Hospital Costs > In Massachusetts > Sturdy Memorial Hospital, 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 | 168 | 396 / 21 | $29.114,60 | 192 / 18 | $16.056,30 | 1877 / 22 | $13.129,80 | 1835 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 145 | 371 / 26 | $19.979,20 | 265 / 22 | $13.308,80 | 1920 / 21 | $12.103,10 | 1885 / 21 |
Simple Pneumonia & Pleurisy W Cc | 97 | 106 / 13 | $14.311,30 | 487 / 42 | $8.253,55 | 1998 / 39 | $6.165,24 | 1990 / 21 |
Chronic Obstructive Pulmonary Disease W Mcc | 95 | 107 / 9 | $15.788,80 | 372 / 41 | $8.487,23 | 1815 / 20 | $7.458,77 | 1807 / 19 |
Heart Failure & Shock W Cc | 81 | 197 / 29 | $12.394,40 | 303 / 28 | $7.314,09 | 1920 / 22 | $6.362,59 | 1915 / 18 |
Chronic Obstructive Pulmonary Disease W Cc | 79 | 100 / 10 | $12.797,20 | 305 / 37 | $6.994,29 | 1759 / 22 | $5.998,97 | 1752 / 20 |
Kidney & Urinary Tract Infections W/O Mcc | 78 | 155 / 24 | $9.790,50 | 272 / 28 | $5.671,92 | 1716 / 18 | $4.576,27 | 1705 / 10 |
Cellulitis W/O Mcc | 72 | 117 / 24 | $9.548,83 | 208 / 26 | $6.217,69 | 1856 / 16 | $5.260,29 | 1848 / 24 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 71 | 49 / 5 | $9.341,65 | 179 / 24 | $5.434,68 | 1495 / 15 | $4.408,85 | 1484 / 14 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 68 | 139 / 16 | $12.236,90 | 164 / 21 | $7.701,00 | 1818 / 15 | $6.829,47 | 1810 / 17 |
Heart Failure & Shock W Mcc | 61 | 223 / 33 | $18.801,50 | 358 / 33 | $10.593,40 | 1767 / 17 | $9.643,10 | 1762 / 15 |
Renal Failure W Cc | 54 | 167 / 28 | $10.092,60 | 102 / 16 | $6.931,26 | 1625 / 15 | $5.978,31 | 1616 / 13 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 53 | 113 / 23 | $9.727,15 | 284 / 29 | $5.336,26 | 1746 / 20 | $4.393,28 | 1741 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 50 | 225 / 39 | $9.117,60 | 156 / 14 | $5.623,20 | 1920 / 17 | $4.630,56 | 1906 / 19 |
Respiratory Infections & Inflammations W Cc | 48 | 40 / 7 | $13.562,20 | 66 / 16 | $10.198,30 | 1157 / 15 | $9.416,94 | 1152 / 18 |
Simple Pneumonia & Pleurisy W Mcc | 47 | 158 / 28 | $19.773,40 | 380 / 38 | $10.450,00 | 1899 / 17 | $9.702,38 | 1899 / 23 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 42 | 51 / 8 | $9.968,98 | 213 / 29 | $5.360,26 | 1391 / 15 | $4.184,43 | 1383 / 14 |
G.I. Hemorrhage W Cc | 40 | 178 / 32 | $12.250,40 | 125 / 18 | $7.660,90 | 1588 / 21 | $6.125,17 | 1584 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 17 | $13.354,80 | 87 / 11 | $7.736,63 | 1461 / 18 | $6.755,58 | 1458 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 30 | $12.734,00 | 292 / 39 | $5.741,56 | 1451 / 9 | $4.891,68 | 1446 / 11 |
Syncope & Collapse | 33 | 136 / 29 | $10.247,30 | 117 / 23 | $5.506,70 | 1283 / 16 | $4.557,36 | 1276 / 13 |
Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 18 | $10.336,80 | 294 / 34 | $5.083,88 | 1364 / 15 | $4.176,88 | 1353 / 16 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 31 | 119 / 19 | $7.897,77 | 136 / 19 | $4.298,00 | 1369 / 13 | $3.249,74 | 1364 / 14 |
Red Blood Cell Disorders W/O Mcc | 31 | 112 / 20 | $11.267,60 | 175 / 24 | $5.992,58 | 1355 / 11 | $5.095,55 | 1346 / 15 |
G.I. Hemorrhage W Mcc | 29 | 92 / 18 | $18.606,40 | 57 / 11 | $12.176,20 | 767 / 7 | $10.465,40 | 765 / 2 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 24 | $17.666,10 | 103 / 19 | $10.942,70 | 1006 / 3 | $10.338,90 | 1004 / 8 |
Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 25 | $26.968,60 | 130 / 19 | $14.020,00 | 1556 / 12 | $13.090,70 | 1538 / 18 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 25 | 99 / 22 | $10.915,20 | 159 / 20 | $5.108,88 | 458 / 8 | $4.285,32 | 457 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 18 | $10.960,20 | 63 / 7 | $5.987,16 | 869 / 14 | $4.092,20 | 865 / 4 |
Respiratory Infections & Inflammations W Mcc | 24 | 112 / 28 | $19.556,60 | 90 / 19 | $14.364,00 | 1418 / 17 | $13.709,30 | 1403 / 19 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 24 | 32 / 6 | $22.169,00 | 52 / 8 | $11.865,00 | 717 / 5 | $10.854,30 | 714 / 8 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 25 | $15.278,80 | 268 / 32 | $9.103,09 | 1175 / 30 | $6.705,04 | 1171 / 7 |
Bronchitis & Asthma W Cc/Mcc | 22 | 54 / 15 | $11.095,50 | 73 / 20 | $6.905,95 | 676 / 12 | $5.344,55 | 672 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 25 | $17.869,50 | 231 / 36 | $8.806,64 | 1097 / 10 | $7.346,59 | 1094 / 4 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 21 | 41 / 13 | $8.575,71 | 40 / 6 | $5.720,71 | 544 / 8 | $4.803,38 | 542 / 11 |
Fractures Of Hip & Pelvis W/O Mcc | 20 | 41 / 11 | $8.907,90 | 52 / 10 | $5.245,10 | 595 / 9 | $4.221,10 | 595 / 8 |
Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 17 | $11.501,50 | 56 / 12 | $7.400,50 | 963 / 8 | $6.558,90 | 961 / 11 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 22 | $13.714,80 | 60 / 15 | $8.565,63 | 878 / 4 | $7.678,05 | 873 / 8 |
Renal Failure W Mcc | 18 | 177 / 37 | $21.618,90 | 301 / 31 | $10.986,20 | 1468 / 14 | $10.180,90 | 1467 / 15 |
Pulmonary Edema & Respiratory Failure | 18 | 185 / 35 | $23.469,10 | 624 / 40 | $8.860,39 | 1644 / 5 | $8.254,17 | 1639 / 13 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 17 | 36 / 11 | $10.125,20 | 49 / 9 | $5.595,65 | 621 / 7 | $4.818,24 | 617 / 9 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 10 | $55.356,10 | 40 / 8 | $37.204,20 | 667 / 7 | $36.285,70 | 666 / 9 |
G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 17 | $9.843,19 | 129 / 18 | $5.501,75 | 700 / 21 | $3.259,25 | 698 / 4 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 13 | $7.940,31 | 44 / 6 | $5.518,75 | 576 / 8 | $3.963,88 | 572 / 5 |
Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 18 | $60.220,80 | 70 / 14 | $35.557,10 | 800 / 7 | $33.587,80 | 798 / 5 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 23 | $9.576,62 | 27 / 7 | $7.196,19 | 1051 / 10 | $6.668,19 | 1047 / 17 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 19 | $14.378,60 | 128 / 20 | $7.774,44 | 810 / 18 | $5.840,31 | 807 / 7 |
G.I. Obstruction W Cc | 15 | 77 / 26 | $9.187,73 | 39 / 7 | $6.638,47 | 1010 / 15 | $5.134,07 | 1007 / 4 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 20 | $58.888,40 | 95 / 11 | $36.095,90 | 970 / 8 | $35.054,90 | 964 / 9 |
Diabetes W Cc | 15 | 77 / 25 | $8.804,60 | 48 / 12 | $6.091,93 | 1057 / 8 | $5.287,67 | 1053 / 13 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 13 | $14.007,90 | 48 / 8 | $9.186,50 | 734 / 5 | $8.493,93 | 730 / 11 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 19 | $9.159,29 | 14 / 3 | $8.215,29 | 771 / 6 | $7.616,43 | 769 / 8 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 24 | $32.948,30 | 81 / 12 | $17.815,90 | 1133 / 7 | $16.860,50 | 1120 / 13 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 19 | $9.865,69 | 92 / 15 | $4.867,62 | 551 / 7 | $4.035,62 | 550 / 11 |
Chest Pain | 13 | 138 / 29 | $11.588,50 | 228 / 29 | $4.637,23 | 1125 / 10 | $3.797,85 | 1118 / 11 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 25 | $15.807,70 | 37 / 3 | $8.375,00 | 960 / 7 | $6.249,42 | 957 / 2 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 18 | $19.247,90 | 225 / 26 | $9.311,08 | 757 / 21 | $8.708,42 | 757 / 23 |
Transient Ischemia | 12 | 113 / 27 | $10.785,50 | 91 / 9 | $5.370,17 | 886 / 12 | $3.849,50 | 882 / 4 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 26 | $34.710,50 | 201 / 26 | $16.194,20 | 1253 / 4 | $15.391,60 | 1240 / 11 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 20 | $25.573,50 | 232 / 25 | $10.659,00 | 725 / 7 | $9.998,64 | 723 / 13 |
Seizures W/O Mcc | 11 | 97 / 28 | $10.354,30 | 79 / 18 | $5.746,00 | 806 / 13 | $4.774,36 | 803 / 10 |
Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 20 | $9.375,55 | 24 / 2 | $7.340,27 | 526 / 6 | $6.246,45 | 526 / 6 |
Medical Back Problems W/O Mcc | 11 | 110 / 28 | $13.603,60 | 151 / 21 | $6.173,36 | 942 / 9 | $5.070,82 | 939 / 9 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 22 | $18.143,10 | 83 / 16 | $10.345,30 | 629 / 1 | $9.687,82 | 627 / 3 |
Atherosclerosis W/O Mcc | 11 | 47 / 14 | $8.632,00 | 21 / 5 | $4.690,82 | / 5 | $3.581,73 | / |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 11 | $8.031,82 | 22 / 3 | $4.959,64 | 325 / 1 | $4.105,82 | 324 / 6 |
Signs & Symptoms W/O Mcc | 11 | 80 / 26 | $10.249,40 | 98 / 15 | $5.223,36 | 715 / 11 | $4.079,55 | 712 / 3 | Total 67 procedures | 2.274 | 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.