Hospital Costs > In Massachusetts > Baystate Wing Hospital And Medical Centers, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 29 | $13.795,40 | 399 / 41 | $5.684,69 | 1427 / 8 | $4.856,34 | 1422 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 33 | $19.479,20 | 306 / 38 | $8.453,31 | 1297 / 4 | $7.897,00 | 1294 / 13 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 29 | $12.033,20 | 587 / 41 | $4.067,56 | 1125 / 6 | $2.929,56 | 1120 / 6 |
Cellulitis W/O Mcc | 41 | 148 / 38 | $12.210,90 | 499 / 46 | $5.979,59 | 1768 / 9 | $5.095,29 | 1760 / 19 |
Chest Pain | 11 | 140 / 30 | $14.261,50 | 434 / 38 | $4.394,91 | 903 / 3 | $3.402,91 | 898 / 2 |
Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 34 | $16.707,40 | 681 / 49 | $6.588,14 | 1547 / 10 | $5.593,22 | 1541 / 8 |
Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 31 | $17.740,90 | 545 / 47 | $8.254,46 | 1800 / 11 | $7.435,43 | 1792 / 18 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 23 | $14.089,50 | 672 / 43 | $5.104,52 | 1433 / 5 | $4.294,96 | 1422 / 11 |
Dysequilibrium | 11 | 54 / 17 | $13.704,40 | 100 / 20 | $4.527,00 | 286 / 2 | $3.537,91 | 286 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 58 | 217 / 37 | $13.660,40 | 582 / 46 | $5.401,40 | 1661 / 9 | $4.292,16 | 1648 / 11 |
G.I. Hemorrhage W Cc | 18 | 200 / 42 | $14.598,40 | 269 / 29 | $7.066,83 | 1590 / 10 | $6.129,94 | 1586 / 13 |
Heart Failure & Shock W Cc | 54 | 224 / 38 | $18.387,50 | 975 / 50 | $7.114,31 | 1695 / 15 | $5.993,72 | 1690 / 7 |
Heart Failure & Shock W Mcc | 33 | 251 / 42 | $26.258,00 | 846 / 47 | $10.489,50 | 1827 / 14 | $9.794,27 | 1822 / 20 |
Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 21 | $11.843,70 | 447 / 41 | $4.937,44 | 1209 / 10 | $3.981,60 | 1199 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 35 | $13.032,80 | 77 / 10 | $6.532,17 | 930 / 1 | $5.726,83 | 927 / 2 |
Kidney & Urinary Tract Infections W/O Mcc | 80 | 153 / 23 | $13.950,80 | 790 / 48 | $5.487,89 | 1770 / 8 | $4.648,29 | 1759 / 13 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 12 | 552 / 53 | $35.083,20 | 466 / 30 | $14.529,70 | 1946 / 1 | $13.420,30 | 1904 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 42 | $14.186,80 | 859 / 47 | $5.083,77 | 1490 / 11 | $4.057,31 | 1485 / 9 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 21 | $10.416,90 | 114 / 19 | $4.594,36 | 480 / 3 | $3.823,45 | 479 / 4 |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 35 | $16.769,40 | 605 / 44 | $5.765,77 | 1166 / 5 | $4.744,23 | 1158 / 6 |
Renal Failure W Cc | 19 | 202 / 44 | $15.033,70 | 468 / 47 | $6.678,42 | 1734 / 9 | $6.233,79 | 1724 / 21 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 28 | $22.077,60 | 352 / 36 | $9.528,54 | 1003 / 6 | $8.691,62 | 998 / 7 |
Seizures W/O Mcc | 11 | 97 / 28 | $13.043,20 | 171 / 26 | $5.479,45 | 787 / 5 | $4.708,55 | 784 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 32 | 484 / 50 | $29.272,20 | 750 / 44 | $11.875,40 | 1600 / 4 | $11.234,40 | 1568 / 5 |
Signs & Symptoms W/O Mcc | 22 | 69 / 17 | $13.917,90 | 269 / 28 | $4.910,91 | 775 / 4 | $4.222,91 | 772 / 7 |
Simple Pneumonia & Pleurisy W Cc | 64 | 139 / 24 | $17.041,30 | 802 / 49 | $6.866,64 | 1909 / 7 | $5.998,64 | 1901 / 12 |
Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 44 | $23.202,40 | 580 / 46 | $9.657,69 | 1604 / 7 | $8.924,19 | 1604 / 8 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 23 | $14.322,60 | 650 / 44 | $5.086,00 | 1424 / 6 | $4.252,00 | 1416 / 18 |
Syncope & Collapse | 30 | 139 / 31 | $13.981,30 | 328 / 42 | $5.215,30 | 1164 / 6 | $4.326,77 | 1157 / 7 | Total 29 procedures | 778 | 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.