Hospital Costs > In Connecticut > Middlesex Hospital, 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 | 375 | 153 / 3 | $59.899,30 | 2086 / 26 | $15.512,60 | 2153 / 14 | $13.021,00 | 2115 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 234 | 330 / 7 | $62.792,10 | 1796 / 24 | $16.699,00 | 2096 / 11 | $14.036,40 | 2054 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 203 | 76 / 3 | $30.182,30 | 2176 / 28 | $6.085,27 | 1972 / 13 | $4.715,48 | 1958 / 14 |
| Heart Failure & Shock W Mcc | 144 | 140 / 6 | $40.849,90 | 1696 / 19 | $10.945,00 | 1902 / 8 | $10.055,40 | 1896 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 134 | 99 / 6 | $24.506,30 | 1950 / 27 | $6.009,20 | 1925 / 12 | $4.861,65 | 1914 / 9 |
| G.I. Hemorrhage W Cc | 132 | 86 / 5 | $33.040,50 | 1715 / 24 | $8.200,43 | 1693 / 13 | $6.346,65 | 1689 / 9 |
| Heart Failure & Shock W Cc | 130 | 148 / 7 | $29.951,10 | 1953 / 21 | $7.541,98 | 1981 / 12 | $6.494,90 | 1976 / 11 |
| Kidney & Urinary Tract Infections W Mcc | 118 | 31 / 2 | $29.584,50 | 1154 / 17 | $8.050,74 | 1319 / 6 | $7.056,33 | 1315 / 5 |
| Cellulitis W/O Mcc | 114 | 75 / 4 | $27.410,70 | 2009 / 28 | $6.595,73 | 1885 / 10 | $5.328,45 | 1877 / 12 |
| Chronic Obstructive Pulmonary Disease W Mcc | 110 | 92 / 3 | $35.153,10 | 1745 / 17 | $8.880,48 | 1770 / 7 | $7.362,95 | 1762 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 106 | 97 / 4 | $30.959,30 | 2000 / 26 | $7.644,08 | 2082 / 13 | $6.331,06 | 2074 / 12 |
| Syncope & Collapse | 105 | 64 / 3 | $26.076,70 | 1272 / 21 | $5.724,53 | 1320 / 10 | $4.642,50 | 1313 / 8 |
| Simple Pneumonia & Pleurisy W Mcc | 98 | 107 / 4 | $41.138,50 | 1601 / 19 | $10.836,20 | 1916 / 10 | $9.762,56 | 1916 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 87 | 120 / 11 | $37.235,40 | 1941 / 26 | $8.262,16 | 1909 / 10 | $7.050,51 | 1901 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 82 | 84 / 6 | $25.117,90 | 1893 / 25 | $5.586,70 | 1782 / 10 | $4.453,13 | 1777 / 8 |
| Renal Failure W Cc | 75 | 146 / 10 | $32.249,10 | 1799 / 25 | $7.569,49 | 1797 / 13 | $6.401,33 | 1787 / 11 |
| Hip & Femur Procedures Except Major Joint W Cc | 75 | 68 / 4 | $54.678,20 | 1198 / 22 | $14.764,70 | 1575 / 12 | $13.182,90 | 1556 / 8 |
| Chronic Obstructive Pulmonary Disease W Cc | 73 | 106 / 6 | $25.715,60 | 1486 / 17 | $7.641,23 | 1743 / 11 | $5.950,92 | 1736 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 72 | 89 / 7 | $26.993,50 | 1492 / 20 | $6.547,54 | 1484 / 9 | $4.957,56 | 1479 / 8 |
| Respiratory Infections & Inflammations W Mcc | 67 | 69 / 4 | $60.073,60 | 1265 / 23 | $15.130,90 | 1359 / 11 | $13.301,80 | 1344 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 62 | 120 / 6 | $45.532,80 | 1640 / 24 | $8.236,35 | 1551 / 9 | $7.047,16 | 1548 / 8 |
| Pulmonary Edema & Respiratory Failure | 62 | 141 / 11 | $49.456,90 | 1744 / 25 | $11.398,00 | 1926 / 23 | $9.542,65 | 1920 / 19 |
| Chest Pain | 60 | 91 / 2 | $19.184,20 | 860 / 13 | $4.924,90 | 1098 / 8 | $3.730,90 | 1091 / 9 |
| G.I. Obstruction W Cc | 59 | 33 / 2 | $31.720,20 | 1252 / 17 | $6.943,97 | 1313 / 8 | $5.906,34 | 1308 / 9 |
| Heart Failure & Shock W/O Cc/Mcc | 59 | 51 / 4 | $22.745,20 | 1439 / 21 | $5.293,75 | 1361 / 9 | $4.169,22 | 1350 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 53 | 70 / 6 | $40.396,10 | 1342 / 20 | $8.976,23 | 1321 / 7 | $7.997,53 | 1318 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 52 | 41 / 2 | $24.655,90 | 1434 / 23 | $5.521,96 | 1475 / 8 | $4.369,38 | 1467 / 7 |
| Signs & Symptoms W/O Mcc | 52 | 39 / 2 | $25.641,80 | 910 / 14 | $6.521,92 | 740 / 10 | $4.123,15 | 737 / 3 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 51 | 69 / 5 | $22.678,00 | 1438 / 21 | $5.766,59 | 1539 / 10 | $4.523,35 | 1528 / 11 |
| G.I. Obstruction W/O Cc/Mcc | 49 | 22 / 2 | $24.296,50 | 987 / 15 | $5.303,12 | 862 / 4 | $3.555,22 | 859 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 49 | 101 / 6 | $20.327,00 | 1410 / 20 | $4.777,51 | 1394 / 7 | $3.278,69 | 1388 / 7 |
| Medical Back Problems W/O Mcc | 49 | 72 / 6 | $28.231,80 | 954 / 13 | $7.055,47 | 923 / 3 | $5.027,02 | 920 / 3 |
| Transient Ischemia | 48 | 77 / 4 | $32.586,80 | 1260 / 23 | $5.517,88 | 1166 / 7 | $4.410,50 | 1160 / 8 |
| Red Blood Cell Disorders W/O Mcc | 43 | 100 / 10 | $25.588,10 | 1291 / 20 | $6.245,98 | 1425 / 7 | $5.267,74 | 1416 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 41 | 84 / 8 | $42.765,70 | 921 / 13 | $11.761,30 | 1154 / 6 | $10.854,20 | 1149 / 7 |
| Respiratory Infections & Inflammations W Cc | 41 | 47 / 6 | $43.215,80 | 1025 / 20 | $10.520,20 | 1160 / 10 | $9.435,15 | 1155 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 39 | 62 / 4 | $37.632,90 | 583 / 15 | $11.230,40 | 728 / 5 | $10.358,70 | 726 / 5 |
| Major Small & Large Bowel Procedures W Cc | 39 | 69 / 6 | $91.765,70 | 1130 / 16 | $18.936,90 | 1212 / 5 | $17.633,80 | 1198 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 39 | 87 / 6 | $30.963,10 | 1008 / 12 | $8.001,05 | 999 / 3 | $7.078,44 | 996 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 39 | 129 / 8 | $68.770,80 | 1253 / 17 | $12.447,10 | 1051 / 3 | $11.327,10 | 1046 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 38 | 93 / 7 | $84.792,70 | 1374 / 18 | $22.321,80 | 1651 / 17 | $19.713,40 | 1637 / 13 |
| Seizures W/O Mcc | 34 | 74 / 4 | $32.942,90 | 1021 / 17 | $6.031,82 | 781 / 7 | $4.687,59 | 778 / 5 |
| G.I. Hemorrhage W Mcc | 31 | 90 / 8 | $49.228,00 | 987 / 16 | $12.652,60 | 1076 / 3 | $11.610,60 | 1068 / 4 |
| Other Digestive System Diagnoses W Cc | 31 | 66 / 6 | $37.023,20 | 1072 / 20 | $7.480,81 | 972 / 7 | $6.386,81 | 968 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 30 | 72 / 9 | $38.683,30 | 1326 / 19 | $6.431,70 | 1092 / 8 | $4.553,83 | 1088 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 30 | 66 / 5 | $44.036,60 | 1050 / 16 | $9.242,27 | 1006 / 3 | $8.183,40 | 1001 / 4 |
| Fractures Of Hip & Pelvis W/O Mcc | 28 | 33 / 2 | $26.172,90 | 677 / 10 | $5.662,79 | 669 / 4 | $4.451,29 | 668 / 3 |
| Dysequilibrium | 27 | 38 / 3 | $24.614,70 | 333 / 7 | $4.947,48 | 324 / 1 | $3.696,67 | 324 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 27 | 64 / 7 | $41.187,10 | 1059 / 19 | $8.200,37 | 1085 / 7 | $7.051,63 | 1083 / 8 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 27 | 35 / 6 | $31.229,10 | 624 / 8 | $5.911,63 | 559 / 1 | $4.877,19 | 557 / 1 |
| Renal Failure W Mcc | 26 | 169 / 17 | $45.754,80 | 1473 / 20 | $12.280,80 | 1488 / 8 | $10.228,40 | 1487 / 5 |
| Disorders Of Pancreas Except Malignancy W Cc | 26 | 35 / 3 | $33.544,30 | 699 / 13 | $7.392,23 | 679 / 3 | $6.012,46 | 676 / 5 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 8 | $130.351,00 | 841 / 12 | $38.309,80 | 1095 / 3 | $36.931,50 | 1088 / 3 |
| Cellulitis W Mcc | 26 | 32 / 3 | $51.512,30 | 744 / 13 | $11.502,90 | 764 / 4 | $10.578,60 | 762 / 7 |
| Pulmonary Embolism W/O Mcc | 26 | 48 / 4 | $35.954,10 | 983 / 18 | $8.746,81 | 926 / 9 | $6.204,27 | 923 / 3 |
| G.I. Hemorrhage W/O Cc/Mcc | 26 | 42 / 5 | $19.052,00 | 514 / 11 | $5.429,50 | 721 / 4 | $4.460,58 | 717 / 6 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 24 | 48 / 3 | $60.489,30 | 804 / 16 | $17.047,70 | 798 / 15 | $11.021,30 | 796 / 9 |
| Other Disorders Of Nervous System W Cc | 24 | 32 / 4 | $31.910,00 | 403 / 9 | $6.789,21 | 395 / 2 | $5.801,38 | 395 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 21 | 26 / 2 | $40.606,40 | 231 / 3 | $11.677,00 | 386 / 1 | $9.700,76 | 386 / 1 |
| Organic Disturbances & Mental Retardation | 20 | 39 / 5 | $33.805,10 | 391 / 6 | $7.164,10 | 252 / 1 | $5.984,80 | 252 / 1 |
| Seizures W Mcc | 20 | 46 / 4 | $53.146,40 | 515 / 10 | $11.522,70 | 422 / 2 | $9.727,80 | 422 / 1 |
| Diabetes W Cc | 19 | 73 / 9 | $34.753,70 | 1306 / 20 | $6.437,47 | 1065 / 5 | $5.301,79 | 1061 / 6 |
| Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 14 | $128.362,00 | 995 / 15 | $34.984,00 | 687 / 11 | $23.031,40 | 683 / 1 |
| Bronchitis & Asthma W Cc/Mcc | 18 | 58 / 9 | $22.872,60 | 498 / 7 | $7.494,06 | 682 / 5 | $5.360,28 | 678 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 18 | 22 / 3 | $77.421,30 | 279 / 3 | $18.679,30 | 372 / 1 | $17.595,80 | 371 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 18 | 85 / 5 | $32.507,40 | 563 / 10 | $7.579,11 | 563 / 4 | $6.702,11 | 563 / 2 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 8 | $24.071,30 | 423 / 9 | $5.816,06 | 674 / 3 | $5.075,72 | 670 / 6 |
| Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 6 | $36.494,90 | 623 / 9 | $7.400,47 | 519 / 1 | $6.196,12 | 519 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 12 | $47.734,40 | 1147 / 13 | $8.846,18 | 1087 / 4 | $6.645,00 | 1084 / 2 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 17 | 23 / 3 | $29.462,00 | 133 / 3 | $8.310,94 | 160 / 1 | $7.224,00 | 160 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 5 | $26.878,80 | 335 / 5 | $8.035,47 | 741 / 2 | $6.906,53 | 738 / 2 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 17 | 59 / 3 | $46.284,70 | 272 / 3 | $12.481,10 | 246 / 1 | $11.598,80 | 246 / 1 |
| G.I. Obstruction W Mcc | 16 | 26 / 3 | $64.366,90 | 430 / 3 | $14.719,30 | 481 / 2 | $13.870,70 | 481 / 3 |
| Other Circulatory System Diagnoses W Mcc | 16 | 100 / 9 | $55.978,20 | 863 / 10 | $13.537,90 | 898 / 2 | $12.706,80 | 892 / 2 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 16 | 108 / 13 | $42.998,40 | 798 / 21 | $5.562,06 | 473 / 7 | $4.355,94 | 472 / 3 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 9 | $146.526,00 | 786 / 14 | $34.261,20 | 762 / 1 | $33.051,20 | 760 / 2 |
| Respiratory Signs & Symptoms | 15 | 31 / 3 | $21.226,20 | 135 / 2 | $5.349,80 | 181 / 1 | $4.382,07 | 181 / 1 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 15 | 32 / 4 | $22.906,30 | 203 / 3 | $6.063,80 | 143 / 1 | $4.038,80 | 143 / 1 |
| Disorders Of The Biliary Tract W Cc | 15 | 39 / 4 | $37.369,30 | 297 / 6 | $7.698,73 | 267 / 1 | $6.604,20 | 267 / 2 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 7 | $24.329,50 | 630 / 11 | $5.944,33 | 512 / 9 | $3.914,47 | 511 / 1 |
| Hypertension W/O Mcc | 15 | 50 / 7 | $19.987,90 | 411 / 5 | $4.912,00 | 504 / 2 | $3.791,33 | 502 / 2 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 3 | $43.202,00 | 466 / 7 | $13.983,90 | 564 / 6 | $9.538,07 | 562 / 1 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 8 | $20.521,20 | 568 / 10 | $4.924,00 | 626 / 2 | $4.037,57 | 625 / 3 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 8 | $157.352,00 | 565 / 10 | $43.058,10 | 738 / 2 | $41.897,60 | 737 / 4 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 3 | $55.601,60 | 307 / 4 | $15.133,90 | 447 / 1 | $12.845,10 | 443 / 2 |
| Peritoneal Adhesiolysis W Cc | 14 | 25 / 4 | $95.641,10 | 242 / 4 | $18.869,60 | 232 / 1 | $17.533,10 | 232 / 1 |
| Atherosclerosis W/O Mcc | 14 | 44 / 4 | $17.768,00 | 259 / 7 | $4.826,14 | / 3 | $3.723,00 | / |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 4 | $54.709,30 | 455 / 5 | $9.586,23 | 432 / 1 | $7.631,08 | 431 / 1 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 8 | $122.494,00 | 801 / 13 | $26.221,40 | 862 / 9 | $24.710,80 | 859 / 11 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 10 | $60.400,10 | 570 / 11 | $13.242,60 | 558 / 3 | $10.501,00 | 558 / 4 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 11 | $44.744,00 | 760 / 12 | $9.634,38 | 807 / 5 | $9.066,85 | 803 / 6 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 6 | $29.572,00 | 458 / 7 | $6.653,67 | 447 / 1 | $5.639,67 | 447 / 2 |
| Major Cardiovasc Procedures W/O Mcc | 12 | 89 / 9 | $78.542,00 | 359 / 6 | $24.900,80 | 760 / 2 | $23.701,90 | 759 / 3 |
| Medical Back Problems W Mcc | 12 | 27 / 3 | $43.951,10 | 170 / 2 | $11.474,90 | 178 / 1 | $10.144,40 | 178 / 1 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 7 | $42.820,60 | 356 / 6 | $12.623,90 | 467 / 2 | $11.416,20 | 466 / 3 |
| Diabetes W Mcc | 12 | 45 / 7 | $39.968,20 | 459 / 6 | $10.613,50 | 515 / 1 | $9.590,50 | 515 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 5 | $61.597,00 | 592 / 8 | $12.620,30 | 743 / 3 | $11.594,20 | 739 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 12 | $54.042,10 | 984 / 20 | $9.403,75 | 886 / 9 | $8.401,25 | 884 / 10 |
| Pulmonary Embolism W Mcc | 12 | 31 / 4 | $40.951,90 | 337 / 2 | $11.091,50 | 431 / 1 | $10.093,80 | 431 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 10 | $78.160,50 | 477 / 8 | $23.489,10 | 708 / 3 | $22.231,10 | 705 / 3 |
| Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 4 | $56.789,80 | 244 / 4 | $20.279,50 | 124 / 5 | $10.596,80 | 124 / 1 |
| Other Vascular Procedures W Cc | 12 | 90 / 9 | $86.814,40 | 715 / 11 | $21.249,90 | 960 / 6 | $19.850,90 | 955 / 6 |
| Complications Of Treatment W Mcc | 11 | 40 / 4 | $46.105,70 | 151 / 2 | $13.091,80 | 182 / 1 | $12.323,10 | 182 / 2 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 7 | $38.133,80 | 460 / 8 | $7.153,73 | 355 / 1 | $6.387,91 | 355 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 3 | $87.928,80 | 265 / 3 | $20.189,70 | 298 / 2 | $18.797,40 | 297 / 3 |
| Other Respiratory System Diagnoses W/O Mcc | 11 | 35 / 6 | $22.763,50 | 152 / 4 | $6.217,09 | 174 / 1 | $5.019,45 | 174 / 1 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 4 | $23.024,60 | 204 / 4 | $5.450,27 | 285 / 2 | $4.376,45 | 284 / 3 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 7 | $60.193,50 | 458 / 6 | $15.731,40 | 380 / 5 | $10.933,60 | 379 / 1 |
| Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 5 | $18.185,30 | 183 / 4 | $5.097,09 | 221 / 1 | $3.810,91 | 221 / 1 | Total 109 procedures | 4.765 | 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.