Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc - costs for treatment in Massachusetts

Hospital Costs > Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc > Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc - costs for treatment in Massachusetts

Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc - costs for treatment in Massachusetts


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Baystate Medical CenterSpringfield17$73,067.60$42,408.40$38,308.00
Beth Israel Deaconess Medical CenterBoston28$59,536.60$46,814.00$44,416.20
Brigham And Women's HospitalBoston17$141,268.00$43,711.50$41,547.20
Lahey Hospital & Medical Center, BurlingtonBurlington17$57,692.80$39,583.80$34,554.80
Southcoast Hospital Group, IncFall River22$106,241.00$38,100.60$31,490.80
Umass Memorial Medical Center IncWorcester11$92,073.60$46,583.50$39,656.60
Total 6 hospitals112

DATA

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.





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