Hospital Costs > In Massachusetts > Beth Israel Deaconess Hospital - Plymouth, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 280 | 287 / 13 | $31.026,80 | 263 / 21 | $15.362,30 | 1914 / 11 | $13.296,70 | 1872 / 9 |
Heart Failure & Shock W Mcc | 115 | 169 / 18 | $12.862,10 | 74 / 7 | $10.323,60 | 1735 / 12 | $9.550,45 | 1730 / 13 |
Simple Pneumonia & Pleurisy W Mcc | 114 | 91 / 5 | $13.694,70 | 76 / 13 | $10.008,90 | 1658 / 9 | $9.036,63 | 1658 / 10 |
Simple Pneumonia & Pleurisy W Cc | 99 | 104 / 12 | $9.058,10 | 63 / 9 | $6.962,28 | 1881 / 11 | $5.966,73 | 1873 / 10 |
Kidney & Urinary Tract Infections W/O Mcc | 93 | 140 / 17 | $7.962,86 | 111 / 7 | $5.592,43 | 1774 / 13 | $4.652,88 | 1763 / 15 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 92 | 183 / 29 | $7.775,11 | 83 / 4 | $5.426,07 | 1628 / 10 | $4.259,78 | 1615 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 91 | 425 / 40 | $18.356,30 | 193 / 17 | $12.748,00 | 1619 / 10 | $11.268,30 | 1587 / 7 |
Pulmonary Edema & Respiratory Failure | 89 | 114 / 7 | $13.153,10 | 77 / 12 | $8.942,20 | 1507 / 9 | $7.850,21 | 1502 / 4 |
Renal Failure W Cc | 87 | 134 / 16 | $8.836,92 | 42 / 8 | $6.809,43 | 1567 / 12 | $5.868,00 | 1558 / 8 |
Chronic Obstructive Pulmonary Disease W Mcc | 84 | 118 / 11 | $9.416,61 | 25 / 4 | $8.337,62 | 1711 / 13 | $7.236,62 | 1703 / 12 |
Heart Failure & Shock W Cc | 71 | 207 / 30 | $8.079,23 | 41 / 3 | $7.007,90 | 1789 / 10 | $6.122,27 | 1784 / 11 |
Cellulitis W/O Mcc | 70 | 119 / 25 | $7.589,81 | 75 / 11 | $6.061,83 | 1657 / 12 | $4.915,01 | 1650 / 13 |
Chronic Obstructive Pulmonary Disease W Cc | 67 | 112 / 19 | $8.366,45 | 30 / 4 | $6.803,79 | 1640 / 16 | $5.741,43 | 1633 / 11 |
Renal Failure W Mcc | 60 | 135 / 15 | $18.305,60 | 165 / 18 | $11.171,90 | 1510 / 16 | $10.329,80 | 1509 / 18 |
G.I. Hemorrhage W Cc | 58 | 160 / 23 | $11.862,50 | 115 / 15 | $7.051,60 | 1585 / 9 | $6.115,88 | 1581 / 11 |
Respiratory Infections & Inflammations W Mcc | 56 | 80 / 10 | $15.316,10 | 24 / 6 | $13.287,50 | 1205 / 11 | $12.584,10 | 1190 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 56 | 105 / 17 | $10.280,40 | 124 / 17 | $5.747,43 | 1458 / 10 | $4.905,71 | 1453 / 12 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 47 | 78 / 12 | $18.199,70 | 110 / 20 | $11.059,40 | 985 / 4 | $10.261,40 | 983 / 6 |
Kidney & Urinary Tract Infections W Mcc | 42 | 102 / 18 | $8.898,33 | 25 / 4 | $7.715,31 | 1274 / 9 | $6.936,64 | 1270 / 13 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 29 | $9.167,73 | 230 / 23 | $5.032,07 | 1573 / 9 | $4.150,83 | 1568 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 31 | $8.779,97 | 31 / 4 | $7.675,38 | 1445 / 12 | $6.171,11 | 1439 / 3 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 36 | 65 / 6 | $14.882,40 | 42 / 11 | $11.636,50 | 573 / 10 | $9.441,00 | 571 / 1 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 35 | 85 / 17 | $7.111,17 | 50 / 11 | $5.364,71 | 1345 / 11 | $4.146,00 | 1334 / 9 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 35 | 153 / 17 | $18.986,50 | 82 / 9 | $7.562,03 | 1067 / 2 | $6.561,60 | 1064 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 21 | $14.565,90 | 128 / 20 | $7.326,09 | 1300 / 7 | $6.337,97 | 1297 / 12 |
Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 24 | $28.317,20 | 176 / 24 | $13.566,70 | 1414 / 8 | $12.439,50 | 1396 / 10 |
Respiratory Infections & Inflammations W Cc | 30 | 58 / 15 | $15.752,60 | 120 / 21 | $9.810,17 | 1067 / 11 | $8.943,00 | 1062 / 12 |
G.I. Obstruction W Cc | 30 | 62 / 15 | $8.855,70 | 35 / 6 | $6.380,30 | 1243 / 9 | $5.694,43 | 1239 / 16 |
Syncope & Collapse | 30 | 139 / 31 | $9.322,30 | 79 / 13 | $5.330,87 | 1252 / 7 | $4.487,13 | 1245 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 21 | $15.694,70 | 140 / 25 | $9.149,13 | 1295 / 18 | $7.894,97 | 1292 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 28 | 140 / 16 | $17.128,80 | 49 / 10 | $11.535,10 | 917 / 6 | $10.714,50 | 914 / 8 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 27 | 69 / 16 | $11.878,70 | 32 / 9 | $8.840,78 | 816 / 10 | $7.470,67 | 811 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 16 | $13.451,90 | 148 / 17 | $5.569,30 | 1049 / 7 | $4.451,67 | 1045 / 10 |
Acute Myocardial Infarction, Discharged Alive W Cc | 26 | 65 / 12 | $15.003,40 | 117 / 20 | $7.072,46 | 804 / 6 | $6.142,00 | 802 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 26 | 47 / 11 | $12.657,60 | 64 / 14 | $8.210,65 | 723 / 5 | $7.419,27 | 721 / 3 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 23 | $6.969,92 | 74 / 7 | $4.151,35 | 1383 / 7 | $3.268,88 | 1377 / 15 |
G.I. Obstruction W/O Cc/Mcc | 25 | 46 / 11 | $6.454,64 | 29 / 4 | $4.690,32 | 718 / 8 | $3.281,68 | 715 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 16 | $33.520,10 | 176 / 24 | $17.033,20 | 1155 / 15 | $14.853,80 | 1142 / 6 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 16 | $7.502,42 | 65 / 9 | $5.110,50 | 1400 / 7 | $4.205,17 | 1392 / 15 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 24 | 72 / 4 | $41.417,10 | 196 / 9 | $15.900,20 | 556 / 1 | $13.306,90 | 553 / 1 |
G.I. Hemorrhage W Mcc | 23 | 98 / 22 | $17.060,40 | 42 / 8 | $11.372,10 | 595 / 2 | $9.900,13 | 596 / 1 |
Major Small & Large Bowel Procedures W Cc | 23 | 85 / 18 | $47.559,70 | 348 / 27 | $18.014,10 | 1030 / 8 | $16.032,00 | 1019 / 5 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 23 | 30 / 7 | $10.496,00 | 54 / 12 | $5.430,96 | 618 / 5 | $4.800,70 | 614 / 8 |
Other Digestive System Diagnoses W Cc | 22 | 75 / 17 | $12.775,70 | 81 / 17 | $7.398,00 | 885 / 13 | $6.072,95 | 881 / 7 |
Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 13 | $59.806,40 | 67 / 13 | $32.851,40 | 664 / 2 | $31.808,40 | 662 / 2 |
Fractures Of Hip & Pelvis W/O Mcc | 21 | 40 / 10 | $7.574,38 | 28 / 5 | $4.931,57 | 455 / 4 | $3.835,95 | 455 / 3 |
Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 25 | $6.036,43 | 25 / 2 | $4.880,05 | 1332 / 9 | $4.131,86 | 1321 / 14 |
Medical Back Problems W/O Mcc | 21 | 100 / 22 | $10.925,40 | 74 / 14 | $5.736,76 | 776 / 4 | $4.702,10 | 773 / 4 |
Transient Ischemia | 19 | 106 / 22 | $14.455,10 | 263 / 31 | $5.309,32 | 934 / 9 | $3.917,37 | 929 / 5 |
Diabetes W Cc | 18 | 74 / 22 | $8.673,72 | 41 / 8 | $6.123,89 | 866 / 9 | $4.833,00 | 862 / 5 |
Pulmonary Embolism W/O Mcc | 17 | 57 / 18 | $8.693,24 | 19 / 2 | $6.937,47 | 893 / 6 | $6.081,00 | 890 / 13 |
Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 12 | $23.889,10 | 251 / 13 | $7.558,06 | 661 / 2 | $6.349,59 | 658 / 3 |
Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 14 | $16.092,60 | 39 / 7 | $9.975,24 | 594 / 3 | $9.051,00 | 592 / 3 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 17 | 72 / 14 | $29.402,50 | 287 / 19 | $7.862,00 | 516 / 2 | $6.649,76 | 515 / 5 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 17 | 53 / 11 | $7.227,82 | 6 / 2 | $6.585,47 | 304 / 1 | $6.015,12 | 304 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 19 | $59.383,00 | 102 / 14 | $34.105,20 | 853 / 5 | $33.277,20 | 847 / 7 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 11 | $25.547,90 | 29 / 4 | $13.552,70 | 452 / 2 | $12.586,30 | 446 / 2 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 14 | 13 / 8 | $17.629,70 | 14 / 7 | $10.662,70 | 61 / 2 | $10.054,70 | 61 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 9 | $18.683,40 | 31 / 7 | $13.336,90 | 361 / 4 | $11.872,10 | 360 / 1 |
G.I. Obstruction W Mcc | 14 | 28 / 9 | $15.534,30 | 10 / 4 | $11.352,30 | 334 / 2 | $10.570,60 | 334 / 3 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 6 | $48.410,50 | 119 / 4 | $18.263,90 | 365 / 1 | $17.237,50 | 365 / 3 |
Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 14 | $36.491,20 | 34 / 7 | $20.733,20 | 647 / 4 | $19.867,90 | 644 / 4 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 17 | $9.000,23 | 20 / 3 | $6.863,77 | 445 / 2 | $6.029,31 | 445 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 20 | $13.419,80 | 101 / 15 | $7.848,08 | 954 / 3 | $6.915,15 | 951 / 3 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 14 | $74.973,20 | 90 / 11 | $36.029,50 | 631 / 4 | $35.478,20 | 630 / 6 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 15 | $8.512,42 | 20 / 5 | $6.508,25 | 382 / 2 | $5.362,17 | 382 / 2 |
Pulmonary Embolism W Mcc | 12 | 31 / 9 | $12.664,60 | 5 / 2 | $9.667,08 | 327 / 1 | $9.069,75 | 327 / 1 |
Red Blood Cell Disorders W/O Mcc | 12 | 131 / 36 | $9.657,42 | 91 / 12 | $6.202,58 | 1036 / 15 | $4.558,83 | 1029 / 3 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 11 | $6.633,50 | 26 / 2 | $5.239,92 | 236 / 10 | $2.999,33 | 235 / 1 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 22 | $7.254,83 | 15 / 4 | $6.329,58 | 692 / 3 | $5.425,58 | 688 / 8 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 17 | $43.488,20 | 68 / 11 | $21.900,90 | 610 / 2 | $20.791,50 | 607 / 3 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 15 | $10.960,90 | 4 / 2 | $12.479,10 | 202 / 4 | $9.480,83 | 202 / 1 |
Diabetes W Mcc | 12 | 45 / 12 | $15.992,50 | 40 / 8 | $9.613,75 | 389 / 1 | $8.605,75 | 389 / 2 |
Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 22 | $52.441,00 | 132 / 9 | $28.056,20 | 1030 / 1 | $26.843,10 | 1025 / 4 |
Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 18 | $42.021,70 | 103 / 13 | $18.746,50 | 694 / 3 | $17.763,30 | 693 / 4 |
Cellulitis W Mcc | 11 | 47 / 18 | $12.198,30 | 20 / 10 | $9.312,09 | 458 / 1 | $8.547,00 | 456 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 13 | $26.596,30 | 54 / 7 | $11.735,30 | 684 / 2 | $10.967,30 | 681 / 4 |
Chest Pain | 11 | 140 / 30 | $7.696,45 | 61 / 8 | $4.483,36 | 967 / 5 | $3.500,09 | 961 / 4 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 30 | $7.885,00 | 76 / 7 | $5.030,18 | 347 / 3 | $3.933,45 | 347 / 3 |
Other Vascular Procedures W Cc | 11 | 91 / 19 | $36.473,70 | 67 / 6 | $17.467,50 | 535 / 1 | $15.164,40 | 532 / 1 | Total 80 procedures | 2.906 | 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.