Hospital Costs > In New York > University Hospital Stony Brook, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Adjustment Reaction & Psychosocial Dysfunction | 27 | 5 / 2 | $18.625,50 | 36 / 1 | $7.625,96 | 66 / 1 | $6.355,00 | 66 / 1 |
Acute Leukemia W/O Major O.R. Procedure W Mcc | 11 | 25 / 5 | $248.082,00 | 41 / 3 | $73.844,80 | 53 / 2 | $66.950,50 | 53 / 4 |
Acute Myocardial Infarction, Discharged Alive W Cc | 63 | 29 / 3 | $36.777,90 | 957 / 60 | $11.626,00 | 1338 / 66 | $9.363,81 | 1336 / 61 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 86 | 39 / 6 | $81.885,90 | 1573 / 98 | $21.966,80 | 1775 / 88 | $18.275,70 | 1762 / 86 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 30 | 23 / 5 | $25.337,60 | 467 / 35 | $8.988,20 | 816 / 42 | $6.887,93 | 812 / 40 |
Acute Myocardial Infarction, Expired W Mcc | 15 | 15 / 6 | $79.929,90 | 161 / 11 | $20.055,70 | 188 / 12 | $17.991,70 | 188 / 13 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 27 | 97 / 31 | $45.849,20 | 814 / 63 | $11.027,70 | 805 / 49 | $7.919,85 | 804 / 47 |
Atherosclerosis W/O Mcc | 72 | 4 / 1 | $21.256,60 | 342 / 29 | $7.563,14 | / 29 | $5.565,96 | / |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 15 | 51 / 11 | $53.036,00 | 296 / 10 | $19.074,90 | 506 / 14 | $15.223,70 | 502 / 13 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 18 | $29.696,10 | 293 / 14 | $11.963,20 | 713 / 19 | $9.233,15 | 712 / 22 |
Bone Diseases & Arthropathies W/O Mcc | 15 | 29 / 12 | $28.828,10 | 232 / 15 | $8.793,73 | 252 / 14 | $6.833,47 | 252 / 15 |
Bronchitis & Asthma W Cc/Mcc | 25 | 51 / 17 | $43.065,20 | 938 / 60 | $12.274,40 | 1059 / 53 | $9.788,88 | 1055 / 51 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 97 | 64 / 9 | $26.851,60 | 1488 / 79 | $9.489,24 | 2038 / 84 | $7.373,62 | 2033 / 85 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 28 | $61.994,10 | 1710 / 99 | $15.992,20 | 1853 / 88 | $12.572,70 | 1850 / 85 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 101 | 50 / 5 | $20.654,30 | 1434 / 86 | $7.028,14 | 1866 / 88 | $5.055,43 | 1860 / 83 |
Cardiac Defib Implant W Cardiac Cath W/O Ami/Hf/Shock W Mcc | 13 | 2 / 2 | $242.700,00 | 3 / 2 | $85.796,50 | 2 / 3 | $49.476,50 | 2 / 1 |
Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 12 | 16 / 5 | $213.026,00 | 47 / 3 | $72.831,40 | 69 / 4 | $60.257,10 | 69 / 4 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 17 | 33 / 10 | $169.802,00 | 173 / 16 | $51.227,10 | 225 / 8 | $47.613,80 | 225 / 13 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 38 | 13 / 6 | $155.795,00 | 53 / 4 | $60.801,90 | 120 / 7 | $55.207,50 | 120 / 8 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 67 | 12 / 5 | $270.617,00 | 160 / 10 | $96.240,60 | 244 / 17 | $81.093,60 | 244 / 10 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W/O Cc/Mcc | 12 | 5 / 1 | $124.427,00 | 6 / 2 | $55.288,90 | 6 / 2 | $45.490,40 | 6 / 2 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 39 | 79 / 12 | $145.243,00 | 273 / 12 | $53.053,40 | 482 / 17 | $43.866,50 | 482 / 14 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 28 | 88 / 14 | $260.863,00 | 339 / 12 | $81.601,40 | 450 / 16 | $73.537,50 | 450 / 16 |
Cellulitis W Mcc | 25 | 33 / 12 | $49.985,20 | 732 / 38 | $16.140,40 | 903 / 47 | $13.081,30 | 901 / 42 |
Cellulitis W/O Mcc | 102 | 87 / 21 | $32.040,40 | 2195 / 118 | $10.254,60 | 2452 / 109 | $7.456,92 | 2444 / 104 |
Cervical Spinal Fusion W Cc | 17 | 36 / 6 | $60.506,10 | 135 / 8 | $27.372,40 | 262 / 10 | $19.118,00 | 261 / 7 |
Cervical Spinal Fusion W/O Cc/Mcc | 19 | 85 / 16 | $56.413,80 | 418 / 18 | $23.954,90 | 794 / 23 | $17.308,50 | 791 / 19 |
Cesarean Section W Cc/Mcc | 11 | 12 / 2 | $25.604,60 | 10 / 3 | $12.376,80 | 25 / 3 | $9.353,55 | 25 / 3 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 12 | 79 / 17 | $55.201,80 | 336 / 20 | $13.231,60 | 240 / 17 | $8.140,58 | 240 / 11 |
Chest Pain | 150 | 23 / 9 | $18.111,10 | 777 / 57 | $7.356,03 | 1542 / 63 | $5.585,29 | 1533 / 59 |
Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 38 | $25.730,00 | 1487 / 77 | $10.226,30 | 2304 / 99 | $8.600,52 | 2297 / 96 |
Chronic Obstructive Pulmonary Disease W Mcc | 65 | 137 / 32 | $35.903,30 | 1792 / 86 | $12.854,90 | 2427 / 99 | $10.525,10 | 2419 / 95 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 34 | $22.425,30 | 1430 / 81 | $8.443,76 | 1995 / 88 | $6.714,29 | 1984 / 89 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 57 | 38 / 5 | $99.427,90 | 756 / 32 | $24.917,70 | 836 / 30 | $19.413,10 | 828 / 23 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 214 | 19 / 3 | $32.329,00 | 626 / 29 | $12.016,50 | 1533 / 43 | $9.724,38 | 1530 / 42 |
Cirrhosis & Alcoholic Hepatitis W Cc | 12 | 14 / 5 | $34.273,60 | 62 / 2 | $11.129,30 | 75 / 2 | $8.340,33 | 75 / 2 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 17 | 25 / 6 | $46.357,90 | 146 / 4 | $18.148,50 | 258 / 9 | $16.294,80 | 258 / 13 |
Complications Of Treatment W Cc | 21 | 31 / 6 | $29.074,20 | 209 / 7 | $10.986,40 | 337 / 17 | $9.777,43 | 337 / 19 |
Complications Of Treatment W Mcc | 22 | 29 / 4 | $71.013,30 | 243 / 11 | $20.294,20 | 270 / 13 | $17.610,20 | 270 / 14 |
Connective Tissue Disorders W Cc | 13 | 11 / 4 | $131.318,00 | 43 / 8 | $28.529,30 | 42 / 8 | $22.068,40 | 42 / 8 |
Coronary Bypass W Cardiac Cath W Mcc | 26 | 30 / 3 | $229.719,00 | 291 / 15 | $79.110,70 | 406 / 20 | $63.570,60 | 406 / 17 |
Coronary Bypass W Cardiac Cath W/O Mcc | 65 | 11 / 2 | $137.706,00 | 306 / 14 | $48.458,80 | 574 / 21 | $38.511,30 | 574 / 20 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 33 | 55 / 8 | $113.326,00 | 324 / 13 | $40.603,80 | 553 / 15 | $31.727,40 | 552 / 18 |
Cranial & Peripheral Nerve Disorders W Mcc | 11 | 25 / 6 | $66.560,60 | 133 / 6 | $17.601,20 | 144 / 7 | $14.870,90 | 144 / 6 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 24 | 44 / 11 | $30.595,60 | 474 / 28 | $10.368,80 | 665 / 34 | $7.880,17 | 665 / 31 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 28 | 14 / 1 | $222.476,00 | 140 / 9 | $69.013,90 | 159 / 9 | $49.838,50 | 159 / 7 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 44 | 54 / 5 | $155.626,00 | 364 / 18 | $49.368,80 | 463 / 19 | $39.901,30 | 463 / 18 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 13 | 61 / 8 | $67.189,00 | 126 / 9 | $22.386,90 | 251 / 9 | $20.645,80 | 250 / 11 |
Degenerative Nervous System Disorders W/O Mcc | 36 | 42 / 16 | $54.176,90 | 798 / 65 | $11.036,80 | 754 / 44 | $8.568,58 | 754 / 43 |
Dental & Oral Diseases W Cc | 12 | 3 / 2 | $22.388,60 | 6 / 1 | $9.728,08 | 8 / 1 | $7.853,75 | 8 / 1 |
Diabetes W Cc | 46 | 46 / 9 | $33.754,70 | 1282 / 79 | $10.336,70 | 1526 / 70 | $8.275,85 | 1521 / 70 |
Diabetes W Mcc | 19 | 38 / 14 | $42.164,50 | 485 / 27 | $15.194,70 | 687 / 28 | $12.696,50 | 686 / 26 |
Digestive Malignancy W Cc | 21 | 26 / 7 | $42.775,20 | 260 / 12 | $13.606,90 | 353 / 18 | $11.248,30 | 351 / 19 |
Digestive Malignancy W Mcc | 20 | 17 / 5 | $62.373,70 | 90 / 3 | $26.738,30 | 121 / 9 | $17.933,70 | 121 / 7 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 15 | 55 / 10 | $33.054,90 | 409 / 12 | $11.038,80 | 467 / 13 | $8.011,27 | 467 / 14 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 17 | 59 / 11 | $91.760,40 | 485 / 16 | $22.792,70 | 528 / 15 | $19.935,00 | 528 / 16 |
Disorders Of Pancreas Except Malignancy W Cc | 28 | 33 / 5 | $27.434,00 | 554 / 19 | $10.470,80 | 902 / 32 | $8.543,71 | 899 / 32 |
Disorders Of Pancreas Except Malignancy W Mcc | 17 | 29 / 3 | $102.554,00 | 339 / 12 | $25.928,30 | 352 / 13 | $22.855,20 | 352 / 14 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 14 | 24 / 7 | $26.461,00 | 345 / 11 | $10.218,60 | 389 / 18 | $4.863,29 | 388 / 8 |
Disorders Of The Biliary Tract W Cc | 21 | 33 / 12 | $37.971,00 | 304 / 17 | $12.368,90 | 440 / 25 | $9.557,62 | 440 / 24 |
Disorders Of The Biliary Tract W Mcc | 15 | 24 / 9 | $64.315,00 | 196 / 10 | $17.696,70 | 231 / 12 | $15.012,30 | 231 / 12 |
Dysequilibrium | 13 | 52 / 26 | $25.592,10 | 357 / 39 | $7.883,69 | 514 / 38 | $5.561,15 | 514 / 33 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 31 | 50 / 10 | $776.121,00 | 408 / 33 | $213.688,00 | 430 / 31 | $188.319,00 | 429 / 31 |
Endocrine Disorders W Cc | 17 | 21 / 8 | $47.744,60 | 260 / 17 | $10.934,80 | 234 / 14 | $8.126,76 | 234 / 8 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 62 | 34 / 5 | $55.096,20 | 1220 / 68 | $16.338,50 | 1387 / 67 | $11.954,70 | 1382 / 57 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 216 | 67 / 7 | $27.430,80 | 2031 / 106 | $9.047,29 | 2552 / 106 | $6.972,79 | 2537 / 103 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 18 | 26 / 6 | $84.406,30 | 251 / 9 | $28.913,10 | 360 / 15 | $22.389,50 | 358 / 12 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 20 | 43 / 12 | $240.902,00 | 686 / 41 | $67.600,00 | 712 / 43 | $46.087,30 | 712 / 37 |
Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 20 | $29.440,40 | 425 / 27 | $10.398,50 | 887 / 30 | $8.727,61 | 884 / 31 |
Fever | 15 | 31 / 14 | $43.886,20 | 306 / 29 | $11.463,80 | 328 / 29 | $9.272,73 | 328 / 30 |
Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 20 | $40.565,10 | 867 / 62 | $8.866,60 | 884 / 53 | $6.801,80 | 883 / 51 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W Mcc | 11 | 11 / 4 | $89.320,10 | 45 / 3 | $20.778,90 | 45 / 3 | $17.849,10 | 45 / 4 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 42 | 21 / 8 | $34.635,10 | 664 / 62 | $9.181,45 | 746 / 58 | $6.844,17 | 744 / 54 |
G.I. Hemorrhage W Cc | 123 | 95 / 15 | $44.489,90 | 2057 / 113 | $11.516,90 | 2283 / 99 | $9.190,67 | 2279 / 96 |
G.I. Hemorrhage W Mcc | 40 | 81 / 19 | $72.779,90 | 1369 / 78 | $20.013,90 | 1602 / 67 | $17.547,90 | 1592 / 66 |
G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 22 | $21.489,80 | 608 / 36 | $7.938,53 | 936 / 45 | $6.356,65 | 932 / 46 |
G.I. Obstruction W Cc | 37 | 55 / 11 | $40.415,40 | 1463 / 74 | $10.842,50 | 1663 / 74 | $8.366,97 | 1658 / 72 |
G.I. Obstruction W Mcc | 14 | 28 / 11 | $58.819,90 | 400 / 16 | $17.533,50 | 499 / 20 | $14.720,40 | 499 / 21 |
G.I. Obstruction W/O Cc/Mcc | 30 | 41 / 10 | $27.695,30 | 1077 / 67 | $8.675,37 | 1182 / 71 | $4.749,67 | 1179 / 58 |
Headaches W/O Mcc | 12 | 31 / 9 | $30.788,20 | 168 / 9 | $8.149,83 | 221 / 6 | $6.558,00 | 221 / 7 |
Heart Failure & Shock W Cc | 164 | 114 / 15 | $33.901,30 | 2136 / 105 | $11.797,60 | 2583 / 110 | $8.931,16 | 2577 / 104 |
Heart Failure & Shock W Mcc | 163 | 121 / 12 | $58.523,90 | 2174 / 114 | $16.876,00 | 2481 / 100 | $13.963,90 | 2470 / 97 |
Heart Failure & Shock W/O Cc/Mcc | 52 | 58 / 16 | $24.829,50 | 1545 / 86 | $8.438,15 | 1877 / 91 | $6.240,56 | 1864 / 84 |
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 12 | 20 / 7 | $33.123,40 | 63 / 4 | $12.534,80 | 124 / 7 | $10.903,80 | 124 / 8 |
Hip & Femur Procedures Except Major Joint W Cc | 59 | 84 / 15 | $72.518,50 | 1583 / 85 | $21.458,40 | 1962 / 88 | $17.628,30 | 1942 / 84 |
Hip & Femur Procedures Except Major Joint W Mcc | 31 | 31 / 5 | $112.961,00 | 763 / 42 | $36.811,60 | 887 / 42 | $25.840,30 | 884 / 29 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 16 | $49.251,60 | 557 / 32 | $17.218,90 | 826 / 35 | $12.858,20 | 823 / 27 |
Hypertension W/O Mcc | 59 | 9 / 4 | $24.556,60 | 526 / 37 | $7.286,34 | 702 / 32 | $5.471,41 | 700 / 30 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 51 | 73 / 20 | $223.260,00 | 1341 / 84 | $71.926,90 | 1487 / 87 | $50.313,30 | 1477 / 68 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 83 | 99 / 9 | $58.437,30 | 1852 / 101 | $12.580,20 | 1942 / 84 | $9.433,55 | 1938 / 79 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 94 | 75 / 9 | $83.710,70 | 1393 / 81 | $20.395,60 | 1519 / 65 | $16.640,60 | 1512 / 61 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 36 | 66 / 18 | $39.408,60 | 1350 / 72 | $9.034,67 | 1535 / 61 | $7.383,81 | 1531 / 64 |
Intracranial Vascular Procedures W Pdx Hemorrhage W Mcc | 11 | 9 / 2 | $269.346,00 | 8 / 1 | $118.986,00 | 6 / 2 | $69.839,60 | 6 / 1 |
Kidney & Ureter Procedures For Neoplasm W Cc | 13 | 31 / 8 | $54.336,40 | 76 / 4 | $20.692,00 | 166 / 6 | $18.847,40 | 166 / 9 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 15 | 25 / 6 | $41.097,50 | 55 / 7 | $15.605,10 | 139 / 7 | $14.024,90 | 139 / 8 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 31 | 16 / 2 | $51.894,00 | 93 / 4 | $19.376,40 | 125 / 4 | $13.159,00 | 125 / 4 |
Kidney & Ureter Procedures For Non-Neoplasm W Mcc | 18 | 12 / 2 | $105.717,00 | 46 / 3 | $37.358,30 | 51 / 3 | $28.039,20 | 51 / 2 |
Kidney & Ureter Procedures For Non-Neoplasm W/O Cc/Mcc | 11 | 14 / 3 | $33.851,50 | 14 / 1 | $13.827,20 | 36 / 1 | $12.263,00 | 36 / 1 |
Kidney & Urinary Tract Infections W Mcc | 75 | 69 / 9 | $53.937,30 | 1727 / 78 | $14.358,70 | 1891 / 72 | $11.449,90 | 1887 / 70 |
Kidney & Urinary Tract Infections W/O Mcc | 132 | 101 / 15 | $30.705,40 | 2249 / 112 | $9.223,01 | 2576 / 106 | $7.324,35 | 2565 / 102 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 11 | 18 / 11 | $33.300,40 | 135 / 19 | $8.422,64 | 133 / 19 | $6.394,64 | 133 / 17 |
Kidney Transplant | 51 | 53 / 4 | $155.921,00 | 48 / 3 | $37.528,90 | 121 / 3 | $26.611,10 | 121 / 6 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 6 | $91.580,40 | 331 / 8 | $25.771,80 | 444 / 8 | $22.893,70 | 443 / 8 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 28 | 27 / 5 | $99.191,50 | 578 / 26 | $22.605,60 | 587 / 21 | $16.410,70 | 583 / 20 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 22 | 25 / 7 | $44.270,60 | 261 / 15 | $15.813,00 | 476 / 23 | $12.507,00 | 476 / 23 |
Lymphoma & Non-Acute Leukemia W Cc | 13 | 23 / 5 | $102.477,00 | 130 / 8 | $19.495,00 | 127 / 5 | $16.445,00 | 127 / 8 |
Lymphoma & Non-Acute Leukemia W Mcc | 17 | 19 / 5 | $142.289,00 | 102 / 5 | $54.262,80 | 100 / 9 | $30.573,80 | 100 / 3 |
Major Bladder Procedures W Cc | 13 | 25 / 3 | $85.762,10 | 28 / 3 | $29.320,40 | 56 / 3 | $26.762,20 | 56 / 4 |
Major Cardiovasc Procedures W Mcc | 28 | 40 / 9 | $211.779,00 | 531 / 27 | $58.551,90 | 615 / 23 | $51.927,50 | 614 / 25 |
Major Cardiovasc Procedures W/O Mcc | 43 | 58 / 11 | $61.596,90 | 142 / 10 | $33.389,30 | 920 / 31 | $28.640,40 | 919 / 30 |
Major Chest Procedures W Cc | 20 | 54 / 9 | $71.593,60 | 277 / 19 | $25.933,20 | 431 / 24 | $19.893,60 | 429 / 20 |
Major Chest Procedures W/O Cc/Mcc | 12 | 47 / 12 | $60.827,90 | 174 / 11 | $18.263,90 | 233 / 13 | $14.997,50 | 233 / 13 |
Major Chest Trauma W Cc | 18 | 18 / 3 | $52.224,50 | 119 / 5 | $11.575,70 | 119 / 5 | $7.595,89 | 119 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 42 | 31 / 3 | $41.392,00 | 845 / 34 | $13.449,50 | 1042 / 46 | $10.247,40 | 1040 / 41 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 21 | 35 / 7 | $80.110,40 | 582 / 26 | $21.672,90 | 632 / 29 | $18.000,40 | 631 / 26 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 17 | 12 / 2 | $28.852,80 | 99 / 4 | $9.769,82 | 120 / 9 | $6.791,65 | 119 / 7 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 16 | 37 / 9 | $57.707,60 | 418 / 24 | $14.897,90 | 448 / 25 | $11.635,50 | 448 / 25 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 15 | 14 / 3 | $118.229,00 | 97 / 2 | $30.415,70 | 104 / 3 | $26.880,80 | 103 / 3 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 15 | $58.864,90 | 463 / 21 | $22.085,60 | 795 / 22 | $20.330,40 | 791 / 25 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 32 | 33 / 3 | $120.215,00 | 744 / 31 | $36.354,20 | 887 / 33 | $31.074,90 | 883 / 33 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 271 | 296 / 19 | $48.906,20 | 1241 / 74 | $21.823,20 | 2475 / 98 | $17.160,40 | 2429 / 89 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 9 | $89.480,30 | 378 / 9 | $27.678,40 | 465 / 7 | $25.570,70 | 465 / 9 |
Major Small & Large Bowel Procedures W Cc | 32 | 76 / 18 | $89.410,50 | 1106 / 60 | $30.477,00 | 1414 / 74 | $21.165,60 | 1400 / 58 |
Major Small & Large Bowel Procedures W Mcc | 26 | 59 / 17 | $189.741,00 | 1005 / 49 | $50.810,80 | 1197 / 46 | $45.481,60 | 1194 / 49 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 16 | $58.715,90 | 561 / 30 | $19.462,60 | 699 / 32 | $13.368,30 | 699 / 28 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 13 | 40 / 11 | $68.984,80 | 255 / 19 | $19.171,80 | 309 / 17 | $16.490,80 | 310 / 19 |
Mastectomy For Malignancy W/O Cc/Mcc | 12 | 5 / 2 | $26.414,20 | 5 / 1 | $10.415,90 | 11 / 1 | $9.019,25 | 11 / 1 |
Medical Back Problems W Mcc | 21 | 18 / 4 | $69.739,80 | 276 / 12 | $19.001,50 | 313 / 12 | $16.529,20 | 313 / 13 |
Medical Back Problems W/O Mcc | 96 | 27 / 5 | $38.286,40 | 1215 / 74 | $10.201,40 | 1395 / 67 | $7.674,27 | 1390 / 66 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 60 | 66 / 16 | $46.562,40 | 1434 / 80 | $13.145,80 | 1617 / 65 | $10.778,00 | 1614 / 63 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 125 | 41 / 8 | $28.213,70 | 2062 / 108 | $8.491,32 | 2344 / 103 | $6.359,11 | 2335 / 97 |
Nervous System Neoplasms W Mcc | 26 | 22 / 5 | $44.324,50 | 188 / 11 | $16.485,10 | 253 / 15 | $11.151,30 | 253 / 9 |
Organic Disturbances & Mental Retardation | 42 | 18 / 5 | $52.635,30 | 513 / 42 | $13.782,50 | 526 / 37 | $10.623,80 | 526 / 36 |
Other Circulatory System Diagnoses W Cc | 41 | 25 / 5 | $39.077,40 | 534 / 25 | $10.958,60 | 615 / 24 | $8.745,58 | 614 / 23 |
Other Circulatory System Diagnoses W Mcc | 28 | 88 / 21 | $61.423,00 | 947 / 51 | $20.522,50 | 1232 / 54 | $16.577,10 | 1224 / 49 |
Other Circulatory System O.R. Procedures | 16 | 39 / 13 | $131.240,00 | 397 / 25 | $38.018,80 | 447 / 27 | $32.730,60 | 447 / 27 |
Other Digestive System Diagnoses W Cc | 34 | 63 / 16 | $39.088,80 | 1115 / 62 | $11.650,60 | 1375 / 59 | $9.603,94 | 1371 / 59 |
Other Digestive System Diagnoses W Mcc | 32 | 30 / 8 | $71.989,20 | 645 / 40 | $22.722,80 | 717 / 46 | $17.189,60 | 716 / 40 |
Other Digestive System Diagnoses W/O Cc/Mcc | 16 | 27 / 11 | $18.812,80 | 146 / 13 | $9.027,12 | 313 / 32 | $5.400,75 | 313 / 20 |
Other Disorders Of Nervous System W Cc | 22 | 34 / 11 | $38.883,20 | 484 / 22 | $10.559,30 | 596 / 25 | $8.768,86 | 595 / 26 |
Other Disorders Of Nervous System W Mcc | 11 | 29 / 8 | $59.006,50 | 239 / 7 | $20.158,10 | 263 / 10 | $12.904,90 | 263 / 4 |
Other Disorders Of Nervous System W/O Cc/Mcc | 11 | 24 / 14 | $20.100,50 | 62 / 5 | $7.645,73 | 138 / 13 | $6.389,00 | 138 / 16 |
Other Kidney & Urinary Tract Diagnoses W Cc | 89 | 23 / 4 | $36.455,80 | 616 / 32 | $11.762,30 | 786 / 35 | $9.147,52 | 786 / 32 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 91 | 18 / 3 | $55.430,50 | 841 / 45 | $17.363,70 | 1005 / 44 | $13.967,50 | 1001 / 41 |
Other Kidney & Urinary Tract Procedures W Mcc | 17 | 21 / 7 | $137.964,00 | 185 / 14 | $41.856,20 | 224 / 19 | $37.067,20 | 223 / 20 |
Other O.R. Procedures For Injuries W Cc | 11 | 24 / 6 | $50.131,00 | 71 / 1 | $22.647,20 | 72 / 5 | $12.458,90 | 72 / 1 |
Other O.R. Procedures For Injuries W Mcc | 15 | 22 / 3 | $142.339,00 | 151 / 7 | $39.336,40 | 145 / 4 | $32.592,50 | 145 / 4 |
Other Resp System O.R. Procedures W Mcc | 12 | 51 / 14 | $90.557,20 | 288 / 7 | $34.757,50 | 529 / 15 | $31.914,20 | 528 / 16 |
Other Respiratory System Diagnoses W/O Mcc | 23 | 23 / 5 | $38.429,10 | 272 / 18 | $10.558,20 | 290 / 15 | $7.388,61 | 290 / 12 |
Other Skin, Subcut Tiss & Breast Proc W Cc | 16 | 8 / 3 | $37.300,80 | 33 / 1 | $14.637,70 | 89 / 5 | $12.957,20 | 89 / 5 |
Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 35 | 2 / 2 | $30.571,90 | 15 / 2 | $11.058,40 | 52 / 3 | $9.458,97 | 52 / 4 |
Other Vascular Procedures W Cc | 39 | 63 / 18 | $75.728,30 | 606 / 32 | $25.997,50 | 1026 / 40 | $21.427,40 | 1021 / 34 |
Other Vascular Procedures W Mcc | 29 | 68 / 15 | $114.874,00 | 687 / 42 | $33.408,80 | 919 / 37 | $29.998,50 | 916 / 40 |
Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 17 | $41.873,10 | 203 / 13 | $17.308,40 | 526 / 19 | $15.839,80 | 525 / 21 |
Otitis Media & Uri W/O Mcc | 31 | 13 / 5 | $28.799,70 | 174 / 23 | $8.553,84 | 183 / 20 | $5.499,65 | 183 / 15 |
Pancreas, Liver & Shunt Procedures W Cc | 11 | 44 / 7 | $59.203,50 | 24 / 3 | $26.698,50 | 111 / 5 | $24.763,90 | 111 / 8 |
Pancreas, Liver & Shunt Procedures W Mcc | 11 | 32 / 6 | $160.407,00 | 62 / 3 | $53.569,80 | 85 / 2 | $50.631,60 | 85 / 3 |
Pancreas, Liver & Shunt Procedures W/O Cc/Mcc | 12 | 17 / 3 | $46.098,10 | 9 / 2 | $19.375,90 | 31 / 2 | $17.406,90 | 31 / 3 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 20 | 20 / 7 | $46.918,50 | 228 / 19 | $12.744,20 | 274 / 22 | $10.447,80 | 274 / 24 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Mcc | 14 | 11 / 3 | $118.761,00 | 38 / 2 | $28.876,90 | 41 / 3 | $24.910,30 | 41 / 4 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 78 | 24 / 4 | $90.748,70 | 386 / 16 | $32.189,90 | 942 / 27 | $28.393,80 | 937 / 26 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 218 | 20 / 6 | $70.921,50 | 707 / 34 | $21.244,10 | 1419 / 38 | $17.866,00 | 1411 / 41 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 11 | 34 / 9 | $87.142,40 | 125 / 4 | $29.739,10 | 260 / 7 | $28.179,40 | 259 / 7 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 22 | 47 / 7 | $66.951,00 | 328 / 22 | $18.996,40 | 543 / 21 | $16.548,10 | 541 / 22 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 30 | 24 / 4 | $125.091,00 | 190 / 9 | $35.711,60 | 225 / 15 | $26.699,80 | 225 / 8 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 63 | 32 / 7 | $74.921,80 | 294 / 20 | $20.795,00 | 552 / 22 | $17.602,70 | 548 / 23 |
Peripheral Vascular Disorders W Cc | 48 | 36 / 9 | $38.712,00 | 990 / 61 | $11.509,10 | 1176 / 56 | $9.185,40 | 1173 / 55 |
Peripheral Vascular Disorders W Mcc | 33 | 16 / 4 | $44.770,20 | 384 / 21 | $14.299,40 | 522 / 24 | $11.992,10 | 522 / 24 |
Peripheral Vascular Disorders W/O Cc/Mcc | 13 | 32 / 13 | $29.737,00 | 330 / 22 | $8.038,00 | 344 / 18 | $5.494,92 | 344 / 16 |
Peritoneal Adhesiolysis W Cc | 13 | 26 / 7 | $95.717,70 | 243 / 16 | $24.464,40 | 273 / 14 | $21.440,30 | 273 / 15 |
Peritoneal Adhesiolysis W/O Cc/Mcc | 11 | 13 / 4 | $49.855,40 | 48 / 3 | $17.432,60 | 55 / 4 | $11.425,50 | 55 / 1 |
Permanent Cardiac Pacemaker Implant W Cc | 43 | 34 / 7 | $95.739,30 | 747 / 32 | $27.544,30 | 886 / 37 | $22.078,40 | 882 / 30 |
Permanent Cardiac Pacemaker Implant W Mcc | 32 | 20 / 2 | $144.336,00 | 498 / 27 | $37.382,00 | 578 / 26 | $33.958,10 | 578 / 26 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 31 | 26 / 7 | $63.203,80 | 441 / 22 | $21.275,00 | 693 / 27 | $19.622,50 | 691 / 31 |
Poisoning & Toxic Effects Of Drugs W Mcc | 21 | 51 / 6 | $51.109,10 | 719 / 24 | $15.287,00 | 896 / 21 | $12.974,70 | 893 / 21 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 18 | $26.720,60 | 703 / 39 | $7.867,76 | 810 / 34 | $5.904,41 | 809 / 32 |
Postoperative & Post-Traumatic Infections W Mcc | 17 | 26 / 8 | $70.688,60 | 169 / 10 | $20.194,90 | 204 / 12 | $17.809,70 | 204 / 12 |
Postoperative & Post-Traumatic Infections W/O Mcc | 21 | 33 / 6 | $35.401,30 | 336 / 20 | $11.248,30 | 380 / 29 | $8.284,95 | 380 / 24 |
Psychoses | 18 | 257 / 11 | $53.066,40 | 591 / 11 | $14.755,80 | 509 / 12 | $8.203,11 | 509 / 9 |
Pulmonary Edema & Respiratory Failure | 76 | 127 / 10 | $43.239,40 | 1611 / 82 | $13.677,40 | 2104 / 85 | $11.478,60 | 2098 / 85 |
Pulmonary Embolism W Mcc | 14 | 29 / 5 | $53.994,90 | 449 / 10 | $16.243,30 | 553 / 11 | $14.033,70 | 552 / 12 |
Pulmonary Embolism W/O Mcc | 29 | 45 / 9 | $39.919,20 | 1055 / 44 | $11.966,50 | 1242 / 51 | $9.264,24 | 1239 / 50 |
Red Blood Cell Disorders W Mcc | 28 | 43 / 13 | $40.739,20 | 693 / 45 | $13.663,60 | 1018 / 50 | $11.777,50 | 1014 / 48 |
Red Blood Cell Disorders W/O Mcc | 49 | 94 / 29 | $25.835,30 | 1307 / 72 | $9.813,73 | 1861 / 82 | $7.428,29 | 1852 / 79 |
Renal Failure W Cc | 96 | 125 / 17 | $30.764,90 | 1734 / 79 | $11.334,00 | 2299 / 93 | $8.969,75 | 2289 / 90 |
Renal Failure W Mcc | 56 | 139 / 24 | $53.937,00 | 1658 / 78 | $17.069,20 | 2043 / 74 | $14.599,00 | 2039 / 74 |
Renal Failure W/O Cc/Mcc | 19 | 37 / 8 | $21.535,30 | 599 / 19 | $7.823,68 | 778 / 29 | $5.158,84 | 776 / 27 |
Respiratory Infections & Inflammations W Cc | 32 | 56 / 15 | $41.462,50 | 992 / 51 | $14.323,60 | 1270 / 65 | $10.193,00 | 1265 / 51 |
Respiratory Infections & Inflammations W Mcc | 53 | 83 / 10 | $84.899,10 | 1542 / 70 | $23.315,80 | 1785 / 74 | $19.861,70 | 1769 / 74 |
Respiratory Neoplasms W Cc | 15 | 32 / 12 | $52.979,30 | 413 / 26 | $15.655,90 | 493 / 32 | $13.127,90 | 492 / 32 |
Respiratory Neoplasms W Mcc | 11 | 41 / 17 | $51.239,40 | 393 / 17 | $18.360,10 | 602 / 19 | $15.989,00 | 599 / 20 |
Respiratory Signs & Symptoms | 29 | 17 / 6 | $25.635,00 | 191 / 13 | $8.226,31 | 282 / 14 | $6.638,14 | 282 / 15 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 37 | 94 / 17 | $79.729,40 | 1305 / 80 | $24.154,10 | 1721 / 71 | $21.071,60 | 1707 / 68 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 21 | $226.083,00 | 816 / 60 | $65.968,90 | 965 / 60 | $57.609,80 | 964 / 59 |
Revision Of Hip Or Knee Replacement W Cc | 22 | 64 / 8 | $91.891,70 | 396 / 16 | $35.455,70 | 634 / 24 | $30.070,80 | 632 / 21 |
Seizures W Mcc | 19 | 47 / 12 | $69.295,00 | 632 / 35 | $18.357,90 | 692 / 31 | $14.546,20 | 692 / 24 |
Seizures W/O Mcc | 62 | 46 / 12 | $27.082,40 | 850 / 70 | $8.819,21 | 1166 / 66 | $6.713,53 | 1164 / 61 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 37 | 55 / 20 | $239.063,00 | 862 / 75 | $71.420,10 | 1032 / 73 | $56.717,60 | 1031 / 61 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 526 | 67 / 8 | $72.224,10 | 2314 / 131 | $21.390,50 | 2649 / 115 | $17.064,80 | 2604 / 109 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 117 | 90 / 15 | $38.931,70 | 2001 / 102 | $12.484,20 | 2408 / 105 | $9.508,29 | 2398 / 98 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 17 | 30 / 13 | $26.706,60 | 254 / 23 | $8.435,47 | 348 / 21 | $6.895,47 | 348 / 21 |
Signs & Symptoms W Mcc | 19 | 22 / 5 | $37.183,30 | 187 / 8 | $13.167,40 | 239 / 9 | $10.293,40 | 239 / 7 |
Signs & Symptoms W/O Mcc | 68 | 24 / 5 | $36.957,40 | 1168 / 80 | $10.330,50 | 1243 / 71 | $6.853,87 | 1240 / 60 |
Simple Pneumonia & Pleurisy W Cc | 89 | 114 / 19 | $37.316,00 | 2259 / 119 | $12.631,70 | 2617 / 118 | $8.532,97 | 2608 / 106 |
Simple Pneumonia & Pleurisy W Mcc | 94 | 111 / 13 | $53.862,10 | 1996 / 103 | $16.304,60 | 2424 / 99 | $13.897,90 | 2418 / 99 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 30 | $24.828,70 | 1447 / 70 | $8.256,57 | 1878 / 77 | $6.385,38 | 1870 / 76 |
Spinal Fusion Except Cervical W/O Mcc | 73 | 121 / 9 | $82.837,70 | 564 / 33 | $39.613,20 | 1211 / 45 | $31.094,30 | 1206 / 44 |
Stomach, Esophageal & Duodenal Proc W Cc | 12 | 38 / 9 | $66.213,00 | 101 / 6 | $28.167,20 | 188 / 10 | $22.413,60 | 188 / 7 |
Stomach, Esophageal & Duodenal Proc W Mcc | 13 | 28 / 7 | $326.525,00 | 223 / 13 | $79.295,80 | 227 / 13 | $64.023,00 | 227 / 13 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 14 | 34 / 8 | $44.425,10 | 124 / 9 | $16.126,20 | 201 / 13 | $11.935,00 | 200 / 11 |
Syncope & Collapse | 113 | 56 / 17 | $24.198,10 | 1178 / 79 | $8.769,11 | 1768 / 81 | $6.563,08 | 1760 / 75 |
Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 14 | $39.273,20 | 288 / 28 | $10.381,50 | 313 / 23 | $7.898,00 | 312 / 21 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 15 | 49 / 21 | $563.839,00 | 533 / 44 | $176.858,00 | 543 / 46 | $112.567,00 | 542 / 38 |
Transient Ischemia | 44 | 81 / 22 | $39.583,10 | 1425 / 93 | $8.613,61 | 1566 / 77 | $6.505,59 | 1558 / 73 |
Transurethral Procedures W Cc | 25 | 16 / 2 | $43.555,30 | 247 / 17 | $14.510,80 | 365 / 22 | $11.125,90 | 365 / 20 |
Transurethral Prostatectomy W Cc/Mcc | 12 | 12 / 6 | $36.504,80 | 22 / 4 | $14.566,70 | 45 / 5 | $13.235,30 | 45 / 5 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 23 | 21 / 6 | $27.835,10 | 186 / 22 | $8.861,09 | 275 / 21 | $6.561,35 | 275 / 19 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 29 | 37 / 4 | $42.751,00 | 370 / 18 | $12.841,10 | 438 / 21 | $8.850,55 | 437 / 15 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 27 | 24 / 5 | $109.007,00 | 312 / 14 | $24.932,50 | 324 / 14 | $19.481,60 | 324 / 11 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 22 | 32 / 5 | $27.602,90 | 261 / 13 | $8.562,18 | 363 / 16 | $6.741,64 | 363 / 16 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 26 | 20 / 6 | $17.008,30 | 102 / 7 | $7.761,50 | 354 / 18 | $5.895,85 | 353 / 19 |
Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 22 | 6 / 1 | $38.174,00 | 37 / 6 | $15.744,00 | 83 / 5 | $12.449,10 | 83 / 5 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 29 | 17 / 5 | $29.890,70 | 123 / 17 | $11.744,70 | 222 / 17 | $8.201,66 | 222 / 14 |
Vaginal Delivery W/O Complicating Diagnoses | 14 | 11 / 4 | $18.284,30 | 57 / 6 | $7.265,36 | 60 / 5 | $5.024,00 | 60 / 5 |
Ventricular Shunt Procedures W/O Cc/Mcc | 15 | 9 / 2 | $51.964,70 | 33 / 2 | $21.689,90 | 28 / 4 | $11.218,50 | 28 / 1 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 12 | 31 / 5 | $99.494,80 | 103 / 3 | $30.960,10 | 136 / 3 | $27.451,30 | 136 / 5 | Total 226 procedures | 8.911 | 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.