Hospital Costs > In Massachusetts > Falmouth 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 | 414 | 127 / 7 | $14.532,30 | 61 / 5 | $12.871,20 | 1809 / 12 | $11.765,20 | 1774 / 13 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 224 | 340 / 17 | $38.957,80 | 694 / 41 | $16.043,80 | 2020 / 20 | $13.687,70 | 1978 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 108 | 99 / 8 | $9.932,78 | 62 / 6 | $7.600,87 | 1773 / 9 | $6.738,94 | 1766 / 14 |
| Heart Failure & Shock W Mcc | 98 | 186 / 25 | $13.149,40 | 88 / 10 | $10.502,40 | 1679 / 15 | $9.425,86 | 1674 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 86 | 189 / 30 | $11.939,80 | 385 / 33 | $5.739,53 | 1783 / 21 | $4.447,60 | 1770 / 15 |
| Renal Failure W Cc | 79 | 142 / 19 | $10.142,30 | 105 / 18 | $6.854,52 | 1622 / 13 | $5.973,51 | 1613 / 12 |
| Kidney & Urinary Tract Infections W Mcc | 79 | 65 / 6 | $8.336,85 | 14 / 3 | $7.563,95 | 1219 / 7 | $6.800,00 | 1215 / 10 |
| Pulmonary Edema & Respiratory Failure | 70 | 133 / 12 | $12.324,30 | 45 / 6 | $9.011,81 | 1551 / 11 | $7.958,13 | 1546 / 7 |
| Simple Pneumonia & Pleurisy W Mcc | 70 | 135 / 18 | $12.703,30 | 49 / 7 | $10.198,40 | 1693 / 12 | $9.134,89 | 1693 / 11 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 70 | 55 / 7 | $15.739,40 | 62 / 12 | $12.043,60 | 1255 / 15 | $11.249,10 | 1245 / 16 |
| Heart Failure & Shock W Cc | 69 | 209 / 32 | $9.347,25 | 90 / 9 | $7.005,09 | 1839 / 9 | $6.217,15 | 1834 / 14 |
| Kidney & Urinary Tract Infections W/O Mcc | 68 | 165 / 29 | $9.822,31 | 278 / 29 | $5.600,44 | 1727 / 16 | $4.587,74 | 1716 / 11 |
| G.I. Hemorrhage W Cc | 67 | 151 / 19 | $14.190,30 | 239 / 26 | $7.265,27 | 1733 / 13 | $6.439,48 | 1729 / 21 |
| Renal Failure W Mcc | 59 | 136 / 16 | $13.103,40 | 28 / 8 | $10.257,30 | 1279 / 3 | $9.620,56 | 1279 / 7 |
| Chronic Obstructive Pulmonary Disease W Mcc | 52 | 150 / 22 | $11.291,10 | 89 / 13 | $8.466,69 | 1571 / 19 | $6.940,13 | 1563 / 7 |
| Cellulitis W/O Mcc | 46 | 143 / 35 | $8.764,89 | 147 / 19 | $6.273,65 | 1496 / 18 | $4.722,41 | 1489 / 8 |
| Syncope & Collapse | 42 | 127 / 24 | $12.378,80 | 217 / 32 | $5.404,60 | 1189 / 10 | $4.379,24 | 1182 / 8 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 40 | 51 / 6 | $12.128,00 | 65 / 13 | $7.542,10 | 965 / 11 | $6.565,70 | 963 / 12 |
| Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 33 | $9.780,77 | 97 / 15 | $6.941,13 | 1914 / 9 | $6.013,13 | 1906 / 13 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 34 | 90 / 11 | $45.897,10 | 38 / 4 | $32.665,70 | 750 / 2 | $31.990,90 | 744 / 4 |
| Medical Back Problems W/O Mcc | 34 | 87 / 17 | $13.221,50 | 140 / 20 | $6.016,53 | 935 / 7 | $5.054,65 | 932 / 8 |
| Chronic Obstructive Pulmonary Disease W Cc | 33 | 146 / 37 | $9.955,52 | 97 / 16 | $6.814,64 | 1761 / 17 | $6.008,82 | 1754 / 21 |
| G.I. Hemorrhage W Mcc | 32 | 89 / 15 | $15.195,70 | 22 / 3 | $11.665,10 | 977 / 5 | $11.136,10 | 971 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 22 | $12.855,50 | 72 / 9 | $7.410,22 | 1338 / 9 | $6.427,22 | 1335 / 14 |
| Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 24 | $25.995,30 | 102 / 17 | $13.569,40 | 1463 / 9 | $12.596,00 | 1445 / 13 |
| Transient Ischemia | 31 | 94 / 14 | $11.106,00 | 105 / 12 | $5.174,10 | 1041 / 4 | $4.121,19 | 1036 / 7 |
| Other Digestive System Diagnoses W Cc | 30 | 67 / 12 | $15.573,20 | 168 / 32 | $7.830,23 | 1084 / 19 | $6.815,30 | 1080 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 29 | 139 / 15 | $14.953,20 | 30 / 5 | $11.012,90 | 784 / 2 | $10.136,80 | 783 / 2 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 28 | 25 / 5 | $13.215,40 | 96 / 17 | $6.768,93 | 767 / 18 | $5.915,50 | 763 / 20 |
| Major Small & Large Bowel Procedures W Mcc | 28 | 57 / 10 | $65.936,80 | 104 / 17 | $36.074,80 | 893 / 10 | $35.254,20 | 891 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 16 | $11.404,30 | 79 / 11 | $5.526,30 | 1086 / 6 | $4.539,04 | 1082 / 12 |
| Major Cardiovasc Procedures W/O Mcc | 26 | 75 / 10 | $82.369,40 | 404 / 18 | $33.673,80 | 896 / 14 | $27.683,10 | 895 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 25 | 40 / 8 | $47.608,30 | 104 / 14 | $22.759,40 | 669 / 5 | $21.639,70 | 666 / 7 |
| Major Small & Large Bowel Procedures W Cc | 24 | 84 / 17 | $40.350,50 | 196 / 23 | $17.134,10 | 1060 / 3 | $16.230,10 | 1047 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 33 | $11.335,30 | 195 / 26 | $5.623,61 | 1447 / 7 | $4.886,22 | 1442 / 10 |
| Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 23 | $7.966,17 | 109 / 16 | $5.118,35 | 980 / 18 | $3.710,65 | 972 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 37 | $8.569,36 | 193 / 21 | $5.070,86 | 1764 / 10 | $4.411,95 | 1759 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 26 | $10.856,80 | 25 / 5 | $8.762,67 | 1298 / 9 | $7.898,67 | 1295 / 14 |
| Fractures Of Hip & Pelvis W/O Mcc | 21 | 40 / 10 | $10.826,30 | 110 / 17 | $5.038,19 | 526 / 5 | $4.002,00 | 526 / 5 |
| Respiratory Infections & Inflammations W Mcc | 21 | 115 / 30 | $14.815,80 | 20 / 5 | $12.518,80 | 1062 / 4 | $11.886,40 | 1048 / 6 |
| Cellulitis W Mcc | 20 | 38 / 10 | $10.884,90 | 10 / 5 | $9.398,60 | 460 / 3 | $8.550,60 | 458 / 2 |
| G.I. Obstruction W Cc | 20 | 72 / 23 | $13.147,50 | 173 / 23 | $6.502,45 | 1213 / 12 | $5.600,05 | 1209 / 14 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 16 | $14.781,90 | 41 / 10 | $10.865,50 | 744 / 5 | $10.483,20 | 742 / 8 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 19 | 8 / 5 | $14.954,40 | 8 / 4 | $10.571,10 | 58 / 1 | $9.931,05 | 58 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 12 | $22.386,70 | 206 / 12 | $8.995,00 | 654 / 7 | $6.322,12 | 651 / 2 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 17 | 107 / 27 | $10.931,30 | 160 / 21 | $5.079,76 | 493 / 6 | $4.436,00 | 492 / 12 |
| Revision Of Hip Or Knee Replacement W Cc | 17 | 69 / 7 | $77.595,40 | 276 / 10 | $30.821,50 | 541 / 7 | $24.431,30 | 539 / 4 |
| Extracranial Procedures W Cc | 16 | 30 / 5 | $31.368,90 | 91 / 7 | $11.467,80 | 281 / 2 | $10.485,80 | 281 / 2 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 16 | 60 / 9 | $18.450,20 | 15 / 1 | $12.149,10 | 230 / 1 | $11.378,60 | 230 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 25 | $14.441,60 | 68 / 17 | $9.065,62 | 722 / 13 | $7.185,81 | 717 / 2 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 32 | $14.197,80 | 371 / 34 | $5.898,06 | 1222 / 8 | $4.845,06 | 1214 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 24 | $27.358,70 | 89 / 9 | $15.869,20 | 1198 / 3 | $15.060,70 | 1185 / 8 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 15 | 54 / 4 | $48.828,50 | 123 / 5 | $18.828,50 | 376 / 3 | $17.618,90 | 376 / 4 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 24 | $8.469,20 | 110 / 16 | $5.111,20 | 1198 / 8 | $3.903,73 | 1192 / 6 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 15 | 25 / 8 | $12.622,50 | 12 / 5 | $7.785,73 | 145 / 3 | $7.058,27 | 145 / 3 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 20 | $9.853,73 | 31 / 5 | $7.243,60 | 567 / 10 | $5.295,47 | 564 / 4 |
| Seizures W Mcc | 14 | 52 / 12 | $14.248,70 | 17 / 4 | $10.200,70 | 378 / 1 | $9.423,57 | 378 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 31 | $8.063,14 | 98 / 15 | $5.846,43 | 1144 / 22 | $3.879,86 | 1135 / 5 |
| Seizures W/O Mcc | 13 | 95 / 26 | $11.222,80 | 106 / 22 | $5.511,69 | 740 / 6 | $4.581,23 | 737 / 6 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 28 | $10.585,90 | 17 / 4 | $9.377,46 | 916 / 5 | $8.353,46 | 911 / 4 |
| Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 6 | $14.119,50 | 32 / 1 | $6.904,83 | 302 / 2 | $6.200,83 | 302 / 2 |
| Dysequilibrium | 12 | 53 / 16 | $11.371,80 | 57 / 13 | $4.643,92 | 264 / 3 | $3.430,58 | 264 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 18 | $9.581,50 | 27 / 5 | $6.974,58 | 509 / 3 | $6.369,25 | 509 / 4 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 15 | $34.460,30 | 30 / 6 | $20.670,90 | 636 / 3 | $19.712,20 | 633 / 3 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 19 | $15.221,20 | 32 / 5 | $10.167,20 | 607 / 6 | $9.161,83 | 605 / 5 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 22 | $9.703,33 | 46 / 13 | $6.747,92 | 523 / 8 | $4.846,33 | 519 / 2 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 11 | $9.036,50 | 87 / 9 | $4.515,33 | 473 / 1 | $3.510,00 | 472 / 3 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 20 | $10.745,90 | 51 / 15 | $6.472,58 | 672 / 3 | $5.773,92 | 669 / 3 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 21 | $11.684,70 | 48 / 8 | $6.721,58 | 617 / 3 | $5.713,58 | 614 / 7 |
| Pulmonary Embolism W Mcc | 11 | 32 / 10 | $15.695,60 | 15 / 4 | $10.631,60 | 399 / 3 | $9.753,09 | 399 / 2 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 16 | $14.313,50 | 13 / 3 | $11.284,50 | 350 / 1 | $10.435,70 | 349 / 2 |
| Other Disorders Of Nervous System W Cc | 11 | 45 / 19 | $12.121,50 | 42 / 15 | $6.343,09 | 372 / 5 | $5.688,55 | 372 / 10 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 21 | $11.447,50 | 44 / 9 | $8.257,91 | 794 / 8 | $7.735,73 | 792 / 10 |
| Medical Back Problems W Mcc | 11 | 28 / 9 | $14.702,20 | 9 / 3 | $10.062,40 | 115 / 2 | $9.076,18 | 115 / 2 | Total 74 procedures | 2.840 | 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.