Hospital Costs > In New York > Aurelia Osborn Fox Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 53 | 150 / 42 | $12.030,90 | 257 / 26 | $5.789,32 | 721 / 6 | $4.832,34 | 718 / 10 |
| Chronic Obstructive Pulmonary Disease W Cc | 49 | 130 / 32 | $13.308,00 | 352 / 31 | $5.551,45 | 639 / 6 | $4.670,80 | 637 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 57 | $11.570,00 | 120 / 11 | $6.285,50 | 559 / 4 | $5.273,86 | 557 / 8 |
| Heart Failure & Shock W Cc | 42 | 236 / 66 | $11.995,10 | 271 / 22 | $5.848,21 | 481 / 10 | $4.878,57 | 481 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 73 | $8.614,90 | 129 / 7 | $4.528,44 | 481 / 8 | $3.389,46 | 479 / 6 |
| Cellulitis W/O Mcc | 37 | 152 / 60 | $8.316,49 | 111 / 5 | $5.030,78 | 833 / 3 | $4.149,49 | 828 / 11 |
| Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 64 | $9.552,67 | 248 / 14 | $4.644,19 | 475 / 5 | $3.603,31 | 475 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 36 | 84 / 20 | $9.229,31 | 167 / 16 | $4.344,86 | 593 / 3 | $3.401,75 | 592 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 52 | $13.713,70 | 236 / 17 | $6.934,94 | 418 / 7 | $5.708,17 | 417 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 108 | $16.404,20 | 111 / 19 | $10.684,80 | 796 / 8 | $9.906,48 | 795 / 11 |
| G.I. Hemorrhage W Cc | 27 | 191 / 62 | $12.431,70 | 129 / 12 | $5.917,78 | 433 / 5 | $4.844,00 | 432 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 25 | 539 / 84 | $21.740,10 | 25 / 2 | $12.411,90 | 1089 / 10 | $11.202,30 | 1065 / 18 |
| Pulmonary Edema & Respiratory Failure | 24 | 179 / 43 | $13.300,60 | 82 / 8 | $7.581,83 | 258 / 10 | $6.030,67 | 258 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 27 | $7.793,12 | 82 / 5 | $4.282,92 | 378 / 3 | $3.121,58 | 376 / 1 |
| Heart Failure & Shock W Mcc | 24 | 260 / 72 | $21.486,20 | 504 / 32 | $8.969,67 | 854 / 12 | $8.115,04 | 854 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 48 | $9.605,41 | 89 / 6 | $4.748,36 | 558 / 2 | $3.869,82 | 556 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 67 | $8.606,82 | 199 / 12 | $4.273,41 | 541 / 7 | $3.335,23 | 539 / 5 |
| Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 44 | $8.903,74 | 177 / 14 | $4.125,42 | 721 / 2 | $3.490,47 | 717 / 10 |
| G.I. Obstruction W Cc | 19 | 73 / 27 | $14.469,00 | 252 / 15 | $5.256,89 | 329 / 5 | $4.243,00 | 328 / 7 |
| Diabetes W Cc | 19 | 73 / 30 | $9.954,00 | 82 / 5 | $4.964,74 | 272 / 3 | $3.950,84 | 272 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 54 | $7.604,28 | 117 / 9 | $3.472,89 | 522 / 1 | $2.464,89 | 518 / 7 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 57 | $18.438,70 | 290 / 21 | $8.402,33 | 809 / 7 | $7.662,78 | 809 / 11 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 13 | $22.472,50 | 6 / 1 | $12.680,10 | 172 / 1 | $10.922,10 | 170 / 2 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 18 | $9.547,93 | 45 / 3 | $4.524,00 | 202 / 1 | $3.568,57 | 201 / 1 |
| Renal Failure W Cc | 13 | 208 / 72 | $10.575,10 | 128 / 11 | $5.677,46 | 823 / 3 | $5.025,15 | 816 / 11 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 26 | $7.079,62 | 41 / 3 | $3.831,85 | 120 / 2 | $2.377,92 | 120 / 2 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 63 | $9.721,00 | 95 / 3 | $4.817,54 | 414 / 6 | $3.884,62 | 413 / 4 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 35 | $24.307,70 | 18 / 3 | $14.798,20 | 592 / 7 | $13.961,20 | 586 / 13 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 36 | $14.972,30 | 114 / 11 | $6.193,42 | 265 / 6 | $5.084,08 | 265 / 5 |
| Syncope & Collapse | 11 | 158 / 74 | $10.223,30 | 116 / 8 | $4.402,45 | 368 / 2 | $3.413,36 | 366 / 4 | Total 30 procedures | 768 | 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.