Hospital Costs > In Rhode Island > Westerly 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 | 104 | 412 / 6 | $28.601,30 | 721 / 1 | $11.103,50 | 928 / 1 | $10.096,20 | 924 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 50 | 152 / 5 | $17.167,90 | 491 / 1 | $6.939,90 | 770 / 1 | $6.023,42 | 765 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 47 | 228 / 5 | $14.974,00 | 753 / 4 | $4.609,49 | 844 / 2 | $3.658,34 | 839 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 46 | 518 / 8 | $40.639,90 | 789 / 7 | $13.610,20 | 1434 / 2 | $11.876,30 | 1401 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 41 | 166 / 4 | $17.357,50 | 544 / 3 | $6.608,29 | 849 / 2 | $5.521,07 | 847 / 2 |
| Heart Failure & Shock W Cc | 39 | 239 / 8 | $14.763,10 | 550 / 2 | $5.982,87 | 644 / 2 | $5.023,69 | 643 / 2 |
| Heart Failure & Shock W Mcc | 37 | 247 / 8 | $24.428,80 | 694 / 3 | $9.314,73 | 1153 / 2 | $8.506,51 | 1150 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 6 | $16.525,80 | 662 / 4 | $6.624,42 | 818 / 3 | $4.814,28 | 815 / 3 |
| G.I. Hemorrhage W Cc | 33 | 185 / 6 | $17.304,00 | 516 / 2 | $6.313,45 | 688 / 2 | $5.081,55 | 687 / 1 |
| Renal Failure W Cc | 32 | 189 / 4 | $17.683,80 | 748 / 3 | $5.801,66 | 809 / 2 | $5.009,66 | 802 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 6 | $25.155,10 | 716 / 3 | $8.996,33 | 870 / 2 | $7.734,04 | 870 / 1 |
| Renal Failure W Mcc | 27 | 168 / 5 | $25.870,00 | 509 / 2 | $9.729,04 | 919 / 1 | $8.753,67 | 919 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 4 | $11.422,30 | 402 / 1 | $4.153,12 | 510 / 1 | $3.316,19 | 508 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 5 | $16.806,90 | 188 / 3 | $7.520,23 | 724 / 1 | $6.695,50 | 721 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 7 | $16.077,50 | 632 / 5 | $5.325,45 | 361 / 2 | $3.684,00 | 361 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 8 | $13.352,50 | 693 / 3 | $4.921,05 | 787 / 2 | $3.817,73 | 782 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 4 | $9.246,00 | 257 / 3 | $3.591,64 | 388 / 2 | $2.345,36 | 385 / 2 |
| G.I. Hemorrhage W Mcc | 21 | 100 / 5 | $24.610,50 | 161 / 2 | $10.475,60 | 610 / 1 | $9.960,57 | 611 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 8 | $18.309,90 | 111 / 1 | $9.270,20 | 272 / 1 | $8.483,00 | 272 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 3 | $21.991,60 | 160 / 1 | $9.525,58 | 440 / 1 | $8.890,63 | 439 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 6 | $35.352,20 | 427 / 6 | $12.209,60 | 1041 / 2 | $11.128,40 | 1028 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 5 | $16.718,80 | 348 / 2 | $6.765,47 | 549 / 1 | $5.773,47 | 548 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 10 | $17.078,00 | 806 / 4 | $6.086,56 | 942 / 2 | $5.032,56 | 939 / 3 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 7 | $13.262,50 | 579 / 3 | $4.440,36 | 601 / 1 | $3.404,93 | 600 / 1 |
| Chest Pain | 14 | 137 / 6 | $9.595,29 | 133 / 2 | $3.779,14 | 199 / 1 | $2.548,43 | 198 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 5 | $78.188,60 | 238 / 3 | $30.368,80 | 506 / 1 | $29.531,90 | 502 / 2 |
| Medical Back Problems W/O Mcc | 13 | 108 / 5 | $19.962,80 | 517 / 3 | $4.873,69 | 205 / 1 | $3.763,54 | 205 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 3 | $13.089,50 | 374 / 2 | $3.994,62 | 163 / 2 | $2.460,62 | 163 / 1 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 6 | $42.741,50 | 254 / 4 | $15.477,50 | 727 / 1 | $14.458,50 | 720 / 3 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 5 | $17.143,30 | 160 / 1 | $8.367,08 | 604 / 1 | $7.564,42 | 601 / 1 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 5 | $15.200,90 | 159 / 2 | $6.189,09 | 331 / 2 | $4.914,18 | 328 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 4 | $17.506,60 | 171 / 1 | $6.070,18 | 306 / 1 | $5.520,36 | 306 / 1 |
| G.I. Obstruction W Cc | 11 | 81 / 4 | $17.625,50 | 481 / 3 | $5.517,55 | 463 / 1 | $4.417,91 | 462 / 3 | Total 33 procedures | 870 | 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.