Hospital Costs > In Connecticut > Johnson Memorial Hospital Stafford Spring, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Kidney & Urinary Tract Infections W/O Mcc | 63 | 170 / 15 | $15.121,50 | 958 / 10 | $5.582,51 | 1849 / 4 | $4.753,43 | 1838 / 8 |
Simple Pneumonia & Pleurisy W Cc | 59 | 144 / 16 | $20.953,50 | 1238 / 15 | $7.130,93 | 1875 / 5 | $5.958,27 | 1867 / 6 |
Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 14 | $26.712,30 | 1254 / 12 | $8.943,28 | 1807 / 10 | $7.449,56 | 1799 / 5 |
Heart Failure & Shock W Cc | 37 | 241 / 21 | $19.358,40 | 1100 / 10 | $7.142,41 | 1980 / 6 | $6.492,89 | 1975 / 10 |
Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 15 | $19.814,00 | 982 / 12 | $6.782,92 | 1723 / 3 | $5.911,81 | 1716 / 3 |
Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 18 | $26.950,90 | 831 / 9 | $10.180,70 | 1700 / 5 | $9.155,09 | 1700 / 3 |
Cellulitis W/O Mcc | 34 | 155 / 19 | $17.130,70 | 1143 / 13 | $6.664,88 | 1683 / 11 | $4.952,53 | 1676 / 5 |
Heart Failure & Shock W Mcc | 32 | 252 / 23 | $25.995,50 | 818 / 8 | $10.550,30 | 1839 / 3 | $9.836,31 | 1834 / 3 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 30 | 534 / 26 | $45.893,90 | 1080 / 17 | $15.153,80 | 2085 / 1 | $13.991,10 | 2043 / 7 |
Renal Failure W Cc | 27 | 194 / 22 | $19.849,90 | 971 / 11 | $6.922,22 | 1729 / 2 | $6.218,85 | 1719 / 8 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 25 | $17.602,90 | 1074 / 12 | $5.461,96 | 1670 / 5 | $4.302,28 | 1657 / 5 |
Pulmonary Edema & Respiratory Failure | 20 | 183 / 22 | $26.028,70 | 793 / 11 | $8.748,20 | 1586 / 2 | $8.085,80 | 1581 / 7 |
Respiratory Infections & Inflammations W Mcc | 18 | 118 / 20 | $37.627,00 | 675 / 10 | $14.119,70 | 1404 / 8 | $13.584,60 | 1389 / 9 |
Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 19 | $21.234,40 | 651 / 12 | $8.016,24 | 1378 / 5 | $7.236,94 | 1374 / 8 |
G.I. Obstruction W Cc | 16 | 76 / 14 | $16.243,90 | 382 / 3 | $7.964,00 | 868 / 13 | $4.906,44 | 866 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 22 | $19.400,80 | 1003 / 10 | $5.783,69 | 1522 / 2 | $5.025,69 | 1517 / 9 |
Respiratory Infections & Inflammations W Cc | 16 | 72 / 15 | $26.301,40 | 533 / 8 | $9.711,94 | 1093 / 3 | $9.029,94 | 1088 / 7 |
G.I. Hemorrhage W Cc | 16 | 202 / 27 | $17.709,40 | 543 / 7 | $6.759,44 | 1640 / 1 | $6.227,44 | 1636 / 7 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 20 | $35.729,90 | 437 / 8 | $13.797,40 | 1478 / 3 | $12.668,90 | 1460 / 4 |
Psychoses | 15 | 260 / 3 | $29.400,90 | 465 / 2 | $9.181,33 | 511 / 2 | $8.210,73 | 511 / 2 |
Syncope & Collapse | 12 | 157 / 23 | $18.116,00 | 692 / 8 | $5.273,75 | 1249 / 2 | $4.473,75 | 1242 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 23 | $12.125,10 | 561 / 6 | $5.191,18 | 1520 / 4 | $4.094,45 | 1515 / 4 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 17 | $16.855,50 | 1006 / 12 | $5.284,64 | 1366 / 3 | $4.190,82 | 1355 / 3 | Total 23 procedures | 604 | 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.