Hospital Costs > In Connecticut > Sharon 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 | 57 | 459 / 25 | $34.655,70 | 1032 / 12 | $17.011,30 | 2525 / 23 | $15.458,80 | 2481 / 23 |
| Simple Pneumonia & Pleurisy W Cc | 42 | 161 / 21 | $18.590,60 | 981 / 8 | $8.806,98 | 2522 / 19 | $7.830,98 | 2513 / 25 |
| Cellulitis W/O Mcc | 37 | 152 / 16 | $15.137,40 | 875 / 9 | $7.607,22 | 2276 / 18 | $6.441,24 | 2268 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 21 | $18.329,10 | 621 / 7 | $9.606,33 | 2295 / 20 | $8.595,67 | 2286 / 25 |
| G.I. Hemorrhage W Cc | 34 | 184 / 22 | $14.994,60 | 307 / 4 | $8.977,82 | 2124 / 18 | $7.866,47 | 2120 / 22 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 31 | 533 / 25 | $60.908,90 | 1724 / 23 | $19.347,90 | 2529 / 23 | $18.180,40 | 2483 / 25 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 19 | $16.042,20 | 1092 / 12 | $7.399,97 | 2114 / 24 | $5.243,00 | 2106 / 19 |
| Renal Failure W Cc | 26 | 195 / 23 | $15.160,30 | 479 / 5 | $8.674,42 | 2179 / 21 | $7.927,35 | 2169 / 24 |
| Simple Pneumonia & Pleurisy W Mcc | 26 | 179 / 20 | $25.884,20 | 759 / 8 | $13.210,00 | 2319 / 22 | $12.375,50 | 2313 / 24 |
| Heart Failure & Shock W Mcc | 25 | 259 / 24 | $24.043,30 | 666 / 5 | $15.229,60 | 2352 / 24 | $12.386,00 | 2342 / 20 |
| Heart Failure & Shock W Cc | 25 | 253 / 25 | $17.165,80 | 828 / 5 | $8.712,16 | 2411 / 19 | $7.836,12 | 2405 / 23 |
| Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 18 | $44.379,80 | 818 / 16 | $18.102,70 | 1870 / 24 | $15.743,60 | 1850 / 23 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 17 | $22.627,20 | 226 / 6 | $15.602,50 | 1655 / 17 | $14.700,20 | 1642 / 19 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 21 | $18.871,00 | 881 / 9 | $8.492,53 | 2161 / 19 | $7.419,05 | 2154 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 17 | $20.582,30 | 362 / 3 | $10.886,70 | 1711 / 14 | $10.015,60 | 1708 / 18 |
| Syncope & Collapse | 18 | 151 / 22 | $14.186,70 | 339 / 3 | $6.336,94 | 1562 / 13 | $5.358,89 | 1555 / 16 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 25 | $13.327,90 | 686 / 6 | $6.929,12 | 2417 / 20 | $6.217,59 | 2406 / 26 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 23 | $24.942,50 | 727 / 10 | $11.075,80 | 1862 / 20 | $9.178,35 | 1857 / 13 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 20 | $13.034,30 | 604 / 5 | $5.962,94 | 1625 / 13 | $4.785,62 | 1612 / 16 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 14 | $13.427,50 | 270 / 2 | $6.143,80 | 673 / 9 | $5.420,60 | 672 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 28 | $15.026,00 | 761 / 6 | $7.390,79 | 2169 / 25 | $5.169,86 | 2155 / 17 |
| Transient Ischemia | 14 | 111 / 17 | $15.621,40 | 329 / 4 | $6.278,07 | 1378 / 13 | $5.155,79 | 1371 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 23 | $17.009,60 | 282 / 2 | $9.676,00 | 1874 / 20 | $8.743,08 | 1870 / 22 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 24 | $27.488,40 | 1305 / 14 | $10.535,30 | 2319 / 20 | $9.532,67 | 2311 / 22 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 23 | $15.108,10 | 462 / 7 | $7.172,17 | 1724 / 13 | $6.465,50 | 1715 / 22 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 17 | $13.647,20 | 624 / 7 | $6.502,73 | 1724 / 15 | $5.025,36 | 1713 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 24 | $15.666,20 | 588 / 5 | $7.066,82 | 1883 / 13 | $6.185,36 | 1878 / 20 |
| Renal Failure W Mcc | 11 | 184 / 23 | $26.161,20 | 530 / 6 | $13.875,50 | 1913 / 17 | $12.889,40 | 1909 / 18 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 9 | $14.726,80 | 277 / 2 | $6.963,82 | 737 / 11 | $4.807,27 | 736 / 6 | Total 29 procedures | 638 | 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.