Hospital Costs > In Connecticut > Midstate Medical Center, 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 | 268 | 250 / 9 | $33.758,90 | 986 / 11 | $13.811,50 | 2031 / 8 | $12.472,20 | 1994 / 8 |
| Heart Failure & Shock W Mcc | 145 | 139 / 5 | $28.213,70 | 987 / 11 | $11.138,20 | 1916 / 10 | $10.110,00 | 1910 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 133 | 431 / 16 | $35.340,50 | 485 / 8 | $15.942,80 | 1889 / 6 | $13.189,90 | 1847 / 3 |
| Pulmonary Edema & Respiratory Failure | 125 | 78 / 4 | $22.720,30 | 579 / 7 | $10.289,50 | 1539 / 14 | $7.931,72 | 1534 / 3 |
| G.I. Hemorrhage W Cc | 91 | 127 / 9 | $22.248,10 | 959 / 11 | $7.959,53 | 1581 / 12 | $6.110,23 | 1577 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 89 | 186 / 11 | $19.087,80 | 1288 / 14 | $6.059,99 | 1867 / 12 | $4.572,97 | 1853 / 8 |
| Simple Pneumonia & Pleurisy W Mcc | 88 | 117 / 6 | $24.754,50 | 687 / 7 | $10.582,50 | 1792 / 6 | $9.376,35 | 1792 / 6 |
| Cellulitis W/O Mcc | 74 | 115 / 11 | $16.257,00 | 1024 / 10 | $6.969,09 | 1876 / 14 | $5.293,43 | 1868 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 71 | 136 / 14 | $21.965,20 | 970 / 12 | $7.958,73 | 1983 / 9 | $7.261,49 | 1975 / 13 |
| Kidney & Urinary Tract Infections W/O Mcc | 63 | 170 / 15 | $15.359,20 | 992 / 12 | $6.020,52 | 1934 / 13 | $4.882,75 | 1923 / 11 |
| Hip & Femur Procedures Except Major Joint W Cc | 53 | 90 / 7 | $31.719,00 | 281 / 5 | $14.052,50 | 1533 / 5 | $12.958,50 | 1515 / 5 |
| Renal Failure W Cc | 51 | 170 / 15 | $18.654,90 | 844 / 10 | $7.209,33 | 1710 / 8 | $6.169,18 | 1700 / 7 |
| Renal Failure W Mcc | 48 | 147 / 8 | $28.108,20 | 657 / 8 | $11.740,10 | 1456 / 6 | $10.120,80 | 1455 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 48 | 113 / 14 | $22.851,10 | 1267 / 14 | $6.381,44 | 1439 / 8 | $4.874,75 | 1434 / 7 |
| Respiratory Infections & Inflammations W Mcc | 47 | 89 / 9 | $32.273,30 | 477 / 8 | $13.871,00 | 1334 / 5 | $13.126,50 | 1319 / 6 |
| Kidney & Urinary Tract Infections W Mcc | 46 | 98 / 9 | $17.719,20 | 408 / 5 | $8.078,48 | 1316 / 7 | $7.049,09 | 1312 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 44 | 81 / 6 | $28.358,20 | 383 / 9 | $11.931,50 | 1230 / 8 | $11.134,40 | 1221 / 9 |
| Heart Failure & Shock W Cc | 36 | 242 / 22 | $20.531,00 | 1242 / 12 | $7.441,92 | 2045 / 10 | $6.609,03 | 2040 / 12 |
| G.I. Hemorrhage W Mcc | 35 | 86 / 6 | $32.141,90 | 396 / 5 | $12.522,90 | 1100 / 2 | $11.711,00 | 1092 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 23 | $17.680,00 | 873 / 7 | $7.537,85 | 1788 / 11 | $5.828,47 | 1780 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 17 | $27.117,00 | 941 / 14 | $8.035,42 | 1529 / 5 | $6.974,58 | 1526 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 17 | $13.241,10 | 720 / 7 | $5.295,03 | 1830 / 6 | $4.523,15 | 1824 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 19 | $21.265,20 | 836 / 7 | $9.197,29 | 1777 / 12 | $7.384,35 | 1769 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 7 | $83.409,90 | 281 / 4 | $39.713,10 | 1188 / 5 | $38.774,50 | 1180 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 11 | $30.999,30 | 377 / 3 | $12.877,40 | 960 / 4 | $10.887,40 | 956 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 14 | $14.178,00 | 887 / 10 | $4.876,65 | 1327 / 9 | $3.201,69 | 1322 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 10 | $38.088,00 | 281 / 5 | $17.472,50 | 1152 / 3 | $14.844,00 | 1139 / 3 |
| Diabetes W Cc | 25 | 67 / 7 | $15.738,00 | 381 / 5 | $6.466,40 | 1050 / 6 | $5.274,56 | 1046 / 4 |
| Syncope & Collapse | 24 | 145 / 18 | $19.781,00 | 840 / 11 | $5.584,58 | 1411 / 7 | $4.885,92 | 1404 / 11 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 23 | 19 / 3 | $19.021,70 | 128 / 2 | $6.261,26 | 219 / 2 | $5.216,39 | 219 / 2 |
| Major Small & Large Bowel Procedures W Cc | 23 | 85 / 11 | $59.159,70 | 613 / 9 | $21.584,80 | 1156 / 13 | $17.114,40 | 1143 / 7 |
| G.I. Obstruction W Cc | 22 | 70 / 9 | $22.494,30 | 825 / 8 | $6.749,77 | 1174 / 5 | $5.479,09 | 1171 / 5 |
| Hip & Femur Procedures Except Major Joint W Mcc | 21 | 41 / 4 | $54.632,20 | 236 / 4 | $21.060,80 | 687 / 1 | $20.312,60 | 684 / 1 |
| Red Blood Cell Disorders W/O Mcc | 21 | 122 / 16 | $15.724,40 | 517 / 8 | $6.113,10 | 1483 / 6 | $5.421,29 | 1474 / 12 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 10 | $30.015,20 | 386 / 9 | $11.258,90 | 732 / 6 | $10.397,50 | 730 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 13 | $20.907,30 | 641 / 8 | $5.798,20 | 1132 / 4 | $4.657,85 | 1128 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 16 | $28.609,70 | 891 / 11 | $8.782,25 | 1274 / 3 | $7.819,05 | 1271 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 13 | $21.319,20 | 476 / 6 | $8.258,95 | 1169 / 6 | $7.560,00 | 1166 / 8 |
| Transient Ischemia | 19 | 106 / 15 | $20.479,00 | 694 / 11 | $5.396,21 | 1155 / 5 | $4.377,26 | 1149 / 6 |
| Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 6 | $84.077,00 | 232 / 4 | $36.700,30 | 773 / 5 | $33.245,70 | 771 / 3 |
| Other Vascular Procedures W Cc | 18 | 84 / 6 | $60.127,90 | 364 / 7 | $19.162,80 | 787 / 2 | $17.199,10 | 782 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 23 | $16.475,00 | 656 / 6 | $7.070,24 | 1735 / 6 | $5.937,06 | 1728 / 5 |
| Nonspecific Cerebrovascular Disorders W Mcc | 17 | 34 / 2 | $39.630,80 | 185 / 2 | $12.120,60 | 284 / 1 | $11.412,80 | 284 / 1 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 13 | $22.542,70 | 538 / 7 | $7.376,47 | 864 / 6 | $6.000,71 | 860 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 9 | $22.971,40 | 397 / 5 | $8.648,35 | 827 / 5 | $7.977,29 | 825 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 16 | 49 / 7 | $56.690,60 | 202 / 2 | $22.139,80 | 539 / 2 | $19.743,80 | 536 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 15 | 41 / 6 | $37.627,70 | 258 / 1 | $16.065,70 | 445 / 5 | $12.686,10 | 444 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 8 | $65.007,40 | 183 / 1 | $24.637,40 | 619 / 1 | $21.653,80 | 619 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 14 | $21.189,70 | 338 / 5 | $7.397,40 | 938 / 1 | $6.509,93 | 936 / 4 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 15 | $12.894,30 | 534 / 5 | $5.416,86 | 1431 / 6 | $4.294,57 | 1420 / 6 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 8 | $25.717,80 | 234 / 4 | $10.081,60 | 600 / 2 | $9.130,79 | 598 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 21 | $14.770,70 | 827 / 8 | $5.235,29 | 1477 / 7 | $4.378,14 | 1465 / 10 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 13 | $15.890,60 | 580 / 6 | $4.766,14 | 916 / 2 | $3.728,43 | 913 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 8 | $18.744,80 | 207 / 2 | $7.363,00 | 580 / 1 | $6.806,69 | 580 / 4 |
| Digestive Malignancy W Mcc | 13 | 24 / 2 | $47.552,80 | 59 / 1 | $15.235,40 | 79 / 1 | $14.400,90 | 79 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 5 | $30.624,30 | 46 / 1 | $15.405,10 | 394 / 2 | $12.177,10 | 391 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 16 | $14.853,00 | 718 / 8 | $5.432,25 | 1456 / 6 | $4.317,58 | 1448 / 6 |
| Cellulitis W Mcc | 12 | 46 / 9 | $23.729,30 | 202 / 3 | $12.402,50 | 349 / 8 | $8.098,17 | 348 / 1 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 10 | $22.928,50 | 546 / 5 | $7.339,50 | 960 / 2 | $6.384,83 | 957 / 5 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 11 | $34.773,80 | 214 / 4 | $13.923,30 | 534 / 8 | $10.246,30 | 534 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 14 | $22.696,00 | 325 / 2 | $8.752,58 | 896 / 1 | $7.758,58 | 891 / 2 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 13 | $25.971,80 | 343 / 3 | $9.260,00 | 708 / 1 | $8.375,64 | 704 / 2 |
| Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 8 | $20.932,50 | 162 / 1 | $7.839,55 | 732 / 1 | $6.859,18 | 729 / 1 | Total 63 procedures | 2.391 | 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.