Hospital Costs > In Massachusetts > Mount Auburn Hospital, procedure costs
| 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 Mcc | 165 | 399 / 22 | $19.862,00 | 16 / 1 | $18.447,30 | 2449 / 44 | $16.825,60 | 2403 / 45 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 139 | 377 / 28 | $25.222,80 | 550 / 41 | $16.264,30 | 2466 / 46 | $14.843,20 | 2422 / 45 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 109 | 166 / 23 | $9.881,72 | 200 / 20 | $6.796,01 | 2332 / 43 | $5.657,04 | 2317 / 41 |
| Heart Failure & Shock W Cc | 100 | 178 / 21 | $13.840,50 | 447 / 37 | $9.012,20 | 2368 / 46 | $7.633,03 | 2362 / 44 |
| Kidney & Urinary Tract Infections W/O Mcc | 95 | 138 / 16 | $11.074,50 | 401 / 31 | $6.964,01 | 2297 / 43 | $5.754,21 | 2286 / 41 |
| G.I. Hemorrhage W Cc | 75 | 143 / 17 | $16.201,60 | 412 / 35 | $8.916,64 | 2081 / 42 | $7.642,92 | 2077 / 40 |
| Simple Pneumonia & Pleurisy W Cc | 73 | 130 / 20 | $11.289,50 | 197 / 22 | $8.610,01 | 2418 / 43 | $7.352,16 | 2409 / 43 |
| Heart Failure & Shock W Mcc | 71 | 213 / 29 | $17.544,30 | 278 / 27 | $13.106,80 | 2305 / 46 | $11.899,70 | 2295 / 43 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 61 | 146 / 19 | $15.850,60 | 422 / 38 | $9.713,29 | 2190 / 41 | $7.993,21 | 2181 / 39 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 60 | 106 / 19 | $13.552,80 | 768 / 45 | $6.669,92 | 2192 / 45 | $5.514,85 | 2184 / 43 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 54 | 134 / 14 | $19.485,90 | 99 / 10 | $9.700,57 | 1396 / 20 | $8.146,02 | 1393 / 19 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 52 | 144 / 11 | $59.359,80 | 440 / 19 | $18.965,30 | 1327 / 13 | $15.805,20 | 1320 / 13 |
| Syncope & Collapse | 52 | 117 / 18 | $10.837,60 | 134 / 26 | $6.509,25 | 1566 / 35 | $5.380,04 | 1559 / 34 |
| Cellulitis W/O Mcc | 47 | 142 / 34 | $9.271,43 | 181 / 24 | $7.667,02 | 2256 / 45 | $6.351,64 | 2248 / 44 |
| Medical Back Problems W/O Mcc | 46 | 75 / 13 | $12.014,30 | 99 / 16 | $7.710,50 | 1249 / 27 | $6.294,28 | 1245 / 28 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 46 | 47 / 6 | $9.458,13 | 184 / 22 | $6.446,43 | 1696 / 36 | $5.113,93 | 1688 / 36 |
| Hip & Femur Procedures Except Major Joint W Cc | 45 | 98 / 16 | $22.265,70 | 53 / 8 | $16.928,30 | 1852 / 39 | $15.547,60 | 1832 / 38 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 45 | 116 / 22 | $10.869,90 | 165 / 21 | $7.216,89 | 1846 / 36 | $6.022,98 | 1841 / 37 |
| Heart Failure & Shock W/O Cc/Mcc | 44 | 66 / 11 | $12.791,60 | 574 / 45 | $7.072,50 | 1843 / 43 | $5.886,11 | 1830 / 44 |
| Seizures W/O Mcc | 43 | 65 / 10 | $13.545,70 | 191 / 29 | $7.141,37 | 987 / 34 | $5.490,67 | 985 / 27 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 42 | 21 / 2 | $10.584,00 | 69 / 15 | $6.840,12 | 656 / 23 | $5.494,71 | 654 / 22 |
| Signs & Symptoms W/O Mcc | 41 | 50 / 5 | $11.681,30 | 169 / 24 | $6.194,39 | 1072 / 28 | $5.251,17 | 1069 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 16 | $18.409,50 | 382 / 40 | $9.597,46 | 1800 / 41 | $8.198,98 | 1796 / 39 |
| Respiratory Infections & Inflammations W Cc | 41 | 47 / 11 | $16.715,10 | 146 / 24 | $11.632,90 | 1287 / 30 | $10.360,50 | 1282 / 30 |
| Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 31 | $19.146,80 | 333 / 35 | $12.778,90 | 2212 / 44 | $11.407,90 | 2206 / 44 |
| Chest Pain | 37 | 114 / 12 | $10.369,00 | 165 / 22 | $5.545,14 | 1388 / 25 | $4.615,38 | 1380 / 28 |
| Red Blood Cell Disorders W/O Mcc | 36 | 107 / 17 | $11.770,00 | 202 / 27 | $7.249,44 | 1705 / 34 | $6.367,53 | 1696 / 35 |
| Kidney & Urinary Tract Infections W Mcc | 35 | 109 / 22 | $14.368,70 | 202 / 28 | $9.861,31 | 1688 / 37 | $8.580,60 | 1684 / 36 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 20 | $14.579,80 | 108 / 21 | $10.770,60 | 1669 / 39 | $9.688,97 | 1666 / 40 |
| Renal Failure W Mcc | 33 | 162 / 29 | $18.666,20 | 178 / 20 | $13.604,30 | 1799 / 38 | $11.814,50 | 1795 / 33 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 34 | $14.538,10 | 286 / 33 | $10.429,00 | 2258 / 45 | $9.126,32 | 2250 / 45 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 20 | $9.321,53 | 271 / 29 | $5.177,63 | 1674 / 33 | $4.001,73 | 1668 / 33 |
| Fractures Of Hip & Pelvis W/O Mcc | 30 | 31 / 6 | $12.198,30 | 170 / 24 | $6.566,17 | 780 / 27 | $5.101,23 | 779 / 26 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 15 | $16.825,60 | 353 / 30 | $6.847,28 | 1354 / 30 | $5.486,97 | 1350 / 30 |
| Renal Failure W Cc | 28 | 193 / 39 | $13.931,40 | 379 / 41 | $8.640,93 | 2050 / 43 | $7.232,75 | 2040 / 39 |
| Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 40 | $10.604,60 | 136 / 22 | $8.406,56 | 2106 / 44 | $7.127,19 | 2099 / 42 |
| Respiratory Infections & Inflammations W Mcc | 27 | 109 / 25 | $21.783,90 | 141 / 24 | $16.990,00 | 1556 / 36 | $14.767,40 | 1540 / 32 |
| Dysequilibrium | 26 | 39 / 6 | $13.557,20 | 99 / 19 | $5.769,77 | 429 / 18 | $4.486,08 | 429 / 18 |
| G.I. Hemorrhage W/O Cc/Mcc | 26 | 42 / 6 | $10.305,70 | 112 / 12 | $6.398,62 | 845 / 19 | $5.326,23 | 841 / 19 |
| Major Small & Large Bowel Procedures W Mcc | 25 | 60 / 11 | $64.234,30 | 92 / 16 | $40.741,70 | 1026 / 19 | $38.300,00 | 1024 / 20 |
| G.I. Obstruction W/O Cc/Mcc | 25 | 46 / 11 | $9.043,08 | 88 / 13 | $5.818,60 | 1078 / 27 | $4.215,12 | 1075 / 23 |
| Other Digestive System Diagnoses W Cc | 25 | 72 / 15 | $14.514,10 | 137 / 29 | $8.769,16 | 1211 / 32 | $7.524,72 | 1207 / 32 |
| Major Small & Large Bowel Procedures W Cc | 25 | 83 / 16 | $32.052,40 | 74 / 10 | $22.741,70 | 1405 / 28 | $20.947,40 | 1391 / 29 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 23 | $9.188,96 | 165 / 21 | $6.830,28 | 1621 / 40 | $4.701,48 | 1610 / 25 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 16 | $37.643,10 | 266 / 30 | $20.593,00 | 1589 / 32 | $18.759,20 | 1575 / 31 |
| Spinal Fusion Except Cervical W/O Mcc | 24 | 170 / 18 | $31.125,00 | 12 / 1 | $35.447,30 | 1269 / 16 | $34.004,40 | 1264 / 16 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 24 | 52 / 7 | $59.252,40 | 17 / 3 | $40.618,20 | 580 / 5 | $38.895,90 | 580 / 7 |
| Transient Ischemia | 24 | 101 / 19 | $12.643,90 | 156 / 21 | $6.364,29 | 1396 / 28 | $5.232,96 | 1389 / 29 |
| Other Disorders Of Nervous System W Cc | 23 | 33 / 9 | $13.333,70 | 55 / 19 | $8.194,35 | 433 / 23 | $6.087,87 | 433 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 20 | $28.841,30 | 306 / 27 | $14.511,00 | 1308 / 24 | $13.077,20 | 1302 / 24 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 15 | $18.521,10 | 334 / 31 | $9.938,10 | 1307 / 27 | $8.156,52 | 1304 / 21 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 20 | 104 / 25 | $10.975,60 | 163 / 24 | $6.378,30 | 674 / 32 | $5.438,00 | 673 / 32 |
| Otitis Media & Uri W/O Mcc | 20 | 24 / 7 | $10.255,90 | 20 / 6 | $6.162,40 | 138 / 10 | $4.457,90 | 138 / 6 |
| Degenerative Nervous System Disorders W/O Mcc | 19 | 59 / 12 | $13.333,50 | 75 / 14 | $8.659,58 | 576 / 17 | $6.577,42 | 576 / 9 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 19 | 28 / 7 | $10.390,90 | 39 / 8 | $6.537,53 | 276 / 15 | $5.326,16 | 276 / 14 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 16 | $13.443,00 | 80 / 16 | $9.644,16 | 897 / 23 | $8.473,68 | 895 / 20 |
| Other Vascular Procedures W Cc | 19 | 83 / 16 | $44.662,10 | 138 / 12 | $23.691,70 | 1027 / 16 | $21.490,20 | 1022 / 14 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 19 | 38 / 9 | $23.759,90 | 14 / 2 | $18.235,50 | 651 / 9 | $16.993,90 | 650 / 10 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 19 | 99 / 11 | $53.719,30 | 5 / 1 | $44.547,60 | 472 / 3 | $42.759,00 | 472 / 5 |
| Peripheral Vascular Disorders W Cc | 18 | 66 / 16 | $8.737,44 | 22 / 7 | $8.365,50 | 1027 / 22 | $7.405,39 | 1024 / 24 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 18 | $17.895,90 | 217 / 26 | $9.460,28 | 1249 / 27 | $8.123,61 | 1247 / 27 |
| Diabetes W Cc | 18 | 74 / 22 | $13.539,60 | 237 / 29 | $7.346,78 | 1290 / 30 | $6.119,28 | 1285 / 28 |
| Endocrine Disorders W Cc | 18 | 20 / 5 | $15.736,70 | 34 / 7 | $9.168,94 | 238 / 8 | $8.195,28 | 238 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 24 | $13.462,10 | 55 / 14 | $10.620,90 | 1217 / 30 | $9.478,29 | 1212 / 29 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 32 | $22.494,80 | 217 / 28 | $15.438,50 | 1547 / 35 | $13.417,20 | 1534 / 33 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 16 | $11.269,00 | 151 / 22 | $5.889,44 | 712 / 26 | $4.888,56 | 711 / 24 |
| Other Circulatory System Diagnoses W Cc | 16 | 50 / 13 | $10.291,60 | 28 / 3 | $8.486,12 | 556 / 15 | $7.588,62 | 555 / 15 |
| G.I. Hemorrhage W Mcc | 16 | 105 / 28 | $36.735,70 | 575 / 36 | $18.335,40 | 1540 / 35 | $15.966,20 | 1530 / 33 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 16 | 52 / 12 | $9.581,56 | 31 / 8 | $7.993,94 | 602 / 16 | $6.932,00 | 602 / 15 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 10 | $18.695,60 | 30 / 4 | $14.308,30 | 798 / 14 | $12.212,80 | 795 / 12 |
| Other Respiratory System Diagnoses W/O Mcc | 15 | 31 / 9 | $10.386,90 | 18 / 5 | $6.986,33 | 242 / 12 | $5.984,87 | 242 / 14 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 20 | $12.320,80 | 81 / 13 | $8.978,40 | 1099 / 27 | $7.186,33 | 1096 / 25 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 22 | $73.116,50 | 198 / 23 | $44.869,70 | 1326 / 22 | $42.723,20 | 1316 / 22 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 17 | $15.456,50 | 112 / 21 | $9.042,46 | 664 / 19 | $7.443,77 | 664 / 16 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 17 | $10.451,80 | 5 / 1 | $9.628,92 | 676 / 15 | $8.294,77 | 675 / 17 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 13 | 53 / 11 | $17.794,00 | 51 / 9 | $9.385,92 | 406 / 5 | $8.245,92 | 405 / 6 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 12 | 42 / 10 | $7.254,58 | 3 / 1 | $8.736,83 | 359 / 7 | $7.802,58 | 359 / 8 |
| Fever | 12 | 34 / 11 | $16.587,80 | 54 / 11 | $7.724,17 | 273 / 11 | $6.763,75 | 273 / 9 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 17 | $30.413,30 | 23 / 1 | $21.448,20 | 829 / 15 | $20.302,20 | 825 / 15 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 12 | 34 / 6 | $11.357,80 | 10 / 2 | $8.719,00 | 197 / 6 | $7.409,50 | 197 / 6 |
| G.I. Obstruction W Cc | 12 | 80 / 29 | $13.448,50 | 188 / 26 | $8.155,08 | 1502 / 37 | $6.740,92 | 1497 / 32 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 11 | $16.621,70 | 36 / 4 | $10.515,70 | 393 / 8 | $9.681,18 | 393 / 9 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 23 | $9.674,36 | 44 / 12 | $7.828,55 | 926 / 27 | $6.823,27 | 922 / 28 |
| Hypertension W/O Mcc | 11 | 54 / 12 | $11.386,00 | 94 / 13 | $5.771,36 | 597 / 13 | $4.350,55 | 595 / 10 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 15 | $16.554,10 | 11 / 1 | $14.173,50 | 688 / 14 | $12.931,20 | 688 / 15 |
| Bone Diseases & Arthropathies W/O Mcc | 11 | 33 / 10 | $9.457,73 | 38 / 7 | $6.747,45 | 203 / 15 | $5.394,55 | 203 / 15 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 11 | $8.310,18 | 22 / 5 | $6.190,36 | 296 / 11 | $5.071,64 | 296 / 13 | Total 87 procedures | 2.888 | 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.