Hospital Costs > In Massachusetts > Emerson Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 31 | $21.240,10 | 184 / 27 | $11.234,40 | 955 / 5 | $10.163,40 | 953 / 4 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 15 | $10.276,20 | 53 / 11 | $5.081,17 | 344 / 1 | $3.863,42 | 341 / 1 |
| Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 19 | $12.081,20 | 100 / 24 | $5.985,50 | 524 / 1 | $4.851,50 | 520 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 33 | $11.232,80 | 191 / 24 | $5.361,65 | 1213 / 2 | $4.518,52 | 1208 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 26 | $15.199,40 | 124 / 23 | $9.039,67 | 858 / 14 | $6.911,05 | 855 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 26 | $11.148,70 | 477 / 39 | $3.887,70 | 841 / 5 | $2.699,87 | 837 / 2 |
| Cellulitis W/O Mcc | 32 | 157 / 44 | $9.877,22 | 230 / 29 | $5.452,19 | 1250 / 1 | $4.470,19 | 1244 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 43 | $10.320,50 | 119 / 20 | $6.165,42 | 1501 / 2 | $5.510,75 | 1495 / 7 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 39 | $16.784,30 | 459 / 44 | $8.437,75 | 1017 / 18 | $6.260,50 | 1012 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 63 | 212 / 36 | $12.762,60 | 483 / 41 | $5.113,90 | 1410 / 3 | $4.056,38 | 1399 / 3 |
| G.I. Hemorrhage W Cc | 44 | 174 / 30 | $15.604,00 | 347 / 32 | $6.859,27 | 1295 / 5 | $5.688,02 | 1292 / 3 |
| G.I. Hemorrhage W Mcc | 17 | 104 / 27 | $16.626,40 | 36 / 6 | $11.324,50 | 852 / 1 | $10.692,10 | 848 / 5 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 17 | $12.510,90 | 193 / 21 | $4.788,55 | 462 / 3 | $3.691,82 | 458 / 3 |
| G.I. Obstruction W Cc | 15 | 77 / 26 | $14.881,30 | 281 / 31 | $6.028,53 | 1140 / 3 | $5.386,40 | 1137 / 9 |
| Heart Failure & Shock W Cc | 65 | 213 / 34 | $12.953,80 | 368 / 31 | $6.570,89 | 1437 / 1 | $5.695,57 | 1432 / 2 |
| Heart Failure & Shock W Mcc | 29 | 255 / 43 | $22.567,60 | 569 / 45 | $9.843,59 | 1274 / 6 | $8.686,38 | 1271 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 22 | $10.100,00 | 268 / 32 | $4.502,50 | 957 / 1 | $3.695,83 | 949 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 25 | $29.067,20 | 196 / 28 | $13.126,40 | 1331 / 1 | $12.111,00 | 1313 / 4 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 16 | $38.033,70 | 43 / 10 | $20.373,10 | 583 / 2 | $19.162,90 | 580 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 27 | $18.143,20 | 359 / 39 | $7.711,04 | 796 / 17 | $5.546,44 | 794 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 24 | $24.853,30 | 199 / 23 | $10.632,50 | 579 / 1 | $9.541,05 | 578 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 24 | $18.445,20 | 467 / 32 | $5.087,00 | 925 / 1 | $4.179,00 | 921 / 6 |
| Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 26 | $11.044,40 | 76 / 15 | $6.700,95 | 507 / 1 | $5.710,41 | 506 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 41 | $11.465,30 | 453 / 36 | $4.971,71 | 831 / 1 | $3.844,43 | 826 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 138 | 426 / 25 | $36.071,50 | 524 / 32 | $15.132,00 | 1919 / 8 | $13.315,70 | 1877 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 39 | $9.502,47 | 264 / 25 | $4.494,53 | 1263 / 1 | $3.852,65 | 1259 / 3 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 11 | 66 / 9 | $28.924,70 | 73 / 7 | $11.891,30 | 102 / 1 | $7.897,73 | 102 / 1 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 26 | $13.786,50 | 119 / 25 | $6.648,27 | 834 / 4 | $5.880,27 | 830 / 4 |
| Other Disorders Of Nervous System W Cc | 17 | 39 / 14 | $16.110,80 | 103 / 24 | $6.112,82 | 260 / 3 | $5.122,71 | 260 / 2 |
| Pulmonary Edema & Respiratory Failure | 32 | 171 / 28 | $15.951,60 | 191 / 29 | $8.994,75 | 1026 / 10 | $6.993,12 | 1025 / 1 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 23 | $15.991,70 | 188 / 25 | $6.779,67 | 336 / 3 | $4.867,17 | 336 / 1 |
| Renal Failure W Cc | 20 | 201 / 43 | $13.192,20 | 301 / 36 | $6.434,70 | 1426 / 2 | $5.649,10 | 1417 / 5 |
| Renal Failure W Mcc | 20 | 175 / 36 | $25.131,20 | 470 / 39 | $10.267,00 | 1348 / 4 | $9.782,20 | 1348 / 10 |
| Respiratory Infections & Inflammations W Mcc | 22 | 114 / 29 | $19.331,80 | 86 / 17 | $10.430,00 | 104 / 1 | $9.399,45 | 104 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 93 | 423 / 39 | $23.921,10 | 474 / 35 | $13.014,80 | 1604 / 14 | $11.241,60 | 1572 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 42 | $15.334,50 | 375 / 36 | $7.196,24 | 1420 / 5 | $6.130,82 | 1415 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 34 | $13.679,70 | 415 / 38 | $6.194,34 | 1171 / 1 | $5.209,92 | 1167 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 32 | $18.590,30 | 298 / 31 | $9.624,67 | 1316 / 6 | $8.339,72 | 1316 / 4 |
| Syncope & Collapse | 18 | 151 / 38 | $11.082,40 | 151 / 30 | $4.988,00 | 875 / 4 | $3.917,78 | 871 / 1 |
| Transient Ischemia | 12 | 113 / 27 | $15.992,20 | 355 / 33 | $4.794,33 | 859 / 2 | $3.791,67 | 855 / 3 | Total 40 procedures | 1.124 | 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.