Hospital Costs > In New York > United Health Services Hospitals, Inc, 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 | 224 | 292 / 39 | $36.428,20 | 1119 / 60 | $12.908,00 | 1621 / 46 | $11.269,80 | 1589 / 39 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 223 | 341 / 24 | $45.129,30 | 1034 / 64 | $14.664,80 | 1551 / 37 | $12.197,00 | 1516 / 31 |
Heart Failure & Shock W Cc | 145 | 133 / 18 | $16.455,00 | 738 / 45 | $6.899,76 | 1630 / 44 | $5.915,44 | 1625 / 39 |
Kidney & Urinary Tract Infections W/O Mcc | 136 | 97 / 14 | $15.270,60 | 978 / 46 | $5.741,50 | 1693 / 49 | $4.543,07 | 1682 / 45 |
Heart Failure & Shock W Mcc | 110 | 174 / 27 | $25.542,40 | 787 / 39 | $10.060,90 | 1483 / 35 | $9.002,92 | 1479 / 31 |
Spinal Fusion Except Cervical W/O Mcc | 96 | 98 / 6 | $67.840,70 | 332 / 26 | $25.840,80 | 754 / 11 | $23.694,10 | 750 / 17 |
Simple Pneumonia & Pleurisy W Cc | 88 | 115 / 20 | $19.515,10 | 1076 / 60 | $6.998,62 | 1535 / 50 | $5.549,98 | 1529 / 37 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 85 | 122 / 30 | $24.825,70 | 1235 / 61 | $7.481,08 | 1504 / 45 | $6.263,33 | 1498 / 38 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 83 | 192 / 43 | $14.714,80 | 715 / 50 | $5.569,66 | 1673 / 52 | $4.307,39 | 1660 / 49 |
Cellulitis W/O Mcc | 71 | 118 / 36 | $14.683,40 | 817 / 49 | $6.129,38 | 1674 / 51 | $4.939,41 | 1667 / 52 |
Simple Pneumonia & Pleurisy W Mcc | 69 | 136 / 23 | $28.015,80 | 909 / 46 | $10.634,60 | 1564 / 51 | $8.829,23 | 1564 / 35 |
G.I. Hemorrhage W Cc | 69 | 149 / 34 | $14.406,10 | 257 / 21 | $6.874,80 | 1504 / 34 | $5.967,70 | 1500 / 48 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 69 | 127 / 21 | $44.885,10 | 131 / 16 | $13.060,80 | 866 / 7 | $11.935,80 | 860 / 12 |
Chronic Obstructive Pulmonary Disease W Cc | 61 | 118 / 25 | $16.680,20 | 676 / 46 | $6.966,54 | 1055 / 51 | $5.017,25 | 1051 / 20 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 60 | 122 / 23 | $24.961,60 | 793 / 36 | $7.699,70 | 1153 / 36 | $6.072,68 | 1150 / 23 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 59 | 91 / 22 | $12.191,50 | 616 / 39 | $4.325,86 | 1315 / 40 | $3.186,03 | 1310 / 47 |
Heart Failure & Shock W/O Cc/Mcc | 56 | 54 / 14 | $11.288,30 | 387 / 31 | $5.060,89 | 1235 / 41 | $4.013,88 | 1225 / 38 |
Pulmonary Edema & Respiratory Failure | 54 | 149 / 17 | $23.685,10 | 648 / 36 | $8.338,06 | 1215 / 31 | $7.248,59 | 1213 / 30 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 53 | 113 / 42 | $12.768,50 | 647 / 37 | $5.216,45 | 1609 / 49 | $4.191,57 | 1604 / 49 |
Chronic Obstructive Pulmonary Disease W Mcc | 50 | 152 / 42 | $21.265,70 | 837 / 41 | $8.026,70 | 1515 / 40 | $6.860,92 | 1508 / 37 |
Transient Ischemia | 50 | 75 / 19 | $14.989,30 | 295 / 26 | $5.061,92 | 899 / 26 | $3.876,06 | 895 / 27 |
Cervical Spinal Fusion W/O Cc/Mcc | 49 | 55 / 5 | $32.415,50 | 83 / 7 | $14.347,40 | 493 / 2 | $12.702,40 | 490 / 7 |
Syncope & Collapse | 49 | 120 / 48 | $13.805,60 | 317 / 25 | $5.337,69 | 1123 / 28 | $4.258,75 | 1116 / 33 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 48 | 54 / 10 | $18.585,40 | 477 / 23 | $5.614,94 | 913 / 20 | $4.145,83 | 909 / 20 |
Hip & Femur Procedures Except Major Joint W Cc | 48 | 95 / 24 | $39.207,90 | 593 / 36 | $12.936,70 | 1154 / 25 | $11.461,90 | 1140 / 23 |
Renal Failure W Cc | 46 | 175 / 42 | $15.761,20 | 542 / 27 | $6.806,13 | 1477 / 37 | $5.714,33 | 1468 / 35 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 46 | 77 / 19 | $19.560,00 | 313 / 20 | $8.326,89 | 1059 / 23 | $7.238,35 | 1056 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 44 | 124 / 23 | $32.887,30 | 435 / 18 | $11.606,20 | 787 / 13 | $10.157,80 | 786 / 11 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 44 | 80 / 25 | $102.482,00 | 521 / 30 | $36.186,10 | 899 / 18 | $33.910,80 | 893 / 14 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 43 | 118 / 31 | $17.490,40 | 814 / 42 | $5.808,47 | 1300 / 39 | $4.651,44 | 1295 / 41 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 42 | 51 / 12 | $15.549,00 | 790 / 35 | $5.305,90 | 1313 / 34 | $4.064,29 | 1305 / 37 |
Medical Back Problems W/O Mcc | 41 | 80 / 25 | $14.321,90 | 186 / 13 | $6.177,46 | 809 / 26 | $4.774,63 | 806 / 20 |
Chest Pain | 40 | 111 / 39 | $14.635,20 | 465 / 37 | $4.613,23 | 983 / 23 | $3.519,60 | 977 / 23 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 40 | 13 / 1 | $15.124,50 | 135 / 11 | $5.473,05 | 545 / 13 | $4.443,58 | 541 / 15 |
Signs & Symptoms W/O Mcc | 39 | 52 / 15 | $14.571,80 | 302 / 18 | $5.198,10 | 707 / 18 | $4.059,18 | 704 / 20 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 37 | 151 / 32 | $26.627,20 | 363 / 22 | $7.652,73 | 802 / 14 | $5.908,89 | 800 / 11 |
Red Blood Cell Disorders W/O Mcc | 37 | 106 / 40 | $15.573,20 | 502 / 32 | $5.827,95 | 1134 / 30 | $4.705,22 | 1126 / 28 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 36 | 55 / 6 | $9.718,64 | 11 / 2 | $8.002,92 | 139 / 7 | $7.035,64 | 139 / 4 |
Kidney & Urinary Tract Infections W Mcc | 36 | 108 / 28 | $20.597,80 | 608 / 21 | $7.829,69 | 1098 / 25 | $6.570,28 | 1094 / 20 |
Extracranial Procedures W/O Cc/Mcc | 34 | 64 / 7 | $17.748,60 | 93 / 11 | $7.150,26 | 571 / 7 | $6.005,62 | 570 / 9 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 32 | 93 / 32 | $29.497,60 | 426 / 30 | $11.254,20 | 935 / 23 | $10.094,30 | 933 / 29 |
Respiratory Infections & Inflammations W Cc | 31 | 57 / 16 | $28.913,00 | 647 / 32 | $9.352,65 | 794 / 24 | $7.973,39 | 789 / 21 |
Major Cardiovasc Procedures W/O Mcc | 31 | 70 / 16 | $69.145,30 | 245 / 15 | $21.258,30 | 464 / 5 | $19.975,70 | 464 / 8 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 25 | $40.001,80 | 330 / 26 | $14.974,10 | 943 / 17 | $13.895,50 | 934 / 20 |
Other Vascular Procedures W Cc | 28 | 74 / 25 | $49.167,40 | 193 / 12 | $17.281,10 | 609 / 7 | $15.618,50 | 606 / 9 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 34 | $26.744,40 | 800 / 32 | $8.683,50 | 1098 / 25 | $7.340,75 | 1095 / 22 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 28 | $12.791,00 | 521 / 39 | $5.314,19 | 1277 / 42 | $4.040,78 | 1267 / 35 |
G.I. Hemorrhage W Mcc | 26 | 95 / 29 | $29.165,70 | 301 / 13 | $11.498,80 | 730 / 14 | $10.326,90 | 729 / 13 |
Major Small & Large Bowel Procedures W Cc | 25 | 83 / 24 | $52.521,90 | 479 / 31 | $16.809,00 | 868 / 19 | $15.072,30 | 860 / 21 |
Seizures W/O Mcc | 25 | 83 / 35 | $15.595,90 | 289 / 25 | $5.514,96 | 746 / 22 | $4.586,80 | 743 / 23 |
G.I. Obstruction W Cc | 25 | 67 / 21 | $16.310,80 | 387 / 23 | $6.318,24 | 1001 / 31 | $5.123,08 | 998 / 29 |
Other Digestive System Diagnoses W Cc | 25 | 72 / 24 | $19.243,50 | 363 / 19 | $7.490,84 | 641 / 24 | $5.461,28 | 637 / 11 |
Pulmonary Embolism W/O Mcc | 24 | 50 / 11 | $21.075,90 | 446 / 20 | $7.134,00 | 742 / 16 | $5.653,58 | 739 / 18 |
Cellulitis W Mcc | 24 | 34 / 13 | $33.076,80 | 440 / 19 | $9.971,38 | 491 / 6 | $8.698,08 | 489 / 6 |
Other Vascular Procedures W/O Cc/Mcc | 24 | 32 / 10 | $30.409,00 | 65 / 8 | $11.074,40 | 306 / 2 | $10.014,30 | 305 / 6 |
Renal Failure W Mcc | 24 | 171 / 47 | $25.921,80 | 514 / 23 | $10.401,20 | 1185 / 16 | $9.374,33 | 1185 / 18 |
Coronary Bypass W Cardiac Cath W/O Mcc | 23 | 53 / 11 | $86.616,80 | 63 / 4 | $29.533,60 | 367 / 5 | $27.967,20 | 367 / 7 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 23 | 39 / 21 | $14.998,60 | 192 / 17 | $5.481,61 | 286 / 19 | $3.855,52 | 286 / 5 |
Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 19 | $91.203,60 | 303 / 13 | $36.228,30 | 559 / 12 | $30.183,00 | 557 / 7 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 26 | $22.786,40 | 182 / 10 | $10.258,00 | 448 / 8 | $8.924,09 | 447 / 7 |
Other Circulatory System Diagnoses W Mcc | 22 | 94 / 26 | $40.849,00 | 505 / 24 | $14.176,50 | 912 / 19 | $12.798,40 | 906 / 20 |
Respiratory Infections & Inflammations W Mcc | 22 | 114 / 32 | $30.683,40 | 401 / 23 | $12.736,60 | 879 / 17 | $11.347,50 | 869 / 15 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 22 | 59 / 12 | $298.588,00 | 81 / 3 | $120.363,00 | 219 / 1 | $112.366,00 | 219 / 1 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 21 | 103 / 37 | $12.730,30 | 230 / 16 | $5.691,24 | 118 / 21 | $3.279,00 | 118 / 1 |
Diabetes W Cc | 21 | 71 / 28 | $22.245,80 | 832 / 42 | $6.165,67 | 974 / 25 | $5.076,71 | 970 / 24 |
Other Vascular Procedures W Mcc | 21 | 76 / 22 | $54.748,00 | 114 / 10 | $19.899,90 | 263 / 3 | $18.413,00 | 262 / 3 |
Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 28 | $15.124,40 | 120 / 12 | $6.954,65 | 797 / 18 | $6.123,60 | 795 / 25 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 19 | 81 / 22 | $68.833,30 | 156 / 10 | $22.337,50 | 351 / 5 | $18.331,40 | 349 / 3 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 17 | $17.421,50 | 193 / 9 | $7.967,58 | 647 / 9 | $7.158,21 | 645 / 14 |
Other Kidney & Urinary Tract Diagnoses W Cc | 19 | 84 / 22 | $22.083,40 | 309 / 14 | $7.343,63 | 407 / 13 | $5.891,32 | 407 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 25 | $23.761,50 | 378 / 22 | $8.371,16 | 689 / 12 | $7.103,26 | 684 / 12 |
G.I. Hemorrhage W/O Cc/Mcc | 19 | 49 / 21 | $14.994,20 | 332 / 16 | $5.251,47 | 613 / 15 | $4.086,26 | 609 / 19 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 17 | $15.707,90 | 327 / 17 | $4.875,72 | 443 / 13 | $3.696,44 | 442 / 11 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 12 | $69.196,20 | 368 / 13 | $22.461,60 | 611 / 10 | $20.803,10 | 608 / 9 |
Red Blood Cell Disorders W Mcc | 18 | 53 / 22 | $24.665,70 | 296 / 18 | $8.592,33 | 505 / 8 | $7.520,44 | 503 / 7 |
Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 14 | $58.334,90 | 283 / 14 | $20.256,60 | 538 / 7 | $18.699,90 | 535 / 8 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 17 | 25 / 5 | $104.625,00 | 28 / 2 | $35.255,20 | 28 / 1 | $30.364,50 | 28 / 1 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 17 | 59 / 21 | $25.276,20 | 53 / 10 | $9.234,06 | 39 / 13 | $7.288,94 | 39 / 8 |
Transurethral Procedures W Cc | 17 | 24 / 7 | $27.576,80 | 92 / 5 | $8.703,06 | 191 / 3 | $7.258,24 | 191 / 5 |
G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 22 | $13.394,40 | 397 / 27 | $4.635,59 | 874 / 25 | $3.590,06 | 871 / 32 |
Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 24 | $47.861,90 | 188 / 10 | $16.859,80 | 482 / 8 | $15.753,60 | 481 / 10 |
Peripheral Vascular Disorders W Cc | 17 | 67 / 31 | $15.877,80 | 219 / 10 | $6.881,29 | 594 / 12 | $5.548,00 | 591 / 12 |
Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 18 | $11.994,80 | 163 / 9 | $5.212,41 | 476 / 20 | $3.874,76 | 476 / 12 |
Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 32 | $20.776,00 | 260 / 14 | $8.042,13 | 437 / 26 | $5.832,80 | 437 / 12 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 18 | $101.038,00 | 217 / 15 | $34.858,80 | 496 / 12 | $33.218,20 | 496 / 14 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 14 | 33 / 13 | $39.466,90 | 216 / 11 | $9.991,14 | 286 / 2 | $8.574,29 | 286 / 2 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 14 | 84 / 17 | $81.778,90 | 102 / 4 | $29.325,90 | 220 / 2 | $27.550,90 | 220 / 1 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 14 | 60 / 7 | $51.577,10 | 67 / 5 | $14.773,10 | 102 / 1 | $13.560,90 | 102 / 1 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 14 | 40 / 12 | $16.337,40 | 97 / 3 | $5.445,71 | 196 / 4 | $4.322,71 | 196 / 3 |
Other Digestive System Diagnoses W Mcc | 14 | 48 / 21 | $28.371,20 | 131 / 4 | $11.020,90 | 213 / 4 | $9.535,29 | 213 / 3 |
Other Circulatory System Diagnoses W Cc | 14 | 52 / 18 | $17.968,70 | 147 / 4 | $6.984,36 | 408 / 7 | $6.108,64 | 407 / 10 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 13 | 53 / 16 | $17.623,70 | 47 / 3 | $7.640,69 | 285 / 4 | $6.750,08 | 285 / 7 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 13 | 56 / 14 | $40.787,50 | 64 / 6 | $11.796,90 | 320 / 4 | $10.723,80 | 320 / 6 |
Atherosclerosis W/O Mcc | 13 | 45 / 22 | $17.231,80 | 248 / 19 | $4.687,23 | / 8 | $3.719,54 | / |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 18 | $43.034,20 | 355 / 17 | $10.895,50 | 476 / 5 | $9.717,62 | 476 / 10 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 13 | $38.696,90 | 277 / 7 | $12.818,40 | 330 / 4 | $11.481,70 | 329 / 6 |
Other Digestive System Diagnoses W/O Cc/Mcc | 13 | 30 / 14 | $10.452,20 | 35 / 4 | $5.073,46 | 162 / 7 | $3.641,23 | 162 / 6 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 13 | $42.748,50 | 315 / 12 | $11.010,60 | 476 / 7 | $9.439,85 | 474 / 7 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 14 | $33.176,60 | 205 / 17 | $9.250,23 | 196 / 10 | $6.123,77 | 196 / 1 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 13 | 34 / 17 | $17.601,60 | 114 / 8 | $5.329,23 | 136 / 5 | $3.968,62 | 136 / 5 |
Postoperative & Post-Traumatic Infections W/O Mcc | 13 | 41 / 12 | $18.762,70 | 108 / 10 | $7.137,69 | 215 / 9 | $6.053,85 | 215 / 9 |
Nervous System Neoplasms W Mcc | 12 | 36 / 13 | $17.282,80 | 13 / 1 | $8.924,75 | 112 / 1 | $7.757,25 | 112 / 1 |
Nonspecific Cva & Precerebral Occlusion W/O Infarct W/O Mcc | 12 | 11 / 4 | $17.343,90 | 7 / 2 | $6.108,17 | 32 / 1 | $5.259,50 | 32 / 1 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 27 | $75.641,90 | 93 / 8 | $32.119,40 | 359 / 4 | $30.036,10 | 359 / 5 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 12 | 36 / 9 | $31.713,90 | 50 / 4 | $10.099,80 | 113 / 2 | $8.823,33 | 113 / 2 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 12 | 34 / 15 | $13.631,10 | 16 / 2 | $7.295,25 | 83 / 2 | $5.175,92 | 83 / 2 |
Acute Myocardial Infarction, Expired W Mcc | 12 | 18 / 9 | $29.252,50 | 34 / 1 | $11.434,50 | 74 / 1 | $10.163,10 | 74 / 1 |
Cervical Spinal Fusion W Mcc | 11 | 11 / 3 | $65.411,50 | 2 / 1 | $30.408,70 | 7 / 1 | $29.093,50 | 7 / 1 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 15 | $24.575,30 | 208 / 6 | $9.187,64 | 371 / 2 | $8.004,91 | 370 / 4 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 11 | 77 / 17 | $61.104,50 | 39 / 3 | $23.618,10 | 327 / 5 | $22.178,60 | 326 / 6 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 11 | 31 / 7 | $89.708,80 | 21 / 1 | $28.662,90 | 45 / 1 | $27.092,70 | 45 / 2 |
Respiratory Neoplasms W Mcc | 11 | 41 / 17 | $23.732,10 | 56 / 2 | $11.318,20 | 268 / 3 | $9.949,36 | 268 / 3 |
Respiratory Neoplasms W Cc | 11 | 36 / 16 | $27.074,90 | 154 / 8 | $8.232,82 | 243 / 7 | $7.050,73 | 242 / 6 |
Seizures W Mcc | 11 | 55 / 20 | $41.468,50 | 379 / 13 | $11.760,60 | 452 / 7 | $9.998,64 | 452 / 5 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 11 | 107 / 22 | $91.641,10 | 46 / 4 | $32.532,50 | 198 / 4 | $30.807,30 | 198 / 7 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 20 | $22.895,30 | 142 / 9 | $7.461,18 | 435 / 4 | $6.130,18 | 434 / 8 | Total 116 procedures | 4.076 | 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.