Hospital Costs > In Delaware > Bayhealth - Milford Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 5 | $30.297,40 | 452 / 2 | $10.606,50 | 604 / 1 | $9.220,30 | 603 / 1 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 4 | $16.082,00 | 168 / 1 | $5.073,18 | 503 / 2 | $4.302,27 | 500 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 38 | 123 / 4 | $17.956,40 | 849 / 4 | $5.253,58 | 961 / 2 | $4.253,58 | 958 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 5 | $21.680,50 | 433 / 2 | $7.787,07 | 870 / 1 | $6.927,64 | 867 / 2 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 5 | $15.132,80 | 1006 / 4 | $4.065,69 | 1047 / 2 | $2.863,25 | 1042 / 2 |
Cellulitis W/O Mcc | 17 | 172 / 6 | $22.565,10 | 1693 / 6 | $5.691,00 | 1605 / 2 | $4.845,76 | 1598 / 2 |
Chest Pain | 28 | 123 / 2 | $14.476,40 | 448 / 3 | $4.540,64 | 679 / 3 | $3.113,00 | 675 / 2 |
Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 4 | $20.732,90 | 1081 / 4 | $6.161,83 | 1202 / 1 | $5.155,61 | 1197 / 2 |
Chronic Obstructive Pulmonary Disease W Mcc | 69 | 133 / 3 | $21.773,10 | 885 / 4 | $7.781,33 | 1527 / 2 | $6.868,06 | 1520 / 2 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 3 | $15.795,30 | 879 / 4 | $5.037,62 | 1210 / 2 | $3.958,17 | 1201 / 2 |
Diabetes W Cc | 14 | 78 / 5 | $18.112,40 | 568 / 5 | $5.427,21 | 657 / 1 | $4.476,36 | 655 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 4 | $23.401,30 | 361 / 3 | $7.857,85 | 727 / 1 | $7.203,00 | 722 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 6 | $16.122,60 | 883 / 3 | $5.042,67 | 1301 / 2 | $3.971,26 | 1290 / 2 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 5 | $70.301,70 | 64 / 2 | $30.543,80 | 325 / 2 | $29.231,80 | 325 / 2 |
G.I. Hemorrhage W Cc | 39 | 179 / 5 | $19.232,80 | 680 / 4 | $7.088,64 | 1019 / 3 | $5.382,15 | 1017 / 2 |
G.I. Hemorrhage W Mcc | 20 | 101 / 5 | $37.022,10 | 589 / 5 | $11.005,50 | 699 / 1 | $10.219,80 | 699 / 1 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 4 | $20.885,80 | 586 / 5 | $4.768,69 | 530 / 2 | $3.838,23 | 526 / 3 |
G.I. Obstruction W Cc | 21 | 71 / 4 | $17.165,40 | 442 / 3 | $5.894,14 | 874 / 2 | $4.918,90 | 872 / 2 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 4 | $15.073,30 | 531 / 3 | $4.251,64 | 683 / 2 | $3.220,79 | 681 / 2 |
Heart Failure & Shock W Cc | 49 | 229 / 6 | $21.424,90 | 1345 / 4 | $6.653,35 | 973 / 2 | $5.271,04 | 972 / 2 |
Heart Failure & Shock W Mcc | 106 | 178 / 5 | $28.170,40 | 985 / 4 | $9.645,88 | 1341 / 2 | $8.774,35 | 1338 / 2 |
Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 4 | $14.516,60 | 791 / 4 | $4.882,14 | 658 / 2 | $3.440,77 | 656 / 2 |
Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 5 | $40.323,90 | 653 / 3 | $12.100,60 | 1019 / 2 | $11.079,10 | 1006 / 2 |
Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 2 | $60.532,30 | 312 / 2 | $26.037,80 | 258 / 4 | $16.291,40 | 256 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 5 | $139.680,00 | 922 / 5 | $52.699,00 | 1456 / 5 | $48.035,10 | 1446 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 4 | $25.943,00 | 851 / 3 | $6.829,75 | 1091 / 2 | $5.979,08 | 1088 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 34 | 134 / 4 | $37.684,00 | 616 / 3 | $10.883,10 | 745 / 1 | $10.022,30 | 744 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 4 | $23.964,10 | 836 / 6 | $5.469,86 | 658 / 2 | $3.804,86 | 654 / 2 |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 4 | $26.712,60 | 1016 / 5 | $8.680,50 | 770 / 3 | $6.053,50 | 769 / 2 |
Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 5 | $16.432,60 | 1132 / 4 | $5.311,84 | 1299 / 2 | $4.165,16 | 1290 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 4 | $21.667,20 | 343 / 3 | $7.582,53 | 521 / 2 | $6.692,93 | 519 / 2 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 50 | 514 / 5 | $34.199,70 | 408 / 1 | $13.727,40 | 972 / 2 | $11.014,00 | 953 / 1 |
Major Small & Large Bowel Procedures W Cc | 13 | 95 / 3 | $50.233,70 | 427 / 2 | $15.351,80 | 646 / 1 | $14.143,20 | 640 / 1 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 4 | $132.408,00 | 678 / 3 | $40.484,20 | 1006 / 2 | $37.834,00 | 1004 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 3 | $22.020,30 | 525 / 4 | $7.216,52 | 700 / 2 | $6.392,20 | 697 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 4 | $19.305,20 | 1488 / 4 | $5.873,27 | 844 / 4 | $3.544,32 | 841 / 2 |
Other Circulatory System Diagnoses W Mcc | 18 | 98 / 5 | $37.407,90 | 411 / 4 | $15.765,00 | 761 / 4 | $11.894,90 | 757 / 3 |
Peripheral Vascular Disorders W Cc | 16 | 68 / 4 | $21.393,30 | 469 / 4 | $6.368,00 | 562 / 2 | $5.464,00 | 560 / 2 |
Peripheral Vascular Disorders W Mcc | 14 | 35 / 3 | $22.527,10 | 83 / 1 | $8.701,00 | 222 / 1 | $7.837,00 | 222 / 2 |
Pulmonary Edema & Respiratory Failure | 53 | 150 / 5 | $23.238,30 | 612 / 3 | $7.813,30 | 1045 / 1 | $7.013,30 | 1043 / 2 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 6 | $15.069,60 | 459 / 3 | $5.383,00 | 925 / 2 | $4.436,14 | 919 / 2 |
Renal Failure W Cc | 40 | 181 / 5 | $18.884,20 | 870 / 4 | $6.211,95 | 1021 / 1 | $5.205,77 | 1013 / 2 |
Renal Failure W Mcc | 54 | 141 / 4 | $31.909,00 | 878 / 4 | $9.737,67 | 980 / 1 | $8.891,74 | 980 / 2 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 4 | $70.555,10 | 1409 / 5 | $18.581,80 | 1661 / 5 | $16.135,50 | 1645 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 31 | 100 / 5 | $41.474,50 | 366 / 2 | $14.173,50 | 799 / 1 | $13.322,50 | 791 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 204 | 312 / 3 | $37.790,60 | 1201 / 4 | $12.493,40 | 1359 / 3 | $10.742,50 | 1332 / 2 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 53 | 154 / 5 | $24.399,10 | 1198 / 5 | $7.108,75 | 1498 / 2 | $6.258,92 | 1492 / 3 |
Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 5 | $21.201,90 | 1268 / 5 | $6.282,09 | 1435 / 1 | $5.451,91 | 1429 / 2 |
Simple Pneumonia & Pleurisy W Mcc | 65 | 140 / 4 | $27.852,70 | 897 / 5 | $9.178,52 | 1286 / 2 | $8.291,71 | 1286 / 2 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 5 | $15.373,90 | 771 / 4 | $4.807,18 | 1043 / 1 | $3.710,45 | 1037 / 2 |
Syncope & Collapse | 18 | 151 / 6 | $18.197,20 | 701 / 3 | $5.383,17 | 484 / 3 | $3.540,22 | 482 / 2 |
Transient Ischemia | 24 | 101 / 5 | $19.472,40 | 620 / 3 | $4.776,88 | 844 / 2 | $3.770,21 | 840 / 2 | Total 52 procedures | 1.626 | 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.