Hospital Costs > In New Hampshire > Lakes Region General Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 137 | 427 / 9 | $67.736,30 | 1937 / 10 | $15.485,70 | 1807 / 10 | $12.917,20 | 1766 / 11 |
| Renal Failure W Cc | 70 | 151 / 1 | $30.726,30 | 1732 / 12 | $6.476,67 | 1323 / 7 | $5.534,03 | 1315 / 8 |
| Heart Failure & Shock W Cc | 65 | 213 / 7 | $28.875,70 | 1897 / 12 | $6.638,88 | 1448 / 8 | $5.710,38 | 1443 / 7 |
| Heart Failure & Shock W Mcc | 57 | 227 / 9 | $41.613,60 | 1729 / 13 | $10.050,10 | 1635 / 9 | $9.351,70 | 1630 / 9 |
| G.I. Hemorrhage W Cc | 55 | 163 / 5 | $38.172,90 | 1901 / 13 | $7.167,18 | 1320 / 10 | $5.720,11 | 1317 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 53 | 222 / 7 | $27.168,50 | 2016 / 13 | $5.483,72 | 1828 / 8 | $4.526,13 | 1815 / 12 |
| Simple Pneumonia & Pleurisy W Cc | 52 | 151 / 6 | $32.359,70 | 2078 / 13 | $6.721,02 | 1809 / 10 | $5.860,71 | 1801 / 11 |
| Chronic Obstructive Pulmonary Disease W Mcc | 51 | 151 / 9 | $42.740,30 | 2009 / 13 | $8.778,59 | 1525 / 12 | $6.867,00 | 1518 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 51 | 465 / 12 | $64.253,20 | 2185 / 13 | $13.974,30 | 2189 / 12 | $13.129,30 | 2151 / 12 |
| Kidney & Urinary Tract Infections W/O Mcc | 50 | 183 / 6 | $24.736,40 | 1963 / 13 | $5.145,36 | 1406 / 7 | $4.251,92 | 1397 / 8 |
| Chronic Obstructive Pulmonary Disease W Cc | 45 | 134 / 4 | $34.851,80 | 1907 / 13 | $6.839,16 | 1365 / 10 | $5.335,40 | 1360 / 8 |
| Cellulitis W/O Mcc | 44 | 145 / 7 | $25.277,40 | 1884 / 13 | $6.030,16 | 1361 / 8 | $4.588,18 | 1355 / 9 |
| Hip & Femur Procedures Except Major Joint W Cc | 33 | 110 / 3 | $63.578,80 | 1443 / 12 | $13.225,40 | 1354 / 10 | $12.199,40 | 1336 / 10 |
| Respiratory Infections & Inflammations W Cc | 32 | 56 / 1 | $48.091,20 | 1122 / 11 | $9.589,72 | 1070 / 9 | $8.947,69 | 1065 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 7 | $23.222,30 | 1790 / 13 | $4.686,55 | 970 / 7 | $3.634,68 | 967 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 7 | $20.138,10 | 1399 / 12 | $4.204,33 | 616 / 9 | $2.529,80 | 612 / 4 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 30 | 59 / 2 | $29.688,60 | 292 / 4 | $7.886,00 | 417 / 3 | $6.078,10 | 416 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 7 | $39.798,30 | 1318 / 13 | $9.331,18 | 1004 / 11 | $7.157,89 | 1001 / 7 |
| Other Vascular Procedures W Cc | 26 | 76 / 3 | $80.558,10 | 654 / 5 | $18.071,50 | 774 / 5 | $17.049,90 | 769 / 5 |
| Respiratory Infections & Inflammations W Mcc | 26 | 110 / 5 | $67.238,50 | 1377 / 12 | $15.648,30 | 1481 / 11 | $14.090,90 | 1465 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 9 | $44.042,80 | 1618 / 13 | $7.352,72 | 1342 / 10 | $6.433,68 | 1339 / 11 |
| Renal Failure W Mcc | 24 | 171 / 8 | $53.613,40 | 1649 / 10 | $10.748,20 | 1399 / 8 | $9.941,50 | 1399 / 7 |
| Chest Pain | 24 | 127 / 6 | $24.769,10 | 1196 / 8 | $5.254,83 | 663 / 8 | $3.091,75 | 659 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 10 | $25.971,30 | 1453 / 12 | $5.257,35 | 1173 / 4 | $4.472,65 | 1169 / 8 |
| Transient Ischemia | 23 | 102 / 4 | $27.958,50 | 1105 / 8 | $4.656,87 | 713 / 4 | $3.603,65 | 709 / 5 |
| Major Small & Large Bowel Procedures W Cc | 22 | 86 / 3 | $66.493,30 | 787 / 7 | $18.047,80 | 1144 / 5 | $17.001,90 | 1131 / 7 |
| Extracranial Procedures W/O Cc/Mcc | 22 | 76 / 4 | $30.513,10 | 459 / 5 | $6.996,91 | 527 / 2 | $5.846,36 | 526 / 4 |
| Fractures Of Hip & Pelvis W/O Mcc | 22 | 39 / 2 | $23.819,00 | 625 / 5 | $4.749,95 | 358 / 3 | $3.597,95 | 359 / 1 |
| Pulmonary Edema & Respiratory Failure | 21 | 182 / 11 | $57.194,60 | 1879 / 13 | $8.657,24 | 1530 / 9 | $7.907,48 | 1525 / 12 |
| Peripheral Vascular Disorders W Cc | 20 | 64 / 1 | $31.307,30 | 841 / 5 | $7.483,20 | 915 / 4 | $6.700,85 | 912 / 4 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 20 | 104 / 4 | $24.896,30 | 615 / 8 | $5.246,80 | 208 / 7 | $3.550,90 | 208 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 11 | $47.878,90 | 2221 / 13 | $10.552,70 | 2420 / 12 | $9.617,45 | 2410 / 13 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 19 | 47 / 2 | $46.874,20 | 235 / 3 | $13.279,50 | 265 / 1 | $10.939,00 | 263 / 1 |
| Medical Back Problems W/O Mcc | 19 | 102 / 8 | $31.543,20 | 1070 / 12 | $5.661,58 | 777 / 9 | $4.704,95 | 774 / 10 |
| Red Blood Cell Disorders W/O Mcc | 18 | 125 / 4 | $26.432,70 | 1335 / 7 | $5.341,33 | 1112 / 5 | $4.672,89 | 1105 / 6 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 4 | $117.357,00 | 536 / 5 | $37.015,30 | 923 / 4 | $35.873,80 | 921 / 4 |
| Pulmonary Embolism W/O Mcc | 17 | 57 / 5 | $39.123,10 | 1037 / 10 | $6.596,29 | 716 / 7 | $5.600,53 | 713 / 9 |
| Diabetes W Cc | 17 | 75 / 3 | $26.478,90 | 1057 / 9 | $5.522,94 | 779 / 4 | $4.668,35 | 776 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 8 | $45.113,40 | 994 / 9 | $11.577,10 | 1061 / 8 | $10.521,20 | 1058 / 9 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 6 | $20.122,40 | 1272 / 10 | $4.764,81 | 1049 / 6 | $3.782,81 | 1040 / 7 |
| Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 11 | $39.215,40 | 1533 / 13 | $9.838,00 | 1647 / 9 | $9.004,00 | 1647 / 10 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 9 | $30.768,80 | 1212 / 12 | $7.542,25 | 1139 / 10 | $6.638,25 | 1135 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 8 | $28.310,70 | 1031 / 10 | $5.060,67 | 813 / 5 | $4.013,20 | 809 / 7 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 4 | $24.344,10 | 632 / 8 | $4.653,07 | 331 / 5 | $3.394,20 | 330 / 5 |
| Syncope & Collapse | 15 | 154 / 9 | $26.593,00 | 1299 / 9 | $4.842,20 | 835 / 5 | $3.880,07 | 831 / 6 |
| Other Circulatory System Diagnoses W Mcc | 14 | 102 / 6 | $71.620,60 | 1070 / 6 | $19.264,50 | 1289 / 5 | $18.081,70 | 1281 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 9 | $53.194,40 | 1020 / 11 | $12.249,90 | 1065 / 9 | $11.383,60 | 1060 / 9 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 7 | $21.057,30 | 865 / 8 | $4.056,86 | 477 / 2 | $2.939,14 | 476 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 14 | 180 / 6 | $133.273,00 | 1022 / 7 | $31.321,50 | 1182 / 5 | $30.194,60 | 1177 / 6 |
| G.I. Obstruction W Cc | 13 | 79 / 8 | $23.584,30 | 899 / 11 | $5.923,62 | 978 / 6 | $5.084,23 | 975 / 9 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 5 | $29.934,00 | 625 / 8 | $6.114,77 | 526 / 4 | $5.368,92 | 524 / 4 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 3 | $28.439,50 | 436 / 3 | $5.879,62 | 299 / 2 | $5.016,85 | 299 / 2 |
| Major Cardiovasc Procedures W/O Mcc | 12 | 89 / 5 | $96.445,20 | 549 / 7 | $22.667,50 | 622 / 4 | $21.667,50 | 622 / 4 |
| Seizures W/O Mcc | 12 | 96 / 5 | $30.492,20 | 971 / 9 | $5.066,42 | 437 / 6 | $3.957,08 | 435 / 4 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 2 | $21.710,20 | 605 / 2 | $4.163,50 | 263 / 1 | $3.048,83 | 262 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 8 | $21.227,90 | 341 / 4 | $7.030,25 | 719 / 5 | $5.928,92 | 717 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 4 | $26.250,70 | 426 / 3 | $6.611,00 | 439 / 2 | $6.008,33 | 439 / 2 |
| Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 5 | $38.223,50 | 651 / 5 | $10.558,70 | 800 / 5 | $9.382,00 | 800 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 9 | $97.250,80 | 1484 / 12 | $21.377,10 | 1678 / 11 | $20.121,80 | 1664 / 12 |
| Atherosclerosis W/O Mcc | 11 | 47 / 2 | $29.417,80 | 439 / 2 | $4.043,45 | / 2 | $3.164,91 | / |
| G.I. Hemorrhage W Mcc | 11 | 110 / 7 | $47.128,00 | 921 / 8 | $12.474,60 | 1125 / 6 | $11.814,30 | 1117 / 6 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 3 | $36.840,50 | 314 / 3 | $9.244,27 | 190 / 3 | $7.595,91 | 190 / 3 | Total 62 procedures | 1.659 | 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.