Hospital Costs > In New Jersey > Capital Health Medical Center - Hopewell, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 175 | 389 / 23 | $117.315,00 | 2583 / 49 | $14.448,30 | 1809 / 20 | $12.919,70 | 1768 / 23 |
| Syncope & Collapse | 80 | 89 / 16 | $72.009,40 | 1922 / 57 | $7.496,52 | 1452 / 49 | $5.020,73 | 1445 / 41 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 69 | 206 / 35 | $73.020,60 | 2725 / 59 | $6.287,17 | 2018 / 37 | $4.839,90 | 2004 / 37 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 65 | 451 / 52 | $184.930,00 | 2823 / 60 | $14.532,80 | 2285 / 36 | $13.576,20 | 2244 / 44 |
| G.I. Hemorrhage W Cc | 64 | 154 / 29 | $115.060,00 | 2423 / 57 | $8.531,39 | 2013 / 43 | $7.316,19 | 2009 / 45 |
| Heart Failure & Shock W Cc | 62 | 216 / 42 | $103.695,00 | 2764 / 59 | $7.998,03 | 2066 / 36 | $6.657,60 | 2061 / 38 |
| Kidney & Urinary Tract Infections W/O Mcc | 56 | 177 / 36 | $68.513,90 | 2707 / 56 | $7.084,23 | 1898 / 46 | $4.826,41 | 1887 / 34 |
| Heart Failure & Shock W Mcc | 56 | 228 / 47 | $153.974,00 | 2631 / 59 | $12.324,00 | 2256 / 40 | $11.588,10 | 2246 / 49 |
| Cellulitis W/O Mcc | 54 | 135 / 41 | $66.452,70 | 2622 / 56 | $7.011,59 | 1870 / 38 | $5.281,11 | 1862 / 33 |
| Simple Pneumonia & Pleurisy W Cc | 53 | 150 / 32 | $95.535,80 | 2818 / 60 | $7.627,89 | 2215 / 31 | $6.656,57 | 2207 / 40 |
| Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 31 | $97.463,70 | 2443 / 58 | $8.243,22 | 1833 / 46 | $6.185,45 | 1826 / 39 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 48 | 120 / 16 | $170.411,00 | 1628 / 53 | $14.486,90 | 1298 / 41 | $12.972,10 | 1292 / 39 |
| Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 37 | $126.333,00 | 2571 / 58 | $9.252,89 | 2079 / 32 | $8.182,00 | 2071 / 41 |
| Renal Failure W Cc | 44 | 177 / 41 | $88.496,90 | 2436 / 57 | $7.462,02 | 1890 / 29 | $6.632,64 | 1880 / 38 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 42 | 119 / 28 | $91.197,10 | 2169 / 58 | $6.503,31 | 1760 / 35 | $5.652,29 | 1755 / 44 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 32 | $129.937,00 | 2080 / 56 | $9.028,25 | 1649 / 42 | $7.419,75 | 1645 / 42 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 38 | 112 / 32 | $63.845,50 | 1987 / 58 | $5.214,24 | 1594 / 45 | $3.720,63 | 1588 / 45 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 36 | $72.381,50 | 2539 / 55 | $6.038,45 | 1967 / 39 | $4.814,53 | 1959 / 39 |
| Medical Back Problems W/O Mcc | 34 | 87 / 23 | $84.140,60 | 1491 / 50 | $6.856,50 | 1073 / 29 | $5.459,50 | 1070 / 35 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 27 | $127.113,00 | 1914 / 56 | $9.435,56 | 1489 / 31 | $8.613,47 | 1486 / 42 |
| Red Blood Cell Disorders W/O Mcc | 32 | 111 / 34 | $90.310,90 | 2000 / 59 | $6.739,69 | 1630 / 36 | $5.962,03 | 1621 / 44 |
| Respiratory Infections & Inflammations W Mcc | 31 | 105 / 22 | $221.339,00 | 1808 / 47 | $18.910,50 | 1711 / 43 | $17.293,70 | 1695 / 45 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 31 | 157 / 30 | $147.479,00 | 1644 / 46 | $9.410,87 | 1344 / 36 | $7.754,45 | 1341 / 35 |
| Respiratory Infections & Inflammations W Cc | 31 | 57 / 13 | $137.733,00 | 1480 / 42 | $11.146,60 | 1180 / 31 | $9.561,48 | 1175 / 29 |
| Other Vascular Procedures W Cc | 28 | 74 / 15 | $182.786,00 | 1108 / 44 | $18.871,60 | 819 / 20 | $17.512,50 | 814 / 26 |
| Simple Pneumonia & Pleurisy W Mcc | 28 | 177 / 39 | $161.490,00 | 2520 / 58 | $13.484,20 | 2264 / 48 | $11.799,90 | 2258 / 53 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 20 | $86.676,40 | 1605 / 48 | $6.130,89 | 1255 / 28 | $5.046,85 | 1251 / 35 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 24 | $210.626,00 | 1675 / 53 | $17.215,70 | 1576 / 50 | $16.745,50 | 1566 / 53 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 30 | $81.480,70 | 2103 / 56 | $5.989,76 | 1729 / 34 | $5.047,84 | 1718 / 43 |
| Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 34 | $181.308,00 | 2053 / 51 | $15.149,40 | 1648 / 32 | $13.673,00 | 1629 / 38 |
| Renal Failure W Mcc | 24 | 171 / 39 | $152.068,00 | 2165 / 56 | $11.703,40 | 1568 / 28 | $10.539,80 | 1566 / 33 |
| Kidney & Urinary Tract Infections W Mcc | 24 | 120 / 32 | $104.646,00 | 1947 / 51 | $8.992,67 | 1671 / 32 | $8.463,71 | 1667 / 41 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 24 | 74 / 8 | $309.675,00 | 493 / 17 | $31.191,20 | 321 / 5 | $30.458,00 | 321 / 8 |
| Transient Ischemia | 24 | 101 / 33 | $82.027,70 | 1662 / 53 | $5.852,67 | 1232 / 33 | $4.607,12 | 1226 / 37 |
| Spinal Fusion Except Cervical W/O Mcc | 23 | 171 / 15 | $260.057,00 | 1342 / 29 | $28.590,70 | 929 / 14 | $25.456,20 | 924 / 16 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 23 | 50 / 13 | $98.344,20 | 1102 / 40 | $9.498,04 | 941 / 26 | $8.877,57 | 939 / 34 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 24 | $60.173,70 | 1944 / 50 | $5.844,82 | 1601 / 34 | $4.741,27 | 1593 / 43 |
| Pulmonary Edema & Respiratory Failure | 22 | 181 / 31 | $154.018,00 | 2244 / 50 | $10.177,70 | 1899 / 34 | $9.374,68 | 1893 / 43 |
| Peripheral Vascular Disorders W Cc | 22 | 62 / 24 | $80.938,20 | 1246 / 49 | $7.703,68 | 868 / 29 | $6.508,82 | 865 / 32 |
| Nervous System Neoplasms W Mcc | 22 | 26 / 5 | $156.139,00 | 309 / 16 | $10.450,80 | 204 / 7 | $9.607,95 | 204 / 11 |
| Diabetes W Cc | 22 | 70 / 22 | $89.326,00 | 1624 / 55 | $8.433,91 | 814 / 48 | $4.722,36 | 810 / 21 |
| Seizures W/O Mcc | 21 | 87 / 31 | $77.164,00 | 1312 / 50 | $9.589,14 | 780 / 50 | $4.683,33 | 777 / 26 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 36 | $531.867,00 | 1588 / 54 | $54.938,20 | 1527 / 54 | $53.742,10 | 1517 / 55 |
| G.I. Obstruction W Cc | 21 | 71 / 22 | $86.495,20 | 1726 / 47 | $7.656,29 | 1466 / 36 | $6.571,24 | 1461 / 40 |
| Degenerative Nervous System Disorders W/O Mcc | 21 | 57 / 18 | $61.690,20 | 833 / 31 | $7.080,81 | 531 / 18 | $6.261,33 | 531 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 33 | $103.864,00 | 1735 / 51 | $9.043,00 | 1356 / 32 | $8.408,75 | 1353 / 39 |
| Other Vascular Procedures W Mcc | 20 | 77 / 19 | $192.772,00 | 961 / 40 | $21.705,90 | 511 / 10 | $20.824,80 | 508 / 12 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 20 | 73 / 16 | $212.119,00 | 915 / 40 | $18.202,40 | 804 / 29 | $17.797,10 | 796 / 37 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 19 | 34 / 15 | $71.249,20 | 850 / 44 | $6.139,47 | 738 / 30 | $5.621,63 | 734 / 37 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 27 | $89.041,30 | 1429 / 48 | $7.571,88 | 1057 / 25 | $6.696,65 | 1053 / 32 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 25 | $109.174,00 | 1424 / 50 | $8.002,82 | 990 / 28 | $6.671,59 | 988 / 28 |
| Other Disorders Of Nervous System W Cc | 17 | 39 / 11 | $80.709,80 | 615 / 24 | $7.629,06 | 393 / 20 | $5.795,24 | 393 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 46 | $74.845,60 | 2518 / 47 | $8.206,12 | 2006 / 28 | $7.330,41 | 1998 / 39 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 17 | 74 / 10 | $115.544,00 | 398 / 18 | $9.125,29 | 268 / 10 | $8.634,29 | 268 / 12 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 16 | 73 / 9 | $90.851,10 | 750 / 20 | $8.353,44 | 590 / 11 | $7.210,31 | 589 / 15 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 16 | 65 / 8 | $1.652.820,00 | 449 / 17 | $234.138,00 | 382 / 17 | $156.265,00 | 381 / 16 |
| Chest Pain | 16 | 135 / 35 | $74.331,70 | 1712 / 52 | $5.473,94 | 1068 / 34 | $3.679,31 | 1061 / 26 |
| Major Small & Large Bowel Procedures W Cc | 16 | 92 / 27 | $197.415,00 | 1515 / 44 | $18.628,40 | 1205 / 22 | $17.519,40 | 1191 / 32 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 20 | $95.470,50 | 859 / 35 | $7.703,06 | 573 / 18 | $6.756,00 | 573 / 22 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 18 | $107.429,00 | 1106 / 43 | $9.360,62 | 759 / 18 | $8.649,50 | 755 / 24 |
| Dysequilibrium | 15 | 50 / 16 | $78.181,70 | 568 / 30 | $5.472,67 | 421 / 22 | $4.411,13 | 421 / 24 |
| Signs & Symptoms W/O Mcc | 15 | 76 / 22 | $75.402,40 | 1340 / 40 | $5.742,33 | 966 / 19 | $4.795,33 | 963 / 24 |
| Pancreas, Liver & Shunt Procedures W Cc | 15 | 40 / 1 | $198.058,00 | 129 / 5 | $19.788,90 | 39 / 1 | $17.122,30 | 39 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 42 | $64.974,20 | 2004 / 57 | $5.592,20 | 1591 / 36 | $4.691,73 | 1578 / 42 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 30 | $230.687,00 | 1395 / 51 | $21.284,90 | 1313 / 49 | $18.709,50 | 1305 / 50 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 35 | $270.567,00 | 1852 / 53 | $21.727,10 | 1691 / 47 | $20.402,00 | 1677 / 51 |
| Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 20 | $256.511,00 | 995 / 33 | $25.063,50 | 779 / 21 | $24.155,00 | 778 / 24 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 15 | $471.919,00 | 755 / 33 | $47.594,90 | 690 / 30 | $42.986,90 | 690 / 31 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 29 | $103.010,00 | 1452 / 45 | $9.232,50 | 1063 / 23 | $8.427,50 | 1058 / 31 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 44 | $155.374,00 | 1809 / 56 | $12.001,00 | 1270 / 24 | $11.365,90 | 1260 / 34 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 14 | 37 / 10 | $152.020,00 | 341 / 13 | $13.478,40 | 173 / 2 | $12.680,20 | 173 / 4 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 21 | $122.408,00 | 1279 / 36 | $16.238,10 | 776 / 36 | $5.745,64 | 773 / 17 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 24 | $63.271,40 | 995 / 48 | $6.008,62 | 679 / 33 | $4.293,31 | 675 / 28 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 7 | $136.333,00 | 476 / 9 | $18.932,10 | 382 / 5 | $17.895,80 | 381 / 6 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 19 | $603.948,00 | 988 / 36 | $56.268,20 | 959 / 35 | $55.928,20 | 958 / 37 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 13 | 27 / 15 | $116.045,00 | 298 / 19 | $9.055,69 | 203 / 12 | $7.988,69 | 203 / 13 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 20 | $63.702,50 | 806 / 34 | $6.011,38 | 561 / 17 | $4.884,62 | 559 / 25 |
| Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 12 | $196.671,00 | 649 / 17 | $23.713,20 | 509 / 8 | $23.091,80 | 507 / 12 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 23 | $188.916,00 | 957 / 38 | $18.312,20 | 643 / 13 | $17.167,90 | 642 / 17 |
| Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 11 | $121.519,00 | 539 / 23 | $13.029,80 | 443 / 11 | $12.206,70 | 442 / 17 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 16 | $204.016,00 | 425 / 20 | $19.504,20 | 269 / 5 | $18.549,60 | 267 / 7 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 10 | $85.158,20 | 382 / 17 | $6.107,00 | 278 / 9 | $5.351,08 | 278 / 13 |
| Cellulitis W Mcc | 12 | 46 / 21 | $154.976,00 | 967 / 42 | $13.645,20 | 891 / 36 | $12.736,60 | 889 / 39 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 16 | $82.196,70 | 733 / 32 | $7.018,27 | 494 / 17 | $6.007,73 | 494 / 20 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 30 | $533.306,00 | 1294 / 46 | $51.523,10 | 1224 / 45 | $47.588,40 | 1221 / 46 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 15 | $105.025,00 | 579 / 26 | $10.566,60 | 424 / 13 | $9.657,73 | 424 / 19 |
| Respiratory Neoplasms W Cc | 11 | 36 / 17 | $106.008,00 | 506 / 34 | $9.262,18 | 257 / 19 | $7.129,55 | 256 / 14 |
| Diabetes W Mcc | 11 | 46 / 17 | $155.862,00 | 749 / 33 | $12.191,90 | 641 / 24 | $11.437,50 | 640 / 28 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 11 | $156.053,00 | 340 / 16 | $13.008,40 | 145 / 6 | $10.896,00 | 146 / 6 | Total 89 procedures | 2.401 | 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.