Hospital Costs > In Massachusetts > Clinton Hospital Association, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 14 | 175 / 51 | $14.685,10 | 818 / 51 | $6.044,79 | 1823 / 11 | $5.180,79 | 1815 / 22 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 46 | $15.295,40 | 538 / 47 | $6.763,37 | 1734 / 15 | $5.934,74 | 1727 / 18 |
| Heart Failure & Shock W Cc | 13 | 265 / 52 | $17.317,20 | 849 / 48 | $7.069,92 | 1992 / 13 | $6.513,62 | 1987 / 24 |
| Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 48 | $15.053,50 | 950 / 49 | $5.597,80 | 1967 / 14 | $4.951,40 | 1956 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 41 | $13.737,20 | 793 / 46 | $5.136,43 | 1721 / 13 | $4.361,57 | 1716 / 19 |
| Renal Failure W Cc | 11 | 210 / 45 | $12.779,10 | 272 / 34 | $6.586,55 | 1470 / 5 | $5.705,09 | 1461 / 6 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 42 | $20.609,20 | 1196 / 54 | $6.868,29 | 1994 / 8 | $6.154,88 | 1986 / 20 | Total 7 procedures | 103 | 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.