Hospital Costs > In Vermont > Southwestern Vermont Medical Center, 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 | 132 | 384 / 2 | $19.763,40 | 257 / 1 | $12.045,50 | 1542 / 1 | $11.090,40 | 1511 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 99 | 106 / 1 | $17.616,30 | 245 / 1 | $9.423,84 | 1453 / 1 | $8.604,77 | 1453 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 87 | 115 / 1 | $14.990,70 | 311 / 1 | $7.745,64 | 1425 / 1 | $6.743,00 | 1419 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 84 | 123 / 2 | $12.973,30 | 212 / 1 | $6.952,01 | 1307 / 1 | $5.991,54 | 1302 / 1 |
| Heart Failure & Shock W Mcc | 74 | 210 / 2 | $14.941,90 | 142 / 1 | $9.675,96 | 1422 / 1 | $8.910,99 | 1418 / 1 |
| Heart Failure & Shock W Cc | 56 | 222 / 3 | $12.598,40 | 329 / 1 | $6.498,64 | 1259 / 1 | $5.507,46 | 1255 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 53 | 511 / 5 | $36.121,50 | 529 / 4 | $14.606,70 | 1595 / 1 | $12.305,40 | 1558 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 52 | 223 / 3 | $12.500,40 | 455 / 2 | $5.176,33 | 926 / 1 | $3.713,56 | 921 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 5 | $12.737,60 | 328 / 2 | $6.581,36 | 1291 / 1 | $5.294,50 | 1287 / 1 |
| G.I. Hemorrhage W Cc | 46 | 172 / 2 | $16.192,60 | 411 / 2 | $6.544,07 | 1176 / 1 | $5.551,37 | 1174 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 3 | $11.791,70 | 489 / 2 | $5.052,62 | 1196 / 1 | $4.084,62 | 1188 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 38 | 105 / 2 | $29.007,90 | 193 / 3 | $12.720,10 | 1181 / 1 | $11.570,60 | 1167 / 1 |
| Pulmonary Edema & Respiratory Failure | 36 | 167 / 4 | $16.007,00 | 193 / 1 | $7.955,83 | 1200 / 1 | $7.227,39 | 1198 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 35 | 66 / 2 | $17.854,50 | 81 / 1 | $9.855,60 | 550 / 1 | $9.304,29 | 548 / 1 |
| Cellulitis W/O Mcc | 34 | 155 / 3 | $10.491,80 | 300 / 1 | $5.500,65 | 1307 / 1 | $4.538,76 | 1301 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 3 | $11.094,60 | 183 / 2 | $5.146,58 | 920 / 1 | $4.213,42 | 917 / 1 |
| Respiratory Infections & Inflammations W Mcc | 28 | 108 / 2 | $27.666,80 | 320 / 2 | $13.212,30 | 1235 / 1 | $12.653,50 | 1220 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 3 | $17.493,00 | 219 / 1 | $7.925,96 | 835 / 1 | $6.862,07 | 832 / 1 |
| Renal Failure W Cc | 25 | 196 / 5 | $12.417,80 | 248 / 1 | $6.782,68 | 965 / 1 | $5.148,16 | 957 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 4 | $10.876,10 | 414 / 2 | $4.773,75 | 1202 / 1 | $3.812,17 | 1198 / 1 |
| Red Blood Cell Disorders W/O Mcc | 23 | 120 / 2 | $13.731,40 | 332 / 2 | $5.253,43 | 906 / 1 | $4.415,87 | 901 / 1 |
| Medical Back Problems W/O Mcc | 22 | 99 / 2 | $14.405,40 | 192 / 2 | $5.549,55 | 597 / 1 | $4.397,55 | 595 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 3 | $14.581,80 | 129 / 2 | $7.250,25 | 842 / 1 | $5.601,10 | 840 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 3 | $11.145,70 | 375 / 1 | $4.442,61 | 738 / 1 | $3.502,17 | 734 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 4 | $9.415,94 | 286 / 3 | $3.664,22 | 778 / 1 | $2.656,22 | 774 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 2 | $13.111,90 | 136 / 1 | $4.991,12 | 640 / 1 | $3.785,12 | 636 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 3 | $9.198,80 | 97 / 1 | $3.986,73 | 419 / 1 | $2.864,33 | 418 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 5 | $11.206,10 | 338 / 5 | $4.599,20 | 669 / 1 | $3.389,60 | 666 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 5 | $11.328,10 | 171 / 1 | $6.064,53 | 1300 / 1 | $5.270,93 | 1295 / 1 |
| Syncope & Collapse | 14 | 155 / 2 | $12.994,30 | 267 / 1 | $4.766,71 | 860 / 1 | $3.900,43 | 856 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 3 | $34.395,70 | 190 / 1 | $14.316,90 | 549 / 1 | $12.585,20 | 541 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 2 | $10.248,60 | 89 / 1 | $4.524,85 | 360 / 1 | $3.601,77 | 361 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 3 | $53.494,50 | 143 / 2 | $25.730,70 | 839 / 1 | $24.522,10 | 835 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 4 | $22.425,20 | 214 / 2 | $11.210,40 | 937 / 1 | $10.097,80 | 935 / 1 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 4 | $15.364,80 | 111 / 1 | $8.905,31 | 937 / 1 | $8.442,54 | 932 / 1 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 2 | $25.108,00 | 217 / 1 | $9.101,08 | 411 / 1 | $8.191,75 | 410 / 1 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 3 | $10.695,00 | 116 / 1 | $4.510,75 | 521 / 1 | $3.700,08 | 520 / 1 |
| Pulmonary Embolism W Mcc | 11 | 32 / 2 | $16.239,70 | 17 / 1 | $9.850,27 | 291 / 1 | $8.864,09 | 291 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 3 | $12.572,80 | 77 / 1 | $7.110,91 | 681 / 1 | $6.345,82 | 678 / 1 | Total 39 procedures | 1.338 | 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.