Hospital Costs > In New Jersey > Capital Health System-Fuld Campus, 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 Mcc | 21 | 104 / 38 | $125.627,00 | 1778 / 51 | $9.723,67 | 373 / 5 | $8.708,48 | 373 / 7 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 19 | 105 / 15 | $88.002,90 | 850 / 31 | $5.731,42 | 540 / 15 | $4.592,89 | 539 / 20 |
| Atherosclerosis W/O Mcc | 21 | 37 / 11 | $55.857,60 | 541 / 32 | $5.074,52 | / 18 | $4.223,24 | / |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 35 | $66.163,00 | 2139 / 51 | $6.446,50 | 1597 / 34 | $5.191,14 | 1592 / 38 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 36 | $110.925,00 | 1903 / 53 | $9.452,76 | 1355 / 32 | $8.128,06 | 1352 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 46 | $61.931,80 | 1984 / 57 | $4.787,44 | 1479 / 35 | $3.496,94 | 1473 / 37 |
| Cellulitis W Mcc | 15 | 43 / 18 | $89.244,80 | 932 / 32 | $11.060,20 | 706 / 20 | $10.047,60 | 704 / 25 |
| Cellulitis W/O Mcc | 35 | 154 / 50 | $69.863,50 | 2630 / 59 | $6.952,94 | 2023 / 35 | $5.626,37 | 2015 / 39 |
| Chest Pain | 64 | 87 / 9 | $60.543,80 | 1704 / 51 | $5.086,62 | 1174 / 25 | $3.912,31 | 1167 / 31 |
| Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 40 | $76.378,10 | 2423 / 53 | $7.285,86 | 1737 / 31 | $5.942,92 | 1730 / 33 |
| Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 37 | $96.104,50 | 2550 / 53 | $8.838,32 | 1828 / 27 | $7.500,75 | 1820 / 29 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 28 | $67.278,00 | 2095 / 54 | $5.898,04 | 1590 / 32 | $4.627,00 | 1579 / 36 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 13 | $74.960,10 | 730 / 31 | $6.831,00 | 418 / 13 | $5.487,64 | 418 / 16 |
| Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 15 | 27 / 5 | $463.023,00 | 178 / 6 | $39.842,90 | 93 / 2 | $37.436,90 | 93 / 2 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 48 | 50 / 2 | $276.204,00 | 483 / 15 | $28.793,10 | 131 / 1 | $24.894,50 | 131 / 1 |
| Degenerative Nervous System Disorders W/O Mcc | 25 | 53 / 14 | $72.438,30 | 855 / 35 | $7.146,12 | 476 / 19 | $5.967,60 | 476 / 20 |
| Diabetes W Cc | 33 | 59 / 12 | $79.117,50 | 1619 / 54 | $6.793,88 | 1117 / 28 | $5.451,64 | 1113 / 34 |
| Dysequilibrium | 15 | 50 / 16 | $78.733,20 | 569 / 31 | $6.149,07 | 191 / 27 | $3.130,20 | 191 / 10 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 14 | 67 / 10 | $983.293,00 | 427 / 16 | $180.620,00 | 17 / 15 | $72.398,30 | 17 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 25 | $107.716,00 | 1456 / 46 | $9.408,10 | 1008 / 24 | $8.195,35 | 1003 / 27 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 45 | 230 / 46 | $69.155,60 | 2720 / 58 | $6.143,24 | 2052 / 34 | $4.893,93 | 2038 / 38 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 21 | $105.064,00 | 812 / 36 | $6.297,17 | 551 / 19 | $4.847,75 | 549 / 24 |
| G.I. Hemorrhage W Cc | 32 | 186 / 44 | $119.160,00 | 2425 / 59 | $8.120,41 | 1721 / 37 | $6.403,56 | 1717 / 33 |
| G.I. Hemorrhage W Mcc | 20 | 101 / 29 | $128.049,00 | 1645 / 51 | $12.781,50 | 1182 / 24 | $12.096,50 | 1174 / 29 |
| G.I. Obstruction W Cc | 17 | 75 / 25 | $82.213,80 | 1721 / 46 | $7.187,47 | 1329 / 27 | $5.978,18 | 1324 / 34 |
| Heart Failure & Shock W Cc | 44 | 234 / 47 | $111.101,00 | 2766 / 60 | $7.987,25 | 2009 / 35 | $6.547,52 | 2004 / 34 |
| Heart Failure & Shock W Mcc | 43 | 241 / 50 | $149.121,00 | 2629 / 58 | $11.798,50 | 2092 / 35 | $10.730,40 | 2083 / 39 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 37 | $61.595,00 | 2000 / 56 | $5.569,38 | 1546 / 35 | $4.587,43 | 1533 / 39 |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 39 | $167.609,00 | 2050 / 50 | $14.522,80 | 1568 / 30 | $13.144,70 | 1549 / 32 |
| Hypertension W/O Mcc | 15 | 50 / 15 | $66.974,20 | 781 / 33 | $5.271,87 | 537 / 19 | $3.965,53 | 535 / 22 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 30 | $496.459,00 | 1585 / 53 | $45.961,70 | 1351 / 46 | $43.864,60 | 1341 / 51 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 124 | 59 / 6 | $131.917,00 | 2082 / 57 | $8.428,69 | 1564 / 30 | $7.084,28 | 1561 / 35 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 139 | 41 / 1 | $170.048,00 | 1626 / 52 | $14.134,10 | 1061 / 38 | $11.371,70 | 1056 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 48 | 54 / 10 | $108.286,00 | 1615 / 49 | $6.182,98 | 1181 / 30 | $4.787,15 | 1177 / 31 |
| Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 34 | $165.373,00 | 1956 / 54 | $13.355,30 | 1896 / 53 | $11.634,70 | 1892 / 53 |
| Kidney & Urinary Tract Infections W/O Mcc | 61 | 172 / 33 | $74.524,70 | 2712 / 57 | $6.321,29 | 2061 / 33 | $5.122,59 | 2050 / 38 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 12 | 552 / 55 | $140.725,00 | 2648 / 54 | $15.900,00 | 2176 / 33 | $14.535,10 | 2132 / 38 |
| Medical Back Problems W/O Mcc | 34 | 87 / 23 | $91.786,40 | 1495 / 52 | $6.846,50 | 890 / 28 | $4.959,41 | 887 / 27 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 26 | $93.604,80 | 1726 / 47 | $8.529,93 | 1142 / 25 | $7.456,29 | 1139 / 27 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 38 | $78.314,30 | 2543 / 58 | $5.879,60 | 1960 / 34 | $4.800,17 | 1952 / 38 |
| Nervous System Neoplasms W Mcc | 15 | 33 / 6 | $164.363,00 | 310 / 17 | $10.136,20 | 155 / 6 | $8.404,27 | 155 / 6 |
| Organic Disturbances & Mental Retardation | 18 | 41 / 10 | $89.454,30 | 561 / 27 | $7.668,06 | 279 / 8 | $6.136,33 | 279 / 8 |
| Other Circulatory System Diagnoses W Mcc | 29 | 87 / 17 | $165.029,00 | 1386 / 48 | $14.412,50 | 932 / 28 | $12.935,30 | 925 / 27 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 29 | $74.492,40 | 1412 / 47 | $7.770,50 | 1066 / 29 | $6.725,79 | 1062 / 34 |
| Other Disorders Of Nervous System W Cc | 12 | 44 / 16 | $87.518,80 | 617 / 25 | $6.971,92 | 424 / 14 | $6.018,08 | 424 / 18 |
| Other Vascular Procedures W Mcc | 19 | 78 / 20 | $218.992,00 | 983 / 42 | $23.520,50 | 606 / 20 | $22.163,60 | 603 / 21 |
| Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim | 11 | 18 / 2 | $200.439,00 | 77 / 2 | $23.414,50 | 25 / 2 | $13.616,90 | 25 / 2 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 30 | $103.877,00 | 1258 / 52 | $8.049,20 | 884 / 35 | $6.576,07 | 881 / 36 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 11 | $239.574,00 | 991 / 23 | $13.359,90 | 852 / 18 | $11.829,80 | 849 / 20 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 7 | $67.266,30 | 921 / 27 | $5.421,33 | 604 / 14 | $4.256,22 | 603 / 14 |
| Red Blood Cell Disorders W/O Mcc | 18 | 125 / 43 | $65.740,00 | 1983 / 54 | $6.535,22 | 1442 / 30 | $5.321,83 | 1433 / 35 |
| Renal Failure W Cc | 49 | 172 / 38 | $85.615,20 | 2433 / 55 | $7.683,06 | 1807 / 33 | $6.433,22 | 1797 / 36 |
| Renal Failure W Mcc | 60 | 135 / 19 | $93.346,30 | 2083 / 41 | $11.385,80 | 1507 / 25 | $10.323,90 | 1506 / 29 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 25 | $295.243,00 | 1854 / 54 | $18.698,30 | 1442 / 40 | $16.842,40 | 1428 / 41 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 18 | $854.268,00 | 990 / 37 | $57.896,30 | 958 / 36 | $55.488,50 | 957 / 36 |
| Seizures W Mcc | 38 | 28 / 2 | $253.535,00 | 776 / 27 | $14.302,60 | 606 / 20 | $12.357,40 | 606 / 20 |
| Seizures W/O Mcc | 57 | 51 / 9 | $97.233,10 | 1319 / 53 | $6.319,53 | 919 / 28 | $5.151,79 | 916 / 33 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 19 | $675.606,00 | 1102 / 47 | $46.093,70 | 764 / 30 | $42.430,60 | 763 / 30 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 102 | 414 / 44 | $181.472,00 | 2822 / 59 | $14.266,30 | 2111 / 33 | $12.817,80 | 2074 / 34 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 43 | $125.679,00 | 2574 / 57 | $9.752,87 | 1706 / 44 | $6.585,65 | 1699 / 26 |
| Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 37 | $86.399,90 | 2810 / 58 | $7.749,56 | 2177 / 33 | $6.567,51 | 2169 / 39 |
| Simple Pneumonia & Pleurisy W Mcc | 42 | 163 / 29 | $124.714,00 | 2505 / 55 | $10.927,00 | 1784 / 27 | $9.357,90 | 1784 / 31 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 31 | $77.691,40 | 1957 / 53 | $5.940,31 | 1483 / 35 | $4.378,31 | 1475 / 33 |
| Syncope & Collapse | 44 | 125 / 32 | $72.075,50 | 1923 / 58 | $6.009,57 | 1376 / 34 | $4.783,77 | 1369 / 37 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 25 | 39 / 6 | $916.041,00 | 560 / 32 | $71.185,10 | 318 / 14 | $68.262,80 | 318 / 15 |
| Transient Ischemia | 28 | 97 / 30 | $105.023,00 | 1666 / 55 | $5.827,14 | 1207 / 32 | $4.556,04 | 1201 / 35 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 37 | 29 / 3 | $99.349,60 | 526 / 20 | $10.751,90 | 225 / 19 | $6.376,86 | 225 / 5 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 23 | 28 / 5 | $185.596,00 | 345 / 15 | $14.766,10 | 207 / 3 | $13.431,50 | 207 / 5 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 15 | 39 / 11 | $88.318,50 | 406 / 16 | $6.040,67 | 270 / 8 | $5.035,07 | 270 / 13 |
| Traumatic Stupor & Coma, Coma >1 Hr W Cc | 13 | 11 / 2 | $128.137,00 | 40 / 6 | $21.111,90 | 11 / 6 | $7.633,85 | 11 / 1 |
| Traumatic Stupor & Coma, Coma >1 Hr W Mcc | 16 | 11 / 1 | $208.192,00 | 61 / 5 | $17.176,10 | 38 / 2 | $16.088,40 | 38 / 3 | Total 71 procedures | 2.194 | 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.