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Charge Analysis Reports

DRG Charge by Payor Reports

The Consortium's DRG Charge by Payor Reports profile the distribution of hospital discharges, discharge days, average length of stay and average charges for each reported payor type by individual DRG.

These Reports help mangers to compare their hospital's high volume and high charge services, and monitor changes in their patients' length stay and charges within each DRG, for each selected payor type.

DRG Charge Reports are available for every acute-care hospital in Massachusetts, on a hospital-specific basis, or for all hospitals combined. The twelve (12) payor types include: Medicare, Medicaid, Blue Cross, Commercial Insurance, Medicare Managed Care, Medicaid Managed Care, Blue Cross Managed Care, Commercial Insurance Managed Care, HMO/PPO/Other Managed Care, Self-Pay/Free Care, Worker's Compensation, and for all 'Other Payors' combined.

For example, in this statewide DRG Charge by Payor report, the highest charge DRG among all reported HMO discharges is DRG 373:"Vaginal Delivery without Complicating Diagnosis," with over $104 million reported in total charges. This DRG also ranks second in total discharges. While the highest volume DRG (DRG 391: Normal Newborns), ranks 10th in total charges among all hospitals with total charges of $32,379,276.

Sample Report:

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For more information on MHDC Data, please contact us via e-mail or at (781) 419-7800. We welcome your further questions & look forward to your participation in our work and our events!