Hospital Costs > In Maryland > University Of Maryland Charles Regional Medical 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 | 201 | 315 / 19 | $18.655,50 | 210 / 21 | $17.230,90 | 2606 / 21 | $16.293,60 | 2561 / 22 |
Heart Failure & Shock W Cc | 109 | 169 / 21 | $8.839,11 | 70 / 17 | $8.157,17 | 2330 / 17 | $7.430,41 | 2324 / 19 |
Simple Pneumonia & Pleurisy W Cc | 89 | 114 / 21 | $8.577,64 | 46 / 14 | $7.934,26 | 2345 / 14 | $7.028,11 | 2336 / 16 |
Kidney & Urinary Tract Infections W/O Mcc | 89 | 144 / 23 | $6.387,09 | 27 / 6 | $5.917,85 | 2007 / 7 | $5.009,34 | 1996 / 8 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 89 | 475 / 29 | $23.788,60 | 58 / 21 | $22.024,40 | 2605 / 21 | $19.966,50 | 2559 / 22 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 86 | 34 / 1 | $6.604,97 | 29 / 8 | $6.136,01 | 1730 / 6 | $5.050,99 | 1719 / 8 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 85 | 122 / 15 | $9.556,96 | 51 / 15 | $8.843,12 | 2165 / 15 | $7.861,25 | 2156 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 84 | 191 / 25 | $7.013,60 | 54 / 20 | $6.538,12 | 2294 / 20 | $5.505,27 | 2279 / 20 |
Chronic Obstructive Pulmonary Disease W Cc | 82 | 97 / 18 | $8.827,65 | 49 / 16 | $8.150,17 | 2131 / 16 | $7.248,32 | 2124 / 17 |
Cellulitis W/O Mcc | 74 | 115 / 21 | $7.117,50 | 46 / 7 | $6.591,93 | 2021 / 7 | $5.612,73 | 2013 / 10 |
Heart Failure & Shock W Mcc | 71 | 213 / 26 | $11.622,90 | 39 / 10 | $10.723,90 | 1849 / 10 | $9.875,92 | 1844 / 12 |
G.I. Hemorrhage W Cc | 64 | 154 / 21 | $9.248,00 | 33 / 18 | $8.534,70 | 2107 / 17 | $7.760,70 | 2103 / 18 |
Chronic Obstructive Pulmonary Disease W Mcc | 61 | 141 / 21 | $11.784,40 | 118 / 23 | $10.876,60 | 2349 / 22 | $9.833,62 | 2341 / 22 |
Pulmonary Edema & Respiratory Failure | 58 | 145 / 23 | $14.666,60 | 134 / 16 | $13.529,40 | 2160 / 16 | $12.608,30 | 2154 / 16 |
Chest Pain | 55 | 96 / 10 | $5.606,00 | 12 / 7 | $5.183,47 | 1280 / 7 | $4.218,82 | 1273 / 7 |
Renal Failure W Cc | 52 | 169 / 25 | $9.946,75 | 93 / 26 | $9.249,08 | 2151 / 27 | $7.692,52 | 2141 / 21 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 51 | 115 / 25 | $6.335,75 | 46 / 8 | $5.884,00 | 1915 / 8 | $4.700,75 | 1909 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 48 | 134 / 24 | $8.862,40 | 8 / 6 | $8.181,12 | 1631 / 5 | $7.324,46 | 1627 / 11 |
Signs & Symptoms W/O Mcc | 43 | 48 / 13 | $7.030,28 | 25 / 13 | $6.493,14 | 1126 / 13 | $5.650,72 | 1123 / 13 |
Renal Failure W Mcc | 43 | 152 / 16 | $12.403,90 | 21 / 5 | $11.447,30 | 1533 / 5 | $10.406,20 | 1532 / 4 |
Red Blood Cell Disorders W/O Mcc | 41 | 102 / 22 | $6.823,17 | 13 / 7 | $6.334,63 | 1447 / 7 | $5.335,41 | 1438 / 8 |
Syncope & Collapse | 39 | 130 / 23 | $6.268,79 | 8 / 8 | $5.795,64 | 1367 / 8 | $4.757,28 | 1360 / 8 |
Diabetes W Cc | 38 | 54 / 14 | $7.639,61 | 26 / 10 | $7.056,61 | 1286 / 10 | $6.105,03 | 1281 / 10 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 34 | 116 / 23 | $4.827,94 | 16 / 12 | $4.506,62 | 1380 / 12 | $3.267,06 | 1374 / 11 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 31 | 93 / 17 | $39.552,00 | 19 / 11 | $36.452,90 | 1002 / 11 | $35.573,40 | 996 / 11 |
Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 26 | $11.340,00 | 19 / 3 | $10.504,20 | 1813 / 3 | $9.443,32 | 1813 / 4 |
Heart Failure & Shock W/O Cc/Mcc | 31 | 79 / 22 | $4.973,19 | 5 / 3 | $4.599,84 | 931 / 3 | $3.668,74 | 924 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 28 | $7.466,07 | 25 / 14 | $6.893,77 | 1855 / 14 | $6.085,23 | 1850 / 17 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 30 | 72 / 16 | $8.137,40 | 21 / 19 | $7.558,07 | 1468 / 19 | $6.409,43 | 1464 / 20 |
Transient Ischemia | 25 | 100 / 24 | $6.866,04 | 15 / 12 | $6.394,12 | 1404 / 12 | $5.267,88 | 1397 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 26 | $8.979,46 | 13 / 8 | $8.291,83 | 1082 / 8 | $7.295,50 | 1079 / 4 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 24 | 46 / 5 | $5.797,71 | 1 / 1 | $5.354,33 | 78 / 1 | $4.674,33 | 78 / 1 |
Hypertension W/O Mcc | 23 | 42 / 6 | $7.214,57 | 30 / 19 | $6.664,83 | 717 / 19 | $5.718,74 | 715 / 19 |
G.I. Hemorrhage W/O Cc/Mcc | 23 | 45 / 14 | $5.744,70 | 7 / 7 | $5.310,87 | 694 / 7 | $4.366,17 | 690 / 7 |
G.I. Obstruction W Cc | 22 | 70 / 19 | $6.174,68 | 7 / 6 | $5.763,27 | 612 / 6 | $4.596,64 | 611 / 4 |
Other Digestive System Diagnoses W Cc | 22 | 75 / 19 | $7.312,73 | 6 / 5 | $6.755,00 | 813 / 5 | $5.822,64 | 809 / 5 |
Other Circulatory System Diagnoses W Mcc | 22 | 94 / 21 | $10.443,50 | 2 / 2 | $9.699,55 | 57 / 2 | $8.833,45 | 57 / 2 |
Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 21 | $16.631,70 | 9 / 6 | $15.343,20 | 1729 / 5 | $14.242,10 | 1710 / 6 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 20 | $5.140,05 | 3 / 3 | $4.755,86 | 1044 / 2 | $3.711,41 | 1038 / 4 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 18 | $22.344,00 | 30 / 15 | $20.596,60 | 1666 / 15 | $19.939,20 | 1652 / 17 |
Seizures W/O Mcc | 21 | 87 / 25 | $6.839,57 | 14 / 10 | $6.317,81 | 976 / 9 | $5.456,86 | 974 / 12 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 12 | $8.853,35 | 9 / 6 | $8.164,85 | 790 / 6 | $7.712,05 | 788 / 10 |
G.I. Hemorrhage W Mcc | 19 | 102 / 20 | $14.307,10 | 15 / 10 | $13.265,20 | 1179 / 11 | $12.066,20 | 1171 / 10 |
Medical Back Problems W/O Mcc | 19 | 102 / 23 | $7.247,32 | 10 / 7 | $6.697,63 | 1109 / 7 | $5.621,42 | 1105 / 7 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 12 | $5.941,67 | 6 / 5 | $5.496,28 | 441 / 3 | $4.353,17 | 439 / 4 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 8 | $43.352,40 | 4 / 3 | $40.174,90 | 481 / 3 | $36.355,50 | 480 / 3 |
Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 25 | $12.001,30 | 105 / 25 | $11.070,30 | 1852 / 25 | $10.332,50 | 1848 / 26 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 30 | $13.398,10 | 18 / 12 | $12.431,70 | 1066 / 12 | $11.384,80 | 1061 / 12 |
Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 18 | $7.221,00 | 14 / 8 | $6.673,47 | 725 / 8 | $5.606,18 | 721 / 8 |
Peripheral Vascular Disorders W Cc | 17 | 67 / 17 | $7.134,47 | 6 / 3 | $6.665,06 | 528 / 3 | $5.386,88 | 526 / 3 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 17 | 30 / 9 | $6.382,06 | 4 / 4 | $5.897,59 | 253 / 4 | $4.975,24 | 253 / 4 |
Respiratory Infections & Inflammations W Cc | 16 | 72 / 21 | $13.412,50 | 57 / 16 | $12.367,80 | 1383 / 16 | $11.765,80 | 1378 / 18 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 16 | $9.215,94 | 10 / 5 | $8.506,31 | 876 / 3 | $7.674,31 | 871 / 4 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 17 | $7.040,67 | 1 / 1 | $6.497,00 | 69 / 1 | $5.935,93 | 69 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 22 | $8.426,07 | 4 / 3 | $7.778,13 | 897 / 3 | $6.969,60 | 894 / 4 |
Cellulitis W Mcc | 14 | 44 / 9 | $8.863,71 | 2 / 1 | $8.180,71 | 195 / 1 | $7.408,14 | 194 / 1 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 17 | $4.276,64 | 3 / 3 | $3.961,93 | 407 / 3 | $2.839,64 | 406 / 3 |
Respiratory Neoplasms W Mcc | 14 | 38 / 11 | $12.812,00 | 9 / 7 | $11.823,30 | 365 / 7 | $10.787,90 | 364 / 8 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 22 | $15.557,10 | 27 / 9 | $14.352,10 | 1360 / 9 | $13.309,60 | 1345 / 9 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 26 | $12.260,50 | 17 / 9 | $11.309,40 | 1074 / 9 | $10.563,50 | 1070 / 9 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 19 | $6.632,00 | 1 / 1 | $6.124,67 | 259 / 1 | $5.364,67 | 259 / 2 |
Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 9 | $6.009,08 | 10 / 6 | $5.553,67 | 295 / 6 | $4.647,00 | 295 / 7 |
Postoperative & Post-Traumatic Infections W/O Mcc | 12 | 42 / 10 | $6.851,25 | 2 / 2 | $6.321,33 | 180 / 2 | $5.817,33 | 180 / 2 |
Peripheral Vascular Disorders W Mcc | 12 | 37 / 12 | $15.528,20 | 29 / 15 | $14.322,80 | 554 / 15 | $13.413,50 | 554 / 15 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 14 | $15.055,10 | 14 / 13 | $13.888,80 | 827 / 12 | $12.878,20 | 824 / 13 |
Bone Diseases & Arthropathies W/O Mcc | 12 | 32 / 16 | $7.051,25 | 14 / 9 | $6.513,92 | 213 / 9 | $5.607,25 | 213 / 10 |
Dysequilibrium | 11 | 54 / 17 | $6.921,45 | 18 / 18 | $6.397,82 | 494 / 18 | $5.298,18 | 494 / 19 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 25 | $6.754,82 | 4 / 3 | $6.354,36 | 436 / 3 | $5.074,73 | 435 / 4 |
Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 23 | $7.828,09 | 6 / 6 | $7.228,45 | 546 / 6 | $6.358,64 | 546 / 9 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 12 | $11.207,50 | 11 / 10 | $10.335,30 | 397 / 10 | $9.782,55 | 397 / 11 |
Other Vascular Procedures W Cc | 11 | 91 / 21 | $15.247,90 | 2 / 2 | $14.064,00 | 171 / 2 | $13.185,50 | 171 / 4 |
Transurethral Procedures W Cc | 11 | 30 / 6 | $12.282,70 | 8 / 7 | $11.336,70 | 350 / 7 | $10.240,00 | 350 / 7 |
Other Circulatory System Diagnoses W Cc | 11 | 55 / 15 | $11.757,50 | 44 / 25 | $10.995,50 | 601 / 25 | $8.470,18 | 600 / 19 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 19 | $5.733,00 | 6 / 5 | $5.305,27 | 563 / 4 | $4.100,91 | 563 / 4 |
Diabetes W Mcc | 11 | 46 / 10 | $9.904,27 | 2 / 2 | $9.139,45 | 351 / 2 | $8.365,64 | 351 / 2 | Total 75 procedures | 2.592 | 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.