Hospital Costs > In Maryland > Calvert Memorial 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 | 143 | 373 / 28 | $16.548,30 | 116 / 11 | $15.280,10 | 2417 / 11 | $14.375,60 | 2374 / 12 |
Simple Pneumonia & Pleurisy W Cc | 105 | 98 / 17 | $10.909,10 | 167 / 35 | $10.080,50 | 2680 / 34 | $9.094,53 | 2671 / 35 |
Psychoses | 88 | 201 / 28 | $10.529,70 | 73 / 20 | $9.731,70 | 533 / 20 | $8.835,51 | 533 / 20 |
Kidney & Urinary Tract Infections W/O Mcc | 79 | 154 / 26 | $8.221,23 | 131 / 31 | $7.592,65 | 2491 / 31 | $6.629,41 | 2480 / 30 |
Heart Failure & Shock W Mcc | 76 | 208 / 23 | $12.055,90 | 51 / 12 | $11.124,90 | 1955 / 12 | $10.212,80 | 1948 / 14 |
Renal Failure W Cc | 75 | 146 / 18 | $9.225,61 | 58 / 18 | $8.531,76 | 2146 / 18 | $7.684,57 | 2136 / 19 |
Heart Failure & Shock W Cc | 72 | 206 / 31 | $8.594,78 | 59 / 14 | $7.951,71 | 2221 / 14 | $7.043,88 | 2215 / 14 |
Cellulitis W/O Mcc | 71 | 118 / 23 | $8.922,18 | 157 / 27 | $8.293,54 | 2387 / 28 | $7.068,99 | 2379 / 26 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 63 | 501 / 30 | $30.606,20 | 245 / 37 | $28.302,40 | 2678 / 37 | $25.880,70 | 2632 / 38 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 60 | 147 / 23 | $11.984,50 | 147 / 31 | $11.092,10 | 2442 / 31 | $9.798,12 | 2432 / 29 |
Chronic Obstructive Pulmonary Disease W Mcc | 59 | 143 / 22 | $12.145,90 | 134 / 28 | $11.206,70 | 2408 / 26 | $10.312,60 | 2400 / 28 |
Pulmonary Edema & Respiratory Failure | 52 | 151 / 25 | $17.396,00 | 247 / 25 | $16.054,70 | 2211 / 25 | $14.995,20 | 2205 / 25 |
Simple Pneumonia & Pleurisy W Mcc | 44 | 161 / 20 | $16.554,50 | 196 / 32 | $15.307,90 | 2435 / 32 | $14.082,40 | 2429 / 32 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 44 | 231 / 35 | $6.910,64 | 49 / 18 | $6.416,41 | 2192 / 18 | $5.216,20 | 2178 / 15 |
G.I. Hemorrhage W Cc | 42 | 176 / 29 | $8.571,93 | 19 / 10 | $7.917,17 | 1888 / 10 | $6.881,74 | 1884 / 10 |
Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 31 | $9.029,64 | 57 / 20 | $8.333,56 | 2187 / 19 | $7.561,11 | 2180 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 30 | $9.783,69 | 21 / 16 | $9.033,91 | 1759 / 16 | $7.977,91 | 1755 / 17 |
Respiratory Infections & Inflammations W Cc | 31 | 57 / 12 | $14.420,50 | 83 / 21 | $13.302,50 | 1415 / 21 | $12.382,30 | 1410 / 21 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 35 | $7.322,52 | 93 / 18 | $6.857,83 | 2182 / 19 | $5.474,45 | 2174 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 30 | $8.409,96 | 47 / 24 | $7.763,96 | 1981 / 24 | $6.928,27 | 1976 / 26 |
Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 27 | $6.956,52 | 54 / 25 | $6.426,72 | 1788 / 25 | $5.507,68 | 1775 / 25 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 24 | $7.220,12 | 56 / 20 | $6.672,48 | 1853 / 19 | $5.610,08 | 1842 / 18 |
Spinal Fusion Except Cervical W/O Mcc | 21 | 173 / 21 | $46.778,30 | 86 / 17 | $43.284,00 | 1333 / 17 | $39.961,10 | 1328 / 20 |
Chest Pain | 20 | 131 / 23 | $8.641,60 | 89 / 37 | $7.979,95 | 1631 / 37 | $7.010,35 | 1622 / 37 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 21 | $6.732,45 | 36 / 18 | $6.358,25 | 1537 / 18 | $4.521,00 | 1529 / 14 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 18 | $22.045,20 | 146 / 21 | $20.397,70 | 1771 / 21 | $19.047,50 | 1755 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 21 | $7.329,33 | 14 / 13 | $6.843,50 | 1353 / 13 | $5.485,06 | 1349 / 13 |
Renal Failure W Mcc | 17 | 178 / 25 | $15.171,70 | 69 / 15 | $13.991,80 | 1953 / 15 | $13.210,60 | 1949 / 17 |
G.I. Obstruction W Cc | 17 | 75 / 23 | $8.431,71 | 24 / 20 | $7.788,47 | 1497 / 19 | $6.728,53 | 1492 / 20 |
Diabetes W Cc | 16 | 76 / 27 | $10.105,10 | 87 / 29 | $9.321,00 | 1543 / 29 | $8.717,00 | 1538 / 30 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 25 | $9.465,62 | 5 / 3 | $8.822,38 | 89 / 3 | $7.827,06 | 89 / 3 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 20 | $8.424,94 | 56 / 31 | $7.779,12 | 964 / 30 | $6.881,12 | 960 / 33 |
Transient Ischemia | 15 | 110 / 30 | $8.550,87 | 45 / 30 | $7.988,87 | 1558 / 31 | $6.372,40 | 1550 / 26 |
G.I. Hemorrhage W Mcc | 15 | 106 / 22 | $12.496,80 | 8 / 6 | $11.528,10 | 866 / 5 | $10.723,90 | 861 / 4 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 32 | $8.171,43 | 39 / 19 | $7.645,07 | 1642 / 19 | $6.027,71 | 1633 / 12 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 23 | $7.592,86 | 7 / 6 | $7.008,50 | 957 / 6 | $6.315,93 | 953 / 8 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 33 | $6.766,00 | 66 / 31 | $6.253,64 | 1882 / 31 | $5.213,64 | 1876 / 31 |
Medical Back Problems W/O Mcc | 14 | 107 / 25 | $6.859,57 | 8 / 5 | $6.341,50 | 994 / 5 | $5.223,79 | 991 / 5 |
Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 28 | $8.983,92 | 29 / 12 | $8.288,92 | 1508 / 12 | $7.636,62 | 1504 / 15 |
Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 20 | $7.930,54 | 21 / 12 | $7.324,15 | 882 / 12 | $6.398,62 | 878 / 14 |
Syncope & Collapse | 13 | 156 / 31 | $7.865,08 | 35 / 22 | $7.262,08 | 1750 / 22 | $6.430,08 | 1742 / 24 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 25 | $7.542,92 | 7 / 6 | $6.969,00 | 727 / 6 | $5.945,00 | 725 / 6 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 18 | $7.103,92 | 21 / 18 | $6.566,25 | 821 / 18 | $5.454,25 | 820 / 17 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 17 | $8.978,67 | 25 / 21 | $8.285,25 | 851 / 21 | $7.578,58 | 848 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 24 | $10.218,20 | 15 / 8 | $9.425,17 | 1532 / 8 | $8.819,83 | 1529 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 33 | $18.366,10 | 62 / 25 | $16.934,30 | 1505 / 25 | $16.163,40 | 1498 / 26 |
Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 13 | $28.297,50 | 43 / 10 | $26.235,80 | 869 / 11 | $23.249,70 | 866 / 12 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 22 | $7.482,09 | 9 / 4 | $6.905,73 | 811 / 4 | $6.242,45 | 808 / 6 |
Signs & Symptoms W/O Mcc | 11 | 80 / 29 | $5.190,91 | 3 / 2 | $4.801,55 | 584 / 2 | $3.821,18 | 583 / 2 | Total 49 procedures | 1.675 | 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.