Hospital Costs > In Connecticut > William W Backus 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 | 209 | 307 / 16 | $31.687,90 | 869 / 8 | $14.203,80 | 2205 / 10 | $13.171,20 | 2165 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 180 | 384 / 11 | $30.377,50 | 239 / 3 | $16.053,10 | 2090 / 7 | $14.006,00 | 2048 / 8 |
| Chronic Obstructive Pulmonary Disease W Mcc | 139 | 64 / 2 | $17.747,60 | 546 / 5 | $8.989,88 | 1887 / 11 | $7.646,62 | 1879 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 139 | 68 / 2 | $19.662,60 | 752 / 8 | $8.417,91 | 1896 / 12 | $7.026,58 | 1888 / 10 |
| Heart Failure & Shock W Mcc | 104 | 180 / 10 | $25.429,00 | 776 / 6 | $11.508,70 | 1924 / 11 | $10.142,50 | 1918 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 101 | 174 / 8 | $15.532,50 | 819 / 7 | $5.994,51 | 1884 / 11 | $4.591,36 | 1870 / 9 |
| Simple Pneumonia & Pleurisy W Mcc | 96 | 109 / 5 | $22.530,30 | 545 / 5 | $10.950,80 | 1937 / 11 | $9.827,44 | 1937 / 11 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 95 | 18 / 2 | $17.566,90 | 50 / 2 | $8.217,09 | 166 / 1 | $7.287,01 | 166 / 1 |
| Cellulitis W/O Mcc | 85 | 104 / 7 | $15.023,60 | 862 / 8 | $6.397,35 | 1979 / 7 | $5.519,61 | 1971 / 14 |
| Simple Pneumonia & Pleurisy W Cc | 83 | 120 / 8 | $17.480,00 | 848 / 6 | $7.415,83 | 2120 / 9 | $6.422,31 | 2112 / 13 |
| Respiratory Infections & Inflammations W Mcc | 79 | 57 / 2 | $27.164,90 | 299 / 3 | $14.094,50 | 1291 / 7 | $12.894,50 | 1276 / 5 |
| G.I. Hemorrhage W Cc | 71 | 147 / 14 | $17.604,50 | 537 / 6 | $7.722,31 | 1787 / 10 | $6.608,73 | 1783 / 12 |
| Heart Failure & Shock W Cc | 66 | 212 / 15 | $17.177,30 | 831 / 7 | $7.569,98 | 1840 / 13 | $6.218,18 | 1835 / 8 |
| Renal Failure W Cc | 65 | 156 / 11 | $17.404,90 | 718 / 7 | $7.398,09 | 1815 / 9 | $6.445,23 | 1805 / 12 |
| Spinal Fusion Except Cervical W/O Mcc | 64 | 130 / 3 | $48.384,50 | 101 / 3 | $29.429,40 | 1003 / 4 | $26.448,40 | 998 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 61 | 118 / 7 | $14.098,60 | 426 / 3 | $7.163,84 | 1741 / 9 | $5.947,57 | 1734 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 59 | 174 / 16 | $16.329,80 | 1125 / 13 | $5.939,78 | 2128 / 11 | $5.264,53 | 2117 / 14 |
| Hip & Femur Procedures Except Major Joint W Cc | 52 | 91 / 8 | $28.529,70 | 185 / 2 | $14.241,70 | 1599 / 7 | $13.335,90 | 1580 / 10 |
| Respiratory Infections & Inflammations W Cc | 50 | 38 / 5 | $21.112,60 | 305 / 5 | $10.220,90 | 1087 / 6 | $9.012,88 | 1082 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 48 | 102 / 7 | $11.209,40 | 487 / 3 | $4.867,02 | 1308 / 8 | $3.178,75 | 1303 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 45 | 59 / 1 | $25.817,00 | 34 / 1 | $17.090,20 | 620 / 2 | $13.819,40 | 617 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 45 | 116 / 16 | $16.554,00 | 694 / 8 | $6.583,47 | 1390 / 10 | $4.793,40 | 1385 / 4 |
| Major Small & Large Bowel Procedures W Cc | 42 | 66 / 5 | $37.972,90 | 151 / 2 | $17.942,10 | 1100 / 3 | $16.558,10 | 1087 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 40 | 126 / 13 | $15.342,70 | 998 / 8 | $5.790,05 | 2036 / 12 | $4.974,83 | 2028 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 38 | 64 / 5 | $17.965,70 | 432 / 3 | $5.957,24 | 1135 / 6 | $4.664,68 | 1131 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 15 | $22.448,70 | 636 / 9 | $8.003,00 | 1555 / 4 | $7.054,79 | 1552 / 9 |
| Heart Failure & Shock W/O Cc/Mcc | 38 | 72 / 9 | $12.370,80 | 514 / 3 | $5.350,50 | 1389 / 10 | $4.205,21 | 1378 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 37 | 88 / 9 | $25.125,90 | 292 / 7 | $11.181,90 | 1005 / 5 | $10.332,60 | 1003 / 5 |
| G.I. Obstruction W/O Cc/Mcc | 36 | 35 / 4 | $11.622,30 | 251 / 2 | $4.786,39 | 951 / 3 | $3.811,28 | 948 / 4 |
| Renal Failure W Mcc | 35 | 160 / 13 | $32.253,90 | 904 / 12 | $12.250,40 | 1730 / 7 | $11.364,90 | 1728 / 12 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 35 | 85 / 8 | $10.618,40 | 308 / 2 | $5.655,97 | 1521 / 9 | $4.467,40 | 1510 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 11 | $17.218,20 | 202 / 2 | $8.919,36 | 1330 / 6 | $8.042,76 | 1327 / 7 |
| Red Blood Cell Disorders W/O Mcc | 31 | 112 / 14 | $15.054,60 | 457 / 6 | $6.480,10 | 1296 / 10 | $4.981,29 | 1287 / 6 |
| G.I. Obstruction W Cc | 29 | 63 / 7 | $17.198,10 | 444 / 4 | $6.688,03 | 1312 / 3 | $5.893,55 | 1307 / 8 |
| Pulmonary Embolism W/O Mcc | 28 | 46 / 3 | $23.950,40 | 602 / 7 | $7.768,82 | 1047 / 6 | $6.820,25 | 1044 / 11 |
| G.I. Hemorrhage W Mcc | 28 | 93 / 10 | $35.201,70 | 513 / 6 | $15.097,00 | 1289 / 13 | $12.853,70 | 1279 / 12 |
| Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 15 | $17.104,30 | 373 / 4 | $7.980,52 | 1381 / 4 | $7.254,76 | 1377 / 9 |
| Major Small & Large Bowel Procedures W Mcc | 24 | 61 / 4 | $77.637,30 | 180 / 3 | $37.406,10 | 959 / 7 | $36.702,10 | 957 / 9 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 9 | $16.217,80 | 151 / 4 | $7.580,61 | 1065 / 5 | $6.951,74 | 1063 / 7 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 23 | 41 / 5 | $26.379,80 | 74 / 1 | $13.135,10 | 509 / 2 | $10.033,00 | 509 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 12 | $35.251,70 | 534 / 6 | $12.193,00 | 1028 / 2 | $11.194,00 | 1023 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 9 | $24.324,50 | 232 / 5 | $11.331,40 | 757 / 8 | $10.564,90 | 755 / 7 |
| Pulmonary Edema & Respiratory Failure | 22 | 181 / 21 | $20.322,80 | 423 / 4 | $9.143,55 | 1573 / 7 | $8.022,50 | 1568 / 5 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 21 | 32 / 2 | $31.291,30 | 229 / 7 | $10.742,00 | 369 / 5 | $9.288,10 | 369 / 4 |
| Syncope & Collapse | 21 | 148 / 21 | $16.497,10 | 527 / 6 | $5.617,90 | 1318 / 8 | $4.641,14 | 1311 / 7 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 9 | $91.363,10 | 391 / 6 | $39.261,10 | 1176 / 4 | $38.458,20 | 1168 / 6 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 21 | 103 / 11 | $17.787,00 | 434 / 5 | $5.314,38 | 551 / 5 | $4.627,14 | 550 / 9 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 9 | $13.132,60 | 520 / 5 | $6.086,76 | 1374 / 10 | $4.165,05 | 1366 / 5 |
| Other Digestive System Diagnoses W Cc | 20 | 77 / 12 | $20.168,40 | 419 / 4 | $7.324,40 | 1005 / 4 | $6.510,00 | 1001 / 6 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 20 | 33 / 7 | $10.150,60 | 50 / 1 | $5.600,25 | 643 / 1 | $4.919,30 | 639 / 3 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 13 | $44.606,80 | 469 / 6 | $18.220,30 | 1299 / 5 | $15.696,80 | 1286 / 4 |
| Transient Ischemia | 19 | 106 / 15 | $15.669,10 | 336 / 5 | $5.398,21 | 1156 / 6 | $4.379,26 | 1150 / 7 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 7 | $31.858,60 | 56 / 1 | $16.240,20 | 667 / 2 | $15.032,60 | 663 / 3 |
| Transurethral Procedures W Cc | 19 | 22 / 2 | $25.853,80 | 72 / 2 | $9.639,89 | 245 / 1 | $7.754,68 | 245 / 1 |
| Renal Failure W/O Cc/Mcc | 17 | 39 / 6 | $12.909,10 | 265 / 4 | $6.266,65 | 410 / 10 | $3.339,82 | 409 / 1 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 5 | $74.785,60 | 89 / 2 | $35.674,60 | 624 / 1 | $35.220,60 | 623 / 2 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 16 | 30 / 3 | $17.506,50 | 115 / 3 | $6.280,25 | 223 / 3 | $3.820,00 | 222 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 13 | $21.871,10 | 151 / 1 | $7.858,06 | 1184 / 2 | $6.958,06 | 1181 / 3 |
| Diabetes W Cc | 15 | 77 / 13 | $15.346,10 | 356 / 4 | $6.341,40 | 1061 / 4 | $5.289,67 | 1057 / 5 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 10 | $24.070,70 | 101 / 1 | $12.994,10 | 841 / 1 | $12.349,90 | 836 / 1 |
| Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 4 | $54.584,70 | 104 / 3 | $24.584,30 | 523 / 2 | $23.613,60 | 521 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 8 | $38.310,50 | 28 / 1 | $21.574,10 | 592 / 1 | $20.528,70 | 589 / 2 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 8 | $13.376,30 | 122 / 2 | $7.592,27 | 509 / 4 | $5.358,07 | 507 / 1 |
| Chest Pain | 14 | 137 / 15 | $15.032,00 | 498 / 6 | $5.113,50 | 1044 / 9 | $3.631,00 | 1038 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 14 | 89 / 7 | $26.379,40 | 431 / 7 | $7.425,57 | 597 / 3 | $6.909,07 | 597 / 5 |
| Respiratory Infections & Inflammations W/O Cc/Mcc | 13 | 16 / 3 | $15.916,00 | 26 / 1 | $7.286,38 | 96 / 1 | $6.360,85 | 96 / 1 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 12 | $19.393,60 | 622 / 8 | $5.377,46 | 951 / 4 | $4.732,54 | 948 / 7 |
| Seizures W/O Mcc | 13 | 95 / 14 | $15.386,30 | 282 / 6 | $5.854,85 | 881 / 4 | $5.017,92 | 878 / 8 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 5 | $32.812,10 | 143 / 2 | $12.516,80 | 430 / 1 | $11.588,80 | 428 / 2 |
| Cellulitis W Mcc | 13 | 45 / 8 | $26.177,40 | 284 / 5 | $10.855,30 | 708 / 2 | $10.072,50 | 706 / 3 |
| Atherosclerosis W/O Mcc | 13 | 45 / 5 | $13.662,80 | 129 / 4 | $5.467,00 | / 7 | $3.748,92 | / |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 11 | $18.821,90 | 130 / 1 | $9.313,54 | 770 / 2 | $8.757,23 | 766 / 4 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 9 | $12.626,70 | 197 / 1 | $4.978,00 | 562 / 2 | $4.071,33 | 561 / 2 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 12 | $13.000,20 | 218 / 4 | $5.421,83 | 655 / 3 | $4.211,17 | 651 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 14 | $23.353,70 | 359 / 3 | $9.456,50 | 871 / 5 | $7.657,25 | 866 / 1 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 10 | $84.143,80 | 106 / 1 | $43.866,10 | 789 / 5 | $42.886,10 | 788 / 8 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 12 | $24.853,90 | 470 / 6 | $8.796,58 | 783 / 8 | $7.689,92 | 781 / 5 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 5 | $12.944,70 | 90 / 3 | $5.880,36 | 257 / 3 | $3.619,36 | 256 / 1 |
| Digestive Malignancy W Cc | 11 | 36 / 5 | $41.439,10 | 252 / 5 | $16.337,00 | 382 / 6 | $14.336,40 | 380 / 6 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 10 | $23.764,60 | 193 / 2 | $10.264,60 | 673 / 3 | $9.607,18 | 671 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 16 | $18.892,60 | 351 / 4 | $8.067,73 | 1160 / 4 | $7.517,91 | 1157 / 7 | Total 81 procedures | 3.170 | 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.