Hospital Costs > In Wisconsin > University Of Wisconsin Hospitals & Clinics Authority, 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 | 374 | 207 / 3 | $39.064,90 | 702 / 25 | $19.466,80 | 2272 / 64 | $15.126,40 | 2228 / 63 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 308 | 210 / 4 | $49.999,60 | 1784 / 55 | $21.750,20 | 2518 / 60 | $15.380,30 | 2474 / 60 |
| Kidney Transplant | 186 | 3 / 1 | $189.959,00 | 80 / 1 | $47.882,70 | 67 / 3 | $21.482,40 | 67 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 128 | 147 / 4 | $18.569,50 | 1223 / 40 | $8.436,23 | 2372 / 58 | $5.812,34 | 2357 / 58 |
| Heart Failure & Shock W Cc | 97 | 181 / 8 | $22.627,70 | 1451 / 54 | $11.829,30 | 2470 / 62 | $8.097,19 | 2464 / 62 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 97 | 110 / 4 | $26.318,10 | 1362 / 52 | $11.986,70 | 2160 / 61 | $7.840,27 | 2151 / 61 |
| Renal Failure W Cc | 92 | 129 / 4 | $18.677,70 | 848 / 30 | $10.099,20 | 1977 / 53 | $6.895,60 | 1967 / 51 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 90 | 22 / 2 | $29.241,70 | 506 / 10 | $11.293,90 | 688 / 12 | $7.737,83 | 688 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 88 | 80 / 2 | $45.469,40 | 843 / 26 | $19.292,00 | 1390 / 31 | $14.001,50 | 1384 / 28 |
| Respiratory Infections & Inflammations W Mcc | 87 | 50 / 1 | $42.955,80 | 880 / 26 | $21.079,80 | 1472 / 33 | $14.033,10 | 1456 / 31 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 82 | 23 / 1 | $105.947,00 | 214 / 5 | $43.524,30 | 354 / 8 | $32.171,10 | 354 / 6 |
| Medical Back Problems W/O Mcc | 82 | 40 / 2 | $25.477,50 | 845 / 27 | $9.639,20 | 1270 / 30 | $6.440,56 | 1266 / 30 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 81 | 41 / 2 | $130.484,00 | 214 / 11 | $50.475,40 | 430 / 16 | $39.385,20 | 430 / 18 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 80 | 102 / 4 | $28.474,50 | 1043 / 38 | $11.976,50 | 1761 / 44 | $7.983,77 | 1757 / 45 |
| Heart Failure & Shock W Mcc | 80 | 204 / 9 | $33.026,60 | 1284 / 47 | $16.629,60 | 2234 / 58 | $11.481,50 | 2224 / 57 |
| Kidney & Urinary Tract Infections W/O Mcc | 78 | 155 / 6 | $17.016,20 | 1225 / 41 | $8.569,15 | 2272 / 53 | $5.667,97 | 2261 / 52 |
| Spinal Fusion Except Cervical W/O Mcc | 78 | 116 / 3 | $62.576,80 | 250 / 12 | $35.417,40 | 1131 / 26 | $28.915,80 | 1126 / 30 |
| G.I. Hemorrhage W Cc | 76 | 142 / 6 | $21.133,90 | 853 / 35 | $11.543,80 | 2039 / 59 | $7.457,92 | 2035 / 58 |
| Cellulitis W/O Mcc | 75 | 114 / 7 | $17.632,40 | 1199 / 41 | $9.458,12 | 2175 / 58 | $6.020,29 | 2167 / 56 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 75 | 10 / 1 | $55.616,00 | 341 / 4 | $23.590,40 | 439 / 5 | $15.096,80 | 439 / 5 |
| Major Small & Large Bowel Procedures W Cc | 74 | 35 / 1 | $58.168,20 | 593 / 16 | $26.351,40 | 1244 / 35 | $17.996,20 | 1230 / 33 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 73 | 28 / 3 | $43.359,20 | 697 / 20 | $17.324,40 | 875 / 22 | $11.668,70 | 871 / 22 |
| Respiratory Infections & Inflammations W Cc | 69 | 22 / 1 | $30.783,90 | 712 / 23 | $15.716,70 | 1222 / 27 | $9.882,04 | 1217 / 25 |
| Other Circulatory System Diagnoses W Mcc | 68 | 48 / 1 | $47.834,30 | 692 / 20 | $21.039,50 | 1049 / 25 | $13.947,60 | 1042 / 20 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 66 | 65 / 2 | $65.060,40 | 1036 / 21 | $23.969,80 | 1597 / 24 | $18.855,80 | 1583 / 24 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 65 | 60 / 2 | $36.550,90 | 683 / 18 | $18.035,70 | 1588 / 30 | $13.893,20 | 1575 / 30 |
| Major Cardiovasc Procedures W/O Mcc | 65 | 37 / 2 | $90.334,40 | 496 / 14 | $33.292,80 | 899 / 19 | $27.716,50 | 898 / 19 |
| Hip & Femur Procedures Except Major Joint W Cc | 63 | 80 / 3 | $56.657,90 | 1265 / 47 | $19.442,10 | 1801 / 51 | $15.001,70 | 1782 / 51 |
| Other Vascular Procedures W Cc | 62 | 41 / 1 | $71.698,30 | 538 / 13 | $25.129,00 | 959 / 19 | $19.836,40 | 954 / 17 |
| Simple Pneumonia & Pleurisy W Cc | 61 | 142 / 10 | $22.620,30 | 1406 / 48 | $10.758,60 | 2361 / 57 | $7.088,89 | 2352 / 56 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 61 | 63 / 2 | $144.092,00 | 975 / 25 | $56.105,90 | 1446 / 26 | $47.503,10 | 1436 / 26 |
| Other Digestive System Diagnoses W Cc | 59 | 38 / 2 | $19.876,40 | 404 / 7 | $10.377,70 | 1189 / 23 | $7.355,41 | 1185 / 23 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 57 | 139 / 7 | $55.034,40 | 340 / 13 | $20.169,50 | 1239 / 33 | $14.584,60 | 1232 / 33 |
| Simple Pneumonia & Pleurisy W Mcc | 56 | 149 / 11 | $33.167,90 | 1233 / 49 | $15.644,40 | 2231 / 58 | $11.628,50 | 2225 / 58 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 54 | 62 / 2 | $212.502,00 | 247 / 10 | $84.849,10 | 416 / 13 | $67.276,90 | 416 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 53 | 113 / 5 | $18.387,30 | 1363 / 38 | $8.413,85 | 2106 / 48 | $5.219,23 | 2098 / 47 |
| G.I. Obstruction W Cc | 51 | 41 / 3 | $25.449,00 | 1012 / 31 | $10.388,90 | 1469 / 35 | $6.587,57 | 1464 / 33 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 50 | 111 / 8 | $19.389,00 | 1000 / 34 | $9.290,44 | 1787 / 44 | $5.790,04 | 1782 / 42 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 47 | 49 / 3 | $26.802,00 | 517 / 10 | $13.031,60 | 1196 / 21 | $9.269,57 | 1191 / 19 |
| Major Small & Large Bowel Procedures W Mcc | 46 | 39 / 2 | $126.403,00 | 619 / 20 | $52.982,70 | 1145 / 27 | $43.174,90 | 1143 / 26 |
| Major Chest Procedures W Cc | 46 | 28 / 2 | $53.603,00 | 143 / 3 | $25.803,40 | 416 / 7 | $19.472,60 | 414 / 7 |
| Major Cardiovasc Procedures W Mcc | 45 | 23 / 2 | $190.758,00 | 492 / 9 | $65.790,30 | 607 / 9 | $50.590,10 | 606 / 9 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 45 | 32 / 1 | $39.435,80 | 175 / 4 | $14.847,40 | 363 / 6 | $12.428,00 | 362 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 44 | 82 / 3 | $26.754,50 | 802 / 22 | $12.099,10 | 1364 / 28 | $8.451,82 | 1361 / 28 |
| Seizures W/O Mcc | 42 | 66 / 3 | $22.606,30 | 676 / 13 | $9.240,69 | 1012 / 16 | $5.608,31 | 1010 / 16 |
| Craniotomy & Endovascular Intracranial Procedures W Cc | 41 | 15 / 1 | $91.682,60 | 126 / 4 | $31.595,50 | 178 / 5 | $24.279,10 | 178 / 5 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 41 | 48 / 1 | $26.872,90 | 234 / 7 | $11.147,80 | 629 / 12 | $7.640,07 | 628 / 13 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 40 | 13 / 1 | $20.881,20 | 77 / 1 | $12.470,30 | 375 / 3 | $9.462,50 | 375 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 40 | 148 / 10 | $29.199,60 | 477 / 14 | $11.202,20 | 1431 / 30 | $8.470,00 | 1428 / 30 |
| Renal Failure W Mcc | 40 | 155 / 7 | $65.029,20 | 1831 / 40 | $25.101,90 | 2130 / 40 | $17.822,40 | 2126 / 40 |
| Pulmonary Edema & Respiratory Failure | 39 | 164 / 15 | $33.796,20 | 1240 / 46 | $14.708,70 | 1986 / 50 | $10.012,70 | 1980 / 50 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 39 | 27 / 1 | $38.445,50 | 146 / 5 | $19.402,10 | 438 / 8 | $13.270,70 | 435 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 38 | 85 / 8 | $32.533,70 | 1070 / 34 | $13.653,10 | 1664 / 39 | $9.662,87 | 1661 / 39 |
| Kidney & Ureter Procedures For Non-Neoplasm W Cc | 38 | 9 / 1 | $49.118,60 | 82 / 2 | $18.929,20 | 169 / 4 | $15.120,80 | 169 / 4 |
| Syncope & Collapse | 37 | 132 / 7 | $19.368,90 | 797 / 19 | $8.307,46 | 1618 / 31 | $5.617,76 | 1611 / 31 |
| G.I. Hemorrhage W Mcc | 37 | 84 / 6 | $43.038,70 | 807 / 21 | $18.419,10 | 1452 / 25 | $14.452,50 | 1442 / 25 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 37 | 54 / 3 | $22.971,40 | 424 / 10 | $11.541,40 | 1217 / 20 | $7.825,35 | 1215 / 19 |
| Disorders Of Pancreas Except Malignancy W Cc | 37 | 24 / 2 | $33.258,80 | 689 / 11 | $11.995,90 | 869 / 13 | $7.862,38 | 866 / 13 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 36 | 34 / 1 | $35.869,20 | 440 / 6 | $13.462,80 | 515 / 6 | $9.226,61 | 515 / 6 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 36 | 52 / 3 | $124.469,00 | 387 / 11 | $38.380,10 | 538 / 11 | $29.901,80 | 537 / 11 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 36 | 38 / 2 | $87.567,20 | 191 / 3 | $27.406,30 | 216 / 3 | $18.152,50 | 215 / 3 |
| Complications Of Treatment W Cc | 35 | 17 / 1 | $22.441,20 | 129 / 2 | $10.349,80 | 284 / 4 | $8.009,94 | 284 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 35 | 38 / 2 | $24.072,90 | 441 / 10 | $12.874,90 | 832 / 16 | $8.019,11 | 830 / 13 |
| Pulmonary Embolism W/O Mcc | 35 | 39 / 3 | $18.259,00 | 307 / 12 | $9.899,17 | 1044 / 29 | $6.785,66 | 1041 / 26 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 34 | 32 / 2 | $36.457,80 | 314 / 5 | $12.252,60 | 420 / 6 | $8.539,65 | 419 / 6 |
| Other Respiratory System Diagnoses W Mcc | 34 | 8 / 1 | $44.939,60 | 46 / 2 | $17.385,10 | 50 / 2 | $11.093,10 | 50 / 2 |
| Other Vascular Procedures W Mcc | 34 | 63 / 3 | $109.217,00 | 656 / 11 | $40.365,30 | 914 / 11 | $29.559,00 | 911 / 11 |
| Other Resp System O.R. Procedures W Cc | 33 | 14 / 2 | $49.576,50 | 155 / 2 | $22.422,20 | 259 / 3 | $14.294,20 | 259 / 2 |
| Other Circulatory System Diagnoses W Cc | 33 | 33 / 2 | $25.102,20 | 310 / 2 | $10.979,10 | 493 / 4 | $6.783,55 | 492 / 3 |
| Extracranial Procedures W/O Cc/Mcc | 33 | 65 / 2 | $46.556,50 | 737 / 17 | $11.426,00 | 810 / 17 | $7.556,18 | 807 / 17 |
| Signs & Symptoms W/O Mcc | 32 | 59 / 6 | $16.267,60 | 425 / 5 | $7.949,47 | 1115 / 23 | $5.552,62 | 1112 / 23 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 32 | 22 / 2 | $24.600,50 | 204 / 3 | $11.294,40 | 358 / 4 | $7.781,78 | 358 / 4 |
| Other Digestive System Diagnoses W Mcc | 32 | 30 / 1 | $36.853,60 | 271 / 7 | $17.751,40 | 594 / 10 | $13.175,70 | 593 / 10 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 31 | 17 / 1 | $43.570,30 | 120 / 1 | $17.610,80 | 184 / 2 | $11.251,90 | 183 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 31 | 113 / 5 | $20.639,00 | 609 / 17 | $11.723,60 | 1673 / 31 | $8.494,35 | 1669 / 30 |
| Peripheral Vascular Disorders W Cc | 31 | 53 / 2 | $21.460,40 | 474 / 7 | $10.657,50 | 1003 / 10 | $7.273,23 | 1000 / 9 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 31 | 50 / 2 | $417.009,00 | 195 / 3 | $161.543,00 | 324 / 4 | $135.573,00 | 323 / 2 |
| Degenerative Nervous System Disorders W/O Mcc | 31 | 47 / 2 | $21.697,40 | 285 / 4 | $11.679,70 | 665 / 12 | $7.412,68 | 665 / 11 |
| Fractures Of Hip & Pelvis W/O Mcc | 31 | 30 / 1 | $17.552,30 | 412 / 13 | $8.535,84 | 787 / 17 | $5.146,06 | 786 / 16 |
| Pancreas, Liver & Shunt Procedures W Cc | 31 | 24 / 1 | $84.149,20 | 68 / 1 | $28.223,70 | 86 / 1 | $21.738,70 | 86 / 2 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 30 | 43 / 1 | $51.713,60 | 251 / 7 | $13.106,30 | 319 / 7 | $9.507,80 | 319 / 9 |
| Stomach, Esophageal & Duodenal Proc W Cc | 30 | 20 / 2 | $82.378,60 | 143 / 4 | $34.456,70 | 147 / 5 | $18.851,90 | 147 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 10 | $14.769,40 | 961 / 25 | $6.845,03 | 1750 / 33 | $4.296,28 | 1744 / 32 |
| Red Blood Cell Disorders W/O Mcc | 29 | 114 / 6 | $17.015,30 | 625 / 6 | $8.840,66 | 1727 / 26 | $6.498,14 | 1718 / 25 |
| Postoperative & Post-Traumatic Infections W Mcc | 29 | 14 / 1 | $46.740,60 | 104 / 2 | $23.149,00 | 147 / 4 | $14.080,20 | 147 / 3 |
| Diabetes W Cc | 29 | 63 / 5 | $20.818,00 | 751 / 14 | $8.983,03 | 1308 / 21 | $6.231,52 | 1303 / 20 |
| Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 11 | $19.559,30 | 954 / 25 | $10.006,60 | 2092 / 45 | $7.072,69 | 2085 / 45 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 28 | 72 / 6 | $80.638,80 | 283 / 12 | $29.971,40 | 832 / 18 | $24.517,50 | 827 / 19 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 28 | 44 / 2 | $37.286,30 | 522 / 12 | $14.517,50 | 795 / 14 | $10.938,20 | 793 / 15 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 28 | 36 / 1 | $39.612,80 | 292 / 3 | $16.640,10 | 647 / 10 | $12.142,80 | 647 / 10 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 28 | 12 / 1 | $25.051,20 | 95 / 3 | $13.001,80 | 211 / 5 | $8.135,96 | 211 / 5 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 28 | 28 / 1 | $42.652,00 | 456 / 4 | $16.127,20 | 830 / 5 | $12.920,20 | 827 / 5 |
| Medical Back Problems W Mcc | 27 | 12 / 2 | $46.563,70 | 194 / 6 | $18.503,30 | 284 / 6 | $13.175,20 | 284 / 6 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 27 | 26 / 1 | $20.089,80 | 302 / 4 | $8.284,26 | 743 / 7 | $5.637,00 | 739 / 7 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 27 | 35 / 4 | $18.538,90 | 332 / 4 | $8.322,74 | 622 / 7 | $5.194,37 | 620 / 7 |
| Complications Of Treatment W Mcc | 27 | 24 / 1 | $54.450,00 | 188 / 4 | $22.269,50 | 243 / 5 | $15.166,40 | 243 / 5 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 26 | 27 / 2 | $40.721,50 | 104 / 2 | $19.725,20 | 263 / 3 | $14.161,70 | 264 / 4 |
| Cervical Spinal Fusion W/O Cc/Mcc | 26 | 78 / 2 | $42.358,70 | 235 / 3 | $20.905,70 | 791 / 10 | $17.210,50 | 788 / 10 |
| Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc | 26 | 3 / 1 | $65.390,80 | 38 / 1 | $16.110,40 | 36 / 1 | $12.213,90 | 36 / 1 |
| Other O.R. Procedures For Injuries W Cc | 26 | 9 / 1 | $55.281,80 | 88 / 1 | $19.779,30 | 138 / 2 | $15.658,80 | 138 / 3 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 26 | 66 / 2 | $161.919,00 | 594 / 6 | $60.797,70 | 815 / 8 | $43.771,30 | 814 / 6 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 18 | $29.167,40 | 1413 / 44 | $14.320,80 | 1938 / 51 | $7.780,88 | 1930 / 48 |
| Other Respiratory System Diagnoses W/O Mcc | 25 | 21 / 2 | $26.286,40 | 185 / 3 | $10.569,10 | 235 / 4 | $5.918,96 | 235 / 4 |
| Disorders Of Pancreas Except Malignancy W Mcc | 25 | 21 / 1 | $63.786,80 | 274 / 3 | $25.180,90 | 320 / 4 | $16.333,60 | 320 / 4 |
| Peritoneal Adhesiolysis W Cc | 25 | 14 / 2 | $65.310,80 | 157 / 2 | $24.420,20 | 220 / 3 | $16.531,00 | 220 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 5 | $24.114,10 | 850 / 21 | $9.575,92 | 1299 / 28 | $5.215,96 | 1295 / 26 |
| Tracheostomy For Face,Mouth & Neck Diagnoses W Cc | 24 | 9 / 1 | $105.558,00 | 20 / 1 | $35.414,40 | 27 / 1 | $25.659,10 | 27 / 1 |
| Disorders Of The Biliary Tract W Cc | 24 | 30 / 1 | $25.878,20 | 145 / 2 | $11.749,20 | 371 / 7 | $7.996,04 | 371 / 6 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 24 | 18 / 2 | $43.931,80 | 129 / 3 | $20.366,90 | 231 / 4 | $14.430,80 | 231 / 4 |
| Lymphoma & Non-Acute Leukemia W Cc | 24 | 13 / 1 | $52.862,40 | 74 / 3 | $21.971,00 | 126 / 4 | $16.196,80 | 126 / 4 |
| Other Disorders Of Nervous System W Cc | 24 | 32 / 2 | $26.241,00 | 308 / 6 | $11.398,00 | 400 / 10 | $5.841,67 | 400 / 8 |
| Disorders Of The Biliary Tract W Mcc | 24 | 15 / 1 | $38.518,50 | 93 / 3 | $19.005,20 | 225 / 4 | $14.590,80 | 225 / 4 |
| Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc | 24 | 4 / 1 | $62.855,20 | 40 / 1 | $20.071,20 | 43 / 1 | $16.208,00 | 43 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 23 | 42 / 4 | $59.151,30 | 246 / 7 | $27.752,40 | 724 / 14 | $22.545,50 | 721 / 11 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 23 | 48 / 2 | $158.675,00 | 599 / 6 | $56.486,90 | 907 / 8 | $47.002,70 | 906 / 8 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 23 | 24 / 2 | $22.341,70 | 196 / 6 | $8.095,78 | 292 / 6 | $5.522,57 | 292 / 5 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 22 | 69 / 3 | $29.042,80 | 154 / 4 | $11.277,70 | 243 / 8 | $8.180,32 | 243 / 9 |
| Pancreas, Liver & Shunt Procedures W Mcc | 21 | 22 / 1 | $138.483,00 | 40 / 1 | $54.220,40 | 64 / 2 | $44.244,30 | 64 / 2 |
| Other Disorders Of Nervous System W Mcc | 21 | 19 / 2 | $63.630,80 | 253 / 5 | $25.742,20 | 301 / 5 | $16.082,10 | 301 / 5 |
| Extracranial Procedures W Cc | 21 | 25 / 2 | $44.062,00 | 194 / 5 | $15.267,00 | 340 / 7 | $12.225,00 | 340 / 7 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 21 | 42 / 3 | $111.222,00 | 297 / 7 | $46.272,00 | 654 / 8 | $40.072,50 | 654 / 8 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 21 | 48 / 2 | $277.461,00 | 168 / 2 | $106.439,00 | 221 / 3 | $73.981,60 | 221 / 3 |
| Other Resp System O.R. Procedures W Mcc | 21 | 42 / 2 | $87.065,50 | 265 / 3 | $39.183,90 | 549 / 6 | $33.790,10 | 548 / 6 |
| Hip & Femur Procedures Except Major Joint W Mcc | 21 | 41 / 5 | $72.600,20 | 450 / 10 | $33.035,20 | 866 / 12 | $24.847,80 | 863 / 11 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 20 | 35 / 3 | $56.498,10 | 320 / 7 | $19.706,40 | 563 / 10 | $15.608,80 | 559 / 10 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 20 | 104 / 14 | $25.426,40 | 627 / 25 | $9.245,30 | 685 / 25 | $5.524,40 | 684 / 25 |
| Kidney & Ureter Procedures For Non-Neoplasm W Mcc | 20 | 10 / 1 | $83.920,90 | 34 / 2 | $39.404,40 | 28 / 2 | $23.844,40 | 28 / 2 |
| Pulmonary Embolism W Mcc | 19 | 24 / 3 | $31.340,80 | 187 / 6 | $15.533,00 | 519 / 11 | $12.156,20 | 518 / 11 |
| Major Chest Procedures W/O Cc/Mcc | 19 | 40 / 2 | $49.624,50 | 118 / 2 | $19.894,40 | 208 / 3 | $13.824,60 | 208 / 3 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 19 | 32 / 3 | $54.186,90 | 171 / 4 | $20.963,40 | 254 / 6 | $15.063,10 | 254 / 6 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 19 | 50 / 2 | $53.636,70 | 140 / 4 | $24.550,10 | 461 / 10 | $21.704,10 | 460 / 10 |
| Other O.R. Procedures For Injuries W Mcc | 19 | 18 / 2 | $92.336,10 | 80 / 1 | $41.130,50 | 143 / 1 | $32.434,40 | 143 / 1 |
| Autologous Bone Marrow Transplant W Cc/Mcc | 19 | 16 / 2 | $173.247,00 | 26 / 2 | $72.812,10 | 50 / 2 | $59.630,20 | 50 / 2 |
| Chest Pain | 19 | 132 / 9 | $16.438,20 | 627 / 11 | $6.806,68 | 1312 / 21 | $4.295,68 | 1305 / 18 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 19 | 74 / 6 | $67.381,60 | 562 / 12 | $25.452,40 | 838 / 14 | $19.677,10 | 830 / 13 |
| Stomach, Esophageal & Duodenal Proc W Mcc | 19 | 22 / 2 | $146.648,00 | 119 / 1 | $56.683,80 | 196 / 2 | $48.101,60 | 196 / 2 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 19 | 76 / 6 | $57.797,00 | 161 / 3 | $18.258,80 | 506 / 7 | $15.794,10 | 502 / 9 |
| Digestive Malignancy W Cc | 19 | 28 / 1 | $24.748,20 | 79 / 2 | $14.786,50 | 225 / 4 | $8.067,53 | 223 / 3 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 19 | 25 / 2 | $62.023,30 | 133 / 3 | $25.854,70 | 346 / 4 | $21.617,60 | 344 / 4 |
| Simultaneous Pancreas/Kidney Transplant | 18 | 1 / 1 | $294.633,00 | 2 / 1 | $97.729,30 | 1 / 1 | $26.810,10 | 1 / 1 |
| O.R. Procedures For Obesity W Cc | 18 | 16 / 1 | $50.035,60 | 53 / 2 | $20.779,40 | 100 / 2 | $15.457,10 | 100 / 2 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 18 | 58 / 6 | $144.028,00 | 330 / 12 | $47.135,80 | 546 / 15 | $35.400,40 | 546 / 15 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 10 | $13.408,90 | 541 / 8 | $7.824,67 | 1744 / 28 | $5.335,17 | 1736 / 28 |
| Permanent Cardiac Pacemaker Implant W Cc | 18 | 59 / 7 | $47.479,10 | 178 / 6 | $23.903,50 | 832 / 15 | $20.421,90 | 828 / 15 |
| Other Infectious & Parasitic Diseases Diagnoses W Mcc | 18 | 4 / 1 | $48.435,30 | 13 / 1 | $24.828,60 | 14 / 1 | $16.648,20 | 14 / 1 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 18 | 50 / 4 | $22.395,80 | 277 / 4 | $10.003,80 | 632 / 7 | $7.314,61 | 632 / 7 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Mcc | 18 | 16 / 1 | $43.331,50 | 9 / 2 | $23.729,00 | 30 / 2 | $20.044,60 | 30 / 2 |
| Cellulitis W Mcc | 17 | 41 / 4 | $35.354,20 | 494 / 9 | $16.384,20 | 778 / 12 | $10.737,10 | 776 / 13 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 17 | 47 / 3 | $289.626,00 | 315 / 4 | $105.171,00 | 471 / 3 | $89.401,20 | 470 / 5 |
| Seizures W Mcc | 17 | 49 / 3 | $58.603,40 | 555 / 8 | $21.606,60 | 738 / 10 | $16.753,90 | 738 / 10 |
| Digestive Malignancy W Mcc | 17 | 20 / 1 | $26.939,00 | 8 / 1 | $19.660,80 | 105 / 4 | $16.398,80 | 105 / 4 |
| Red Blood Cell Disorders W Mcc | 17 | 54 / 3 | $20.658,80 | 171 / 1 | $12.516,60 | 931 / 9 | $10.194,20 | 927 / 9 |
| Major Chest Procedures W Mcc | 17 | 32 / 2 | $124.650,00 | 163 / 5 | $49.735,60 | 300 / 6 | $42.543,20 | 299 / 6 |
| Lymphoma & Non-Acute Leukemia W Mcc | 16 | 20 / 1 | $81.999,00 | 49 / 2 | $40.640,40 | 90 / 3 | $28.160,40 | 90 / 2 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 16 | 11 / 2 | $29.578,10 | 45 / 1 | $16.239,40 | 114 / 3 | $13.339,00 | 114 / 3 |
| Kidney & Ureter Procedures For Neoplasm W Cc | 16 | 28 / 2 | $58.589,60 | 93 / 1 | $22.332,50 | 123 / 3 | $15.085,20 | 123 / 3 |
| Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 6 | $17.494,10 | 292 / 7 | $9.150,69 | 939 / 14 | $6.943,75 | 935 / 14 |
| Major Bladder Procedures W Cc | 16 | 22 / 1 | $95.063,90 | 37 / 1 | $29.524,70 | 48 / 2 | $23.977,70 | 48 / 2 |
| Liver Transplant W Mcc Or Intestinal Transplant | 16 | 14 / 1 | $425.069,00 | 22 / 1 | $119.300,00 | 30 / 1 | $106.014,00 | 30 / 1 |
| Respiratory Neoplasms W Cc | 16 | 31 / 3 | $25.218,50 | 126 / 1 | $12.561,50 | 359 / 6 | $8.337,75 | 358 / 6 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 16 | 26 / 1 | $119.804,00 | 59 / 1 | $41.348,40 | 107 / 2 | $37.266,40 | 107 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 4 | $43.201,00 | 330 / 8 | $16.537,00 | 701 / 11 | $11.137,20 | 698 / 10 |
| Hernia Procedures Except Inguinal & Femoral W Cc | 16 | 18 / 3 | $48.340,80 | 80 / 2 | $20.046,40 | 100 / 3 | $11.425,60 | 100 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 16 | $15.326,20 | 886 / 18 | $8.100,06 | 1738 / 31 | $5.266,38 | 1725 / 30 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 6 | $16.491,30 | 626 / 10 | $7.492,56 | 1014 / 19 | $3.997,31 | 1011 / 15 |
| Viral Illness W Mcc | 15 | 8 / 1 | $57.030,20 | 18 / 2 | $23.170,10 | 8 / 2 | $10.532,40 | 8 / 2 |
| Fever | 15 | 31 / 4 | $18.621,80 | 82 / 2 | $9.225,20 | 244 / 4 | $6.167,67 | 244 / 3 |
| Other Vascular Procedures W/O Cc/Mcc | 15 | 41 / 2 | $48.949,70 | 281 / 4 | $17.676,90 | 469 / 7 | $13.004,10 | 468 / 7 |
| Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 15 | 16 / 2 | $113.803,00 | 44 / 1 | $50.303,00 | 86 / 2 | $40.158,40 | 86 / 2 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 15 | 28 / 2 | $79.356,50 | 77 / 3 | $32.501,10 | 102 / 3 | $21.128,30 | 102 / 3 |
| Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Cc | 15 | 12 / 1 | $30.580,30 | 11 / 1 | $16.574,50 | 52 / 2 | $12.450,50 | 52 / 2 |
| Nervous System Neoplasms W Mcc | 15 | 33 / 4 | $33.371,80 | 119 / 2 | $14.437,90 | 229 / 4 | $10.466,60 | 229 / 5 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 15 | 32 / 2 | $40.825,00 | 232 / 3 | $14.606,90 | 380 / 5 | $9.639,47 | 380 / 5 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 5 | $15.548,70 | 319 / 4 | $9.277,87 | 517 / 13 | $3.940,00 | 516 / 7 |
| Peritoneal Adhesiolysis W Mcc | 14 | 9 / 1 | $99.024,00 | 18 / 1 | $43.355,10 | 48 / 1 | $33.157,60 | 48 / 1 |
| Minor Small & Large Bowel Procedures W Cc | 14 | 6 / 1 | $44.852,90 | 11 / 1 | $20.436,30 | 9 / 1 | $11.810,40 | 9 / 1 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 14 | 24 / 2 | $15.648,50 | 146 / 2 | $9.503,64 | 383 / 4 | $4.664,50 | 382 / 4 |
| Other Digestive System O.R. Procedures W Mcc | 14 | 15 / 1 | $103.260,00 | 53 / 2 | $39.801,50 | 90 / 2 | $33.017,60 | 90 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 14 | 22 / 4 | $51.248,50 | 122 / 6 | $24.700,90 | 249 / 7 | $16.471,40 | 249 / 6 |
| Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 14 | 24 / 2 | $43.881,30 | 56 / 1 | $20.677,50 | 139 / 2 | $16.505,60 | 139 / 3 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 14 | 16 / 2 | $57.668,00 | 121 / 1 | $21.153,90 | 174 / 2 | $15.735,40 | 173 / 2 |
| Ventricular Shunt Procedures W Cc | 14 | 9 / 1 | $37.937,70 | 5 / 1 | $18.582,00 | 17 / 1 | $15.474,60 | 17 / 2 |
| Spinal Procedures W Cc Or Spinal Neurostimulators | 14 | 13 / 1 | $58.698,40 | 9 / 1 | $32.535,90 | 20 / 1 | $21.247,40 | 20 / 1 |
| Allogeneic Bone Marrow Transplant | 14 | 11 / 2 | $312.612,00 | 10 / 2 | $128.983,00 | 10 / 2 | $88.871,90 | 10 / 2 |
| Tracheostomy For Face,Mouth & Neck Diagnoses W Mcc | 14 | 9 / 1 | $138.185,00 | 7 / 1 | $54.250,40 | 19 / 1 | $46.198,40 | 19 / 1 |
| Amputation For Musculoskeletal Sys & Conn Tissue Dis W Cc | 14 | 6 / 1 | $69.537,40 | 20 / 1 | $22.399,40 | 27 / 1 | $17.141,40 | 27 / 1 |
| Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/Mcc | 14 | 9 / 1 | $42.955,00 | 7 / 1 | $17.803,10 | 5 / 1 | $11.049,90 | 5 / 1 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 13 | 41 / 4 | $89.947,30 | 111 / 4 | $32.862,30 | 237 / 5 | $27.743,20 | 237 / 5 |
| Other O.R. Procedures For Multiple Significant Trauma W Mcc | 13 | 10 / 1 | $182.752,00 | 13 / 1 | $67.860,70 | 24 / 1 | $59.497,80 | 24 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 7 | $44.907,60 | 372 / 9 | $20.832,60 | 611 / 11 | $16.640,50 | 610 / 11 |
| Complications Of Treatment W/O Cc/Mcc | 13 | 8 / 1 | $12.549,70 | 3 / 1 | $7.568,77 | 16 / 1 | $5.143,15 | 16 / 1 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 13 | 32 / 3 | $65.610,60 | 53 / 3 | $28.282,40 | 214 / 4 | $22.379,00 | 213 / 3 |
| Traumatic Stupor & Coma, Coma >1 Hr W Mcc | 13 | 14 / 2 | $55.023,60 | 23 / 2 | $19.803,20 | 44 / 2 | $16.926,20 | 44 / 2 |
| Peripheral Vascular Disorders W Mcc | 13 | 36 / 3 | $53.581,80 | 452 / 5 | $22.247,20 | 584 / 5 | $17.143,50 | 584 / 5 |
| Dysequilibrium | 13 | 52 / 5 | $18.741,30 | 209 / 3 | $6.977,92 | 472 / 6 | $4.810,92 | 472 / 6 |
| Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 6 | $216.289,00 | 268 / 5 | $71.773,00 | 405 / 6 | $63.490,50 | 405 / 6 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 3 | $14.478,60 | 338 / 6 | $7.555,62 | 735 / 8 | $4.828,38 | 733 / 8 |
| Other Digestive System O.R. Procedures W Cc | 13 | 14 / 1 | $54.446,70 | 42 / 1 | $22.819,20 | 78 / 1 | $18.098,90 | 78 / 1 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 13 | 33 / 3 | $21.066,30 | 174 / 2 | $7.084,38 | 323 / 4 | $5.149,31 | 322 / 4 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 4 | $31.141,50 | 118 / 1 | $16.901,50 | 515 / 5 | $12.735,20 | 512 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 15 | $14.407,10 | 715 / 11 | $7.626,62 | 1773 / 27 | $5.234,54 | 1762 / 26 |
| Other Skin, Subcut Tiss & Breast Proc W Cc | 12 | 12 / 1 | $41.519,90 | 45 / 1 | $15.211,80 | 75 / 1 | $11.545,30 | 75 / 1 |
| Cervical Spinal Fusion W Cc | 12 | 41 / 3 | $59.251,30 | 128 / 2 | $26.440,90 | 329 / 5 | $23.278,80 | 328 / 5 |
| Diabetes W Mcc | 12 | 45 / 5 | $38.292,20 | 437 / 5 | $14.239,80 | 521 / 7 | $9.656,17 | 521 / 8 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W/O Cc/Mcc | 12 | 5 / 1 | $19.802,10 | 3 / 1 | $8.782,67 | 8 / 1 | $5.918,67 | 8 / 1 |
| Inflammatory Bowel Disease W Cc | 12 | 20 / 2 | $21.550,60 | 45 / 1 | $10.260,10 | 59 / 2 | $5.930,92 | 59 / 1 |
| Rectal Resection W Cc | 12 | 12 / 1 | $67.087,90 | 26 / 1 | $24.509,80 | 36 / 1 | $19.251,30 | 36 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 10 | $46.322,00 | 270 / 10 | $19.953,40 | 714 / 19 | $16.196,30 | 710 / 20 |
| Respiratory Infections & Inflammations W/O Cc/Mcc | 12 | 17 / 2 | $17.855,70 | 37 / 2 | $11.060,50 | 77 / 4 | $5.753,08 | 77 / 3 |
| Interstitial Lung Disease W Mcc | 12 | 13 / 2 | $54.398,30 | 66 / 2 | $22.500,20 | 85 / 2 | $14.895,50 | 85 / 2 |
| Signs & Symptoms W Mcc | 12 | 29 / 6 | $26.952,90 | 118 / 7 | $13.440,50 | 199 / 8 | $8.895,67 | 199 / 8 |
| Organic Disturbances & Mental Retardation | 12 | 47 / 3 | $22.588,00 | 224 / 3 | $11.393,50 | 352 / 8 | $6.831,42 | 352 / 6 |
| Other Circulatory System O.R. Procedures | 12 | 43 / 4 | $49.713,70 | 101 / 2 | $25.190,10 | 358 / 3 | $21.998,40 | 358 / 4 |
| Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 12 | 28 / 1 | $82.074,40 | 9 / 1 | $57.833,70 | 53 / 1 | $50.424,70 | 53 / 1 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 5 | $18.139,50 | 133 / 2 | $7.886,17 | 310 / 5 | $5.321,25 | 310 / 5 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 8 | $57.583,00 | 66 / 4 | $32.402,40 | 416 / 10 | $24.814,40 | 416 / 8 |
| Other Kidney & Urinary Tract Procedures W Mcc | 12 | 26 / 1 | $108.419,00 | 157 / 2 | $44.630,80 | 207 / 2 | $28.910,10 | 206 / 2 |
| Transurethral Procedures W Cc | 12 | 29 / 3 | $33.830,90 | 163 / 4 | $12.785,80 | 357 / 5 | $10.484,20 | 357 / 5 |
| Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W/O Cc/Mcc | 12 | 11 / 1 | $55.047,80 | 38 / 1 | $12.335,60 | 28 / 1 | $8.168,42 | 28 / 1 |
| Degenerative Nervous System Disorders W Mcc | 11 | 27 / 3 | $24.174,50 | 33 / 1 | $14.915,50 | 131 / 1 | $11.620,60 | 131 / 2 |
| Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Mcc | 11 | 16 / 2 | $64.747,20 | 22 / 1 | $29.382,40 | 43 / 2 | $23.663,90 | 43 / 2 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 11 | 35 / 1 | $152.212,00 | 29 / 1 | $78.959,50 | 87 / 1 | $61.142,80 | 87 / 1 |
| Soft Tissue Procedures W Cc | 11 | 11 / 2 | $38.963,20 | 6 / 1 | $16.312,80 | 18 / 2 | $10.481,10 | 18 / 2 |
| Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 11 | 31 / 3 | $182.484,00 | 121 / 3 | $73.947,50 | 177 / 3 | $65.720,00 | 177 / 3 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 6 | $47.369,80 | 254 / 5 | $19.664,90 | 603 / 10 | $15.630,90 | 602 / 10 |
| Neurological Eye Disorders | 11 | 8 / 1 | $27.727,10 | 9 / 1 | $11.970,50 | 1 / 1 | $3.441,82 | 1 / 1 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 6 | $13.034,40 | 221 / 1 | $7.522,18 | 685 / 7 | $4.332,27 | 681 / 5 |
| G.I. Obstruction W Mcc | 11 | 31 / 5 | $54.581,70 | 374 / 10 | $22.714,30 | 508 / 10 | $15.605,90 | 508 / 10 |
| Major Chest Trauma W Cc | 11 | 25 / 3 | $43.611,60 | 105 / 3 | $10.467,10 | 3 / 2 | $3.760,82 | 3 / 1 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 11 | 18 / 2 | $54.818,60 | 46 / 2 | $26.218,00 | 92 / 2 | $21.934,50 | 91 / 2 | Total 230 procedures | 7.664 | 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.