Hospital Costs > In California > Ucsf 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 | 355 | 168 / 20 | $133.235,00 | 2784 / 244 | $28.725,00 | 2812 / 263 | $25.098,60 | 2767 / 259 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 234 | 330 / 38 | $107.514,00 | 2544 / 178 | $28.614,40 | 2672 / 224 | $25.045,10 | 2626 / 227 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 128 | 7 / 1 | $95.998,20 | 389 / 28 | $18.976,00 | 391 / 32 | $16.320,60 | 391 / 31 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 124 | 1 / 1 | $153.859,00 | 263 / 14 | $30.016,20 | 267 / 19 | $25.332,20 | 266 / 18 |
Kidney Transplant | 123 | 13 / 2 | $328.293,00 | 160 / 8 | $43.536,80 | 171 / 10 | $37.345,40 | 171 / 11 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 114 | 7 / 1 | $304.517,00 | 491 / 35 | $63.003,50 | 507 / 44 | $58.331,10 | 507 / 45 |
Spinal Fusion Except Cervical W/O Mcc | 111 | 83 / 8 | $209.484,00 | 1294 / 72 | $50.690,50 | 1353 / 97 | $47.752,40 | 1348 / 98 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 105 | 102 / 20 | $61.994,10 | 2433 / 197 | $15.547,30 | 2542 / 237 | $12.863,80 | 2532 / 235 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 105 | 1 / 1 | $372.996,00 | 79 / 3 | $86.469,10 | 84 / 7 | $79.601,60 | 84 / 6 |
Major Male Pelvic Procedures W/O Cc/Mcc | 83 | 9 / 2 | $71.788,50 | 322 / 15 | $17.485,60 | 368 / 33 | $15.071,00 | 368 / 32 |
Heart Failure & Shock W Mcc | 83 | 201 / 45 | $122.239,00 | 2606 / 216 | $25.045,50 | 2624 / 226 | $21.452,80 | 2613 / 226 |
Heart Failure & Shock W Cc | 80 | 198 / 29 | $64.871,80 | 2700 / 196 | $14.836,90 | 2725 / 215 | $12.240,00 | 2719 / 212 |
Renal Failure W Cc | 71 | 150 / 20 | $50.353,60 | 2258 / 135 | $13.573,80 | 2400 / 192 | $11.495,00 | 2390 / 190 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 67 | 208 / 45 | $57.845,20 | 2689 / 200 | $12.372,00 | 2707 / 218 | $10.154,60 | 2692 / 219 |
Renal Failure W Mcc | 65 | 130 / 24 | $84.564,60 | 2024 / 130 | $20.834,60 | 2133 / 181 | $18.213,90 | 2129 / 180 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 64 | 5 / 1 | $208.446,00 | 225 / 15 | $42.408,70 | 226 / 18 | $36.395,40 | 226 / 17 |
G.I. Hemorrhage W Cc | 63 | 155 / 33 | $56.940,40 | 2271 / 140 | $14.859,00 | 2393 / 194 | $11.850,10 | 2389 / 189 |
Other Kidney & Urinary Tract Diagnoses W Cc | 63 | 42 / 3 | $87.895,00 | 857 / 56 | $16.242,80 | 858 / 58 | $13.608,00 | 858 / 59 |
Revision Of Hip Or Knee Replacement W Cc | 60 | 31 / 5 | $134.830,00 | 585 / 15 | $40.403,30 | 656 / 35 | $35.332,60 | 654 / 35 |
Kidney & Urinary Tract Infections W/O Mcc | 56 | 177 / 55 | $66.684,40 | 2704 / 219 | $14.708,20 | 2701 / 221 | $11.687,20 | 2690 / 216 |
Major Small & Large Bowel Procedures W Cc | 55 | 53 / 5 | $177.941,00 | 1497 / 99 | $36.937,70 | 1530 / 120 | $32.363,70 | 1516 / 120 |
Seizures W/O Mcc | 54 | 54 / 5 | $69.864,60 | 1304 / 92 | $12.328,30 | 1282 / 98 | $9.425,96 | 1280 / 97 |
Other Vascular Procedures W Cc | 53 | 50 / 3 | $214.336,00 | 1127 / 75 | $40.840,90 | 1136 / 81 | $36.477,50 | 1131 / 81 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 50 | 118 / 23 | $153.343,00 | 1618 / 149 | $28.175,40 | 1625 / 158 | $24.714,90 | 1618 / 158 |
Combined Anterior/Posterior Spinal Fusion W Cc | 49 | 7 / 5 | $447.227,00 | 111 / 10 | $101.670,00 | 120 / 17 | $94.945,20 | 120 / 18 |
Respiratory Infections & Inflammations W Mcc | 48 | 88 / 28 | $159.986,00 | 1788 / 143 | $33.574,90 | 1810 / 156 | $27.962,60 | 1794 / 156 |
Major Cardiovasc Procedures W/O Mcc | 48 | 53 / 4 | $210.975,00 | 975 / 51 | $45.953,20 | 998 / 64 | $40.658,40 | 997 / 63 |
Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 42 | $61.727,10 | 2714 / 173 | $14.870,50 | 2802 / 216 | $12.240,00 | 2793 / 215 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 48 | 113 / 18 | $63.547,10 | 2135 / 163 | $13.418,20 | 2156 / 178 | $11.141,90 | 2151 / 178 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 47 | 29 / 5 | $111.995,00 | 528 / 52 | $25.405,00 | 546 / 59 | $22.459,20 | 546 / 60 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 46 | 136 / 32 | $79.585,00 | 2029 / 156 | $15.759,50 | 2060 / 177 | $13.411,80 | 2055 / 177 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 45 | 56 / 11 | $108.934,00 | 1078 / 71 | $27.568,80 | 1088 / 84 | $18.906,80 | 1084 / 79 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Mcc | 45 | 5 / 1 | $261.375,00 | 58 / 8 | $54.547,00 | 59 / 8 | $46.558,80 | 59 / 8 |
Cellulitis W/O Mcc | 44 | 145 / 42 | $49.406,90 | 2551 / 181 | $12.826,10 | 2603 / 213 | $10.608,10 | 2595 / 210 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 44 | 80 / 22 | $431.596,00 | 1573 / 145 | $89.652,90 | 1600 / 157 | $81.552,80 | 1590 / 156 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 43 | 23 / 3 | $140.002,00 | 561 / 39 | $27.995,30 | 573 / 48 | $21.926,70 | 569 / 47 |
Major Chest Procedures W Cc | 42 | 32 / 4 | $160.609,00 | 475 / 21 | $34.905,00 | 504 / 37 | $30.774,80 | 502 / 37 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 38 | $58.469,60 | 2519 / 191 | $12.347,20 | 2523 / 199 | $10.039,20 | 2514 / 198 |
O.R. Procedures For Obesity W/O Cc/Mcc | 41 | 36 / 3 | $92.962,80 | 396 / 18 | $20.532,90 | 409 / 22 | $18.099,30 | 408 / 21 |
Other Circulatory System Diagnoses W Mcc | 40 | 76 / 12 | $256.160,00 | 1398 / 136 | $50.780,40 | 1398 / 136 | $45.439,50 | 1390 / 136 |
Medical Back Problems W/O Mcc | 39 | 82 / 20 | $55.103,30 | 1448 / 102 | $12.883,20 | 1468 / 127 | $10.042,10 | 1463 / 124 |
Cervical Spinal Fusion W Cc | 39 | 17 / 2 | $187.831,00 | 376 / 24 | $37.496,20 | 382 / 27 | $33.648,70 | 381 / 26 |
G.I. Hemorrhage W Mcc | 38 | 83 / 18 | $124.991,00 | 1639 / 143 | $27.682,50 | 1665 / 160 | $24.284,90 | 1655 / 159 |
Other Vascular Procedures W Mcc | 38 | 59 / 8 | $273.300,00 | 998 / 84 | $56.640,40 | 1005 / 89 | $51.307,80 | 1002 / 89 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 37 | 113 / 13 | $33.914,50 | 1848 / 90 | $9.658,59 | 1960 / 144 | $7.055,95 | 1954 / 140 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 36 | 60 / 12 | $103.412,00 | 765 / 34 | $29.450,00 | 815 / 50 | $24.949,90 | 811 / 49 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 36 | 45 / 4 | $1.456.890,00 | 445 / 30 | $318.166,00 | 453 / 35 | $265.190,00 | 452 / 35 |
Respiratory Infections & Inflammations W Cc | 36 | 52 / 13 | $143.199,00 | 1482 / 124 | $29.431,40 | 1488 / 127 | $23.519,80 | 1483 / 127 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 35 | 91 / 24 | $70.106,90 | 1667 / 134 | $15.963,80 | 1706 / 156 | $13.345,60 | 1702 / 155 |
Syncope & Collapse | 35 | 134 / 32 | $46.431,50 | 1798 / 108 | $11.109,00 | 1902 / 156 | $9.322,34 | 1894 / 156 |
Disorders Of Pancreas Except Malignancy W Cc | 35 | 26 / 2 | $80.769,40 | 951 / 59 | $15.967,80 | 954 / 61 | $11.901,20 | 951 / 61 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 35 | 35 / 5 | $68.731,70 | 554 / 47 | $14.243,50 | 561 / 49 | $12.073,30 | 561 / 53 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 34 | 6 / 1 | $52.634,10 | 448 / 19 | $11.032,10 | 455 / 22 | $8.462,26 | 454 / 22 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 34 | 154 / 28 | $112.910,00 | 1633 / 128 | $18.221,60 | 1637 / 132 | $15.180,50 | 1634 / 131 |
Hip & Femur Procedures Except Major Joint W Cc | 34 | 109 / 32 | $124.714,00 | 2010 / 129 | $25.568,40 | 2039 / 154 | $22.816,60 | 2017 / 155 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 33 | 56 / 15 | $106.856,00 | 762 / 67 | $15.895,60 | 764 / 75 | $13.040,10 | 763 / 74 |
Red Blood Cell Disorders W/O Mcc | 33 | 110 / 23 | $52.983,90 | 1932 / 129 | $13.560,50 | 1960 / 154 | $9.812,18 | 1951 / 146 |
Chemo W Acute Leukemia As Sdx Or W High Dose Chemo Agent W Mcc | 33 | 5 / 1 | $410.827,00 | 37 / 2 | $96.482,60 | 37 / 1 | $84.335,70 | 37 / 1 |
Liver Transplant W Mcc Or Intestinal Transplant | 31 | 3 / 1 | $790.767,00 | 37 / 2 | $141.482,00 | 35 / 2 | $134.899,00 | 35 / 2 |
Postoperative & Post-Traumatic Infections W/O Mcc | 30 | 24 / 3 | $75.789,90 | 448 / 19 | $17.657,50 | 450 / 21 | $15.193,90 | 450 / 21 |
Pancreas, Liver & Shunt Procedures W Cc | 30 | 25 / 6 | $224.492,00 | 130 / 8 | $44.139,30 | 133 / 11 | $36.628,30 | 133 / 11 |
Complications Of Treatment W Mcc | 30 | 21 / 2 | $89.991,60 | 275 / 13 | $24.413,50 | 294 / 21 | $22.070,20 | 294 / 22 |
Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 61 | $105.894,00 | 2480 / 183 | $21.970,80 | 2515 / 199 | $19.079,80 | 2509 / 200 |
Nervous System Neoplasms W Mcc | 30 | 18 / 2 | $119.238,00 | 306 / 19 | $20.706,20 | 305 / 20 | $17.350,70 | 305 / 20 |
Digestive Malignancy W Cc | 29 | 18 / 1 | $58.008,40 | 334 / 14 | $17.433,80 | 387 / 23 | $15.006,80 | 385 / 25 |
Signs & Symptoms W/O Mcc | 29 | 62 / 9 | $61.902,30 | 1328 / 86 | $11.914,60 | 1325 / 93 | $9.759,21 | 1322 / 92 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 29 | 14 / 2 | $182.500,00 | 145 / 3 | $39.333,90 | 149 / 6 | $34.501,40 | 149 / 6 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Mcc | 29 | 1 / 1 | $434.303,00 | 13 / 1 | $119.138,00 | 16 / 2 | $113.840,00 | 16 / 2 |
Other Circulatory System Diagnoses W Cc | 29 | 37 / 3 | $87.251,00 | 669 / 29 | $15.665,90 | 667 / 31 | $12.474,20 | 666 / 31 |
Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 45 | $58.202,80 | 2346 / 151 | $13.507,90 | 2419 / 186 | $11.358,70 | 2412 / 184 |
Other Digestive System Diagnoses W Mcc | 28 | 34 / 7 | $150.842,00 | 758 / 81 | $38.314,90 | 759 / 83 | $32.505,20 | 758 / 83 |
Stomach, Esophageal & Duodenal Proc W Cc | 28 | 22 / 4 | $285.544,00 | 222 / 14 | $48.377,70 | 224 / 15 | $42.722,40 | 224 / 16 |
Autologous Bone Marrow Transplant W Cc/Mcc | 28 | 9 / 1 | $344.931,00 | 54 / 3 | $96.602,60 | 55 / 6 | $71.335,80 | 55 / 3 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 28 | 90 / 15 | $271.380,00 | 486 / 17 | $66.347,10 | 536 / 37 | $62.029,20 | 536 / 38 |
Major Cardiovasc Procedures W Mcc | 28 | 40 / 4 | $447.775,00 | 643 / 48 | $88.099,70 | 648 / 52 | $82.503,40 | 647 / 53 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 26 | $88.590,90 | 1878 / 133 | $19.416,60 | 1910 / 149 | $16.757,50 | 1907 / 151 |
Hiv W Major Related Condition W Mcc | 27 | 11 / 1 | $194.649,00 | 89 / 6 | $46.267,70 | 88 / 7 | $40.599,50 | 88 / 6 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 27 | 19 / 3 | $132.828,00 | 202 / 10 | $28.088,40 | 204 / 12 | $24.889,40 | 204 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 27 | 69 / 17 | $71.179,40 | 1371 / 101 | $17.539,60 | 1454 / 131 | $15.129,70 | 1449 / 134 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 27 | 37 / 8 | $107.234,00 | 732 / 39 | $25.168,40 | 744 / 45 | $19.722,70 | 744 / 45 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 26 | 69 / 7 | $141.180,00 | 572 / 31 | $26.347,20 | 600 / 39 | $24.414,10 | 596 / 41 |
Disorders Of The Biliary Tract W Cc | 26 | 28 / 3 | $62.390,80 | 437 / 25 | $15.597,40 | 480 / 39 | $13.398,70 | 480 / 40 |
Lymphoma & Non-Acute Leukemia W Mcc | 26 | 11 / 2 | $434.433,00 | 132 / 10 | $84.690,90 | 132 / 10 | $76.657,50 | 132 / 10 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 26 | 67 / 9 | $268.747,00 | 920 / 66 | $52.079,20 | 923 / 68 | $43.523,30 | 915 / 68 |
Cervical Spinal Fusion W/O Cc/Mcc | 26 | 78 / 13 | $146.439,00 | 859 / 49 | $31.846,80 | 871 / 60 | $23.490,30 | 868 / 57 |
Major Small & Large Bowel Procedures W Mcc | 26 | 59 / 14 | $397.431,00 | 1275 / 87 | $82.793,00 | 1296 / 95 | $73.730,20 | 1293 / 95 |
Nervous System Neoplasms W/O Mcc | 25 | 5 / 1 | $71.111,90 | 99 / 1 | $14.666,40 | 102 / 2 | $12.349,00 | 102 / 3 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 25 | 43 / 8 | $52.087,90 | 682 / 36 | $13.151,30 | 733 / 47 | $11.658,20 | 733 / 49 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 25 | 17 / 3 | $352.863,00 | 173 / 10 | $75.993,20 | 180 / 14 | $70.674,60 | 180 / 14 |
G.I. Obstruction W Cc | 25 | 67 / 27 | $65.154,60 | 1693 / 121 | $14.195,80 | 1730 / 139 | $11.567,40 | 1725 / 141 |
Kidney & Ureter Procedures For Non-Neoplasm W/O Cc/Mcc | 24 | 3 / 1 | $89.119,50 | 39 / 1 | $18.660,00 | 40 / 2 | $16.428,30 | 40 / 2 |
Kidney & Ureter Procedures For Neoplasm W Mcc | 24 | 2 / 2 | $250.726,00 | 40 / 2 | $58.933,00 | 42 / 4 | $54.268,90 | 42 / 4 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 24 | 29 / 6 | $102.264,00 | 317 / 16 | $26.426,90 | 339 / 23 | $23.030,10 | 340 / 23 |
Complications Of Treatment W Cc | 24 | 28 / 4 | $76.892,50 | 359 / 16 | $16.137,70 | 362 / 17 | $13.274,20 | 362 / 18 |
Seizures W Mcc | 24 | 42 / 8 | $148.724,00 | 763 / 52 | $27.061,30 | 769 / 55 | $23.150,50 | 769 / 56 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 24 | 29 / 3 | $73.984,80 | 459 / 14 | $17.720,50 | 478 / 17 | $15.420,10 | 478 / 19 |
Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 66 | $67.247,40 | 2432 / 143 | $16.012,80 | 2545 / 193 | $13.662,20 | 2537 / 192 |
Other O.R. Procedures For Injuries W Cc | 23 | 12 / 2 | $113.097,00 | 164 / 5 | $25.899,30 | 167 / 6 | $21.634,20 | 167 / 6 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 23 | 40 / 7 | $392.981,00 | 750 / 55 | $86.472,30 | 759 / 60 | $77.536,90 | 759 / 60 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 43 | $58.215,10 | 1790 / 123 | $15.112,20 | 1924 / 163 | $12.580,80 | 1920 / 162 |
Degenerative Nervous System Disorders W/O Mcc | 22 | 56 / 9 | $81.454,60 | 864 / 51 | $16.725,10 | 863 / 51 | $13.974,70 | 863 / 52 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 22 | 20 / 3 | $104.701,00 | 283 / 21 | $24.161,60 | 290 / 22 | $20.970,40 | 290 / 22 |
Kidney & Ureter Procedures For Neoplasm W Cc | 22 | 22 / 3 | $110.843,00 | 162 / 2 | $26.613,10 | 180 / 6 | $24.199,80 | 180 / 8 |
Pancreas, Liver & Shunt Procedures W Mcc | 22 | 21 / 4 | $453.122,00 | 109 / 7 | $97.614,70 | 111 / 8 | $90.171,00 | 111 / 8 |
Major Chest Procedures W/O Cc/Mcc | 22 | 37 / 4 | $120.282,00 | 249 / 13 | $24.198,50 | 257 / 17 | $21.387,10 | 257 / 17 |
Respiratory Neoplasms W Mcc | 22 | 30 / 6 | $134.429,00 | 630 / 36 | $26.542,20 | 639 / 41 | $22.971,90 | 636 / 41 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 21 | 71 / 34 | $556.280,00 | 1095 / 142 | $108.916,00 | 1106 / 147 | $101.168,00 | 1105 / 147 |
Peritoneal Adhesiolysis W Cc | 21 | 18 / 4 | $205.707,00 | 289 / 19 | $40.605,10 | 291 / 20 | $32.624,50 | 291 / 20 |
Other Respiratory System Diagnoses W Mcc | 21 | 15 / 1 | $123.366,00 | 85 / 7 | $21.039,00 | 83 / 6 | $17.489,60 | 83 / 7 |
Kidney & Ureter Procedures For Non-Neoplasm W Mcc | 21 | 9 / 1 | $123.339,00 | 54 / 2 | $40.912,30 | 69 / 3 | $36.957,80 | 69 / 3 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 21 | 175 / 50 | $149.582,00 | 1434 / 96 | $27.537,30 | 1484 / 121 | $23.973,20 | 1476 / 122 |
Respiratory Neoplasms W Cc | 21 | 26 / 3 | $48.138,70 | 382 / 8 | $16.639,10 | 505 / 30 | $14.798,20 | 504 / 32 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 33 | $205.254,00 | 1838 / 134 | $34.057,00 | 1847 / 144 | $30.313,70 | 1833 / 143 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 20 | 45 / 13 | $232.225,00 | 911 / 50 | $52.735,60 | 921 / 58 | $48.619,40 | 917 / 57 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 20 | 36 / 6 | $154.424,00 | 667 / 47 | $32.896,90 | 670 / 51 | $26.310,60 | 669 / 51 |
O.R. Procedures For Obesity W Cc | 20 | 14 / 1 | $117.829,00 | 111 / 4 | $25.979,10 | 115 / 5 | $23.357,70 | 115 / 6 |
Heart Transplant Or Implant Of Heart Assist System W Mcc | 20 | 17 / 4 | $1.556.260,00 | 65 / 3 | $378.787,00 | 66 / 3 | $361.566,00 | 66 / 3 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 22 | $80.231,70 | 1422 / 131 | $16.768,10 | 1432 / 137 | $13.891,30 | 1428 / 138 |
Degenerative Nervous System Disorders W Mcc | 19 | 19 / 2 | $188.842,00 | 231 / 11 | $37.359,60 | 230 / 13 | $29.748,20 | 230 / 13 |
Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 17 | $67.660,80 | 1358 / 77 | $15.406,90 | 1425 / 101 | $13.279,50 | 1423 / 103 |
Headaches W/O Mcc | 19 | 24 / 1 | $60.560,80 | 233 / 9 | $11.795,20 | 233 / 10 | $8.259,68 | 233 / 9 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 19 | 19 / 2 | $123.607,00 | 167 / 4 | $27.783,10 | 170 / 6 | $24.488,80 | 170 / 6 |
Spinal Procedures W Cc Or Spinal Neurostimulators | 19 | 9 / 1 | $191.536,00 | 48 / 1 | $42.475,10 | 50 / 3 | $39.536,40 | 50 / 3 |
Pulmonary Embolism W/O Mcc | 19 | 55 / 11 | $37.468,20 | 1012 / 17 | $13.068,80 | 1268 / 74 | $11.303,40 | 1265 / 76 |
Peripheral Vascular Disorders W Cc | 18 | 66 / 15 | $55.544,00 | 1190 / 71 | $14.623,70 | 1227 / 96 | $10.766,30 | 1224 / 92 |
Major Bladder Procedures W Cc | 18 | 20 / 3 | $188.436,00 | 65 / 2 | $37.403,60 | 67 / 5 | $33.414,60 | 67 / 5 |
G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 23 | $50.301,80 | 1288 / 92 | $10.431,80 | 1306 / 103 | $7.872,22 | 1303 / 102 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 17 | 14 / 1 | $328.518,00 | 105 / 3 | $79.027,10 | 108 / 4 | $70.985,60 | 108 / 4 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 8 | $52.160,30 | 902 / 43 | $10.816,70 | 907 / 50 | $9.140,41 | 906 / 50 |
Acute Leukemia W/O Major O.R. Procedure W Mcc | 17 | 19 / 2 | $414.259,00 | 57 / 3 | $94.564,60 | 62 / 2 | $85.635,80 | 62 / 3 |
Endocrine Disorders W Cc | 17 | 21 / 4 | $56.075,10 | 279 / 10 | $14.844,30 | 303 / 17 | $11.767,10 | 303 / 17 |
Postoperative & Post-Traumatic Infections W Mcc | 17 | 26 / 3 | $120.525,00 | 217 / 10 | $30.211,40 | 223 / 12 | $27.191,90 | 223 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 31 | $49.267,50 | 1485 / 82 | $11.250,20 | 1595 / 122 | $9.699,59 | 1591 / 123 |
Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 11 | $210.716,00 | 954 / 70 | $41.472,20 | 960 / 76 | $37.718,00 | 957 / 75 |
Pulmonary Edema & Respiratory Failure | 17 | 186 / 58 | $143.698,00 | 2238 / 177 | $29.490,20 | 2243 / 181 | $26.544,30 | 2237 / 181 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 17 | 14 / 2 | $75.335,40 | 188 / 6 | $17.444,60 | 195 / 10 | $14.524,20 | 195 / 9 |
Disorders Of The Biliary Tract W Mcc | 17 | 22 / 7 | $88.366,80 | 230 / 9 | $22.286,70 | 258 / 14 | $19.653,00 | 258 / 14 |
Other Disorders Of Nervous System W Mcc | 17 | 23 / 6 | $126.846,00 | 314 / 25 | $23.836,40 | 314 / 27 | $20.517,60 | 314 / 27 |
Cervical Spinal Fusion W Mcc | 17 | 5 / 1 | $416.675,00 | 35 / 2 | $85.194,10 | 36 / 3 | $79.525,90 | 36 / 3 |
Intracranial Vascular Procedures W Pdx Hemorrhage W Mcc | 16 | 4 / 1 | $720.965,00 | 19 / 2 | $147.531,00 | 19 / 2 | $139.280,00 | 19 / 2 |
Connective Tissue Disorders W Mcc | 16 | 10 / 1 | $185.437,00 | 37 / 1 | $40.526,90 | 36 / 1 | $36.301,00 | 36 / 1 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 16 | 24 / 5 | $88.502,00 | 294 / 18 | $17.447,10 | 298 / 21 | $14.565,60 | 298 / 21 |
Other O.R. Procedures For Injuries W Mcc | 16 | 21 / 3 | $499.531,00 | 199 / 12 | $107.908,00 | 199 / 12 | $94.407,50 | 199 / 12 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 18 | $60.796,90 | 1017 / 51 | $15.949,70 | 1104 / 80 | $13.453,40 | 1102 / 78 |
Psychoses | 16 | 259 / 27 | $51.805,80 | 588 / 32 | $14.892,30 | 600 / 35 | $12.759,60 | 600 / 34 |
Lymphoma & Non-Acute Leukemia W Cc | 15 | 21 / 2 | $158.757,00 | 137 / 8 | $29.068,50 | 135 / 8 | $24.051,40 | 135 / 8 |
Other Vascular Procedures W/O Cc/Mcc | 15 | 41 / 11 | $116.630,00 | 535 / 15 | $23.129,80 | 551 / 21 | $20.608,90 | 550 / 23 |
Skin Graft Exc For Skin Ulcer Or Cellulitis W Cc | 15 | 3 / 1 | $145.536,00 | 8 / 1 | $31.059,30 | 7 / 1 | $27.454,70 | 7 / 1 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 15 | 14 / 2 | $121.417,00 | 100 / 4 | $31.060,60 | 105 / 3 | $27.465,10 | 104 / 4 |
Other Digestive System O.R. Procedures W Cc | 15 | 12 / 2 | $169.197,00 | 95 / 2 | $33.235,10 | 94 / 2 | $27.126,30 | 94 / 3 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 31 | $46.051,80 | 1957 / 105 | $10.534,10 | 1984 / 125 | $8.566,57 | 1971 / 127 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 38 | $83.365,40 | 1586 / 81 | $22.738,50 | 1793 / 149 | $19.914,50 | 1780 / 146 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 14 | 30 / 10 | $158.738,00 | 408 / 23 | $30.848,00 | 415 / 26 | $27.189,90 | 413 / 27 |
Disorders Of Pancreas Except Malignancy W Mcc | 14 | 32 / 7 | $149.617,00 | 352 / 28 | $34.466,30 | 355 / 29 | $29.981,10 | 355 / 29 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 14 | 22 / 8 | $176.597,00 | 357 / 25 | $36.629,40 | 361 / 28 | $30.425,60 | 360 / 28 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Mcc | 14 | 10 / 2 | $455.559,00 | 55 / 3 | $92.526,60 | 54 / 3 | $83.184,50 | 54 / 3 |
Revision Of Hip Or Knee Replacement W Mcc | 14 | 10 / 1 | $336.923,00 | 34 / 2 | $79.599,10 | 34 / 2 | $75.201,10 | 34 / 2 |
Fever | 14 | 32 / 7 | $59.896,10 | 331 / 8 | $13.268,40 | 337 / 11 | $10.773,80 | 337 / 10 |
Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 26 | $96.588,60 | 918 / 52 | $15.282,90 | 928 / 58 | $12.705,60 | 925 / 58 |
Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc | 14 | 10 / 1 | $138.471,00 | 47 / 1 | $23.656,60 | 45 / 1 | $20.465,30 | 45 / 1 |
Major Male Pelvic Procedures W Cc/Mcc | 13 | 17 / 4 | $117.805,00 | 56 / 5 | $28.072,10 | 58 / 7 | $21.023,30 | 58 / 7 |
Tracheostomy For Face,Mouth & Neck Diagnoses W Cc | 13 | 20 / 3 | $335.207,00 | 48 / 4 | $56.483,10 | 46 / 4 | $50.778,50 | 46 / 4 |
Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc | 13 | 13 / 1 | $149.152,00 | 58 / 1 | $27.255,60 | 57 / 1 | $22.973,10 | 57 / 1 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 29 | $230.700,00 | 991 / 78 | $46.980,80 | 1020 / 95 | $43.512,40 | 1015 / 95 |
Other Kidney & Urinary Tract Diagnoses W/O Cc/Mcc | 13 | 11 / 1 | $59.510,70 | 46 / 2 | $11.154,50 | 45 / 2 | $9.250,38 | 45 / 2 |
Peritoneal Adhesiolysis W/O Cc/Mcc | 13 | 11 / 2 | $102.258,00 | 76 / 4 | $22.209,90 | 76 / 5 | $18.914,80 | 76 / 5 |
Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 22 | $159.517,00 | 938 / 68 | $37.211,00 | 965 / 81 | $30.707,30 | 961 / 81 |
Amputation For Musculoskeletal Sys & Conn Tissue Dis W Cc | 13 | 7 / 1 | $166.299,00 | 30 / 1 | $30.624,30 | 30 / 1 | $26.516,30 | 30 / 1 |
Other Digestive System O.R. Procedures W Mcc | 13 | 16 / 2 | $272.198,00 | 113 / 2 | $56.746,70 | 113 / 3 | $50.275,90 | 113 / 3 |
Adrenal & Pituitary Procedures W/O Cc/Mcc | 13 | 4 / 1 | $68.100,60 | 7 / 1 | $23.305,90 | 7 / 1 | $14.813,40 | 7 / 1 |
Pancreas, Liver & Shunt Procedures W/O Cc/Mcc | 13 | 16 / 4 | $143.178,00 | 40 / 2 | $25.057,80 | 39 / 2 | $21.088,70 | 39 / 3 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 18 | $70.220,00 | 807 / 63 | $14.984,40 | 812 / 65 | $11.556,50 | 810 / 65 |
Major Head & Neck Procedures W Cc/Mcc Or Major Device | 12 | 11 / 2 | $217.530,00 | 29 / 3 | $36.894,40 | 27 / 3 | $32.866,30 | 27 / 3 |
Stomach, Esophageal & Duodenal Proc W Mcc | 12 | 29 / 6 | $547.416,00 | 232 / 8 | $115.059,00 | 235 / 10 | $105.522,00 | 235 / 10 |
Diabetes W Cc | 12 | 80 / 23 | $68.952,90 | 1608 / 118 | $12.894,60 | 1588 / 117 | $10.498,60 | 1583 / 118 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 12 | 54 / 18 | $80.971,70 | 516 / 28 | $15.351,90 | 517 / 36 | $12.792,90 | 516 / 36 |
Cellulitis W Mcc | 12 | 46 / 22 | $87.208,20 | 927 / 72 | $22.849,40 | 964 / 91 | $19.974,90 | 962 / 91 |
Ventricular Shunt Procedures W/O Cc/Mcc | 12 | 12 / 3 | $75.905,70 | 46 / 3 | $19.645,30 | 46 / 4 | $17.130,20 | 46 / 3 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 10 | $121.136,00 | 514 / 26 | $21.256,80 | 513 / 27 | $18.559,40 | 513 / 28 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 12 | $1.003.720,00 | 568 / 55 | $223.779,00 | 573 / 59 | $205.780,00 | 572 / 59 |
Other Respiratory System Diagnoses W/O Mcc | 12 | 34 / 11 | $79.109,00 | 320 / 16 | $14.958,80 | 318 / 17 | $12.477,40 | 318 / 17 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 12 | 76 / 18 | $232.196,00 | 563 / 19 | $48.322,70 | 593 / 30 | $44.566,10 | 592 / 31 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 15 | $125.224,00 | 623 / 36 | $26.029,30 | 634 / 42 | $23.710,00 | 630 / 43 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 19 | $72.152,00 | 1040 / 71 | $20.846,50 | 1098 / 92 | $17.107,00 | 1094 / 90 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 12 | 28 / 5 | $82.830,20 | 137 / 3 | $20.220,20 | 149 / 7 | $18.071,10 | 149 / 7 |
Allogeneic Bone Marrow Transplant | 11 | 14 / 2 | $696.387,00 | 25 / 2 | $157.430,00 | 27 / 3 | $141.552,00 | 27 / 3 |
Atherosclerosis W/O Mcc | 11 | 47 / 15 | $34.808,20 | 492 / 23 | $9.741,55 | / 33 | $8.055,45 | / |
Hernia Procedures Except Inguinal & Femoral W Cc | 11 | 23 / 2 | $94.587,00 | 134 / 2 | $23.928,30 | 136 / 3 | $18.012,20 | 136 / 3 |
Skin Graft Exc For Skin Ulcer Or Cellulitis W/O Cc/Mcc | 11 | 5 / 1 | $113.496,00 | 7 / 1 | $19.548,00 | 7 / 1 | $16.836,20 | 7 / 1 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 24 | $119.366,00 | 974 / 78 | $25.191,10 | 988 / 86 | $22.510,00 | 985 / 86 |
Major Bladder Procedures W/O Cc/Mcc | 11 | 10 / 3 | $159.321,00 | 15 / 1 | $29.072,50 | 17 / 3 | $25.698,30 | 17 / 3 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 11 | 18 / 3 | $34.674,50 | 85 / 2 | $10.583,20 | 108 / 3 | $8.766,18 | 108 / 3 |
Skin Grafts For Injuries W Cc/Mcc | 11 | 9 / 1 | $210.366,00 | 20 / 1 | $46.800,40 | 21 / 1 | $41.507,10 | 21 / 1 |
Adrenal & Pituitary Procedures W Cc/Mcc | 11 | 8 / 1 | $134.838,00 | 15 / 1 | $33.391,80 | 18 / 1 | $30.249,30 | 18 / 1 |
Endocrine Disorders W Mcc | 11 | 15 / 3 | $100.500,00 | 114 / 2 | $20.157,20 | 112 / 3 | $17.543,40 | 112 / 3 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 34 | $39.192,30 | 1791 / 73 | $10.810,60 | 1951 / 132 | $8.818,82 | 1943 / 132 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 11 | 21 / 3 | $246.919,00 | 168 / 3 | $43.755,90 | 167 / 3 | $38.014,70 | 167 / 3 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 7 | $209.210,00 | 567 / 17 | $48.963,60 | 593 / 25 | $45.014,90 | 592 / 26 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W/O Cc/Mcc | 11 | 10 / 2 | $193.169,00 | 18 / 2 | $62.240,40 | 21 / 2 | $59.751,50 | 21 / 2 |
Other Infectious & Parasitic Diseases Diagnoses W Mcc | 11 | 10 / 4 | $238.193,00 | 45 / 5 | $53.061,40 | 44 / 5 | $46.906,50 | 44 / 5 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 14 | $168.301,00 | 443 / 37 | $34.565,00 | 464 / 48 | $30.618,90 | 463 / 48 |
Combined Anterior/Posterior Spinal Fusion W Mcc | 11 | 10 / 4 | $488.910,00 | 15 / 2 | $141.545,00 | 18 / 4 | $136.506,00 | 18 / 4 |
Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 14 | $157.140,00 | 412 / 37 | $35.186,50 | 412 / 38 | $24.646,90 | 412 / 38 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 11 | 52 / 8 | $134.695,00 | 211 / 2 | $43.452,50 | 234 / 8 | $38.454,90 | 233 / 9 | Total 204 procedures | 6.431 | 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.