Hospital Costs > In Massachusetts > Lawrence General Hospital, 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 | 179 | 337 / 23 | $24.841,60 | 520 / 39 | $15.641,30 | 2337 / 41 | $13.833,80 | 2295 / 39 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 136 | 139 / 16 | $13.569,00 | 574 / 45 | $6.971,75 | 2339 / 45 | $5.677,67 | 2324 / 42 |
| Heart Failure & Shock W Mcc | 114 | 170 / 19 | $19.198,50 | 380 / 35 | $12.699,80 | 2243 / 42 | $11.521,10 | 2233 / 42 |
| Heart Failure & Shock W Cc | 111 | 167 / 18 | $13.092,10 | 380 / 33 | $8.647,21 | 2378 / 45 | $7.683,13 | 2372 / 45 |
| Kidney & Urinary Tract Infections W/O Mcc | 104 | 129 / 14 | $12.392,40 | 562 / 43 | $7.212,18 | 2408 / 45 | $6.188,42 | 2397 / 44 |
| Cellulitis W/O Mcc | 99 | 90 / 13 | $10.133,50 | 256 / 32 | $7.674,32 | 2321 / 46 | $6.620,88 | 2313 / 46 |
| Chronic Obstructive Pulmonary Disease W Mcc | 95 | 107 / 9 | $14.417,50 | 278 / 32 | $10.235,30 | 2241 / 43 | $9.022,82 | 2233 / 44 |
| Syncope & Collapse | 85 | 84 / 7 | $13.776,20 | 310 / 39 | $6.798,54 | 1644 / 39 | $5.747,85 | 1636 / 39 |
| Simple Pneumonia & Pleurisy W Cc | 78 | 125 / 19 | $14.264,10 | 475 / 40 | $8.845,74 | 2471 / 44 | $7.565,31 | 2462 / 46 |
| Chronic Obstructive Pulmonary Disease W Cc | 73 | 106 / 15 | $12.213,90 | 255 / 33 | $8.354,95 | 2171 / 43 | $7.472,38 | 2164 / 45 |
| G.I. Hemorrhage W Cc | 69 | 149 / 18 | $19.838,50 | 738 / 44 | $8.999,94 | 2139 / 43 | $7.950,33 | 2135 / 43 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 66 | 122 / 8 | $23.431,20 | 216 / 19 | $9.659,18 | 1439 / 19 | $8.568,24 | 1436 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 62 | 99 / 13 | $11.246,60 | 192 / 25 | $7.257,77 | 1914 / 39 | $6.352,34 | 1909 / 41 |
| Simple Pneumonia & Pleurisy W Mcc | 57 | 148 / 22 | $18.875,90 | 320 / 34 | $12.689,30 | 2188 / 43 | $11.204,10 | 2183 / 42 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 55 | 111 / 22 | $10.728,90 | 397 / 33 | $6.537,31 | 2208 / 42 | $5.583,62 | 2200 / 44 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 53 | 70 / 11 | $16.293,30 | 166 / 27 | $10.573,10 | 1630 / 38 | $9.416,38 | 1627 / 36 |
| Transient Ischemia | 52 | 73 / 6 | $13.656,70 | 220 / 26 | $6.550,37 | 1420 / 32 | $5.336,81 | 1413 / 31 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 51 | 131 / 14 | $17.395,70 | 312 / 36 | $9.303,59 | 1765 / 39 | $8.009,31 | 1761 / 37 |
| Renal Failure W Cc | 49 | 172 / 30 | $11.744,60 | 188 / 27 | $8.219,00 | 2060 / 40 | $7.292,96 | 2050 / 41 |
| Chest Pain | 48 | 103 / 6 | $11.989,00 | 248 / 33 | $5.859,35 | 1416 / 31 | $4.758,00 | 1408 / 32 |
| Kidney & Urinary Tract Infections W Mcc | 47 | 97 / 14 | $16.268,30 | 317 / 37 | $9.867,70 | 1718 / 38 | $8.820,53 | 1714 / 38 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 44 | 76 / 13 | $10.071,30 | 251 / 29 | $6.736,14 | 1875 / 38 | $5.721,07 | 1864 / 40 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 44 | 152 / 13 | $45.599,60 | 141 / 10 | $17.337,00 | 1238 / 10 | $14.576,20 | 1231 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 41 | 166 / 28 | $14.821,20 | 338 / 33 | $9.472,61 | 2299 / 40 | $8.635,39 | 2290 / 44 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 40 | 110 / 14 | $9.584,65 | 311 / 31 | $5.560,67 | 1728 / 38 | $4.204,05 | 1722 / 36 |
| Red Blood Cell Disorders W/O Mcc | 39 | 104 / 15 | $15.930,70 | 530 / 43 | $7.509,72 | 1649 / 37 | $6.067,67 | 1640 / 32 |
| Renal Failure W Mcc | 38 | 157 / 27 | $21.755,50 | 307 / 32 | $13.197,90 | 1836 / 35 | $12.152,40 | 1832 / 37 |
| Medical Back Problems W/O Mcc | 36 | 85 / 15 | $12.423,60 | 116 / 17 | $7.851,53 | 1237 / 28 | $6.209,92 | 1233 / 26 |
| Dysequilibrium | 36 | 29 / 2 | $11.305,30 | 56 / 12 | $6.010,97 | 476 / 20 | $4.852,47 | 476 / 20 |
| Heart Failure & Shock W/O Cc/Mcc | 35 | 75 / 15 | $8.832,89 | 171 / 25 | $6.370,77 | 1755 / 39 | $5.380,31 | 1742 / 38 |
| G.I. Hemorrhage W Mcc | 34 | 87 / 13 | $31.723,10 | 380 / 33 | $15.319,50 | 1423 / 28 | $14.088,70 | 1413 / 28 |
| Other Circulatory System Diagnoses W Mcc | 32 | 84 / 11 | $21.406,50 | 67 / 8 | $14.658,90 | 995 / 14 | $13.522,80 | 988 / 11 |
| Pulmonary Edema & Respiratory Failure | 32 | 171 / 28 | $19.463,80 | 374 / 36 | $11.194,10 | 1881 / 37 | $9.267,69 | 1875 / 33 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 31 | 94 / 21 | $29.008,60 | 405 / 34 | $15.408,80 | 1612 / 34 | $14.115,10 | 1599 / 36 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 31 | 533 / 46 | $37.164,20 | 596 / 34 | $17.750,60 | 2418 / 41 | $16.449,50 | 2372 / 42 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 13 | $24.729,80 | 58 / 7 | $18.416,60 | 1497 / 24 | $17.513,30 | 1483 / 27 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 29 | 97 / 10 | $16.064,90 | 192 / 23 | $9.748,69 | 1398 / 26 | $8.702,45 | 1395 / 26 |
| Respiratory Infections & Inflammations W Mcc | 26 | 110 / 26 | $18.558,10 | 66 / 14 | $15.193,00 | 1515 / 26 | $14.336,10 | 1499 / 30 |
| G.I. Obstruction W Cc | 26 | 66 / 17 | $13.137,00 | 171 / 22 | $8.154,85 | 1544 / 36 | $6.938,19 | 1539 / 36 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 17 | $23.367,50 | 159 / 20 | $14.633,30 | 1263 / 25 | $12.661,50 | 1257 / 22 |
| Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 26 | $26.638,20 | 116 / 18 | $16.330,40 | 1809 / 35 | $15.095,10 | 1790 / 35 |
| Signs & Symptoms W/O Mcc | 25 | 66 / 14 | $10.395,40 | 102 / 16 | $6.552,36 | 1111 / 32 | $5.521,60 | 1108 / 31 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 15 | $10.600,10 | 278 / 35 | $6.705,48 | 1734 / 40 | $5.299,76 | 1726 / 39 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 18 | $19.547,80 | 542 / 34 | $7.417,84 | 1327 / 33 | $5.339,44 | 1323 / 27 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 13 | $18.707,80 | 242 / 27 | $9.016,72 | 1215 / 25 | $7.806,04 | 1213 / 26 |
| Bronchitis & Asthma W Cc/Mcc | 24 | 52 / 13 | $12.550,00 | 118 / 26 | $8.097,79 | 914 / 29 | $6.635,83 | 910 / 27 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 23 | 73 / 18 | $17.102,70 | 114 / 25 | $10.528,10 | 1209 / 28 | $9.406,74 | 1204 / 27 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 22 | 31 / 8 | $16.773,50 | 195 / 23 | $7.014,91 | 751 / 21 | $5.760,45 | 747 / 19 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 21 | 41 / 13 | $10.237,80 | 64 / 14 | $6.887,38 | 667 / 24 | $5.662,57 | 665 / 23 |
| Diabetes W Cc | 21 | 71 / 19 | $8.209,38 | 34 / 7 | $7.593,86 | 1279 / 32 | $6.061,71 | 1274 / 27 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 15 | $13.574,50 | 82 / 17 | $9.556,20 | 936 / 21 | $8.811,70 | 934 / 23 |
| Other Digestive System Diagnoses W Cc | 20 | 77 / 19 | $13.601,20 | 112 / 23 | $8.760,15 | 1199 / 31 | $7.435,20 | 1195 / 29 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 21 | $17.117,10 | 158 / 27 | $11.843,20 | 1326 / 33 | $10.900,70 | 1321 / 32 |
| Degenerative Nervous System Disorders W/O Mcc | 19 | 59 / 12 | $12.371,90 | 57 / 11 | $8.873,53 | 712 / 18 | $7.883,58 | 712 / 19 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 17 | $16.041,10 | 190 / 26 | $8.217,68 | 1134 / 22 | $7.471,74 | 1131 / 28 |
| Bone Diseases & Arthropathies W/O Mcc | 18 | 26 / 4 | $10.351,70 | 49 / 11 | $6.823,83 | 206 / 16 | $5.523,11 | 206 / 16 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 18 | 82 / 13 | $57.350,60 | 59 / 9 | $26.047,70 | 777 / 4 | $23.284,40 | 772 / 6 |
| Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 13 | $9.472,33 | 69 / 12 | $6.531,72 | 822 / 26 | $5.456,44 | 821 / 27 |
| G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 12 | $15.967,70 | 379 / 22 | $6.588,47 | 856 / 20 | $5.430,82 | 852 / 21 |
| Seizures W/O Mcc | 17 | 91 / 23 | $12.359,80 | 149 / 24 | $7.120,59 | 1102 / 33 | $6.184,71 | 1100 / 34 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 16 | 28 / 5 | $13.842,40 | 50 / 11 | $6.997,00 | 242 / 14 | $5.759,69 | 242 / 12 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 16 | 53 / 11 | $48.982,10 | 145 / 11 | $15.620,90 | 485 / 7 | $13.411,20 | 483 / 8 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 23 | $34.569,90 | 106 / 18 | $21.204,70 | 1356 / 22 | $19.915,50 | 1342 / 25 |
| Cellulitis W Mcc | 15 | 43 / 15 | $19.251,80 | 114 / 22 | $12.711,00 | 837 / 22 | $11.548,50 | 835 / 23 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 18 | $11.787,90 | 49 / 9 | $8.618,73 | 758 / 26 | $6.520,53 | 755 / 20 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 12 | $32.724,90 | 68 / 7 | $16.791,60 | 708 / 7 | $15.515,50 | 701 / 8 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 14 | 32 / 7 | $14.225,10 | 65 / 9 | $6.589,07 | 334 / 9 | $5.316,43 | 333 / 10 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 14 | 75 / 16 | $16.338,00 | 48 / 5 | $9.032,64 | 598 / 10 | $7.274,79 | 597 / 7 |
| Other Disorders Of Nervous System W Cc | 14 | 42 / 17 | $11.094,40 | 32 / 11 | $7.923,71 | 504 / 21 | $6.928,93 | 503 / 24 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 16 | $15.651,60 | 97 / 15 | $8.409,00 | 543 / 14 | $7.399,54 | 542 / 14 |
| Organic Disturbances & Mental Retardation | 13 | 46 / 9 | $13.222,20 | 58 / 11 | $9.134,77 | 436 / 16 | $8.019,69 | 436 / 14 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 22 | $59.155,50 | 99 / 12 | $41.580,20 | 1232 / 19 | $39.663,30 | 1222 / 18 |
| Respiratory Signs & Symptoms | 13 | 33 / 6 | $16.921,10 | 77 / 9 | $6.534,62 | 249 / 6 | $5.519,08 | 249 / 6 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 15 | $16.006,00 | 82 / 15 | $10.871,30 | 853 / 22 | $9.511,33 | 849 / 15 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 17 | $36.498,00 | 21 / 4 | $24.168,20 | 730 / 11 | $22.704,80 | 727 / 10 |
| Otitis Media & Uri W/O Mcc | 12 | 32 / 13 | $8.810,58 | 15 / 5 | $6.224,00 | 157 / 11 | $4.881,83 | 157 / 11 |
| Acute Myocardial Infarction, Expired W Mcc | 12 | 18 / 6 | $11.996,80 | 3 / 1 | $14.254,20 | 147 / 3 | $13.325,90 | 147 / 3 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 29 | $12.735,80 | 232 / 31 | $6.527,08 | 646 / 33 | $5.254,00 | 645 / 29 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 10 | $8.940,25 | 23 / 6 | $6.330,08 | 307 / 12 | $5.296,67 | 307 / 14 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 21 | $9.446,92 | 111 / 17 | $5.725,67 | 1195 / 26 | $4.876,83 | 1192 / 28 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 12 | $21.278,70 | 28 / 2 | $15.708,10 | 435 / 7 | $15.039,50 | 435 / 8 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 18 | $53.032,70 | 250 / 21 | $21.930,80 | 855 / 16 | $20.944,30 | 851 / 17 |
| Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 5 | $25.916,10 | 73 / 4 | $13.941,60 | 322 / 4 | $12.359,90 | 322 / 4 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 21 | $9.659,27 | 31 / 10 | $8.027,55 | 1007 / 17 | $7.310,18 | 1004 / 22 |
| Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 7 | $24.554,90 | 215 / 7 | $8.854,55 | 409 / 5 | $8.010,00 | 409 / 7 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 12 | $12.002,50 | 214 / 17 | $6.066,55 | 750 / 16 | $4.931,27 | 748 / 17 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 14 | $33.008,30 | 81 / 10 | $15.954,70 | 491 / 7 | $14.705,50 | 487 / 9 | Total 87 procedures | 3.101 | 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.