Hospital Costs > In Rhode Island > Roger Williams Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 225 | 12 / 1 | $10.845,70 | 156 / 1 | $6.816,79 | 640 / 3 | $5.220,45 | 639 / 3 |
| Psychoses | 139 | 160 / 2 | $14.778,10 | 178 / 1 | $9.754,15 | 485 / 2 | $7.803,35 | 485 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 113 | 403 / 5 | $29.467,30 | 756 / 2 | $14.889,90 | 2171 / 8 | $13.065,20 | 2133 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 82 | 482 / 5 | $31.467,20 | 292 / 2 | $17.252,30 | 2273 / 8 | $15.139,90 | 2229 / 8 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 64 | 61 / 3 | $22.532,90 | 220 / 2 | $13.498,30 | 1404 / 8 | $12.093,60 | 1392 / 8 |
| Spinal Fusion Except Cervical W/O Mcc | 55 | 139 / 2 | $85.479,10 | 587 / 6 | $32.187,90 | 1170 / 4 | $29.798,00 | 1165 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 7 | $17.783,20 | 549 / 2 | $9.572,81 | 2028 / 7 | $8.039,61 | 2020 / 8 |
| Renal Failure W Cc | 28 | 193 / 5 | $12.596,10 | 262 / 1 | $8.140,46 | 1876 / 8 | $6.604,57 | 1866 / 8 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 27 | 64 / 3 | $15.986,60 | 144 / 1 | $8.627,59 | 1106 / 4 | $7.123,78 | 1104 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 9 | $14.825,90 | 729 / 2 | $6.975,48 | 2286 / 8 | $5.478,12 | 2271 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 6 | $12.925,90 | 312 / 2 | $7.289,96 | 1766 / 7 | $5.689,70 | 1761 / 7 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 23 | 54 / 1 | $18.846,50 | 21 / 1 | $13.410,30 | 336 / 2 | $11.220,00 | 335 / 2 |
| Renal Failure W Mcc | 22 | 173 / 6 | $25.435,60 | 485 / 1 | $13.361,70 | 1600 / 8 | $10.662,90 | 1598 / 7 |
| Heart Failure & Shock W Cc | 21 | 257 / 10 | $13.862,80 | 449 / 1 | $8.397,38 | 2302 / 7 | $7.328,81 | 2296 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 7 | $16.222,80 | 458 / 1 | $9.339,60 | 2057 / 8 | $7.498,60 | 2049 / 8 |
| Cervical Spinal Fusion W/O Cc/Mcc | 20 | 84 / 2 | $38.095,90 | 164 / 3 | $19.097,80 | 710 / 2 | $15.198,50 | 707 / 2 |
| G.I. Hemorrhage W Cc | 20 | 198 / 8 | $20.635,80 | 804 / 4 | $9.087,05 | 2083 / 8 | $7.650,40 | 2079 / 8 |
| Heart Failure & Shock W Mcc | 19 | 265 / 10 | $17.344,70 | 270 / 1 | $11.154,00 | 1903 / 7 | $10.055,60 | 1897 / 7 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 4 | $29.748,10 | 53 / 1 | $20.477,80 | 1301 / 7 | $18.801,10 | 1287 / 7 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 6 | $28.068,40 | 327 / 2 | $15.250,60 | 1373 / 6 | $13.414,60 | 1358 / 6 |
| Red Blood Cell Disorders W/O Mcc | 18 | 125 / 6 | $12.680,70 | 259 / 1 | $7.355,28 | 1585 / 7 | $5.795,67 | 1576 / 7 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 10 | $13.436,50 | 362 / 1 | $8.054,65 | 2095 / 8 | $7.088,29 | 2088 / 9 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 2 | $23.971,80 | 100 / 1 | $14.103,30 | 795 / 1 | $12.052,90 | 791 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 8 | $19.785,20 | 381 / 1 | $11.228,50 | 1640 / 6 | $8.994,06 | 1640 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 9 | $13.315,80 | 381 / 1 | $8.111,06 | 2201 / 8 | $6.631,88 | 2193 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 8 | $25.194,10 | 666 / 5 | $10.893,70 | 1607 / 7 | $9.251,75 | 1604 / 8 |
| Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 9 | $12.363,10 | 556 / 1 | $7.060,20 | 2306 / 8 | $5.787,53 | 2295 / 8 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 3 | $19.044,40 | 136 / 1 | $10.976,70 | 886 / 3 | $9.743,53 | 882 / 3 |
| Pulmonary Edema & Respiratory Failure | 14 | 189 / 9 | $18.184,40 | 303 / 2 | $10.697,60 | 1927 / 6 | $9.544,00 | 1921 / 6 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 4 | $11.455,70 | 53 / 1 | $8.601,50 | 1234 / 4 | $7.762,86 | 1230 / 5 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 4 | $40.992,20 | 12 / 1 | $30.671,00 | 432 / 1 | $28.919,80 | 430 / 2 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 1 | $43.409,50 | 354 / 2 | $12.918,80 | 395 / 2 | $9.710,92 | 395 / 2 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 13 | 36 / 1 | $4.757,15 | 24 / 1 | $4.465,31 | 53 / 1 | $3.446,38 | 52 / 1 |
| Cellulitis W/O Mcc | 13 | 176 / 9 | $11.675,80 | 426 / 1 | $7.783,54 | 2051 / 7 | $5.674,77 | 2043 / 7 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 9 | $23.890,80 | 66 / 1 | $15.553,50 | 1698 / 8 | $14.001,50 | 1679 / 8 |
| Neuroses Except Depressive | 12 | 15 / 2 | $9.138,17 | 11 / 1 | $6.669,33 | 28 / 2 | $5.115,00 | 28 / 2 |
| Otitis Media & Uri W/O Mcc | 11 | 33 / 3 | $16.852,10 | 73 / 1 | $6.170,00 | 152 / 2 | $4.738,18 | 152 / 2 |
| Acute Adjustment Reaction & Psychosocial Dysfunction | 11 | 19 / 1 | $10.826,00 | 10 / 1 | $6.488,82 | 54 / 2 | $4.592,64 | 54 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 4 | $16.952,60 | 111 / 1 | $10.571,50 | 1096 / 2 | $8.593,91 | 1091 / 3 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 9 | $10.937,20 | 350 / 2 | $6.409,45 | 1722 / 7 | $5.011,00 | 1711 / 7 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 3 | $15.124,70 | 136 / 1 | $6.948,09 | 762 / 3 | $5.871,36 | 758 / 3 |
| Transient Ischemia | 11 | 114 / 7 | $14.811,00 | 287 / 2 | $6.597,36 | 1197 / 6 | $4.521,45 | 1191 / 6 | Total 42 procedures | 1.296 | 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.