Hospital Costs > In New York > Albany Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 79 | 437 / 92 | $22.323,30 | 376 / 28 | $9.960,90 | 104 / 2 | $8.641,79 | 104 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 40 | 167 / 61 | $13.910,80 | 271 / 23 | $5.691,30 | 89 / 1 | $4.608,90 | 89 / 1 |
| Cellulitis W/O Mcc | 38 | 151 / 59 | $10.481,10 | 296 / 24 | $4.666,29 | 43 / 1 | $3.232,76 | 43 / 1 |
| Heart Failure & Shock W Cc | 35 | 243 / 72 | $14.139,20 | 490 / 30 | $5.412,14 | 26 / 2 | $4.050,94 | 26 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 78 | $12.596,60 | 464 / 35 | $4.414,94 | 74 / 3 | $2.890,97 | 74 / 2 |
| G.I. Hemorrhage W Cc | 32 | 186 / 57 | $14.313,80 | 249 / 20 | $5.503,25 | 93 / 1 | $4.346,97 | 93 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 32 | 171 / 58 | $11.016,80 | 178 / 15 | $5.418,41 | 71 / 2 | $4.056,34 | 71 / 2 |
| Heart Failure & Shock W Mcc | 30 | 254 / 69 | $21.493,00 | 505 / 33 | $8.558,27 | 180 / 5 | $7.205,67 | 180 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 62 | $11.009,80 | 77 / 9 | $6.273,31 | 89 / 1 | $5.118,38 | 89 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 73 | $13.162,70 | 667 / 38 | $4.382,84 | 47 / 3 | $3.020,28 | 47 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 54 | $12.176,90 | 250 / 20 | $5.136,18 | 68 / 2 | $3.911,91 | 68 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 22 | 542 / 86 | $25.261,30 | 84 / 15 | $11.919,50 | 142 / 3 | $9.514,91 | 142 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 52 | $16.497,30 | 239 / 12 | $5.865,10 | 76 / 1 | $4.501,00 | 76 / 1 |
| G.I. Obstruction W Cc | 19 | 73 / 27 | $11.372,80 | 94 / 7 | $4.892,21 | 50 / 1 | $3.623,89 | 50 / 1 |
| Diabetes W Cc | 18 | 74 / 31 | $15.787,80 | 386 / 21 | $4.705,11 | 140 / 1 | $3.693,44 | 140 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 51 | $26.331,80 | 108 / 11 | $10.943,80 | 3 / 2 | $8.310,83 | 3 / 1 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 49 | $14.345,20 | 119 / 12 | $6.686,47 | 57 / 1 | $5.529,88 | 57 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 59 | $18.337,50 | 283 / 19 | $8.171,94 | 8 / 2 | $5.844,19 | 8 / 1 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 61 | $16.724,30 | 600 / 36 | $4.706,40 | 59 / 2 | $3.295,20 | 59 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 40 | $8.934,40 | 147 / 14 | $3.961,40 | 31 / 1 | $2.608,60 | 31 / 1 |
| Renal Failure W Cc | 14 | 207 / 71 | $13.521,00 | 340 / 21 | $5.254,79 | 75 / 1 | $4.109,21 | 75 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 49 | $66.661,20 | 150 / 7 | $26.197,30 | 34 / 1 | $23.947,10 | 34 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 49 | $23.760,90 | 839 / 27 | $7.966,31 | 951 / 29 | $6.311,38 | 948 / 13 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 35 | $28.926,20 | 49 / 6 | $13.673,40 | 101 / 1 | $11.898,60 | 101 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 37 | $52.122,80 | 128 / 15 | $21.012,20 | 187 / 1 | $19.797,90 | 186 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 26 | $10.537,30 | 172 / 16 | $3.931,77 | 2 / 4 | $1.756,08 | 2 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 75 | $10.159,90 | 325 / 25 | $3.885,92 | 61 / 1 | $2.742,08 | 61 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 18 | $12.581,40 | 63 / 1 | $5.076,00 | 81 / 1 | $4.068,33 | 81 / 1 | Total 28 procedures | 656 | 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.