Hospital Costs > In New York > Westchester Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Leukemia W/O Major O.R. Procedure W Mcc | 14 | 22 / 3 | $434.429,00 | 60 / 5 | $92.285,00 | 56 / 5 | $71.015,40 | 56 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 23 | $78.812,30 | 1394 / 84 | $15.801,60 | 1410 / 80 | $11.919,10 | 1408 / 77 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 50 | 75 / 18 | $128.767,00 | 1785 / 106 | $25.900,20 | 1805 / 101 | $21.669,70 | 1792 / 98 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 24 | 29 / 9 | $68.717,10 | 846 / 56 | $12.374,90 | 852 / 54 | $9.800,71 | 848 / 52 |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 13 | 62 / 24 | $71.759,20 | 85 / 27 | $12.233,30 | 85 / 22 | $11.461,60 | 85 / 27 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 25 | 99 / 33 | $27.835,70 | 664 / 47 | $9.185,16 | 806 / 42 | $8.017,00 | 805 / 48 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 17 | 32 / 17 | $29.620,90 | 112 / 31 | $7.053,82 | 101 / 21 | $6.410,06 | 100 / 24 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 11 | 21 / 7 | $384.401,00 | 169 / 10 | $81.773,40 | 169 / 10 | $70.754,90 | 169 / 10 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 13 | 21 / 7 | $507.166,00 | 193 / 17 | $119.412,00 | 193 / 17 | $101.441,00 | 193 / 17 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 19 | 70 / 14 | $71.001,60 | 713 / 29 | $13.753,10 | 756 / 27 | $11.236,90 | 755 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 47 | $54.120,00 | 2098 / 117 | $11.702,20 | 2134 / 99 | $9.717,83 | 2129 / 101 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 48 | $87.998,90 | 1874 / 106 | $20.107,80 | 1911 / 101 | $16.886,80 | 1908 / 102 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 59 | $45.162,40 | 1951 / 115 | $9.857,38 | 1972 / 106 | $7.511,38 | 1966 / 103 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 15 | 54 / 17 | $574.244,00 | 282 / 22 | $132.033,00 | 291 / 22 | $121.552,00 | 291 / 22 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 20 | 98 / 17 | $279.877,00 | 495 / 24 | $59.815,20 | 531 / 22 | $54.819,90 | 531 / 24 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 46 | 70 / 10 | $386.113,00 | 436 / 21 | $91.607,20 | 472 / 21 | $85.376,50 | 472 / 21 |
| Cellulitis W/O Mcc | 44 | 145 / 55 | $65.600,80 | 2620 / 142 | $13.395,60 | 2608 / 127 | $10.887,80 | 2600 / 127 |
| Cervical Spinal Fusion W Cc | 11 | 42 / 10 | $169.433,00 | 367 / 15 | $36.100,10 | 381 / 14 | $32.683,50 | 380 / 16 |
| Cervical Spinal Fusion W/O Cc/Mcc | 15 | 89 / 17 | $99.326,50 | 767 / 26 | $24.026,10 | 860 / 24 | $21.853,50 | 857 / 27 |
| Chemo W Acute Leukemia As Sdx W/O Cc/Mcc | 11 | 8 / 2 | $72.908,00 | 13 / 2 | $22.574,90 | 14 / 2 | $19.713,30 | 14 / 2 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 25 | 66 / 9 | $47.717,00 | 307 / 18 | $15.249,50 | 383 / 20 | $13.339,20 | 383 / 21 |
| Chest Pain | 23 | 128 / 52 | $44.929,10 | 1649 / 96 | $9.614,26 | 1662 / 77 | $8.021,13 | 1653 / 78 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 61 | $56.747,00 | 2334 / 134 | $12.238,50 | 2399 / 111 | $10.700,90 | 2392 / 113 |
| Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 64 | $114.457,00 | 2563 / 132 | $18.401,90 | 2565 / 122 | $16.117,90 | 2557 / 122 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 44 | $45.646,00 | 2022 / 124 | $10.412,20 | 2077 / 106 | $8.594,73 | 2065 / 105 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 24 | $120.273,00 | 839 / 36 | $27.044,30 | 898 / 35 | $23.710,30 | 890 / 36 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 46 | 142 / 28 | $102.508,00 | 1624 / 65 | $18.157,80 | 1635 / 62 | $14.967,20 | 1632 / 61 |
| Cirrhosis & Alcoholic Hepatitis W Cc | 13 | 13 / 4 | $55.345,70 | 86 / 6 | $13.581,00 | 92 / 6 | $11.417,70 | 92 / 7 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 15 | 27 / 7 | $145.272,00 | 295 / 20 | $36.143,50 | 296 / 20 | $30.409,70 | 296 / 20 |
| Complications Of Treatment W Cc | 14 | 38 / 11 | $77.879,70 | 360 / 24 | $17.427,30 | 363 / 24 | $13.388,40 | 363 / 24 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 24 | 52 / 10 | $282.395,00 | 577 / 29 | $57.100,10 | 614 / 27 | $51.688,10 | 614 / 29 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 17 | 42 / 5 | $374.530,00 | 232 / 10 | $81.018,10 | 240 / 10 | $74.067,50 | 239 / 10 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 26 | 62 / 10 | $210.824,00 | 548 / 21 | $43.624,00 | 588 / 19 | $39.265,50 | 587 / 21 |
| Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 14 | 28 / 6 | $295.630,00 | 161 / 10 | $66.376,40 | 174 / 8 | $60.207,90 | 174 / 9 |
| Craniotomy & Endovascular Intracranial Procedures W Cc | 16 | 39 / 6 | $174.574,00 | 217 / 9 | $35.343,00 | 220 / 8 | $31.864,20 | 220 / 9 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 17 | 81 / 14 | $366.791,00 | 502 / 25 | $78.310,40 | 511 / 25 | $70.201,70 | 511 / 25 |
| Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 30 | $88.443,70 | 869 / 74 | $17.328,40 | 866 / 68 | $14.061,50 | 866 / 67 |
| Diabetes W Cc | 18 | 74 / 31 | $61.046,20 | 1593 / 101 | $12.776,70 | 1592 / 85 | $10.599,00 | 1587 / 85 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 42 | 28 / 4 | $75.068,30 | 560 / 22 | $14.554,70 | 557 / 21 | $11.896,50 | 557 / 21 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 34 | 42 / 5 | $199.347,00 | 561 / 24 | $40.512,40 | 561 / 24 | $34.127,00 | 561 / 24 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 59 | 25 / 3 | $1.065.530,00 | 434 / 35 | $262.542,00 | 446 / 35 | $232.180,00 | 445 / 35 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 33 | $79.991,20 | 1415 / 79 | $16.603,40 | 1430 / 70 | $13.486,70 | 1425 / 67 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 44 | 231 / 69 | $64.383,40 | 2714 / 139 | $12.134,30 | 2697 / 125 | $9.742,09 | 2682 / 122 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 12 | $212.981,00 | 426 / 25 | $46.836,60 | 430 / 25 | $41.106,10 | 428 / 25 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 19 | 44 / 13 | $496.093,00 | 757 / 45 | $110.523,00 | 760 / 45 | $95.979,80 | 760 / 45 |
| Extracranial Procedures W/O Cc/Mcc | 23 | 75 / 15 | $68.180,40 | 867 / 39 | $14.861,40 | 923 / 38 | $10.872,60 | 920 / 38 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 21 | $66.494,10 | 917 / 65 | $11.867,40 | 915 / 64 | $8.647,79 | 914 / 60 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 15 | 47 / 29 | $60.316,50 | 803 / 75 | $11.445,50 | 808 / 69 | $9.870,13 | 806 / 71 |
| G.I. Hemorrhage W Cc | 25 | 193 / 64 | $82.751,00 | 2406 / 128 | $17.012,00 | 2419 / 120 | $13.751,20 | 2415 / 120 |
| G.I. Hemorrhage W Mcc | 18 | 103 / 36 | $173.534,00 | 1669 / 89 | $33.564,20 | 1676 / 89 | $30.180,20 | 1666 / 89 |
| G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 25 | $32.910,60 | 850 / 62 | $10.552,50 | 985 / 60 | $7.710,00 | 981 / 57 |
| G.I. Obstruction W Cc | 15 | 77 / 31 | $67.482,30 | 1701 / 88 | $13.206,10 | 1720 / 85 | $10.535,80 | 1715 / 85 |
| Heart Failure & Shock W Cc | 37 | 241 / 70 | $79.279,20 | 2746 / 142 | $15.784,80 | 2737 / 128 | $12.891,90 | 2731 / 127 |
| Heart Failure & Shock W Mcc | 30 | 254 / 69 | $154.739,00 | 2632 / 135 | $30.462,30 | 2637 / 134 | $25.158,50 | 2626 / 132 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 47 | $36.259,60 | 1841 / 115 | $10.340,60 | 1985 / 103 | $8.579,31 | 1972 / 102 |
| Hip & Femur Procedures Except Major Joint W Cc | 33 | 110 / 37 | $115.984,00 | 1981 / 103 | $22.077,60 | 2007 / 90 | $19.484,20 | 1985 / 91 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 45 | $582.093,00 | 1591 / 91 | $131.774,00 | 1604 / 91 | $114.794,00 | 1594 / 91 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 69 | 113 / 17 | $107.587,00 | 2074 / 110 | $19.186,20 | 2067 / 105 | $14.362,40 | 2062 / 103 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 62 | 106 / 15 | $202.617,00 | 1635 / 91 | $39.035,10 | 1640 / 91 | $33.447,70 | 1633 / 91 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 31 | $73.385,40 | 1596 / 84 | $12.909,80 | 1601 / 79 | $10.485,00 | 1597 / 79 |
| Kidney & Ureter Procedures For Non-Neoplasm W Cc | 14 | 31 / 9 | $151.639,00 | 204 / 15 | $32.364,10 | 205 / 15 | $28.508,40 | 205 / 15 |
| Kidney & Urinary Tract Infections W/O Mcc | 56 | 177 / 50 | $59.088,90 | 2684 / 137 | $12.403,30 | 2671 / 124 | $9.469,04 | 2660 / 119 |
| Kidney Transplant | 14 | 87 / 11 | $233.639,00 | 127 / 11 | $44.231,00 | 147 / 8 | $30.721,10 | 147 / 8 |
| Major Cardiovasc Procedures W Mcc | 24 | 44 / 12 | $561.235,00 | 647 / 29 | $131.765,00 | 649 / 29 | $118.650,00 | 648 / 29 |
| Major Cardiovasc Procedures W/O Mcc | 37 | 64 / 12 | $152.273,00 | 884 / 41 | $38.729,50 | 991 / 41 | $35.849,70 | 990 / 41 |
| Major Chest Procedures W Cc | 15 | 59 / 14 | $134.573,00 | 458 / 31 | $27.078,40 | 481 / 27 | $24.357,30 | 479 / 28 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 16 | 37 / 9 | $129.162,00 | 483 / 31 | $24.037,10 | 483 / 31 | $19.716,70 | 483 / 31 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 104 | 460 / 56 | $97.633,90 | 2445 / 120 | $23.163,30 | 2619 / 105 | $20.467,90 | 2573 / 109 |
| Major Small & Large Bowel Procedures W Cc | 12 | 96 / 36 | $148.166,00 | 1438 / 76 | $27.353,50 | 1496 / 66 | $24.717,50 | 1482 / 71 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 27 | $450.192,00 | 1289 / 63 | $88.043,60 | 1297 / 62 | $74.739,70 | 1294 / 62 |
| Medical Back Problems W/O Mcc | 33 | 88 / 31 | $70.691,20 | 1482 / 91 | $12.592,10 | 1464 / 81 | $9.780,48 | 1459 / 80 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 34 | 92 / 29 | $76.817,70 | 1691 / 96 | $15.377,90 | 1696 / 76 | $12.931,80 | 1692 / 75 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 57 | $73.730,90 | 2540 / 139 | $12.609,20 | 2525 / 127 | $10.253,00 | 2516 / 126 |
| Non-Extensive Burns | 11 | 18 / 2 | $143.391,00 | 41 / 3 | $28.726,50 | 38 / 3 | $24.231,60 | 38 / 3 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 24 | 53 / 11 | $48.834,10 | 253 / 23 | $18.546,80 | 405 / 24 | $16.549,40 | 404 / 26 |
| Other Circulatory System Diagnoses W Cc | 15 | 51 / 17 | $72.120,10 | 658 / 36 | $15.535,50 | 670 / 36 | $12.871,10 | 669 / 36 |
| Other Circulatory System Diagnoses W Mcc | 23 | 93 / 25 | $117.699,00 | 1333 / 79 | $27.236,90 | 1377 / 71 | $23.374,90 | 1369 / 73 |
| Other Circulatory System O.R. Procedures | 16 | 39 / 13 | $207.522,00 | 452 / 29 | $44.496,90 | 451 / 29 | $38.290,50 | 451 / 29 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 36 | $91.791,70 | 1432 / 76 | $20.281,20 | 1415 / 76 | $11.578,70 | 1411 / 68 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 24 | $131.044,00 | 750 / 49 | $31.555,10 | 753 / 49 | $27.135,80 | 752 / 48 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 17 | 86 / 24 | $63.497,60 | 829 / 49 | $14.623,10 | 839 / 46 | $11.368,00 | 839 / 43 |
| Other O.R. Procedures For Injuries W Mcc | 11 | 26 / 6 | $206.951,00 | 182 / 9 | $59.883,80 | 196 / 9 | $53.885,70 | 196 / 9 |
| Other Vascular Procedures W Cc | 42 | 60 / 15 | $220.499,00 | 1130 / 52 | $43.515,20 | 1137 / 52 | $36.812,40 | 1132 / 52 |
| Other Vascular Procedures W Mcc | 33 | 64 / 12 | $268.490,00 | 997 / 55 | $56.920,70 | 1003 / 55 | $49.873,10 | 1000 / 55 |
| Other Vascular Procedures W/O Cc/Mcc | 14 | 42 / 16 | $119.402,00 | 537 / 27 | $23.462,70 | 550 / 27 | $20.473,10 | 549 / 27 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 36 | 160 / 33 | $91.231,30 | 1064 / 41 | $24.949,90 | 1443 / 50 | $19.090,80 | 1435 / 46 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 14 | 31 / 7 | $179.006,00 | 259 / 12 | $38.071,40 | 271 / 11 | $33.799,10 | 270 / 11 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 25 | 44 / 5 | $124.778,00 | 532 / 29 | $29.895,90 | 561 / 29 | $24.360,10 | 559 / 29 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 31 | 64 / 14 | $132.498,00 | 558 / 30 | $25.176,20 | 592 / 30 | $21.448,10 | 588 / 31 |
| Peripheral Vascular Disorders W Cc | 21 | 63 / 27 | $95.699,50 | 1253 / 78 | $16.264,30 | 1253 / 75 | $13.036,30 | 1250 / 73 |
| Pulmonary Edema & Respiratory Failure | 13 | 190 / 52 | $77.436,10 | 2116 / 105 | $13.731,20 | 2147 / 87 | $12.367,50 | 2141 / 89 |
| Red Blood Cell Disorders W/O Mcc | 38 | 105 / 39 | $77.880,00 | 1998 / 115 | $14.708,50 | 1984 / 104 | $11.731,40 | 1975 / 104 |
| Renal Failure W Cc | 52 | 169 / 39 | $77.768,60 | 2422 / 127 | $15.733,10 | 2412 / 114 | $11.870,10 | 2402 / 111 |
| Renal Failure W Mcc | 37 | 158 / 35 | $135.163,00 | 2158 / 108 | $29.776,10 | 2168 / 107 | $24.834,40 | 2164 / 104 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 41 | $147.489,00 | 1771 / 99 | $41.379,60 | 1741 / 100 | $21.535,80 | 1727 / 72 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 21 | $296.746,00 | 914 / 63 | $63.182,70 | 962 / 56 | $56.338,90 | 961 / 57 |
| Seizures W/O Mcc | 26 | 82 / 34 | $64.305,50 | 1296 / 102 | $13.090,30 | 1302 / 90 | $11.003,50 | 1300 / 90 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 23 | 69 / 30 | $426.003,00 | 1075 / 80 | $93.018,70 | 1101 / 80 | $84.176,00 | 1100 / 79 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 79 | 437 / 92 | $157.792,00 | 2812 / 146 | $30.134,40 | 2815 / 138 | $25.547,80 | 2770 / 136 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 62 | $85.609,20 | 2552 / 137 | $15.285,40 | 2527 / 119 | $12.127,40 | 2517 / 116 |
| Signs & Symptoms W/O Mcc | 16 | 75 / 34 | $44.509,70 | 1275 / 86 | $10.761,80 | 1305 / 74 | $8.788,81 | 1302 / 72 |
| Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 65 | $85.465,30 | 2809 / 142 | $16.007,80 | 2801 / 133 | $12.221,10 | 2792 / 131 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 57 | $110.475,00 | 2491 / 126 | $22.536,40 | 2513 / 119 | $18.954,80 | 2507 / 118 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 34 | $53.754,70 | 1925 / 100 | $10.948,60 | 1952 / 90 | $8.870,00 | 1944 / 91 |
| Spinal Fusion Except Cervical W/O Mcc | 57 | 137 / 12 | $169.144,00 | 1191 / 53 | $40.214,90 | 1307 / 47 | $37.057,50 | 1302 / 52 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 15 | 33 / 7 | $76.736,70 | 213 / 17 | $18.852,10 | 232 / 17 | $16.493,60 | 231 / 17 |
| Syncope & Collapse | 43 | 126 / 53 | $60.364,10 | 1902 / 114 | $11.995,20 | 1881 / 100 | $8.790,56 | 1873 / 93 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 16 | 48 / 20 | $674.982,00 | 549 / 47 | $155.361,00 | 562 / 45 | $138.082,00 | 561 / 45 |
| Transient Ischemia | 19 | 106 / 39 | $59.186,10 | 1629 / 101 | $10.536,20 | 1637 / 87 | $8.387,11 | 1629 / 87 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 22 | 44 / 8 | $99.013,40 | 525 / 29 | $17.794,30 | 529 / 29 | $14.697,60 | 528 / 29 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 19 | 35 / 7 | $67.388,10 | 396 / 25 | $12.453,90 | 390 / 23 | $8.796,00 | 390 / 20 | Total 111 procedures | 2.768 | 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.