Hospital Costs > In Massachusetts > Nashoba Valley Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 23 | $13.616,40 | 229 / 27 | $7.863,75 | 1656 / 2 | $7.108,42 | 1648 / 10 |
| Heart Failure & Shock W Cc | 43 | 235 / 45 | $12.185,70 | 284 / 26 | $6.599,88 | 1712 / 3 | $6.012,72 | 1707 / 8 |
| Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 38 | $8.760,50 | 176 / 18 | $5.099,40 | 1403 / 3 | $4.250,00 | 1394 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 38 | $10.774,40 | 156 / 21 | $6.630,24 | 1621 / 4 | $5.637,27 | 1614 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 30 | 245 / 48 | $9.643,13 | 183 / 17 | $5.088,00 | 1443 / 2 | $4.081,07 | 1432 / 5 |
| Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 20 | $11.584,60 | 419 / 39 | $4.505,37 | 964 / 2 | $3.699,44 | 956 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 42 | $12.759,80 | 299 / 36 | $6.378,88 | 1645 / 4 | $5.747,84 | 1638 / 12 |
| Cellulitis W/O Mcc | 24 | 165 / 48 | $12.160,40 | 489 / 44 | $5.779,54 | 1480 / 6 | $4.699,54 | 1473 / 7 |
| G.I. Hemorrhage W Cc | 23 | 195 / 39 | $16.680,60 | 461 / 37 | $6.566,52 | 1542 / 2 | $6.040,61 | 1538 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 22 | 542 / 50 | $39.753,80 | 742 / 44 | $14.730,60 | 2007 / 4 | $13.632,40 | 1965 / 16 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 19 | $10.420,80 | 256 / 33 | $4.875,25 | 1148 / 3 | $3.837,70 | 1142 / 3 |
| Renal Failure W Cc | 19 | 202 / 44 | $10.337,20 | 115 / 20 | $6.275,58 | 1253 / 1 | $5.446,95 | 1245 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 40 | $9.706,62 | 283 / 28 | $4.723,81 | 1241 / 2 | $3.838,81 | 1237 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 30 | $9.898,20 | 234 / 26 | $5.309,53 | 1029 / 9 | $3.763,87 | 1020 / 2 |
| Heart Failure & Shock W Mcc | 14 | 270 / 47 | $13.159,90 | 89 / 11 | $9.129,43 | 1165 / 1 | $8.528,29 | 1162 / 2 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 35 | $13.708,00 | 331 / 32 | $5.489,31 | 1096 / 2 | $4.647,46 | 1089 / 5 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 15 | $11.017,00 | 133 / 15 | $4.646,77 | 561 / 1 | $3.903,38 | 557 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 31 | $8.155,08 | 157 / 20 | $3.798,08 | 932 / 2 | $2.771,62 | 927 / 4 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 10 | $11.862,10 | 45 / 12 | $4.590,67 | 152 / 1 | $3.582,67 | 152 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 12 | 504 / 53 | $16.328,90 | 108 / 7 | $11.769,80 | 1114 / 3 | $10.342,30 | 1098 / 2 |
| G.I. Obstruction W Cc | 11 | 81 / 30 | $13.701,50 | 205 / 27 | $6.116,82 | 769 / 5 | $4.779,09 | 767 / 1 |
| Syncope & Collapse | 11 | 158 / 42 | $10.205,30 | 114 / 22 | $4.970,82 | 1029 / 2 | $4.098,09 | 1022 / 4 | Total 22 procedures | 484 | 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.