Hospital Costs > In Massachusetts > Winchester 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 | $8.549,20 | 20 / 1 | $7.332,27 | 867 / 7 | $6.284,80 | 865 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 34 | 91 / 19 | $12.732,10 | 20 / 2 | $11.280,80 | 991 / 8 | $10.286,00 | 989 / 7 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 12 | $5.057,33 | 7 / 1 | $5.135,07 | 508 / 4 | $4.326,53 | 505 / 4 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 30 | $11.009,10 | 164 / 25 | $5.623,18 | 206 / 14 | $3.548,45 | 206 / 1 |
| Atherosclerosis W/O Mcc | 14 | 44 / 11 | $6.934,57 | 14 / 2 | $4.202,29 | / 2 | $3.256,00 | / |
| Bronchitis & Asthma W Cc/Mcc | 26 | 50 / 11 | $8.108,50 | 23 / 6 | $6.569,54 | 476 / 6 | $4.728,23 | 472 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 50 | 111 / 19 | $7.539,36 | 27 / 3 | $5.537,44 | 1294 / 5 | $4.643,36 | 1289 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 21 | $10.927,80 | 27 / 6 | $8.286,93 | 1048 / 1 | $7.221,60 | 1045 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 46 | 104 / 10 | $7.072,80 | 84 / 10 | $3.844,39 | 877 / 4 | $2.730,28 | 873 / 3 |
| Cellulitis W Mcc | 13 | 45 / 17 | $11.067,20 | 13 / 7 | $9.836,15 | 506 / 4 | $8.796,77 | 504 / 6 |
| Cellulitis W/O Mcc | 98 | 91 / 14 | $7.268,43 | 53 / 7 | $5.764,11 | 1353 / 4 | $4.579,81 | 1347 / 2 |
| Chest Pain | 28 | 123 / 20 | $6.544,36 | 36 / 3 | $4.169,04 | 928 / 1 | $3.432,75 | 923 / 3 |
| Chronic Obstructive Pulmonary Disease W Cc | 64 | 115 / 22 | $8.740,64 | 45 / 8 | $6.453,20 | 1447 / 6 | $5.437,89 | 1442 / 5 |
| Chronic Obstructive Pulmonary Disease W Mcc | 79 | 123 / 13 | $11.684,70 | 110 / 16 | $9.238,04 | 1889 / 32 | $7.661,51 | 1881 / 24 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 55 | 65 / 9 | $6.579,75 | 27 / 4 | $5.034,31 | 1169 / 3 | $3.914,13 | 1160 / 6 |
| Diabetes W Cc | 22 | 70 / 18 | $7.353,50 | 19 / 5 | $5.650,91 | 865 / 1 | $4.832,00 | 861 / 4 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 22 | $14.494,80 | 106 / 18 | $7.817,27 | 145 / 20 | $4.332,91 | 145 / 2 |
| Disorders Of The Biliary Tract W Cc | 17 | 37 / 11 | $13.176,10 | 22 / 4 | $7.232,47 | 221 / 2 | $6.240,47 | 221 / 2 |
| Disorders Of The Biliary Tract W/O Cc/Mcc | 12 | 17 / 6 | $8.268,75 | 2 / 1 | $5.145,17 | 42 / 1 | $4.235,83 | 42 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 23 | $11.548,70 | 30 / 8 | $8.265,67 | 852 / 3 | $7.595,44 | 847 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 137 | 138 / 15 | $8.878,45 | 141 / 9 | $5.152,42 | 1505 / 5 | $4.128,88 | 1493 / 6 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 7 | $21.262,60 | 5 / 1 | $19.780,30 | 282 / 1 | $18.884,30 | 280 / 2 |
| Fractures Of Hip & Pelvis W/O Mcc | 20 | 41 / 11 | $7.538,95 | 27 / 4 | $4.856,00 | 428 / 3 | $3.769,60 | 428 / 2 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 20 | 42 / 14 | $9.402,15 | 49 / 10 | $5.067,95 | 391 / 1 | $4.160,75 | 391 / 4 |
| G.I. Hemorrhage W Cc | 69 | 149 / 18 | $9.011,97 | 25 / 2 | $7.216,46 | 1419 / 11 | $5.844,65 | 1416 / 7 |
| G.I. Hemorrhage W Mcc | 26 | 95 / 21 | $14.668,20 | 19 / 2 | $12.567,20 | 1009 / 11 | $11.296,30 | 1001 / 10 |
| G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 12 | $6.250,71 | 17 / 2 | $4.784,88 | 444 / 2 | $3.647,94 | 440 / 2 |
| G.I. Obstruction W Cc | 24 | 68 / 19 | $9.261,08 | 40 / 8 | $6.072,96 | 972 / 4 | $5.068,96 | 969 / 3 |
| G.I. Obstruction W/O Cc/Mcc | 36 | 35 / 6 | $6.933,19 | 37 / 6 | $4.212,25 | 658 / 2 | $3.173,14 | 656 / 3 |
| Heart Failure & Shock W Cc | 95 | 183 / 25 | $10.705,50 | 165 / 16 | $7.309,61 | 1988 / 21 | $6.509,55 | 1983 / 23 |
| Heart Failure & Shock W Mcc | 110 | 174 / 21 | $13.726,80 | 105 / 12 | $10.540,00 | 1820 / 16 | $9.773,77 | 1815 / 19 |
| Heart Failure & Shock W/O Cc/Mcc | 59 | 51 / 6 | $7.456,98 | 83 / 10 | $4.659,95 | 1053 / 6 | $3.788,34 | 1045 / 6 |
| Hip & Femur Procedures Except Major Joint W Cc | 39 | 104 / 19 | $20.423,40 | 35 / 4 | $13.545,80 | 1460 / 6 | $12.585,00 | 1442 / 12 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 10 | $18.491,60 | 27 / 3 | $11.479,00 | 657 / 2 | $10.271,50 | 654 / 2 |
| Hypertension W/O Mcc | 12 | 53 / 11 | $8.266,33 | 38 / 5 | $4.302,00 | 359 / 1 | $3.294,00 | 357 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 23 | $56.721,00 | 83 / 10 | $36.590,80 | 1006 / 11 | $35.598,80 | 1000 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 25 | $9.922,79 | 24 / 3 | $7.520,14 | 1172 / 13 | $6.091,62 | 1169 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 23 | $12.802,70 | 12 / 1 | $11.301,20 | 834 / 5 | $10.334,80 | 832 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 25 | $8.000,46 | 20 / 1 | $5.664,31 | 749 / 10 | $3.932,38 | 745 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 53 | 91 / 13 | $9.793,64 | 45 / 7 | $7.514,94 | 1138 / 6 | $6.637,96 | 1134 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 102 | 131 / 15 | $8.389,15 | 148 / 14 | $5.299,98 | 1438 / 6 | $4.293,82 | 1429 / 6 |
| Major Cardiovasc Procedures W/O Mcc | 12 | 89 / 16 | $38.131,90 | 22 / 1 | $24.359,80 | 747 / 2 | $23.450,50 | 746 / 4 |
| Major Chest Procedures W Cc | 11 | 63 / 10 | $23.229,00 | 6 / 1 | $17.464,20 | 303 / 1 | $16.259,80 | 301 / 3 |
| Major Chest Procedures W/O Cc/Mcc | 16 | 43 / 8 | $16.077,10 | 2 / 1 | $12.292,80 | 62 / 2 | $9.623,62 | 62 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 16 | $12.474,00 | 57 / 13 | $8.147,21 | 742 / 3 | $7.512,26 | 740 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 17 | $25.326,20 | 5 / 1 | $22.126,70 | 631 / 4 | $21.017,30 | 628 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 242 | 322 / 16 | $23.336,40 | 45 / 4 | $15.176,10 | 1792 / 10 | $12.862,70 | 1752 / 3 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 15 | $25.829,30 | 25 / 4 | $18.542,90 | 1211 / 10 | $17.612,40 | 1197 / 15 |
| Major Small & Large Bowel Procedures W Mcc | 24 | 61 / 12 | $54.847,80 | 45 / 6 | $39.461,30 | 861 / 18 | $34.659,00 | 859 / 11 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 12 | $16.672,50 | 12 / 2 | $11.938,40 | 447 / 1 | $9.513,06 | 447 / 1 |
| Medical Back Problems W/O Mcc | 22 | 99 / 21 | $8.451,86 | 30 / 3 | $5.579,45 | 606 / 1 | $4.413,18 | 604 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 20 | $8.107,77 | 4 / 1 | $7.485,00 | 875 / 2 | $6.741,62 | 872 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 69 | 97 / 16 | $7.164,38 | 87 / 7 | $4.823,07 | 1316 / 5 | $3.897,96 | 1312 / 5 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 17 | $11.070,50 | 34 / 5 | $6.622,45 | 380 / 2 | $5.962,09 | 379 / 4 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 20 | $9.046,74 | 20 / 5 | $7.097,63 | 776 / 6 | $5.736,42 | 772 / 3 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 14 | 29 / 8 | $9.107,79 | 24 / 7 | $4.881,93 | 145 / 2 | $3.561,71 | 145 / 1 |
| Other Disorders Of Nervous System W Cc | 11 | 45 / 19 | $9.577,55 | 26 / 10 | $5.757,00 | 204 / 1 | $4.874,55 | 204 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 15 | $20.040,10 | 251 / 27 | $12.255,70 | 818 / 29 | $10.042,90 | 818 / 30 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 21 | $14.268,70 | 31 / 7 | $10.837,60 | 752 / 4 | $10.536,30 | 750 / 9 |
| Other Vascular Procedures W Cc | 13 | 89 / 17 | $22.902,50 | 13 / 1 | $17.472,30 | 699 / 2 | $16.450,80 | 696 / 2 |
| Peripheral Vascular Disorders W Cc | 21 | 63 / 13 | $9.766,57 | 33 / 11 | $6.607,62 | 739 / 4 | $5.978,29 | 736 / 6 |
| Peripheral Vascular Disorders W Mcc | 15 | 34 / 8 | $12.164,10 | 12 / 3 | $9.420,27 | 318 / 1 | $8.613,87 | 318 / 2 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 20 | $18.233,60 | 77 / 15 | $11.170,80 | 762 / 14 | $10.400,00 | 760 / 17 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 20 | $8.933,67 | 64 / 10 | $4.415,67 | 406 / 2 | $3.615,67 | 405 / 3 |
| Pulmonary Edema & Respiratory Failure | 38 | 165 / 26 | $12.861,10 | 67 / 9 | $9.054,66 | 1156 / 12 | $7.173,08 | 1154 / 3 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 23 | $11.357,60 | 58 / 10 | $6.771,25 | 744 / 2 | $5.659,25 | 741 / 6 |
| Red Blood Cell Disorders W Mcc | 24 | 47 / 6 | $9.540,58 | 10 / 2 | $9.790,71 | 533 / 12 | $7.596,17 | 531 / 2 |
| Red Blood Cell Disorders W/O Mcc | 20 | 123 / 29 | $8.340,20 | 46 / 5 | $5.546,85 | 1306 / 3 | $5.004,45 | 1297 / 10 |
| Renal Failure W Cc | 79 | 142 / 19 | $9.400,48 | 64 / 11 | $6.665,00 | 1347 / 8 | $5.550,63 | 1339 / 3 |
| Renal Failure W Mcc | 45 | 150 / 24 | $10.990,40 | 11 / 4 | $10.404,80 | 1061 / 6 | $9.041,76 | 1061 / 1 |
| Respiratory Infections & Inflammations W Cc | 21 | 67 / 20 | $10.629,00 | 19 / 6 | $9.366,29 | 972 / 4 | $8.563,24 | 967 / 6 |
| Respiratory Infections & Inflammations W Mcc | 20 | 116 / 31 | $19.829,20 | 97 / 20 | $15.215,10 | 1512 / 27 | $14.304,70 | 1496 / 29 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 11 | $13.594,00 | 11 / 3 | $11.346,30 | 71 / 1 | $8.624,45 | 71 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 22 | $27.941,40 | 98 / 11 | $16.240,10 | 640 / 6 | $12.789,70 | 632 / 1 |
| Seizures W/O Mcc | 15 | 93 / 24 | $7.238,13 | 22 / 3 | $5.181,33 | 678 / 2 | $4.456,00 | 675 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 110 | 406 / 36 | $17.327,70 | 147 / 10 | $12.744,00 | 1645 / 9 | $11.313,10 | 1613 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 40 | 167 / 29 | $10.994,70 | 90 / 11 | $7.698,92 | 1510 / 14 | $6.270,33 | 1504 / 5 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 14 | 33 / 11 | $8.280,21 | 17 / 2 | $4.912,79 | 168 / 2 | $4.220,21 | 168 / 2 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 26 | $10.791,50 | 120 / 19 | $4.693,18 | 720 / 2 | $4.091,00 | 717 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 99 | 104 / 12 | $8.182,30 | 34 / 5 | $6.955,25 | 1538 / 10 | $5.555,54 | 1532 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 90 | 115 / 12 | $13.386,00 | 65 / 10 | $10.252,70 | 1599 / 13 | $8.915,13 | 1599 / 7 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 43 | 50 / 7 | $6.281,35 | 27 / 2 | $4.934,77 | 985 / 4 | $3.663,35 | 980 / 1 |
| Syncope & Collapse | 60 | 109 / 16 | $9.641,60 | 92 / 17 | $5.027,68 | 1085 / 5 | $4.204,22 | 1078 / 5 |
| Transient Ischemia | 27 | 98 / 16 | $7.174,37 | 20 / 1 | $4.840,33 | 781 / 3 | $3.681,22 | 777 / 1 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 14 | 32 / 7 | $9.221,36 | 15 / 3 | $4.789,79 | 212 / 2 | $3.763,50 | 211 / 2 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 12 | 34 / 6 | $9.626,33 | 3 / 1 | $6.890,33 | 123 / 1 | $5.685,00 | 123 / 1 | Total 86 procedures | 3.037 | 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.