Hospital Costs > In Massachusetts > St Vincent Hospital Worcester, 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 | 290 | 228 / 13 | $18.623,60 | 208 / 18 | $15.869,70 | 2476 / 44 | $14.951,40 | 2432 / 46 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 181 | 383 / 19 | $37.077,80 | 594 / 33 | $19.174,00 | 2443 / 46 | $16.722,40 | 2397 / 44 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 126 | 149 / 18 | $10.099,50 | 222 / 24 | $7.088,50 | 2466 / 46 | $6.311,36 | 2451 / 46 |
| Heart Failure & Shock W Mcc | 106 | 178 / 22 | $15.657,90 | 171 / 21 | $12.942,50 | 2324 / 45 | $12.052,80 | 2314 / 46 |
| Renal Failure W Cc | 104 | 117 / 13 | $9.739,72 | 78 / 13 | $8.727,39 | 2152 / 44 | $7.698,45 | 2142 / 44 |
| Cellulitis W/O Mcc | 100 | 89 / 12 | $9.302,16 | 184 / 25 | $7.914,15 | 2334 / 47 | $6.693,16 | 2326 / 47 |
| Heart Failure & Shock W Cc | 92 | 186 / 26 | $10.532,00 | 156 / 15 | $9.176,29 | 2433 / 47 | $7.914,62 | 2427 / 47 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 84 | 123 / 11 | $12.927,60 | 207 / 25 | $9.980,56 | 2236 / 43 | $8.223,05 | 2227 / 41 |
| Simple Pneumonia & Pleurisy W Cc | 82 | 121 / 17 | $9.902,51 | 103 / 16 | $8.890,43 | 2458 / 45 | $7.483,34 | 2449 / 44 |
| Chronic Obstructive Pulmonary Disease W Cc | 77 | 102 / 12 | $11.754,00 | 213 / 30 | $8.551,18 | 2138 / 45 | $7.285,32 | 2131 / 44 |
| G.I. Hemorrhage W Cc | 76 | 142 / 16 | $11.611,60 | 106 / 11 | $9.205,88 | 2145 / 44 | $7.991,74 | 2141 / 44 |
| Pulmonary Edema & Respiratory Failure | 71 | 132 / 11 | $14.316,60 | 113 / 18 | $11.419,60 | 2008 / 38 | $10.250,20 | 2002 / 38 |
| Kidney & Urinary Tract Infections W/O Mcc | 71 | 162 / 28 | $8.338,37 | 141 / 13 | $7.172,08 | 2426 / 44 | $6.267,94 | 2415 / 45 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 58 | 108 / 20 | $8.764,53 | 209 / 22 | $6.603,03 | 2216 / 43 | $5.615,91 | 2208 / 45 |
| Chronic Obstructive Pulmonary Disease W Mcc | 53 | 149 / 21 | $13.458,60 | 215 / 25 | $10.443,10 | 2316 / 46 | $9.513,49 | 2308 / 46 |
| Simple Pneumonia & Pleurisy W Mcc | 53 | 152 / 25 | $17.370,60 | 232 / 25 | $12.856,70 | 2224 / 45 | $11.512,40 | 2218 / 45 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 44 | 117 / 23 | $9.305,34 | 80 / 12 | $8.060,09 | 1859 / 42 | $6.105,64 | 1854 / 38 |
| G.I. Obstruction W Cc | 38 | 54 / 10 | $11.724,70 | 104 / 14 | $8.151,03 | 1527 / 35 | $6.873,87 | 1522 / 35 |
| Renal Failure W Mcc | 33 | 162 / 29 | $18.989,60 | 187 / 23 | $13.861,60 | 1887 / 39 | $12.604,10 | 1883 / 39 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 33 | 98 / 12 | $21.672,10 | 23 / 2 | $20.529,80 | 1608 / 31 | $19.029,40 | 1594 / 32 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 21 | $11.961,30 | 55 / 7 | $9.414,70 | 1847 / 40 | $8.540,03 | 1843 / 42 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 33 | 163 / 16 | $53.934,30 | 308 / 16 | $18.892,90 | 1293 / 12 | $15.292,50 | 1286 / 12 |
| Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 23 | $24.552,90 | 75 / 12 | $16.607,60 | 1859 / 36 | $15.626,60 | 1839 / 39 |
| Transient Ischemia | 32 | 93 / 13 | $9.272,97 | 54 / 4 | $6.857,75 | 1464 / 33 | $5.572,25 | 1456 / 33 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 32 | 64 / 14 | $15.127,60 | 77 / 19 | $11.335,50 | 1223 / 32 | $9.547,84 | 1218 / 30 |
| Syncope & Collapse | 31 | 138 / 30 | $7.869,13 | 36 / 3 | $7.143,48 | 1655 / 40 | $5.806,19 | 1647 / 40 |
| G.I. Hemorrhage W Mcc | 31 | 90 / 16 | $19.524,40 | 65 / 12 | $14.671,50 | 1420 / 26 | $14.065,50 | 1410 / 27 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 31 | 157 / 18 | $20.418,90 | 120 / 13 | $10.121,60 | 1429 / 21 | $8.441,81 | 1426 / 20 |
| Spinal Fusion Except Cervical W/O Mcc | 31 | 163 / 16 | $49.162,50 | 113 / 7 | $34.839,70 | 1234 / 13 | $32.003,00 | 1229 / 15 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 31 | 93 / 17 | $8.783,39 | 94 / 11 | $6.543,23 | 731 / 34 | $6.143,13 | 730 / 37 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 30 | 138 / 14 | $21.308,70 | 124 / 18 | $15.162,40 | 1408 / 26 | $14.238,70 | 1401 / 28 |
| Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 19 | $8.287,10 | 134 / 20 | $6.516,60 | 1836 / 40 | $5.819,53 | 1823 / 43 |
| Diabetes W Cc | 29 | 63 / 13 | $12.047,30 | 159 / 24 | $7.678,66 | 1404 / 33 | $6.845,55 | 1399 / 34 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 22 | $17.264,70 | 203 / 31 | $13.378,10 | 1715 / 44 | $10.048,80 | 1712 / 41 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 28 | 64 / 9 | $51.333,30 | 18 / 3 | $46.857,00 | 880 / 8 | $46.036,70 | 879 / 10 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 21 | $8.510,56 | 121 / 19 | $6.801,63 | 1889 / 39 | $5.807,48 | 1878 / 41 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 27 | 46 / 10 | $10.959,90 | 37 / 7 | $10.132,90 | 983 / 26 | $9.361,56 | 981 / 26 |
| Other Circulatory System Diagnoses W Mcc | 26 | 90 / 13 | $24.496,90 | 109 / 11 | $15.530,10 | 1109 / 15 | $14.593,20 | 1101 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 25 | $8.319,83 | 174 / 24 | $5.566,67 | 1795 / 39 | $4.558,67 | 1789 / 39 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 24 | 77 / 12 | $11.947,20 | 15 / 5 | $12.275,80 | 881 / 18 | $11.773,10 | 877 / 20 |
| Seizures W/O Mcc | 24 | 84 / 18 | $7.379,92 | 26 / 5 | $6.893,50 | 1058 / 32 | $5.910,83 | 1056 / 33 |
| Chest Pain | 23 | 128 / 22 | $9.426,96 | 126 / 17 | $5.971,61 | 1521 / 32 | $5.404,65 | 1512 / 34 |
| Other Vascular Procedures W Cc | 23 | 79 / 14 | $37.277,80 | 73 / 7 | $22.499,40 | 1034 / 14 | $21.710,50 | 1029 / 15 |
| Signs & Symptoms W/O Mcc | 23 | 68 / 16 | $9.833,13 | 85 / 12 | $6.277,57 | 1070 / 30 | $5.242,57 | 1067 / 27 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 17 | $13.661,50 | 116 / 24 | $9.213,55 | 1230 / 34 | $7.738,59 | 1226 / 33 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 22 | 39 / 11 | $7.548,95 | 31 / 5 | $6.243,14 | 792 / 29 | $5.608,95 | 791 / 31 |
| Red Blood Cell Disorders W/O Mcc | 22 | 121 / 27 | $10.519,30 | 131 / 17 | $7.906,41 | 1761 / 38 | $6.670,95 | 1752 / 38 |
| Disorders Of Pancreas Except Malignancy W Cc | 22 | 39 / 12 | $10.093,10 | 34 / 3 | $8.707,05 | 872 / 27 | $7.936,14 | 869 / 28 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 22 | 78 / 10 | $81.024,80 | 288 / 14 | $30.700,70 | 859 / 12 | $25.175,00 | 854 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 21 | 82 / 12 | $9.136,38 | 21 / 4 | $8.812,33 | 720 / 18 | $8.120,52 | 720 / 20 |
| Major Small & Large Bowel Procedures W Cc | 21 | 87 / 19 | $28.382,60 | 42 / 5 | $21.753,30 | 1406 / 24 | $20.950,20 | 1392 / 30 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 15 | $71.566,00 | 184 / 21 | $44.954,60 | 1363 / 24 | $44.194,90 | 1353 / 26 |
| Endocrine Disorders W Cc | 19 | 19 / 4 | $10.512,20 | 12 / 3 | $9.394,63 | 226 / 9 | $7.936,95 | 226 / 7 |
| Respiratory Infections & Inflammations W Mcc | 19 | 117 / 32 | $20.052,10 | 106 / 22 | $16.655,40 | 1658 / 34 | $16.082,70 | 1642 / 35 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 20 | $9.095,32 | 153 / 19 | $6.547,95 | 1723 / 37 | $5.262,95 | 1715 / 37 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 18 | 54 / 13 | $25.491,90 | 227 / 24 | $12.958,90 | 866 / 23 | $12.093,20 | 863 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 17 | $11.367,40 | 49 / 10 | $10.293,10 | 1501 / 29 | $9.420,22 | 1498 / 29 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 30 | $19.408,90 | 144 / 23 | $15.705,40 | 1558 / 36 | $13.590,10 | 1545 / 34 |
| Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 29 | $10.175,20 | 52 / 9 | $9.082,65 | 1663 / 29 | $8.444,53 | 1659 / 33 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 24 | $12.668,50 | 41 / 12 | $10.927,40 | 1240 / 27 | $10.001,20 | 1235 / 25 |
| Major Cardiovasc Procedures W/O Mcc | 16 | 85 / 13 | $60.484,50 | 133 / 12 | $30.710,90 | 943 / 11 | $29.801,00 | 942 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 24 | $10.505,70 | 56 / 6 | $7.088,69 | 1437 / 32 | $6.102,69 | 1433 / 33 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 16 | 52 / 12 | $11.867,00 | 49 / 11 | $8.369,19 | 640 / 17 | $7.426,19 | 640 / 17 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 16 | 72 / 8 | $43.884,20 | 12 / 2 | $30.413,10 | 195 / 2 | $19.937,00 | 194 / 1 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 11 | $11.889,10 | 32 / 5 | $10.969,70 | 930 / 24 | $10.173,70 | 926 / 24 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 15 | 58 / 8 | $18.395,10 | 12 / 2 | $12.320,30 | 295 / 4 | $8.645,20 | 295 / 3 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 20 | $12.821,70 | 90 / 15 | $9.230,80 | 1194 / 28 | $8.262,27 | 1191 / 30 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 12 | $38.633,50 | 2 / 1 | $40.455,70 | 779 / 10 | $39.472,80 | 778 / 11 |
| Other Disorders Of Nervous System W Cc | 15 | 41 / 16 | $8.250,67 | 11 / 4 | $8.736,13 | 498 / 25 | $6.836,67 | 497 / 22 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 15 | $67.374,90 | 447 / 24 | $25.105,00 | 898 / 20 | $22.365,90 | 894 / 20 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 19 | $56.245,50 | 54 / 10 | $36.963,20 | 934 / 13 | $36.161,10 | 932 / 15 |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 21 | $10.090,90 | 53 / 15 | $8.293,14 | 970 / 30 | $7.429,14 | 966 / 30 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 19 | $10.771,90 | 193 / 21 | $6.030,50 | 1199 / 28 | $4.929,93 | 1196 / 29 |
| Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 14 | $17.050,80 | 81 / 7 | $10.771,10 | 826 / 14 | $7.727,29 | 823 / 12 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 9 | $8.455,08 | 24 / 4 | $6.501,69 | 393 / 11 | $4.926,31 | 392 / 10 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 11 | $43.205,70 | 223 / 10 | $19.866,70 | 756 / 11 | $17.686,20 | 752 / 12 |
| Other Resp System O.R. Procedures W Cc | 13 | 34 / 7 | $25.700,50 | 16 / 1 | $16.792,80 | 263 / 4 | $14.331,00 | 263 / 4 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 12 | 42 / 10 | $11.213,70 | 20 / 9 | $9.096,17 | 302 / 8 | $6.908,25 | 302 / 4 |
| Organic Disturbances & Mental Retardation | 12 | 47 / 10 | $9.275,08 | 25 / 7 | $8.753,92 | 447 / 14 | $8.151,25 | 447 / 16 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 19 | $10.355,30 | 30 / 5 | $8.986,08 | 710 / 19 | $7.876,75 | 710 / 18 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 12 | 57 / 14 | $42.039,80 | 73 / 7 | $18.186,90 | 459 / 12 | $12.777,80 | 457 / 5 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 18 | $14.238,30 | 30 / 2 | $11.160,90 | 612 / 16 | $7.360,73 | 611 / 9 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 15 | $10.466,60 | 22 / 5 | $8.544,91 | 473 / 12 | $8.108,55 | 473 / 12 |
| Extracranial Procedures W Cc | 11 | 35 / 9 | $16.261,50 | 15 / 1 | $15.148,70 | 308 / 6 | $11.149,10 | 308 / 4 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 11 | 107 / 13 | $75.835,50 | 21 / 3 | $45.331,00 | 357 / 5 | $35.484,60 | 357 / 2 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 11 | 65 / 11 | $56.431,80 | 14 / 2 | $39.260,80 | 538 / 4 | $35.100,50 | 538 / 4 |
| Transurethral Procedures W Cc | 11 | 30 / 8 | $18.973,40 | 21 / 2 | $11.751,80 | 363 / 6 | $10.762,70 | 363 / 6 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 11 | $16.151,40 | 31 / 3 | $10.221,80 | 391 / 7 | $9.672,00 | 391 / 8 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 21 | $10.770,40 | 54 / 16 | $8.551,82 | 990 / 25 | $7.133,18 | 987 / 20 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 10 | $11.736,10 | 40 / 8 | $7.924,27 | 299 / 12 | $6.957,00 | 298 / 13 | Total 90 procedures | 3.172 | 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.