Hospital Costs > In Massachusetts > Beth Israel Deaconess Hospital-Milton 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 | 169 | 347 / 24 | $20.230,90 | 273 / 24 | $12.179,90 | 1672 / 5 | $11.384,50 | 1640 / 10 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 123 | 441 / 27 | $41.069,50 | 813 / 47 | $14.661,10 | 1970 / 2 | $13.503,40 | 1928 / 13 |
Heart Failure & Shock W Mcc | 67 | 217 / 31 | $17.699,70 | 286 / 28 | $9.571,39 | 1476 / 4 | $8.993,96 | 1472 / 6 |
Cellulitis W/O Mcc | 65 | 124 / 27 | $9.751,15 | 221 / 27 | $5.612,65 | 1466 / 2 | $4.685,63 | 1459 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 63 | 212 / 36 | $12.210,50 | 419 / 35 | $5.043,25 | 1525 / 1 | $4.152,33 | 1513 / 8 |
Heart Failure & Shock W Cc | 53 | 225 / 39 | $11.625,60 | 243 / 24 | $6.591,55 | 1609 / 2 | $5.883,92 | 1604 / 6 |
Renal Failure W Mcc | 47 | 148 / 23 | $18.943,50 | 184 / 22 | $10.236,40 | 1214 / 2 | $9.467,77 | 1214 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 26 | $14.945,80 | 348 / 35 | $6.975,93 | 1326 / 1 | $6.018,11 | 1321 / 1 |
Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 26 | $13.654,90 | 233 / 28 | $7.867,86 | 1550 / 3 | $6.913,81 | 1543 / 6 |
G.I. Hemorrhage W Cc | 42 | 176 / 31 | $14.834,60 | 293 / 30 | $6.680,86 | 1246 / 4 | $5.638,95 | 1243 / 2 |
Renal Failure W Cc | 42 | 179 / 33 | $11.966,20 | 207 / 28 | $6.515,31 | 1278 / 3 | $5.471,88 | 1270 / 2 |
Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 35 | $12.516,70 | 304 / 29 | $6.563,81 | 1575 / 3 | $5.586,51 | 1568 / 5 |
Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 31 | $14.770,00 | 115 / 15 | $9.518,13 | 1478 / 4 | $8.636,84 | 1478 / 5 |
Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 40 | $9.344,56 | 218 / 24 | $5.078,67 | 1264 / 2 | $4.136,44 | 1255 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 31 | $10.240,50 | 119 / 15 | $5.371,32 | 1211 / 3 | $4.516,61 | 1206 / 2 |
Red Blood Cell Disorders W/O Mcc | 31 | 112 / 20 | $10.042,40 | 110 / 14 | $5.456,81 | 1058 / 1 | $4.597,97 | 1051 / 4 |
Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 39 | $12.138,90 | 247 / 32 | $6.154,30 | 1345 / 1 | $5.314,43 | 1340 / 1 |
Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 24 | $10.649,50 | 65 / 13 | $7.461,47 | 1081 / 5 | $6.537,73 | 1077 / 4 |
Syncope & Collapse | 22 | 147 / 36 | $12.515,90 | 225 / 33 | $4.980,64 | 945 / 3 | $3.995,91 | 939 / 2 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 25 | $10.897,40 | 341 / 35 | $4.907,50 | 1140 / 1 | $3.868,95 | 1131 / 4 |
G.I. Hemorrhage W Mcc | 22 | 99 / 23 | $17.238,90 | 43 / 9 | $11.444,40 | 927 / 4 | $10.952,80 | 921 / 6 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 28 | $17.579,90 | 100 / 17 | $11.604,10 | 1134 / 11 | $10.796,50 | 1129 / 13 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 15 | $59.315,40 | 101 / 13 | $33.584,30 | 793 / 4 | $32.630,40 | 787 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 38 | $9.210,11 | 235 / 24 | $4.747,05 | 1107 / 4 | $3.728,11 | 1104 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 28 | $12.656,10 | 61 / 12 | $8.314,21 | 1123 / 2 | $7.424,95 | 1120 / 5 |
Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 30 | $29.994,00 | 222 / 32 | $13.558,40 | 1410 / 7 | $12.416,50 | 1392 / 9 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 20 | $8.023,58 | 92 / 13 | $4.825,21 | 1012 / 2 | $3.688,37 | 1007 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 23 | $15.953,40 | 87 / 23 | $8.188,44 | 746 / 1 | $7.242,67 | 741 / 3 |
Transient Ischemia | 17 | 108 / 23 | $12.809,00 | 166 / 23 | $4.762,76 | 849 / 1 | $3.776,41 | 845 / 2 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 21 | $33.662,10 | 94 / 14 | $17.002,90 | 1009 / 1 | $15.935,60 | 998 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 23 | $15.100,90 | 260 / 27 | $5.092,06 | 823 / 2 | $4.024,76 | 819 / 3 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 23 | $13.460,60 | 107 / 22 | $6.635,88 | 894 / 3 | $6.105,88 | 890 / 8 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 15 | 47 / 18 | $16.115,50 | 232 / 29 | $5.194,07 | 357 / 2 | $4.069,80 | 357 / 2 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 34 | $17.631,90 | 51 / 10 | $11.977,50 | 990 / 3 | $11.657,50 | 978 / 3 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 30 | $8.737,87 | 210 / 27 | $3.805,40 | 817 / 3 | $2.685,40 | 813 / 1 |
Medical Back Problems W/O Mcc | 15 | 106 / 26 | $14.026,10 | 176 / 23 | $5.662,73 | 727 / 2 | $4.619,53 | 724 / 3 |
Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 21 | $12.878,70 | 74 / 14 | $6.739,60 | 714 / 2 | $5.912,93 | 712 / 2 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 15 | $49.744,60 | 120 / 15 | $21.007,40 | 546 / 1 | $19.880,60 | 543 / 1 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 20 | $62.650,40 | 81 / 15 | $34.869,60 | 805 / 5 | $33.666,00 | 803 / 8 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 31 | $8.936,77 | 179 / 27 | $4.632,92 | 975 / 4 | $3.707,38 | 967 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 26 | $18.316,20 | 60 / 13 | $11.841,10 | 903 / 7 | $10.642,30 | 901 / 7 |
Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 4 | $20.618,60 | 26 / 2 | $11.399,80 | 248 / 1 | $10.817,20 | 248 / 1 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 20 | $10.511,20 | 48 / 13 | $6.375,75 | 568 / 2 | $5.469,08 | 566 / 1 |
Transurethral Procedures W Cc | 12 | 29 / 7 | $21.073,60 | 33 / 6 | $8.727,75 | 255 / 1 | $7.925,08 | 255 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 35 | $16.478,80 | 237 / 32 | $6.885,58 | 1090 / 4 | $5.978,92 | 1087 / 6 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 16 | $8.993,00 | 37 / 8 | $5.090,18 | 437 / 2 | $4.101,09 | 434 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 22 | $16.218,90 | 201 / 24 | $7.238,91 | 825 / 1 | $6.633,82 | 822 / 1 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 16 | $16.978,50 | 89 / 16 | $8.246,55 | 409 / 1 | $7.152,73 | 407 / 1 |
G.I. Obstruction W Cc | 11 | 81 / 30 | $13.710,10 | 206 / 28 | $5.999,27 | 1062 / 2 | $5.225,45 | 1059 / 6 |
Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 7 | $14.253,30 | 36 / 2 | $6.265,64 | 189 / 1 | $5.390,00 | 189 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 10 | $18.908,90 | 24 / 4 | $8.419,64 | 418 / 2 | $7.439,27 | 417 / 3 | Total 51 procedures | 1.501 | 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.