Hospital Costs > In Texas > Texoma Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 186 | 330 / 45 | $67.652,20 | 2254 / 150 | $12.023,80 | 1526 / 117 | $11.059,90 | 1495 / 141 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 177 | 387 / 46 | $61.354,70 | 1742 / 111 | $13.192,30 | 1415 / 74 | $11.841,90 | 1382 / 152 |
| Chronic Obstructive Pulmonary Disease W Mcc | 132 | 70 / 6 | $35.131,80 | 1744 / 94 | $7.506,48 | 1241 / 79 | $6.508,25 | 1235 / 104 |
| Simple Pneumonia & Pleurisy W Mcc | 97 | 108 / 18 | $42.654,20 | 1667 / 88 | $8.961,55 | 1161 / 70 | $8.070,64 | 1161 / 91 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 94 | 181 / 33 | $24.698,50 | 1860 / 107 | $5.161,70 | 1472 / 101 | $4.109,49 | 1461 / 121 |
| Heart Failure & Shock W Cc | 93 | 185 / 34 | $25.545,10 | 1709 / 81 | $6.538,63 | 1217 / 109 | $5.466,61 | 1214 / 100 |
| Heart Failure & Shock W Mcc | 90 | 194 / 43 | $53.110,80 | 2073 / 138 | $9.831,63 | 1503 / 115 | $9.055,78 | 1499 / 131 |
| Renal Failure W Cc | 88 | 133 / 29 | $27.341,50 | 1567 / 81 | $6.270,72 | 1280 / 79 | $5.472,85 | 1272 / 108 |
| G.I. Hemorrhage W Cc | 85 | 133 / 21 | $33.132,20 | 1723 / 97 | $6.564,07 | 1398 / 79 | $5.818,78 | 1395 / 105 |
| Respiratory Infections & Inflammations W Mcc | 78 | 58 / 7 | $61.388,50 | 1297 / 71 | $11.842,90 | 845 / 52 | $11.236,90 | 835 / 71 |
| Cellulitis W/O Mcc | 75 | 114 / 22 | $23.206,30 | 1756 / 99 | $5.593,21 | 1425 / 91 | $4.649,83 | 1418 / 122 |
| Renal Failure W Mcc | 73 | 122 / 32 | $41.678,30 | 1331 / 79 | $9.363,59 | 871 / 50 | $8.684,08 | 871 / 77 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 66 | 65 / 13 | $81.317,40 | 1318 / 83 | $14.250,80 | 756 / 52 | $13.149,70 | 748 / 72 |
| Chronic Obstructive Pulmonary Disease W Cc | 56 | 123 / 24 | $31.061,70 | 1772 / 92 | $6.120,23 | 1177 / 81 | $5.128,54 | 1173 / 89 |
| Pulmonary Edema & Respiratory Failure | 54 | 149 / 33 | $34.883,60 | 1293 / 56 | $7.837,89 | 984 / 56 | $6.921,48 | 983 / 71 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 50 | 116 / 37 | $21.488,50 | 1684 / 87 | $4.781,58 | 1463 / 84 | $4.026,82 | 1458 / 127 |
| Red Blood Cell Disorders W/O Mcc | 50 | 93 / 20 | $23.205,10 | 1136 / 60 | $5.420,32 | 1067 / 67 | $4.604,20 | 1060 / 93 |
| Simple Pneumonia & Pleurisy W Cc | 49 | 154 / 59 | $28.731,50 | 1882 / 101 | $6.375,45 | 1370 / 90 | $5.384,14 | 1365 / 110 |
| Kidney & Urinary Tract Infections W/O Mcc | 48 | 185 / 63 | $23.920,30 | 1915 / 128 | $5.320,94 | 996 / 119 | $3.957,83 | 988 / 83 |
| G.I. Hemorrhage W Mcc | 48 | 73 / 13 | $54.103,00 | 1089 / 57 | $11.290,90 | 773 / 53 | $10.471,90 | 770 / 65 |
| Kidney & Urinary Tract Infections W Mcc | 47 | 97 / 30 | $36.253,90 | 1396 / 89 | $7.035,72 | 896 / 66 | $6.221,55 | 894 / 73 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 46 | 161 / 49 | $30.315,20 | 1641 / 88 | $6.977,61 | 1142 / 94 | $5.802,61 | 1138 / 100 |
| Hip & Femur Procedures Except Major Joint W Cc | 45 | 98 / 30 | $55.376,10 | 1219 / 59 | $12.040,70 | 992 / 71 | $11.021,80 | 979 / 91 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 44 | 81 / 21 | $55.451,70 | 1246 / 61 | $10.600,00 | 809 / 54 | $9.735,91 | 808 / 65 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 44 | $38.106,70 | 1459 / 77 | $6.900,39 | 1058 / 58 | $5.921,12 | 1055 / 79 |
| Syncope & Collapse | 41 | 128 / 29 | $31.032,20 | 1475 / 75 | $5.145,22 | 695 / 67 | $3.741,83 | 692 / 51 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 40 | 86 / 36 | $29.626,70 | 947 / 49 | $6.976,08 | 510 / 46 | $6.030,52 | 507 / 46 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 40 | 110 / 25 | $16.016,20 | 1100 / 39 | $4.000,27 | 1250 / 68 | $3.090,32 | 1245 / 95 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 39 | 84 / 25 | $37.680,40 | 1250 / 64 | $7.569,49 | 774 / 49 | $6.767,03 | 771 / 67 |
| Major Small & Large Bowel Procedures W Cc | 38 | 70 / 16 | $74.099,30 | 918 / 44 | $15.311,10 | 692 / 28 | $14.312,30 | 686 / 57 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 37 | 83 / 19 | $20.483,40 | 1297 / 55 | $4.885,81 | 1125 / 73 | $3.847,22 | 1116 / 85 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 37 | 131 / 39 | $59.615,20 | 1128 / 54 | $10.722,20 | 690 / 39 | $9.861,19 | 689 / 52 |
| Extracranial Procedures W/O Cc/Mcc | 37 | 61 / 16 | $38.259,70 | 602 / 43 | $6.961,49 | 439 / 35 | $5.578,14 | 438 / 43 |
| Seizures W/O Mcc | 36 | 72 / 16 | $30.902,30 | 982 / 51 | $5.273,78 | 543 / 33 | $4.138,22 | 540 / 40 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 35 | 161 / 40 | $64.723,50 | 560 / 22 | $13.055,50 | 689 / 45 | $11.197,90 | 685 / 79 |
| Spinal Fusion Except Cervical W/O Mcc | 34 | 160 / 42 | $105.461,00 | 794 / 52 | $23.746,20 | 613 / 30 | $22.533,60 | 609 / 71 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 39 | $25.348,30 | 1418 / 73 | $5.393,41 | 1029 / 77 | $4.329,62 | 1025 / 84 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 34 | 154 / 40 | $47.733,10 | 1146 / 78 | $7.487,56 | 519 / 67 | $5.484,74 | 517 / 49 |
| Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 23 | $19.498,60 | 1261 / 54 | $4.668,45 | 1109 / 79 | $3.854,09 | 1100 / 91 |
| Transient Ischemia | 32 | 93 / 31 | $27.412,50 | 1074 / 43 | $4.996,38 | 706 / 54 | $3.592,22 | 702 / 49 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 32 | 39 / 12 | $139.289,00 | 503 / 26 | $29.361,70 | 236 / 17 | $28.372,10 | 236 / 27 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 29 | 27 / 7 | $47.064,10 | 529 / 37 | $10.343,80 | 376 / 42 | $8.737,52 | 374 / 36 |
| G.I. Hemorrhage W/O Cc/Mcc | 29 | 39 / 4 | $22.944,20 | 656 / 36 | $4.949,79 | 403 / 38 | $3.572,62 | 399 / 32 |
| Major Cardiovasc Procedures W/O Mcc | 28 | 73 / 22 | $89.874,00 | 493 / 20 | $20.765,00 | 282 / 26 | $18.421,20 | 282 / 30 |
| Coronary Bypass W Cardiac Cath W Mcc | 28 | 28 / 6 | $302.147,00 | 366 / 38 | $52.803,00 | 336 / 40 | $51.859,00 | 336 / 44 |
| Respiratory Infections & Inflammations W Cc | 28 | 60 / 18 | $37.394,20 | 908 / 49 | $8.547,50 | 676 / 52 | $7.706,21 | 671 / 59 |
| Permanent Cardiac Pacemaker Implant W Cc | 27 | 50 / 14 | $62.709,00 | 384 / 18 | $16.434,40 | 285 / 31 | $14.529,10 | 284 / 28 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 27 | 64 / 19 | $35.921,30 | 934 / 42 | $6.898,07 | 713 / 35 | $5.907,33 | 711 / 50 |
| Major Small & Large Bowel Procedures W Mcc | 27 | 58 / 17 | $149.312,00 | 805 / 42 | $31.408,60 | 589 / 39 | $30.577,30 | 587 / 55 |
| Other Digestive System Diagnoses W Cc | 26 | 71 / 18 | $26.351,20 | 732 / 24 | $6.381,46 | 726 / 32 | $5.631,54 | 722 / 53 |
| Other Resp System O.R. Procedures W Mcc | 26 | 37 / 8 | $101.635,00 | 352 / 22 | $21.651,50 | 231 / 15 | $21.077,00 | 230 / 21 |
| Hypertension W/O Mcc | 25 | 40 / 9 | $22.741,40 | 486 / 26 | $4.387,56 | 348 / 24 | $3.269,08 | 346 / 22 |
| Cervical Spinal Fusion W/O Cc/Mcc | 25 | 79 / 22 | $69.363,80 | 569 / 37 | $13.736,40 | 476 / 25 | $12.569,40 | 473 / 58 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 30 | $18.183,10 | 1043 / 47 | $4.807,83 | 1067 / 69 | $3.746,83 | 1061 / 87 |
| Peripheral Vascular Disorders W Cc | 24 | 60 / 19 | $27.800,60 | 736 / 35 | $6.311,25 | 576 / 28 | $5.497,33 | 574 / 43 |
| Cellulitis W Mcc | 24 | 34 / 11 | $38.449,30 | 557 / 33 | $8.931,54 | 381 / 18 | $8.240,54 | 379 / 34 |
| Medical Back Problems W/O Mcc | 24 | 97 / 26 | $31.415,40 | 1066 / 62 | $5.659,96 | 842 / 39 | $4.848,12 | 839 / 67 |
| Hip & Femur Procedures Except Major Joint W Mcc | 24 | 38 / 18 | $84.405,50 | 577 / 33 | $18.202,50 | 389 / 31 | $17.228,90 | 386 / 33 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 24 | 49 / 11 | $31.020,50 | 679 / 28 | $7.377,88 | 524 / 21 | $6.700,29 | 522 / 38 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 23 | 73 / 32 | $37.730,80 | 896 / 48 | $7.744,78 | 571 / 30 | $6.789,13 | 566 / 38 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 23 | 41 / 12 | $215.492,00 | 176 / 14 | $52.257,70 | 82 / 9 | $51.544,50 | 82 / 14 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 22 | 67 / 19 | $48.530,40 | 577 / 40 | $7.318,41 | 263 / 25 | $5.455,36 | 263 / 34 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 34 | $36.887,60 | 1286 / 71 | $5.108,82 | 850 / 41 | $4.064,64 | 846 / 66 |
| Other Circulatory System Diagnoses W Mcc | 22 | 94 / 35 | $48.818,70 | 715 / 40 | $11.626,50 | 538 / 36 | $10.886,40 | 536 / 52 |
| Red Blood Cell Disorders W Mcc | 22 | 49 / 17 | $34.686,20 | 574 / 34 | $8.182,27 | 535 / 36 | $7.598,00 | 533 / 51 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 21 | 55 / 15 | $218.767,00 | 528 / 38 | $33.524,60 | 501 / 36 | $32.355,00 | 501 / 43 |
| Chest Pain | 21 | 130 / 45 | $23.985,60 | 1160 / 57 | $4.339,43 | 881 / 51 | $3.380,05 | 876 / 66 |
| Renal Failure W/O Cc/Mcc | 21 | 35 / 12 | $19.550,70 | 544 / 28 | $4.370,86 | 490 / 28 | $3.562,10 | 489 / 39 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 20 | 45 / 15 | $92.010,30 | 588 / 21 | $19.776,10 | 457 / 27 | $18.856,30 | 454 / 34 |
| G.I. Obstruction W Cc | 20 | 72 / 30 | $26.517,10 | 1062 / 39 | $5.988,35 | 720 / 49 | $4.728,25 | 719 / 49 |
| Fractures Of Hip & Pelvis W/O Mcc | 20 | 41 / 10 | $19.168,80 | 479 / 18 | $4.845,75 | 348 / 23 | $3.565,95 | 349 / 19 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 20 | 36 / 14 | $49.822,90 | 415 / 21 | $11.465,60 | 256 / 11 | $10.995,80 | 255 / 21 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 19 | 44 / 16 | $124.102,00 | 362 / 17 | $30.706,30 | 343 / 26 | $29.571,60 | 343 / 37 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 19 | 73 / 27 | $149.295,00 | 516 / 32 | $33.175,70 | 173 / 16 | $31.378,70 | 173 / 20 |
| Respiratory Neoplasms W Mcc | 19 | 33 / 8 | $44.907,90 | 313 / 12 | $10.624,20 | 263 / 10 | $9.916,00 | 263 / 14 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 46 | $151.409,00 | 1029 / 64 | $42.811,70 | 492 / 101 | $29.437,80 | 488 / 48 |
| Organic Disturbances & Mental Retardation | 17 | 42 / 10 | $35.286,20 | 407 / 14 | $6.440,76 | 193 / 4 | $5.646,41 | 193 / 5 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 21 | $39.094,20 | 560 / 24 | $8.787,47 | 358 / 21 | $7.932,47 | 357 / 26 |
| Psychoses | 17 | 258 / 17 | $17.417,20 | 253 / 7 | $6.857,29 | 237 / 9 | $5.654,24 | 237 / 10 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 24 | $45.116,90 | 724 / 22 | $9.530,59 | 326 / 18 | $8.446,41 | 326 / 19 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 20 | $21.857,10 | 905 / 49 | $4.257,88 | 661 / 36 | $3.182,82 | 659 / 51 |
| Other Digestive System Diagnoses W Mcc | 17 | 45 / 13 | $52.874,90 | 490 / 32 | $10.357,70 | 189 / 17 | $9.417,00 | 189 / 18 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 19 | $61.819,60 | 594 / 41 | $10.342,80 | 442 / 30 | $9.267,00 | 442 / 47 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 16 | 65 / 15 | $423.875,00 | 211 / 13 | $92.714,60 | 94 / 9 | $91.830,00 | 94 / 13 |
| Pulmonary Embolism W/O Mcc | 16 | 58 / 21 | $32.789,10 | 911 / 40 | $7.877,50 | 424 / 55 | $5.042,44 | 423 / 25 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 16 | 31 / 11 | $39.138,10 | 294 / 23 | $7.878,25 | 305 / 23 | $6.668,62 | 305 / 33 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 16 | 72 / 22 | $166.090,00 | 503 / 40 | $23.201,90 | 321 / 18 | $22.130,90 | 320 / 34 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 15 | 30 / 9 | $21.620,90 | 248 / 14 | $4.598,47 | 127 / 5 | $3.371,20 | 127 / 5 |
| Other Circulatory System Diagnoses W Cc | 15 | 51 / 16 | $33.489,50 | 464 / 25 | $6.276,67 | 299 / 11 | $5.544,60 | 298 / 20 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 15 | 62 / 28 | $55.324,50 | 300 / 22 | $9.891,27 | 188 / 9 | $8.752,47 | 188 / 18 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 15 | 54 / 11 | $65.023,70 | 309 / 10 | $11.317,50 | 282 / 9 | $10.341,60 | 282 / 16 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 15 | 61 / 17 | $54.732,40 | 338 / 31 | $11.781,90 | 207 / 19 | $11.077,10 | 207 / 30 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 12 | $37.970,40 | 123 / 4 | $13.256,30 | 329 / 14 | $12.133,00 | 328 / 23 |
| Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 16 | $29.691,30 | 489 / 20 | $6.481,07 | 446 / 15 | $5.866,36 | 446 / 28 |
| Extracranial Procedures W Cc | 14 | 32 / 13 | $58.117,60 | 280 / 23 | $10.007,80 | 195 / 11 | $9.224,07 | 195 / 19 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 23 | $60.172,60 | 469 / 22 | $13.179,10 | 234 / 23 | $11.218,10 | 229 / 20 |
| Medical Back Problems W Mcc | 14 | 25 / 8 | $47.638,60 | 200 / 9 | $9.139,79 | 58 / 1 | $8.264,21 | 58 / 1 |
| Diabetes W Cc | 14 | 78 / 37 | $25.543,00 | 1021 / 53 | $5.691,36 | 521 / 49 | $4.307,86 | 521 / 34 |
| Major Cardiovasc Procedures W Mcc | 13 | 55 / 20 | $186.449,00 | 473 / 30 | $43.167,90 | 115 / 39 | $28.437,20 | 115 / 14 |
| Other Vascular Procedures W Cc | 13 | 89 / 41 | $74.153,20 | 575 / 36 | $15.314,30 | 378 / 28 | $14.279,50 | 376 / 45 |
| Pulmonary Embolism W Mcc | 13 | 30 / 11 | $51.204,40 | 429 / 17 | $9.447,38 | 282 / 12 | $8.782,62 | 282 / 16 |
| Disorders Of The Biliary Tract W Cc | 12 | 42 / 11 | $32.947,70 | 249 / 3 | $6.608,08 | 102 / 5 | $5.498,83 | 102 / 6 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 13 | $75.968,00 | 271 / 15 | $15.080,20 | 179 / 10 | $14.060,70 | 178 / 18 |
| Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 19 | $47.473,20 | 264 / 15 | $10.727,60 | 179 / 22 | $9.009,58 | 178 / 15 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 12 | 42 / 13 | $25.028,20 | 209 / 6 | $6.498,00 | 176 / 10 | $5.790,83 | 176 / 13 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 16 | $80.319,20 | 206 / 6 | $21.498,20 | 183 / 10 | $20.578,60 | 183 / 13 |
| Atherosclerosis W/O Mcc | 12 | 46 / 14 | $19.283,80 | 296 / 8 | $4.298,00 | / | $3.485,50 | / |
| Peripheral Vascular Disorders W Mcc | 12 | 37 / 15 | $29.084,70 | 181 / 5 | $7.841,00 | 136 / 5 | $7.231,33 | 136 / 14 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 24 | $57.908,00 | 451 / 18 | $13.658,90 | 480 / 25 | $12.654,80 | 477 / 41 |
| Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 11 | 27 / 7 | $41.331,60 | 45 / 2 | $11.465,40 | 49 / 4 | $11.126,50 | 49 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 35 | $92.877,40 | 412 / 18 | $19.645,10 | 419 / 24 | $18.974,50 | 416 / 47 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 18 | $29.597,80 | 460 / 21 | $5.883,00 | 256 / 14 | $4.879,73 | 256 / 15 |
| Signs & Symptoms W Mcc | 11 | 30 / 10 | $31.192,70 | 149 / 8 | $6.980,09 | 57 / 4 | $6.203,00 | 57 / 7 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 31 | $17.382,30 | 501 / 8 | $4.710,27 | 646 / 34 | $3.937,91 | 645 / 44 | Total 114 procedures | 3.844 | 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.