Hospital Costs > In Massachusetts > Berkshire Medical Center Inc, procedure costs

Berkshire Medical Center Inc, procedure costs

725 North Street, Pittsfield, MA 01201,

Procedure Costs @ Berkshire Medical Center Inc
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 Mcc309209 / 11$19.717,40253 / 21$15.433,102444 / 40$14.611,102400 / 43
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc265300 / 15$34.664,50441 / 28$18.525,802464 / 45$17.051,302418 / 46
Heart Failure & Shock W Mcc149135 / 10$15.946,40189 / 23$12.852,002312 / 43$11.950,802302 / 45
Pulmonary Edema & Respiratory Failure13271 / 2$11.537,1028 / 4$10.748,701974 / 36$9.924,021968 / 37
Alcohol/Drug Abuse Or Dependence, Left Ama1263 / 2$4.075,4222 / 5$4.425,9870 / 6$3.978,1069 / 7
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy11817 / 2$5.784,825 / 2$10.540,5074 / 2$9.915,9974 / 2
G.I. Hemorrhage W Cc115103 / 9$11.941,60118 / 16$8.807,852129 / 39$7.901,832125 / 42
Heart Failure & Shock W Cc110168 / 19$9.021,2276 / 5$8.536,402412 / 43$7.838,652406 / 46
Renal Failure W Cc109112 / 11$10.987,70147 / 21$8.393,582135 / 42$7.605,032125 / 43
Simple Pneumonia & Pleurisy W Mcc10798 / 7$13.161,1059 / 9$12.079,802155 / 40$10.977,402150 / 40
Renal Failure W Mcc10689 / 6$16.964,20128 / 16$12.873,801825 / 32$12.047,301821 / 36
Cellulitis W/O Mcc9792 / 15$8.425,05127 / 16$7.418,882311 / 44$6.567,082303 / 45
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc81194 / 32$9.855,52196 / 19$6.830,842398 / 44$5.916,622383 / 45
Syncope & Collapse7297 / 10$9.373,7981 / 14$6.713,041636 / 38$5.685,921628 / 38
Cardiac Arrhythmia & Conduction Disorders W Cc6992 / 10$8.053,6139 / 5$7.222,801909 / 38$6.313,431904 / 40
Chronic Obstructive Pulmonary Disease W Cc68111 / 18$8.877,1350 / 10$7.991,542084 / 41$7.049,792077 / 41
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc66141 / 17$12.844,00203 / 24$9.927,852267 / 42$8.396,232258 / 43
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs66116 / 11$13.432,6091 / 13$9.229,681809 / 38$8.264,111805 / 40
Kidney & Urinary Tract Infections W Mcc6282 / 10$10.507,0060 / 12$9.355,451670 / 33$8.463,321666 / 34
Simple Pneumonia & Pleurisy W Cc59144 / 27$10.142,90121 / 19$8.378,932461 / 40$7.497,582452 / 45
Cardiac Arrhythmia & Conduction Disorders W Mcc5667 / 8$12.789,5065 / 13$11.183,401661 / 40$9.644,391658 / 39
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc5570 / 10$8.664,8293 / 10$6.265,24684 / 31$5.517,05683 / 33
Kidney & Urinary Tract Infections W/O Mcc53180 / 33$10.442,80337 / 30$6.825,302310 / 41$5.800,092299 / 42
Intracranial Hemorrhage Or Cerebral Infarction W Mcc53115 / 10$18.746,0070 / 15$14.304,401340 / 23$13.348,701334 / 25
G.I. Hemorrhage W Mcc5170 / 8$22.195,10112 / 19$14.947,501425 / 27$14.141,201415 / 29
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc5199 / 8$7.526,84112 / 16$5.267,801771 / 34$4.415,101765 / 38
Respiratory Infections & Inflammations W Mcc5086 / 14$17.105,9045 / 9$15.907,101597 / 32$15.253,601581 / 34
Transient Ischemia5075 / 8$11.519,60113 / 14$6.531,681414 / 31$5.299,041407 / 30
Hip & Femur Procedures Except Major Joint W Cc5093 / 15$29.761,90215 / 30$16.725,201827 / 37$15.221,101808 / 36
Chronic Obstructive Pulmonary Disease W Mcc47155 / 24$10.970,8075 / 12$10.275,102221 / 44$8.922,572213 / 42
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc4557 / 9$12.381,30113 / 14$6.779,601391 / 27$5.761,291387 / 32
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc44122 / 28$9.557,05269 / 26$6.345,072171 / 39$5.444,342163 / 42
Heart Failure & Shock W/O Cc/Mcc4466 / 11$6.554,3041 / 3$6.185,661757 / 37$5.390,021744 / 39
Infectious & Parasitic Diseases W O.R. Procedure W Mcc4282 / 8$62.660,00124 / 16$41.288,601261 / 18$40.473,701251 / 20
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc4185 / 7$10.397,7034 / 9$9.658,341439 / 25$8.968,391436 / 28
Respiratory System Diagnosis W Ventilator Support <96 Hours3992 / 9$30.127,10128 / 16$19.593,701569 / 29$18.438,201555 / 30
G.I. Obstruction W Cc3854 / 10$12.997,40160 / 21$7.937,421584 / 34$7.300,791579 / 37
Acute Myocardial Infarction, Discharged Alive W Mcc3887 / 15$13.492,5034 / 5$12.552,801351 / 21$11.761,201341 / 23
Seizures W/O Mcc3870 / 11$7.550,9528 / 6$6.873,371023 / 31$5.667,051021 / 32
Septicemia Or Severe Sepsis W Mv 96+ Hours3755 / 7$61.967,9041 / 5$46.893,70831 / 9$44.410,80830 / 9
Simple Pneumonia & Pleurisy W/O Cc/Mcc3657 / 12$8.549,08115 / 17$6.304,501733 / 33$5.297,391725 / 38
Other Vascular Procedures W Cc3666 / 8$47.985,60174 / 15$22.088,40998 / 13$20.796,20993 / 13
Medical Back Problems W/O Mcc3586 / 16$15.454,70248 / 26$7.664,511218 / 26$6.099,431214 / 25
Other Kidney & Urinary Tract Diagnoses W Mcc3467 / 8$19.469,80110 / 18$12.624,00892 / 21$11.966,10888 / 21
Other Circulatory System Diagnoses W Mcc3482 / 10$19.529,9047 / 6$15.979,101164 / 17$15.303,401156 / 17
Major Small & Large Bowel Procedures W Cc3375 / 12$52.133,80468 / 29$21.821,101345 / 25$19.598,501331 / 24
Other Digestive System Diagnoses W Cc3265 / 11$13.401,90105 / 21$8.707,561232 / 30$7.752,061228 / 34
Diabetes W Cc3161 / 12$12.102,50162 / 25$7.326,611338 / 29$6.431,651333 / 32
Chest Pain31120 / 17$9.205,58114 / 16$5.667,551407 / 28$4.692,061399 / 31
Respiratory System Diagnosis W Ventilator Support 96+ Hours3140 / 4$70.730,5074 / 10$43.967,50855 / 12$43.122,60854 / 12
Signs & Symptoms W/O Mcc3160 / 9$11.070,30136 / 21$6.284,681114 / 31$5.543,521111 / 32
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc3026 / 4$23.822,8069 / 10$14.125,40836 / 13$13.000,10833 / 14
Hip & Femur Procedures Except Major Joint W Mcc3032 / 5$46.661,20111 / 12$26.312,10848 / 17$24.267,80845 / 14
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc2793 / 21$6.733,8133 / 5$6.483,071824 / 34$5.454,331813 / 39
Respiratory Infections & Inflammations W Cc2761 / 16$12.135,9032 / 10$10.897,001273 / 25$10.223,801268 / 28
Other Disorders Of Nervous System W Cc2630 / 7$9.414,3124 / 8$7.851,69527 / 20$7.200,62526 / 25
Major Small & Large Bowel Procedures W/O Cc/Mcc2638 / 9$43.031,50354 / 18$14.084,30687 / 13$12.923,70687 / 14
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2670 / 17$15.653,3083 / 22$10.564,301257 / 29$9.818,421252 / 31
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc2528 / 6$7.280,7620 / 5$6.770,24777 / 19$6.139,20773 / 21
Permanent Cardiac Pacemaker Implant W Cc2552 / 9$34.440,4040 / 7$22.294,40862 / 17$21.180,80858 / 18
Pulmonary Embolism W/O Mcc2450 / 12$12.656,3086 / 14$9.246,751112 / 29$7.264,791109 / 26
G.I. Obstruction W Mcc2418 / 2$18.210,0018 / 5$14.943,40435 / 10$12.345,00435 / 8
Red Blood Cell Disorders W/O Mcc24119 / 26$9.147,3870 / 9$7.320,831735 / 36$6.526,501726 / 37
Atherosclerosis W/O Mcc2434 / 4$6.471,6212 / 1$5.696,62 / 15$5.196,62 /
Cellulitis W Mcc2335 / 7$13.591,8029 / 13$11.181,60569 / 15$9.174,39567 / 8
G.I. Hemorrhage W/O Cc/Mcc2345 / 8$8.670,7462 / 7$6.368,83850 / 18$5.365,70846 / 20
Poisoning & Toxic Effects Of Drugs W Mcc2250 / 10$14.577,5023 / 4$12.003,60815 / 21$11.231,30812 / 20
Peripheral Vascular Disorders W Cc2163 / 13$10.703,7049 / 14$8.474,711072 / 24$7.842,331069 / 25
Other Digestive System Diagnoses W/O Cc/Mcc2023 / 6$11.593,7043 / 11$6.491,10287 / 13$4.970,50287 / 12
Acute Myocardial Infarction, Discharged Alive W Cc2071 / 17$11.007,0046 / 8$8.334,001199 / 19$7.668,401197 / 24
Other Vascular Procedures W Mcc2077 / 12$49.678,9080 / 8$26.859,70806 / 8$25.864,50803 / 9
Disorders Of Pancreas Except Malignancy W Cc2041 / 13$11.997,4052 / 10$8.291,55850 / 25$7.565,15847 / 26
G.I. Obstruction W/O Cc/Mcc1952 / 14$9.292,95102 / 16$5.715,001166 / 25$4.635,421163 / 27
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1937 / 5$35.277,70172 / 14$14.216,80820 / 11$13.386,50816 / 12
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1855 / 17$16.523,30166 / 27$9.542,50960 / 20$9.071,39958 / 24
Renal Failure W/O Cc/Mcc1739 / 7$7.375,4140 / 4$5.727,88742 / 14$4.875,18740 / 15
Other Digestive System Diagnoses W Mcc1745 / 12$19.493,0032 / 6$14.434,20616 / 14$13.754,70615 / 14
Kidney & Ureter Procedures For Non-Neoplasm W Cc1629 / 4$22.884,904 / 1$14.679,70141 / 2$13.701,70141 / 2
Major Male Pelvic Procedures W/O Cc/Mcc1657 / 7$31.301,6097 / 6$11.426,40337 / 3$10.216,40337 / 5
Major Chest Procedures W Cc1658 / 9$44.691,1069 / 8$22.346,70460 / 8$21.364,70458 / 8
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc1641 / 11$31.674,1053 / 6$18.709,90653 / 10$17.118,90652 / 11
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1649 / 14$41.214,5055 / 9$24.783,40776 / 12$23.651,40773 / 12
Other Circulatory System Diagnoses W Cc1650 / 13$14.885,1078 / 11$8.557,44575 / 16$8.029,44574 / 16
Major Small & Large Bowel Procedures W Mcc1669 / 18$70.607,90128 / 19$40.920,601078 / 20$39.995,601076 / 21
Diabetes W/O Cc/Mcc1622 / 3$7.109,2516 / 2$5.368,00239 / 6$4.836,00239 / 6
Fractures Of Hip & Pelvis W/O Mcc1546 / 16$9.635,8771 / 13$6.193,33776 / 24$5.064,80775 / 25
Other Kidney & Urinary Tract Diagnoses W Cc1588 / 15$11.485,0043 / 9$9.250,87658 / 20$7.418,93658 / 15
Bronchitis & Asthma W Cc/Mcc1462 / 21$8.611,6430 / 9$7.891,14946 / 28$7.022,57942 / 29
Extracranial Procedures W/O Cc/Mcc1484 / 14$25.157,60289 / 14$9.371,14874 / 9$8.507,14871 / 14
Kidney & Ureter Procedures For Neoplasm W Cc1430 / 6$48.578,4057 / 4$17.508,90144 / 3$16.475,80144 / 3
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc1462 / 10$26.263,4060 / 6$15.195,00411 / 5$14.417,90411 / 6
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc1482 / 10$31.924,6057 / 6$19.242,10735 / 9$16.807,00731 / 9
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1349 / 20$12.723,50123 / 22$6.953,00688 / 25$5.845,31686 / 25
Peripheral Vascular Disorders W Mcc1336 / 10$14.470,9021 / 6$11.268,30466 / 6$10.524,90466 / 8
Respiratory Neoplasms W Mcc1339 / 9$19.279,7034 / 8$14.824,10568 / 11$14.174,20565 / 13
Organic Disturbances & Mental Retardation1346 / 9$10.052,3031 / 8$8.884,08446 / 15$8.145,62446 / 15
Disorders Of Pancreas Except Malignancy W Mcc1333 / 6$18.214,9010 / 3$14.716,40267 / 3$13.781,00267 / 3
Cranial & Peripheral Nerve Disorders W/O Mcc1355 / 14$13.200,5071 / 14$7.983,15639 / 15$7.424,38639 / 16
Major Cardiovasc Procedures W/O Mcc1289 / 16$54.612,0081 / 8$28.985,80906 / 9$27.977,80905 / 11
Traumatic Stupor & Coma, Coma <1 Hr W Cc1254 / 12$14.947,5023 / 4$9.482,50410 / 6$8.317,50409 / 7
Permanent Cardiac Pacemaker Implant W Mcc1240 / 10$43.833,7018 / 2$28.496,40500 / 4$27.587,10500 / 4
Fever1234 / 11$13.246,3033 / 6$7.693,83284 / 10$6.992,50284 / 11
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc1232 / 7$35.308,6017 / 3$23.737,90369 / 3$22.831,20367 / 5
Cirrhosis & Alcoholic Hepatitis W Cc1214 / 5$13.395,607 / 3$8.363,7562 / 3$7.555,7562 / 3
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc1232 / 8$10.002,6026 / 7$6.808,92257 / 13$6.102,25257 / 14
Stomach, Esophageal & Duodenal Proc W Mcc1229 / 4$63.589,906 / 1$43.029,60161 / 2$42.207,60161 / 2
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1226 / 10$8.899,8331 / 6$6.041,33414 / 9$5.334,67413 / 12
Cirrhosis & Alcoholic Hepatitis W Mcc1230 / 9$21.276,3014 / 4$14.938,00224 / 5$13.930,00224 / 5
Postoperative & Post-Traumatic Infections W Mcc1132 / 8$21.352,6012 / 4$15.959,50171 / 3$15.547,90171 / 4
Poisoning & Toxic Effects Of Drugs W/O Mcc1150 / 21$10.652,00125 / 20$5.860,36751 / 25$5.200,00750 / 28
Seizures W Mcc1155 / 14$10.848,506 / 1$11.333,30513 / 7$10.675,80513 / 7
Peritoneal Adhesiolysis W Cc1128 / 6$38.438,7033 / 4$19.976,80254 / 3$19.211,70254 / 5
Respiratory Neoplasms W Cc1136 / 10$15.683,5033 / 6$10.425,10423 / 6$9.540,73422 / 6
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc1142 / 11$15.422,8026 / 2$10.569,10399 / 9$9.795,27399 / 10
Malignancy Of Hepatobiliary System Or Pancreas W Mcc1142 / 8$17.490,205 / 1$14.007,50248 / 2$13.350,00249 / 2
Total 115 procedures4.672discharges

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.