Hospital Costs > In Connecticut > Griffin 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 | 75 | 441 / 23 | $45.179,70 | 1582 / 17 | $15.427,60 | 2365 / 13 | $14.020,30 | 2323 / 17 |
Heart Failure & Shock W Cc | 67 | 211 / 14 | $27.125,10 | 1811 / 19 | $8.434,42 | 2340 / 16 | $7.484,06 | 2334 / 19 |
Cellulitis W/O Mcc | 60 | 129 / 13 | $18.178,90 | 1262 / 15 | $7.312,55 | 2161 / 15 | $5.974,15 | 2153 / 18 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 56 | 219 / 19 | $21.951,20 | 1621 / 21 | $7.277,73 | 1927 / 24 | $4.642,30 | 1913 / 11 |
Chronic Obstructive Pulmonary Disease W Cc | 55 | 124 / 9 | $25.790,40 | 1493 / 18 | $8.103,96 | 2000 / 14 | $6.690,13 | 1993 / 14 |
Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 14 | $33.559,80 | 1257 / 15 | $11.944,00 | 2129 / 14 | $10.815,50 | 2124 / 16 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 50 | 116 / 10 | $21.592,00 | 1690 / 20 | $6.223,68 | 2063 / 14 | $5.036,54 | 2055 / 16 |
Kidney & Urinary Tract Infections W/O Mcc | 46 | 187 / 20 | $18.609,80 | 1419 / 17 | $6.675,74 | 2260 / 16 | $5.633,41 | 2249 / 18 |
Heart Failure & Shock W Mcc | 42 | 242 / 20 | $42.473,00 | 1760 / 20 | $12.685,70 | 2133 / 15 | $10.928,90 | 2123 / 13 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 41 | 523 / 24 | $52.158,30 | 1385 / 21 | $17.428,40 | 2260 / 13 | $15.064,70 | 2216 / 15 |
Simple Pneumonia & Pleurisy W Cc | 40 | 163 / 22 | $27.000,80 | 1768 / 22 | $8.204,45 | 2357 / 15 | $7.066,67 | 2348 / 19 |
Chronic Obstructive Pulmonary Disease W Mcc | 40 | 162 / 15 | $35.785,50 | 1788 / 18 | $10.011,00 | 2223 / 14 | $8.927,70 | 2215 / 19 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 17 | $22.170,30 | 1218 / 13 | $7.095,23 | 1746 / 14 | $5.598,49 | 1741 / 13 |
Syncope & Collapse | 38 | 131 / 15 | $20.124,40 | 871 / 12 | $6.263,50 | 1500 / 12 | $5.143,26 | 1493 / 12 |
Renal Failure W Cc | 38 | 183 / 18 | $26.363,30 | 1512 / 17 | $8.319,53 | 2066 / 16 | $7.327,76 | 2056 / 18 |
G.I. Hemorrhage W Cc | 37 | 181 / 21 | $27.870,60 | 1433 / 17 | $8.919,84 | 1920 / 17 | $6.986,68 | 1916 / 14 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 35 | 89 / 4 | $19.966,10 | 486 / 6 | $5.725,03 | 543 / 8 | $4.606,54 | 542 / 8 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 31 | 176 / 23 | $24.029,40 | 1163 / 14 | $9.038,90 | 2135 / 15 | $7.749,23 | 2127 / 17 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 28 | 122 / 13 | $17.353,30 | 1226 / 14 | $5.180,04 | 1463 / 13 | $3.436,71 | 1457 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 13 | $35.847,70 | 1189 / 14 | $11.010,10 | 1535 / 16 | $8.829,71 | 1532 / 11 |
Respiratory Infections & Inflammations W Mcc | 27 | 109 / 16 | $39.090,90 | 747 / 12 | $15.213,10 | 1496 / 12 | $14.210,70 | 1480 / 12 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 15 | $52.170,40 | 1184 / 18 | $14.205,90 | 1507 / 13 | $12.955,00 | 1494 / 14 |
Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 16 | $53.398,70 | 1160 / 20 | $16.074,20 | 1782 / 16 | $14.797,40 | 1763 / 18 |
Respiratory Infections & Inflammations W Cc | 24 | 64 / 10 | $25.017,20 | 471 / 7 | $11.474,40 | 1257 / 13 | $10.115,50 | 1252 / 14 |
Chest Pain | 24 | 127 / 10 | $16.637,80 | 653 / 9 | $5.271,92 | 1279 / 10 | $4.218,50 | 1272 / 10 |
Pulmonary Edema & Respiratory Failure | 23 | 180 / 20 | $35.848,40 | 1329 / 18 | $10.025,70 | 1717 / 11 | $8.543,52 | 1712 / 11 |
Renal Failure W Mcc | 23 | 172 / 19 | $39.576,10 | 1278 / 16 | $12.942,80 | 1772 / 13 | $11.579,50 | 1769 / 13 |
Medical Back Problems W/O Mcc | 21 | 100 / 11 | $20.351,10 | 562 / 6 | $7.604,33 | 1081 / 8 | $5.497,90 | 1078 / 5 |
Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 17 | $16.499,80 | 1018 / 12 | $5.851,37 | 1658 / 12 | $4.871,05 | 1645 / 19 |
Transient Ischemia | 18 | 107 / 16 | $20.188,20 | 680 / 10 | $6.326,22 | 1255 / 14 | $4.676,72 | 1249 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 20 | $32.483,40 | 1264 / 18 | $9.257,89 | 1750 / 12 | $7.954,11 | 1746 / 16 |
G.I. Hemorrhage W Mcc | 17 | 104 / 16 | $41.686,60 | 757 / 11 | $14.229,00 | 1352 / 9 | $13.263,10 | 1342 / 13 |
Diabetes W Cc | 16 | 76 / 12 | $21.667,40 | 802 / 11 | $7.205,06 | 1305 / 10 | $6.214,25 | 1300 / 14 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 22 | $23.752,50 | 1167 / 18 | $6.958,36 | 1589 / 12 | $5.803,21 | 1580 / 14 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 15 | $19.174,80 | 1199 / 15 | $6.281,71 | 1620 / 12 | $4.699,36 | 1609 / 12 |
Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 9 | $23.093,70 | 327 / 4 | $8.438,43 | 645 / 4 | $7.094,00 | 645 / 5 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 9 | $21.603,40 | 423 / 5 | $6.646,07 | 637 / 3 | $5.285,21 | 635 / 3 |
Atherosclerosis W/O Mcc | 14 | 44 / 4 | $17.009,70 | 240 / 6 | $5.363,86 | / 5 | $4.107,86 | / |
Other Digestive System Diagnoses W Cc | 14 | 83 / 15 | $32.447,40 | 951 / 16 | $8.442,79 | 1140 / 10 | $7.102,36 | 1136 / 12 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 11 | $20.594,50 | 305 / 4 | $9.701,69 | 968 / 12 | $9.174,00 | 966 / 16 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 15 | $18.934,80 | 1119 / 16 | $6.191,54 | 1682 / 12 | $5.059,62 | 1674 / 15 |
Seizures W/O Mcc | 13 | 95 / 14 | $23.756,20 | 725 / 12 | $6.812,62 | 901 / 11 | $5.096,85 | 898 / 9 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 15 | $38.139,00 | 1262 / 20 | $9.760,85 | 1355 / 12 | $8.404,31 | 1352 / 11 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 10 | $17.987,50 | 315 / 5 | $8.191,25 | 1004 / 5 | $7.274,00 | 1001 / 8 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 10 | $14.274,20 | 325 / 5 | $5.661,00 | 654 / 6 | $4.214,00 | 653 / 6 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 11 | $16.722,20 | 191 / 3 | $6.388,75 | 700 / 6 | $5.269,83 | 696 / 8 |
Organic Disturbances & Mental Retardation | 12 | 47 / 8 | $23.510,70 | 251 / 1 | $8.749,00 | 409 / 2 | $7.480,92 | 409 / 4 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 14 | $120.873,00 | 746 / 9 | $43.944,50 | 1136 / 11 | $37.538,30 | 1128 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 17 | $23.379,50 | 807 / 12 | $6.632,45 | 1303 / 11 | $5.225,27 | 1299 / 12 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 12 | $54.124,50 | 511 / 10 | $13.636,80 | 660 / 6 | $12.376,80 | 660 / 9 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 13 | $11.321,10 | 147 / 2 | $5.864,91 | 765 / 6 | $4.677,00 | 761 / 8 | Total 51 procedures | 1.407 | 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.