Hospital Costs > In Connecticut > Greenwich Hospital Association, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 15 | $32.258,90 | 824 / 14 | $7.511,55 | 674 / 4 | $5.808,00 | 672 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 20 | $42.869,30 | 927 / 14 | $10.696,80 | 761 / 3 | $9.632,17 | 760 / 2 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 12 | $20.530,10 | 318 / 6 | $5.621,91 | 387 / 2 | $3.964,64 | 384 / 2 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 12 | 15 / 4 | $33.956,20 | 62 / 2 | $10.696,20 | 46 / 1 | $9.507,67 | 46 / 1 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 32 | 92 / 6 | $15.446,30 | 360 / 4 | $5.117,94 | 303 / 2 | $3.795,62 | 303 / 1 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 13 | 53 / 4 | $67.771,20 | 398 / 6 | $18.928,50 | 262 / 5 | $10.858,90 | 260 / 1 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 22 | 67 / 3 | $45.082,70 | 541 / 6 | $8.141,82 | 544 / 1 | $6.856,32 | 543 / 2 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 12 | $22.119,80 | 466 / 6 | $6.515,25 | 664 / 1 | $5.318,42 | 660 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 54 | 107 / 11 | $25.359,60 | 1419 / 17 | $6.130,94 | 1279 / 4 | $4.619,30 | 1274 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 31 | 92 / 12 | $38.686,70 | 1279 / 16 | $9.268,68 | 1267 / 9 | $7.794,39 | 1264 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 34 | 116 / 11 | $18.451,70 | 1305 / 15 | $4.158,18 | 1168 / 2 | $2.986,15 | 1163 / 1 |
| Cellulitis W/O Mcc | 37 | 152 / 16 | $22.839,10 | 1714 / 23 | $6.162,78 | 1777 / 4 | $5.118,16 | 1769 / 8 |
| Chest Pain | 17 | 134 / 13 | $27.318,80 | 1306 / 18 | $4.532,18 | 938 / 2 | $3.447,53 | 933 / 3 |
| Chronic Obstructive Pulmonary Disease W Cc | 40 | 139 / 14 | $32.280,10 | 1821 / 24 | $7.162,40 | 1808 / 8 | $6.123,98 | 1801 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 59 | 143 / 9 | $38.568,40 | 1873 / 22 | $8.750,80 | 1842 / 6 | $7.540,71 | 1834 / 7 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 10 | $26.087,50 | 1580 / 23 | $5.412,00 | 1465 / 5 | $4.354,68 | 1454 / 8 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 15 | 173 / 14 | $32.154,50 | 618 / 6 | $7.718,87 | 820 / 1 | $5.948,67 | 818 / 1 |
| Digestive Malignancy W Cc | 13 | 34 / 4 | $36.956,10 | 214 / 2 | $9.463,85 | 246 / 1 | $8.360,85 | 244 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 9 | $31.760,60 | 664 / 12 | $7.777,62 | 477 / 4 | $5.221,23 | 475 / 1 |
| Dysequilibrium | 13 | 52 / 8 | $28.976,20 | 401 / 9 | $5.085,08 | 211 / 2 | $3.207,23 | 211 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 60 | 215 / 17 | $24.135,80 | 1815 / 25 | $5.587,78 | 1784 / 7 | $4.449,17 | 1771 / 6 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 9 | $25.352,00 | 658 / 9 | $5.248,00 | 592 / 2 | $4.213,27 | 592 / 2 |
| G.I. Hemorrhage W Cc | 73 | 145 / 12 | $32.154,50 | 1668 / 23 | $7.440,75 | 1592 / 8 | $6.143,60 | 1588 / 4 |
| G.I. Hemorrhage W Mcc | 24 | 97 / 12 | $42.609,00 | 789 / 12 | $13.023,80 | 1174 / 6 | $12.018,10 | 1166 / 7 |
| G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 10 | $21.850,70 | 623 / 13 | $5.462,21 | 522 / 5 | $3.817,50 | 518 / 1 |
| G.I. Obstruction W Cc | 22 | 70 / 9 | $21.586,40 | 763 / 7 | $6.609,32 | 1219 / 2 | $5.622,73 | 1215 / 6 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 14 | $17.334,20 | 688 / 7 | $4.569,54 | 805 / 1 | $3.459,38 | 802 / 1 |
| Heart Failure & Shock W Cc | 113 | 165 / 10 | $30.700,20 | 1991 / 24 | $7.444,21 | 1790 / 11 | $6.123,69 | 1785 / 4 |
| Heart Failure & Shock W Mcc | 58 | 226 / 17 | $59.151,10 | 2183 / 27 | $12.692,60 | 2218 / 16 | $11.384,60 | 2208 / 17 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 15 | $22.976,40 | 1450 / 22 | $5.257,95 | 1079 / 8 | $3.820,77 | 1071 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 43 | 100 / 10 | $63.288,10 | 1434 / 26 | $14.692,50 | 1616 / 11 | $13.429,00 | 1597 / 11 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 10 | $80.571,60 | 535 / 9 | $22.127,00 | 733 / 3 | $20.978,30 | 730 / 4 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 2 | $54.002,90 | 643 / 9 | $12.200,30 | 728 / 2 | $10.984,40 | 725 / 4 |
| Hypertension W/O Mcc | 15 | 50 / 7 | $25.952,90 | 567 / 9 | $4.388,20 | 300 / 1 | $3.159,93 | 298 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 13 | $164.895,00 | 1102 / 17 | $50.404,80 | 1469 / 16 | $49.056,90 | 1459 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 52 | 130 / 10 | $36.816,30 | 1421 / 21 | $8.636,35 | 1448 / 10 | $6.699,29 | 1445 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 40 | 128 / 7 | $48.213,30 | 924 / 9 | $13.743,70 | 1261 / 6 | $12.657,70 | 1255 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 35 | 67 / 6 | $26.564,90 | 970 / 15 | $5.642,43 | 965 / 2 | $4.270,17 | 961 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 35 | 109 / 13 | $29.770,80 | 1158 / 18 | $8.415,29 | 1368 / 11 | $7.208,17 | 1364 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 84 | 149 / 10 | $22.991,30 | 1845 / 25 | $5.894,50 | 1818 / 10 | $4.713,54 | 1807 / 6 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 6 | $63.583,70 | 607 / 9 | $12.430,70 | 669 / 1 | $10.807,20 | 667 / 2 |
| Major Chest Procedures W Cc | 12 | 62 / 6 | $75.506,90 | 306 / 5 | $19.450,10 | 381 / 1 | $18.258,30 | 379 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 9 | $29.597,40 | 637 / 12 | $8.662,47 | 819 / 6 | $7.910,94 | 817 / 6 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 6 | $28.778,80 | 181 / 5 | $8.956,00 | 285 / 1 | $7.886,50 | 285 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 29 | 67 / 2 | $88.337,90 | 703 / 11 | $17.122,00 | 656 / 4 | $14.782,30 | 652 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 9 | $103.407,00 | 680 / 9 | $24.587,80 | 752 / 4 | $23.197,40 | 749 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 344 | 231 / 6 | $76.703,40 | 2143 / 26 | $16.127,60 | 2142 / 8 | $14.290,80 | 2099 / 11 |
| Major Small & Large Bowel Procedures W Cc | 34 | 74 / 8 | $77.290,80 | 965 / 14 | $19.098,10 | 1191 / 6 | $17.405,30 | 1177 / 10 |
| Major Small & Large Bowel Procedures W Mcc | 24 | 61 / 4 | $104.484,00 | 422 / 9 | $34.532,40 | 783 / 3 | $33.361,10 | 781 / 4 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 11 | $47.184,50 | 419 / 8 | $12.223,70 | 588 / 1 | $11.005,90 | 588 / 5 |
| Medical Back Problems W/O Mcc | 18 | 103 / 14 | $42.134,20 | 1289 / 18 | $9.096,67 | 1320 / 15 | $6.883,56 | 1315 / 15 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 12 | $37.523,00 | 1239 / 19 | $8.314,24 | 1106 / 7 | $7.358,05 | 1103 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 16 | $23.525,00 | 1802 / 23 | $5.302,08 | 1648 / 7 | $4.246,00 | 1643 / 6 |
| Other Circulatory System Diagnoses W Cc | 17 | 49 / 4 | $28.306,60 | 385 / 6 | $7.749,82 | 302 / 1 | $5.549,65 | 301 / 1 |
| Other Circulatory System Diagnoses W Mcc | 13 | 103 / 11 | $77.263,90 | 1123 / 11 | $18.728,10 | 1286 / 11 | $18.001,20 | 1278 / 12 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 11 | $25.547,30 | 705 / 11 | $7.269,68 | 984 / 3 | $6.428,09 | 980 / 5 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 8 | $45.541,30 | 399 / 7 | $12.736,10 | 449 / 3 | $11.307,30 | 448 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 15 | $31.425,20 | 430 / 10 | $10.734,20 | 611 / 3 | $9.582,83 | 609 / 2 |
| Otitis Media & Uri W/O Mcc | 25 | 19 / 3 | $22.935,30 | 125 / 7 | $4.895,96 | 94 / 1 | $3.751,08 | 94 / 1 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 9 | $25.983,40 | 672 / 9 | $7.058,85 | 816 / 1 | $6.252,62 | 813 / 3 |
| Peripheral Vascular Disorders W Mcc | 12 | 37 / 4 | $26.773,00 | 142 / 1 | $9.519,00 | 330 / 1 | $8.692,50 | 330 / 1 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 10 | $65.894,60 | 427 / 8 | $19.545,90 | 717 / 3 | $18.217,80 | 715 / 2 |
| Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 8 | $110.608,00 | 384 / 7 | $28.341,40 | 477 / 2 | $26.961,10 | 477 / 2 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 23 | $52.485,20 | 1800 / 26 | $9.085,94 | 1640 / 6 | $8.244,18 | 1635 / 9 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 11 | $35.745,90 | 979 / 17 | $7.484,00 | 930 / 4 | $6.225,00 | 927 / 4 |
| Red Blood Cell Disorders W/O Mcc | 20 | 123 / 17 | $19.669,60 | 874 / 15 | $6.608,70 | 797 / 11 | $4.294,25 | 792 / 1 |
| Renal Failure W Cc | 60 | 161 / 12 | $30.326,10 | 1708 / 21 | $7.489,05 | 1591 / 10 | $5.919,90 | 1582 / 4 |
| Renal Failure W Mcc | 27 | 168 / 16 | $73.306,90 | 1939 / 25 | $14.730,70 | 1983 / 19 | $13.556,10 | 1979 / 20 |
| Respiratory Infections & Inflammations W Cc | 61 | 27 / 3 | $40.918,90 | 982 / 18 | $10.276,70 | 1089 / 8 | $9.022,18 | 1084 / 6 |
| Respiratory Infections & Inflammations W Mcc | 38 | 98 / 13 | $72.221,20 | 1428 / 24 | $16.651,40 | 1562 / 17 | $14.853,90 | 1546 / 14 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 14 | $76.689,80 | 1260 / 16 | $21.550,50 | 1685 / 14 | $20.269,60 | 1671 / 16 |
| Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 7 | $127.847,00 | 561 / 10 | $26.201,50 | 556 / 3 | $24.955,20 | 554 / 3 |
| Seizures W Mcc | 14 | 52 / 8 | $51.122,60 | 496 / 6 | $11.886,10 | 534 / 4 | $10.987,90 | 534 / 6 |
| Seizures W/O Mcc | 16 | 92 / 12 | $27.451,70 | 865 / 15 | $5.697,12 | 654 / 2 | $4.405,00 | 651 / 3 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 11 | $149.178,00 | 515 / 7 | $56.903,50 | 104 / 11 | $30.015,10 | 104 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 216 | 300 / 14 | $55.231,10 | 1957 / 23 | $14.688,80 | 2147 / 11 | $12.996,10 | 2109 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 75 | 132 / 12 | $30.778,20 | 1667 / 22 | $7.869,73 | 1809 / 8 | $6.806,27 | 1801 / 7 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 13 | $29.073,60 | 1011 / 17 | $7.240,33 | 756 / 14 | $4.169,75 | 753 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 82 | 121 / 9 | $31.415,50 | 2031 / 27 | $7.569,94 | 2003 / 12 | $6.171,95 | 1995 / 8 |
| Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 19 | $43.975,30 | 1714 / 22 | $10.686,90 | 1880 / 8 | $9.655,10 | 1880 / 9 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 30 | 63 / 5 | $18.414,10 | 1065 / 14 | $5.279,10 | 1357 / 3 | $4.134,80 | 1349 / 4 |
| Spinal Fusion Except Cervical W/O Mcc | 33 | 161 / 7 | $149.755,00 | 1115 / 16 | $29.145,20 | 1014 / 3 | $26.604,50 | 1009 / 6 |
| Syncope & Collapse | 61 | 108 / 9 | $27.273,60 | 1319 / 22 | $5.625,69 | 997 / 9 | $4.061,90 | 991 / 1 |
| Transient Ischemia | 29 | 96 / 10 | $23.831,10 | 906 / 19 | $5.232,10 | 1032 / 2 | $4.102,66 | 1027 / 3 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 12 | 54 / 6 | $33.225,80 | 296 / 4 | $9.591,58 | 222 / 2 | $6.363,58 | 222 / 1 | Total 85 procedures | 2.844 | 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.