Hospital Costs > In Maryland > University Of Maryland Medical Center Midtown Campus, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 64 | 62 / 2 | $6.399,55 | 42 / 11 | $5.950,56 | 605 / 11 | $4.998,69 | 604 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 35 | $10.816,30 | 160 / 38 | $9.976,17 | 2124 / 38 | $9.368,17 | 2119 / 40 |
Cellulitis W/O Mcc | 17 | 172 / 38 | $9.487,94 | 204 / 33 | $8.758,94 | 2487 / 33 | $7.830,94 | 2479 / 35 |
Chest Pain | 28 | 123 / 20 | $10.190,90 | 156 / 40 | $8.374,21 | 1652 / 38 | $7.673,07 | 1643 / 39 |
Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 36 | $11.773,80 | 216 / 38 | $10.858,70 | 2385 / 38 | $10.225,90 | 2378 / 38 |
Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 30 | $13.347,60 | 204 / 36 | $12.312,30 | 2488 / 36 | $11.484,90 | 2480 / 36 |
Diabetes W Cc | 18 | 74 / 25 | $11.616,20 | 133 / 33 | $10.716,80 | 1577 / 33 | $9.914,17 | 1572 / 34 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 20 | $17.701,80 | 132 / 32 | $16.335,70 | 1451 / 31 | $14.894,30 | 1446 / 32 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 40 | $10.546,20 | 253 / 41 | $9.731,29 | 2674 / 41 | $8.926,71 | 2659 / 41 |
G.I. Hemorrhage W Cc | 19 | 199 / 37 | $17.740,30 | 546 / 42 | $16.361,10 | 2426 / 41 | $15.425,50 | 2422 / 42 |
Heart Failure & Shock W Cc | 32 | 246 / 39 | $14.392,80 | 512 / 43 | $13.272,30 | 2732 / 43 | $12.590,30 | 2726 / 43 |
Heart Failure & Shock W Mcc | 36 | 248 / 34 | $17.104,80 | 247 / 33 | $15.773,00 | 2530 / 33 | $14.965,90 | 2519 / 35 |
Hiv W Major Related Condition W Cc | 11 | 13 / 3 | $15.369,30 | 3 / 2 | $14.175,80 | 27 / 2 | $13.300,20 | 27 / 2 |
Hiv W Major Related Condition W Mcc | 21 | 16 / 2 | $49.966,70 | 20 / 5 | $46.075,60 | 91 / 5 | $43.764,00 | 91 / 5 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 20 | $66.889,20 | 153 / 32 | $61.634,70 | 1572 / 32 | $60.821,20 | 1562 / 33 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 37 | $14.683,20 | 138 / 35 | $13.543,30 | 2051 / 35 | $12.683,60 | 2046 / 35 |
Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 38 | $11.022,90 | 390 / 41 | $10.167,10 | 2674 / 41 | $9.523,35 | 2663 / 42 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 9 | $24.458,20 | 45 / 10 | $22.540,80 | 517 / 10 | $22.036,80 | 517 / 10 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 17 | 547 / 37 | $43.114,30 | 933 / 42 | $39.739,90 | 2699 / 42 | $38.599,20 | 2653 / 42 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 45 | 81 / 14 | $13.563,70 | 105 / 35 | $12.516,20 | 1647 / 35 | $11.451,10 | 1644 / 35 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 36 | $12.798,90 | 649 / 39 | $11.803,70 | 2532 / 39 | $11.131,70 | 2523 / 38 |
Organic Disturbances & Mental Retardation | 16 | 43 / 13 | $11.702,90 | 44 / 22 | $10.793,40 | 517 / 22 | $10.156,40 | 517 / 22 |
Other Circulatory System Diagnoses W Mcc | 22 | 94 / 21 | $27.555,00 | 162 / 32 | $25.412,90 | 1381 / 32 | $23.955,50 | 1373 / 32 |
Other Factors Influencing Health Status | 28 | 2 / 2 | $72.113,40 | 1 / 1 | $66.556,10 | 1 / 1 | $60.289,80 | 1 / 1 |
Other Vascular Procedures W Cc | 13 | 89 / 19 | $48.012,20 | 175 / 27 | $44.240,50 | 1138 / 27 | $43.658,30 | 1133 / 27 |
Other Vascular Procedures W Mcc | 18 | 79 / 15 | $62.210,50 | 183 / 25 | $57.322,40 | 1006 / 25 | $56.614,00 | 1003 / 25 |
Peripheral Vascular Disorders W Cc | 16 | 68 / 18 | $10.781,20 | 55 / 22 | $9.943,44 | 1183 / 22 | $9.341,44 | 1180 / 22 |
Psychoses | 452 | 32 / 1 | $8.297,55 | 30 / 11 | $7.658,45 | 414 / 11 | $6.920,75 | 414 / 11 |
Pulmonary Edema & Respiratory Failure | 57 | 146 / 24 | $77.427,60 | 2115 / 41 | $71.496,50 | 2249 / 41 | $62.984,50 | 2243 / 41 |
Renal Failure W Cc | 31 | 190 / 31 | $13.798,60 | 365 / 42 | $12.725,20 | 2416 / 42 | $12.026,40 | 2406 / 42 |
Renal Failure W Mcc | 51 | 144 / 13 | $26.269,90 | 536 / 38 | $24.231,40 | 2160 / 38 | $22.657,90 | 2156 / 38 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 14 | $23.799,30 | 42 / 19 | $21.938,90 | 1728 / 19 | $21.184,80 | 1714 / 22 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 26 | 45 / 5 | $49.503,80 | 23 / 15 | $45.637,30 | 869 / 15 | $43.920,70 | 868 / 14 |
Seizures W Mcc | 14 | 52 / 16 | $16.178,40 | 26 / 16 | $14.913,90 | 687 / 16 | $14.397,40 | 687 / 17 |
Seizures W/O Mcc | 15 | 93 / 29 | $10.246,70 | 72 / 30 | $9.576,67 | 1230 / 31 | $7.602,33 | 1228 / 30 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 8 | $63.323,60 | 47 / 24 | $58.634,90 | 991 / 24 | $52.094,70 | 990 / 19 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 122 | 394 / 31 | $29.528,00 | 759 / 41 | $27.229,20 | 2816 / 41 | $25.830,40 | 2771 / 41 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 35 | $16.611,20 | 485 / 41 | $15.324,00 | 2558 / 41 | $14.237,40 | 2548 / 40 |
Signs & Symptoms W/O Mcc | 11 | 80 / 29 | $11.299,30 | 145 / 37 | $10.428,70 | 1321 / 37 | $9.439,64 | 1318 / 38 |
Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 35 | $11.353,50 | 204 / 37 | $10.476,30 | 2716 / 37 | $9.603,12 | 2707 / 38 |
Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 32 | $18.779,60 | 312 / 37 | $17.313,40 | 2497 / 37 | $16.637,60 | 2491 / 37 |
Syncope & Collapse | 12 | 157 / 32 | $10.983,80 | 144 / 40 | $10.132,30 | 1904 / 40 | $9.423,00 | 1896 / 41 | Total 42 procedures | 1.509 | 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.