Hospital Costs > In Connecticut > Waterbury Hospital, 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 | 252 | 264 / 10 | $50.702,10 | 1815 / 21 | $15.872,30 | 2350 / 18 | $13.899,40 | 2308 / 16 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 177 | 387 / 12 | $85.036,30 | 2292 / 27 | $17.616,60 | 2338 / 15 | $15.622,70 | 2293 / 18 |
| Kidney & Urinary Tract Infections W/O Mcc | 146 | 87 / 4 | $21.778,30 | 1747 / 23 | $6.732,60 | 2281 / 17 | $5.694,64 | 2270 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 108 | 99 / 4 | $30.306,10 | 1639 / 21 | $9.170,71 | 2116 / 16 | $7.674,73 | 2108 / 16 |
| Heart Failure & Shock W Cc | 99 | 179 / 11 | $30.949,20 | 2008 / 25 | $8.442,83 | 2329 / 17 | $7.420,17 | 2323 / 18 |
| Heart Failure & Shock W Mcc | 83 | 201 / 13 | $47.162,60 | 1910 / 23 | $12.581,90 | 2155 / 14 | $11.025,90 | 2145 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 80 | 123 / 10 | $29.835,60 | 1939 / 24 | $8.864,12 | 2331 / 21 | $6.980,91 | 2322 / 17 |
| Renal Failure W Cc | 80 | 141 / 9 | $32.292,90 | 1802 / 26 | $8.400,17 | 1957 / 18 | $6.844,67 | 1947 / 14 |
| Simple Pneumonia & Pleurisy W Mcc | 76 | 129 / 7 | $40.279,00 | 1567 / 18 | $12.319,00 | 2114 / 15 | $10.722,50 | 2109 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 74 | 87 / 6 | $31.702,70 | 1693 / 24 | $7.560,42 | 1744 / 21 | $5.592,68 | 1739 / 12 |
| G.I. Hemorrhage W Cc | 70 | 148 / 15 | $24.261,40 | 1144 / 13 | $8.755,21 | 1991 / 16 | $7.240,33 | 1987 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 68 | 207 / 15 | $19.922,90 | 1378 / 17 | $6.801,97 | 2249 / 16 | $5.372,15 | 2234 / 20 |
| Pulmonary Edema & Respiratory Failure | 64 | 139 / 10 | $36.255,10 | 1347 / 19 | $10.459,40 | 1893 / 15 | $9.327,91 | 1887 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 62 | 104 / 9 | $21.101,90 | 1651 / 18 | $6.369,53 | 2032 / 17 | $4.970,77 | 2024 / 14 |
| Cellulitis W/O Mcc | 60 | 129 / 13 | $21.924,30 | 1655 / 21 | $7.474,10 | 2183 / 16 | $6.054,50 | 2175 / 20 |
| Syncope & Collapse | 59 | 110 / 10 | $25.694,40 | 1253 / 20 | $6.523,56 | 1513 / 16 | $5.195,53 | 1506 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 56 | 126 / 9 | $41.053,00 | 1546 / 22 | $9.542,41 | 1667 / 17 | $7.479,93 | 1663 / 13 |
| Chronic Obstructive Pulmonary Disease W Cc | 56 | 123 / 8 | $27.759,90 | 1606 / 21 | $8.027,91 | 2050 / 13 | $6.884,38 | 2043 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 48 | 102 / 7 | $19.939,40 | 1389 / 18 | $5.160,44 | 1645 / 11 | $3.882,19 | 1639 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 13 | $49.182,50 | 2160 / 27 | $11.587,70 | 2152 / 23 | $8.549,13 | 2144 / 14 |
| Hip & Femur Procedures Except Major Joint W Cc | 45 | 98 / 9 | $67.012,80 | 1488 / 27 | $15.908,00 | 1745 / 14 | $14.335,40 | 1726 / 14 |
| Kidney & Urinary Tract Infections W Mcc | 44 | 100 / 10 | $33.476,80 | 1305 / 21 | $9.305,95 | 1623 / 13 | $8.239,41 | 1619 / 15 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 44 | 81 / 6 | $62.086,90 | 1355 / 22 | $14.347,70 | 1506 / 15 | $12.955,00 | 1494 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 42 | 81 / 9 | $38.782,70 | 1283 / 17 | $10.443,80 | 1586 / 10 | $9.143,71 | 1583 / 13 |
| Renal Failure W Mcc | 38 | 157 / 12 | $44.168,70 | 1419 / 18 | $12.469,10 | 1724 / 9 | $11.290,30 | 1722 / 11 |
| Red Blood Cell Disorders W/O Mcc | 38 | 105 / 12 | $27.831,10 | 1403 / 23 | $7.207,29 | 1654 / 15 | $6.105,13 | 1645 / 17 |
| Respiratory Infections & Inflammations W Mcc | 37 | 99 / 14 | $47.396,70 | 1009 / 17 | $15.867,40 | 1560 / 13 | $14.779,40 | 1544 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 35 | 67 / 6 | $29.766,70 | 1095 / 17 | $6.712,03 | 1311 / 13 | $5.251,03 | 1307 / 13 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 33 | 98 / 8 | $57.664,10 | 855 / 11 | $18.496,90 | 1451 / 7 | $16.979,10 | 1437 / 6 |
| Chest Pain | 31 | 120 / 8 | $20.136,80 | 931 / 15 | $5.656,06 | 1297 / 13 | $4.254,32 | 1290 / 12 |
| Signs & Symptoms W/O Mcc | 30 | 61 / 7 | $26.400,70 | 941 / 15 | $6.735,07 | 1010 / 13 | $4.963,57 | 1007 / 11 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 29 | 167 / 9 | $89.058,90 | 1038 / 10 | $16.793,70 | 1181 / 1 | $13.863,80 | 1174 / 3 |
| Bronchitis & Asthma W Cc/Mcc | 28 | 48 / 7 | $22.877,30 | 500 / 8 | $7.715,96 | 822 / 7 | $6.069,07 | 818 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 10 | $28.045,60 | 859 / 11 | $9.538,68 | 1395 / 10 | $8.656,11 | 1392 / 13 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 6 | $167.829,00 | 1118 / 18 | $44.313,50 | 1274 / 12 | $40.993,10 | 1264 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 10 | $54.258,00 | 1030 / 13 | $14.547,90 | 1314 / 8 | $13.111,20 | 1308 / 9 |
| Respiratory Infections & Inflammations W Cc | 27 | 61 / 8 | $27.732,90 | 594 / 11 | $11.939,00 | 1192 / 15 | $9.645,11 | 1187 / 11 |
| Medical Back Problems W/O Mcc | 26 | 95 / 10 | $28.825,90 | 971 / 14 | $7.385,54 | 1175 / 7 | $5.895,19 | 1171 / 7 |
| Transient Ischemia | 25 | 100 / 13 | $27.810,50 | 1099 / 21 | $6.260,36 | 1369 / 12 | $5.101,96 | 1362 / 15 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 11 | $44.093,70 | 840 / 13 | $15.187,40 | 1268 / 14 | $12.686,00 | 1259 / 10 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 9 | $20.042,60 | 1268 / 18 | $6.390,87 | 1792 / 13 | $5.303,17 | 1781 / 19 |
| G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 7 | $18.863,20 | 774 / 10 | $5.651,48 | 1096 / 7 | $4.292,43 | 1093 / 9 |
| G.I. Hemorrhage W/O Cc/Mcc | 22 | 46 / 6 | $17.423,60 | 448 / 10 | $6.107,18 | 808 / 8 | $4.964,68 | 804 / 10 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 8 | $18.616,20 | 1091 / 15 | $6.283,32 | 1543 / 14 | $4.537,05 | 1535 / 10 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 22 | 70 / 4 | $142.264,00 | 473 / 5 | $46.942,40 | 785 / 6 | $42.803,40 | 784 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 9 | $43.733,50 | 1043 / 12 | $9.291,55 | 1375 / 6 | $7.986,14 | 1372 / 9 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 15 | $21.262,60 | 1378 / 19 | $6.799,45 | 1578 / 21 | $4.660,55 | 1565 / 14 |
| Seizures W/O Mcc | 20 | 88 / 10 | $29.831,20 | 940 / 16 | $6.794,75 | 999 / 10 | $5.535,85 | 997 / 11 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 3 | $137.447,00 | 490 / 7 | $40.778,40 | 747 / 4 | $38.605,90 | 746 / 5 |
| G.I. Obstruction W Cc | 19 | 73 / 11 | $35.064,40 | 1345 / 21 | $7.930,47 | 1460 / 11 | $6.540,74 | 1455 / 13 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 8 | $47.522,70 | 921 / 19 | $9.919,94 | 942 / 14 | $8.879,11 | 940 / 14 |
| Pulmonary Embolism W/O Mcc | 18 | 56 / 5 | $32.462,80 | 902 / 13 | $8.431,11 | 1012 / 8 | $6.595,11 | 1009 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 10 | $41.704,40 | 992 / 14 | $10.340,40 | 1166 / 10 | $9.079,17 | 1161 / 12 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 2 | $55.321,20 | 658 / 11 | $13.630,40 | 754 / 3 | $11.425,40 | 751 / 6 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 13 | $30.787,90 | 894 / 14 | $9.653,24 | 1076 / 18 | $6.769,00 | 1072 / 10 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 8 | $174.754,00 | 942 / 17 | $40.467,20 | 1035 / 9 | $38.441,80 | 1033 / 11 |
| Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 6 | $30.393,20 | 506 / 8 | $8.539,41 | 657 / 5 | $7.245,53 | 657 / 6 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 7 | $74.999,90 | 655 / 13 | $13.454,70 | 643 / 4 | $12.054,00 | 643 / 7 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 16 | $100.181,00 | 1215 / 17 | $19.927,10 | 1032 / 8 | $16.035,40 | 1020 / 4 |
| Hypertension W/O Mcc | 16 | 49 / 6 | $22.109,40 | 466 / 7 | $5.582,94 | 549 / 4 | $4.053,69 | 547 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 13 | $35.331,00 | 920 / 16 | $9.185,88 | 1211 / 10 | $7.769,62 | 1209 / 13 |
| Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 8 | $62.522,80 | 381 / 7 | $20.851,90 | 793 / 4 | $19.410,50 | 789 / 5 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 14 | $27.260,60 | 654 / 14 | $6.354,67 | 637 / 11 | $5.194,67 | 636 / 14 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 7 | $16.636,70 | 373 / 4 | $5.877,80 | 653 / 6 | $4.480,67 | 652 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 8 | $109.709,00 | 585 / 7 | $26.019,00 | 830 / 2 | $24.458,30 | 825 / 3 |
| Diabetes W Cc | 15 | 77 / 13 | $20.690,50 | 741 / 9 | $7.185,53 | 1259 / 9 | $5.989,13 | 1254 / 10 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 14 | 104 / 7 | $190.270,00 | 396 / 8 | $43.376,00 | 389 / 4 | $37.036,40 | 389 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 7 | $52.906,40 | 785 / 9 | $8.986,36 | 794 / 5 | $7.376,07 | 791 / 5 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 9 | $101.310,00 | 756 / 12 | $18.141,40 | 686 / 5 | $15.516,00 | 682 / 5 |
| Spinal Fusion Except Cervical W/O Mcc | 14 | 180 / 15 | $167.108,00 | 1183 / 17 | $32.394,00 | 1206 / 7 | $30.963,40 | 1201 / 12 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 10 | $35.721,10 | 676 / 15 | $7.072,54 | 669 / 10 | $5.026,31 | 665 / 5 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 5 | $52.960,20 | 400 / 11 | $13.739,50 | 383 / 10 | $9.553,85 | 383 / 6 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 13 | 75 / 6 | $126.173,00 | 396 / 6 | $31.835,40 | 424 / 3 | $24.504,50 | 423 / 1 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 9 | $23.210,10 | 642 / 12 | $5.785,62 | 712 / 7 | $4.614,00 | 710 / 9 |
| Signs & Symptoms W Mcc | 13 | 28 / 4 | $31.846,40 | 154 / 1 | $8.890,38 | 183 / 1 | $8.241,77 | 183 / 1 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 13 | 29 / 8 | $25.783,50 | 209 / 7 | $6.776,38 | 234 / 4 | $5.436,31 | 233 / 4 |
| Major Cardiovasc Procedures W Mcc | 13 | 55 / 5 | $163.344,00 | 400 / 5 | $41.749,60 | 495 / 2 | $40.086,50 | 494 / 2 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 12 | 42 / 5 | $21.828,30 | 188 / 3 | $6.245,67 | 263 / 1 | $4.905,75 | 263 / 2 |
| Seizures W Mcc | 12 | 54 / 10 | $57.111,70 | 545 / 13 | $13.468,20 | 583 / 8 | $11.877,90 | 583 / 8 |
| Otitis Media & Uri W/O Mcc | 12 | 32 / 7 | $15.963,90 | 63 / 1 | $5.877,42 | 144 / 3 | $4.577,92 | 144 / 2 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 12 | $27.758,10 | 393 / 6 | $10.591,60 | 873 / 6 | $9.680,67 | 869 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 15 | $36.851,70 | 563 / 14 | $12.522,50 | 848 / 11 | $11.319,80 | 845 / 11 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 10 | $35.395,00 | 729 / 15 | $7.976,08 | 708 / 6 | $6.228,17 | 705 / 7 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 8 | $20.284,60 | 525 / 6 | $6.172,58 | 732 / 5 | $4.790,92 | 731 / 5 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 7 | $74.505,30 | 559 / 9 | $14.543,00 | 512 / 9 | $9.149,82 | 512 / 9 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 11 | 58 / 4 | $85.594,60 | 361 / 6 | $22.227,90 | 448 / 2 | $20.774,20 | 447 / 3 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 10 | $52.515,80 | 743 / 14 | $13.626,50 | 677 / 12 | $9.627,64 | 675 / 5 |
| Kidney & Ureter Procedures For Non-Neoplasm W Cc | 11 | 34 / 3 | $74.040,80 | 152 / 3 | $16.986,20 | 145 / 1 | $13.923,20 | 145 / 1 |
| Other Disorders Of Nervous System W Cc | 11 | 45 / 10 | $23.115,50 | 239 / 4 | $7.377,27 | 428 / 3 | $6.041,91 | 428 / 2 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 5 | $121.539,00 | 349 / 2 | $39.168,80 | 603 / 1 | $37.378,50 | 603 / 1 | Total 90 procedures | 3.198 | 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.