Hospital Costs > In Tennessee > Wellmont Bristol Regional Medical Center, 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 | 248 | 316 / 20 | $36.087,10 | 527 / 8 | $12.122,20 | 141 / 14 | $9.514,03 | 141 / 13 |
| Simple Pneumonia & Pleurisy W Cc | 186 | 31 / 1 | $14.788,10 | 532 / 16 | $5.475,80 | 281 / 21 | $4.443,23 | 280 / 19 |
| Simple Pneumonia & Pleurisy W Mcc | 133 | 72 / 9 | $23.032,40 | 568 / 19 | $7.689,88 | 195 / 20 | $6.827,92 | 195 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 119 | 397 / 28 | $27.554,60 | 670 / 25 | $9.781,00 | 173 / 25 | $8.868,07 | 173 / 27 |
| Heart Failure & Shock W Cc | 101 | 177 / 13 | $15.472,80 | 627 / 22 | $5.490,29 | 431 / 21 | $4.819,21 | 431 / 31 |
| Chronic Obstructive Pulmonary Disease W Mcc | 98 | 104 / 10 | $16.040,70 | 393 / 11 | $6.512,21 | 203 / 26 | $5.427,75 | 202 / 19 |
| Heart Failure & Shock W Mcc | 98 | 186 / 14 | $24.483,80 | 701 / 26 | $8.117,42 | 237 / 29 | $7.302,98 | 237 / 28 |
| Renal Failure W Cc | 94 | 127 / 11 | $16.127,90 | 579 / 24 | $5.374,47 | 367 / 19 | $4.614,02 | 364 / 27 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 91 | 184 / 16 | $14.693,40 | 712 / 21 | $4.340,87 | 388 / 18 | $3.318,15 | 386 / 23 |
| Kidney & Urinary Tract Infections W/O Mcc | 89 | 144 / 17 | $12.652,20 | 600 / 25 | $4.413,82 | 462 / 27 | $3.596,06 | 462 / 33 |
| G.I. Hemorrhage W Cc | 88 | 130 / 7 | $17.359,20 | 521 / 19 | $5.625,73 | 182 / 20 | $4.535,60 | 182 / 17 |
| Chronic Obstructive Pulmonary Disease W Cc | 78 | 101 / 8 | $12.278,00 | 261 / 9 | $5.243,72 | 251 / 18 | $4.264,41 | 251 / 22 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 77 | 54 / 6 | $36.901,40 | 251 / 9 | $12.939,90 | 218 / 20 | $11.624,60 | 216 / 19 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 73 | 20 / 1 | $11.161,40 | 332 / 13 | $4.073,10 | 281 / 11 | $3.028,42 | 279 / 17 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 64 | 132 / 16 | $61.936,00 | 494 / 15 | $12.032,40 | 33 / 12 | $8.863,77 | 33 / 6 |
| Cellulitis W/O Mcc | 64 | 125 / 10 | $13.865,20 | 709 / 26 | $4.822,94 | 244 / 21 | $3.619,75 | 242 / 19 |
| Pulmonary Edema & Respiratory Failure | 60 | 143 / 21 | $23.311,10 | 619 / 22 | $6.804,80 | 225 / 14 | $5.976,65 | 225 / 22 |
| Renal Failure W Mcc | 56 | 139 / 20 | $27.430,80 | 603 / 24 | $8.517,48 | 257 / 27 | $7.641,30 | 257 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 55 | 106 / 11 | $15.622,50 | 584 / 22 | $4.542,29 | 299 / 17 | $3.606,22 | 299 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 55 | 127 / 16 | $17.604,10 | 322 / 13 | $6.001,09 | 175 / 17 | $4.773,95 | 175 / 15 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 54 | 66 / 6 | $10.563,80 | 296 / 11 | $4.094,30 | 396 / 14 | $3.226,67 | 395 / 29 |
| Hip & Femur Procedures Except Major Joint W Cc | 53 | 90 / 14 | $34.133,20 | 385 / 9 | $10.515,90 | 101 / 17 | $9.221,38 | 100 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 50 | 118 / 13 | $28.990,10 | 312 / 11 | $9.253,78 | 73 / 14 | $7.998,58 | 73 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 50 | 52 / 5 | $14.222,40 | 206 / 7 | $4.473,28 | 179 / 12 | $3.167,48 | 177 / 11 |
| Kidney & Urinary Tract Infections W Mcc | 50 | 94 / 12 | $15.640,10 | 290 / 7 | $6.015,60 | 177 / 15 | $5.216,88 | 177 / 19 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 48 | 23 / 2 | $72.492,80 | 79 / 2 | $26.733,60 | 42 / 3 | $24.906,30 | 42 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 47 | 76 / 11 | $20.867,70 | 382 / 8 | $6.682,08 | 174 / 9 | $5.795,19 | 174 / 14 |
| Spinal Fusion Except Cervical W/O Mcc | 46 | 148 / 15 | $73.984,40 | 436 / 8 | $22.222,80 | 63 / 8 | $18.388,10 | 63 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 44 | 81 / 11 | $28.270,80 | 380 / 9 | $9.351,73 | 246 / 17 | $8.416,45 | 246 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 41 | 109 / 13 | $11.295,60 | 498 / 13 | $3.467,22 | 266 / 17 | $2.216,34 | 264 / 16 |
| Red Blood Cell Disorders W/O Mcc | 41 | 102 / 8 | $17.262,10 | 648 / 16 | $4.602,17 | 290 / 13 | $3.746,00 | 289 / 16 |
| Medical Back Problems W/O Mcc | 39 | 82 / 7 | $14.216,70 | 181 / 6 | $4.853,92 | 122 / 13 | $3.594,49 | 122 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 38 | 53 / 12 | $21.456,00 | 354 / 10 | $5.864,84 | 241 / 10 | $5.035,37 | 241 / 15 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 20 | $13.301,80 | 728 / 25 | $4.051,29 | 286 / 19 | $3.110,58 | 286 / 15 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 36 | 28 / 3 | $107.669,00 | 19 / 2 | $41.122,90 | 7 / 1 | $40.595,40 | 7 / 3 |
| Major Small & Large Bowel Procedures W Cc | 34 | 74 / 11 | $44.699,70 | 286 / 9 | $13.285,60 | 44 / 7 | $11.422,00 | 44 / 6 |
| Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 12 | $12.047,30 | 475 / 13 | $4.002,50 | 259 / 17 | $3.045,91 | 257 / 15 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 32 | 44 / 7 | $93.261,70 | 85 / 3 | $26.451,20 | 44 / 5 | $21.945,70 | 44 / 4 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 32 | 57 / 5 | $22.607,90 | 138 / 7 | $6.161,47 | 118 / 3 | $4.884,84 | 118 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 31 | 176 / 31 | $19.524,90 | 742 / 24 | $5.970,32 | 526 / 23 | $5.234,32 | 524 / 39 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 31 | 157 / 24 | $21.967,30 | 153 / 8 | $6.077,97 | 204 / 9 | $4.986,87 | 204 / 15 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 30 | 23 / 3 | $16.436,90 | 183 / 4 | $4.368,53 | 149 / 6 | $3.441,60 | 149 / 8 |
| G.I. Obstruction W Cc | 29 | 63 / 10 | $11.253,50 | 89 / 1 | $5.037,28 | 20 / 10 | $3.433,24 | 20 / 1 |
| Seizures W/O Mcc | 28 | 80 / 8 | $12.309,80 | 144 / 4 | $4.444,54 | 124 / 4 | $3.366,54 | 123 / 7 |
| Respiratory Infections & Inflammations W Mcc | 26 | 110 / 19 | $42.694,40 | 872 / 23 | $11.966,30 | 772 / 37 | $11.067,20 | 764 / 39 |
| Diabetes W Cc | 25 | 67 / 12 | $15.899,40 | 396 / 12 | $4.670,32 | 211 / 8 | $3.853,68 | 211 / 13 |
| Cervical Spinal Fusion W/O Cc/Mcc | 25 | 79 / 13 | $42.037,80 | 230 / 8 | $12.048,30 | 176 / 4 | $10.934,70 | 176 / 10 |
| Pulmonary Embolism W/O Mcc | 25 | 49 / 9 | $14.524,80 | 135 / 4 | $5.603,56 | 78 / 7 | $4.246,04 | 78 / 5 |
| G.I. Hemorrhage W Mcc | 24 | 97 / 17 | $32.531,90 | 410 / 8 | $10.275,50 | 411 / 17 | $9.428,75 | 412 / 16 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 24 | 64 / 12 | $77.468,10 | 119 / 5 | $20.074,20 | 123 / 3 | $19.118,20 | 122 / 8 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 22 | 44 / 5 | $29.677,00 | 48 / 2 | $10.416,30 | 14 / 2 | $8.294,00 | 14 / 3 |
| Syncope & Collapse | 22 | 147 / 27 | $12.705,40 | 245 / 6 | $4.199,77 | 373 / 11 | $3.416,50 | 371 / 19 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 22 | 74 / 13 | $49.856,00 | 339 / 9 | $11.968,50 | 145 / 5 | $10.756,80 | 144 / 12 |
| Peripheral Vascular Disorders W Cc | 19 | 65 / 13 | $19.429,20 | 388 / 7 | $5.395,16 | 75 / 4 | $4.308,00 | 75 / 7 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 19 | 37 / 11 | $29.756,60 | 186 / 8 | $8.723,95 | 114 / 7 | $7.770,68 | 114 / 9 |
| Pleural Effusion W Mcc | 18 | 12 / 2 | $30.117,90 | 44 / 6 | $8.485,67 | 27 / 3 | $8.016,33 | 27 / 4 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 18 | 48 / 7 | $15.886,70 | 28 / 2 | $6.200,22 | 39 / 3 | $5.195,78 | 39 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 18 | 82 / 17 | $93.829,30 | 424 / 12 | $17.380,20 | 109 / 5 | $16.443,30 | 109 / 11 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 17 | $92.054,70 | 310 / 7 | $24.977,70 | 68 / 3 | $24.413,00 | 68 / 6 |
| Coronary Bypass W Cardiac Cath W Mcc | 17 | 39 / 9 | $119.655,00 | 39 / 2 | $37.071,40 | 63 / 2 | $36.226,20 | 63 / 2 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 12 | $17.327,10 | 197 / 9 | $5.318,25 | 60 / 8 | $3.966,25 | 60 / 6 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 16 | 22 / 5 | $14.710,20 | 125 / 5 | $3.904,00 | 50 / 4 | $2.661,44 | 50 / 3 |
| Signs & Symptoms W/O Mcc | 16 | 75 / 15 | $11.333,50 | 149 / 6 | $3.926,19 | 172 / 8 | $3.168,19 | 172 / 10 |
| Other Circulatory System Diagnoses W Mcc | 16 | 100 / 20 | $23.854,30 | 98 / 4 | $10.829,80 | 55 / 14 | $8.826,12 | 55 / 7 |
| Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 14 | $52.079,50 | 200 / 7 | $15.721,00 | 56 / 9 | $14.737,10 | 56 / 8 |
| Seizures W Mcc | 16 | 50 / 13 | $23.389,30 | 83 / 5 | $8.159,00 | 44 / 3 | $7.255,00 | 44 / 7 |
| Nonspecific Cerebrovascular Disorders W Cc | 16 | 40 / 12 | $13.475,20 | 28 / 1 | $5.441,75 | 33 / 9 | $4.406,50 | 33 / 6 |
| Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 8 | $9.387,69 | 67 / 6 | $3.979,50 | 138 / 8 | $3.071,50 | 139 / 10 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 13 | $42.645,10 | 206 / 4 | $11.199,10 | 76 / 5 | $10.295,10 | 76 / 6 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 15 | 66 / 8 | $207.243,00 | 16 / 1 | $71.741,30 | 14 / 1 | $70.941,30 | 14 / 1 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 15 | 47 / 7 | $13.735,20 | 149 / 3 | $4.106,20 | 32 / 3 | $2.977,67 | 32 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 22 | $20.566,50 | 442 / 16 | $6.532,60 | 7 / 19 | $4.613,40 | 7 / 1 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 16 | $74.657,90 | 67 / 2 | $28.848,80 | 34 / 2 | $27.718,40 | 34 / 4 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 15 | 39 / 8 | $12.472,00 | 37 / 2 | $4.266,53 | 30 / 1 | $3.140,13 | 30 / 1 |
| Other Digestive System Diagnoses W Cc | 15 | 82 / 18 | $16.211,70 | 199 / 4 | $6.013,80 | 46 / 19 | $4.200,53 | 46 / 3 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 15 | 39 / 8 | $15.640,40 | 54 / 2 | $5.459,00 | 13 / 4 | $4.292,33 | 13 / 2 |
| Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 21 | $74.917,40 | 313 / 10 | $18.052,20 | 14 / 4 | $15.617,90 | 14 / 1 |
| Nonspecific Cerebrovascular Disorders W Mcc | 15 | 36 / 10 | $23.358,70 | 53 / 7 | $8.909,60 | 61 / 8 | $8.423,20 | 61 / 10 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 8 | $10.089,50 | 116 / 9 | $3.635,36 | 99 / 7 | $2.682,21 | 98 / 11 |
| Red Blood Cell Disorders W Mcc | 14 | 57 / 12 | $15.285,90 | 70 / 1 | $7.906,00 | 46 / 17 | $5.830,79 | 46 / 7 |
| Cellulitis W Mcc | 14 | 44 / 10 | $18.208,30 | 92 / 6 | $8.118,57 | 33 / 7 | $6.523,86 | 33 / 6 |
| Other Disorders Of Nervous System W Cc | 14 | 42 / 11 | $13.744,60 | 66 / 4 | $4.936,36 | 33 / 5 | $3.898,64 | 33 / 6 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 8 | $12.633,90 | 43 / 2 | $4.904,71 | 8 / 1 | $3.678,43 | 8 / 3 |
| Nervous System Neoplasms W Mcc | 13 | 35 / 7 | $29.331,30 | 85 / 4 | $7.542,69 | 8 / 1 | $5.784,85 | 8 / 3 |
| Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 20 | $20.782,10 | 158 / 7 | $6.190,31 | 77 / 15 | $4.572,62 | 77 / 9 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 18 | $14.070,50 | 21 / 1 | $7.413,23 | 75 / 8 | $6.677,23 | 75 / 14 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 10 | $25.386,90 | 69 / 3 | $9.242,31 | 63 / 4 | $8.590,00 | 63 / 6 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 23 | $20.711,40 | 286 / 6 | $7.072,69 | 109 / 2 | $6.516,38 | 109 / 8 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 14 | $36.126,80 | 237 / 11 | $9.988,23 | 60 / 13 | $7.263,31 | 60 / 9 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 11 | $9.940,54 | 100 / 4 | $4.053,00 | 172 / 7 | $3.122,54 | 172 / 12 |
| Pleural Effusion W Cc | 13 | 15 / 4 | $15.010,70 | 9 / 1 | $5.227,38 | 2 / 1 | $4.295,85 | 2 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 16 | $11.170,80 | 212 / 4 | $3.529,92 | 297 / 6 | $2.690,54 | 297 / 12 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 5 | $25.604,80 | 85 / 3 | $7.365,69 | 70 / 7 | $5.423,54 | 70 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 16 | $25.070,20 | 482 / 18 | $6.516,77 | 182 / 11 | $5.862,00 | 182 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 23 | $21.120,00 | 252 / 8 | $6.606,17 | 142 / 6 | $5.800,83 | 142 / 9 |
| Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 11 | $50.829,20 | 72 / 2 | $18.433,90 | 33 / 4 | $15.799,80 | 33 / 5 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 12 | 18 / 5 | $25.474,50 | 14 / 2 | $10.235,80 | 1 / 3 | $5.221,58 | 1 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 18 | $47.084,40 | 99 / 4 | $17.799,20 | 187 / 12 | $16.697,90 | 187 / 14 |
| G.I. Obstruction W Mcc | 12 | 30 / 8 | $27.212,50 | 95 / 2 | $9.325,33 | 154 / 7 | $8.922,58 | 154 / 7 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 8 | $34.853,00 | 175 / 8 | $7.993,42 | 62 / 5 | $6.881,42 | 62 / 8 |
| Disorders Of The Biliary Tract W Mcc | 12 | 27 / 6 | $32.405,00 | 59 / 2 | $8.892,00 | 4 / 2 | $7.417,00 | 4 / 1 |
| Respiratory Neoplasms W Cc | 11 | 36 / 9 | $13.680,70 | 19 / 2 | $7.094,73 | 8 / 3 | $5.105,91 | 8 / 1 |
| Transient Ischemia | 11 | 114 / 30 | $13.090,80 | 185 / 6 | $4.054,82 | 416 / 8 | $3.283,91 | 415 / 19 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 13 | $10.425,50 | 115 / 3 | $3.733,45 | 85 / 5 | $2.852,00 | 85 / 4 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 15 | $36.583,10 | 193 / 6 | $8.995,82 | 136 / 5 | $8.012,55 | 136 / 14 |
| Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 9 | $30.548,60 | 65 / 3 | $9.333,18 | 30 / 1 | $8.786,27 | 30 / 3 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 11 | 21 / 6 | $31.041,30 | 19 / 3 | $12.698,20 | 20 / 1 | $12.200,70 | 20 / 2 |
| Chest Pain | 11 | 140 / 27 | $19.142,20 | 856 / 22 | $3.738,00 | 538 / 19 | $2.964,27 | 534 / 29 |
| Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 11 | 21 / 4 | $44.234,90 | 23 / 3 | $11.498,80 | 11 / 2 | $10.841,40 | 11 / 3 |
| Pulmonary Embolism W Mcc | 11 | 32 / 11 | $30.155,90 | 162 / 8 | $8.199,36 | 78 / 6 | $7.539,00 | 78 / 8 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 11 | $33.885,50 | 73 / 3 | $10.529,90 | 60 / 6 | $9.546,64 | 60 / 7 |
| Major Chest Procedures W Cc | 11 | 63 / 10 | $50.980,80 | 117 / 3 | $13.913,60 | 77 / 2 | $13.029,30 | 77 / 7 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 10 | $51.935,10 | 147 / 4 | $13.058,50 | 32 / 2 | $11.967,60 | 32 / 4 | Total 113 procedures | 3.930 | 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.