Hospital Costs > In California > Sutter General Hospital, 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 | 52 | 39 / 1 | $54.240,30 | 1234 / 53 | $11.420,10 | 1384 / 90 | $10.384,80 | 1382 / 95 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 53 | 72 / 6 | $99.697,20 | 1700 / 108 | $19.944,60 | 1777 / 140 | $18.611,80 | 1764 / 145 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 25 | 28 / 1 | $43.421,20 | 760 / 20 | $8.899,24 | 829 / 39 | $7.479,40 | 825 / 39 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 14 | 13 / 5 | $53.778,20 | 112 / 6 | $14.816,90 | 117 / 8 | $13.629,00 | 117 / 9 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 18 | 106 / 21 | $47.716,60 | 820 / 37 | $8.265,72 | 790 / 35 | $7.320,39 | 789 / 36 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 12 | 20 / 2 | $200.303,00 | 167 / 2 | $30.624,60 | 165 / 2 | $28.855,60 | 165 / 2 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 22 | 44 / 13 | $88.283,40 | 496 / 19 | $18.683,50 | 550 / 36 | $17.240,60 | 546 / 39 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 70 | 22 / 3 | $61.769,50 | 680 / 34 | $12.181,60 | 738 / 60 | $10.121,70 | 737 / 66 |
Bronchitis & Asthma W Cc/Mcc | 19 | 57 / 14 | $40.078,60 | 888 / 27 | $9.908,89 | 1034 / 70 | $8.589,95 | 1030 / 73 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 38 | 123 / 28 | $34.059,80 | 1774 / 55 | $9.193,82 | 2078 / 154 | $8.080,55 | 2073 / 157 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 30 | $78.409,80 | 1833 / 119 | $18.043,60 | 1909 / 148 | $16.748,40 | 1906 / 150 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 31 | 119 / 18 | $28.453,50 | 1718 / 56 | $8.670,94 | 1916 / 137 | $5.751,00 | 1910 / 127 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 15 | 35 / 4 | $125.953,00 | 91 / 1 | $50.095,40 | 233 / 5 | $48.718,60 | 233 / 6 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 17 | 29 / 4 | $189.376,00 | 79 / 1 | $54.167,60 | 110 / 3 | $52.713,10 | 110 / 4 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 34 | 35 / 4 | $323.637,00 | 209 / 3 | $84.574,20 | 252 / 9 | $82.873,40 | 252 / 10 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 101 | 29 / 3 | $186.227,00 | 387 / 6 | $48.484,30 | 494 / 20 | $45.405,20 | 494 / 21 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 44 | 72 / 7 | $271.451,00 | 357 / 7 | $70.681,00 | 431 / 17 | $69.030,90 | 431 / 21 |
Cellulitis W Mcc | 20 | 38 / 14 | $55.709,90 | 773 / 37 | $14.065,70 | 899 / 68 | $12.986,50 | 897 / 72 |
Cellulitis W/O Mcc | 69 | 120 / 22 | $45.771,40 | 2509 / 166 | $9.685,59 | 2521 / 184 | $8.401,45 | 2513 / 185 |
Cervical Spinal Fusion W Cc | 11 | 42 / 16 | $125.572,00 | 331 / 14 | $31.490,00 | 337 / 25 | $23.768,20 | 336 / 19 |
Cervical Spinal Fusion W/O Cc/Mcc | 25 | 79 / 14 | $84.079,40 | 688 / 17 | $21.623,00 | 849 / 48 | $20.334,70 | 846 / 52 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 24 | 67 / 14 | $54.834,70 | 335 / 15 | $12.049,20 | 365 / 20 | $11.545,90 | 365 / 24 |
Chest Pain | 33 | 118 / 40 | $33.703,20 | 1477 / 81 | $7.528,18 | 1610 / 122 | $6.446,00 | 1601 / 124 |
Chronic Obstructive Pulmonary Disease W Cc | 75 | 104 / 8 | $44.890,40 | 2161 / 105 | $10.385,50 | 2353 / 163 | $9.277,96 | 2346 / 166 |
Chronic Obstructive Pulmonary Disease W Mcc | 74 | 128 / 18 | $55.034,40 | 2279 / 107 | $12.250,90 | 2463 / 163 | $11.054,80 | 2455 / 171 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 34 | 86 / 13 | $33.566,30 | 1809 / 49 | $8.446,91 | 2040 / 120 | $7.416,97 | 2028 / 121 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 32 | 61 / 6 | $156.749,00 | 896 / 54 | $23.113,00 | 867 / 53 | $21.229,00 | 859 / 52 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 69 | 119 / 5 | $66.699,10 | 1463 / 69 | $11.841,50 | 1571 / 105 | $10.679,40 | 1568 / 113 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 21 | 26 / 6 | $208.447,00 | 85 / 5 | $56.651,00 | 105 / 10 | $55.154,00 | 105 / 11 |
Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 11 | $344.178,00 | 389 / 16 | $71.866,00 | 425 / 23 | $69.567,20 | 425 / 25 |
Coronary Bypass W Cardiac Cath W/O Mcc | 26 | 50 / 6 | $198.487,00 | 494 / 7 | $43.930,00 | 597 / 25 | $42.179,60 | 597 / 28 |
Coronary Bypass W/O Cardiac Cath W Mcc | 13 | 46 / 6 | $223.826,00 | 192 / 2 | $52.220,20 | 213 / 5 | $50.643,50 | 212 / 6 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 66 | 26 / 1 | $158.407,00 | 490 / 10 | $35.342,70 | 573 / 17 | $33.802,90 | 572 / 25 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 15 | 40 / 11 | $106.609,00 | 154 / 3 | $27.093,00 | 196 / 9 | $26.003,30 | 196 / 9 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 20 | 78 / 13 | $129.530,00 | 294 / 2 | $37.300,50 | 431 / 20 | $35.828,50 | 431 / 22 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 23 | 51 / 8 | $85.683,90 | 186 / 5 | $21.696,00 | 249 / 8 | $20.591,00 | 248 / 13 |
Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 18 | $66.217,60 | 847 / 46 | $11.343,80 | 814 / 43 | $9.998,00 | 814 / 45 |
Diabetes W Cc | 17 | 75 / 18 | $40.660,40 | 1414 / 54 | $9.541,24 | 1537 / 100 | $8.451,94 | 1532 / 107 |
Digestive Malignancy W Cc | 14 | 33 / 9 | $73.741,60 | 374 / 19 | $13.312,50 | 365 / 18 | $12.000,10 | 363 / 19 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 21 | $87.076,50 | 568 / 52 | $12.814,50 | 545 / 48 | $10.993,90 | 545 / 48 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 14 | 62 / 22 | $65.128,90 | 390 / 23 | $17.359,30 | 477 / 47 | $16.188,60 | 477 / 48 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 13 | $41.947,80 | 812 / 27 | $10.351,80 | 916 / 49 | $8.885,92 | 913 / 49 |
Disorders Of The Biliary Tract W Cc | 12 | 42 / 12 | $54.624,30 | 419 / 19 | $11.509,90 | 452 / 28 | $10.111,10 | 452 / 30 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 16 | 65 / 13 | $737.077,00 | 391 / 12 | $155.242,00 | 369 / 13 | $152.495,00 | 368 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 27 | 69 / 17 | $50.903,10 | 1177 / 53 | $12.759,40 | 1376 / 108 | $11.670,00 | 1371 / 115 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 96 | 179 / 24 | $43.224,40 | 2546 / 153 | $8.851,98 | 2617 / 186 | $7.657,81 | 2602 / 191 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 12 | $107.456,00 | 333 / 9 | $25.827,90 | 392 / 20 | $24.566,10 | 390 / 24 |
Extracranial Procedures W Cc | 24 | 22 / 2 | $85.180,40 | 339 / 9 | $16.206,20 | 371 / 15 | $15.059,20 | 371 / 15 |
Extracranial Procedures W/O Cc/Mcc | 58 | 40 / 3 | $65.045,40 | 852 / 32 | $11.795,90 | 914 / 55 | $9.975,79 | 911 / 53 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 19 | $39.782,70 | 857 / 43 | $8.675,75 | 893 / 68 | $7.196,58 | 892 / 66 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 19 | 43 / 12 | $43.784,40 | 755 / 41 | $8.892,26 | 773 / 54 | $7.560,05 | 771 / 57 |
G.I. Hemorrhage W Cc | 72 | 146 / 26 | $45.909,50 | 2088 / 97 | $11.009,10 | 2337 / 170 | $9.844,22 | 2333 / 176 |
G.I. Hemorrhage W Mcc | 33 | 88 / 23 | $91.983,40 | 1517 / 101 | $19.011,50 | 1605 / 140 | $17.866,70 | 1595 / 143 |
G.I. Obstruction W Cc | 34 | 58 / 18 | $52.730,10 | 1621 / 97 | $10.791,70 | 1706 / 127 | $9.533,91 | 1701 / 133 |
G.I. Obstruction W Mcc | 13 | 29 / 9 | $58.858,60 | 401 / 16 | $15.328,40 | 483 / 33 | $13.909,80 | 483 / 33 |
G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 18 | $37.822,00 | 1215 / 68 | $8.138,26 | 1276 / 94 | $6.091,00 | 1273 / 94 |
Heart Failure & Shock W Cc | 98 | 180 / 15 | $46.642,70 | 2498 / 133 | $10.691,00 | 2631 / 182 | $9.601,56 | 2625 / 189 |
Heart Failure & Shock W Mcc | 65 | 219 / 63 | $71.957,20 | 2375 / 138 | $15.594,40 | 2495 / 184 | $14.263,60 | 2484 / 184 |
Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 16 | $37.996,20 | 1873 / 76 | $8.250,60 | 1937 / 113 | $7.022,20 | 1924 / 115 |
Heart Transplant Or Implant Of Heart Assist System W Mcc | 25 | 13 / 2 | $815.674,00 | 34 / 1 | $233.197,00 | 48 / 1 | $221.682,00 | 48 / 1 |
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 18 | 14 / 2 | $50.021,00 | 107 / 4 | $12.221,20 | 123 / 6 | $10.556,00 | 123 / 6 |
Hip & Femur Procedures Except Major Joint W Cc | 52 | 91 / 17 | $88.473,00 | 1799 / 71 | $18.867,50 | 1952 / 134 | $17.378,50 | 1932 / 131 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 19 | 37 / 15 | $79.364,40 | 834 / 42 | $16.412,50 | 875 / 63 | $14.842,10 | 872 / 64 |
Hypertension W/O Mcc | 13 | 52 / 13 | $33.847,70 | 682 / 12 | $7.697,69 | 742 / 24 | $6.408,15 | 740 / 23 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 11 | $139.763,00 | 337 / 18 | $26.239,30 | 352 / 25 | $24.405,30 | 351 / 26 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 34 | 90 / 32 | $231.660,00 | 1367 / 66 | $49.862,50 | 1454 / 101 | $47.949,90 | 1444 / 103 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 60 | 122 / 19 | $58.779,10 | 1857 / 107 | $11.194,20 | 1964 / 149 | $9.867,58 | 1960 / 152 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 49 | 119 / 24 | $101.902,00 | 1514 / 109 | $19.813,40 | 1566 / 132 | $18.419,00 | 1559 / 137 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 42 | 60 / 7 | $49.004,20 | 1481 / 79 | $8.830,33 | 1540 / 109 | $7.500,00 | 1536 / 111 |
Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 37 | $48.418,40 | 1655 / 86 | $11.940,00 | 1867 / 147 | $10.738,50 | 1863 / 147 |
Kidney & Urinary Tract Infections W/O Mcc | 93 | 140 / 22 | $38.761,80 | 2472 / 140 | $9.014,61 | 2602 / 186 | $7.718,08 | 2591 / 184 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 13 | $67.827,50 | 513 / 27 | $13.023,40 | 571 / 46 | $11.616,80 | 570 / 46 |
Local Excision & Removal Int Fix Devices Exc Hip & Femur W/O Cc/Mcc | 12 | 9 / 1 | $52.515,20 | 14 / 1 | $12.372,90 | 19 / 2 | $11.024,20 | 19 / 2 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 13 | $95.891,80 | 570 / 21 | $19.730,20 | 613 / 35 | $18.406,10 | 609 / 38 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 26 | 21 / 3 | $73.014,80 | 454 / 12 | $15.398,40 | 500 / 24 | $13.953,30 | 500 / 25 |
Lymphoma & Non-Acute Leukemia W Mcc | 13 | 23 / 4 | $257.684,00 | 124 / 6 | $46.075,50 | 126 / 7 | $43.070,30 | 126 / 7 |
Major Cardiovasc Procedures W Mcc | 19 | 49 / 11 | $242.132,00 | 574 / 18 | $53.976,50 | 617 / 38 | $52.531,80 | 616 / 39 |
Major Cardiovasc Procedures W/O Mcc | 58 | 44 / 2 | $136.123,00 | 826 / 25 | $31.371,60 | 948 / 49 | $30.054,00 | 947 / 49 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 15 | $59.112,70 | 1014 / 49 | $12.065,00 | 1077 / 69 | $11.190,80 | 1075 / 73 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 31 | 65 / 15 | $78.412,30 | 655 / 15 | $21.680,80 | 786 / 38 | $19.501,20 | 782 / 43 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 23 | 42 / 10 | $149.623,00 | 835 / 32 | $29.764,10 | 867 / 46 | $28.188,30 | 863 / 47 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 479 | 136 / 10 | $88.806,40 | 2344 / 124 | $20.925,40 | 2569 / 187 | $19.137,20 | 2523 / 204 |
Major Male Pelvic Procedures W/O Cc/Mcc | 17 | 56 / 14 | $74.019,40 | 328 / 20 | $13.426,50 | 361 / 25 | $12.110,00 | 361 / 27 |
Major Small & Large Bowel Procedures W Cc | 47 | 61 / 9 | $144.561,00 | 1432 / 74 | $27.338,70 | 1475 / 101 | $23.462,10 | 1461 / 104 |
Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 24 | $249.148,00 | 1165 / 52 | $53.799,40 | 1251 / 70 | $51.836,40 | 1248 / 74 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 24 | 40 / 9 | $85.473,40 | 695 / 28 | $16.741,20 | 714 / 37 | $14.587,90 | 714 / 38 |
Medical Back Problems W/O Mcc | 25 | 96 / 32 | $41.890,40 | 1282 / 61 | $9.614,20 | 1426 / 111 | $8.326,28 | 1421 / 114 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 29 | 97 / 30 | $54.183,90 | 1541 / 100 | $12.207,10 | 1634 / 134 | $11.135,80 | 1631 / 135 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 50 | 116 / 31 | $41.156,10 | 2397 / 145 | $8.278,80 | 2429 / 166 | $7.124,64 | 2420 / 169 |
Nervous System Neoplasms W Mcc | 12 | 36 / 11 | $81.932,10 | 289 / 11 | $13.852,40 | 280 / 10 | $12.454,80 | 280 / 10 |
Other Cardiothoracic Procedures W Cc | 13 | 9 / 2 | $151.778,00 | 17 / 1 | $49.048,90 | 24 / 2 | $36.465,70 | 24 / 2 |
Other Circulatory System Diagnoses W Cc | 17 | 49 / 9 | $51.136,10 | 607 / 15 | $10.675,60 | 637 / 22 | $9.653,88 | 636 / 24 |
Other Circulatory System Diagnoses W Mcc | 27 | 89 / 23 | $95.956,00 | 1245 / 75 | $21.179,40 | 1335 / 111 | $19.890,90 | 1327 / 114 |
Other Digestive System Diagnoses W Cc | 21 | 76 / 21 | $52.165,30 | 1288 / 86 | $10.879,80 | 1383 / 119 | $9.887,95 | 1379 / 124 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 22 | $92.560,20 | 706 / 61 | $17.039,20 | 696 / 65 | $15.893,50 | 695 / 65 |
Other Disorders Of Nervous System W Cc | 11 | 45 / 16 | $59.985,20 | 595 / 41 | $9.652,82 | 586 / 43 | $8.368,27 | 585 / 44 |
Other Kidney & Urinary Tract Diagnoses W Cc | 18 | 85 / 21 | $38.053,70 | 635 / 15 | $11.025,50 | 809 / 46 | $9.768,83 | 809 / 49 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 41 | 60 / 13 | $83.129,70 | 1024 / 55 | $16.892,10 | 1055 / 65 | $15.675,80 | 1051 / 70 |
Other O.R. Procedures For Injuries W Cc | 13 | 22 / 4 | $110.380,00 | 163 / 4 | $19.387,10 | 157 / 3 | $18.234,50 | 157 / 4 |
Other O.R. Procedures For Injuries W Mcc | 13 | 24 / 5 | $202.304,00 | 181 / 7 | $48.876,40 | 191 / 9 | $46.482,10 | 191 / 9 |
Other Vascular Procedures W Cc | 68 | 36 / 1 | $119.269,00 | 970 / 33 | $25.545,60 | 1075 / 61 | $23.335,00 | 1070 / 60 |
Other Vascular Procedures W Mcc | 34 | 63 / 10 | $152.842,00 | 874 / 45 | $34.845,50 | 878 / 72 | $28.003,50 | 875 / 57 |
Other Vascular Procedures W/O Cc/Mcc | 38 | 18 / 1 | $69.750,50 | 439 / 6 | $17.618,40 | 518 / 18 | $15.328,30 | 517 / 17 |
Pancreas, Liver & Shunt Procedures W Cc | 13 | 42 / 9 | $147.995,00 | 120 / 4 | $29.388,30 | 117 / 3 | $25.857,40 | 117 / 3 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 36 | 64 / 7 | $181.884,00 | 922 / 55 | $33.170,20 | 989 / 79 | $31.729,30 | 984 / 80 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 104 | 92 / 5 | $112.148,00 | 1267 / 59 | $20.912,30 | 1428 / 98 | $18.381,80 | 1420 / 101 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 13 | 56 / 6 | $75.897,50 | 394 / 2 | $18.023,90 | 544 / 16 | $16.754,40 | 542 / 18 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 11 | 43 / 8 | $183.631,00 | 259 / 9 | $33.998,70 | 267 / 9 | $32.749,50 | 267 / 10 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 27 | 68 / 6 | $103.165,00 | 469 / 15 | $21.587,50 | 544 / 33 | $17.014,90 | 540 / 32 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 22 | $45.016,90 | 1091 / 47 | $10.326,20 | 1190 / 78 | $9.494,73 | 1187 / 84 |
Permanent Cardiac Pacemaker Implant W Cc | 23 | 54 / 12 | $77.734,10 | 596 / 11 | $25.296,00 | 931 / 68 | $23.959,90 | 927 / 72 |
Permanent Cardiac Pacemaker Implant W Mcc | 14 | 38 / 10 | $121.164,00 | 425 / 13 | $35.221,50 | 579 / 40 | $33.974,50 | 579 / 40 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 11 | $65.424,50 | 468 / 10 | $21.026,50 | 694 / 46 | $19.794,90 | 692 / 49 |
Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 19 | $82.597,20 | 911 / 57 | $15.140,30 | 926 / 67 | $14.030,80 | 923 / 70 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 10 | $47.160,50 | 886 / 39 | $7.956,87 | 860 / 42 | $6.855,40 | 859 / 45 |
Psychoses | 15 | 260 / 28 | $77.275,70 | 609 / 38 | $12.401,50 | 589 / 29 | $11.089,50 | 589 / 30 |
Pulmonary Edema & Respiratory Failure | 59 | 144 / 23 | $82.761,70 | 2144 / 127 | $14.149,40 | 2172 / 155 | $12.973,40 | 2166 / 158 |
Pulmonary Embolism W Mcc | 11 | 32 / 9 | $66.024,90 | 508 / 10 | $15.762,30 | 561 / 26 | $14.615,20 | 560 / 27 |
Pulmonary Embolism W/O Mcc | 21 | 53 / 9 | $46.564,30 | 1134 / 33 | $10.636,10 | 1245 / 62 | $9.360,81 | 1242 / 70 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 19 | $62.870,10 | 976 / 54 | $13.432,80 | 1025 / 71 | $11.925,10 | 1021 / 67 |
Red Blood Cell Disorders W/O Mcc | 30 | 113 / 26 | $35.640,70 | 1684 / 65 | $9.304,23 | 1911 / 130 | $8.342,17 | 1902 / 134 |
Renal Failure W Cc | 81 | 140 / 17 | $42.934,30 | 2116 / 92 | $10.657,60 | 2341 / 171 | $9.476,16 | 2331 / 172 |
Renal Failure W Mcc | 46 | 149 / 41 | $82.106,90 | 2010 / 126 | $16.967,60 | 2078 / 164 | $15.517,40 | 2074 / 164 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 9 | $34.535,60 | 780 / 14 | $7.816,58 | 830 / 31 | $6.450,58 | 828 / 31 |
Respiratory Infections & Inflammations W Cc | 19 | 69 / 29 | $52.405,20 | 1177 / 38 | $13.355,60 | 1408 / 99 | $12.201,50 | 1403 / 100 |
Respiratory Infections & Inflammations W Mcc | 23 | 113 / 49 | $78.946,50 | 1497 / 63 | $18.714,40 | 1717 / 125 | $17.397,10 | 1701 / 121 |
Respiratory Neoplasms W Cc | 16 | 31 / 8 | $58.011,20 | 437 / 17 | $12.650,80 | 477 / 23 | $11.449,20 | 476 / 24 |
Respiratory Signs & Symptoms | 11 | 35 / 4 | $40.223,20 | 288 / 9 | $8.258,45 | 293 / 9 | $7.150,27 | 293 / 9 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 41 | 90 / 14 | $111.053,00 | 1614 / 64 | $22.415,60 | 1730 / 101 | $21.243,20 | 1716 / 107 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 20 | $330.588,00 | 943 / 68 | $55.761,70 | 954 / 75 | $53.259,90 | 953 / 79 |
Revision Of Hip Or Knee Replacement W Cc | 16 | 70 / 17 | $114.195,00 | 519 / 8 | $31.066,20 | 631 / 28 | $29.691,60 | 629 / 27 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 47 | 22 / 3 | $115.495,00 | 457 / 19 | $27.261,20 | 488 / 36 | $24.269,30 | 487 / 35 |
Seizures W/O Mcc | 37 | 71 / 10 | $49.937,40 | 1227 / 62 | $8.871,38 | 1228 / 80 | $7.581,49 | 1226 / 83 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 27 | 65 / 28 | $315.683,00 | 1008 / 100 | $60.103,50 | 1041 / 118 | $58.043,90 | 1040 / 120 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 358 | 165 / 19 | $84.578,10 | 2487 / 155 | $19.122,40 | 2680 / 219 | $17.710,40 | 2635 / 216 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 161 | 47 / 5 | $46.099,80 | 2187 / 129 | $11.453,70 | 2466 / 205 | $10.117,40 | 2456 / 209 |
Signs & Symptoms W/O Mcc | 29 | 62 / 9 | $44.453,80 | 1274 / 63 | $8.902,45 | 1278 / 82 | $7.616,17 | 1275 / 83 |
Simple Pneumonia & Pleurisy W Cc | 69 | 134 / 25 | $51.268,70 | 2578 / 142 | $10.742,20 | 2695 / 183 | $9.257,25 | 2686 / 182 |
Simple Pneumonia & Pleurisy W Mcc | 48 | 157 / 43 | $78.863,90 | 2335 / 135 | $15.039,00 | 2414 / 171 | $13.697,60 | 2408 / 170 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 31 | $40.909,40 | 1819 / 80 | $8.527,57 | 1914 / 123 | $7.193,71 | 1906 / 123 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 12 | 28 / 6 | $261.504,00 | 68 / 2 | $70.422,50 | 65 / 2 | $54.708,80 | 65 / 2 |
Spinal Fusion Except Cervical W/O Mcc | 122 | 73 / 6 | $150.475,00 | 1118 / 34 | $38.338,60 | 1285 / 75 | $35.010,80 | 1280 / 76 |
Syncope & Collapse | 44 | 125 / 23 | $36.819,20 | 1627 / 74 | $8.627,68 | 1835 / 135 | $7.572,09 | 1827 / 138 |
Thyroid, Parathyroid & Thyroglossal Procedures W/O Cc/Mcc | 11 | 19 / 5 | $48.016,70 | 36 / 6 | $9.592,45 | 33 / 5 | $8.277,73 | 33 / 5 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 10 | $712.186,00 | 552 / 45 | $130.615,00 | 556 / 52 | $123.625,00 | 555 / 51 |
Transient Ischemia | 37 | 88 / 21 | $39.607,80 | 1427 / 68 | $8.330,22 | 1597 / 121 | $7.010,76 | 1589 / 122 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 16 | 35 / 12 | $54.977,30 | 175 / 1 | $18.411,50 | 290 / 13 | $17.012,00 | 290 / 13 |
Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 16 | 12 / 2 | $103.934,00 | 104 / 4 | $19.077,20 | 108 / 6 | $17.560,20 | 108 / 7 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 60 | 2 / 1 | $62.379,80 | 240 / 22 | $10.729,10 | 238 / 27 | $9.294,70 | 238 / 27 |
Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W/O Cc/Mcc | 12 | 11 / 1 | $69.385,70 | 42 / 1 | $12.209,00 | 45 / 3 | $10.957,70 | 45 / 3 |
Vagina, Cervix & Vulva Procedures W/O Cc/Mcc | 37 | 1 / 1 | $63.730,40 | 22 / 2 | $9.897,08 | 22 / 2 | $8.615,89 | 22 / 2 |
Vaginal Delivery W Complicating Diagnoses | 11 | 7 / 1 | $46.451,50 | 15 / 1 | $8.664,18 | 11 / 1 | $7.363,45 | 11 / 1 | Total 152 procedures | 5.582 | 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.