Hospital Costs > In New York > Bon Secours 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 | 125 | 391 / 68 | $46.070,00 | 1629 / 81 | $13.868,80 | 1998 / 60 | $12.370,90 | 1961 / 61 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 62 | 145 / 43 | $29.298,10 | 1573 / 70 | $7.863,68 | 1826 / 54 | $6.859,29 | 1818 / 60 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 44 | 42 / 13 | $29.032,60 | 58 / 13 | $9.119,07 | 56 / 12 | $8.103,66 | 56 / 12 |
Heart Failure & Shock W Mcc | 44 | 240 / 62 | $32.517,20 | 1249 / 56 | $11.483,70 | 1881 / 62 | $9.978,50 | 1876 / 54 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 42 | 233 / 70 | $25.736,00 | 1934 / 101 | $5.719,21 | 2031 / 56 | $4.859,79 | 2017 / 67 |
Cellulitis W/O Mcc | 40 | 149 / 58 | $23.103,40 | 1751 / 85 | $6.813,40 | 1822 / 67 | $5.180,17 | 1814 / 59 |
Heart Failure & Shock W Cc | 38 | 240 / 69 | $23.461,00 | 1536 / 64 | $7.319,61 | 2077 / 58 | $6.682,13 | 2072 / 71 |
Chronic Obstructive Pulmonary Disease W Mcc | 38 | 164 / 50 | $30.096,70 | 1483 / 65 | $8.767,76 | 1997 / 55 | $7.956,39 | 1989 / 64 |
Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 46 | $24.517,60 | 1420 / 70 | $7.145,72 | 1850 / 58 | $6.241,72 | 1843 / 64 |
G.I. Hemorrhage W Cc | 29 | 189 / 60 | $29.051,60 | 1503 / 73 | $7.511,14 | 1812 / 56 | $6.676,93 | 1808 / 62 |
O.R. Procedures For Obesity W/O Cc/Mcc | 25 | 52 / 10 | $40.025,00 | 180 / 22 | $11.786,70 | 314 / 11 | $10.582,20 | 313 / 17 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 24 | 100 / 34 | $13.689,30 | 278 / 22 | $5.223,67 | 462 / 14 | $4.307,00 | 461 / 16 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 24 | 540 / 85 | $73.558,60 | 2084 / 109 | $15.870,80 | 2216 / 58 | $14.761,50 | 2172 / 75 |
Renal Failure W Cc | 22 | 199 / 64 | $25.023,60 | 1420 / 59 | $7.291,23 | 1801 / 49 | $6.409,77 | 1791 / 54 |
Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 69 | $31.389,30 | 2030 / 99 | $7.355,75 | 2233 / 63 | $6.706,95 | 2225 / 78 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 69 | $21.882,40 | 1708 / 83 | $5.682,74 | 1662 / 63 | $4.262,26 | 1657 / 52 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 57 | $24.686,60 | 1231 / 65 | $6.079,63 | 1422 / 38 | $5.261,11 | 1413 / 46 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 51 | $25.949,30 | 1449 / 75 | $5.989,42 | 1526 / 47 | $5.037,84 | 1521 / 49 |
Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 57 | $34.527,50 | 1318 / 59 | $10.908,60 | 2007 / 60 | $10.170,80 | 2006 / 64 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 17 | 32 / 17 | $8.763,65 | 64 / 15 | $3.625,24 | 32 / 7 | $2.911,82 | 31 / 6 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 46 | $29.201,50 | 415 / 29 | $10.219,80 | 724 / 14 | $9.506,41 | 723 / 16 |
Renal Failure W Mcc | 17 | 178 / 53 | $39.722,90 | 1281 / 51 | $11.437,60 | 1614 / 31 | $10.724,20 | 1612 / 41 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 47 | $100.549,00 | 495 / 27 | $34.871,50 | 913 / 12 | $34.191,50 | 907 / 16 |
Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 79 | $23.052,70 | 1850 / 80 | $5.900,44 | 2197 / 55 | $5.450,44 | 2186 / 74 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 57 | $18.723,30 | 1322 / 78 | $4.715,87 | 1309 / 56 | $3.181,27 | 1304 / 46 |
Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 13 | $22.245,50 | 157 / 4 | $10.110,90 | 611 / 7 | $9.180,46 | 609 / 9 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 50 | $21.368,00 | 1381 / 77 | $5.216,69 | 1576 / 51 | $4.657,92 | 1563 / 57 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 42 | $21.101,20 | 1338 / 73 | $5.425,62 | 1387 / 50 | $4.224,38 | 1376 / 47 |
Chest Pain | 12 | 139 / 61 | $19.584,80 | 892 / 64 | $4.716,33 | 1095 / 25 | $3.721,67 | 1088 / 28 |
Pulmonary Edema & Respiratory Failure | 12 | 191 / 53 | $25.374,40 | 755 / 39 | $9.198,67 | 1702 / 47 | $8.472,00 | 1697 / 57 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 42 | $129.234,00 | 381 / 40 | $45.472,60 | 589 / 25 | $38.445,60 | 588 / 12 |
Syncope & Collapse | 11 | 158 / 74 | $29.503,20 | 1419 / 97 | $7.402,09 | 1210 / 66 | $4.403,45 | 1203 / 40 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 49 | $29.102,20 | 910 / 48 | $8.751,00 | 1253 / 31 | $7.764,82 | 1250 / 36 | Total 33 procedures | 878 | 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.