Hospital Costs > In New York > Bellevue Hospital Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 92 | 43 / 7 | $9.341,39 | 111 / 4 | $16.035,20 | 843 / 58 | $14.739,00 | 842 / 60 |
Syncope & Collapse | 73 | 96 / 32 | $21.351,90 | 970 / 60 | $16.439,90 | 1934 / 109 | $14.824,70 | 1926 / 110 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 71 | 445 / 95 | $63.039,70 | 2162 / 120 | $31.368,30 | 2822 / 141 | $27.438,40 | 2777 / 141 |
Heart Failure & Shock W Cc | 57 | 221 / 55 | $45.641,90 | 2473 / 131 | $21.523,40 | 2767 / 141 | $19.008,30 | 2761 / 140 |
Chest Pain | 52 | 99 / 28 | $16.425,10 | 624 / 52 | $14.990,70 | 1709 / 91 | $13.448,40 | 1700 / 91 |
Cellulitis W/O Mcc | 44 | 145 / 55 | $27.945,50 | 2043 / 106 | $18.527,80 | 2641 / 139 | $15.492,50 | 2633 / 137 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 43 | 123 / 50 | $29.634,00 | 2121 / 115 | $17.274,90 | 2554 / 136 | $15.347,40 | 2545 / 136 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 62 | $48.851,60 | 2236 / 120 | $21.968,10 | 2577 / 133 | $19.032,10 | 2567 / 133 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 37 | 159 / 32 | $31.782,70 | 30 / 4 | $29.633,90 | 1489 / 53 | $27.804,90 | 1481 / 53 |
Kidney & Urinary Tract Infections W/O Mcc | 37 | 196 / 63 | $43.686,40 | 2565 / 135 | $19.544,60 | 2726 / 136 | $16.700,90 | 2715 / 136 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 75 | $23.499,90 | 1762 / 92 | $16.657,60 | 2736 / 135 | $15.025,00 | 2721 / 135 |
Renal Failure W Mcc | 29 | 166 / 42 | $34.998,90 | 1047 / 38 | $24.766,50 | 2161 / 99 | $22.789,50 | 2157 / 101 |
Renal Failure W Cc | 25 | 196 / 62 | $37.249,40 | 1964 / 98 | $19.595,40 | 2446 / 120 | $17.478,30 | 2436 / 121 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 24 | 37 / 11 | $27.377,30 | 716 / 40 | $16.300,00 | 925 / 55 | $13.840,50 | 924 / 54 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 52 | $28.260,30 | 1638 / 89 | $19.125,10 | 2451 / 131 | $17.124,80 | 2444 / 131 |
Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 64 | $35.051,10 | 1741 / 82 | $22.188,00 | 2578 / 129 | $19.665,10 | 2570 / 128 |
Red Blood Cell Disorders W/O Mcc | 23 | 120 / 53 | $21.524,10 | 1025 / 53 | $17.412,50 | 2005 / 112 | $15.978,00 | 1996 / 113 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 23 | 33 / 8 | $37.396,30 | 347 / 13 | $26.014,70 | 918 / 47 | $22.909,20 | 915 / 47 |
Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 67 | $32.526,50 | 2084 / 104 | $19.628,10 | 2831 / 138 | $17.371,80 | 2822 / 139 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 41 | $50.066,60 | 1140 / 69 | $28.955,40 | 1820 / 105 | $26.417,90 | 1807 / 105 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 39 | $49.146,30 | 1184 / 48 | $23.513,80 | 1644 / 64 | $20.485,40 | 1641 / 64 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 21 | 70 / 12 | $17.269,00 | 49 / 7 | $20.736,80 | 398 / 23 | $19.449,00 | 398 / 23 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 51 | $17.690,00 | 1247 / 70 | $14.642,50 | 1992 / 113 | $12.789,40 | 1986 / 113 |
Seizures W/O Mcc | 21 | 87 / 38 | $24.005,00 | 734 / 57 | $16.838,40 | 1320 / 99 | $15.230,20 | 1318 / 99 |
Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 50 | $59.196,10 | 1330 / 71 | $30.921,50 | 2054 / 103 | $26.210,00 | 2032 / 102 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 18 | 26 / 11 | $17.488,10 | 81 / 9 | $16.002,50 | 317 / 36 | $14.070,10 | 317 / 36 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 33 | $27.616,80 | 1544 / 81 | $16.715,30 | 1969 / 99 | $14.512,50 | 1961 / 99 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 26 | $37.720,70 | 703 / 69 | $17.193,20 | 816 / 75 | $15.089,20 | 814 / 75 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 53 | $40.729,90 | 1920 / 109 | $19.560,60 | 2172 / 117 | $15.126,40 | 2167 / 115 |
Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 30 | $46.213,10 | 735 / 61 | $20.823,50 | 876 / 72 | $17.864,10 | 876 / 71 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 55 | $51.031,80 | 1767 / 95 | $21.704,40 | 2082 / 106 | $18.921,00 | 2077 / 106 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 16 | 38 / 10 | $22.707,60 | 205 / 9 | $15.555,10 | 408 / 25 | $14.061,80 | 408 / 25 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 16 | 33 / 18 | $5.965,25 | 37 / 5 | $13.242,40 | 110 / 30 | $12.564,40 | 109 / 31 |
Angina Pectoris | 16 | 9 / 3 | $22.892,40 | 36 / 7 | $14.842,20 | 71 / 9 | $12.882,80 | 71 / 9 |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 32 | $47.598,10 | 1148 / 68 | $21.120,80 | 1433 / 84 | $18.779,20 | 1431 / 84 |
Hiv W Major Related Condition W Mcc | 15 | 22 / 8 | $98.916,10 | 64 / 9 | $45.145,80 | 87 / 11 | $39.524,30 | 87 / 11 |
Organic Disturbances & Mental Retardation | 15 | 44 / 22 | $58.303,80 | 531 / 44 | $26.558,70 | 562 / 49 | $21.650,70 | 562 / 48 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 40 | $20.474,70 | 1296 / 69 | $16.377,30 | 2116 / 122 | $14.845,30 | 2104 / 122 |
Respiratory Signs & Symptoms | 15 | 31 / 13 | $23.332,10 | 160 / 11 | $16.181,50 | 314 / 24 | $14.443,30 | 314 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 45 | $58.151,50 | 1112 / 52 | $30.042,10 | 1633 / 87 | $27.596,70 | 1626 / 88 |
G.I. Hemorrhage W Cc | 15 | 203 / 73 | $41.441,90 | 1990 / 104 | $20.993,60 | 2434 / 127 | $17.200,40 | 2430 / 125 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 48 | $40.487,20 | 1516 / 61 | $22.656,10 | 1955 / 88 | $20.225,10 | 1951 / 88 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 47 | $34.143,50 | 1136 / 55 | $21.976,40 | 1745 / 94 | $19.457,60 | 1741 / 93 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 14 | 550 / 94 | $46.476,20 | 1110 / 66 | $32.243,10 | 2685 / 121 | $27.659,70 | 2639 / 119 |
Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 21 | $28.297,60 | 719 / 44 | $16.260,10 | 922 / 65 | $14.274,90 | 921 / 64 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 39 | $32.927,00 | 1186 / 56 | $17.174,90 | 1617 / 83 | $15.782,60 | 1613 / 83 |
Signs & Symptoms W/O Mcc | 13 | 78 / 37 | $29.670,80 | 1023 / 68 | $16.525,50 | 1343 / 87 | $14.935,70 | 1340 / 87 |
O.R. Procedures For Obesity W/O Cc/Mcc | 13 | 64 / 18 | $17.329,80 | 14 / 5 | $25.313,80 | 414 / 29 | $23.456,00 | 413 / 29 |
Dysequilibrium | 13 | 52 / 26 | $32.907,80 | 448 / 54 | $16.421,30 | 570 / 58 | $14.311,50 | 570 / 58 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 34 | $61.097,90 | 1262 / 72 | $25.767,70 | 1486 / 81 | $21.868,80 | 1481 / 81 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 12 | 69 / 22 | $349.018,00 | 130 / 6 | $198.882,00 | 421 / 25 | $176.938,00 | 420 / 29 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 20 | $31.872,10 | 618 / 44 | $17.125,80 | 860 / 56 | $15.515,80 | 856 / 56 |
Diabetes W Cc | 12 | 80 / 37 | $22.904,20 | 878 / 45 | $17.768,90 | 1626 / 98 | $15.894,10 | 1621 / 98 |
Heart Failure & Shock W Mcc | 12 | 272 / 81 | $52.432,80 | 2052 / 107 | $27.388,40 | 2634 / 131 | $24.547,30 | 2623 / 131 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 51 | $24.923,10 | 1549 / 88 | $16.296,30 | 2017 / 116 | $14.494,00 | 2004 / 116 |
Atherosclerosis W/O Mcc | 11 | 47 / 24 | $22.150,70 | 354 / 31 | $15.383,10 | / 46 | $14.260,50 | / | Total 56 procedures | 1.351 | 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.