Hospital Costs > In New York > University Hospital S U N Y Health Science 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 | 419 | 123 / 14 | $51.165,80 | 1830 / 92 | $18.500,00 | 2565 / 101 | $15.765,50 | 2520 / 99 |
Psychoses | 191 | 125 / 4 | $41.227,30 | 550 / 8 | $12.467,80 | 562 / 10 | $9.566,38 | 562 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 127 | 80 / 14 | $28.599,70 | 1533 / 68 | $10.342,80 | 2271 / 88 | $8.445,21 | 2262 / 85 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 126 | 149 / 25 | $23.571,30 | 1768 / 93 | $7.995,60 | 2391 / 96 | $5.894,02 | 2376 / 88 |
Pulmonary Edema & Respiratory Failure | 123 | 80 / 3 | $44.941,60 | 1644 / 86 | $13.674,00 | 2112 / 84 | $11.563,30 | 2106 / 86 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 113 | 451 / 52 | $47.428,10 | 1161 / 69 | $18.266,00 | 2269 / 80 | $15.092,10 | 2225 / 80 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 102 | 67 / 7 | $65.146,90 | 1205 / 64 | $18.319,30 | 1498 / 56 | $15.912,20 | 1491 / 59 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 100 | 66 / 15 | $22.990,10 | 1774 / 91 | $7.754,03 | 2293 / 96 | $6.046,37 | 2285 / 93 |
Heart Failure & Shock W Cc | 97 | 181 / 34 | $22.389,10 | 1435 / 61 | $9.339,86 | 2374 / 91 | $7.664,78 | 2368 / 86 |
Cellulitis W/O Mcc | 87 | 102 / 27 | $22.113,90 | 1667 / 81 | $8.393,29 | 2341 / 93 | $6.725,34 | 2333 / 92 |
Kidney & Urinary Tract Infections W/O Mcc | 85 | 148 / 34 | $26.493,10 | 2057 / 95 | $8.829,60 | 2539 / 103 | $6.954,95 | 2528 / 100 |
Heart Failure & Shock W Mcc | 84 | 200 / 36 | $40.146,40 | 1666 / 79 | $14.386,20 | 2354 / 85 | $12.401,30 | 2344 / 83 |
Seizures W/O Mcc | 77 | 31 / 8 | $35.492,40 | 1071 / 89 | $9.267,23 | 1220 / 68 | $7.420,55 | 1218 / 69 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 76 | 25 / 2 | $19.847,50 | 64 / 8 | $10.124,80 | 299 / 10 | $9.278,36 | 299 / 14 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 73 | 29 / 4 | $32.788,30 | 1180 / 54 | $8.177,26 | 1442 / 55 | $6.121,66 | 1438 / 57 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 69 | 57 / 13 | $27.070,20 | 817 / 34 | $10.611,00 | 1445 / 47 | $9.023,42 | 1442 / 43 |
Simple Pneumonia & Pleurisy W Mcc | 67 | 138 / 24 | $35.542,00 | 1388 / 67 | $13.427,40 | 2235 / 82 | $11.645,50 | 2229 / 79 |
G.I. Hemorrhage W Cc | 65 | 153 / 37 | $26.902,10 | 1359 / 65 | $9.982,46 | 2208 / 84 | $8.452,18 | 2204 / 87 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 61 | 121 / 22 | $46.740,20 | 1669 / 82 | $11.363,70 | 1946 / 78 | $9.493,79 | 1942 / 80 |
Medical Back Problems W/O Mcc | 59 | 62 / 14 | $31.595,00 | 1072 / 61 | $8.958,51 | 1351 / 59 | $7.126,22 | 1346 / 60 |
Hip & Femur Procedures Except Major Joint W Cc | 58 | 85 / 16 | $49.962,60 | 1043 / 53 | $17.975,10 | 1614 / 71 | $13.414,40 | 1595 / 52 |
Chronic Obstructive Pulmonary Disease W Mcc | 58 | 144 / 38 | $25.905,70 | 1191 / 52 | $10.785,40 | 2247 / 82 | $9.056,59 | 2239 / 82 |
Simple Pneumonia & Pleurisy W Cc | 53 | 150 / 42 | $22.047,30 | 1354 / 66 | $9.391,85 | 2405 / 97 | $7.252,13 | 2396 / 87 |
Syncope & Collapse | 50 | 119 / 47 | $21.521,30 | 989 / 63 | $7.475,48 | 1679 / 68 | $5.995,08 | 1671 / 71 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 49 | 75 / 22 | $175.870,00 | 1154 / 76 | $61.708,20 | 1533 / 77 | $54.560,30 | 1523 / 77 |
Red Blood Cell Disorders W/O Mcc | 48 | 95 / 30 | $25.441,60 | 1280 / 68 | $8.270,81 | 1746 / 70 | $6.599,77 | 1737 / 70 |
Renal Failure W Mcc | 47 | 148 / 28 | $44.885,80 | 1442 / 65 | $15.839,60 | 2001 / 66 | $13.907,90 | 1997 / 72 |
Spinal Fusion Except Cervical W/O Mcc | 44 | 150 / 14 | $80.307,50 | 527 / 32 | $32.369,60 | 1123 / 34 | $28.710,00 | 1118 / 39 |
Renal Failure W Cc | 41 | 180 / 47 | $33.506,40 | 1844 / 87 | $11.572,90 | 2309 / 95 | $9.099,58 | 2299 / 92 |
Kidney Transplant | 41 | 61 / 6 | $191.138,00 | 81 / 7 | $30.537,50 | 104 / 1 | $25.097,50 | 104 / 3 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 40 | 56 / 5 | $41.210,40 | 190 / 12 | $18.115,20 | 712 / 16 | $16.186,50 | 708 / 19 |
O.R. Procedures For Obesity W/O Cc/Mcc | 39 | 38 / 3 | $29.115,60 | 74 / 14 | $13.497,50 | 337 / 15 | $11.253,80 | 336 / 18 |
Other Digestive System Diagnoses W Cc | 39 | 58 / 12 | $25.093,60 | 683 / 30 | $9.663,03 | 1276 / 44 | $8.207,36 | 1272 / 47 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 37 | 17 / 3 | $30.244,90 | 289 / 18 | $7.761,86 | 342 / 14 | $6.096,46 | 342 / 15 |
G.I. Hemorrhage W Mcc | 36 | 85 / 21 | $41.910,60 | 768 / 35 | $16.022,20 | 1311 / 50 | $12.956,80 | 1301 / 43 |
Signs & Symptoms W/O Mcc | 36 | 55 / 18 | $23.975,50 | 853 / 51 | $7.559,64 | 1135 / 49 | $5.699,33 | 1132 / 45 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 35 | 96 / 19 | $71.727,00 | 1172 / 72 | $21.879,30 | 1644 / 60 | $19.633,80 | 1630 / 59 |
Cervical Spinal Fusion W/O Cc/Mcc | 35 | 69 / 8 | $51.918,50 | 359 / 16 | $18.467,50 | 730 / 13 | $15.832,10 | 727 / 16 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 35 | 57 / 21 | $165.606,00 | 609 / 61 | $55.483,00 | 986 / 50 | $51.843,50 | 985 / 52 |
Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 46 | $15.063,20 | 520 / 38 | $8.559,06 | 2058 / 80 | $6.912,31 | 2051 / 77 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 31 | 20 / 4 | $89.074,20 | 283 / 12 | $24.848,50 | 341 / 13 | $22.359,60 | 341 / 15 |
Diabetes W Cc | 31 | 61 / 18 | $24.201,20 | 953 / 51 | $8.308,58 | 1403 / 52 | $6.841,97 | 1398 / 55 |
Degenerative Nervous System Disorders W/O Mcc | 30 | 48 / 20 | $33.284,80 | 570 / 42 | $9.701,17 | 671 / 36 | $7.461,80 | 671 / 32 |
G.I. Obstruction W Cc | 29 | 63 / 17 | $19.055,50 | 588 / 31 | $8.375,38 | 1532 / 61 | $6.899,72 | 1527 / 62 |
Major Small & Large Bowel Procedures W Cc | 29 | 79 / 20 | $79.102,20 | 992 / 52 | $24.791,70 | 1425 / 60 | $21.498,50 | 1411 / 60 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 28 | 34 / 17 | $24.479,40 | 498 / 40 | $7.831,00 | 693 / 46 | $5.881,21 | 691 / 46 |
Transient Ischemia | 28 | 97 / 32 | $30.746,10 | 1200 / 78 | $7.714,79 | 1538 / 68 | $6.191,32 | 1530 / 70 |
Diabetes W Mcc | 28 | 29 / 6 | $33.202,10 | 343 / 14 | $12.315,20 | 606 / 15 | $10.786,90 | 605 / 16 |
Hip & Femur Procedures Except Major Joint W Mcc | 27 | 35 / 6 | $67.978,60 | 392 / 17 | $25.285,40 | 814 / 25 | $22.825,10 | 811 / 23 |
Major Small & Large Bowel Procedures W Mcc | 27 | 58 / 16 | $172.879,00 | 933 / 41 | $57.975,00 | 1258 / 55 | $53.356,80 | 1255 / 58 |
Acute Myocardial Infarction, Discharged Alive W Cc | 26 | 65 / 22 | $34.264,80 | 886 / 50 | $10.234,20 | 1227 / 57 | $7.924,46 | 1225 / 50 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 26 | 98 / 32 | $23.802,50 | 590 / 39 | $7.460,62 | 718 / 35 | $5.968,65 | 717 / 36 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 26 | 29 / 6 | $57.723,60 | 334 / 11 | $17.922,40 | 565 / 9 | $15.645,20 | 561 / 16 |
Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 37 | $30.817,30 | 1214 / 41 | $10.851,40 | 1630 / 55 | $8.290,96 | 1626 / 48 |
Major Cardiovasc Procedures W/O Mcc | 26 | 75 / 21 | $73.134,50 | 299 / 19 | $27.319,20 | 838 / 22 | $25.604,50 | 837 / 24 |
Respiratory Infections & Inflammations W Mcc | 26 | 110 / 29 | $50.952,70 | 1095 / 42 | $17.710,80 | 1497 / 55 | $14.219,10 | 1481 / 46 |
Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 38 | $24.354,00 | 1524 / 85 | $7.266,12 | 1830 / 81 | $5.797,12 | 1817 / 78 |
Peripheral Vascular Disorders W Cc | 25 | 59 / 23 | $23.458,90 | 564 / 25 | $9.168,56 | 1071 / 42 | $7.818,16 | 1068 / 42 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 25 | 41 / 6 | $41.666,60 | 361 / 17 | $10.874,80 | 447 / 14 | $8.948,56 | 446 / 16 |
Respiratory Infections & Inflammations W Cc | 25 | 63 / 21 | $31.821,40 | 745 / 38 | $13.384,70 | 1313 / 58 | $10.744,20 | 1308 / 55 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 25 | 17 / 2 | $191.473,00 | 123 / 7 | $59.357,20 | 168 / 5 | $54.553,00 | 168 / 8 |
Disorders Of Pancreas Except Malignancy W Cc | 24 | 37 / 8 | $22.774,00 | 399 / 15 | $9.041,71 | 847 / 26 | $7.514,08 | 844 / 29 |
Respiratory Neoplasms W Cc | 24 | 23 / 5 | $40.703,80 | 327 / 19 | $12.044,80 | 444 / 20 | $10.183,10 | 443 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 46 | $20.155,90 | 1066 / 53 | $8.000,75 | 1889 / 73 | $6.204,38 | 1884 / 71 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 32 | $17.155,70 | 1029 / 56 | $7.190,70 | 1920 / 78 | $6.058,35 | 1909 / 82 |
Poisoning & Toxic Effects Of Drugs W Mcc | 23 | 49 / 4 | $53.989,70 | 761 / 25 | $17.805,30 | 953 / 27 | $15.493,80 | 950 / 28 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 23 | 24 / 6 | $36.782,10 | 191 / 9 | $13.365,10 | 419 / 15 | $10.304,40 | 419 / 14 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 23 | 41 / 9 | $51.220,70 | 474 / 21 | $15.272,00 | 692 / 23 | $13.152,20 | 692 / 26 |
Other Vascular Procedures W Cc | 22 | 80 / 29 | $76.276,20 | 611 / 33 | $23.098,90 | 1005 / 30 | $20.998,40 | 1000 / 29 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 38 | $38.949,80 | 1292 / 71 | $12.570,80 | 1757 / 71 | $10.651,20 | 1754 / 70 |
Other Kidney & Urinary Tract Diagnoses W Cc | 22 | 81 / 20 | $24.322,80 | 370 / 16 | $9.391,18 | 710 / 23 | $7.982,95 | 710 / 25 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 39 | $37.993,50 | 875 / 37 | $11.889,30 | 1536 / 41 | $9.759,43 | 1533 / 44 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 51 | $17.252,00 | 1221 / 66 | $5.976,10 | 1814 / 74 | $4.679,90 | 1808 / 78 |
Chest Pain | 21 | 130 / 53 | $18.489,50 | 805 / 59 | $6.436,52 | 1515 / 53 | $5.351,71 | 1506 / 57 |
G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 18 | $15.277,20 | 546 / 35 | $6.558,86 | 1222 / 55 | $5.174,86 | 1219 / 62 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 15 | $34.789,30 | 751 / 26 | $12.215,60 | 1057 / 42 | $10.594,20 | 1055 / 43 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 21 | 43 / 15 | $451.449,00 | 481 / 40 | $151.945,00 | 561 / 43 | $136.237,00 | 560 / 44 |
Postoperative & Post-Traumatic Infections W/O Mcc | 21 | 33 / 6 | $33.240,40 | 317 / 17 | $12.040,40 | 435 / 32 | $10.464,40 | 435 / 33 |
Fractures Of Hip & Pelvis W/O Mcc | 20 | 41 / 15 | $25.899,50 | 671 / 39 | $7.354,20 | 827 / 44 | $5.517,60 | 826 / 40 |
Seizures W Mcc | 20 | 46 / 11 | $64.900,90 | 610 / 33 | $18.306,60 | 711 / 30 | $15.293,20 | 711 / 27 |
Cellulitis W Mcc | 20 | 38 / 17 | $40.304,10 | 601 / 28 | $15.614,50 | 915 / 44 | $13.609,20 | 913 / 46 |
Diabetes W/O Cc/Mcc | 20 | 18 / 8 | $17.674,90 | 155 / 21 | $6.231,25 | 245 / 16 | $5.014,90 | 245 / 16 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 20 | 43 / 12 | $149.669,00 | 474 / 26 | $53.958,10 | 682 / 36 | $42.428,80 | 682 / 28 |
Major Cardiovasc Procedures W Mcc | 19 | 49 / 16 | $146.947,00 | 331 / 12 | $49.845,50 | 580 / 16 | $47.128,90 | 579 / 19 |
Revision Of Hip Or Knee Replacement W Cc | 19 | 67 / 10 | $72.367,30 | 239 / 12 | $28.245,10 | 526 / 14 | $23.799,30 | 524 / 11 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 19 | 21 / 3 | $177.263,00 | 46 / 2 | $58.737,70 | 60 / 1 | $53.001,40 | 60 / 1 |
Other Resp System O.R. Procedures W Mcc | 19 | 44 / 8 | $98.897,80 | 336 / 9 | $35.348,00 | 534 / 16 | $32.210,40 | 533 / 17 |
Kidney & Ureter Procedures For Neoplasm W Cc | 19 | 25 / 5 | $57.758,30 | 87 / 5 | $18.472,90 | 145 / 3 | $16.581,90 | 145 / 5 |
Extracranial Procedures W/O Cc/Mcc | 19 | 79 / 19 | $33.986,20 | 526 / 31 | $9.788,11 | 884 / 26 | $8.690,95 | 881 / 30 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 44 | $50.275,80 | 1149 / 70 | $16.600,80 | 1653 / 67 | $14.693,30 | 1640 / 68 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 18 | 22 / 9 | $44.219,40 | 220 / 17 | $12.006,30 | 264 / 20 | $9.978,44 | 264 / 22 |
Other Vascular Procedures W Mcc | 18 | 79 / 24 | $77.084,10 | 346 / 23 | $31.120,60 | 747 / 30 | $24.609,20 | 744 / 18 |
Major Male Pelvic Procedures W/O Cc/Mcc | 18 | 55 / 7 | $32.537,20 | 109 / 8 | $11.430,40 | 314 / 5 | $9.301,00 | 314 / 9 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 18 | 63 / 16 | $528.586,00 | 285 / 19 | $191.618,00 | 400 / 24 | $165.676,00 | 399 / 21 |
Pulmonary Embolism W/O Mcc | 18 | 56 / 16 | $29.592,70 | 823 / 32 | $9.580,22 | 1180 / 40 | $8.115,06 | 1177 / 40 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 18 | 80 / 13 | $150.398,00 | 349 / 17 | $47.664,20 | 484 / 18 | $43.895,10 | 484 / 21 |
Nervous System Neoplasms W Mcc | 18 | 30 / 10 | $65.353,90 | 260 / 15 | $19.235,20 | 304 / 21 | $16.646,40 | 304 / 21 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 18 | 26 / 6 | $94.086,70 | 290 / 12 | $26.556,70 | 359 / 12 | $22.376,70 | 357 / 11 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 18 | 20 / 3 | $21.059,40 | 272 / 7 | $6.953,28 | 424 / 9 | $5.722,50 | 423 / 13 |
Other Circulatory System Diagnoses W Mcc | 18 | 98 / 30 | $57.516,70 | 894 / 46 | $19.036,20 | 1246 / 50 | $16.965,30 | 1238 / 51 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 13 | $37.716,50 | 357 / 16 | $14.470,60 | 764 / 25 | $11.544,50 | 761 / 21 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 17 | 28 / 6 | $48.832,10 | 80 / 3 | $15.940,20 | 137 / 1 | $13.568,40 | 137 / 5 |
Disorders Of The Biliary Tract W Cc | 17 | 37 / 15 | $27.347,90 | 168 / 9 | $9.866,59 | 389 / 18 | $8.292,24 | 389 / 16 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 17 | 36 / 9 | $63.602,80 | 233 / 15 | $21.291,40 | 298 / 22 | $15.618,10 | 299 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 27 | $33.193,20 | 746 / 38 | $12.092,10 | 1300 / 47 | $10.355,90 | 1295 / 50 |
Cervical Spinal Fusion W Cc | 17 | 36 / 6 | $79.184,30 | 218 / 10 | $24.387,90 | 317 / 8 | $22.385,40 | 316 / 11 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 17 | 52 / 6 | $72.824,10 | 298 / 7 | $25.300,80 | 437 / 5 | $20.933,60 | 437 / 5 |
Headaches W/O Mcc | 17 | 26 / 5 | $22.499,70 | 126 / 5 | $7.013,00 | 212 / 4 | $5.915,12 | 212 / 5 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 18 | $32.573,80 | 781 / 49 | $7.664,35 | 814 / 33 | $5.935,53 | 813 / 33 |
Other Vascular Procedures W/O Cc/Mcc | 17 | 39 / 13 | $46.184,80 | 248 / 18 | $14.472,10 | 464 / 14 | $12.873,10 | 463 / 16 |
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 17 | 15 / 5 | $34.521,50 | 70 / 5 | $10.852,60 | 112 / 4 | $8.949,12 | 112 / 5 |
Other O.R. Procedures For Injuries W Cc | 16 | 19 / 3 | $71.949,10 | 124 / 5 | $21.408,60 | 155 / 3 | $18.071,80 | 155 / 5 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 32 | $55.239,90 | 840 / 44 | $20.114,00 | 1076 / 52 | $17.542,40 | 1072 / 56 |
Respiratory Neoplasms W Mcc | 16 | 36 / 12 | $70.604,10 | 502 / 21 | $18.583,90 | 567 / 20 | $14.110,80 | 564 / 14 |
Other Kidney & Urinary Tract Procedures W Mcc | 15 | 23 / 8 | $111.346,00 | 161 / 11 | $38.041,50 | 212 / 17 | $31.574,00 | 211 / 15 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 25 | $26.658,20 | 359 / 21 | $11.348,30 | 926 / 31 | $10.123,90 | 922 / 35 |
Complications Of Treatment W Cc | 15 | 37 / 10 | $35.510,70 | 266 / 14 | $11.691,50 | 344 / 18 | $10.312,60 | 344 / 21 |
Organic Disturbances & Mental Retardation | 15 | 44 / 22 | $38.567,50 | 436 / 30 | $12.854,70 | 525 / 34 | $10.579,80 | 525 / 35 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 19 | $17.443,70 | 152 / 12 | $8.436,73 | 614 / 23 | $7.049,93 | 614 / 27 |
Other Disorders Of Nervous System W/O Cc/Mcc | 14 | 21 / 12 | $22.005,90 | 70 / 6 | $7.217,86 | 108 / 8 | $5.125,29 | 108 / 6 |
Other Disorders Of Nervous System W Cc | 14 | 42 / 17 | $29.265,40 | 362 / 12 | $8.624,79 | 528 / 17 | $7.222,14 | 527 / 17 |
Other Digestive System Diagnoses W Mcc | 14 | 48 / 21 | $92.426,20 | 705 / 44 | $31.154,40 | 757 / 48 | $27.920,50 | 756 / 49 |
Hernia Procedures Except Inguinal & Femoral W Cc | 14 | 20 / 5 | $35.618,90 | 30 / 1 | $14.057,10 | 112 / 3 | $12.385,20 | 112 / 4 |
Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 14 | 13 / 5 | $32.363,50 | 17 / 3 | $9.671,71 | 42 / 1 | $8.269,86 | 42 / 3 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 11 | $19.820,90 | 183 / 7 | $9.123,21 | 388 / 8 | $6.825,36 | 388 / 5 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 14 | 75 / 17 | $29.928,00 | 298 / 15 | $10.075,50 | 634 / 15 | $7.715,29 | 633 / 18 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 25 | $180.918,00 | 679 / 54 | $56.499,60 | 926 / 46 | $48.722,70 | 925 / 45 |
Stomach, Esophageal & Duodenal Proc W Cc | 13 | 37 / 8 | $96.097,60 | 171 / 10 | $30.668,80 | 214 / 11 | $28.249,80 | 214 / 12 |
Nonspecific Cerebrovascular Disorders W Cc | 13 | 43 / 7 | $26.207,20 | 245 / 6 | $9.243,62 | 355 / 5 | $6.744,92 | 355 / 6 |
Major Chest Procedures W/O Cc/Mcc | 13 | 46 / 11 | $74.960,00 | 207 / 15 | $17.197,10 | 239 / 11 | $15.220,30 | 239 / 15 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 13 | 56 / 14 | $36.218,80 | 35 / 2 | $16.166,80 | 457 / 16 | $12.705,80 | 455 / 13 |
Digestive Malignancy W Cc | 13 | 34 / 15 | $52.689,70 | 314 / 17 | $15.303,90 | 379 / 21 | $13.501,00 | 377 / 24 |
Bone Diseases & Arthropathies W/O Mcc | 13 | 31 / 14 | $39.663,80 | 274 / 22 | $10.714,20 | 279 / 23 | $9.011,54 | 279 / 23 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 11 | $54.536,60 | 145 / 9 | $23.743,90 | 364 / 7 | $17.276,20 | 363 / 7 |
Other Resp System O.R. Procedures W Cc | 13 | 34 / 7 | $57.138,40 | 196 / 6 | $19.301,50 | 308 / 12 | $17.251,90 | 308 / 13 |
Transurethral Procedures W Cc | 13 | 28 / 11 | $41.099,90 | 228 / 16 | $13.122,80 | 366 / 18 | $11.191,20 | 366 / 21 |
Nervous System Neoplasms W/O Mcc | 12 | 18 / 2 | $53.751,20 | 86 / 1 | $13.952,20 | 99 / 2 | $10.809,20 | 99 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 12 | 184 / 41 | $33.708,10 | 38 / 5 | $16.638,80 | 1296 / 23 | $15.344,90 | 1289 / 29 |
Hypertension W/O Mcc | 12 | 53 / 24 | $27.748,50 | 607 / 46 | $6.745,67 | 677 / 25 | $5.123,83 | 675 / 27 |
Amputation For Musculoskeletal Sys & Conn Tissue Dis W Cc | 12 | 8 / 1 | $60.555,70 | 17 / 1 | $16.955,80 | 19 / 1 | $14.677,50 | 19 / 1 |
Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 6 | $120.233,00 | 405 / 10 | $33.638,90 | 413 / 11 | $29.208,80 | 413 / 11 |
Lymphoma & Non-Acute Leukemia W Cc | 12 | 24 / 6 | $75.036,30 | 109 / 5 | $17.388,50 | 111 / 3 | $14.645,20 | 111 / 5 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 14 | $57.032,80 | 328 / 13 | $16.573,90 | 485 / 8 | $14.496,10 | 481 / 11 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 11 | 20 / 8 | $40.979,90 | 130 / 5 | $12.097,10 | 143 / 10 | $8.615,82 | 143 / 8 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 14 | $42.430,10 | 345 / 18 | $13.181,30 | 445 / 22 | $11.479,30 | 445 / 24 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 11 | 37 / 10 | $65.736,90 | 195 / 15 | $18.692,80 | 231 / 16 | $16.468,70 | 230 / 16 |
Pneumothorax W Cc | 11 | 14 / 4 | $41.649,00 | 76 / 3 | $10.971,50 | 83 / 3 | $8.790,45 | 83 / 2 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 11 | 44 / 8 | $91.930,50 | 128 / 5 | $28.719,50 | 199 / 3 | $26.366,90 | 199 / 6 |
Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 11 | 21 / 6 | $69.234,60 | 72 / 4 | $21.730,60 | 110 / 5 | $19.461,00 | 110 / 6 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 28 | $13.984,20 | 276 / 13 | $7.039,55 | 906 / 37 | $5.909,82 | 902 / 42 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 11 | 63 / 9 | $62.081,10 | 114 / 8 | $17.716,40 | 189 / 4 | $16.589,60 | 188 / 6 | Total 151 procedures | 5.123 | 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.