Hospital Costs > In Massachusetts > Good Samaritan Medical Center Brockton, 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 | 307 | 211 / 12 | $13.225,50 | 32 / 3 | $14.345,80 | 2172 / 33 | $13.068,60 | 2134 / 32 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 202 | 14 / 2 | $4.534,63 | 12 / 1 | $5.907,03 | 613 / 23 | $5.064,52 | 612 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 169 | 106 / 11 | $7.114,54 | 58 / 2 | $6.332,76 | 2185 / 34 | $5.198,20 | 2171 / 35 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 154 | 410 / 24 | $28.020,10 | 158 / 13 | $16.722,40 | 2268 / 31 | $15.089,60 | 2224 / 36 |
| Heart Failure & Shock W Mcc | 141 | 143 / 14 | $11.744,00 | 43 / 4 | $12.033,40 | 2131 / 36 | $10.915,10 | 2121 / 35 |
| Cellulitis W/O Mcc | 141 | 49 / 6 | $6.670,45 | 30 / 4 | $7.130,13 | 2143 / 39 | $5.926,11 | 2135 / 39 |
| Heart Failure & Shock W Cc | 104 | 174 / 20 | $6.856,68 | 7 / 1 | $8.022,31 | 2223 / 36 | $7.065,99 | 2217 / 35 |
| Kidney & Urinary Tract Infections W Mcc | 100 | 45 / 4 | $9.484,36 | 36 / 6 | $9.145,73 | 1589 / 31 | $8.037,73 | 1585 / 28 |
| Simple Pneumonia & Pleurisy W Mcc | 92 | 113 / 11 | $10.634,30 | 11 / 3 | $11.107,60 | 2021 / 29 | $10.213,50 | 2020 / 32 |
| Kidney & Urinary Tract Infections W/O Mcc | 86 | 147 / 20 | $7.424,56 | 66 / 4 | $6.500,86 | 2265 / 35 | $5.649,33 | 2254 / 40 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 83 | 83 / 10 | $5.819,76 | 26 / 1 | $6.019,60 | 2077 / 35 | $5.079,05 | 2069 / 39 |
| Simple Pneumonia & Pleurisy W Cc | 81 | 122 / 18 | $7.561,30 | 16 / 1 | $7.821,91 | 2250 / 32 | $6.736,79 | 2242 / 35 |
| Pulmonary Edema & Respiratory Failure | 81 | 122 / 8 | $12.006,10 | 38 / 5 | $10.025,90 | 1853 / 28 | $9.130,73 | 1848 / 31 |
| Chronic Obstructive Pulmonary Disease W Mcc | 78 | 124 / 14 | $8.980,95 | 18 / 3 | $9.309,90 | 2132 / 33 | $8.428,50 | 2124 / 40 |
| Renal Failure W Mcc | 78 | 117 / 8 | $12.348,90 | 20 / 5 | $11.824,10 | 1662 / 26 | $10.947,20 | 1660 / 26 |
| Chronic Obstructive Pulmonary Disease W Cc | 78 | 101 / 11 | $6.840,04 | 8 / 1 | $7.776,77 | 1978 / 36 | $6.613,19 | 1971 / 36 |
| Renal Failure W Cc | 77 | 144 / 20 | $7.081,12 | 6 / 2 | $8.118,74 | 1854 / 38 | $6.561,05 | 1844 / 27 |
| G.I. Hemorrhage W Cc | 75 | 143 / 17 | $10.496,40 | 66 / 7 | $8.103,09 | 1939 / 30 | $7.058,16 | 1935 / 33 |
| Transient Ischemia | 73 | 52 / 3 | $9.442,32 | 56 / 5 | $6.104,16 | 1231 / 25 | $4.605,74 | 1225 / 16 |
| Syncope & Collapse | 66 | 103 / 13 | $7.370,61 | 24 / 1 | $6.246,61 | 1558 / 30 | $5.344,42 | 1551 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 60 | 147 / 20 | $8.746,13 | 30 / 3 | $8.877,62 | 2052 / 32 | $7.477,95 | 2044 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 60 | 101 / 15 | $6.614,38 | 10 / 1 | $6.696,55 | 1737 / 31 | $5.567,75 | 1732 / 31 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 59 | 66 / 10 | $14.760,80 | 48 / 9 | $12.871,00 | 1402 / 25 | $12.082,90 | 1390 / 28 |
| Medical Back Problems W/O Mcc | 59 | 62 / 10 | $7.450,63 | 15 / 1 | $7.064,20 | 1153 / 19 | $5.812,83 | 1149 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 52 | 71 / 12 | $10.029,60 | 13 / 3 | $10.149,70 | 1492 / 31 | $8.624,79 | 1489 / 25 |
| Respiratory Infections & Inflammations W Mcc | 51 | 85 / 13 | $13.613,00 | 8 / 2 | $14.759,40 | 1474 / 23 | $14.040,80 | 1458 / 25 |
| Red Blood Cell Disorders W/O Mcc | 51 | 92 / 10 | $8.383,73 | 49 / 7 | $6.898,14 | 1640 / 28 | $6.010,71 | 1631 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 50 | 76 / 5 | $9.087,26 | 14 / 4 | $9.053,66 | 1276 / 20 | $7.996,88 | 1273 / 18 |
| Diabetes W Cc | 49 | 43 / 4 | $8.201,37 | 33 / 6 | $6.841,08 | 1256 / 20 | $5.982,67 | 1251 / 26 |
| Chest Pain | 47 | 104 / 7 | $15.037,40 | 499 / 39 | $8.388,85 | 1643 / 42 | $7.457,40 | 1634 / 42 |
| G.I. Hemorrhage W Mcc | 43 | 78 / 10 | $17.433,50 | 45 / 10 | $13.539,20 | 1307 / 21 | $12.925,20 | 1297 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 43 | 107 / 13 | $4.867,53 | 18 / 1 | $4.932,56 | 1681 / 29 | $4.022,56 | 1675 / 34 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 40 | 56 / 11 | $10.386,30 | 19 / 4 | $9.567,00 | 1110 / 18 | $8.675,88 | 1105 / 21 |
| Hip & Femur Procedures Except Major Joint W Cc | 39 | 104 / 19 | $25.567,40 | 91 / 15 | $15.188,60 | 1731 / 26 | $14.259,40 | 1712 / 32 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 38 | 82 / 15 | $5.788,97 | 13 / 2 | $6.239,05 | 1627 / 31 | $4.711,68 | 1616 / 26 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 35 | 57 / 8 | $47.383,20 | 14 / 2 | $42.992,60 | 757 / 3 | $42.299,00 | 756 / 8 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 34 | 28 / 7 | $6.223,06 | 8 / 1 | $6.499,06 | 582 / 20 | $4.979,82 | 580 / 15 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 33 | 163 / 16 | $44.267,60 | 119 / 7 | $16.249,60 | 1287 / 7 | $15.211,50 | 1280 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 17 | $7.462,24 | 84 / 11 | $5.762,45 | 1643 / 32 | $4.826,82 | 1630 / 32 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 31 | 15 / 1 | $13.405,50 | 15 / 3 | $8.180,58 | 190 / 2 | $7.078,06 | 190 / 4 |
| Seizures W/O Mcc | 31 | 77 / 13 | $8.903,16 | 50 / 10 | $6.521,45 | 915 / 25 | $5.131,65 | 912 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 24 | $10.171,30 | 28 / 4 | $8.677,60 | 1718 / 32 | $7.688,17 | 1714 / 36 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 29 | 139 / 15 | $13.211,50 | 16 / 3 | $13.698,90 | 1210 / 22 | $12.190,30 | 1204 / 19 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 29 | 20 / 4 | $2.159,76 | 2 / 1 | $4.235,79 | 54 / 5 | $3.453,69 | 53 / 4 |
| Extracranial Procedures W/O Cc/Mcc | 28 | 70 / 8 | $27.601,90 | 366 / 17 | $9.404,11 | 775 / 10 | $7.158,14 | 772 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 15 | $22.426,70 | 33 / 4 | $17.263,30 | 1316 / 17 | $15.833,80 | 1303 / 15 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 27 | 46 / 10 | $7.464,81 | 3 / 1 | $9.149,48 | 920 / 18 | $8.668,56 | 918 / 22 |
| Dysequilibrium | 26 | 39 / 6 | $7.204,81 | 23 / 1 | $5.561,92 | 413 / 16 | $4.335,27 | 413 / 17 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 26 | 75 / 11 | $8.259,38 | 1 / 1 | $12.034,50 | 775 / 17 | $10.666,90 | 773 / 11 |
| Cellulitis W Mcc | 25 | 33 / 5 | $11.766,30 | 17 / 8 | $11.350,10 | 743 / 18 | $10.362,50 | 741 / 16 |
| Disorders Of Pancreas Except Malignancy W Cc | 25 | 36 / 10 | $8.774,72 | 22 / 1 | $8.017,96 | 753 / 23 | $6.486,72 | 750 / 19 |
| Fractures Of Hip & Pelvis W/O Mcc | 24 | 37 / 9 | $5.415,38 | 4 / 1 | $5.843,58 | 701 / 16 | $4.652,38 | 700 / 15 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 24 | 23 / 4 | $7.047,46 | 7 / 1 | $6.088,92 | 264 / 10 | $5.108,25 | 264 / 11 |
| Diabetes W Mcc | 24 | 33 / 4 | $12.106,70 | 12 / 3 | $11.048,50 | 575 / 9 | $10.303,00 | 574 / 11 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 21 | $16.913,40 | 52 / 4 | $8.746,42 | 1339 / 11 | $7.720,21 | 1336 / 14 |
| Other Disorders Of Nervous System W Cc | 23 | 33 / 9 | $7.764,30 | 7 / 3 | $7.564,13 | 455 / 16 | $6.367,30 | 455 / 18 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 22 | 5 / 2 | $14.306,00 | 7 / 3 | $11.965,80 | 93 / 8 | $11.282,90 | 93 / 10 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 17 | $8.879,68 | 18 / 3 | $7.893,95 | 1113 / 21 | $6.930,64 | 1109 / 21 |
| Peripheral Vascular Disorders W Cc | 22 | 62 / 12 | $8.827,59 | 24 / 8 | $8.066,05 | 741 / 18 | $5.983,36 | 738 / 7 |
| Bone Diseases & Arthropathies W/O Mcc | 21 | 23 / 2 | $5.392,33 | 2 / 1 | $6.139,95 | 191 / 7 | $5.143,19 | 191 / 11 |
| G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 13 | $6.133,48 | 23 / 2 | $5.368,33 | 1113 / 19 | $4.364,67 | 1110 / 24 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 21 | 44 / 10 | $36.183,40 | 20 / 3 | $23.342,50 | 710 / 8 | $22.262,00 | 707 / 9 |
| Pulmonary Embolism W/O Mcc | 21 | 53 / 15 | $9.251,24 | 23 / 4 | $7.895,86 | 1084 / 20 | $7.063,81 | 1081 / 24 |
| Signs & Symptoms W/O Mcc | 21 | 70 / 18 | $5.709,52 | 5 / 1 | $5.967,33 | 1002 / 21 | $4.936,19 | 999 / 21 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 21 | 51 / 11 | $9.439,05 | 1 / 1 | $10.767,20 | 691 / 9 | $9.758,33 | 689 / 8 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 19 | $6.452,70 | 30 / 4 | $5.938,90 | 1415 / 30 | $4.231,60 | 1407 / 16 |
| Bronchitis & Asthma W Cc/Mcc | 20 | 56 / 17 | $6.515,60 | 3 / 1 | $7.333,90 | 809 / 18 | $6.011,30 | 805 / 18 |
| Major Cardiovasc Procedures W/O Mcc | 20 | 81 / 12 | $45.811,60 | 44 / 4 | $25.932,70 | 817 / 5 | $25.004,30 | 816 / 7 |
| G.I. Obstruction W Cc | 20 | 72 / 23 | $8.476,90 | 25 / 3 | $7.396,30 | 1487 / 25 | $6.697,80 | 1482 / 31 |
| Other Vascular Procedures W Mcc | 20 | 77 / 12 | $59.054,60 | 148 / 13 | $28.709,40 | 869 / 11 | $27.754,10 | 866 / 11 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 17 | $9.274,95 | 30 / 4 | $8.306,95 | 1185 / 18 | $7.559,90 | 1183 / 22 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 19 | 35 / 6 | $7.725,79 | 5 / 3 | $7.871,11 | 338 / 5 | $7.459,68 | 338 / 7 |
| Red Blood Cell Disorders W Mcc | 19 | 52 / 10 | $11.556,50 | 26 / 4 | $10.073,50 | 858 / 14 | $9.549,53 | 854 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 21 | $9.843,68 | 44 / 4 | $6.491,79 | 1336 / 21 | $5.389,68 | 1332 / 28 |
| Other Circulatory System Diagnoses W Mcc | 19 | 97 / 14 | $16.005,20 | 17 / 3 | $13.065,40 | 778 / 5 | $11.968,20 | 774 / 5 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 18 | 27 / 3 | $7.750,50 | 14 / 1 | $6.012,78 | 293 / 3 | $4.571,78 | 293 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 16 | $55.038,20 | 47 / 7 | $39.015,40 | 1009 / 17 | $37.863,10 | 1007 / 19 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 17 | $66.523,80 | 149 / 18 | $44.480,60 | 1327 / 21 | $42.735,70 | 1317 / 23 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 24 | $10.828,00 | 21 / 7 | $10.466,60 | 1106 / 18 | $9.095,35 | 1101 / 16 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 21 | $25.721,60 | 24 / 3 | $18.767,40 | 1218 / 12 | $17.730,30 | 1204 / 16 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 14 | $8.738,38 | 19 / 2 | $7.936,50 | 584 / 12 | $6.827,31 | 584 / 12 |
| Other Vascular Procedures W/O Cc/Mcc | 16 | 40 / 9 | $35.197,60 | 118 / 8 | $13.398,20 | 457 / 3 | $12.553,40 | 456 / 6 |
| Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 15 | $10.139,70 | 27 / 3 | $7.975,75 | 642 / 11 | $7.033,62 | 642 / 13 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 17 | $4.946,40 | 4 / 1 | $5.537,53 | 677 / 20 | $4.615,80 | 676 / 20 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 13 | $19.655,20 | 22 / 4 | $12.919,70 | 637 / 8 | $11.865,90 | 637 / 9 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 15 | 25 / 8 | $8.826,93 | 2 / 1 | $8.591,73 | 194 / 6 | $7.841,07 | 194 / 7 |
| Other Digestive System Diagnoses W Mcc | 15 | 47 / 13 | $15.223,10 | 14 / 4 | $13.082,80 | 530 / 8 | $12.224,10 | 529 / 8 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 8 | $20.591,60 | 41 / 8 | $9.959,27 | 473 / 6 | $8.250,93 | 472 / 7 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 14 | 55 / 13 | $39.262,10 | 53 / 4 | $14.153,40 | 469 / 3 | $13.009,60 | 467 / 6 |
| Respiratory Neoplasms W Mcc | 14 | 38 / 8 | $12.313,50 | 7 / 1 | $13.443,60 | 511 / 8 | $12.646,40 | 508 / 9 |
| Organic Disturbances & Mental Retardation | 14 | 45 / 8 | $7.414,86 | 5 / 1 | $8.057,29 | 406 / 11 | $7.421,93 | 406 / 13 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 13 | $46.179,00 | 15 / 2 | $36.769,50 | 645 / 6 | $35.725,90 | 644 / 7 |
| Otitis Media & Uri W/O Mcc | 13 | 31 / 12 | $5.492,31 | 2 / 1 | $5.636,62 | 140 / 8 | $4.497,46 | 140 / 8 |
| Degenerative Nervous System Disorders W Mcc | 13 | 25 / 5 | $14.476,20 | 3 / 1 | $12.375,50 | 125 / 3 | $11.475,60 | 125 / 3 |
| Other Vascular Procedures W Cc | 13 | 89 / 17 | $42.896,30 | 121 / 10 | $19.320,70 | 884 / 6 | $18.447,50 | 879 / 9 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 14 | $12.587,00 | 83 / 14 | $6.314,31 | 719 / 15 | $5.371,46 | 715 / 16 |
| Hypertension W/O Mcc | 13 | 52 / 10 | $6.415,92 | 22 / 2 | $5.457,08 | 591 / 10 | $4.321,23 | 589 / 9 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 14 | $25.279,50 | 5 / 1 | $21.902,30 | 738 / 7 | $21.051,80 | 735 / 9 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 15 | $7.440,00 | 34 / 5 | $5.918,08 | 712 / 16 | $4.445,54 | 708 / 12 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 9 | $6.979,08 | 13 / 1 | $5.532,00 | 322 / 5 | $4.090,69 | 321 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 10 | $8.670,00 | 1 / 1 | $13.574,20 | 472 / 6 | $13.130,50 | 471 / 8 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 15 | $6.343,58 | 2 / 1 | $6.992,17 | 522 / 4 | $6.171,67 | 522 / 7 |
| Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 12 | 20 / 6 | $33.440,80 | 4 / 3 | $16.923,20 | 97 / 3 | $15.972,20 | 97 / 4 |
| Pulmonary Embolism W Mcc | 12 | 31 / 9 | $12.598,70 | 4 / 1 | $12.206,70 | 502 / 8 | $11.458,20 | 501 / 8 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 14 | $6.336,08 | 2 / 1 | $7.581,17 | 410 / 7 | $7.060,00 | 410 / 8 |
| Medical Back Problems W Mcc | 12 | 27 / 8 | $10.112,50 | 1 / 1 | $12.079,20 | 226 / 5 | $10.981,20 | 226 / 6 |
| Peripheral Vascular Disorders W Mcc | 12 | 37 / 11 | $10.763,20 | 9 / 1 | $10.484,10 | 431 / 5 | $9.847,00 | 431 / 6 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 12 | 33 / 9 | $49.602,60 | 16 / 4 | $22.905,20 | 208 / 2 | $21.859,60 | 207 / 2 |
| Major Chest Procedures W Mcc | 12 | 37 / 5 | $63.506,80 | 19 / 3 | $35.393,50 | 223 / 2 | $34.498,90 | 222 / 3 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 18 | $32.501,80 | 34 / 6 | $20.458,10 | 795 / 10 | $19.432,10 | 791 / 11 |
| Complications Of Treatment W Cc | 11 | 41 / 10 | $14.042,10 | 25 / 5 | $7.868,09 | 243 / 3 | $7.173,64 | 243 / 3 |
| Endocrine Disorders W Mcc | 11 | 15 / 4 | $11.951,50 | 1 / 1 | $11.841,50 | 73 / 2 | $11.359,30 | 73 / 2 |
| Other Disorders Of Nervous System W Mcc | 11 | 29 / 11 | $9.954,36 | 1 / 1 | $12.344,50 | 225 / 4 | $11.433,50 | 225 / 4 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 11 | 33 / 9 | $6.696,45 | 6 / 2 | $6.320,36 | 229 / 11 | $5.534,64 | 229 / 11 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 16 | $49.340,90 | 31 / 4 | $24.141,10 | 772 / 2 | $23.234,50 | 767 / 5 |
| Extracranial Procedures W Cc | 11 | 35 / 9 | $29.426,80 | 76 / 5 | $12.553,40 | 312 / 4 | $11.323,80 | 312 / 5 | Total 116 procedures | 4.539 | 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.