Hospital Costs > In Connecticut > Norwalk Hospital Association, 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 | 26 | 65 / 8 | $33.676,30 | 869 / 15 | $9.180,50 | 1176 / 9 | $7.507,46 | 1174 / 11 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 43 | 82 / 7 | $44.356,70 | 972 / 16 | $13.558,60 | 1423 / 10 | $12.228,90 | 1411 / 11 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 22 | 31 / 6 | $19.585,00 | 283 / 5 | $6.864,55 | 735 / 9 | $5.559,14 | 731 / 11 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 26 | 98 / 9 | $25.529,80 | 631 / 13 | $9.208,92 | 533 / 20 | $4.563,69 | 532 / 7 |
| Bronchitis & Asthma W Cc/Mcc | 20 | 56 / 8 | $24.465,90 | 568 / 11 | $8.339,60 | 836 / 12 | $6.144,60 | 832 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 68 | 93 / 8 | $25.535,70 | 1425 / 18 | $7.051,40 | 1802 / 12 | $5.841,38 | 1797 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 42 | 81 / 9 | $36.625,10 | 1212 / 15 | $11.096,70 | 1622 / 17 | $9.350,76 | 1619 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 35 | 115 / 10 | $20.211,00 | 1405 / 19 | $5.471,86 | 1590 / 17 | $3.706,89 | 1584 / 12 |
| Cellulitis W/O Mcc | 65 | 124 / 12 | $22.858,90 | 1716 / 24 | $7.759,74 | 2114 / 22 | $5.843,11 | 2106 / 17 |
| Chest Pain | 43 | 108 / 4 | $17.699,30 | 746 / 10 | $5.541,00 | 1318 / 12 | $4.325,88 | 1311 / 13 |
| Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 13 | $29.430,20 | 1688 / 22 | $8.427,31 | 2052 / 17 | $6.890,38 | 2045 / 16 |
| Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 14 | $40.047,40 | 1921 / 25 | $10.177,00 | 2181 / 15 | $8.719,56 | 2173 / 16 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 9 | $27.262,30 | 1623 / 25 | $6.571,04 | 1770 / 16 | $5.229,17 | 1759 / 17 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 15 | $39.580,00 | 930 / 10 | $12.232,50 | 1227 / 14 | $7.122,82 | 1224 / 4 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 7 | $36.469,10 | 558 / 8 | $8.074,18 | 553 / 4 | $6.474,27 | 553 / 5 |
| Degenerative Nervous System Disorders W/O Mcc | 31 | 47 / 4 | $22.134,50 | 301 / 3 | $8.297,81 | 611 / 3 | $6.753,90 | 611 / 4 |
| Diabetes W Cc | 17 | 75 / 11 | $20.455,60 | 726 / 8 | $7.293,35 | 1297 / 12 | $6.165,88 | 1292 / 12 |
| Diabetes W Mcc | 11 | 46 / 8 | $43.707,90 | 499 / 7 | $11.433,70 | 563 / 4 | $10.130,60 | 562 / 4 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 7 | $34.357,00 | 709 / 14 | $8.913,88 | 705 / 10 | $6.208,56 | 702 / 6 |
| Disorders Of The Biliary Tract W Cc | 12 | 42 / 6 | $37.562,80 | 300 / 7 | $11.160,30 | 251 / 7 | $6.514,00 | 251 / 1 |
| Dysequilibrium | 21 | 44 / 5 | $22.353,10 | 295 / 6 | $5.778,43 | 428 / 5 | $4.483,00 | 428 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 11 | $40.739,00 | 966 / 13 | $9.913,65 | 1131 / 6 | $8.834,76 | 1126 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 134 | 141 / 6 | $20.340,00 | 1425 / 18 | $6.932,89 | 2266 / 20 | $5.423,74 | 2251 / 21 |
| Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 8 | $27.288,50 | 352 / 6 | $8.810,18 | 755 / 3 | $7.009,82 | 752 / 3 |
| Fever | 18 | 28 / 3 | $25.381,20 | 173 / 1 | $7.663,56 | 258 / 1 | $6.408,94 | 258 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 22 | 39 / 5 | $26.318,10 | 682 / 11 | $6.441,95 | 771 / 7 | $5.052,14 | 770 / 8 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 8 | $20.446,60 | 390 / 4 | $6.561,25 | 613 / 2 | $5.132,69 | 611 / 2 |
| G.I. Hemorrhage W Cc | 72 | 146 / 13 | $34.878,70 | 1779 / 26 | $9.014,94 | 2034 / 21 | $7.421,43 | 2030 / 18 |
| G.I. Hemorrhage W Mcc | 31 | 90 / 8 | $67.089,30 | 1302 / 21 | $15.576,50 | 1424 / 16 | $14.091,50 | 1414 / 18 |
| G.I. Hemorrhage W/O Cc/Mcc | 18 | 50 / 8 | $21.304,80 | 602 / 12 | $6.354,33 | 810 / 10 | $4.972,56 | 806 / 11 |
| G.I. Obstruction W Cc | 17 | 75 / 13 | $25.194,20 | 1000 / 12 | $7.997,59 | 1519 / 14 | $6.837,65 | 1514 / 16 |
| G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 9 | $18.287,90 | 744 / 8 | $5.554,48 | 1039 / 6 | $4.088,14 | 1036 / 6 |
| Heart Failure & Shock W Cc | 137 | 141 / 6 | $32.844,90 | 2094 / 27 | $8.883,96 | 2352 / 20 | $7.566,85 | 2346 / 20 |
| Heart Failure & Shock W Mcc | 94 | 190 / 11 | $53.485,40 | 2080 / 26 | $13.442,90 | 2326 / 19 | $12.068,00 | 2316 / 19 |
| Heart Failure & Shock W/O Cc/Mcc | 44 | 66 / 7 | $23.415,90 | 1482 / 23 | $6.171,98 | 1712 / 17 | $5.112,11 | 1699 / 21 |
| Hip & Femur Procedures Except Major Joint W Cc | 54 | 89 / 6 | $55.680,10 | 1232 / 23 | $16.791,40 | 1773 / 18 | $14.668,80 | 1754 / 17 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 2 | $38.566,00 | 373 / 4 | $13.818,20 | 806 / 4 | $12.283,40 | 803 / 7 |
| Hypertension W/O Mcc | 15 | 50 / 7 | $19.022,70 | 379 / 4 | $5.730,93 | 622 / 6 | $4.549,40 | 620 / 7 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 10 | $133.866,00 | 872 / 15 | $46.839,90 | 1304 / 13 | $41.951,20 | 1294 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 57 | 125 / 8 | $33.019,10 | 1284 / 20 | $9.261,39 | 1747 / 13 | $7.945,49 | 1743 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 45 | 123 / 6 | $52.487,60 | 1007 / 11 | $15.902,70 | 1412 / 13 | $14.322,30 | 1405 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 11 | $24.275,60 | 862 / 13 | $6.957,23 | 1203 / 14 | $4.860,32 | 1199 / 9 |
| Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 17 | $32.712,30 | 1277 / 20 | $9.697,71 | 1651 / 15 | $8.385,86 | 1647 / 16 |
| Kidney & Urinary Tract Infections W/O Mcc | 84 | 149 / 10 | $22.174,20 | 1767 / 24 | $6.930,05 | 2263 / 21 | $5.641,36 | 2252 / 19 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 6 | $49.091,80 | 441 / 6 | $14.310,90 | 637 / 5 | $10.513,10 | 635 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 15 | 32 / 4 | $33.560,90 | 156 / 2 | $12.779,70 | 449 / 2 | $11.311,70 | 449 / 2 |
| Major Cardiovasc Procedures W/O Mcc | 19 | 82 / 6 | $81.307,70 | 394 / 7 | $28.590,90 | 889 / 5 | $27.228,40 | 888 / 8 |
| Major Chest Procedures W/O Cc/Mcc | 15 | 44 / 3 | $43.364,70 | 92 / 2 | $15.557,40 | 186 / 1 | $12.584,50 | 186 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 10 | $29.189,60 | 625 / 11 | $9.427,71 | 917 / 10 | $8.650,14 | 915 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 9 | $55.059,30 | 460 / 6 | $15.204,80 | 523 / 2 | $13.892,20 | 522 / 3 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 4 | $24.409,40 | 120 / 3 | $10.307,30 | 363 / 3 | $9.112,93 | 363 / 3 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 10 | $49.133,50 | 321 / 5 | $18.362,50 | 743 / 6 | $16.997,90 | 739 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 173 | 391 / 13 | $43.095,70 | 931 / 16 | $18.017,90 | 2313 / 16 | $15.447,00 | 2268 / 17 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 12 | 61 / 3 | $38.939,10 | 175 / 2 | $11.959,30 | 252 / 1 | $8.018,42 | 252 / 1 |
| Major Small & Large Bowel Procedures W Cc | 32 | 76 / 9 | $70.768,10 | 870 / 13 | $21.270,40 | 1336 / 12 | $19.481,90 | 1322 / 16 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 7 | $131.041,00 | 663 / 13 | $42.296,60 | 1079 / 12 | $40.025,30 | 1077 / 12 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 24 | 40 / 4 | $46.245,90 | 407 / 7 | $13.688,20 | 652 / 7 | $12.269,70 | 652 / 8 |
| Medical Back Problems W Mcc | 12 | 27 / 3 | $38.239,30 | 127 / 1 | $13.637,80 | 259 / 2 | $12.260,70 | 259 / 2 |
| Medical Back Problems W/O Mcc | 56 | 65 / 5 | $23.187,40 | 740 / 9 | $7.349,00 | 1183 / 6 | $5.925,34 | 1179 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 30 | 96 / 9 | $32.680,80 | 1080 / 15 | $9.553,87 | 1317 / 11 | $8.231,43 | 1314 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 82 | 84 / 6 | $22.013,20 | 1719 / 21 | $6.367,70 | 2074 / 16 | $5.073,16 | 2066 / 17 |
| Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 3 | $34.494,90 | 329 / 4 | $8.341,55 | 392 / 1 | $7.471,82 | 392 / 1 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 14 | 63 / 5 | $31.258,40 | 98 / 3 | $13.189,00 | 333 / 1 | $11.180,70 | 332 / 2 |
| Organic Disturbances & Mental Retardation | 24 | 35 / 3 | $30.265,20 | 350 / 3 | $8.790,58 | 402 / 3 | $7.333,17 | 402 / 3 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 8 | $50.583,00 | 756 / 7 | $15.825,20 | 1098 / 5 | $14.500,60 | 1090 / 6 |
| Other Digestive System Diagnoses W Cc | 25 | 72 / 10 | $34.834,30 | 1017 / 18 | $8.727,44 | 1207 / 14 | $7.478,08 | 1203 / 14 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 15 | 28 / 4 | $19.300,70 | 154 / 5 | $7.619,93 | 244 / 7 | $4.306,40 | 244 / 1 |
| Other Disorders Of Nervous System W Cc | 19 | 37 / 6 | $27.493,60 | 335 / 7 | $8.094,89 | 476 / 7 | $6.538,16 | 476 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 6 | $28.761,50 | 493 / 8 | $8.483,07 | 571 / 6 | $6.747,80 | 571 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 14 | $33.924,70 | 493 / 13 | $11.857,80 | 802 / 9 | $10.846,70 | 799 / 9 |
| Other Respiratory System Diagnoses W/O Mcc | 12 | 34 / 5 | $19.316,90 | 105 / 2 | $6.693,50 | 219 / 2 | $5.558,00 | 219 / 3 |
| Other Vascular Procedures W Cc | 19 | 83 / 5 | $89.791,20 | 752 / 12 | $24.092,80 | 1045 / 12 | $22.160,90 | 1040 / 12 |
| Other Vascular Procedures W Mcc | 15 | 82 / 5 | $190.898,00 | 959 / 6 | $51.179,90 | 1002 / 6 | $48.680,70 | 999 / 6 |
| Other Vascular Procedures W/O Cc/Mcc | 13 | 43 / 4 | $50.982,60 | 299 / 4 | $16.168,80 | 512 / 3 | $14.988,30 | 511 / 4 |
| Otitis Media & Uri W/O Mcc | 14 | 30 / 5 | $17.450,90 | 79 / 2 | $5.910,57 | 149 / 4 | $4.707,29 | 149 / 4 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 12 | 28 / 5 | $36.047,80 | 183 / 5 | $9.395,25 | 208 / 2 | $8.078,42 | 208 / 3 |
| Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 7 | $71.194,90 | 508 / 10 | $21.632,10 | 827 / 7 | $20.224,90 | 823 / 9 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 6 | $61.221,30 | 412 / 8 | $17.794,50 | 639 / 5 | $16.513,60 | 638 / 6 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 10 | $39.614,60 | 570 / 10 | $11.776,50 | 779 / 6 | $10.540,60 | 777 / 7 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 9 | $22.434,20 | 579 / 10 | $5.929,92 | 703 / 8 | $4.816,42 | 702 / 8 |
| Pulmonary Edema & Respiratory Failure | 25 | 178 / 19 | $36.934,70 | 1384 / 20 | $10.721,80 | 1908 / 16 | $9.445,36 | 1902 / 17 |
| Pulmonary Embolism W/O Mcc | 28 | 46 / 3 | $33.225,40 | 924 / 14 | $8.800,00 | 1119 / 11 | $7.351,43 | 1116 / 14 |
| Red Blood Cell Disorders W Mcc | 19 | 52 / 5 | $46.363,70 | 781 / 13 | $11.084,80 | 870 / 10 | $9.649,79 | 866 / 8 |
| Red Blood Cell Disorders W/O Mcc | 40 | 103 / 11 | $29.921,20 | 1498 / 24 | $7.373,90 | 1655 / 19 | $6.117,33 | 1646 / 18 |
| Renal Failure W Cc | 58 | 163 / 13 | $30.699,40 | 1728 / 22 | $8.702,00 | 2089 / 22 | $7.429,38 | 2079 / 20 |
| Renal Failure W Mcc | 38 | 157 / 12 | $64.723,20 | 1827 / 24 | $16.502,20 | 2020 / 22 | $14.195,50 | 2016 / 24 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 9 | $23.155,60 | 639 / 11 | $6.782,23 | 636 / 11 | $4.091,77 | 635 / 4 |
| Respiratory Infections & Inflammations W Cc | 41 | 47 / 6 | $32.111,40 | 754 / 13 | $11.279,20 | 1250 / 11 | $10.068,70 | 1245 / 12 |
| Respiratory Infections & Inflammations W Mcc | 45 | 91 / 10 | $53.881,50 | 1151 / 21 | $16.187,20 | 1563 / 14 | $14.871,10 | 1547 / 15 |
| Respiratory Infections & Inflammations W/O Cc/Mcc | 11 | 18 / 4 | $29.035,20 | 79 / 4 | $8.324,82 | 116 / 2 | $7.153,64 | 116 / 3 |
| Respiratory Signs & Symptoms | 12 | 34 / 5 | $18.056,20 | 91 / 1 | $6.286,92 | 202 / 2 | $4.550,25 | 202 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 33 | 98 / 8 | $56.674,80 | 826 / 10 | $19.144,80 | 1536 / 9 | $18.064,10 | 1522 / 11 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 7 | $189.804,00 | 710 / 11 | $49.717,30 | 880 / 8 | $44.417,40 | 879 / 8 |
| Seizures W Mcc | 20 | 46 / 4 | $51.745,40 | 502 / 7 | $13.627,50 | 603 / 9 | $12.290,30 | 603 / 10 |
| Seizures W/O Mcc | 36 | 72 / 3 | $24.452,80 | 754 / 13 | $6.868,81 | 1002 / 12 | $5.556,81 | 1000 / 12 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 11 | $168.251,00 | 623 / 12 | $53.386,60 | 976 / 9 | $51.382,20 | 975 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 195 | 321 / 17 | $46.444,50 | 1649 / 18 | $15.825,40 | 2401 / 17 | $14.251,10 | 2358 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 93 | 114 / 8 | $30.077,40 | 1621 / 20 | $9.431,05 | 2163 / 18 | $7.848,97 | 2154 / 19 |
| Signs & Symptoms W/O Mcc | 24 | 67 / 8 | $21.779,80 | 749 / 12 | $6.299,75 | 1059 / 9 | $5.164,75 | 1056 / 13 |
| Simple Pneumonia & Pleurisy W Cc | 94 | 109 / 6 | $28.540,40 | 1870 / 23 | $8.924,94 | 2377 / 22 | $7.139,30 | 2368 / 20 |
| Simple Pneumonia & Pleurisy W Mcc | 64 | 141 / 12 | $51.834,40 | 1958 / 26 | $13.058,90 | 2215 / 19 | $11.429,00 | 2209 / 20 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 35 | 58 / 4 | $21.853,40 | 1298 / 21 | $6.475,94 | 1688 / 15 | $5.087,86 | 1680 / 16 |
| Spinal Fusion Except Cervical W/O Mcc | 32 | 162 / 8 | $90.132,80 | 637 / 11 | $30.977,90 | 1155 / 6 | $29.484,20 | 1150 / 10 |
| Syncope & Collapse | 99 | 70 / 4 | $21.540,20 | 990 / 15 | $6.581,26 | 1571 / 17 | $5.397,71 | 1564 / 17 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 16 | 26 / 7 | $26.188,10 | 212 / 8 | $7.266,38 | 258 / 6 | $5.800,62 | 257 / 5 |
| Transient Ischemia | 19 | 106 / 15 | $27.195,10 | 1062 / 20 | $6.402,32 | 1338 / 16 | $4.977,47 | 1331 / 13 | Total 106 procedures | 3.572 | 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.