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Duke University Hospital, procedure costs

Po Box 3708 Dumc Erwin Rd, Durham, NC 27710,

Procedure Costs @ Duke University Hospital
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 Mcc446159 / 9$51.460,101357 / 48$18.688,702254 / 77$14.979,902210 / 78
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc318200 / 15$53.775,901913 / 77$19.185,802481 / 80$15.091,502437 / 81
Heart Failure & Shock W Cc24051 / 7$30.644,201986 / 77$11.886,802521 / 78$8.457,092515 / 79
Circulatory Disorders Except Ami, W Card Cath W/O Mcc22317 / 4$50.460,301215 / 40$12.227,501465 / 39$8.815,041462 / 39
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc18011 / 1$189.818,00395 / 16$48.396,90480 / 16$43.708,50480 / 16
Red Blood Cell Disorders W/O Mcc1657 / 1$24.168,901202 / 57$9.767,291775 / 59$6.782,181766 / 59
Spinal Fusion Except Cervical W/O Mcc14850 / 7$122.822,00951 / 33$35.198,301197 / 38$30.645,601192 / 37
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc142133 / 10$23.464,501761 / 73$8.533,772365 / 80$5.767,942350 / 80
Kidney & Urinary Tract Infections W/O Mcc13598 / 6$23.245,301867 / 77$9.093,162437 / 77$6.311,572426 / 77
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc12541 / 2$27.117,102007 / 75$8.878,582264 / 75$5.890,822256 / 75
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc12432 / 4$17.892,001262 / 61$6.926,241773 / 63$4.429,501767 / 63
G.I. Hemorrhage W Cc12395 / 12$43.203,802032 / 80$13.227,102363 / 80$10.540,002359 / 80
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc11988 / 8$31.705,401718 / 76$11.533,502268 / 76$8.423,122259 / 78
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc11581 / 9$78.416,90841 / 25$18.440,601328 / 29$15.814,301321 / 29
Renal Failure W Cc110111 / 17$24.993,701419 / 72$10.459,802100 / 77$7.468,202090 / 77
Major Chest Procedures W/O Cc/Mcc1061 / 1$51.403,30134 / 7$16.640,90209 / 10$13.846,80209 / 11
Heart Failure & Shock W Mcc104180 / 28$53.994,502089 / 81$17.160,802365 / 80$12.507,702355 / 80
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc1037 / 1$68.747,90133 / 6$22.050,40203 / 10$17.263,20202 / 9
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc10216 / 1$41.148,70263 / 12$12.235,40295 / 10$9.213,08295 / 11
Cardiac Arrhythmia & Conduction Disorders W Cc9764 / 8$27.084,901495 / 68$9.562,331964 / 69$6.750,281959 / 69
Major Chest Procedures W Cc967 / 1$65.339,90237 / 11$23.078,90415 / 16$19.441,30413 / 16
Other Circulatory System Diagnoses W Mcc9326 / 2$53.969,80832 / 37$18.535,801084 / 36$14.354,901076 / 37
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc921 / 1$163.656,0092 / 5$39.953,50106 / 6$37.047,80106 / 6
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs9092 / 13$45.905,101651 / 73$11.495,201832 / 72$8.435,001828 / 72
Major Small & Large Bowel Procedures W Cc8921 / 3$62.342,80696 / 33$23.605,601304 / 46$18.838,001290 / 46
Major Cardiovasc Procedures W/O Mcc8423 / 5$101.527,00594 / 18$29.328,30837 / 21$25.548,60836 / 21
Simple Pneumonia & Pleurisy W Cc83120 / 12$28.458,001865 / 74$10.509,802527 / 78$7.886,062518 / 78
Heart Failure & Shock W/O Cc/Mcc8327 / 3$20.267,401301 / 58$8.303,581769 / 61$5.434,631756 / 59
Circulatory Disorders Except Ami, W Card Cath W Mcc8119 / 3$72.959,90609 / 25$22.608,30780 / 24$17.158,00773 / 24
Pulmonary Edema & Respiratory Failure76127 / 24$39.122,101479 / 75$13.002,702031 / 75$10.434,502025 / 75
Kidney Transplant7239 / 4$160.509,0054 / 5$29.547,9095 / 2$23.864,4095 / 4
Renal Failure W Mcc72123 / 20$38.998,301245 / 68$15.787,501828 / 73$12.054,701824 / 73
Other Kidney & Urinary Tract Diagnoses W Cc7136 / 4$31.973,30555 / 21$11.371,30737 / 20$8.436,17737 / 20
Acute Myocardial Infarction, Discharged Alive W Mcc7055 / 8$56.947,901271 / 50$18.145,701642 / 51$14.538,401629 / 52
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc6949 / 3$237.487,00289 / 14$74.410,30415 / 15$67.050,30415 / 15
Other Respiratory System Diagnoses W/O Mcc674 / 1$61.048,20311 / 13$10.477,10285 / 13$7.222,58285 / 13
Cellulitis W/O Mcc67122 / 14$19.448,501421 / 62$9.109,062336 / 74$6.704,852328 / 74
Seizures W/O Mcc6642 / 2$29.023,90919 / 33$8.457,441018 / 32$5.640,501016 / 32
Revision Of Hip Or Knee Replacement W/O Cc/Mcc6611 / 1$71.985,40273 / 12$23.508,60433 / 20$20.127,10432 / 20
Other Circulatory System Diagnoses W Cc656 / 1$43.660,60564 / 23$12.486,20613 / 23$8.704,34612 / 23
Intracranial Hemorrhage Or Cerebral Infarction W Mcc64104 / 15$78.291,501351 / 58$20.576,801508 / 58$16.300,301501 / 58
Nervous System Neoplasms W/O Mcc641 / 1$33.903,8049 / 3$10.775,8086 / 3$8.636,4886 / 3
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.6322 / 2$553.378,00299 / 10$170.955,00365 / 9$150.543,00364 / 9
Chronic Obstructive Pulmonary Disease W Mcc63139 / 27$30.852,901526 / 74$12.308,402328 / 79$9.643,762320 / 80
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc6264 / 11$43.471,601373 / 55$14.217,801618 / 55$10.786,001615 / 55
Other Resp System O.R. Procedures W Cc613 / 1$69.063,70249 / 11$20.927,90315 / 11$17.791,70315 / 11
Infectious & Parasitic Diseases W O.R. Procedure W Mcc6163 / 8$159.574,001078 / 46$54.768,501411 / 45$45.862,601401 / 46
Cervical Spinal Fusion W/O Cc/Mcc6045 / 7$70.386,70584 / 22$19.622,20801 / 27$17.549,70798 / 27
Chronic Obstructive Pulmonary Disease W Cc59120 / 22$25.447,201473 / 69$9.962,782156 / 72$7.386,462149 / 73
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc5936 / 4$135.347,00562 / 17$25.986,80591 / 17$21.104,70587 / 17
Other Resp System O.R. Procedures W Mcc5910 / 2$93.589,80307 / 17$34.731,60469 / 18$27.554,80468 / 18
Cardiac Arrhythmia & Conduction Disorders W Mcc5865 / 12$40.027,901328 / 62$13.355,501736 / 63$10.339,401733 / 63
Other Respiratory System Diagnoses W Mcc583 / 1$72.204,2070 / 6$19.331,2075 / 6$14.443,6075 / 6
Hip & Femur Procedures Except Major Joint W Cc5885 / 12$59.962,501351 / 65$19.390,001771 / 67$14.667,101752 / 65
Heart Transplant Or Implant Of Heart Assist System W Mcc562 / 1$932.630,0045 / 3$267.747,0059 / 3$248.169,0059 / 3
Other Vascular Procedures W Mcc5641 / 4$81.945,90405 / 21$30.777,30826 / 23$26.288,20823 / 23
Signs & Symptoms W/O Mcc5536 / 2$28.554,70999 / 35$8.557,161116 / 33$5.559,851113 / 33
Coronary Bypass W/O Cardiac Cath W/O Mcc5535 / 3$124.641,00388 / 15$33.773,50534 / 16$29.569,20533 / 17
G.I. Obstruction W Cc5438 / 7$29.716,701186 / 52$11.647,101495 / 52$6.724,541490 / 51
Major Cardiovasc Procedures W Mcc5316 / 2$174.042,00441 / 15$50.553,90541 / 15$43.244,20540 / 15
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc534 / 2$203.205,0083 / 3$53.087,20102 / 3$50.316,40102 / 3
Respiratory System Diagnosis W Ventilator Support <96 Hours5279 / 13$84.368,901365 / 61$23.943,701595 / 61$18.821,901581 / 61
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc525 / 1$50.595,70387 / 15$14.625,10446 / 15$11.493,80446 / 15
Major Small & Large Bowel Procedures W/O Cc/Mcc5213 / 1$42.681,80342 / 17$15.304,00644 / 23$12.090,80644 / 24
Syncope & Collapse52117 / 13$24.992,301218 / 50$8.474,001701 / 52$6.133,981693 / 52
Other Circulatory System O.R. Procedures529 / 2$65.002,60194 / 12$24.596,00326 / 15$20.498,70326 / 14
Red Blood Cell Disorders W Mcc5120 / 2$49.153,60821 / 35$15.551,50983 / 36$11.069,20979 / 36
Major Male Pelvic Procedures W/O Cc/Mcc5027 / 1$32.623,70110 / 6$12.012,10310 / 16$9.200,82310 / 17
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc5020 / 1$26.488,70312 / 20$10.237,80466 / 20$8.004,70466 / 23
Other Digestive System Diagnoses W Cc5047 / 8$33.448,90982 / 39$11.347,101252 / 38$7.931,021248 / 38
Kidney & Urinary Tract Infections W Mcc4995 / 16$35.185,301366 / 71$12.720,601749 / 72$9.184,551745 / 71
Simple Pneumonia & Pleurisy W Mcc48157 / 42$42.680,801669 / 71$16.151,402335 / 76$12.463,602329 / 76
Stomach, Esophageal & Duodenal Proc W Cc4710 / 1$78.618,10133 / 9$25.810,00169 / 9$20.744,40169 / 9
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc4724 / 4$79.566,10414 / 23$17.275,70514 / 23$14.367,00512 / 24
Respiratory Infections & Inflammations W Mcc4789 / 19$56.807,001212 / 64$21.268,601596 / 66$15.237,401580 / 65
Pulmonary Embolism W/O Mcc4628 / 7$25.175,50646 / 38$10.100,201106 / 47$7.244,521103 / 46
Diabetes W Cc4547 / 11$25.191,901001 / 58$9.159,561381 / 57$6.670,621376 / 58
Other Kidney & Urinary Tract Diagnoses W Mcc4556 / 10$30.984,70416 / 29$15.347,00894 / 39$12.006,10890 / 39
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc4557 / 12$37.376,001295 / 58$8.794,981431 / 58$6.068,021427 / 57
Craniotomy & Endovascular Intracranial Procedures W Mcc4454 / 4$124.578,00282 / 14$42.687,70426 / 14$35.510,10426 / 13
Major Gastrointestinal Disorders & Peritoneal Infections W Cc4429 / 3$24.115,90444 / 27$11.638,30972 / 37$9.202,39970 / 37
Lymphoma & Non-Acute Leukemia W Cc433 / 1$58.374,2086 / 8$17.839,00104 / 8$13.782,90104 / 9
Digestive Malignancy W Cc436 / 1$37.704,60219 / 10$13.926,50327 / 12$10.108,80325 / 12
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc435 / 1$102.816,00322 / 16$29.378,50374 / 16$23.132,20372 / 15
Other Vascular Procedures W Cc4161 / 10$71.245,70533 / 20$23.552,10935 / 25$19.351,90930 / 24
G.I. Hemorrhage W Mcc4180 / 14$118.056,001621 / 55$34.145,301677 / 55$30.323,901667 / 55
Acute Myocardial Infarction, Discharged Alive W Cc4051 / 9$32.796,30844 / 38$10.879,101276 / 39$8.454,801274 / 39
Kidney & Ureter Procedures For Non-Neoplasm W Cc407 / 1$42.913,1054 / 3$16.917,60146 / 6$13.996,50146 / 7
Respiratory Infections & Inflammations W Cc4048 / 7$33.017,60791 / 48$13.714,501224 / 52$9.900,301219 / 53
Malignancy Of Hepatobiliary System Or Pancreas W Mcc3915 / 1$48.597,00163 / 13$17.214,80252 / 13$13.719,40253 / 14
Peripheral Vascular Disorders W Cc3945 / 2$26.467,80695 / 27$10.279,901066 / 29$7.761,691063 / 30
Postoperative & Post-Traumatic Infections W/O Mcc3915 / 2$26.221,80227 / 13$10.227,70344 / 11$7.601,51344 / 12
Permanent Cardiac Pacemaker Implant W Cc3938 / 7$114.947,00842 / 25$27.185,70913 / 25$22.939,30909 / 25
Esophagitis, Gastroent & Misc Digest Disorders W Mcc3957 / 14$36.544,80858 / 44$12.376,701146 / 44$8.929,151141 / 44
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc3957 / 8$65.451,10539 / 18$18.959,10739 / 28$16.923,00735 / 28
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents3862 / 10$115.539,00635 / 17$31.207,60930 / 19$27.815,70925 / 20
Other Vascular Procedures W/O Cc/Mcc3818 / 3$44.481,70233 / 11$15.784,60463 / 16$12.869,00462 / 17
Revision Of Hip Or Knee Replacement W Cc3749 / 5$91.120,50391 / 13$31.005,90605 / 19$27.063,60603 / 19
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.3628 / 4$271.924,00286 / 14$93.701,50434 / 15$82.410,90433 / 15
Major Chest Procedures W Mcc3613 / 1$105.909,00110 / 7$44.531,10261 / 13$37.984,20260 / 11
Major Small & Large Bowel Procedures W Mcc3649 / 9$178.434,00960 / 37$58.101,901189 / 37$45.247,101186 / 37
Pancreas, Liver & Shunt Procedures W Cc3620 / 2$73.216,4048 / 2$25.021,3074 / 3$21.029,5074 / 4
Degenerative Nervous System Disorders W/O Mcc3543 / 4$46.327,30736 / 19$12.951,50767 / 19$8.774,91767 / 19
Kidney & Ureter Procedures For Neoplasm W Cc3411 / 1$52.452,6073 / 6$18.340,40112 / 7$14.513,20112 / 6
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc3414 / 1$50.778,40153 / 10$14.289,70168 / 10$10.647,40167 / 10
Spinal Procedures W/O Cc/Mcc343 / 1$60.003,8022 / 2$19.840,5027 / 3$16.972,0027 / 3
Craniotomy & Endovascular Intracranial Procedures W Cc3421 / 2$86.494,00111 / 5$31.423,60194 / 6$25.747,50194 / 6
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc3310 / 3$209.085,0054 / 5$60.966,2051 / 5$49.554,3051 / 4
Extracranial Procedures W/O Cc/Mcc3365 / 11$29.176,70417 / 19$9.797,12855 / 25$8.223,39852 / 27
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc3387 / 17$20.548,701300 / 59$8.140,421890 / 64$5.813,391879 / 63
Combined Anterior/Posterior Spinal Fusion W Cc3216 / 1$264.687,0081 / 6$72.983,6099 / 6$67.322,8099 / 6
Nervous System Neoplasms W Mcc3216 / 3$40.758,40172 / 11$13.363,30238 / 11$10.677,80238 / 12
Chemo W Acute Leukemia As Sdx W/O Cc/Mcc311 / 1$56.814,6011 / 2$20.081,809 / 2$11.923,309 / 2
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc3094 / 10$33.017,20732 / 25$9.514,77726 / 25$6.027,10725 / 24
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc3046 / 5$65.531,40393 / 19$19.066,30433 / 18$15.005,50433 / 19
Medical Back Problems W/O Mcc2992 / 13$38.520,901221 / 32$11.129,001360 / 33$7.237,101355 / 33
Cervical Spinal Fusion W Cc2924 / 5$107.744,00295 / 13$28.674,90347 / 13$24.547,90346 / 13
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc2812 / 2$38.103,10193 / 10$12.422,70221 / 10$8.454,46221 / 10
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc287 / 2$100.550,0080 / 11$43.040,90152 / 13$36.118,70152 / 13
G.I. Obstruction W/O Cc/Mcc2843 / 6$19.939,90817 / 36$7.675,211216 / 40$5.104,141213 / 40
Septicemia Or Severe Sepsis W Mv 96+ Hours2864 / 12$152.871,00541 / 27$58.770,10847 / 30$44.935,20846 / 30
Respiratory Neoplasms W Cc2819 / 2$35.862,60266 / 13$12.498,50411 / 13$9.174,04410 / 13
Disorders Of The Biliary Tract W Cc2727 / 3$29.645,10206 / 9$10.661,90382 / 12$8.152,26382 / 13
Other Digestive System Diagnoses W Mcc2735 / 8$48.368,70441 / 23$17.496,10598 / 22$13.279,30597 / 23
Peripheral Vascular Disorders W Mcc2722 / 3$24.636,00114 / 11$13.074,00481 / 17$10.873,70481 / 18
Permanent Cardiac Pacemaker Implant W Mcc2725 / 7$148.633,00506 / 18$40.859,70594 / 18$36.107,70594 / 18
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc2736 / 8$181.577,00589 / 18$56.075,30728 / 18$48.957,30728 / 18
Traumatic Stupor & Coma, Coma <1 Hr W Cc2640 / 6$66.593,00489 / 14$17.177,90523 / 14$13.325,30522 / 14
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc267 / 2$55.490,0078 / 8$23.518,40120 / 12$17.792,50120 / 12
Respiratory Neoplasms W Mcc2626 / 7$37.991,00231 / 17$17.263,70556 / 26$13.872,20553 / 26
Complications Of Treatment W Cc2527 / 3$52.593,30335 / 12$14.137,80351 / 12$11.536,00351 / 12
Complications Of Treatment W Mcc2526 / 6$114.090,00292 / 14$33.209,00305 / 14$27.677,70305 / 14
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc2529 / 4$165.320,00244 / 13$35.271,60256 / 13$31.608,80256 / 13
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc2514 / 3$60.016,20106 / 8$19.756,60137 / 7$16.440,40137 / 7
Poisoning & Toxic Effects Of Drugs W/O Mcc2437 / 9$20.016,80515 / 28$7.020,71761 / 32$5.259,92760 / 34
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc2422 / 2$187.593,0077 / 5$54.245,80100 / 5$49.348,50100 / 5
Lymphoma & Non-Acute Leukemia W Mcc2413 / 1$129.921,0092 / 9$35.788,3095 / 7$29.815,8095 / 8
Chest Pain24127 / 23$20.454,20953 / 42$7.183,621453 / 47$5.015,421445 / 46
Fever2422 / 3$25.575,80176 / 12$9.592,71263 / 12$6.531,08263 / 11
Other O.R. Procedures For Injuries W Cc2411 / 1$65.439,60115 / 9$20.874,80146 / 9$17.056,90146 / 9
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc2433 / 9$85.600,60605 / 22$19.652,90655 / 22$17.231,10654 / 23
Seizures W Mcc2343 / 8$59.526,50566 / 22$16.368,50642 / 20$13.181,20642 / 20
Disorders Of Pancreas Except Malignancy W Cc2338 / 8$31.273,70650 / 32$10.720,60808 / 32$6.972,61805 / 32
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc2330 / 10$35.000,90666 / 34$8.513,83780 / 34$6.187,22776 / 35
Coronary Bypass W Cardiac Cath W/O Mcc2353 / 14$157.080,00383 / 16$48.358,80541 / 19$35.157,10541 / 19
G.I. Obstruction W Mcc2220 / 6$59.422,70406 / 20$19.505,00440 / 21$12.450,60440 / 20
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc2247 / 4$336.978,00221 / 10$93.885,90253 / 10$83.080,90253 / 10
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc2234 / 9$41.305,00316 / 25$18.660,40602 / 29$15.943,60601 / 30
Transient Ischemia22103 / 19$30.618,701195 / 52$7.711,001485 / 52$5.748,641477 / 52
Other Disorders Of Nervous System W Cc2234 / 10$47.795,70542 / 24$12.375,00485 / 24$6.656,68485 / 22
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc2234 / 6$47.962,20540 / 25$15.738,40802 / 27$12.255,60799 / 27
Major Bladder Procedures W Cc2217 / 2$71.084,0013 / 2$27.786,5034 / 5$21.084,3034 / 5
Digestive Malignancy W Mcc2216 / 1$48.067,2064 / 6$19.702,70107 / 7$16.488,20107 / 7
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc2218 / 2$41.465,4060 / 5$14.297,40101 / 9$10.537,00101 / 10
Hip & Femur Procedures Except Major Joint W Mcc2141 / 10$105.028,00726 / 31$29.899,40852 / 30$24.420,00849 / 31
Interstitial Lung Disease W Mcc215 / 2$46.845,2060 / 8$15.583,1075 / 8$12.798,0075 / 8
Postoperative & Post-Traumatic Infections W Mcc2122 / 4$42.760,0081 / 6$17.882,60152 / 7$14.380,40152 / 7
G.I. Hemorrhage W/O Cc/Mcc2147 / 8$20.478,00560 / 28$7.818,52909 / 30$5.950,14905 / 30
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc2027 / 3$29.001,10280 / 8$8.210,35288 / 8$5.509,60288 / 9
Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc2012 / 2$114.741,0047 / 4$42.058,9068 / 4$35.824,6068 / 5
Atherosclerosis W/O Mcc2038 / 8$26.529,00408 / 22$7.313,10 / 22$5.031,65 /
Lung Transplant205 / 1$529.662,0014 / 1$113.045,0019 / 1$102.340,0019 / 1
Nonspecific Cerebrovascular Disorders W Cc2036 / 8$47.752,90407 / 15$11.438,30415 / 15$8.070,60415 / 14
Coronary Bypass W/O Cardiac Cath W Mcc2039 / 5$154.549,00122 / 5$50.002,40191 / 8$44.798,10190 / 8
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant1923 / 4$150.296,0094 / 8$51.079,70145 / 7$45.367,90145 / 7
Renal Failure W/O Cc/Mcc1937 / 11$21.225,70587 / 27$7.468,53786 / 27$5.365,37784 / 27
Pancreas, Liver & Shunt Procedures W/O Cc/Mcc1910 / 1$63.637,6020 / 1$17.853,4021 / 2$14.731,8021 / 2
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1946 / 10$73.740,60424 / 23$27.668,60780 / 32$23.781,20777 / 31
Malignancy Of Hepatobiliary System Or Pancreas W Cc1813 / 2$28.131,9055 / 4$11.363,70129 / 6$8.178,39129 / 7
Chemo W Acute Leukemia As Sdx W Cc Or High Dose Chemo Agent188 / 1$114.485,0016 / 2$35.824,6012 / 2$22.728,7012 / 2
Cirrhosis & Alcoholic Hepatitis W Mcc1824 / 3$53.581,80181 / 17$17.884,10222 / 16$13.913,00222 / 16
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc1832 / 6$233.251,00225 / 11$54.598,60230 / 11$48.035,70230 / 11
Traumatic Stupor & Coma, Coma <1 Hr W Mcc1833 / 7$85.189,30273 / 12$22.402,10302 / 12$17.798,70302 / 12
Respiratory System Diagnosis W Ventilator Support 96+ Hours1853 / 15$128.247,00435 / 28$46.602,30732 / 31$37.934,80731 / 31
Disorders Of Pancreas Except Malignancy W Mcc1828 / 6$44.255,90159 / 10$17.322,30262 / 12$13.500,90262 / 14
Hypertension W/O Mcc1847 / 9$18.091,40342 / 18$7.172,50664 / 24$4.970,28662 / 25
Acute Leukemia W/O Major O.R. Procedure W Mcc1818 / 3$241.233,0040 / 4$66.911,0025 / 2$48.539,9025 / 2
Respiratory Infections & Inflammations W/O Cc/Mcc1712 / 1$24.889,9061 / 7$10.770,30111 / 7$7.093,35111 / 7
Coagulation Disorders1710 / 2$162.321,00100 / 6$36.760,6096 / 6$32.919,2096 / 6
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W/O Cc/Mcc172 / 1$179.994,009 / 2$49.111,007 / 2$45.551,507 / 2
Other Kidney & Urinary Tract Procedures W Mcc1721 / 4$73.861,7089 / 10$26.461,80152 / 11$22.842,60151 / 11
Other Digestive System Diagnoses W/O Cc/Mcc1726 / 5$19.650,20163 / 11$7.625,06315 / 13$5.481,35315 / 13
Respiratory Signs & Symptoms1729 / 4$25.336,00185 / 14$7.364,71250 / 14$5.524,47250 / 13
Diabetes W Mcc1641 / 16$50.040,40553 / 31$14.361,80629 / 31$11.233,60628 / 31
Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim1613 / 3$79.384,0055 / 3$23.456,5038 / 3$14.562,8038 / 3
Acute Leukemia W/O Major O.R. Procedure W Cc164 / 1$183.108,0015 / 1$44.843,6016 / 1$33.980,1016 / 1
Kidney & Ureter Procedures For Non-Neoplasm W Mcc1614 / 3$86.045,6035 / 5$32.892,0047 / 5$27.865,4047 / 5
Poisoning & Toxic Effects Of Drugs W Mcc1656 / 18$50.843,80717 / 38$15.717,20867 / 39$12.140,50864 / 39
Lymphoma & Non-Acute Leukemia W/O Cc/Mcc163 / 1$63.927,406 / 1$13.274,606 / 1$10.950,106 / 1
Lymphoma & Non-Acute Leukemia W Other O.R. Proc W Cc161 / 1$107.423,005 / 1$28.190,107 / 1$22.507,507 / 1
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1646 / 8$29.194,00594 / 19$8.184,38672 / 17$5.689,31670 / 18
Stomach, Esophageal & Duodenal Proc W Mcc1625 / 7$114.826,0074 / 4$50.805,80183 / 6$44.685,40183 / 7
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents1629 / 8$110.607,00186 / 16$29.133,40241 / 18$24.105,10240 / 18
Pleural Effusion W Cc1612 / 2$22.728,2027 / 3$10.744,7097 / 4$8.770,2597 / 4
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc1627 / 5$112.166,00115 / 6$33.128,10125 / 6$26.153,60125 / 6
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Mcc168 / 2$129.343,0021 / 4$44.951,8034 / 3$38.867,9034 / 3
Bronchitis & Asthma W Cc/Mcc1660 / 20$19.229,80353 / 25$8.746,69931 / 33$6.862,12927 / 35
Bone Diseases & Arthropathies W/O Mcc1628 / 3$25.288,10214 / 7$8.648,44210 / 6$5.576,25210 / 7
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W/O Cc/Mcc165 / 2$170.926,0016 / 4$45.802,4017 / 4$40.539,8017 / 4
Other Digestive System O.R. Procedures W Cc1611 / 2$48.833,4028 / 6$20.233,8058 / 9$15.761,1058 / 9
Other Digestive System O.R. Procedures W Mcc1514 / 3$111.635,0062 / 9$38.903,3063 / 9$26.215,1063 / 8
Pancreas, Liver & Shunt Procedures W Mcc1528 / 4$147.463,0048 / 3$56.043,6079 / 5$48.560,3079 / 5
Other Kidney & Urinary Tract Procedures W Cc1511 / 4$56.067,1046 / 6$19.628,3062 / 7$16.157,9062 / 7
Major Joint/Limb Reattachment Procedure Of Upper Extremities1554 / 12$71.676,70288 / 12$22.542,30422 / 18$20.006,30422 / 19
Nonspecific Cerebrovascular Disorders W Mcc1536 / 10$42.935,10216 / 9$16.321,40227 / 12$10.535,50227 / 8
Spinal Procedures W Cc Or Spinal Neurostimulators1512 / 2$108.961,0035 / 2$31.373,5042 / 2$27.658,5042 / 2
Disorders Of The Biliary Tract W Mcc1524 / 6$56.703,20182 / 11$16.915,60194 / 9$12.853,90194 / 9
Cesarean Section W Cc/Mcc158 / 1$33.066,1024 / 2$12.485,0016 / 4$8.254,3316 / 4
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1540 / 10$65.168,60401 / 16$19.238,00514 / 18$14.308,30510 / 16
Cardiac Pacemaker Revision Except Device Replacement W Mcc151 / 1$149.215,006 / 1$40.438,709 / 1$33.323,509 / 1
Pulmonary Embolism W Mcc1528 / 14$45.247,50379 / 23$15.917,40527 / 25$12.371,80526 / 24
Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Mcc1512 / 2$136.194,0054 / 4$42.016,4065 / 4$31.918,3065 / 4
Acute Myocardial Infarction, Expired W Mcc1515 / 5$93.716,70180 / 13$25.236,30192 / 13$20.392,50192 / 13
Complications Of Treatment W/O Cc/Mcc156 / 1$25.047,2019 / 1$7.693,3319 / 1$5.444,9319 / 1
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc1529 / 3$38.130,10248 / 3$9.906,13279 / 3$6.699,40279 / 3
Peritoneal Adhesiolysis W Cc1425 / 7$62.556,50148 / 10$21.862,50225 / 9$16.985,80225 / 10
Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc1412 / 3$47.847,0019 / 2$18.610,6041 / 5$15.585,0041 / 5
Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc1414 / 2$286.539,0070 / 4$71.079,9072 / 4$65.182,9072 / 4
Otitis Media & Uri W/O Mcc1430 / 1$24.935,90144 / 4$8.292,29159 / 4$4.899,57159 / 3
Simple Pneumonia & Pleurisy W/O Cc/Mcc1479 / 23$18.577,401085 / 49$8.131,361819 / 55$5.848,291811 / 55
Cranial & Peripheral Nerve Disorders W/O Mcc1454 / 15$32.786,50513 / 26$9.635,64449 / 26$5.669,29449 / 21
Hernia Procedures Except Inguinal & Femoral W Cc1420 / 4$47.881,6078 / 4$17.350,10104 / 5$11.699,90104 / 4
Coronary Bypass W Cardiac Cath W Mcc1442 / 10$270.221,00336 / 16$76.594,20418 / 16$68.194,10418 / 16
Minor Small & Large Bowel Procedures W Cc146 / 2$48.094,2013 / 2$16.866,8013 / 1$12.896,1013 / 1
Endocrine Disorders W Cc1424 / 6$23.438,90116 / 8$10.598,20243 / 11$8.269,64243 / 12
Amputation For Musculoskeletal Sys & Conn Tissue Dis W Mcc145 / 1$90.653,9010 / 4$34.510,2016 / 4$27.618,3016 / 4
Biopsies Of Musculoskeletal System & Connective Tissue W Cc1418 / 2$52.677,6044 / 5$20.249,00102 / 5$17.010,50102 / 5
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim1452 / 10$59.706,20348 / 12$19.948,80541 / 14$16.731,60537 / 14
Other O.R. Procedures For Injuries W Mcc1324 / 7$163.517,00164 / 10$42.764,90160 / 9$36.047,50160 / 9
Organic Disturbances & Mental Retardation1346 / 8$45.440,70475 / 18$14.002,20493 / 18$9.118,23493 / 18
Infectious & Parasitic Diseases W O.R. Procedure W Cc1323 / 7$89.303,20270 / 13$28.560,50297 / 13$18.702,80296 / 13
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1343 / 16$46.077,70392 / 22$15.190,30766 / 32$11.947,50762 / 32
Kidney & Ureter Procedures For Neoplasm W Mcc138 / 3$69.255,208 / 1$33.712,3021 / 3$25.831,4021 / 3
Peritoneal Adhesiolysis W/O Cc/Mcc1311 / 3$50.397,8050 / 4$14.852,7053 / 3$11.062,8053 / 3
Peripheral Vascular Disorders W/O Cc/Mcc1332 / 5$23.066,10268 / 9$7.648,23346 / 9$5.553,08346 / 9
Skin Graft For Skin Ulcer Or Cellulitis W Mcc139 / 1$39.467,203 / 1$23.800,7010 / 1$20.629,8010 / 1
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W/O Cc/Mcc133 / 1$51.933,505 / 1$18.169,107 / 1$15.207,107 / 1
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc1376 / 14$56.561,90635 / 20$11.402,30668 / 20$8.201,08667 / 20
Connective Tissue Disorders W Cc1212 / 2$44.266,9024 / 2$13.457,4031 / 2$10.754,2031 / 2
Heart Transplant Or Implant Of Heart Assist System W/O Mcc121 / 1$711.470,002 / 1$183.830,002 / 1$173.308,002 / 1
Lymphoma & Leukemia W Major O.R. Procedure W/O Cc/Mcc124 / 1$29.331,902 / 1$12.543,802 / 1$8.693,832 / 1
Psychoses12263 / 20$47.096,10576 / 23$13.879,20471 / 22$7.554,83471 / 21
Tendonitis, Myositis & Bursitis W/O Mcc1230 / 4$20.920,80153 / 7$8.988,33274 / 9$6.200,50273 / 9
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc1218 / 8$79.579,20159 / 10$23.982,10182 / 10$16.906,20181 / 10
Cellulitis W Mcc1246 / 18$30.232,10389 / 21$13.738,40749 / 28$10.414,20747 / 28
Vaginal Delivery W/O Complicating Diagnoses1213 / 2$19.487,8060 / 7$7.097,3344 / 7$4.032,0044 / 7
Combined Anterior/Posterior Spinal Fusion W Mcc129 / 2$327.484,0011 / 2$104.936,0013 / 2$97.788,8013 / 2
Transurethral Procedures W Cc1229 / 4$41.533,80231 / 7$12.509,90343 / 8$9.948,17343 / 8
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc1242 / 8$26.188,10250 / 11$8.155,42336 / 10$6.069,67336 / 11
Major Skin Disorders W/O Mcc1210 / 2$25.218,509 / 2$10.588,6020 / 2$8.306,9220 / 2
Other Circulatory System Diagnoses W/O Cc/Mcc129 / 1$39.793,8030 / 1$9.418,9230 / 1$6.846,4230 / 1
Periph/Cranial Nerve & Other Nerv Syst Proc W Mcc1213 / 4$105.270,0029 / 5$34.821,7040 / 4$29.452,8040 / 4
Connective Tissue Disorders W Mcc1115 / 3$159.695,0035 / 4$39.899,7033 / 4$29.150,3033 / 4
Bone Diseases & Arthropathies W Mcc113 / 1$52.228,303 / 1$13.639,503 / 1$10.949,503 / 1
Cardiac Pacemaker Revision Except Device Replacement W Cc118 / 2$79.191,6023 / 3$16.646,4021 / 3$13.241,3021 / 3
Soft Tissue Procedures W/O Cc/Mcc1112 / 2$38.570,3011 / 1$11.630,5015 / 2$8.799,9115 / 2
Major Male Pelvic Procedures W Cc/Mcc1119 / 3$46.935,3026 / 2$16.533,3050 / 2$13.999,5050 / 3
Diabetes W/O Cc/Mcc1127 / 9$16.744,70150 / 12$6.841,09240 / 14$4.840,00240 / 14
Headaches W/O Mcc1132 / 6$15.293,3047 / 3$7.231,36130 / 11$3.952,09130 / 7
Orbital Procedures W/O Cc/Mcc111 / 1$73.013,701 / 1$11.133,301 / 1$7.906,731 / 1
Dysequilibrium1154 / 8$26.723,80370 / 11$7.904,09491 / 11$5.234,91491 / 11
Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc1113 / 2$51.123,5024 / 1$17.356,0025 / 2$12.198,1025 / 2
Other Resp System O.R. Procedures W/O Cc/Mcc117 / 1$35.992,504 / 1$12.361,5010 / 1$10.371,3010 / 1
Local Excision & Removal Int Fix Devices Exc Hip & Femur W/O Cc/Mcc1110 / 2$40.801,508 / 1$11.268,2011 / 2$8.652,2711 / 2
Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Cc1116 / 5$58.854,3048 / 5$17.548,6061 / 5$13.964,2061 / 5
Total 265 procedures10.856discharges

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.