Hospital Costs > In Kentucky > The Medical Center At Bowling Green, 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 | 80 | 15 / 1 | $22.597,50 | 401 / 13 | $6.556,90 | 555 / 14 | $5.571,56 | 554 / 18 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 136 | 12 / 1 | $30.018,10 | 442 / 11 | $10.277,40 | 659 / 18 | $9.329,89 | 658 / 19 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 36 | 17 / 2 | $18.629,10 | 252 / 9 | $4.899,00 | 394 / 8 | $3.987,08 | 391 / 13 |
Acute Myocardial Infarction, Expired W Mcc | 19 | 11 / 2 | $28.063,20 | 31 / 1 | $9.932,37 | 37 / 1 | $9.255,89 | 37 / 1 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 19 | 105 / 10 | $11.557,40 | 183 / 7 | $4.477,21 | 205 / 5 | $3.545,11 | 205 / 6 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 17 | 15 / 2 | $47.297,80 | 59 / 4 | $14.045,50 | 46 / 2 | $13.197,20 | 46 / 4 |
Atherosclerosis W/O Mcc | 31 | 27 / 2 | $13.778,70 | 131 / 3 | $4.091,29 | / 7 | $3.091,03 | / |
Cardiac Arrhythmia & Conduction Disorders W Cc | 81 | 80 / 5 | $15.399,20 | 557 / 18 | $5.095,25 | 796 / 21 | $4.107,01 | 793 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 56 | 67 / 8 | $24.932,20 | 653 / 17 | $7.473,32 | 602 / 14 | $6.523,38 | 599 / 16 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 59 | 91 / 10 | $11.623,50 | 541 / 17 | $3.836,56 | 834 / 20 | $2.697,17 | 830 / 21 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 14 | 28 / 3 | $88.470,10 | 19 / 2 | $26.357,90 | 27 / 1 | $25.369,10 | 27 / 2 |
Cellulitis W Mcc | 18 | 40 / 7 | $26.966,50 | 301 / 6 | $8.521,78 | 133 / 6 | $7.186,67 | 133 / 6 |
Cellulitis W/O Mcc | 61 | 128 / 8 | $17.121,60 | 1139 / 35 | $5.442,80 | 1096 / 29 | $4.346,29 | 1090 / 39 |
Cervical Spinal Fusion W/O Cc/Mcc | 16 | 88 / 10 | $58.721,20 | 446 / 14 | $13.581,70 | 471 / 9 | $12.542,30 | 468 / 13 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 11 | 80 / 7 | $17.692,70 | 51 / 1 | $6.808,18 | 81 / 1 | $6.483,09 | 81 / 3 |
Chest Pain | 46 | 105 / 10 | $14.725,60 | 474 / 18 | $4.067,09 | 604 / 15 | $3.026,04 | 600 / 21 |
Chronic Obstructive Pulmonary Disease W Cc | 96 | 83 / 7 | $18.746,70 | 869 / 34 | $5.864,73 | 949 / 25 | $4.912,58 | 946 / 35 |
Chronic Obstructive Pulmonary Disease W Mcc | 144 | 59 / 6 | $23.414,20 | 1013 / 41 | $7.326,91 | 1021 / 36 | $6.262,98 | 1016 / 40 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 85 | 35 / 5 | $13.650,20 | 627 / 27 | $4.690,79 | 1001 / 24 | $3.730,54 | 992 / 37 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 11 | $37.898,10 | 122 / 2 | $12.052,10 | 182 / 4 | $10.970,80 | 178 / 7 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 76 | 112 / 8 | $27.448,70 | 395 / 13 | $6.691,17 | 596 / 10 | $5.581,00 | 594 / 17 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 18 | 24 / 3 | $24.916,10 | 27 / 2 | $10.128,60 | 37 / 2 | $9.233,00 | 37 / 1 |
Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 5 | $124.772,00 | 49 / 2 | $40.458,00 | 121 / 2 | $39.109,10 | 121 / 4 |
Coronary Bypass W Cardiac Cath W/O Mcc | 32 | 44 / 5 | $102.840,00 | 139 / 6 | $27.473,10 | 260 / 4 | $26.062,70 | 260 / 5 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 68 | 25 / 1 | $72.897,70 | 87 / 3 | $21.023,60 | 207 / 1 | $20.087,10 | 206 / 4 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 8 | $33.881,60 | 526 / 8 | $5.701,00 | 231 / 2 | $4.767,40 | 231 / 3 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 15 | 83 / 6 | $94.777,10 | 170 / 4 | $24.959,30 | 101 / 2 | $23.994,10 | 101 / 4 |
Degenerative Nervous System Disorders W/O Mcc | 23 | 55 / 5 | $18.302,30 | 167 / 4 | $6.125,26 | 304 / 6 | $5.290,83 | 304 / 6 |
Depressive Neuroses | 13 | 37 / 6 | $9.722,08 | 49 / 6 | $4.391,23 | 43 / 3 | $3.461,69 | 43 / 6 |
Diabetes W Cc | 24 | 68 / 12 | $18.464,50 | 587 / 20 | $5.320,21 | 675 / 13 | $4.498,33 | 673 / 20 |
Diabetes W/O Cc/Mcc | 11 | 27 / 6 | $9.589,27 | 38 / 2 | $3.911,55 | 49 / 5 | $2.756,27 | 49 / 3 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 8 | $20.932,00 | 25 / 1 | $10.655,90 | 125 / 2 | $10.193,70 | 125 / 3 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 20 | 18 / 5 | $17.352,30 | 187 / 8 | $4.337,25 | 179 / 4 | $3.274,65 | 179 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 14 | $22.566,10 | 318 / 12 | $7.303,47 | 403 / 13 | $6.435,73 | 401 / 15 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 88 | 187 / 15 | $16.972,40 | 998 / 33 | $4.837,72 | 985 / 28 | $3.752,73 | 977 / 33 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 5 | $64.080,70 | 146 / 4 | $15.996,00 | 83 / 2 | $14.810,30 | 82 / 2 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 9 | $89.894,90 | 154 / 3 | $27.818,00 | 165 / 4 | $26.663,30 | 165 / 4 |
Extracranial Procedures W Cc | 16 | 30 / 7 | $36.876,80 | 139 / 5 | $10.183,80 | 204 / 4 | $9.340,38 | 204 / 5 |
Extracranial Procedures W/O Cc/Mcc | 46 | 52 / 4 | $22.847,50 | 219 / 6 | $6.490,46 | 410 / 8 | $5.503,65 | 409 / 12 |
G.I. Hemorrhage W Cc | 109 | 109 / 6 | $18.305,60 | 591 / 17 | $6.232,71 | 931 / 27 | $5.306,17 | 929 / 36 |
G.I. Hemorrhage W Mcc | 35 | 86 / 10 | $30.853,00 | 350 / 9 | $10.369,50 | 475 / 12 | $9.596,17 | 476 / 14 |
G.I. Hemorrhage W/O Cc/Mcc | 19 | 49 / 7 | $13.776,20 | 264 / 3 | $4.546,63 | 284 / 6 | $3.334,68 | 282 / 6 |
G.I. Obstruction W Cc | 26 | 66 / 13 | $17.419,40 | 462 / 18 | $5.656,31 | 618 / 19 | $4.606,77 | 617 / 21 |
G.I. Obstruction W Mcc | 11 | 31 / 5 | $32.059,90 | 159 / 6 | $9.673,27 | 85 / 5 | $8.327,36 | 85 / 4 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 12 | $8.431,43 | 66 / 1 | $4.100,50 | 454 / 9 | $2.905,14 | 453 / 14 |
Headaches W/O Mcc | 14 | 29 / 3 | $18.871,30 | 88 / 3 | $4.472,00 | 91 / 2 | $3.492,86 | 91 / 3 |
Heart Failure & Shock W Cc | 144 | 134 / 7 | $17.589,70 | 884 / 23 | $6.198,05 | 1192 / 30 | $5.441,44 | 1189 / 40 |
Heart Failure & Shock W Mcc | 105 | 179 / 11 | $23.733,20 | 646 / 19 | $8.872,51 | 822 / 26 | $8.073,59 | 822 / 32 |
Heart Failure & Shock W/O Cc/Mcc | 42 | 68 / 8 | $12.956,70 | 593 / 19 | $4.467,57 | 1092 / 23 | $3.835,98 | 1083 / 35 |
Hip & Femur Procedures Except Major Joint W Cc | 56 | 87 / 6 | $39.371,00 | 609 / 15 | $11.111,50 | 540 / 13 | $10.134,60 | 538 / 18 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 7 | $31.939,80 | 237 / 8 | $9.361,75 | 199 / 5 | $8.143,75 | 199 / 7 |
Hypertension W/O Mcc | 11 | 54 / 12 | $13.947,30 | 174 / 8 | $4.162,64 | 203 / 8 | $2.896,45 | 201 / 8 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 12 | $78.091,60 | 237 / 6 | $29.267,40 | 323 / 6 | $28.159,00 | 323 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 119 | 64 / 5 | $26.492,70 | 890 / 20 | $6.833,86 | 771 / 23 | $5.516,91 | 769 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 78 | 90 / 5 | $43.500,80 | 797 / 17 | $10.398,10 | 502 / 10 | $9.345,96 | 501 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 34 | 68 / 11 | $20.511,40 | 616 / 16 | $4.921,71 | 744 / 11 | $3.920,50 | 740 / 15 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 27 | $21.829,30 | 695 / 22 | $7.000,27 | 648 / 22 | $5.878,60 | 647 / 21 |
Kidney & Urinary Tract Infections W/O Mcc | 63 | 170 / 16 | $16.285,70 | 1119 / 34 | $4.977,49 | 899 / 29 | $3.889,02 | 892 / 31 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 25 | 31 / 4 | $32.932,20 | 143 / 3 | $9.770,12 | 273 / 4 | $8.587,72 | 273 / 8 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 5 | $50.996,50 | 108 / 3 | $14.241,70 | 48 / 2 | $12.335,60 | 48 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 13 | 34 / 8 | $30.472,60 | 120 / 2 | $8.869,69 | 167 / 3 | $7.669,23 | 167 / 8 |
Major Cardiovasc Procedures W Mcc | 21 | 47 / 6 | $85.020,80 | 70 / 3 | $28.465,80 | 81 / 2 | $27.444,20 | 81 / 2 |
Major Cardiovasc Procedures W/O Mcc | 42 | 59 / 5 | $72.352,70 | 286 / 6 | $18.926,40 | 210 / 4 | $17.876,60 | 210 / 7 |
Major Chest Procedures W Cc | 33 | 41 / 5 | $40.774,90 | 52 / 2 | $14.852,50 | 130 / 3 | $13.691,60 | 130 / 6 |
Major Chest Procedures W Mcc | 14 | 35 / 5 | $67.204,60 | 26 / 2 | $26.408,10 | 37 / 2 | $25.096,60 | 37 / 2 |
Major Chest Procedures W/O Cc/Mcc | 22 | 37 / 3 | $33.803,30 | 41 / 2 | $10.497,00 | 57 / 2 | $9.524,00 | 57 / 5 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 11 | $23.238,90 | 411 / 13 | $7.051,40 | 468 / 6 | $6.585,27 | 466 / 14 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 9 | $34.501,40 | 208 / 5 | $11.192,40 | 221 / 4 | $10.748,40 | 221 / 7 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 11 | $66.762,20 | 337 / 12 | $18.148,50 | 247 / 9 | $17.163,30 | 245 / 11 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 113 | 451 / 16 | $46.573,70 | 1113 / 24 | $12.273,40 | 1069 / 13 | $11.172,60 | 1046 / 29 |
Major Male Pelvic Procedures W/O Cc/Mcc | 14 | 59 / 5 | $27.528,10 | 59 / 2 | $7.872,86 | 108 / 3 | $6.046,57 | 108 / 3 |
Major Small & Large Bowel Procedures W Cc | 22 | 86 / 13 | $56.971,20 | 568 / 19 | $15.600,20 | 667 / 16 | $14.224,90 | 661 / 19 |
Major Small & Large Bowel Procedures W Mcc | 33 | 52 / 6 | $84.296,30 | 235 / 6 | $27.972,20 | 249 / 5 | $26.912,80 | 247 / 7 |
Medical Back Problems W/O Mcc | 25 | 96 / 12 | $28.686,40 | 965 / 22 | $5.479,84 | 370 / 14 | $4.062,32 | 370 / 10 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 14 | $15.714,20 | 179 / 6 | $6.757,04 | 429 / 10 | $5.909,39 | 426 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 64 | 102 / 7 | $15.068,00 | 964 / 44 | $4.612,98 | 1079 / 31 | $3.703,52 | 1076 / 35 |
Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 6 | $17.499,10 | 82 / 4 | $6.132,73 | 143 / 5 | $5.157,45 | 143 / 6 |
O.R. Procedures For Obesity W/O Cc/Mcc | 23 | 54 / 6 | $55.636,80 | 305 / 8 | $9.445,61 | 139 / 2 | $8.246,00 | 139 / 6 |
Organic Disturbances & Mental Retardation | 15 | 44 / 5 | $25.927,90 | 292 / 9 | $6.926,67 | 124 / 7 | $5.194,80 | 124 / 6 |
Other Circulatory System Diagnoses W Mcc | 24 | 92 / 8 | $30.647,50 | 231 / 11 | $10.932,20 | 321 / 10 | $10.074,90 | 320 / 15 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 9 | $19.906,30 | 407 / 13 | $6.037,70 | 291 / 11 | $4.845,30 | 288 / 11 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 10 | $15.220,50 | 105 / 3 | $6.096,09 | 224 / 4 | $5.271,82 | 224 / 5 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 12 | $26.516,50 | 287 / 6 | $9.065,25 | 258 / 5 | $8.225,25 | 258 / 7 |
Other Resp System O.R. Procedures W Cc | 19 | 28 / 3 | $39.379,20 | 77 / 3 | $11.410,20 | 85 / 2 | $10.423,30 | 85 / 2 |
Other Resp System O.R. Procedures W Mcc | 23 | 40 / 6 | $49.128,00 | 59 / 2 | $19.619,00 | 75 / 2 | $18.658,50 | 75 / 3 |
Other Vascular Procedures W Cc | 39 | 63 / 5 | $41.714,00 | 104 / 2 | $14.479,20 | 179 / 3 | $13.240,70 | 179 / 4 |
Other Vascular Procedures W Mcc | 16 | 81 / 10 | $42.176,20 | 49 / 1 | $18.004,10 | 98 / 2 | $16.975,60 | 98 / 2 |
Other Vascular Procedures W/O Cc/Mcc | 39 | 17 / 1 | $30.133,40 | 63 / 3 | $9.958,77 | 134 / 4 | $8.761,85 | 133 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 28 | 72 / 9 | $62.523,90 | 99 / 4 | $17.977,60 | 190 / 3 | $17.100,50 | 189 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 94 | 102 / 5 | $54.582,90 | 326 / 6 | $11.841,80 | 502 / 4 | $10.652,50 | 500 / 11 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 16 | 53 / 7 | $46.942,80 | 123 / 2 | $10.957,20 | 209 / 3 | $9.802,19 | 209 / 4 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 22 | 73 / 8 | $46.312,30 | 78 / 2 | $11.440,00 | 143 / 2 | $10.430,40 | 141 / 4 |
Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim | 11 | 18 / 3 | $48.126,60 | 21 / 2 | $12.499,80 | 3 / 1 | $11.333,10 | 3 / 1 |
Peripheral Vascular Disorders W Cc | 33 | 51 / 4 | $21.512,80 | 477 / 14 | $6.059,30 | 429 / 9 | $5.156,21 | 427 / 13 |
Peripheral Vascular Disorders W Mcc | 16 | 33 / 4 | $26.833,20 | 144 / 1 | $8.125,44 | 120 / 2 | $7.120,25 | 120 / 2 |
Permanent Cardiac Pacemaker Implant W Cc | 27 | 50 / 3 | $44.786,30 | 133 / 2 | $15.110,30 | 233 / 3 | $14.235,60 | 232 / 3 |
Permanent Cardiac Pacemaker Implant W Mcc | 19 | 33 / 4 | $63.718,30 | 101 / 3 | $20.441,60 | 100 / 2 | $19.489,30 | 100 / 4 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 23 | 34 / 4 | $39.990,50 | 145 / 2 | $12.448,70 | 197 / 4 | $11.315,60 | 196 / 6 |
Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 9 | $35.829,30 | 486 / 13 | $8.663,87 | 274 / 8 | $7.577,67 | 273 / 9 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 23 | 38 / 4 | $12.396,50 | 187 / 5 | $4.299,17 | 231 / 7 | $3.191,43 | 230 / 7 |
Postoperative & Post-Traumatic Infections W/O Mcc | 13 | 41 / 6 | $17.937,40 | 90 / 3 | $6.194,23 | 173 / 3 | $5.774,23 | 173 / 4 |
Psychoses | 139 | 160 / 9 | $11.040,20 | 89 / 6 | $6.372,63 | 126 / 6 | $5.240,79 | 126 / 5 |
Pulmonary Edema & Respiratory Failure | 118 | 85 / 7 | $20.429,80 | 431 / 11 | $7.441,48 | 675 / 22 | $6.554,15 | 675 / 29 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 13 | $25.912,70 | 687 / 13 | $6.243,09 | 349 / 7 | $4.889,00 | 349 / 7 |
Red Blood Cell Disorders W Mcc | 21 | 50 / 7 | $22.253,30 | 219 / 8 | $7.588,38 | 204 / 9 | $6.554,71 | 204 / 10 |
Red Blood Cell Disorders W/O Mcc | 55 | 88 / 5 | $17.483,70 | 670 / 25 | $5.138,73 | 735 / 21 | $4.218,85 | 730 / 23 |
Renal Failure W Cc | 109 | 112 / 8 | $17.193,60 | 691 / 20 | $6.048,99 | 987 / 20 | $5.172,37 | 979 / 34 |
Renal Failure W Mcc | 83 | 112 / 9 | $30.569,30 | 792 / 29 | $9.040,05 | 374 / 17 | $7.865,76 | 374 / 14 |
Renal Failure W/O Cc/Mcc | 15 | 41 / 10 | $15.374,90 | 385 / 16 | $4.146,13 | 286 / 10 | $3.109,47 | 285 / 9 |
Respiratory Infections & Inflammations W Cc | 38 | 50 / 5 | $29.558,00 | 671 / 25 | $8.692,50 | 717 / 23 | $7.795,45 | 712 / 29 |
Respiratory Infections & Inflammations W Mcc | 89 | 48 / 4 | $32.662,20 | 500 / 17 | $11.145,10 | 502 / 17 | $10.484,20 | 497 / 22 |
Respiratory Neoplasms W Cc | 14 | 33 / 6 | $23.578,60 | 110 / 3 | $7.176,50 | 177 / 2 | $6.543,36 | 176 / 6 |
Respiratory Neoplasms W Mcc | 15 | 37 / 8 | $45.497,70 | 321 / 11 | $10.155,30 | 153 / 4 | $9.177,87 | 153 / 4 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 78 | 53 / 6 | $42.855,30 | 408 / 15 | $13.645,60 | 639 / 19 | $12.788,50 | 631 / 23 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 24 | 47 / 9 | $77.400,40 | 99 / 4 | $28.803,20 | 99 / 6 | $26.454,60 | 99 / 5 |
Seizures W Mcc | 15 | 51 / 7 | $51.204,90 | 499 / 11 | $12.629,20 | 362 / 12 | $9.281,67 | 362 / 10 |
Seizures W/O Mcc | 50 | 58 / 4 | $16.987,00 | 370 / 10 | $4.911,40 | 396 / 8 | $3.899,78 | 394 / 13 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 12 | $84.413,50 | 107 / 3 | $30.464,60 | 76 / 1 | $29.260,20 | 76 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 135 | 381 / 24 | $31.332,20 | 850 / 22 | $10.705,50 | 611 / 21 | $9.678,96 | 610 / 21 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 48 | 159 / 14 | $21.686,10 | 935 / 25 | $6.620,90 | 903 / 26 | $5.578,94 | 901 / 30 |
Signs & Symptoms W/O Mcc | 24 | 67 / 7 | $14.253,50 | 287 / 11 | $4.568,33 | 499 / 14 | $3.674,46 | 498 / 15 |
Simple Pneumonia & Pleurisy W Cc | 62 | 141 / 22 | $20.088,20 | 1142 / 39 | $6.164,65 | 1223 / 36 | $5.241,87 | 1219 / 44 |
Simple Pneumonia & Pleurisy W Mcc | 86 | 119 / 16 | $26.696,60 | 815 / 23 | $8.965,73 | 977 / 33 | $7.851,16 | 977 / 37 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 14 | $13.122,20 | 519 / 22 | $4.615,23 | 869 / 28 | $3.563,54 | 865 / 36 |
Spinal Fusion Except Cervical W/O Mcc | 22 | 172 / 12 | $90.379,70 | 643 / 8 | $26.504,70 | 393 / 7 | $21.195,40 | 392 / 5 |
Syncope & Collapse | 49 | 120 / 9 | $17.175,20 | 584 / 21 | $4.761,82 | 592 / 18 | $3.645,53 | 589 / 18 |
Transient Ischemia | 100 | 25 / 1 | $22.886,60 | 852 / 22 | $4.615,66 | 611 / 17 | $3.486,95 | 607 / 17 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 15 | 51 / 5 | $23.251,30 | 127 / 4 | $6.895,60 | 111 / 3 | $5.719,47 | 111 / 4 | Total 128 procedures | 5.078 | 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.