $155.540,00 | 815 / 47 | $27.371,20 | 817 / 48 | $25.207,10 | 813 / 50 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 15 | $427.567,00 | 922 / 59 | $56.763,50 | 922 / 59 | $50.439,90 | 918 / 58 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 584 | 88 / 7 | $150.709,00 | 2659 / 223 | $27.098,10 | 2658 / 219 | $23.012,90 | 2612 / 223 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 31 | 38 / 4 | $181.460,00 | 471 / 18 | $33.063,20 | 473 / 20 | $30.647,00 | 473 / 20 |
Major Male Pelvic Procedures W Cc/Mcc | 12 | 18 / 5 | $155.893,00 | 58 / 7 | $22.535,50 | 56 / 6 | $18.957,00 | 56 / 6 |
Major Male Pelvic Procedures W/O Cc/Mcc | 54 | 24 / 4 | $134.588,00 | 366 / 29 | $16.230,70 | 366 / 29 | $13.029,90 | 366 / 30 |
Major Small & Large Bowel Procedures W Cc | 69 | 40 / 3 | $192.360,00 | 1513 / 108 | $33.267,70 | 1518 / 117 | $27.205,70 | 1504 / 117 |
Major Small & Large Bowel Procedures W Mcc | 35 | 50 / 6 | $754.077,00 | 1297 / 97 | $118.496,00 | 1302 / 97 | $108.919,00 | 1299 / 97 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 39 | 25 / 3 | $139.802,00 | 749 / 46 | $21.295,50 | 738 / 42 | $18.164,20 | 738 / 44 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 13 | 18 / 5 | $76.058,20 | 189 / 7 | $15.328,30 | 192 / 8 | $13.215,10 | 192 / 8 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 31 | 22 / 4 | $117.217,00 | 334 / 20 | $22.902,60 | 337 / 19 | $20.358,50 | 338 / 22 |
Medical Back Problems W Mcc | 16 | 23 / 4 | $92.528,00 | 310 / 18 | $18.247,70 | 312 / 21 | $16.184,70 | 312 / 21 |
Medical Back Problems W/O Mcc | 27 | 94 / 30 | $97.733,90 | 1496 / 130 | $13.453,30 | 1452 / 130 | $9.316,78 | 1447 / 119 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 57 | 69 / 11 | $112.943,00 | 1740 / 166 | $17.001,40 | 1719 / 159 | $14.339,60 | 1715 / 161 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 77 | 89 / 11 | $82.658,80 | 2545 / 208 | $10.500,80 | 2477 / 190 | $8.259,62 | 2468 / 184 |
Myeloprolif Disord Or Poorly Diff Neopl W Maj O.R. Proc W Cc | 11 | 6 / 3 | $283.775,00 | 9 / 2 | $36.243,20 | 9 / 3 | $31.597,50 | 9 / 3 |
Nervous System Neoplasms W Mcc | 21 | 27 / 3 | $101.092,00 | 298 / 15 | $19.029,50 | 285 / 18 | $12.759,80 | 285 / 12 |
Nervous System Neoplasms W/O Mcc | 14 | 16 / 2 | $100.800,00 | 104 / 3 | $17.647,90 | 97 / 3 | $9.978,07 | 97 / 2 |
Nonspecific Cerebrovascular Disorders W Cc | 13 | 43 / 13 | $109.464,00 | 464 / 34 | $13.557,80 | 456 / 32 | $10.880,70 | 456 / 30 |
O.R. Procedures For Obesity W Cc | 11 | 23 / 4 | $141.850,00 | 113 / 5 | $24.200,30 | 114 / 4 | $21.854,60 | 114 / 5 |
O.R. Procedures For Obesity W/O Cc/Mcc | 21 | 56 / 8 | $128.439,00 | 411 / 20 | $19.725,60 | 406 / 20 | $16.869,70 | 405 / 20 |
Other Circulatory System Diagnoses W Cc | 27 | 39 / 4 | $127.241,00 | 676 / 32 | $14.624,30 | 661 / 30 | $11.603,10 | 660 / 28 |
Other Circulatory System Diagnoses W Mcc | 57 | 59 / 6 | $210.931,00 | 1394 / 134 | $31.134,70 | 1389 / 134 | $26.734,70 | 1381 / 133 |
Other Digestive System Diagnoses W Cc | 44 | 53 / 6 | $79.624,80 | 1420 / 130 | $13.793,00 | 1405 / 133 | $10.996,50 | 1401 / 130 |
Other Digestive System Diagnoses W Mcc | 27 | 35 / 8 | $211.406,00 | 762 / 83 | $33.452,00 | 756 / 82 | $27.762,00 | 755 / 82 |
Other Disorders Of Nervous System W Cc | 17 | 39 / 10 | $150.719,00 | 621 / 51 | $21.882,20 | 621 / 51 | $18.114,80 | 620 / 51 |
Other Infectious & Parasitic Diseases Diagnoses W Mcc | 12 | 9 / 3 | $504.571,00 | 46 / 6 | $83.006,20 | 46 / 6 | $73.379,40 | 46 / 6 |
Other Kidney & Urinary Tract Diagnoses W Cc | 35 | 68 / 7 | $88.002,10 | 858 / 57 | $14.125,10 | 846 / 54 | $11.847,80 | 846 / 56 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 41 | 60 / 13 | $130.810,00 | 1097 / 78 | $23.302,80 | 1096 / 80 | $20.375,20 | 1092 / 82 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 13 | 27 / 8 | $212.691,00 | 217 / 15 | $26.966,70 | 215 / 14 | $22.376,20 | 215 / 14 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 22 | 7 / 2 | $141.758,00 | 102 / 8 | $21.379,90 | 101 / 8 | $19.171,80 | 101 / 8 |
Other O.R. Procedures For Injuries W Cc | 15 | 20 / 3 | $199.942,00 | 174 / 8 | $27.236,90 | 171 / 7 | $23.548,90 | 171 / 7 |
Other Resp System O.R. Procedures W Cc | 14 | 33 / 5 | $141.741,00 | 322 / 8 | $26.011,40 | 325 / 9 | $22.899,90 | 325 / 10 |
Other Resp System O.R. Procedures W Mcc | 15 | 48 / 3 | $378.479,00 | 592 / 26 | $65.104,10 | 597 / 28 | $60.401,60 | 596 / 29 |
Other Respiratory System Diagnoses W Mcc | 21 | 15 / 2 | $228.337,00 | 87 / 8 | $28.960,10 | 85 / 8 | $25.805,10 | 85 / 8 |
Other Respiratory System Diagnoses W/O Mcc | 26 | 20 / 4 | $208.514,00 | 323 / 18 | $20.904,20 | 323 / 18 | $18.038,20 | 323 / 18 |
Other Skin, Subcut Tiss & Breast Proc W Cc | 19 | 5 / 1 | $169.577,00 | 102 / 5 | $23.761,20 | 102 / 5 | $16.780,90 | 102 / 5 |
Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 18 | 9 / 2 | $107.950,00 | 60 / 5 | $14.582,70 | 58 / 6 | $11.165,30 | 58 / 6 |
Other Vascular Procedures W Cc | 34 | 68 / 10 | $219.899,00 | 1129 / 76 | $36.168,10 | 1134 / 79 | $33.123,50 | 1129 / 79 |
Other Vascular Procedures W Mcc | 23 | 74 / 19 | $210.298,00 | 976 / 73 | $40.681,90 | 987 / 81 | $37.625,90 | 984 / 79 |
Other Vascular Procedures W/O Cc/Mcc | 23 | 33 / 5 | $183.102,00 | 550 / 22 | $23.912,10 | 548 / 23 | $19.312,40 | 547 / 21 |
Otitis Media & Uri W/O Mcc | 16 | 28 / 2 | $147.200,00 | 224 / 5 | $17.536,80 | 224 / 5 | $14.154,70 | 224 / 5 |
Pancreas, Liver & Shunt Procedures W Cc | 53 | 9 / 1 | $226.326,00 | 131 / 9 | $39.032,60 | 132 / 9 | $34.523,70 | 132 / 10 |
Pancreas, Liver & Shunt Procedures W Mcc | 29 | 15 / 3 | $511.277,00 | 110 / 8 | $92.895,50 | 110 / 6 | $82.107,90 | 110 / 7 |
Pancreas, Liver & Shunt Procedures W/O Cc/Mcc | 20 | 9 / 2 | $183.479,00 | 41 / 3 | $26.044,80 | 40 / 3 | $22.233,70 | 40 / 4 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 17 | 23 / 4 | $116.313,00 | 299 / 21 | $16.173,70 | 293 / 20 | $13.260,50 | 293 / 19 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 21 | 79 / 21 | $244.149,00 | 998 / 84 | $44.110,60 | 1017 / 93 | $39.014,50 | 1012 / 93 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 49 | 147 / 24 | $199.688,00 | 1480 / 119 | $26.427,30 | 1479 / 119 | $23.068,50 | 1471 / 120 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 12 | 42 / 7 | $262.839,00 | 276 / 13 | $37.723,40 | 275 / 13 | $34.676,60 | 275 / 13 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 25 | 70 / 8 | $260.338,00 | 603 / 42 | $34.064,90 | 601 / 42 | $25.410,80 | 597 / 42 |
Peripheral Vascular Disorders W Cc | 33 | 51 / 2 | $124.121,00 | 1262 / 98 | $14.709,00 | 1249 / 97 | $12.082,00 | 1246 / 97 |
Peripheral Vascular Disorders W Mcc | 24 | 25 / 2 | $220.264,00 | 594 / 39 | $30.641,90 | 590 / 39 | $25.121,30 | 590 / 39 |
Peritoneal Adhesiolysis W Cc | 20 | 19 / 5 | $176.863,00 | 287 / 17 | $34.809,60 | 286 / 18 | $25.903,20 | 286 / 18 |
Permanent Cardiac Pacemaker Implant W Cc | 25 | 52 / 10 | $192.232,00 | 958 / 75 | $33.168,50 | 964 / 79 | $30.696,60 | 960 / 80 |
Permanent Cardiac Pacemaker Implant W Mcc | 15 | 37 / 9 | $321.313,00 | 609 / 50 | $52.693,90 | 609 / 50 | $48.373,70 | 609 / 50 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 11 | $136.428,00 | 702 / 43 | $26.463,70 | 712 / 51 | $24.194,00 | 710 / 51 |
Pneumothorax W Cc | 12 | 13 / 2 | $89.044,30 | 91 / 2 | $22.971,80 | 89 / 3 | $10.020,30 | 89 / 3 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 12 | $72.357,90 | 926 / 51 | $8.919,38 | 862 / 46 | $6.911,85 | 861 / 46 |
Postoperative & Post-Traumatic Infections W Mcc | 29 | 14 / 1 | $194.222,00 | 224 / 12 | $30.124,30 | 221 / 11 | $25.770,80 | 221 / 10 |
Postoperative & Post-Traumatic Infections W/O Mcc | 25 | 29 / 4 | $90.476,80 | 450 / 21 | $13.703,30 | 443 / 16 | $11.692,00 | 443 / 17 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 17 | 21 / 3 | $167.533,00 | 170 / 5 | $25.135,50 | 167 / 5 | $22.099,70 | 167 / 5 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 12 | 19 / 3 | $280.849,00 | 101 / 2 | $58.322,70 | 96 / 3 | $46.108,80 | 96 / 2 |
Pulmonary Edema & Respiratory Failure | 36 | 167 / 40 | $129.531,00 | 2232 / 171 | $17.589,20 | 2214 / 173 | $15.186,50 | 2208 / 172 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 16 | $92.307,90 | 1274 / 74 | $15.010,30 | 1276 / 77 | $12.871,20 | 1273 / 78 |
Red Blood Cell Disorders W Mcc | 17 | 54 / 14 | $103.291,00 | 1103 / 85 | $16.854,20 | 1077 / 83 | $14.618,40 | 1073 / 81 |
Red Blood Cell Disorders W/O Mcc | 37 | 106 / 19 | $93.806,60 | 2001 / 155 | $11.485,40 | 1926 / 146 | $9.019,38 | 1917 / 138 |
Renal Failure W Cc | 67 | 154 / 24 | $98.155,40 | 2444 / 207 | $15.621,20 | 2421 / 197 | $12.629,50 | 2411 / 196 |
Renal Failure W Mcc | 51 | 144 / 36 | $151.990,00 | 2164 / 188 | $22.170,40 | 2140 / 187 | $18.525,10 | 2136 / 185 |
Respiratory Infections & Inflammations W Cc | 48 | 40 / 7 | $141.822,00 | 1481 / 123 | $23.138,70 | 1478 / 124 | $16.391,40 | 1473 / 122 |
Respiratory Infections & Inflammations W Mcc | 41 | 95 / 33 | $194.843,00 | 1801 / 151 | $29.913,20 | 1804 / 154 | $24.676,10 | 1788 / 155 |
Respiratory Neoplasms W Cc | 13 | 34 / 11 | $108.850,00 | 507 / 31 | $16.548,20 | 499 / 29 | $14.125,50 | 498 / 30 |
Respiratory Neoplasms W Mcc | 11 | 41 / 15 | $132.882,00 | 629 / 35 | $22.525,50 | 634 / 39 | $19.559,10 | 631 / 38 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 36 | $359.707,00 | 1858 / 149 | $47.705,60 | 1860 / 149 | $41.090,40 | 1846 / 149 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 18 | $959.357,00 | 991 / 93 | $135.139,00 | 992 / 92 | $126.781,00 | 991 / 93 |
Revision Of Hip Or Knee Replacement W Cc | 70 | 21 / 2 | $224.946,00 | 657 / 33 | $40.775,80 | 662 / 37 | $37.647,40 | 660 / 38 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 77 | 7 / 1 | $186.114,00 | 501 / 38 | $33.618,60 | 506 / 40 | $31.241,00 | 505 / 41 |
Seizures W Mcc | 14 | 52 / 16 | $267.552,00 | 777 / 59 | $36.178,20 | 775 / 58 | $32.603,10 | 775 / 59 |
Seizures W/O Mcc | 64 | 44 / 3 | $73.809,30 | 1308 / 96 | $11.022,30 | 1261 / 92 | $8.581,77 | 1259 / 91 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 20 | 72 / 35 | $1.009.020,00 | 1103 / 148 | $147.731,00 | 1107 / 148 | $138.179,00 | 1106 / 148 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 435 | 112 / 10 | $178.721,00 | 2820 / 266 | $27.107,30 | 2800 / 261 | $23.593,60 | 2755 / 257 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 167 | 42 / 4 | $92.469,90 | 2558 / 240 | $14.508,00 | 2520 / 233 | $11.955,70 | 2510 / 230 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 15 | 32 / 6 | $85.070,20 | 381 / 15 | $10.135,10 | 372 / 14 | $8.254,93 | 372 / 14 |
Signs & Symptoms W Mcc | 20 | 21 / 2 | $199.833,00 | 286 / 8 | $26.435,40 | 285 / 8 | $22.430,20 | 285 / 8 |
Signs & Symptoms W/O Mcc | 49 | 42 / 3 | $66.428,60 | 1333 / 89 | $9.879,18 | 1286 / 84 | $7.805,96 | 1283 / 85 |
Simple Pneumonia & Pleurisy W Cc | 107 | 96 / 6 | $90.062,40 | 2814 / 219 | $14.208,10 | 2783 / 212 | $11.689,00 | 2774 / 210 |
Simple Pneumonia & Pleurisy W Mcc | 45 | 160 / 46 | $156.753,00 | 2518 / 201 | $23.571,20 | 2516 / 203 | $19.939,30 | 2510 / 201 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 20 | $67.845,80 | 1953 / 127 | $9.458,44 | 1925 / 130 | $7.416,68 | 1917 / 127 |
Soft Tissue Procedures W Cc | 13 | 9 / 1 | $155.529,00 | 37 / 2 | $21.837,80 | 36 / 2 | $19.416,80 | 36 / 2 |
Soft Tissue Procedures W/O Cc/Mcc | 11 | 12 / 1 | $115.308,00 | 24 / 1 | $16.317,50 | 22 / 1 | $11.500,90 | 22 / 1 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 17 | 23 / 5 | $437.465,00 | 84 / 4 | $83.676,70 | 85 / 6 | $80.365,50 | 85 / 7 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Mcc | 11 | 7 / 3 | $667.072,00 | 17 / 3 | $135.154,00 | 17 / 3 | $129.766,00 | 17 / 3 |
Spinal Fusion Except Cervical W/O Mcc | 145 | 53 / 4 | $264.618,00 | 1344 / 90 | $49.455,00 | 1350 / 95 | $45.626,70 | 1345 / 97 |
Stomach, Esophageal & Duodenal Proc W Cc | 32 | 18 / 3 | $315.634,00 | 224 / 16 | $49.530,20 | 222 / 16 | $36.621,80 | 222 / 15 |
Stomach, Esophageal & Duodenal Proc W Mcc | 23 | 18 / 2 | $696.193,00 | 234 / 10 | $112.107,00 | 234 / 9 | $102.333,00 | 234 / 9 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 28 | 20 / 3 | $141.698,00 | 237 / 17 | $19.759,40 | 230 / 16 | $16.205,30 | 229 / 16 |
Syncope & Collapse | 51 | 118 / 18 | $86.616,10 | 1928 / 163 | $11.216,70 | 1854 / 157 | $7.930,45 | 1846 / 142 |
Thyroid, Parathyroid & Thyroglossal Procedures W/O Cc/Mcc | 12 | 18 / 4 | $96.774,90 | 39 / 7 | $11.116,80 | 36 / 6 | $9.296,67 | 36 / 6 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 19 | 45 / 5 | $1.420.370,00 | 574 / 60 | $228.171,00 | 574 / 60 | $208.699,00 | 573 / 60 |
Tracheostomy For Face,Mouth & Neck Diagnoses W Cc | 15 | 18 / 2 | $310.388,00 | 46 / 2 | $44.714,60 | 44 / 2 | $39.895,50 | 44 / 2 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 25 | 41 / 8 | $123.398,00 | 532 / 38 | $15.189,80 | 511 / 35 | $12.386,10 | 510 / 35 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 20 | 31 / 8 | $219.626,00 | 350 / 27 | $33.061,50 | 349 / 28 | $29.354,60 | 349 / 28 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 11 | 43 / 17 | $86.745,30 | 404 / 25 | $13.719,30 | 379 / 25 | $7.435,18 | 379 / 22 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 12 | 34 / 11 | $103.620,00 | 260 / 32 | $14.036,30 | 245 / 30 | $10.242,20 | 245 / 30 |
Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc | 11 | 17 / 3 | $149.824,00 | 56 / 4 | $20.579,80 | 56 / 5 | $17.841,80 | 56 / 5 |
Ventricular Shunt Procedures W Cc | 12 | 11 / 1 | $115.135,00 | 31 / 1 | $23.765,00 | 31 / 1 | $21.947,80 | 31 / 1 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 26 | 17 / 3 | $222.435,00 | 151 / 5 | $37.210,50 | 147 / 4 | $33.460,70 | 147 / 5 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W/O Cc/Mcc | 13 | 3 / 1 | $189.850,00 | 13 / 2 | $24.767,80 | 12 / 2 | $22.175,60 | 12 / 2 | Total 226 procedures | 7.810 | 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.