Procedure Costs at US Hospitals

Medical Procedure Costs by State

State (# of hospitals)

Costs for Inpatient Procedures

Procedure (# of discharges)

Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc (18,656)Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc (458,259)Major Joint/Limb Reattachment Procedure Of Upper Extremities (10,499)Major Male Pelvic Procedures W Cc/Mcc (998)Major Male Pelvic Procedures W/O Cc/Mcc (9,538)Major Skin Disorders W Mcc (25)Major Skin Disorders W/O Mcc (422)Major Small & Large Bowel Procedures W Cc (46,046)Major Small & Large Bowel Procedures W Mcc (31,619)Major Small & Large Bowel Procedures W/O Cc/Mcc (16,122)Malignancy Of Hepatobiliary System Or Pancreas W Cc (3,040)Malignancy Of Hepatobiliary System Or Pancreas W Mcc (6,359)Malignancy Of Hepatobiliary System Or Pancreas W/O Cc/Mcc (12)Malignancy, Female Reproductive System W Cc (203)Malignant Breast Disorders W Cc (20)Mastectomy For Malignancy W Cc/Mcc (76)Mastectomy For Malignancy W/O Cc/Mcc (176)Medical Back Problems W Mcc (5,493)Medical Back Problems W/O Mcc (50,615)Menstrual & Other Female Reproductive System Disorders W Cc/Mcc (35)Minor Bladder Procedures W/O Cc/Mcc (18)Minor Skin Disorders W Mcc (13)Minor Skin Disorders W/O Mcc (953)Minor Small & Large Bowel Procedures W Cc (327)Minor Small & Large Bowel Procedures W/O Cc/Mcc (141)Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc (58,450)Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc (108,336)Mouth Procedures W/O Cc/Mcc (12)Multiple Sclerosis & Cerebellar Ataxia W Cc (304)Multiple Sclerosis & Cerebellar Ataxia W/O Cc/Mcc (438)Myeloprolif Disord Or Poorly Diff Neopl W Maj O.R. Proc W Cc (146)Myeloprolif Disord Or Poorly Diff Neopl W Maj O.R. Proc W Mcc (13)Myeloprolif Disord Or Poorly Diff Neopl W Maj O.R. Proc W/O Cc/Mcc (23)Myeloprolif Disord Or Poorly Diff Neopl W Other O.R. Proc W Cc/Mcc (60)Nervous System Neoplasms W Mcc (6,079)Nervous System Neoplasms W/O Mcc (1,650)Neurological Eye Disorders (201)Neuroses Except Depressive (726)Non-Extensive Burns (864)Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Cc (1,149)Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Mcc (1,033)Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W/O Cc/Mcc (39)Nonspecific Cerebrovascular Disorders W Cc (8,924)Nonspecific Cerebrovascular Disorders W Mcc (7,757)Nonspecific Cerebrovascular Disorders W/O Cc/Mcc (550)Nonspecific Cva & Precerebral Occlusion W/O Infarct W/O Mcc (761)Nontraumatic Stupor & Coma W/O Mcc (243)O.R. Proc W Diagnoses Of Other Contact W Health Services W Cc (43)O.R. Procedures For Obesity W Cc (1,850)O.R. Procedures For Obesity W Mcc (50)O.R. Procedures For Obesity W/O Cc/Mcc (11,508)Orbital Procedures W Cc/Mcc (15)Orbital Procedures W/O Cc/Mcc (11)Organic Disturbances & Mental Retardation (11,395)Osteomyelitis W Cc (116)Osteomyelitis W Mcc (109)Other Antepartum Diagnoses W Medical Complications (541)Other Cardiothoracic Procedures W Cc (434)Other Cardiothoracic Procedures W Mcc (127)Other Cardiothoracic Procedures W/O Cc/Mcc (30)Other Circulatory System Diagnoses W Cc (13,803)Other Circulatory System Diagnoses W Mcc (41,831)Other Circulatory System Diagnoses W/O Cc/Mcc (479)Other Circulatory System O.R. Procedures (8,885)Other Digestive System Diagnoses W Cc (37,763)Other Digestive System Diagnoses W Mcc (15,119)Other Digestive System Diagnoses W/O Cc/Mcc (6,077)Other Digestive System O.R. Procedures W Cc (1,407)Other Digestive System O.R. Procedures W Mcc (1,688)Other Digestive System O.R. Procedures W/O Cc/Mcc (11)Other Disorders Of Nervous System W Cc (12,322)Other Disorders Of Nervous System W Mcc (5,542)Other Disorders Of Nervous System W/O Cc/Mcc (2,484)Other Disorders Of The Eye W/O Mcc (313)Other Ear, Nose, Mouth & Throat Diagnoses W Cc (300)Other Ear, Nose, Mouth & Throat Diagnoses W Mcc (23)Other Ear, Nose, Mouth & Throat Diagnoses W/O Cc/Mcc (36)Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/Mcc (407)Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/Mcc (243)Other Endocrine, Nutrit & Metab O.R. Proc W Cc (626)Other Endocrine, Nutrit & Metab O.R. Proc W Mcc (269)Other Endocrine, Nutrit & Metab O.R. Proc W/O Cc/Mcc (14)Other Factors Influencing Health Status (73)Other Female Reproductive System O.R. Procedures W Cc/Mcc (12)Other Heart Assist System Implant (23)Other Hepatobiliary Or Pancreas O.R. Procedures W Mcc (16)Other Infectious & Parasitic Diseases Diagnoses W Cc (63)Other Infectious & Parasitic Diseases Diagnoses W Mcc (663)Other Injury, Poisoning & Toxic Effect Diag W/O Mcc (117)Other Kidney & Urinary Tract Diagnoses W Cc (22,826)Other Kidney & Urinary Tract Diagnoses W Mcc (31,311)Other Kidney & Urinary Tract Diagnoses W/O Cc/Mcc (703)Other Kidney & Urinary Tract Procedures W Cc (1,397)Other Kidney & Urinary Tract Procedures W Mcc (3,740)Other Kidney & Urinary Tract Procedures W/O Cc/Mcc (13)Other Male Reproductive System O.R. Proc Exc Malignancy W Cc/Mcc (14)Other Mental Disorder Diagnoses (14)Other Multiple Significant Trauma W Cc (694)Other Multiple Significant Trauma W Mcc (335)Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc (3,732)Other Musculoskelet Sys & Conn Tiss O.R. Proc W Mcc (351)Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc (1,534)Other Musculoskeletal Sys & Connective Tissue Diagnoses W Cc (144)Other Musculoskeletal Sys & Connective Tissue Diagnoses W Mcc (32)Other Myeloprolif Dis Or Poorly Diff Neopl Diag W Cc (56)Other Myeloprolif Dis Or Poorly Diff Neopl Diag W Mcc (23)Other O.R. Procedures For Injuries W Cc (2,859)Other O.R. Procedures For Injuries W Mcc (3,266)Other O.R. Procedures For Injuries W/O Cc/Mcc (167)Other O.R. Procedures For Multiple Significant Trauma W Cc (148)Other O.R. Procedures For Multiple Significant Trauma W Mcc (492)Other Resp System O.R. Procedures W Cc (5,891)Other Resp System O.R. Procedures W Mcc (11,711)Other Resp System O.R. Procedures W/O Cc/Mcc (174)Other Respiratory System Diagnoses W Mcc (1,773)Other Respiratory System Diagnoses W/O Mcc (5,811)Other Skin, Subcut Tiss & Breast Proc W Cc (1,479)Other Skin, Subcut Tiss & Breast Proc W Mcc (624)Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc (962)Other Vascular Procedures W Cc (32,741)Other Vascular Procedures W Mcc (27,983)Other Vascular Procedures W/O Cc/Mcc (11,109)Otitis Media & Uri W Mcc (364)Otitis Media & Uri W/O Mcc (4,117)Pancreas, Liver & Shunt Procedures W Cc (3,298)Pancreas, Liver & Shunt Procedures W Mcc (2,321)Pancreas, Liver & Shunt Procedures W/O Cc/Mcc (745)Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc (5,148)Pathological Fractures & Musculoskelet & Conn Tiss Malig W Mcc (650)Pathological Fractures & Musculoskelet & Conn Tiss Malig W/O Cc/Mcc (152)Pelvic Evisceration, Rad Hysterectomy & Rad Vulvectomy W Cc/Mcc (276)Pelvic Evisceration, Rad Hysterectomy & Rad Vulvectomy W/O Cc/Mcc (94)Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents (29,222)Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc (84,407)Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents (4,966)Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc (12,643)Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc (5,778)Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc (18,485)Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim (1,173)Periph/Cranial Nerve & Other Nerv Syst Proc W Mcc (856)Periph/Cranial Nerve & Other Nerv Syst Proc W/O Cc/Mcc (238)Peripheral Vascular Disorders W Cc (29,550)Peripheral Vascular Disorders W Mcc (10,646)Peripheral Vascular Disorders W/O Cc/Mcc (6,922)Peritoneal Adhesiolysis W Cc (4,797)Peritoneal Adhesiolysis W Mcc (780)Peritoneal Adhesiolysis W/O Cc/Mcc (1,070)Permanent Cardiac Pacemaker Implant W Cc (22,479)Permanent Cardiac Pacemaker Implant W Mcc (11,322)Permanent Cardiac Pacemaker Implant W/O Cc/Mcc (14,628)Pleural Effusion W Cc (1,785)Pleural Effusion W Mcc (2,843)Pneumothorax W Cc (1,263)Pneumothorax W Mcc (203)Pneumothorax W/O Cc/Mcc (25)Poisoning & Toxic Effects Of Drugs W Mcc (21,365)Poisoning & Toxic Effects Of Drugs W/O Mcc (17,846)Postoperative & Post-Traumatic Infections W Mcc (4,079)Postoperative & Post-Traumatic Infections W/O Mcc (8,616)Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc (2,899)Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc (1,701)Postoperative Or Post-Traumatic Infections W O.R. Proc W/O Cc/Mcc (11)Prostatectomy W Cc (23)Prostatectomy W/O Cc/Mcc (15)Psychoses (87,942)Pulmonary Edema & Respiratory Failure (114,155)Pulmonary Embolism W Mcc (9,933)Pulmonary Embolism W/O Mcc (28,799)Radiotherapy (145)Rectal Resection W Cc (644)Rectal Resection W Mcc (12)Rectal Resection W/O Cc/Mcc (304)Red Blood Cell Disorders W Mcc (23,375)Red Blood Cell Disorders W/O Mcc (69,596)Rehabilitation W Cc/Mcc (5,428)Rehabilitation W/O Cc/Mcc (2,623)Renal Failure W Cc (144,145)Renal Failure W Mcc (109,178)Renal Failure W/O Cc/Mcc (16,018)Respiratory Infections & Inflammations W Cc (36,417)Respiratory Infections & Inflammations W Mcc (63,390)Respiratory Infections & Inflammations W/O Cc/Mcc (1,934)Respiratory Neoplasms W Cc (8,837)Respiratory Neoplasms W Mcc (11,722)Respiratory Signs & Symptoms (5,712)Respiratory System Diagnosis W Ventilator Support <96 Hours (61,816)Respiratory System Diagnosis W Ventilator Support 96+ Hours (21,164)Reticuloendothelial & Immunity Disorders W Cc (67)Revision Of Hip Or Knee Replacement W Cc (17,135)Revision Of Hip Or Knee Replacement W Mcc (522)Revision Of Hip Or Knee Replacement W/O Cc/Mcc (11,923)Salivary Gland Procedures (24)Seizures W Mcc (16,322)Seizures W/O Mcc (39,289)Septicemia Or Severe Sepsis W Mv 96+ Hours (28,260)Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc (438,597)Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc (134,816)Shoulder,Elbow Or Forearm Proc,Exc Major Joint Proc W Cc (98)Shoulder,Elbow Or Forearm Proc,Exc Major Joint Proc W/O Cc/Mcc (159)Signs & Symptoms Of Musculoskeletal System & Conn Tissue W Mcc (142)Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc (6,739)Signs & Symptoms W Mcc (4,832)Signs & Symptoms W/O Mcc (33,548)Simple Pneumonia & Pleurisy W Cc (148,808)Simple Pneumonia & Pleurisy W Mcc (132,669)Simple Pneumonia & Pleurisy W/O Cc/Mcc (48,798)Simultaneous Pancreas/Kidney Transplant (54)Skin Debridement W Cc (227)Skin Debridement W Mcc (199)Skin Graft Exc For Skin Ulcer Or Cellulitis W Cc (116)Skin Graft Exc For Skin Ulcer Or Cellulitis W/O Cc/Mcc (93)Skin Graft For Skin Ulcer Or Cellulitis W Cc (34)Skin Graft For Skin Ulcer Or Cellulitis W Mcc (379)Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Cc (113)Skin Grafts For Injuries W Cc/Mcc (339)Skin Ulcers W Cc (206)Skin Ulcers W Mcc (413)Soft Tissue Procedures W Cc (532)Soft Tissue Procedures W Mcc (12)Soft Tissue Procedures W/O Cc/Mcc (387)Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc (1,890)Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Mcc (231)Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W/O Cc/Mcc (306)Spinal Fusion Except Cervical W Mcc (1,111)Spinal Fusion Except Cervical W/O Mcc (74,041)Spinal Procedures W Cc Or Spinal Neurostimulators (830)Spinal Procedures W Mcc (209)Spinal Procedures W/O Cc/Mcc (564)Stomach, Esophageal & Duodenal Proc W Cc (4,663)Stomach, Esophageal & Duodenal Proc W Mcc (4,107)Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc (4,859)Syncope & Collapse (84,213)Tendonitis, Myositis & Bursitis W Mcc (98)Tendonitis, Myositis & Bursitis W/O Mcc (5,418)Thyroid, Parathyroid & Thyroglossal Procedures W Cc (143)Thyroid, Parathyroid & Thyroglossal Procedures W Mcc (22)Thyroid, Parathyroid & Thyroglossal Procedures W/O Cc/Mcc (814)Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. (11,774)Tracheostomy For Face,Mouth & Neck Diagnoses W Cc (904)Tracheostomy For Face,Mouth & Neck Diagnoses W Mcc (491)Tracheostomy For Face,Mouth & Neck Diagnoses W/O Cc/Mcc (149)Transient Ischemia (56,614)Transurethral Procedures W Cc (6,419)Transurethral Procedures W Mcc (181)Transurethral Procedures W/O Cc/Mcc (193)Transurethral Prostatectomy W Cc/Mcc (722)Transurethral Prostatectomy W/O Cc/Mcc (1,422)Trauma To The Skin, Subcut Tiss & Breast W Mcc (74)Trauma To The Skin, Subcut Tiss & Breast W/O Mcc (5,632)Traumatic Injury W/O Mcc (357)Traumatic Stupor & Coma, Coma <1 Hr W Cc (12,290)Traumatic Stupor & Coma, Coma <1 Hr W Mcc (7,008)Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc (8,400)Traumatic Stupor & Coma, Coma >1 Hr W Cc (576)Traumatic Stupor & Coma, Coma >1 Hr W Mcc (962)Traumatic Stupor & Coma, Coma >1 Hr W/O Cc/Mcc (301)Uncomplicated Peptic Ulcer W Mcc (13)Uncomplicated Peptic Ulcer W/O Mcc (349)Upper Limb & Toe Amputation For Circ System Disorders W Cc (24)Upper Limb & Toe Amputation For Circ System Disorders W Mcc (61)Urethral Procedures W/O Cc/Mcc (18)Urinary Stones W Esw Lithotripsy W Cc/Mcc (12)Urinary Stones W/O Esw Lithotripsy W Mcc (11)Urinary Stones W/O Esw Lithotripsy W/O Mcc (6,564)Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc (1,681)Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc (4,759)Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc (919)Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W/O Cc/Mcc (12)Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc (921)Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W/O Cc/Mcc (727)Vagina, Cervix & Vulva Procedures W Cc/Mcc (72)Vagina, Cervix & Vulva Procedures W/O Cc/Mcc (385)Vaginal Delivery W Complicating Diagnoses (211)Vaginal Delivery W/O Complicating Diagnoses (1,122)Ventricular Shunt Procedures W Cc (530)Ventricular Shunt Procedures W Mcc (33)Ventricular Shunt Procedures W/O Cc/Mcc (783)Viral Illness W Mcc (403)Viral Illness W/O Mcc (925)Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc (2,853)Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Mcc (777)Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W/O Cc/Mcc (172)

DATA

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.

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