Hospital Costs > In Connecticut > Lawrence & Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 12 | $21.445,70 | 353 / 6 | $9.327,35 | 480 / 11 | $5.441,71 | 479 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 32 | 93 / 12 | $28.074,60 | 370 / 8 | $12.796,70 | 1034 / 9 | $10.412,70 | 1031 / 6 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 10 | $23.125,80 | 395 / 7 | $5.922,85 | 660 / 4 | $4.988,00 | 656 / 4 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 13 | 14 / 3 | $31.929,20 | 54 / 1 | $13.046,80 | 64 / 2 | $10.131,80 | 64 / 2 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 27 | 97 / 8 | $13.774,40 | 283 / 3 | $5.545,33 | 498 / 6 | $4.453,00 | 497 / 5 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 14 | 52 / 3 | $31.136,90 | 59 / 1 | $14.429,10 | 355 / 1 | $11.839,00 | 352 / 2 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 21 | 68 / 4 | $24.595,20 | 186 / 2 | $9.906,90 | 434 / 4 | $6.128,10 | 433 / 1 |
| Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 10 | $15.461,40 | 210 / 3 | $7.262,00 | 666 / 4 | $5.325,29 | 662 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 68 | 93 / 8 | $16.263,60 | 663 / 6 | $6.181,56 | 1615 / 5 | $5.234,87 | 1610 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 54 | 69 / 5 | $20.726,00 | 374 / 4 | $9.055,15 | 1339 / 8 | $8.079,15 | 1336 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 47 | 103 / 8 | $12.528,80 | 658 / 6 | $4.773,70 | 1417 / 6 | $3.325,83 | 1411 / 8 |
| Cellulitis W Mcc | 12 | 46 / 9 | $22.741,60 | 181 / 2 | $10.967,80 | 729 / 3 | $10.256,90 | 727 / 5 |
| Cellulitis W/O Mcc | 92 | 97 / 5 | $13.332,20 | 636 / 7 | $6.835,77 | 1848 / 13 | $5.236,75 | 1840 / 10 |
| Chest Pain | 30 | 121 / 9 | $13.253,20 | 332 / 5 | $4.909,90 | 1072 / 7 | $3.685,60 | 1065 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 97 | 82 / 4 | $16.580,00 | 665 / 7 | $7.277,81 | 1852 / 10 | $6.244,95 | 1845 / 11 |
| Chronic Obstructive Pulmonary Disease W Mcc | 139 | 64 / 2 | $18.481,40 | 604 / 6 | $8.903,78 | 1901 / 8 | $7.693,29 | 1893 / 10 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 48 | 72 / 6 | $13.093,70 | 561 / 6 | $5.791,23 | 1478 / 11 | $4.376,27 | 1467 / 9 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 55 | 133 / 4 | $29.985,80 | 515 / 3 | $8.172,24 | 1252 / 3 | $7.249,20 | 1249 / 5 |
| Complications Of Treatment W Cc | 11 | 41 / 4 | $16.336,00 | 42 / 1 | $7.347,00 | 206 / 1 | $6.467,73 | 206 / 1 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 7 | $16.646,40 | 132 / 2 | $8.456,27 | 250 / 7 | $4.853,91 | 250 / 1 |
| Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 9 | $18.458,60 | 176 / 1 | $7.447,93 | 578 / 2 | $6.581,86 | 578 / 3 |
| Diabetes W Cc | 11 | 81 / 16 | $19.649,50 | 671 / 6 | $6.498,73 | 1101 / 7 | $5.400,27 | 1097 / 7 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 19 | 51 / 4 | $16.988,40 | 126 / 2 | $8.592,26 | 328 / 5 | $6.175,05 | 328 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 7 | $18.867,10 | 263 / 3 | $9.118,31 | 616 / 11 | $5.707,69 | 613 / 4 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 15 | 23 / 2 | $11.499,10 | 60 / 1 | $5.228,20 | 333 / 1 | $4.176,07 | 332 / 2 |
| Disorders Of The Biliary Tract W Cc | 14 | 40 / 5 | $22.208,10 | 97 / 1 | $7.845,57 | 301 / 2 | $6.979,21 | 301 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 11 | $25.541,40 | 454 / 4 | $9.064,76 | 1017 / 2 | $8.227,53 | 1012 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 100 | 175 / 9 | $17.063,30 | 1008 / 10 | $6.578,14 | 1897 / 14 | $4.598,96 | 1883 / 10 |
| Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 6 | $15.541,10 | 311 / 3 | $5.580,82 | 680 / 3 | $4.509,76 | 679 / 4 |
| G.I. Hemorrhage W Cc | 105 | 113 / 6 | $19.023,90 | 664 / 8 | $7.811,04 | 1876 / 11 | $6.830,55 | 1872 / 13 |
| G.I. Hemorrhage W Mcc | 40 | 81 / 5 | $28.782,00 | 289 / 4 | $13.352,80 | 1033 / 8 | $11.400,40 | 1025 / 3 |
| G.I. Hemorrhage W/O Cc/Mcc | 20 | 48 / 7 | $14.811,50 | 319 / 7 | $6.351,35 | 667 / 9 | $4.259,85 | 663 / 5 |
| G.I. Obstruction W Cc | 29 | 63 / 7 | $18.058,60 | 514 / 6 | $6.921,52 | 1323 / 7 | $5.958,90 | 1318 / 10 |
| Heart Failure & Shock W Cc | 144 | 134 / 5 | $17.394,60 | 857 / 8 | $7.606,79 | 2104 / 14 | $6.748,19 | 2098 / 14 |
| Heart Failure & Shock W Mcc | 126 | 158 / 7 | $25.439,80 | 778 / 7 | $11.663,10 | 2072 / 12 | $10.662,40 | 2063 / 12 |
| Heart Failure & Shock W/O Cc/Mcc | 51 | 59 / 6 | $12.515,20 | 530 / 4 | $5.414,04 | 1544 / 11 | $4.582,49 | 1531 / 12 |
| Hip & Femur Procedures Except Major Joint W Cc | 54 | 89 / 6 | $32.587,20 | 314 / 6 | $14.362,00 | 1590 / 8 | $13.283,60 | 1571 / 9 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 10 | $49.297,40 | 145 / 2 | $22.310,50 | 756 / 5 | $21.419,80 | 753 / 6 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 3 | $37.645,80 | 47 / 1 | $17.529,60 | 254 / 1 | $16.533,00 | 254 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 8 | $90.469,50 | 374 / 5 | $43.045,70 | 1260 / 9 | $40.471,90 | 1250 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 80 | 102 / 5 | $21.176,90 | 548 / 5 | $8.129,86 | 1569 / 7 | $7.098,77 | 1566 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 49 | 119 / 4 | $31.712,30 | 398 / 4 | $13.285,50 | 1154 / 5 | $11.812,60 | 1148 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 33 | 69 / 7 | $17.043,80 | 370 / 2 | $6.030,97 | 1166 / 7 | $4.733,91 | 1162 / 8 |
| Kidney & Urinary Tract Infections W Mcc | 73 | 71 / 6 | $18.054,10 | 432 / 7 | $8.414,60 | 1510 / 10 | $7.650,97 | 1506 / 12 |
| Kidney & Urinary Tract Infections W/O Mcc | 95 | 138 / 8 | $14.507,80 | 861 / 8 | $6.256,73 | 1974 / 14 | $4.960,67 | 1963 / 13 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 23 | 50 / 5 | $25.393,50 | 493 / 8 | $8.724,00 | 780 / 7 | $7.664,52 | 778 / 3 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 11 | $44.314,10 | 238 / 4 | $16.388,60 | 673 / 3 | $15.175,80 | 669 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 347 | 228 / 5 | $31.423,20 | 290 / 4 | $16.430,70 | 2002 / 10 | $13.608,30 | 1960 / 4 |
| Major Small & Large Bowel Procedures W Cc | 21 | 87 / 13 | $43.860,80 | 270 / 3 | $17.836,80 | 1140 / 2 | $16.964,90 | 1127 / 6 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 8 | $93.059,90 | 323 / 5 | $37.088,70 | 932 / 6 | $36.080,70 | 930 / 8 |
| Medical Back Problems W/O Mcc | 20 | 101 / 12 | $20.290,30 | 556 / 5 | $8.000,15 | 857 / 13 | $4.882,15 | 854 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 10 | $21.272,90 | 472 / 5 | $8.459,57 | 1154 / 8 | $7.507,43 | 1151 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 18 | $10.869,10 | 413 / 5 | $5.604,94 | 1924 / 11 | $4.707,68 | 1917 / 11 |
| Other Circulatory System Diagnoses W Mcc | 13 | 103 / 11 | $36.517,50 | 385 / 2 | $14.164,80 | 988 / 3 | $13.501,40 | 981 / 4 |
| Other Digestive System Diagnoses W Cc | 35 | 62 / 5 | $20.443,80 | 432 / 5 | $7.327,71 | 1014 / 5 | $6.534,97 | 1010 / 8 |
| Other Digestive System Diagnoses W Mcc | 15 | 47 / 5 | $24.507,60 | 91 / 1 | $11.889,30 | 459 / 1 | $11.362,20 | 458 / 2 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 14 | 29 / 5 | $16.801,40 | 109 / 3 | $5.378,50 | 252 / 1 | $4.431,43 | 252 / 3 |
| Other Disorders Of Nervous System W Cc | 12 | 44 / 9 | $18.650,00 | 157 / 3 | $6.753,00 | 436 / 1 | $6.144,00 | 436 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 28 | 73 / 5 | $22.487,90 | 173 / 4 | $11.323,00 | 769 / 7 | $10.627,50 | 767 / 8 |
| Other O.R. Procedures For Injuries W Mcc | 12 | 25 / 3 | $71.453,40 | 36 / 1 | $31.055,60 | 104 / 1 | $27.940,40 | 104 / 1 |
| Other Vascular Procedures W Cc | 19 | 83 / 5 | $47.869,50 | 173 / 2 | $18.083,10 | 788 / 1 | $17.216,80 | 783 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 16 | 180 / 11 | $60.090,40 | 453 / 4 | $17.390,10 | 1078 / 3 | $13.053,60 | 1071 / 1 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 17 | 52 / 4 | $58.061,60 | 241 / 3 | $16.177,40 | 377 / 2 | $11.171,80 | 375 / 1 |
| Peripheral Vascular Disorders W Cc | 17 | 67 / 6 | $15.861,60 | 218 / 4 | $7.491,18 | 862 / 3 | $6.488,65 | 859 / 5 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 5 | $35.775,40 | 304 / 3 | $11.690,80 | 493 / 3 | $11.134,90 | 493 / 4 |
| Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 7 | $43.820,50 | 124 / 2 | $19.289,40 | 718 / 2 | $18.222,30 | 716 / 3 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 6 | $40.528,30 | 155 / 3 | $15.900,50 | 577 / 2 | $14.930,80 | 576 / 3 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 18 | 54 / 6 | $29.974,40 | 346 / 7 | $10.524,70 | 695 / 4 | $9.780,17 | 693 / 6 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 19 | 42 / 5 | $13.001,60 | 215 / 2 | $5.151,21 | 607 / 3 | $4.258,42 | 606 / 4 |
| Pulmonary Edema & Respiratory Failure | 68 | 135 / 9 | $23.966,30 | 663 / 8 | $9.291,91 | 1727 / 9 | $8.594,34 | 1722 / 12 |
| Pulmonary Embolism W Mcc | 14 | 29 / 3 | $30.232,20 | 164 / 1 | $11.154,20 | 453 / 2 | $10.329,90 | 452 / 2 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 8 | $19.484,60 | 359 / 3 | $7.643,64 | 1057 / 5 | $6.869,57 | 1054 / 12 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 8 | $26.468,00 | 354 / 5 | $9.479,31 | 758 / 4 | $8.642,81 | 754 / 3 |
| Red Blood Cell Disorders W/O Mcc | 58 | 85 / 5 | $16.124,50 | 553 / 9 | $6.291,12 | 1303 / 8 | $5.001,36 | 1294 / 7 |
| Renal Failure W Cc | 122 | 99 / 5 | $15.536,30 | 510 / 6 | $7.552,24 | 1891 / 12 | $6.632,80 | 1881 / 13 |
| Renal Failure W Mcc | 44 | 151 / 9 | $25.830,30 | 506 / 5 | $13.098,50 | 1717 / 14 | $11.245,30 | 1715 / 10 |
| Renal Failure W/O Cc/Mcc | 18 | 38 / 5 | $10.836,70 | 153 / 2 | $5.056,00 | 651 / 3 | $4.183,89 | 650 / 5 |
| Respiratory Infections & Inflammations W Cc | 19 | 69 / 13 | $16.969,70 | 154 / 3 | $10.234,90 | 1069 / 7 | $8.946,47 | 1064 / 4 |
| Respiratory Infections & Inflammations W Mcc | 41 | 95 / 12 | $27.267,20 | 304 / 4 | $14.373,20 | 1420 / 9 | $13.718,90 | 1405 / 10 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 7 | $31.348,00 | 122 / 1 | $12.674,50 | 451 / 2 | $11.789,80 | 449 / 3 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 32 | 99 / 9 | $45.115,70 | 486 / 7 | $18.280,50 | 1328 / 6 | $15.916,50 | 1315 / 5 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 3 | $80.058,50 | 112 / 4 | $46.462,90 | 597 / 5 | $34.588,60 | 596 / 1 |
| Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 4 | $50.979,10 | 75 / 2 | $24.353,20 | 519 / 1 | $23.460,30 | 517 / 1 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 20 | 49 / 3 | $43.030,40 | 61 / 1 | $20.132,30 | 410 / 1 | $19.044,70 | 409 / 1 |
| Seizures W Mcc | 15 | 51 / 7 | $20.423,30 | 62 / 1 | $11.310,00 | 496 / 1 | $10.498,50 | 496 / 3 |
| Seizures W/O Mcc | 26 | 82 / 7 | $14.317,90 | 225 / 4 | $6.003,92 | 811 / 5 | $4.798,23 | 808 / 6 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 27 | 65 / 3 | $87.475,50 | 118 / 2 | $42.988,30 | 747 / 1 | $42.077,90 | 746 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 273 | 245 / 7 | $28.343,60 | 708 / 6 | $14.028,90 | 2116 / 9 | $12.837,60 | 2079 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 89 | 118 / 10 | $16.585,00 | 483 / 6 | $8.421,22 | 1916 / 13 | $7.063,67 | 1908 / 12 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 14 | $11.909,50 | 185 / 3 | $5.533,91 | 983 / 5 | $4.870,64 | 980 / 8 |
| Simple Pneumonia & Pleurisy W Cc | 87 | 116 / 7 | $18.874,30 | 1006 / 9 | $7.662,63 | 2122 / 14 | $6.424,06 | 2114 / 14 |
| Simple Pneumonia & Pleurisy W Mcc | 69 | 136 / 10 | $23.242,00 | 584 / 6 | $10.955,00 | 1949 / 12 | $9.910,71 | 1949 / 12 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 7 | $12.429,40 | 450 / 4 | $5.611,68 | 1548 / 9 | $4.545,72 | 1540 / 11 |
| Spinal Fusion Except Cervical W/O Mcc | 36 | 158 / 6 | $48.060,40 | 96 / 2 | $29.631,20 | 1044 / 5 | $27.182,10 | 1039 / 7 |
| Syncope & Collapse | 52 | 117 / 11 | $21.482,70 | 987 / 14 | $5.935,71 | 1385 / 11 | $4.811,44 | 1378 / 10 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 17 | 25 / 6 | $16.070,10 | 82 / 1 | $6.517,94 | 228 / 3 | $5.375,65 | 228 / 3 |
| Transient Ischemia | 27 | 98 / 11 | $18.309,70 | 532 / 8 | $5.576,56 | 1222 / 8 | $4.587,52 | 1216 / 9 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 12 | 54 / 6 | $20.084,00 | 79 / 1 | $7.989,67 | 329 / 1 | $7.180,58 | 328 / 2 | Total 98 procedures | 4.042 | 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.