Hospital Costs > In Rhode Island > Memorial Hospital Of Rhode Island, 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 | 67 | 449 / 7 | $32.489,60 | 911 / 5 | $17.038,70 | 2470 / 9 | $14.894,10 | 2426 / 9 |
Heart Failure & Shock W Cc | 62 | 216 / 4 | $17.488,90 | 872 / 5 | $10.168,60 | 2457 / 10 | $8.022,47 | 2451 / 9 |
Cellulitis W/O Mcc | 48 | 141 / 5 | $14.278,20 | 764 / 4 | $8.387,00 | 2319 / 8 | $6.616,88 | 2311 / 8 |
Heart Failure & Shock W Mcc | 42 | 242 / 6 | $27.183,30 | 917 / 5 | $14.905,20 | 2213 / 10 | $11.362,40 | 2203 / 9 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 38 | 237 / 6 | $13.053,80 | 512 / 1 | $7.679,74 | 2445 / 9 | $6.204,58 | 2430 / 9 |
Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 5 | $15.409,70 | 609 / 2 | $9.834,35 | 2483 / 9 | $7.628,51 | 2474 / 9 |
G.I. Hemorrhage W Cc | 33 | 185 / 6 | $17.453,50 | 532 / 3 | $9.755,76 | 2141 / 9 | $7.957,85 | 2137 / 9 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 30 | 534 / 9 | $36.662,20 | 565 / 5 | $19.174,30 | 2408 / 9 | $16.283,60 | 2362 / 9 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 8 | $15.425,00 | 556 / 2 | $9.980,62 | 2061 / 9 | $6.928,62 | 2054 / 8 |
Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 8 | $22.171,40 | 916 / 3 | $11.042,20 | 2214 / 9 | $8.897,93 | 2206 / 9 |
Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 6 | $13.504,00 | 710 / 4 | $7.854,04 | 2387 / 9 | $6.115,04 | 2376 / 9 |
Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 7 | $29.202,40 | 985 / 5 | $14.578,30 | 2311 / 9 | $12.307,40 | 2305 / 9 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 3 | $11.430,20 | 361 / 2 | $7.249,74 | 1793 / 5 | $5.636,48 | 1785 / 5 |
Renal Failure W Cc | 22 | 199 / 8 | $19.504,00 | 930 / 4 | $10.312,70 | 2080 / 10 | $7.394,50 | 2070 / 9 |
Chest Pain | 21 | 130 / 5 | $13.171,90 | 326 / 3 | $6.388,86 | 1471 / 6 | $5.087,48 | 1462 / 6 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 6 | $20.082,60 | 790 / 5 | $10.631,70 | 2313 / 9 | $8.731,33 | 2304 / 9 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 5 | $10.587,10 | 301 / 1 | $7.507,95 | 1876 / 8 | $5.727,05 | 1865 / 8 |
Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 5 | $18.200,90 | 231 / 4 | $10.410,70 | 1162 / 6 | $7.442,14 | 1160 / 6 |
Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 5 | $31.435,80 | 268 / 4 | $18.209,20 | 1871 / 9 | $15.746,00 | 1851 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 6 | $21.846,20 | 590 / 2 | $10.602,10 | 1764 / 6 | $8.008,89 | 1760 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 6 | $10.795,10 | 407 / 1 | $7.055,39 | 2194 / 6 | $5.524,44 | 2186 / 6 |
Pulmonary Edema & Respiratory Failure | 17 | 186 / 7 | $27.732,90 | 898 / 5 | $12.275,00 | 1991 / 8 | $10.085,90 | 1985 / 8 |
Spinal Fusion Except Cervical W/O Mcc | 17 | 177 / 6 | $36.171,40 | 28 / 1 | $34.386,70 | 1244 / 5 | $32.494,00 | 1239 / 6 |
Diabetes W Cc | 16 | 76 / 4 | $20.580,80 | 738 / 1 | $8.746,38 | 1436 / 4 | $7.114,81 | 1431 / 4 |
Syncope & Collapse | 16 | 153 / 6 | $14.929,50 | 387 / 1 | $7.672,94 | 1710 / 5 | $6.194,75 | 1702 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 8 | $15.683,40 | 591 / 4 | $8.314,62 | 1935 / 8 | $6.465,44 | 1930 / 8 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 9 | $42.784,10 | 922 / 7 | $16.874,70 | 1637 / 9 | $14.452,10 | 1624 / 9 |
G.I. Hemorrhage W Mcc | 14 | 107 / 6 | $36.518,10 | 564 / 5 | $19.829,90 | 1439 / 8 | $14.321,50 | 1429 / 7 |
Renal Failure W Mcc | 13 | 182 / 9 | $29.693,00 | 744 / 3 | $14.696,20 | 1900 / 10 | $12.730,90 | 1896 / 10 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 5 | $72.262,70 | 191 / 2 | $43.456,10 | 1033 / 6 | $35.915,00 | 1027 / 6 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 6 | $12.780,10 | 570 / 5 | $6.950,23 | 1804 / 7 | $5.612,15 | 1791 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 10 | $14.035,90 | 92 / 1 | $11.649,60 | 1710 / 9 | $10.009,50 | 1707 / 9 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 4 | $21.390,80 | 463 / 1 | $9.910,67 | 1171 / 4 | $7.971,17 | 1168 / 5 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 4 | $14.046,80 | 91 / 1 | $10.030,30 | 926 / 3 | $8.694,25 | 924 / 3 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 4 | $11.268,50 | 145 / 2 | $7.094,75 | 892 / 4 | $5.745,50 | 888 / 5 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 5 | $16.830,30 | 269 / 2 | $8.758,25 | 890 / 3 | $6.459,83 | 886 / 4 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 5 | $12.511,50 | 325 / 1 | $6.904,18 | 1148 / 5 | $4.562,45 | 1145 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 4 | $57.264,30 | 845 / 2 | $25.314,50 | 1622 / 5 | $19.198,80 | 1608 / 4 |
Diabetes W Mcc | 11 | 46 / 5 | $39.430,10 | 447 / 4 | $14.426,50 | 663 / 5 | $11.921,70 | 662 / 5 |
Seizures W/O Mcc | 11 | 97 / 5 | $17.793,50 | 410 / 2 | $7.854,09 | 1110 / 5 | $6.229,64 | 1108 / 5 | Total 40 procedures | 905 | 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.