Hospital Costs > In New York > Adirondack Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 74 | 490 / 64 | $31.446,10 | 291 / 30 | $14.756,70 | 1990 / 38 | $13.564,40 | 1948 / 55 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 32 | 45 / 6 | $15.288,90 | 7 / 2 | $10.910,90 | 234 / 6 | $9.256,06 | 234 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 28 | 488 / 110 | $24.048,80 | 483 / 31 | $12.950,10 | 1834 / 47 | $11.826,70 | 1799 / 51 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 86 | $11.987,80 | 393 / 28 | $5.147,24 | 1647 / 33 | $4.276,84 | 1634 / 48 |
| Major Small & Large Bowel Procedures W Cc | 25 | 83 / 24 | $38.781,40 | 168 / 14 | $19.116,00 | 1148 / 35 | $17.042,40 | 1135 / 35 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 74 | $23.362,20 | 1104 / 56 | $8.206,17 | 1985 / 64 | $7.267,50 | 1977 / 71 |
| Heart Failure & Shock W Cc | 18 | 260 / 87 | $16.110,80 | 698 / 42 | $6.823,17 | 1883 / 41 | $6.288,06 | 1878 / 55 |
| Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 73 | $18.682,20 | 988 / 57 | $6.703,19 | 1761 / 36 | $5.797,19 | 1753 / 45 |
| G.I. Hemorrhage W Cc | 15 | 203 / 73 | $18.395,40 | 598 / 41 | $6.946,00 | 1552 / 38 | $6.056,40 | 1548 / 50 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 57 | $10.669,70 | 410 / 27 | $3.954,53 | 1286 / 22 | $3.150,27 | 1281 / 42 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 26 | $12.104,90 | 286 / 21 | $4.615,31 | 571 / 24 | $3.046,77 | 570 / 12 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 50 | $13.326,90 | 637 / 41 | $4.729,69 | 1062 / 30 | $3.799,23 | 1054 / 27 |
| Renal Failure W Cc | 13 | 208 / 72 | $26.032,20 | 1492 / 64 | $7.071,00 | 1738 / 43 | $6.239,00 | 1728 / 50 |
| Heart Failure & Shock W Mcc | 13 | 271 / 80 | $17.218,30 | 255 / 19 | $10.339,80 | 1669 / 42 | $9.406,85 | 1664 / 44 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 29 | $63.739,40 | 86 / 2 | $39.309,80 | 1038 / 22 | $38.504,40 | 1036 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 58 | $12.543,40 | 276 / 20 | $5.405,75 | 1005 / 29 | $4.301,75 | 1002 / 20 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 19 | $24.522,20 | 56 / 2 | $11.237,80 | 449 / 6 | $9.527,50 | 449 / 9 | Total 17 procedures | 354 | 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.