Hospital Costs > In New York > Champlain Valley Physicians Hospital Medical Ctr, 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 | 38 | 53 / 11 | $27.404,70 | 630 / 43 | $9.094,63 | 1272 / 50 | $8.396,53 | 1270 / 55 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 50 | 75 / 18 | $47.483,80 | 1069 / 64 | $16.158,70 | 1684 / 64 | $15.128,60 | 1671 / 73 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 26 | 27 / 7 | $23.451,80 | 408 / 32 | $6.245,85 | 706 / 29 | $5.317,85 | 702 / 29 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 18 | 106 / 40 | $21.955,60 | 537 / 35 | $5.963,28 | 617 / 23 | $5.088,61 | 616 / 26 |
| Atherosclerosis W/O Mcc | 20 | 38 / 15 | $18.552,50 | 280 / 24 | $4.992,30 | / 13 | $4.177,90 | / |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 27 | $24.304,30 | 563 / 26 | $7.567,73 | 658 / 25 | $5.295,67 | 654 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 47 | 114 / 27 | $18.217,80 | 880 / 43 | $6.507,55 | 1745 / 58 | $5.597,47 | 1740 / 62 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 27 | $23.251,10 | 540 / 35 | $9.986,48 | 1596 / 52 | $9.182,61 | 1593 / 59 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 61 | 89 / 21 | $18.236,90 | 1288 / 73 | $4.655,82 | 1547 / 54 | $3.625,54 | 1541 / 60 |
| Cellulitis W Mcc | 16 | 42 / 21 | $49.860,50 | 727 / 35 | $14.210,10 | 910 / 38 | $13.399,10 | 908 / 44 |
| Cellulitis W/O Mcc | 80 | 109 / 32 | $22.109,20 | 1666 / 80 | $7.018,88 | 2171 / 74 | $5.999,36 | 2163 / 80 |
| Chest Pain | 45 | 106 / 34 | $16.559,50 | 643 / 53 | $4.992,16 | 1182 / 31 | $3.939,07 | 1175 / 35 |
| Chronic Obstructive Pulmonary Disease W Cc | 64 | 115 / 23 | $21.028,30 | 1111 / 58 | $8.042,20 | 2059 / 75 | $6.920,80 | 2052 / 78 |
| Chronic Obstructive Pulmonary Disease W Mcc | 59 | 143 / 37 | $27.331,70 | 1293 / 56 | $9.792,75 | 2158 / 76 | $8.594,19 | 2150 / 75 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 66 | 54 / 6 | $17.956,10 | 1105 / 60 | $5.897,17 | 1708 / 57 | $4.963,35 | 1697 / 66 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 26 | $45.112,80 | 238 / 10 | $17.368,50 | 749 / 19 | $16.356,80 | 742 / 21 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 51 | 137 / 27 | $35.936,10 | 799 / 35 | $9.785,67 | 1470 / 31 | $8.836,33 | 1467 / 37 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 23 | $25.590,00 | 370 / 19 | $7.290,00 | 542 / 12 | $6.411,45 | 542 / 17 |
| Degenerative Nervous System Disorders W/O Mcc | 23 | 55 / 25 | $27.207,80 | 444 / 28 | $8.290,09 | 648 / 30 | $7.103,65 | 648 / 31 |
| Depressive Neuroses | 13 | 37 / 4 | $14.133,60 | 87 / 5 | $5.365,00 | 95 / 4 | $4.421,62 | 95 / 4 |
| Diabetes W Cc | 20 | 72 / 29 | $19.000,10 | 621 / 35 | $6.908,40 | 1184 / 39 | $5.685,00 | 1179 / 39 |
| Diabetes W/O Cc/Mcc | 13 | 25 / 14 | $14.377,60 | 116 / 12 | $4.749,62 | 172 / 5 | $3.632,08 | 172 / 6 |
| Dysequilibrium | 14 | 51 / 25 | $17.108,90 | 180 / 21 | $5.138,86 | 404 / 15 | $4.272,57 | 404 / 22 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 21 | $33.674,50 | 763 / 39 | $9.941,42 | 1161 / 32 | $9.037,46 | 1156 / 40 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 139 | 136 / 21 | $21.910,10 | 1611 / 87 | $6.402,50 | 2264 / 76 | $5.421,12 | 2249 / 79 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 19 | $148.919,00 | 470 / 25 | $53.854,40 | 735 / 35 | $50.846,30 | 735 / 40 |
| Extracranial Procedures W/O Cc/Mcc | 33 | 65 / 8 | $20.079,00 | 136 / 15 | $8.753,27 | 828 / 21 | $7.765,15 | 825 / 26 |
| Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 17 | $20.904,90 | 543 / 29 | $5.865,50 | 775 / 32 | $5.061,94 | 774 / 36 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 32 | $18.003,90 | 309 / 25 | $6.263,17 | 597 / 33 | $5.055,17 | 595 / 37 |
| G.I. Hemorrhage W Cc | 60 | 158 / 40 | $28.012,50 | 1441 / 71 | $8.731,40 | 2111 / 74 | $7.807,15 | 2107 / 78 |
| G.I. Hemorrhage W Mcc | 17 | 104 / 37 | $37.153,90 | 595 / 27 | $14.730,60 | 1408 / 45 | $13.951,30 | 1398 / 48 |
| G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 25 | $20.605,90 | 565 / 31 | $5.747,57 | 809 / 23 | $4.970,43 | 805 / 29 |
| G.I. Obstruction W Cc | 22 | 70 / 24 | $22.270,60 | 815 / 41 | $7.726,05 | 1501 / 56 | $6.739,86 | 1496 / 59 |
| G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 17 | $14.336,70 | 483 / 32 | $4.986,64 | 996 / 37 | $3.949,55 | 993 / 42 |
| Heart Failure & Shock W Cc | 112 | 166 / 27 | $23.939,70 | 1580 / 70 | $8.199,81 | 2295 / 79 | $7.306,65 | 2289 / 81 |
| Heart Failure & Shock W Mcc | 60 | 224 / 48 | $37.315,80 | 1521 / 68 | $12.711,70 | 2292 / 76 | $11.765,60 | 2282 / 79 |
| Heart Failure & Shock W/O Cc/Mcc | 53 | 57 / 15 | $18.054,50 | 1152 / 60 | $5.554,47 | 1647 / 55 | $4.837,79 | 1634 / 61 |
| Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 35 | $41.200,70 | 691 / 39 | $16.259,90 | 1828 / 63 | $15.244,10 | 1809 / 68 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 19 | $50.598,60 | 169 / 8 | $25.327,30 | 851 / 26 | $24.324,80 | 848 / 28 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 17 | $30.014,50 | 190 / 8 | $13.384,60 | 804 / 20 | $12.272,00 | 801 / 25 |
| Hypertension W/O Mcc | 13 | 52 / 23 | $12.169,90 | 116 / 10 | $5.223,00 | 489 / 18 | $3.714,31 | 487 / 14 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 41 | $108.733,00 | 594 / 38 | $47.465,50 | 1386 / 53 | $44.897,70 | 1376 / 55 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 40 | $33.446,00 | 1303 / 55 | $9.070,33 | 1794 / 56 | $8.159,79 | 1790 / 64 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 48 | $35.044,10 | 523 / 22 | $14.397,20 | 1357 / 41 | $13.541,20 | 1351 / 45 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 30 | 72 / 23 | $26.016,20 | 947 / 40 | $6.283,10 | 1283 / 27 | $5.156,70 | 1279 / 38 |
| Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 47 | $30.443,40 | 1196 / 40 | $9.348,07 | 1633 / 46 | $8.302,73 | 1629 / 49 |
| Kidney & Urinary Tract Infections W/O Mcc | 79 | 154 / 38 | $22.338,50 | 1788 / 78 | $6.460,22 | 2174 / 71 | $5.388,87 | 2163 / 71 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 20 | 27 / 7 | $24.068,20 | 71 / 7 | $10.129,60 | 528 / 20 | $9.164,80 | 527 / 24 |
| Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 30 | $65.039,50 | 185 / 11 | $28.773,60 | 895 / 24 | $27.649,30 | 894 / 27 |
| Major Chest Procedures W Cc | 11 | 63 / 18 | $54.387,40 | 150 / 10 | $21.610,00 | 448 / 16 | $20.756,20 | 446 / 23 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 22 | $20.627,30 | 307 / 13 | $9.667,64 | 975 / 28 | $9.237,93 | 973 / 33 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 143 | 421 / 42 | $37.376,30 | 606 / 48 | $17.908,10 | 2405 / 78 | $16.252,00 | 2359 / 86 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 34 | $46.978,40 | 332 / 22 | $21.195,20 | 1375 / 48 | $20.420,40 | 1361 / 56 |
| Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 23 | $102.308,00 | 406 / 16 | $44.901,30 | 1144 / 33 | $43.135,40 | 1142 / 40 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 14 | $29.359,90 | 124 / 7 | $13.513,50 | 665 / 18 | $12.451,80 | 665 / 23 |
| Medical Back Problems W/O Mcc | 26 | 95 / 38 | $23.860,70 | 773 / 43 | $7.889,46 | 1280 / 50 | $6.494,08 | 1276 / 50 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 41 | $38.953,60 | 1281 / 66 | $10.481,60 | 1478 / 45 | $9.271,67 | 1475 / 48 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 53 | 113 / 42 | $17.208,40 | 1231 / 60 | $5.811,79 | 1961 / 68 | $4.805,30 | 1953 / 70 |
| Organic Disturbances & Mental Retardation | 16 | 43 / 21 | $21.676,80 | 208 / 9 | $8.311,81 | 405 / 15 | $7.407,81 | 405 / 18 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 33 | $42.525,40 | 559 / 27 | $15.694,80 | 1133 / 32 | $14.888,40 | 1125 / 36 |
| Other Digestive System Diagnoses W Cc | 23 | 74 / 26 | $24.375,20 | 638 / 29 | $8.079,87 | 1121 / 31 | $6.980,74 | 1117 / 36 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 16 | $18.826,10 | 148 / 14 | $5.559,73 | 256 / 14 | $4.454,27 | 256 / 14 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 37 | $22.633,30 | 177 / 8 | $12.527,80 | 807 / 28 | $10.945,50 | 804 / 28 |
| Other Resp System O.R. Procedures W Mcc | 13 | 50 / 13 | $88.027,50 | 271 / 5 | $31.099,80 | 498 / 13 | $29.098,70 | 497 / 14 |
| Other Vascular Procedures W Cc | 32 | 70 / 22 | $67.530,80 | 478 / 21 | $21.911,30 | 979 / 25 | $20.258,40 | 974 / 26 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 24 | $88.727,80 | 370 / 14 | $28.814,80 | 862 / 19 | $25.294,70 | 857 / 18 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 55 | 141 / 25 | $70.731,00 | 702 / 33 | $17.498,50 | 1342 / 26 | $16.032,60 | 1335 / 33 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 12 | 33 / 8 | $85.383,50 | 118 / 3 | $25.737,00 | 247 / 6 | $24.833,00 | 246 / 6 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 29 | 40 / 3 | $60.906,70 | 272 / 19 | $15.178,80 | 508 / 14 | $14.055,50 | 506 / 17 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 21 | 74 / 21 | $73.233,60 | 288 / 18 | $18.406,10 | 550 / 15 | $17.543,80 | 546 / 21 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 33 | $36.717,80 | 951 / 56 | $9.309,80 | 1127 / 43 | $8.420,13 | 1124 / 49 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 14 | $16.350,30 | 153 / 6 | $5.569,75 | 283 / 7 | $4.460,42 | 283 / 8 |
| Permanent Cardiac Pacemaker Implant W Cc | 27 | 50 / 14 | $91.323,60 | 712 / 29 | $24.847,00 | 928 / 29 | $23.847,20 | 924 / 34 |
| Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 16 | $102.607,00 | 342 / 19 | $32.220,10 | 547 / 16 | $31.344,40 | 547 / 20 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 40 | 17 / 4 | $72.348,20 | 527 / 31 | $18.487,30 | 661 / 21 | $17.460,90 | 660 / 26 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 22 | $19.476,60 | 502 / 23 | $5.368,23 | 582 / 17 | $4.173,38 | 581 / 15 |
| Psychoses | 127 | 168 / 6 | $32.574,40 | 501 / 6 | $9.347,32 | 490 / 6 | $7.978,24 | 490 / 7 |
| Pulmonary Edema & Respiratory Failure | 53 | 150 / 18 | $36.303,90 | 1351 / 66 | $10.271,20 | 1919 / 65 | $9.492,94 | 1913 / 68 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 20 | $24.751,60 | 635 / 24 | $8.192,14 | 1104 / 30 | $7.241,29 | 1101 / 34 |
| Red Blood Cell Disorders W/O Mcc | 22 | 121 / 54 | $23.161,80 | 1133 / 59 | $6.595,45 | 1579 / 46 | $5.775,09 | 1570 / 57 |
| Renal Failure W Cc | 37 | 184 / 50 | $24.062,30 | 1350 / 57 | $8.015,05 | 2040 / 67 | $7.164,89 | 2030 / 70 |
| Renal Failure W Mcc | 34 | 161 / 37 | $42.017,90 | 1351 / 57 | $13.006,60 | 1830 / 50 | $12.093,90 | 1826 / 56 |
| Respiratory Infections & Inflammations W Cc | 37 | 51 / 12 | $32.546,60 | 774 / 39 | $11.551,70 | 1311 / 49 | $10.701,50 | 1306 / 54 |
| Respiratory Infections & Inflammations W Mcc | 30 | 106 / 26 | $45.434,30 | 945 / 37 | $16.588,70 | 1517 / 52 | $14.348,10 | 1501 / 49 |
| Respiratory Neoplasms W Cc | 11 | 36 / 16 | $25.255,50 | 127 / 5 | $9.748,55 | 403 / 13 | $9.088,18 | 402 / 15 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 34 | 97 / 20 | $67.314,70 | 1090 / 69 | $23.017,30 | 1765 / 68 | $22.235,10 | 1751 / 78 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 168 | 348 / 56 | $44.107,10 | 1527 / 75 | $16.657,60 | 2548 / 92 | $15.620,90 | 2504 / 96 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 68 | 139 / 39 | $26.553,90 | 1386 / 64 | $9.046,65 | 2139 / 76 | $7.764,56 | 2131 / 79 |
| Simple Pneumonia & Pleurisy W Cc | 89 | 114 / 19 | $24.649,90 | 1599 / 73 | $8.134,83 | 2407 / 84 | $7.280,54 | 2398 / 88 |
| Simple Pneumonia & Pleurisy W Mcc | 54 | 151 / 30 | $38.957,90 | 1525 / 73 | $12.929,40 | 2298 / 79 | $12.184,60 | 2292 / 84 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 37 | 56 / 17 | $16.560,40 | 891 / 40 | $5.797,43 | 1627 / 48 | $4.817,54 | 1619 / 54 |
| Syncope & Collapse | 72 | 97 / 33 | $20.052,60 | 857 / 52 | $5.988,74 | 1431 / 47 | $4.947,86 | 1424 / 48 |
| Transient Ischemia | 23 | 102 / 35 | $22.751,60 | 843 / 52 | $5.772,91 | 1266 / 43 | $4.722,48 | 1260 / 47 | Total 93 procedures | 3.294 | 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.