Hospital Costs > In Rhode Island > Our Lady Of Fatima 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 | 64 | 500 / 6 | $28.853,50 | 185 / 1 | $13.947,20 | 1273 / 3 | $11.531,40 | 1242 / 2 |
Heart Failure & Shock W Cc | 59 | 219 / 5 | $18.473,60 | 984 / 6 | $6.534,66 | 1170 / 4 | $5.417,49 | 1167 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 48 | 468 / 10 | $31.304,40 | 845 / 4 | $11.989,90 | 1124 / 2 | $10.354,00 | 1108 / 3 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 45 | 80 / 6 | $26.504,60 | 324 / 4 | $10.919,10 | 742 / 4 | $9.565,04 | 741 / 3 |
Heart Failure & Shock W Mcc | 41 | 243 / 7 | $24.576,20 | 708 / 4 | $9.820,61 | 1326 / 3 | $8.755,56 | 1323 / 3 |
Spinal Fusion Except Cervical W/O Mcc | 39 | 155 / 4 | $54.190,00 | 151 / 3 | $25.578,40 | 550 / 1 | $22.116,10 | 547 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 30 | 245 / 8 | $14.891,60 | 738 / 3 | $4.914,10 | 892 / 3 | $3.686,07 | 887 / 3 |
Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 7 | $16.315,30 | 644 / 3 | $6.058,00 | 686 / 2 | $4.714,43 | 684 / 1 |
Cellulitis W/O Mcc | 29 | 160 / 6 | $16.597,60 | 1064 / 5 | $5.504,55 | 670 / 1 | $4.023,86 | 666 / 2 |
Renal Failure W Cc | 27 | 194 / 6 | $22.782,00 | 1259 / 7 | $6.411,78 | 1035 / 3 | $5.223,37 | 1027 / 3 |
Pulmonary Edema & Respiratory Failure | 26 | 177 / 5 | $17.115,20 | 237 / 1 | $7.918,38 | 1161 / 1 | $7.181,23 | 1159 / 2 |
Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 9 | $22.611,60 | 943 / 4 | $7.647,96 | 1167 / 3 | $6.417,76 | 1161 / 2 |
Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 4 | $17.527,60 | 198 / 3 | $7.054,74 | 497 / 2 | $5.463,65 | 496 / 1 |
Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 7 | $13.695,80 | 753 / 5 | $5.002,70 | 881 / 3 | $3.876,65 | 874 / 3 |
Renal Failure W Mcc | 21 | 174 / 7 | $30.005,00 | 767 / 4 | $10.098,40 | 960 / 2 | $8.840,29 | 960 / 2 |
G.I. Hemorrhage W Cc | 20 | 198 / 8 | $16.637,40 | 456 / 1 | $6.506,75 | 1039 / 3 | $5.401,45 | 1037 / 3 |
Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 8 | $16.826,40 | 774 / 3 | $6.099,63 | 784 / 3 | $4.895,26 | 781 / 2 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 8 | $19.136,80 | 706 / 4 | $7.125,17 | 474 / 3 | $5.171,00 | 472 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 7 | $22.826,90 | 651 / 3 | $6.926,59 | 728 / 1 | $5.464,59 | 727 / 1 |
Respiratory Infections & Inflammations W Mcc | 17 | 119 / 7 | $36.481,90 | 636 / 5 | $12.813,90 | 896 / 1 | $11.387,10 | 886 / 2 |
Major Small & Large Bowel Procedures W Cc | 16 | 92 / 5 | $31.652,30 | 68 / 2 | $15.802,50 | 416 / 2 | $13.279,80 | 413 / 1 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 7 | $16.099,80 | 548 / 3 | $5.267,80 | 1123 / 1 | $4.689,33 | 1115 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 9 | $15.462,60 | 132 / 2 | $7.785,57 | 840 / 2 | $6.871,79 | 837 / 3 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 6 | $18.383,20 | 459 / 3 | $7.112,00 | 730 / 4 | $5.992,00 | 729 / 2 |
Transient Ischemia | 13 | 112 / 6 | $16.221,50 | 370 / 3 | $4.585,85 | 574 / 1 | $3.443,46 | 571 / 1 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 8 | $16.079,70 | 916 / 5 | $4.753,00 | 774 / 3 | $3.551,00 | 771 / 3 |
Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 8 | $27.279,50 | 136 / 3 | $12.696,20 | 1028 / 3 | $11.095,50 | 1015 / 2 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 7 | $12.582,70 | 543 / 4 | $4.395,17 | 437 / 3 | $3.247,42 | 435 / 2 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 3 | $13.877,80 | 140 / 1 | $6.607,92 | 134 / 2 | $4.487,25 | 134 / 1 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 4 | $19.365,80 | 143 / 2 | $8.099,50 | 311 / 1 | $6.839,83 | 310 / 1 |
Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 3 | $33.227,70 | 100 / 2 | $14.259,60 | 516 / 1 | $12.887,90 | 513 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 6 | $62.817,70 | 126 / 1 | $33.065,20 | 424 / 2 | $28.849,70 | 421 / 1 |
G.I. Obstruction W Cc | 11 | 81 / 4 | $15.121,10 | 298 / 1 | $5.749,45 | 362 / 2 | $4.297,64 | 361 / 2 | Total 33 procedures | 789 | 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.