Hospital Costs > In Massachusetts > Berkshire Medical Center Inc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 309 | 209 / 11 | $19.717,40 | 253 / 21 | $15.433,10 | 2444 / 40 | $14.611,10 | 2400 / 43 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 265 | 300 / 15 | $34.664,50 | 441 / 28 | $18.525,80 | 2464 / 45 | $17.051,30 | 2418 / 46 |
| Heart Failure & Shock W Mcc | 149 | 135 / 10 | $15.946,40 | 189 / 23 | $12.852,00 | 2312 / 43 | $11.950,80 | 2302 / 45 |
| Pulmonary Edema & Respiratory Failure | 132 | 71 / 2 | $11.537,10 | 28 / 4 | $10.748,70 | 1974 / 36 | $9.924,02 | 1968 / 37 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 126 | 3 / 2 | $4.075,42 | 22 / 5 | $4.425,98 | 70 / 6 | $3.978,10 | 69 / 7 |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 118 | 17 / 2 | $5.784,82 | 5 / 2 | $10.540,50 | 74 / 2 | $9.915,99 | 74 / 2 |
| G.I. Hemorrhage W Cc | 115 | 103 / 9 | $11.941,60 | 118 / 16 | $8.807,85 | 2129 / 39 | $7.901,83 | 2125 / 42 |
| Heart Failure & Shock W Cc | 110 | 168 / 19 | $9.021,22 | 76 / 5 | $8.536,40 | 2412 / 43 | $7.838,65 | 2406 / 46 |
| Renal Failure W Cc | 109 | 112 / 11 | $10.987,70 | 147 / 21 | $8.393,58 | 2135 / 42 | $7.605,03 | 2125 / 43 |
| Simple Pneumonia & Pleurisy W Mcc | 107 | 98 / 7 | $13.161,10 | 59 / 9 | $12.079,80 | 2155 / 40 | $10.977,40 | 2150 / 40 |
| Renal Failure W Mcc | 106 | 89 / 6 | $16.964,20 | 128 / 16 | $12.873,80 | 1825 / 32 | $12.047,30 | 1821 / 36 |
| Cellulitis W/O Mcc | 97 | 92 / 15 | $8.425,05 | 127 / 16 | $7.418,88 | 2311 / 44 | $6.567,08 | 2303 / 45 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 81 | 194 / 32 | $9.855,52 | 196 / 19 | $6.830,84 | 2398 / 44 | $5.916,62 | 2383 / 45 |
| Syncope & Collapse | 72 | 97 / 10 | $9.373,79 | 81 / 14 | $6.713,04 | 1636 / 38 | $5.685,92 | 1628 / 38 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 69 | 92 / 10 | $8.053,61 | 39 / 5 | $7.222,80 | 1909 / 38 | $6.313,43 | 1904 / 40 |
| Chronic Obstructive Pulmonary Disease W Cc | 68 | 111 / 18 | $8.877,13 | 50 / 10 | $7.991,54 | 2084 / 41 | $7.049,79 | 2077 / 41 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 66 | 141 / 17 | $12.844,00 | 203 / 24 | $9.927,85 | 2267 / 42 | $8.396,23 | 2258 / 43 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 66 | 116 / 11 | $13.432,60 | 91 / 13 | $9.229,68 | 1809 / 38 | $8.264,11 | 1805 / 40 |
| Kidney & Urinary Tract Infections W Mcc | 62 | 82 / 10 | $10.507,00 | 60 / 12 | $9.355,45 | 1670 / 33 | $8.463,32 | 1666 / 34 |
| Simple Pneumonia & Pleurisy W Cc | 59 | 144 / 27 | $10.142,90 | 121 / 19 | $8.378,93 | 2461 / 40 | $7.497,58 | 2452 / 45 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 56 | 67 / 8 | $12.789,50 | 65 / 13 | $11.183,40 | 1661 / 40 | $9.644,39 | 1658 / 39 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 55 | 70 / 10 | $8.664,82 | 93 / 10 | $6.265,24 | 684 / 31 | $5.517,05 | 683 / 33 |
| Kidney & Urinary Tract Infections W/O Mcc | 53 | 180 / 33 | $10.442,80 | 337 / 30 | $6.825,30 | 2310 / 41 | $5.800,09 | 2299 / 42 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 53 | 115 / 10 | $18.746,00 | 70 / 15 | $14.304,40 | 1340 / 23 | $13.348,70 | 1334 / 25 |
| G.I. Hemorrhage W Mcc | 51 | 70 / 8 | $22.195,10 | 112 / 19 | $14.947,50 | 1425 / 27 | $14.141,20 | 1415 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 51 | 99 / 8 | $7.526,84 | 112 / 16 | $5.267,80 | 1771 / 34 | $4.415,10 | 1765 / 38 |
| Respiratory Infections & Inflammations W Mcc | 50 | 86 / 14 | $17.105,90 | 45 / 9 | $15.907,10 | 1597 / 32 | $15.253,60 | 1581 / 34 |
| Transient Ischemia | 50 | 75 / 8 | $11.519,60 | 113 / 14 | $6.531,68 | 1414 / 31 | $5.299,04 | 1407 / 30 |
| Hip & Femur Procedures Except Major Joint W Cc | 50 | 93 / 15 | $29.761,90 | 215 / 30 | $16.725,20 | 1827 / 37 | $15.221,10 | 1808 / 36 |
| Chronic Obstructive Pulmonary Disease W Mcc | 47 | 155 / 24 | $10.970,80 | 75 / 12 | $10.275,10 | 2221 / 44 | $8.922,57 | 2213 / 42 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 45 | 57 / 9 | $12.381,30 | 113 / 14 | $6.779,60 | 1391 / 27 | $5.761,29 | 1387 / 32 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 28 | $9.557,05 | 269 / 26 | $6.345,07 | 2171 / 39 | $5.444,34 | 2163 / 42 |
| Heart Failure & Shock W/O Cc/Mcc | 44 | 66 / 11 | $6.554,30 | 41 / 3 | $6.185,66 | 1757 / 37 | $5.390,02 | 1744 / 39 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 42 | 82 / 8 | $62.660,00 | 124 / 16 | $41.288,60 | 1261 / 18 | $40.473,70 | 1251 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 41 | 85 / 7 | $10.397,70 | 34 / 9 | $9.658,34 | 1439 / 25 | $8.968,39 | 1436 / 28 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 39 | 92 / 9 | $30.127,10 | 128 / 16 | $19.593,70 | 1569 / 29 | $18.438,20 | 1555 / 30 |
| G.I. Obstruction W Cc | 38 | 54 / 10 | $12.997,40 | 160 / 21 | $7.937,42 | 1584 / 34 | $7.300,79 | 1579 / 37 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 38 | 87 / 15 | $13.492,50 | 34 / 5 | $12.552,80 | 1351 / 21 | $11.761,20 | 1341 / 23 |
| Seizures W/O Mcc | 38 | 70 / 11 | $7.550,95 | 28 / 6 | $6.873,37 | 1023 / 31 | $5.667,05 | 1021 / 32 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 37 | 55 / 7 | $61.967,90 | 41 / 5 | $46.893,70 | 831 / 9 | $44.410,80 | 830 / 9 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 36 | 57 / 12 | $8.549,08 | 115 / 17 | $6.304,50 | 1733 / 33 | $5.297,39 | 1725 / 38 |
| Other Vascular Procedures W Cc | 36 | 66 / 8 | $47.985,60 | 174 / 15 | $22.088,40 | 998 / 13 | $20.796,20 | 993 / 13 |
| Medical Back Problems W/O Mcc | 35 | 86 / 16 | $15.454,70 | 248 / 26 | $7.664,51 | 1218 / 26 | $6.099,43 | 1214 / 25 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 34 | 67 / 8 | $19.469,80 | 110 / 18 | $12.624,00 | 892 / 21 | $11.966,10 | 888 / 21 |
| Other Circulatory System Diagnoses W Mcc | 34 | 82 / 10 | $19.529,90 | 47 / 6 | $15.979,10 | 1164 / 17 | $15.303,40 | 1156 / 17 |
| Major Small & Large Bowel Procedures W Cc | 33 | 75 / 12 | $52.133,80 | 468 / 29 | $21.821,10 | 1345 / 25 | $19.598,50 | 1331 / 24 |
| Other Digestive System Diagnoses W Cc | 32 | 65 / 11 | $13.401,90 | 105 / 21 | $8.707,56 | 1232 / 30 | $7.752,06 | 1228 / 34 |
| Diabetes W Cc | 31 | 61 / 12 | $12.102,50 | 162 / 25 | $7.326,61 | 1338 / 29 | $6.431,65 | 1333 / 32 |
| Chest Pain | 31 | 120 / 17 | $9.205,58 | 114 / 16 | $5.667,55 | 1407 / 28 | $4.692,06 | 1399 / 31 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 31 | 40 / 4 | $70.730,50 | 74 / 10 | $43.967,50 | 855 / 12 | $43.122,60 | 854 / 12 |
| Signs & Symptoms W/O Mcc | 31 | 60 / 9 | $11.070,30 | 136 / 21 | $6.284,68 | 1114 / 31 | $5.543,52 | 1111 / 32 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 30 | 26 / 4 | $23.822,80 | 69 / 10 | $14.125,40 | 836 / 13 | $13.000,10 | 833 / 14 |
| Hip & Femur Procedures Except Major Joint W Mcc | 30 | 32 / 5 | $46.661,20 | 111 / 12 | $26.312,10 | 848 / 17 | $24.267,80 | 845 / 14 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 21 | $6.733,81 | 33 / 5 | $6.483,07 | 1824 / 34 | $5.454,33 | 1813 / 39 |
| Respiratory Infections & Inflammations W Cc | 27 | 61 / 16 | $12.135,90 | 32 / 10 | $10.897,00 | 1273 / 25 | $10.223,80 | 1268 / 28 |
| Other Disorders Of Nervous System W Cc | 26 | 30 / 7 | $9.414,31 | 24 / 8 | $7.851,69 | 527 / 20 | $7.200,62 | 526 / 25 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 26 | 38 / 9 | $43.031,50 | 354 / 18 | $14.084,30 | 687 / 13 | $12.923,70 | 687 / 14 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 26 | 70 / 17 | $15.653,30 | 83 / 22 | $10.564,30 | 1257 / 29 | $9.818,42 | 1252 / 31 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 25 | 28 / 6 | $7.280,76 | 20 / 5 | $6.770,24 | 777 / 19 | $6.139,20 | 773 / 21 |
| Permanent Cardiac Pacemaker Implant W Cc | 25 | 52 / 9 | $34.440,40 | 40 / 7 | $22.294,40 | 862 / 17 | $21.180,80 | 858 / 18 |
| Pulmonary Embolism W/O Mcc | 24 | 50 / 12 | $12.656,30 | 86 / 14 | $9.246,75 | 1112 / 29 | $7.264,79 | 1109 / 26 |
| G.I. Obstruction W Mcc | 24 | 18 / 2 | $18.210,00 | 18 / 5 | $14.943,40 | 435 / 10 | $12.345,00 | 435 / 8 |
| Red Blood Cell Disorders W/O Mcc | 24 | 119 / 26 | $9.147,38 | 70 / 9 | $7.320,83 | 1735 / 36 | $6.526,50 | 1726 / 37 |
| Atherosclerosis W/O Mcc | 24 | 34 / 4 | $6.471,62 | 12 / 1 | $5.696,62 | / 15 | $5.196,62 | / |
| Cellulitis W Mcc | 23 | 35 / 7 | $13.591,80 | 29 / 13 | $11.181,60 | 569 / 15 | $9.174,39 | 567 / 8 |
| G.I. Hemorrhage W/O Cc/Mcc | 23 | 45 / 8 | $8.670,74 | 62 / 7 | $6.368,83 | 850 / 18 | $5.365,70 | 846 / 20 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 22 | 50 / 10 | $14.577,50 | 23 / 4 | $12.003,60 | 815 / 21 | $11.231,30 | 812 / 20 |
| Peripheral Vascular Disorders W Cc | 21 | 63 / 13 | $10.703,70 | 49 / 14 | $8.474,71 | 1072 / 24 | $7.842,33 | 1069 / 25 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 20 | 23 / 6 | $11.593,70 | 43 / 11 | $6.491,10 | 287 / 13 | $4.970,50 | 287 / 12 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 17 | $11.007,00 | 46 / 8 | $8.334,00 | 1199 / 19 | $7.668,40 | 1197 / 24 |
| Other Vascular Procedures W Mcc | 20 | 77 / 12 | $49.678,90 | 80 / 8 | $26.859,70 | 806 / 8 | $25.864,50 | 803 / 9 |
| Disorders Of Pancreas Except Malignancy W Cc | 20 | 41 / 13 | $11.997,40 | 52 / 10 | $8.291,55 | 850 / 25 | $7.565,15 | 847 / 26 |
| G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 14 | $9.292,95 | 102 / 16 | $5.715,00 | 1166 / 25 | $4.635,42 | 1163 / 27 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 5 | $35.277,70 | 172 / 14 | $14.216,80 | 820 / 11 | $13.386,50 | 816 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 17 | $16.523,30 | 166 / 27 | $9.542,50 | 960 / 20 | $9.071,39 | 958 / 24 |
| Renal Failure W/O Cc/Mcc | 17 | 39 / 7 | $7.375,41 | 40 / 4 | $5.727,88 | 742 / 14 | $4.875,18 | 740 / 15 |
| Other Digestive System Diagnoses W Mcc | 17 | 45 / 12 | $19.493,00 | 32 / 6 | $14.434,20 | 616 / 14 | $13.754,70 | 615 / 14 |
| Kidney & Ureter Procedures For Non-Neoplasm W Cc | 16 | 29 / 4 | $22.884,90 | 4 / 1 | $14.679,70 | 141 / 2 | $13.701,70 | 141 / 2 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 16 | 57 / 7 | $31.301,60 | 97 / 6 | $11.426,40 | 337 / 3 | $10.216,40 | 337 / 5 |
| Major Chest Procedures W Cc | 16 | 58 / 9 | $44.691,10 | 69 / 8 | $22.346,70 | 460 / 8 | $21.364,70 | 458 / 8 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 16 | 41 / 11 | $31.674,10 | 53 / 6 | $18.709,90 | 653 / 10 | $17.118,90 | 652 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 16 | 49 / 14 | $41.214,50 | 55 / 9 | $24.783,40 | 776 / 12 | $23.651,40 | 773 / 12 |
| Other Circulatory System Diagnoses W Cc | 16 | 50 / 13 | $14.885,10 | 78 / 11 | $8.557,44 | 575 / 16 | $8.029,44 | 574 / 16 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 18 | $70.607,90 | 128 / 19 | $40.920,60 | 1078 / 20 | $39.995,60 | 1076 / 21 |
| Diabetes W/O Cc/Mcc | 16 | 22 / 3 | $7.109,25 | 16 / 2 | $5.368,00 | 239 / 6 | $4.836,00 | 239 / 6 |
| Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 16 | $9.635,87 | 71 / 13 | $6.193,33 | 776 / 24 | $5.064,80 | 775 / 25 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 15 | $11.485,00 | 43 / 9 | $9.250,87 | 658 / 20 | $7.418,93 | 658 / 15 |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 21 | $8.611,64 | 30 / 9 | $7.891,14 | 946 / 28 | $7.022,57 | 942 / 29 |
| Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 14 | $25.157,60 | 289 / 14 | $9.371,14 | 874 / 9 | $8.507,14 | 871 / 14 |
| Kidney & Ureter Procedures For Neoplasm W Cc | 14 | 30 / 6 | $48.578,40 | 57 / 4 | $17.508,90 | 144 / 3 | $16.475,80 | 144 / 3 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 14 | 62 / 10 | $26.263,40 | 60 / 6 | $15.195,00 | 411 / 5 | $14.417,90 | 411 / 6 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 10 | $31.924,60 | 57 / 6 | $19.242,10 | 735 / 9 | $16.807,00 | 731 / 9 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 20 | $12.723,50 | 123 / 22 | $6.953,00 | 688 / 25 | $5.845,31 | 686 / 25 |
| Peripheral Vascular Disorders W Mcc | 13 | 36 / 10 | $14.470,90 | 21 / 6 | $11.268,30 | 466 / 6 | $10.524,90 | 466 / 8 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 9 | $19.279,70 | 34 / 8 | $14.824,10 | 568 / 11 | $14.174,20 | 565 / 13 |
| Organic Disturbances & Mental Retardation | 13 | 46 / 9 | $10.052,30 | 31 / 8 | $8.884,08 | 446 / 15 | $8.145,62 | 446 / 15 |
| Disorders Of Pancreas Except Malignancy W Mcc | 13 | 33 / 6 | $18.214,90 | 10 / 3 | $14.716,40 | 267 / 3 | $13.781,00 | 267 / 3 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 14 | $13.200,50 | 71 / 14 | $7.983,15 | 639 / 15 | $7.424,38 | 639 / 16 |
| Major Cardiovasc Procedures W/O Mcc | 12 | 89 / 16 | $54.612,00 | 81 / 8 | $28.985,80 | 906 / 9 | $27.977,80 | 905 / 11 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 12 | 54 / 12 | $14.947,50 | 23 / 4 | $9.482,50 | 410 / 6 | $8.317,50 | 409 / 7 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 10 | $43.833,70 | 18 / 2 | $28.496,40 | 500 / 4 | $27.587,10 | 500 / 4 |
| Fever | 12 | 34 / 11 | $13.246,30 | 33 / 6 | $7.693,83 | 284 / 10 | $6.992,50 | 284 / 11 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 7 | $35.308,60 | 17 / 3 | $23.737,90 | 369 / 3 | $22.831,20 | 367 / 5 |
| Cirrhosis & Alcoholic Hepatitis W Cc | 12 | 14 / 5 | $13.395,60 | 7 / 3 | $8.363,75 | 62 / 3 | $7.555,75 | 62 / 3 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 12 | 32 / 8 | $10.002,60 | 26 / 7 | $6.808,92 | 257 / 13 | $6.102,25 | 257 / 14 |
| Stomach, Esophageal & Duodenal Proc W Mcc | 12 | 29 / 4 | $63.589,90 | 6 / 1 | $43.029,60 | 161 / 2 | $42.207,60 | 161 / 2 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 10 | $8.899,83 | 31 / 6 | $6.041,33 | 414 / 9 | $5.334,67 | 413 / 12 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 12 | 30 / 9 | $21.276,30 | 14 / 4 | $14.938,00 | 224 / 5 | $13.930,00 | 224 / 5 |
| Postoperative & Post-Traumatic Infections W Mcc | 11 | 32 / 8 | $21.352,60 | 12 / 4 | $15.959,50 | 171 / 3 | $15.547,90 | 171 / 4 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 21 | $10.652,00 | 125 / 20 | $5.860,36 | 751 / 25 | $5.200,00 | 750 / 28 |
| Seizures W Mcc | 11 | 55 / 14 | $10.848,50 | 6 / 1 | $11.333,30 | 513 / 7 | $10.675,80 | 513 / 7 |
| Peritoneal Adhesiolysis W Cc | 11 | 28 / 6 | $38.438,70 | 33 / 4 | $19.976,80 | 254 / 3 | $19.211,70 | 254 / 5 |
| Respiratory Neoplasms W Cc | 11 | 36 / 10 | $15.683,50 | 33 / 6 | $10.425,10 | 423 / 6 | $9.540,73 | 422 / 6 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 11 | $15.422,80 | 26 / 2 | $10.569,10 | 399 / 9 | $9.795,27 | 399 / 10 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 8 | $17.490,20 | 5 / 1 | $14.007,50 | 248 / 2 | $13.350,00 | 249 / 2 | Total 115 procedures | 4.672 | 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.