Hospital Costs > In Massachusetts > Beth Israel Deaconess Hospital - Needham, 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 | 159 | 357 / 25 | $14.388,70 | 56 / 4 | $11.274,50 | 1221 / 1 | $10.507,50 | 1201 / 3 |
| Cellulitis W/O Mcc | 43 | 146 / 37 | $8.356,98 | 113 / 14 | $5.624,37 | 1522 / 3 | $4.754,42 | 1515 / 9 |
| Heart Failure & Shock W Mcc | 42 | 242 / 38 | $15.478,50 | 161 / 20 | $9.179,52 | 1075 / 2 | $8.402,38 | 1072 / 1 |
| Heart Failure & Shock W Cc | 41 | 237 / 47 | $11.411,20 | 224 / 22 | $6.640,76 | 1490 / 4 | $5.756,46 | 1485 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 30 | $10.496,70 | 70 / 8 | $7.138,66 | 1588 / 3 | $6.406,03 | 1581 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 37 | $15.275,40 | 132 / 19 | $9.017,52 | 1058 / 1 | $7.932,83 | 1058 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 26 | 538 / 47 | $23.532,30 | 51 / 6 | $14.825,00 | 2003 / 5 | $13.618,90 | 1961 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 50 | $11.495,90 | 328 / 29 | $5.120,92 | 1409 / 4 | $4.055,08 | 1398 / 2 |
| Respiratory Infections & Inflammations W Mcc | 25 | 111 / 27 | $16.407,50 | 39 / 8 | $11.476,80 | 613 / 2 | $10.702,40 | 605 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 40 | $10.038,10 | 112 / 18 | $6.634,61 | 1624 / 5 | $5.639,83 | 1617 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 46 | $8.206,32 | 130 / 10 | $5.203,36 | 1421 / 5 | $4.271,00 | 1412 / 5 |
| Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 26 | $12.338,10 | 122 / 24 | $7.196,64 | 1060 / 3 | $6.507,18 | 1057 / 3 |
| G.I. Hemorrhage W Cc | 19 | 199 / 41 | $10.207,90 | 51 / 5 | $6.578,68 | 1392 / 3 | $5.812,37 | 1389 / 6 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 40 | $11.715,20 | 111 / 17 | $7.469,42 | 1092 / 1 | $6.325,84 | 1087 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 37 | $10.468,70 | 133 / 19 | $5.442,72 | 1250 / 4 | $4.568,06 | 1245 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 32 | $19.779,50 | 29 / 2 | $13.287,60 | 1363 / 3 | $12.227,80 | 1345 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 32 | $16.356,70 | 228 / 29 | $6.741,13 | 1012 / 2 | $5.849,40 | 1009 / 4 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 27 | $10.114,50 | 10 / 2 | $8.736,07 | 791 / 1 | $7.956,64 | 786 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 31 | $9.330,54 | 205 / 30 | $4.654,77 | 994 / 5 | $3.726,77 | 986 / 5 |
| Cellulitis W Mcc | 11 | 47 / 18 | $13.697,20 | 31 / 14 | $9.353,73 | 490 / 2 | $8.693,36 | 488 / 5 | Total 20 procedures | 622 | 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.