Hospital Costs > In Massachusetts > North Adams Regional 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 | 67 | 449 / 43 | $18.245,30 | 186 / 15 | $13.067,00 | 1932 / 15 | $12.135,00 | 1897 / 24 |
| Heart Failure & Shock W Mcc | 25 | 259 / 44 | $18.326,60 | 330 / 31 | $11.156,00 | 1965 / 26 | $10.240,80 | 1958 / 27 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 25 | 539 / 48 | $39.197,50 | 710 / 43 | $17.146,00 | 2180 / 36 | $14.545,40 | 2136 / 31 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 40 | $15.314,00 | 338 / 37 | $8.810,00 | 1943 / 25 | $7.799,47 | 1935 / 27 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 41 | $14.177,40 | 289 / 30 | $8.123,06 | 1980 / 21 | $7.257,28 | 1972 / 27 |
| Cellulitis W/O Mcc | 15 | 174 / 50 | $10.937,10 | 352 / 38 | $6.346,13 | 1734 / 22 | $5.026,07 | 1726 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 52 | $12.665,90 | 471 / 38 | $5.867,43 | 2106 / 22 | $5.012,57 | 2092 / 29 |
| Heart Failure & Shock W Cc | 13 | 265 / 52 | $16.110,60 | 697 / 45 | $7.665,77 | 2269 / 28 | $7.200,54 | 2263 / 39 |
| Pulmonary Edema & Respiratory Failure | 13 | 190 / 38 | $14.257,00 | 109 / 17 | $9.117,15 | 1565 / 13 | $8.009,46 | 1560 / 8 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 47 | $19.165,60 | 336 / 36 | $10.613,80 | 1717 / 21 | $9.190,09 | 1717 / 14 | Total 10 procedures | 220 | 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.