Hospital Costs > In Illinois > The Carle Foundation Hospital, 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 | 303 | 215 / 14 | $50.014,30 | 1786 / 63 | $13.282,40 | 1670 / 79 | $11.384,30 | 1638 / 67 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 238 | 326 / 30 | $50.280,30 | 1298 / 38 | $15.555,80 | 1548 / 66 | $12.193,50 | 1513 / 68 |
Heart Failure & Shock W Cc | 125 | 153 / 21 | $32.799,60 | 2091 / 100 | $7.288,09 | 1820 / 90 | $6.187,94 | 1815 / 84 |
Heart Failure & Shock W Mcc | 122 | 162 / 23 | $48.572,20 | 1953 / 89 | $11.084,00 | 1678 / 81 | $9.425,76 | 1673 / 80 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 114 | 161 / 23 | $27.353,30 | 2026 / 91 | $6.046,31 | 1840 / 85 | $4.538,80 | 1827 / 83 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 112 | 59 / 2 | $49.810,30 | 960 / 49 | $12.033,00 | 832 / 51 | $10.329,00 | 830 / 50 |
G.I. Hemorrhage W Cc | 90 | 128 / 17 | $29.771,70 | 1542 / 65 | $7.311,81 | 1641 / 73 | $6.230,66 | 1637 / 82 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 83 | 105 / 9 | $45.287,00 | 1081 / 52 | $9.552,96 | 983 / 65 | $6.306,57 | 980 / 58 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 75 | 132 / 18 | $35.640,40 | 1889 / 74 | $7.612,56 | 1663 / 67 | $6.515,28 | 1656 / 79 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 73 | 109 / 18 | $37.900,60 | 1453 / 68 | $7.472,89 | 1332 / 57 | $6.410,63 | 1329 / 75 |
Cellulitis W/O Mcc | 68 | 121 / 29 | $26.289,50 | 1949 / 98 | $6.101,49 | 1784 / 68 | $5.123,81 | 1776 / 85 |
Pulmonary Edema & Respiratory Failure | 63 | 140 / 17 | $39.345,20 | 1483 / 58 | $8.744,29 | 1353 / 67 | $7.502,02 | 1349 / 65 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 62 | 104 / 25 | $27.980,20 | 2047 / 104 | $5.988,81 | 2070 / 87 | $5.059,06 | 2062 / 93 |
Simple Pneumonia & Pleurisy W Mcc | 58 | 147 / 37 | $51.859,80 | 1959 / 89 | $10.239,60 | 1730 / 74 | $9.213,36 | 1730 / 83 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 56 | 140 / 20 | $86.559,10 | 996 / 54 | $14.340,70 | 941 / 39 | $12.205,30 | 934 / 60 |
Renal Failure W Mcc | 56 | 139 / 27 | $34.466,10 | 1026 / 43 | $10.071,10 | 1197 / 49 | $9.423,82 | 1197 / 57 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 56 | 105 / 22 | $26.222,80 | 1466 / 64 | $5.832,16 | 1400 / 66 | $4.811,05 | 1395 / 72 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 55 | 40 / 3 | $78.647,80 | 326 / 15 | $14.022,90 | 285 / 15 | $11.756,70 | 282 / 15 |
Kidney & Urinary Tract Infections W/O Mcc | 54 | 179 / 42 | $28.255,40 | 2142 / 98 | $6.733,35 | 1644 / 93 | $4.486,37 | 1633 / 73 |
Medical Back Problems W/O Mcc | 53 | 68 / 16 | $30.289,90 | 1020 / 59 | $6.306,47 | 872 / 50 | $4.915,68 | 869 / 55 |
Spinal Fusion Except Cervical W/O Mcc | 53 | 141 / 16 | $91.794,60 | 652 / 19 | $28.248,90 | 639 / 31 | $22.730,40 | 635 / 27 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 52 | 50 / 5 | $34.647,70 | 1231 / 66 | $8.004,48 | 1160 / 67 | $4.718,31 | 1156 / 66 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 51 | 73 / 12 | $147.800,00 | 1005 / 58 | $37.922,90 | 959 / 60 | $34.737,20 | 953 / 60 |
Chronic Obstructive Pulmonary Disease W Mcc | 50 | 152 / 39 | $37.909,00 | 1856 / 79 | $8.208,66 | 1696 / 67 | $7.193,94 | 1688 / 80 |
Hip & Femur Procedures Except Major Joint W Cc | 49 | 94 / 18 | $56.066,50 | 1242 / 52 | $12.995,70 | 1199 / 64 | $11.627,00 | 1185 / 67 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 48 | 102 / 14 | $19.221,70 | 1355 / 63 | $5.163,98 | 1356 / 80 | $3.233,04 | 1351 / 75 |
Kidney & Urinary Tract Infections W Mcc | 46 | 98 / 20 | $34.309,20 | 1341 / 68 | $7.985,46 | 1277 / 71 | $6.939,65 | 1273 / 73 |
Syncope & Collapse | 46 | 123 / 22 | $29.493,40 | 1417 / 79 | $7.553,37 | 1407 / 89 | $4.868,37 | 1400 / 78 |
Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 51 | $31.673,70 | 2043 / 87 | $6.983,07 | 1888 / 69 | $5.972,48 | 1880 / 83 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 45 | 9 / 1 | $146.836,00 | 127 / 4 | $36.821,50 | 97 / 5 | $32.619,30 | 97 / 3 |
Heart Failure & Shock W/O Cc/Mcc | 44 | 66 / 13 | $21.138,70 | 1371 / 70 | $5.758,57 | 1089 / 84 | $3.832,34 | 1080 / 64 |
Renal Failure W Cc | 44 | 177 / 50 | $25.673,20 | 1470 / 60 | $7.305,55 | 1554 / 79 | $5.852,41 | 1545 / 73 |
Seizures W/O Mcc | 44 | 64 / 9 | $27.445,90 | 864 / 52 | $5.650,66 | 757 / 46 | $4.627,61 | 754 / 54 |
Transient Ischemia | 44 | 81 / 14 | $30.242,00 | 1183 / 67 | $5.261,91 | 1042 / 54 | $4.124,48 | 1037 / 63 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 42 | 89 / 16 | $62.699,80 | 972 / 42 | $16.541,00 | 939 / 61 | $13.875,90 | 930 / 51 |
Red Blood Cell Disorders W/O Mcc | 41 | 102 / 20 | $28.635,60 | 1439 / 81 | $6.358,07 | 1304 / 76 | $5.001,49 | 1295 / 72 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 38 | 63 / 14 | $38.911,30 | 613 / 34 | $10.169,00 | 571 / 32 | $9.435,53 | 569 / 39 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 38 | 85 / 25 | $39.576,50 | 1310 / 71 | $9.063,24 | 1361 / 73 | $8.151,74 | 1358 / 80 |
Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 45 | $29.260,90 | 1683 / 75 | $6.685,29 | 1552 / 64 | $5.601,13 | 1546 / 79 |
Other Vascular Procedures W Cc | 37 | 65 / 9 | $102.992,00 | 863 / 43 | $19.032,40 | 855 / 37 | $18.010,60 | 850 / 47 |
G.I. Hemorrhage W Mcc | 37 | 84 / 19 | $49.309,90 | 990 / 41 | $12.377,20 | 1071 / 57 | $11.591,40 | 1063 / 62 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 36 | 89 / 17 | $53.096,70 | 1206 / 58 | $11.722,10 | 1152 / 57 | $10.851,40 | 1147 / 62 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 35 | 54 / 4 | $30.864,30 | 313 / 9 | $8.005,60 | 455 / 14 | $6.248,23 | 454 / 26 |
Other Vascular Procedures W Mcc | 35 | 62 / 8 | $150.006,00 | 867 / 49 | $29.220,80 | 880 / 43 | $28.066,10 | 877 / 47 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 34 | 62 / 15 | $41.649,80 | 990 / 53 | $8.456,79 | 832 / 43 | $7.538,68 | 827 / 51 |
Pulmonary Embolism W/O Mcc | 34 | 40 / 8 | $33.409,30 | 928 / 38 | $7.663,29 | 881 / 45 | $6.057,88 | 878 / 52 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 32 | 94 / 26 | $40.996,70 | 1320 / 78 | $8.179,69 | 1151 / 61 | $7.503,38 | 1148 / 67 |
Other Circulatory System Diagnoses W Mcc | 31 | 85 / 17 | $82.188,80 | 1162 / 71 | $20.439,50 | 1121 / 70 | $14.722,50 | 1113 / 68 |
Major Small & Large Bowel Procedures W Cc | 29 | 79 / 19 | $64.274,00 | 732 / 22 | $17.429,80 | 770 / 36 | $14.615,60 | 762 / 43 |
Chest Pain | 29 | 122 / 28 | $19.781,60 | 906 / 39 | $5.267,90 | 862 / 49 | $3.349,00 | 857 / 42 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 28 | 41 / 5 | $64.287,80 | 235 / 10 | $18.223,60 | 270 / 14 | $15.209,70 | 270 / 14 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 28 | 26 / 3 | $25.931,00 | 248 / 14 | $6.603,71 | 188 / 18 | $4.253,50 | 188 / 18 |
Other Digestive System Diagnoses W Mcc | 27 | 35 / 9 | $51.083,70 | 473 / 20 | $10.856,80 | 274 / 14 | $9.890,56 | 274 / 15 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 26 | 90 / 9 | $192.681,00 | 198 / 6 | $46.194,90 | 101 / 2 | $45.113,20 | 101 / 2 |
Diabetes W Cc | 26 | 66 / 16 | $36.456,90 | 1338 / 83 | $7.619,96 | 1130 / 67 | $5.482,00 | 1126 / 63 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 26 | 67 / 15 | $64.941,00 | 532 / 32 | $13.982,90 | 487 / 29 | $12.819,70 | 481 / 34 |
G.I. Obstruction W Cc | 26 | 66 / 25 | $30.364,20 | 1211 / 65 | $7.825,23 | 1082 / 73 | $5.264,88 | 1079 / 64 |
Major Cardiovasc Procedures W/O Mcc | 25 | 76 / 18 | $129.382,00 | 788 / 37 | $27.875,40 | 675 / 38 | $22.257,30 | 674 / 37 |
Seizures W Mcc | 25 | 41 / 8 | $46.534,90 | 436 / 23 | $10.501,70 | 384 / 20 | $9.461,44 | 384 / 23 |
Extracranial Procedures W/O Cc/Mcc | 25 | 73 / 11 | $37.704,50 | 590 / 20 | $7.341,76 | 628 / 18 | $6.209,36 | 626 / 34 |
Other Digestive System Diagnoses W Cc | 25 | 72 / 21 | $37.410,40 | 1079 / 67 | $6.955,80 | 921 / 51 | $6.203,48 | 917 / 61 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 25 | 75 / 13 | $104.775,00 | 542 / 21 | $24.464,00 | 481 / 28 | $19.488,30 | 477 / 24 |
Permanent Cardiac Pacemaker Implant W Cc | 25 | 52 / 10 | $77.157,50 | 588 / 30 | $17.256,70 | 538 / 31 | $16.205,60 | 537 / 36 |
Permanent Cardiac Pacemaker Implant W Mcc | 25 | 27 / 4 | $104.122,00 | 350 / 17 | $26.612,80 | 313 / 25 | $22.873,90 | 313 / 19 |
Acute Myocardial Infarction, Discharged Alive W Cc | 24 | 67 / 14 | $30.091,70 | 740 / 25 | $8.653,00 | 776 / 52 | $6.070,21 | 774 / 38 |
Hip & Femur Procedures Except Major Joint W Mcc | 24 | 38 / 9 | $88.830,50 | 613 / 28 | $20.534,80 | 581 / 30 | $19.154,50 | 578 / 31 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 24 | 74 / 8 | $126.441,00 | 287 / 10 | $35.635,00 | 256 / 13 | $28.224,30 | 256 / 10 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 23 | 28 / 4 | $44.074,30 | 115 / 3 | $12.624,20 | 129 / 6 | $11.721,10 | 129 / 8 |
Respiratory Infections & Inflammations W Mcc | 23 | 113 / 42 | $60.064,30 | 1264 / 56 | $17.262,80 | 1218 / 80 | $12.607,40 | 1203 / 67 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 22 | 96 / 12 | $176.036,00 | 369 / 13 | $33.750,30 | 272 / 10 | $32.629,10 | 272 / 14 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 32 | $21.375,70 | 1361 / 59 | $6.161,23 | 1241 / 75 | $4.001,50 | 1232 / 65 |
Disorders Of Pancreas Except Malignancy W Cc | 21 | 40 / 10 | $39.247,70 | 785 / 42 | $6.903,05 | 622 / 30 | $5.741,67 | 619 / 35 |
Cervical Spinal Fusion W/O Cc/Mcc | 21 | 83 / 8 | $49.565,50 | 334 / 6 | $15.456,50 | 488 / 15 | $12.661,40 | 485 / 19 |
Red Blood Cell Disorders W Mcc | 21 | 50 / 17 | $39.867,80 | 679 / 43 | $8.897,48 | 666 / 47 | $8.160,62 | 662 / 49 |
Peripheral Vascular Disorders W Mcc | 20 | 29 / 9 | $55.156,10 | 459 / 33 | $11.077,00 | 457 / 29 | $10.359,00 | 457 / 31 |
Peripheral Vascular Disorders W Cc | 20 | 64 / 25 | $33.334,60 | 888 / 62 | $6.897,70 | 800 / 50 | $6.192,85 | 797 / 57 |
Other Resp System O.R. Procedures W Mcc | 20 | 43 / 8 | $109.197,00 | 385 / 19 | $22.894,40 | 267 / 10 | $21.810,20 | 266 / 12 |
Extracranial Procedures W Cc | 20 | 26 / 5 | $52.345,00 | 249 / 9 | $10.717,80 | 233 / 15 | $9.608,45 | 233 / 16 |
Major Cardiovasc Procedures W Mcc | 19 | 49 / 13 | $147.133,00 | 333 / 10 | $33.878,70 | 292 / 7 | $32.688,50 | 292 / 11 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 19 | 35 / 4 | $130.413,00 | 204 / 13 | $21.577,70 | 139 / 7 | $20.623,20 | 139 / 8 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 19 | 69 / 11 | $130.102,00 | 403 / 14 | $29.392,20 | 339 / 20 | $22.343,50 | 338 / 17 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 19 | 49 / 11 | $30.275,60 | 471 / 27 | $6.392,79 | 421 / 21 | $5.496,37 | 421 / 27 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 19 | 17 / 4 | $83.346,80 | 251 / 12 | $16.644,20 | 208 / 9 | $15.550,00 | 208 / 10 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 18 | 52 / 7 | $26.817,10 | 317 / 6 | $6.435,22 | 264 / 11 | $5.776,28 | 264 / 13 |
Cellulitis W Mcc | 18 | 40 / 15 | $39.543,90 | 584 / 34 | $14.662,70 | 402 / 55 | $8.334,50 | 400 / 26 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 18 | 38 / 13 | $49.997,90 | 423 / 28 | $16.800,20 | 316 / 37 | $11.362,20 | 315 / 32 |
O.R. Procedures For Obesity W/O Cc/Mcc | 18 | 59 / 6 | $61.700,70 | 329 / 7 | $12.175,70 | 185 / 6 | $8.714,50 | 185 / 5 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 18 | 37 / 11 | $78.464,30 | 477 / 27 | $13.582,60 | 402 / 17 | $12.334,60 | 399 / 23 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 18 | 48 / 10 | $43.762,70 | 386 / 26 | $7.997,83 | 217 / 19 | $6.340,33 | 217 / 18 |
Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 22 | $165.455,00 | 895 / 44 | $36.442,00 | 898 / 35 | $35.407,30 | 896 / 48 |
Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 22 | $28.414,60 | 669 / 39 | $6.306,65 | 716 / 35 | $5.551,88 | 712 / 46 |
Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 6 | $36.873,40 | 514 / 13 | $9.598,88 | 539 / 10 | $8.694,56 | 537 / 16 |
Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 19 | $42.316,80 | 678 / 49 | $7.149,75 | 496 / 32 | $6.247,25 | 496 / 35 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 16 | 49 / 15 | $100.693,00 | 659 / 36 | $21.550,40 | 577 / 25 | $20.294,30 | 574 / 34 |
Coronary Bypass W/O Cardiac Cath W Mcc | 16 | 43 / 6 | $137.622,00 | 92 / 4 | $31.743,20 | 42 / 2 | $30.550,70 | 42 / 3 |
Respiratory Neoplasms W Mcc | 16 | 36 / 14 | $58.475,80 | 444 / 26 | $28.862,40 | 170 / 40 | $9.279,81 | 170 / 7 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 16 | 65 / 12 | $385.174,00 | 164 / 6 | $109.928,00 | 200 / 6 | $108.047,00 | 200 / 9 |
Signs & Symptoms W/O Mcc | 16 | 75 / 23 | $35.028,40 | 1132 / 60 | $5.232,12 | 783 / 43 | $4.245,88 | 780 / 41 |
Other Circulatory System Diagnoses W Cc | 16 | 50 / 12 | $35.575,80 | 492 / 24 | $6.693,06 | 354 / 16 | $5.811,38 | 353 / 20 |
Nervous System Neoplasms W Mcc | 15 | 33 / 8 | $38.416,30 | 154 / 8 | $9.082,47 | 115 / 12 | $7.792,67 | 115 / 10 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 15 | 54 / 10 | $69.146,70 | 258 / 10 | $24.801,60 | 290 / 17 | $15.812,50 | 289 / 13 |
Diabetes W Mcc | 15 | 42 / 8 | $38.156,70 | 433 / 21 | $9.977,20 | 468 / 25 | $9.147,60 | 468 / 31 |
G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 22 | $20.160,80 | 826 / 40 | $5.565,13 | 759 / 55 | $3.357,60 | 756 / 45 |
Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 13 | $81.219,90 | 303 / 11 | $21.685,00 | 399 / 15 | $20.781,50 | 398 / 19 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 15 | 27 / 7 | $44.616,70 | 132 / 7 | $11.474,00 | 108 / 6 | $10.470,50 | 108 / 5 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 35 | $19.710,40 | 1180 / 53 | $6.475,93 | 1112 / 83 | $3.793,79 | 1106 / 70 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 14 | 32 / 5 | $28.268,20 | 114 / 3 | $8.750,36 | 94 / 10 | $5.338,79 | 94 / 6 |
Major Chest Procedures W Mcc | 14 | 35 / 8 | $123.021,00 | 158 / 4 | $36.545,60 | 120 / 6 | $29.546,10 | 120 / 6 |
Nonspecific Cerebrovascular Disorders W Mcc | 14 | 37 / 3 | $42.213,90 | 213 / 8 | $10.299,80 | 110 / 9 | $8.999,50 | 110 / 3 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 14 | $50.476,10 | 586 / 32 | $16.297,90 | 66 / 42 | $7.512,43 | 66 / 5 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 14 | 33 / 8 | $43.916,30 | 257 / 6 | $10.189,30 | 326 / 6 | $9.022,50 | 326 / 12 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 12 | $35.692,00 | 279 / 12 | $8.282,77 | 236 / 12 | $7.304,23 | 236 / 12 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 9 | $59.534,50 | 172 / 6 | $16.102,10 | 235 / 11 | $15.049,50 | 234 / 15 |
Disorders Of The Biliary Tract W Cc | 13 | 41 / 11 | $34.212,80 | 262 / 16 | $7.415,23 | 240 / 11 | $6.450,46 | 240 / 15 |
Pulmonary Embolism W Mcc | 13 | 30 / 13 | $35.499,10 | 256 / 6 | $9.647,23 | 289 / 20 | $8.837,92 | 289 / 23 |
Digestive Malignancy W Mcc | 13 | 24 / 7 | $76.740,30 | 113 / 9 | $15.650,30 | 83 / 5 | $14.642,90 | 83 / 7 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 13 | 19 / 2 | $83.349,20 | 129 / 5 | $20.222,40 | 132 / 4 | $19.347,90 | 132 / 5 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 21 | $50.220,60 | 467 / 19 | $11.129,50 | 586 / 24 | $10.103,20 | 584 / 33 |
Complications Of Treatment W Cc | 13 | 39 / 13 | $26.549,80 | 177 / 5 | $6.973,23 | 189 / 11 | $6.300,08 | 189 / 15 |
Lymphoma & Non-Acute Leukemia W Mcc | 12 | 24 / 7 | $61.947,80 | 29 / 3 | $20.286,00 | 32 / 4 | $19.288,60 | 32 / 3 |
Respiratory Neoplasms W Cc | 12 | 35 / 15 | $50.480,40 | 392 / 28 | $9.980,83 | 129 / 22 | $6.234,83 | 128 / 9 |
Postoperative & Post-Traumatic Infections W Mcc | 12 | 31 / 7 | $90.093,80 | 200 / 10 | $16.125,50 | 168 / 6 | $15.311,00 | 168 / 9 |
Postoperative & Post-Traumatic Infections W/O Mcc | 12 | 42 / 10 | $33.538,00 | 319 / 14 | $6.856,67 | 254 / 8 | $6.365,08 | 254 / 12 |
Other Disorders Of Nervous System W Cc | 12 | 44 / 17 | $33.508,50 | 422 / 24 | $6.464,08 | 265 / 20 | $5.138,08 | 265 / 19 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 28 | $30.582,50 | 667 / 39 | $7.993,25 | 694 / 41 | $7.313,17 | 692 / 47 |
Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 9 | $49.306,30 | 188 / 8 | $11.504,40 | 125 / 5 | $10.604,80 | 125 / 6 |
Major Chest Procedures W Cc | 11 | 63 / 17 | $79.479,20 | 324 / 11 | $16.971,50 | 271 / 12 | $15.605,40 | 269 / 18 |
Other Circulatory System O.R. Procedures | 11 | 44 / 12 | $105.211,00 | 339 / 23 | $20.589,30 | 273 / 16 | $18.974,40 | 273 / 17 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 11 | $45.636,30 | 265 / 13 | $13.119,20 | 119 / 15 | $10.087,20 | 119 / 6 |
Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 11 | $195.882,00 | 226 / 9 | $44.350,10 | 210 / 5 | $42.906,20 | 210 / 12 |
Atherosclerosis W/O Mcc | 11 | 47 / 11 | $23.042,90 | 375 / 15 | $4.718,55 | / 13 | $3.838,09 | / |
Hypertension W/O Mcc | 11 | 54 / 19 | $21.478,50 | 447 / 27 | $4.818,73 | 467 / 24 | $3.615,55 | 465 / 27 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 11 | 19 / 5 | $100.150,00 | 180 / 9 | $39.478,90 | 70 / 9 | $10.747,50 | 69 / 4 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 18 | $53.398,60 | 391 / 8 | $14.495,90 | 559 / 13 | $13.316,50 | 556 / 20 | Total 134 procedures | 4.627 | 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.