Hospital Costs > In Connecticut > Masonic Home And Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 20 | $5.067,52 | 8 / 1 | $4.687,21 | 1366 / 2 | $3.944,59 | 1361 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 24 | $5.798,23 | 11 / 1 | $5.057,62 | 1601 / 1 | $4.219,46 | 1588 / 4 |
| Respiratory Infections & Inflammations W Cc | 24 | 64 / 10 | $8.074,00 | 3 / 1 | $8.682,92 | 739 / 1 | $7.826,92 | 734 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 23 | $5.893,89 | 14 / 1 | $5.239,74 | 1745 / 1 | $4.604,79 | 1734 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 27 | $7.436,06 | 14 / 1 | $6.677,44 | 1800 / 3 | $5.843,44 | 1792 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 27 | $7.826,38 | 14 / 1 | $6.966,15 | 1651 / 1 | $6.500,92 | 1644 / 4 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 13 | $5.562,50 | 4 / 2 | $4.724,00 | 464 / 1 | $3.609,33 | 463 / 1 |
| Heart Failure & Shock W Cc | 12 | 266 / 27 | $7.823,33 | 31 / 1 | $6.788,83 | 1769 / 2 | $6.084,83 | 1764 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 16 | $7.052,33 | 47 / 1 | $4.785,92 | 1257 / 1 | $3.977,92 | 1250 / 3 |
| Cellulitis W/O Mcc | 11 | 178 / 22 | $7.194,27 | 51 / 1 | $5.662,64 | 1341 / 1 | $4.568,82 | 1335 / 3 | Total 10 procedures | 174 | 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.