Hospital Costs > In New Hampshire > Portsmouth Regional 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 | 273 | 294 / 3 | $72.647,80 | 2059 / 12 | $14.302,90 | 728 / 5 | $10.668,20 | 718 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 152 | 364 / 5 | $50.703,70 | 1816 / 12 | $11.674,60 | 1115 / 3 | $10.342,80 | 1099 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 88 | 187 / 4 | $23.726,40 | 1779 / 11 | $4.551,27 | 716 / 1 | $3.574,91 | 712 / 3 |
Heart Failure & Shock W Cc | 70 | 208 / 6 | $29.785,90 | 1942 / 13 | $6.288,56 | 534 / 3 | $4.919,87 | 534 / 1 |
Chest Pain | 67 | 84 / 1 | $20.940,20 | 986 / 6 | $3.896,42 | 317 / 2 | $2.708,01 | 316 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 66 | 95 / 2 | $22.292,20 | 1230 / 10 | $5.588,50 | 496 / 8 | $3.814,67 | 495 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 62 | 134 / 3 | $87.006,60 | 1005 / 7 | $14.108,70 | 954 / 3 | $12.284,20 | 947 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 61 | 146 / 4 | $35.388,30 | 1881 / 12 | $6.895,25 | 926 / 4 | $5.602,31 | 923 / 2 |
Heart Failure & Shock W Mcc | 53 | 231 / 10 | $35.472,30 | 1427 / 11 | $8.956,62 | 862 / 1 | $8.120,40 | 862 / 2 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 47 | 141 / 4 | $41.732,50 | 998 / 8 | $7.132,30 | 783 / 4 | $5.880,77 | 781 / 5 |
Syncope & Collapse | 46 | 123 / 3 | $25.345,70 | 1233 / 8 | $4.704,76 | 709 / 3 | $3.755,17 | 706 / 4 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 45 | 105 / 4 | $18.941,80 | 1332 / 11 | $3.868,62 | 488 / 6 | $2.434,47 | 484 / 2 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 39 | 49 / 2 | $149.186,00 | 467 / 4 | $27.315,20 | 320 / 2 | $22.128,40 | 319 / 1 |
G.I. Hemorrhage W Cc | 39 | 179 / 8 | $30.453,10 | 1586 / 12 | $6.133,18 | 996 / 1 | $5.360,26 | 994 / 4 |
Cellulitis W/O Mcc | 37 | 152 / 9 | $22.124,80 | 1668 / 12 | $5.498,59 | 710 / 4 | $4.054,03 | 706 / 2 |
Pulmonary Edema & Respiratory Failure | 36 | 167 / 8 | $26.288,70 | 811 / 7 | $7.487,81 | 529 / 1 | $6.365,14 | 529 / 1 |
Renal Failure W Cc | 33 | 188 / 8 | $32.191,10 | 1797 / 13 | $6.958,00 | 1601 / 11 | $5.930,85 | 1592 / 11 |
Medical Back Problems W/O Mcc | 33 | 88 / 5 | $24.185,50 | 784 / 9 | $6.017,27 | 328 / 10 | $4.002,36 | 328 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 6 | $20.358,20 | 1589 / 12 | $4.225,36 | 761 / 1 | $3.494,21 | 758 / 4 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 32 | 84 / 3 | $253.971,00 | 323 / 2 | $55.163,90 | 285 / 1 | $54.485,90 | 285 / 1 |
Kidney & Urinary Tract Infections W Mcc | 31 | 113 / 3 | $29.039,80 | 1137 / 10 | $6.810,03 | 679 / 4 | $5.915,06 | 678 / 4 |
Renal Failure W Mcc | 31 | 164 / 5 | $41.838,50 | 1341 / 9 | $10.347,60 | 1318 / 5 | $9.706,00 | 1318 / 5 |
Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 8 | $26.899,90 | 1566 / 12 | $5.704,37 | 647 / 1 | $4.675,40 | 645 / 2 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 30 | 88 / 3 | $203.193,00 | 415 / 4 | $38.100,40 | 393 / 2 | $37.375,10 | 393 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 6 | $28.502,10 | 1045 / 9 | $6.373,83 | 588 / 1 | $5.320,77 | 587 / 2 |
Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 11 | $31.673,60 | 1568 / 12 | $8.437,45 | 600 / 8 | $5.861,69 | 598 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 29 | 139 / 3 | $42.118,20 | 753 / 9 | $10.743,30 | 648 / 5 | $9.742,45 | 647 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 7 | $32.406,00 | 1065 / 10 | $7.722,79 | 534 / 2 | $6.423,64 | 531 / 1 |
Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 13 | $23.038,50 | 1847 / 12 | $4.630,46 | 443 / 1 | $3.575,61 | 443 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 2 | $141.426,00 | 937 / 5 | $32.516,50 | 706 / 1 | $31.548,20 | 700 / 2 |
Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 4 | $20.991,40 | 1360 / 12 | $4.140,15 | 348 / 1 | $3.156,44 | 346 / 1 |
Transient Ischemia | 26 | 99 / 2 | $27.474,00 | 1077 / 7 | $4.274,62 | 568 / 1 | $3.436,46 | 565 / 4 |
Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 9 | $51.395,90 | 1093 / 10 | $11.951,90 | 957 / 2 | $10.931,60 | 944 / 2 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 26 | 36 / 1 | $22.014,60 | 431 / 6 | $4.980,00 | 150 / 4 | $3.470,38 | 150 / 1 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 25 | 44 / 3 | $75.344,20 | 387 / 4 | $13.894,00 | 267 / 3 | $10.204,90 | 267 / 2 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 22 | 102 / 3 | $19.091,80 | 466 / 6 | $4.473,41 | 81 / 3 | $3.111,32 | 81 / 2 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 22 | 41 / 2 | $127.036,00 | 205 / 2 | $22.802,30 | 129 / 1 | $19.559,90 | 129 / 1 |
Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 10 | $34.592,90 | 1321 / 10 | $9.045,50 | 1168 / 2 | $8.084,05 | 1168 / 6 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 21 | 33 / 1 | $15.060,30 | 67 / 1 | $5.124,14 | 19 / 1 | $3.009,48 | 19 / 1 |
Spinal Fusion Except Cervical W/O Mcc | 20 | 174 / 5 | $124.588,00 | 965 / 6 | $25.958,90 | 387 / 1 | $21.178,10 | 386 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 7 | $29.348,70 | 1076 / 11 | $5.699,89 | 214 / 9 | $3.217,89 | 212 / 1 |
Signs & Symptoms W/O Mcc | 19 | 72 / 6 | $18.985,90 | 603 / 7 | $4.616,00 | 121 / 2 | $3.040,00 | 121 / 1 |
Pulmonary Embolism W/O Mcc | 19 | 55 / 3 | $27.405,30 | 742 / 8 | $6.196,00 | 264 / 3 | $4.728,32 | 264 / 1 |
Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 6 | $36.945,40 | 961 / 11 | $6.231,95 | 376 / 1 | $5.275,32 | 375 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 18 | 82 / 2 | $123.792,00 | 691 / 5 | $22.303,10 | 648 / 3 | $21.223,90 | 644 / 3 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 5 | $31.818,30 | 438 / 4 | $9.727,06 | 23 / 2 | $6.912,17 | 23 / 1 |
Coronary Bypass W Cardiac Cath W/O Mcc | 17 | 59 / 4 | $186.499,00 | 470 / 4 | $36.882,80 | 423 / 2 | $29.617,00 | 423 / 1 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 16 | 73 / 3 | $54.454,10 | 617 / 6 | $8.629,38 | 238 / 4 | $5.378,31 | 238 / 1 |
Coronary Bypass W/O Cardiac Cath W Mcc | 16 | 43 / 2 | $211.114,00 | 178 / 3 | $40.790,60 | 169 / 1 | $40.188,50 | 168 / 1 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 6 | $37.713,80 | 1726 / 8 | $5.749,75 | 1223 / 8 | $4.845,69 | 1215 / 8 |
Major Cardiovasc Procedures W Mcc | 15 | 53 / 2 | $133.437,00 | 282 / 2 | $38.448,70 | 146 / 2 | $29.105,00 | 146 / 1 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 5 | $93.166,70 | 723 / 5 | $14.003,00 | 498 / 1 | $12.793,50 | 495 / 3 |
Dysequilibrium | 15 | 50 / 2 | $24.400,10 | 328 / 4 | $3.809,20 | 118 / 1 | $2.840,67 | 118 / 1 |
Other Vascular Procedures W Cc | 15 | 87 / 4 | $88.155,20 | 731 / 6 | $17.183,90 | 685 / 4 | $16.309,30 | 682 / 4 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 15 | 51 / 2 | $26.277,70 | 183 / 1 | $6.858,87 | 51 / 1 | $5.298,40 | 51 / 1 |
Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 4 | $46.447,40 | 653 / 7 | $10.169,30 | 648 / 5 | $9.436,71 | 646 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 5 | $28.301,90 | 876 / 7 | $6.633,50 | 395 / 1 | $5.860,93 | 392 / 1 |
Diabetes W Cc | 14 | 78 / 5 | $23.995,20 | 941 / 8 | $7.163,07 | 7 / 8 | $3.027,86 | 7 / 1 |
Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 12 | $24.925,40 | 1619 / 11 | $6.133,86 | 288 / 2 | $4.453,79 | 286 / 1 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 14 | 55 / 3 | $314.523,00 | 202 / 3 | $67.049,40 | 180 / 2 | $66.267,80 | 180 / 2 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 7 | $20.688,40 | 1308 / 11 | $4.702,36 | 216 / 5 | $3.035,00 | 216 / 1 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 14 | 84 / 2 | $137.973,00 | 315 / 3 | $27.619,50 | 202 / 1 | $26.842,30 | 202 / 2 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 4 | $95.787,20 | 616 / 4 | $18.867,10 | 321 / 1 | $17.744,80 | 319 / 1 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 4 | $144.573,00 | 481 / 4 | $24.610,00 | 483 / 3 | $23.583,60 | 482 / 4 |
Medical Back Problems W Mcc | 13 | 26 / 1 | $43.204,50 | 166 / 1 | $10.018,50 | 119 / 1 | $9.088,00 | 119 / 1 |
Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 4 | $83.240,20 | 416 / 5 | $25.578,70 | 306 / 7 | $18.611,40 | 306 / 1 |
Hypertension W/O Mcc | 13 | 52 / 2 | $23.133,50 | 496 / 3 | $3.805,31 | 150 / 1 | $2.783,77 | 150 / 1 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 5 | $20.466,50 | 526 / 6 | $3.793,33 | 228 / 1 | $3.185,33 | 227 / 2 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 2 | $21.619,80 | 181 / 1 | $4.238,00 | 88 / 1 | $3.128,67 | 88 / 1 |
Organic Disturbances & Mental Retardation | 12 | 47 / 4 | $32.129,60 | 370 / 3 | $5.930,75 | 57 / 1 | $4.824,08 | 57 / 1 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 10 | $46.084,70 | 1034 / 10 | $10.185,10 | 716 / 1 | $9.489,08 | 715 / 2 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 9 | $26.156,20 | 521 / 7 | $7.819,67 | 532 / 1 | $7.417,00 | 529 / 2 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 9 | $81.942,10 | 1025 / 9 | $15.084,80 | 629 / 1 | $14.076,80 | 623 / 2 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 9 | $23.867,90 | 615 / 9 | $5.969,67 | 517 / 1 | $5.227,00 | 514 / 5 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 5 | $50.162,30 | 581 / 6 | $9.918,42 | 403 / 1 | $8.817,08 | 401 / 1 |
Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 7 | $54.326,20 | 799 / 7 | $7.128,36 | 577 / 3 | $6.025,82 | 576 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 9 | $55.303,50 | 776 / 8 | $14.029,90 | 815 / 2 | $13.372,50 | 807 / 5 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 11 | $44.071,60 | 907 / 10 | $11.977,30 | 112 / 4 | $9.437,27 | 112 / 1 |
Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 6 | $119.295,00 | 862 / 7 | $22.368,80 | 870 / 6 | $21.324,50 | 866 / 6 |
Other Circulatory System Diagnoses W Cc | 11 | 55 / 3 | $27.065,90 | 349 / 3 | $5.862,73 | 140 / 1 | $4.870,73 | 139 / 1 |
G.I. Obstruction W Cc | 11 | 81 / 9 | $22.584,40 | 830 / 10 | $5.135,45 | 597 / 1 | $4.582,73 | 596 / 4 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 5 | $78.794,50 | 517 / 6 | $18.057,80 | 384 / 1 | $17.185,10 | 381 / 2 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 3 | $25.112,40 | 237 / 3 | $4.255,00 | 56 / 1 | $3.484,09 | 56 / 1 | Total 83 procedures | 2.442 | 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.