Hospital Costs > In Massachusetts > Metrowest Medical Center, procedure costs

Metrowest Medical Center, procedure costs

115 Lincoln Street, Framingham, MA 01701,

Procedure Costs @ Metrowest Medical Center
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 Cc1477 / 22$16.326,00152 / 23$8.150,141103 / 16$7.114,711101 / 19
Acute Myocardial Infarction, Discharged Alive W Mcc3095 / 22$23.779,20256 / 30$13.027,201415 / 29$12.180,201403 / 29
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc198 / 5$17.303,8012 / 6$11.738,0087 / 6$11.035,7087 / 7
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc20104 / 25$10.329,50141 / 17$5.699,80622 / 17$5.110,20621 / 27
Bone Diseases & Arthropathies W/O Mcc1133 / 10$10.391,5050 / 12$6.726,18152 / 14$4.562,27152 / 4
Bronchitis & Asthma W Cc/Mcc2551 / 12$10.694,4067 / 18$7.219,92801 / 17$5.970,32797 / 17
Cardiac Arrhythmia & Conduction Disorders W Cc47114 / 20$10.289,30126 / 18$6.596,721685 / 28$5.421,551680 / 25
Cardiac Arrhythmia & Conduction Disorders W Mcc4083 / 17$15.145,50122 / 22$9.737,451528 / 26$8.801,001525 / 29
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc32118 / 18$7.690,22123 / 17$4.764,091559 / 23$3.645,661553 / 22
Cellulitis W Mcc1444 / 16$14.547,9038 / 17$11.511,40793 / 19$10.905,70791 / 21
Cellulitis W/O Mcc50139 / 33$10.497,20301 / 36$6.719,222038 / 28$5.657,462030 / 32
Chest Pain32119 / 16$10.391,20167 / 23$5.069,281271 / 18$4.200,031264 / 23
Chronic Obstructive Pulmonary Disease W Cc69110 / 17$13.401,60358 / 42$7.536,711963 / 30$6.567,301956 / 34
Chronic Obstructive Pulmonary Disease W Mcc73129 / 15$14.789,50301 / 35$8.870,882025 / 26$8.031,642017 / 31
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc2199 / 26$10.027,10245 / 27$5.640,051604 / 18$4.661,761593 / 23
Circulatory Disorders Except Ami, W Card Cath W Mcc1578 / 11$35.409,2093 / 10$16.206,50697 / 5$15.244,40690 / 7
Circulatory Disorders Except Ami, W Card Cath W/O Mcc31157 / 18$23.513,80221 / 20$8.703,101262 / 10$7.308,031259 / 10
Cranial & Peripheral Nerve Disorders W/O Mcc1256 / 15$9.519,1729 / 7$7.193,42533 / 8$6.267,42533 / 8
Degenerative Nervous System Disorders W/O Mcc3048 / 5$10.293,2028 / 4$7.393,47504 / 7$6.099,03504 / 4
Diabetes W Cc1874 / 22$13.873,20262 / 32$6.563,721219 / 15$5.825,941214 / 22
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1159 / 15$13.974,5065 / 11$6.981,18314 / 5$6.099,73314 / 2
Disorders Of Pancreas Except Malignancy W Cc3031 / 8$14.605,40108 / 19$7.647,77746 / 15$6.444,77743 / 18
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1721 / 6$10.239,6042 / 8$5.867,47296 / 8$3.862,12295 / 3
Disorders Of The Biliary Tract W Cc1935 / 10$19.112,6058 / 14$8.509,16342 / 10$7.490,21342 / 11
Dysequilibrium2144 / 8$9.683,0544 / 8$5.220,95395 / 10$4.180,19395 / 14
Endocrine Disorders W Cc1523 / 8$15.855,9035 / 8$8.254,87193 / 6$6.970,80193 / 5
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1482 / 27$23.590,50373 / 37$9.597,431141 / 19$8.904,861136 / 24
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc120155 / 21$11.785,70362 / 32$6.181,272180 / 30$5.187,022166 / 34
Fever1333 / 10$13.324,4034 / 7$6.940,15251 / 6$6.295,23251 / 6
Fractures Of Hip & Pelvis W/O Mcc2140 / 10$10.015,6083 / 14$5.739,05739 / 14$4.821,71738 / 19
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc2735 / 11$9.853,6354 / 12$6.182,93625 / 15$5.202,78623 / 20
G.I. Hemorrhage W Cc84134 / 14$16.672,60460 / 36$8.168,611922 / 32$7.003,401918 / 30
G.I. Hemorrhage W Mcc2794 / 20$20.367,6075 / 14$12.863,601049 / 15$11.498,401041 / 12
G.I. Hemorrhage W/O Cc/Mcc1751 / 12$11.158,20137 / 16$5.745,35767 / 11$4.681,82763 / 14
G.I. Obstruction W Cc2567 / 18$15.467,80322 / 34$7.262,201441 / 22$6.405,241436 / 28
G.I. Obstruction W/O Cc/Mcc1952 / 14$11.232,50220 / 23$5.114,161007 / 13$3.968,891004 / 17
Heart Failure & Shock W Cc99179 / 22$12.849,60353 / 29$7.739,092205 / 30$7.016,502199 / 32
Heart Failure & Shock W Mcc134150 / 15$18.136,00317 / 29$11.329,802029 / 30$10.498,402020 / 31
Heart Failure & Shock W/O Cc/Mcc2486 / 22$9.074,46187 / 28$5.430,581528 / 22$4.527,921515 / 26
Hip & Femur Procedures Except Major Joint W Cc40103 / 18$27.483,70144 / 22$15.203,701723 / 27$14.169,001704 / 29
Infectious & Parasitic Diseases W O.R. Procedure W Mcc15109 / 20$43.442,5033 / 3$40.661,401244 / 16$39.938,201234 / 19
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs27155 / 26$16.438,50234 / 31$8.165,151646 / 24$7.407,811642 / 28
Intracranial Hemorrhage Or Cerebral Infarction W Mcc23145 / 20$18.111,0058 / 12$13.657,701292 / 21$12.923,101286 / 23
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc1686 / 24$12.710,20123 / 15$6.061,691227 / 15$4.925,691223 / 21
Kidney & Urinary Tract Infections W Mcc5589 / 12$11.552,9091 / 19$8.576,551543 / 20$7.786,441539 / 24
Kidney & Urinary Tract Infections W/O Mcc72161 / 27$9.009,92198 / 22$6.212,812168 / 30$5.372,362157 / 33
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1343 / 11$25.804,5043 / 4$13.263,90719 / 6$11.373,10716 / 7
Major Cardiovasc Procedures W/O Mcc1388 / 15$44.231,9039 / 2$26.593,50755 / 7$23.567,00754 / 5
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1162 / 21$12.283,2054 / 11$8.994,73873 / 14$8.306,73871 / 18
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc99465 / 31$27.554,30142 / 11$16.946,302315 / 33$15.461,102270 / 39
Major Small & Large Bowel Procedures W Cc2187 / 19$31.736,8070 / 9$19.405,501278 / 17$18.483,601264 / 21
Medical Back Problems W/O Mcc5764 / 12$10.762,6067 / 10$6.633,021121 / 14$5.697,001117 / 17
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc2997 / 10$14.496,20130 / 19$8.851,521272 / 16$7.979,791269 / 17
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc7591 / 11$10.073,10320 / 32$5.640,491858 / 25$4.578,401852 / 25
Organic Disturbances & Mental Retardation1148 / 11$7.610,557 / 2$6.954,36308 / 3$6.404,55308 / 4
Other Circulatory System Diagnoses W Cc1452 / 15$11.583,0041 / 6$7.408,64487 / 7$6.716,07486 / 10
Other Circulatory System Diagnoses W Mcc1997 / 14$28.910,70193 / 16$14.205,90884 / 10$12.584,20878 / 7
Other Digestive System Diagnoses W Cc2770 / 14$14.212,60129 / 28$7.874,371130 / 20$7.025,781126 / 23
Other Digestive System Diagnoses W Mcc1250 / 15$20.709,4049 / 9$13.174,90551 / 9$12.470,90550 / 10
Other Disorders Of Nervous System W Cc2630 / 7$12.678,4048 / 17$7.193,77482 / 14$6.635,00482 / 19
Other Kidney & Urinary Tract Diagnoses W Cc2182 / 12$13.477,6076 / 14$7.972,76542 / 13$6.528,00542 / 7
Other Kidney & Urinary Tract Diagnoses W Mcc3368 / 9$17.512,6072 / 13$11.823,20857 / 13$11.384,90854 / 17
Other Respiratory System Diagnoses W/O Mcc1135 / 11$10.712,6021 / 7$6.698,00179 / 9$5.066,91179 / 6
Other Vascular Procedures W Cc3171 / 10$33.744,7048 / 4$19.861,60867 / 10$18.203,50862 / 8
Other Vascular Procedures W Mcc1186 / 16$45.122,5062 / 6$24.608,00724 / 4$24.055,30721 / 4
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc26170 / 17$53.619,30303 / 15$16.653,201233 / 8$14.516,601226 / 8
Peripheral Vascular Disorders W Cc2064 / 14$11.239,4061 / 18$7.655,35959 / 14$6.947,35956 / 19
Permanent Cardiac Pacemaker Implant W Cc1463 / 16$52.058,80236 / 20$19.463,30756 / 5$18.683,90753 / 7
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc1245 / 14$42.641,80192 / 13$17.047,50619 / 8$16.036,80618 / 8
Poisoning & Toxic Effects Of Drugs W Mcc1656 / 15$19.207,8094 / 16$10.890,60742 / 12$10.210,60740 / 15
Poisoning & Toxic Effects Of Drugs W/O Mcc1447 / 18$8.750,2156 / 8$5.343,93611 / 15$4.270,79610 / 13
Postoperative & Post-Traumatic Infections W/O Mcc1143 / 11$11.220,5021 / 10$7.081,64243 / 2$6.316,55243 / 2
Psychoses13262 / 10$11.868,80112 / 3$9.652,317 / 11$4.103,547 / 1
Pulmonary Edema & Respiratory Failure79124 / 9$15.085,40148 / 24$9.729,511797 / 26$8.917,351792 / 26
Pulmonary Embolism W/O Mcc1559 / 20$19.536,70363 / 31$7.662,731066 / 16$6.935,331063 / 23
Red Blood Cell Disorders W Mcc1556 / 12$14.811,8058 / 11$9.757,80833 / 11$9.277,80829 / 14
Red Blood Cell Disorders W/O Mcc27116 / 23$10.653,30136 / 19$6.541,371597 / 21$5.826,701588 / 28
Renal Failure W Cc106115 / 12$12.366,80245 / 32$7.473,651886 / 27$6.623,461876 / 30
Renal Failure W Mcc48147 / 22$20.719,90253 / 29$11.830,501676 / 27$11.025,201674 / 27
Respiratory Infections & Inflammations W Cc1870 / 23$16.572,30143 / 23$9.563,001015 / 7$8.757,671010 / 8
Respiratory Infections & Inflammations W Mcc4888 / 15$19.212,2083 / 16$14.292,201413 / 16$13.666,901398 / 18
Respiratory System Diagnosis W Ventilator Support <96 Hours17114 / 23$29.846,70122 / 14$18.242,101369 / 23$16.205,301356 / 19
Seizures W Mcc1452 / 12$14.298,4018 / 5$11.122,90498 / 4$10.517,10498 / 5
Seizures W/O Mcc2583 / 17$14.929,30257 / 35$6.155,16924 / 18$5.160,84921 / 21
Septicemia Or Severe Sepsis W Mv 96+ Hours1280 / 16$54.602,1024 / 4$43.294,80739 / 4$41.934,80738 / 7
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc217299 / 20$20.415,10282 / 25$14.029,402200 / 30$13.154,102161 / 35
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc46161 / 24$12.603,60186 / 22$8.210,001958 / 25$7.176,701950 / 25
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc1730 / 9$9.571,1830 / 5$5.893,00251 / 7$4.966,88251 / 10
Signs & Symptoms W/O Mcc2170 / 18$10.473,70107 / 17$5.466,10990 / 13$4.893,14987 / 20
Simple Pneumonia & Pleurisy W Cc54149 / 28$11.330,40199 / 24$7.683,222221 / 27$6.674,042213 / 33
Simple Pneumonia & Pleurisy W Mcc51154 / 27$16.089,80173 / 23$11.152,602005 / 31$10.156,802004 / 30
Simple Pneumonia & Pleurisy W/O Cc/Mcc1479 / 25$9.421,57179 / 20$5.720,211639 / 22$4.858,501631 / 32
Syncope & Collapse43126 / 23$10.093,60106 / 20$5.974,811456 / 23$5.030,441449 / 26
Tendonitis, Myositis & Bursitis W/O Mcc1230 / 9$9.751,8325 / 3$6.590,92232 / 5$5.385,58231 / 7
Transient Ischemia2996 / 15$12.275,70135 / 19$5.806,211277 / 17$4.760,141271 / 20
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc2618 / 2$9.950,0425 / 6$6.079,35204 / 8$5.059,04204 / 8
Total 96 procedures3.202discharges

DATA

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.