Hospital Costs > In Connecticut > Rockville General Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 28 | 161 / 20 | $20.336,40 | 1518 / 19 | $5.775,29 | 1318 / 2 | $4.550,82 | 1312 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 20 | 84 / 6 | $33.826,10 | 106 / 3 | $16.260,50 | 409 / 1 | $12.153,20 | 408 / 1 |
| Chest Pain | 11 | 140 / 17 | $15.436,50 | 536 / 7 | $4.729,45 | 674 / 6 | $3.105,45 | 670 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 26 | $22.653,00 | 1684 / 22 | $5.427,33 | 1460 / 4 | $4.096,67 | 1449 / 3 |
| G.I. Hemorrhage W Cc | 12 | 206 / 28 | $33.422,20 | 1737 / 25 | $6.883,25 | 1371 / 2 | $5.784,58 | 1368 / 2 |
| Heart Failure & Shock W Cc | 16 | 262 / 26 | $23.811,80 | 1565 / 16 | $6.961,62 | 1435 / 3 | $5.693,88 | 1430 / 1 |
| Heart Failure & Shock W Mcc | 59 | 225 / 16 | $29.375,40 | 1043 / 12 | $10.095,80 | 1537 / 1 | $9.138,56 | 1533 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 20 | $15.838,20 | 939 / 10 | $4.586,00 | 940 / 2 | $3.680,00 | 933 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 18 | $20.804,50 | 622 / 11 | $7.046,47 | 795 / 2 | $6.091,53 | 794 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 21 | $19.385,50 | 1504 / 18 | $5.306,62 | 1670 / 2 | $4.517,69 | 1659 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 14 | $27.131,30 | 306 / 7 | $10.282,20 | 652 / 2 | $9.816,92 | 650 / 3 |
| Pulmonary Edema & Respiratory Failure | 43 | 160 / 15 | $27.731,90 | 897 / 13 | $8.985,02 | 1125 / 4 | $7.134,02 | 1123 / 1 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 22 | $17.680,20 | 688 / 11 | $5.522,36 | 1107 / 2 | $4.658,36 | 1100 / 3 |
| Renal Failure W Cc | 19 | 202 / 25 | $20.403,40 | 1017 / 12 | $6.433,42 | 1090 / 1 | $5.274,95 | 1082 / 1 |
| Renal Failure W Mcc | 15 | 180 / 20 | $24.777,80 | 445 / 4 | $10.528,90 | 1323 / 2 | $9.722,47 | 1323 / 2 |
| Respiratory Infections & Inflammations W Mcc | 11 | 125 / 23 | $31.180,60 | 424 / 7 | $12.924,40 | 480 / 2 | $10.453,70 | 475 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 120 | 396 / 19 | $36.845,20 | 1141 / 14 | $12.954,60 | 1935 / 2 | $12.150,90 | 1900 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 20 | $20.798,00 | 861 / 11 | $7.441,73 | 1464 / 3 | $6.200,70 | 1458 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 26 | $22.371,50 | 1391 / 16 | $6.480,53 | 1676 / 2 | $5.695,59 | 1669 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 46 | 159 / 15 | $29.852,80 | 1026 / 13 | $9.570,61 | 1436 / 1 | $8.575,13 | 1436 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 24 | 170 / 12 | $52.498,70 | 134 / 5 | $28.457,30 | 770 / 2 | $23.845,70 | 766 / 3 |
| Syncope & Collapse | 12 | 157 / 23 | $16.186,40 | 503 / 5 | $4.999,33 | 1078 / 1 | $4.188,67 | 1071 / 2 | Total 22 procedures | 602 | 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.