Hospital Costs > In New Jersey > Cape Regional Medical Center Inc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 24 | $28.520,30 | 677 / 2 | $6.470,15 | 584 / 10 | $5.625,35 | 583 / 14 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 33 | $27.469,60 | 351 / 1 | $9.175,70 | 238 / 2 | $8.407,70 | 238 / 4 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 16 | $17.514,40 | 216 / 1 | $4.899,11 | 352 / 10 | $3.885,78 | 349 / 16 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 22 | $27.742,40 | 661 / 5 | $4.540,82 | 329 / 6 | $3.880,45 | 329 / 11 |
| Atherosclerosis W/O Mcc | 23 | 35 / 10 | $16.593,80 | 228 / 1 | $4.048,91 | / 10 | $3.467,35 | / |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 56 | 105 / 22 | $25.227,20 | 1409 / 3 | $5.190,36 | 765 / 11 | $4.080,30 | 762 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 36 | 87 / 24 | $32.658,10 | 1076 / 1 | $7.718,50 | 735 / 10 | $6.712,28 | 732 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 59 | 91 / 18 | $17.970,10 | 1270 / 2 | $3.735,66 | 751 / 11 | $2.630,31 | 747 / 19 |
| Cellulitis W/O Mcc | 46 | 143 / 47 | $20.018,90 | 1485 / 2 | $5.514,61 | 991 / 11 | $4.265,59 | 985 / 14 |
| Chest Pain | 12 | 139 / 37 | $18.553,30 | 810 / 1 | $4.027,67 | 687 / 11 | $3.123,67 | 682 / 16 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 44 | $24.177,10 | 1394 / 2 | $5.953,82 | 1125 / 11 | $5.076,73 | 1121 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 48 | $26.425,20 | 1236 / 1 | $7.459,64 | 1225 / 9 | $6.493,24 | 1219 / 10 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 15 | $29.293,20 | 450 / 1 | $5.757,67 | 281 / 6 | $4.955,00 | 281 / 10 |
| Diabetes W Cc | 29 | 63 / 15 | $26.890,20 | 1073 / 2 | $5.366,34 | 773 / 11 | $4.659,03 | 770 / 17 |
| Diabetes W Mcc | 12 | 45 / 16 | $44.068,70 | 505 / 2 | $8.975,33 | 329 / 4 | $8.274,00 | 329 / 8 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 15 | 55 / 10 | $35.565,10 | 436 / 2 | $6.010,93 | 240 / 3 | $5.609,87 | 240 / 4 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 14 | $27.586,80 | 558 / 1 | $5.995,91 | 351 / 7 | $4.899,18 | 350 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 32 | $35.118,50 | 803 / 2 | $7.360,27 | 486 / 6 | $6.592,27 | 483 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 85 | 190 / 30 | $25.379,90 | 1909 / 3 | $5.092,12 | 837 / 15 | $3.653,65 | 832 / 14 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 21 | $18.331,10 | 452 / 2 | $4.591,33 | 354 / 8 | $3.586,00 | 355 / 13 |
| G.I. Hemorrhage W Cc | 66 | 152 / 27 | $29.091,00 | 1509 / 2 | $6.252,08 | 968 / 9 | $5.338,14 | 966 / 12 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 26 | $55.279,00 | 1119 / 4 | $10.989,30 | 552 / 8 | $9.797,83 | 553 / 4 |
| G.I. Obstruction W Cc | 36 | 56 / 12 | $26.861,30 | 1078 / 1 | $5.708,39 | 754 / 8 | $4.766,17 | 752 / 13 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 20 | $21.641,80 | 894 / 2 | $4.066,24 | 527 / 7 | $2.998,94 | 526 / 16 |
| Heart Failure & Shock W Cc | 62 | 216 / 42 | $23.246,80 | 1512 / 1 | $6.341,02 | 944 / 10 | $5.254,52 | 943 / 10 |
| Heart Failure & Shock W Mcc | 117 | 167 / 28 | $35.272,00 | 1416 / 1 | $9.494,56 | 1392 / 11 | $8.851,95 | 1388 / 15 |
| Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 32 | $18.331,60 | 1178 / 1 | $4.408,37 | 806 / 13 | $3.560,96 | 802 / 18 |
| Hip & Femur Procedures Except Major Joint W Cc | 55 | 88 / 18 | $48.852,30 | 1007 / 2 | $12.255,40 | 1067 / 9 | $11.202,90 | 1053 / 14 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 15 | $59.924,70 | 308 / 1 | $18.006,90 | 381 / 4 | $17.172,50 | 378 / 5 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 17 | $35.335,20 | 309 / 2 | $10.421,10 | 529 / 8 | $9.397,08 | 527 / 13 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 25 | 11 / 1 | $56.754,70 | 155 / 1 | $14.850,60 | 141 / 1 | $13.886,80 | 141 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 39 | 85 / 20 | $113.281,00 | 660 / 3 | $32.080,30 | 678 / 10 | $31.338,50 | 672 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 46 | 136 / 29 | $32.728,20 | 1270 / 1 | $6.679,89 | 984 / 10 | $5.813,80 | 981 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 21 | 147 / 35 | $44.372,80 | 821 / 2 | $10.733,80 | 678 / 8 | $9.813,38 | 677 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 33 | 69 / 16 | $31.710,50 | 1154 / 4 | $4.950,94 | 722 / 10 | $3.886,21 | 718 / 16 |
| Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 40 | $31.708,20 | 1242 / 1 | $6.754,36 | 591 / 3 | $5.810,36 | 590 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 46 | $21.842,10 | 1749 / 2 | $5.054,03 | 1246 / 13 | $4.119,84 | 1237 / 18 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 18 | $47.834,50 | 420 / 2 | $10.563,00 | 479 / 8 | $9.466,27 | 477 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 22 | $32.376,00 | 708 / 2 | $7.484,08 | 510 / 7 | $6.673,42 | 508 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 81 | 483 / 35 | $52.354,60 | 1393 / 7 | $13.543,00 | 1631 / 12 | $12.392,20 | 1594 / 17 |
| Major Small & Large Bowel Procedures W Cc | 16 | 92 / 27 | $61.832,80 | 676 / 2 | $15.963,60 | 839 / 9 | $14.905,60 | 831 / 14 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 27 | $105.951,00 | 440 / 1 | $29.506,90 | 254 / 5 | $26.974,80 | 252 / 3 |
| Medical Back Problems W/O Mcc | 13 | 108 / 37 | $21.673,90 | 650 / 2 | $5.560,85 | 685 / 11 | $4.544,23 | 682 / 19 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 33 | $31.563,10 | 1027 / 2 | $7.195,05 | 711 / 8 | $6.411,05 | 708 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 48 | 118 / 29 | $22.953,20 | 1773 / 3 | $4.598,98 | 906 / 13 | $3.579,69 | 903 / 14 |
| Other Circulatory System Diagnoses W Mcc | 26 | 90 / 20 | $61.034,50 | 942 / 6 | $12.401,90 | 750 / 10 | $11.846,80 | 747 / 18 |
| Other Digestive System Diagnoses W Cc | 20 | 77 / 24 | $34.678,20 | 1014 / 6 | $6.404,05 | 657 / 9 | $5.495,30 | 653 / 18 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 24 | $29.406,40 | 365 / 1 | $9.354,92 | 388 / 3 | $8.700,15 | 387 / 3 |
| Peripheral Vascular Disorders W Cc | 29 | 55 / 20 | $30.113,70 | 813 / 1 | $6.209,00 | 561 / 12 | $5.463,07 | 559 / 16 |
| Peripheral Vascular Disorders W Mcc | 15 | 34 / 11 | $35.629,30 | 301 / 1 | $8.403,33 | 192 / 5 | $7.603,33 | 192 / 8 |
| Pulmonary Edema & Respiratory Failure | 154 | 54 / 1 | $29.660,20 | 1021 / 1 | $7.827,65 | 997 / 6 | $6.944,36 | 996 / 10 |
| Red Blood Cell Disorders W Mcc | 32 | 39 / 7 | $41.481,00 | 707 / 2 | $8.186,25 | 463 / 10 | $7.356,25 | 461 / 11 |
| Red Blood Cell Disorders W/O Mcc | 52 | 91 / 18 | $27.940,60 | 1410 / 4 | $5.218,92 | 804 / 10 | $4.302,00 | 799 / 17 |
| Renal Failure W Cc | 58 | 163 / 32 | $28.189,90 | 1615 / 2 | $6.282,95 | 1053 / 14 | $5.238,21 | 1045 / 13 |
| Renal Failure W Mcc | 55 | 140 / 20 | $38.486,10 | 1220 / 1 | $9.272,58 | 828 / 4 | $8.592,44 | 828 / 7 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 25 | $38.152,10 | 930 / 3 | $8.950,67 | 914 / 9 | $8.348,00 | 909 / 17 |
| Respiratory Infections & Inflammations W Mcc | 22 | 114 / 27 | $31.998,00 | 466 / 1 | $11.696,70 | 652 / 3 | $10.821,00 | 644 / 3 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 32 | $62.949,80 | 978 / 3 | $13.562,80 | 652 / 2 | $12.823,20 | 644 / 5 |
| Seizures W Mcc | 13 | 53 / 16 | $36.304,50 | 287 / 2 | $9.720,23 | 277 / 5 | $8.726,38 | 277 / 7 |
| Seizures W/O Mcc | 17 | 91 / 35 | $24.627,60 | 759 / 2 | $4.942,06 | 480 / 10 | $4.021,59 | 478 / 14 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 20 | $161.207,00 | 588 / 5 | $36.303,70 | 422 / 4 | $35.378,60 | 421 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 408 | 132 / 8 | $41.467,80 | 1384 / 1 | $11.411,90 | 1275 / 4 | $10.588,30 | 1254 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 185 | 31 / 2 | $31.686,00 | 1717 / 2 | $6.753,21 | 1079 / 8 | $5.737,74 | 1076 / 10 |
| Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 39 | $26.770,70 | 1753 / 3 | $6.442,51 | 1301 / 11 | $5.307,33 | 1297 / 18 |
| Simple Pneumonia & Pleurisy W Mcc | 63 | 142 / 21 | $32.743,10 | 1212 / 1 | $9.071,24 | 1255 / 7 | $8.228,06 | 1255 / 12 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 31 | $21.796,00 | 1294 / 2 | $4.653,23 | 843 / 11 | $3.545,54 | 839 / 17 |
| Syncope & Collapse | 46 | 123 / 30 | $22.484,40 | 1069 / 2 | $4.778,70 | 732 / 12 | $3.784,61 | 729 / 18 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 17 | 25 / 8 | $28.630,50 | 230 / 2 | $5.283,24 | 99 / 3 | $4.229,12 | 99 / 6 |
| Transient Ischemia | 52 | 73 / 13 | $26.531,40 | 1030 / 2 | $4.614,77 | 707 / 11 | $3.595,08 | 703 / 17 |
| Transurethral Procedures W Cc | 13 | 28 / 14 | $31.487,20 | 135 / 1 | $8.509,54 | 108 / 8 | $6.624,69 | 108 / 4 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 17 | 29 / 8 | $20.845,80 | 168 / 1 | $4.418,06 | 104 / 4 | $3.242,41 | 104 / 7 | Total 71 procedures | 2.806 | 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.