Hospital Costs > In California > Sutter Roseville Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 42 | 49 / 4 | $45.735,90 | 1126 / 29 | $8.568,33 | 1203 / 39 | $7.704,10 | 1201 / 48 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 39 | 86 / 14 | $61.362,60 | 1346 / 38 | $13.126,80 | 1377 / 40 | $11.888,20 | 1366 / 37 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 21 | 32 / 2 | $33.720,30 | 642 / 11 | $6.319,33 | 722 / 13 | $5.401,14 | 718 / 17 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 13 | 111 / 26 | $31.294,80 | 710 / 20 | $5.839,38 | 566 / 10 | $4.729,23 | 565 / 9 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 11 | 19 / 4 | $85.993,40 | 172 / 3 | $15.481,30 | 165 / 2 | $14.602,70 | 164 / 3 |
Appendectomy W/O Complicated Principal Diag W/O Cc/Mcc | 11 | 7 / 1 | $49.502,70 | 10 / 1 | $7.936,64 | 12 / 2 | $6.515,00 | 12 / 2 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 30 | 36 / 9 | $81.010,20 | 467 / 14 | $15.619,40 | 488 / 17 | $14.570,90 | 484 / 22 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 68 | 24 / 4 | $47.314,90 | 568 / 18 | $9.291,88 | 637 / 28 | $7.775,12 | 636 / 36 |
Bronchitis & Asthma W Cc/Mcc | 20 | 56 / 13 | $32.558,60 | 767 / 16 | $7.297,95 | 866 / 23 | $6.267,05 | 862 / 28 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 74 | 87 / 4 | $34.155,00 | 1783 / 57 | $6.789,85 | 1782 / 68 | $5.760,49 | 1777 / 73 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 37 | 86 / 17 | $46.164,20 | 1461 / 37 | $9.921,41 | 1571 / 48 | $9.073,03 | 1568 / 54 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 42 | 108 / 9 | $27.218,30 | 1690 / 49 | $4.851,57 | 1651 / 45 | $3.904,29 | 1645 / 68 |
Cellulitis W Mcc | 16 | 42 / 18 | $115.914,00 | 959 / 87 | $20.786,80 | 963 / 90 | $19.156,00 | 961 / 90 |
Cellulitis W/O Mcc | 109 | 80 / 5 | $33.537,00 | 2256 / 96 | $7.023,60 | 2158 / 66 | $5.968,88 | 2150 / 80 |
Cervical Spinal Fusion W/O Cc/Mcc | 23 | 81 / 16 | $81.866,20 | 679 / 16 | $17.928,30 | 777 / 24 | $16.773,60 | 774 / 35 |
Chest Pain | 40 | 111 / 33 | $29.683,80 | 1378 / 62 | $5.220,55 | 1296 / 43 | $4.253,20 | 1289 / 56 |
Chronic Obstructive Pulmonary Disease W Cc | 66 | 113 / 12 | $41.016,00 | 2095 / 83 | $7.668,20 | 2012 / 60 | $6.747,74 | 2005 / 63 |
Chronic Obstructive Pulmonary Disease W Mcc | 95 | 107 / 8 | $48.155,00 | 2140 / 67 | $9.316,46 | 2123 / 54 | $8.386,42 | 2115 / 65 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 22 | $31.047,60 | 1736 / 34 | $6.092,12 | 1736 / 36 | $5.090,04 | 1725 / 44 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 38 | 150 / 24 | $48.344,30 | 1159 / 22 | $8.909,32 | 1373 / 29 | $7.958,00 | 1370 / 55 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 12 | 30 / 12 | $58.457,80 | 199 / 7 | $13.830,80 | 206 / 8 | $13.219,90 | 206 / 8 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 15 | 32 / 8 | $179.112,00 | 70 / 4 | $49.138,20 | 100 / 4 | $48.090,70 | 100 / 10 |
Complications Of Treatment W Cc | 14 | 38 / 10 | $34.216,70 | 252 / 4 | $8.142,07 | 241 / 4 | $7.111,21 | 241 / 5 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 16 | 52 / 15 | $34.682,20 | 535 / 15 | $7.379,75 | 552 / 15 | $6.471,88 | 552 / 18 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 20 | 78 / 13 | $153.404,00 | 358 / 7 | $34.687,10 | 390 / 15 | $33.719,90 | 390 / 17 |
Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 19 | $27.207,20 | 443 / 5 | $7.956,45 | 643 / 14 | $7.077,91 | 643 / 18 |
Diabetes W Cc | 22 | 70 / 13 | $35.461,30 | 1322 / 41 | $6.867,77 | 1245 / 27 | $5.931,68 | 1240 / 34 |
Diabetes W Mcc | 13 | 44 / 14 | $51.884,10 | 578 / 17 | $13.001,00 | 490 / 36 | $9.416,62 | 490 / 11 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 13 | 63 / 23 | $50.832,30 | 308 / 11 | $14.898,40 | 412 / 27 | $14.430,50 | 412 / 34 |
Disorders Of Pancreas Except Malignancy W Cc | 20 | 41 / 5 | $38.932,60 | 778 / 20 | $7.668,85 | 790 / 16 | $6.761,45 | 787 / 24 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 15 | 23 / 5 | $25.121,10 | 329 / 6 | $5.576,87 | 376 / 6 | $4.611,80 | 375 / 10 |
Disorders Of The Biliary Tract W Cc | 14 | 40 / 10 | $40.704,60 | 329 / 4 | $8.689,57 | 357 / 9 | $7.730,43 | 357 / 14 |
Disorders Of The Biliary Tract W Mcc | 15 | 24 / 8 | $100.449,00 | 244 / 11 | $17.880,30 | 244 / 9 | $16.995,70 | 244 / 11 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 33 | 63 / 11 | $44.563,80 | 1060 / 38 | $9.784,24 | 1132 / 41 | $8.840,79 | 1127 / 43 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 124 | 151 / 10 | $33.225,00 | 2288 / 91 | $6.303,40 | 2242 / 67 | $5.353,69 | 2227 / 87 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 13 | $97.441,20 | 301 / 8 | $21.171,30 | 326 / 7 | $20.611,50 | 324 / 13 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 19 | $159.704,00 | 514 / 7 | $36.870,50 | 574 / 13 | $35.984,30 | 574 / 18 |
Extracranial Procedures W/O Cc/Mcc | 21 | 77 / 19 | $52.705,30 | 783 / 20 | $8.670,43 | 821 / 25 | $7.634,43 | 818 / 33 |
Fractures Of Hip & Pelvis W/O Mcc | 22 | 39 / 9 | $34.073,20 | 792 / 29 | $5.739,50 | 746 / 21 | $4.861,41 | 745 / 30 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 18 | $38.192,70 | 707 / 29 | $6.418,38 | 648 / 22 | $5.394,08 | 646 / 28 |
G.I. Hemorrhage W Cc | 97 | 121 / 10 | $37.839,40 | 1889 / 59 | $8.280,07 | 2006 / 63 | $7.287,78 | 2002 / 73 |
G.I. Hemorrhage W Mcc | 38 | 83 / 18 | $61.178,20 | 1219 / 43 | $14.446,80 | 1382 / 66 | $13.645,20 | 1372 / 73 |
G.I. Hemorrhage W/O Cc/Mcc | 22 | 46 / 8 | $25.620,50 | 723 / 14 | $5.954,18 | 793 / 22 | $4.859,27 | 789 / 25 |
G.I. Obstruction W Cc | 48 | 44 / 7 | $35.421,30 | 1358 / 42 | $7.604,25 | 1420 / 60 | $6.322,75 | 1415 / 55 |
G.I. Obstruction W Mcc | 24 | 18 / 1 | $53.818,70 | 371 / 13 | $12.013,70 | 375 / 12 | $11.190,30 | 375 / 14 |
G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 24 | $29.917,90 | 1112 / 43 | $5.263,82 | 1075 / 33 | $4.198,41 | 1072 / 44 |
Heart Failure & Shock W Cc | 62 | 216 / 43 | $41.315,30 | 2364 / 93 | $7.907,34 | 2234 / 61 | $7.085,37 | 2228 / 72 |
Heart Failure & Shock W Mcc | 108 | 176 / 28 | $47.857,00 | 1930 / 51 | $11.652,90 | 2118 / 67 | $10.857,80 | 2108 / 67 |
Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 24 | $25.817,20 | 1590 / 29 | $5.884,81 | 1550 / 40 | $4.591,71 | 1537 / 32 |
Hip & Femur Procedures Except Major Joint W Cc | 71 | 72 / 8 | $76.211,80 | 1651 / 42 | $15.194,50 | 1718 / 52 | $14.153,90 | 1699 / 65 |
Hip & Femur Procedures Except Major Joint W Mcc | 18 | 44 / 10 | $143.396,00 | 865 / 43 | $27.650,30 | 839 / 59 | $23.957,20 | 836 / 47 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 20 | $62.737,40 | 732 / 18 | $12.667,10 | 758 / 24 | $11.453,40 | 755 / 28 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 16 | 20 / 7 | $99.522,20 | 295 / 9 | $19.124,20 | 291 / 12 | $18.145,20 | 290 / 13 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 40 | 84 / 26 | $203.242,00 | 1273 / 51 | $44.651,20 | 1353 / 72 | $43.927,20 | 1343 / 77 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 70 | 112 / 15 | $47.559,50 | 1690 / 63 | $8.658,24 | 1719 / 53 | $7.707,67 | 1715 / 76 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 55 | 113 / 19 | $62.153,90 | 1168 / 34 | $13.816,40 | 1286 / 52 | $12.875,10 | 1280 / 60 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 32 | 70 / 16 | $32.932,60 | 1187 / 22 | $6.647,56 | 1251 / 49 | $5.029,09 | 1247 / 37 |
Kidney & Urinary Tract Infections W Mcc | 33 | 111 / 33 | $58.012,20 | 1787 / 121 | $10.011,20 | 1746 / 100 | $9.167,03 | 1742 / 110 |
Kidney & Urinary Tract Infections W/O Mcc | 141 | 92 / 5 | $31.812,30 | 2274 / 81 | $6.485,79 | 2230 / 73 | $5.524,74 | 2219 / 79 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 16 | $55.961,50 | 535 / 6 | $14.832,00 | 736 / 50 | $11.540,50 | 733 / 26 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 13 | $75.846,20 | 270 / 7 | $19.733,10 | 397 / 19 | $18.514,20 | 396 / 21 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 20 | 27 / 6 | $52.384,10 | 436 / 12 | $10.043,50 | 519 / 15 | $8.900,50 | 518 / 29 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 15 | 40 / 12 | $85.943,40 | 534 / 16 | $16.220,30 | 542 / 21 | $15.093,40 | 538 / 25 |
Major Cardiovasc Procedures W Mcc | 18 | 50 / 12 | $127.092,00 | 247 / 1 | $32.410,30 | 246 / 1 | $31.672,30 | 246 / 2 |
Major Cardiovasc Procedures W/O Mcc | 12 | 89 / 29 | $75.460,90 | 318 / 3 | $26.502,80 | 831 / 19 | $25.390,20 | 830 / 27 |
Major Chest Procedures W Cc | 13 | 61 / 17 | $80.731,90 | 328 / 4 | $20.116,60 | 404 / 9 | $19.085,80 | 402 / 14 |
Major Chest Procedures W/O Cc/Mcc | 12 | 47 / 8 | $85.336,80 | 224 / 8 | $14.342,60 | 199 / 5 | $13.334,80 | 199 / 6 |
Major Chest Trauma W Cc | 11 | 25 / 6 | $81.105,40 | 141 / 5 | $8.357,45 | 101 / 4 | $6.698,55 | 101 / 3 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 31 | 42 / 6 | $36.831,70 | 773 / 6 | $9.332,77 | 914 / 26 | $8.628,13 | 912 / 29 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 13 | $68.868,80 | 550 / 16 | $14.142,70 | 518 / 15 | $13.782,40 | 517 / 19 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 9 | $45.181,10 | 366 / 5 | $9.775,36 | 359 / 4 | $9.087,93 | 359 / 6 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 26 | $72.045,60 | 610 / 13 | $17.799,60 | 728 / 25 | $16.596,40 | 724 / 31 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 22 | 43 / 11 | $132.808,00 | 791 / 27 | $25.837,70 | 813 / 27 | $24.893,30 | 810 / 35 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 302 | 267 / 24 | $80.865,10 | 2224 / 94 | $17.268,50 | 2333 / 100 | $15.569,40 | 2288 / 116 |
Major Male Pelvic Procedures W/O Cc/Mcc | 22 | 51 / 11 | $73.190,80 | 324 / 17 | $10.577,60 | 318 / 11 | $9.472,27 | 318 / 18 |
Major Small & Large Bowel Procedures W Cc | 41 | 67 / 15 | $109.340,00 | 1289 / 36 | $20.698,50 | 1346 / 47 | $19.665,10 | 1332 / 64 |
Major Small & Large Bowel Procedures W Mcc | 25 | 60 / 15 | $174.158,00 | 938 / 15 | $37.938,50 | 975 / 17 | $37.020,80 | 973 / 21 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 13 | $82.328,20 | 684 / 21 | $13.241,90 | 651 / 22 | $12.245,20 | 651 / 30 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 12 | $73.006,30 | 273 / 8 | $14.196,70 | 243 / 7 | $13.088,40 | 244 / 9 |
Medical Back Problems W/O Mcc | 31 | 90 / 27 | $47.178,70 | 1371 / 82 | $6.830,42 | 1122 / 33 | $5.699,71 | 1118 / 32 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 31 | $48.271,80 | 1463 / 79 | $9.136,00 | 1362 / 54 | $8.446,21 | 1359 / 66 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 61 | 105 / 22 | $31.826,90 | 2190 / 90 | $6.034,48 | 2048 / 70 | $5.002,59 | 2040 / 68 |
Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 14 | $67.717,50 | 334 / 22 | $13.855,50 | 345 / 19 | $13.165,00 | 345 / 22 |
O.R. Procedures For Obesity W/O Cc/Mcc | 11 | 66 / 17 | $53.183,00 | 289 / 7 | $12.780,40 | 346 / 9 | $11.565,10 | 345 / 13 |
Organic Disturbances & Mental Retardation | 11 | 48 / 13 | $31.367,80 | 362 / 7 | $7.652,36 | 334 / 1 | $6.669,09 | 334 / 2 |
Other Circulatory System Diagnoses W Cc | 15 | 51 / 11 | $44.235,10 | 567 / 11 | $8.003,67 | 541 / 11 | $7.361,13 | 540 / 16 |
Other Circulatory System Diagnoses W Mcc | 23 | 93 / 27 | $68.742,20 | 1035 / 32 | $15.199,30 | 1107 / 40 | $14.570,50 | 1099 / 51 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 22 | $35.558,90 | 1036 / 34 | $8.052,70 | 1105 / 44 | $6.915,10 | 1101 / 44 |
Other Digestive System Diagnoses W Mcc | 11 | 51 / 23 | $66.083,80 | 610 / 37 | $13.384,80 | 564 / 27 | $12.613,90 | 563 / 36 |
Other Kidney & Urinary Tract Diagnoses W Cc | 23 | 80 / 17 | $33.773,20 | 579 / 8 | $8.691,17 | 608 / 27 | $6.983,61 | 608 / 15 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 23 | 78 / 26 | $60.737,90 | 889 / 26 | $16.994,50 | 841 / 66 | $11.286,70 | 838 / 27 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 17 | 23 / 4 | $85.465,80 | 183 / 7 | $17.396,70 | 195 / 8 | $16.541,10 | 195 / 9 |
Other Resp System O.R. Procedures W Mcc | 17 | 46 / 2 | $230.799,00 | 578 / 22 | $44.933,80 | 587 / 22 | $41.966,50 | 586 / 24 |
Other Vascular Procedures W Cc | 11 | 91 / 33 | $93.358,70 | 779 / 13 | $20.022,90 | 923 / 22 | $19.139,80 | 918 / 28 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 26 | $157.407,00 | 857 / 40 | $26.010,00 | 854 / 31 | $25.021,60 | 849 / 42 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 52 | 144 / 23 | $100.815,00 | 1171 / 45 | $17.203,30 | 1264 / 48 | $14.946,30 | 1257 / 54 |
Peripheral Vascular Disorders W Cc | 19 | 65 / 14 | $33.060,20 | 884 / 16 | $7.745,26 | 976 / 21 | $7.043,37 | 973 / 31 |
Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 21 | $60.087,40 | 347 / 2 | $20.534,20 | 802 / 29 | $19.586,60 | 798 / 34 |
Poisoning & Toxic Effects Of Drugs W Mcc | 22 | 50 / 14 | $78.212,20 | 891 / 47 | $12.092,60 | 827 / 39 | $11.422,80 | 824 / 47 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 11 | $44.209,30 | 878 / 36 | $5.908,64 | 726 / 22 | $4.955,64 | 725 / 25 |
Psychoses | 14 | 261 / 29 | $49.393,30 | 581 / 30 | $9.189,43 | 514 / 10 | $8.327,71 | 514 / 15 |
Pulmonary Edema & Respiratory Failure | 90 | 113 / 11 | $60.472,80 | 1940 / 76 | $10.006,80 | 1885 / 47 | $9.281,86 | 1879 / 63 |
Pulmonary Embolism W Mcc | 17 | 26 / 3 | $57.097,10 | 468 / 4 | $11.941,90 | 396 / 16 | $9.706,71 | 396 / 6 |
Pulmonary Embolism W/O Mcc | 25 | 49 / 6 | $39.045,60 | 1036 / 21 | $8.169,88 | 1109 / 28 | $7.256,52 | 1106 / 44 |
Red Blood Cell Disorders W/O Mcc | 30 | 113 / 26 | $32.836,90 | 1604 / 52 | $6.758,17 | 1598 / 53 | $5.832,77 | 1589 / 53 |
Renal Failure W Cc | 71 | 150 / 20 | $41.506,60 | 2086 / 83 | $7.960,59 | 2010 / 66 | $7.022,54 | 2000 / 73 |
Renal Failure W Mcc | 40 | 155 / 47 | $64.598,90 | 1824 / 90 | $13.243,40 | 1853 / 90 | $12.278,20 | 1849 / 95 |
Respiratory Infections & Inflammations W Cc | 30 | 58 / 19 | $47.909,10 | 1116 / 24 | $10.959,60 | 1276 / 49 | $10.235,40 | 1271 / 56 |
Respiratory Infections & Inflammations W Mcc | 53 | 83 / 23 | $70.883,00 | 1413 / 45 | $14.965,40 | 1460 / 49 | $13.984,10 | 1445 / 42 |
Respiratory Neoplasms W Mcc | 12 | 40 / 14 | $63.029,20 | 470 / 8 | $13.744,50 | 522 / 14 | $12.929,00 | 519 / 17 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 41 | 90 / 14 | $100.501,00 | 1521 / 41 | $18.361,80 | 1512 / 36 | $17.711,20 | 1498 / 47 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 22 | $225.547,00 | 814 / 31 | $42.989,60 | 836 / 42 | $42.006,50 | 835 / 49 |
Seizures W/O Mcc | 16 | 92 / 26 | $32.671,60 | 1016 / 28 | $6.438,75 | 1026 / 23 | $5.679,75 | 1024 / 36 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 23 | 69 / 32 | $293.898,00 | 989 / 87 | $53.575,40 | 998 / 102 | $52.721,80 | 997 / 106 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 386 | 147 / 16 | $73.872,90 | 2341 / 115 | $15.223,00 | 2380 / 109 | $14.122,20 | 2338 / 115 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 140 | 67 / 9 | $41.985,40 | 2100 / 110 | $8.926,44 | 2155 / 105 | $7.827,72 | 2147 / 111 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 10 | $35.634,90 | 325 / 9 | $6.046,45 | 272 / 3 | $5.277,91 | 272 / 6 |
Signs & Symptoms W/O Mcc | 27 | 64 / 11 | $32.292,30 | 1075 / 35 | $5.738,33 | 968 / 21 | $4.801,67 | 965 / 23 |
Simple Pneumonia & Pleurisy W Cc | 100 | 103 / 9 | $38.400,60 | 2282 / 62 | $7.970,46 | 2325 / 69 | $6.965,05 | 2316 / 79 |
Simple Pneumonia & Pleurisy W Mcc | 62 | 143 / 31 | $56.615,00 | 2042 / 64 | $11.548,40 | 2103 / 66 | $10.670,80 | 2098 / 74 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 27 | 66 / 18 | $28.235,40 | 1566 / 28 | $5.874,93 | 1611 / 35 | $4.761,59 | 1603 / 42 |
Spinal Fusion Except Cervical W/O Mcc | 32 | 162 / 35 | $128.836,00 | 996 / 26 | $31.998,30 | 1205 / 37 | $30.900,20 | 1200 / 51 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 11 | 37 / 12 | $58.488,20 | 182 / 9 | $11.994,00 | 176 / 5 | $10.898,00 | 175 / 8 |
Syncope & Collapse | 51 | 118 / 18 | $35.624,00 | 1604 / 67 | $6.180,04 | 1491 / 50 | $5.110,24 | 1484 / 51 |
Transient Ischemia | 40 | 85 / 18 | $42.556,00 | 1482 / 87 | $6.367,52 | 1389 / 64 | $5.213,65 | 1382 / 70 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 14 | 30 / 10 | $30.849,50 | 199 / 3 | $6.289,64 | 221 / 10 | $5.417,64 | 221 / 13 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 17 | 49 / 14 | $54.366,80 | 445 / 12 | $8.723,12 | 366 / 7 | $7.654,76 | 365 / 10 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 11 | 40 / 17 | $99.473,00 | 301 / 10 | $16.452,90 | 261 / 10 | $15.568,30 | 261 / 11 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 17 | 37 / 11 | $38.415,20 | 335 / 3 | $6.240,71 | 284 / 7 | $5.239,88 | 284 / 9 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 7 | $36.829,10 | 320 / 5 | $5.907,18 | 317 / 3 | $4.917,00 | 316 / 5 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 28 | 18 / 3 | $59.061,60 | 235 / 20 | $8.246,00 | 189 / 11 | $7.036,71 | 189 / 19 |
Vagina, Cervix & Vulva Procedures W/O Cc/Mcc | 17 | 7 / 2 | $56.460,80 | 20 / 1 | $7.402,71 | 17 / 1 | $6.190,12 | 17 / 1 | Total 132 procedures | 4.746 | 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.