Hospital Costs > In Rhode Island > Landmark Medical Center, Inc, 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 | 151 | 365 / 4 | $49.800,20 | 1779 / 9 | $13.591,20 | 1954 / 5 | $12.211,10 | 1918 / 5 |
Chronic Obstructive Pulmonary Disease W Mcc | 97 | 105 / 2 | $29.659,90 | 1453 / 7 | $8.557,99 | 1823 / 5 | $7.486,17 | 1815 / 6 |
Heart Failure & Shock W Mcc | 97 | 187 / 4 | $36.431,10 | 1475 / 7 | $10.603,90 | 1864 / 4 | $9.936,04 | 1859 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 67 | 208 / 4 | $21.260,90 | 1526 / 8 | $5.832,78 | 2037 / 6 | $4.874,34 | 2023 / 7 |
Chronic Obstructive Pulmonary Disease W Cc | 63 | 116 / 4 | $22.437,40 | 1249 / 7 | $7.026,02 | 1835 / 5 | $6.191,48 | 1828 / 7 |
Chest Pain | 60 | 91 / 1 | $18.260,20 | 790 / 5 | $4.903,98 | 1161 / 4 | $3.863,48 | 1154 / 4 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 55 | 70 / 5 | $46.069,60 | 1032 / 9 | $11.765,80 | 1196 / 5 | $11.017,60 | 1190 / 6 |
Simple Pneumonia & Pleurisy W Mcc | 54 | 151 / 2 | $30.705,60 | 1082 / 6 | $10.015,10 | 1762 / 4 | $9.277,91 | 1762 / 6 |
Cellulitis W/O Mcc | 51 | 138 / 4 | $19.903,70 | 1470 / 6 | $6.471,29 | 1983 / 5 | $5.522,55 | 1975 / 6 |
Syncope & Collapse | 46 | 123 / 4 | $18.787,60 | 749 / 3 | $5.690,33 | 1328 / 3 | $4.664,24 | 1321 / 3 |
Heart Failure & Shock W Cc | 45 | 233 / 7 | $24.908,50 | 1660 / 8 | $7.426,18 | 2121 / 6 | $6.794,00 | 2115 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 4 | $19.585,90 | 1022 / 6 | $6.036,49 | 1556 / 5 | $5.109,77 | 1551 / 5 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 39 | 81 / 4 | $19.427,80 | 1222 / 8 | $5.602,44 | 1535 / 5 | $4.520,08 | 1524 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 5 | $29.064,10 | 1560 / 9 | $7.882,32 | 1822 / 6 | $6.841,11 | 1814 / 6 |
Renal Failure W Mcc | 32 | 163 / 4 | $45.465,90 | 1457 / 9 | $11.259,80 | 1570 / 5 | $10.542,70 | 1568 / 5 |
G.I. Hemorrhage W Cc | 32 | 186 / 7 | $28.703,90 | 1482 / 10 | $7.489,81 | 1836 / 6 | $6.729,31 | 1832 / 7 |
Kidney & Urinary Tract Infections W Mcc | 32 | 112 / 4 | $25.019,70 | 924 / 5 | $8.103,56 | 1399 / 6 | $7.311,56 | 1395 / 6 |
Pulmonary Edema & Respiratory Failure | 32 | 171 / 4 | $27.333,40 | 876 / 4 | $8.929,19 | 1548 / 4 | $7.951,97 | 1543 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 31 | 92 / 4 | $27.661,50 | 831 / 8 | $8.801,29 | 1299 / 4 | $7.908,39 | 1296 / 6 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 4 | $46.349,50 | 1107 / 4 | $8.061,63 | 1279 / 2 | $7.379,00 | 1276 / 4 |
Respiratory Infections & Inflammations W Mcc | 28 | 108 / 4 | $45.058,90 | 935 / 6 | $13.350,20 | 1224 / 4 | $12.621,10 | 1209 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 5 | $20.744,70 | 1624 / 6 | $5.528,58 | 1891 / 4 | $4.646,12 | 1885 / 5 |
Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 6 | $21.596,10 | 1731 / 10 | $5.982,85 | 1944 / 6 | $4.904,38 | 1933 / 6 |
Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 7 | $25.426,80 | 1652 / 9 | $7.201,46 | 2171 / 6 | $6.550,38 | 2163 / 7 |
Renal Failure W Cc | 25 | 196 / 7 | $25.075,40 | 1426 / 10 | $7.235,44 | 1697 / 6 | $6.137,24 | 1688 / 6 |
G.I. Hemorrhage W Mcc | 24 | 97 / 4 | $35.510,60 | 531 / 4 | $12.288,70 | 1027 / 4 | $11.382,00 | 1019 / 5 |
Red Blood Cell Disorders W/O Mcc | 23 | 120 / 4 | $19.941,70 | 893 / 5 | $6.063,04 | 1426 / 5 | $5.274,17 | 1417 / 6 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 22 | 78 / 3 | $118.588,00 | 653 / 2 | $23.899,90 | 632 / 1 | $21.081,70 | 628 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 5 | $29.580,10 | 1124 / 7 | $7.753,70 | 1468 / 4 | $6.780,90 | 1465 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 20 | 176 / 3 | $84.253,00 | 946 / 2 | $15.930,30 | 713 / 1 | $11.278,30 | 709 / 1 |
Transient Ischemia | 20 | 105 / 4 | $22.875,20 | 850 / 6 | $5.515,40 | 1173 / 4 | $4.430,60 | 1167 / 5 |
Other Respiratory System Diagnoses W/O Mcc | 20 | 26 / 2 | $22.911,40 | 156 / 3 | $6.013,70 | 173 / 1 | $4.993,40 | 173 / 1 |
Atherosclerosis W/O Mcc | 18 | 40 / 1 | $17.242,20 | 249 / 2 | $4.921,56 | / 1 | $3.986,44 | / |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 2 | $104.217,00 | 208 / 1 | $37.913,40 | 490 / 1 | $36.570,30 | 489 / 1 |
Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 7 | $50.806,70 | 1072 / 9 | $13.407,30 | 1425 / 5 | $12.472,20 | 1407 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 17 | 547 / 10 | $53.475,10 | 1448 / 10 | $14.502,00 | 1550 / 5 | $12.196,50 | 1515 / 4 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 4 | $122.817,00 | 768 / 6 | $39.012,10 | 1007 / 4 | $35.600,90 | 1001 / 5 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 7 | $16.462,00 | 1146 / 5 | $4.578,88 | 1574 / 5 | $3.672,88 | 1568 / 6 |
Diabetes W Mcc | 15 | 42 / 2 | $34.758,30 | 375 / 3 | $11.055,70 | 399 / 3 | $8.651,13 | 399 / 2 |
Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 4 | $30.899,10 | 367 / 1 | $9.726,07 | 583 / 1 | $8.955,79 | 581 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 4 | $23.689,60 | 629 / 1 | $8.112,64 | 1057 / 2 | $7.246,36 | 1054 / 2 |
Diabetes W Cc | 14 | 78 / 5 | $20.782,70 | 746 / 2 | $6.217,29 | 1017 / 2 | $5.184,14 | 1013 / 2 |
Cellulitis W Mcc | 13 | 45 / 4 | $41.267,50 | 620 / 2 | $11.189,10 | 644 / 2 | $9.609,23 | 642 / 1 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 3 | $16.825,50 | 254 / 1 | $5.770,46 | 423 / 2 | $4.284,85 | 421 / 2 |
Major Small & Large Bowel Procedures W Cc | 13 | 95 / 6 | $55.180,20 | 533 / 6 | $17.214,70 | 1091 / 4 | $16.478,70 | 1078 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 5 | $38.540,20 | 646 / 2 | $11.969,50 | 948 / 1 | $10.854,40 | 944 / 1 |
Angina Pectoris | 12 | 13 / 1 | $25.425,00 | 41 / 1 | $4.662,33 | 36 / 1 | $3.547,67 | 36 / 1 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 6 | $111.156,00 | 487 / 3 | $32.632,80 | 644 / 3 | $31.405,40 | 642 / 3 |
Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 2 | $80.165,70 | 532 / 2 | $21.139,80 | 672 / 1 | $20.137,10 | 669 / 1 |
Seizures W/O Mcc | 12 | 96 / 4 | $20.457,40 | 572 / 4 | $6.074,25 | 794 / 3 | $4.726,75 | 791 / 4 |
Medical Back Problems W/O Mcc | 11 | 110 / 6 | $18.450,20 | 418 / 1 | $6.275,36 | 977 / 4 | $5.178,64 | 974 / 4 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 6 | $32.080,50 | 751 / 5 | $10.010,00 | 1088 / 5 | $9.018,00 | 1083 / 5 |
Pulmonary Embolism W Mcc | 11 | 32 / 4 | $38.338,10 | 298 / 2 | $10.921,60 | 429 / 2 | $10.046,00 | 429 / 2 | Total 53 procedures | 1.663 | 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.