Hospital Costs > In Texas > United Regional Health Care System, 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 | 305 | 213 / 22 | $53.900,90 | 1915 / 114 | $13.589,70 | 1906 / 177 | $12.067,30 | 1871 / 176 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 191 | 373 / 39 | $52.920,00 | 1415 / 74 | $15.529,40 | 1873 / 175 | $13.097,70 | 1831 / 198 |
Heart Failure & Shock W Cc | 154 | 124 / 15 | $24.765,80 | 1645 / 76 | $7.215,73 | 1538 / 158 | $5.814,89 | 1533 / 133 |
Heart Failure & Shock W Mcc | 152 | 132 / 16 | $39.799,40 | 1649 / 82 | $10.539,00 | 1749 / 146 | $9.596,54 | 1744 / 157 |
Renal Failure W Cc | 148 | 75 / 12 | $26.303,50 | 1509 / 69 | $6.803,99 | 1462 / 115 | $5.696,62 | 1453 / 127 |
Simple Pneumonia & Pleurisy W Cc | 147 | 57 / 7 | $30.114,60 | 1953 / 110 | $7.211,00 | 1628 / 162 | $5.647,85 | 1621 / 140 |
Simple Pneumonia & Pleurisy W Mcc | 136 | 69 / 12 | $35.730,60 | 1395 / 60 | $10.444,20 | 1625 / 147 | $8.963,89 | 1625 / 145 |
Renal Failure W Mcc | 120 | 76 / 13 | $36.183,60 | 1110 / 56 | $11.024,80 | 1386 / 120 | $9.915,08 | 1386 / 134 |
G.I. Hemorrhage W Cc | 109 | 109 / 12 | $27.202,90 | 1382 / 51 | $7.132,68 | 1435 / 110 | $5.865,68 | 1432 / 109 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 104 | 171 / 27 | $23.005,30 | 1714 / 85 | $5.406,96 | 1433 / 121 | $4.073,25 | 1422 / 119 |
Chronic Obstructive Pulmonary Disease W Mcc | 97 | 105 / 15 | $27.097,50 | 1274 / 47 | $8.214,83 | 1470 / 126 | $6.795,15 | 1464 / 125 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 90 | 92 / 17 | $27.856,00 | 990 / 24 | $7.687,81 | 1298 / 93 | $6.336,58 | 1295 / 106 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 88 | 44 / 6 | $53.013,40 | 709 / 23 | $16.484,30 | 1049 / 112 | $14.354,20 | 1039 / 104 |
Hip & Femur Procedures Except Major Joint W Cc | 85 | 58 / 14 | $47.199,00 | 940 / 30 | $13.951,00 | 1380 / 126 | $12.305,90 | 1362 / 130 |
Pulmonary Edema & Respiratory Failure | 80 | 123 / 16 | $34.546,90 | 1273 / 55 | $8.805,17 | 1245 / 105 | $7.310,42 | 1243 / 99 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 79 | 128 / 28 | $33.201,50 | 1773 / 106 | $7.682,20 | 1521 / 136 | $6.293,52 | 1515 / 133 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 76 | 120 / 14 | $67.346,00 | 625 / 31 | $15.529,20 | 988 / 100 | $12.433,70 | 981 / 115 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 76 | 85 / 12 | $22.253,60 | 1226 / 53 | $5.525,79 | 1202 / 90 | $4.510,70 | 1198 / 103 |
Cellulitis W/O Mcc | 75 | 114 / 22 | $27.190,80 | 2004 / 136 | $5.971,41 | 1635 / 115 | $4.882,43 | 1628 / 144 |
Extracranial Procedures W/O Cc/Mcc | 73 | 25 / 5 | $33.022,50 | 500 / 33 | $7.737,07 | 573 / 55 | $6.014,14 | 572 / 57 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 71 | 97 / 17 | $41.302,60 | 732 / 16 | $12.398,00 | 989 / 79 | $10.994,40 | 984 / 76 |
Chronic Obstructive Pulmonary Disease W Cc | 69 | 110 / 19 | $25.966,60 | 1513 / 58 | $6.745,85 | 1316 / 113 | $5.285,25 | 1311 / 102 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 64 | 102 / 28 | $23.305,80 | 1794 / 102 | $4.975,77 | 1339 / 113 | $3.921,31 | 1334 / 112 |
Kidney & Urinary Tract Infections W/O Mcc | 61 | 172 / 54 | $23.625,70 | 1896 / 125 | $5.371,13 | 1624 / 126 | $4.467,10 | 1613 / 146 |
Kidney & Urinary Tract Infections W Mcc | 55 | 89 / 25 | $32.879,10 | 1283 / 76 | $7.863,89 | 1258 / 103 | $6.907,60 | 1254 / 112 |
Respiratory Infections & Inflammations W Mcc | 52 | 84 / 17 | $51.943,80 | 1117 / 53 | $13.931,20 | 1304 / 104 | $12.957,20 | 1289 / 116 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 51 | 72 / 17 | $31.974,00 | 1048 / 43 | $8.603,51 | 1096 / 86 | $7.340,55 | 1093 / 92 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 50 | 74 / 19 | $115.188,00 | 691 / 29 | $36.988,00 | 1032 / 80 | $35.883,40 | 1026 / 99 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 50 | 138 / 27 | $38.020,70 | 877 / 40 | $8.748,02 | 880 / 103 | $6.080,48 | 877 / 83 |
Red Blood Cell Disorders W/O Mcc | 49 | 94 / 21 | $21.065,40 | 992 / 41 | $5.584,67 | 1142 / 81 | $4.716,94 | 1134 / 98 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 49 | 53 / 14 | $22.595,00 | 761 / 18 | $5.701,18 | 676 / 65 | $3.828,20 | 672 / 47 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 49 | 77 / 28 | $30.885,80 | 1005 / 59 | $8.154,88 | 750 / 93 | $6.498,73 | 747 / 69 |
Major Cardiovasc Procedures W/O Mcc | 43 | 58 / 13 | $105.408,00 | 633 / 33 | $23.303,20 | 665 / 51 | $22.119,20 | 664 / 65 |
Transient Ischemia | 43 | 82 / 25 | $23.049,00 | 858 / 26 | $5.298,63 | 619 / 71 | $3.494,42 | 615 / 41 |
G.I. Hemorrhage W Mcc | 41 | 80 / 18 | $47.188,80 | 925 / 44 | $12.685,30 | 1128 / 88 | $11.834,70 | 1120 / 99 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 40 | 80 / 16 | $20.990,70 | 1327 / 57 | $5.426,25 | 1108 / 106 | $3.835,70 | 1099 / 83 |
Diabetes W Cc | 39 | 53 / 13 | $27.273,80 | 1086 / 60 | $6.183,59 | 631 / 68 | $4.425,67 | 630 / 43 |
Chest Pain | 39 | 112 / 29 | $20.583,00 | 964 / 30 | $4.192,62 | 719 / 40 | $3.161,23 | 714 / 53 |
G.I. Obstruction W Cc | 38 | 54 / 15 | $23.048,10 | 870 / 26 | $6.171,26 | 880 / 58 | $4.927,11 | 878 / 64 |
Major Small & Large Bowel Procedures W Cc | 38 | 70 / 16 | $66.933,60 | 796 / 37 | $17.758,10 | 1105 / 70 | $16.642,80 | 1092 / 90 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 36 | 37 / 5 | $31.874,90 | 701 / 30 | $8.214,94 | 682 / 42 | $7.274,78 | 680 / 55 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 36 | 57 / 18 | $18.508,50 | 1077 / 53 | $5.027,36 | 996 / 86 | $3.675,14 | 991 / 80 |
Diabetes W Mcc | 36 | 21 / 4 | $34.274,80 | 362 / 13 | $9.603,94 | 409 / 28 | $8.733,50 | 409 / 34 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 29 | $14.563,00 | 933 / 25 | $3.922,36 | 916 / 57 | $2.757,25 | 911 / 66 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 32 | 93 / 31 | $40.917,20 | 850 / 26 | $12.052,10 | 1203 / 88 | $11.032,40 | 1196 / 100 |
Seizures W Mcc | 32 | 34 / 8 | $44.291,30 | 415 / 19 | $10.481,20 | 334 / 32 | $9.134,41 | 334 / 36 |
Syncope & Collapse | 31 | 138 / 35 | $21.681,30 | 1006 / 33 | $5.506,32 | 942 / 85 | $3.994,35 | 936 / 70 |
Poisoning & Toxic Effects Of Drugs W Mcc | 30 | 42 / 10 | $39.450,40 | 567 / 25 | $10.170,80 | 618 / 43 | $9.218,67 | 616 / 49 |
Major Small & Large Bowel Procedures W Mcc | 29 | 56 / 15 | $115.864,00 | 523 / 19 | $38.573,00 | 788 / 71 | $33.436,90 | 786 / 67 |
Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 27 | $14.745,00 | 825 / 20 | $4.863,72 | 895 / 95 | $3.638,00 | 888 / 71 |
Respiratory Infections & Inflammations W Cc | 29 | 59 / 17 | $38.490,90 | 937 / 56 | $10.164,80 | 853 / 97 | $8.154,79 | 848 / 81 |
Pulmonary Embolism W/O Mcc | 29 | 45 / 9 | $31.270,30 | 872 / 33 | $7.877,07 | 667 / 54 | $5.489,59 | 664 / 45 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 29 | 67 / 26 | $37.345,00 | 887 / 47 | $8.309,38 | 758 / 52 | $7.267,07 | 753 / 59 |
Other Digestive System Diagnoses W Cc | 28 | 69 / 16 | $21.672,20 | 498 / 9 | $7.217,61 | 631 / 53 | $5.452,00 | 627 / 41 |
Disorders Of Pancreas Except Malignancy W Cc | 28 | 33 / 8 | $26.976,60 | 537 / 21 | $6.388,14 | 516 / 21 | $5.344,64 | 514 / 34 |
Seizures W/O Mcc | 26 | 82 / 21 | $19.970,00 | 555 / 11 | $5.713,38 | 447 / 47 | $3.970,96 | 445 / 32 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 25 | 31 / 10 | $41.443,10 | 318 / 12 | $13.223,60 | 401 / 26 | $12.260,10 | 400 / 31 |
Respiratory Neoplasms W Mcc | 25 | 27 / 5 | $40.576,60 | 271 / 6 | $11.806,20 | 372 / 22 | $10.872,40 | 371 / 26 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 25 | 75 / 21 | $79.567,70 | 272 / 12 | $21.950,60 | 608 / 51 | $20.930,80 | 604 / 68 |
Peripheral Vascular Disorders W Cc | 25 | 59 / 18 | $28.412,20 | 760 / 38 | $7.022,84 | 613 / 47 | $5.588,20 | 610 / 49 |
Other Circulatory System Diagnoses W Mcc | 24 | 92 / 33 | $40.467,70 | 498 / 15 | $12.960,80 | 626 / 64 | $11.238,00 | 624 / 61 |
Other Circulatory System Diagnoses W Cc | 23 | 43 / 9 | $27.808,20 | 372 / 18 | $7.135,78 | 323 / 22 | $5.633,70 | 322 / 21 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 23 | 33 / 13 | $43.317,80 | 332 / 11 | $11.459,20 | 616 / 52 | $10.313,60 | 614 / 65 |
Acute Myocardial Infarction, Discharged Alive W Cc | 22 | 69 / 23 | $33.468,90 | 864 / 34 | $9.890,73 | 724 / 87 | $5.939,41 | 722 / 51 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 22 | 70 / 24 | $103.946,00 | 206 / 8 | $40.675,00 | 642 / 57 | $39.597,20 | 641 / 71 |
Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 21 | $24.115,50 | 555 / 21 | $6.052,33 | 591 / 38 | $5.049,29 | 587 / 54 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 21 | 49 / 14 | $22.659,70 | 244 / 21 | $6.753,81 | 231 / 30 | $5.490,19 | 231 / 26 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 21 | 48 / 8 | $62.688,50 | 223 / 8 | $18.259,00 | 360 / 13 | $17.155,70 | 360 / 18 |
Other Digestive System Diagnoses W Mcc | 20 | 42 / 10 | $45.325,10 | 394 / 22 | $12.131,40 | 443 / 38 | $11.261,00 | 442 / 46 |
Extracranial Procedures W Cc | 20 | 26 / 9 | $49.774,40 | 234 / 12 | $11.765,70 | 213 / 26 | $9.413,50 | 213 / 21 |
Peripheral Vascular Disorders W Mcc | 20 | 29 / 7 | $30.741,50 | 216 / 8 | $9.471,60 | 347 / 26 | $8.829,00 | 347 / 39 |
Coronary Bypass W Cardiac Cath W Mcc | 20 | 36 / 10 | $194.387,00 | 221 / 17 | $52.142,40 | 290 / 39 | $47.722,50 | 290 / 41 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 20 | 51 / 21 | $120.058,00 | 383 / 17 | $37.292,10 | 677 / 61 | $36.380,40 | 676 / 69 |
Red Blood Cell Disorders W Mcc | 19 | 52 / 20 | $25.599,70 | 334 / 13 | $8.654,32 | 635 / 50 | $7.945,05 | 631 / 65 |
Respiratory Neoplasms W Cc | 19 | 28 / 6 | $40.147,10 | 323 / 7 | $8.190,00 | 254 / 11 | $7.107,16 | 253 / 18 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 19 | 69 / 19 | $114.749,00 | 336 / 17 | $26.208,20 | 440 / 34 | $24.935,40 | 439 / 43 |
Postoperative & Post-Traumatic Infections W/O Mcc | 18 | 36 / 7 | $30.838,50 | 295 / 14 | $6.868,28 | 237 / 14 | $6.278,50 | 237 / 20 |
Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 55 | $82.572,50 | 562 / 32 | $30.780,70 | 898 / 99 | $25.001,40 | 893 / 103 |
Peripheral Vascular Disorders W/O Cc/Mcc | 18 | 27 / 6 | $18.502,20 | 196 / 7 | $4.696,11 | 144 / 8 | $3.463,00 | 144 / 8 |
G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 19 | $16.748,80 | 646 / 21 | $4.530,50 | 541 / 47 | $3.012,89 | 540 / 46 |
Other Vascular Procedures W Cc | 17 | 85 / 37 | $64.970,30 | 442 / 25 | $17.436,20 | 704 / 64 | $16.465,60 | 700 / 83 |
Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 22 | $45.318,00 | 144 / 2 | $18.405,40 | 650 / 56 | $17.266,80 | 649 / 66 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 17 | 21 / 5 | $17.035,60 | 175 / 8 | $4.825,41 | 223 / 16 | $3.464,41 | 223 / 16 |
Renal Failure W/O Cc/Mcc | 17 | 39 / 16 | $18.060,70 | 492 / 21 | $4.340,65 | 470 / 26 | $3.499,00 | 469 / 34 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 17 | 64 / 14 | $251.460,00 | 40 / 2 | $120.426,00 | 263 / 22 | $118.858,00 | 262 / 28 |
Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 12 | $17.634,20 | 418 / 13 | $4.965,24 | 447 / 25 | $3.818,88 | 447 / 30 |
Cellulitis W Mcc | 16 | 42 / 17 | $47.133,90 | 705 / 46 | $15.291,90 | 386 / 70 | $8.267,94 | 384 / 35 |
Signs & Symptoms W/O Mcc | 16 | 75 / 26 | $23.213,20 | 821 / 33 | $5.206,25 | 560 / 46 | $3.780,25 | 559 / 31 |
Stomach, Esophageal & Duodenal Proc W Mcc | 16 | 25 / 7 | $94.893,40 | 43 / 1 | $38.516,60 | 117 / 9 | $37.386,80 | 117 / 11 |
Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 25 | $62.851,80 | 337 / 7 | $21.223,80 | 677 / 54 | $20.181,30 | 674 / 60 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 16 | $45.033,70 | 390 / 23 | $13.741,10 | 444 / 45 | $9.501,62 | 444 / 40 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 16 | 49 / 19 | $73.847,20 | 427 / 12 | $23.709,20 | 722 / 47 | $22.482,20 | 719 / 51 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 16 | 31 / 11 | $40.357,90 | 315 / 27 | $8.498,19 | 424 / 32 | $7.508,44 | 423 / 49 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 15 | 25 / 10 | $70.119,20 | 237 / 14 | $17.175,10 | 290 / 24 | $15.816,90 | 289 / 30 |
O.R. Procedures For Obesity W/O Cc/Mcc | 15 | 62 / 28 | $39.170,50 | 172 / 7 | $12.924,90 | 163 / 34 | $8.428,40 | 163 / 15 |
Major Cardiovasc Procedures W Mcc | 15 | 53 / 18 | $167.340,00 | 416 / 22 | $39.946,90 | 472 / 36 | $38.822,10 | 471 / 41 |
Coronary Bypass W Cardiac Cath W/O Mcc | 15 | 61 / 21 | $156.759,00 | 382 / 22 | $46.051,30 | 238 / 43 | $25.697,20 | 238 / 23 |
Hypertension W/O Mcc | 15 | 50 / 18 | $22.377,70 | 475 / 25 | $4.338,40 | 261 / 21 | $3.055,33 | 259 / 17 |
Disorders Of The Biliary Tract W Cc | 14 | 40 / 9 | $38.914,10 | 313 / 13 | $7.304,93 | 232 / 14 | $6.339,50 | 232 / 18 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 17 | $50.938,00 | 897 / 45 | $9.432,36 | 895 / 40 | $8.462,93 | 894 / 40 |
G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 18 | $17.961,90 | 463 / 16 | $5.916,29 | 228 / 67 | $3.229,93 | 226 / 19 |
Digestive Malignancy W Cc | 14 | 33 / 5 | $46.834,60 | 279 / 14 | $8.776,14 | 190 / 10 | $7.676,14 | 188 / 10 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 14 | 62 / 18 | $40.048,70 | 210 / 17 | $12.868,90 | 268 / 36 | $11.767,40 | 268 / 37 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 16 | $29.016,60 | 555 / 16 | $5.518,69 | 386 / 26 | $3.962,31 | 383 / 23 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 24 | $58.191,50 | 440 / 17 | $16.938,50 | 447 / 50 | $12.534,50 | 441 / 38 |
Medical Back Problems W/O Mcc | 13 | 108 / 37 | $25.334,20 | 839 / 29 | $5.911,08 | 821 / 48 | $4.805,23 | 818 / 61 |
Fever | 12 | 34 / 10 | $32.972,60 | 246 / 12 | $6.041,75 | 137 / 6 | $4.809,25 | 137 / 8 |
Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 19 | $53.337,40 | 319 / 22 | $13.435,00 | 300 / 40 | $9.905,33 | 299 / 33 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 23 | $117.438,00 | 332 / 14 | $37.451,30 | 482 / 49 | $32.791,80 | 482 / 50 |
Atherosclerosis W/O Mcc | 12 | 46 / 14 | $18.054,60 | 267 / 5 | $8.121,08 | / | $2.773,00 | / |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 29 | $52.999,30 | 818 / 30 | $11.522,60 | 787 / 38 | $10.744,60 | 785 / 47 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 21 | $132.038,00 | 36 / 3 | $73.840,80 | 359 / 38 | $72.531,50 | 358 / 41 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 12 | 18 / 10 | $43.991,80 | 77 / 6 | $16.076,80 | 96 / 18 | $11.628,20 | 95 / 13 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 12 | 51 / 13 | $77.650,80 | 121 / 6 | $24.234,00 | 188 / 12 | $22.955,50 | 187 / 19 |
Pulmonary Embolism W Mcc | 12 | 31 / 12 | $34.899,90 | 246 / 3 | $10.648,70 | 389 / 19 | $9.635,83 | 389 / 26 |
Complications Of Treatment W Cc | 11 | 41 / 11 | $29.887,80 | 215 / 11 | $6.813,27 | 175 / 8 | $6.168,00 | 175 / 12 |
Vaginal Delivery W/O Complicating Diagnoses | 11 | 14 / 4 | $9.880,45 | 22 / 3 | $3.974,09 | 8 / 1 | $2.829,36 | 8 / 2 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 22 | $39.453,10 | 390 / 19 | $11.302,50 | 642 / 60 | $10.106,10 | 639 / 67 |
Stomach, Esophageal & Duodenal Proc W Cc | 11 | 39 / 9 | $63.519,70 | 89 / 3 | $22.846,50 | 11 / 12 | $12.770,20 | 11 / 2 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 9 | $25.096,40 | 238 / 7 | $4.794,73 | 182 / 3 | $3.637,64 | 181 / 4 | Total 120 procedures | 4.939 | 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.