Hospital Costs > In Massachusetts > St Elizabeth's Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 18 | $14.833,90 | 107 / 18 | $11.656,70 | 1363 / 34 | $9.734,28 | 1361 / 33 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 36 | 89 / 17 | $22.980,00 | 234 / 29 | $17.939,20 | 1731 / 38 | $16.483,00 | 1718 / 41 |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 114 | 18 / 3 | $5.018,86 | 4 / 1 | $12.531,90 | 82 / 3 | $11.154,50 | 82 / 3 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 68 | 59 / 8 | $5.187,18 | 20 / 4 | $7.874,99 | 748 / 38 | $6.483,50 | 747 / 39 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 54 | 7 / 3 | $3.560,07 | 17 / 3 | $5.389,30 | 81 / 9 | $4.432,89 | 80 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 29 | $7.651,89 | 29 / 4 | $8.853,63 | 1990 / 46 | $6.996,34 | 1985 / 44 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 24 | $14.161,50 | 97 / 19 | $13.229,60 | 1815 / 43 | $11.533,60 | 1812 / 45 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 21 | $7.066,07 | 83 / 9 | $6.402,28 | 1856 / 42 | $4.983,31 | 1850 / 43 |
| Cardiac Congenital & Valvular Disorders W/O Mcc | 11 | 13 / 3 | $10.222,60 | 2 / 1 | $8.744,91 | 27 / 1 | $7.475,82 | 27 / 2 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 16 | 34 / 5 | $88.343,40 | 28 / 5 | $52.838,20 | 234 / 6 | $49.132,60 | 234 / 4 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 18 | 51 / 7 | $170.752,00 | 38 / 4 | $98.635,60 | 280 / 7 | $95.213,70 | 280 / 7 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 43 | 75 / 7 | $86.293,10 | 33 / 5 | $57.205,40 | 524 / 12 | $51.528,20 | 524 / 11 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 66 | 52 / 3 | $107.756,00 | 16 / 2 | $77.784,30 | 458 / 7 | $75.361,60 | 458 / 9 |
| Cellulitis W/O Mcc | 34 | 155 / 42 | $8.367,74 | 117 / 15 | $9.240,82 | 2481 / 52 | $7.765,94 | 2473 / 52 |
| Chest Pain | 14 | 137 / 28 | $6.200,36 | 27 / 2 | $6.823,79 | 1545 / 35 | $5.614,36 | 1536 / 38 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 46 | $10.174,90 | 108 / 18 | $10.447,80 | 2318 / 52 | $8.753,16 | 2311 / 51 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 36 | $10.162,80 | 41 / 5 | $11.956,80 | 2423 / 49 | $10.449,50 | 2415 / 50 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 32 | $6.070,09 | 16 / 3 | $8.057,55 | 1982 / 42 | $6.558,27 | 1971 / 44 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 26 | 67 / 8 | $39.289,80 | 146 / 12 | $22.361,60 | 856 / 14 | $20.538,90 | 848 / 15 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 57 | 131 / 11 | $22.184,20 | 161 / 14 | $12.103,70 | 1558 / 24 | $10.212,40 | 1555 / 25 |
| Complications Of Treatment W Cc | 11 | 41 / 10 | $14.391,90 | 30 / 6 | $10.765,30 | 325 / 8 | $9.281,27 | 325 / 9 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 17 | 59 / 9 | $64.367,50 | 23 / 4 | $46.755,60 | 604 / 9 | $44.302,30 | 604 / 11 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 27 | 32 / 2 | $69.324,20 | 10 / 2 | $57.382,40 | 220 / 6 | $52.721,10 | 219 / 6 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 66 | 26 / 2 | $49.572,00 | 20 / 3 | $38.175,30 | 581 / 11 | $34.944,10 | 580 / 12 |
| Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 16 | $30.898,00 | 523 / 25 | $13.991,30 | 859 / 27 | $12.563,50 | 859 / 27 |
| Diabetes W Cc | 22 | 70 / 18 | $6.729,14 | 13 / 2 | $8.950,00 | 1487 / 35 | $7.667,27 | 1482 / 38 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 21 | $12.711,20 | 66 / 14 | $10.413,20 | 921 / 31 | $9.265,00 | 918 / 33 |
| Disorders Of The Biliary Tract W Cc | 33 | 21 / 7 | $15.666,20 | 35 / 8 | $11.452,30 | 448 / 19 | $9.953,52 | 448 / 20 |
| Endocrine Disorders W Cc | 12 | 26 / 10 | $9.072,58 | 5 / 1 | $10.553,30 | 275 / 11 | $9.382,83 | 275 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 30 | $8.556,73 | 3 / 1 | $12.675,60 | 1353 / 35 | $11.298,90 | 1348 / 36 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 75 | 200 / 34 | $9.065,21 | 151 / 12 | $8.623,76 | 2562 / 49 | $7.019,60 | 2547 / 52 |
| Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 13 | $16.668,60 | 75 / 6 | $11.026,20 | 909 / 15 | $9.718,75 | 906 / 17 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 27 | 35 / 11 | $7.695,15 | 26 / 3 | $8.471,70 | 745 / 28 | $6.826,52 | 743 / 29 |
| G.I. Hemorrhage W Cc | 37 | 181 / 33 | $9.273,30 | 34 / 3 | $10.663,10 | 2270 / 47 | $9.007,81 | 2266 / 47 |
| G.I. Hemorrhage W Mcc | 21 | 100 / 24 | $24.854,00 | 169 / 22 | $18.189,80 | 1568 / 34 | $16.526,00 | 1558 / 37 |
| G.I. Obstruction W Cc | 27 | 65 / 16 | $8.492,11 | 26 / 4 | $9.822,67 | 1667 / 40 | $8.406,67 | 1662 / 42 |
| Heart Failure & Shock W Cc | 82 | 196 / 28 | $12.127,00 | 279 / 25 | $10.746,60 | 2598 / 50 | $9.084,82 | 2592 / 52 |
| Heart Failure & Shock W Mcc | 52 | 232 / 36 | $18.185,40 | 319 / 30 | $16.080,40 | 2498 / 50 | $14.351,70 | 2487 / 52 |
| Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 22 | $8.362,50 | 139 / 21 | $7.791,79 | 1898 / 47 | $6.460,04 | 1885 / 48 |
| Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 29 | $27.516,10 | 146 / 23 | $20.063,50 | 1981 / 44 | $18.070,50 | 1960 / 44 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 36 | 88 / 9 | $67.870,10 | 161 / 19 | $50.373,40 | 1445 / 27 | $47.439,70 | 1435 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 29 | $15.865,00 | 203 / 25 | $11.486,50 | 1969 / 45 | $9.973,05 | 1965 / 47 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 27 | $34.901,20 | 518 / 28 | $18.954,10 | 1497 / 30 | $15.879,90 | 1490 / 31 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 27 | $13.889,70 | 182 / 22 | $8.172,73 | 1476 / 35 | $6.506,00 | 1472 / 36 |
| Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 11 | 29 / 6 | $22.045,30 | 4 / 1 | $15.660,10 | 138 / 5 | $13.858,10 | 138 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 30 | $11.496,30 | 88 / 17 | $12.285,90 | 1863 / 42 | $10.572,40 | 1859 / 44 |
| Kidney & Urinary Tract Infections W/O Mcc | 45 | 188 / 36 | $7.722,44 | 92 / 5 | $8.326,04 | 2532 / 48 | $6.917,20 | 2521 / 48 |
| Major Bladder Procedures W Cc | 11 | 27 / 4 | $42.463,50 | 2 / 1 | $28.845,90 | 47 / 2 | $23.251,10 | 47 / 2 |
| Major Cardiovasc Procedures W Mcc | 19 | 49 / 6 | $67.952,80 | 24 / 2 | $50.324,10 | 592 / 7 | $48.091,90 | 591 / 7 |
| Major Cardiovasc Procedures W/O Mcc | 26 | 75 / 10 | $55.800,20 | 93 / 11 | $33.675,70 | 942 / 15 | $29.663,20 | 941 / 14 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 20 | $11.878,70 | 50 / 10 | $12.699,50 | 1081 / 30 | $11.341,20 | 1079 / 32 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 34 | 530 / 44 | $31.776,30 | 301 / 24 | $22.160,10 | 2577 / 51 | $19.315,90 | 2531 / 52 |
| Major Male Pelvic Procedures W Cc/Mcc | 14 | 16 / 1 | $18.069,70 | 2 / 1 | $18.232,90 | 52 / 1 | $14.503,10 | 52 / 1 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 39 | 35 / 2 | $16.652,10 | 9 / 1 | $13.543,60 | 354 / 7 | $11.234,90 | 354 / 8 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 21 | $34.358,10 | 102 / 17 | $23.098,40 | 1391 / 29 | $20.632,70 | 1377 / 28 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 19 | $68.950,10 | 116 / 18 | $50.502,80 | 1222 / 24 | $47.511,60 | 1219 / 28 |
| Malignancy Of Hepatobiliary System Or Pancreas W Cc | 12 | 19 / 4 | $11.373,80 | 6 / 1 | $12.333,10 | 181 / 3 | $11.125,90 | 181 / 5 |
| Medical Back Problems W/O Mcc | 36 | 85 / 15 | $8.528,64 | 32 / 4 | $9.492,69 | 1399 / 31 | $7.798,42 | 1394 / 32 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 47 | 119 / 26 | $6.145,94 | 35 / 3 | $7.199,21 | 2277 / 46 | $5.957,45 | 2269 / 46 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 23 | 54 / 5 | $21.573,30 | 27 / 3 | $16.463,80 | 389 / 8 | $13.945,70 | 388 / 8 |
| Other Circulatory System Diagnoses W Mcc | 16 | 100 / 17 | $25.584,80 | 125 / 12 | $20.804,20 | 1315 / 21 | $18.877,90 | 1307 / 24 |
| Other Digestive System Diagnoses W Cc | 21 | 76 / 18 | $10.580,00 | 38 / 11 | $11.217,00 | 1333 / 40 | $8.834,19 | 1329 / 37 |
| Other Digestive System O.R. Procedures W Cc | 11 | 16 / 4 | $31.270,40 | 5 / 1 | $21.978,70 | 91 / 3 | $20.419,30 | 91 / 4 |
| Other Disorders Of Nervous System W Cc | 19 | 37 / 12 | $8.841,74 | 16 / 5 | $9.477,95 | 558 / 28 | $7.768,37 | 557 / 27 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 19 | $9.913,36 | 29 / 7 | $10.549,70 | 792 / 24 | $9.263,73 | 792 / 26 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 14 | $17.534,40 | 73 / 14 | $16.375,50 | 1038 / 25 | $14.898,30 | 1034 / 30 |
| Other Vascular Procedures W Cc | 60 | 43 / 4 | $49.937,20 | 208 / 16 | $25.683,70 | 1080 / 18 | $23.588,10 | 1075 / 19 |
| Other Vascular Procedures W Mcc | 21 | 76 / 11 | $74.160,60 | 312 / 16 | $37.797,40 | 978 / 19 | $36.068,20 | 975 / 19 |
| Other Vascular Procedures W/O Cc/Mcc | 27 | 29 / 5 | $38.005,30 | 150 / 9 | $17.449,40 | 529 / 11 | $16.055,40 | 528 / 13 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 27 | 73 / 7 | $58.865,20 | 70 / 10 | $31.410,90 | 969 / 13 | $29.940,30 | 964 / 15 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 61 | 135 / 10 | $47.827,80 | 181 / 13 | $20.744,60 | 1441 / 19 | $18.854,50 | 1433 / 21 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 11 | 43 / 8 | $65.112,50 | 37 / 5 | $31.108,80 | 245 / 5 | $29.310,30 | 245 / 6 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 32 | 63 / 6 | $43.549,80 | 61 / 5 | $20.258,90 | 571 / 6 | $18.716,50 | 567 / 9 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 18 | $15.046,50 | 181 / 26 | $9.800,71 | 1148 / 26 | $8.648,00 | 1145 / 28 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 6 | $7.905,27 | 16 / 2 | $7.790,55 | 355 / 6 | $5.723,73 | 355 / 4 |
| Permanent Cardiac Pacemaker Implant W Cc | 18 | 59 / 12 | $45.107,00 | 139 / 17 | $26.389,50 | 947 / 24 | $25.154,50 | 943 / 26 |
| Postoperative & Post-Traumatic Infections W Mcc | 11 | 32 / 8 | $17.383,30 | 6 / 1 | $18.016,50 | 162 / 5 | $15.126,60 | 162 / 2 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 13 | 41 / 9 | $8.668,00 | 8 / 4 | $10.684,10 | 415 / 13 | $9.407,46 | 415 / 14 |
| Pulmonary Edema & Respiratory Failure | 26 | 177 / 30 | $13.354,30 | 85 / 13 | $13.024,70 | 2125 / 42 | $11.695,30 | 2119 / 43 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 11 | $17.221,90 | 96 / 19 | $13.370,00 | 1024 / 27 | $11.921,10 | 1020 / 29 |
| Red Blood Cell Disorders W/O Mcc | 20 | 123 / 29 | $11.520,80 | 190 / 25 | $8.883,85 | 1873 / 41 | $7.671,05 | 1864 / 43 |
| Renal Failure W Cc | 30 | 191 / 38 | $11.239,30 | 158 / 23 | $10.618,10 | 2276 / 49 | $8.688,50 | 2266 / 49 |
| Renal Failure W Mcc | 22 | 173 / 35 | $20.720,30 | 254 / 30 | $17.674,30 | 1985 / 45 | $13.602,90 | 1981 / 42 |
| Respiratory Infections & Inflammations W Cc | 18 | 70 / 23 | $15.512,80 | 117 / 20 | $14.611,60 | 1429 / 38 | $12.821,80 | 1424 / 41 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 21 | $30.356,30 | 130 / 17 | $23.720,80 | 1749 / 35 | $21.753,70 | 1735 / 35 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 13 | $52.261,40 | 33 / 6 | $46.614,90 | 870 / 15 | $43.921,50 | 869 / 15 |
| Seizures W/O Mcc | 14 | 94 / 25 | $9.320,79 | 55 / 13 | $8.732,36 | 1153 / 38 | $6.615,29 | 1151 / 36 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 16 | $71.487,20 | 60 / 8 | $59.342,10 | 1011 / 17 | $54.677,40 | 1010 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 143 | 373 / 27 | $21.563,60 | 343 / 31 | $19.219,40 | 2671 / 50 | $17.581,70 | 2626 / 51 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 31 | $11.239,60 | 101 / 13 | $11.183,70 | 2428 / 46 | $9.677,95 | 2418 / 49 |
| Signs & Symptoms W/O Mcc | 24 | 67 / 15 | $8.590,62 | 56 / 6 | $7.842,92 | 1216 / 34 | $6.465,42 | 1213 / 36 |
| Simple Pneumonia & Pleurisy W Cc | 41 | 162 / 32 | $7.847,59 | 27 / 3 | $10.154,10 | 2638 / 48 | $8.641,10 | 2629 / 50 |
| Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 36 | $15.982,90 | 167 / 21 | $15.348,60 | 2383 / 49 | $13.170,40 | 2377 / 49 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 27 | $7.223,75 | 55 / 8 | $7.853,50 | 1792 / 42 | $5.633,17 | 1784 / 41 |
| Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 21 | $67.925,10 | 334 / 13 | $40.309,20 | 1320 / 20 | $38.584,80 | 1315 / 22 |
| Syncope & Collapse | 33 | 136 / 29 | $7.954,15 | 41 / 6 | $8.115,24 | 1787 / 45 | $6.805,73 | 1779 / 46 |
| Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W/O Cc/Mcc | 13 | 10 / 1 | $16.650,80 | 3 / 1 | $12.266,30 | 39 / 2 | $9.734,92 | 39 / 1 | Total 97 procedures | 2.726 | 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.