Hospital Costs > In Massachusetts > Metrowest Medical Center, 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 Cc | 14 | 77 / 22 | $16.326,00 | 152 / 23 | $8.150,14 | 1103 / 16 | $7.114,71 | 1101 / 19 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 30 | 95 / 22 | $23.779,20 | 256 / 30 | $13.027,20 | 1415 / 29 | $12.180,20 | 1403 / 29 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 19 | 8 / 5 | $17.303,80 | 12 / 6 | $11.738,00 | 87 / 6 | $11.035,70 | 87 / 7 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 20 | 104 / 25 | $10.329,50 | 141 / 17 | $5.699,80 | 622 / 17 | $5.110,20 | 621 / 27 |
| Bone Diseases & Arthropathies W/O Mcc | 11 | 33 / 10 | $10.391,50 | 50 / 12 | $6.726,18 | 152 / 14 | $4.562,27 | 152 / 4 |
| Bronchitis & Asthma W Cc/Mcc | 25 | 51 / 12 | $10.694,40 | 67 / 18 | $7.219,92 | 801 / 17 | $5.970,32 | 797 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 47 | 114 / 20 | $10.289,30 | 126 / 18 | $6.596,72 | 1685 / 28 | $5.421,55 | 1680 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 40 | 83 / 17 | $15.145,50 | 122 / 22 | $9.737,45 | 1528 / 26 | $8.801,00 | 1525 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 18 | $7.690,22 | 123 / 17 | $4.764,09 | 1559 / 23 | $3.645,66 | 1553 / 22 |
| Cellulitis W Mcc | 14 | 44 / 16 | $14.547,90 | 38 / 17 | $11.511,40 | 793 / 19 | $10.905,70 | 791 / 21 |
| Cellulitis W/O Mcc | 50 | 139 / 33 | $10.497,20 | 301 / 36 | $6.719,22 | 2038 / 28 | $5.657,46 | 2030 / 32 |
| Chest Pain | 32 | 119 / 16 | $10.391,20 | 167 / 23 | $5.069,28 | 1271 / 18 | $4.200,03 | 1264 / 23 |
| Chronic Obstructive Pulmonary Disease W Cc | 69 | 110 / 17 | $13.401,60 | 358 / 42 | $7.536,71 | 1963 / 30 | $6.567,30 | 1956 / 34 |
| Chronic Obstructive Pulmonary Disease W Mcc | 73 | 129 / 15 | $14.789,50 | 301 / 35 | $8.870,88 | 2025 / 26 | $8.031,64 | 2017 / 31 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 26 | $10.027,10 | 245 / 27 | $5.640,05 | 1604 / 18 | $4.661,76 | 1593 / 23 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 11 | $35.409,20 | 93 / 10 | $16.206,50 | 697 / 5 | $15.244,40 | 690 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 31 | 157 / 18 | $23.513,80 | 221 / 20 | $8.703,10 | 1262 / 10 | $7.308,03 | 1259 / 10 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 15 | $9.519,17 | 29 / 7 | $7.193,42 | 533 / 8 | $6.267,42 | 533 / 8 |
| Degenerative Nervous System Disorders W/O Mcc | 30 | 48 / 5 | $10.293,20 | 28 / 4 | $7.393,47 | 504 / 7 | $6.099,03 | 504 / 4 |
| Diabetes W Cc | 18 | 74 / 22 | $13.873,20 | 262 / 32 | $6.563,72 | 1219 / 15 | $5.825,94 | 1214 / 22 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 15 | $13.974,50 | 65 / 11 | $6.981,18 | 314 / 5 | $6.099,73 | 314 / 2 |
| Disorders Of Pancreas Except Malignancy W Cc | 30 | 31 / 8 | $14.605,40 | 108 / 19 | $7.647,77 | 746 / 15 | $6.444,77 | 743 / 18 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 17 | 21 / 6 | $10.239,60 | 42 / 8 | $5.867,47 | 296 / 8 | $3.862,12 | 295 / 3 |
| Disorders Of The Biliary Tract W Cc | 19 | 35 / 10 | $19.112,60 | 58 / 14 | $8.509,16 | 342 / 10 | $7.490,21 | 342 / 11 |
| Dysequilibrium | 21 | 44 / 8 | $9.683,05 | 44 / 8 | $5.220,95 | 395 / 10 | $4.180,19 | 395 / 14 |
| Endocrine Disorders W Cc | 15 | 23 / 8 | $15.855,90 | 35 / 8 | $8.254,87 | 193 / 6 | $6.970,80 | 193 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 27 | $23.590,50 | 373 / 37 | $9.597,43 | 1141 / 19 | $8.904,86 | 1136 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 120 | 155 / 21 | $11.785,70 | 362 / 32 | $6.181,27 | 2180 / 30 | $5.187,02 | 2166 / 34 |
| Fever | 13 | 33 / 10 | $13.324,40 | 34 / 7 | $6.940,15 | 251 / 6 | $6.295,23 | 251 / 6 |
| Fractures Of Hip & Pelvis W/O Mcc | 21 | 40 / 10 | $10.015,60 | 83 / 14 | $5.739,05 | 739 / 14 | $4.821,71 | 738 / 19 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 27 | 35 / 11 | $9.853,63 | 54 / 12 | $6.182,93 | 625 / 15 | $5.202,78 | 623 / 20 |
| G.I. Hemorrhage W Cc | 84 | 134 / 14 | $16.672,60 | 460 / 36 | $8.168,61 | 1922 / 32 | $7.003,40 | 1918 / 30 |
| G.I. Hemorrhage W Mcc | 27 | 94 / 20 | $20.367,60 | 75 / 14 | $12.863,60 | 1049 / 15 | $11.498,40 | 1041 / 12 |
| G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 12 | $11.158,20 | 137 / 16 | $5.745,35 | 767 / 11 | $4.681,82 | 763 / 14 |
| G.I. Obstruction W Cc | 25 | 67 / 18 | $15.467,80 | 322 / 34 | $7.262,20 | 1441 / 22 | $6.405,24 | 1436 / 28 |
| G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 14 | $11.232,50 | 220 / 23 | $5.114,16 | 1007 / 13 | $3.968,89 | 1004 / 17 |
| Heart Failure & Shock W Cc | 99 | 179 / 22 | $12.849,60 | 353 / 29 | $7.739,09 | 2205 / 30 | $7.016,50 | 2199 / 32 |
| Heart Failure & Shock W Mcc | 134 | 150 / 15 | $18.136,00 | 317 / 29 | $11.329,80 | 2029 / 30 | $10.498,40 | 2020 / 31 |
| Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 22 | $9.074,46 | 187 / 28 | $5.430,58 | 1528 / 22 | $4.527,92 | 1515 / 26 |
| Hip & Femur Procedures Except Major Joint W Cc | 40 | 103 / 18 | $27.483,70 | 144 / 22 | $15.203,70 | 1723 / 27 | $14.169,00 | 1704 / 29 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 20 | $43.442,50 | 33 / 3 | $40.661,40 | 1244 / 16 | $39.938,20 | 1234 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 26 | $16.438,50 | 234 / 31 | $8.165,15 | 1646 / 24 | $7.407,81 | 1642 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 20 | $18.111,00 | 58 / 12 | $13.657,70 | 1292 / 21 | $12.923,10 | 1286 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 24 | $12.710,20 | 123 / 15 | $6.061,69 | 1227 / 15 | $4.925,69 | 1223 / 21 |
| Kidney & Urinary Tract Infections W Mcc | 55 | 89 / 12 | $11.552,90 | 91 / 19 | $8.576,55 | 1543 / 20 | $7.786,44 | 1539 / 24 |
| Kidney & Urinary Tract Infections W/O Mcc | 72 | 161 / 27 | $9.009,92 | 198 / 22 | $6.212,81 | 2168 / 30 | $5.372,36 | 2157 / 33 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 11 | $25.804,50 | 43 / 4 | $13.263,90 | 719 / 6 | $11.373,10 | 716 / 7 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 15 | $44.231,90 | 39 / 2 | $26.593,50 | 755 / 7 | $23.567,00 | 754 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 21 | $12.283,20 | 54 / 11 | $8.994,73 | 873 / 14 | $8.306,73 | 871 / 18 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 99 | 465 / 31 | $27.554,30 | 142 / 11 | $16.946,30 | 2315 / 33 | $15.461,10 | 2270 / 39 |
| Major Small & Large Bowel Procedures W Cc | 21 | 87 / 19 | $31.736,80 | 70 / 9 | $19.405,50 | 1278 / 17 | $18.483,60 | 1264 / 21 |
| Medical Back Problems W/O Mcc | 57 | 64 / 12 | $10.762,60 | 67 / 10 | $6.633,02 | 1121 / 14 | $5.697,00 | 1117 / 17 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 29 | 97 / 10 | $14.496,20 | 130 / 19 | $8.851,52 | 1272 / 16 | $7.979,79 | 1269 / 17 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 75 | 91 / 11 | $10.073,10 | 320 / 32 | $5.640,49 | 1858 / 25 | $4.578,40 | 1852 / 25 |
| Organic Disturbances & Mental Retardation | 11 | 48 / 11 | $7.610,55 | 7 / 2 | $6.954,36 | 308 / 3 | $6.404,55 | 308 / 4 |
| Other Circulatory System Diagnoses W Cc | 14 | 52 / 15 | $11.583,00 | 41 / 6 | $7.408,64 | 487 / 7 | $6.716,07 | 486 / 10 |
| Other Circulatory System Diagnoses W Mcc | 19 | 97 / 14 | $28.910,70 | 193 / 16 | $14.205,90 | 884 / 10 | $12.584,20 | 878 / 7 |
| Other Digestive System Diagnoses W Cc | 27 | 70 / 14 | $14.212,60 | 129 / 28 | $7.874,37 | 1130 / 20 | $7.025,78 | 1126 / 23 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 15 | $20.709,40 | 49 / 9 | $13.174,90 | 551 / 9 | $12.470,90 | 550 / 10 |
| Other Disorders Of Nervous System W Cc | 26 | 30 / 7 | $12.678,40 | 48 / 17 | $7.193,77 | 482 / 14 | $6.635,00 | 482 / 19 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 21 | 82 / 12 | $13.477,60 | 76 / 14 | $7.972,76 | 542 / 13 | $6.528,00 | 542 / 7 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 33 | 68 / 9 | $17.512,60 | 72 / 13 | $11.823,20 | 857 / 13 | $11.384,90 | 854 / 17 |
| Other Respiratory System Diagnoses W/O Mcc | 11 | 35 / 11 | $10.712,60 | 21 / 7 | $6.698,00 | 179 / 9 | $5.066,91 | 179 / 6 |
| Other Vascular Procedures W Cc | 31 | 71 / 10 | $33.744,70 | 48 / 4 | $19.861,60 | 867 / 10 | $18.203,50 | 862 / 8 |
| Other Vascular Procedures W Mcc | 11 | 86 / 16 | $45.122,50 | 62 / 6 | $24.608,00 | 724 / 4 | $24.055,30 | 721 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 26 | 170 / 17 | $53.619,30 | 303 / 15 | $16.653,20 | 1233 / 8 | $14.516,60 | 1226 / 8 |
| Peripheral Vascular Disorders W Cc | 20 | 64 / 14 | $11.239,40 | 61 / 18 | $7.655,35 | 959 / 14 | $6.947,35 | 956 / 19 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 16 | $52.058,80 | 236 / 20 | $19.463,30 | 756 / 5 | $18.683,90 | 753 / 7 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 14 | $42.641,80 | 192 / 13 | $17.047,50 | 619 / 8 | $16.036,80 | 618 / 8 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 15 | $19.207,80 | 94 / 16 | $10.890,60 | 742 / 12 | $10.210,60 | 740 / 15 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 18 | $8.750,21 | 56 / 8 | $5.343,93 | 611 / 15 | $4.270,79 | 610 / 13 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 11 | 43 / 11 | $11.220,50 | 21 / 10 | $7.081,64 | 243 / 2 | $6.316,55 | 243 / 2 |
| Psychoses | 13 | 262 / 10 | $11.868,80 | 112 / 3 | $9.652,31 | 7 / 11 | $4.103,54 | 7 / 1 |
| Pulmonary Edema & Respiratory Failure | 79 | 124 / 9 | $15.085,40 | 148 / 24 | $9.729,51 | 1797 / 26 | $8.917,35 | 1792 / 26 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 20 | $19.536,70 | 363 / 31 | $7.662,73 | 1066 / 16 | $6.935,33 | 1063 / 23 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 12 | $14.811,80 | 58 / 11 | $9.757,80 | 833 / 11 | $9.277,80 | 829 / 14 |
| Red Blood Cell Disorders W/O Mcc | 27 | 116 / 23 | $10.653,30 | 136 / 19 | $6.541,37 | 1597 / 21 | $5.826,70 | 1588 / 28 |
| Renal Failure W Cc | 106 | 115 / 12 | $12.366,80 | 245 / 32 | $7.473,65 | 1886 / 27 | $6.623,46 | 1876 / 30 |
| Renal Failure W Mcc | 48 | 147 / 22 | $20.719,90 | 253 / 29 | $11.830,50 | 1676 / 27 | $11.025,20 | 1674 / 27 |
| Respiratory Infections & Inflammations W Cc | 18 | 70 / 23 | $16.572,30 | 143 / 23 | $9.563,00 | 1015 / 7 | $8.757,67 | 1010 / 8 |
| Respiratory Infections & Inflammations W Mcc | 48 | 88 / 15 | $19.212,20 | 83 / 16 | $14.292,20 | 1413 / 16 | $13.666,90 | 1398 / 18 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 23 | $29.846,70 | 122 / 14 | $18.242,10 | 1369 / 23 | $16.205,30 | 1356 / 19 |
| Seizures W Mcc | 14 | 52 / 12 | $14.298,40 | 18 / 5 | $11.122,90 | 498 / 4 | $10.517,10 | 498 / 5 |
| Seizures W/O Mcc | 25 | 83 / 17 | $14.929,30 | 257 / 35 | $6.155,16 | 924 / 18 | $5.160,84 | 921 / 21 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 16 | $54.602,10 | 24 / 4 | $43.294,80 | 739 / 4 | $41.934,80 | 738 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 217 | 299 / 20 | $20.415,10 | 282 / 25 | $14.029,40 | 2200 / 30 | $13.154,10 | 2161 / 35 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 46 | 161 / 24 | $12.603,60 | 186 / 22 | $8.210,00 | 1958 / 25 | $7.176,70 | 1950 / 25 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 17 | 30 / 9 | $9.571,18 | 30 / 5 | $5.893,00 | 251 / 7 | $4.966,88 | 251 / 10 |
| Signs & Symptoms W/O Mcc | 21 | 70 / 18 | $10.473,70 | 107 / 17 | $5.466,10 | 990 / 13 | $4.893,14 | 987 / 20 |
| Simple Pneumonia & Pleurisy W Cc | 54 | 149 / 28 | $11.330,40 | 199 / 24 | $7.683,22 | 2221 / 27 | $6.674,04 | 2213 / 33 |
| Simple Pneumonia & Pleurisy W Mcc | 51 | 154 / 27 | $16.089,80 | 173 / 23 | $11.152,60 | 2005 / 31 | $10.156,80 | 2004 / 30 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 25 | $9.421,57 | 179 / 20 | $5.720,21 | 1639 / 22 | $4.858,50 | 1631 / 32 |
| Syncope & Collapse | 43 | 126 / 23 | $10.093,60 | 106 / 20 | $5.974,81 | 1456 / 23 | $5.030,44 | 1449 / 26 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 9 | $9.751,83 | 25 / 3 | $6.590,92 | 232 / 5 | $5.385,58 | 231 / 7 |
| Transient Ischemia | 29 | 96 / 15 | $12.275,70 | 135 / 19 | $5.806,21 | 1277 / 17 | $4.760,14 | 1271 / 20 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 26 | 18 / 2 | $9.950,04 | 25 / 6 | $6.079,35 | 204 / 8 | $5.059,04 | 204 / 8 | Total 96 procedures | 3.202 | 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.