Hospital Costs > In Rhode Island > Kent County Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 236 | 95 / 1 | $31.194,10 | 486 / 3 | $8.752,46 | 408 / 1 | $6.855,56 | 408 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 214 | 302 / 3 | $52.152,60 | 1860 / 10 | $14.697,70 | 2073 / 7 | $12.649,60 | 2036 / 7 |
Kidney & Urinary Tract Infections W/O Mcc | 146 | 87 / 1 | $21.457,70 | 1721 / 9 | $6.187,63 | 2046 / 7 | $5.102,44 | 2035 / 7 |
Chronic Obstructive Pulmonary Disease W Mcc | 123 | 79 / 1 | $40.206,10 | 1925 / 10 | $9.977,88 | 1931 / 8 | $7.769,80 | 1923 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 119 | 156 / 3 | $20.162,60 | 1410 / 7 | $6.226,60 | 1902 / 7 | $4.609,85 | 1888 / 6 |
Heart Failure & Shock W Cc | 115 | 163 / 3 | $27.949,70 | 1852 / 10 | $8.466,93 | 1999 / 8 | $6.532,90 | 1994 / 6 |
Heart Failure & Shock W Mcc | 109 | 175 / 3 | $37.398,80 | 1526 / 8 | $11.233,00 | 1912 / 8 | $10.081,80 | 1906 / 8 |
Cellulitis W/O Mcc | 101 | 88 / 3 | $20.711,00 | 1553 / 7 | $7.017,03 | 1808 / 6 | $5.150,03 | 1800 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 95 | 469 / 4 | $47.043,70 | 1142 / 9 | $16.513,40 | 1639 / 7 | $12.408,60 | 1602 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 90 | 117 / 3 | $25.604,20 | 1297 / 7 | $8.549,12 | 1825 / 7 | $6.846,73 | 1817 / 7 |
Simple Pneumonia & Pleurisy W Cc | 90 | 113 / 1 | $26.530,20 | 1741 / 10 | $7.919,89 | 1945 / 7 | $6.071,80 | 1937 / 6 |
Chronic Obstructive Pulmonary Disease W Cc | 89 | 90 / 2 | $27.530,20 | 1593 / 10 | $7.461,18 | 1800 / 6 | $6.097,21 | 1793 / 6 |
Simple Pneumonia & Pleurisy W Mcc | 77 | 128 / 1 | $47.512,10 | 1833 / 9 | $11.992,70 | 2026 / 7 | $10.228,80 | 2025 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 70 | 91 / 2 | $22.433,60 | 1242 / 9 | $6.267,99 | 1638 / 6 | $5.279,89 | 1633 / 6 |
G.I. Hemorrhage W Cc | 69 | 149 / 3 | $24.921,70 | 1189 / 8 | $8.074,62 | 1662 / 7 | $6.281,51 | 1658 / 5 |
Renal Failure W Cc | 69 | 152 / 3 | $23.187,20 | 1289 / 8 | $7.753,20 | 1704 / 7 | $6.154,81 | 1694 / 7 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 65 | 60 / 2 | $40.729,90 | 838 / 6 | $12.283,20 | 1207 / 7 | $11.053,40 | 1200 / 7 |
Pulmonary Edema & Respiratory Failure | 59 | 144 / 3 | $52.894,10 | 1810 / 9 | $12.066,40 | 1950 / 7 | $9.682,53 | 1944 / 7 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 58 | 67 / 2 | $20.152,40 | 491 / 3 | $5.851,60 | 488 / 2 | $4.418,79 | 487 / 2 |
Kidney & Urinary Tract Infections W Mcc | 54 | 90 / 3 | $29.471,70 | 1152 / 7 | $8.810,67 | 1445 / 7 | $7.460,19 | 1441 / 7 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 50 | 70 / 1 | $20.747,90 | 1311 / 9 | $6.003,50 | 1583 / 6 | $4.618,24 | 1572 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 49 | 74 / 3 | $39.615,60 | 1312 / 10 | $10.868,10 | 1511 / 6 | $8.729,59 | 1508 / 7 |
Syncope & Collapse | 48 | 121 / 3 | $23.535,30 | 1137 / 6 | $6.171,62 | 1352 / 4 | $4.717,85 | 1345 / 4 |
Respiratory Infections & Inflammations W Mcc | 47 | 89 / 2 | $60.749,90 | 1281 / 8 | $16.285,80 | 1429 / 7 | $13.803,20 | 1414 / 7 |
Spinal Fusion Except Cervical W/O Mcc | 42 | 152 / 3 | $36.212,40 | 30 / 2 | $29.135,90 | 629 / 2 | $22.625,80 | 625 / 2 |
Renal Failure W Mcc | 41 | 154 / 3 | $48.229,20 | 1532 / 10 | $13.360,10 | 1581 / 7 | $10.588,60 | 1579 / 6 |
Acute Myocardial Infarction, Discharged Alive W Cc | 40 | 51 / 2 | $24.347,90 | 492 / 5 | $9.160,15 | 626 / 5 | $5.710,75 | 625 / 2 |
Diabetes W Cc | 39 | 53 / 2 | $30.056,20 | 1175 / 5 | $7.057,95 | 1164 / 3 | $5.628,33 | 1159 / 3 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 39 | 149 / 3 | $33.300,70 | 671 / 2 | $10.072,00 | 955 / 4 | $6.241,74 | 952 / 2 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 37 | 113 / 3 | $17.926,80 | 1266 / 6 | $4.795,70 | 1526 / 6 | $3.585,97 | 1520 / 5 |
Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 3 | $40.898,10 | 681 / 7 | $14.071,40 | 1488 / 6 | $12.733,30 | 1470 / 6 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 35 | 58 / 1 | $20.305,40 | 1221 / 6 | $5.698,91 | 1556 / 4 | $4.588,09 | 1548 / 4 |
Depressive Neuroses | 35 | 16 / 1 | $16.423,10 | 105 / 1 | $5.410,29 | 103 / 1 | $4.687,57 | 103 / 1 |
Signs & Symptoms W/O Mcc | 34 | 57 / 2 | $21.311,70 | 717 / 2 | $5.621,88 | 892 / 3 | $4.505,82 | 889 / 3 |
G.I. Hemorrhage W Mcc | 33 | 88 / 3 | $44.818,50 | 860 / 7 | $14.553,00 | 1265 / 6 | $12.677,80 | 1256 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 3 | $26.083,60 | 862 / 5 | $8.988,25 | 1282 / 5 | $6.299,66 | 1279 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 3 | $19.879,50 | 1544 / 5 | $5.931,16 | 1720 / 5 | $4.352,84 | 1715 / 4 |
Chest Pain | 30 | 121 / 4 | $21.208,00 | 1000 / 7 | $5.182,07 | 1181 / 5 | $3.936,83 | 1174 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 2 | $76.547,60 | 1254 / 5 | $19.176,20 | 1410 / 3 | $16.554,00 | 1396 / 3 |
Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 3 | $17.354,90 | 1088 / 7 | $6.248,17 | 1329 / 6 | $4.129,34 | 1318 / 6 |
Transient Ischemia | 28 | 97 / 2 | $20.986,40 | 735 / 4 | $5.686,21 | 1154 / 5 | $4.376,57 | 1148 / 4 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 2 | $106.064,00 | 559 / 5 | $42.222,80 | 914 / 5 | $34.206,80 | 908 / 3 |
Major Small & Large Bowel Procedures W Cc | 28 | 80 / 3 | $58.290,60 | 597 / 7 | $18.068,20 | 694 / 5 | $14.323,90 | 688 / 2 |
Bronchitis & Asthma W Cc/Mcc | 28 | 48 / 2 | $29.373,10 | 693 / 5 | $11.542,00 | 626 / 5 | $5.176,71 | 622 / 2 |
Respiratory Infections & Inflammations W Cc | 28 | 60 / 3 | $38.855,80 | 943 / 6 | $9.848,11 | 1053 / 4 | $8.875,54 | 1048 / 4 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 27 | 34 / 2 | $20.457,80 | 525 / 3 | $5.230,26 | 597 / 2 | $4.239,93 | 596 / 2 |
Neuroses Except Depressive | 26 | 4 / 1 | $14.473,30 | 30 / 2 | $5.653,42 | 24 / 1 | $4.669,92 | 24 / 1 |
Other Digestive System Diagnoses W Cc | 24 | 73 / 3 | $24.774,80 | 667 / 4 | $8.609,04 | 877 / 5 | $6.045,38 | 873 / 3 |
G.I. Obstruction W Cc | 24 | 68 / 3 | $21.886,40 | 791 / 4 | $8.518,71 | 847 / 5 | $4.883,50 | 845 / 4 |
Medical Back Problems W/O Mcc | 24 | 97 / 3 | $27.486,30 | 929 / 5 | $7.003,42 | 997 / 5 | $5.234,71 | 994 / 5 |
Poisoning & Toxic Effects Of Drugs W Mcc | 24 | 48 / 2 | $51.899,70 | 732 / 4 | $12.598,20 | 830 / 3 | $11.453,00 | 827 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 23 | 73 / 3 | $30.740,00 | 664 / 4 | $10.662,90 | 599 / 3 | $6.870,35 | 594 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 22 | 51 / 3 | $27.026,40 | 560 / 3 | $8.644,55 | 793 / 2 | $7.725,55 | 791 / 2 |
Degenerative Nervous System Disorders W/O Mcc | 22 | 56 / 2 | $21.606,00 | 281 / 1 | $7.897,05 | 456 / 2 | $5.894,05 | 456 / 2 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 5 | $20.771,60 | 963 / 7 | $6.530,27 | 1372 / 6 | $5.146,09 | 1363 / 5 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 22 | 49 / 1 | $135.568,00 | 480 / 2 | $37.415,50 | 490 / 1 | $32.352,90 | 489 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 3 | $21.864,80 | 704 / 3 | $6.065,00 | 1141 / 4 | $4.679,82 | 1137 / 4 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 21 | 6 / 2 | $30.363,40 | 50 / 1 | $11.229,30 | 63 / 1 | $10.068,50 | 63 / 1 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 21 | 32 / 2 | $19.566,20 | 282 / 2 | $6.017,10 | 652 / 2 | $4.951,67 | 648 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 3 | $45.315,90 | 838 / 4 | $12.863,80 | 1145 / 3 | $11.787,60 | 1139 / 3 |
Seizures W/O Mcc | 20 | 88 / 2 | $18.377,50 | 455 / 3 | $6.321,10 | 770 / 4 | $4.654,60 | 767 / 3 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 3 | $25.014,10 | 706 / 3 | $8.430,55 | 1172 / 3 | $7.568,00 | 1169 / 3 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 19 | 74 / 2 | $48.397,30 | 289 / 1 | $16.998,90 | 416 / 1 | $12.300,80 | 410 / 2 |
Red Blood Cell Disorders W Mcc | 19 | 52 / 2 | $37.948,40 | 649 / 4 | $9.959,47 | 789 / 2 | $8.939,53 | 785 / 2 |
G.I. Hemorrhage W/O Cc/Mcc | 19 | 49 / 1 | $17.379,70 | 445 / 5 | $5.991,21 | 597 / 3 | $4.039,89 | 593 / 3 |
Organic Disturbances & Mental Retardation | 18 | 41 / 1 | $19.660,90 | 169 / 1 | $7.562,39 | 321 / 2 | $6.542,44 | 321 / 2 |
Atherosclerosis W/O Mcc | 17 | 41 / 2 | $17.850,70 | 261 / 3 | $5.471,41 | / 2 | $3.795,82 | / |
Other Circulatory System Diagnoses W Cc | 17 | 49 / 2 | $24.421,80 | 289 / 1 | $7.364,53 | 452 / 2 | $6.412,47 | 451 / 2 |
Transurethral Procedures W Cc | 17 | 24 / 1 | $32.137,10 | 143 / 1 | $9.549,94 | 282 / 1 | $8.354,06 | 282 / 1 |
Other Disorders Of Nervous System W Cc | 17 | 39 / 2 | $26.716,80 | 317 / 2 | $6.873,53 | 399 / 2 | $5.826,82 | 399 / 2 |
G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 2 | $17.465,40 | 695 / 6 | $5.430,41 | 866 / 4 | $3.560,18 | 863 / 4 |
Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 3 | $22.491,80 | 390 / 1 | $7.708,25 | 538 / 2 | $5.396,69 | 536 / 1 |
Dysequilibrium | 16 | 49 / 3 | $22.887,30 | 301 / 3 | $6.463,75 | 354 / 2 | $3.893,19 | 354 / 2 |
Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 1 | $45.148,90 | 140 / 1 | $17.670,70 | 594 / 2 | $16.732,00 | 593 / 2 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 4 | $34.995,90 | 522 / 3 | $13.174,50 | 488 / 3 | $9.061,07 | 487 / 2 |
Cellulitis W Mcc | 15 | 43 / 3 | $43.150,10 | 655 / 4 | $13.116,50 | 783 / 3 | $10.787,30 | 781 / 3 |
Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 3 | $99.174,90 | 375 / 2 | $31.204,80 | 415 / 2 | $28.668,40 | 413 / 1 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 3 | $21.547,70 | 256 / 1 | $7.365,60 | 464 / 2 | $5.768,87 | 464 / 2 |
Other Vascular Procedures W Cc | 14 | 88 / 3 | $56.602,60 | 300 / 1 | $18.455,10 | 795 / 1 | $17.324,40 | 790 / 1 |
Respiratory Neoplasms W Mcc | 14 | 38 / 2 | $70.765,30 | 503 / 3 | $14.691,10 | 542 / 2 | $13.483,40 | 539 / 2 |
Bronchitis & Asthma W/O Cc/Mcc | 14 | 31 / 2 | $23.594,90 | 250 / 3 | $5.337,00 | 252 / 2 | $4.080,29 | 252 / 2 |
Other Respiratory System Diagnoses W/O Mcc | 13 | 33 / 3 | $22.755,80 | 151 / 2 | $6.209,31 | 180 / 2 | $5.096,54 | 180 / 2 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 2 | $142.780,00 | 449 / 3 | $39.602,60 | 577 / 2 | $36.259,70 | 577 / 3 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 3 | $27.600,80 | 468 / 4 | $7.613,08 | 578 / 3 | $6.793,54 | 578 / 3 |
Diabetes W Mcc | 13 | 44 / 3 | $34.286,40 | 363 / 2 | $9.911,77 | 460 / 2 | $9.064,85 | 460 / 3 |
Pulmonary Embolism W/O Mcc | 13 | 61 / 3 | $29.137,20 | 807 / 4 | $7.678,69 | 1016 / 3 | $6.602,77 | 1013 / 3 |
Permanent Cardiac Pacemaker Implant W Mcc | 13 | 39 / 2 | $59.194,10 | 72 / 1 | $30.512,30 | 292 / 3 | $22.487,20 | 292 / 1 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 2 | $42.605,40 | 340 / 2 | $13.150,40 | 498 / 2 | $9.926,46 | 498 / 1 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 2 | $13.238,20 | 98 / 1 | $5.296,23 | 338 / 1 | $4.210,77 | 337 / 1 |
Pulmonary Embolism W Mcc | 13 | 30 / 2 | $34.230,10 | 234 / 1 | $10.772,40 | 397 / 1 | $9.719,00 | 397 / 1 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 3 | $20.381,50 | 386 / 2 | $5.926,92 | 596 / 3 | $5.050,31 | 594 / 3 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 1 | $30.878,00 | 207 / 1 | $12.400,30 | 593 / 2 | $9.717,50 | 591 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 2 | $29.690,80 | 104 / 1 | $11.070,60 | 397 / 1 | $9.877,17 | 397 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 2 | $43.222,60 | 344 / 2 | $13.588,80 | 440 / 2 | $12.643,20 | 439 / 2 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 3 | $160.465,00 | 584 / 3 | $44.321,80 | 790 / 2 | $42.887,00 | 789 / 2 |
Hypertension W/O Mcc | 11 | 54 / 2 | $21.880,50 | 457 / 2 | $5.255,09 | 488 / 1 | $3.711,82 | 486 / 1 |
Acute Adjustment Reaction & Psychosocial Dysfunction | 11 | 19 / 2 | $18.345,20 | 31 / 2 | $5.288,00 | 53 / 1 | $4.513,09 | 53 / 1 |
Other Vascular Procedures W Mcc | 11 | 86 / 3 | $127.611,00 | 779 / 3 | $30.048,30 | 879 / 2 | $28.054,60 | 876 / 2 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 3 | $19.680,00 | 503 / 1 | $5.616,00 | 698 / 2 | $4.635,64 | 697 / 2 |
Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 3 | $85.139,10 | 438 / 2 | $23.864,20 | 705 / 1 | $22.768,10 | 704 / 2 |
Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 2 | $29.891,50 | 441 / 3 | $10.928,00 | 160 / 3 | $4.866,36 | 160 / 1 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 4 | $26.020,60 | 673 / 4 | $7.532,64 | 918 / 4 | $6.713,27 | 915 / 4 | Total 102 procedures | 3.894 | 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.