Hospital Costs > In Indiana > Porter Regional Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 12 | 19 / 2 | $75.264,70 | 106 / 3 | $10.543,00 | 20 / 1 | $9.535,00 | 20 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 19 | $32.659,70 | 841 / 27 | $6.334,20 | 385 / 10 | $5.286,73 | 384 / 11 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 40 | 85 / 8 | $54.913,70 | 1233 / 45 | $10.048,50 | 596 / 16 | $9.207,65 | 595 / 20 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 11 | $27.173,10 | 515 / 17 | $4.650,45 | 237 / 5 | $3.664,27 | 236 / 8 |
| Atherosclerosis W/O Mcc | 12 | 46 / 7 | $21.506,40 | 347 / 11 | $3.824,58 | / 4 | $2.920,58 | / |
| Bronchitis & Asthma W Cc/Mcc | 24 | 52 / 6 | $24.761,00 | 579 / 16 | $5.293,75 | 331 / 3 | $4.387,08 | 327 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 50 | 111 / 12 | $29.909,30 | 1625 / 54 | $5.025,78 | 610 / 25 | $3.923,76 | 607 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 36 | 87 / 16 | $34.581,20 | 1145 / 43 | $7.098,47 | 429 / 8 | $6.262,92 | 427 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 42 | 108 / 18 | $21.437,50 | 1473 / 50 | $3.537,50 | 531 / 16 | $2.472,36 | 527 / 17 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 13 | 105 / 12 | $278.692,00 | 494 / 16 | $40.834,60 | 434 / 13 | $39.810,50 | 434 / 15 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 12 | 30 / 2 | $273.024,00 | 122 / 2 | $39.139,60 | 111 / 2 | $38.131,60 | 111 / 2 |
| Cellulitis W Mcc | 17 | 41 / 9 | $41.574,40 | 625 / 25 | $8.984,18 | 89 / 13 | $6.935,41 | 89 / 6 |
| Cellulitis W/O Mcc | 63 | 126 / 14 | $26.276,30 | 1946 / 67 | $5.167,86 | 881 / 16 | $4.182,89 | 875 / 29 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 17 | $128.034,00 | 834 / 27 | $15.509,30 | 659 / 22 | $14.301,20 | 656 / 26 |
| Chest Pain | 19 | 132 / 18 | $20.883,20 | 984 / 37 | $3.938,89 | 470 / 16 | $2.897,53 | 468 / 17 |
| Chronic Obstructive Pulmonary Disease W Cc | 107 | 72 / 5 | $30.105,40 | 1721 / 64 | $5.663,99 | 768 / 15 | $4.772,47 | 766 / 24 |
| Chronic Obstructive Pulmonary Disease W Mcc | 91 | 111 / 17 | $35.403,40 | 1769 / 66 | $7.295,67 | 784 / 31 | $6.030,32 | 779 / 27 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 51 | 69 / 10 | $23.881,30 | 1491 / 60 | $4.574,94 | 483 / 20 | $3.313,96 | 482 / 19 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 17 | $63.449,90 | 515 / 23 | $12.317,80 | 125 / 10 | $10.646,40 | 122 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 46 | 142 / 19 | $59.794,90 | 1384 / 50 | $8.447,11 | 1073 / 43 | $6.581,89 | 1070 / 47 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 14 | 28 / 3 | $61.962,60 | 207 / 7 | $10.361,90 | 49 / 4 | $9.321,93 | 49 / 2 |
| Complications Of Treatment W Mcc | 11 | 40 / 6 | $54.185,60 | 185 / 4 | $10.298,10 | 66 / 2 | $9.858,82 | 66 / 3 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 20 | 68 / 11 | $260.894,00 | 576 / 19 | $35.197,10 | 578 / 19 | $34.350,70 | 577 / 19 |
| Cranial & Peripheral Nerve Disorders W Mcc | 14 | 22 / 2 | $33.657,00 | 69 / 3 | $7.694,00 | 28 / 1 | $7.262,00 | 28 / 2 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 11 | $34.337,30 | 532 / 22 | $5.213,42 | 79 / 3 | $4.109,42 | 79 / 3 |
| Degenerative Nervous System Disorders W Mcc | 12 | 26 / 4 | $59.519,40 | 166 / 4 | $9.100,58 | 14 / 1 | $8.095,25 | 14 / 1 |
| Degenerative Nervous System Disorders W/O Mcc | 18 | 60 / 9 | $33.090,90 | 565 / 15 | $5.938,83 | 228 / 6 | $5.067,72 | 228 / 8 |
| Diabetes W Cc | 22 | 70 / 15 | $28.753,80 | 1133 / 39 | $5.235,68 | 252 / 12 | $3.923,50 | 252 / 9 |
| Digestive Malignancy W Cc | 11 | 36 / 6 | $36.428,80 | 206 / 7 | $7.786,36 | 18 / 2 | $5.818,73 | 18 / 1 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 15 | 55 / 4 | $31.870,30 | 394 / 13 | $5.481,80 | 101 / 2 | $4.835,40 | 101 / 3 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 26 | 50 / 3 | $49.084,20 | 294 / 11 | $11.263,50 | 170 / 4 | $10.741,10 | 170 / 7 |
| Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 10 | $32.743,10 | 681 / 23 | $6.017,00 | 20 / 12 | $3.658,59 | 20 / 1 |
| Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 6 | $43.801,70 | 153 / 4 | $10.667,20 | 18 / 1 | $8.444,36 | 18 / 2 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 8 | $17.972,20 | 204 / 6 | $4.163,18 | 67 / 4 | $2.750,64 | 67 / 2 |
| Dysequilibrium | 11 | 54 / 10 | $29.040,00 | 402 / 11 | $3.911,64 | 109 / 2 | $2.809,09 | 109 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 29 | 67 / 10 | $38.799,30 | 913 / 28 | $7.274,10 | 81 / 10 | $5.628,90 | 81 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 100 | 175 / 12 | $26.360,40 | 1965 / 66 | $4.709,89 | 525 / 20 | $3.424,55 | 523 / 13 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 13 | 31 / 6 | $116.852,00 | 360 / 10 | $18.136,10 | 210 / 5 | $17.208,10 | 209 / 6 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 28 | 35 / 2 | $172.272,00 | 552 / 22 | $31.293,30 | 371 / 14 | $30.190,40 | 371 / 18 |
| Extracranial Procedures W/O Cc/Mcc | 21 | 77 / 15 | $51.652,30 | 776 / 26 | $6.341,76 | 249 / 11 | $5.089,00 | 249 / 10 |
| Fractures Of Hip & Pelvis W/O Mcc | 19 | 42 / 3 | $19.985,90 | 513 / 12 | $4.415,11 | 246 / 7 | $3.342,26 | 247 / 5 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 7 | $27.096,80 | 552 / 15 | $4.574,12 | 164 / 2 | $3.516,12 | 164 / 6 |
| G.I. Hemorrhage W Cc | 75 | 143 / 12 | $33.876,10 | 1746 / 56 | $6.113,97 | 653 / 13 | $5.052,16 | 652 / 16 |
| G.I. Hemorrhage W Mcc | 38 | 83 / 9 | $61.466,30 | 1222 / 40 | $10.276,60 | 425 / 11 | $9.456,76 | 426 / 16 |
| G.I. Obstruction W Cc | 28 | 64 / 11 | $28.412,20 | 1142 / 43 | $5.543,07 | 276 / 17 | $4.162,96 | 275 / 9 |
| G.I. Obstruction W Mcc | 13 | 29 / 9 | $50.456,20 | 347 / 16 | $9.157,15 | 80 / 2 | $8.274,69 | 80 / 4 |
| G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 8 | $22.541,00 | 930 / 31 | $3.947,55 | 319 / 13 | $2.724,64 | 319 / 11 |
| Heart Failure & Shock W Cc | 74 | 204 / 22 | $27.244,80 | 1820 / 66 | $5.917,19 | 630 / 19 | $5.010,92 | 629 / 18 |
| Heart Failure & Shock W Mcc | 133 | 151 / 11 | $42.592,50 | 1765 / 64 | $8.872,01 | 819 / 22 | $8.072,79 | 819 / 29 |
| Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 16 | $19.410,00 | 1255 / 50 | $4.260,62 | 531 / 17 | $3.329,34 | 529 / 18 |
| Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 21 | $67.921,90 | 1505 / 50 | $11.122,70 | 531 / 11 | $10.121,90 | 530 / 17 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 13 | $51.741,70 | 608 / 22 | $9.364,25 | 208 / 9 | $8.158,92 | 208 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 41 | 83 / 12 | $188.471,00 | 1214 / 35 | $34.524,30 | 681 / 20 | $31.356,10 | 675 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 59 | 123 / 17 | $45.794,20 | 1648 / 55 | $7.273,64 | 435 / 47 | $5.146,02 | 434 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 28 | 140 / 20 | $71.612,70 | 1277 / 41 | $10.944,20 | 790 / 25 | $10.165,80 | 789 / 33 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 30 | 72 / 14 | $34.421,60 | 1222 / 46 | $4.710,23 | 430 / 11 | $3.541,47 | 427 / 15 |
| Kidney & Urinary Tract Infections W Mcc | 66 | 78 / 6 | $39.613,10 | 1492 / 50 | $6.965,80 | 865 / 22 | $6.169,92 | 863 / 32 |
| Kidney & Urinary Tract Infections W/O Mcc | 71 | 162 / 16 | $25.407,60 | 1990 / 70 | $4.781,89 | 792 / 22 | $3.819,52 | 787 / 23 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 7 | $52.165,90 | 432 / 11 | $7.279,00 | 183 / 5 | $6.067,57 | 183 / 5 |
| Major Cardiovasc Procedures W/O Mcc | 30 | 71 / 11 | $171.798,00 | 935 / 31 | $22.583,70 | 610 / 21 | $21.460,30 | 610 / 24 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 13 | $39.630,50 | 818 / 27 | $6.987,77 | 341 / 9 | $6.244,38 | 340 / 15 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 12 | 17 / 2 | $41.038,40 | 26 / 3 | $12.812,00 | 16 / 1 | $12.204,00 | 16 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 24 | 72 / 11 | $102.447,00 | 762 / 22 | $13.334,50 | 233 / 8 | $11.285,70 | 231 / 9 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 289 | 278 / 11 | $98.583,30 | 2457 / 76 | $12.900,10 | 502 / 22 | $10.322,20 | 499 / 13 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 11 | 62 / 6 | $99.524,30 | 355 / 7 | $7.660,09 | 152 / 2 | $6.560,45 | 152 / 3 |
| Major Small & Large Bowel Procedures W Cc | 25 | 83 / 15 | $91.151,20 | 1122 / 41 | $14.904,50 | 586 / 13 | $13.939,40 | 580 / 18 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 20 | $185.883,00 | 1000 / 32 | $34.163,30 | 776 / 22 | $33.280,10 | 774 / 27 |
| Medical Back Problems W Mcc | 13 | 26 / 5 | $61.558,00 | 258 / 8 | $10.489,20 | 138 / 6 | $9.470,15 | 138 / 6 |
| Medical Back Problems W/O Mcc | 37 | 84 / 9 | $26.608,50 | 899 / 30 | $5.046,62 | 353 / 6 | $4.035,59 | 353 / 14 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 41 | 85 / 12 | $31.474,20 | 1023 / 34 | $6.576,37 | 309 / 9 | $5.723,29 | 306 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 74 | 92 / 8 | $25.439,10 | 1912 / 66 | $4.387,36 | 719 / 20 | $3.467,47 | 717 / 25 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 18 | $51.369,00 | 781 / 31 | $11.577,90 | 187 / 13 | $9.550,20 | 187 / 6 |
| Other Digestive System Diagnoses W Cc | 28 | 69 / 12 | $31.522,20 | 918 / 36 | $5.832,64 | 410 / 6 | $5.054,36 | 407 / 15 |
| Other Digestive System Diagnoses W Mcc | 14 | 48 / 10 | $70.787,30 | 641 / 17 | $10.808,40 | 313 / 10 | $10.186,10 | 312 / 13 |
| Other Disorders Of Nervous System W Cc | 18 | 38 / 5 | $58.783,80 | 592 / 13 | $6.795,89 | 405 / 11 | $5.870,50 | 405 / 12 |
| Other Disorders Of Nervous System W/O Cc/Mcc | 12 | 23 / 4 | $31.098,20 | 109 / 6 | $4.147,00 | 33 / 3 | $3.245,67 | 33 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 20 | 83 / 10 | $36.540,20 | 619 / 22 | $5.925,65 | 190 / 5 | $5.141,65 | 190 / 10 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 15 | $63.382,40 | 916 / 30 | $9.826,05 | 256 / 16 | $8.210,81 | 256 / 7 |
| Other Vascular Procedures W Cc | 36 | 66 / 10 | $109.491,00 | 912 / 31 | $16.387,50 | 561 / 15 | $15.312,60 | 558 / 19 |
| Other Vascular Procedures W Mcc | 11 | 86 / 18 | $155.986,00 | 884 / 24 | $20.230,00 | 363 / 7 | $19.345,70 | 361 / 10 |
| Other Vascular Procedures W/O Cc/Mcc | 13 | 43 / 10 | $101.175,00 | 519 / 17 | $14.187,60 | 320 / 16 | $10.153,90 | 319 / 12 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 28 | 72 / 10 | $138.156,00 | 770 / 31 | $19.909,10 | 425 / 14 | $19.049,60 | 422 / 20 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 59 | 137 / 14 | $106.927,00 | 1227 / 42 | $12.369,20 | 375 / 11 | $10.339,10 | 375 / 10 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 13 | 32 / 4 | $130.198,00 | 220 / 8 | $18.812,80 | 116 / 6 | $17.973,40 | 116 / 6 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 23 | 46 / 4 | $93.604,40 | 475 / 15 | $13.122,00 | 50 / 12 | $8.590,65 | 50 / 1 |
| Peripheral Vascular Disorders W Cc | 17 | 67 / 13 | $29.542,60 | 791 / 25 | $5.856,12 | 386 / 9 | $5.083,94 | 384 / 16 |
| Permanent Cardiac Pacemaker Implant W Cc | 27 | 50 / 6 | $116.325,00 | 847 / 25 | $16.562,50 | 103 / 17 | $13.360,50 | 103 / 4 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 11 | $176.816,00 | 547 / 20 | $25.909,60 | 423 / 16 | $25.002,90 | 423 / 19 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 11 | $120.099,00 | 688 / 20 | $12.678,90 | 267 / 6 | $11.728,10 | 266 / 10 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 34 | 38 / 5 | $46.302,30 | 651 / 25 | $8.591,44 | 267 / 10 | $7.559,06 | 266 / 13 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 11 | $19.066,10 | 483 / 24 | $3.938,13 | 242 / 5 | $3.212,80 | 241 / 12 |
| Pulmonary Edema & Respiratory Failure | 79 | 124 / 18 | $36.652,40 | 1371 / 55 | $7.762,58 | 482 / 37 | $6.315,96 | 482 / 14 |
| Pulmonary Embolism W Mcc | 14 | 29 / 7 | $56.820,60 | 466 / 22 | $8.996,00 | 200 / 8 | $8.301,14 | 200 / 13 |
| Pulmonary Embolism W/O Mcc | 21 | 53 / 10 | $30.860,40 | 861 / 31 | $6.516,52 | 126 / 18 | $4.421,76 | 126 / 4 |
| Red Blood Cell Disorders W Mcc | 31 | 40 / 4 | $34.828,80 | 579 / 21 | $7.406,74 | 252 / 5 | $6.707,90 | 252 / 11 |
| Red Blood Cell Disorders W/O Mcc | 51 | 92 / 8 | $25.552,10 | 1287 / 39 | $4.990,10 | 460 / 12 | $3.937,43 | 459 / 11 |
| Renal Failure W Cc | 82 | 139 / 16 | $28.495,70 | 1631 / 57 | $5.875,63 | 584 / 20 | $4.831,41 | 579 / 16 |
| Renal Failure W Mcc | 104 | 91 / 6 | $44.659,70 | 1437 / 47 | $8.937,56 | 484 / 14 | $8.039,04 | 484 / 13 |
| Respiratory Infections & Inflammations W Cc | 16 | 72 / 16 | $34.030,30 | 820 / 32 | $7.964,88 | 508 / 14 | $7.362,88 | 505 / 18 |
| Respiratory Infections & Inflammations W Mcc | 39 | 97 / 15 | $49.936,40 | 1072 / 41 | $11.217,70 | 475 / 15 | $10.439,70 | 470 / 17 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 13 | $50.749,50 | 389 / 18 | $9.930,73 | 149 / 4 | $9.156,91 | 149 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 23 | $68.476,30 | 1112 / 44 | $13.318,20 | 606 / 8 | $12.712,70 | 598 / 21 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 20 | 51 / 11 | $104.032,00 | 275 / 10 | $27.443,00 | 107 / 2 | $26.578,20 | 107 / 4 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 9 | $114.317,00 | 452 / 14 | $17.634,50 | 332 / 8 | $16.517,00 | 331 / 13 |
| Seizures W/O Mcc | 21 | 87 / 12 | $31.788,60 | 997 / 30 | $4.633,38 | 227 / 6 | $3.618,90 | 226 / 9 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 35 | 57 / 5 | $155.776,00 | 558 / 25 | $38.786,60 | 30 / 15 | $27.595,70 | 30 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 385 | 148 / 4 | $55.101,60 | 1951 / 63 | $10.899,70 | 830 / 17 | $9.960,67 | 829 / 26 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 88 | 119 / 5 | $41.771,10 | 2090 / 66 | $6.756,06 | 404 / 34 | $5.104,66 | 402 / 8 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 15 | $26.775,70 | 951 / 27 | $4.524,15 | 194 / 11 | $3.222,77 | 194 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 27 | $27.552,40 | 1813 / 65 | $6.018,33 | 495 / 22 | $4.640,53 | 492 / 14 |
| Simple Pneumonia & Pleurisy W Mcc | 81 | 124 / 17 | $48.260,90 | 1858 / 62 | $8.683,44 | 959 / 27 | $7.835,84 | 959 / 39 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 18 | $24.987,20 | 1453 / 48 | $4.894,18 | 368 / 34 | $3.108,24 | 366 / 9 |
| Spinal Fusion Except Cervical W/O Mcc | 32 | 162 / 23 | $179.358,00 | 1219 / 39 | $29.602,60 | 632 / 32 | $22.643,40 | 628 / 21 |
| Syncope & Collapse | 59 | 110 / 8 | $27.243,90 | 1317 / 47 | $4.701,63 | 394 / 17 | $3.444,36 | 392 / 11 |
| Transient Ischemia | 44 | 81 / 9 | $33.931,60 | 1302 / 45 | $4.334,73 | 424 / 10 | $3.291,82 | 423 / 14 |
| Transurethral Procedures W Cc | 11 | 30 / 7 | $51.816,00 | 287 / 7 | $7.526,82 | 95 / 2 | $6.540,64 | 95 / 2 | Total 116 procedures | 4.254 | 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.