Hospital Costs > In Massachusetts > Mercy Medical Center Springfield, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Heart Failure & Shock W Cc | 120 | 158 / 17 | $14.808,30 | 557 / 41 | $8.346,55 | 2358 / 41 | $7.580,95 | 2352 / 43 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 107 | 409 / 37 | $25.166,40 | 544 / 40 | $14.548,40 | 2281 / 35 | $13.565,10 | 2240 / 37 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 97 | 178 / 26 | $13.877,50 | 608 / 48 | $6.773,09 | 2364 / 42 | $5.766,90 | 2349 / 44 |
| Heart Failure & Shock W Mcc | 94 | 190 / 26 | $20.800,20 | 468 / 40 | $11.829,10 | 2179 / 35 | $11.151,30 | 2169 / 40 |
| Cellulitis W/O Mcc | 83 | 106 / 20 | $11.903,10 | 457 / 42 | $7.355,13 | 2202 / 42 | $6.118,93 | 2194 / 42 |
| Simple Pneumonia & Pleurisy W Cc | 82 | 121 / 17 | $12.812,40 | 335 / 32 | $8.400,40 | 2394 / 41 | $7.198,20 | 2385 / 42 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 78 | 486 / 35 | $40.161,50 | 767 / 45 | $17.162,80 | 2282 / 37 | $15.243,00 | 2238 / 37 |
| Chronic Obstructive Pulmonary Disease W Cc | 75 | 104 / 13 | $12.993,10 | 325 / 39 | $8.117,49 | 2135 / 42 | $7.278,24 | 2128 / 43 |
| Kidney & Urinary Tract Infections W/O Mcc | 75 | 158 / 25 | $11.648,50 | 472 / 37 | $6.880,40 | 2351 / 42 | $5.966,48 | 2340 / 43 |
| Renal Failure W Cc | 73 | 148 / 23 | $14.707,40 | 439 / 45 | $8.277,60 | 2111 / 41 | $7.513,44 | 2101 / 42 |
| Chronic Obstructive Pulmonary Disease W Mcc | 65 | 137 / 17 | $16.480,10 | 432 / 42 | $9.895,11 | 2187 / 41 | $8.758,52 | 2179 / 41 |
| Simple Pneumonia & Pleurisy W Mcc | 65 | 140 / 19 | $22.296,30 | 528 / 43 | $11.539,60 | 2040 / 35 | $10.290,10 | 2039 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 64 | 143 / 18 | $18.011,80 | 599 / 44 | $9.098,98 | 2249 / 36 | $8.299,23 | 2240 / 42 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 58 | 103 / 16 | $14.500,20 | 467 / 44 | $7.132,38 | 1923 / 35 | $6.398,97 | 1918 / 42 |
| Pulmonary Edema & Respiratory Failure | 58 | 145 / 16 | $21.919,60 | 529 / 39 | $10.309,90 | 1965 / 32 | $9.829,34 | 1959 / 36 |
| G.I. Hemorrhage W Cc | 53 | 165 / 27 | $13.398,20 | 184 / 22 | $8.557,85 | 2070 / 38 | $7.615,21 | 2066 / 39 |
| Renal Failure W Mcc | 49 | 146 / 21 | $19.987,60 | 230 / 27 | $12.175,70 | 1741 / 28 | $11.412,90 | 1738 / 31 |
| Spinal Fusion Except Cervical W/O Mcc | 45 | 149 / 13 | $69.005,90 | 354 / 14 | $30.949,00 | 1111 / 5 | $28.426,30 | 1106 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 28 | $11.529,40 | 491 / 37 | $6.417,45 | 2115 / 40 | $5.243,64 | 2107 / 40 |
| Red Blood Cell Disorders W/O Mcc | 44 | 99 / 12 | $9.513,23 | 86 / 11 | $7.044,41 | 1667 / 32 | $6.167,82 | 1658 / 33 |
| Hip & Femur Procedures Except Major Joint W Cc | 43 | 100 / 17 | $33.497,30 | 357 / 38 | $15.221,70 | 1728 / 28 | $14.240,10 | 1709 / 30 |
| Syncope & Collapse | 41 | 128 / 25 | $11.344,00 | 163 / 31 | $6.669,10 | 1602 / 37 | $5.551,44 | 1595 / 36 |
| Other Digestive System Diagnoses W Cc | 36 | 61 / 9 | $13.031,10 | 88 / 18 | $8.353,50 | 1203 / 28 | $7.451,11 | 1199 / 30 |
| Major Small & Large Bowel Procedures W Cc | 33 | 75 / 12 | $35.769,30 | 117 / 19 | $19.087,50 | 1251 / 14 | $18.096,50 | 1237 / 17 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 20 | $18.666,00 | 121 / 21 | $12.855,40 | 1285 / 24 | $11.445,00 | 1275 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 21 | $14.312,70 | 118 / 19 | $8.663,00 | 1713 / 31 | $7.678,76 | 1709 / 34 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 32 | 70 / 13 | $11.777,80 | 92 / 13 | $6.826,38 | 1345 / 29 | $5.442,06 | 1341 / 29 |
| G.I. Obstruction W Cc | 30 | 62 / 15 | $12.820,30 | 154 / 19 | $7.767,40 | 1505 / 32 | $6.758,33 | 1500 / 33 |
| Major Small & Large Bowel Procedures W Mcc | 29 | 56 / 9 | $71.466,70 | 136 / 20 | $35.629,90 | 721 / 9 | $32.511,10 | 719 / 4 |
| Pulmonary Embolism W/O Mcc | 27 | 47 / 11 | $16.148,80 | 195 / 27 | $8.559,56 | 1045 / 24 | $6.809,52 | 1042 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 23 | $13.529,20 | 801 / 42 | $5.451,88 | 1723 / 36 | $4.179,69 | 1717 / 35 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 23 | $15.766,80 | 145 / 26 | $10.245,20 | 1633 / 35 | $9.422,20 | 1630 / 37 |
| Respiratory Infections & Inflammations W Mcc | 25 | 111 / 27 | $28.003,50 | 325 / 35 | $15.394,40 | 1503 / 29 | $14.238,10 | 1487 / 27 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 24 | $10.489,40 | 289 / 32 | $6.517,21 | 1803 / 35 | $5.338,00 | 1792 / 37 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 23 | 47 / 8 | $10.439,40 | 21 / 4 | $7.923,70 | 435 / 9 | $7.452,04 | 435 / 11 |
| Bronchitis & Asthma W Cc/Mcc | 23 | 53 / 14 | $10.728,00 | 68 / 19 | $7.671,43 | 896 / 25 | $6.510,61 | 892 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 22 | 104 / 14 | $10.361,00 | 31 / 8 | $9.157,73 | 1411 / 21 | $8.764,64 | 1408 / 27 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 24 | $13.330,80 | 639 / 46 | $6.236,23 | 1791 / 38 | $5.520,59 | 1778 / 41 |
| Transient Ischemia | 21 | 104 / 20 | $11.873,10 | 123 / 18 | $6.446,76 | 1385 / 30 | $5.200,00 | 1378 / 26 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 19 | $39.977,00 | 328 / 32 | $18.196,00 | 1480 / 22 | $17.338,10 | 1466 / 25 |
| Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 27 | $15.792,90 | 298 / 34 | $9.391,65 | 1699 / 34 | $8.666,85 | 1695 / 37 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 22 | $14.631,90 | 72 / 18 | $10.106,00 | 1215 / 24 | $9.471,05 | 1210 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 24 | $17.663,30 | 53 / 11 | $13.138,60 | 1240 / 20 | $12.377,30 | 1234 / 21 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 19 | 70 / 12 | $19.553,00 | 84 / 10 | $9.325,53 | 636 / 13 | $7.768,21 | 635 / 12 |
| Respiratory Infections & Inflammations W Cc | 19 | 69 / 22 | $17.186,40 | 161 / 28 | $11.474,10 | 1308 / 29 | $10.650,50 | 1303 / 31 |
| Major Chest Procedures W/O Cc/Mcc | 18 | 41 / 6 | $32.291,90 | 33 / 7 | $14.634,40 | 178 / 6 | $12.402,50 | 178 / 5 |
| Diabetes W Cc | 18 | 74 / 22 | $15.221,30 | 351 / 35 | $7.194,78 | 1312 / 26 | $6.252,56 | 1307 / 29 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 18 | $71.885,60 | 187 / 22 | $36.736,70 | 998 / 12 | $35.526,30 | 992 / 12 |
| Chest Pain | 17 | 134 / 25 | $13.222,50 | 329 / 35 | $5.756,94 | 1406 / 30 | $4.689,65 | 1398 / 30 |
| G.I. Hemorrhage W Mcc | 17 | 104 / 27 | $21.779,20 | 105 / 17 | $13.530,90 | 1284 / 20 | $12.817,50 | 1274 / 21 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 17 | 30 / 6 | $20.088,90 | 35 / 6 | $10.364,50 | 527 / 10 | $9.157,88 | 526 / 12 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 7 | $30.266,40 | 93 / 13 | $13.530,60 | 789 / 8 | $12.468,90 | 785 / 9 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 17 | 29 / 4 | $14.230,10 | 20 / 5 | $8.641,53 | 201 / 5 | $7.510,24 | 201 / 7 |
| Signs & Symptoms W/O Mcc | 16 | 75 / 22 | $14.139,80 | 279 / 29 | $6.233,44 | 1027 / 29 | $5.046,94 | 1024 / 24 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 23 | $8.751,44 | 126 / 18 | $6.397,69 | 1745 / 35 | $5.343,69 | 1737 / 40 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 12 | $14.639,10 | 56 / 10 | $10.537,60 | 905 / 19 | $9.895,47 | 901 / 21 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 21 | $10.519,80 | 42 / 7 | $8.138,53 | 1136 / 15 | $7.255,33 | 1134 / 21 |
| Peritoneal Adhesiolysis W Cc | 15 | 24 / 5 | $42.302,70 | 46 / 5 | $17.846,90 | 223 / 1 | $16.718,30 | 223 / 1 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 9 | $11.156,30 | 165 / 16 | $5.851,43 | 749 / 15 | $4.902,86 | 747 / 16 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 19 | $11.250,70 | 221 / 24 | $5.714,86 | 1153 / 24 | $4.592,57 | 1150 / 26 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 9 | $28.898,10 | 123 / 14 | $14.969,40 | 549 / 10 | $14.366,00 | 548 / 12 |
| Digestive Malignancy W Cc | 14 | 33 / 9 | $18.055,50 | 29 / 3 | $9.733,71 | 222 / 5 | $8.047,57 | 220 / 3 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 20 | $12.839,40 | 69 / 15 | $7.856,23 | 728 / 21 | $6.338,46 | 725 / 15 |
| Disorders Of The Biliary Tract W Cc | 13 | 41 / 15 | $15.716,70 | 37 / 10 | $8.816,00 | 360 / 12 | $7.789,54 | 360 / 14 |
| Vaginal Delivery W/O Complicating Diagnoses | 13 | 12 / 4 | $11.583,50 | 34 / 5 | $5.489,69 | 49 / 4 | $4.286,00 | 49 / 4 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 19 | $12.608,50 | 95 / 20 | $8.085,38 | 882 / 19 | $6.575,85 | 879 / 12 |
| Respiratory Neoplasms W Cc | 13 | 34 / 8 | $17.088,60 | 41 / 7 | $9.977,54 | 412 / 5 | $9.208,92 | 411 / 5 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 13 | 60 / 9 | $20.471,80 | 23 / 3 | $10.485,40 | 284 / 1 | $8.442,69 | 284 / 2 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 29 | $12.311,40 | 211 / 29 | $6.150,75 | 690 / 27 | $5.548,08 | 689 / 34 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 13 | $24.913,40 | 33 / 3 | $15.235,50 | 465 / 6 | $14.035,50 | 461 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 25 | $26.138,20 | 338 / 23 | $9.352,67 | 1395 / 14 | $8.136,67 | 1392 / 18 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 17 | $41.081,80 | 93 / 12 | $19.662,20 | 737 / 7 | $18.456,90 | 734 / 5 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 15 | $12.828,20 | 89 / 15 | $6.842,25 | 742 / 20 | $5.631,58 | 738 / 18 |
| Endocrine Disorders W Cc | 11 | 27 / 11 | $15.620,10 | 33 / 6 | $8.684,45 | 240 / 7 | $8.248,09 | 240 / 9 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 19 | $11.296,30 | 126 / 18 | $6.254,18 | 772 / 25 | $5.055,64 | 771 / 23 |
| Other Resp System O.R. Procedures W Cc | 11 | 36 / 8 | $30.985,60 | 28 / 5 | $13.974,10 | 227 / 2 | $13.319,50 | 227 / 3 |
| Atherosclerosis W/O Mcc | 11 | 47 / 14 | $11.852,10 | 86 / 16 | $5.786,82 | / 17 | $4.797,73 | / |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 13 | $10.023,40 | 37 / 7 | $6.549,82 | 285 / 16 | $5.458,91 | 285 / 15 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 15 | $31.464,80 | 158 / 15 | $13.312,30 | 663 / 10 | $12.436,60 | 663 / 11 |
| Transurethral Procedures W Cc | 11 | 30 / 8 | $19.999,50 | 27 / 3 | $10.688,30 | 345 / 4 | $10.030,80 | 345 / 5 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 21 | $16.061,00 | 345 / 31 | $5.991,27 | 758 / 28 | $5.223,27 | 757 / 29 |
| Stomach, Esophageal & Duodenal Proc W Mcc | 11 | 30 / 5 | $81.100,60 | 24 / 3 | $36.992,90 | 104 / 1 | $36.111,50 | 104 / 1 | Total 82 procedures | 2.602 | 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.