Hospital Costs > In Ohio > University Of Toledo Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 23 | $40.306,70 | 1043 / 59 | $10.338,00 | 1208 / 62 | $7.736,71 | 1206 / 62 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 41 | $89.598,90 | 1634 / 81 | $20.628,00 | 1724 / 81 | $16.316,30 | 1711 / 81 |
| Atherosclerosis W/O Mcc | 18 | 40 / 5 | $14.615,60 | 156 / 8 | $5.818,00 | / 16 | $4.065,22 | / |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 39 | $22.485,20 | 1245 / 76 | $7.770,38 | 1796 / 94 | $5.824,31 | 1791 / 92 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 44 | $51.620,40 | 1562 / 86 | $12.960,70 | 1646 / 85 | $9.533,00 | 1643 / 83 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 35 | $15.203,70 | 1016 / 60 | $5.720,22 | 1523 / 87 | $3.577,57 | 1517 / 85 |
| Cellulitis W Mcc | 12 | 46 / 18 | $26.343,70 | 288 / 26 | $12.805,00 | 707 / 42 | $10.066,00 | 705 / 44 |
| Cellulitis W/O Mcc | 54 | 135 / 30 | $21.497,30 | 1626 / 93 | $8.671,07 | 2157 / 107 | $5.963,22 | 2149 / 103 |
| Cervical Spinal Fusion W/O Cc/Mcc | 25 | 79 / 10 | $65.030,80 | 526 / 27 | $18.401,00 | 739 / 31 | $15.953,00 | 736 / 31 |
| Chest Pain | 26 | 125 / 24 | $20.495,70 | 960 / 54 | $6.147,77 | 1340 / 69 | $4.404,69 | 1332 / 69 |
| Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 46 | $28.396,10 | 1648 / 98 | $9.174,11 | 1969 / 105 | $6.582,29 | 1962 / 102 |
| Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 55 | $35.391,20 | 1766 / 98 | $11.024,00 | 2077 / 106 | $8.180,12 | 2069 / 103 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 32 | $19.720,20 | 1241 / 82 | $7.045,91 | 1591 / 97 | $4.628,36 | 1580 / 93 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 19 | $55.446,20 | 408 / 24 | $19.643,20 | 723 / 37 | $15.803,80 | 716 / 38 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 61 | 127 / 15 | $35.454,90 | 780 / 44 | $10.819,70 | 1341 / 66 | $7.735,61 | 1338 / 64 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 18 | $164.830,00 | 408 / 16 | $39.845,90 | 533 / 25 | $34.800,50 | 533 / 28 |
| Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 13 | 29 / 7 | $135.048,00 | 73 / 3 | $44.069,70 | 65 / 5 | $34.417,80 | 65 / 4 |
| Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 14 | $15.678,90 | 108 / 7 | $8.677,27 | 455 / 30 | $5.892,40 | 455 / 26 |
| Diabetes W Cc | 22 | 70 / 19 | $24.973,70 | 994 / 57 | $8.493,77 | 1195 / 67 | $5.737,68 | 1190 / 63 |
| Diabetes W Mcc | 12 | 45 / 12 | $50.534,30 | 560 / 35 | $15.761,80 | 681 / 39 | $12.493,70 | 680 / 40 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 11 | $19.698,70 | 178 / 11 | $8.621,58 | 350 / 20 | $6.350,42 | 350 / 20 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 10 | $68.050,20 | 404 / 17 | $17.834,00 | 325 / 18 | $12.553,80 | 325 / 16 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 18 | $32.309,20 | 674 / 34 | $9.793,36 | 799 / 37 | $6.868,09 | 796 / 35 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 16 | 22 / 4 | $19.638,50 | 244 / 15 | $7.220,88 | 353 / 20 | $4.323,88 | 352 / 16 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 22 | 59 / 8 | $486.442,00 | 263 / 10 | $144.254,00 | 287 / 12 | $126.396,00 | 286 / 14 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 27 | $23.082,50 | 344 / 25 | $10.941,80 | 930 / 58 | $7.902,18 | 925 / 55 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 46 | 229 / 50 | $22.479,80 | 1671 / 87 | $7.688,22 | 2003 / 108 | $4.788,11 | 1989 / 100 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 15 | $96.528,40 | 193 / 11 | $33.925,70 | 338 / 19 | $29.500,90 | 338 / 17 |
| Extracranial Procedures W/O Cc/Mcc | 19 | 79 / 15 | $49.753,20 | 765 / 31 | $9.748,84 | 780 / 34 | $7.222,21 | 777 / 34 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 15 | $26.953,50 | 543 / 30 | $7.839,00 | 618 / 32 | $5.168,54 | 616 / 32 |
| G.I. Hemorrhage W Cc | 18 | 200 / 59 | $34.157,80 | 1756 / 91 | $9.960,11 | 2017 / 100 | $7.326,33 | 2013 / 98 |
| G.I. Hemorrhage W Mcc | 21 | 100 / 30 | $49.179,60 | 981 / 58 | $15.956,70 | 1322 / 70 | $13.020,80 | 1312 / 71 |
| G.I. Obstruction W Cc | 14 | 78 / 29 | $23.969,50 | 924 / 58 | $8.815,50 | 1346 / 69 | $6.028,00 | 1341 / 67 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 18 | $18.286,30 | 743 / 41 | $6.624,31 | 1121 / 49 | $4.404,00 | 1118 / 49 |
| Headaches W/O Mcc | 12 | 31 / 7 | $22.194,20 | 124 / 7 | $6.642,50 | 159 / 7 | $4.422,42 | 159 / 6 |
| Heart Failure & Shock W Cc | 65 | 213 / 47 | $29.264,50 | 1920 / 98 | $9.807,18 | 2142 / 109 | $6.832,22 | 2136 / 104 |
| Heart Failure & Shock W Mcc | 28 | 256 / 68 | $55.509,20 | 2116 / 104 | $15.764,40 | 2228 / 106 | $11.455,90 | 2218 / 104 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 25 | $29.143,00 | 1689 / 87 | $7.588,19 | 1623 / 85 | $4.777,62 | 1610 / 82 |
| Hip & Femur Procedures Except Major Joint W Cc | 42 | 101 / 15 | $62.402,50 | 1415 / 75 | $17.127,60 | 1617 / 87 | $13.431,50 | 1598 / 82 |
| Hip & Femur Procedures Except Major Joint W Mcc | 24 | 38 / 6 | $87.282,30 | 596 / 32 | $26.037,70 | 764 / 40 | $21.615,90 | 761 / 40 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 5 | $51.472,20 | 603 / 18 | $14.854,00 | 768 / 22 | $11.589,20 | 765 / 22 |
| Hypertension W/O Mcc | 16 | 49 / 9 | $22.284,90 | 472 / 25 | $6.649,69 | 588 / 28 | $4.298,44 | 586 / 26 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 23 | $192.606,00 | 1237 / 64 | $53.250,60 | 1425 / 68 | $46.289,70 | 1415 / 68 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 39 | 143 / 28 | $38.046,60 | 1457 / 74 | $10.429,10 | 1669 / 78 | $7.500,44 | 1665 / 78 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 27 | $60.156,80 | 1137 / 55 | $17.231,70 | 1364 / 60 | $13.632,40 | 1358 / 59 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 27 | $26.261,10 | 959 / 52 | $7.763,18 | 1279 / 64 | $5.128,00 | 1275 / 64 |
| Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 34 | $53.336,20 | 1721 / 90 | $12.453,80 | 1704 / 90 | $8.730,75 | 1700 / 88 |
| Kidney & Urinary Tract Infections W/O Mcc | 45 | 188 / 41 | $20.339,40 | 1612 / 89 | $7.790,47 | 2244 / 107 | $5.560,60 | 2233 / 104 |
| Kidney Transplant | 51 | 53 / 4 | $146.594,00 | 35 / 1 | $34.599,30 | 30 / 3 | $18.920,40 | 30 / 1 |
| Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc | 11 | 13 / 1 | $41.269,70 | 13 / 1 | $14.522,50 | 22 / 1 | $12.055,50 | 22 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 21 | 34 / 6 | $47.684,50 | 233 / 13 | $16.751,80 | 494 / 22 | $13.779,80 | 490 / 23 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 27 | 20 / 2 | $42.683,70 | 248 / 5 | $12.913,70 | 366 / 11 | $9.517,63 | 366 / 12 |
| Major Cardiovasc Procedures W/O Mcc | 24 | 77 / 13 | $107.806,00 | 658 / 34 | $28.674,60 | 815 / 39 | $24.963,80 | 814 / 41 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 56 | 508 / 73 | $59.708,00 | 1683 / 96 | $18.033,40 | 2129 / 114 | $14.164,60 | 2086 / 114 |
| Major Small & Large Bowel Procedures W Cc | 24 | 84 / 18 | $104.436,00 | 1250 / 62 | $24.799,30 | 1317 / 60 | $19.030,60 | 1303 / 60 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 25 | $174.770,00 | 943 / 54 | $45.722,30 | 1007 / 53 | $37.839,50 | 1005 / 52 |
| Medical Back Problems W/O Mcc | 21 | 100 / 26 | $27.102,60 | 919 / 52 | $8.692,52 | 1182 / 61 | $5.922,71 | 1178 / 60 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 32 | 94 / 20 | $35.795,80 | 1186 / 72 | $10.852,80 | 1309 / 73 | $8.188,84 | 1306 / 71 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 51 | 115 / 18 | $21.965,00 | 1717 / 91 | $7.195,90 | 2027 / 99 | $4.952,45 | 2019 / 97 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 15 | $23.089,50 | 260 / 26 | $8.990,38 | 478 / 35 | $6.620,23 | 477 / 35 |
| Other Circulatory System Diagnoses W Mcc | 22 | 94 / 26 | $44.873,10 | 625 / 43 | $16.376,30 | 880 / 59 | $12.565,10 | 874 / 56 |
| Other Circulatory System O.R. Procedures | 17 | 38 / 4 | $55.594,80 | 134 / 7 | $22.275,60 | 260 / 13 | $18.450,00 | 260 / 14 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 22 | $43.382,40 | 1178 / 59 | $10.419,40 | 1144 / 56 | $7.119,79 | 1140 / 55 |
| Other Digestive System Diagnoses W Mcc | 18 | 44 / 8 | $41.381,30 | 336 / 12 | $14.994,30 | 544 / 24 | $12.415,30 | 543 / 27 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 40 | 63 / 6 | $44.824,60 | 702 / 30 | $10.434,80 | 669 / 28 | $7.465,90 | 669 / 28 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 19 | $46.084,70 | 738 / 47 | $13.567,60 | 754 / 49 | $10.541,00 | 752 / 49 |
| Other Resp System O.R. Procedures W Cc | 11 | 36 / 7 | $48.761,10 | 151 / 6 | $17.487,00 | 257 / 10 | $14.214,30 | 257 / 10 |
| Other Resp System O.R. Procedures W Mcc | 13 | 50 / 12 | $108.999,00 | 384 / 24 | $34.503,30 | 412 / 26 | $25.200,80 | 411 / 25 |
| Other Vascular Procedures W Cc | 35 | 67 / 12 | $81.057,90 | 657 / 31 | $22.176,90 | 775 / 42 | $17.053,70 | 770 / 37 |
| Other Vascular Procedures W Mcc | 22 | 75 / 17 | $87.419,60 | 466 / 26 | $29.092,60 | 672 / 41 | $23.193,90 | 669 / 37 |
| Other Vascular Procedures W/O Cc/Mcc | 16 | 40 / 6 | $51.806,10 | 305 / 9 | $14.537,60 | 449 / 16 | $12.311,20 | 448 / 16 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 25 | $97.898,40 | 463 / 32 | $28.956,20 | 778 / 40 | $23.299,90 | 773 / 41 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 47 | 149 / 27 | $52.969,10 | 281 / 20 | $17.201,30 | 1197 / 58 | $14.031,10 | 1190 / 57 |
| Peripheral Vascular Disorders W Cc | 22 | 62 / 12 | $22.528,70 | 518 / 34 | $9.247,41 | 920 / 53 | $6.721,05 | 917 / 53 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 20 | $52.252,40 | 240 / 13 | $22.189,10 | 778 / 36 | $19.132,00 | 774 / 38 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 12 | $48.740,40 | 272 / 15 | $17.935,90 | 579 / 29 | $15.004,80 | 578 / 27 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 18 | 54 / 13 | $48.016,90 | 679 / 33 | $13.447,20 | 765 / 37 | $10.403,00 | 763 / 37 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 12 | $18.407,70 | 459 / 22 | $6.409,80 | 657 / 28 | $4.509,00 | 656 / 27 |
| Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 13 | 25 / 3 | $69.948,40 | 123 / 7 | $18.519,80 | 115 / 8 | $14.440,20 | 115 / 8 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 62 | $52.802,40 | 1806 / 89 | $12.755,90 | 1774 / 94 | $8.813,12 | 1769 / 90 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 23 | $31.423,90 | 877 / 44 | $9.565,42 | 1058 / 50 | $6.871,42 | 1055 / 49 |
| Red Blood Cell Disorders W Mcc | 14 | 57 / 16 | $38.005,80 | 651 / 43 | $11.976,40 | 792 / 47 | $8.961,43 | 788 / 48 |
| Red Blood Cell Disorders W/O Mcc | 25 | 118 / 29 | $18.569,20 | 761 / 49 | $8.065,56 | 1625 / 86 | $5.930,36 | 1616 / 84 |
| Renal Failure W Cc | 69 | 152 / 34 | $27.582,20 | 1584 / 87 | $9.841,03 | 1940 / 99 | $6.778,77 | 1930 / 96 |
| Renal Failure W Mcc | 44 | 151 / 39 | $49.886,00 | 1578 / 87 | $15.127,00 | 1650 / 91 | $10.867,10 | 1648 / 89 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 30 | $37.394,30 | 909 / 54 | $13.360,90 | 1226 / 61 | $9.933,27 | 1221 / 60 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 34 | 97 / 26 | $74.952,10 | 1231 / 64 | $20.550,10 | 1420 / 71 | $16.661,50 | 1406 / 71 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 24 | 47 / 13 | $164.803,00 | 626 / 33 | $44.922,80 | 735 / 40 | $38.092,20 | 734 / 40 |
| Revision Of Hip Or Knee Replacement W Cc | 31 | 55 / 4 | $99.208,40 | 437 / 20 | $27.931,10 | 549 / 23 | $24.876,20 | 547 / 23 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 20 | 49 / 6 | $76.712,20 | 309 / 9 | $23.018,40 | 430 / 12 | $20.046,10 | 429 / 14 |
| Seizures W Mcc | 20 | 46 / 13 | $79.880,30 | 678 / 30 | $18.313,20 | 693 / 32 | $14.578,70 | 693 / 32 |
| Seizures W/O Mcc | 55 | 53 / 6 | $27.445,60 | 863 / 39 | $7.438,60 | 921 / 45 | $5.152,95 | 918 / 45 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 22 | $230.589,00 | 843 / 44 | $57.974,90 | 920 / 43 | $48.078,20 | 919 / 44 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 65 | 451 / 69 | $64.751,60 | 2199 / 104 | $17.863,50 | 2391 / 110 | $14.203,80 | 2348 / 109 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 46 | $40.001,00 | 2035 / 96 | $10.957,60 | 2062 / 95 | $7.505,36 | 2054 / 93 |
| Signs & Symptoms W/O Mcc | 18 | 73 / 17 | $30.200,10 | 1032 / 58 | $8.686,67 | 1166 / 57 | $5.930,94 | 1163 / 55 |
| Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 40 | $26.456,70 | 1738 / 99 | $9.297,18 | 2237 / 111 | $6.709,87 | 2229 / 107 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 53 | $37.009,70 | 1449 / 84 | $13.399,20 | 1968 / 105 | $10.005,40 | 1968 / 102 |
| Spinal Fusion Except Cervical W/O Mcc | 42 | 152 / 25 | $91.785,70 | 651 / 37 | $33.122,30 | 1034 / 55 | $26.948,70 | 1029 / 53 |
| Spinal Procedures W/O Cc/Mcc | 11 | 16 / 2 | $22.519,80 | 6 / 2 | $15.041,40 | 13 / 2 | $12.845,40 | 13 / 2 |
| Syncope & Collapse | 16 | 153 / 41 | $21.784,80 | 1016 / 62 | $7.194,19 | 1550 / 83 | $5.318,94 | 1543 / 84 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 14 | $195.971,00 | 138 / 8 | $65.398,10 | 190 / 13 | $58.368,90 | 190 / 15 |
| Transient Ischemia | 28 | 97 / 24 | $19.688,30 | 643 / 33 | $6.913,18 | 1295 / 65 | $4.821,61 | 1289 / 66 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 24 | 19 / 2 | $71.591,60 | 61 / 3 | $24.228,40 | 99 / 5 | $20.645,80 | 99 / 5 | Total 104 procedures | 2.516 | 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.