Hospital Costs > In Maryland > Western Maryland Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 51 | 40 / 7 | $12.964,90 | 77 / 30 | $11.962,20 | 1396 / 30 | $11.014,70 | 1394 / 29 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 43 | 82 / 7 | $17.419,60 | 96 / 26 | $16.092,90 | 1688 / 26 | $15.181,90 | 1675 / 26 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 26 | 27 / 5 | $8.979,65 | 36 / 23 | $8.289,62 | 828 / 23 | $7.410,85 | 824 / 23 |
Acute Myocardial Infarction, Expired W Mcc | 14 | 16 / 2 | $19.094,90 | 11 / 5 | $17.609,10 | 180 / 5 | $16.665,10 | 180 / 5 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 31 | 93 / 9 | $6.539,77 | 46 / 12 | $6.041,55 | 634 / 12 | $5.184,77 | 633 / 13 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 14 | 75 / 15 | $13.194,40 | 26 / 13 | $12.178,80 | 751 / 13 | $10.969,60 | 750 / 13 |
Bronchitis & Asthma W Cc/Mcc | 30 | 46 / 9 | $11.190,50 | 75 / 28 | $10.328,80 | 1047 / 28 | $9.321,83 | 1043 / 28 |
Bronchitis & Asthma W/O Cc/Mcc | 16 | 29 / 5 | $6.987,00 | 18 / 13 | $6.457,44 | 332 / 13 | $5.403,44 | 332 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 67 | 94 / 12 | $10.037,30 | 111 / 34 | $9.284,27 | 2087 / 34 | $8.274,37 | 2082 / 34 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 43 | 80 / 7 | $11.872,90 | 42 / 19 | $10.953,00 | 1724 / 19 | $10.166,40 | 1721 / 19 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 62 | 88 / 10 | $6.432,42 | 56 / 29 | $5.959,68 | 1857 / 29 | $4.989,79 | 1851 / 29 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 15 | 103 / 9 | $69.350,10 | 13 / 8 | $63.904,60 | 538 / 8 | $62.940,30 | 538 / 8 |
Cellulitis W Mcc | 23 | 35 / 4 | $9.995,30 | 6 / 3 | $9.222,65 | 445 / 3 | $8.472,04 | 443 / 3 |
Cellulitis W/O Mcc | 111 | 78 / 11 | $9.664,50 | 216 / 35 | $8.959,35 | 2477 / 34 | $7.750,37 | 2469 / 34 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 36 | 55 / 3 | $16.407,20 | 44 / 8 | $15.118,30 | 389 / 8 | $14.916,60 | 389 / 8 |
Chest Pain | 47 | 104 / 14 | $5.655,85 | 13 / 8 | $5.256,85 | 1269 / 8 | $4.192,87 | 1262 / 6 |
Chronic Obstructive Pulmonary Disease W Cc | 75 | 104 / 21 | $10.434,20 | 124 / 31 | $9.631,01 | 2311 / 31 | $8.679,12 | 2304 / 33 |
Chronic Obstructive Pulmonary Disease W Mcc | 81 | 121 / 12 | $11.959,10 | 125 / 24 | $11.058,30 | 2372 / 24 | $9.991,05 | 2364 / 25 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 35 | 85 / 19 | $7.474,34 | 70 / 25 | $6.905,29 | 1904 / 24 | $5.905,97 | 1893 / 24 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 8 | $21.278,40 | 14 / 10 | $19.620,10 | 825 / 10 | $18.692,10 | 817 / 10 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 58 | 130 / 10 | $13.415,70 | 23 / 19 | $12.438,10 | 1588 / 19 | $11.159,20 | 1585 / 19 |
Complications Of Treatment W Cc | 11 | 41 / 9 | $8.872,45 | 4 / 3 | $8.180,00 | 275 / 3 | $7.851,27 | 275 / 3 |
Coronary Bypass W Cardiac Cath W/O Mcc | 28 | 48 / 7 | $49.918,30 | 9 / 7 | $46.127,60 | 603 / 7 | $43.981,80 | 603 / 7 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 20 | 68 / 8 | $38.595,10 | 7 / 6 | $35.570,80 | 580 / 6 | $34.724,40 | 579 / 7 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 14 | $12.788,00 | 62 / 23 | $11.795,60 | 725 / 23 | $11.030,50 | 725 / 23 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 12 | 62 / 5 | $24.638,80 | 2 / 1 | $22.717,50 | 255 / 1 | $21.709,50 | 254 / 1 |
Degenerative Nervous System Disorders W/O Mcc | 39 | 39 / 6 | $11.105,60 | 41 / 19 | $10.284,50 | 786 / 20 | $9.114,82 | 786 / 19 |
Depressive Neuroses | 22 | 28 / 5 | $5.331,05 | 6 / 4 | $4.929,86 | 78 / 4 | $3.982,23 | 78 / 2 |
Diabetes W Cc | 43 | 49 / 11 | $9.048,44 | 57 / 23 | $8.350,65 | 1481 / 23 | $7.591,58 | 1476 / 24 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 19 | 51 / 8 | $11.936,20 | 36 / 20 | $11.009,50 | 535 / 19 | $10.312,30 | 535 / 18 |
Disorders Of The Biliary Tract W Cc | 16 | 38 / 6 | $8.448,75 | 5 / 5 | $7.799,81 | 299 / 5 | $6.969,81 | 299 / 6 |
Dysequilibrium | 12 | 53 / 16 | $10.078,10 | 47 / 29 | $9.304,17 | 560 / 29 | $8.293,50 | 560 / 29 |
Endocrine Disorders W Cc | 11 | 27 / 7 | $10.439,30 | 11 / 6 | $9.634,27 | 257 / 6 | $8.755,73 | 257 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 19 | $12.963,30 | 50 / 21 | $11.962,20 | 1335 / 21 | $10.940,60 | 1330 / 19 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 89 | 186 / 23 | $8.839,67 | 140 / 35 | $8.176,56 | 2578 / 35 | $7.155,49 | 2563 / 36 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 14 | 30 / 6 | $30.908,50 | 12 / 9 | $28.490,20 | 417 / 9 | $27.628,50 | 415 / 9 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 12 | $41.754,10 | 15 / 13 | $38.481,40 | 605 / 13 | $37.605,70 | 605 / 13 |
Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 14 | $14.373,30 | 47 / 17 | $13.340,40 | 925 / 17 | $11.665,50 | 922 / 17 |
Fever | 12 | 34 / 6 | $12.640,10 | 30 / 13 | $11.658,20 | 338 / 13 | $10.951,60 | 338 / 14 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 17 | $9.493,38 | 70 / 24 | $8.767,46 | 904 / 24 | $7.649,92 | 903 / 24 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 14 | $8.330,12 | 38 / 21 | $7.690,31 | 749 / 21 | $6.862,31 | 747 / 22 |
G.I. Hemorrhage W Cc | 68 | 150 / 20 | $10.096,40 | 47 / 23 | $9.336,94 | 2204 / 23 | $8.407,00 | 2200 / 25 |
G.I. Hemorrhage W Mcc | 32 | 89 / 14 | $17.423,60 | 44 / 23 | $16.064,30 | 1512 / 23 | $15.381,30 | 1502 / 25 |
G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 19 | $6.205,00 | 16 / 13 | $5.735,94 | 776 / 13 | $4.736,41 | 772 / 13 |
G.I. Obstruction W Cc | 52 | 40 / 4 | $8.554,40 | 28 / 21 | $7.951,90 | 1525 / 21 | $6.857,33 | 1520 / 22 |
G.I. Obstruction W/O Cc/Mcc | 35 | 36 / 6 | $7.141,57 | 42 / 26 | $6.655,97 | 1231 / 27 | $5.329,66 | 1228 / 26 |
Heart Failure & Shock W Cc | 105 | 173 / 25 | $11.126,50 | 206 / 34 | $10.262,40 | 2634 / 34 | $9.632,10 | 2628 / 34 |
Heart Failure & Shock W Mcc | 71 | 213 / 26 | $17.456,60 | 273 / 36 | $16.856,50 | 2529 / 38 | $14.957,20 | 2518 / 34 |
Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 20 | $6.747,48 | 47 / 20 | $6.235,18 | 1736 / 20 | $5.263,55 | 1723 / 20 |
Hip & Femur Procedures Except Major Joint W Cc | 56 | 87 / 9 | $22.173,40 | 51 / 25 | $20.445,90 | 2005 / 25 | $19.455,10 | 1983 / 25 |
Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 7 | $47.377,10 | 120 / 14 | $43.655,90 | 966 / 14 | $43.052,50 | 963 / 14 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 28 | 28 / 3 | $19.715,20 | 33 / 22 | $18.183,20 | 899 / 22 | $17.106,60 | 896 / 22 |
Hypertension W/O Mcc | 19 | 46 / 10 | $9.028,53 | 45 / 25 | $8.423,74 | 752 / 25 | $6.934,84 | 750 / 26 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 24 | $46.181,10 | 39 / 22 | $42.561,30 | 1293 / 22 | $41.601,30 | 1283 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 123 | 60 / 7 | $13.851,50 | 101 / 33 | $12.779,70 | 2033 / 33 | $11.796,80 | 2029 / 33 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 58 | 110 / 15 | $20.403,60 | 96 / 28 | $18.834,80 | 1557 / 29 | $17.882,80 | 1550 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 59 | 43 / 5 | $10.923,60 | 60 / 34 | $10.083,60 | 1586 / 34 | $9.040,66 | 1582 / 34 |
Kidney & Urinary Tract Infections W Mcc | 59 | 85 / 5 | $9.606,22 | 40 / 17 | $8.866,41 | 1582 / 17 | $8.008,92 | 1578 / 17 |
Kidney & Urinary Tract Infections W/O Mcc | 119 | 114 / 15 | $10.002,00 | 298 / 38 | $9.232,99 | 2626 / 38 | $8.272,52 | 2615 / 38 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 8 | $11.904,60 | 9 / 8 | $10.984,60 | 554 / 7 | $10.083,20 | 553 / 9 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 15 | 40 / 7 | $28.573,20 | 33 / 12 | $26.499,10 | 635 / 12 | $24.088,70 | 631 / 12 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 15 | 32 / 6 | $19.139,80 | 16 / 7 | $17.714,80 | 508 / 7 | $16.527,70 | 508 / 7 |
Major Cardiovasc Procedures W Mcc | 12 | 56 / 9 | $41.348,80 | 9 / 9 | $38.108,70 | 431 / 9 | $37.202,00 | 430 / 9 |
Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 20 | $52.279,40 | 69 / 22 | $48.180,60 | 1001 / 22 | $47.145,20 | 1000 / 23 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 13 | $9.695,26 | 24 / 15 | $8.941,42 | 891 / 14 | $8.431,11 | 889 / 16 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 19 | 34 / 6 | $19.810,30 | 54 / 16 | $18.260,60 | 482 / 16 | $17.688,00 | 482 / 16 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 282 | 285 / 12 | $22.888,80 | 40 / 17 | $21.181,00 | 2578 / 17 | $19.322,70 | 2532 / 19 |
Major Small & Large Bowel Procedures W Cc | 22 | 86 / 17 | $28.633,70 | 46 / 22 | $26.393,90 | 1506 / 21 | $25.570,60 | 1492 / 22 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 16 | $49.192,20 | 31 / 19 | $45.334,40 | 1171 / 19 | $44.406,40 | 1168 / 20 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 11 | $21.429,50 | 32 / 15 | $19.760,60 | 743 / 15 | $18.771,50 | 743 / 18 |
Medical Back Problems W/O Mcc | 28 | 93 / 20 | $10.871,40 | 72 / 30 | $10.070,10 | 1448 / 30 | $9.046,96 | 1443 / 30 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 29 | 97 / 21 | $11.689,10 | 57 / 26 | $10.783,70 | 1561 / 26 | $9.994,76 | 1558 / 26 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 105 | 61 / 8 | $8.840,17 | 215 / 34 | $8.158,29 | 2444 / 34 | $7.421,22 | 2435 / 33 |
Neuroses Except Depressive | 12 | 15 / 4 | $7.220,75 | 4 / 2 | $6.665,33 | 33 / 2 | $5.984,00 | 33 / 2 |
Nonspecific Cerebrovascular Disorders W Cc | 26 | 30 / 3 | $9.340,42 | 11 / 9 | $8.622,96 | 400 / 9 | $7.697,42 | 400 / 9 |
Organic Disturbances & Mental Retardation | 11 | 48 / 18 | $8.247,36 | 16 / 10 | $7.613,00 | 354 / 10 | $6.839,18 | 354 / 10 |
Other Circulatory System Diagnoses W Cc | 17 | 49 / 10 | $9.211,06 | 16 / 15 | $8.497,94 | 567 / 14 | $7.854,18 | 566 / 17 |
Other Circulatory System Diagnoses W Mcc | 22 | 94 / 21 | $21.630,50 | 70 / 25 | $19.934,10 | 1331 / 25 | $19.538,10 | 1323 / 27 |
Other Digestive System Diagnoses W Cc | 22 | 75 / 19 | $10.893,90 | 44 / 25 | $10.113,20 | 1335 / 25 | $8.869,14 | 1331 / 26 |
Other Digestive System Diagnoses W/O Cc/Mcc | 13 | 30 / 6 | $6.664,92 | 13 / 11 | $6.196,38 | 263 / 11 | $4.574,92 | 263 / 8 |
Other Disorders Of Nervous System W Cc | 20 | 36 / 9 | $11.566,00 | 37 / 20 | $10.675,30 | 608 / 20 | $9.644,95 | 607 / 20 |
Other Kidney & Urinary Tract Diagnoses W Cc | 21 | 82 / 13 | $10.221,20 | 31 / 18 | $9.429,48 | 761 / 18 | $8.742,24 | 761 / 20 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 24 | 77 / 11 | $15.647,80 | 51 / 17 | $14.427,80 | 999 / 17 | $13.777,10 | 995 / 18 |
Other Respiratory System Diagnoses W/O Mcc | 12 | 34 / 8 | $9.256,25 | 12 / 9 | $8.755,00 | 286 / 10 | $7.273,92 | 286 / 8 |
Other Vascular Procedures W Cc | 12 | 90 / 20 | $24.108,70 | 17 / 15 | $22.225,10 | 1024 / 15 | $21.419,80 | 1019 / 15 |
Otitis Media & Uri W/O Mcc | 12 | 32 / 7 | $9.387,17 | 17 / 7 | $8.667,50 | 214 / 7 | $7.664,83 | 214 / 7 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 12 | 28 / 5 | $14.696,10 | 23 / 7 | $13.556,30 | 290 / 7 | $12.649,70 | 290 / 7 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 21 | 79 / 9 | $38.631,10 | 17 / 13 | $35.770,90 | 1000 / 13 | $33.348,20 | 995 / 13 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 53 | 143 / 9 | $23.971,80 | 18 / 16 | $22.105,50 | 1468 / 16 | $20.969,80 | 1460 / 17 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 9 | $21.805,20 | 12 / 12 | $20.111,00 | 557 / 11 | $18.906,60 | 555 / 12 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 24 | 71 / 4 | $21.347,80 | 6 / 6 | $19.686,80 | 569 / 6 | $18.632,10 | 565 / 6 |
Peripheral Vascular Disorders W Cc | 14 | 70 / 20 | $11.241,90 | 62 / 23 | $10.461,60 | 1188 / 23 | $9.440,14 | 1185 / 24 |
Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 11 | $36.272,80 | 50 / 18 | $33.434,10 | 966 / 18 | $32.456,10 | 962 / 18 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 9 | $28.862,00 | 38 / 18 | $26.608,40 | 717 / 18 | $25.577,60 | 715 / 18 |
Pneumothorax W Cc | 11 | 14 / 2 | $13.185,10 | 3 / 1 | $12.163,60 | 91 / 1 | $11.285,10 | 91 / 1 |
Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 10 | $19.194,60 | 92 / 17 | $17.700,80 | 971 / 17 | $16.754,50 | 968 / 18 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 17 | $7.697,64 | 33 / 13 | $7.110,82 | 823 / 13 | $6.121,73 | 822 / 13 |
Psychoses | 187 | 127 / 20 | $7.482,76 | 13 / 5 | $6.905,99 | 346 / 5 | $6.261,11 | 346 / 7 |
Pulmonary Edema & Respiratory Failure | 131 | 72 / 3 | $15.255,90 | 159 / 18 | $14.093,30 | 2175 / 18 | $13.093,60 | 2169 / 18 |
Pulmonary Embolism W Mcc | 16 | 27 / 5 | $13.248,20 | 7 / 5 | $12.503,10 | 299 / 6 | $8.929,38 | 299 / 2 |
Pulmonary Embolism W/O Mcc | 48 | 26 / 4 | $11.371,30 | 59 / 26 | $10.520,40 | 1251 / 25 | $9.475,42 | 1248 / 26 |
Red Blood Cell Disorders W Mcc | 16 | 55 / 16 | $15.086,00 | 66 / 25 | $13.910,90 | 1052 / 25 | $13.230,90 | 1048 / 25 |
Red Blood Cell Disorders W/O Mcc | 42 | 101 / 21 | $8.638,60 | 57 / 24 | $8.003,98 | 1814 / 24 | $7.078,43 | 1805 / 23 |
Rehabilitation W Cc/Mcc | 170 | 10 / 8 | $26.313,70 | 15 / 8 | $24.243,50 | 20 / 8 | $24.074,10 | 20 / 8 |
Rehabilitation W/O Cc/Mcc | 72 | 13 / 6 | $19.568,70 | 15 / 8 | $18.052,20 | 19 / 8 | $17.662,80 | 19 / 9 |
Renal Failure W Cc | 78 | 143 / 17 | $10.310,10 | 114 / 29 | $9.517,29 | 2255 / 29 | $8.533,08 | 2245 / 30 |
Renal Failure W Mcc | 62 | 133 / 9 | $17.896,60 | 152 / 30 | $16.498,10 | 2089 / 30 | $15.914,30 | 2085 / 31 |
Renal Failure W/O Cc/Mcc | 19 | 37 / 14 | $6.216,58 | 17 / 13 | $5.742,16 | 756 / 13 | $4.974,16 | 754 / 17 |
Respiratory Infections & Inflammations W Cc | 41 | 47 / 5 | $14.782,20 | 96 / 24 | $13.632,80 | 1431 / 24 | $12.866,40 | 1426 / 25 |
Respiratory Infections & Inflammations W Mcc | 40 | 96 / 6 | $18.196,40 | 60 / 14 | $16.842,80 | 1622 / 14 | $15.617,00 | 1606 / 15 |
Respiratory Infections & Inflammations W/O Cc/Mcc | 11 | 18 / 6 | $9.516,27 | 6 / 6 | $8.781,82 | 121 / 6 | $8.008,00 | 121 / 7 |
Respiratory Neoplasms W Cc | 16 | 31 / 9 | $16.444,40 | 37 / 16 | $15.165,20 | 502 / 16 | $14.335,20 | 501 / 18 |
Respiratory Neoplasms W Mcc | 14 | 38 / 11 | $19.549,10 | 35 / 19 | $18.017,30 | 620 / 19 | $17.587,60 | 617 / 19 |
Respiratory Signs & Symptoms | 12 | 34 / 8 | $8.667,83 | 13 / 10 | $7.998,92 | 294 / 10 | $7.292,25 | 294 / 11 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 57 | 74 / 7 | $20.632,40 | 15 / 8 | $19.021,00 | 1560 / 8 | $18.292,60 | 1546 / 10 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 13 | $55.356,50 | 41 / 18 | $51.005,50 | 938 / 18 | $50.440,20 | 937 / 19 |
Seizures W/O Mcc | 30 | 78 / 18 | $8.297,07 | 37 / 23 | $7.663,33 | 1158 / 22 | $6.654,27 | 1156 / 24 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 152 | 364 / 25 | $20.616,90 | 292 / 28 | $19.036,30 | 2705 / 28 | $18.092,00 | 2660 / 28 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 72 | 135 / 18 | $11.139,60 | 93 / 23 | $10.279,60 | 2400 / 23 | $9.385,94 | 2390 / 25 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 13 | $9.037,92 | 24 / 17 | $8.343,75 | 357 / 17 | $7.437,08 | 357 / 18 |
Signs & Symptoms W/O Mcc | 25 | 66 / 19 | $10.926,20 | 125 / 36 | $10.083,60 | 1318 / 36 | $9.164,60 | 1315 / 37 |
Simple Pneumonia & Pleurisy W Cc | 175 | 36 / 6 | $11.126,20 | 184 / 36 | $10.267,20 | 2702 / 36 | $9.378,19 | 2693 / 36 |
Simple Pneumonia & Pleurisy W Mcc | 125 | 80 / 1 | $16.510,70 | 195 / 31 | $15.223,60 | 2449 / 31 | $14.528,50 | 2443 / 33 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 53 | 40 / 4 | $7.861,94 | 85 / 31 | $7.263,79 | 1856 / 31 | $6.199,62 | 1848 / 32 |
Syncope & Collapse | 51 | 118 / 21 | $9.463,65 | 86 / 34 | $8.784,65 | 1846 / 34 | $7.783,47 | 1838 / 34 |
Transient Ischemia | 32 | 93 / 21 | $16.677,40 | 391 / 38 | $15.382,80 | 1669 / 38 | $14.405,80 | 1661 / 38 |
Transurethral Procedures W Cc | 11 | 30 / 6 | $12.513,90 | 9 / 8 | $11.552,00 | 353 / 8 | $10.341,80 | 353 / 8 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 18 | 48 / 7 | $12.247,10 | 13 / 9 | $11.302,10 | 487 / 9 | $10.295,80 | 486 / 9 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 12 | 42 / 6 | $6.874,42 | 6 / 6 | $6.350,92 | 297 / 6 | $5.446,92 | 297 / 7 | Total 129 procedures | 5.126 | 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.