Hospital Costs > In California > Santa Rosa Memorial 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 | 409 | 179 / 14 | $164.757,00 | 2672 / 228 | $18.473,60 | 2482 / 142 | $17.232,80 | 2436 / 175 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 254 | 262 / 58 | $105.225,00 | 2678 / 205 | $16.688,00 | 2557 / 168 | $15.725,30 | 2513 / 178 |
| Heart Failure & Shock W Mcc | 107 | 177 / 29 | $73.544,00 | 2393 / 144 | $12.876,40 | 2330 / 116 | $12.119,40 | 2320 / 125 |
| Heart Failure & Shock W Cc | 92 | 186 / 19 | $54.596,70 | 2609 / 164 | $8.715,29 | 2403 / 115 | $7.803,74 | 2397 / 120 |
| G.I. Hemorrhage W Cc | 92 | 126 / 14 | $60.496,90 | 2311 / 152 | $8.974,63 | 2146 / 108 | $8.017,76 | 2142 / 120 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 88 | 119 / 33 | $54.084,90 | 2328 / 166 | $9.670,65 | 2262 / 144 | $8.367,78 | 2253 / 145 |
| Simple Pneumonia & Pleurisy W Mcc | 81 | 124 / 16 | $86.024,90 | 2388 / 146 | $13.520,50 | 2353 / 142 | $12.707,30 | 2347 / 152 |
| Hip & Femur Procedures Except Major Joint W Cc | 77 | 66 / 6 | $142.329,00 | 2034 / 140 | $17.586,80 | 1909 / 118 | $16.425,70 | 1889 / 119 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 74 | 201 / 39 | $39.269,50 | 2461 / 132 | $6.812,46 | 2374 / 98 | $5.816,14 | 2359 / 118 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 70 | 112 / 15 | $66.835,60 | 1962 / 128 | $9.250,46 | 1796 / 80 | $8.166,11 | 1792 / 97 |
| Renal Failure W Cc | 69 | 152 / 22 | $48.742,20 | 2233 / 124 | $8.472,42 | 2148 / 97 | $7.686,33 | 2138 / 119 |
| Simple Pneumonia & Pleurisy W Cc | 67 | 136 / 26 | $47.902,60 | 2519 / 127 | $8.704,78 | 2488 / 116 | $7.659,28 | 2479 / 125 |
| Cellulitis W/O Mcc | 61 | 128 / 28 | $49.684,40 | 2555 / 185 | $7.639,59 | 2322 / 113 | $6.630,80 | 2314 / 128 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 59 | 109 / 17 | $90.653,10 | 1442 / 89 | $15.473,80 | 1417 / 82 | $14.374,30 | 1410 / 90 |
| Kidney & Urinary Tract Infections W/O Mcc | 59 | 174 / 52 | $36.807,30 | 2431 / 127 | $6.949,69 | 2328 / 107 | $5.847,05 | 2317 / 107 |
| Medical Back Problems W/O Mcc | 56 | 65 / 10 | $60.704,50 | 1462 / 113 | $7.652,39 | 1289 / 67 | $6.551,59 | 1284 / 76 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 53 | 108 / 14 | $50.529,10 | 2070 / 136 | $7.148,87 | 1870 / 91 | $6.147,21 | 1865 / 97 |
| Renal Failure W Mcc | 49 | 146 / 38 | $104.428,00 | 2127 / 170 | $15.041,10 | 2021 / 138 | $14.202,60 | 2017 / 147 |
| Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 42 | $61.259,00 | 2369 / 123 | $10.180,80 | 2269 / 104 | $9.200,83 | 2261 / 109 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 46 | 150 / 27 | $131.472,00 | 1378 / 83 | $17.691,70 | 1375 / 55 | $16.612,70 | 1367 / 87 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 43 | 82 / 11 | $96.305,10 | 1684 / 100 | $14.904,90 | 1602 / 91 | $13.977,60 | 1589 / 98 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 42 | 82 / 24 | $330.562,00 | 1537 / 128 | $52.568,90 | 1510 / 116 | $51.724,30 | 1500 / 121 |
| Chronic Obstructive Pulmonary Disease W Cc | 39 | 140 / 34 | $48.088,70 | 2218 / 119 | $8.362,54 | 2169 / 97 | $7.464,08 | 2162 / 114 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 42 | $45.400,60 | 2448 / 156 | $6.418,76 | 2176 / 97 | $5.464,66 | 2168 / 102 |
| Respiratory Infections & Inflammations W Mcc | 37 | 99 / 36 | $112.749,00 | 1709 / 111 | $16.955,30 | 1665 / 96 | $16.172,60 | 1649 / 102 |
| Pulmonary Edema & Respiratory Failure | 37 | 166 / 39 | $83.278,80 | 2151 / 131 | $10.906,10 | 1994 / 88 | $10.125,10 | 1988 / 104 |
| G.I. Hemorrhage W Mcc | 37 | 84 / 19 | $89.354,40 | 1508 / 99 | $15.053,50 | 1433 / 80 | $14.205,90 | 1423 / 85 |
| G.I. Obstruction W Cc | 36 | 56 / 16 | $45.583,20 | 1546 / 74 | $8.029,67 | 1564 / 77 | $7.125,67 | 1559 / 93 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 35 | 37 / 7 | $73.220,60 | 877 / 42 | $12.274,50 | 816 / 42 | $11.238,70 | 813 / 44 |
| Kidney & Urinary Tract Infections W Mcc | 35 | 109 / 31 | $51.369,40 | 1701 / 96 | $9.637,57 | 1701 / 87 | $8.672,09 | 1697 / 91 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 35 | 31 / 5 | $90.588,20 | 520 / 30 | $10.003,80 | 445 / 22 | $8.935,00 | 444 / 24 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 32 | 99 / 22 | $190.596,00 | 1829 / 127 | $23.894,20 | 1782 / 114 | $23.046,20 | 1768 / 120 |
| Spinal Fusion Except Cervical W/O Mcc | 31 | 163 / 36 | $312.162,00 | 1357 / 95 | $37.176,60 | 1301 / 70 | $36.007,20 | 1296 / 80 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 31 | 93 / 12 | $45.054,90 | 812 / 36 | $6.323,77 | 665 / 19 | $5.388,55 | 664 / 22 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 31 | 24 / 3 | $206.297,00 | 641 / 43 | $19.537,00 | 610 / 34 | $18.078,70 | 606 / 37 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 24 | $74.763,70 | 1811 / 111 | $10.744,80 | 1694 / 80 | $9.858,43 | 1691 / 91 |
| Transient Ischemia | 30 | 95 / 26 | $47.238,60 | 1545 / 100 | $6.442,40 | 1432 / 69 | $5.391,73 | 1424 / 81 |
| Permanent Cardiac Pacemaker Implant W Cc | 29 | 48 / 6 | $145.569,00 | 923 / 64 | $23.201,70 | 848 / 57 | $20.825,20 | 844 / 45 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 29 | 72 / 21 | $109.393,00 | 1079 / 72 | $18.146,80 | 1074 / 71 | $17.312,60 | 1070 / 75 |
| Respiratory Neoplasms W Mcc | 28 | 24 / 3 | $119.071,00 | 617 / 30 | $17.401,80 | 614 / 34 | $16.580,00 | 611 / 35 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 21 | $52.683,00 | 1519 / 90 | $6.910,11 | 1410 / 62 | $5.880,19 | 1406 / 76 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 27 | 64 / 9 | $57.139,00 | 1271 / 62 | $9.428,00 | 1275 / 63 | $8.449,04 | 1273 / 69 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 35 | $80.684,20 | 1565 / 96 | $9.670,27 | 1437 / 62 | $8.558,88 | 1434 / 73 |
| Syncope & Collapse | 26 | 143 / 41 | $46.577,70 | 1803 / 110 | $6.665,92 | 1650 / 71 | $5.781,00 | 1642 / 87 |
| Revision Of Hip Or Knee Replacement W Cc | 26 | 60 / 12 | $215.457,00 | 654 / 32 | $28.327,00 | 609 / 20 | $27.253,80 | 607 / 21 |
| Major Cardiovasc Procedures W/O Mcc | 26 | 75 / 16 | $229.950,00 | 984 / 57 | $29.635,10 | 919 / 43 | $28.613,60 | 918 / 44 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 25 | 40 / 8 | $227.745,00 | 908 / 48 | $27.258,50 | 840 / 38 | $26.152,50 | 836 / 41 |
| Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 21 | $40.995,60 | 1909 / 90 | $6.258,71 | 1747 / 65 | $5.305,38 | 1734 / 69 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 24 | 45 / 6 | $227.177,00 | 474 / 21 | $23.281,70 | 448 / 12 | $22.069,80 | 448 / 16 |
| Extracranial Procedures W/O Cc/Mcc | 23 | 75 / 17 | $118.251,00 | 928 / 56 | $9.375,43 | 864 / 38 | $8.320,83 | 861 / 44 |
| Major Small & Large Bowel Procedures W Cc | 23 | 85 / 32 | $183.180,00 | 1503 / 103 | $23.354,40 | 1446 / 72 | $22.304,00 | 1432 / 92 |
| Other Vascular Procedures W Cc | 23 | 79 / 21 | $180.548,00 | 1107 / 65 | $23.538,70 | 1055 / 47 | $22.545,30 | 1050 / 52 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 20 | $66.213,30 | 1389 / 110 | $8.905,73 | 1251 / 77 | $7.915,18 | 1247 / 86 |
| Seizures W Mcc | 22 | 44 / 9 | $77.742,00 | 667 / 36 | $12.950,00 | 587 / 22 | $11.962,30 | 587 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 27 | $37.450,60 | 1894 / 103 | $5.241,23 | 1698 / 67 | $4.087,77 | 1692 / 76 |
| Major Chest Procedures W Cc | 21 | 53 / 10 | $208.599,00 | 498 / 31 | $22.868,70 | 467 / 19 | $21.889,00 | 465 / 23 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 21 | 33 / 7 | $63.952,70 | 394 / 18 | $6.728,81 | 311 / 10 | $5.579,86 | 311 / 13 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 26 | $33.480,20 | 1805 / 47 | $6.499,20 | 1863 / 61 | $5.654,40 | 1852 / 77 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 20 | 76 / 22 | $192.640,00 | 819 / 49 | $19.585,60 | 749 / 32 | $17.199,30 | 745 / 36 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 28 | $63.689,90 | 1285 / 57 | $12.064,00 | 1354 / 77 | $11.214,40 | 1349 / 84 |
| Peripheral Vascular Disorders W Cc | 19 | 65 / 14 | $49.714,90 | 1145 / 59 | $8.334,84 | 1035 / 43 | $7.445,58 | 1032 / 46 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 40 | $56.472,90 | 1566 / 107 | $9.880,05 | 1432 / 82 | $8.923,42 | 1429 / 81 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 25 | $73.266,20 | 1387 / 107 | $10.580,20 | 1242 / 68 | $9.689,26 | 1237 / 74 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 23 | $36.350,90 | 1195 / 62 | $5.693,61 | 1160 / 54 | $4.621,61 | 1157 / 67 |
| Other Vascular Procedures W Mcc | 18 | 79 / 24 | $226.277,00 | 987 / 79 | $33.135,80 | 952 / 68 | $32.461,90 | 949 / 69 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 18 | 80 / 15 | $346.006,00 | 499 / 40 | $42.793,60 | 475 / 27 | $41.918,90 | 475 / 32 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 25 | $159.658,00 | 865 / 41 | $27.313,60 | 889 / 45 | $26.176,60 | 884 / 52 |
| Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 11 | $180.162,00 | 928 / 56 | $25.912,50 | 869 / 52 | $24.990,20 | 866 / 54 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 28 | $43.330,00 | 1845 / 86 | $6.383,18 | 1740 / 64 | $5.314,00 | 1732 / 73 |
| Diabetes W Cc | 17 | 75 / 18 | $55.988,50 | 1566 / 101 | $7.530,94 | 1370 / 60 | $6.601,06 | 1365 / 66 |
| Nervous System Neoplasms W Mcc | 17 | 31 / 6 | $106.341,00 | 301 / 16 | $13.299,40 | 278 / 9 | $12.311,20 | 278 / 9 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 8 | $45.608,70 | 882 / 37 | $5.923,35 | 722 / 23 | $4.929,47 | 721 / 22 |
| Other Digestive System Diagnoses W Mcc | 17 | 45 / 17 | $109.674,00 | 738 / 72 | $14.680,80 | 621 / 39 | $13.826,20 | 620 / 46 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 17 | 39 / 9 | $137.975,00 | 664 / 45 | $20.130,70 | 643 / 40 | $19.188,60 | 642 / 42 |
| Major Cardiovasc Procedures W Mcc | 16 | 52 / 14 | $381.095,00 | 635 / 43 | $51.934,60 | 610 / 37 | $50.800,60 | 609 / 38 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 17 | $336.947,00 | 947 / 69 | $46.146,90 | 888 / 55 | $45.092,90 | 887 / 61 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 24 | $288.954,00 | 1223 / 64 | $43.907,30 | 1142 / 47 | $43.083,30 | 1140 / 52 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 15 | 36 / 13 | $284.894,00 | 352 / 29 | $34.294,20 | 351 / 29 | $33.413,10 | 351 / 30 |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 18 | $49.494,60 | 1001 / 48 | $7.907,73 | 940 / 39 | $6.945,60 | 936 / 47 |
| Cellulitis W Mcc | 15 | 43 / 19 | $101.095,00 | 950 / 83 | $14.186,30 | 906 / 70 | $13.197,50 | 904 / 74 |
| Renal Failure W/O Cc/Mcc | 15 | 41 / 6 | $27.367,90 | 714 / 7 | $5.744,33 | 740 / 19 | $4.861,13 | 738 / 20 |
| Major Chest Procedures W Mcc | 14 | 35 / 11 | $302.553,00 | 315 / 17 | $41.828,90 | 282 / 11 | $41.051,70 | 281 / 13 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 17 | $36.284,60 | 823 / 33 | $6.412,21 | 814 / 41 | $5.379,07 | 813 / 46 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 41 | $370.638,00 | 1054 / 118 | $53.944,30 | 1002 / 103 | $53.084,80 | 1001 / 108 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 24 | $39.835,00 | 1220 / 53 | $6.205,86 | 1060 / 39 | $5.165,86 | 1057 / 42 |
| Other Multiple Significant Trauma W Cc | 14 | 11 / 1 | $104.660,00 | 46 / 2 | $12.267,90 | 31 / 1 | $11.147,90 | 31 / 1 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 14 | 55 / 18 | $157.633,00 | 491 / 32 | $23.783,40 | 476 / 24 | $22.663,40 | 475 / 31 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 20 | $53.302,40 | 517 / 37 | $7.865,50 | 414 / 16 | $7.086,07 | 414 / 17 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 18 | $52.786,70 | 786 / 51 | $6.918,23 | 674 / 31 | $5.707,15 | 672 / 32 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 10 | $45.085,50 | 365 / 4 | $10.590,30 | 408 / 7 | $10.013,10 | 408 / 9 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 18 | $54.283,40 | 897 / 37 | $11.102,10 | 923 / 41 | $10.075,60 | 919 / 42 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 13 | 33 / 12 | $398.108,00 | 107 / 9 | $69.719,60 | 101 / 9 | $68.503,70 | 101 / 9 |
| Disorders Of The Biliary Tract W Cc | 13 | 41 / 11 | $51.611,70 | 402 / 16 | $9.136,62 | 376 / 16 | $8.021,54 | 376 / 17 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 12 | $144.915,00 | 433 / 33 | $21.404,20 | 428 / 27 | $20.385,10 | 427 / 31 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 21 | $54.811,70 | 986 / 38 | $10.463,40 | 1005 / 49 | $9.626,46 | 1003 / 56 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 17 | $342.013,00 | 743 / 50 | $47.471,40 | 718 / 42 | $46.910,10 | 718 / 46 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 13 | 63 / 23 | $88.462,20 | 468 / 42 | $16.142,80 | 457 / 38 | $15.490,50 | 457 / 45 |
| Seizures W/O Mcc | 13 | 95 / 29 | $51.775,60 | 1242 / 69 | $6.954,08 | 1062 / 43 | $5.932,54 | 1060 / 44 |
| Permanent Cardiac Pacemaker Implant W Mcc | 13 | 39 / 11 | $172.623,00 | 542 / 26 | $29.801,80 | 518 / 22 | $28.964,80 | 518 / 26 |
| Pleural Effusion W Mcc | 13 | 17 / 4 | $62.006,50 | 157 / 3 | $13.780,50 | 172 / 7 | $13.032,20 | 172 / 8 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 12 | 106 / 27 | $380.281,00 | 526 / 32 | $45.713,50 | 488 / 13 | $44.513,50 | 488 / 20 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 16 | $416.908,00 | 611 / 32 | $45.695,90 | 605 / 27 | $44.586,60 | 605 / 30 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 11 | $51.695,00 | 799 / 25 | $6.955,08 | 749 / 26 | $5.757,75 | 745 / 23 |
| Other Disorders Of Nervous System W Mcc | 12 | 28 / 11 | $84.603,50 | 292 / 21 | $14.963,50 | 288 / 22 | $14.270,20 | 288 / 23 |
| Other Disorders Of Nervous System W Cc | 12 | 44 / 15 | $51.249,00 | 559 / 30 | $7.834,33 | 535 / 24 | $7.330,33 | 534 / 32 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 18 | $74.614,40 | 1261 / 67 | $8.880,33 | 1174 / 40 | $7.976,33 | 1171 / 60 |
| Major Chest Trauma W Cc | 11 | 25 / 6 | $90.616,90 | 142 / 6 | $10.740,50 | 134 / 5 | $9.061,55 | 134 / 6 |
| Other O.R. Procedures For Injuries W Mcc | 11 | 26 / 7 | $252.259,00 | 194 / 10 | $44.869,80 | 128 / 7 | $30.236,20 | 128 / 2 |
| Extracranial Procedures W Cc | 11 | 35 / 7 | $153.043,00 | 372 / 14 | $14.382,90 | 356 / 11 | $13.283,40 | 356 / 13 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 19 | $121.929,00 | 845 / 59 | $14.485,40 | 816 / 43 | $13.275,20 | 812 / 52 |
| Medical Back Problems W Mcc | 11 | 28 / 9 | $77.332,10 | 287 / 13 | $14.154,10 | 270 / 15 | $12.620,90 | 270 / 15 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 13 | $141.436,00 | 397 / 18 | $22.737,40 | 349 / 11 | $21.748,30 | 347 / 17 | Total 112 procedures | 3.811 | 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.