Hospital Costs > In Rhode Island > Newport 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 | 58 | 458 / 9 | $30.904,40 | 822 / 3 | $12.935,80 | 1456 / 4 | $10.949,60 | 1428 / 4 |
Heart Failure & Shock W Cc | 55 | 223 / 6 | $16.203,70 | 710 / 4 | $6.533,78 | 1534 / 3 | $5.812,33 | 1529 / 4 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 52 | 512 / 7 | $35.161,30 | 471 / 4 | $14.177,90 | 1743 / 4 | $12.669,60 | 1703 / 6 |
Heart Failure & Shock W Mcc | 48 | 236 / 5 | $27.658,40 | 952 / 6 | $10.709,60 | 1897 / 6 | $10.030,30 | 1892 / 6 |
Chronic Obstructive Pulmonary Disease W Cc | 41 | 138 / 5 | $16.919,60 | 696 / 5 | $7.592,85 | 1233 / 7 | $5.201,56 | 1228 / 4 |
G.I. Hemorrhage W Cc | 40 | 178 / 5 | $20.720,90 | 809 / 5 | $7.259,45 | 1709 / 5 | $6.378,23 | 1705 / 6 |
Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 4 | $18.501,40 | 968 / 6 | $6.951,72 | 1783 / 4 | $5.826,90 | 1775 / 5 |
Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 5 | $22.704,50 | 552 / 2 | $9.595,51 | 1398 / 3 | $8.492,06 | 1398 / 3 |
Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 6 | $23.946,40 | 1048 / 5 | $7.926,11 | 1650 / 4 | $7.099,60 | 1642 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 7 | $16.695,30 | 963 / 6 | $5.598,73 | 1868 / 4 | $4.573,48 | 1854 / 5 |
Kidney & Urinary Tract Infections W/O Mcc | 29 | 204 / 5 | $14.076,60 | 806 / 6 | $5.268,14 | 1456 / 4 | $4.309,24 | 1447 / 4 |
Cellulitis W/O Mcc | 28 | 161 / 7 | $13.977,50 | 724 / 3 | $5.662,32 | 1407 / 2 | $4.632,61 | 1400 / 3 |
Renal Failure W Cc | 28 | 193 / 5 | $15.309,20 | 490 / 2 | $6.621,25 | 1476 / 5 | $5.712,68 | 1467 / 5 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 7 | $24.709,70 | 282 / 3 | $10.471,20 | 789 / 3 | $9.691,50 | 788 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 4 | $16.704,90 | 255 / 1 | $7.185,88 | 1260 / 2 | $6.255,42 | 1257 / 3 |
Red Blood Cell Disorders W/O Mcc | 26 | 117 / 3 | $16.426,20 | 574 / 4 | $5.499,92 | 1044 / 3 | $4.567,00 | 1037 / 2 |
Pulmonary Edema & Respiratory Failure | 25 | 178 / 6 | $20.804,20 | 450 / 3 | $8.457,16 | 1474 / 3 | $7.777,48 | 1469 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 5 | $13.174,30 | 335 / 3 | $5.418,64 | 1198 / 3 | $4.500,88 | 1194 / 3 |
Respiratory Infections & Inflammations W Mcc | 23 | 113 / 5 | $30.394,40 | 395 / 3 | $13.510,70 | 1211 / 5 | $12.595,20 | 1196 / 4 |
G.I. Hemorrhage W Mcc | 21 | 100 / 5 | $24.390,90 | 157 / 1 | $11.328,90 | 889 / 3 | $10.807,80 | 884 / 3 |
Syncope & Collapse | 20 | 149 / 5 | $15.937,20 | 477 / 2 | $5.483,45 | 1234 / 2 | $4.454,65 | 1227 / 2 |
Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 6 | $25.406,30 | 86 / 2 | $12.809,20 | 1246 / 4 | $11.788,60 | 1230 / 4 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 6 | $8.133,22 | 154 / 1 | $3.995,06 | 1023 / 3 | $2.848,39 | 1018 / 4 |
Renal Failure W Mcc | 17 | 178 / 8 | $34.128,40 | 1011 / 5 | $11.911,20 | 1692 / 6 | $11.130,10 | 1690 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 7 | $26.852,80 | 784 / 7 | $11.058,20 | 1034 / 8 | $7.208,76 | 1031 / 4 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 5 | $12.538,20 | 535 / 3 | $4.746,06 | 1315 / 4 | $4.107,94 | 1305 / 5 |
Transient Ischemia | 16 | 109 / 5 | $10.781,20 | 90 / 1 | $5.109,81 | 656 / 3 | $3.537,06 | 652 / 2 |
Medical Back Problems W/O Mcc | 16 | 105 / 4 | $19.428,60 | 477 / 2 | $5.830,44 | 765 / 3 | $4.694,44 | 762 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 4 | $30.655,90 | 365 / 1 | $12.203,10 | 1007 / 2 | $11.080,90 | 1002 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 7 | $12.171,90 | 569 / 3 | $4.834,79 | 1095 / 2 | $3.717,07 | 1092 / 2 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 4 | $21.659,90 | 331 / 2 | $9.152,71 | 968 / 2 | $8.549,29 | 963 / 3 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 6 | $14.694,60 | 228 / 1 | $7.061,14 | 814 / 3 | $6.112,57 | 813 / 5 |
G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 3 | $10.800,90 | 128 / 1 | $4.834,57 | 555 / 1 | $3.886,00 | 551 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 2 | $35.418,80 | 175 / 1 | $11.061,60 | 444 / 1 | $9.279,92 | 443 / 1 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 5 | $115.583,00 | 520 / 4 | $47.343,10 | 1205 / 6 | $45.987,40 | 1202 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 5 | $10.939,50 | 62 / 1 | $5.138,46 | 821 / 2 | $4.023,38 | 817 / 2 |
Signs & Symptoms W/O Mcc | 13 | 78 / 4 | $15.434,50 | 364 / 1 | $4.780,62 | 700 / 1 | $4.032,31 | 697 / 1 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 4 | $26.985,70 | 724 / 2 | $7.142,50 | 971 / 2 | $6.433,17 | 968 / 2 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 6 | $8.287,50 | 101 / 1 | $5.622,58 | 693 / 3 | $3.409,67 | 689 / 2 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 3 | $20.177,10 | 422 / 2 | $6.378,50 | 476 / 1 | $5.266,50 | 474 / 2 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 5 | $19.394,40 | 373 / 3 | $6.120,27 | 456 / 1 | $5.134,09 | 453 / 2 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 4 | $42.453,70 | 394 / 1 | $16.710,70 | 1362 / 1 | $16.160,90 | 1349 / 1 |
Chest Pain | 11 | 140 / 7 | $7.887,00 | 71 / 1 | $4.287,36 | 1043 / 2 | $3.627,00 | 1037 / 3 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 6 | $17.502,60 | 194 / 2 | $6.737,64 | 699 / 1 | $5.862,00 | 697 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 10 | $20.694,70 | 845 / 6 | $7.230,09 | 1419 / 4 | $6.130,45 | 1414 / 4 | Total 45 procedures | 1.046 | 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.