Hospital Costs > In Vermont > Central Vermont Medical Center, 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 | 86 | 430 / 4 | $25.046,40 | 532 / 4 | $17.373,90 | 2601 / 6 | $16.226,10 | 2556 / 6 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 76 | 488 / 4 | $31.125,90 | 272 / 2 | $19.700,30 | 2546 / 6 | $18.555,90 | 2500 / 6 |
Chronic Obstructive Pulmonary Disease W Mcc | 67 | 135 / 2 | $20.914,10 | 804 / 5 | $11.603,70 | 2437 / 6 | $10.641,80 | 2429 / 6 |
Heart Failure & Shock W Cc | 66 | 212 / 2 | $17.047,80 | 811 / 4 | $9.265,55 | 2487 / 5 | $8.223,88 | 2481 / 6 |
Simple Pneumonia & Pleurisy W Cc | 60 | 143 / 4 | $16.189,20 | 706 / 5 | $9.251,88 | 2571 / 6 | $8.218,53 | 2562 / 6 |
Simple Pneumonia & Pleurisy W Mcc | 53 | 152 / 3 | $20.805,20 | 440 / 3 | $13.925,80 | 2378 / 6 | $13.058,80 | 2372 / 6 |
Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 2 | $14.906,20 | 499 / 2 | $8.578,07 | 2213 / 5 | $7.803,21 | 2206 / 5 |
G.I. Hemorrhage W Cc | 39 | 179 / 4 | $18.786,50 | 643 / 5 | $9.696,21 | 2266 / 5 | $8.983,97 | 2262 / 6 |
Pulmonary Edema & Respiratory Failure | 38 | 165 / 3 | $17.856,20 | 277 / 2 | $11.184,60 | 2033 / 3 | $10.482,30 | 2027 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 4 | $17.057,70 | 519 / 4 | $9.895,05 | 2327 / 6 | $8.813,76 | 2317 / 6 |
Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 4 | $12.946,90 | 636 / 3 | $7.077,64 | 2354 / 4 | $5.973,64 | 2343 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 4 | $13.051,80 | 511 / 3 | $6.811,13 | 2370 / 5 | $5.796,42 | 2355 / 6 |
Heart Failure & Shock W Mcc | 29 | 255 / 5 | $21.727,00 | 518 / 3 | $13.786,30 | 2425 / 5 | $13.076,90 | 2414 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 4 | $14.345,00 | 449 / 4 | $7.242,41 | 1911 / 5 | $6.343,10 | 1906 / 6 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 1 | $9.993,79 | 217 / 1 | $6.508,24 | 1710 / 5 | $5.219,10 | 1702 / 4 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 28 | 97 / 2 | $23.645,20 | 251 / 3 | $18.966,20 | 1771 / 5 | $18.101,00 | 1758 / 5 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 28 | 122 / 3 | $11.083,10 | 468 / 4 | $5.080,54 | 1711 / 4 | $4.135,39 | 1705 / 5 |
Cellulitis W/O Mcc | 28 | 161 / 4 | $14.893,70 | 845 / 4 | $7.716,18 | 2362 / 6 | $6.853,32 | 2354 / 6 |
Renal Failure W Cc | 26 | 195 / 4 | $13.890,20 | 373 / 3 | $9.196,23 | 2248 / 5 | $8.497,15 | 2238 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 3 | $12.400,30 | 594 / 3 | $6.582,84 | 2242 / 4 | $5.759,84 | 2234 / 4 |
G.I. Obstruction W Cc | 24 | 68 / 2 | $13.289,60 | 181 / 1 | $8.139,58 | 1553 / 3 | $7.032,92 | 1548 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 23 | 159 / 2 | $16.608,30 | 246 / 3 | $9.889,61 | 1868 / 4 | $8.680,57 | 1864 / 5 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 1 | $11.548,60 | 397 / 2 | $7.040,00 | 1678 / 4 | $4.887,18 | 1667 / 2 |
Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 2 | $13.517,20 | 672 / 3 | $6.188,52 | 1739 / 2 | $5.275,76 | 1726 / 3 |
Respiratory Infections & Inflammations W Mcc | 20 | 116 / 4 | $23.782,20 | 189 / 1 | $18.248,70 | 1712 / 5 | $17.344,70 | 1696 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 4 | $21.714,60 | 436 / 4 | $12.122,70 | 1791 / 5 | $11.172,80 | 1788 / 5 |
Degenerative Nervous System Disorders W/O Mcc | 18 | 60 / 2 | $21.647,30 | 284 / 1 | $9.535,11 | 751 / 1 | $8.530,67 | 751 / 1 |
Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 2 | $12.848,00 | 70 / 1 | $8.415,65 | 853 / 1 | $7.615,18 | 850 / 2 |
Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 3 | $13.228,30 | 82 / 1 | $9.626,53 | 1315 / 3 | $8.980,13 | 1313 / 3 |
Medical Back Problems W/O Mcc | 15 | 106 / 3 | $11.264,40 | 82 / 1 | $7.786,87 | 1322 / 2 | $6.897,27 | 1317 / 3 |
Respiratory Infections & Inflammations W Cc | 15 | 73 / 3 | $20.347,80 | 274 / 2 | $12.993,50 | 1412 / 4 | $12.349,30 | 1407 / 5 |
Renal Failure W Mcc | 14 | 181 / 4 | $25.313,60 | 480 / 2 | $15.216,50 | 2044 / 3 | $14.610,80 | 2040 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 2 | $28.122,70 | 290 / 2 | $16.002,90 | 1450 / 2 | $14.802,90 | 1443 / 3 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 4 | $10.126,10 | 142 / 2 | $5.570,86 | 1162 / 4 | $4.624,57 | 1159 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 2 | $30.853,50 | 1003 / 4 | $18.353,80 | 1728 / 4 | $15.367,90 | 1724 / 4 |
Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 6 | $32.003,10 | 296 / 4 | $18.119,70 | 1942 / 6 | $17.010,40 | 1922 / 6 |
Syncope & Collapse | 12 | 157 / 3 | $17.438,90 | 618 / 4 | $6.659,50 | 1604 / 3 | $5.558,17 | 1597 / 4 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 5 | $34.873,50 | 207 / 2 | $21.665,50 | 1724 / 3 | $21.118,50 | 1710 / 4 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 11 | 29 / 2 | $14.108,70 | 21 / 1 | $10.361,70 | 244 / 1 | $9.163,18 | 244 / 1 |
Cellulitis W Mcc | 11 | 47 / 2 | $20.395,40 | 131 / 1 | $13.339,60 | 871 / 2 | $12.242,90 | 869 / 2 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 3 | $12.779,00 | 207 / 2 | $5.840,55 | 735 / 2 | $5.014,36 | 734 / 2 | Total 41 procedures | 1.186 | 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.