Hospital Costs > In Massachusetts > Saint Anne's 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 | 15 | 76 / 21 | $11.463,50 | 54 / 11 | $7.753,73 | 1059 / 13 | $6.928,07 | 1057 / 16 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 31 | $16.574,30 | 80 / 15 | $12.891,40 | 1400 / 26 | $12.077,10 | 1388 / 27 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 16 | 108 / 28 | $10.420,80 | 143 / 18 | $5.602,56 | 582 / 13 | $4.824,44 | 581 / 19 |
| Atherosclerosis W/O Mcc | 12 | 46 / 13 | $9.577,08 | 39 / 12 | $5.044,08 | / 9 | $4.120,42 | / |
| Bone Diseases & Arthropathies W/O Mcc | 16 | 28 / 5 | $7.847,69 | 18 / 4 | $5.859,44 | 199 / 4 | $5.313,88 | 199 / 13 |
| Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 19 | $8.903,06 | 35 / 10 | $6.940,75 | 827 / 14 | $6.090,38 | 823 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 28 | $11.978,20 | 230 / 30 | $6.374,28 | 1692 / 24 | $5.440,14 | 1687 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 24 | $12.897,60 | 69 / 15 | $9.243,83 | 1375 / 20 | $8.215,25 | 1372 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 21 | $8.227,52 | 167 / 22 | $4.661,90 | 1465 / 19 | $3.442,24 | 1459 / 18 |
| Cellulitis W Mcc | 13 | 45 / 17 | $17.666,70 | 82 / 19 | $11.257,80 | 760 / 16 | $10.477,80 | 758 / 19 |
| Cellulitis W/O Mcc | 76 | 113 / 22 | $9.823,91 | 227 / 28 | $6.750,53 | 2065 / 30 | $5.716,91 | 2057 / 35 |
| Chest Pain | 33 | 118 / 15 | $8.835,09 | 99 / 14 | $4.996,48 | 1238 / 15 | $4.105,18 | 1231 / 19 |
| Chronic Obstructive Pulmonary Disease W Cc | 44 | 135 / 29 | $9.553,73 | 75 / 12 | $7.456,23 | 1783 / 28 | $6.042,68 | 1776 / 24 |
| Chronic Obstructive Pulmonary Disease W Mcc | 96 | 106 / 8 | $10.948,10 | 73 / 11 | $9.063,86 | 1876 / 31 | $7.614,96 | 1868 / 23 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 28 | $7.027,65 | 45 / 9 | $5.820,59 | 1634 / 21 | $4.737,71 | 1623 / 27 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 13 | $8.789,60 | 24 / 6 | $7.024,20 | 483 / 6 | $5.887,53 | 483 / 4 |
| Diabetes W Cc | 18 | 74 / 22 | $9.063,17 | 58 / 15 | $6.538,72 | 1183 / 14 | $5.681,28 | 1178 / 19 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 17 | $12.029,90 | 53 / 11 | $7.377,62 | 689 / 12 | $6.070,69 | 686 / 12 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 15 | 23 / 8 | $8.771,73 | 28 / 5 | $5.688,47 | 345 / 7 | $4.247,13 | 344 / 8 |
| Disorders Of The Biliary Tract W Cc | 12 | 42 / 16 | $17.844,80 | 47 / 13 | $8.245,83 | 320 / 9 | $7.210,00 | 320 / 9 |
| Dysequilibrium | 12 | 53 / 16 | $7.561,83 | 25 / 2 | $5.134,33 | 369 / 7 | $4.014,42 | 369 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 21 | $15.499,20 | 80 / 20 | $9.268,45 | 1088 / 15 | $8.543,45 | 1083 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 110 | 165 / 22 | $10.009,90 | 213 / 23 | $5.996,49 | 2081 / 26 | $4.953,30 | 2067 / 27 |
| Extracranial Procedures W/O Cc/Mcc | 20 | 78 / 11 | $14.580,30 | 49 / 3 | $9.666,40 | 676 / 11 | $6.431,70 | 673 / 4 |
| Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 16 | $7.924,53 | 33 / 7 | $5.805,07 | 708 / 15 | $4.678,33 | 707 / 17 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 16 | $9.093,11 | 47 / 9 | $6.017,83 | 572 / 10 | $4.920,94 | 570 / 14 |
| G.I. Hemorrhage W Cc | 19 | 199 / 41 | $14.027,00 | 228 / 25 | $7.920,79 | 1884 / 27 | $6.879,74 | 1880 / 27 |
| G.I. Hemorrhage W Mcc | 12 | 109 / 29 | $19.643,70 | 66 / 13 | $13.238,00 | 1241 / 19 | $12.496,20 | 1233 / 20 |
| G.I. Obstruction W Cc | 23 | 69 / 20 | $9.567,48 | 46 / 9 | $6.913,13 | 1356 / 17 | $6.055,43 | 1351 / 23 |
| Heart Failure & Shock W Cc | 46 | 232 / 43 | $11.303,20 | 219 / 20 | $7.884,17 | 2079 / 34 | $6.691,07 | 2074 / 26 |
| Heart Failure & Shock W Mcc | 100 | 184 / 23 | $17.328,80 | 269 / 26 | $11.227,90 | 2045 / 27 | $10.564,80 | 2036 / 33 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 32 | $7.597,58 | 91 / 12 | $5.438,50 | 1447 / 24 | $4.319,92 | 1435 / 20 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 35 | $25.148,70 | 85 / 13 | $14.555,10 | 1638 / 15 | $13.597,60 | 1619 / 21 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 19 | $51.869,70 | 60 / 7 | $34.702,10 | 883 / 7 | $33.724,20 | 877 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 16 | $15.881,20 | 205 / 26 | $8.417,98 | 1680 / 28 | $7.540,02 | 1676 / 32 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 22 | $28.786,10 | 1058 / 38 | $10.077,70 | 1582 / 40 | $8.981,28 | 1578 / 41 |
| Kidney & Urinary Tract Infections W Mcc | 46 | 98 / 15 | $12.332,90 | 121 / 23 | $8.702,39 | 1571 / 21 | $7.959,52 | 1567 / 26 |
| Kidney & Urinary Tract Infections W/O Mcc | 58 | 175 / 32 | $8.982,17 | 196 / 21 | $6.035,36 | 2088 / 23 | $5.166,93 | 2077 / 28 |
| Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 14 | $55.645,70 | 90 / 9 | $25.397,40 | 688 / 3 | $22.433,60 | 687 / 2 |
| Major Chest Procedures W/O Cc/Mcc | 11 | 48 / 12 | $21.718,50 | 10 / 3 | $13.628,40 | 183 / 5 | $12.508,20 | 183 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 28 | 45 / 9 | $14.273,20 | 95 / 19 | $8.879,93 | 865 / 13 | $8.233,57 | 863 / 16 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 207 | 357 / 18 | $29.947,80 | 219 / 19 | $16.044,90 | 2144 / 21 | $14.292,70 | 2101 / 26 |
| Medical Back Problems W/O Mcc | 21 | 100 / 22 | $9.707,90 | 46 / 5 | $7.121,95 | 1052 / 21 | $5.401,38 | 1049 / 14 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 11 | $13.646,70 | 110 / 16 | $8.421,64 | 1230 / 11 | $7.803,52 | 1227 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 70 | 96 / 15 | $7.948,03 | 142 / 16 | $5.646,99 | 1933 / 26 | $4.735,81 | 1926 / 29 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 21 | $18.870,80 | 38 / 4 | $13.606,70 | 972 / 6 | $13.355,60 | 965 / 9 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 22 | $15.030,00 | 151 / 30 | $7.649,71 | 1120 / 17 | $6.978,29 | 1116 / 22 |
| Other Disorders Of Nervous System W Cc | 15 | 41 / 16 | $13.449,90 | 58 / 20 | $7.133,47 | 435 / 13 | $6.131,40 | 435 / 15 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 15 | $11.559,00 | 45 / 10 | $7.781,40 | 632 / 11 | $7.187,20 | 632 / 14 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 18 | $17.633,10 | 76 / 15 | $11.972,80 | 835 / 16 | $11.182,60 | 832 / 14 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 18 | $11.135,90 | 59 / 17 | $7.450,86 | 900 / 13 | $6.651,07 | 897 / 14 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 18 | 54 / 13 | $17.213,30 | 56 / 10 | $10.852,80 | 699 / 11 | $9.820,89 | 697 / 10 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 20 | $8.858,50 | 60 / 9 | $5.249,33 | 680 / 13 | $4.618,08 | 679 / 22 |
| Pulmonary Edema & Respiratory Failure | 60 | 143 / 14 | $14.339,00 | 118 / 19 | $9.426,00 | 1724 / 18 | $8.567,95 | 1719 / 20 |
| Red Blood Cell Disorders W/O Mcc | 24 | 119 / 26 | $10.893,40 | 148 / 21 | $6.445,75 | 1578 / 20 | $5.769,50 | 1569 / 27 |
| Renal Failure W Cc | 50 | 171 / 29 | $11.660,80 | 184 / 25 | $7.483,20 | 1871 / 28 | $6.599,58 | 1861 / 29 |
| Renal Failure W Mcc | 45 | 150 / 24 | $18.616,70 | 174 / 19 | $11.365,00 | 1593 / 20 | $10.623,80 | 1591 / 24 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 12 | $7.585,36 | 43 / 5 | $5.181,18 | 686 / 9 | $4.390,27 | 684 / 12 |
| Respiratory Infections & Inflammations W Mcc | 37 | 99 / 19 | $22.347,10 | 154 / 25 | $14.838,10 | 1466 / 24 | $14.013,90 | 1450 / 24 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 20 | $28.956,30 | 113 / 13 | $16.370,80 | 1293 / 8 | $15.672,50 | 1280 / 13 |
| Seizures W/O Mcc | 24 | 84 / 18 | $10.296,80 | 75 / 17 | $6.111,50 | 930 / 17 | $5.189,62 | 927 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 126 | 390 / 33 | $23.645,80 | 455 / 34 | $13.919,60 | 2150 / 28 | $13.007,00 | 2112 / 31 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 39 | $11.855,70 | 137 / 17 | $8.391,14 | 2077 / 27 | $7.559,95 | 2069 / 33 |
| Signs & Symptoms W/O Mcc | 21 | 70 / 18 | $9.338,05 | 72 / 10 | $5.597,38 | 961 / 15 | $4.783,05 | 958 / 18 |
| Simple Pneumonia & Pleurisy W Cc | 51 | 152 / 30 | $11.342,50 | 202 / 25 | $7.809,47 | 2211 / 31 | $6.649,31 | 2203 / 32 |
| Simple Pneumonia & Pleurisy W Mcc | 87 | 118 / 13 | $17.757,00 | 252 / 27 | $11.132,80 | 1983 / 30 | $10.054,40 | 1983 / 29 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 18 | $8.136,64 | 99 / 14 | $5.731,36 | 1642 / 23 | $4.862,05 | 1634 / 33 |
| Spinal Fusion Except Cervical W/O Mcc | 17 | 177 / 19 | $89.491,10 | 632 / 19 | $29.754,50 | 1122 / 3 | $28.664,70 | 1117 / 10 |
| Syncope & Collapse | 52 | 117 / 18 | $14.771,80 | 371 / 45 | $7.280,29 | 1734 / 41 | $6.335,35 | 1726 / 43 |
| Transient Ischemia | 20 | 105 / 21 | $11.568,70 | 116 / 16 | $5.684,75 | 1305 / 15 | $4.880,70 | 1299 / 21 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 11 | 33 / 9 | $8.431,73 | 16 / 3 | $6.001,18 | 187 / 6 | $4.776,00 | 187 / 6 | Total 71 procedures | 2.328 | 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.