Hospital Costs > In Massachusetts > Brigham And Women's Faulkner 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 | 170 | 394 / 20 | $38.980,10 | 697 / 42 | $17.464,40 | 2165 / 39 | $14.416,80 | 2121 / 28 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 121 | 29 / 3 | $16.030,50 | 386 / 38 | $6.013,99 | 589 / 25 | $4.867,50 | 588 / 20 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 120 | 155 / 21 | $16.235,60 | 902 / 50 | $6.417,12 | 2170 / 36 | $5.170,01 | 2156 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 116 | 400 / 35 | $40.031,30 | 1322 / 52 | $15.244,00 | 2370 / 38 | $14.050,50 | 2328 / 42 |
| Heart Failure & Shock W Cc | 97 | 181 / 24 | $23.484,10 | 1538 / 54 | $8.239,21 | 2252 / 39 | $7.143,28 | 2246 / 38 |
| Kidney & Urinary Tract Infections W/O Mcc | 82 | 151 / 22 | $16.829,10 | 1204 / 51 | $6.394,84 | 2082 / 33 | $5.148,49 | 2071 / 27 |
| Cellulitis W/O Mcc | 72 | 117 / 24 | $18.207,50 | 1265 / 54 | $6.892,83 | 2063 / 35 | $5.716,25 | 2055 / 34 |
| G.I. Hemorrhage W Cc | 61 | 157 / 21 | $22.731,20 | 1003 / 48 | $8.447,59 | 1933 / 36 | $7.039,00 | 1929 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 55 | 111 / 22 | $19.232,00 | 1474 / 52 | $6.064,45 | 2041 / 37 | $4.985,71 | 2033 / 34 |
| Chronic Obstructive Pulmonary Disease W Cc | 54 | 125 / 25 | $19.025,60 | 904 / 51 | $7.623,31 | 1962 / 33 | $6.566,98 | 1955 / 33 |
| Simple Pneumonia & Pleurisy W Cc | 52 | 151 / 29 | $20.360,00 | 1160 / 53 | $7.892,21 | 2255 / 33 | $6.757,48 | 2247 / 36 |
| Syncope & Collapse | 48 | 121 / 20 | $16.304,40 | 511 / 48 | $6.150,38 | 1476 / 27 | $5.067,62 | 1469 / 28 |
| Renal Failure W Cc | 46 | 175 / 32 | $17.641,70 | 743 / 48 | $7.884,37 | 1958 / 32 | $6.846,04 | 1948 / 34 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 26 | $23.888,70 | 1149 / 50 | $8.587,09 | 2055 / 29 | $7.481,30 | 2047 / 32 |
| Pulmonary Edema & Respiratory Failure | 42 | 161 / 22 | $32.188,00 | 1151 / 44 | $10.150,70 | 1800 / 30 | $8.924,74 | 1795 / 27 |
| Chronic Obstructive Pulmonary Disease W Mcc | 40 | 162 / 29 | $21.375,20 | 844 / 51 | $9.377,50 | 2100 / 34 | $8.293,70 | 2092 / 37 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 38 | 123 / 27 | $17.190,50 | 774 / 47 | $7.541,95 | 1716 / 40 | $5.513,34 | 1711 / 30 |
| Medical Back Problems W/O Mcc | 34 | 87 / 17 | $20.762,80 | 582 / 33 | $6.931,65 | 1127 / 16 | $5.714,65 | 1123 / 19 |
| Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 16 | $16.511,40 | 1019 / 50 | $6.707,85 | 1465 / 42 | $4.352,68 | 1453 / 21 |
| Heart Failure & Shock W Mcc | 33 | 251 / 42 | $35.862,40 | 1442 / 52 | $12.432,10 | 2176 / 40 | $11.144,30 | 2166 / 39 |
| Chest Pain | 31 | 120 / 17 | $16.110,70 | 593 / 40 | $5.711,87 | 1261 / 29 | $4.169,55 | 1254 / 22 |
| Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 24 | $24.597,90 | 892 / 43 | $8.881,90 | 1618 / 26 | $8.216,77 | 1614 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 20 | $13.711,70 | 833 / 43 | $4.833,27 | 1587 / 26 | $3.701,10 | 1581 / 27 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 29 | 44 / 5 | $36.963,50 | 158 / 7 | $13.558,40 | 278 / 8 | $8.339,00 | 278 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 25 | $29.142,90 | 1097 / 47 | $8.594,93 | 1661 / 30 | $7.464,76 | 1657 / 30 |
| Respiratory Infections & Inflammations W Cc | 26 | 62 / 17 | $26.522,70 | 542 / 38 | $11.033,40 | 1262 / 28 | $10.138,50 | 1257 / 27 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 15 | $13.228,60 | 533 / 41 | $6.313,64 | 1606 / 34 | $4.753,52 | 1598 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 24 | $24.349,50 | 616 / 45 | $10.477,10 | 1495 / 37 | $8.635,83 | 1492 / 26 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 24 | $16.287,60 | 939 / 45 | $6.663,67 | 1506 / 37 | $4.436,33 | 1495 / 16 |
| Renal Failure W Mcc | 23 | 172 / 34 | $32.124,40 | 895 / 45 | $12.981,30 | 1475 / 33 | $10.202,60 | 1474 / 16 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 23 | 39 / 12 | $15.145,50 | 197 / 27 | $6.299,22 | 598 / 17 | $5.059,70 | 596 / 17 |
| Bronchitis & Asthma W Cc/Mcc | 22 | 54 / 15 | $19.731,20 | 372 / 35 | $7.418,27 | 856 / 21 | $6.230,36 | 852 / 22 |
| Signs & Symptoms W/O Mcc | 22 | 69 / 17 | $17.334,50 | 494 / 37 | $5.991,00 | 1047 / 22 | $5.118,50 | 1044 / 26 |
| Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 42 | $25.019,00 | 705 / 49 | $11.023,10 | 1956 / 28 | $9.942,62 | 1956 / 27 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 15 | $18.123,20 | 213 / 30 | $9.082,40 | 853 / 16 | $8.120,80 | 851 / 15 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 20 | 76 / 6 | $45.719,00 | 256 / 11 | $20.360,20 | 694 / 12 | $15.703,80 | 690 / 6 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 19 | 28 / 7 | $16.847,90 | 105 / 17 | $6.025,63 | 231 / 9 | $4.826,47 | 231 / 6 |
| Fractures Of Hip & Pelvis W/O Mcc | 19 | 42 / 12 | $16.928,10 | 380 / 29 | $5.942,32 | 702 / 18 | $4.657,11 | 701 / 16 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 14 | $17.121,40 | 408 / 33 | $5.475,11 | 654 / 18 | $4.482,00 | 653 / 17 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 18 | 20 / 5 | $15.165,90 | 137 / 12 | $5.636,89 | 382 / 6 | $4.653,83 | 381 / 9 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 33 | $44.807,70 | 929 / 41 | $15.191,30 | 1442 / 25 | $13.891,70 | 1427 / 21 |
| G.I. Hemorrhage W Mcc | 18 | 103 / 26 | $27.276,40 | 239 / 27 | $13.680,40 | 1292 / 22 | $12.858,20 | 1282 / 23 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 18 | 50 / 11 | $17.656,80 | 159 / 18 | $7.282,22 | 574 / 9 | $6.627,72 | 574 / 12 |
| Diabetes W Cc | 18 | 74 / 22 | $20.972,90 | 761 / 40 | $7.373,78 | 1119 / 31 | $5.461,11 | 1115 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 18 | $41.365,10 | 1324 / 37 | $12.457,60 | 1639 / 33 | $11.283,40 | 1636 / 37 |
| Other Vascular Procedures W Mcc | 17 | 80 / 13 | $45.028,60 | 60 / 5 | $23.210,90 | 612 / 3 | $22.230,00 | 609 / 3 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 17 | 72 / 14 | $28.751,50 | 270 / 18 | $8.978,35 | 639 / 8 | $7.821,65 | 638 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 23 | $30.881,80 | 1134 / 39 | $6.120,47 | 1252 / 17 | $5.030,82 | 1248 / 24 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 22 | $19.203,80 | 361 / 36 | $8.166,00 | 1149 / 25 | $7.132,82 | 1145 / 26 |
| G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 13 | $16.578,20 | 405 / 24 | $5.795,19 | 787 / 13 | $4.811,50 | 783 / 15 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 16 | 33 / 8 | $12.659,70 | 88 / 11 | $4.086,25 | 41 / 4 | $3.153,88 | 40 / 2 |
| Dysequilibrium | 16 | 49 / 12 | $20.258,70 | 253 / 23 | $5.392,00 | 392 / 14 | $4.169,75 | 392 / 13 |
| Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 15 | 25 / 5 | $43.409,80 | 69 / 5 | $12.555,30 | 108 / 1 | $11.261,40 | 108 / 2 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 18 | $33.705,90 | 309 / 21 | $14.228,50 | 990 / 11 | $13.507,60 | 983 / 10 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 23 | $91.481,50 | 1127 / 35 | $27.023,80 | 1457 / 33 | $22.682,10 | 1443 / 33 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 33 | $15.740,50 | 520 / 41 | $7.267,53 | 1312 / 35 | $5.017,13 | 1303 / 13 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 18 | $19.728,20 | 807 / 35 | $5.384,53 | 1015 / 20 | $3.998,93 | 1012 / 18 |
| Mastectomy For Malignancy W/O Cc/Mcc | 14 | 3 / 1 | $23.938,10 | 4 / 1 | $8.054,14 | 6 / 1 | $6.848,14 | 6 / 1 |
| Disorders Of The Biliary Tract W Cc | 14 | 40 / 14 | $30.415,50 | 218 / 19 | $8.909,86 | 364 / 15 | $7.862,00 | 364 / 15 |
| Organic Disturbances & Mental Retardation | 14 | 45 / 8 | $23.000,10 | 241 / 20 | $7.685,21 | 326 / 9 | $6.619,57 | 326 / 8 |
| Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 17 | $23.614,10 | 347 / 23 | $8.335,14 | 649 / 15 | $7.107,71 | 649 / 14 |
| Psychoses | 14 | 261 / 9 | $18.121,40 | 278 / 11 | $8.486,21 | 431 / 8 | $7.100,57 | 431 / 7 |
| Seizures W/O Mcc | 13 | 95 / 26 | $14.403,20 | 230 / 32 | $6.438,00 | 1019 / 23 | $5.642,08 | 1017 / 31 |
| Transient Ischemia | 13 | 112 / 26 | $19.996,50 | 671 / 36 | $5.930,92 | 1323 / 22 | $4.937,46 | 1317 / 23 |
| Bone Diseases & Arthropathies W/O Mcc | 13 | 31 / 8 | $19.351,50 | 157 / 18 | $6.328,08 | 185 / 10 | $5.073,23 | 185 / 10 |
| Disorders Of The Biliary Tract W/O Cc/Mcc | 13 | 16 / 5 | $15.811,00 | 15 / 5 | $6.334,69 | 66 / 4 | $5.062,38 | 66 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 25 | $63.091,10 | 982 / 38 | $19.448,90 | 1527 / 28 | $17.906,80 | 1513 / 28 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 13 | 30 / 9 | $18.089,00 | 131 / 15 | $7.138,69 | 238 / 14 | $4.246,77 | 238 / 7 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 15 | $50.069,50 | 458 / 20 | $14.010,60 | 571 / 13 | $12.716,90 | 570 / 11 |
| G.I. Obstruction W Cc | 12 | 80 / 29 | $21.852,20 | 788 / 41 | $7.473,67 | 1437 / 26 | $6.390,92 | 1432 / 26 |
| Transurethral Prostatectomy W/O Cc/Mcc | 12 | 17 / 4 | $19.109,40 | 24 / 3 | $10.325,50 | 22 / 4 | $3.507,67 | 22 / 1 |
| Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 12 | 15 / 2 | $34.189,80 | 19 / 1 | $8.760,00 | 34 / 1 | $7.547,83 | 34 / 1 |
| Mastectomy For Malignancy W Cc/Mcc | 12 | 3 / 2 | $26.580,70 | 1 / 1 | $9.757,50 | 3 / 1 | $8.461,42 | 3 / 1 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 11 | 52 / 4 | $54.406,70 | 52 / 2 | $30.684,50 | 172 / 3 | $21.691,50 | 171 / 2 |
| Otitis Media & Uri W/O Mcc | 11 | 33 / 14 | $15.034,30 | 53 / 14 | $5.635,18 | 137 / 7 | $4.428,64 | 137 / 5 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 22 | $19.122,00 | 274 / 30 | $7.765,09 | 743 / 18 | $6.439,91 | 740 / 17 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 24 | $19.686,90 | 372 / 32 | $8.852,45 | 457 / 26 | $5.107,09 | 455 / 2 | Total 77 procedures | 2.364 | 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.