Hospital Costs > In Massachusetts > Umass Memorial Medical Center Inc, 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 | 55 | 36 / 4 | $26.975,80 | 605 / 34 | $12.079,00 | 1368 / 35 | $9.894,82 | 1366 / 34 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 71 | 54 / 6 | $41.616,90 | 879 / 42 | $18.883,00 | 1721 / 40 | $16.231,90 | 1708 / 40 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 10 | $31.194,80 | 599 / 27 | $8.898,78 | 827 / 26 | $7.391,39 | 823 / 26 |
Acute Myocardial Infarction, Expired W Mcc | 13 | 17 / 5 | $82.660,00 | 169 / 9 | $29.139,00 | 200 / 9 | $25.186,50 | 200 / 9 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 21 | 6 / 3 | $48.445,70 | 102 / 16 | $17.290,00 | 122 / 14 | $14.719,00 | 122 / 14 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 53 | 72 / 11 | $16.936,70 | 412 / 40 | $8.396,21 | 773 / 41 | $6.909,75 | 772 / 42 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 13 | 36 / 9 | $10.140,10 | 76 / 8 | $5.935,23 | 87 / 11 | $5.141,85 | 86 / 10 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 19 | 11 / 2 | $48.892,90 | 91 / 3 | $21.134,60 | 192 / 3 | $18.583,00 | 191 / 3 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 30 | 4 / 1 | $36.188,90 | 25 / 2 | $22.522,40 | 136 / 3 | $19.811,90 | 136 / 2 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 13 | 21 / 3 | $64.451,50 | 28 / 1 | $42.442,00 | 164 / 2 | $39.601,90 | 164 / 2 |
Atherosclerosis W/O Mcc | 25 | 33 / 3 | $12.003,90 | 90 / 17 | $7.297,76 | / 23 | $6.316,08 | / |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 19 | 47 / 9 | $31.876,10 | 67 / 7 | $19.532,80 | 545 / 12 | $16.887,60 | 541 / 11 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 24 | 65 / 11 | $22.295,30 | 134 / 14 | $11.731,30 | 735 / 19 | $9.976,88 | 734 / 20 |
Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 12 | 20 / 6 | $48.865,50 | 37 / 6 | $22.462,70 | 115 / 7 | $20.331,00 | 115 / 8 |
Bronchitis & Asthma W Cc/Mcc | 35 | 41 / 6 | $19.308,40 | 354 / 33 | $10.409,70 | 1004 / 36 | $8.012,26 | 1000 / 34 |
Bronchitis & Asthma W/O Cc/Mcc | 15 | 30 / 7 | $12.913,50 | 89 / 8 | $8.111,60 | 336 / 10 | $5.467,20 | 336 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 84 | 77 / 6 | $17.054,00 | 752 / 46 | $9.436,58 | 2060 / 49 | $7.759,31 | 2055 / 48 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 54 | 69 / 10 | $27.455,40 | 818 / 46 | $13.503,80 | 1830 / 45 | $11.861,10 | 1827 / 47 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 49 | 101 / 9 | $11.083,50 | 469 / 38 | $6.979,80 | 1890 / 46 | $5.297,02 | 1884 / 45 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 19 | 50 / 6 | $192.540,00 | 70 / 5 | $95.544,30 | 270 / 5 | $91.221,20 | 270 / 5 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 30 | 88 / 8 | $113.748,00 | 136 / 8 | $54.532,00 | 489 / 10 | $44.619,50 | 489 / 7 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 27 | 89 / 7 | $188.369,00 | 190 / 7 | $78.061,00 | 452 / 8 | $74.026,60 | 452 / 7 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 11 | 31 / 4 | $92.073,60 | 23 / 4 | $46.583,50 | 118 / 5 | $39.656,60 | 118 / 4 |
Cellulitis W Mcc | 26 | 32 / 4 | $24.446,50 | 228 / 24 | $15.430,00 | 909 / 27 | $13.382,30 | 907 / 28 |
Cellulitis W/O Mcc | 138 | 52 / 8 | $15.861,70 | 975 / 53 | $9.773,36 | 2492 / 55 | $7.925,65 | 2484 / 53 |
Cervical Spinal Fusion W Cc | 21 | 32 / 2 | $77.487,80 | 210 / 5 | $33.129,90 | 371 / 7 | $27.078,80 | 370 / 6 |
Cervical Spinal Fusion W/O Cc/Mcc | 33 | 71 / 4 | $58.964,80 | 451 / 12 | $22.834,40 | 857 / 11 | $21.284,40 | 854 / 11 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 16 | 75 / 5 | $40.509,40 | 258 / 6 | $14.080,60 | 360 / 7 | $11.131,20 | 360 / 5 |
Chest Pain | 45 | 106 / 8 | $13.271,30 | 335 / 36 | $7.218,64 | 1576 / 39 | $5.931,78 | 1567 / 39 |
Chronic Obstructive Pulmonary Disease W Cc | 93 | 86 / 8 | $19.144,80 | 918 / 52 | $10.686,90 | 2329 / 53 | $8.910,59 | 2322 / 52 |
Chronic Obstructive Pulmonary Disease W Mcc | 102 | 100 / 7 | $24.553,80 | 1089 / 53 | $12.881,90 | 2446 / 52 | $10.754,50 | 2438 / 52 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 68 | 52 / 6 | $14.159,10 | 683 / 44 | $8.500,81 | 1997 / 46 | $6.730,00 | 1986 / 45 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 31 | 62 / 6 | $57.932,70 | 436 / 17 | $23.851,60 | 870 / 16 | $21.316,20 | 862 / 16 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 90 | 98 / 6 | $33.387,90 | 676 / 24 | $12.154,70 | 1560 / 25 | $10.371,40 | 1557 / 26 |
Cirrhosis & Alcoholic Hepatitis W Cc | 16 | 10 / 4 | $27.563,80 | 48 / 7 | $11.321,60 | 84 / 6 | $9.572,50 | 84 / 7 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 19 | 23 / 4 | $53.687,50 | 182 / 10 | $22.388,20 | 263 / 11 | $16.506,50 | 263 / 8 |
Coagulation Disorders | 11 | 16 / 4 | $63.689,10 | 65 / 3 | $20.156,90 | 78 / 3 | $18.055,40 | 78 / 3 |
Complications Of Treatment W Cc | 36 | 16 / 4 | $24.888,50 | 157 / 11 | $11.851,10 | 338 / 12 | $9.793,22 | 338 / 12 |
Complications Of Treatment W Mcc | 25 | 26 / 3 | $46.136,40 | 152 / 5 | $20.336,40 | 256 / 5 | $16.130,30 | 256 / 3 |
Coronary Bypass W Cardiac Cath W Mcc | 29 | 27 / 3 | $178.087,00 | 184 / 4 | $73.832,50 | 422 / 5 | $69.148,50 | 422 / 6 |
Coronary Bypass W Cardiac Cath W/O Mcc | 37 | 39 / 4 | $120.668,00 | 230 / 10 | $49.673,10 | 595 / 12 | $41.506,40 | 595 / 9 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 38 | 50 / 6 | $79.808,80 | 136 / 8 | $35.334,80 | 559 / 6 | $32.091,90 | 558 / 7 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 22 | 46 / 9 | $20.188,50 | 227 / 20 | $10.228,90 | 693 / 21 | $8.710,27 | 693 / 23 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 12 | 30 / 5 | $158.857,00 | 101 / 5 | $64.599,60 | 157 / 7 | $49.030,20 | 157 / 4 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 28 | 27 / 4 | $57.027,70 | 30 / 3 | $30.892,90 | 213 / 4 | $29.001,70 | 213 / 6 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 30 | 68 / 8 | $80.167,60 | 97 / 7 | $44.864,00 | 462 / 9 | $39.888,10 | 462 / 8 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 21 | 53 / 4 | $84.271,30 | 180 / 5 | $25.384,50 | 261 / 6 | $23.139,30 | 260 / 7 |
Degenerative Nervous System Disorders W/O Mcc | 38 | 40 / 4 | $23.270,70 | 336 / 22 | $11.762,90 | 815 / 24 | $10.022,20 | 815 / 25 |
Diabetes W Cc | 49 | 43 / 4 | $19.089,80 | 625 / 39 | $9.682,61 | 1509 / 40 | $7.958,04 | 1504 / 39 |
Diabetes W Mcc | 25 | 32 / 3 | $51.785,90 | 573 / 17 | $17.670,40 | 726 / 17 | $15.104,50 | 725 / 16 |
Digestive Malignancy W Cc | 35 | 13 / 3 | $32.082,70 | 166 / 11 | $14.035,70 | 366 / 11 | $12.000,50 | 364 / 11 |
Digestive Malignancy W Mcc | 16 | 21 / 4 | $64.076,10 | 95 / 6 | $23.585,20 | 138 / 6 | $21.063,90 | 138 / 6 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 47 | 23 / 4 | $26.778,60 | 314 / 16 | $11.003,20 | 513 / 16 | $9.166,98 | 513 / 17 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 58 | 22 / 2 | $60.397,00 | 364 / 13 | $24.283,40 | 536 / 15 | $21.171,10 | 536 / 15 |
Disorders Of Pancreas Except Malignancy W Cc | 88 | 1 / 1 | $25.344,90 | 487 / 34 | $11.371,00 | 907 / 33 | $8.695,11 | 904 / 31 |
Disorders Of Pancreas Except Malignancy W Mcc | 24 | 22 / 2 | $53.838,40 | 222 / 10 | $21.225,40 | 339 / 11 | $18.494,40 | 339 / 10 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 59 | 2 / 1 | $17.555,10 | 195 / 13 | $8.263,93 | 435 / 14 | $5.979,41 | 434 / 14 |
Disorders Of The Biliary Tract W Cc | 37 | 17 / 6 | $35.797,20 | 278 / 20 | $12.201,80 | 454 / 22 | $10.279,50 | 454 / 22 |
Disorders Of The Biliary Tract W Mcc | 17 | 22 / 6 | $46.739,80 | 135 / 11 | $17.603,10 | 237 / 12 | $15.609,40 | 237 / 12 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 13 | 16 / 5 | $24.632,90 | 57 / 9 | $9.099,77 | 102 / 11 | $7.532,46 | 102 / 11 |
Dysequilibrium | 15 | 50 / 13 | $13.334,70 | 93 / 18 | $7.540,40 | 521 / 24 | $5.826,93 | 521 / 23 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 38 | 43 / 3 | $349.998,00 | 133 / 5 | $164.321,00 | 364 / 2 | $150.303,00 | 363 / 2 |
Endocrine Disorders W Cc | 24 | 14 / 3 | $19.242,70 | 61 / 11 | $11.652,00 | 284 / 13 | $9.918,83 | 284 / 13 |
Endocrine Disorders W Mcc | 11 | 15 / 4 | $42.036,00 | 68 / 4 | $18.447,30 | 102 / 5 | $15.621,40 | 102 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 52 | 44 / 7 | $25.647,50 | 461 / 38 | $14.001,00 | 1381 / 39 | $11.745,10 | 1376 / 39 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 217 | 66 / 5 | $17.684,80 | 1084 / 53 | $9.057,54 | 2600 / 53 | $7.393,25 | 2585 / 54 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 19 | 25 / 4 | $70.648,90 | 183 / 9 | $27.968,10 | 401 / 8 | $25.400,60 | 399 / 8 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 33 | 30 / 4 | $122.799,00 | 357 / 9 | $55.735,80 | 719 / 10 | $47.026,60 | 719 / 9 |
Extracranial Procedures W Cc | 24 | 22 / 2 | $30.004,10 | 79 / 6 | $16.798,20 | 373 / 10 | $15.417,30 | 373 / 10 |
Extracranial Procedures W/O Cc/Mcc | 65 | 33 / 2 | $21.566,30 | 190 / 11 | $11.415,30 | 911 / 18 | $9.756,20 | 908 / 18 |
Fever | 22 | 24 / 4 | $26.694,70 | 194 / 14 | $10.603,60 | 324 / 16 | $8.966,32 | 324 / 16 |
Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 13 | $11.508,90 | 139 / 22 | $7.947,11 | 872 / 30 | $6.396,72 | 871 / 31 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 35 | 27 / 6 | $16.019,30 | 231 / 28 | $8.767,20 | 754 / 32 | $6.919,74 | 752 / 30 |
G.I. Hemorrhage W Cc | 146 | 73 / 4 | $23.524,20 | 1082 / 50 | $11.568,30 | 2328 / 51 | $9.731,58 | 2324 / 51 |
G.I. Hemorrhage W Mcc | 82 | 39 / 2 | $56.400,40 | 1132 / 38 | $21.800,00 | 1615 / 40 | $18.389,30 | 1605 / 40 |
G.I. Hemorrhage W/O Cc/Mcc | 43 | 25 / 2 | $16.421,30 | 398 / 23 | $8.461,51 | 957 / 25 | $6.732,02 | 953 / 27 |
G.I. Obstruction W Cc | 43 | 49 / 8 | $24.027,50 | 929 / 43 | $10.749,50 | 1680 / 43 | $8.549,63 | 1675 / 44 |
G.I. Obstruction W Mcc | 18 | 24 / 6 | $40.865,10 | 260 / 12 | $16.751,90 | 493 / 11 | $14.224,00 | 493 / 11 |
G.I. Obstruction W/O Cc/Mcc | 35 | 36 / 7 | $15.176,30 | 540 / 33 | $7.710,37 | 1268 / 35 | $5.917,94 | 1265 / 34 |
Heart Failure & Shock W Cc | 180 | 100 / 10 | $18.834,10 | 1028 / 52 | $11.307,60 | 2615 / 54 | $9.296,61 | 2609 / 54 |
Heart Failure & Shock W Mcc | 232 | 63 / 5 | $36.071,20 | 1455 / 53 | $17.022,90 | 2505 / 53 | $14.467,10 | 2494 / 54 |
Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 16 | $14.553,30 | 796 / 47 | $8.126,68 | 1900 / 50 | $6.484,56 | 1887 / 49 |
Hip & Femur Procedures Except Major Joint W Cc | 81 | 62 / 7 | $50.265,50 | 1053 / 45 | $20.884,70 | 1954 / 46 | $17.432,30 | 1934 / 43 |
Hip & Femur Procedures Except Major Joint W Mcc | 35 | 27 / 4 | $78.880,70 | 518 / 19 | $32.247,90 | 925 / 21 | $29.211,90 | 922 / 21 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 26 | 30 / 5 | $41.629,60 | 443 / 17 | $17.017,00 | 881 / 18 | $15.177,80 | 878 / 18 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 56 | 68 / 6 | $114.193,00 | 672 / 30 | $54.111,80 | 1406 / 29 | $45.599,00 | 1396 / 27 |
Inflammatory Bowel Disease W Cc | 23 | 9 / 3 | $23.878,70 | 53 / 7 | $12.694,60 | 130 / 10 | $9.359,39 | 130 / 8 |
Inflammatory Bowel Disease W/O Cc/Mcc | 13 | 5 / 2 | $21.935,60 | 4 / 2 | $11.109,20 | 8 / 2 | $6.198,23 | 8 / 2 |
Interstitial Lung Disease W Mcc | 11 | 14 / 4 | $37.869,90 | 38 / 2 | $18.085,70 | 76 / 2 | $12.847,50 | 76 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 96 | 86 / 8 | $26.854,50 | 916 / 44 | $12.227,50 | 1986 / 48 | $10.364,20 | 1982 / 49 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 115 | 56 / 3 | $42.174,30 | 755 / 31 | $18.998,00 | 1475 / 31 | $15.395,10 | 1468 / 30 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 61 | 41 / 4 | $19.383,60 | 533 / 33 | $9.005,28 | 1505 / 38 | $6.849,13 | 1501 / 38 |
Kidney & Ureter Procedures For Neoplasm W Cc | 15 | 29 / 5 | $60.279,90 | 97 / 5 | $22.789,50 | 174 / 7 | $20.225,90 | 174 / 7 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 11 | 29 / 6 | $39.110,80 | 48 / 4 | $16.647,40 | 131 / 7 | $12.904,70 | 131 / 3 |
Kidney & Urinary Tract Infections W Mcc | 43 | 101 / 17 | $22.258,30 | 725 / 41 | $11.975,60 | 1837 / 40 | $10.090,00 | 1833 / 41 |
Kidney & Urinary Tract Infections W/O Mcc | 147 | 86 / 7 | $15.752,10 | 1036 / 50 | $8.995,10 | 2566 / 52 | $7.222,18 | 2555 / 51 |
Kidney Transplant | 37 | 65 / 2 | $168.625,00 | 61 / 6 | $38.168,10 | 142 / 6 | $29.993,70 | 142 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 30 | 26 / 2 | $38.511,40 | 232 / 15 | $17.868,00 | 854 / 15 | $15.938,90 | 850 / 17 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 15 | 25 / 2 | $61.288,90 | 182 / 5 | $26.094,30 | 439 / 4 | $22.014,40 | 438 / 4 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 19 | 28 / 5 | $28.837,50 | 136 / 13 | $13.704,40 | 565 / 16 | $10.926,10 | 564 / 15 |
Limb Reattachment, Hip & Femur Proc For Multiple Significant Trauma | 13 | 9 / 2 | $131.619,00 | 36 / 4 | $44.212,20 | 57 / 4 | $40.626,20 | 57 / 4 |
Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc | 13 | 11 / 2 | $30.863,40 | 6 / 2 | $18.280,60 | 36 / 2 | $15.315,50 | 36 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 17 | 38 / 6 | $54.413,90 | 295 / 10 | $21.228,60 | 607 / 10 | $18.037,10 | 603 / 10 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 20 | 27 / 7 | $38.015,20 | 200 / 9 | $16.121,50 | 491 / 11 | $13.342,00 | 491 / 9 |
Lymphoma & Non-Acute Leukemia W Mcc | 11 | 25 / 5 | $83.530,50 | 55 / 4 | $32.699,10 | 88 / 3 | $27.961,20 | 88 / 3 |
Major Cardiovasc Procedures W Mcc | 35 | 33 / 4 | $170.601,00 | 433 / 11 | $62.674,40 | 630 / 12 | $59.137,20 | 629 / 13 |
Major Cardiovasc Procedures W/O Mcc | 60 | 42 / 4 | $76.711,50 | 338 / 17 | $36.027,40 | 939 / 18 | $29.493,90 | 938 / 13 |
Major Chest Procedures W Cc | 21 | 53 / 7 | $61.186,90 | 204 / 11 | $26.933,40 | 482 / 13 | $24.500,40 | 480 / 13 |
Major Chest Procedures W Mcc | 16 | 33 / 4 | $122.629,00 | 155 / 7 | $55.613,50 | 315 / 9 | $48.351,60 | 314 / 8 |
Major Chest Procedures W/O Cc/Mcc | 15 | 44 / 9 | $48.113,70 | 109 / 11 | $19.963,50 | 244 / 13 | $15.836,90 | 244 / 11 |
Major Chest Trauma W Cc | 27 | 10 / 2 | $28.760,20 | 56 / 10 | $12.499,90 | 126 / 12 | $8.465,11 | 126 / 11 |
Major Chest Trauma W Mcc | 12 | 7 / 1 | $65.998,90 | 16 / 1 | $28.167,80 | 20 / 1 | $17.200,80 | 20 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 41 | 32 / 6 | $24.219,40 | 450 / 31 | $13.500,40 | 1088 / 32 | $11.659,70 | 1086 / 33 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 36 | 20 / 2 | $48.202,10 | 397 / 15 | $21.733,90 | 634 / 17 | $18.172,40 | 633 / 17 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 11 | 18 / 5 | $17.575,10 | 45 / 4 | $9.768,73 | 129 / 6 | $8.185,00 | 128 / 6 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 21 | 32 / 6 | $29.548,90 | 194 / 12 | $17.415,80 | 449 / 16 | $11.887,00 | 449 / 13 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 7 | $58.611,10 | 460 / 15 | $21.964,40 | 776 / 16 | $18.872,40 | 772 / 14 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 16 | $97.843,10 | 631 / 20 | $37.014,00 | 903 / 21 | $33.804,50 | 899 / 21 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 268 | 298 / 14 | $51.410,80 | 1355 / 54 | $22.167,30 | 2566 / 52 | $19.090,60 | 2520 / 51 |
Major Small & Large Bowel Procedures W Cc | 51 | 57 / 8 | $51.572,40 | 456 / 28 | $28.049,70 | 1433 / 35 | $21.792,40 | 1419 / 32 |
Major Small & Large Bowel Procedures W Mcc | 37 | 48 / 7 | $119.269,00 | 551 / 27 | $50.960,20 | 1188 / 26 | $45.178,80 | 1185 / 24 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 41 | 23 / 4 | $36.673,80 | 244 / 16 | $18.161,70 | 710 / 19 | $14.389,30 | 710 / 18 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 21 | 32 / 4 | $60.412,30 | 216 / 9 | $19.755,00 | 321 / 8 | $17.488,10 | 322 / 8 |
Medical Back Problems W Mcc | 24 | 15 / 2 | $47.199,30 | 199 / 11 | $16.532,40 | 296 / 11 | $13.909,70 | 296 / 11 |
Medical Back Problems W/O Mcc | 78 | 43 / 4 | $18.581,30 | 427 / 30 | $10.262,70 | 1410 / 34 | $7.963,49 | 1405 / 33 |
Minor Skin Disorders W/O Mcc | 12 | 13 / 3 | $18.287,50 | 29 / 2 | $8.895,83 | 55 / 3 | $7.040,25 | 55 / 3 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 46 | 80 / 6 | $23.797,40 | 634 / 35 | $12.537,10 | 1594 / 34 | $10.446,90 | 1591 / 32 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 109 | 57 / 6 | $15.735,20 | 1054 / 50 | $8.418,07 | 2396 / 52 | $6.742,59 | 2387 / 52 |
Nervous System Neoplasms W Mcc | 21 | 27 / 5 | $28.576,40 | 69 / 8 | $16.163,20 | 272 / 10 | $11.893,40 | 272 / 9 |
Nervous System Neoplasms W/O Mcc | 14 | 16 / 4 | $20.571,50 | 7 / 2 | $11.107,70 | 95 / 3 | $9.511,29 | 95 / 5 |
O.R. Procedures For Obesity W Cc | 12 | 22 / 3 | $38.680,40 | 27 / 3 | $20.298,90 | 109 / 5 | $17.146,80 | 109 / 4 |
O.R. Procedures For Obesity W/O Cc/Mcc | 33 | 44 / 3 | $28.751,80 | 70 / 6 | $16.792,70 | 390 / 9 | $13.948,00 | 389 / 9 |
Organic Disturbances & Mental Retardation | 17 | 42 / 6 | $31.966,40 | 367 / 21 | $14.234,20 | 524 / 23 | $10.558,10 | 524 / 22 |
Other Circulatory System Diagnoses W Cc | 30 | 36 / 6 | $28.292,20 | 384 / 19 | $12.053,80 | 626 / 20 | $9.178,13 | 625 / 19 |
Other Circulatory System Diagnoses W Mcc | 46 | 70 / 6 | $49.876,00 | 738 / 24 | $21.227,40 | 1296 / 22 | $18.263,00 | 1288 / 21 |
Other Circulatory System O.R. Procedures | 14 | 41 / 7 | $50.591,10 | 104 / 6 | $26.818,40 | 385 / 4 | $23.647,50 | 385 / 4 |
Other Digestive System Diagnoses W Cc | 75 | 22 / 4 | $20.757,50 | 454 / 40 | $11.172,70 | 1370 / 39 | $9.482,91 | 1366 / 40 |
Other Digestive System Diagnoses W Mcc | 31 | 31 / 6 | $36.900,10 | 273 / 18 | $18.584,80 | 707 / 18 | $16.415,20 | 706 / 20 |
Other Digestive System Diagnoses W/O Cc/Mcc | 22 | 21 / 4 | $14.927,10 | 77 / 14 | $8.198,50 | 339 / 17 | $6.226,09 | 339 / 16 |
Other Digestive System O.R. Procedures W Cc | 14 | 13 / 2 | $36.231,70 | 11 / 2 | $22.242,30 | 80 / 4 | $18.497,40 | 80 / 1 |
Other Digestive System O.R. Procedures W Mcc | 12 | 17 / 4 | $128.002,00 | 76 / 2 | $47.243,70 | 103 / 3 | $38.679,00 | 103 / 3 |
Other Disorders Of Nervous System W Cc | 14 | 42 / 17 | $13.270,60 | 53 / 18 | $10.138,40 | 563 / 29 | $7.826,50 | 562 / 28 |
Other Disorders Of Nervous System W Mcc | 20 | 20 / 5 | $25.697,10 | 46 / 7 | $15.678,70 | 290 / 8 | $14.427,20 | 290 / 9 |
Other Infectious & Parasitic Diseases Diagnoses W Mcc | 11 | 10 / 5 | $28.277,80 | 2 / 2 | $25.724,70 | 33 / 2 | $23.656,30 | 33 / 3 |
Other Kidney & Urinary Tract Diagnoses W Cc | 39 | 64 / 4 | $22.216,70 | 313 / 28 | $11.488,90 | 810 / 27 | $9.897,82 | 810 / 28 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 37 | 64 / 5 | $36.353,50 | 550 / 29 | $16.823,10 | 1036 / 28 | $14.857,10 | 1032 / 29 |
Other O.R. Procedures For Injuries W Cc | 15 | 20 / 5 | $43.354,30 | 49 / 4 | $19.239,90 | 150 / 3 | $17.521,50 | 150 / 4 |
Other O.R. Procedures For Injuries W Mcc | 11 | 26 / 5 | $71.983,60 | 39 / 3 | $37.646,40 | 155 / 2 | $34.527,20 | 155 / 3 |
Other Resp System O.R. Procedures W Cc | 18 | 29 / 5 | $44.413,20 | 110 / 7 | $20.725,30 | 312 / 9 | $17.584,60 | 312 / 8 |
Other Resp System O.R. Procedures W Mcc | 26 | 37 / 5 | $80.358,20 | 214 / 8 | $36.666,70 | 542 / 6 | $32.772,50 | 541 / 8 |
Other Respiratory System Diagnoses W Mcc | 16 | 20 / 3 | $31.396,80 | 25 / 3 | $14.888,20 | 68 / 2 | $13.153,70 | 68 / 3 |
Other Respiratory System Diagnoses W/O Mcc | 20 | 26 / 5 | $13.820,80 | 43 / 14 | $9.233,30 | 298 / 18 | $7.804,80 | 298 / 19 |
Other Vascular Procedures W Cc | 43 | 59 / 6 | $52.353,20 | 237 / 17 | $25.596,60 | 1052 / 17 | $22.494,50 | 1047 / 17 |
Other Vascular Procedures W Mcc | 29 | 68 / 6 | $77.789,20 | 354 / 17 | $33.179,80 | 903 / 14 | $29.119,50 | 900 / 14 |
Other Vascular Procedures W/O Cc/Mcc | 58 | 6 / 1 | $30.072,30 | 62 / 4 | $18.490,30 | 515 / 13 | $15.070,60 | 514 / 10 |
Otitis Media & Uri W/O Mcc | 13 | 31 / 12 | $12.070,40 | 31 / 9 | $7.968,69 | 179 / 14 | $5.377,77 | 179 / 12 |
Pancreas, Liver & Shunt Procedures W Cc | 15 | 40 / 5 | $67.508,40 | 35 / 3 | $28.350,50 | 116 / 4 | $25.854,00 | 116 / 4 |
Pancreas, Liver & Shunt Procedures W Mcc | 12 | 31 / 5 | $120.930,00 | 27 / 3 | $55.057,10 | 83 / 3 | $49.598,80 | 83 / 3 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 18 | 22 / 6 | $22.940,90 | 74 / 12 | $13.048,30 | 267 / 15 | $10.029,30 | 267 / 12 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 58 | 42 / 3 | $88.694,70 | 368 / 16 | $33.007,30 | 934 / 17 | $28.075,60 | 929 / 13 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 103 | 93 / 5 | $72.926,40 | 737 / 22 | $21.575,20 | 1426 / 22 | $18.361,30 | 1418 / 19 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 22 | 23 / 3 | $125.291,00 | 212 / 13 | $39.187,80 | 273 / 13 | $36.124,10 | 272 / 13 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 19 | 50 / 9 | $67.024,90 | 329 / 15 | $20.378,80 | 540 / 14 | $15.891,20 | 538 / 13 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 15 | 39 / 6 | $106.250,00 | 152 / 9 | $33.907,20 | 253 / 8 | $31.244,40 | 253 / 9 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 23 | 72 / 8 | $74.575,50 | 292 / 10 | $21.055,30 | 566 / 8 | $18.349,20 | 562 / 8 |
Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim | 14 | 15 / 3 | $33.329,60 | 6 / 4 | $21.995,60 | 68 / 3 | $20.130,20 | 68 / 3 |
Peripheral Vascular Disorders W Cc | 37 | 47 / 8 | $19.821,60 | 402 / 30 | $10.969,80 | 1154 / 32 | $8.742,97 | 1151 / 29 |
Peripheral Vascular Disorders W Mcc | 19 | 30 / 6 | $35.982,10 | 307 / 13 | $15.351,60 | 544 / 13 | $12.949,20 | 544 / 13 |
Peritoneal Adhesiolysis W Cc | 21 | 18 / 3 | $46.737,00 | 67 / 6 | $22.849,40 | 269 / 6 | $20.504,10 | 269 / 6 |
Peritoneal Adhesiolysis W/O Cc/Mcc | 15 | 9 / 3 | $44.569,30 | 36 / 3 | $17.640,90 | 73 / 4 | $14.031,70 | 73 / 5 |
Permanent Cardiac Pacemaker Implant W Cc | 26 | 51 / 8 | $68.990,70 | 471 / 25 | $25.760,70 | 932 / 23 | $24.009,70 | 928 / 24 |
Permanent Cardiac Pacemaker Implant W Mcc | 28 | 24 / 3 | $107.309,00 | 371 / 11 | $37.045,00 | 585 / 10 | $34.497,00 | 585 / 10 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 23 | 34 / 6 | $59.533,70 | 389 / 17 | $22.893,60 | 697 / 16 | $20.095,00 | 695 / 16 |
Pleural Effusion W Mcc | 12 | 18 / 3 | $33.927,30 | 69 / 5 | $16.189,80 | 181 / 5 | $14.120,90 | 181 / 4 |
Pneumothorax W Cc | 11 | 14 / 3 | $26.746,50 | 40 / 1 | $12.775,30 | 80 / 3 | $8.630,82 | 80 / 1 |
Poisoning & Toxic Effects Of Drugs W Mcc | 49 | 23 / 2 | $58.306,80 | 797 / 30 | $18.540,80 | 957 / 31 | $15.701,30 | 954 / 30 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 54 | 8 / 1 | $16.976,40 | 398 / 32 | $8.125,39 | 826 / 35 | $6.172,52 | 825 / 34 |
Postoperative & Post-Traumatic Infections W Mcc | 22 | 21 / 4 | $74.833,10 | 179 / 8 | $28.768,40 | 219 / 9 | $23.906,30 | 219 / 9 |
Postoperative & Post-Traumatic Infections W/O Mcc | 40 | 14 / 3 | $18.222,30 | 98 / 12 | $11.045,50 | 425 / 14 | $9.672,10 | 425 / 15 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 14 | 24 / 4 | $43.651,60 | 54 / 3 | $21.278,00 | 152 / 3 | $17.525,80 | 152 / 2 |
Pulmonary Edema & Respiratory Failure | 78 | 125 / 10 | $34.450,60 | 1268 / 45 | $14.225,40 | 2133 / 45 | $11.829,80 | 2127 / 45 |
Pulmonary Embolism W Mcc | 14 | 29 / 7 | $31.014,50 | 180 / 10 | $15.022,60 | 534 / 12 | $12.695,90 | 533 / 11 |
Pulmonary Embolism W/O Mcc | 38 | 36 / 8 | $23.540,90 | 576 / 33 | $10.940,30 | 1240 / 34 | $9.206,66 | 1237 / 35 |
Red Blood Cell Disorders W Mcc | 23 | 48 / 7 | $23.765,20 | 258 / 26 | $14.210,60 | 971 / 30 | $10.864,60 | 967 / 25 |
Red Blood Cell Disorders W/O Mcc | 53 | 90 / 8 | $26.266,40 | 1328 / 46 | $12.004,90 | 1958 / 48 | $9.794,25 | 1949 / 48 |
Renal Failure W Cc | 180 | 49 / 3 | $19.522,40 | 932 / 50 | $10.875,00 | 2298 / 51 | $8.967,89 | 2288 / 50 |
Renal Failure W Mcc | 83 | 112 / 7 | $45.623,20 | 1467 / 47 | $19.337,00 | 2091 / 49 | $16.047,50 | 2087 / 48 |
Renal Failure W/O Cc/Mcc | 22 | 34 / 5 | $12.118,90 | 222 / 18 | $8.024,91 | 815 / 20 | $5.820,73 | 813 / 20 |
Respiratory Infections & Inflammations W Cc | 40 | 48 / 12 | $28.733,30 | 639 / 39 | $15.189,80 | 1423 / 41 | $12.627,70 | 1418 / 39 |
Respiratory Infections & Inflammations W Mcc | 73 | 63 / 5 | $43.238,80 | 888 / 40 | $20.498,50 | 1743 / 40 | $18.059,50 | 1727 / 40 |
Respiratory Infections & Inflammations W/O Cc/Mcc | 12 | 17 / 3 | $14.109,20 | 21 / 3 | $11.175,10 | 129 / 3 | $9.576,08 | 129 / 4 |
Respiratory Neoplasms W Cc | 20 | 27 / 4 | $22.941,40 | 101 / 9 | $13.356,60 | 470 / 11 | $10.908,70 | 469 / 10 |
Respiratory Neoplasms W Mcc | 16 | 36 / 6 | $39.989,50 | 267 / 16 | $19.889,40 | 607 / 16 | $16.264,60 | 604 / 16 |
Respiratory Signs & Symptoms | 19 | 27 / 2 | $15.369,20 | 56 / 6 | $8.117,11 | 283 / 10 | $6.652,32 | 283 / 11 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 65 | 66 / 5 | $61.535,50 | 945 / 37 | $25.629,00 | 1773 / 37 | $22.594,50 | 1759 / 39 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 37 | 34 / 3 | $126.009,00 | 417 / 18 | $51.556,30 | 914 / 18 | $47.726,90 | 913 / 19 |
Seizures W Mcc | 22 | 44 / 7 | $40.975,20 | 375 / 13 | $18.880,60 | 735 / 13 | $16.651,10 | 735 / 15 |
Seizures W/O Mcc | 67 | 41 / 6 | $17.577,00 | 398 / 38 | $8.926,69 | 1208 / 40 | $7.208,91 | 1206 / 39 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 71 | 23 / 2 | $133.647,00 | 406 / 19 | $60.953,70 | 1020 / 19 | $55.196,50 | 1019 / 18 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 510 | 73 / 3 | $43.132,70 | 1488 / 53 | $20.180,50 | 2672 / 51 | $17.584,50 | 2627 / 52 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 113 | 94 / 5 | $26.319,00 | 1363 / 51 | $12.466,70 | 2451 / 51 | $9.908,96 | 2441 / 50 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W Mcc | 11 | 5 / 2 | $27.215,70 | 4 / 2 | $13.561,40 | 7 / 2 | $11.710,30 | 7 / 1 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 23 | 24 / 5 | $18.260,90 | 123 / 18 | $9.181,22 | 356 / 21 | $7.390,30 | 356 / 21 |
Signs & Symptoms W Mcc | 24 | 17 / 1 | $25.002,30 | 104 / 4 | $12.427,00 | 249 / 4 | $10.893,20 | 249 / 5 |
Signs & Symptoms W/O Mcc | 57 | 34 / 4 | $16.531,30 | 444 / 36 | $8.285,51 | 1251 / 38 | $6.982,75 | 1248 / 38 |
Simple Pneumonia & Pleurisy W Cc | 161 | 46 / 5 | $18.455,20 | 961 / 52 | $11.079,90 | 2656 / 54 | $8.800,96 | 2647 / 51 |
Simple Pneumonia & Pleurisy W Mcc | 104 | 101 / 8 | $33.829,20 | 1272 / 51 | $15.907,50 | 2398 / 52 | $13.431,70 | 2392 / 52 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 39 | 54 / 9 | $12.943,40 | 505 / 40 | $8.342,23 | 1877 / 45 | $6.376,33 | 1869 / 45 |
Spinal Fusion Except Cervical W/O Mcc | 80 | 114 / 7 | $75.901,20 | 461 / 17 | $39.978,90 | 1305 / 19 | $36.920,30 | 1300 / 19 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 16 | 32 / 4 | $29.284,20 | 39 / 3 | $15.999,40 | 217 / 5 | $13.210,60 | 216 / 6 |
Syncope & Collapse | 69 | 100 / 11 | $14.339,80 | 348 / 44 | $8.920,36 | 1811 / 49 | $7.139,16 | 1803 / 49 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 44 | 21 / 3 | $247.163,00 | 246 / 6 | $108.104,00 | 517 / 6 | $102.012,00 | 516 / 6 |
Transient Ischemia | 25 | 100 / 18 | $17.095,90 | 422 / 34 | $8.228,52 | 1589 / 37 | $6.890,80 | 1581 / 38 |
Transurethral Procedures W Cc | 23 | 18 / 3 | $30.597,90 | 129 / 8 | $14.594,30 | 372 / 10 | $11.895,40 | 372 / 9 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 13 | 31 / 7 | $17.912,30 | 87 / 17 | $9.386,00 | 293 / 18 | $7.413,62 | 293 / 18 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 32 | 34 / 6 | $17.583,00 | 46 / 8 | $11.538,40 | 478 / 9 | $9.926,41 | 477 / 10 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 26 | 25 / 5 | $47.888,10 | 136 / 9 | $21.150,30 | 315 / 8 | $18.778,50 | 315 / 8 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 21 | 33 / 7 | $14.384,80 | 53 / 7 | $8.790,14 | 360 / 10 | $6.636,19 | 360 / 9 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 18 | 28 / 5 | $15.732,70 | 86 / 10 | $8.240,00 | 368 / 13 | $6.693,17 | 367 / 13 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 11 | 35 / 7 | $24.945,20 | 84 / 8 | $10.953,50 | 239 / 8 | $9.335,91 | 239 / 9 |
Vaginal Delivery W Complicating Diagnoses | 13 | 5 / 2 | $25.832,30 | 13 / 2 | $8.895,92 | 9 / 2 | $6.831,62 | 9 / 2 |
Vaginal Delivery W/O Complicating Diagnoses | 11 | 14 / 6 | $17.338,50 | 55 / 6 | $7.045,36 | 64 / 7 | $5.323,91 | 64 / 7 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 12 | 31 / 4 | $56.430,80 | 33 / 4 | $28.272,20 | 128 / 3 | $26.341,80 | 128 / 5 | Total 223 procedures | 9.281 | 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.