Hospital Costs > In Massachusetts > Merrimack Valley Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 82 | 48 / 5 | $7.111,41 | 59 / 5 | $5.035,24 | 404 / 4 | $4.116,61 | 404 / 4 |
| Heart Failure & Shock W Mcc | 70 | 214 / 30 | $14.551,00 | 127 / 16 | $10.199,60 | 1650 / 9 | $9.376,07 | 1645 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 47 | 469 / 47 | $20.888,80 | 300 / 27 | $12.805,90 | 1928 / 11 | $12.126,40 | 1893 / 23 |
| Simple Pneumonia & Pleurisy W Mcc | 46 | 159 / 29 | $17.911,00 | 260 / 29 | $10.349,80 | 1836 / 15 | $9.508,09 | 1836 / 20 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 45 | $8.352,51 | 116 / 7 | $5.573,54 | 1514 / 15 | $4.138,22 | 1502 / 7 |
| Heart Failure & Shock W Cc | 32 | 246 / 49 | $10.959,00 | 191 / 18 | $7.011,03 | 1814 / 11 | $6.172,78 | 1809 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 32 | 532 / 45 | $37.476,80 | 613 / 36 | $15.481,00 | 2026 / 12 | $13.705,70 | 1984 / 20 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 34 | $11.834,30 | 120 / 18 | $8.049,48 | 1780 / 6 | $7.390,90 | 1772 / 16 |
| Cellulitis W/O Mcc | 26 | 163 / 47 | $7.274,27 | 55 / 8 | $6.309,00 | 1421 / 20 | $4.642,42 | 1414 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 41 | $7.544,08 | 16 / 3 | $6.612,23 | 1653 / 11 | $5.774,08 | 1646 / 13 |
| Renal Failure W Mcc | 24 | 171 / 33 | $15.459,60 | 79 / 13 | $10.964,20 | 1403 / 13 | $9.952,33 | 1403 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 37 | $7.543,68 | 108 / 9 | $4.957,00 | 1456 / 8 | $4.021,73 | 1451 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 38 | $10.516,70 | 71 / 9 | $7.284,55 | 1619 / 6 | $6.456,91 | 1612 / 9 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 46 | $8.783,95 | 178 / 19 | $5.533,68 | 1778 / 11 | $4.656,59 | 1767 / 16 |
| Pulmonary Edema & Respiratory Failure | 21 | 182 / 33 | $13.934,40 | 100 / 16 | $8.786,10 | 1534 / 3 | $7.923,62 | 1529 / 6 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 20 | 29 / 5 | $3.594,60 | 18 / 4 | $3.416,00 | 28 / 1 | $2.808,00 | 27 / 1 |
| Renal Failure W Cc | 20 | 201 / 43 | $10.082,20 | 101 / 15 | $6.937,70 | 1652 / 17 | $6.035,30 | 1643 / 15 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 33 | $22.465,90 | 158 / 26 | $13.373,10 | 1227 / 12 | $12.633,60 | 1212 / 12 |
| G.I. Hemorrhage W Cc | 17 | 201 / 43 | $13.874,90 | 215 / 24 | $7.713,18 | 1146 / 23 | $5.514,35 | 1144 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 43 | $9.133,12 | 67 / 10 | $7.098,81 | 1929 / 15 | $6.046,81 | 1921 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 31 | $12.901,40 | 70 / 16 | $8.727,25 | 1222 / 7 | $7.669,25 | 1219 / 9 |
| Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 32 | $9.370,64 | 34 / 5 | $7.193,50 | 853 / 2 | $6.160,36 | 851 / 2 |
| G.I. Obstruction W Cc | 12 | 80 / 29 | $12.191,80 | 126 / 16 | $6.230,67 | 1222 / 6 | $5.628,00 | 1218 / 15 |
| G.I. Hemorrhage W Mcc | 12 | 109 / 29 | $20.575,40 | 77 / 15 | $12.257,80 | 979 / 9 | $11.137,20 | 972 / 9 |
| Organic Disturbances & Mental Retardation | 12 | 47 / 10 | $13.495,90 | 61 / 12 | $6.989,42 | 318 / 4 | $6.482,75 | 318 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 40 | $8.059,50 | 40 / 6 | $5.757,58 | 1316 / 11 | $4.679,58 | 1311 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 36 | $11.504,60 | 49 / 6 | $7.309,09 | 1182 / 6 | $6.107,64 | 1179 / 10 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 26 | $9.853,73 | 31 / 8 | $6.470,45 | 761 / 1 | $5.702,45 | 757 / 2 |
| Chest Pain | 11 | 140 / 30 | $8.604,09 | 85 / 12 | $4.440,27 | 989 / 4 | $3.534,82 | 983 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 21 | $15.259,80 | 125 / 22 | $8.184,18 | 810 / 4 | $7.858,36 | 808 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 28 | $15.678,40 | 36 / 6 | $12.283,90 | 1113 / 11 | $11.623,50 | 1107 / 15 | Total 31 procedures | 764 | 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.