Hospital Costs > In Iowa > University Of Iowa Hospital & Clinics, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 321 | 250 / 7 | $49.810,60 | 1279 / 27 | $21.632,80 | 2368 / 31 | $15.916,40 | 2323 / 31 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 276 | 242 / 4 | $47.596,70 | 1688 / 28 | $18.599,30 | 2520 / 30 | $15.411,60 | 2476 / 30 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 154 | 36 / 2 | $30.748,60 | 1199 / 22 | $11.541,20 | 1925 / 25 | $9.178,10 | 1921 / 25 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 144 | 37 / 1 | $40.282,50 | 706 / 13 | $16.597,30 | 1445 / 16 | $14.754,20 | 1438 / 16 |
Heart Failure & Shock W Cc | 136 | 142 / 2 | $27.149,30 | 1813 / 29 | $10.792,30 | 2555 / 30 | $8.721,93 | 2549 / 30 |
Renal Failure W Cc | 118 | 103 / 2 | $18.224,20 | 798 / 14 | $10.042,00 | 2258 / 26 | $8.546,62 | 2248 / 26 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 113 | 10 / 1 | $26.859,10 | 132 / 3 | $13.419,90 | 277 / 6 | $8.901,52 | 277 / 6 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 102 | 11 / 1 | $79.071,70 | 90 / 3 | $37.548,50 | 375 / 5 | $33.147,30 | 375 / 4 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 93 | 95 / 2 | $37.027,10 | 839 / 19 | $12.894,80 | 1497 / 21 | $9.194,08 | 1494 / 21 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 92 | 115 / 3 | $30.142,90 | 1623 / 28 | $11.341,60 | 2425 / 28 | $9.655,34 | 2415 / 28 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 87 | 188 / 5 | $20.532,50 | 1457 / 24 | $9.091,13 | 2583 / 29 | $7.195,30 | 2568 / 29 |
Simple Pneumonia & Pleurisy W Cc | 79 | 124 / 6 | $24.119,70 | 1548 / 27 | $10.475,70 | 2641 / 31 | $8.669,92 | 2632 / 31 |
Major Small & Large Bowel Procedures W Cc | 77 | 32 / 2 | $54.720,60 | 521 / 14 | $24.071,50 | 1254 / 21 | $18.133,30 | 1240 / 20 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 77 | 2 / 1 | $17.229,90 | 125 / 1 | $8.515,06 | 365 / 3 | $6.815,74 | 365 / 3 |
Medical Back Problems W/O Mcc | 76 | 45 / 2 | $21.765,50 | 654 / 13 | $9.104,55 | 1379 / 17 | $7.445,32 | 1374 / 17 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 75 | 91 / 3 | $20.645,80 | 1617 / 23 | $9.252,51 | 2388 / 26 | $6.701,51 | 2379 / 26 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 75 | 13 / 1 | $59.761,50 | 103 / 2 | $22.191,20 | 207 / 3 | $17.668,30 | 206 / 3 |
G.I. Hemorrhage W Cc | 74 | 144 / 6 | $25.529,20 | 1244 / 28 | $10.639,90 | 2306 / 31 | $9.482,69 | 2302 / 31 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 73 | 58 / 2 | $59.548,30 | 896 / 14 | $23.707,70 | 1551 / 19 | $18.212,30 | 1537 / 19 |
Kidney & Urinary Tract Infections W/O Mcc | 72 | 161 / 4 | $21.400,60 | 1716 / 30 | $8.728,68 | 2569 / 32 | $7.240,97 | 2558 / 32 |
Revision Of Hip Or Knee Replacement W Cc | 72 | 19 / 1 | $75.333,10 | 258 / 6 | $31.186,20 | 558 / 10 | $24.998,10 | 556 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 71 | 31 / 1 | $23.815,50 | 825 / 15 | $9.019,16 | 1510 / 18 | $6.970,27 | 1506 / 18 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 69 | 5 / 1 | $23.646,80 | 135 / 1 | $11.407,30 | 469 / 3 | $9.539,29 | 468 / 3 |
Heart Failure & Shock W Mcc | 69 | 215 / 10 | $36.442,10 | 1477 / 24 | $14.316,50 | 2424 / 28 | $13.072,40 | 2413 / 28 |
Hip & Femur Procedures Except Major Joint W Cc | 68 | 75 / 4 | $57.762,90 | 1294 / 26 | $19.122,30 | 1883 / 26 | $15.977,40 | 1863 / 26 |
Pulmonary Edema & Respiratory Failure | 65 | 138 / 8 | $46.078,80 | 1671 / 26 | $14.781,30 | 2119 / 26 | $11.657,10 | 2113 / 26 |
Cellulitis W/O Mcc | 65 | 124 / 5 | $18.868,90 | 1351 / 26 | $10.091,60 | 2377 / 31 | $6.992,46 | 2369 / 31 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 64 | 60 / 1 | $114.241,00 | 674 / 11 | $45.065,20 | 1339 / 15 | $43.161,90 | 1329 / 15 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 62 | 63 / 1 | $51.649,50 | 1177 / 21 | $18.641,10 | 1700 / 21 | $15.463,50 | 1687 / 21 |
Spinal Fusion Except Cervical W/O Mcc | 61 | 133 / 7 | $112.088,00 | 858 / 14 | $38.963,60 | 1198 / 15 | $30.652,60 | 1193 / 15 |
Major Cardiovasc Procedures W/O Mcc | 59 | 43 / 2 | $81.878,10 | 401 / 6 | $32.043,80 | 808 / 9 | $24.864,50 | 807 / 9 |
Seizures W/O Mcc | 59 | 49 / 1 | $19.948,10 | 553 / 8 | $8.924,14 | 1190 / 9 | $6.976,05 | 1188 / 9 |
Major Small & Large Bowel Procedures W Mcc | 56 | 29 / 1 | $111.457,00 | 492 / 11 | $44.888,60 | 1031 / 14 | $38.379,40 | 1029 / 13 |
G.I. Obstruction W Cc | 55 | 37 / 1 | $22.958,40 | 860 / 22 | $9.790,13 | 1658 / 24 | $8.287,29 | 1653 / 24 |
Simple Pneumonia & Pleurisy W Mcc | 54 | 151 / 11 | $30.359,80 | 1056 / 23 | $14.665,70 | 2302 / 28 | $12.249,30 | 2296 / 28 |
Other Vascular Procedures W Cc | 53 | 50 / 1 | $76.744,30 | 617 / 7 | $22.915,40 | 1022 / 9 | $21.388,50 | 1017 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 50 | 111 / 5 | $23.604,00 | 1325 / 22 | $9.422,50 | 1978 / 22 | $6.898,16 | 1973 / 22 |
Red Blood Cell Disorders W/O Mcc | 50 | 93 / 3 | $17.180,70 | 641 / 10 | $10.432,60 | 1777 / 16 | $6.787,98 | 1768 / 16 |
Renal Failure W Mcc | 49 | 146 / 7 | $35.429,10 | 1070 / 19 | $15.846,00 | 1962 / 24 | $13.301,40 | 1958 / 24 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 49 | 10 / 1 | $72.726,80 | 73 / 1 | $27.477,80 | 165 / 2 | $22.950,00 | 165 / 2 |
Disorders Of The Biliary Tract W Cc | 49 | 8 / 1 | $23.713,60 | 111 / 2 | $11.332,90 | 431 / 5 | $9.220,86 | 431 / 5 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 46 | 47 / 1 | $90.242,50 | 708 / 6 | $43.079,90 | 787 / 6 | $17.412,60 | 780 / 6 |
G.I. Hemorrhage W Mcc | 46 | 75 / 3 | $59.436,10 | 1184 / 19 | $29.013,80 | 1664 / 19 | $24.205,00 | 1654 / 19 |
Complications Of Treatment W Cc | 45 | 8 / 1 | $27.068,90 | 188 / 3 | $12.254,30 | 311 / 3 | $8.640,67 | 311 / 3 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 45 | 151 / 9 | $57.512,20 | 394 / 12 | $19.812,00 | 1341 / 23 | $16.023,20 | 1334 / 23 |
Other Kidney & Urinary Tract Diagnoses W Cc | 44 | 59 / 1 | $24.935,80 | 390 / 3 | $10.753,90 | 746 / 6 | $8.515,25 | 746 / 6 |
Syncope & Collapse | 42 | 127 / 4 | $20.094,90 | 866 / 15 | $8.216,55 | 1803 / 19 | $7.005,14 | 1795 / 19 |
Other Circulatory System Diagnoses W Mcc | 42 | 74 / 2 | $50.445,50 | 750 / 8 | $21.724,70 | 1128 / 10 | $14.816,00 | 1120 / 10 |
Major Cardiovasc Procedures W Mcc | 42 | 26 / 2 | $139.949,00 | 314 / 7 | $50.197,40 | 534 / 8 | $42.669,10 | 533 / 8 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 42 | 6 / 1 | $37.287,20 | 29 / 1 | $16.873,60 | 166 / 2 | $15.007,40 | 166 / 2 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 41 | 10 / 1 | $49.384,40 | 147 / 1 | $18.721,10 | 291 / 2 | $17.077,40 | 291 / 2 |
Signs & Symptoms W/O Mcc | 41 | 50 / 3 | $16.326,50 | 429 / 8 | $8.265,95 | 1228 / 16 | $6.582,95 | 1225 / 16 |
Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 7 | $18.879,90 | 883 / 18 | $9.924,87 | 2296 / 25 | $8.526,39 | 2289 / 25 |
Respiratory Infections & Inflammations W Cc | 38 | 50 / 1 | $36.109,50 | 878 / 17 | $14.608,80 | 1377 / 17 | $11.675,70 | 1372 / 17 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 38 | 58 / 1 | $30.796,80 | 668 / 11 | $12.819,40 | 1301 / 14 | $10.358,70 | 1296 / 14 |
Kidney & Ureter Procedures For Neoplasm W Cc | 37 | 8 / 1 | $47.928,10 | 55 / 1 | $18.978,20 | 139 / 1 | $16.320,30 | 139 / 1 |
Other Digestive System Diagnoses W Cc | 37 | 60 / 2 | $25.246,40 | 690 / 7 | $12.327,50 | 1262 / 9 | $8.047,03 | 1258 / 9 |
Other Vascular Procedures W Mcc | 37 | 60 / 1 | $84.770,20 | 432 / 2 | $29.144,30 | 845 / 3 | $26.652,80 | 842 / 3 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 37 | 18 / 2 | $55.931,50 | 312 / 10 | $22.295,20 | 531 / 11 | $14.819,20 | 527 / 11 |
Diabetes W Cc | 36 | 56 / 2 | $21.734,20 | 806 / 8 | $9.657,03 | 1502 / 11 | $7.833,86 | 1497 / 11 |
Acute Myocardial Infarction, Discharged Alive W Cc | 36 | 55 / 2 | $36.246,60 | 940 / 16 | $11.352,40 | 1364 / 16 | $9.746,17 | 1362 / 16 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 35 | 46 / 2 | $295.594,00 | 77 / 1 | $144.228,00 | 173 / 2 | $103.320,00 | 173 / 1 |
Complications Of Treatment W Mcc | 34 | 17 / 1 | $42.299,30 | 121 / 1 | $17.545,70 | 247 / 3 | $15.483,10 | 247 / 3 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 34 | 36 / 1 | $24.726,70 | 283 / 3 | $10.533,50 | 501 / 4 | $8.776,41 | 501 / 4 |
Major Bladder Procedures W Cc | 34 | 9 / 1 | $78.592,60 | 16 / 1 | $28.188,90 | 39 / 1 | $21.373,00 | 39 / 1 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 34 | 116 / 7 | $14.446,30 | 914 / 23 | $7.085,12 | 1868 / 24 | $5.071,18 | 1862 / 24 |
Major Chest Procedures W Cc | 33 | 41 / 1 | $50.766,30 | 113 / 1 | $24.516,50 | 413 / 5 | $19.361,00 | 411 / 5 |
Stomach, Esophageal & Duodenal Proc W Cc | 33 | 17 / 1 | $62.086,90 | 81 / 1 | $23.131,30 | 182 / 2 | $21.400,90 | 182 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 6 | $25.221,40 | 669 / 16 | $12.447,10 | 1703 / 21 | $9.942,91 | 1700 / 21 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 33 | 67 / 3 | $82.166,70 | 304 / 9 | $27.355,10 | 886 / 14 | $26.089,50 | 881 / 14 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 32 | 64 / 4 | $67.916,10 | 567 / 10 | $22.045,00 | 724 / 11 | $16.418,30 | 720 / 11 |
Chest Pain | 32 | 119 / 3 | $21.624,20 | 1028 / 12 | $7.450,78 | 1546 / 13 | $5.623,12 | 1537 / 13 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 31 | 70 / 5 | $42.763,30 | 679 / 11 | $15.714,70 | 939 / 13 | $12.765,60 | 935 / 13 |
Degenerative Nervous System Disorders W/O Mcc | 31 | 47 / 1 | $24.068,70 | 361 / 6 | $11.216,50 | 733 / 8 | $8.161,94 | 733 / 8 |
Peripheral Vascular Disorders W Cc | 31 | 53 / 2 | $31.927,40 | 862 / 7 | $11.345,30 | 1109 / 7 | $8.194,23 | 1106 / 7 |
Other Digestive System Diagnoses W Mcc | 31 | 31 / 2 | $28.555,50 | 137 / 1 | $16.509,70 | 603 / 3 | $13.507,10 | 602 / 3 |
Postoperative & Post-Traumatic Infections W/O Mcc | 31 | 23 / 1 | $18.027,30 | 94 / 2 | $10.304,90 | 416 / 4 | $9.420,87 | 416 / 4 |
Pulmonary Embolism W/O Mcc | 31 | 43 / 4 | $18.876,30 | 339 / 11 | $10.837,60 | 1158 / 19 | $7.818,10 | 1155 / 19 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 4 | $27.696,80 | 844 / 13 | $11.287,30 | 1508 / 15 | $9.484,48 | 1505 / 15 |
Kidney Transplant | 31 | 70 / 2 | $250.710,00 | 141 / 3 | $50.840,00 | 141 / 3 | $29.933,80 | 141 / 3 |
Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 16 | $24.364,80 | 1074 / 19 | $12.082,90 | 2375 / 28 | $9.999,73 | 2367 / 28 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 30 | 26 / 1 | $32.249,20 | 168 / 4 | $16.881,00 | 578 / 6 | $15.176,80 | 577 / 6 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 30 | 43 / 3 | $23.778,50 | 431 / 11 | $12.301,40 | 1007 / 13 | $9.682,20 | 1005 / 13 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 29 | 13 / 1 | $107.433,00 | 32 / 1 | $46.927,50 | 104 / 1 | $38.865,90 | 104 / 1 |
Poisoning & Toxic Effects Of Drugs W Mcc | 29 | 43 / 1 | $27.977,20 | 306 / 3 | $12.700,40 | 837 / 7 | $11.522,40 | 834 / 7 |
Other Respiratory System Diagnoses W/O Mcc | 29 | 17 / 1 | $21.224,40 | 124 / 1 | $9.972,48 | 267 / 1 | $6.655,90 | 267 / 1 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 29 | 87 / 2 | $177.689,00 | 162 / 2 | $68.687,00 | 350 / 3 | $58.733,10 | 350 / 3 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 29 | 47 / 1 | $36.536,90 | 173 / 2 | $17.269,20 | 479 / 3 | $16.274,60 | 479 / 3 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 28 | 96 / 5 | $21.851,30 | 535 / 16 | $8.050,25 | 767 / 16 | $6.805,32 | 766 / 16 |
Psychoses | 28 | 248 / 14 | $44.481,70 | 567 / 16 | $14.281,90 | 572 / 15 | $10.229,20 | 572 / 15 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 27 | 26 / 1 | $33.060,70 | 249 / 3 | $12.174,30 | 416 / 5 | $10.212,00 | 416 / 5 |
Pancreas, Liver & Shunt Procedures W Cc | 27 | 28 / 1 | $68.000,70 | 38 / 1 | $27.713,40 | 72 / 2 | $21.001,80 | 72 / 2 |
Digestive Malignancy W Cc | 27 | 20 / 1 | $33.571,20 | 184 / 2 | $12.520,80 | 350 / 3 | $11.090,10 | 348 / 4 |
Permanent Cardiac Pacemaker Implant W Cc | 27 | 50 / 2 | $54.680,40 | 279 / 4 | $24.596,30 | 868 / 7 | $21.312,80 | 864 / 7 |
Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 7 | $17.046,20 | 1063 / 17 | $8.159,74 | 1895 / 21 | $6.411,00 | 1882 / 21 |
Respiratory Infections & Inflammations W Mcc | 26 | 110 / 13 | $42.744,00 | 874 / 19 | $22.714,00 | 1186 / 22 | $12.497,70 | 1172 / 20 |
Other O.R. Procedures For Injuries W Cc | 26 | 9 / 1 | $46.546,40 | 58 / 1 | $23.063,50 | 123 / 2 | $15.052,90 | 123 / 2 |
Disorders Of Pancreas Except Malignancy W Cc | 25 | 36 / 2 | $27.743,80 | 561 / 8 | $9.904,00 | 908 / 10 | $8.704,72 | 905 / 10 |
Peripheral Vascular Disorders W Mcc | 25 | 24 / 2 | $40.243,20 | 354 / 4 | $14.576,20 | 549 / 4 | $13.160,40 | 549 / 4 |
Cervical Spinal Fusion W/O Cc/Mcc | 25 | 79 / 4 | $63.591,60 | 508 / 5 | $22.008,10 | 796 / 6 | $17.381,90 | 793 / 6 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 25 | 36 / 2 | $14.082,40 | 265 / 4 | $7.445,16 | 846 / 10 | $6.532,36 | 845 / 10 |
Rectal Resection W Cc | 24 | 2 / 1 | $44.524,80 | 8 / 1 | $23.719,20 | 32 / 1 | $17.286,90 | 32 / 1 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 24 | 45 / 4 | $65.700,40 | 249 / 9 | $24.262,50 | 429 / 11 | $20.373,70 | 429 / 11 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 24 | 39 / 2 | $102.928,00 | 236 / 1 | $40.253,40 | 617 / 3 | $38.532,50 | 617 / 3 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 24 | 20 / 1 | $58.104,00 | 111 / 1 | $25.895,80 | 377 / 4 | $23.252,90 | 375 / 4 |
Autologous Bone Marrow Transplant W Cc/Mcc | 24 | 13 / 1 | $190.855,00 | 32 / 1 | $65.974,10 | 25 / 1 | $46.053,60 | 25 / 1 |
Permanent Cardiac Pacemaker Implant W Mcc | 24 | 28 / 2 | $104.591,00 | 356 / 8 | $33.330,80 | 548 / 8 | $31.401,70 | 548 / 8 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 24 | 24 / 1 | $39.572,90 | 98 / 1 | $13.842,80 | 209 / 2 | $12.472,90 | 208 / 2 |
Disorders Of The Biliary Tract W Mcc | 23 | 16 / 1 | $33.133,50 | 64 / 2 | $15.057,50 | 216 / 3 | $13.929,70 | 216 / 3 |
Cervical Spinal Fusion W Cc | 23 | 30 / 1 | $84.790,10 | 241 / 4 | $32.080,70 | 292 / 4 | $20.507,80 | 291 / 4 |
Nervous System Neoplasms W Mcc | 23 | 25 / 1 | $38.623,80 | 156 / 2 | $13.939,70 | 246 / 3 | $10.923,40 | 246 / 3 |
Seizures W Mcc | 23 | 43 / 2 | $36.831,30 | 302 / 5 | $15.998,90 | 650 / 7 | $13.395,00 | 650 / 7 |
Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc | 23 | 5 / 1 | $44.746,30 | 19 / 1 | $16.522,30 | 40 / 1 | $12.604,20 | 40 / 1 |
Other O.R. Procedures For Injuries W Mcc | 23 | 14 / 1 | $129.368,00 | 139 / 2 | $51.663,10 | 148 / 2 | $33.324,00 | 148 / 2 |
Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 23 | 5 / 1 | $48.647,20 | 53 / 1 | $17.216,80 | 71 / 1 | $11.639,20 | 71 / 1 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 23 | 46 / 1 | $199.376,00 | 75 / 1 | $75.331,30 | 218 / 2 | $73.238,20 | 218 / 2 |
G.I. Obstruction W Mcc | 22 | 20 / 3 | $36.856,50 | 212 / 6 | $15.419,80 | 492 / 9 | $14.205,20 | 492 / 9 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 22 | 73 / 2 | $60.523,90 | 190 / 4 | $18.925,50 | 500 / 4 | $15.742,30 | 496 / 4 |
Other Circulatory System Diagnoses W Cc | 22 | 44 / 2 | $31.205,40 | 429 / 5 | $11.559,80 | 591 / 5 | $8.308,32 | 590 / 5 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 22 | 44 / 3 | $55.737,10 | 315 / 11 | $21.785,60 | 470 / 11 | $14.173,10 | 466 / 11 |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 8 | $32.855,90 | 1281 / 18 | $13.072,60 | 1888 / 18 | $11.327,60 | 1884 / 18 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 22 | 66 / 5 | $99.802,60 | 248 / 5 | $35.053,20 | 517 / 8 | $28.895,20 | 516 / 8 |
G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 7 | $16.705,30 | 642 / 13 | $7.404,68 | 1282 / 15 | $6.261,50 | 1279 / 15 |
Lymphoma & Non-Acute Leukemia W Cc | 22 | 14 / 1 | $42.129,00 | 47 / 1 | $22.890,00 | 95 / 2 | $12.760,00 | 95 / 2 |
Nonspecific Cerebrovascular Disorders W Mcc | 22 | 29 / 2 | $59.685,40 | 308 / 7 | $31.859,50 | 356 / 7 | $13.436,20 | 356 / 7 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 21 | 19 / 1 | $31.020,90 | 153 / 1 | $12.630,20 | 263 / 2 | $9.945,19 | 263 / 2 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 21 | 33 / 1 | $106.438,00 | 153 / 2 | $29.489,70 | 239 / 2 | $27.855,40 | 239 / 2 |
Diabetes W Mcc | 21 | 36 / 2 | $35.860,50 | 395 / 3 | $13.946,40 | 610 / 3 | $10.885,00 | 609 / 3 |
Fever | 21 | 25 / 2 | $26.406,00 | 190 / 2 | $9.092,48 | 307 / 3 | $7.850,10 | 307 / 3 |
Disorders Of Pancreas Except Malignancy W Mcc | 21 | 25 / 1 | $34.140,60 | 94 / 2 | $15.995,20 | 296 / 2 | $14.994,30 | 296 / 2 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 21 | 97 / 4 | $139.499,00 | 247 / 4 | $49.411,60 | 447 / 5 | $40.624,20 | 447 / 5 |
Coronary Bypass W/O Cardiac Cath W Mcc | 21 | 38 / 3 | $159.198,00 | 127 / 3 | $48.583,20 | 202 / 3 | $46.712,00 | 201 / 3 |
Other Resp System O.R. Procedures W Cc | 21 | 26 / 2 | $41.330,10 | 89 / 2 | $18.695,40 | 279 / 4 | $15.194,50 | 279 / 4 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 21 | 32 / 1 | $41.435,50 | 109 / 1 | $17.855,60 | 280 / 3 | $14.760,40 | 281 / 3 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 20 | 48 / 2 | $37.833,20 | 578 / 4 | $9.810,15 | 681 / 4 | $8.325,80 | 681 / 4 |
Tracheostomy For Face,Mouth & Neck Diagnoses W Cc | 20 | 13 / 1 | $93.636,50 | 15 / 1 | $31.397,00 | 14 / 1 | $23.203,60 | 14 / 1 |
Traumatic Stupor & Coma, Coma >1 Hr W Mcc | 20 | 7 / 1 | $34.864,40 | 5 / 1 | $17.730,00 | 42 / 1 | $16.300,30 | 42 / 1 |
Other Resp System O.R. Procedures W Mcc | 20 | 43 / 2 | $80.008,60 | 213 / 1 | $36.481,90 | 465 / 4 | $27.181,20 | 464 / 4 |
Red Blood Cell Disorders W Mcc | 19 | 52 / 3 | $46.649,60 | 787 / 6 | $13.241,30 | 1020 / 6 | $11.816,30 | 1016 / 6 |
Fractures Of Hip & Pelvis W/O Mcc | 19 | 42 / 6 | $19.601,60 | 500 / 6 | $8.282,21 | 880 / 7 | $6.633,11 | 879 / 7 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 19 | 27 / 1 | $133.750,00 | 34 / 1 | $48.654,50 | 93 / 1 | $47.545,10 | 93 / 1 |
Stomach, Esophageal & Duodenal Proc W Mcc | 19 | 22 / 1 | $104.646,00 | 59 / 1 | $56.810,20 | 108 / 2 | $36.596,60 | 108 / 2 |
Kidney & Ureter Procedures For Non-Neoplasm W Mcc | 19 | 11 / 1 | $55.070,10 | 9 / 1 | $29.333,30 | 50 / 1 | $28.009,20 | 50 / 1 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 19 | 21 / 1 | $170.979,00 | 42 / 2 | $68.726,20 | 55 / 2 | $51.242,40 | 55 / 2 |
Other Disorders Of Nervous System W Cc | 19 | 37 / 1 | $24.660,20 | 271 / 2 | $9.360,58 | 577 / 4 | $8.109,37 | 576 / 4 |
Hip & Femur Procedures Except Major Joint W Mcc | 18 | 44 / 7 | $85.676,20 | 585 / 14 | $30.352,10 | 822 / 15 | $23.095,90 | 819 / 14 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 10 | $22.517,40 | 1332 / 26 | $8.176,06 | 1904 / 26 | $6.897,17 | 1896 / 26 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 4 | $25.648,30 | 523 / 6 | $10.044,30 | 710 / 6 | $6.201,39 | 708 / 6 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 18 | 25 / 1 | $75.337,40 | 71 / 2 | $23.946,60 | 101 / 2 | $21.104,40 | 101 / 2 |
Other Digestive System O.R. Procedures W Cc | 18 | 9 / 1 | $47.249,70 | 25 / 1 | $18.958,00 | 72 / 1 | $17.405,90 | 72 / 1 |
Transient Ischemia | 18 | 107 / 9 | $22.347,10 | 820 / 11 | $8.600,28 | 1542 / 14 | $6.234,33 | 1534 / 14 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 18 | 38 / 2 | $47.580,90 | 417 / 6 | $17.379,90 | 813 / 8 | $13.225,70 | 809 / 8 |
Pulmonary Embolism W Mcc | 18 | 25 / 4 | $33.166,60 | 218 / 7 | $14.134,10 | 542 / 11 | $12.906,90 | 541 / 11 |
Extracranial Procedures W Cc | 18 | 28 / 2 | $57.539,90 | 276 / 4 | $15.684,60 | 352 / 5 | $13.129,70 | 352 / 5 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 3 | $101.106,00 | 262 / 2 | $41.225,70 | 780 / 6 | $39.508,20 | 779 / 6 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 18 | 71 / 5 | $34.653,80 | 376 / 9 | $10.924,20 | 719 / 10 | $9.515,61 | 718 / 10 |
Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc | 17 | 9 / 1 | $52.083,00 | 27 / 1 | $19.904,20 | 42 / 1 | $15.742,00 | 42 / 1 |
Full Thickness Burn W Skin Graft Or Inhal Inj W Cc/Mcc | 17 | 14 / 1 | $70.423,40 | 4 / 1 | $47.228,70 | 17 / 1 | $45.144,70 | 17 / 1 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 2 | $194.337,00 | 727 / 5 | $88.647,90 | 1096 / 6 | $73.781,90 | 1095 / 6 |
Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 9 | $35.640,60 | 566 / 13 | $12.009,30 | 890 / 13 | $8.858,06 | 887 / 13 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 17 | 12 / 1 | $20.797,40 | 38 / 1 | $8.397,06 | 100 / 2 | $7.436,12 | 100 / 2 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 9 | $61.699,10 | 281 / 13 | $29.335,50 | 803 / 18 | $24.516,50 | 800 / 18 |
Other Respiratory System Diagnoses W Mcc | 17 | 19 / 1 | $23.500,30 | 9 / 1 | $12.874,60 | 44 / 1 | $10.387,50 | 44 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 17 | 23 / 3 | $65.896,60 | 214 / 4 | $24.660,10 | 445 / 5 | $22.908,50 | 444 / 5 |
Other Disorders Of Nervous System W Mcc | 17 | 23 / 1 | $47.534,30 | 193 / 1 | $22.187,00 | 198 / 2 | $10.813,90 | 198 / 2 |
Major Male Pelvic Procedures W/O Cc/Mcc | 16 | 57 / 5 | $45.706,20 | 220 / 7 | $17.124,60 | 321 / 9 | $9.616,88 | 321 / 9 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 16 | 26 / 1 | $28.988,20 | 47 / 1 | $17.851,10 | 219 / 2 | $13.747,40 | 219 / 2 |
Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/Mcc | 16 | 7 / 1 | $45.371,10 | 9 / 1 | $19.369,00 | 14 / 1 | $14.468,10 | 14 / 1 |
Lymphoma & Non-Acute Leukemia W Mcc | 16 | 20 / 1 | $94.260,30 | 65 / 1 | $33.491,70 | 89 / 2 | $28.150,00 | 89 / 2 |
Major Chest Procedures W Mcc | 16 | 33 / 2 | $69.933,70 | 30 / 1 | $39.230,50 | 256 / 5 | $37.465,90 | 255 / 5 |
Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc | 16 | 8 / 1 | $40.852,60 | 12 / 1 | $17.079,60 | 38 / 1 | $15.690,30 | 38 / 1 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 16 | 29 / 3 | $78.281,40 | 93 / 2 | $28.051,10 | 217 / 4 | $22.502,50 | 216 / 4 |
Respiratory Signs & Symptoms | 16 | 30 / 1 | $20.682,60 | 128 / 1 | $8.917,25 | 287 / 2 | $6.896,12 | 287 / 2 |
Atherosclerosis W/O Mcc | 16 | 42 / 3 | $16.722,20 | 234 / 2 | $8.084,31 | / 3 | $5.799,44 | / |
Spinal Procedures W Cc Or Spinal Neurostimulators | 16 | 11 / 1 | $92.098,30 | 26 / 1 | $29.434,80 | 43 / 1 | $27.848,60 | 43 / 1 |
Respiratory Neoplasms W Cc | 15 | 32 / 3 | $25.310,80 | 130 / 2 | $11.658,80 | 465 / 4 | $10.788,20 | 464 / 4 |
Cellulitis W Mcc | 15 | 43 / 6 | $32.721,80 | 434 / 7 | $14.982,70 | 840 / 9 | $11.554,60 | 838 / 9 |
Peritoneal Adhesiolysis W Cc | 15 | 24 / 1 | $68.378,30 | 167 / 2 | $21.502,90 | 259 / 2 | $19.551,70 | 259 / 2 |
Extraocular Procedures Except Orbit | 15 | 4 / 1 | $40.412,90 | 4 / 1 | $12.369,10 | 6 / 1 | $10.697,90 | 6 / 1 |
Digestive Malignancy W Mcc | 15 | 22 / 1 | $42.088,10 | 41 / 1 | $18.402,70 | 104 / 1 | $16.394,00 | 104 / 1 |
Soft Tissue Procedures W Cc | 15 | 7 / 1 | $39.661,40 | 7 / 1 | $15.865,30 | 24 / 1 | $12.415,50 | 24 / 1 |
Major Bladder Procedures W Mcc | 15 | 5 / 1 | $110.216,00 | 4 / 1 | $46.220,90 | 5 / 1 | $37.981,90 | 5 / 1 |
Peripheral Vascular Disorders W/O Cc/Mcc | 14 | 31 / 2 | $18.356,30 | 194 / 1 | $7.679,36 | 378 / 3 | $6.608,57 | 378 / 3 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 14 | 33 / 4 | $21.785,00 | 190 / 3 | $9.718,64 | 306 / 4 | $5.913,79 | 306 / 4 |
Dysequilibrium | 14 | 51 / 3 | $17.628,50 | 190 / 3 | $8.852,86 | 518 / 4 | $5.713,93 | 518 / 4 |
Kidney & Ureter Procedures For Neoplasm W Mcc | 14 | 7 / 1 | $95.108,80 | 21 / 1 | $39.317,90 | 17 / 1 | $24.467,10 | 17 / 1 |
Acute Leukemia W/O Major O.R. Procedure W Mcc | 14 | 22 / 1 | $127.662,00 | 9 / 1 | $79.672,70 | 10 / 1 | $37.766,20 | 10 / 1 |
Renal Failure W/O Cc/Mcc | 14 | 42 / 8 | $14.372,70 | 331 / 8 | $7.520,43 | 793 / 10 | $5.499,50 | 791 / 10 |
Major Male Pelvic Procedures W Cc/Mcc | 14 | 16 / 1 | $50.875,10 | 31 / 1 | $24.353,40 | 31 / 1 | $11.893,10 | 31 / 1 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 2 | $172.476,00 | 95 / 1 | $83.737,70 | 365 / 3 | $73.381,60 | 364 / 3 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W/O Mcc | 13 | 11 / 1 | $84.276,70 | 7 / 1 | $31.867,00 | 22 / 1 | $30.084,70 | 22 / 1 |
Pancreas, Liver & Shunt Procedures W Mcc | 13 | 30 / 1 | $109.130,00 | 19 / 1 | $48.811,50 | 45 / 1 | $39.473,20 | 45 / 1 |
Major Chest Procedures W/O Cc/Mcc | 13 | 46 / 1 | $37.493,20 | 60 / 2 | $16.257,00 | 229 / 2 | $14.787,60 | 229 / 2 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 14 | $19.032,60 | 1186 / 19 | $9.991,08 | 1943 / 20 | $6.239,46 | 1932 / 20 |
Endocrine Disorders W Cc | 13 | 25 / 2 | $22.594,50 | 103 / 1 | $10.499,20 | 260 / 2 | $8.782,23 | 260 / 2 |
Pleural Effusion W Mcc | 13 | 17 / 3 | $24.400,20 | 16 / 1 | $15.096,20 | 163 / 3 | $12.000,50 | 163 / 3 |
O.R. Procedures For Obesity W/O Cc/Mcc | 13 | 64 / 3 | $36.717,50 | 148 / 2 | $17.565,30 | 335 / 4 | $11.213,80 | 334 / 4 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 13 | 16 / 1 | $14.438,80 | 41 / 1 | $8.483,77 | 135 / 1 | $6.551,38 | 135 / 1 |
Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 5 | $59.250,80 | 378 / 5 | $16.325,20 | 514 / 6 | $15.070,20 | 513 / 6 |
Other Skin, Subcut Tiss & Breast Proc W Mcc | 12 | 10 / 1 | $70.381,00 | 27 / 1 | $35.973,70 | 37 / 1 | $19.706,70 | 37 / 1 |
Traumatic Stupor & Coma, Coma >1 Hr W/O Cc/Mcc | 12 | 9 / 1 | $12.507,10 | 2 / 1 | $8.991,25 | 15 / 1 | $7.629,92 | 15 / 1 |
Signs & Symptoms W Mcc | 12 | 29 / 1 | $28.064,10 | 128 / 1 | $11.423,80 | 245 / 1 | $10.545,30 | 245 / 1 |
Coagulation Disorders | 12 | 15 / 1 | $57.599,30 | 59 / 1 | $34.521,90 | 97 / 1 | $33.291,40 | 97 / 1 |
Ventricular Shunt Procedures W Cc | 12 | 11 / 1 | $41.940,10 | 9 / 1 | $17.812,20 | 25 / 1 | $16.681,80 | 25 / 1 |
Amputation For Musculoskeletal Sys & Conn Tissue Dis W Cc | 12 | 8 / 1 | $60.144,80 | 16 / 1 | $19.728,10 | 28 / 1 | $17.200,80 | 28 / 1 |
Degenerative Nervous System Disorders W Mcc | 12 | 26 / 1 | $63.538,20 | 172 / 1 | $16.440,30 | 191 / 1 | $14.796,90 | 191 / 1 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 3 | $20.637,50 | 162 / 5 | $7.922,58 | 369 / 5 | $6.707,83 | 368 / 5 |
Minor Small & Large Bowel Procedures W Cc | 11 | 8 / 1 | $23.106,20 | 2 / 1 | $15.705,30 | 14 / 1 | $12.933,70 | 14 / 1 |
Other Skin, Subcut Tiss & Breast Proc W Cc | 11 | 13 / 2 | $51.670,10 | 65 / 2 | $21.536,20 | 82 / 2 | $12.017,60 | 82 / 2 |
Peritoneal Adhesiolysis W Mcc | 11 | 12 / 1 | $95.792,60 | 15 / 2 | $35.347,20 | 50 / 2 | $33.354,70 | 50 / 2 |
Other Infectious & Parasitic Diseases Diagnoses W Mcc | 11 | 10 / 1 | $70.190,90 | 24 / 1 | $23.797,30 | 28 / 1 | $22.099,50 | 28 / 1 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 5 | $16.810,50 | 419 / 4 | $8.125,09 | 950 / 7 | $6.618,36 | 946 / 7 |
Transurethral Procedures W Cc | 11 | 30 / 3 | $21.393,10 | 38 / 3 | $13.307,60 | 356 / 5 | $10.480,90 | 356 / 5 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 11 | 20 / 3 | $26.801,90 | 50 / 1 | $11.625,90 | 175 / 3 | $10.375,10 | 175 / 3 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 2 | $16.866,50 | 172 / 2 | $7.768,27 | 429 / 2 | $5.856,91 | 428 / 2 |
Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim | 11 | 18 / 1 | $49.411,20 | 22 / 1 | $19.240,50 | 60 / 1 | $18.163,90 | 60 / 1 |
Other Disorders Of Nervous System W/O Cc/Mcc | 11 | 24 / 1 | $25.025,60 | 80 / 1 | $10.289,50 | 128 / 1 | $5.934,00 | 128 / 1 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 11 | 27 / 1 | $51.555,40 | 82 / 2 | $18.506,00 | 133 / 2 | $15.926,70 | 133 / 2 | Total 218 procedures | 7.579 | 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.