Hospital Costs > In Massachusetts > Baystate Mary Lane Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 27 | 162 / 46 | $6.465,67 | 21 / 2 | $5.858,63 | 1383 / 8 | $4.607,96 | 1377 / 3 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 45 | $8.929,00 | 53 / 11 | $6.562,82 | 1436 / 9 | $5.426,09 | 1431 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 40 | $10.427,70 | 51 / 7 | $8.374,53 | 1175 / 15 | $6.425,32 | 1169 / 3 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 31 | $7.612,86 | 74 / 14 | $5.034,21 | 1097 / 2 | $3.822,79 | 1088 / 3 |
| Diabetes W Cc | 12 | 80 / 28 | $7.338,92 | 18 / 4 | $5.960,50 | 777 / 5 | $4.665,58 | 774 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 51 | $8.153,68 | 99 / 6 | $5.336,32 | 1440 / 7 | $4.078,37 | 1429 / 4 |
| Heart Failure & Shock W Cc | 23 | 255 / 51 | $9.096,17 | 80 / 6 | $6.738,39 | 1395 / 6 | $5.636,48 | 1390 / 1 |
| Heart Failure & Shock W Mcc | 14 | 270 / 47 | $10.757,90 | 19 / 2 | $9.824,50 | 1575 / 5 | $9.216,50 | 1570 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 21 | 543 / 51 | $31.209,00 | 277 / 22 | $15.685,50 | 1476 / 16 | $11.981,80 | 1442 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 41 | $6.464,71 | 51 / 5 | $4.840,86 | 1302 / 6 | $3.887,71 | 1298 / 4 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 34 | $7.787,07 | 32 / 2 | $5.819,43 | 1369 / 6 | $5.129,14 | 1360 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 29 | 487 / 51 | $9.796,76 | 8 / 1 | $11.360,70 | 1233 / 2 | $10.524,30 | 1212 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 41 | $8.300,72 | 23 / 2 | $7.143,72 | 1682 / 4 | $6.539,28 | 1675 / 11 |
| Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 41 | $7.854,32 | 28 / 4 | $6.451,18 | 1502 / 2 | $5.522,55 | 1496 / 3 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 46 | $9.258,83 | 5 / 2 | $9.199,83 | 1287 / 2 | $8.293,17 | 1287 / 3 | Total 15 procedures | 280 | 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.