Hospital Costs > In New York > Canton-Potsdam 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 | 96 | 420 / 84 | $15.621,80 | 88 / 15 | $12.266,40 | 1702 / 35 | $11.452,40 | 1669 / 42 |
Chronic Obstructive Pulmonary Disease W Mcc | 69 | 133 / 28 | $13.359,00 | 207 / 14 | $7.763,30 | 1559 / 29 | $6.922,96 | 1552 / 40 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 60 | 147 / 45 | $14.898,70 | 345 / 25 | $7.093,73 | 1443 / 29 | $6.167,87 | 1437 / 35 |
Heart Failure & Shock W Cc | 55 | 223 / 57 | $11.044,00 | 199 / 18 | $6.575,89 | 1659 / 29 | $5.939,96 | 1654 / 43 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 44 | 80 / 22 | $9.589,48 | 122 / 6 | $4.706,77 | 264 / 6 | $3.692,75 | 264 / 7 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 43 | 521 / 76 | $34.616,90 | 438 / 39 | $14.411,20 | 1894 / 34 | $13.197,70 | 1852 / 50 |
Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 51 | $10.356,80 | 130 / 10 | $6.476,51 | 1430 / 27 | $5.448,49 | 1424 / 31 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 54 | $10.139,20 | 324 / 24 | $4.765,42 | 1408 / 21 | $3.977,63 | 1403 / 34 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 76 | $10.792,90 | 271 / 22 | $5.030,94 | 899 / 23 | $3.693,26 | 894 / 16 |
Heart Failure & Shock W Mcc | 28 | 256 / 71 | $15.903,10 | 186 / 14 | $9.956,75 | 1598 / 28 | $9.272,18 | 1593 / 40 |
Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 44 | $27.313,70 | 139 / 12 | $13.081,00 | 1319 / 27 | $12.059,50 | 1302 / 31 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 34 | $12.886,80 | 68 / 7 | $8.027,62 | 1027 / 16 | $7.191,92 | 1024 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 46 | $8.928,08 | 69 / 4 | $5.227,83 | 1066 / 18 | $4.369,17 | 1062 / 23 |
Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 75 | $10.084,80 | 306 / 20 | $5.123,52 | 1381 / 21 | $4.230,30 | 1372 / 27 |
Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 54 | $9.308,59 | 62 / 4 | $6.202,82 | 1243 / 27 | $5.212,27 | 1238 / 27 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 21 | 28 / 15 | $8.433,00 | 59 / 13 | $3.478,86 | 23 / 4 | $2.730,67 | 23 / 3 |
G.I. Hemorrhage W Cc | 21 | 197 / 67 | $11.831,00 | 113 / 10 | $6.687,38 | 1061 / 25 | $5.424,43 | 1059 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 51 | $15.357,60 | 171 / 10 | $7.159,95 | 1254 / 20 | $6.244,14 | 1251 / 30 |
Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 54 | $14.217,60 | 95 / 7 | $9.637,62 | 1309 / 29 | $8.332,86 | 1309 / 22 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 44 | $11.271,70 | 13 / 3 | $11.449,70 | 1072 / 27 | $10.558,70 | 1069 / 35 |
Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 44 | $8.973,95 | 181 / 15 | $4.622,58 | 929 / 19 | $3.665,95 | 922 / 17 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 31 | $27.690,20 | 36 / 4 | $17.111,60 | 829 / 20 | $14.873,60 | 821 / 20 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 16 | 60 / 22 | $28.605,20 | 57 / 12 | $8.089,75 | 42 / 6 | $7.485,25 | 42 / 9 |
G.I. Obstruction W Cc | 15 | 77 / 31 | $11.016,00 | 80 / 5 | $5.862,00 | 918 / 19 | $4.974,53 | 915 / 26 |
Other Digestive System Diagnoses W Cc | 15 | 82 / 34 | $13.328,10 | 104 / 6 | $6.391,93 | 740 / 9 | $5.664,47 | 736 / 17 |
Pulmonary Edema & Respiratory Failure | 14 | 189 / 51 | $15.840,50 | 186 / 17 | $8.086,79 | 1348 / 24 | $7.485,64 | 1344 / 37 |
Medical Back Problems W/O Mcc | 13 | 108 / 50 | $11.416,40 | 89 / 5 | $5.614,23 | 718 / 9 | $4.590,23 | 715 / 14 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 59 | $7.359,77 | 98 / 7 | $4.005,92 | 1165 / 28 | $2.984,38 | 1160 / 33 |
Cellulitis W/O Mcc | 12 | 177 / 82 | $9.166,17 | 174 / 15 | $5.590,58 | 1260 / 25 | $4.486,58 | 1254 / 25 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 42 | $15.359,70 | 25 / 2 | $13.225,00 | 1192 / 22 | $12.529,00 | 1177 / 25 |
Renal Failure W Cc | 12 | 209 / 73 | $9.876,00 | 87 / 8 | $6.369,42 | 1434 / 22 | $5.660,08 | 1425 / 33 |
Atherosclerosis W/O Mcc | 11 | 47 / 24 | $10.123,30 | 48 / 2 | $4.274,18 | / 3 | $3.398,55 | / |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 65 | $13.587,00 | 319 / 18 | $5.307,27 | 1017 / 15 | $4.533,45 | 1010 / 24 | Total 33 procedures | 911 | 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.