Hospital Costs > In New Jersey > Clara Maass Medical Center, 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 | 158 | 358 / 35 | $79.924,60 | 2431 / 18 | $13.869,80 | 2135 / 28 | $12.939,70 | 2098 / 36 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 135 | 429 / 28 | $53.983,40 | 1465 / 9 | $15.980,40 | 2127 / 35 | $14.164,00 | 2084 / 37 |
| Heart Failure & Shock W Mcc | 134 | 150 / 21 | $65.514,30 | 2275 / 12 | $11.390,40 | 2078 / 32 | $10.672,30 | 2069 / 38 |
| Kidney & Urinary Tract Infections W/O Mcc | 128 | 105 / 14 | $42.736,60 | 2548 / 26 | $6.217,38 | 2169 / 32 | $5.375,31 | 2158 / 42 |
| Chronic Obstructive Pulmonary Disease W Cc | 122 | 57 / 6 | $47.384,50 | 2208 / 19 | $7.423,84 | 1935 / 33 | $6.490,59 | 1928 / 44 |
| Heart Failure & Shock W Cc | 118 | 160 / 23 | $51.356,90 | 2570 / 23 | $7.814,87 | 2177 / 34 | $6.943,71 | 2171 / 41 |
| Cellulitis W/O Mcc | 109 | 80 / 18 | $40.938,80 | 2429 / 25 | $6.745,75 | 2044 / 32 | $5.666,84 | 2036 / 41 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 101 | 174 / 24 | $43.599,00 | 2555 / 36 | $6.510,17 | 2125 / 42 | $5.057,29 | 2111 / 41 |
| Simple Pneumonia & Pleurisy W Cc | 99 | 104 / 17 | $50.034,30 | 2560 / 23 | $7.822,73 | 2163 / 34 | $6.524,61 | 2155 / 38 |
| Renal Failure W Cc | 96 | 125 / 16 | $52.963,90 | 2296 / 26 | $7.807,54 | 1870 / 34 | $6.598,06 | 1860 / 37 |
| G.I. Hemorrhage W Cc | 71 | 147 / 25 | $51.798,00 | 2196 / 22 | $7.849,96 | 1960 / 31 | $7.120,61 | 1956 / 43 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 66 | 100 / 22 | $38.797,80 | 2348 / 22 | $5.804,14 | 1974 / 33 | $4.820,79 | 1966 / 40 |
| Chronic Obstructive Pulmonary Disease W Mcc | 65 | 137 / 27 | $61.883,80 | 2372 / 25 | $9.054,58 | 2075 / 29 | $8.177,80 | 2067 / 40 |
| Transient Ischemia | 61 | 64 / 10 | $46.255,20 | 1533 / 35 | $5.753,97 | 1254 / 30 | $4.676,13 | 1248 / 38 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 60 | 128 / 18 | $52.650,60 | 1268 / 12 | $8.367,12 | 1292 / 24 | $7.450,43 | 1289 / 32 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 59 | 102 / 20 | $45.611,50 | 2008 / 26 | $6.350,12 | 1721 / 32 | $5.520,56 | 1716 / 42 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 58 | 67 / 15 | $68.443,00 | 1438 / 14 | $12.653,80 | 1378 / 32 | $11.891,80 | 1367 / 36 |
| Red Blood Cell Disorders W/O Mcc | 55 | 88 / 17 | $35.843,70 | 1688 / 12 | $6.461,53 | 1570 / 29 | $5.731,44 | 1561 / 42 |
| Diabetes W Cc | 55 | 37 / 6 | $42.494,20 | 1450 / 18 | $6.640,00 | 1207 / 27 | $5.773,20 | 1202 / 38 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 54 | 128 / 24 | $62.418,40 | 1904 / 29 | $8.640,48 | 1606 / 34 | $7.231,06 | 1603 / 39 |
| Chest Pain | 53 | 98 / 11 | $37.523,70 | 1545 / 31 | $5.027,25 | 1215 / 24 | $4.031,58 | 1208 / 34 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 53 | 143 / 18 | $68.949,90 | 656 / 1 | $15.568,80 | 1179 / 16 | $13.812,40 | 1172 / 23 |
| Syncope & Collapse | 52 | 117 / 26 | $44.847,80 | 1769 / 29 | $5.915,02 | 1400 / 33 | $4.859,71 | 1393 / 39 |
| Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 26 | $70.846,00 | 2244 / 21 | $11.082,20 | 2039 / 31 | $10.288,60 | 2038 / 42 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 45 | 75 / 13 | $36.098,50 | 1871 / 14 | $5.997,53 | 1611 / 35 | $4.672,33 | 1600 / 38 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 45 | 47 / 5 | $166.902,00 | 619 / 6 | $38.180,10 | 492 / 8 | $36.644,50 | 491 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 44 | 82 / 14 | $48.223,20 | 1459 / 14 | $8.579,86 | 1239 / 26 | $7.834,00 | 1236 / 33 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 43 | 80 / 20 | $52.321,30 | 1576 / 9 | $9.319,63 | 1470 / 28 | $8.544,42 | 1467 / 39 |
| Renal Failure W Mcc | 42 | 153 / 26 | $71.180,80 | 1904 / 13 | $12.175,10 | 1597 / 33 | $10.652,50 | 1595 / 35 |
| Heart Failure & Shock W/O Cc/Mcc | 38 | 72 / 25 | $37.603,00 | 1864 / 24 | $5.513,53 | 1634 / 32 | $4.803,76 | 1621 / 44 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 37 | 113 / 33 | $30.404,60 | 1767 / 16 | $4.719,62 | 1571 / 34 | $3.666,76 | 1565 / 42 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 36 | 55 / 14 | $46.130,90 | 1133 / 9 | $7.898,81 | 1104 / 27 | $7.116,03 | 1102 / 35 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 35 | 133 / 25 | $92.843,70 | 1451 / 31 | $12.874,70 | 1184 / 24 | $12.022,00 | 1178 / 32 |
| G.I. Hemorrhage W/O Cc/Mcc | 35 | 33 / 6 | $30.107,60 | 809 / 14 | $5.723,91 | 781 / 28 | $4.759,57 | 777 / 37 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 35 | $48.782,50 | 2233 / 14 | $8.183,80 | 1923 / 27 | $7.077,91 | 1915 / 34 |
| Atherosclerosis W/O Mcc | 33 | 25 / 6 | $33.006,80 | 478 / 15 | $5.084,18 | / 19 | $4.271,09 | / |
| Peripheral Vascular Disorders W Cc | 33 | 51 / 16 | $39.557,30 | 1007 / 9 | $8.192,61 | 812 / 36 | $6.243,27 | 809 / 28 |
| Other Digestive System Diagnoses W Cc | 32 | 65 / 15 | $47.186,50 | 1228 / 20 | $7.640,59 | 1088 / 28 | $6.832,94 | 1084 / 36 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 32 | 92 / 26 | $158.123,00 | 1072 / 13 | $37.486,00 | 1041 / 24 | $36.009,10 | 1034 / 27 |
| G.I. Hemorrhage W Mcc | 31 | 90 / 20 | $82.094,90 | 1455 / 23 | $12.908,40 | 1167 / 25 | $12.002,70 | 1159 / 28 |
| Major Small & Large Bowel Procedures W Mcc | 31 | 54 / 15 | $159.675,00 | 860 / 10 | $35.207,40 | 748 / 19 | $32.924,50 | 746 / 21 |
| Medical Back Problems W/O Mcc | 30 | 91 / 25 | $46.176,80 | 1359 / 23 | $6.798,90 | 1145 / 27 | $5.777,07 | 1141 / 41 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 18 | $42.880,60 | 1404 / 13 | $6.168,83 | 1257 / 29 | $5.076,10 | 1253 / 36 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 28 | 45 / 9 | $70.009,80 | 1060 / 33 | $9.225,71 | 877 / 22 | $8.341,86 | 875 / 29 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 19 | $39.512,40 | 1800 / 23 | $5.774,11 | 1559 / 31 | $4.596,43 | 1551 / 38 |
| Major Small & Large Bowel Procedures W Cc | 27 | 81 / 20 | $107.111,00 | 1274 / 23 | $18.434,50 | 1200 / 20 | $17.461,70 | 1186 / 31 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 26 | $99.803,30 | 1515 / 18 | $17.256,90 | 1419 / 26 | $16.648,70 | 1405 / 39 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 25 | 78 / 13 | $43.871,30 | 694 / 6 | $7.729,04 | 631 / 19 | $7.183,56 | 631 / 26 |
| Seizures W/O Mcc | 25 | 83 / 28 | $47.923,20 | 1213 / 30 | $6.665,68 | 897 / 34 | $5.087,72 | 894 / 31 |
| Degenerative Nervous System Disorders W/O Mcc | 25 | 53 / 14 | $51.408,60 | 783 / 19 | $7.781,60 | 602 / 24 | $6.701,64 | 602 / 28 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 24 | 77 / 17 | $59.715,50 | 876 / 6 | $11.766,70 | 829 / 19 | $11.105,40 | 826 / 24 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 24 | 39 / 7 | $138.976,00 | 439 / 5 | $34.205,20 | 495 / 12 | $33.164,00 | 495 / 14 |
| Other Vascular Procedures W Cc | 24 | 78 / 18 | $117.727,00 | 959 / 30 | $19.345,80 | 885 / 26 | $18.486,20 | 880 / 33 |
| Hypertension W/O Mcc | 24 | 41 / 7 | $30.982,50 | 646 / 9 | $5.110,33 | 550 / 18 | $4.066,33 | 548 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 22 | $61.470,20 | 1288 / 23 | $9.232,17 | 1027 / 22 | $8.247,50 | 1022 / 28 |
| Other Vascular Procedures W Mcc | 23 | 74 / 17 | $96.433,20 | 559 / 5 | $23.337,50 | 641 / 18 | $22.657,70 | 638 / 25 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 23 | 21 / 7 | $70.878,40 | 186 / 2 | $20.965,00 | 286 / 10 | $18.997,20 | 284 / 11 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 23 | 48 / 12 | $167.644,00 | 641 / 4 | $34.934,40 | 582 / 9 | $34.314,80 | 581 / 10 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 22 | 24 / 5 | $37.539,50 | 325 / 11 | $5.686,09 | 293 / 14 | $4.522,09 | 292 / 18 |
| Other Circulatory System O.R. Procedures | 22 | 33 / 5 | $111.545,00 | 350 / 10 | $21.826,70 | 225 / 19 | $17.745,70 | 225 / 12 |
| Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 36 | $63.397,00 | 1438 / 10 | $14.496,70 | 1597 / 29 | $13.333,50 | 1578 / 35 |
| Signs & Symptoms W/O Mcc | 21 | 70 / 17 | $39.296,00 | 1206 / 17 | $5.997,52 | 777 / 23 | $4.225,86 | 774 / 17 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 21 | 40 / 4 | $31.830,10 | 776 / 7 | $5.292,76 | 644 / 12 | $4.421,24 | 643 / 15 |
| Renal Failure W/O Cc/Mcc | 20 | 36 / 8 | $35.617,40 | 786 / 11 | $5.457,30 | 612 / 17 | $3.975,35 | 611 / 16 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 20 | 36 / 11 | $55.859,20 | 531 / 5 | $12.491,80 | 731 / 21 | $11.517,30 | 728 / 28 |
| Organic Disturbances & Mental Retardation | 20 | 39 / 9 | $48.444,10 | 488 / 9 | $7.756,35 | 367 / 9 | $6.956,90 | 367 / 15 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 19 | 58 / 7 | $36.111,90 | 144 / 9 | $11.960,70 | 319 / 12 | $10.809,30 | 318 / 17 |
| Dysequilibrium | 19 | 46 / 12 | $44.679,80 | 535 / 25 | $5.190,32 | 423 / 17 | $4.413,84 | 423 / 25 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 30 | $91.342,60 | 1599 / 23 | $14.806,20 | 1486 / 29 | $14.106,60 | 1470 / 35 |
| Respiratory Infections & Inflammations W Cc | 18 | 70 / 23 | $69.392,30 | 1332 / 21 | $10.454,50 | 1212 / 23 | $9.827,06 | 1207 / 31 |
| Digestive Malignancy W Cc | 18 | 29 / 9 | $62.482,80 | 353 / 14 | $9.691,72 | 285 / 14 | $9.008,06 | 283 / 21 |
| Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 36 | $54.248,20 | 1732 / 16 | $8.778,06 | 1597 / 30 | $8.089,83 | 1593 / 38 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 18 | 75 / 18 | $83.280,90 | 682 / 8 | $15.369,40 | 654 / 17 | $14.410,50 | 647 / 23 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 18 | 38 / 7 | $75.176,00 | 566 / 9 | $13.927,70 | 460 / 11 | $13.000,20 | 459 / 15 |
| Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 13 | $25.997,90 | 309 / 1 | $8.199,41 | 748 / 14 | $6.988,88 | 745 / 17 |
| Transurethral Procedures W Cc | 17 | 24 / 11 | $50.053,60 | 281 / 8 | $9.794,18 | 306 / 16 | $8.716,59 | 306 / 23 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 28 | $71.282,20 | 1066 / 14 | $14.208,30 | 998 / 26 | $13.545,60 | 991 / 34 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 20 | $30.189,70 | 1115 / 11 | $5.089,41 | 1059 / 27 | $4.163,24 | 1056 / 36 |
| Other Digestive System Diagnoses W Mcc | 17 | 45 / 12 | $59.439,40 | 549 / 3 | $12.503,60 | 495 / 12 | $11.782,40 | 494 / 18 |
| Respiratory Neoplasms W Mcc | 17 | 35 / 10 | $70.395,90 | 500 / 6 | $12.851,70 | 484 / 14 | $12.190,80 | 481 / 18 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 16 | 38 / 8 | $35.412,80 | 337 / 6 | $8.370,94 | 193 / 13 | $5.905,94 | 193 / 8 |
| Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Mcc | 16 | 11 / 2 | $101.197,00 | 46 / 2 | $21.814,50 | 25 / 2 | $20.325,10 | 25 / 2 |
| G.I. Obstruction W Cc | 16 | 76 / 26 | $48.671,80 | 1583 / 28 | $7.093,44 | 1282 / 26 | $5.791,88 | 1277 / 31 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 15 | $49.088,40 | 556 / 9 | $12.326,70 | 752 / 24 | $11.415,70 | 749 / 29 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 16 | 48 / 13 | $258.500,00 | 263 / 3 | $70.698,20 | 329 / 13 | $68.923,60 | 329 / 16 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 20 | $74.950,00 | 561 / 5 | $19.447,10 | 746 / 20 | $18.543,70 | 743 / 25 |
| Major Cardiovasc Procedures W Mcc | 15 | 53 / 12 | $118.230,00 | 202 / 1 | $36.738,80 | 398 / 6 | $35.990,50 | 397 / 8 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 12 | $46.394,70 | 387 / 12 | $9.468,53 | 493 / 13 | $8.488,40 | 492 / 21 |
| Peripheral Vascular Disorders W Mcc | 14 | 35 / 12 | $74.520,70 | 537 / 15 | $10.459,90 | 415 / 12 | $9.578,79 | 415 / 17 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 14 | 20 / 1 | $174.029,00 | 158 / 3 | $34.049,50 | 130 / 2 | $32.482,90 | 130 / 4 |
| Red Blood Cell Disorders W Mcc | 14 | 57 / 20 | $73.357,70 | 1046 / 28 | $9.654,36 | 745 / 22 | $8.578,43 | 741 / 23 |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 24 | $36.076,00 | 829 / 6 | $7.042,64 | 712 / 20 | $5.516,79 | 708 / 25 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 13 | $46.596,70 | 657 / 17 | $7.031,79 | 484 / 18 | $5.902,43 | 484 / 19 |
| Cellulitis W Mcc | 14 | 44 / 19 | $61.675,10 | 823 / 12 | $10.838,10 | 712 / 18 | $10.131,20 | 710 / 26 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 19 | $111.453,00 | 605 / 4 | $23.300,30 | 703 / 8 | $22.070,40 | 699 / 10 |
| Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 11 | $29.077,40 | 295 / 3 | $5.340,54 | 276 / 13 | $4.401,54 | 276 / 20 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 13 | 78 / 13 | $26.581,10 | 131 / 4 | $8.610,77 | 255 / 7 | $8.508,00 | 255 / 10 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 20 | $41.778,50 | 874 / 28 | $5.836,38 | 735 / 25 | $4.801,38 | 734 / 31 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 21 | $36.662,60 | 683 / 17 | $6.067,15 | 693 / 28 | $5.225,54 | 689 / 34 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 11 | $44.961,30 | 363 / 3 | $9.225,38 | 339 / 12 | $8.697,54 | 339 / 18 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 13 | $65.320,90 | 924 / 29 | $7.306,69 | 715 / 18 | $6.260,85 | 712 / 24 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 17 | $114.055,00 | 392 / 4 | $26.985,20 | 450 / 12 | $26.050,00 | 450 / 16 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 23 | $57.749,80 | 1209 / 17 | $8.158,58 | 953 / 26 | $6.335,08 | 950 / 24 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 11 | $33.912,50 | 399 / 11 | $5.377,17 | 373 / 10 | $4.564,50 | 372 / 16 |
| Transurethral Prostatectomy W Cc/Mcc | 11 | 13 / 1 | $65.922,50 | 41 / 1 | $10.576,10 | 34 / 1 | $9.795,09 | 34 / 1 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 20 | $70.625,90 | 512 / 10 | $16.036,30 | 516 / 19 | $13.983,80 | 515 / 16 |
| Other Endocrine, Nutrit & Metab O.R. Proc W Cc | 11 | 12 / 2 | $70.730,60 | 28 / 2 | $15.413,70 | 25 / 3 | $14.619,50 | 25 / 4 | Total 107 procedures | 3.858 | 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.