Hospital Costs > In Connecticut > Windham Comm Mem Hosp & Hatch Hosp, 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 | 92 | 424 / 21 | $24.593,10 | 509 / 3 | $16.812,10 | 2577 / 21 | $15.929,10 | 2532 / 25 |
Pulmonary Edema & Respiratory Failure | 41 | 162 / 16 | $19.268,90 | 363 / 3 | $11.027,10 | 2007 / 18 | $10.222,50 | 2001 / 24 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 40 | 235 / 22 | $11.787,50 | 363 / 4 | $6.857,38 | 2359 / 18 | $5.740,42 | 2344 / 24 |
Heart Failure & Shock W Mcc | 38 | 246 / 21 | $19.899,10 | 422 / 1 | $13.498,90 | 2386 / 20 | $12.669,80 | 2375 / 22 |
Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 18 | $18.658,40 | 305 / 1 | $13.375,80 | 2326 / 23 | $12.400,80 | 2320 / 25 |
Cellulitis W/O Mcc | 35 | 154 / 18 | $10.358,90 | 279 / 3 | $7.812,66 | 2271 / 23 | $6.415,57 | 2263 / 22 |
Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 17 | $14.241,10 | 261 / 1 | $10.394,40 | 2207 / 18 | $8.867,29 | 2199 / 18 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 31 | 92 / 12 | $24.308,40 | 612 / 8 | $11.784,80 | 1746 / 18 | $10.489,00 | 1743 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 19 | $13.445,40 | 363 / 2 | $7.231,42 | 1862 / 16 | $6.122,16 | 1857 / 19 |
Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 25 | $12.086,80 | 262 / 3 | $8.817,45 | 2509 / 20 | $7.774,45 | 2500 / 24 |
Renal Failure W Cc | 28 | 193 / 21 | $13.442,40 | 335 / 4 | $8.842,68 | 2137 / 23 | $7.631,68 | 2127 / 23 |
Heart Failure & Shock W Cc | 28 | 250 / 24 | $16.124,40 | 699 / 4 | $8.947,04 | 2409 / 22 | $7.832,79 | 2403 / 22 |
Renal Failure W Mcc | 28 | 167 / 15 | $19.046,40 | 189 / 2 | $13.723,70 | 1916 / 16 | $12.935,30 | 1912 / 19 |
Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 19 | $15.466,10 | 559 / 5 | $8.836,84 | 2110 / 22 | $7.136,32 | 2103 / 18 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 24 | 77 / 8 | $16.152,50 | 57 / 2 | $13.857,00 | 957 / 15 | $13.029,60 | 953 / 17 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 16 | $11.771,70 | 558 / 4 | $5.146,83 | 1715 / 10 | $4.146,22 | 1709 / 17 |
Syncope & Collapse | 23 | 146 / 19 | $14.940,40 | 388 / 4 | $6.671,61 | 1607 / 18 | $5.560,78 | 1600 / 19 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 21 | $10.632,40 | 386 / 4 | $6.384,82 | 2152 / 18 | $5.388,36 | 2144 / 21 |
Respiratory Infections & Inflammations W Mcc | 21 | 115 / 18 | $23.224,00 | 177 / 2 | $17.598,00 | 1652 / 21 | $15.933,80 | 1636 / 21 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 13 | $12.907,40 | 86 / 1 | $10.821,00 | 1388 / 16 | $8.628,95 | 1385 / 12 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 18 | $22.433,40 | 215 / 5 | $16.466,90 | 1626 / 19 | $14.349,30 | 1613 / 16 |
G.I. Hemorrhage W Cc | 17 | 201 / 26 | $14.436,80 | 259 / 2 | $9.103,18 | 2179 / 23 | $8.246,06 | 2175 / 24 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 17 | 547 / 27 | $34.285,10 | 412 / 7 | $19.102,10 | 2522 / 22 | $18.036,20 | 2476 / 24 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 19 | $30.649,90 | 244 / 4 | $18.087,60 | 1849 / 23 | $15.518,90 | 1829 / 21 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 26 | $15.396,80 | 384 / 5 | $9.440,88 | 2264 / 19 | $8.374,38 | 2255 / 23 |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 13 | $14.740,90 | 103 / 2 | $9.416,38 | 1304 / 12 | $8.808,56 | 1302 / 17 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 15 | $27.171,40 | 85 / 2 | $20.411,10 | 1672 / 12 | $20.025,70 | 1658 / 14 |
G.I. Hemorrhage W Mcc | 15 | 106 / 17 | $19.761,10 | 67 / 1 | $17.838,50 | 1400 / 20 | $13.851,10 | 1390 / 16 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 21 | $10.889,60 | 147 / 1 | $7.299,40 | 1612 / 17 | $5.897,47 | 1603 / 16 |
Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 10 | $58.425,30 | 61 / 1 | $45.740,90 | 1184 / 15 | $45.037,10 | 1181 / 16 |
Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 26 | $12.539,10 | 577 / 5 | $6.994,00 | 2373 / 22 | $6.042,29 | 2362 / 23 |
Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 22 | $10.481,00 | 58 / 1 | $9.759,85 | 1726 / 16 | $8.915,46 | 1722 / 19 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 22 | $13.144,40 | 624 / 6 | $6.017,08 | 1565 / 15 | $4.624,08 | 1552 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 24 | $20.110,20 | 487 / 4 | $10.375,10 | 1762 / 21 | $7.991,00 | 1758 / 17 |
Transient Ischemia | 11 | 114 / 19 | $16.820,40 | 403 / 6 | $6.423,18 | 1391 / 17 | $5.221,82 | 1384 / 17 | Total 35 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.