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DRG Definition Provider Id Provider Name

293 - HEART FAILURE & SHOCK W/O CC/MCC 220077 BAYSTATE MEDICAL CENTER
292 - HEART FAILURE & SHOCK W CC 220077 BAYSTATE MEDICAL CENTER
291 - HEART FAILURE & SHOCK W MCC 220077 BAYSTATE MEDICAL CENTER
293 - HEART FAILURE & SHOCK W/O CC/MCC 260040 COX MEDICAL CENTER
292 - HEART FAILURE & SHOCK W CC 260040 COX MEDICAL CENTER
291 - HEART FAILURE & SHOCK W MCC 260040 COX MEDICAL CENTER
291 - HEART FAILURE & SHOCK W MCC 380020 MCKENZIE-WILLAMETTE MEDICAL CENTER
293 - HEART FAILURE & SHOCK W/O CC/MCC 380020 MCKENZIE-WILLAMETTE MEDICAL CENTER
292 - HEART FAILURE & SHOCK W CC 380020 MCKENZIE-WILLAMETTE MEDICAL CENTER
293 - HEART FAILURE & SHOCK W/O CC/MCC 140148 MEMORIAL MEDICAL CENTER
291 - HEART FAILURE & SHOCK W MCC 140148 MEMORIAL MEDICAL CENTER
292 - HEART FAILURE & SHOCK W CC 140148 MEMORIAL MEDICAL CENTER
292 - HEART FAILURE & SHOCK W CC 220066 MERCY MEDICAL CENTER
293 - HEART FAILURE & SHOCK W/O CC/MCC 220066 MERCY MEDICAL CENTER
291 - HEART FAILURE & SHOCK W MCC 220066 MERCY MEDICAL CENTER
292 - HEART FAILURE & SHOCK W CC 440065 NORTHCREST MEDICAL CENTER
291 - HEART FAILURE & SHOCK W MCC 440065 NORTHCREST MEDICAL CENTER
291 - HEART FAILURE & SHOCK W MCC 380102 SACRED HEART MEDICAL CENTER - RIVERBEND
292 - HEART FAILURE & SHOCK W CC 380102 SACRED HEART MEDICAL CENTER - RIVERBEND
293 - HEART FAILURE & SHOCK W/O CC/MCC 380102 SACRED HEART MEDICAL CENTER - RIVERBEND
293 - HEART FAILURE & SHOCK W/O CC/MCC 360086 SPRINGFIELD REGIONAL MEDICAL CENTER
292 - HEART FAILURE & SHOCK W CC 360086 SPRINGFIELD REGIONAL MEDICAL CENTER
291 - HEART FAILURE & SHOCK W MCC 360086 SPRINGFIELD REGIONAL MEDICAL CENTER
293 - HEART FAILURE & SHOCK W/O CC/MCC 140053 ST JOHNS HOSPITAL
292 - HEART FAILURE & SHOCK W CC 140053 ST JOHNS HOSPITAL
291 - HEART FAILURE & SHOCK W MCC 140053 ST JOHNS HOSPITAL
293 - HEART FAILURE & SHOCK W/O CC/MCC 260065 ST JOHN'S REGIONAL HEALTH CENTER
291 - HEART FAILURE & SHOCK W MCC 260065 ST JOHN'S REGIONAL HEALTH CENTER
292 - HEART FAILURE & SHOCK W CC 260065 ST JOHN'S REGIONAL HEALTH CENTER
Provider Street Address Provider City Provider State Provider Zip Code
759 CHESTNUT STREET SPRINGFIELD MA 1199
759 CHESTNUT STREET SPRINGFIELD MA 1199
759 CHESTNUT STREET SPRINGFIELD MA 1199
3801 SOUTH NATIONAL AVENUE SPRINGFIELD MO 65807
3801 SOUTH NATIONAL AVENUE SPRINGFIELD MO 65807
3801 SOUTH NATIONAL AVENUE SPRINGFIELD MO 65807
1460 G STREET SPRINGFIELD OR 97477
1460 G STREET SPRINGFIELD OR 97477
1460 G STREET SPRINGFIELD OR 97477
701 N FIRST ST SPRINGFIELD IL 62781
701 N FIRST ST SPRINGFIELD IL 62781
701 N FIRST ST SPRINGFIELD IL 62781
271 CAREW STREET SPRINGFIELD MA 1104
271 CAREW STREET SPRINGFIELD MA 1104
271 CAREW STREET SPRINGFIELD MA 1104
100 NORTHCREST DRIVE SPRINGFIELD TN 37172
100 NORTHCREST DRIVE SPRINGFIELD TN 37172
3333 RIVERBEND DRIVE SPRINGFIELD OR 97477
3333 RIVERBEND DRIVE SPRINGFIELD OR 97477
3333 RIVERBEND DRIVE SPRINGFIELD OR 97477
100 MEDICAL CENTER DRIVE SPRINGFIELD OH 45504
100 MEDICAL CENTER DRIVE SPRINGFIELD OH 45504
100 MEDICAL CENTER DRIVE SPRINGFIELD OH 45504
800 E CARPENTER ST SPRINGFIELD IL 62769
800 E CARPENTER ST SPRINGFIELD IL 62769
800 E CARPENTER ST SPRINGFIELD IL 62769
1235 E CHEROKEE SPRINGFIELD MO 65804
1235 E CHEROKEE SPRINGFIELD MO 65804
1235 E CHEROKEE SPRINGFIELD MO 65804
Hospital Referral Region Description Total Discharges Average Covered Charges Average Total Payments
MA - Springfield 115 12123.21 4198.5
MA - Springfield 317 20910.62 5701.31
MA - Springfield 236 39956.95 10074.67
MO - Springfield 43 11618.2 5178.75
MO - Springfield 130 19957.45 9912.54
MO - Springfield 149 37554.21 13841.81
OR - Eugene 21 31897.81 5695.83
OR - Eugene 16 9685.27 7257
OR - Eugene 43 17763.59 8889.12
IL - Springfield 72 13212.27 4418.18
IL - Springfield 137 46337.28 5889.61
IL - Springfield 184 22787.02 7292.89
MA - Springfield 101 20931.05 7641.19
MA - Springfield 32 12141.95 8115.08
MA - Springfield 48 40003.77 9425.36
TN - Nashville 14 16830.92 9227.54
TN - Nashville 24 30050.87 9714.87
OR - Eugene 119 31783.29 6000.7
OR - Eugene 81 17680.93 7361.15
OR - Eugene 24 9624.8 9047.33
OH - Dayton 32 10071 4339.26
OH - Dayton 111 18227.64 5650.17
OH - Dayton 73 32960.53 9173.84
IL - Springfield 59 13342.19 3767.83
IL - Springfield 165 22971.96 5462.4
IL - Springfield 135 47438.9 8454.81
MO - Springfield 64 11582.84 6073.52
MO - Springfield 163 37492.52 7525.73
MO - Springfield 165 19902.22 8993.55
Average Medicare Payments
3163.35
4718.28
9251.73
4244.75
9198
13057.8
5045.14
6574.81
7775.66
3912.36
4984.15
6326.6
7080.52
7077.39
8789.52
8586.01
8563.04
5007.29
6774.71
8384.64
3198.68
4851.89
8451.68
2928.61
4876.32
7733.55
5308.26
6640.02
7963.27

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