Hospital Costs > In Tennessee > Wellmont Holston Valley 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 | 238 | 326 / 21 | $41.141,20 | 820 / 15 | $12.710,80 | 122 / 27 | $9.455,96 | 122 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 223 | 293 / 15 | $36.495,40 | 1122 / 40 | $10.356,30 | 265 / 44 | $9.085,00 | 265 / 36 |
| Heart Failure & Shock W Mcc | 126 | 158 / 8 | $22.516,90 | 566 / 21 | $8.326,34 | 340 / 40 | $7.467,63 | 340 / 34 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 104 | 171 / 11 | $14.322,70 | 658 / 20 | $4.573,53 | 719 / 36 | $3.576,89 | 715 / 46 |
| Heart Failure & Shock W Cc | 102 | 176 / 12 | $16.208,90 | 711 / 24 | $5.730,75 | 564 / 35 | $4.954,35 | 564 / 40 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 100 | 96 / 10 | $60.598,70 | 467 / 13 | $12.784,00 | 69 / 20 | $9.221,78 | 69 / 10 |
| Simple Pneumonia & Pleurisy W Cc | 94 | 109 / 12 | $17.637,90 | 866 / 28 | $5.661,02 | 497 / 35 | $4.641,69 | 494 / 34 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 94 | 57 / 5 | $10.074,90 | 357 / 11 | $3.662,33 | 542 / 27 | $2.478,76 | 538 / 28 |
| Renal Failure W Cc | 93 | 128 / 12 | $17.326,20 | 709 / 28 | $5.718,68 | 484 / 40 | $4.740,18 | 480 / 38 |
| Kidney & Urinary Tract Infections W/O Mcc | 91 | 142 / 15 | $13.913,00 | 783 / 27 | $4.610,21 | 567 / 44 | $3.673,42 | 566 / 41 |
| Pulmonary Edema & Respiratory Failure | 87 | 116 / 12 | $22.812,00 | 587 / 20 | $7.070,10 | 411 / 23 | $6.241,66 | 411 / 30 |
| Hip & Femur Procedures Except Major Joint W Cc | 84 | 59 / 6 | $35.083,30 | 412 / 10 | $10.364,50 | 54 / 14 | $8.960,15 | 54 / 11 |
| Chronic Obstructive Pulmonary Disease W Mcc | 80 | 122 / 16 | $18.179,40 | 578 / 17 | $6.789,94 | 413 / 42 | $5.700,86 | 412 / 33 |
| G.I. Hemorrhage W Cc | 76 | 142 / 13 | $16.766,70 | 469 / 17 | $5.832,58 | 546 / 30 | $4.952,63 | 545 / 34 |
| Renal Failure W Mcc | 75 | 120 / 13 | $27.576,70 | 615 / 26 | $8.410,95 | 367 / 23 | $7.859,05 | 367 / 32 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 72 | 59 / 9 | $43.515,30 | 428 / 13 | $12.795,90 | 134 / 17 | $11.338,70 | 134 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 70 | 137 / 12 | $20.827,20 | 865 / 28 | $6.347,16 | 314 / 40 | $5.014,64 | 313 / 25 |
| Chronic Obstructive Pulmonary Disease W Cc | 68 | 111 / 11 | $14.491,80 | 464 / 14 | $5.479,54 | 565 / 32 | $4.608,01 | 563 / 40 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 61 | 121 / 14 | $18.134,60 | 358 / 15 | $6.133,21 | 367 / 21 | $5.054,71 | 366 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 61 | 100 / 9 | $13.542,40 | 374 / 8 | $4.917,38 | 358 / 32 | $3.680,41 | 358 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 61 | 107 / 11 | $35.727,80 | 543 / 15 | $9.421,72 | 214 / 15 | $8.522,88 | 213 / 18 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 58 | 67 / 9 | $26.997,70 | 336 / 8 | $9.456,62 | 199 / 20 | $8.296,12 | 199 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 54 | 112 / 11 | $11.138,00 | 443 / 18 | $4.385,22 | 666 / 46 | $3.429,00 | 664 / 43 |
| Simple Pneumonia & Pleurisy W Mcc | 53 | 152 / 27 | $31.692,80 | 1151 / 36 | $8.817,79 | 423 / 54 | $7.211,47 | 423 / 41 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 50 | 73 / 9 | $21.631,80 | 428 / 9 | $6.947,06 | 381 / 16 | $6.174,58 | 379 / 22 |
| Carotid Artery Stent Procedure W/O Cc/Mcc | 49 | 1 / 1 | $53.527,70 | 63 / 4 | $9.587,61 | 27 / 2 | $8.702,71 | 27 / 3 |
| Major Cardiovasc Procedures W/O Mcc | 48 | 53 / 7 | $65.414,40 | 192 / 5 | $18.269,00 | 88 / 7 | $16.838,90 | 88 / 11 |
| Other Circulatory System Diagnoses W Mcc | 45 | 71 / 6 | $37.465,20 | 413 / 11 | $10.700,80 | 188 / 12 | $9.555,27 | 188 / 12 |
| Heart Failure & Shock W/O Cc/Mcc | 43 | 67 / 8 | $11.529,60 | 410 / 11 | $4.102,70 | 513 / 26 | $3.317,58 | 511 / 27 |
| Signs & Symptoms W/O Mcc | 43 | 48 / 2 | $14.561,00 | 301 / 11 | $4.315,53 | 346 / 17 | $3.452,09 | 345 / 19 |
| Chest Pain | 42 | 109 / 10 | $13.373,70 | 343 / 6 | $4.040,52 | 403 / 27 | $2.835,21 | 401 / 23 |
| Respiratory Infections & Inflammations W Mcc | 42 | 94 / 11 | $30.884,50 | 410 / 8 | $10.365,70 | 219 / 17 | $9.819,38 | 219 / 23 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 41 | 50 / 11 | $20.802,30 | 319 / 9 | $6.230,02 | 235 / 16 | $5.019,46 | 235 / 14 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 39 | 81 / 14 | $12.323,20 | 476 / 14 | $4.375,77 | 656 / 37 | $3.445,31 | 654 / 45 |
| Syncope & Collapse | 38 | 131 / 17 | $17.783,30 | 654 / 18 | $4.496,11 | 429 / 21 | $3.482,29 | 427 / 23 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 36 | 82 / 6 | $96.218,10 | 61 / 2 | $27.944,20 | 48 / 1 | $26.902,40 | 48 / 2 |
| G.I. Obstruction W Cc | 35 | 57 / 8 | $15.787,90 | 348 / 10 | $5.092,51 | 415 / 13 | $4.369,31 | 414 / 20 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 34 | 37 / 7 | $87.515,40 | 161 / 7 | $27.659,10 | 5 / 7 | $22.064,10 | 5 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 33 | 155 / 22 | $23.102,40 | 203 / 10 | $6.321,03 | 515 / 14 | $5.476,42 | 513 / 27 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 32 | 68 / 11 | $79.013,10 | 265 / 9 | $17.463,80 | 57 / 6 | $15.812,40 | 57 / 7 |
| Cellulitis W/O Mcc | 32 | 157 / 27 | $17.670,50 | 1202 / 43 | $5.037,59 | 810 / 41 | $4.133,59 | 805 / 51 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 32 | 94 / 11 | $18.320,60 | 320 / 11 | $6.426,66 | 230 / 13 | $5.586,09 | 228 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 31 | 71 / 11 | $15.459,40 | 286 / 12 | $4.945,77 | 302 / 18 | $3.375,55 | 299 / 17 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 31 | 61 / 8 | $102.243,00 | 194 / 6 | $32.115,10 | 15 / 6 | $26.840,50 | 15 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 30 | 63 / 14 | $11.969,50 | 414 / 15 | $4.349,80 | 399 / 32 | $3.142,30 | 397 / 23 |
| Red Blood Cell Disorders W/O Mcc | 30 | 113 / 13 | $13.391,50 | 301 / 9 | $4.841,60 | 648 / 26 | $4.137,60 | 644 / 33 |
| Spinal Fusion Except Cervical W/O Mcc | 30 | 164 / 19 | $69.686,30 | 367 / 7 | $22.154,20 | 93 / 7 | $18.918,40 | 92 / 9 |
| Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 24 | $18.195,00 | 443 / 16 | $6.461,89 | 529 / 35 | $5.742,48 | 528 / 39 |
| Pulmonary Embolism W/O Mcc | 25 | 49 / 9 | $14.239,20 | 123 / 3 | $5.711,28 | 54 / 9 | $4.149,04 | 54 / 3 |
| Diabetes W Cc | 25 | 67 / 12 | $14.853,00 | 331 / 10 | $5.090,24 | 282 / 20 | $3.960,04 | 282 / 19 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 25 | 63 / 11 | $75.618,00 | 104 / 4 | $21.294,60 | 34 / 6 | $17.452,80 | 34 / 4 |
| Cervical Spinal Fusion W/O Cc/Mcc | 25 | 79 / 13 | $44.856,00 | 272 / 10 | $12.282,30 | 208 / 6 | $11.125,20 | 208 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 24 | 41 / 10 | $54.843,70 | 180 / 5 | $17.324,20 | 46 / 8 | $15.153,50 | 46 / 7 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 24 | 32 / 8 | $28.250,00 | 154 / 6 | $9.169,38 | 85 / 11 | $7.610,67 | 85 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 15 | $88.657,50 | 346 / 6 | $28.125,60 | 74 / 11 | $25.205,50 | 74 / 5 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 24 | 29 / 5 | $18.454,20 | 242 / 8 | $4.678,33 | 181 / 13 | $3.531,67 | 180 / 9 |
| Major Chest Procedures W Cc | 24 | 50 / 6 | $51.401,20 | 126 / 4 | $14.013,50 | 74 / 4 | $12.954,90 | 74 / 6 |
| Medical Back Problems W/O Mcc | 22 | 99 / 15 | $22.804,20 | 718 / 22 | $5.030,23 | 444 / 17 | $4.145,50 | 444 / 23 |
| G.I. Hemorrhage W Mcc | 22 | 99 / 19 | $36.560,70 | 566 / 12 | $10.283,50 | 446 / 18 | $9.511,23 | 447 / 17 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 22 | 74 / 13 | $53.039,10 | 385 / 11 | $12.780,00 | 60 / 14 | $10.045,80 | 60 / 8 |
| Hip & Femur Procedures Except Major Joint W Mcc | 21 | 41 / 9 | $51.566,70 | 195 / 6 | $15.653,90 | 68 / 8 | $14.907,20 | 68 / 11 |
| Permanent Cardiac Pacemaker Implant W Cc | 20 | 57 / 11 | $66.546,30 | 438 / 11 | $13.995,30 | 55 / 3 | $12.963,30 | 55 / 5 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 19 | 97 / 9 | $120.769,00 | 29 / 1 | $39.970,90 | 16 / 1 | $39.209,60 | 16 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 10 | $12.335,10 | 312 / 8 | $4.134,95 | 313 / 14 | $2.716,32 | 313 / 13 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 19 | 53 / 15 | $32.934,00 | 421 / 22 | $7.760,42 | 111 / 15 | $6.871,16 | 111 / 18 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 18 | 51 / 9 | $52.978,60 | 190 / 10 | $10.107,20 | 146 / 5 | $9.230,72 | 146 / 11 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 17 | $38.215,70 | 156 / 7 | $13.995,00 | 3 / 12 | $9.830,39 | 3 / 1 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 18 | 39 / 8 | $58.128,60 | 379 / 10 | $12.256,40 | 49 / 5 | $10.240,40 | 49 / 5 |
| Disorders Of Pancreas Except Malignancy W Cc | 18 | 43 / 10 | $15.477,60 | 133 / 6 | $5.748,33 | 104 / 15 | $4.183,67 | 104 / 8 |
| Respiratory Infections & Inflammations W Cc | 18 | 70 / 18 | $21.233,00 | 311 / 10 | $8.388,00 | 20 / 28 | $5.910,94 | 20 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 17 | 52 / 5 | $146.177,00 | 19 / 1 | $43.749,20 | 6 / 1 | $43.395,40 | 6 / 1 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 17 | 37 / 6 | $18.347,60 | 100 / 6 | $5.712,00 | 43 / 5 | $4.680,71 | 43 / 5 |
| Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 7 | $10.963,60 | 114 / 8 | $4.243,35 | 271 / 13 | $3.392,53 | 272 / 16 |
| G.I. Obstruction W Mcc | 17 | 25 / 7 | $28.396,60 | 112 / 5 | $8.799,88 | 35 / 3 | $7.838,00 | 35 / 2 |
| Other Digestive System Diagnoses W Cc | 16 | 81 / 17 | $16.468,70 | 214 / 5 | $5.931,62 | 116 / 17 | $4.456,12 | 115 / 7 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 18 | $83.949,70 | 226 / 6 | $24.813,40 | 48 / 1 | $23.979,40 | 48 / 3 |
| Renal Failure W/O Cc/Mcc | 16 | 40 / 6 | $9.027,69 | 86 / 6 | $4.020,94 | 203 / 15 | $2.935,19 | 202 / 16 |
| Other Vascular Procedures W Cc | 15 | 87 / 14 | $59.625,50 | 355 / 10 | $13.790,90 | 100 / 5 | $12.743,50 | 100 / 11 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 15 | 62 / 6 | $39.588,50 | 176 / 8 | $9.721,07 | 42 / 6 | $7.295,20 | 42 / 5 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 15 | 49 / 11 | $153.789,00 | 64 / 6 | $44.442,60 | 6 / 4 | $40.360,10 | 6 / 2 |
| Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 9 | $64.373,60 | 172 / 3 | $18.630,50 | 56 / 5 | $16.241,20 | 56 / 6 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 15 | 30 / 5 | $16.628,50 | 160 / 5 | $4.114,60 | 78 / 2 | $3.141,80 | 78 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 4 | $27.386,40 | 122 / 5 | $7.265,43 | 82 / 6 | $5.501,64 | 82 / 7 |
| Coronary Bypass W Cardiac Cath W Mcc | 14 | 42 / 11 | $143.192,00 | 94 / 5 | $42.117,60 | 176 / 8 | $41.004,40 | 176 / 9 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 8 | $14.606,40 | 22 / 2 | $7.366,36 | 39 / 5 | $5.674,00 | 39 / 2 |
| Other Vascular Procedures W Mcc | 14 | 83 / 12 | $73.160,70 | 298 / 10 | $17.414,80 | 99 / 5 | $16.980,50 | 99 / 8 |
| Nonspecific Cerebrovascular Disorders W Mcc | 14 | 37 / 11 | $29.954,00 | 113 / 10 | $8.659,36 | 32 / 6 | $7.966,79 | 32 / 7 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 16 | $24.634,70 | 623 / 11 | $5.730,14 | 63 / 8 | $4.233,14 | 63 / 5 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 13 | 68 / 9 | $302.029,00 | 84 / 5 | $84.257,70 | 54 / 3 | $83.364,80 | 54 / 5 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 13 | $107.346,00 | 276 / 10 | $28.476,00 | 1 / 7 | $19.334,70 | 1 / 1 |
| Transient Ischemia | 13 | 112 / 29 | $12.857,50 | 171 / 3 | $4.314,23 | 427 / 16 | $3.297,62 | 426 / 20 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 13 | 41 / 9 | $17.705,80 | 131 / 6 | $4.494,46 | 64 / 2 | $3.470,92 | 64 / 3 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 9 | $41.537,60 | 158 / 8 | $10.505,00 | 78 / 5 | $9.670,54 | 78 / 9 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 13 | 63 / 15 | $86.933,60 | 64 / 2 | $24.792,50 | 121 / 3 | $23.768,50 | 121 / 7 |
| Other Vascular Procedures W/O Cc/Mcc | 13 | 43 / 11 | $56.976,10 | 361 / 16 | $11.420,30 | 226 / 14 | $9.286,46 | 225 / 14 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 11 | $11.001,80 | 132 / 5 | $4.303,69 | 399 / 11 | $3.562,77 | 395 / 17 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 14 | $21.732,10 | 121 / 6 | $6.340,08 | 178 / 5 | $5.132,08 | 178 / 8 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 15 | $32.103,70 | 168 / 7 | $9.452,00 | 63 / 10 | $7.285,58 | 63 / 10 |
| Other Circulatory System Diagnoses W Cc | 12 | 54 / 10 | $20.054,50 | 192 / 5 | $5.810,92 | 31 / 7 | $4.289,08 | 31 / 4 |
| Carotid Artery Stent Procedure W Cc | 12 | 8 / 1 | $54.800,70 | 12 / 1 | $12.579,20 | 1 / 1 | $10.123,80 | 1 / 1 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 14 | $17.090,80 | 93 / 3 | $7.156,08 | 203 / 10 | $6.553,42 | 203 / 11 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 8 | $33.696,80 | 145 / 6 | $9.973,42 | 47 / 6 | $9.269,33 | 47 / 7 |
| Disorders Of The Biliary Tract W Cc | 12 | 42 / 7 | $17.284,80 | 42 / 2 | $6.119,42 | 66 / 5 | $5.218,08 | 66 / 7 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 12 | $34.780,70 | 106 / 5 | $10.440,80 | 26 / 4 | $8.559,58 | 26 / 4 |
| Cervical Spinal Fusion W Cc | 12 | 41 / 6 | $73.030,80 | 182 / 7 | $16.453,40 | 94 / 2 | $15.357,40 | 93 / 4 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 13 | $48.058,40 | 49 / 3 | $17.073,50 | 12 / 3 | $16.268,20 | 12 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 16 | $22.496,00 | 174 / 6 | $8.042,00 | 75 / 4 | $7.439,33 | 75 / 8 |
| Atherosclerosis W/O Mcc | 11 | 47 / 8 | $9.977,36 | 43 / 1 | $3.842,64 | / 3 | $2.964,09 | / |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 15 | $37.074,20 | 205 / 8 | $9.233,91 | 189 / 7 | $8.250,64 | 189 / 16 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 7 | $38.550,10 | 334 / 11 | $9.202,09 | 275 / 7 | $8.210,09 | 275 / 7 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 9 | $12.212,10 | 76 / 2 | $4.058,64 | 154 / 5 | $3.177,18 | 154 / 8 |
| Signs & Symptoms W Mcc | 11 | 30 / 7 | $18.563,90 | 45 / 4 | $6.324,36 | 17 / 4 | $5.508,36 | 17 / 3 |
| Seizures W/O Mcc | 11 | 97 / 18 | $14.867,20 | 255 / 6 | $4.715,82 | 158 / 8 | $3.462,73 | 157 / 8 | Total 113 procedures | 4.169 | 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.