Hospital Costs > In Vermont > Rutland Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 193 | 371 / 2 | $41.184,50 | 822 / 6 | $18.617,90 | 2325 / 2 | $15.529,60 | 2280 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 113 | 403 / 3 | $29.822,00 | 770 / 5 | $15.468,80 | 2399 / 2 | $14.240,50 | 2356 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 76 | 127 / 1 | $21.335,10 | 1285 / 6 | $8.719,57 | 2367 / 5 | $7.111,76 | 2358 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 69 | 110 / 1 | $18.633,00 | 858 / 5 | $7.885,55 | 1953 / 2 | $6.551,13 | 1946 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 64 | 138 / 3 | $23.336,00 | 1003 / 6 | $9.568,64 | 2180 / 2 | $8.716,39 | 2172 / 3 |
| Renal Failure W Cc | 61 | 160 / 2 | $16.550,80 | 621 / 4 | $7.929,82 | 1972 / 2 | $6.882,18 | 1962 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 59 | 216 / 2 | $17.259,10 | 1031 / 5 | $6.592,53 | 2100 / 4 | $4.997,29 | 2086 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 53 | 180 / 2 | $15.473,90 | 1007 / 5 | $6.248,92 | 2121 / 2 | $5.247,26 | 2110 / 2 |
| Cellulitis W/O Mcc | 51 | 138 / 1 | $15.262,30 | 891 / 5 | $6.823,02 | 2090 / 2 | $5.786,16 | 2082 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 49 | 158 / 3 | $20.405,80 | 823 / 6 | $8.671,67 | 2171 / 2 | $7.881,47 | 2162 / 3 |
| Heart Failure & Shock W Cc | 49 | 229 / 4 | $19.685,10 | 1143 / 6 | $8.057,10 | 2267 / 2 | $7.193,12 | 2261 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 46 | 115 / 2 | $15.457,20 | 565 / 6 | $6.389,35 | 1671 / 2 | $5.393,17 | 1666 / 2 |
| Renal Failure W Mcc | 45 | 150 / 2 | $35.199,00 | 1055 / 4 | $17.460,90 | 1864 / 4 | $12.371,20 | 1860 / 3 |
| G.I. Hemorrhage W Cc | 45 | 173 / 3 | $17.399,70 | 527 / 4 | $8.145,33 | 1916 / 2 | $6.958,42 | 1912 / 2 |
| Pulmonary Edema & Respiratory Failure | 44 | 159 / 2 | $26.498,90 | 821 / 4 | $10.185,80 | 1901 / 2 | $9.401,80 | 1895 / 2 |
| Heart Failure & Shock W Mcc | 39 | 245 / 3 | $24.569,80 | 707 / 5 | $12.174,60 | 2223 / 2 | $11.430,40 | 2213 / 3 |
| Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 4 | $30.491,40 | 1066 / 6 | $12.263,00 | 2200 / 2 | $11.332,40 | 2194 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 35 | 88 / 2 | $21.883,70 | 447 / 5 | $9.816,60 | 1537 / 2 | $8.845,63 | 1534 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 3 | $37.121,20 | 503 / 5 | $16.480,10 | 1738 / 2 | $14.297,80 | 1719 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 2 | $12.039,60 | 589 / 5 | $4.484,38 | 1498 / 2 | $3.539,38 | 1492 / 2 |
| Respiratory Infections & Inflammations W Cc | 31 | 57 / 2 | $25.980,50 | 514 / 4 | $12.037,80 | 1309 / 2 | $10.667,00 | 1304 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 2 | $15.877,80 | 1072 / 4 | $5.678,52 | 1982 / 2 | $4.841,00 | 1974 / 2 |
| Psychoses | 28 | 248 / 2 | $19.425,00 | 316 / 1 | $8.561,46 | 475 / 1 | $7.650,61 | 475 / 1 |
| Bronchitis & Asthma W Cc/Mcc | 26 | 50 / 1 | $18.579,80 | 330 / 1 | $7.045,69 | 862 / 1 | $6.254,31 | 858 / 1 |
| Major Small & Large Bowel Procedures W Cc | 25 | 83 / 2 | $45.893,40 | 310 / 2 | $21.382,70 | 1383 / 2 | $20.471,40 | 1369 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 24 | 77 / 3 | $22.829,80 | 183 / 3 | $14.146,50 | 833 / 3 | $11.146,00 | 830 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 23 | 159 / 2 | $21.754,20 | 588 / 4 | $9.215,48 | 1664 / 2 | $7.468,13 | 1660 / 2 |
| Respiratory Infections & Inflammations W Mcc | 23 | 113 / 3 | $38.917,40 | 743 / 5 | $17.722,40 | 1694 / 3 | $16.857,70 | 1678 / 3 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 23 | 101 / 1 | $14.526,80 | 319 / 1 | $5.549,17 | 529 / 1 | $4.553,00 | 528 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 2 | $49.541,80 | 602 / 4 | $18.982,20 | 1572 / 2 | $18.497,40 | 1558 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 2 | $12.113,90 | 287 / 4 | $4.916,95 | 1005 / 2 | $3.963,68 | 1002 / 2 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 19 | 44 / 2 | $60.657,30 | 67 / 1 | $31.323,10 | 199 / 1 | $24.492,40 | 198 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 3 | $25.641,80 | 307 / 4 | $14.699,90 | 1568 / 2 | $13.688,30 | 1555 / 3 |
| G.I. Obstruction W Cc | 17 | 75 / 3 | $15.765,50 | 345 / 3 | $7.435,65 | 1352 / 1 | $6.047,76 | 1347 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 2 | $15.112,40 | 792 / 3 | $5.790,59 | 1599 / 1 | $4.651,76 | 1588 / 1 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 2 | $11.034,10 | 142 / 1 | $5.148,50 | 672 / 1 | $4.580,50 | 671 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 4 | $14.404,90 | 660 / 6 | $5.681,12 | 1615 / 2 | $4.779,12 | 1607 / 2 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 3 | $23.564,30 | 1156 / 4 | $6.482,31 | 1590 / 2 | $5.804,31 | 1581 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 2 | $17.084,40 | 177 / 2 | $8.566,19 | 1216 / 1 | $7.816,19 | 1214 / 1 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 2 | $22.019,50 | 495 / 2 | $8.021,87 | 1074 / 1 | $6.974,40 | 1071 / 1 |
| Respiratory Neoplasms W Cc | 15 | 32 / 2 | $19.468,60 | 58 / 1 | $9.511,60 | 387 / 1 | $8.869,47 | 386 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 2 | $15.499,60 | 114 / 1 | $8.024,27 | 635 / 1 | $7.217,87 | 635 / 1 |
| Syncope & Collapse | 14 | 155 / 2 | $17.401,10 | 609 / 2 | $5.874,71 | 1426 / 2 | $4.923,86 | 1419 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 3 | $17.125,40 | 378 / 3 | $6.144,07 | 1294 / 2 | $5.197,79 | 1290 / 2 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 2 | $17.417,80 | 502 / 2 | $5.613,54 | 962 / 2 | $4.784,00 | 959 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 3 | $23.823,20 | 173 / 1 | $14.083,90 | 1305 / 1 | $13.062,40 | 1299 / 1 |
| Transient Ischemia | 13 | 112 / 1 | $17.770,20 | 475 / 2 | $5.650,46 | 1205 / 1 | $4.550,15 | 1199 / 1 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 2 | $24.572,20 | 652 / 2 | $8.113,15 | 1176 / 1 | $7.276,23 | 1172 / 1 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 2 | $17.197,30 | 129 / 1 | $8.466,54 | 428 / 1 | $6.215,31 | 427 / 1 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 1 | $51.222,70 | 118 / 1 | $22.712,60 | 432 / 1 | $20.079,20 | 431 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 2 | $52.649,50 | 149 / 1 | $27.764,80 | 849 / 1 | $26.839,30 | 845 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 3 | $23.754,50 | 837 / 3 | $9.191,75 | 1653 / 1 | $8.389,08 | 1649 / 2 |
| Diabetes W Cc | 12 | 80 / 2 | $15.836,60 | 390 / 1 | $7.797,42 | 884 / 1 | $4.866,50 | 880 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 2 | $110.525,00 | 621 / 1 | $51.997,60 | 1500 / 1 | $51.017,30 | 1490 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 3 | $26.020,60 | 768 / 2 | $9.415,91 | 1359 / 2 | $8.426,91 | 1356 / 2 |
| Cellulitis W Mcc | 11 | 47 / 1 | $28.320,40 | 340 / 2 | $11.886,40 | 801 / 1 | $11.007,80 | 799 / 1 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 2 | $14.550,80 | 307 / 2 | $5.637,27 | 780 / 1 | $4.758,73 | 776 / 1 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 2 | $39.777,50 | 78 / 1 | $21.620,60 | 835 / 1 | $20.526,80 | 831 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 2 | $86.851,30 | 262 / 2 | $42.071,10 | 1102 / 2 | $41.082,00 | 1100 / 2 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 2 | $43.091,10 | 811 / 2 | $14.544,50 | 1411 / 1 | $13.991,80 | 1401 / 1 | Total 60 procedures | 1.863 | 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.