Hospital Costs > In Georgia > Wellstar Kennestone Hospital, 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 | 504 | 124 / 7 | $48.840,40 | 1236 / 35 | $13.282,70 | 390 / 36 | $10.154,40 | 389 / 13 |
Kidney & Urinary Tract Infections W/O Mcc | 336 | 9 / 1 | $22.328,10 | 1787 / 68 | $5.142,60 | 1364 / 48 | $4.215,33 | 1355 / 54 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 284 | 234 / 8 | $68.589,50 | 2264 / 82 | $13.022,80 | 1745 / 76 | $11.599,50 | 1712 / 74 |
Heart Failure & Shock W Cc | 266 | 39 / 1 | $30.739,30 | 1995 / 74 | $6.514,10 | 1318 / 56 | $5.566,39 | 1314 / 59 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 246 | 49 / 1 | $22.833,80 | 1700 / 68 | $5.065,56 | 1172 / 45 | $3.871,18 | 1163 / 46 |
Simple Pneumonia & Pleurisy W Cc | 196 | 23 / 1 | $26.617,30 | 1744 / 70 | $6.367,37 | 1143 / 47 | $5.188,75 | 1139 / 42 |
G.I. Hemorrhage W Cc | 190 | 38 / 1 | $32.350,30 | 1675 / 59 | $6.741,53 | 825 / 48 | $5.197,41 | 823 / 27 |
Heart Failure & Shock W Mcc | 184 | 100 / 5 | $57.170,00 | 2152 / 74 | $10.478,90 | 1637 / 63 | $9.353,76 | 1632 / 62 |
Renal Failure W Cc | 162 | 64 / 1 | $30.921,10 | 1740 / 67 | $6.764,47 | 1334 / 57 | $5.541,67 | 1326 / 56 |
Syncope & Collapse | 156 | 27 / 1 | $27.831,90 | 1349 / 41 | $4.925,63 | 816 / 25 | $3.866,53 | 812 / 20 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 155 | 35 / 1 | $36.124,00 | 1395 / 50 | $7.134,59 | 809 / 42 | $5.560,61 | 807 / 34 |
Simple Pneumonia & Pleurisy W Mcc | 146 | 59 / 2 | $42.578,90 | 1660 / 67 | $9.185,59 | 926 / 52 | $7.788,88 | 926 / 38 |
Chronic Obstructive Pulmonary Disease W Cc | 146 | 40 / 1 | $25.938,00 | 1507 / 62 | $6.161,62 | 994 / 42 | $4.950,64 | 991 / 43 |
Chronic Obstructive Pulmonary Disease W Mcc | 145 | 58 / 4 | $36.953,00 | 1829 / 69 | $7.453,97 | 1060 / 42 | $6.298,19 | 1055 / 44 |
Cellulitis W/O Mcc | 136 | 54 / 1 | $20.822,20 | 1560 / 52 | $5.467,56 | 1237 / 31 | $4.457,65 | 1231 / 47 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 133 | 36 / 1 | $20.151,20 | 1569 / 60 | $4.774,69 | 1126 / 41 | $3.745,14 | 1123 / 44 |
Pulmonary Edema & Respiratory Failure | 115 | 88 / 5 | $47.826,90 | 1711 / 65 | $8.244,30 | 1329 / 48 | $7.457,21 | 1325 / 54 |
Renal Failure W Mcc | 113 | 83 / 7 | $44.731,70 | 1439 / 58 | $9.461,15 | 779 / 31 | $8.504,08 | 779 / 30 |
Hip & Femur Procedures Except Major Joint W Cc | 111 | 33 / 2 | $51.957,80 | 1120 / 37 | $11.854,10 | 662 / 36 | $10.366,80 | 659 / 20 |
Kidney & Urinary Tract Infections W Mcc | 103 | 42 / 1 | $34.372,40 | 1344 / 57 | $7.143,68 | 984 / 35 | $6.352,96 | 981 / 44 |
Transient Ischemia | 100 | 25 / 2 | $28.654,60 | 1138 / 40 | $4.649,51 | 677 / 20 | $3.559,63 | 673 / 25 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 99 | 70 / 3 | $53.380,30 | 1023 / 39 | $11.213,20 | 724 / 29 | $9.950,22 | 723 / 29 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 98 | 63 / 3 | $26.341,30 | 1469 / 53 | $5.319,23 | 816 / 35 | $4.125,12 | 813 / 25 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 85 | 47 / 1 | $88.428,40 | 1403 / 48 | $17.401,30 | 1004 / 51 | $14.135,90 | 994 / 38 |
Spinal Fusion Except Cervical W/O Mcc | 83 | 111 / 9 | $123.134,00 | 954 / 36 | $28.743,60 | 449 / 38 | $21.526,00 | 446 / 20 |
Red Blood Cell Disorders W/O Mcc | 83 | 60 / 3 | $25.360,70 | 1276 / 55 | $5.449,43 | 693 / 39 | $4.175,39 | 688 / 18 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 82 | 114 / 7 | $69.239,60 | 662 / 26 | $13.661,50 | 394 / 25 | $10.377,10 | 394 / 17 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 78 | 110 / 8 | $45.149,80 | 1079 / 44 | $7.273,35 | 630 / 30 | $5.626,97 | 628 / 25 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 78 | 42 / 4 | $249.926,00 | 314 / 10 | $55.590,40 | 195 / 9 | $49.380,60 | 195 / 7 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 77 | 49 / 8 | $41.055,60 | 1321 / 56 | $7.184,81 | 717 / 32 | $6.425,16 | 714 / 35 |
Heart Failure & Shock W/O Cc/Mcc | 76 | 34 / 1 | $19.874,50 | 1282 / 43 | $4.497,46 | 1006 / 24 | $3.741,37 | 998 / 30 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 76 | 47 / 2 | $49.193,70 | 1513 / 49 | $8.770,92 | 1199 / 37 | $7.609,38 | 1196 / 37 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 74 | 76 / 3 | $19.643,60 | 1375 / 54 | $4.302,55 | 701 / 41 | $2.586,18 | 697 / 20 |
Medical Back Problems W/O Mcc | 74 | 47 / 1 | $28.951,60 | 979 / 32 | $5.778,03 | 486 / 19 | $4.204,09 | 486 / 13 |
G.I. Hemorrhage W Mcc | 70 | 51 / 2 | $74.680,40 | 1389 / 48 | $13.566,80 | 1262 / 43 | $12.664,50 | 1254 / 46 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 68 | 139 / 10 | $30.787,60 | 1668 / 65 | $6.854,01 | 912 / 47 | $5.589,09 | 910 / 34 |
Respiratory Infections & Inflammations W Mcc | 68 | 68 / 2 | $61.276,50 | 1293 / 53 | $12.711,40 | 946 / 45 | $11.556,10 | 936 / 44 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 67 | 25 / 1 | $36.868,00 | 414 / 16 | $6.893,84 | 280 / 7 | $5.507,54 | 279 / 11 |
Pulmonary Embolism W/O Mcc | 65 | 11 / 1 | $30.144,10 | 844 / 29 | $7.279,68 | 487 / 28 | $5.169,37 | 485 / 20 |
Bronchitis & Asthma W Cc/Mcc | 64 | 15 / 1 | $28.022,20 | 661 / 32 | $5.934,66 | 296 / 19 | $4.315,88 | 293 / 10 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 63 | 33 / 2 | $39.338,50 | 927 / 39 | $7.562,79 | 427 / 22 | $6.471,76 | 425 / 15 |
Seizures W/O Mcc | 62 | 46 / 2 | $25.809,30 | 804 / 32 | $5.037,52 | 471 / 17 | $4.004,45 | 469 / 19 |
Chest Pain | 60 | 91 / 7 | $25.407,40 | 1228 / 43 | $4.185,20 | 727 / 23 | $3.170,72 | 722 / 28 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 59 | 34 / 1 | $18.586,30 | 1087 / 36 | $5.347,34 | 531 / 43 | $3.262,31 | 529 / 13 |
Extracranial Procedures W/O Cc/Mcc | 58 | 40 / 2 | $34.388,20 | 536 / 17 | $6.619,10 | 392 / 12 | $5.461,10 | 392 / 11 |
Diabetes W Cc | 57 | 35 / 2 | $27.813,90 | 1106 / 46 | $5.392,23 | 798 / 24 | $4.701,89 | 794 / 34 |
Signs & Symptoms W/O Mcc | 57 | 34 / 1 | $23.565,70 | 834 / 32 | $4.666,65 | 483 / 16 | $3.640,51 | 482 / 17 |
Major Small & Large Bowel Procedures W Cc | 56 | 52 / 4 | $65.873,60 | 768 / 25 | $15.667,40 | 518 / 23 | $13.664,20 | 512 / 21 |
Cervical Spinal Fusion W/O Cc/Mcc | 55 | 49 / 4 | $64.830,30 | 524 / 29 | $15.452,70 | 169 / 28 | $10.893,30 | 169 / 10 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 53 | 67 / 8 | $17.742,40 | 1089 / 43 | $4.987,13 | 627 / 37 | $3.425,81 | 626 / 15 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 53 | 20 / 1 | $29.648,50 | 641 / 22 | $7.671,87 | 392 / 18 | $6.378,77 | 391 / 13 |
G.I. Obstruction W/O Cc/Mcc | 52 | 19 / 1 | $18.702,90 | 765 / 23 | $4.349,10 | 586 / 17 | $3.062,23 | 585 / 15 |
Seizures W Mcc | 50 | 16 / 1 | $52.556,20 | 509 / 16 | $9.392,98 | 261 / 7 | $8.623,22 | 261 / 7 |
Major Chest Procedures W Cc | 48 | 26 / 1 | $51.141,10 | 122 / 5 | $17.647,60 | 76 / 10 | $13.024,40 | 76 / 4 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 48 | 17 / 1 | $44.379,80 | 376 / 17 | $11.273,80 | 117 / 18 | $7.672,19 | 117 / 4 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 47 | 71 / 4 | $192.934,00 | 400 / 12 | $36.889,40 | 249 / 12 | $32.142,50 | 249 / 9 |
Major Cardiovasc Procedures W/O Mcc | 46 | 55 / 4 | $98.693,20 | 570 / 19 | $20.767,50 | 428 / 11 | $19.681,40 | 428 / 17 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 46 | 56 / 3 | $29.142,40 | 1071 / 37 | $5.459,63 | 461 / 28 | $3.585,93 | 458 / 11 |
Other Kidney & Urinary Tract Diagnoses W Cc | 44 | 59 / 2 | $24.492,40 | 376 / 9 | $8.096,16 | 210 / 13 | $5.231,34 | 210 / 5 |
Degenerative Nervous System Disorders W/O Mcc | 44 | 34 / 1 | $31.517,60 | 535 / 17 | $6.268,34 | 335 / 11 | $5.403,68 | 335 / 13 |
Permanent Cardiac Pacemaker Implant W Cc | 44 | 33 / 2 | $62.895,70 | 388 / 14 | $16.011,90 | 279 / 13 | $14.506,20 | 278 / 10 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 44 | 52 / 4 | $75.889,90 | 636 / 18 | $14.691,50 | 362 / 13 | $11.935,50 | 359 / 12 |
Other Digestive System Diagnoses W Cc | 44 | 53 / 1 | $32.691,40 | 956 / 32 | $6.710,55 | 570 / 23 | $5.340,98 | 567 / 22 |
Fractures Of Hip & Pelvis W/O Mcc | 44 | 17 / 1 | $22.310,50 | 590 / 18 | $4.735,39 | 433 / 11 | $3.786,36 | 433 / 12 |
Respiratory Infections & Inflammations W Cc | 43 | 45 / 2 | $36.555,10 | 885 / 33 | $8.849,33 | 707 / 30 | $7.762,26 | 702 / 27 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 42 | 29 / 1 | $165.392,00 | 631 / 30 | $35.623,90 | 529 / 30 | $33.068,10 | 528 / 32 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 42 | 7 / 1 | $53.445,70 | 353 / 7 | $10.739,90 | 209 / 8 | $7.967,86 | 209 / 6 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 41 | 84 / 11 | $53.829,80 | 1215 / 43 | $10.465,60 | 741 / 32 | $9.563,07 | 740 / 33 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 40 | 53 / 6 | $72.794,40 | 607 / 30 | $13.349,60 | 429 / 16 | $12.420,40 | 423 / 20 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 39 | 61 / 6 | $111.510,00 | 606 / 24 | $19.999,80 | 441 / 10 | $19.169,90 | 437 / 18 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 39 | 26 / 1 | $72.066,40 | 399 / 7 | $18.320,80 | 248 / 7 | $17.163,40 | 246 / 8 |
Revision Of Hip Or Knee Replacement W Cc | 38 | 48 / 2 | $85.286,00 | 335 / 11 | $21.509,10 | 148 / 12 | $17.450,90 | 148 / 7 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 38 | 86 / 9 | $207.682,00 | 1290 / 43 | $43.550,90 | 1321 / 40 | $42.512,40 | 1311 / 41 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 38 | 19 / 2 | $49.286,90 | 278 / 11 | $12.801,20 | 305 / 8 | $11.969,60 | 304 / 12 |
Other Circulatory System Diagnoses W Mcc | 36 | 80 / 9 | $52.534,10 | 804 / 36 | $12.204,90 | 535 / 31 | $10.877,00 | 533 / 27 |
Renal Failure W/O Cc/Mcc | 36 | 20 / 2 | $16.386,40 | 436 / 14 | $4.221,69 | 343 / 7 | $3.207,78 | 342 / 11 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 36 | 20 / 1 | $42.865,20 | 462 / 22 | $10.028,90 | 306 / 22 | $8.505,33 | 305 / 15 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 35 | 20 / 1 | $82.436,10 | 104 / 4 | $17.229,50 | 37 / 1 | $16.220,50 | 37 / 1 |
Cellulitis W Mcc | 35 | 23 / 1 | $40.720,30 | 613 / 14 | $9.109,51 | 376 / 8 | $8.224,43 | 374 / 9 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 35 | 66 / 3 | $47.585,60 | 762 / 20 | $10.993,40 | 709 / 19 | $10.272,30 | 707 / 20 |
Major Chest Procedures W Mcc | 35 | 14 / 1 | $123.037,00 | 159 / 8 | $40.087,00 | 90 / 8 | $28.222,00 | 90 / 2 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 35 | 20 / 1 | $63.748,70 | 391 / 12 | $12.260,90 | 291 / 6 | $11.245,40 | 291 / 7 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 35 | 28 / 1 | $157.611,00 | 502 / 21 | $32.906,70 | 453 / 18 | $32.106,50 | 453 / 19 |
Other Disorders Of Nervous System W Cc | 35 | 21 / 2 | $32.280,70 | 409 / 14 | $5.746,31 | 189 / 6 | $4.799,77 | 189 / 6 |
G.I. Hemorrhage W/O Cc/Mcc | 34 | 34 / 1 | $22.357,70 | 643 / 21 | $4.890,00 | 523 / 14 | $3.822,18 | 519 / 15 |
Hip & Femur Procedures Except Major Joint W Mcc | 34 | 28 / 1 | $83.207,80 | 563 / 17 | $18.274,10 | 401 / 13 | $17.286,80 | 398 / 15 |
Major Small & Large Bowel Procedures W Mcc | 34 | 51 / 4 | $123.940,00 | 601 / 20 | $30.190,30 | 461 / 12 | $29.265,10 | 459 / 18 |
Other Vascular Procedures W Mcc | 34 | 63 / 10 | $117.495,00 | 710 / 31 | $22.966,10 | 608 / 26 | $22.189,60 | 605 / 28 |
G.I. Obstruction W Cc | 34 | 58 / 5 | $32.627,90 | 1279 / 46 | $5.718,65 | 768 / 23 | $4.777,06 | 766 / 27 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 33 | 9 / 2 | $143.517,00 | 83 / 3 | $32.802,60 | 11 / 1 | $27.578,90 | 11 / 1 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 33 | 59 / 6 | $166.847,00 | 616 / 24 | $38.457,40 | 312 / 16 | $33.426,80 | 311 / 13 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 33 | 31 / 3 | $315.765,00 | 347 / 15 | $70.855,90 | 316 / 8 | $68.061,20 | 316 / 10 |
Other Resp System O.R. Procedures W Mcc | 33 | 30 / 2 | $92.257,60 | 299 / 15 | $20.863,80 | 168 / 4 | $20.169,90 | 168 / 7 |
Major Male Pelvic Procedures W/O Cc/Mcc | 32 | 41 / 3 | $34.612,70 | 131 / 2 | $8.243,47 | 114 / 5 | $6.150,12 | 114 / 3 |
Other Circulatory System Diagnoses W Cc | 32 | 34 / 2 | $22.485,90 | 248 / 13 | $7.234,25 | 99 / 16 | $4.712,34 | 99 / 4 |
Pulmonary Embolism W Mcc | 32 | 11 / 1 | $50.747,10 | 424 / 17 | $10.995,20 | 294 / 14 | $8.891,06 | 294 / 8 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 31 | 67 / 4 | $122.773,00 | 272 / 11 | $25.996,70 | 140 / 2 | $25.190,50 | 140 / 3 |
Acute Myocardial Infarction, Discharged Alive W Cc | 31 | 60 / 6 | $44.663,60 | 1110 / 41 | $6.660,00 | 548 / 23 | $5.561,10 | 547 / 22 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 31 | 35 / 3 | $23.928,70 | 141 / 3 | $7.591,29 | 161 / 6 | $5.959,10 | 161 / 6 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 30 | 65 / 5 | $68.973,40 | 257 / 8 | $12.364,50 | 240 / 4 | $11.346,00 | 238 / 7 |
Other Vascular Procedures W Cc | 30 | 72 / 6 | $74.475,40 | 582 / 24 | $15.626,30 | 450 / 14 | $14.636,20 | 447 / 19 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 30 | 58 / 9 | $130.861,00 | 410 / 15 | $27.774,70 | 286 / 15 | $21.291,20 | 285 / 10 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 30 | 36 / 2 | $54.894,20 | 311 / 15 | $14.883,60 | 38 / 15 | $8.752,73 | 38 / 3 |
Peripheral Vascular Disorders W Cc | 30 | 54 / 4 | $24.342,30 | 605 / 23 | $6.347,47 | 381 / 18 | $5.071,23 | 379 / 12 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 29 | 40 / 5 | $77.539,20 | 318 / 13 | $17.304,90 | 147 / 9 | $14.247,80 | 147 / 11 |
Respiratory Neoplasms W Mcc | 29 | 23 / 1 | $53.163,30 | 413 / 16 | $10.328,90 | 223 / 6 | $9.684,03 | 223 / 10 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 29 | 40 / 3 | $306.944,00 | 195 / 9 | $72.635,30 | 119 / 9 | $59.766,70 | 119 / 6 |
Coronary Bypass W/O Cardiac Cath W Mcc | 29 | 30 / 4 | $209.402,00 | 174 / 9 | $48.387,80 | 115 / 9 | $35.306,30 | 114 / 7 |
Poisoning & Toxic Effects Of Drugs W Mcc | 29 | 43 / 4 | $51.164,20 | 721 / 26 | $8.603,38 | 322 / 12 | $7.755,31 | 321 / 16 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 28 | 28 / 2 | $47.493,90 | 414 / 11 | $10.175,90 | 272 / 10 | $8.586,93 | 272 / 10 |
Red Blood Cell Disorders W Mcc | 28 | 43 / 5 | $50.586,30 | 839 / 36 | $7.964,18 | 315 / 17 | $6.850,96 | 314 / 13 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 28 | 96 / 4 | $25.467,80 | 628 / 14 | $4.514,21 | 260 / 5 | $3.681,89 | 260 / 6 |
Permanent Cardiac Pacemaker Implant W Mcc | 28 | 24 / 3 | $115.449,00 | 397 / 10 | $23.716,40 | 258 / 8 | $21.794,70 | 258 / 7 |
Hypertension W/O Mcc | 28 | 37 / 2 | $24.180,80 | 515 / 14 | $4.217,11 | 226 / 7 | $2.962,54 | 224 / 7 |
Dysequilibrium | 28 | 37 / 1 | $21.473,20 | 277 / 6 | $4.224,29 | 170 / 7 | $3.058,79 | 170 / 7 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 27 | 54 / 7 | $443.727,00 | 222 / 9 | $116.136,00 | 129 / 10 | $96.977,70 | 129 / 6 |
Other Vascular Procedures W/O Cc/Mcc | 27 | 29 / 3 | $46.786,50 | 254 / 8 | $11.050,00 | 126 / 9 | $8.675,00 | 125 / 6 |
Major Cardiovasc Procedures W Mcc | 26 | 42 / 7 | $137.212,00 | 294 / 10 | $32.761,10 | 261 / 4 | $31.945,60 | 261 / 6 |
Other Resp System O.R. Procedures W Cc | 26 | 21 / 1 | $55.584,20 | 188 / 7 | $12.368,00 | 36 / 2 | $9.583,42 | 36 / 1 |
Diabetes W Mcc | 26 | 31 / 3 | $49.774,70 | 549 / 25 | $8.812,35 | 281 / 11 | $8.004,42 | 281 / 13 |
Transurethral Procedures W Cc | 25 | 16 / 1 | $42.653,10 | 241 / 3 | $8.095,20 | 104 / 2 | $6.604,40 | 104 / 2 |
Respiratory Signs & Symptoms | 25 | 21 / 1 | $24.469,50 | 177 / 6 | $4.925,12 | 66 / 5 | $3.406,04 | 66 / 4 |
Respiratory Neoplasms W Cc | 24 | 23 / 1 | $36.665,40 | 276 / 13 | $7.537,96 | 119 / 6 | $6.185,25 | 118 / 4 |
Major Chest Procedures W/O Cc/Mcc | 24 | 35 / 3 | $36.837,40 | 54 / 3 | $11.355,60 | 43 / 2 | $9.156,17 | 43 / 2 |
Coronary Bypass W Cardiac Cath W Mcc | 24 | 32 / 4 | $221.832,00 | 278 / 11 | $48.240,30 | 227 / 6 | $43.549,20 | 227 / 8 |
Nonspecific Cerebrovascular Disorders W Mcc | 23 | 28 / 3 | $58.106,50 | 302 / 9 | $10.224,60 | 152 / 5 | $9.559,91 | 152 / 8 |
Extracranial Procedures W Cc | 22 | 24 / 2 | $66.377,00 | 304 / 12 | $10.296,50 | 142 / 6 | $8.623,77 | 142 / 6 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 22 | 29 / 3 | $62.617,10 | 214 / 7 | $12.768,90 | 138 / 4 | $11.872,40 | 138 / 4 |
Peripheral Vascular Disorders W Mcc | 22 | 27 / 2 | $40.166,70 | 353 / 15 | $8.791,36 | 265 / 8 | $8.149,09 | 265 / 10 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 21 | 19 / 1 | $41.625,00 | 211 / 3 | $7.457,10 | 115 / 1 | $6.631,14 | 115 / 1 |
Postoperative & Post-Traumatic Infections W/O Mcc | 21 | 33 / 1 | $26.357,40 | 228 / 4 | $6.517,90 | 124 / 3 | $5.423,10 | 124 / 3 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 21 | 47 / 5 | $22.208,60 | 268 / 13 | $5.630,76 | 207 / 6 | $4.697,86 | 207 / 9 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 21 | 35 / 4 | $71.879,80 | 560 / 21 | $13.699,50 | 166 / 19 | $10.318,20 | 166 / 6 |
Nervous System Neoplasms W Mcc | 20 | 28 / 2 | $47.557,40 | 203 / 5 | $8.121,65 | 68 / 2 | $7.134,15 | 68 / 2 |
Nonspecific Cerebrovascular Disorders W Cc | 20 | 36 / 3 | $35.806,20 | 340 / 12 | $7.532,50 | 177 / 9 | $5.328,00 | 177 / 5 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 20 | 34 / 3 | $18.038,60 | 133 / 6 | $5.335,60 | 48 / 6 | $3.333,45 | 48 / 2 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 19 | 43 / 3 | $30.330,50 | 609 / 13 | $4.979,68 | 337 / 6 | $4.016,95 | 337 / 8 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 19 | 50 / 5 | $59.991,60 | 263 / 10 | $10.933,50 | 217 / 8 | $9.848,00 | 217 / 10 |
Medical Back Problems W Mcc | 19 | 20 / 2 | $51.442,30 | 217 / 4 | $11.348,50 | 197 / 2 | $10.571,20 | 197 / 4 |
Organic Disturbances & Mental Retardation | 19 | 40 / 3 | $31.259,20 | 361 / 14 | $6.899,32 | 276 / 8 | $6.127,42 | 276 / 8 |
Cervical Spinal Fusion W Cc | 18 | 35 / 4 | $81.509,70 | 231 / 14 | $17.002,10 | 134 / 6 | $15.860,30 | 133 / 9 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W/O Mcc | 18 | 6 / 1 | $116.579,00 | 18 / 1 | $22.145,30 | 7 / 1 | $21.123,90 | 7 / 1 |
Other Digestive System Diagnoses W Mcc | 18 | 44 / 6 | $64.413,60 | 593 / 17 | $13.794,00 | 228 / 17 | $9.663,72 | 228 / 9 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 18 | 27 / 2 | $121.214,00 | 201 / 10 | $21.553,90 | 188 / 11 | $20.526,40 | 187 / 11 |
Stomach, Esophageal & Duodenal Proc W Mcc | 17 | 24 / 3 | $151.650,00 | 128 / 2 | $35.453,00 | 86 / 1 | $34.347,20 | 86 / 1 |
Coronary Bypass W Cardiac Cath W/O Mcc | 17 | 59 / 10 | $155.126,00 | 377 / 13 | $29.839,90 | 237 / 8 | $25.693,80 | 237 / 8 |
Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 7 | $28.558,40 | 584 / 20 | $5.883,47 | 403 / 12 | $5.016,00 | 402 / 14 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 17 | 53 / 6 | $34.215,00 | 422 / 13 | $7.078,06 | 278 / 11 | $5.851,06 | 278 / 8 |
Spinal Fusion Except Cervical W Mcc | 17 | 8 / 1 | $152.205,00 | 33 / 1 | $37.879,50 | 21 / 1 | $36.866,20 | 21 / 1 |
Signs & Symptoms W Mcc | 17 | 24 / 2 | $43.542,50 | 210 / 6 | $8.107,71 | 136 / 4 | $7.232,53 | 136 / 5 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 16 | 37 / 3 | $28.021,80 | 170 / 2 | $7.403,38 | 163 / 2 | $6.715,19 | 163 / 4 |
Lymphoma & Non-Acute Leukemia W Cc | 16 | 20 / 2 | $53.793,00 | 77 / 3 | $10.479,90 | 38 / 1 | $9.629,31 | 38 / 1 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 16 | 14 / 1 | $64.444,60 | 137 / 4 | $12.530,60 | 100 / 3 | $11.673,80 | 99 / 3 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 16 | 38 / 5 | $130.304,00 | 202 / 6 | $24.036,90 | 191 / 5 | $23.333,50 | 191 / 6 |
Disorders Of The Biliary Tract W Cc | 16 | 38 / 3 | $41.387,10 | 334 / 7 | $6.623,12 | 99 / 5 | $5.475,00 | 99 / 4 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 16 | 31 / 2 | $37.622,10 | 273 / 11 | $7.354,12 | 197 / 4 | $6.142,44 | 197 / 7 |
Nervous System Neoplasms W/O Mcc | 16 | 14 / 2 | $38.962,20 | 65 / 3 | $7.387,69 | 15 / 1 | $5.139,88 | 15 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 16 | 24 / 3 | $70.288,20 | 240 / 8 | $18.989,40 | 132 / 12 | $13.573,30 | 131 / 5 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 16 | 47 / 2 | $84.289,20 | 140 / 2 | $21.208,80 | 77 / 1 | $18.024,10 | 77 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 15 | 14 / 1 | $19.825,20 | 60 / 1 | $5.972,47 | 14 / 1 | $3.798,47 | 14 / 1 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 15 | 33 / 4 | $45.536,60 | 128 / 7 | $13.165,10 | 31 / 8 | $7.267,47 | 31 / 3 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 15 | 32 / 1 | $28.272,60 | 269 / 4 | $5.077,60 | 58 / 2 | $3.502,33 | 58 / 2 |
G.I. Obstruction W Mcc | 15 | 27 / 4 | $39.637,00 | 245 / 7 | $10.272,20 | 84 / 6 | $8.313,13 | 84 / 3 |
Rectal Resection W Cc | 15 | 9 / 1 | $70.938,90 | 28 / 2 | $18.520,40 | 19 / 2 | $14.086,00 | 19 / 2 |
Fractures Of Hip & Pelvis W Mcc | 15 | 6 / 1 | $34.363,30 | 38 / 2 | $8.623,73 | 9 / 2 | $6.048,00 | 9 / 1 |
O.R. Procedures For Obesity W Cc | 15 | 19 / 1 | $57.019,40 | 63 / 4 | $12.624,00 | 23 / 4 | $9.754,07 | 23 / 1 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 15 | 25 / 3 | $62.899,40 | 134 / 6 | $12.529,20 | 72 / 4 | $10.795,10 | 72 / 4 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 15 | 59 / 5 | $80.894,00 | 171 / 7 | $14.847,20 | 114 / 3 | $13.874,90 | 113 / 3 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 10 | $17.768,20 | 437 / 14 | $4.303,13 | 298 / 8 | $3.325,40 | 297 / 9 |
Other O.R. Procedures For Injuries W Mcc | 15 | 22 / 6 | $117.070,00 | 123 / 7 | $25.799,60 | 44 / 5 | $22.541,50 | 44 / 3 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 15 | 29 / 5 | $66.330,90 | 156 / 6 | $16.697,60 | 148 / 2 | $15.879,30 | 147 / 5 |
Endocrine Disorders W Cc | 14 | 24 / 5 | $29.907,90 | 173 / 6 | $6.366,71 | 108 / 3 | $5.744,64 | 108 / 4 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 7 | $28.654,90 | 548 / 16 | $4.986,64 | 340 / 14 | $3.860,00 | 337 / 13 |
Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim | 14 | 15 / 1 | $73.382,30 | 50 / 2 | $14.482,40 | 2 / 1 | $10.530,90 | 2 / 1 |
Fever | 14 | 32 / 3 | $34.681,40 | 260 / 7 | $5.774,14 | 143 / 4 | $4.846,43 | 143 / 5 |
Stomach, Esophageal & Duodenal Proc W Cc | 13 | 37 / 3 | $63.722,20 | 90 / 3 | $15.392,00 | 42 / 3 | $14.259,80 | 42 / 4 |
Atherosclerosis W/O Mcc | 13 | 45 / 6 | $22.749,80 | 368 / 12 | $4.136,00 | / 7 | $3.299,31 | / |
Other Circulatory System O.R. Procedures | 13 | 42 / 13 | $99.294,10 | 323 / 18 | $18.261,50 | 211 / 9 | $17.303,10 | 211 / 10 |
Digestive Malignancy W Mcc | 13 | 24 / 1 | $71.384,00 | 109 / 2 | $18.595,70 | 30 / 2 | $11.764,20 | 30 / 1 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Mcc | 13 | 6 / 1 | $94.119,20 | 20 / 1 | $21.753,80 | 6 / 1 | $18.427,10 | 6 / 1 |
Tendonitis, Myositis & Bursitis W/O Mcc | 13 | 29 / 1 | $25.224,90 | 205 / 1 | $5.386,92 | 104 / 1 | $4.266,31 | 104 / 1 |
Nonspecific Cva & Precerebral Occlusion W/O Infarct W/O Mcc | 13 | 10 / 1 | $36.783,80 | 41 / 1 | $5.559,23 | 21 / 1 | $4.618,23 | 21 / 1 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 13 | 63 / 9 | $66.415,70 | 396 / 15 | $14.737,20 | 330 / 15 | $12.635,80 | 330 / 14 |
Digestive Malignancy W Cc | 13 | 34 / 4 | $38.886,70 | 230 / 6 | $7.628,31 | 92 / 3 | $6.677,38 | 91 / 4 |
Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 6 | $20.546,80 | 221 / 9 | $4.629,75 | 103 / 7 | $2.970,08 | 103 / 3 |
Major Chest Trauma W Cc | 12 | 24 / 1 | $28.815,50 | 57 / 2 | $6.685,08 | 17 / 2 | $4.557,33 | 17 / 1 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 12 | 15 / 3 | $54.730,00 | 114 / 4 | $10.320,20 | 47 / 3 | $9.666,08 | 47 / 3 |
Other Disorders Of Nervous System W Mcc | 12 | 28 / 7 | $61.230,30 | 247 / 7 | $10.652,20 | 158 / 5 | $10.132,80 | 158 / 5 |
Skin Ulcers W Mcc | 12 | 8 / 1 | $58.542,90 | 19 / 1 | $11.554,20 | 18 / 1 | $9.895,50 | 18 / 1 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 4 | $98.194,20 | 400 / 6 | $16.095,40 | 254 / 5 | $15.071,50 | 254 / 5 |
Complications Of Treatment W Cc | 12 | 40 / 6 | $30.884,70 | 226 / 8 | $6.883,83 | 65 / 5 | $5.085,00 | 65 / 3 |
Peritoneal Adhesiolysis W/O Cc/Mcc | 12 | 12 / 1 | $51.061,40 | 52 / 2 | $9.555,75 | 14 / 1 | $8.430,17 | 14 / 1 |
Combined Anterior/Posterior Spinal Fusion W Cc | 12 | 34 / 3 | $230.264,00 | 65 / 3 | $60.255,00 | 37 / 2 | $45.918,30 | 37 / 2 |
Other Kidney & Urinary Tract Procedures W Mcc | 12 | 26 / 7 | $110.907,00 | 160 / 14 | $22.722,70 | 61 / 12 | $18.189,50 | 61 / 6 |
Lymphoma & Non-Acute Leukemia W Mcc | 12 | 24 / 2 | $118.684,00 | 86 / 3 | $28.941,80 | 73 / 3 | $25.554,10 | 73 / 2 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 12 | 19 / 2 | $160.538,00 | 83 / 3 | $33.068,20 | 51 / 1 | $32.821,20 | 51 / 2 |
Other Respiratory System Diagnoses W/O Mcc | 11 | 35 / 5 | $30.481,50 | 228 / 4 | $5.189,91 | 100 / 2 | $4.294,55 | 100 / 2 |
Bone Diseases & Arthropathies W/O Mcc | 11 | 33 / 3 | $23.412,30 | 195 / 3 | $4.776,00 | 115 / 2 | $4.111,55 | 115 / 2 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 6 | $47.559,90 | 157 / 5 | $10.443,00 | 84 / 3 | $9.877,55 | 85 / 3 |
Uncomplicated Peptic Ulcer W/O Mcc | 11 | 9 / 1 | $36.796,10 | 17 / 1 | $5.519,36 | 9 / 1 | $4.514,82 | 9 / 1 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 11 | 27 / 3 | $90.133,90 | 143 / 4 | $37.740,30 | 31 / 4 | $10.564,50 | 31 / 1 |
Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 3 | $20.473,20 | 173 / 4 | $4.498,73 | 113 / 2 | $3.386,36 | 113 / 2 |
Postoperative & Post-Traumatic Infections W Mcc | 11 | 32 / 3 | $74.207,40 | 176 / 2 | $23.516,50 | 37 / 3 | $10.028,00 | 37 / 1 |
Diabetes W/O Cc/Mcc | 11 | 27 / 5 | $16.464,50 | 147 / 5 | $3.954,09 | 19 / 4 | $2.513,55 | 19 / 1 |
Psychoses | 11 | 264 / 11 | $24.819,30 | 408 / 11 | $5.828,18 | 85 / 2 | $5.042,82 | 85 / 3 |
Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 6 | $79.718,90 | 312 / 12 | $18.442,80 | 126 / 12 | $10.617,40 | 126 / 5 |
Coagulation Disorders | 11 | 16 / 2 | $103.511,00 | 90 / 1 | $19.180,50 | 79 / 1 | $18.390,60 | 79 / 1 | Total 207 procedures | 9.832 | 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.