Hospital Costs > In Massachusetts > Saints Medical Center Inc, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 39 | $11.831,40 | 220 / 29 | $6.058,62 | 1482 / 20 | $4.953,38 | 1477 / 14 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 32 | $17.365,70 | 212 / 32 | $9.058,43 | 1372 / 16 | $8.203,57 | 1369 / 18 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 32 | $10.459,10 | 391 / 37 | $4.377,82 | 1487 / 15 | $3.505,09 | 1481 / 19 |
Cellulitis W/O Mcc | 36 | 153 / 40 | $13.372,60 | 642 / 49 | $6.321,47 | 2015 / 21 | $5.591,69 | 2007 / 29 |
Chest Pain | 13 | 138 / 29 | $11.410,20 | 216 / 28 | $4.720,46 | 1128 / 13 | $3.799,85 | 1121 / 12 |
Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 38 | $14.102,70 | 428 / 44 | $6.927,16 | 1776 / 20 | $6.030,16 | 1769 / 23 |
Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 38 | $17.763,90 | 547 / 48 | $8.655,90 | 1939 / 22 | $7.782,38 | 1931 / 26 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 21 | $10.770,00 | 329 / 33 | $5.470,04 | 1545 / 16 | $4.536,11 | 1534 / 19 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 46 | $12.658,50 | 470 / 37 | $5.721,06 | 1958 / 20 | $4.696,61 | 1944 / 22 |
G.I. Hemorrhage W Cc | 12 | 206 / 45 | $20.980,00 | 833 / 45 | $7.537,67 | 1841 / 19 | $6.735,00 | 1837 / 26 |
Heart Failure & Shock W Cc | 48 | 230 / 41 | $16.586,70 | 757 / 46 | $7.248,08 | 2063 / 19 | $6.647,42 | 2058 / 25 |
Heart Failure & Shock W Mcc | 40 | 244 / 40 | $25.236,10 | 755 / 46 | $11.641,30 | 1992 / 34 | $10.355,10 | 1985 / 30 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 32 | $11.024,70 | 364 / 37 | $5.238,42 | 1498 / 19 | $4.435,75 | 1486 / 25 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 34 | $17.223,80 | 382 / 38 | $8.344,82 | 1450 / 18 | $7.469,18 | 1446 / 18 |
Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 44 | $11.418,60 | 443 / 34 | $5.727,89 | 1913 / 21 | $4.843,74 | 1902 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 43 | $13.204,60 | 714 / 43 | $5.300,00 | 1833 / 18 | $4.534,91 | 1827 / 23 |
Pulmonary Edema & Respiratory Failure | 23 | 180 / 32 | $16.840,30 | 227 / 30 | $9.123,13 | 1694 / 14 | $8.449,74 | 1689 / 17 |
Renal Failure W Cc | 23 | 198 / 42 | $17.937,50 | 769 / 49 | $7.049,22 | 1765 / 21 | $6.321,57 | 1755 / 23 |
Renal Failure W Mcc | 13 | 182 / 41 | $21.931,80 | 317 / 33 | $10.682,40 | 1339 / 11 | $9.756,85 | 1339 / 9 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 26 | $33.354,20 | 171 / 23 | $17.182,40 | 1111 / 16 | $14.636,00 | 1099 / 4 |
Seizures W/O Mcc | 11 | 97 / 28 | $13.116,10 | 175 / 27 | $5.727,55 | 864 / 12 | $4.935,55 | 861 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 45 | 471 / 48 | $29.603,40 | 764 / 45 | $13.675,20 | 2127 / 26 | $12.888,80 | 2090 / 30 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 41 | $17.546,60 | 569 / 43 | $7.825,50 | 1840 / 18 | $6.893,94 | 1832 / 18 |
Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 44 | $15.761,90 | 654 / 45 | $7.190,00 | 2071 / 18 | $6.308,93 | 2063 / 24 |
Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 43 | $19.879,20 | 385 / 39 | $10.503,10 | 1827 / 19 | $9.487,10 | 1827 / 19 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 20 | $14.034,50 | 619 / 42 | $5.441,47 | 1420 / 17 | $4.242,32 | 1412 / 17 |
Syncope & Collapse | 12 | 157 / 41 | $13.782,40 | 313 / 41 | $5.602,00 | 1304 / 17 | $4.602,00 | 1297 / 15 | Total 27 procedures | 575 | 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.