Hospital Costs > In New York > Alice Hyde Medical Center, 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 | 56 | 460 / 99 | $14.363,00 | 54 / 8 | $12.675,10 | 1751 / 44 | $11.618,50 | 1717 / 45 |
| Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 54 | $10.389,70 | 49 / 6 | $7.987,32 | 1631 / 35 | $7.048,56 | 1623 / 44 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 83 | $8.772,50 | 139 / 9 | $5.255,04 | 1595 / 40 | $4.216,18 | 1582 / 44 |
| Heart Failure & Shock W Cc | 25 | 253 / 80 | $8.656,32 | 62 / 5 | $6.813,76 | 1855 / 40 | $6.236,48 | 1850 / 53 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 65 | $9.282,67 | 244 / 15 | $4.992,71 | 1711 / 40 | $4.336,71 | 1706 / 55 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 19 | 545 / 89 | $30.968,60 | 258 / 29 | $15.352,00 | 1820 / 47 | $12.950,90 | 1779 / 45 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 56 | $14.482,80 | 104 / 8 | $9.992,00 | 1512 / 38 | $8.699,63 | 1512 / 31 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 46 | $11.053,80 | 11 / 1 | $11.904,20 | 1208 / 37 | $11.053,40 | 1200 / 44 |
| Cellulitis W/O Mcc | 17 | 172 / 77 | $9.331,82 | 189 / 17 | $5.815,71 | 1586 / 38 | $4.818,06 | 1579 / 46 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 49 | $12.756,20 | 61 / 4 | $8.367,94 | 1367 / 32 | $7.520,88 | 1363 / 39 |
| Heart Failure & Shock W Mcc | 16 | 268 / 77 | $10.491,80 | 14 / 1 | $10.290,50 | 1692 / 40 | $9.462,50 | 1687 / 45 |
| G.I. Hemorrhage W Cc | 16 | 202 / 72 | $10.580,50 | 70 / 5 | $6.869,06 | 1448 / 33 | $5.889,06 | 1444 / 43 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 61 | $8.092,87 | 25 / 2 | $6.409,93 | 1310 / 35 | $5.279,27 | 1305 / 30 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 78 | $12.738,30 | 197 / 18 | $7.328,43 | 1524 / 38 | $6.297,57 | 1518 / 40 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 81 | $7.499,07 | 74 / 3 | $5.372,07 | 1489 / 33 | $4.341,21 | 1479 / 34 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 26 | $7.439,62 | 47 / 5 | $4.493,54 | 869 / 20 | $3.568,00 | 866 / 31 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 55 | $27.889,20 | 159 / 15 | $13.541,00 | 1386 / 35 | $12.332,40 | 1368 / 34 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 42 | $5.504,46 | 9 / 1 | $5.099,62 | 1304 / 34 | $4.080,54 | 1293 / 40 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 50 | $8.192,46 | 124 / 9 | $4.871,77 | 1336 / 34 | $4.133,31 | 1325 / 45 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 77 | $10.392,80 | 134 / 11 | $6.778,08 | 1350 / 39 | $5.357,58 | 1345 / 27 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 29 | $11.076,00 | 17 / 1 | $8.570,55 | 645 / 7 | $8.002,55 | 641 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 49 | $10.232,80 | 16 / 1 | $24.483,90 | 901 / 107 | $6.976,64 | 898 / 16 |
| Transient Ischemia | 11 | 114 / 45 | $8.281,00 | 40 / 3 | $5.527,55 | 673 / 41 | $3.554,82 | 669 / 14 | Total 23 procedures | 428 | 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.