Hospital Costs > In Illinois > Advocate Lutheran General 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 | 699 | 56 / 4 | $44.075,00 | 978 / 21 | $17.709,00 | 2021 / 92 | $13.688,20 | 1979 / 93 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 649 | 33 / 1 | $50.755,20 | 1821 / 65 | $16.927,00 | 2132 / 106 | $12.919,80 | 2095 / 92 |
| Heart Failure & Shock W Cc | 200 | 81 / 5 | $29.514,70 | 1930 / 84 | $8.678,42 | 2011 / 103 | $6.548,38 | 2006 / 91 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 192 | 25 / 2 | $31.498,10 | 1704 / 62 | $9.637,88 | 1920 / 93 | $7.073,32 | 1912 / 84 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 188 | 89 / 8 | $24.569,20 | 1847 / 76 | $6.680,57 | 2073 / 95 | $4.938,01 | 2059 / 89 |
| Kidney & Urinary Tract Infections W/O Mcc | 140 | 93 / 9 | $20.089,60 | 1587 / 50 | $6.519,62 | 1983 / 88 | $4.971,36 | 1972 / 85 |
| G.I. Hemorrhage W Cc | 132 | 86 / 6 | $31.940,40 | 1657 / 75 | $8.525,68 | 1826 / 93 | $6.706,95 | 1822 / 90 |
| Heart Failure & Shock W Mcc | 129 | 155 / 19 | $48.074,50 | 1937 / 85 | $12.902,70 | 2130 / 103 | $10.912,90 | 2120 / 99 |
| Renal Failure W Cc | 126 | 95 / 11 | $26.131,30 | 1498 / 66 | $8.442,82 | 1758 / 89 | $6.293,62 | 1748 / 82 |
| Cellulitis W/O Mcc | 122 | 67 / 9 | $20.776,50 | 1557 / 73 | $7.433,89 | 1945 / 94 | $5.450,64 | 1937 / 92 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 122 | 61 / 6 | $34.110,00 | 1325 / 54 | $9.285,57 | 1507 / 82 | $6.900,25 | 1504 / 78 |
| Chronic Obstructive Pulmonary Disease W Cc | 105 | 74 / 7 | $25.894,20 | 1500 / 61 | $7.909,74 | 1807 / 91 | $6.121,50 | 1800 / 90 |
| Simple Pneumonia & Pleurisy W Cc | 95 | 108 / 17 | $24.859,70 | 1615 / 57 | $8.050,14 | 2185 / 93 | $6.583,85 | 2177 / 95 |
| Kidney & Urinary Tract Infections W Mcc | 90 | 54 / 5 | $24.755,30 | 904 / 32 | $9.301,64 | 1394 / 77 | $7.284,16 | 1390 / 74 |
| Hip & Femur Procedures Except Major Joint W Cc | 89 | 54 / 4 | $48.249,80 | 980 / 29 | $14.814,70 | 1576 / 80 | $13.185,10 | 1557 / 84 |
| Chronic Obstructive Pulmonary Disease W Mcc | 88 | 114 / 20 | $41.392,10 | 1964 / 89 | $11.435,40 | 2032 / 109 | $8.051,15 | 2024 / 94 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 81 | 80 / 10 | $23.782,90 | 1335 / 52 | $6.990,85 | 1637 / 80 | $5.277,42 | 1632 / 82 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 80 | 88 / 8 | $47.661,30 | 910 / 47 | $14.664,40 | 1159 / 67 | $11.854,70 | 1153 / 68 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 78 | 88 / 14 | $19.777,60 | 1538 / 62 | $6.392,41 | 1786 / 94 | $4.458,67 | 1781 / 84 |
| Syncope & Collapse | 77 | 92 / 9 | $24.031,10 | 1165 / 52 | $6.138,13 | 1434 / 73 | $4.952,56 | 1427 / 79 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 76 | 9 / 1 | $64.831,70 | 81 / 2 | $28.831,80 | 178 / 4 | $22.031,50 | 177 / 4 |
| Medical Back Problems W/O Mcc | 74 | 47 / 9 | $29.031,70 | 983 / 56 | $7.916,12 | 1026 / 68 | $5.319,72 | 1023 / 60 |
| Renal Failure W Mcc | 73 | 122 / 20 | $42.607,40 | 1370 / 66 | $13.925,80 | 1698 / 91 | $11.144,70 | 1696 / 86 |
| G.I. Obstruction W Cc | 72 | 20 / 3 | $26.907,00 | 1080 / 51 | $8.223,93 | 1142 / 77 | $5.395,62 | 1139 / 68 |
| Spinal Fusion Except Cervical W/O Mcc | 69 | 125 / 11 | $76.781,50 | 477 / 6 | $31.278,40 | 1020 / 42 | $26.686,00 | 1015 / 47 |
| Simple Pneumonia & Pleurisy W Mcc | 67 | 138 / 30 | $39.013,40 | 1527 / 50 | $11.588,20 | 1869 / 87 | $9.616,37 | 1869 / 91 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 64 | 62 / 11 | $21.784,60 | 533 / 32 | $6.779,98 | 520 / 39 | $4.527,94 | 519 / 30 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 62 | 34 / 2 | $44.754,50 | 1064 / 60 | $10.558,70 | 1167 / 59 | $9.085,06 | 1162 / 61 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 62 | 30 / 2 | $32.798,50 | 845 / 31 | $9.142,71 | 1011 / 56 | $6.748,13 | 1009 / 51 |
| Pulmonary Edema & Respiratory Failure | 62 | 141 / 18 | $42.167,80 | 1571 / 69 | $10.256,10 | 1837 / 78 | $9.066,89 | 1832 / 87 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 61 | 40 / 4 | $48.651,20 | 779 / 42 | $14.843,60 | 782 / 56 | $10.707,60 | 780 / 48 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 61 | 64 / 8 | $44.144,50 | 967 / 41 | $13.033,10 | 1324 / 69 | $11.639,90 | 1314 / 68 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 57 | 67 / 9 | $145.760,00 | 987 / 54 | $43.252,90 | 1165 / 73 | $38.194,80 | 1157 / 71 |
| Major Small & Large Bowel Procedures W Cc | 56 | 52 / 7 | $70.495,10 | 868 / 33 | $21.617,80 | 824 / 61 | $14.852,80 | 816 / 45 |
| Red Blood Cell Disorders W/O Mcc | 53 | 90 / 13 | $28.182,00 | 1421 / 77 | $6.744,04 | 1571 / 80 | $5.732,09 | 1562 / 89 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 53 | 13 / 2 | $64.823,30 | 307 / 9 | $22.814,30 | 642 / 31 | $21.186,50 | 639 / 38 |
| G.I. Hemorrhage W Mcc | 52 | 69 / 12 | $56.463,60 | 1133 / 58 | $15.461,10 | 1185 / 72 | $12.106,20 | 1177 / 69 |
| Signs & Symptoms W/O Mcc | 52 | 39 / 6 | $22.226,50 | 780 / 39 | $5.938,29 | 911 / 49 | $4.590,37 | 908 / 49 |
| Revision Of Hip Or Knee Replacement W Cc | 51 | 37 / 4 | $60.740,90 | 151 / 7 | $26.128,70 | 507 / 23 | $22.977,70 | 505 / 24 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 51 | 41 / 2 | $114.613,00 | 284 / 15 | $40.779,30 | 448 / 29 | $35.782,60 | 447 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 50 | 73 / 17 | $35.119,80 | 1166 / 60 | $10.219,40 | 1510 / 86 | $8.729,06 | 1507 / 86 |
| Heart Failure & Shock W/O Cc/Mcc | 49 | 61 / 10 | $23.347,10 | 1473 / 79 | $5.819,39 | 1509 / 85 | $4.463,84 | 1497 / 83 |
| Bronchitis & Asthma W Cc/Mcc | 48 | 28 / 3 | $27.957,30 | 660 / 38 | $7.824,44 | 724 / 49 | $5.602,06 | 720 / 47 |
| Major Small & Large Bowel Procedures W Mcc | 45 | 40 / 5 | $128.289,00 | 638 / 21 | $43.710,40 | 569 / 58 | $30.297,10 | 567 / 26 |
| Chest Pain | 45 | 106 / 14 | $21.208,40 | 1001 / 46 | $7.121,09 | 1198 / 72 | $3.981,60 | 1191 / 56 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 42 | 84 / 18 | $28.878,00 | 910 / 46 | $8.934,38 | 1199 / 65 | $7.651,21 | 1196 / 69 |
| Transient Ischemia | 42 | 83 / 16 | $24.673,30 | 941 / 43 | $5.936,19 | 1275 / 66 | $4.756,71 | 1269 / 73 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 42 | 78 / 15 | $22.908,00 | 1451 / 68 | $6.873,67 | 1452 / 84 | $4.327,14 | 1441 / 73 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 41 | 109 / 18 | $19.607,20 | 1374 / 65 | $5.189,98 | 1459 / 82 | $3.419,34 | 1453 / 80 |
| Hip & Femur Procedures Except Major Joint W Mcc | 41 | 21 / 4 | $73.017,50 | 459 / 17 | $21.905,20 | 673 / 38 | $20.149,10 | 670 / 38 |
| Peripheral Vascular Disorders W Cc | 41 | 43 / 9 | $24.428,10 | 612 / 37 | $8.736,00 | 822 / 64 | $6.274,61 | 819 / 58 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 40 | 156 / 29 | $87.946,70 | 1021 / 57 | $25.093,40 | 919 / 79 | $12.131,90 | 912 / 57 |
| Other Digestive System Diagnoses W Mcc | 40 | 22 / 3 | $53.271,50 | 494 / 23 | $13.969,90 | 502 / 29 | $11.842,30 | 501 / 30 |
| Respiratory Infections & Inflammations W Mcc | 39 | 97 / 29 | $51.314,00 | 1106 / 45 | $15.861,60 | 1233 / 75 | $12.652,30 | 1218 / 68 |
| Other Digestive System Diagnoses W Cc | 38 | 59 / 15 | $27.025,40 | 761 / 36 | $8.996,47 | 913 / 67 | $6.186,18 | 909 / 59 |
| Pulmonary Embolism W/O Mcc | 38 | 36 / 6 | $25.718,30 | 679 / 27 | $9.245,74 | 792 / 57 | $5.799,47 | 789 / 47 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 37 | 54 / 5 | $37.374,10 | 232 / 15 | $10.855,90 | 234 / 18 | $8.030,51 | 234 / 14 |
| Other Circulatory System Diagnoses W Mcc | 37 | 79 / 15 | $69.827,60 | 1051 / 64 | $18.039,80 | 1105 / 65 | $14.562,40 | 1097 / 66 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 37 | 29 / 3 | $59.358,40 | 345 / 17 | $30.677,10 | 331 / 32 | $11.557,30 | 329 / 23 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 35 | 96 / 21 | $63.306,20 | 988 / 44 | $18.016,90 | 1247 / 73 | $15.359,60 | 1234 / 70 |
| Fractures Of Hip & Pelvis W/O Mcc | 35 | 26 / 2 | $22.052,30 | 583 / 24 | $6.317,94 | 667 / 33 | $4.445,46 | 666 / 33 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 34 | 32 / 3 | $39.568,60 | 338 / 17 | $9.488,76 | 334 / 23 | $7.211,53 | 333 / 22 |
| Respiratory Infections & Inflammations W Cc | 34 | 54 / 11 | $31.561,40 | 738 / 28 | $11.327,70 | 1043 / 61 | $8.837,15 | 1038 / 55 |
| Degenerative Nervous System Disorders W/O Mcc | 33 | 45 / 10 | $30.050,30 | 499 / 30 | $8.432,27 | 601 / 38 | $6.669,03 | 601 / 40 |
| Dysequilibrium | 33 | 32 / 7 | $26.003,90 | 363 / 23 | $5.825,03 | 357 / 22 | $3.903,67 | 357 / 23 |
| Seizures W/O Mcc | 33 | 75 / 14 | $25.386,80 | 788 / 44 | $6.359,06 | 883 / 56 | $5.025,82 | 880 / 59 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 32 | 23 / 3 | $48.914,20 | 251 / 5 | $15.081,70 | 487 / 24 | $13.668,30 | 483 / 27 |
| Nervous System Neoplasms W Mcc | 31 | 17 / 3 | $29.692,00 | 89 / 3 | $10.288,90 | 156 / 14 | $8.425,65 | 156 / 13 |
| Peritoneal Adhesiolysis W Cc | 30 | 9 / 1 | $58.751,90 | 133 / 5 | $21.332,20 | 182 / 10 | $14.982,30 | 182 / 9 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 36 | $50.534,50 | 1218 / 65 | $10.554,60 | 1228 / 73 | $7.125,73 | 1225 / 71 |
| G.I. Obstruction W/O Cc/Mcc | 29 | 42 / 10 | $21.750,30 | 898 / 47 | $6.632,69 | 927 / 60 | $3.748,69 | 924 / 54 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 18 | $27.483,50 | 1000 / 43 | $6.405,79 | 1239 / 56 | $4.960,62 | 1235 / 70 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 29 | 74 / 11 | $27.445,40 | 464 / 27 | $8.052,83 | 611 / 37 | $6.992,21 | 611 / 43 |
| Diabetes W Cc | 28 | 64 / 14 | $21.043,00 | 770 / 33 | $9.210,75 | 900 / 81 | $4.902,07 | 896 / 56 |
| Digestive Malignancy W Cc | 28 | 19 / 6 | $29.413,40 | 137 / 6 | $9.966,39 | 268 / 17 | $8.697,11 | 266 / 19 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 26 | 47 / 14 | $30.244,10 | 653 / 38 | $11.236,20 | 645 / 54 | $7.140,35 | 643 / 43 |
| Seizures W Mcc | 26 | 40 / 7 | $45.655,20 | 429 / 22 | $12.910,10 | 558 / 29 | $11.430,10 | 558 / 31 |
| Other Vascular Procedures W Mcc | 25 | 72 / 13 | $90.436,40 | 499 / 19 | $26.103,40 | 663 / 37 | $23.059,80 | 660 / 36 |
| Respiratory Neoplasms W Cc | 25 | 22 / 6 | $32.302,70 | 228 / 12 | $12.146,80 | 335 / 26 | $7.960,68 | 334 / 25 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 25 | 31 / 10 | $50.489,40 | 473 / 20 | $15.963,40 | 644 / 38 | $10.566,70 | 642 / 36 |
| Red Blood Cell Disorders W Mcc | 25 | 46 / 13 | $41.150,00 | 702 / 44 | $10.086,00 | 793 / 52 | $8.971,48 | 789 / 54 |
| Disorders Of The Biliary Tract W Cc | 25 | 29 / 4 | $40.103,60 | 325 / 20 | $8.697,72 | 321 / 19 | $7.217,32 | 321 / 19 |
| Disorders Of Pancreas Except Malignancy W Cc | 25 | 36 / 7 | $30.854,50 | 643 / 31 | $8.259,60 | 650 / 36 | $5.853,72 | 647 / 39 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 24 | 29 / 2 | $25.145,00 | 461 / 8 | $8.140,17 | 619 / 16 | $4.801,12 | 615 / 15 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 25 | $19.240,80 | 1137 / 52 | $6.070,92 | 1567 / 79 | $4.631,46 | 1559 / 82 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 24 | 38 / 8 | $23.040,90 | 462 / 24 | $6.400,04 | 548 / 30 | $4.829,12 | 546 / 32 |
| Other Vascular Procedures W Cc | 24 | 78 / 19 | $81.236,50 | 661 / 25 | $19.257,90 | 818 / 38 | $17.510,70 | 813 / 44 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 23 | 75 / 9 | $119.367,00 | 263 / 5 | $38.833,50 | 296 / 15 | $29.726,20 | 296 / 12 |
| Renal Failure W/O Cc/Mcc | 23 | 33 / 5 | $19.702,00 | 550 / 20 | $5.357,91 | 605 / 25 | $3.957,74 | 604 / 25 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 22 | 78 / 16 | $104.524,00 | 540 / 20 | $24.593,40 | 768 / 31 | $23.123,00 | 763 / 43 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 22 | 47 / 6 | $62.360,40 | 220 / 8 | $20.503,50 | 403 / 18 | $18.991,20 | 403 / 23 |
| Hypertension W/O Mcc | 22 | 43 / 8 | $22.937,00 | 488 / 30 | $5.394,59 | 576 / 31 | $4.230,77 | 574 / 32 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 22 | 18 / 7 | $37.169,80 | 189 / 13 | $8.785,45 | 178 / 16 | $7.475,36 | 178 / 16 |
| Other Disorders Of Nervous System W Cc | 22 | 34 / 7 | $26.664,50 | 316 / 11 | $8.484,55 | 364 / 27 | $5.634,45 | 364 / 22 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 21 | 47 / 9 | $27.934,00 | 419 / 21 | $10.737,10 | 395 / 41 | $5.413,14 | 395 / 25 |
| Respiratory Signs & Symptoms | 20 | 26 / 2 | $26.587,80 | 201 / 12 | $6.706,80 | 196 / 12 | $4.469,55 | 196 / 11 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 20 | 96 / 11 | $193.135,00 | 200 / 7 | $68.130,80 | 361 / 15 | $59.870,40 | 361 / 14 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 20 | 16 / 3 | $63.478,10 | 183 / 6 | $18.466,10 | 267 / 12 | $16.772,40 | 266 / 13 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 20 | 69 / 10 | $34.597,90 | 374 / 14 | $10.894,70 | 509 / 28 | $6.610,70 | 508 / 28 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 20 | 44 / 6 | $42.832,60 | 348 / 6 | $12.457,10 | 587 / 11 | $10.995,30 | 587 / 18 |
| Kidney & Ureter Procedures For Neoplasm W Cc | 20 | 24 / 5 | $59.212,60 | 95 / 5 | $21.806,30 | 89 / 10 | $12.831,70 | 89 / 7 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 9 | $117.036,00 | 360 / 18 | $44.884,30 | 319 / 37 | $29.417,80 | 319 / 13 |
| Pulmonary Embolism W Mcc | 19 | 24 / 7 | $44.591,20 | 375 / 23 | $11.911,40 | 469 / 31 | $10.583,50 | 468 / 34 |
| Organic Disturbances & Mental Retardation | 19 | 40 / 11 | $19.096,20 | 156 / 6 | $7.715,32 | 333 / 22 | $6.668,11 | 333 / 24 |
| Cellulitis W Mcc | 19 | 39 / 14 | $34.335,90 | 472 / 26 | $12.064,40 | 521 / 48 | $8.856,26 | 519 / 41 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 19 | 8 / 1 | $59.329,40 | 120 / 4 | $14.536,30 | 91 / 4 | $11.234,70 | 91 / 4 |
| Complications Of Treatment W Mcc | 18 | 33 / 7 | $34.000,50 | 74 / 1 | $15.010,10 | 147 / 7 | $11.587,10 | 147 / 4 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 18 | 29 / 8 | $23.965,20 | 218 / 16 | $7.240,94 | 196 / 20 | $4.419,67 | 196 / 18 |
| Diabetes W Mcc | 18 | 39 / 5 | $40.940,10 | 469 / 27 | $10.454,10 | 454 / 28 | $9.023,44 | 454 / 29 |
| Viral Illness W Mcc | 18 | 6 / 1 | $49.947,80 | 15 / 2 | $14.595,10 | 17 / 2 | $12.934,90 | 17 / 2 |
| Peripheral Vascular Disorders W Mcc | 18 | 31 / 11 | $37.956,80 | 325 / 17 | $10.658,90 | 414 / 27 | $9.570,72 | 414 / 28 |
| Other Resp System O.R. Procedures W Mcc | 18 | 45 / 10 | $62.949,30 | 119 / 3 | $27.638,10 | 191 / 20 | $20.476,60 | 191 / 8 |
| Disorders Of The Biliary Tract W Mcc | 17 | 22 / 5 | $48.119,70 | 142 / 8 | $12.697,90 | 138 / 8 | $10.981,90 | 138 / 9 |
| Other Circulatory System Diagnoses W Cc | 17 | 49 / 11 | $30.385,80 | 418 / 18 | $7.661,18 | 356 / 20 | $5.821,35 | 355 / 21 |
| Major Chest Procedures W Cc | 17 | 57 / 11 | $75.009,40 | 301 / 10 | $21.079,70 | 315 / 16 | $16.545,00 | 313 / 19 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 5 | $40.406,20 | 581 / 16 | $11.513,00 | 747 / 17 | $10.262,70 | 745 / 21 |
| Coronary Bypass W Cardiac Cath W Mcc | 17 | 39 / 6 | $139.839,00 | 89 / 1 | $51.171,60 | 154 / 14 | $40.206,50 | 154 / 6 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 17 | 64 / 11 | $343.733,00 | 125 / 4 | $130.976,00 | 136 / 10 | $97.306,50 | 136 / 5 |
| Otitis Media & Uri W/O Mcc | 17 | 27 / 4 | $24.583,50 | 139 / 10 | $5.997,82 | 119 / 8 | $4.062,41 | 119 / 7 |
| Respiratory Neoplasms W Mcc | 17 | 35 / 13 | $55.666,90 | 426 / 23 | $14.464,80 | 514 / 32 | $12.713,10 | 511 / 36 |
| Medical Back Problems W Mcc | 16 | 23 / 7 | $54.065,40 | 236 / 18 | $13.341,60 | 248 / 17 | $11.715,40 | 248 / 18 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 16 | 37 / 10 | $29.569,00 | 195 / 7 | $9.578,62 | 311 / 14 | $8.180,25 | 311 / 15 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 16 | 57 / 6 | $38.947,80 | 176 / 5 | $16.799,40 | 147 / 14 | $6.485,38 | 147 / 8 |
| Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 16 | 16 / 3 | $54.924,60 | 56 / 1 | $16.020,90 | 86 / 5 | $14.624,60 | 86 / 5 |
| Complications Of Treatment W Cc | 16 | 36 / 11 | $32.545,20 | 242 / 12 | $9.582,12 | 251 / 18 | $7.250,94 | 251 / 18 |
| Major Chest Trauma W Cc | 16 | 20 / 1 | $28.055,30 | 53 / 6 | $13.140,10 | 53 / 7 | $5.331,44 | 53 / 5 |
| Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 16 | 13 / 2 | $22.868,00 | 91 / 9 | $5.963,06 | 97 / 7 | $4.698,94 | 97 / 8 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 16 | 28 / 7 | $77.142,20 | 219 / 8 | $20.364,60 | 278 / 15 | $18.860,30 | 276 / 15 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 15 | 36 / 7 | $61.387,50 | 207 / 13 | $15.965,80 | 242 / 16 | $14.335,40 | 242 / 16 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 15 | 39 / 9 | $30.551,60 | 291 / 18 | $7.959,73 | 206 / 21 | $4.381,27 | 206 / 19 |
| Nonspecific Cerebrovascular Disorders W Cc | 15 | 41 / 3 | $32.851,70 | 315 / 8 | $7.568,60 | 328 / 13 | $6.445,73 | 328 / 13 |
| Permanent Cardiac Pacemaker Implant W Mcc | 15 | 37 / 10 | $80.225,50 | 204 / 8 | $26.605,00 | 422 / 24 | $24.994,30 | 422 / 28 |
| Extracranial Procedures W/O Cc/Mcc | 15 | 83 / 20 | $24.701,40 | 272 / 5 | $11.375,50 | 455 / 36 | $5.610,40 | 454 / 25 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 15 | 31 / 5 | $22.701,70 | 201 / 10 | $6.629,67 | 251 / 20 | $4.109,93 | 250 / 21 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 15 | 30 / 9 | $17.485,50 | 178 / 9 | $5.881,73 | 310 / 19 | $4.733,87 | 310 / 21 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 15 | 28 / 6 | $21.480,40 | 189 / 7 | $5.687,40 | 257 / 10 | $4.487,53 | 257 / 13 |
| G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 14 | $20.820,70 | 578 / 28 | $5.937,47 | 747 / 37 | $4.602,20 | 743 / 39 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 10 | $44.491,30 | 361 / 9 | $9.931,07 | 504 / 14 | $8.612,29 | 503 / 23 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 14 | 39 / 10 | $55.821,40 | 196 / 9 | $20.528,60 | 178 / 18 | $11.475,20 | 179 / 12 |
| Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 28 | $70.301,10 | 261 / 9 | $24.778,40 | 745 / 32 | $23.299,60 | 744 / 41 |
| Pneumothorax W Cc | 14 | 11 / 2 | $26.955,50 | 43 / 2 | $8.011,21 | 68 / 3 | $6.707,29 | 68 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 16 | $39.333,60 | 288 / 13 | $14.050,40 | 422 / 31 | $12.435,30 | 421 / 34 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 20 | $65.369,40 | 418 / 15 | $19.485,50 | 708 / 40 | $17.975,70 | 707 / 43 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 14 | 55 / 14 | $75.397,70 | 389 / 18 | $24.449,90 | 328 / 31 | $10.766,60 | 327 / 21 |
| Bone Diseases & Arthropathies W/O Mcc | 14 | 30 / 9 | $16.284,40 | 116 / 5 | $6.098,71 | 190 / 14 | $5.121,50 | 190 / 20 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 14 | 30 / 9 | $34.383,90 | 223 / 14 | $6.534,71 | 183 / 14 | $4.755,00 | 183 / 14 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 14 | 62 / 8 | $69.319,90 | 410 / 19 | $27.342,90 | 344 / 23 | $12.866,30 | 344 / 18 |
| Other Skin, Subcut Tiss & Breast Proc W Cc | 14 | 10 / 3 | $44.784,20 | 52 / 4 | $11.443,20 | 56 / 4 | $9.496,07 | 56 / 5 |
| Craniotomy & Endovascular Intracranial Procedures W Cc | 13 | 42 / 7 | $81.810,50 | 101 / 1 | $24.610,20 | 106 / 5 | $19.356,10 | 106 / 4 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 15 | $110.247,00 | 292 / 12 | $35.662,60 | 514 / 26 | $33.910,20 | 514 / 27 |
| Malignancy Of Hepatobiliary System Or Pancreas W Cc | 13 | 18 / 7 | $31.914,80 | 84 / 6 | $9.355,00 | 117 / 6 | $7.760,31 | 117 / 8 |
| Signs & Symptoms W Mcc | 13 | 28 / 6 | $33.759,70 | 167 / 6 | $16.036,70 | 145 / 11 | $7.375,46 | 145 / 4 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 13 | 63 / 13 | $122.423,00 | 237 / 4 | $57.786,50 | 25 / 24 | $21.179,80 | 25 / 2 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Mcc | 13 | 12 / 3 | $50.476,80 | 20 / 3 | $16.762,80 | 6 / 4 | $10.493,00 | 6 / 2 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W Mcc | 13 | 9 / 1 | $40.163,30 | 27 / 2 | $10.280,20 | 28 / 1 | $8.646,62 | 28 / 1 |
| Major Chest Procedures W/O Cc/Mcc | 12 | 47 / 8 | $55.928,60 | 148 / 7 | $16.740,50 | 134 / 8 | $11.186,80 | 134 / 6 |
| Otitis Media & Uri W Mcc | 12 | 9 / 1 | $26.005,80 | 8 / 1 | $8.247,58 | 8 / 1 | $7.103,92 | 8 / 1 |
| Psychoses | 12 | 263 / 28 | $19.254,20 | 312 / 23 | $8.209,67 | 422 / 23 | $7.025,17 | 422 / 23 |
| Traumatic Stupor & Coma, Coma >1 Hr W Mcc | 12 | 15 / 1 | $64.194,90 | 33 / 1 | $17.349,30 | 35 / 1 | $15.695,40 | 35 / 1 |
| Fever | 12 | 34 / 9 | $17.233,90 | 68 / 2 | $7.272,33 | 200 / 9 | $5.428,25 | 200 / 11 |
| Other Respiratory System Diagnoses W/O Mcc | 12 | 34 / 6 | $32.400,80 | 241 / 10 | $6.526,58 | 192 / 7 | $5.239,33 | 192 / 8 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 11 | $18.756,20 | 227 / 9 | $8.273,00 | 234 / 24 | $3.513,92 | 233 / 18 |
| Biopsies Of Musculoskeletal System & Connective Tissue W/O Cc/Mcc | 12 | 6 / 1 | $52.007,60 | 10 / 1 | $17.638,70 | 11 / 2 | $10.506,30 | 11 / 2 |
| G.I. Obstruction W Mcc | 12 | 30 / 12 | $61.394,30 | 417 / 21 | $15.428,80 | 416 / 24 | $11.985,40 | 416 / 24 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 12 | 28 / 10 | $51.088,90 | 97 / 4 | $15.021,60 | 170 / 11 | $13.617,20 | 170 / 12 |
| Fractures Of Hip & Pelvis W Mcc | 12 | 9 / 3 | $35.237,30 | 40 / 3 | $10.098,60 | 44 / 5 | $8.581,75 | 44 / 5 |
| Rectal Resection W Cc | 12 | 12 / 1 | $54.496,80 | 14 / 1 | $17.258,80 | 29 / 1 | $15.762,10 | 29 / 1 |
| Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 7 | $50.069,50 | 290 / 6 | $14.061,30 | 461 / 12 | $12.662,10 | 460 / 14 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 12 | 57 / 7 | $166.101,00 | 34 / 1 | $64.293,10 | 147 / 2 | $62.296,10 | 147 / 3 |
| Acute Myocardial Infarction, Expired W Mcc | 12 | 18 / 4 | $52.559,80 | 114 / 6 | $16.441,50 | 120 / 9 | $11.691,90 | 120 / 8 |
| Transurethral Procedures W Cc | 12 | 29 / 11 | $36.573,50 | 194 / 11 | $10.167,90 | 309 / 23 | $8.880,75 | 309 / 26 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 15 | $54.048,80 | 389 / 7 | $20.799,00 | 485 / 24 | $12.648,40 | 482 / 18 |
| Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 11 | 27 / 5 | $50.139,10 | 79 / 3 | $15.467,60 | 113 / 3 | $14.364,30 | 113 / 3 |
| Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 10 | $80.036,80 | 313 / 18 | $18.712,60 | 265 / 17 | $13.712,50 | 265 / 15 |
| Minor Skin Disorders W/O Mcc | 11 | 14 / 3 | $13.800,60 | 17 / 1 | $6.001,36 | 27 / 3 | $4.846,00 | 27 / 3 |
| Other O.R. Procedures For Injuries W Mcc | 11 | 26 / 7 | $126.362,00 | 133 / 3 | $30.847,20 | 100 / 4 | $27.545,30 | 100 / 4 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 11 | 19 / 5 | $46.852,30 | 84 / 3 | $14.738,30 | 144 / 6 | $13.305,90 | 143 / 7 |
| Stomach, Esophageal & Duodenal Proc W Cc | 11 | 39 / 9 | $96.029,80 | 170 / 9 | $22.426,40 | 110 / 7 | $16.886,10 | 110 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 26 | $74.391,50 | 620 / 40 | $16.359,80 | 666 / 44 | $14.675,50 | 659 / 47 |
| Degenerative Nervous System Disorders W Mcc | 11 | 27 / 10 | $78.194,00 | 201 / 13 | $15.481,80 | 174 / 11 | $13.821,20 | 174 / 12 | Total 180 procedures | 7.738 | 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.