Hospital Costs > In Pennsylvania > Upmc Hamot, 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 | 285 | 233 / 12 | $72.473,50 | 2320 / 102 | $11.762,10 | 852 / 63 | $9.991,61 | 851 / 52 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 206 | 358 / 29 | $62.875,90 | 1798 / 90 | $13.185,80 | 981 / 63 | $11.022,40 | 961 / 61 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 119 | 77 / 4 | $114.151,00 | 1286 / 57 | $12.623,20 | 377 / 17 | $10.344,90 | 377 / 20 |
| Heart Failure & Shock W Cc | 112 | 166 / 25 | $39.806,80 | 2317 / 104 | $6.584,12 | 1029 / 70 | $5.310,17 | 1027 / 63 |
| Heart Failure & Shock W Mcc | 112 | 172 / 23 | $63.134,60 | 2244 / 108 | $9.671,31 | 958 / 67 | $8.229,81 | 957 / 56 |
| G.I. Hemorrhage W Cc | 111 | 107 / 10 | $34.502,60 | 1764 / 74 | $6.714,30 | 1037 / 59 | $5.400,22 | 1035 / 58 |
| Renal Failure W Cc | 105 | 116 / 15 | $36.927,30 | 1957 / 92 | $6.471,69 | 1142 / 63 | $5.320,79 | 1134 / 69 |
| Simple Pneumonia & Pleurisy W Mcc | 102 | 103 / 4 | $60.673,60 | 2104 / 92 | $9.516,30 | 986 / 61 | $7.861,84 | 986 / 57 |
| Pulmonary Edema & Respiratory Failure | 92 | 111 / 9 | $50.888,50 | 1777 / 78 | $7.964,16 | 874 / 51 | $6.786,77 | 874 / 52 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 87 | 101 / 12 | $53.238,00 | 1276 / 52 | $7.170,92 | 654 / 30 | $5.668,34 | 652 / 34 |
| Renal Failure W Mcc | 85 | 110 / 8 | $68.076,90 | 1871 / 88 | $10.121,00 | 874 / 54 | $8.687,25 | 874 / 50 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 81 | 87 / 10 | $79.283,00 | 1363 / 54 | $11.401,80 | 649 / 38 | $9.749,72 | 648 / 36 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 75 | 56 / 2 | $113.215,00 | 1628 / 67 | $14.690,90 | 760 / 37 | $13.164,30 | 752 / 43 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 74 | 133 / 22 | $44.248,20 | 2151 / 94 | $7.221,31 | 1168 / 65 | $5.834,12 | 1163 / 68 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 71 | 79 / 11 | $23.079,80 | 1557 / 74 | $4.166,35 | 856 / 66 | $2.712,90 | 852 / 58 |
| Chronic Obstructive Pulmonary Disease W Mcc | 71 | 131 / 14 | $49.846,90 | 2179 / 99 | $7.667,08 | 1051 / 61 | $6.293,70 | 1046 / 61 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 63 | 98 / 16 | $30.395,00 | 1645 / 76 | $5.498,81 | 1083 / 57 | $4.382,17 | 1079 / 65 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 62 | 213 / 47 | $30.522,70 | 2193 / 94 | $5.282,79 | 1173 / 72 | $3.871,40 | 1164 / 69 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 61 | 121 / 25 | $42.977,00 | 1585 / 70 | $6.848,26 | 813 / 42 | $5.564,66 | 811 / 49 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 60 | 40 / 2 | $149.691,00 | 821 / 33 | $20.306,50 | 279 / 12 | $17.736,30 | 277 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 58 | 175 / 35 | $25.721,30 | 2013 / 90 | $5.412,88 | 1290 / 73 | $4.160,22 | 1281 / 75 |
| Other Vascular Procedures W Cc | 58 | 45 / 3 | $109.925,00 | 916 / 45 | $16.073,20 | 418 / 21 | $14.500,60 | 416 / 25 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 56 | 69 / 9 | $83.107,20 | 1582 / 82 | $11.282,90 | 555 / 56 | $9.129,48 | 554 / 43 |
| Simple Pneumonia & Pleurisy W Cc | 51 | 152 / 33 | $35.101,70 | 2186 / 89 | $6.485,02 | 1099 / 65 | $5.154,88 | 1095 / 64 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 50 | 73 / 13 | $52.543,20 | 1581 / 76 | $8.001,92 | 394 / 54 | $6.213,26 | 392 / 35 |
| Hip & Femur Procedures Except Major Joint W Cc | 48 | 95 / 15 | $59.916,80 | 1349 / 58 | $11.571,90 | 459 / 32 | $10.004,60 | 458 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 47 | 55 / 10 | $31.717,90 | 1155 / 52 | $5.277,32 | 731 / 41 | $3.900,64 | 727 / 48 |
| Kidney & Urinary Tract Infections W Mcc | 45 | 99 / 13 | $39.975,80 | 1502 / 65 | $7.283,24 | 572 / 46 | $5.796,71 | 571 / 37 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 45 | 79 / 14 | $198.118,00 | 1256 / 53 | $32.084,70 | 353 / 34 | $28.349,80 | 353 / 25 |
| Major Cardiovasc Procedures W/O Mcc | 43 | 58 / 7 | $137.413,00 | 829 / 34 | $20.906,10 | 155 / 18 | $17.376,00 | 155 / 6 |
| Transient Ischemia | 42 | 83 / 19 | $26.813,50 | 1046 / 56 | $4.939,93 | 808 / 46 | $3.717,64 | 804 / 54 |
| Chest Pain | 40 | 111 / 16 | $24.292,50 | 1174 / 58 | $4.391,65 | 895 / 43 | $3.394,25 | 890 / 55 |
| G.I. Hemorrhage W Mcc | 39 | 82 / 14 | $66.525,50 | 1290 / 56 | $10.482,10 | 363 / 26 | $9.309,10 | 363 / 22 |
| Other Circulatory System Diagnoses W Mcc | 39 | 77 / 12 | $81.454,60 | 1157 / 44 | $11.763,40 | 340 / 21 | $10.127,00 | 339 / 18 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 38 | 53 / 8 | $43.207,10 | 1091 / 59 | $6.913,32 | 553 / 39 | $5.570,39 | 552 / 41 |
| Spinal Fusion Except Cervical W/O Mcc | 38 | 156 / 21 | $106.073,00 | 804 / 42 | $23.286,20 | 195 / 15 | $19.849,40 | 194 / 9 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 37 | 56 / 7 | $73.927,40 | 616 / 22 | $12.628,80 | 293 / 8 | $11.473,40 | 288 / 11 |
| Seizures W/O Mcc | 36 | 72 / 16 | $25.969,20 | 812 / 42 | $5.275,69 | 436 / 29 | $3.956,78 | 434 / 31 |
| Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 39 | $34.517,40 | 1895 / 90 | $6.254,22 | 993 / 62 | $4.950,53 | 990 / 59 |
| G.I. Obstruction W Cc | 35 | 57 / 14 | $35.226,60 | 1352 / 53 | $6.203,77 | 733 / 44 | $4.737,71 | 732 / 40 |
| Respiratory Infections & Inflammations W Mcc | 34 | 102 / 20 | $73.020,10 | 1442 / 61 | $11.551,80 | 426 / 27 | $10.319,70 | 424 / 28 |
| Medical Back Problems W/O Mcc | 32 | 89 / 23 | $25.608,00 | 853 / 42 | $5.604,03 | 488 / 30 | $4.206,28 | 488 / 36 |
| Cellulitis W/O Mcc | 32 | 157 / 56 | $32.353,60 | 2212 / 103 | $5.843,09 | 994 / 71 | $4.268,44 | 988 / 59 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 31 | 85 / 12 | $242.831,00 | 302 / 13 | $42.938,90 | 36 / 2 | $41.316,00 | 36 / 2 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 30 | 59 / 12 | $33.348,10 | 351 / 15 | $6.972,93 | 247 / 10 | $5.413,60 | 247 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 38 | $22.932,80 | 1771 / 76 | $4.904,07 | 1238 / 63 | $3.836,60 | 1234 / 65 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 30 | 88 / 11 | $209.738,00 | 430 / 19 | $30.405,20 | 119 / 4 | $28.924,80 | 119 / 6 |
| Major Small & Large Bowel Procedures W Mcc | 29 | 56 / 11 | $160.377,00 | 867 / 30 | $27.820,30 | 184 / 10 | $26.165,40 | 183 / 11 |
| Other Digestive System Diagnoses W Cc | 29 | 68 / 15 | $32.276,20 | 942 / 38 | $6.592,72 | 521 / 28 | $5.230,93 | 518 / 38 |
| Heart Failure & Shock W/O Cc/Mcc | 28 | 82 / 30 | $24.798,80 | 1543 / 74 | $4.845,89 | 918 / 63 | $3.659,46 | 911 / 59 |
| G.I. Obstruction W/O Cc/Mcc | 28 | 43 / 10 | $25.514,10 | 1014 / 38 | $4.573,54 | 769 / 33 | $3.378,68 | 766 / 39 |
| Peripheral Vascular Disorders W Cc | 27 | 57 / 10 | $43.662,20 | 1072 / 52 | $6.404,74 | 327 / 33 | $4.929,67 | 325 / 30 |
| Syncope & Collapse | 26 | 143 / 41 | $28.814,20 | 1390 / 70 | $5.159,65 | 714 / 55 | $3.762,19 | 711 / 51 |
| Pulmonary Embolism W/O Mcc | 25 | 49 / 15 | $60.394,10 | 1220 / 57 | $6.740,40 | 741 / 29 | $5.652,24 | 738 / 43 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 25 | 67 / 10 | $250.560,00 | 900 / 29 | $34.063,00 | 192 / 10 | $31.584,00 | 192 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 25 | 71 / 16 | $57.338,20 | 1244 / 55 | $8.269,64 | 559 / 33 | $6.750,92 | 554 / 30 |
| Seizures W Mcc | 25 | 41 / 7 | $48.245,40 | 463 / 15 | $9.433,12 | 89 / 7 | $7.653,44 | 89 / 3 |
| Red Blood Cell Disorders W/O Mcc | 24 | 119 / 28 | $27.274,20 | 1374 / 62 | $5.575,29 | 775 / 56 | $4.266,83 | 770 / 55 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 24 | 39 / 7 | $209.133,00 | 644 / 26 | $28.053,80 | 135 / 8 | $25.928,10 | 135 / 6 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 23 | 65 / 10 | $153.333,00 | 478 / 17 | $21.060,40 | 148 / 2 | $19.471,30 | 147 / 6 |
| Major Small & Large Bowel Procedures W Cc | 23 | 85 / 24 | $79.879,10 | 1002 / 35 | $15.433,70 | 399 / 19 | $13.227,90 | 396 / 12 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 21 | 34 / 8 | $67.205,30 | 416 / 14 | $14.899,70 | 22 / 18 | $9.057,52 | 22 / 2 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 21 | 43 / 7 | $371.909,00 | 407 / 18 | $56.150,00 | 95 / 2 | $52.344,30 | 95 / 4 |
| Acute Myocardial Infarction, Expired W Mcc | 21 | 9 / 2 | $55.766,00 | 127 / 5 | $10.449,00 | 28 / 4 | $8.997,81 | 28 / 2 |
| Other Vascular Procedures W Mcc | 21 | 76 / 17 | $119.977,00 | 730 / 28 | $18.573,50 | 111 / 4 | $17.132,00 | 111 / 4 |
| Diabetes W Cc | 21 | 71 / 19 | $33.143,50 | 1267 / 51 | $5.730,71 | 567 / 35 | $4.355,29 | 567 / 33 |
| Disorders Of Pancreas Except Malignancy W Cc | 21 | 40 / 9 | $31.466,90 | 657 / 21 | $6.273,67 | 397 / 15 | $5.007,19 | 396 / 18 |
| Hip & Femur Procedures Except Major Joint W Mcc | 20 | 42 / 9 | $111.854,00 | 759 / 19 | $17.739,10 | 233 / 7 | $16.124,30 | 232 / 8 |
| Extracranial Procedures W/O Cc/Mcc | 20 | 78 / 11 | $41.730,80 | 658 / 28 | $6.922,00 | 350 / 18 | $5.332,80 | 350 / 17 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 32 | $24.576,20 | 1518 / 71 | $5.038,20 | 1076 / 56 | $3.802,20 | 1067 / 67 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 28 | $55.163,80 | 1550 / 60 | $7.351,74 | 727 / 32 | $6.448,95 | 724 / 40 |
| Major Cardiovasc Procedures W Mcc | 19 | 49 / 9 | $228.019,00 | 557 / 20 | $30.996,10 | 20 / 4 | $24.994,70 | 20 / 2 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 19 | 34 / 8 | $39.562,10 | 733 / 43 | $5.246,89 | 417 / 21 | $4.045,84 | 414 / 30 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 25 | $25.848,50 | 1494 / 63 | $4.863,26 | 855 / 52 | $3.554,00 | 851 / 50 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 10 | $274.394,00 | 897 / 35 | $32.552,90 | 262 / 16 | $28.616,30 | 262 / 12 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 18 | 33 / 7 | $83.189,60 | 267 / 9 | $12.684,10 | 60 / 3 | $10.643,70 | 60 / 3 |
| Peripheral Vascular Disorders W Mcc | 18 | 31 / 6 | $49.485,80 | 425 / 15 | $8.809,78 | 123 / 8 | $7.150,50 | 123 / 5 |
| Other Vascular Procedures W/O Cc/Mcc | 17 | 39 / 10 | $64.146,40 | 407 / 14 | $10.727,40 | 42 / 7 | $7.992,00 | 42 / 3 |
| Pulmonary Embolism W Mcc | 17 | 26 / 5 | $68.203,60 | 514 / 16 | $9.896,06 | 270 / 9 | $8.691,59 | 270 / 13 |
| Digestive Malignancy W Cc | 17 | 30 / 5 | $50.605,20 | 301 / 12 | $8.291,59 | 111 / 6 | $6.917,94 | 110 / 8 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 16 | $50.715,20 | 842 / 31 | $8.173,44 | 262 / 21 | $6.747,19 | 262 / 15 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 16 | 50 / 14 | $21.697,20 | 97 / 3 | $6.574,19 | 105 / 4 | $5.672,69 | 105 / 7 |
| Coronary Bypass W Cardiac Cath W Mcc | 16 | 40 / 6 | $270.507,00 | 337 / 11 | $36.971,40 | 20 / 3 | $32.497,80 | 20 / 3 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 16 | 28 / 10 | $112.523,00 | 349 / 19 | $16.840,60 | 117 / 6 | $15.341,60 | 116 / 9 |
| Other Resp System O.R. Procedures W Cc | 16 | 31 / 6 | $64.841,60 | 232 / 8 | $11.297,40 | 62 / 1 | $10.091,90 | 62 / 2 |
| Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 21 | $33.687,10 | 792 / 36 | $6.029,69 | 367 / 27 | $4.487,25 | 363 / 30 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 16 | 65 / 14 | $374.380,00 | 155 / 5 | $68.192,00 | 5 / 1 | $65.923,80 | 5 / 1 |
| Disorders Of The Biliary Tract W Mcc | 16 | 23 / 7 | $57.391,00 | 186 / 6 | $10.142,50 | 25 / 2 | $8.383,00 | 25 / 2 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 16 | $22.493,40 | 444 / 14 | $4.937,56 | 243 / 12 | $3.732,06 | 243 / 15 |
| Permanent Cardiac Pacemaker Implant W Mcc | 16 | 36 / 8 | $173.219,00 | 543 / 23 | $23.534,30 | 122 / 13 | $19.745,80 | 122 / 8 |
| Other Circulatory System Diagnoses W Cc | 16 | 50 / 12 | $44.531,90 | 570 / 18 | $6.530,50 | 242 / 10 | $5.293,25 | 241 / 13 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 16 | 41 / 13 | $64.201,50 | 455 / 19 | $12.898,20 | 299 / 9 | $11.916,40 | 298 / 16 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 15 | 83 / 12 | $85.258,00 | 122 / 4 | $21.141,90 | 3 / 1 | $18.040,40 | 3 / 1 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 15 | 30 / 8 | $37.994,10 | 370 / 14 | $5.213,47 | 204 / 8 | $3.779,67 | 204 / 9 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 12 | $72.714,10 | 612 / 23 | $13.455,50 | 202 / 17 | $11.061,30 | 200 / 9 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 16 | $44.689,10 | 635 / 18 | $9.023,93 | 300 / 9 | $7.656,20 | 299 / 15 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 19 | $93.993,70 | 733 / 34 | $15.853,50 | 293 / 11 | $14.565,70 | 292 / 15 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 23 | $30.544,20 | 534 / 20 | $6.548,27 | 281 / 13 | $5.417,33 | 281 / 17 |
| Nonspecific Cerebrovascular Disorders W Mcc | 15 | 36 / 6 | $59.082,80 | 304 / 6 | $9.913,00 | 124 / 1 | $9.194,60 | 124 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 15 | $60.857,20 | 470 / 12 | $13.504,20 | 77 / 7 | $10.225,40 | 77 / 3 |
| Diabetes W Mcc | 14 | 43 / 10 | $65.096,60 | 667 / 19 | $8.760,50 | 155 / 3 | $7.273,64 | 155 / 5 |
| G.I. Obstruction W Mcc | 14 | 28 / 7 | $38.242,60 | 226 / 9 | $9.981,14 | 199 / 7 | $9.216,29 | 199 / 9 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 12 | $19.666,40 | 549 / 20 | $4.497,14 | 407 / 17 | $3.332,00 | 406 / 20 |
| Concussion W Cc | 14 | 6 / 2 | $37.886,90 | 10 / 2 | $6.506,86 | 5 / 1 | $4.975,43 | 5 / 2 |
| Other Resp System O.R. Procedures W Mcc | 14 | 49 / 11 | $175.775,00 | 523 / 19 | $21.572,70 | 152 / 6 | $19.929,50 | 152 / 7 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 13 | 17 / 3 | $68.364,30 | 145 / 7 | $12.232,00 | 73 / 2 | $10.974,50 | 72 / 5 |
| Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 23 | $57.437,20 | 813 / 46 | $6.442,62 | 162 / 16 | $4.848,62 | 162 / 12 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 9 | $62.656,50 | 467 / 10 | $10.391,90 | 145 / 4 | $9.132,23 | 145 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 23 | $44.998,80 | 896 / 45 | $7.114,77 | 123 / 21 | $5.661,38 | 123 / 14 |
| Atherosclerosis W/O Mcc | 13 | 45 / 7 | $20.872,50 | 330 / 10 | $4.442,54 | / 9 | $3.305,92 | / |
| Disorders Of The Biliary Tract W Cc | 13 | 41 / 11 | $39.254,80 | 319 / 13 | $6.786,08 | 84 / 7 | $5.348,23 | 84 / 6 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 31 | $43.890,20 | 1038 / 41 | $8.384,92 | 418 / 25 | $7.188,58 | 415 / 25 |
| Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 15 | $88.322,80 | 371 / 13 | $26.852,10 | 102 / 21 | $16.947,50 | 102 / 8 |
| Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 3 | $69.552,90 | 289 / 4 | $11.460,30 | 93 / 1 | $9.906,00 | 93 / 2 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 12 | 42 / 16 | $22.668,20 | 204 / 8 | $5.089,83 | 111 / 7 | $3.778,50 | 111 / 8 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 16 | $225.220,00 | 532 / 29 | $28.262,60 | 270 / 11 | $26.176,60 | 270 / 18 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 8 | $23.576,20 | 314 / 11 | $4.715,08 | 159 / 7 | $3.183,25 | 159 / 5 |
| Headaches W/O Mcc | 12 | 31 / 10 | $26.225,20 | 148 / 7 | $4.782,25 | 86 / 4 | $3.463,58 | 86 / 8 |
| Transurethral Procedures W Cc | 12 | 29 / 10 | $60.661,20 | 316 / 18 | $8.424,00 | 153 / 6 | $6.939,00 | 153 / 10 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 12 | 30 / 5 | $179.842,00 | 100 / 5 | $26.424,10 | 25 / 1 | $25.038,40 | 25 / 2 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 11 | 58 / 8 | $263.006,00 | 149 / 5 | $61.467,40 | 1 / 2 | $38.954,20 | 1 / 1 |
| Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 11 | 21 / 6 | $31.883,50 | 56 / 2 | $7.753,55 | 24 / 1 | $5.693,00 | 24 / 1 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 22 | $23.940,50 | 682 / 29 | $4.911,36 | 478 / 29 | $3.729,91 | 474 / 31 |
| Hypertension W/O Mcc | 11 | 54 / 19 | $20.267,00 | 423 / 14 | $4.468,45 | 432 / 10 | $3.521,91 | 430 / 17 |
| Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 9 | $28.997,00 | 282 / 7 | $6.328,45 | 199 / 4 | $5.477,18 | 199 / 5 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 11 | 23 / 5 | $190.716,00 | 161 / 4 | $28.923,50 | 54 / 2 | $24.792,10 | 54 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 15 | $104.242,00 | 686 / 20 | $17.134,20 | 81 / 3 | $15.658,90 | 81 / 4 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 11 | 31 / 8 | $65.278,50 | 223 / 5 | $11.121,30 | 16 / 1 | $8.557,09 | 16 / 1 |
| Major Chest Procedures W Cc | 11 | 63 / 15 | $79.304,00 | 323 / 7 | $15.437,50 | 151 / 2 | $13.936,50 | 151 / 6 | Total 129 procedures | 4.529 | 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.