Hospital Costs > Simple Pneumonia & Pleurisy W/O Cc/Mcc > Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in Rhode Island
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| Kent County Memorial Hospital | Warwick | 35 | $20,305.40 | $5,698.91 | $4,588.09 |
| Miriam Hospital | Providence | 35 | $17,969.80 | $5,050.74 | $3,892.20 |
| Memorial Hospital Of Rhode Island | Pawtucket | 23 | $11,430.20 | $7,249.74 | $5,636.48 |
| Rhode Island Hospital | Providence | 18 | $20,179.90 | $7,629.22 | $6,331.11 |
| South County Hospital Inc | Wakefield | 13 | $14,237.00 | $4,379.54 | $3,178.31 |
| Newport Hospital | Newport | 12 | $8,287.50 | $5,622.58 | $3,409.67 | Total 6 hospitals | 136 |
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.