Hospital Costs > In New York > Cayuga Medical Center At Ithaca, 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 | 214 | 302 / 44 | $14.367,40 | 55 / 9 | $10.463,90 | 482 / 5 | $9.482,81 | 482 / 8 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 111 | 453 / 53 | $26.260,90 | 107 / 18 | $12.488,50 | 1091 / 12 | $11.206,60 | 1067 / 19 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 85 | 122 / 30 | $9.627,86 | 55 / 3 | $6.337,08 | 726 / 6 | $5.412,47 | 724 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 33 | 135 / 30 | $13.043,80 | 14 / 1 | $9.722,21 | 67 / 2 | $7.964,82 | 67 / 1 |
Hip & Femur Procedures Except Major Joint W Cc | 33 | 110 / 37 | $21.125,10 | 45 / 3 | $11.587,70 | 816 / 11 | $10.635,40 | 806 / 15 |
Heart Failure & Shock W Cc | 32 | 246 / 75 | $8.047,41 | 39 / 3 | $5.843,22 | 556 / 9 | $4.947,22 | 556 / 8 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 32 | 164 / 35 | $43.851,90 | 113 / 14 | $14.456,60 | 1131 / 13 | $13.398,60 | 1124 / 21 |
Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 60 | $8.805,03 | 51 / 5 | $5.782,13 | 652 / 5 | $4.778,40 | 649 / 8 |
Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 70 | $9.570,39 | 252 / 16 | $5.015,18 | 1034 / 17 | $3.980,93 | 1026 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 83 | $9.353,82 | 166 / 17 | $4.716,25 | 339 / 11 | $3.275,64 | 338 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 32 | $12.930,40 | 73 / 8 | $7.176,39 | 341 / 3 | $6.119,79 | 340 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 44 | $9.843,65 | 103 / 9 | $4.764,77 | 521 / 4 | $3.834,31 | 519 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 47 | $12.727,40 | 70 / 4 | $6.309,40 | 474 / 8 | $5.197,08 | 473 / 8 |
Heart Failure & Shock W Mcc | 24 | 260 / 72 | $11.697,00 | 41 / 5 | $8.219,12 | 296 / 1 | $7.412,46 | 296 / 3 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 29 | $24.756,20 | 59 / 7 | $13.390,40 | 479 / 3 | $12.383,70 | 472 / 5 |
G.I. Hemorrhage W Cc | 23 | 195 / 66 | $7.979,13 | 12 / 1 | $5.952,00 | 604 / 6 | $5.005,91 | 603 / 9 |
Renal Failure W Mcc | 23 | 172 / 48 | $13.109,10 | 29 / 3 | $8.892,61 | 502 / 4 | $8.055,04 | 502 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 67 | $6.192,41 | 37 / 1 | $4.273,05 | 880 / 6 | $3.561,77 | 877 / 16 |
Pulmonary Edema & Respiratory Failure | 22 | 181 / 45 | $14.579,10 | 131 / 13 | $7.026,14 | 387 / 5 | $6.204,32 | 387 / 5 |
Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 67 | $9.980,29 | 37 / 4 | $6.802,62 | 616 / 4 | $5.882,24 | 614 / 10 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 45 | $12.922,30 | 23 / 4 | $8.213,11 | 50 / 1 | $7.477,11 | 50 / 1 |
Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 59 | $10.913,10 | 146 / 10 | $5.621,29 | 513 / 8 | $4.555,88 | 511 / 7 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 42 | $17.281,80 | 56 / 4 | $6.960,44 | 301 / 7 | $5.147,19 | 301 / 3 |
Other Digestive System Diagnoses W Cc | 15 | 82 / 34 | $10.875,30 | 43 / 2 | $5.786,87 | 366 / 3 | $4.980,47 | 363 / 5 |
G.I. Obstruction W Cc | 15 | 77 / 31 | $9.761,40 | 48 / 2 | $5.348,67 | 568 / 7 | $4.542,27 | 567 / 14 |
Medical Back Problems W/O Mcc | 15 | 106 / 48 | $10.367,30 | 61 / 4 | $5.003,53 | 303 / 2 | $3.958,20 | 303 / 4 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 25 | $6.285,29 | 25 / 1 | $3.810,71 | 357 / 1 | $2.779,86 | 357 / 6 |
Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 34 | $13.561,10 | 87 / 8 | $5.996,00 | 345 / 4 | $5.214,29 | 344 / 8 |
Diabetes W Cc | 13 | 79 / 36 | $8.873,38 | 52 / 4 | $5.009,23 | 716 / 6 | $4.546,46 | 714 / 16 |
Cellulitis W/O Mcc | 13 | 176 / 81 | $8.369,46 | 119 / 7 | $5.050,85 | 678 / 5 | $4.026,85 | 674 / 7 |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 63 | $9.103,46 | 67 / 2 | $4.867,38 | 729 / 8 | $4.212,62 | 724 / 12 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 35 | $25.034,50 | 118 / 8 | $13.816,70 | 963 / 18 | $13.257,90 | 956 / 25 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 33 | $10.505,00 | 16 / 1 | $7.523,08 | 103 / 1 | $6.499,08 | 103 / 2 |
Renal Failure W Cc | 12 | 209 / 73 | $9.899,50 | 90 / 9 | $6.012,58 | 217 / 12 | $4.409,67 | 216 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 41 | $10.233,70 | 51 / 2 | $4.572,58 | 526 / 2 | $3.665,92 | 522 / 7 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 51 | $32.443,20 | 4 / 1 | $31.316,00 | 596 / 4 | $30.313,30 | 591 / 7 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 43 | $9.370,50 | 182 / 17 | $4.398,00 | 459 / 7 | $3.286,00 | 458 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 49 | $9.338,00 | 17 / 1 | $6.540,17 | 268 / 2 | $5.641,50 | 265 / 2 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 60 | $7.021,00 | 78 / 5 | $3.518,92 | 471 / 2 | $2.414,92 | 468 / 6 |
Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 64 | $10.409,80 | 10 / 2 | $8.186,00 | 591 / 3 | $7.426,73 | 591 / 8 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 23 | $8.394,82 | 15 / 1 | $5.828,91 | 317 / 1 | $4.842,73 | 317 / 3 |
Seizures W/O Mcc | 11 | 97 / 48 | $10.655,20 | 91 / 9 | $4.468,55 | 214 / 2 | $3.590,00 | 213 / 4 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 20 | $10.862,10 | 7 / 1 | $6.482,09 | 216 / 1 | $5.271,91 | 216 / 2 | Total 43 procedures | 1.169 | 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.