Hospital Costs > In New Jersey > Bayshore Community 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 | 173 | 343 / 33 | $96.308,20 | 2607 / 32 | $11.819,80 | 1206 / 9 | $10.487,40 | 1187 / 5 |
| Heart Failure & Shock W Mcc | 149 | 135 / 17 | $84.053,10 | 2492 / 39 | $9.391,15 | 1270 / 8 | $8.673,93 | 1267 / 10 |
| Cellulitis W/O Mcc | 93 | 96 / 27 | $43.253,10 | 2477 / 36 | $5.604,79 | 757 / 14 | $4.092,60 | 752 / 7 |
| Chronic Obstructive Pulmonary Disease W Mcc | 86 | 116 / 20 | $66.372,50 | 2423 / 30 | $7.702,78 | 1196 / 16 | $6.456,81 | 1190 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 77 | 198 / 32 | $42.485,20 | 2528 / 35 | $4.555,06 | 624 / 5 | $3.505,71 | 620 / 8 |
| Kidney & Urinary Tract Infections W/O Mcc | 76 | 157 / 28 | $42.260,20 | 2533 / 22 | $4.912,46 | 948 / 11 | $3.920,38 | 941 / 12 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 64 | 61 / 11 | $95.139,20 | 1680 / 37 | $10.289,30 | 729 / 12 | $9.532,77 | 728 / 14 |
| Simple Pneumonia & Pleurisy W Cc | 64 | 139 / 27 | $46.178,40 | 2491 / 18 | $5.943,80 | 1019 / 2 | $5.093,80 | 1016 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 63 | 501 / 39 | $72.898,10 | 2069 / 30 | $13.191,60 | 1480 / 9 | $11.994,00 | 1446 / 14 |
| Heart Failure & Shock W Cc | 63 | 215 / 41 | $57.948,80 | 2648 / 37 | $6.885,13 | 677 / 19 | $5.044,67 | 676 / 3 |
| G.I. Hemorrhage W Cc | 62 | 156 / 31 | $67.212,00 | 2365 / 43 | $6.158,32 | 716 / 7 | $5.104,73 | 715 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 57 | 122 / 28 | $49.664,60 | 2239 / 26 | $5.926,42 | 682 / 10 | $4.709,79 | 680 / 5 |
| Simple Pneumonia & Pleurisy W Mcc | 53 | 152 / 24 | $72.739,20 | 2267 / 23 | $8.904,38 | 1145 / 4 | $8.050,04 | 1145 / 8 |
| Renal Failure W Cc | 50 | 171 / 37 | $57.284,50 | 2335 / 35 | $5.882,06 | 877 / 6 | $5.062,22 | 869 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 49 | 112 / 26 | $60.964,50 | 2123 / 47 | $5.086,61 | 687 / 8 | $3.999,90 | 684 / 12 |
| Syncope & Collapse | 40 | 129 / 34 | $45.425,00 | 1781 / 32 | $4.493,33 | 415 / 8 | $3.467,82 | 413 / 9 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 37 | 94 / 19 | $136.778,00 | 1734 / 45 | $15.652,40 | 1177 / 12 | $14.960,90 | 1164 / 22 |
| Respiratory Infections & Inflammations W Mcc | 37 | 99 / 16 | $101.194,00 | 1661 / 31 | $11.677,20 | 757 / 2 | $11.043,60 | 749 / 5 |
| Pulmonary Edema & Respiratory Failure | 35 | 168 / 24 | $98.747,00 | 2197 / 43 | $7.492,14 | 553 / 3 | $6.399,57 | 553 / 2 |
| Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 28 | $76.646,00 | 1660 / 27 | $11.994,80 | 1012 / 8 | $11.062,20 | 999 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 39 | $43.097,30 | 2418 / 32 | $4.358,59 | 572 / 8 | $3.361,18 | 570 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 34 | 57 / 15 | $54.784,80 | 1246 / 21 | $6.372,59 | 306 / 7 | $5.156,47 | 305 / 4 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 22 | $45.328,50 | 2015 / 40 | $5.084,09 | 399 / 18 | $3.229,82 | 398 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 32 | 92 / 26 | $202.241,00 | 1270 / 27 | $33.431,10 | 781 / 12 | $32.424,10 | 775 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 31 | 176 / 39 | $58.612,10 | 2395 / 27 | $6.386,29 | 1019 / 1 | $5.682,29 | 1016 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 31 | 92 / 28 | $76.411,40 | 1823 / 38 | $7.669,35 | 829 / 9 | $6.847,65 | 826 / 10 |
| Renal Failure W Mcc | 31 | 164 / 36 | $106.058,00 | 2133 / 51 | $11.010,10 | 1523 / 22 | $10.385,50 | 1522 / 31 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 31 | 151 / 38 | $62.873,30 | 1911 / 32 | $6.825,23 | 652 / 13 | $5.382,94 | 651 / 4 |
| Peripheral Vascular Disorders W Cc | 30 | 54 / 19 | $53.975,40 | 1175 / 33 | $5.942,63 | 419 / 7 | $5.137,30 | 417 / 10 |
| G.I. Hemorrhage W Mcc | 29 | 92 / 22 | $91.833,80 | 1516 / 30 | $10.323,80 | 528 / 2 | $9.737,83 | 529 / 3 |
| Atherosclerosis W/O Mcc | 28 | 30 / 8 | $41.965,90 | 525 / 27 | $3.720,32 | / 5 | $2.689,46 | / |
| Transient Ischemia | 28 | 97 / 30 | $49.616,20 | 1574 / 41 | $4.748,89 | 287 / 17 | $3.136,64 | 287 / 6 |
| Medical Back Problems W/O Mcc | 27 | 94 / 27 | $46.492,20 | 1364 / 26 | $5.349,19 | 270 / 6 | $3.914,15 | 270 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 27 | 66 / 13 | $98.028,70 | 748 / 14 | $13.152,50 | 205 / 7 | $11.074,80 | 201 / 2 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 25 | 67 / 14 | $244.523,00 | 877 / 25 | $40.744,40 | 558 / 14 | $37.847,40 | 557 / 13 |
| Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 31 | $50.042,40 | 1686 / 12 | $6.859,32 | 1016 / 8 | $6.424,12 | 1013 / 15 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 25 | 46 / 10 | $220.688,00 | 806 / 18 | $32.535,90 | 322 / 5 | $29.482,60 | 322 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 33 | $64.746,00 | 1448 / 24 | $6.545,44 | 695 / 2 | $5.724,96 | 693 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 42 | $39.726,90 | 1922 / 46 | $3.402,88 | 283 / 4 | $2.246,88 | 281 / 4 |
| Red Blood Cell Disorders W/O Mcc | 24 | 119 / 39 | $55.331,10 | 1952 / 45 | $7.837,62 | 204 / 47 | $3.628,75 | 204 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 24 | 144 / 33 | $83.341,20 | 1389 / 26 | $11.042,30 | 452 / 10 | $9.225,33 | 451 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 23 | 73 / 23 | $68.272,10 | 1346 / 30 | $7.315,74 | 397 / 5 | $6.423,91 | 395 / 5 |
| Spinal Fusion Except Cervical W/O Mcc | 22 | 172 / 16 | $98.075,00 | 713 / 10 | $24.069,00 | 673 / 2 | $22.917,00 | 669 / 5 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 22 | 55 / 6 | $46.601,80 | 233 / 15 | $10.466,50 | 126 / 6 | $8.098,68 | 126 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 18 | $79.584,00 | 1007 / 17 | $10.014,60 | 553 / 7 | $9.342,95 | 551 / 10 |
| G.I. Obstruction W Cc | 20 | 72 / 23 | $45.981,20 | 1550 / 21 | $5.523,65 | 381 / 7 | $4.330,15 | 380 / 3 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 22 | $60.211,10 | 1258 / 14 | $8.524,10 | 431 / 6 | $7.212,95 | 428 / 4 |
| Degenerative Nervous System Disorders W/O Mcc | 19 | 59 / 20 | $55.897,80 | 806 / 25 | $6.633,68 | 145 / 12 | $4.777,21 | 145 / 1 |
| Diabetes W Cc | 18 | 74 / 26 | $57.014,30 | 1573 / 41 | $5.080,33 | 338 / 7 | $4.072,33 | 338 / 3 |
| Nonspecific Cva & Precerebral Occlusion W/O Infarct W/O Mcc | 17 | 6 / 1 | $65.567,90 | 55 / 3 | $6.633,94 | 4 / 3 | $4.113,00 | 4 / 1 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 27 | $62.408,50 | 1374 / 40 | $6.716,41 | 445 / 14 | $5.115,53 | 442 / 8 |
| Respiratory Neoplasms W Mcc | 17 | 35 / 10 | $91.955,50 | 577 / 14 | $10.183,40 | 175 / 3 | $9.330,65 | 175 / 3 |
| Other Digestive System Diagnoses W Mcc | 17 | 45 / 12 | $102.228,00 | 728 / 27 | $11.769,50 | 291 / 8 | $10.034,20 | 291 / 8 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 7 | $130.303,00 | 984 / 22 | $11.211,10 | 650 / 10 | $9.466,06 | 648 / 12 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 41 | $37.960,90 | 1870 / 27 | $4.140,00 | 418 / 10 | $3.230,00 | 416 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 37 | $81.321,30 | 1704 / 42 | $7.483,80 | 885 / 13 | $6.756,40 | 882 / 19 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 30 | $118.483,00 | 1334 / 37 | $12.839,00 | 807 / 13 | $12.131,80 | 802 / 20 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 19 | $31.499,30 | 607 / 9 | $4.560,93 | 209 / 3 | $3.596,67 | 208 / 7 |
| G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 22 | $45.470,10 | 959 / 40 | $4.272,47 | 272 / 7 | $3.310,33 | 270 / 10 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 30 | $41.393,30 | 1823 / 27 | $4.312,43 | 447 / 7 | $3.190,14 | 445 / 8 |
| Cellulitis W Mcc | 14 | 44 / 19 | $103.252,00 | 952 / 39 | $11.632,40 | 772 / 26 | $10.688,40 | 770 / 32 |
| Other Circulatory System O.R. Procedures | 13 | 42 / 14 | $130.763,00 | 396 / 18 | $17.303,20 | 180 / 2 | $16.628,20 | 180 / 5 |
| Other Vascular Procedures W Mcc | 13 | 84 / 26 | $136.039,00 | 817 / 19 | $19.714,20 | 333 / 3 | $19.061,90 | 331 / 5 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 13 | 51 / 16 | $425.200,00 | 459 / 18 | $63.711,80 | 240 / 10 | $61.901,40 | 240 / 10 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 22 | $62.483,80 | 826 / 28 | $6.080,54 | 217 / 3 | $5.251,00 | 217 / 6 |
| Permanent Cardiac Pacemaker Implant W Mcc | 13 | 39 / 16 | $121.837,00 | 431 / 6 | $20.358,50 | 67 / 1 | $19.047,10 | 67 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 21 | $68.326,10 | 1052 / 31 | $7.112,00 | 466 / 2 | $6.580,92 | 464 / 11 |
| Disorders Of Pancreas Except Malignancy W Mcc | 13 | 33 / 5 | $58.040,50 | 250 / 2 | $10.215,50 | 76 / 1 | $9.563,23 | 76 / 2 |
| Bone Diseases & Arthropathies W/O Mcc | 13 | 31 / 8 | $37.251,50 | 266 / 12 | $4.423,08 | 38 / 3 | $3.401,54 | 38 / 4 |
| Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 16 | $48.912,90 | 757 / 19 | $6.367,54 | 256 / 1 | $5.106,92 | 256 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 24 | $33.388,80 | 1162 / 19 | $3.727,00 | 318 / 1 | $2.721,67 | 318 / 9 |
| Pulmonary Embolism W Mcc | 11 | 32 / 10 | $71.706,60 | 522 / 5 | $10.451,20 | 61 / 4 | $7.434,45 | 61 / 1 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 16 | $98.089,80 | 681 / 8 | $18.565,10 | 129 / 6 | $15.328,50 | 129 / 1 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 22 | $90.434,10 | 1088 / 38 | $7.746,09 | 423 / 7 | $7.202,09 | 421 / 9 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 30 | $160.594,00 | 870 / 11 | $28.295,50 | 121 / 3 | $25.306,50 | 121 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 14 | $33.999,90 | 706 / 5 | $8.730,27 | 227 / 29 | $4.568,18 | 227 / 4 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 22 | $45.221,20 | 891 / 32 | $4.369,91 | 208 / 3 | $3.264,45 | 209 / 5 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 19 | $67.915,10 | 775 / 28 | $10.503,70 | 190 / 10 | $8.115,73 | 190 / 2 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 13 | $40.446,40 | 335 / 16 | $4.237,27 | 107 / 3 | $3.254,00 | 107 / 8 | Total 79 procedures | 2.532 | 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.