Medicare Cost Comparison Tool

**Note: MCC stands for Major Complications or Comorbidities, CC stands for Complications or Comorbidities**

Condition
State
Name of Condition State Discharges Average Total Charges Average Total Payments Average Medicare Payments
310 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC MD 2766 5467.52 5165.57 4155.29
313 - CHEST PAIN MD 3932 5639.48 5353.81 4409.23
303 - ATHEROSCLEROSIS W/O MCC MD 885 5836.58 5525.22 4548.85
203 - BRONCHITIS & ASTHMA W/O CC/MCC MD 565 5969.83 5642.58 4535.36
305 - HYPERTENSION W/O MCC MD 922 6011.23 5674.85 4650.11
149 - DYSEQUILIBRIUM MD 1109 6013.12 5672.75 4599.24
390 - G.I. OBSTRUCTION W/O CC/MCC MD 778 6266.42 5933.67 4846.63
684 - RENAL FAILURE W/O CC/MCC MD 1052 6298.22 5935.48 5014.72
195 - SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC MD 1560 6472.63 6108.61 5067.49
897 - ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC MD 899 6496.56 6120.63 5326.7
293 - HEART FAILURE & SHOCK W/O CC/MCC MD 2209 6604.33 6227.8 5374.46
312 - SYNCOPE & COLLAPSE MD 4389 6615.09 6240.77 5250.09
918 - POISONING & TOXIC EFFECTS OF DRUGS W/O MCC MD 790 6616.0 6283.59 5340.08
684 - RENAL FAILURE W/O CC/MCC ND 65 6661.03 4209.34 3227.23
203 - BRONCHITIS & ASTHMA W/O CC/MCC ND 25 6685.12 3873.44 2791.84
536 - FRACTURES OF HIP & PELVIS W/O MCC MD 651 6739.0 6341.58 5344.75
379 - G.I. HEMORRHAGE W/O CC/MCC MD 1379 6777.77 6398.41 5349.83
310 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC ND 195 6901.58 3751.13 2642.39
069 - TRANSIENT ISCHEMIA MD 2510 6907.58 6507.9 5490.91
192 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC MD 2642 6907.7 6510.86 5580.67
282 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC MD 849 6947.16 6575.81 5501.51
641 - MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC MD 3826 7090.82 6685.33 5829.39
392 - ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC MD 5439 7108.51 6708.71 5726.02
563 - FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC MD 856 7147.47 6747.33 5671.44
948 - SIGNS & SYMPTOMS W/O MCC MD 1721 7268.42 6856.57 6014.15
301 - PERIPHERAL VASCULAR DISORDERS W/O CC/MCC MD 587 7284.28 6892.04 5908.38
303 - ATHEROSCLEROSIS W/O MCC ND 75 7295.92 3820.33 2962.21
690 - KIDNEY & URINARY TRACT INFECTIONS W/O MCC MD 5304 7427.26 6991.4 6128.8
390 - G.I. OBSTRUCTION W/O CC/MCC ND 100 7512.99 4175.41 3126.77
918 - POISONING & TOXIC EFFECTS OF DRUGS W/O MCC ND 43 7564.35 3964.74 3392.28
309 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC MD 2538 7647.54 7209.04 6260.21
812 - RED BLOOD CELL DISORDERS W/O MCC MD 2328 7724.93 7290.99 6380.81
101 - SEIZURES W/O MCC MD 1496 7834.37 7390.45 6430.92
552 - MEDICAL BACK PROBLEMS W/O MCC MD 1855 7836.75 7401.49 6309.6
603 - CELLULITIS W/O MCC MD 3386 7916.69 7476.85 6384.13
293 - HEART FAILURE & SHOCK W/O CC/MCC ND 160 7975.47 4394.19 3623.54
638 - DIABETES W CC MD 1397 8037.28 7580.66 6599.8
149 - DYSEQUILIBRIUM ND 24 8060.63 4271.92 3008.04
203 - BRONCHITIS & ASTHMA W/O CC/MCC MT 23 8072.78 4272.22 2804.13
897 - ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC MA 3047 8129.47 5162.55 4401.41
066 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC MD 1506 8175.49 7716.38 6563.02
305 - HYPERTENSION W/O MCC VT 16 8227.38 5201.44 4287.69
074 - CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC MD 837 8303.49 7827.17 6857.64
203 - BRONCHITIS & ASTHMA W/O CC/MCC WV 259 8347.89 3692.03 2513.46
390 - G.I. OBSTRUCTION W/O CC/MCC MT 108 8444.84 4169.49 2847.75
202 - BRONCHITIS & ASTHMA W CC/MCC MD 918 8456.3 7984.79 6841.67
313 - CHEST PAIN ND 138 8521.88 3839.75 2642.46
310 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC WV 1230 8524.3 3480.39 2412.37
389 - G.I. OBSTRUCTION W CC MD 1217 8540.75 8055.93 7084.14
310 - CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC VT 221 8541.13 4837.72 3830.38
305 - HYPERTENSION W/O MCC ND 30 8614.9 3997.03 3021.3