Hospital Costs > In Massachusetts > Newton-Wellesley 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 Cc | 13 | 78 / 23 | $23.849,90 | 461 / 31 | $7.479,31 | 1035 / 10 | $6.831,92 | 1033 / 14 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 27 | $29.374,70 | 421 / 35 | $11.722,10 | 1188 / 12 | $10.984,70 | 1182 / 15 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 29 | 95 / 19 | $20.726,60 | 503 / 41 | $5.123,34 | 438 / 9 | $4.204,17 | 437 / 5 |
| Atherosclerosis W/O Mcc | 13 | 45 / 12 | $14.120,60 | 143 / 19 | $4.996,92 | / 7 | $3.821,00 | / |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 24 | 42 / 6 | $52.957,40 | 295 / 14 | $14.573,30 | 395 / 4 | $12.532,10 | 392 / 4 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 18 | 71 / 13 | $37.474,40 | 422 / 21 | $8.519,39 | 508 / 5 | $6.605,72 | 507 / 3 |
| Bone Diseases & Arthropathies W/O Mcc | 11 | 33 / 10 | $13.522,80 | 88 / 16 | $6.522,27 | 122 / 12 | $4.152,27 | 122 / 2 |
| Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 16 | $16.602,30 | 259 / 32 | $6.536,71 | 747 / 5 | $5.703,95 | 743 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 64 | 97 / 11 | $18.522,80 | 908 / 48 | $5.804,89 | 1554 / 12 | $5.107,89 | 1549 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 45 | 78 / 15 | $24.006,20 | 591 / 44 | $9.056,27 | 1391 / 15 | $8.253,42 | 1388 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 44 | 106 / 12 | $15.519,30 | 1057 / 44 | $4.160,57 | 1326 / 8 | $3.199,84 | 1321 / 11 |
| Cellulitis W Mcc | 17 | 41 / 13 | $29.669,00 | 374 / 26 | $10.327,60 | 616 / 7 | $9.420,76 | 614 / 10 |
| Cellulitis W/O Mcc | 82 | 107 / 21 | $15.274,00 | 893 / 52 | $6.258,90 | 1783 / 17 | $5.123,57 | 1775 / 20 |
| Cervical Spinal Fusion W/O Cc/Mcc | 30 | 74 / 6 | $57.614,30 | 425 / 11 | $16.897,70 | 725 / 2 | $15.693,40 | 722 / 4 |
| Chronic Obstructive Pulmonary Disease W Cc | 40 | 139 / 31 | $18.980,90 | 897 / 50 | $6.560,55 | 1602 / 8 | $5.682,95 | 1595 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 34 | $22.100,40 | 909 / 52 | $8.141,29 | 1663 / 7 | $7.127,61 | 1655 / 11 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 30 | $16.768,50 | 999 / 46 | $5.365,87 | 1561 / 12 | $4.561,60 | 1550 / 21 |
| Complications Of Treatment W Cc | 12 | 40 / 9 | $29.017,70 | 206 / 12 | $9.274,83 | 306 / 6 | $8.576,17 | 306 / 6 |
| Degenerative Nervous System Disorders W/O Mcc | 20 | 58 / 11 | $22.766,10 | 319 / 21 | $7.059,95 | 534 / 3 | $6.275,95 | 534 / 7 |
| Diabetes W Cc | 24 | 68 / 16 | $18.209,50 | 577 / 38 | $6.042,21 | 1062 / 7 | $5.291,54 | 1058 / 14 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 21 | $23.852,40 | 434 / 32 | $6.807,00 | 662 / 5 | $5.900,33 | 659 / 11 |
| Disorders Of The Biliary Tract W Cc | 12 | 42 / 16 | $24.217,20 | 119 / 18 | $7.880,50 | 331 / 5 | $7.376,50 | 331 / 10 |
| Endocrine Disorders W Cc | 19 | 19 / 4 | $23.186,90 | 112 / 12 | $7.189,47 | 162 / 1 | $6.395,37 | 162 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 28 | $22.322,00 | 308 / 35 | $8.958,92 | 991 / 12 | $8.122,00 | 986 / 14 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 122 | 153 / 20 | $16.770,50 | 972 / 52 | $5.571,72 | 1878 / 14 | $4.583,82 | 1864 / 17 |
| Fever | 13 | 33 / 10 | $31.378,30 | 238 / 15 | $7.447,15 | 275 / 9 | $6.802,23 | 275 / 10 |
| Fractures Of Hip & Pelvis W/O Mcc | 25 | 36 / 8 | $15.775,60 | 317 / 27 | $5.063,76 | 549 / 6 | $4.052,56 | 549 / 6 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 20 | 42 / 14 | $17.345,70 | 274 / 30 | $5.777,15 | 437 / 9 | $4.322,60 | 435 / 5 |
| G.I. Hemorrhage W Cc | 93 | 125 / 11 | $24.141,30 | 1136 / 51 | $7.594,89 | 1802 / 20 | $6.645,13 | 1798 / 23 |
| G.I. Hemorrhage W Mcc | 16 | 105 / 28 | $31.488,60 | 374 / 32 | $12.847,60 | 1165 / 14 | $11.998,60 | 1157 / 16 |
| G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 13 | $11.917,80 | 163 / 19 | $5.121,19 | 656 / 4 | $4.215,19 | 652 / 9 |
| G.I. Obstruction W Cc | 34 | 58 / 13 | $21.507,60 | 757 / 40 | $6.631,12 | 1336 / 14 | $5.994,88 | 1331 / 22 |
| G.I. Obstruction W/O Cc/Mcc | 48 | 23 / 3 | $15.138,80 | 537 / 32 | $4.763,67 | 727 / 10 | $3.293,60 | 724 / 6 |
| Heart Failure & Shock W Cc | 145 | 133 / 13 | $19.532,80 | 1126 / 53 | $7.162,19 | 1901 / 17 | $6.334,94 | 1896 / 17 |
| Heart Failure & Shock W Mcc | 78 | 206 / 28 | $33.240,90 | 1297 / 51 | $10.870,70 | 1926 / 22 | $10.143,90 | 1920 / 23 |
| Heart Failure & Shock W/O Cc/Mcc | 58 | 52 / 7 | $15.198,80 | 867 / 48 | $4.947,03 | 1334 / 11 | $4.132,69 | 1323 / 15 |
| Hip & Femur Procedures Except Major Joint W Cc | 57 | 86 / 12 | $50.312,70 | 1057 / 46 | $14.777,60 | 1672 / 19 | $13.819,60 | 1653 / 25 |
| Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 11 | $69.818,60 | 413 / 18 | $22.421,20 | 753 / 9 | $21.371,20 | 750 / 11 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 11 | $41.947,50 | 449 / 18 | $12.169,40 | 738 / 6 | $11.218,50 | 735 / 10 |
| Hypertension W/O Mcc | 15 | 50 / 8 | $17.067,80 | 304 / 15 | $4.656,13 | 520 / 3 | $3.856,13 | 518 / 6 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 16 | $86.449,50 | 319 / 26 | $36.458,90 | 990 / 10 | $35.382,70 | 984 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 17 | $28.761,40 | 1070 / 46 | $7.415,87 | 1341 / 11 | $6.433,13 | 1338 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 24 | $44.072,00 | 813 / 32 | $12.035,20 | 1008 / 9 | $11.083,60 | 1003 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 19 | $28.338,30 | 1035 / 36 | $6.634,17 | 885 / 24 | $4.113,78 | 881 / 5 |
| Kidney & Urinary Tract Infections W Mcc | 31 | 113 / 23 | $22.128,10 | 711 / 40 | $7.832,90 | 1260 / 11 | $6.908,26 | 1256 / 12 |
| Kidney & Urinary Tract Infections W/O Mcc | 133 | 100 / 10 | $17.737,90 | 1313 / 52 | $5.532,90 | 1768 / 10 | $4.645,20 | 1757 / 12 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 10 | $39.806,60 | 304 / 15 | $9.697,82 | 414 / 5 | $7.399,09 | 413 / 2 |
| Major Chest Trauma W Cc | 14 | 22 / 7 | $19.474,70 | 22 / 7 | $7.895,07 | 78 / 5 | $5.844,21 | 78 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 15 | $24.256,10 | 451 / 32 | $8.254,70 | 631 / 7 | $7.091,75 | 629 / 1 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 10 | $25.631,50 | 136 / 10 | $8.953,69 | 321 / 2 | $8.311,23 | 321 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 416 | 172 / 5 | $49.427,00 | 1256 / 53 | $16.458,20 | 2150 / 28 | $14.319,60 | 2107 / 27 |
| Major Small & Large Bowel Procedures W Cc | 48 | 60 / 9 | $71.588,90 | 885 / 33 | $19.394,90 | 1272 / 16 | $18.438,20 | 1258 / 19 |
| Medical Back Problems W/O Mcc | 45 | 76 / 14 | $19.608,00 | 493 / 32 | $6.220,44 | 1017 / 10 | $5.305,64 | 1014 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 17 | $23.347,10 | 613 / 34 | $7.873,78 | 983 / 4 | $7.004,44 | 980 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 61 | 105 / 18 | $16.487,30 | 1130 / 51 | $5.271,72 | 1689 / 16 | $4.307,44 | 1684 / 16 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 16 | $20.577,30 | 209 / 17 | $6.772,15 | 368 / 4 | $5.886,00 | 367 / 3 |
| Other Digestive System Diagnoses W Cc | 33 | 64 / 10 | $19.578,50 | 381 / 37 | $7.272,15 | 949 / 12 | $6.288,88 | 945 / 13 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 15 | $24.934,40 | 95 / 12 | $12.954,30 | 386 / 7 | $10.713,80 | 385 / 4 |
| Other Disorders Of Nervous System W Cc | 16 | 40 / 15 | $23.000,90 | 237 / 29 | $6.559,94 | 344 / 7 | $5.501,94 | 344 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 15 | $18.842,00 | 210 / 25 | $7.231,40 | 550 / 6 | $6.589,27 | 550 / 8 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 23 | 78 / 13 | $35.578,40 | 536 / 28 | $11.815,80 | 849 / 12 | $11.329,90 | 846 / 15 |
| Other Respiratory System Diagnoses W/O Mcc | 21 | 25 / 4 | $19.093,70 | 101 / 17 | $5.792,10 | 165 / 1 | $4.928,10 | 165 / 4 |
| Otitis Media & Uri W/O Mcc | 23 | 21 / 5 | $13.205,20 | 38 / 13 | $4.860,48 | 90 / 2 | $3.704,30 | 90 / 2 |
| Peripheral Vascular Disorders W Cc | 19 | 65 / 15 | $24.800,20 | 638 / 32 | $6.953,16 | 745 / 8 | $6.003,26 | 742 / 8 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 23 | 38 / 10 | $15.830,70 | 339 / 30 | $4.751,78 | 482 / 4 | $3.834,65 | 481 / 5 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 31 | $15.213,80 | 468 / 37 | $6.374,35 | 1311 / 19 | $5.016,00 | 1302 / 12 |
| Renal Failure W Cc | 97 | 124 / 14 | $20.779,70 | 1059 / 51 | $6.932,98 | 1722 / 16 | $6.198,30 | 1712 / 19 |
| Renal Failure W Mcc | 39 | 156 / 26 | $27.308,20 | 597 / 42 | $11.356,50 | 1603 / 19 | $10.677,10 | 1601 / 25 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 9 | $15.120,00 | 371 / 19 | $4.551,29 | 537 / 2 | $3.689,57 | 536 / 4 |
| Respiratory Infections & Inflammations W Cc | 49 | 39 / 6 | $22.715,40 | 377 / 37 | $9.915,22 | 1027 / 13 | $8.793,57 | 1022 / 10 |
| Respiratory Infections & Inflammations W Mcc | 29 | 107 / 24 | $28.558,90 | 343 / 37 | $13.165,80 | 1194 / 10 | $12.539,00 | 1179 / 10 |
| Respiratory Signs & Symptoms | 11 | 35 / 8 | $16.373,80 | 71 / 8 | $5.091,73 | 157 / 1 | $4.111,36 | 157 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 20 | $69.827,60 | 1145 / 39 | $18.687,40 | 1351 / 25 | $16.107,70 | 1338 / 18 |
| Revision Of Hip Or Knee Replacement W Cc | 17 | 69 / 7 | $71.595,20 | 234 / 8 | $26.335,90 | 576 / 5 | $25.626,30 | 574 / 7 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 31 | 38 / 4 | $48.967,10 | 100 / 5 | $20.791,20 | 384 / 3 | $17.940,50 | 383 / 2 |
| Seizures W/O Mcc | 29 | 79 / 14 | $25.447,30 | 790 / 41 | $6.511,31 | 1010 / 24 | $5.598,76 | 1008 / 30 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 228 | 288 / 18 | $36.694,30 | 1132 / 51 | $13.352,50 | 2022 / 23 | $12.447,90 | 1985 / 26 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 112 | 95 / 6 | $21.832,90 | 953 / 48 | $8.195,41 | 1872 / 23 | $6.985,87 | 1864 / 20 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 15 | 32 / 10 | $22.973,00 | 204 / 19 | $6.203,80 | 275 / 12 | $5.318,47 | 275 / 13 |
| Signs & Symptoms W/O Mcc | 31 | 60 / 9 | $21.858,60 | 754 / 39 | $5.041,39 | 841 / 5 | $4.378,68 | 838 / 11 |
| Simple Pneumonia & Pleurisy W Cc | 70 | 133 / 22 | $16.692,90 | 759 / 47 | $7.373,44 | 2010 / 21 | $6.179,06 | 2002 / 22 |
| Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 44 | $34.081,70 | 1292 / 52 | $10.398,10 | 1901 / 16 | $9.714,12 | 1901 / 24 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 15 | $14.188,50 | 634 / 43 | $5.212,84 | 1364 / 12 | $4.147,88 | 1356 / 12 |
| Spinal Fusion Except Cervical W/O Mcc | 88 | 106 / 6 | $78.663,00 | 508 / 18 | $32.208,00 | 1057 / 7 | $27.357,60 | 1052 / 5 |
| Syncope & Collapse | 46 | 123 / 21 | $15.378,80 | 427 / 47 | $5.427,91 | 1307 / 11 | $4.608,09 | 1300 / 17 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 13 | 29 / 8 | $21.597,20 | 164 / 13 | $6.229,08 | 215 / 3 | $5.116,46 | 215 / 5 |
| Transient Ischemia | 13 | 112 / 26 | $30.032,50 | 1175 / 38 | $5.240,92 | 1091 / 6 | $4.224,31 | 1086 / 9 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 9 | $19.637,30 | 149 / 12 | $5.186,33 | 271 / 3 | $4.279,67 | 270 / 5 | Total 88 procedures | 3.531 | 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.