Hospital Costs > In Rhode Island > Miriam Hospital, procedure costs

Miriam Hospital, procedure costs

164 Summit Avenue, Providence, RI 02906,

Procedure Costs @ Miriam Hospital
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc401186 / 1$42.449,10892 / 8$15.996,001878 / 6$13.139,701836 / 7
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc292226 / 2$47.362,601680 / 7$13.870,602020 / 6$12.446,701983 / 6
Heart Failure & Shock W Cc180100 / 2$22.808,501464 / 7$6.799,811583 / 5$5.853,701578 / 5
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc175101 / 2$23.852,601790 / 10$5.652,411799 / 5$4.477,031786 / 4
Kidney & Urinary Tract Infections W/O Mcc131102 / 2$20.376,601616 / 7$5.456,861494 / 5$4.344,431483 / 5
Heart Failure & Shock W Mcc126158 / 2$37.675,401541 / 9$10.623,301593 / 5$9.263,861588 / 4
G.I. Hemorrhage W Cc12197 / 1$24.014,201124 / 7$7.205,271610 / 4$6.175,911606 / 4
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc10492 / 1$96.654,401125 / 3$16.694,401034 / 2$12.747,001027 / 2
Cellulitis W/O Mcc10386 / 2$21.332,401612 / 8$6.324,851551 / 4$4.781,771544 / 4
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc97110 / 2$25.661,501305 / 8$7.737,141640 / 5$6.490,321633 / 5
Renal Failure W Cc93128 / 2$22.216,301198 / 6$6.619,661287 / 4$5.481,081279 / 4
Kidney & Urinary Tract Infections W Mcc8856 / 1$28.649,801121 / 6$7.655,41764 / 5$6.048,05763 / 4
Chronic Obstructive Pulmonary Disease W Mcc79123 / 3$31.089,001541 / 8$8.759,571707 / 6$7.221,321699 / 5
Chronic Obstructive Pulmonary Disease W Cc76103 / 3$25.715,001485 / 9$6.634,921581 / 4$5.644,421574 / 5
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc6997 / 1$18.809,801434 / 4$5.056,361407 / 3$3.975,831402 / 3
Pulmonary Edema & Respiratory Failure68135 / 2$47.412,201703 / 8$9.520,101738 / 5$8.639,401733 / 5
G.I. Hemorrhage W Mcc6655 / 1$38.459,30638 / 6$12.306,90991 / 5$11.231,50984 / 4
Cardiac Arrhythmia & Conduction Disorders W Cc6596 / 3$20.955,701122 / 7$5.794,341291 / 4$4.637,781286 / 4
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents6337 / 1$147.194,00810 / 3$27.683,00885 / 2$26.061,20880 / 2
Simple Pneumonia & Pleurisy W Cc63140 / 3$23.891,001534 / 7$7.168,781643 / 5$5.663,301636 / 4
Renal Failure W Mcc59136 / 2$35.045,701049 / 6$10.539,001297 / 4$9.646,411297 / 4
Major Small & Large Bowel Procedures W Cc5652 / 1$68.062,90819 / 8$19.437,201176 / 6$17.298,001162 / 6
Acute Myocardial Infarction, Discharged Alive W Mcc5669 / 4$43.163,10936 / 8$12.110,201096 / 6$10.640,601091 / 5
Syncope & Collapse56113 / 2$21.074,60950 / 4$5.471,201068 / 1$4.170,591061 / 1
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs56126 / 2$24.521,50765 / 4$7.299,05870 / 3$5.651,61868 / 2
Cardiac Arrhythmia & Conduction Disorders W Mcc5172 / 2$26.159,00737 / 6$8.916,351198 / 5$7.608,901195 / 5
Circulatory Disorders Except Ami, W Card Cath W/O Mcc50138 / 2$40.732,30969 / 3$8.112,961141 / 3$6.818,521138 / 3
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc4773 / 3$19.326,501217 / 7$5.175,081301 / 4$4.072,321290 / 4
Heart Failure & Shock W/O Cc/Mcc4565 / 2$17.172,201074 / 6$4.967,07999 / 5$3.732,02991 / 4
Chest Pain44107 / 3$17.875,70758 / 4$4.671,95754 / 3$3.214,23749 / 2
Respiratory Infections & Inflammations W Mcc4492 / 3$33.153,80521 / 4$13.177,001144 / 3$12.264,201130 / 3
Simple Pneumonia & Pleurisy W Mcc43162 / 4$34.181,301299 / 7$10.083,701448 / 5$8.601,071448 / 4
Major Gastrointestinal Disorders & Peritoneal Infections W Cc4231 / 1$25.841,40514 / 2$8.218,60548 / 1$6.773,00546 / 1
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc40110 / 2$13.611,20812 / 4$4.553,80901 / 4$2.749,02897 / 3
Acute Myocardial Infarction, Discharged Alive W Cc4051 / 2$31.285,90787 / 6$7.724,521027 / 3$6.796,021025 / 4
Medical Back Problems W/O Mcc3982 / 2$23.286,40743 / 4$5.761,54645 / 2$4.471,95643 / 2
Bronchitis & Asthma W Cc/Mcc3937 / 1$25.188,20594 / 4$6.384,54633 / 2$5.195,28629 / 3
Other Kidney & Urinary Tract Diagnoses W Mcc3962 / 2$34.437,40511 / 2$10.809,30701 / 2$10.210,10699 / 3
Hip & Femur Procedures Except Major Joint W Cc38105 / 2$44.883,90836 / 8$14.161,201505 / 7$12.818,601487 / 7
Otitis Media & Uri W/O Mcc3710 / 1$19.541,0094 / 2$4.982,1466 / 1$3.441,6866 / 1
Other Digestive System Diagnoses W Cc3760 / 2$26.448,40737 / 5$7.163,76901 / 3$6.133,35897 / 4
Red Blood Cell Disorders W/O Mcc36107 / 2$20.277,40920 / 6$5.896,141136 / 4$4.707,721128 / 4
G.I. Obstruction W/O Cc/Mcc3635 / 1$16.732,10645 / 3$4.441,78690 / 3$3.241,42688 / 3
Simple Pneumonia & Pleurisy W/O Cc/Mcc3558 / 2$17.969,801022 / 4$5.050,741190 / 2$3.892,201184 / 3
Respiratory Infections & Inflammations W Cc3355 / 2$26.746,80555 / 3$9.247,18920 / 3$8.356,91915 / 2
Esophagitis, Gastroent & Misc Digest Disorders W Mcc3165 / 2$27.863,50559 / 2$8.703,32820 / 1$7.487,45815 / 2
Degenerative Nervous System Disorders W/O Mcc3147 / 1$21.923,50292 / 2$6.394,23297 / 1$5.261,77297 / 1
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc3035 / 1$62.221,60283 / 1$20.523,70406 / 1$18.406,30404 / 1
Cellulitis W Mcc3028 / 1$41.306,40621 / 3$11.102,70677 / 1$9.793,57675 / 2
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc3094 / 3$17.507,60429 / 2$4.874,57431 / 1$4.181,73430 / 1
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc3072 / 2$24.597,40883 / 4$5.619,03903 / 3$4.133,67899 / 3
Transient Ischemia2996 / 1$21.923,30798 / 5$5.094,28950 / 2$3.946,52945 / 3
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc2997 / 2$24.500,80671 / 2$7.897,101012 / 1$7.116,451009 / 1
G.I. Obstruction W Cc2864 / 1$23.312,80885 / 5$6.497,751029 / 4$5.172,181026 / 5
Pulmonary Embolism W/O Mcc2747 / 1$27.423,60744 / 3$6.861,07678 / 1$5.515,67675 / 1
Infectious & Parasitic Diseases W O.R. Procedure W Mcc2797 / 3$98.236,30469 / 4$35.904,10947 / 3$34.611,60941 / 4
Complications Of Treatment W Cc2626 / 1$35.036,50262 / 2$7.797,31224 / 1$6.810,65224 / 1
Diabetes W Cc2666 / 3$21.679,90804 / 3$5.969,96902 / 1$4.905,31898 / 1
Intracranial Hemorrhage Or Cerebral Infarction W Mcc25143 / 2$42.778,20769 / 3$13.108,601148 / 4$11.796,401142 / 4
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc2571 / 1$54.599,80411 / 1$15.420,00618 / 1$14.145,40614 / 1
Renal Failure W/O Cc/Mcc2531 / 1$16.377,60435 / 1$4.461,04391 / 1$3.293,60390 / 1
Carotid Artery Stent Procedure W/O Cc/Mcc249 / 1$52.490,1061 / 1$12.374,8073 / 1$11.320,9073 / 1
Other Vascular Procedures W Cc2280 / 2$125.279,00995 / 3$22.694,501037 / 2$21.852,401032 / 3
Other Digestive System Diagnoses W/O Cc/Mcc2221 / 1$20.429,70172 / 1$5.155,82132 / 1$3.478,68132 / 1
Major Cardiovasc Procedures W/O Mcc2180 / 2$106.437,00643 / 3$25.284,90567 / 2$20.950,90567 / 1
Laparoscopic Cholecystectomy W/O C.D.E. W Cc2135 / 1$54.358,70518 / 2$12.078,70666 / 2$10.795,20664 / 2
Peripheral Vascular Disorders W Cc2163 / 2$21.404,20471 / 3$6.905,05728 / 3$5.948,86725 / 3
Revision Of Hip Or Knee Replacement W Cc2165 / 1$55.306,00112 / 1$23.539,00330 / 1$19.810,50329 / 1
Inflammatory Bowel Disease W Cc2111 / 1$30.770,1094 / 2$7.475,0076 / 1$6.269,5276 / 1
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc2132 / 2$28.882,60552 / 3$5.524,76540 / 1$4.433,57536 / 1
Major Male Pelvic Procedures W/O Cc/Mcc2152 / 1$39.156,70178 / 1$9.352,81258 / 1$8.115,90258 / 1
Nonspecific Cerebrovascular Disorders W Cc2036 / 1$23.338,40190 / 2$6.561,10259 / 1$5.810,20259 / 1
Cranial & Peripheral Nerve Disorders W/O Mcc2048 / 2$25.351,30364 / 2$6.419,80422 / 1$5.506,80422 / 1
Major Chest Procedures W Cc2054 / 2$73.243,50285 / 2$18.502,90360 / 1$17.497,20358 / 1
Spinal Fusion Except Cervical W/O Mcc20174 / 5$61.451,60235 / 5$30.457,20870 / 3$24.757,70866 / 3
Other Vascular Procedures W Mcc1978 / 2$122.709,00747 / 2$25.129,70726 / 1$24.081,20723 / 1
Major Small & Large Bowel Procedures W/O Cc/Mcc1945 / 1$39.781,20297 / 1$12.229,00517 / 1$10.097,60517 / 2
Respiratory System Diagnosis W Ventilator Support <96 Hours19112 / 3$75.337,901239 / 4$17.694,301386 / 2$16.392,101372 / 2
Disorders Of Pancreas Except Malignancy W Cc1942 / 2$27.193,80547 / 3$6.759,79611 / 1$5.685,74608 / 2
Poisoning & Toxic Effects Of Drugs W Mcc1953 / 3$34.732,60464 / 2$9.776,42460 / 2$8.375,37459 / 1
Dysequilibrium1946 / 2$19.599,30238 / 1$4.754,53209 / 1$3.193,68209 / 1
Respiratory Neoplasms W Cc1928 / 1$27.240,60157 / 1$8.572,58289 / 1$7.469,42288 / 1
Major Chest Procedures W/O Cc/Mcc1940 / 1$53.145,60138 / 1$12.600,70154 / 1$11.560,80154 / 1
Major Small & Large Bowel Procedures W Mcc1867 / 2$203.368,001055 / 6$45.571,101151 / 5$43.589,901149 / 5
O.R. Procedures For Obesity W/O Cc/Mcc1859 / 2$43.283,20207 / 2$11.858,50250 / 1$9.536,78250 / 1
Other Kidney & Urinary Tract Diagnoses W Cc1885 / 2$24.070,90360 / 2$7.089,33512 / 2$6.376,56512 / 2
Signs & Symptoms W/O Mcc1774 / 3$27.130,60964 / 4$5.091,41798 / 2$4.291,82795 / 2
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1753 / 2$24.220,80272 / 1$6.503,06215 / 1$5.400,76215 / 1
Peripheral Vascular Disorders W Mcc1633 / 1$33.141,10264 / 1$9.752,12360 / 1$8.970,69360 / 1
Major Joint/Limb Reattachment Procedure Of Upper Extremities1653 / 1$65.232,20241 / 1$18.806,90334 / 1$16.404,40334 / 1
Other Circulatory System Diagnoses W Mcc16100 / 3$64.131,00982 / 3$14.153,20937 / 2$12.997,20930 / 2
G.I. Hemorrhage W/O Cc/Mcc1652 / 2$15.362,60353 / 4$5.389,19432 / 2$3.613,75428 / 1
Respiratory Neoplasms W Mcc1636 / 1$46.070,10329 / 1$12.509,80412 / 1$11.404,80410 / 1
Other Disorders Of Nervous System W Cc1640 / 3$20.060,50178 / 1$6.306,62310 / 1$5.336,62310 / 1
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1547 / 2$21.205,50412 / 3$5.162,40333 / 1$4.005,00333 / 1
Bone Diseases & Arthropathies W/O Mcc1529 / 2$18.450,50144 / 1$6.239,5361 / 1$3.592,4061 / 1
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1532 / 1$38.687,70286 / 1$9.224,20390 / 1$7.224,47389 / 1
Other Circulatory System Diagnoses W Cc1551 / 3$26.469,30340 / 2$6.782,00390 / 1$6.003,93389 / 1
Permanent Cardiac Pacemaker Implant W Cc1562 / 2$66.017,00432 / 2$17.483,70575 / 1$16.493,90574 / 1
Poisoning & Toxic Effects Of Drugs W/O Mcc1447 / 3$18.851,90472 / 2$4.616,43421 / 1$3.636,79420 / 1
Major Cardiovasc Procedures W Mcc1454 / 2$159.702,00383 / 2$37.661,90416 / 1$36.671,30415 / 1
Other Digestive System Diagnoses W Mcc1448 / 2$31.595,70186 / 1$12.121,50427 / 1$11.110,90426 / 1
Permanent Cardiac Pacemaker Implant W Mcc1438 / 1$87.374,20252 / 2$25.416,70393 / 1$24.311,40393 / 2
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc1481 / 2$54.639,90138 / 1$16.703,30236 / 1$11.320,70234 / 1
Malignancy Of Hepatobiliary System Or Pancreas W Mcc1340 / 2$39.489,4098 / 1$12.629,30185 / 1$11.640,80186 / 1
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc1327 / 1$42.648,4066 / 1$12.190,2045 / 1$8.213,6245 / 1
Bronchitis & Asthma W/O Cc/Mcc1332 / 3$18.706,90192 / 2$4.702,15196 / 1$3.570,00196 / 1
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc1340 / 2$25.762,80139 / 1$10.911,30180 / 1$6.847,92180 / 1
Disorders Of The Biliary Tract W Cc1341 / 2$39.187,20316 / 2$7.493,23253 / 1$6.521,15253 / 1
Fever1333 / 1$27.629,50201 / 1$6.256,38187 / 1$5.292,31187 / 1
Seizures W/O Mcc1395 / 3$21.318,50621 / 5$5.927,15165 / 2$3.474,69164 / 2
Kidney & Urinary Tract Signs & Symptoms W/O Mcc1217 / 1$26.153,40107 / 1$4.943,1747 / 1$3.787,5047 / 1
Fractures Of Hip & Pelvis W/O Mcc1249 / 2$22.053,50584 / 2$4.960,75440 / 1$3.810,08440 / 1
Inflammatory Bowel Disease W/O Cc/Mcc126 / 1$31.616,809 / 1$5.676,335 / 1$4.594,585 / 1
Circulatory Disorders Except Ami, W Card Cath W Mcc1281 / 3$64.402,30526 / 2$19.365,80366 / 2$11.947,20361 / 1
Kidney & Ureter Procedures For Neoplasm W Cc1232 / 1$45.834,6048 / 1$14.802,10100 / 1$13.436,70100 / 1
Interstitial Lung Disease W Mcc1213 / 1$39.417,9044 / 1$11.686,2033 / 1$9.662,4233 / 1
Pulmonary Embolism W Mcc1231 / 3$56.055,60461 / 4$12.355,00498 / 3$11.347,60497 / 3
Diabetes W Mcc1245 / 4$26.056,50197 / 1$9.174,42330 / 1$8.274,92330 / 1
Organic Disturbances & Mental Retardation1148 / 3$21.871,40213 / 2$7.006,36227 / 1$5.788,55227 / 1
Carotid Artery Stent Procedure W Cc119 / 1$78.416,5017 / 1$15.731,7015 / 1$14.663,5015 / 1
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc1180 / 2$36.364,60227 / 1$8.594,36146 / 1$7.083,91146 / 1
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1145 / 2$33.482,00278 / 2$11.749,40674 / 1$10.454,40671 / 2
Malignancy Of Hepatobiliary System Or Pancreas W Cc1120 / 1$36.886,30113 / 1$8.354,0996 / 1$7.229,2796 / 1
Digestive Malignancy W Cc1136 / 2$35.378,70198 / 1$9.154,91226 / 1$8.075,91224 / 1
Endocrine Disorders W Cc1127 / 2$24.211,20127 / 2$7.119,18150 / 1$6.198,09150 / 1
G.I. Obstruction W Mcc1131 / 2$33.771,30179 / 1$11.509,10324 / 1$10.465,40324 / 1
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc1118 / 1$19.526,1058 / 1$5.143,2739 / 1$4.245,4539 / 1
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc1145 / 3$35.343,50221 / 1$12.145,40309 / 1$11.318,60308 / 1
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc1121 / 1$27.480,5038 / 1$8.560,9179 / 1$7.341,1879 / 1
Peripheral Vascular Disorders W/O Cc/Mcc1134 / 1$18.111,60191 / 1$5.192,09125 / 1$3.364,73125 / 1
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1152 / 3$103.894,00246 / 1$32.186,40417 / 1$31.044,50417 / 1
Total 132 procedures5.113discharges

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.