Average Covered Charges Measures

These measures describe the average covered charge for a medical or surgical inpatient admission billed to Medicare. The measures are separated by individual MS-DRG numbers and they can all be grouped under measure group id 55.

Queries

Acquiring data on CMS Average Covered Charges 

select a.* from entity_values as a, measure_groups_measures as b
where a.measure_id = b.measure_id 
and a.entity_id = ######
and b.measure_group_id = 55

measure_iddrgdescription_friendlyauthor_measure_id
14164039Average Covered Charges for Extracranial procedures w/o CC/MCCAVGcovCHARGE_MSDRG_039
14165057Average Covered Charges for Degenerative nervous system disorders w/o MCCAVGcovCHARGE_MSDRG_057
14166064Average Covered Charges for Intracranial hemorrhage or cerebral infarction w MCCAVGcovCHARGE_MSDRG_064
14167065Average Covered Charges for Intracranial hemorrhage or cerebral infarction w CCAVGcovCHARGE_MSDRG_065
14168066Average Covered Charges for Intracranial hemorrhage or cerebral infarction w/o CC/MCCAVGcovCHARGE_MSDRG_066
14169069Average Covered Charges for Transient ischemiaAVGcovCHARGE_MSDRG_069
14170074Average Covered Charges for Cranial & peripheral nerve disorders w/o MCCAVGcovCHARGE_MSDRG_074
14171101Average Covered Charges for Seizures w/o MCCAVGcovCHARGE_MSDRG_101
14172176Average Covered Charges for Pulmonary embolism w/o MCCAVGcovCHARGE_MSDRG_176
14173177Average Covered Charges for Respiratory infections & inflammations w MCCAVGcovCHARGE_MSDRG_177
14174178Average Covered Charges for Respiratory infections & inflammations w CCAVGcovCHARGE_MSDRG_178
14175189Average Covered Charges for Pulmonary edema & respiratory failureAVGcovCHARGE_MSDRG_189
14176190Average Covered Charges for Chronic Obstructive pulmonary disease w MCCAVGcovCHARGE_MSDRG_190
14177191Average Covered Charges for Chronic Obstructive pulmonary disease w CCAVGcovCHARGE_MSDRG_191
14178192Average Covered Charges for MS-DRG 192, Chronic Obstructive Pulmonary Disease without complications or comorbiditiesAVGcovCHARGE_MSDRG_192
14179193Average Covered Charges for Simple pneumonia & pleurisy w MCCAVGcovCHARGE_MSDRG_193
14180194Average Covered Charges for Simple pneumonia & pleurisy w CCAVGcovCHARGE_MSDRG_194
14181195Average Covered Charges for MS-DRG 195, Pneumonia without complications or comorbiditiesAVGcovCHARGE_MSDRG_195
14182202Average Covered Charges for Bronchitis & asthma w CC/MCCAVGcovCHARGE_MSDRG_202
14183207Average Covered Charges for Respiratory system diagnosis w ventilator support 96+ hoursAVGcovCHARGE_MSDRG_207
14184208Average Covered Charges for Respiratory system diagnosis w ventilator support <96 hoursAVGcovCHARGE_MSDRG_208
14185238Average Covered Charges for Major cardiovasc procedures w/o MCCAVGcovCHARGE_MSDRG_238
14186243Average Covered Charges for Permanent cardiac pacemaker implant w CCAVGcovCHARGE_MSDRG_243
14187244Average Covered Charges for Permanent cardiac pacemaker implant w/o CC/MCCAVGcovCHARGE_MSDRG_244
14188246Average Covered Charges for Perc cardiovasc proc w drug-eluting stent w MCC or 4+ vessels/stentsAVGcovCHARGE_MSDRG_246
14189247Average Covered Charges for Perc cardiovasc proc w drug-eluting stent w/o MCCAVGcovCHARGE_MSDRG_247
14190249Average Covered Charges for Perc cardiovasc proc w non-drug-eluting stent w/o MCCAVGcovCHARGE_MSDRG_249
14191251Average Covered Charges for Perc cardiovasc proc w/o coronary artery stent w/o MCCAVGcovCHARGE_MSDRG_251
14192252Average Covered Charges for Other vascular procedures w MCCAVGcovCHARGE_MSDRG_252
14193253Average Covered Charges for Other vascular procedures w CCAVGcovCHARGE_MSDRG_253
14194254Average Covered Charges for Other vascular procedures w/o CC/MCCAVGcovCHARGE_MSDRG_254
14195280Average Covered Charges for Acute myocardial infarction, discharged alive w MCCAVGcovCHARGE_MSDRG_280
14196281Average Covered Charges for Acute myocardial infarction, discharged alive w CCAVGcovCHARGE_MSDRG_281
14197282Average Covered Charges for Acute myocardial infarction, discharged alive w/o CC/MCCAVGcovCHARGE_MSDRG_282
14198286Average Covered Charges for Circulatory disorders except AMI, w card cath w MCCAVGcovCHARGE_MSDRG_286
14199287Average Covered Charges for Circulatory disorders except AMI, w card cath w/o MCCAVGcovCHARGE_MSDRG_287
14200291Average Covered Charges for MS-DRG 291, Heart Failure with Multiple ComplicationsAVGcovCHARGE_MSDRG_291
14201292Average Covered Charges for MS-DRG 292, Heart Failure with ComplicationsAVGcovCHARGE_MSDRG_292
14202293Average Covered Charges for MS-DRG 293, Heart Failure without complications or comorbiditiesAVGcovCHARGE_MSDRG_293
14203300Average Covered Charges for Peripheral vascular disorders w CCAVGcovCHARGE_MSDRG_300
14204301Average Covered Charges for Peripheral vascular disorders w/o CC/MCCAVGcovCHARGE_MSDRG_301
14205303Average Covered Charges for Atherosclerosis w/o MCCAVGcovCHARGE_MSDRG_303
14206308Average Covered Charges for Cardiac arrhythmia & conduction disorders w MCCAVGcovCHARGE_MSDRG_308
14207309Average Covered Charges for Cardiac arrhythmia & conduction disorders w CCAVGcovCHARGE_MSDRG_309
14208310Average Covered Charges for Cardiac arrhythmia & conduction disorders w/o CC/MCCAVGcovCHARGE_MSDRG_310
14209312Average Covered Charges for Syncope & collapseAVGcovCHARGE_MSDRG_312
14210313Average Covered Charges for MS-DRG 313, Chest Pain without complications or comorbiditiesAVGcovCHARGE_MSDRG_313
14211314Average Covered Charges for Other circulatory system diagnoses w MCCAVGcovCHARGE_MSDRG_314
14212315Average Covered Charges for Other circulatory system diagnoses w CCAVGcovCHARGE_MSDRG_315
14213329Average Covered Charges for Major small & large bowel procedures w MCCAVGcovCHARGE_MSDRG_329
14214330Average Covered Charges for Major small & large bowel procedures w CCAVGcovCHARGE_MSDRG_330
14215372Average Covered Charges for Major gastrointestinal disorders & peritoneal infections w CCAVGcovCHARGE_MSDRG_372
14216377Average Covered Charges for G.I. hemorrhage w MCCAVGcovCHARGE_MSDRG_377
14217378Average Covered Charges for G.I. hemorrhage w CCAVGcovCHARGE_MSDRG_378
14218389Average Covered Charges for G.I. obstruction w CCAVGcovCHARGE_MSDRG_389
14219390Average Covered Charges for G.I. obstruction w/o CC/MCCAVGcovCHARGE_MSDRG_390
14220391Average Covered Charges for Esophagitis, gastroent & misc digest disorders w MCCAVGcovCHARGE_MSDRG_391
14221392Average Covered Charges for MS-DRG 392, Digestive DisordersAVGcovCHARGE_MSDRG_392
14222394Average Covered Charges for Other digestive system diagnoses w CCAVGcovCHARGE_MSDRG_394
14223418Average Covered Charges for Laparoscopic cholecystectomy w/o c.d.e. w CCAVGcovCHARGE_MSDRG_418
14224419Average Covered Charges for MS-DRG 419, Gallbladder Removal By Laparoscope without complications or comorbiditiesAVGcovCHARGE_MSDRG_419
14225460Average Covered Charges for Spinal fusion except cervical w/o MCCAVGcovCHARGE_MSDRG_460
14226469Average Covered Charges for Major joint replacement or reattachment of lower extremity w MCCAVGcovCHARGE_MSDRG_469
14227470Average Covered Charges for MS-DRG 470, Major Joint ReplacementAVGcovCHARGE_MSDRG_470
14228473Average Covered Charges for Cervical spinal fusion w/o CC/MCCAVGcovCHARGE_MSDRG_473
14229480Average Covered Charges for Hip & femur procedures except major joint w MCCAVGcovCHARGE_MSDRG_480
14230481Average Covered Charges for Hip & femur procedures except major joint w CCAVGcovCHARGE_MSDRG_481
14231491Average Covered Charges for Back & neck proc exc spinal fusion w/o CC/MCCAVGcovCHARGE_MSDRG_491
14232552Average Covered Charges for Medical back problems w/o MCCAVGcovCHARGE_MSDRG_552
14233602Average Covered Charges for Cellulitis w MCCAVGcovCHARGE_MSDRG_602
14234603Average Covered Charges for MS-DRG 603, Cellulitis w/o MCCAVGcovCHARGE_MSDRG_603
14235638Average Covered Charges for Diabetes w CCAVGcovCHARGE_MSDRG_638
14236640Average Covered Charges for Nutritional & misc metabolic disorders w MCCAVGcovCHARGE_MSDRG_640
14237641Average Covered Charges for MS-DRG 641, Metabolic DisordersAVGcovCHARGE_MSDRG_641
14238682Average Covered Charges for Renal failure w MCCAVGcovCHARGE_MSDRG_682
14239683Average Covered Charges for Renal failure w CCAVGcovCHARGE_MSDRG_683
14240684Average Covered Charges for Renal failure w/o CC/MCCAVGcovCHARGE_MSDRG_684
14241689Average Covered Charges for Kidney & urinary tract infections w MCCAVGcovCHARGE_MSDRG_689
14242690Average Covered Charges for MS-DRG 690, Urinary Tract InfectionsAVGcovCHARGE_MSDRG_690
14243698Average Covered Charges for Other kidney & urinary tract diagnoses w MCCAVGcovCHARGE_MSDRG_698
14244699Average Covered Charges for Other kidney & urinary tract diagnoses w CCAVGcovCHARGE_MSDRG_699
14245811Average Covered Charges for Red blood cell disorders w MCCAVGcovCHARGE_MSDRG_811
14246812Average Covered Charges for Red blood cell disorders w/o MCCAVGcovCHARGE_MSDRG_812
14247853Average Covered Charges for Infectious & parasitic diseases w O.R. procedure w MCCAVGcovCHARGE_MSDRG_853
14248870Average Covered Charges for Septicemia or severe sepsis w MV 96+ hoursAVGcovCHARGE_MSDRG_870
14249871Average Covered Charges for MS-DRG 871, Septicemia with Multiple ComplicationsAVGcovCHARGE_MSDRG_871
14250872Average Covered Charges for Septicemia or severe sepsis w/o MV 96+ hours w/o MCCAVGcovCHARGE_MSDRG_872
14251885Average Covered Charges for MS-DRG 885, PsychosesAVGcovCHARGE_MSDRG_885
14252897Average Covered Charges for MS-DRG 897, Alcohol/Drug AbuseAVGcovCHARGE_MSDRG_897
14253917Average Covered Charges for Poisoning & toxic effects of drugs w MCCAVGcovCHARGE_MSDRG_917
14254918Average Covered Charges for Poisoning & toxic effects of drugs w/o MCCAVGcovCHARGE_MSDRG_918
14255948Average Covered Charges for Signs & symptoms w/o MCCAVGcovCHARGE_MSDRG_948
14256439Average Covered Charges for Disorders of pancreas except malignancy w CCAVGcovCHARGE_MSDRG_439
14257203Average Covered Charges for MS-DRG 203, Bronchitis and Asthma without complications or comorbiditiesAVGcovCHARGE_MSDRG_203
14258379Average Covered Charges for G.I. hemorrhage w/o CC/MCCAVGcovCHARGE_MSDRG_379
14259563Average Covered Charges for Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCCAVGcovCHARGE_MSDRG_563
14260482Average Covered Charges for Hip & femur procedures except major joint w/o CC/MCCAVGcovCHARGE_MSDRG_482
14261536Average Covered Charges for Fractures of hip & pelvis w/o MCCAVGcovCHARGE_MSDRG_536
14262305Average Covered Charges for Hypertension w/o MCCAVGcovCHARGE_MSDRG_305
14263149Average Covered Charges for DysequilibriumAVGcovCHARGE_MSDRG_149