Hospital Costs > In New York > Bronx-Lebanon Hospital 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 | 84 | 432 / 89 | $26.959,70 | 645 / 40 | $29.868,10 | 2823 / 137 | $27.490,80 | 2778 / 142 |
Chest Pain | 82 | 69 / 19 | $9.304,38 | 118 / 6 | $16.526,60 | 1714 / 95 | $15.240,70 | 1705 / 94 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 66 | 209 / 53 | $11.924,50 | 381 / 27 | $18.243,80 | 2740 / 138 | $16.610,60 | 2725 / 139 |
Renal Failure W Mcc | 64 | 131 / 18 | $16.226,60 | 99 / 5 | $25.527,60 | 2164 / 102 | $23.627,50 | 2160 / 102 |
Heart Failure & Shock W Cc | 61 | 217 / 52 | $15.011,90 | 578 / 34 | $20.242,10 | 2766 / 139 | $18.507,00 | 2760 / 139 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 59 | 33 / 11 | $38.493,20 | 2 / 1 | $68.821,50 | 1072 / 71 | $65.319,30 | 1071 / 74 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 56 | 69 / 15 | $7.853,02 | 75 / 1 | $17.368,20 | 845 / 62 | $15.912,40 | 844 / 62 |
Kidney & Urinary Tract Infections W/O Mcc | 55 | 178 / 51 | $13.055,90 | 652 / 37 | $18.549,40 | 2725 / 135 | $16.648,70 | 2714 / 135 |
Syncope & Collapse | 49 | 120 / 48 | $11.874,90 | 191 / 12 | $18.010,40 | 1938 / 114 | $16.288,00 | 1930 / 113 |
Heart Failure & Shock W Mcc | 46 | 238 / 60 | $17.548,20 | 279 / 20 | $26.085,10 | 2632 / 130 | $24.164,70 | 2621 / 130 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 49 | $14.210,00 | 862 / 47 | $18.025,50 | 2556 / 138 | $16.306,90 | 2547 / 138 |
Renal Failure W Cc | 42 | 179 / 46 | $16.692,60 | 636 / 34 | $19.939,90 | 2447 / 122 | $17.855,50 | 2437 / 122 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 37 | 47 / 15 | $15.698,80 | 34 / 3 | $25.236,70 | 89 / 30 | $20.984,70 | 89 / 30 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 36 | 28 / 7 | $103.059,00 | 17 / 1 | $122.364,00 | 544 / 34 | $112.575,00 | 543 / 39 |
Red Blood Cell Disorders W/O Mcc | 35 | 108 / 42 | $14.803,70 | 436 / 28 | $19.117,10 | 2007 / 114 | $17.247,70 | 1998 / 114 |
Seizures W/O Mcc | 35 | 73 / 29 | $12.147,20 | 137 / 13 | $17.942,40 | 1323 / 101 | $16.254,80 | 1321 / 102 |
Bronchitis & Asthma W Cc/Mcc | 35 | 41 / 10 | $11.885,60 | 92 / 2 | $19.570,60 | 1088 / 65 | $17.335,10 | 1084 / 64 |
Cellulitis W/O Mcc | 33 | 156 / 64 | $11.051,50 | 364 / 29 | $18.672,80 | 2647 / 140 | $17.064,40 | 2639 / 140 |
Chronic Obstructive Pulmonary Disease W Cc | 33 | 146 / 45 | $11.536,00 | 191 / 16 | $20.067,40 | 2454 / 133 | $18.368,50 | 2447 / 133 |
Hiv W Major Related Condition W Mcc | 33 | 6 / 5 | $27.399,20 | 3 / 1 | $38.257,00 | 85 / 10 | $34.807,60 | 85 / 10 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 29 | 20 / 11 | $7.431,34 | 49 / 8 | $15.586,40 | 112 / 33 | $14.002,40 | 111 / 33 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 29 | 97 / 33 | $12.528,30 | 73 / 3 | $21.311,50 | 1746 / 92 | $19.982,10 | 1742 / 94 |
Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 59 | $12.657,90 | 158 / 12 | $21.817,00 | 2580 / 128 | $20.270,50 | 2572 / 130 |
Transient Ischemia | 27 | 98 / 33 | $12.451,40 | 140 / 14 | $17.698,90 | 1670 / 101 | $16.103,60 | 1662 / 101 |
Diabetes W Cc | 26 | 66 / 23 | $15.360,40 | 359 / 20 | $18.672,20 | 1628 / 99 | $16.892,20 | 1623 / 99 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 25 | 36 / 10 | $10.283,50 | 111 / 5 | $16.358,80 | 927 / 56 | $15.181,50 | 926 / 56 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 29 | $23.562,00 | 40 / 4 | $33.268,20 | 1851 / 94 | $31.278,80 | 1837 / 98 |
Red Blood Cell Disorders W Mcc | 24 | 47 / 16 | $20.233,30 | 163 / 8 | $24.240,40 | 1112 / 77 | $22.238,60 | 1108 / 78 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 72 | $20.648,20 | 841 / 49 | $22.299,00 | 2578 / 134 | $19.899,50 | 2568 / 134 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 21 | $12.364,20 | 42 / 2 | $22.866,50 | 1472 / 80 | $21.252,10 | 1467 / 80 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 23 | 48 / 16 | $40.002,40 | 5 / 1 | $59.083,30 | 961 / 54 | $55.988,40 | 960 / 56 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 40 | $12.910,50 | 587 / 38 | $17.625,90 | 2019 / 117 | $15.928,60 | 2006 / 117 |
Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 52 | $17.980,40 | 265 / 16 | $23.492,30 | 2523 / 120 | $21.602,80 | 2517 / 122 |
Signs & Symptoms W/O Mcc | 23 | 68 / 28 | $10.380,30 | 101 / 2 | $17.604,60 | 1345 / 88 | $15.771,30 | 1342 / 88 |
Other Circulatory System Diagnoses W Mcc | 22 | 94 / 26 | $20.300,10 | 55 / 2 | $28.705,90 | 1387 / 75 | $26.292,50 | 1379 / 76 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 21 | 543 / 87 | $32.620,90 | 337 / 34 | $31.620,00 | 2690 / 120 | $29.645,30 | 2644 / 121 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 21 | 70 / 12 | $10.199,30 | 14 / 3 | $21.897,00 | 400 / 24 | $21.127,60 | 400 / 24 |
Peripheral Vascular Disorders W Cc | 21 | 63 / 27 | $12.686,00 | 98 / 2 | $20.517,40 | 1262 / 78 | $18.757,30 | 1259 / 77 |
G.I. Hemorrhage W Mcc | 20 | 101 / 34 | $26.283,40 | 206 / 7 | $29.576,90 | 1672 / 87 | $27.446,70 | 1662 / 87 |
Medical Back Problems W/O Mcc | 20 | 101 / 43 | $13.560,90 | 148 / 10 | $19.415,70 | 1501 / 90 | $17.506,80 | 1496 / 90 |
Hypertension W/O Mcc | 20 | 45 / 16 | $8.488,70 | 40 / 2 | $16.115,20 | 785 / 55 | $14.376,30 | 783 / 55 |
Other Digestive System Diagnoses W Cc | 18 | 79 / 31 | $18.177,30 | 291 / 16 | $18.961,80 | 1437 / 74 | $17.295,70 | 1433 / 76 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 54 | $16.949,00 | 277 / 17 | $22.034,50 | 2084 / 107 | $19.907,20 | 2079 / 108 |
Dysequilibrium | 17 | 48 / 22 | $9.794,65 | 45 / 2 | $15.081,80 | 569 / 57 | $13.613,10 | 569 / 57 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 38 | $10.776,60 | 330 / 28 | $17.929,70 | 2117 / 123 | $15.975,90 | 2105 / 123 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 44 | $17.898,50 | 233 / 18 | $23.570,40 | 1919 / 105 | $21.328,40 | 1916 / 106 |
Tendonitis, Myositis & Bursitis W/O Mcc | 16 | 26 / 9 | $11.457,20 | 38 / 2 | $19.228,20 | 332 / 34 | $17.440,60 | 331 / 34 |
G.I. Hemorrhage W Cc | 16 | 202 / 72 | $17.713,70 | 544 / 36 | $21.403,70 | 2437 / 128 | $19.542,40 | 2433 / 128 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 47 | $51.306,70 | 57 / 6 | $67.329,20 | 1579 / 82 | $62.766,60 | 1569 / 85 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 54 | $16.816,90 | 732 / 39 | $17.698,40 | 2173 / 114 | $15.782,20 | 2168 / 116 |
Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 74 | $15.170,30 | 580 / 42 | $20.916,60 | 2833 / 142 | $18.725,10 | 2824 / 141 |
Hiv W Major Related Condition W Cc | 14 | 10 / 5 | $17.468,10 | 4 / 2 | $24.761,40 | 41 / 6 | $22.790,80 | 41 / 6 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 48 | $14.391,10 | 205 / 8 | $21.877,60 | 1954 / 87 | $19.795,80 | 1950 / 87 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 14 | 67 / 20 | $150.696,00 | 2 / 1 | $184.660,00 | 416 / 20 | $174.329,00 | 415 / 28 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 46 | $25.125,10 | 210 / 12 | $28.533,20 | 1630 / 85 | $26.154,80 | 1623 / 86 |
Hiv W Or W/O Other Related Condition | 14 | 6 / 2 | $11.725,80 | 2 / 1 | $22.066,10 | 17 / 4 | $20.818,90 | 17 / 4 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 20 | $12.962,30 | 64 / 4 | $18.427,70 | 742 / 46 | $16.749,10 | 742 / 47 |
Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 13 | $13.217,90 | 15 / 1 | $25.141,30 | 990 / 35 | $23.732,80 | 987 / 35 |
Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 16 | $9.150,46 | 41 / 1 | $16.971,70 | 382 / 34 | $15.587,10 | 382 / 34 |
Respiratory Signs & Symptoms | 13 | 33 / 15 | $10.112,80 | 20 / 1 | $17.403,20 | 316 / 25 | $15.808,80 | 316 / 25 |
Pulmonary Edema & Respiratory Failure | 13 | 190 / 52 | $21.380,00 | 495 / 30 | $23.827,70 | 2238 / 106 | $21.217,50 | 2232 / 106 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 13 | 34 / 17 | $8.545,54 | 20 / 1 | $17.580,20 | 382 / 32 | $16.100,20 | 382 / 32 |
Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 35 | $15.574,90 | 107 / 6 | $20.666,90 | 877 / 71 | $18.537,50 | 877 / 72 |
Seizures W Mcc | 12 | 54 / 19 | $20.247,40 | 58 / 1 | $25.522,20 | 768 / 43 | $22.606,30 | 768 / 43 |
Atherosclerosis W/O Mcc | 12 | 46 / 23 | $10.522,60 | 57 / 4 | $16.608,90 | / 47 | $15.360,10 | / |
Other Respiratory System Diagnoses W/O Mcc | 12 | 34 / 13 | $9.805,67 | 15 / 1 | $18.656,00 | 322 / 22 | $17.279,40 | 322 / 22 |
Peripheral Vascular Disorders W Mcc | 12 | 37 / 19 | $23.966,60 | 99 / 4 | $26.560,10 | 589 / 39 | $23.968,10 | 589 / 39 |
Diabetes W Mcc | 12 | 45 / 21 | $19.111,30 | 69 / 4 | $25.294,70 | 747 / 43 | $23.175,30 | 746 / 43 |
Cellulitis W Mcc | 11 | 47 / 26 | $16.407,00 | 62 / 3 | $26.080,00 | 969 / 59 | $24.168,30 | 967 / 59 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 30 | $12.770,40 | 65 / 2 | $20.552,20 | 865 / 49 | $18.761,90 | 865 / 49 | Total 70 procedures | 1.891 | 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.