Hospital Costs > In Rhode Island > South County Hospital Inc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 396 | 190 / 2 | $34.705,20 | 443 / 3 | $13.455,00 | 1103 / 1 | $11.223,70 | 1079 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 61 | 455 / 8 | $34.287,40 | 1019 / 6 | $12.196,50 | 1100 / 3 | $10.327,00 | 1086 / 2 |
| G.I. Hemorrhage W Cc | 49 | 169 / 4 | $21.448,80 | 894 / 6 | $6.174,61 | 964 / 1 | $5.333,47 | 962 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 4 | $12.900,30 | 629 / 2 | $4.729,20 | 857 / 1 | $3.861,49 | 852 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 6 | $17.537,60 | 855 / 5 | $5.988,24 | 732 / 1 | $4.845,53 | 729 / 1 |
| Heart Failure & Shock W Mcc | 34 | 250 / 9 | $18.204,90 | 321 / 2 | $8.538,41 | 192 / 1 | $7.225,47 | 192 / 1 |
| Heart Failure & Shock W Cc | 31 | 247 / 9 | $14.910,80 | 568 / 3 | $5.384,52 | 111 / 1 | $4.362,10 | 111 / 1 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 31 | 32 / 1 | $51.096,60 | 43 / 1 | $23.273,10 | 124 / 1 | $19.377,80 | 124 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 30 | 245 / 8 | $15.158,70 | 777 / 5 | $4.573,80 | 824 / 1 | $3.645,80 | 819 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 4 | $11.952,10 | 543 / 2 | $4.324,72 | 885 / 1 | $3.562,79 | 882 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 9 | $18.511,40 | 844 / 6 | $5.745,64 | 801 / 1 | $4.795,93 | 799 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 9 | $26.360,50 | 1231 / 6 | $7.415,84 | 1190 / 2 | $6.449,48 | 1184 / 3 |
| Cellulitis W/O Mcc | 24 | 165 / 8 | $13.845,70 | 707 / 2 | $5.696,21 | 197 / 3 | $3.554,42 | 197 / 1 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 24 | 45 / 1 | $39.348,10 | 43 / 1 | $18.522,10 | 142 / 1 | $14.155,50 | 142 / 1 |
| Renal Failure W Cc | 22 | 199 / 8 | $21.240,20 | 1094 / 5 | $5.797,36 | 761 / 1 | $4.971,18 | 754 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 4 | $31.785,00 | 285 / 5 | $11.969,80 | 978 / 1 | $10.982,20 | 965 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 5 | $9.051,95 | 238 / 2 | $3.566,70 | 355 / 1 | $2.317,05 | 353 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 6 | $15.933,90 | 897 / 4 | $4.452,21 | 635 / 2 | $3.431,58 | 634 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 4 | $18.656,90 | 485 / 2 | $4.629,58 | 537 / 1 | $3.671,26 | 533 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 6 | $21.142,50 | 398 / 4 | $7.952,83 | 536 / 3 | $6.425,33 | 533 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 8 | $26.426,10 | 795 / 4 | $8.952,65 | 1075 / 1 | $7.954,94 | 1075 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 8 | $11.922,70 | 225 / 1 | $4.829,50 | 930 / 1 | $4.225,50 | 927 / 2 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 8 | $29.735,10 | 1029 / 6 | $8.181,81 | 556 / 2 | $6.404,94 | 556 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 5 | $22.851,80 | 187 / 1 | $6.860,56 | 317 / 1 | $5.167,19 | 317 / 1 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 8 | $15.659,60 | 511 / 2 | $5.269,50 | 313 / 2 | $3.770,93 | 312 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 9 | $17.143,80 | 525 / 2 | $6.391,07 | 854 / 1 | $5.524,79 | 852 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 5 | $14.237,00 | 638 / 3 | $4.379,54 | 435 / 1 | $3.178,31 | 433 / 1 |
| Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 4 | $16.451,50 | 252 / 1 | $5.425,62 | 250 / 1 | $4.221,92 | 247 / 1 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 6 | $37.221,90 | 138 / 3 | $15.862,10 | 803 / 3 | $14.747,00 | 795 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 10 | $30.199,30 | 447 / 5 | $9.957,38 | 646 / 2 | $9.314,92 | 645 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 4 | $16.920,00 | 652 / 4 | $3.787,50 | 233 / 1 | $2.587,50 | 233 / 2 |
| Renal Failure W Mcc | 12 | 183 / 10 | $37.309,80 | 1173 / 8 | $10.249,30 | 1294 / 3 | $9.644,00 | 1294 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 7 | $12.400,80 | 518 / 2 | $4.206,58 | 303 / 2 | $3.105,25 | 301 / 1 |
| G.I. Hemorrhage W Mcc | 12 | 109 / 7 | $31.271,00 | 367 / 3 | $10.678,50 | 684 / 2 | $10.171,80 | 685 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 7 | $19.932,50 | 567 / 4 | $6.872,73 | 731 / 2 | $5.994,18 | 730 / 3 |
| G.I. Obstruction W Cc | 11 | 81 / 4 | $16.093,90 | 368 / 2 | $6.048,73 | 198 / 3 | $4.046,00 | 197 / 1 |
| Respiratory Infections & Inflammations W Mcc | 11 | 125 / 8 | $21.632,40 | 137 / 1 | $13.152,50 | 5 / 2 | $8.342,00 | 5 / 1 |
| Seizures W/O Mcc | 11 | 97 / 5 | $15.304,10 | 277 / 1 | $4.335,73 | 116 / 1 | $3.349,55 | 116 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 2 | $19.111,20 | 113 / 1 | $6.523,45 | 471 / 1 | $5.644,91 | 470 / 2 | Total 39 procedures | 1.199 | 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.