Hospital Costs > In Connecticut > Saint Marys Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 294 | 224 / 6 | $25.845,90 | 579 / 4 | $16.184,40 | 2452 / 20 | $14.659,80 | 2408 / 21 |
| Pulmonary Edema & Respiratory Failure | 157 | 52 / 2 | $20.939,00 | 464 / 5 | $11.042,00 | 1931 / 19 | $9.578,60 | 1925 / 20 |
| Heart Failure & Shock W Mcc | 121 | 163 / 8 | $22.372,20 | 557 / 4 | $12.772,90 | 2273 / 17 | $11.678,60 | 2263 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 82 | 193 / 12 | $11.477,80 | 326 / 3 | $6.908,87 | 2309 / 19 | $5.557,95 | 2294 / 22 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 80 | 484 / 21 | $46.457,20 | 1109 / 18 | $18.540,50 | 2424 / 19 | $16.510,00 | 2378 / 22 |
| Simple Pneumonia & Pleurisy W Mcc | 69 | 136 / 10 | $22.462,50 | 539 / 4 | $13.077,20 | 2190 / 20 | $11.245,80 | 2185 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 66 | 141 / 16 | $13.433,00 | 245 / 2 | $9.416,32 | 2234 / 17 | $8.215,41 | 2225 / 21 |
| Syncope & Collapse | 63 | 106 / 7 | $17.361,90 | 604 / 7 | $6.918,76 | 1589 / 20 | $5.487,57 | 1582 / 18 |
| G.I. Hemorrhage W Cc | 63 | 155 / 17 | $15.922,50 | 381 / 5 | $9.003,94 | 2043 / 20 | $7.468,94 | 2039 / 20 |
| Kidney & Urinary Tract Infections W Mcc | 61 | 83 / 7 | $14.620,90 | 219 / 2 | $9.768,20 | 1693 / 17 | $8.624,49 | 1689 / 17 |
| Renal Failure W Cc | 60 | 161 / 12 | $13.284,70 | 318 / 3 | $8.346,47 | 2076 / 17 | $7.365,12 | 2066 / 19 |
| Kidney & Urinary Tract Infections W/O Mcc | 53 | 180 / 19 | $11.713,60 | 478 / 4 | $7.170,15 | 2390 / 23 | $6.133,09 | 2379 / 24 |
| Cellulitis W/O Mcc | 50 | 139 / 14 | $11.152,70 | 374 / 4 | $7.740,00 | 2286 / 21 | $6.466,94 | 2278 / 24 |
| Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 12 | $17.593,50 | 528 / 4 | $10.334,50 | 2280 / 16 | $9.269,06 | 2272 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 47 | 114 / 15 | $14.222,30 | 442 / 4 | $7.291,79 | 1804 / 18 | $5.842,79 | 1799 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 47 | 135 / 11 | $25.526,00 | 830 / 12 | $9.647,19 | 1835 / 19 | $8.440,45 | 1831 / 20 |
| Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 19 | $14.285,80 | 480 / 5 | $9.007,04 | 2481 / 23 | $7.624,50 | 2472 / 23 |
| Heart Failure & Shock W Cc | 42 | 236 / 19 | $17.172,00 | 829 / 6 | $9.042,17 | 2400 / 24 | $7.790,93 | 2394 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 42 | 81 / 9 | $23.867,00 | 578 / 6 | $10.800,00 | 1651 / 13 | $9.583,83 | 1648 / 16 |
| Renal Failure W Mcc | 40 | 155 / 11 | $21.863,90 | 312 / 3 | $13.253,50 | 1824 / 15 | $12.035,80 | 1820 / 15 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 15 | $15.836,00 | 1067 / 11 | $6.650,05 | 2170 / 21 | $5.443,42 | 2162 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 9 | $12.220,90 | 620 / 5 | $5.449,81 | 1692 / 16 | $4.054,58 | 1686 / 16 |
| Respiratory Infections & Inflammations W Mcc | 36 | 100 / 15 | $29.729,40 | 376 / 5 | $16.994,80 | 1617 / 20 | $15.565,40 | 1601 / 19 |
| Seizures W/O Mcc | 34 | 74 / 4 | $19.070,70 | 506 / 8 | $7.032,29 | 1048 / 14 | $5.868,12 | 1046 / 16 |
| Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 17 | $15.397,30 | 552 / 4 | $8.461,84 | 2122 / 18 | $7.220,47 | 2115 / 20 |
| Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 12 | $33.499,30 | 358 / 7 | $16.799,70 | 1860 / 19 | $15.631,60 | 1840 / 22 |
| Transient Ischemia | 31 | 94 / 8 | $22.967,90 | 855 / 17 | $6.518,61 | 1405 / 19 | $5.270,03 | 1398 / 18 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 30 | 166 / 8 | $58.106,40 | 409 / 3 | $17.642,70 | 1322 / 4 | $15.689,30 | 1315 / 7 |
| G.I. Obstruction W Cc | 29 | 63 / 7 | $14.964,30 | 287 / 2 | $8.052,31 | 1538 / 16 | $6.914,69 | 1533 / 17 |
| Bronchitis & Asthma W Cc/Mcc | 28 | 48 / 7 | $12.012,70 | 97 / 1 | $8.005,89 | 936 / 9 | $6.908,39 | 932 / 13 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 28 | 97 / 14 | $22.412,50 | 210 / 4 | $14.171,50 | 1466 / 12 | $12.582,30 | 1454 / 13 |
| Medical Back Problems W/O Mcc | 27 | 94 / 9 | $14.965,90 | 225 / 2 | $7.801,48 | 1272 / 11 | $6.462,63 | 1268 / 12 |
| Other Vascular Procedures W Cc | 27 | 75 / 4 | $59.545,90 | 353 / 6 | $22.262,00 | 966 / 8 | $20.008,70 | 961 / 9 |
| Other Digestive System Diagnoses W Cc | 27 | 70 / 8 | $15.795,80 | 179 / 2 | $8.524,41 | 1208 / 11 | $7.490,93 | 1204 / 15 |
| Red Blood Cell Disorders W/O Mcc | 26 | 117 / 15 | $13.570,60 | 316 / 4 | $7.395,77 | 1700 / 20 | $6.313,58 | 1691 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 11 | $30.965,30 | 375 / 2 | $14.258,20 | 1319 / 7 | $13.141,40 | 1313 / 10 |
| Spinal Fusion Except Cervical W/O Mcc | 25 | 169 / 11 | $96.070,20 | 694 / 12 | $35.650,20 | 1153 / 12 | $29.356,10 | 1148 / 9 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 13 | $24.988,70 | 174 / 2 | $14.577,70 | 1374 / 11 | $13.556,20 | 1364 / 15 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 23 | 165 / 8 | $31.127,80 | 571 / 5 | $9.943,13 | 1385 / 8 | $8.084,65 | 1382 / 10 |
| G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 8 | $8.416,77 | 65 / 1 | $5.792,09 | 1193 / 9 | $4.813,36 | 1190 / 13 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 12 | $35.924,30 | 228 / 4 | $19.322,50 | 1542 / 10 | $18.164,10 | 1528 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 12 | $14.313,70 | 123 / 2 | $9.917,81 | 1460 / 13 | $9.138,19 | 1457 / 15 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 9 | $55.493,10 | 77 / 2 | $40.992,20 | 1223 / 6 | $39.382,60 | 1213 / 8 |
| Other Circulatory System Diagnoses W Mcc | 21 | 95 / 6 | $37.026,30 | 403 / 3 | $17.710,00 | 1239 / 9 | $16.659,50 | 1231 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 12 | $21.197,90 | 666 / 9 | $6.615,95 | 1256 / 10 | $5.063,62 | 1252 / 10 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 12 | $17.589,50 | 174 / 4 | $12.322,80 | 1358 / 16 | $11.287,10 | 1353 / 17 |
| Chest Pain | 20 | 131 / 12 | $12.102,60 | 254 / 3 | $5.724,20 | 1394 / 14 | $4.630,10 | 1386 / 15 |
| Major Small & Large Bowel Procedures W Cc | 19 | 89 / 15 | $48.529,30 | 379 / 5 | $20.724,00 | 816 / 10 | $14.798,40 | 808 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 11 | $20.601,20 | 131 / 3 | $12.532,30 | 840 / 12 | $11.256,80 | 837 / 10 |
| Peripheral Vascular Disorders W Cc | 19 | 65 / 5 | $11.643,50 | 73 / 1 | $8.849,63 | 995 / 10 | $7.166,05 | 992 / 7 |
| Diabetes W Cc | 19 | 73 / 9 | $12.264,30 | 169 / 2 | $7.427,95 | 1361 / 13 | $6.549,89 | 1356 / 17 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 18 | $15.804,30 | 936 / 9 | $6.494,17 | 1689 / 19 | $5.035,89 | 1676 / 20 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 17 | 53 / 5 | $15.421,90 | 89 / 1 | $8.137,35 | 438 / 3 | $7.485,76 | 438 / 6 |
| Other Disorders Of Nervous System W Cc | 17 | 39 / 7 | $18.211,50 | 147 / 2 | $8.043,12 | 509 / 6 | $7.002,82 | 508 / 8 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 17 | 101 / 6 | $136.725,00 | 237 / 4 | $45.236,60 | 481 / 5 | $43.773,40 | 481 / 7 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 6 | $97.771,90 | 168 / 3 | $47.159,10 | 748 / 7 | $42.128,80 | 747 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 13 | $21.897,70 | 372 / 7 | $9.574,12 | 1284 / 13 | $8.547,00 | 1282 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 12 | $14.540,60 | 71 / 1 | $11.086,80 | 1160 / 13 | $9.035,50 | 1155 / 10 |
| Seizures W Mcc | 16 | 50 / 6 | $30.654,20 | 183 / 2 | $13.036,40 | 507 / 6 | $10.620,20 | 507 / 4 |
| Diabetes W Mcc | 16 | 41 / 5 | $20.584,10 | 92 / 1 | $11.815,80 | 596 / 5 | $10.587,40 | 595 / 6 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 14 | $20.219,30 | 494 / 7 | $6.644,73 | 686 / 13 | $5.536,93 | 685 / 17 |
| Signs & Symptoms W/O Mcc | 15 | 76 / 10 | $14.289,90 | 288 / 6 | $6.667,93 | 999 / 12 | $4.929,00 | 996 / 10 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 9 | $69.937,50 | 487 / 9 | $22.903,10 | 882 / 10 | $21.834,90 | 878 / 12 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 8 | $15.128,20 | 120 / 2 | $8.309,33 | 752 / 8 | $6.480,20 | 749 / 8 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 4 | $35.335,60 | 173 / 1 | $14.476,70 | 809 / 6 | $13.091,90 | 805 / 7 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 13 | $11.646,10 | 387 / 3 | $6.645,67 | 1728 / 18 | $5.282,93 | 1720 / 18 |
| Extracranial Procedures W/O Cc/Mcc | 15 | 83 / 6 | $27.766,80 | 372 / 7 | $9.330,07 | 857 / 6 | $8.245,67 | 854 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 8 | $93.980,70 | 426 / 4 | $29.215,30 | 929 / 7 | $27.702,10 | 924 / 7 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 8 | $28.639,80 | 320 / 6 | $12.590,40 | 829 / 9 | $11.446,90 | 826 / 11 |
| Dysequilibrium | 14 | 51 / 7 | $20.002,90 | 250 / 5 | $5.984,79 | 448 / 6 | $4.632,71 | 448 / 6 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 14 | 26 / 4 | $18.051,70 | 39 / 1 | $10.069,60 | 224 / 5 | $8.538,00 | 224 / 4 |
| Other Digestive System Diagnoses W Mcc | 13 | 49 / 6 | $27.815,90 | 127 / 2 | $13.951,20 | 572 / 5 | $12.730,80 | 571 / 5 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 4 | $25.775,90 | 90 / 1 | $10.843,50 | 542 / 2 | $9.726,31 | 541 / 4 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 6 | $64.293,90 | 60 / 1 | $39.750,00 | 708 / 3 | $37.304,30 | 707 / 3 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 9 | $55.846,40 | 251 / 5 | $25.480,80 | 843 / 7 | $24.092,30 | 840 / 8 |
| Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 4 | $11.999,80 | 75 / 1 | $6.190,92 | 317 / 3 | $5.017,42 | 317 / 4 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 12 | $106.762,00 | 454 / 10 | $44.196,90 | 1130 / 14 | $42.499,10 | 1128 / 14 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 11 | 65 / 5 | $136.953,00 | 303 / 3 | $40.553,20 | 577 / 3 | $38.729,50 | 577 / 4 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 11 | 21 / 4 | $83.541,70 | 130 / 5 | $30.636,40 | 163 / 5 | $28.463,50 | 163 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 17 | $12.794,10 | 523 / 4 | $6.933,00 | 1726 / 20 | $5.034,09 | 1715 / 16 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 11 | $14.756,40 | 143 / 1 | $8.984,00 | 1146 / 12 | $7.657,18 | 1143 / 15 |
| Cellulitis W Mcc | 11 | 47 / 10 | $16.586,80 | 66 / 1 | $12.297,70 | 804 / 7 | $11.055,80 | 802 / 9 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 6 | $43.637,30 | 221 / 1 | $18.227,70 | 774 / 1 | $16.918,80 | 767 / 3 | Total 83 procedures | 2.786 | 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.