Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc - costs for treatment in Massachusetts

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Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc - costs for treatment in Massachusetts


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Southcoast Hospital Group, IncFall River29$120,757.00$45,146.10$34,293.70
St Vincent Hospital WorcesterWorcester11$75,835.50$45,331.00$35,484.60
North Shore Medical Center SalemSalem22$113,873.00$40,818.90$36,688.60
Lahey Hospital & Medical Center, BurlingtonBurlington62$56,631.60$42,459.60$39,816.90
Mount Auburn HospitalCambridge19$53,719.30$44,547.60$42,759.00
Baystate Medical CenterSpringfield66$88,820.20$46,712.60$43,262.80
Umass Memorial Medical Center IncWorcester30$113,748.00$54,532.00$44,619.50
Brigham And Women's HospitalBoston145$174,675.00$49,573.70$45,817.30
Massachusetts General HospitalBoston123$166,931.00$50,550.10$47,361.20
Beth Israel Deaconess Medical CenterBoston84$80,113.50$52,247.90$49,639.10
St Elizabeth's Medical CenterBrighton43$86,293.10$57,205.40$51,528.20
Tufts Medical CenterBoston55$129,832.00$54,957.20$51,588.30
Boston Medical Center CorporationBoston12$96,062.10$59,218.80$56,174.80
Total 13 hospitals701

DATA

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.





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