Hospital Costs > In Connecticut > Bristol Hospital, 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 | 91 | 425 / 22 | $29.648,20 | 765 / 7 | $13.238,10 | 2024 / 5 | $12.450,20 | 1987 / 7 |
Pulmonary Edema & Respiratory Failure | 87 | 116 / 7 | $24.934,60 | 726 / 9 | $9.044,90 | 1708 / 5 | $8.492,99 | 1703 / 10 |
Chronic Obstructive Pulmonary Disease W Cc | 77 | 102 / 5 | $19.159,70 | 921 / 10 | $6.882,27 | 1810 / 4 | $6.127,99 | 1803 / 10 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 70 | 494 / 23 | $42.733,00 | 911 / 15 | $15.428,40 | 2080 / 4 | $13.977,00 | 2038 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 66 | 209 / 16 | $17.180,70 | 1024 / 11 | $5.629,02 | 1971 / 9 | $4.714,11 | 1957 / 13 |
Simple Pneumonia & Pleurisy W Cc | 65 | 138 / 13 | $19.778,70 | 1112 / 11 | $7.141,14 | 2044 / 6 | $6.248,58 | 2036 / 10 |
Heart Failure & Shock W Cc | 60 | 218 / 17 | $23.992,10 | 1586 / 17 | $7.123,93 | 1938 / 5 | $6.397,53 | 1933 / 9 |
Heart Failure & Shock W Mcc | 59 | 225 / 16 | $31.544,80 | 1188 / 13 | $10.708,60 | 1958 / 5 | $10.217,70 | 1951 / 10 |
Chronic Obstructive Pulmonary Disease W Mcc | 57 | 145 / 10 | $21.419,50 | 851 / 8 | $8.301,70 | 1859 / 2 | $7.580,86 | 1851 / 8 |
Kidney & Urinary Tract Infections W/O Mcc | 54 | 179 / 18 | $17.257,00 | 1257 / 14 | $5.735,94 | 1928 / 8 | $4.867,20 | 1917 / 10 |
G.I. Hemorrhage W Cc | 51 | 167 / 18 | $24.449,60 | 1159 / 14 | $7.386,25 | 1684 / 6 | $6.340,49 | 1680 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 49 | 117 / 11 | $17.498,30 | 1265 / 14 | $5.236,75 | 1669 / 5 | $4.276,10 | 1664 / 7 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 43 | 164 / 19 | $20.268,60 | 807 / 10 | $7.819,67 | 1827 / 6 | $6.863,40 | 1819 / 8 |
Simple Pneumonia & Pleurisy W Mcc | 42 | 163 / 17 | $28.551,30 | 946 / 11 | $10.014,00 | 1804 / 3 | $9.413,67 | 1804 / 7 |
Syncope & Collapse | 40 | 129 / 14 | $20.973,10 | 940 / 13 | $5.489,48 | 1346 / 5 | $4.703,08 | 1339 / 9 |
Kidney & Urinary Tract Infections W Mcc | 39 | 105 / 12 | $20.640,10 | 610 / 10 | $8.082,46 | 1371 / 8 | $7.216,82 | 1367 / 7 |
Cellulitis W/O Mcc | 36 | 153 / 17 | $19.004,90 | 1365 / 17 | $6.222,78 | 1826 / 5 | $5.184,56 | 1818 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 18 | $21.731,20 | 1182 / 12 | $5.937,41 | 1426 / 3 | $4.852,66 | 1421 / 6 |
Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 14 | $18.086,30 | 1156 / 14 | $5.079,63 | 1425 / 5 | $4.282,00 | 1414 / 9 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 26 | 98 / 9 | $25.511,50 | 629 / 12 | $5.311,42 | 530 / 3 | $4.554,81 | 529 / 6 |
Renal Failure W Cc | 26 | 195 / 23 | $29.495,90 | 1670 / 19 | $7.493,85 | 1776 / 11 | $6.361,58 | 1766 / 10 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 15 | $14.725,20 | 955 / 12 | $4.321,28 | 1449 / 4 | $3.402,24 | 1443 / 9 |
Renal Failure W Mcc | 24 | 171 / 18 | $36.919,20 | 1147 / 14 | $11.315,80 | 1563 / 5 | $10.521,80 | 1561 / 7 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 17 | $39.342,80 | 605 / 12 | $13.916,90 | 1435 / 4 | $12.502,00 | 1417 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 15 | $23.602,80 | 561 / 5 | $8.886,23 | 1349 / 5 | $8.116,77 | 1346 / 9 |
G.I. Obstruction W Cc | 21 | 71 / 10 | $17.231,00 | 448 / 5 | $6.715,62 | 1068 / 4 | $5.234,62 | 1065 / 4 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 11 | $16.155,50 | 925 / 11 | $5.538,26 | 1448 / 8 | $4.324,05 | 1437 / 7 |
Transient Ischemia | 19 | 106 / 15 | $17.591,20 | 459 / 7 | $5.320,68 | 1125 / 4 | $4.303,42 | 1119 / 5 |
G.I. Hemorrhage W Mcc | 19 | 102 / 15 | $38.689,30 | 648 / 10 | $13.088,40 | 1224 / 7 | $12.391,10 | 1216 / 8 |
Medical Back Problems W/O Mcc | 19 | 102 / 13 | $14.785,30 | 215 / 1 | $6.320,26 | 976 / 2 | $5.173,32 | 973 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 15 | $19.101,40 | 514 / 7 | $5.635,72 | 1074 / 1 | $4.492,61 | 1070 / 2 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 19 | $19.175,30 | 821 / 14 | $6.039,67 | 1358 / 4 | $5.097,44 | 1349 / 9 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 16 | $58.835,20 | 607 / 8 | $18.163,60 | 1166 / 4 | $17.246,90 | 1153 / 8 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 15 | $29.637,30 | 121 / 3 | $15.380,40 | 1124 / 1 | $14.704,40 | 1112 / 1 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 14 | $22.744,50 | 549 / 8 | $7.192,38 | 1007 / 2 | $6.512,38 | 1003 / 7 |
Cellulitis W Mcc | 16 | 42 / 7 | $31.142,40 | 405 / 9 | $10.381,70 | 647 / 1 | $9.627,69 | 645 / 2 |
Chest Pain | 15 | 136 / 14 | $18.935,60 | 839 / 11 | $4.655,73 | 1073 / 5 | $3.687,20 | 1066 / 7 |
Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 7 | $27.149,80 | 281 / 5 | $9.650,47 | 536 / 1 | $8.686,20 | 534 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 14 | $22.385,70 | 553 / 7 | $8.212,20 | 1023 / 5 | $7.162,60 | 1020 / 4 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 14 | $15.425,90 | 779 / 9 | $5.351,00 | 1517 / 5 | $4.491,57 | 1509 / 8 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 8 | $25.667,90 | 675 / 11 | $7.368,36 | 913 / 3 | $6.161,50 | 910 / 2 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 11 | $98.174,60 | 361 / 6 | $35.436,90 | 849 / 4 | $34.436,30 | 847 / 7 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 11 | $26.452,00 | 542 / 10 | $8.192,69 | 755 / 2 | $7.540,38 | 753 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 23 | $22.317,20 | 626 / 8 | $7.894,62 | 1528 / 3 | $6.969,08 | 1525 / 6 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 7 | $34.064,80 | 74 / 1 | $15.297,80 | 524 / 1 | $14.084,50 | 523 / 1 |
Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 9 | $21.603,40 | 165 / 4 | $6.084,75 | 217 / 1 | $5.175,42 | 217 / 1 |
Diabetes W Cc | 12 | 80 / 15 | $20.447,20 | 724 / 7 | $6.064,67 | 1007 / 3 | $5.155,33 | 1003 / 3 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 11 | $55.194,20 | 415 / 7 | $15.981,20 | 665 / 1 | $14.970,60 | 661 / 2 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 9 | $15.238,20 | 310 / 3 | $4.859,25 | 602 / 1 | $4.253,92 | 601 / 3 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 21 | $22.282,90 | 208 / 3 | $9.409,00 | 394 / 1 | $8.745,73 | 394 / 1 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 13 | $15.285,50 | 204 / 2 | $6.522,73 | 691 / 2 | $5.423,09 | 687 / 4 |
Seizures W/O Mcc | 11 | 97 / 15 | $13.641,50 | 195 / 3 | $5.749,36 | 847 / 3 | $4.876,64 | 844 / 7 | Total 52 procedures | 1.595 | 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.