Median Medicare Reimbursement Measures

Owned by Joseph Gulotta
Oct 30, 2014

These measures describe the median reimbursements for a procedure. The measures are separated by individual MS-DRG numbers and they can all be grouped under measure group id 1.

Queries

Acquiring data on CMS Median Reimbursements 

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 = 1

measure_iddrgdescription_friendlyauthor_measure_id
10468038Median Medicare payment for Extracranial procedures (MS-DRG 038) with complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_038
10469039Median Medicare payment for Extracranial procedures (MS-DRG 039) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_039
10470190Median Medicare payment for Chronic obstructive pulmonary disease (MS-DRG 190) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_190
10471191Median Medicare payment for Chronic obstructive pulmonary disease (MS-DRG 191) with complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_191
10472192Median Medicare payment for Chronic obstructive pulmonary disease (MS-DRG 192) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_192
10473193Median Medicare payment for Simple pneumonia & pleurisy (MS-DRG 193) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_193
10474219Median Medicare payment for Cardiac valve & oth maj cardiothoracic proc w/o card cath (MS-DRG 219) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_219
10475220Median Medicare payment for Cardiac valve & oth maj cardiothoracic proc w/o card cath (MS-DRG 220) with complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_220
10476221Median Medicare payment for Cardiac valve & oth maj cardiothoracic proc w/o card cath (MS-DRG 221) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_221
10477224Median Medicare payment for Cardiac defib implant w cardiac cath w/o AMI/HF/shock (MS-DRG 224) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_224
10478225Median Medicare payment for Cardiac defib implant w cardiac cath w/o AMI/HF/shock (MS-DRG 225) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_225
10479226Median Medicare payment for Cardiac defibrillator implant w/o cardiac cath (MS-DRG 226) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_226
10480227Median Medicare payment for Cardiac defibrillator implant w/o cardiac cath (MS-DRG 227) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_227
10481235Median Medicare payment for Coronary bypass w/o cardiac cath (MS-DRG 235) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_235
10482236Median Medicare payment for Coronary bypass w/o cardiac cath (MS-DRG 236) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_236
10483237Median Medicare payment for Major cardiovasc procedures (MS-DRG 237) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_237
10484243Median Medicare payment for Permanent cardiac pacemaker implant (MS-DRG 243) with complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_243
10485244Median Medicare payment for Permanent cardiac pacemaker implant (MS-DRG 244) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_244
10486247Median Medicare payment for Perc cardiovasc proc w drug-eluting stent (MS-DRG 247) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_247
10487280Median Medicare payment for Acute myocardial infarction, discharged alive (MS-DRG 280) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_280
10488281Median Medicare payment for Acute myocardial infarction, discharged alive (MS-DRG 281) with complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_281
10489282Median Medicare payment for Acute myocardial infarction, discharged alive (MS-DRG 282) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_282
10490291Median Medicare payment for Heart failure & shock (MS-DRG 291) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_291
10491292Median Medicare payment for Heart failure & shock (MS-DRG 292) with complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_292
10492293Median Medicare payment for Heart failure & shock (MS-DRG 293) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_293
10493313Median Medicare payment for Chest Pain (MS-DRG 313).Medicare_Median_Reimbursement_MS_DRG_313
10494328Median Medicare payment for Stomach, esophageal & duodenal proc (MS-DRG 328) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_328
10495329Median Medicare payment for Major small & large bowel procedures (MS-DRG 329) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_329
10496330Median Medicare payment for Major small & large bowel procedures (MS-DRG 330) with complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_330
10497331Median Medicare payment for Major small & large bowel procedures (MS-DRG 331) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_331
10498353Median Medicare payment for Hernia procedures except inguinal & femoral (MS-DRG 353) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_353
10499354Median Medicare payment for Hernia procedures except inguinal & femoral (MS-DRG 354) with complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_354
10500355Median Medicare payment for Hernia procedures except inguinal & femoral (MS-DRG 355) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_355
10501414Median Medicare payment for Cholecystectomy except by laparoscope w/o c.d.e. (MS-DRG 414) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_414
10502417Median Medicare payment for Laparoscopic cholecystectomy w/o c.d.e. (MS-DRG 417) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_417
10503418Median Medicare payment for Laparoscopic cholecystectomy w/o c.d.e. (MS-DRG 418) with complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_418
10504419Median Medicare payment for Laparoscopic cholecystectomy w/o c.d.e. (MS-DRG 419) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_419
10505459Median Medicare payment for Spinal fusion except cervical (MS-DRG 459) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_459
10506460Median Medicare payment for Spinal fusion except cervical (MS-DRG 460) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_460
10507461Median Medicare payment for Bilateral or multiple major joint procs of lower extremity (MS-DRG 461) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_461
10508462Median Medicare payment for Bilateral or multiple major joint procs of lower extremity (MS-DRG 462) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_462
10509466Median Medicare payment for Revision of hip or knee replacement (MS-DRG 466) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_466
10510467Median Medicare payment for Revision of hip or knee replacement (MS-DRG 467) with complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_467
10511468Median Medicare payment for Revision of hip or knee replacement (MS-DRG 468) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_468
10512469Median Medicare payment for Major joint replacement or reattachment of lower extremity (MS-DRG 469) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_469
10513470Median Medicare payment for Major joint replacement or reattachment of lower extremity (MS-DRG 470) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_470
10514471Median Medicare payment for Cervical spinal fusion (MS-DRG 471) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_471
10515472Median Medicare payment for Cervical spinal fusion (MS-DRG 472) with complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_472
10516473Median Medicare payment for Cervical spinal fusion (MS-DRG 473) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_473
10517477Median Medicare payment for Biopsies of musculoskeletal system & connective tissue (MS-DRG 477) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_477
10518478Median Medicare payment for Biopsies of musculoskeletal system & connective tissue (MS-DRG 478) with complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_478
10519479Median Medicare payment for Biopsies of musculoskeletal system & connective tissue (MS-DRG 479) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_479
10520490Median Medicare payment for Back & neck proc exc spinal fusion (MS-DRG 490) with complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_490
10521491Median Medicare payment for Back & neck proc exc spinal fusion (MS-DRG 491) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_491
10522507Median Medicare payment for Major shoulder or elbow joint procedures (MS-DRG 507) with complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_507
10523508Median Medicare payment for Major shoulder or elbow joint procedures (MS-DRG 508) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_508
10524515Median Medicare payment for Other musculoskelet sys & conn tiss O.R. proc (MS-DRG 515) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_515
10525637Median Medicare payment for Diabetes (MS-DRG 637) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_637
10526656Median Medicare payment for Kidney & ureter procedures for neoplasm (MS-DRG 656) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_656
10527657Median Medicare payment for Kidney & ureter procedures for neoplasm (MS-DRG 657) with complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_657
10528658Median Medicare payment for Kidney & ureter procedures for neoplasm (MS-DRG 658) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_658
10529659Median Medicare payment for Kidney & ureter procedures for non-neoplasm (MS-DRG 659) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_659
10530668Median Medicare payment for Transurethral procedures (MS-DRG 668) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_668
10531673Median Medicare payment for Other kidney & urinary tract procedures (MS-DRG 673) with multiple complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_673
10532674Median Medicare payment for Other kidney & urinary tract procedures (MS-DRG 674) with complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_674
10533675Median Medicare payment for Other kidney & urinary tract procedures (MS-DRG 675) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_675
10534713Median Medicare payment for Transurethral prostatectomy (MS-DRG 713) with complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_713
10535714Median Medicare payment for Transurethral prostatectomy (MS-DRG 714) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_714
10536743Median Medicare payment for Uterine & adnexa proc for non-malignancy (MS-DRG 743) without complications or comorbidities.Medicare_Median_Reimbursement_MS_DRG_743
10537748Median Medicare payment for Female reproductive system reconstructive procedures (MS-DRG 748).Medicare_Median_Reimbursement_MS_DRG_748