Hospital Costs > In Connecticut > Day Kimball 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 | 88 | 476 / 19 | $32.091,70 | 319 / 5 | $16.867,80 | 1782 / 12 | $12.834,20 | 1742 / 2 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 57 | 459 / 25 | $18.097,90 | 176 / 1 | $12.996,60 | 1828 / 4 | $11.811,30 | 1793 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 57 | 218 / 18 | $11.214,70 | 305 / 2 | $5.587,44 | 1999 / 6 | $4.781,26 | 1985 / 15 |
Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 18 | $12.535,50 | 307 / 4 | $7.228,14 | 2040 / 7 | $6.238,70 | 2032 / 9 |
Chronic Obstructive Pulmonary Disease W Cc | 43 | 136 / 12 | $13.942,40 | 406 / 2 | $6.946,58 | 1733 / 5 | $5.933,00 | 1726 / 4 |
Heart Failure & Shock W Cc | 41 | 237 / 20 | $12.723,30 | 343 / 2 | $7.217,00 | 1811 / 7 | $6.170,68 | 1806 / 5 |
Pulmonary Edema & Respiratory Failure | 40 | 163 / 17 | $14.263,80 | 110 / 1 | $9.317,72 | 1559 / 10 | $7.986,17 | 1554 / 4 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 35 | 115 / 10 | $10.797,80 | 426 / 2 | $4.637,09 | 1314 / 5 | $3.186,00 | 1309 / 3 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 11 | $19.452,40 | 146 / 2 | $11.861,80 | 1209 / 7 | $11.055,80 | 1201 / 8 |
G.I. Hemorrhage W Cc | 31 | 187 / 23 | $14.606,00 | 270 / 3 | $7.168,42 | 1717 / 4 | $6.387,00 | 1713 / 10 |
Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 13 | $10.990,50 | 361 / 2 | $5.063,10 | 1419 / 4 | $4.270,83 | 1408 / 8 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 24 | $13.801,40 | 266 / 3 | $7.775,83 | 1589 / 5 | $6.406,52 | 1582 / 3 |
Atherosclerosis W/O Mcc | 28 | 30 / 1 | $10.415,70 | 54 / 2 | $4.656,32 | / 2 | $3.752,32 | / |
Cellulitis W/O Mcc | 28 | 161 / 20 | $11.306,50 | 393 / 5 | $6.473,04 | 1742 / 9 | $5.039,57 | 1734 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 20 | $13.647,30 | 387 / 3 | $6.377,35 | 1281 / 7 | $4.622,31 | 1276 / 2 |
Simple Pneumonia & Pleurisy W Mcc | 26 | 179 / 20 | $18.986,80 | 327 / 3 | $10.714,80 | 1732 / 9 | $9.215,35 | 1732 / 4 |
Syncope & Collapse | 26 | 143 / 17 | $12.475,50 | 224 / 2 | $5.504,96 | 1177 / 6 | $4.345,58 | 1170 / 3 |
Chest Pain | 24 | 127 / 10 | $10.098,40 | 150 / 2 | $4.538,54 | 535 / 3 | $2.960,00 | 531 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 21 | $10.318,30 | 344 / 3 | $5.335,50 | 1785 / 9 | $4.458,41 | 1780 / 9 |
Heart Failure & Shock W Mcc | 20 | 264 / 25 | $20.584,00 | 453 / 3 | $10.723,90 | 2009 / 6 | $10.419,90 | 2001 / 11 |
Renal Failure W Cc | 20 | 201 / 24 | $12.977,00 | 285 / 2 | $7.080,25 | 1733 / 5 | $6.232,25 | 1723 / 9 |
Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 21 | $16.406,20 | 426 / 3 | $8.564,55 | 1779 / 5 | $7.387,05 | 1771 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 14 | $13.949,40 | 189 / 1 | $5.921,84 | 1098 / 5 | $4.563,58 | 1094 / 4 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 18 | $11.292,40 | 178 / 2 | $6.452,58 | 1346 / 9 | $5.081,21 | 1337 / 8 |
Transient Ischemia | 19 | 106 / 15 | $14.901,30 | 290 / 3 | $5.694,74 | 1009 / 9 | $4.057,37 | 1004 / 2 |
Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 11 | $16.142,80 | 149 / 3 | $7.677,67 | 1030 / 6 | $6.806,56 | 1028 / 6 |
Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 24 | $11.180,80 | 422 / 3 | $5.740,94 | 1961 / 9 | $4.937,39 | 1950 / 12 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 12 | $9.917,19 | 208 / 2 | $5.328,19 | 1526 / 4 | $4.502,19 | 1518 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 21 | $18.371,30 | 377 / 3 | $7.272,67 | 1323 / 1 | $6.387,33 | 1320 / 2 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 20 | $27.691,10 | 153 / 1 | $14.225,90 | 1538 / 6 | $12.996,30 | 1520 / 6 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 16 | $12.150,50 | 460 / 3 | $5.519,38 | 1303 / 7 | $4.078,31 | 1292 / 2 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 11 | $10.599,20 | 57 / 2 | $6.082,17 | 296 / 5 | $3.766,33 | 293 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 12 | $18.880,70 | 241 / 2 | $8.431,92 | 833 / 3 | $8.026,58 | 831 / 8 |
Seizures W/O Mcc | 11 | 97 / 15 | $11.464,30 | 119 / 2 | $6.029,09 | 587 / 6 | $4.233,27 | 584 / 1 | Total 34 procedures | 960 | 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.