Hospital Costs > In Vermont > Brattleboro Memorial Hospital, 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 | 81 | 483 / 3 | $28.724,10 | 179 / 1 | $18.684,50 | 2501 / 3 | $17.505,30 | 2455 / 4 |
Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 6 | $12.307,60 | 279 / 1 | $8.480,15 | 2431 / 2 | $7.395,44 | 2422 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 35 | 481 / 5 | $22.787,70 | 403 / 2 | $16.396,90 | 2550 / 3 | $15.637,20 | 2506 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 5 | $14.804,00 | 335 / 3 | $9.369,55 | 2265 / 3 | $8.377,55 | 2256 / 5 |
Heart Failure & Shock W Cc | 22 | 256 / 5 | $16.192,50 | 706 / 3 | $8.658,05 | 2439 / 3 | $7.942,41 | 2433 / 3 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 4 | $26.739,10 | 123 / 1 | $16.844,40 | 1873 / 3 | $15.779,00 | 1853 / 4 |
G.I. Hemorrhage W Cc | 17 | 201 / 6 | $16.358,00 | 427 / 3 | $8.843,00 | 2095 / 3 | $7.702,29 | 2091 / 3 |
Cellulitis W/O Mcc | 15 | 174 / 6 | $15.724,30 | 956 / 6 | $7.423,93 | 2244 / 3 | $6.295,40 | 2236 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 3 | $14.561,30 | 223 / 2 | $6.718,29 | 1359 / 3 | $5.513,71 | 1355 / 3 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 6 | $11.030,30 | 317 / 4 | $6.217,46 | 1731 / 3 | $5.291,92 | 1723 / 5 |
Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 6 | $23.524,00 | 599 / 5 | $12.982,70 | 2294 / 3 | $12.148,30 | 2288 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 6 | $15.075,90 | 531 / 5 | $6.971,25 | 1900 / 3 | $6.267,25 | 1895 / 5 |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 6 | $16.727,80 | 456 / 3 | $10.240,20 | 2292 / 3 | $9.333,50 | 2284 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 6 | $14.022,80 | 623 / 4 | $6.400,09 | 2254 / 2 | $5.408,09 | 2239 / 3 | Total 14 procedures | 323 | 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.