Hospital Costs > In Massachusetts > Quincy Medical Center, 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 | 85 | 479 / 34 | $31.816,00 | 305 / 25 | $15.614,70 | 1897 / 14 | $13.217,20 | 1855 / 6 |
Kidney & Urinary Tract Infections W/O Mcc | 73 | 160 / 26 | $8.235,85 | 132 / 11 | $5.690,66 | 1846 / 20 | $4.751,18 | 1835 / 20 |
Pulmonary Edema & Respiratory Failure | 59 | 144 / 15 | $15.548,80 | 174 / 27 | $9.368,36 | 1697 / 16 | $8.455,00 | 1692 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 57 | 109 / 21 | $6.923,79 | 72 / 6 | $5.248,82 | 1805 / 15 | $4.487,56 | 1800 / 22 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 55 | 461 / 45 | $17.984,30 | 171 / 13 | $13.272,80 | 1923 / 20 | $12.109,40 | 1888 / 22 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 52 | 223 / 38 | $7.835,02 | 87 / 5 | $5.583,06 | 1922 / 16 | $4.631,06 | 1908 / 20 |
Cellulitis W/O Mcc | 51 | 138 / 32 | $5.953,39 | 13 / 1 | $6.029,90 | 1695 / 10 | $4.971,73 | 1688 / 15 |
Heart Failure & Shock W Cc | 47 | 231 / 42 | $11.446,40 | 232 / 23 | $7.078,87 | 1779 / 14 | $6.102,53 | 1774 / 9 |
Simple Pneumonia & Pleurisy W Cc | 47 | 156 / 31 | $8.472,68 | 43 / 6 | $7.048,34 | 1967 / 13 | $6.097,19 | 1959 / 16 |
Syncope & Collapse | 41 | 128 / 25 | $7.951,41 | 39 / 5 | $5.464,80 | 1254 / 14 | $4.492,32 | 1247 / 11 |
Chronic Obstructive Pulmonary Disease W Cc | 34 | 145 / 36 | $8.707,32 | 44 / 7 | $6.743,97 | 1718 / 14 | $5.907,74 | 1711 / 16 |
G.I. Hemorrhage W Cc | 34 | 184 / 35 | $11.688,30 | 108 / 12 | $7.299,21 | 1706 / 14 | $6.372,15 | 1702 / 16 |
Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 35 | $12.191,60 | 137 / 20 | $8.352,00 | 1817 / 14 | $7.464,53 | 1809 / 20 |
Chest Pain | 28 | 123 / 20 | $7.180,36 | 49 / 6 | $4.603,32 | 1032 / 9 | $3.613,61 | 1026 / 9 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 26 | 98 / 21 | $10.504,50 | 145 / 19 | $5.074,58 | 467 / 5 | $4.332,42 | 466 / 8 |
Simple Pneumonia & Pleurisy W Mcc | 26 | 179 / 38 | $16.995,20 | 216 / 24 | $10.290,80 | 1753 / 14 | $9.246,77 | 1753 / 16 |
Renal Failure W Cc | 26 | 195 / 40 | $10.237,00 | 109 / 19 | $7.154,77 | 1820 / 22 | $6.456,92 | 1810 / 25 |
Heart Failure & Shock W Mcc | 25 | 259 / 44 | $14.087,20 | 113 / 15 | $10.249,20 | 1756 / 10 | $9.618,20 | 1751 / 14 |
Red Blood Cell Disorders W/O Mcc | 25 | 118 / 25 | $8.540,28 | 53 / 8 | $6.071,84 | 1308 / 12 | $5.007,00 | 1299 / 11 |
Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 24 | $7.718,32 | 97 / 14 | $5.107,45 | 1424 / 17 | $4.281,27 | 1413 / 19 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 26 | $5.787,86 | 12 / 1 | $5.318,29 | 1531 / 10 | $4.507,62 | 1520 / 17 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 30 | $14.207,50 | 114 / 18 | $7.778,55 | 1477 / 19 | $6.813,75 | 1474 / 21 |
Signs & Symptoms W/O Mcc | 19 | 72 / 19 | $7.831,21 | 38 / 3 | $5.150,37 | 693 / 8 | $4.022,53 | 690 / 2 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 28 | $11.420,50 | 84 / 16 | $8.007,05 | 1293 / 14 | $6.988,11 | 1289 / 14 |
Seizures W/O Mcc | 17 | 91 / 23 | $8.878,29 | 48 / 9 | $5.627,65 | 835 / 8 | $4.842,71 | 832 / 13 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 17 | 45 / 17 | $8.011,47 | 33 / 4 | $5.472,53 | 453 / 4 | $4.405,24 | 451 / 6 |
Medical Back Problems W/O Mcc | 17 | 104 / 25 | $8.389,65 | 29 / 2 | $5.806,59 | 854 / 5 | $4.880,47 | 851 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 38 | $8.428,12 | 48 / 7 | $5.826,94 | 1528 / 14 | $5.043,88 | 1523 / 20 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 29 | $7.393,38 | 101 / 14 | $4.269,44 | 1333 / 11 | $3.209,44 | 1328 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 43 | $11.820,90 | 134 / 16 | $7.611,00 | 1795 / 11 | $6.783,00 | 1787 / 15 |
Transient Ischemia | 16 | 109 / 24 | $8.514,81 | 44 / 3 | $5.270,62 | 1120 / 8 | $4.290,62 | 1114 / 11 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 33 | $24.385,60 | 72 / 11 | $13.832,10 | 1305 / 11 | $11.979,10 | 1288 / 2 |
Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 16 | $7.173,07 | 22 / 2 | $5.368,13 | 651 / 10 | $4.399,60 | 651 / 11 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 27 | $13.330,00 | 55 / 13 | $9.925,07 | 812 / 14 | $8.024,07 | 807 / 2 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 25 | $6.668,21 | 32 / 5 | $5.312,00 | 1331 / 14 | $4.102,86 | 1323 / 10 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 18 | $11.388,80 | 50 / 9 | $7.193,77 | 558 / 5 | $6.450,38 | 558 / 8 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 25 | $30.397,80 | 131 / 18 | $17.487,40 | 1455 / 19 | $17.001,20 | 1441 / 24 |
Renal Failure W Mcc | 12 | 183 / 42 | $15.065,40 | 67 / 11 | $10.058,10 | 1106 / 1 | $9.148,75 | 1106 / 2 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 36 | $14.221,80 | 12 / 3 | $12.750,80 | 1022 / 6 | $11.776,10 | 1009 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 27 | $14.459,00 | 23 / 4 | $12.057,00 | 1004 / 10 | $11.046,30 | 999 / 10 |
Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 19 | $9.852,08 | 2 / 2 | $10.125,80 | 662 / 4 | $9.525,83 | 660 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 26 | $11.463,00 | 82 / 12 | $5.611,25 | 1154 / 8 | $4.709,92 | 1150 / 17 |
Other Disorders Of Nervous System W Cc | 11 | 45 / 19 | $7.758,45 | 6 / 2 | $6.422,18 | 366 / 6 | $5.654,18 | 366 / 9 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 26 | $32.104,50 | 75 / 11 | $20.829,60 | 907 / 21 | $15.286,20 | 899 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 35 | $17.375,60 | 214 / 33 | $8.483,91 | 1200 / 5 | $7.611,18 | 1197 / 8 | Total 45 procedures | 1.216 | 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.