Hospital Costs > In Massachusetts > Holy Family Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Psychoses | 395 | 40 / 1 | $16.770,50 | 240 / 9 | $8.526,02 | 451 / 9 | $7.276,72 | 451 / 9 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 158 | 406 / 23 | $35.564,40 | 498 / 31 | $16.564,10 | 2105 / 29 | $14.063,20 | 2063 / 23 |
| Heart Failure & Shock W Mcc | 141 | 143 / 14 | $15.201,10 | 148 / 19 | $11.530,90 | 2032 / 32 | $10.501,80 | 2023 / 32 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 130 | 386 / 30 | $22.146,40 | 370 / 32 | $14.346,70 | 2185 / 34 | $13.116,40 | 2147 / 33 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 92 | 183 / 29 | $10.992,60 | 284 / 27 | $6.188,53 | 2226 / 31 | $5.316,91 | 2211 / 37 |
| Simple Pneumonia & Pleurisy W Mcc | 92 | 113 / 11 | $15.067,40 | 126 / 17 | $11.291,10 | 2057 / 32 | $10.390,90 | 2056 / 35 |
| Heart Failure & Shock W Cc | 88 | 190 / 27 | $10.286,10 | 140 / 13 | $7.810,89 | 2212 / 32 | $7.027,09 | 2206 / 34 |
| Kidney & Urinary Tract Infections W/O Mcc | 85 | 148 / 21 | $8.929,19 | 192 / 20 | $6.371,61 | 2141 / 32 | $5.298,68 | 2130 / 32 |
| Respiratory Infections & Inflammations W Mcc | 64 | 72 / 7 | $21.298,50 | 130 / 23 | $14.648,40 | 1452 / 22 | $13.934,80 | 1437 / 23 |
| Chronic Obstructive Pulmonary Disease W Mcc | 62 | 140 / 18 | $12.771,40 | 164 / 23 | $9.650,03 | 2065 / 38 | $8.139,45 | 2057 / 33 |
| Simple Pneumonia & Pleurisy W Cc | 60 | 143 / 26 | $10.007,00 | 110 / 17 | $7.633,73 | 2195 / 24 | $6.613,50 | 2187 / 31 |
| Chronic Obstructive Pulmonary Disease W Cc | 53 | 126 / 26 | $10.941,50 | 147 / 23 | $7.548,55 | 1929 / 31 | $6.470,58 | 1922 / 30 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 52 | 114 / 24 | $8.152,75 | 160 / 18 | $5.837,33 | 2007 / 31 | $4.898,92 | 1999 / 33 |
| Cellulitis W/O Mcc | 50 | 139 / 33 | $8.803,12 | 149 / 20 | $6.844,16 | 2142 / 32 | $5.923,64 | 2134 / 38 |
| G.I. Hemorrhage W Cc | 49 | 169 / 29 | $11.008,20 | 84 / 9 | $7.969,33 | 1833 / 28 | $6.724,12 | 1829 / 25 |
| Kidney & Urinary Tract Infections W Mcc | 47 | 97 / 14 | $11.545,20 | 90 / 18 | $8.730,75 | 1497 / 23 | $7.601,11 | 1493 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 46 | 115 / 21 | $9.339,20 | 81 / 13 | $6.428,91 | 1709 / 26 | $5.496,87 | 1704 / 29 |
| Pulmonary Edema & Respiratory Failure | 46 | 157 / 20 | $12.868,30 | 68 / 10 | $9.610,46 | 1763 / 23 | $8.745,89 | 1758 / 24 |
| Renal Failure W Cc | 46 | 175 / 32 | $9.566,17 | 72 / 12 | $7.617,61 | 1924 / 30 | $6.726,07 | 1914 / 32 |
| Syncope & Collapse | 44 | 125 / 22 | $9.262,07 | 74 / 11 | $6.059,55 | 1494 / 25 | $5.118,50 | 1487 / 31 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 41 | 83 / 14 | $8.072,00 | 79 / 8 | $5.761,20 | 616 / 19 | $5.086,44 | 615 / 26 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 40 | 148 / 16 | $20.363,20 | 118 / 11 | $8.557,33 | 1325 / 9 | $7.634,20 | 1322 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 40 | 83 / 17 | $12.521,60 | 56 / 9 | $9.530,12 | 1512 / 24 | $8.729,78 | 1509 / 27 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 37 | 145 / 18 | $13.410,40 | 89 / 12 | $8.319,16 | 1559 / 25 | $7.067,78 | 1556 / 24 |
| Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 22 | $25.985,90 | 101 / 16 | $14.679,10 | 1605 / 17 | $13.376,00 | 1586 / 20 |
| Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 16 | $8.135,32 | 119 / 17 | $5.671,00 | 1577 / 29 | $4.658,82 | 1564 / 30 |
| Renal Failure W Mcc | 31 | 164 / 31 | $22.586,50 | 346 / 37 | $12.211,30 | 1760 / 29 | $11.481,40 | 1757 / 32 |
| Transient Ischemia | 31 | 94 / 14 | $10.089,60 | 62 / 6 | $5.867,61 | 1251 / 20 | $4.667,68 | 1245 / 18 |
| Red Blood Cell Disorders W/O Mcc | 30 | 113 / 21 | $9.469,57 | 83 / 10 | $6.554,30 | 1446 / 22 | $5.333,10 | 1437 / 21 |
| Medical Back Problems W/O Mcc | 30 | 91 / 18 | $9.725,90 | 47 / 6 | $6.941,20 | 1159 / 17 | $5.832,57 | 1155 / 21 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 14 | $24.596,50 | 56 / 6 | $16.650,60 | 1332 / 12 | $15.930,00 | 1319 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 28 | 122 / 22 | $8.213,39 | 163 / 21 | $4.909,61 | 1580 / 28 | $3.686,32 | 1574 / 26 |
| Extracranial Procedures W/O Cc/Mcc | 27 | 71 / 9 | $15.692,40 | 63 / 5 | $8.228,04 | 772 / 3 | $7.140,67 | 769 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 18 | $19.603,80 | 86 / 16 | $12.706,10 | 1155 / 16 | $11.839,30 | 1149 / 16 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 27 | $19.590,80 | 148 / 24 | $12.249,70 | 1269 / 17 | $11.328,30 | 1259 / 17 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 18 | $13.413,80 | 58 / 14 | $10.437,10 | 1167 / 17 | $9.498,43 | 1162 / 19 |
| G.I. Hemorrhage W Mcc | 22 | 99 / 23 | $20.591,50 | 78 / 16 | $13.039,40 | 1176 / 17 | $12.057,60 | 1168 / 17 |
| Chest Pain | 21 | 130 / 23 | $9.703,00 | 138 / 21 | $5.171,19 | 1184 / 22 | $3.943,29 | 1177 / 15 |
| Peripheral Vascular Disorders W Cc | 20 | 64 / 14 | $10.423,40 | 46 / 12 | $7.402,95 | 917 / 10 | $6.712,75 | 914 / 16 |
| Major Chest Procedures W/O Cc/Mcc | 20 | 39 / 5 | $23.040,20 | 13 / 4 | $13.480,80 | 177 / 4 | $12.318,80 | 177 / 4 |
| Cellulitis W Mcc | 20 | 38 / 10 | $12.292,50 | 22 / 11 | $10.656,80 | 665 / 10 | $9.730,00 | 663 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 16 | $10.965,80 | 38 / 8 | $9.092,16 | 882 / 17 | $8.381,95 | 880 / 19 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 40 | $11.176,60 | 97 / 12 | $9.383,37 | 2008 / 39 | $7.334,00 | 2000 / 29 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 19 | 177 / 19 | $46.477,40 | 162 / 11 | $15.618,60 | 1224 / 4 | $14.400,10 | 1217 / 6 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 19 | 43 / 15 | $7.354,53 | 22 / 2 | $6.188,58 | 628 / 16 | $5.218,68 | 626 / 21 |
| Depressive Neuroses | 18 | 32 / 1 | $8.196,67 | 34 / 1 | $5.575,17 | 107 / 2 | $4.837,06 | 107 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 17 | $12.188,20 | 65 / 12 | $8.826,11 | 1292 / 15 | $8.062,67 | 1289 / 19 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 13 | $37.332,00 | 26 / 5 | $21.928,60 | 619 / 3 | $20.892,40 | 616 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 23 | $10.028,30 | 47 / 5 | $6.610,53 | 1183 / 22 | $4.789,41 | 1179 / 18 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 29 | $7.020,88 | 44 / 8 | $5.989,56 | 1712 / 25 | $4.994,12 | 1701 / 32 |
| Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 15 | $10.446,10 | 97 / 16 | $5.867,00 | 721 / 17 | $4.715,38 | 720 / 18 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 11 | $51.464,70 | 29 / 5 | $35.584,80 | 485 / 3 | $32.222,80 | 484 / 2 |
| Diabetes W Cc | 16 | 76 / 24 | $11.209,40 | 123 / 21 | $6.981,19 | 1233 / 21 | $5.892,88 | 1228 / 23 |
| Neuroses Except Depressive | 16 | 12 / 3 | $9.468,00 | 15 / 1 | $5.883,62 | 29 / 4 | $5.170,50 | 29 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 25 | $13.051,60 | 51 / 11 | $9.437,31 | 1105 / 17 | $8.651,31 | 1100 / 20 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 18 | $21.021,80 | 61 / 7 | $14.001,30 | 936 / 7 | $12.989,00 | 929 / 8 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 16 | $16.470,30 | 45 / 9 | $10.832,70 | 716 / 10 | $9.910,53 | 714 / 11 |
| G.I. Obstruction W Cc | 15 | 77 / 26 | $10.713,10 | 75 / 13 | $7.664,87 | 1286 / 31 | $5.814,47 | 1281 / 18 |
| Red Blood Cell Disorders W Mcc | 14 | 57 / 13 | $9.902,43 | 12 / 3 | $9.469,00 | 691 / 8 | $8.281,36 | 687 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 19 | $14.578,40 | 37 / 9 | $11.942,30 | 864 / 15 | $11.480,30 | 860 / 19 |
| Seizures W/O Mcc | 14 | 94 / 25 | $10.373,40 | 80 / 19 | $6.224,21 | 940 / 20 | $5.258,64 | 938 / 24 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 25 | $8.937,43 | 19 / 4 | $7.605,00 | 1042 / 16 | $6.641,86 | 1038 / 16 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 14 | $50.657,70 | 37 / 7 | $23.826,20 | 741 / 1 | $22.625,00 | 736 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 12 | $26.628,20 | 32 / 5 | $14.566,40 | 599 / 3 | $13.668,40 | 593 / 4 |
| Other Vascular Procedures W/O Cc/Mcc | 14 | 42 / 11 | $22.484,50 | 24 / 1 | $13.118,40 | 446 / 2 | $12.241,20 | 445 / 4 |
| Spinal Fusion Except Cervical W/O Mcc | 14 | 180 / 20 | $98.258,70 | 714 / 21 | $34.708,90 | 1120 / 12 | $28.622,00 | 1115 / 9 |
| Dysequilibrium | 13 | 52 / 15 | $8.125,85 | 27 / 3 | $5.315,23 | 397 / 12 | $4.187,85 | 397 / 15 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 25 | $9.876,31 | 87 / 13 | $5.826,31 | 1034 / 18 | $5.066,92 | 1031 / 25 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 21 | $10.240,70 | 36 / 4 | $7.460,58 | 774 / 13 | $6.628,17 | 771 / 21 |
| Other Disorders Of Nervous System W Cc | 12 | 44 / 18 | $11.295,80 | 34 / 12 | $7.047,75 | 451 / 11 | $6.321,08 | 451 / 17 |
| Respiratory Neoplasms W Mcc | 12 | 40 / 10 | $15.257,60 | 18 / 5 | $13.142,50 | 509 / 6 | $12.607,20 | 506 / 8 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 27 | $9.625,92 | 194 / 25 | $5.911,67 | 1648 / 26 | $4.878,33 | 1640 / 34 |
| Bone Diseases & Arthropathies W/O Mcc | 12 | 32 / 9 | $9.526,58 | 40 / 9 | $6.033,75 | 174 / 6 | $4.902,17 | 174 / 9 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 20 | $9.613,17 | 83 / 12 | $5.419,50 | 613 / 17 | $4.281,67 | 612 / 14 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 15 | $19.187,70 | 21 / 3 | $12.327,20 | 596 / 4 | $11.099,70 | 596 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 11 | $15.061,50 | 13 / 3 | $13.185,80 | 403 / 3 | $12.268,20 | 402 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 23 | $51.752,60 | 59 / 6 | $38.787,10 | 1145 / 15 | $37.725,50 | 1137 / 15 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 16 | $32.941,80 | 22 / 4 | $21.809,40 | 713 / 6 | $20.779,70 | 710 / 7 |
| Other Resp System O.R. Procedures W Mcc | 11 | 52 / 8 | $32.977,20 | 13 / 1 | $25.178,90 | 363 / 1 | $24.149,10 | 362 / 2 |
| Biopsies Of Musculoskeletal System & Connective Tissue W Mcc | 11 | 5 / 1 | $33.438,20 | 1 / 1 | $22.701,20 | 6 / 1 | $21.185,00 | 6 / 1 |
| Diabetes W Mcc | 11 | 46 / 13 | $17.174,60 | 48 / 9 | $10.710,20 | 524 / 8 | $9.684,27 | 524 / 8 | Total 81 procedures | 2.981 | 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.