Dysequilibrium - costs for treatment in Massachusetts

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Dysequilibrium - costs for treatment in Massachusetts


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Mount Auburn HospitalCambridge26$13,557.20$5,769.77$4,486.08
Lawrence General HospitalLawrence36$11,305.30$6,010.97$4,852.47
Cape Cod HospitalHyannis19$13,023.30$5,255.26$4,102.84
Saint Anne's HospitalFall River12$7,561.83$5,134.33$4,014.42
Anna Jaques HospitalNewburyport14$8,574.64$4,718.07$3,834.64
Baystate Wing Hospital And Medical CentersPalmer11$13,704.40$4,527.00$3,537.91
Beverly Hospital CorporationBeverly27$9,823.63$5,163.85$3,899.07
North Shore Medical Center SalemSalem24$25,318.50$5,444.00$4,320.46
Signature Healthcare Brockton HospitalBrockton16$8,982.06$5,934.19$4,114.62
Lowell General HospitalLowell28$11,995.20$5,700.71$4,684.71
Hallmark Health SystemMelrose17$10,865.60$5,079.06$3,704.24
Massachusetts General HospitalBoston17$29,535.60$6,889.65$5,465.65
Southcoast Hospital Group, IncFall River40$11,521.30$5,173.60$4,056.00
Baystate Medical CenterSpringfield33$13,065.70$6,996.97$5,425.06
Holy Family HospitalMethuen13$8,125.85$5,315.23$4,187.85
Beth Israel Deaconess Medical CenterBoston18$9,458.78$7,490.78$5,843.67
South Shore Hospital South WeymouthSouth Weymouth17$15,423.20$4,791.47$3,815.00
Good Samaritan Medical Center BrocktonBrockton26$7,204.81$5,561.92$4,335.27
Tufts Medical CenterBoston12$15,033.70$8,396.50$6,486.58
Brigham And Women's Faulkner HospitalBoston16$20,258.70$5,392.00$4,169.75
Norwood HospitalNorwood19$9,522.32$4,258.26$3,177.00
Falmouth HospitalFalmouth12$11,371.80$4,643.92$3,430.58
Umass Memorial Medical Center IncWorcester15$13,334.70$7,540.40$5,826.93
Lahey Hospital & Medical Center, BurlingtonBurlington24$10,132.40$5,333.50$4,042.08
Metrowest Medical CenterFramingham21$9,683.05$5,220.95$4,180.19
Total 25 hospitals513

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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