Hospital Costs > In Massachusetts > Carney Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cellulitis W/O Mcc | 22 | 167 / 49 | $8.055,27 | 95 / 13 | $8.880,91 | 2469 / 49 | $7.632,36 | 2461 / 51 |
Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 44 | $8.383,30 | 31 / 5 | $9.714,22 | 2282 / 47 | $8.381,78 | 2275 / 48 |
Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 39 | $8.597,25 | 13 / 1 | $11.650,20 | 2341 / 48 | $9.764,75 | 2333 / 47 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 16 | $8.309,00 | 14 / 4 | $9.196,36 | 675 / 19 | $8.036,36 | 675 / 20 |
Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 20 | $10.429,50 | 32 / 6 | $10.060,70 | 747 / 21 | $8.482,55 | 747 / 20 |
Diabetes W Cc | 17 | 75 / 23 | $8.892,35 | 54 / 14 | $9.183,47 | 1350 / 37 | $6.514,53 | 1345 / 33 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 30 | $8.889,45 | 6 / 2 | $11.636,00 | 1304 / 33 | $10.421,10 | 1299 / 33 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 47 | $9.463,35 | 170 / 16 | $8.036,39 | 2512 / 48 | $6.586,97 | 2497 / 48 |
G.I. Hemorrhage W Cc | 35 | 183 / 34 | $10.576,50 | 69 / 8 | $10.126,80 | 2255 / 46 | $8.853,14 | 2251 / 46 |
Heart Failure & Shock W Cc | 32 | 246 / 49 | $9.203,97 | 83 / 7 | $9.952,16 | 2538 / 48 | $8.582,41 | 2532 / 48 |
Heart Failure & Shock W Mcc | 16 | 268 / 46 | $13.148,80 | 87 / 9 | $13.896,10 | 2391 / 47 | $12.778,80 | 2380 / 47 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 33 | $6.712,09 | 46 / 4 | $7.190,18 | 1853 / 44 | $6.018,55 | 1840 / 45 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 34 | $15.033,30 | 154 / 22 | $10.419,00 | 1821 / 42 | $8.335,92 | 1817 / 41 |
Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 47 | $7.398,29 | 65 / 3 | $8.119,41 | 2559 / 47 | $7.140,00 | 2548 / 50 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 15 | 549 / 52 | $23.342,30 | 46 / 5 | $20.027,90 | 2505 / 47 | $17.611,50 | 2459 / 48 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 18 | $8.533,53 | 5 / 2 | $10.716,10 | 1535 / 30 | $9.666,88 | 1532 / 30 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 35 | $7.847,88 | 128 / 14 | $7.529,21 | 2319 / 48 | $6.215,54 | 2311 / 49 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 19 | $15.873,90 | 55 / 12 | $13.940,10 | 902 / 23 | $12.121,10 | 898 / 22 |
Other Vascular Procedures W Mcc | 15 | 82 / 14 | $31.985,30 | 21 / 1 | $29.685,90 | 899 / 12 | $28.929,60 | 896 / 13 |
Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 18 | $17.705,30 | 65 / 12 | $14.595,50 | 906 / 25 | $13.361,10 | 903 / 25 |
Psychoses | 183 | 130 / 3 | $15.975,70 | 211 / 8 | $12.195,30 | 552 / 14 | $9.252,51 | 552 / 14 |
Pulmonary Edema & Respiratory Failure | 19 | 184 / 34 | $10.807,70 | 18 / 2 | $12.166,70 | 2093 / 40 | $11.225,30 | 2087 / 40 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 37 | $11.075,80 | 162 / 22 | $8.545,45 | 1841 / 39 | $7.243,27 | 1832 / 41 |
Renal Failure W Cc | 28 | 193 / 39 | $10.000,40 | 95 / 14 | $9.942,07 | 2271 / 46 | $8.639,79 | 2261 / 48 |
Renal Failure W Mcc | 14 | 181 / 40 | $9.900,50 | 6 / 2 | $14.298,80 | 1932 / 40 | $13.079,90 | 1928 / 41 |
Seizures W/O Mcc | 14 | 94 / 25 | $9.504,79 | 58 / 14 | $8.153,86 | 1173 / 36 | $6.849,71 | 1171 / 38 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 79 | 437 / 41 | $17.839,80 | 168 / 12 | $17.264,20 | 2566 / 47 | $15.784,50 | 2521 / 47 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 37 | $9.608,48 | 53 / 5 | $10.378,90 | 2361 / 44 | $9.061,48 | 2351 / 45 |
Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 43 | $9.040,25 | 61 / 8 | $10.209,50 | 2633 / 49 | $8.600,50 | 2624 / 49 |
Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 45 | $12.409,80 | 42 / 5 | $13.681,90 | 2299 / 46 | $12.201,00 | 2293 / 46 |
Syncope & Collapse | 24 | 145 / 34 | $7.931,00 | 38 / 4 | $7.699,17 | 1715 / 42 | $6.213,58 | 1707 / 41 | Total 31 procedures | 793 | 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.