Hospital Costs > In New York > Claxton-Hepburn Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 30 | 159 / 66 | $9.363,10 | 192 / 19 | $5.688,13 | 1548 / 30 | $4.778,80 | 1541 / 43 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 62 | $10.586,10 | 133 / 9 | $6.286,36 | 1366 / 30 | $5.335,50 | 1361 / 34 |
| Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 69 | $9.896,67 | 36 / 3 | $7.893,33 | 1577 / 32 | $6.951,11 | 1569 / 41 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 92 | $9.051,17 | 149 / 12 | $5.012,67 | 1341 / 21 | $4.004,67 | 1330 / 26 |
| G.I. Hemorrhage W Cc | 25 | 193 / 64 | $11.277,50 | 94 / 8 | $6.725,84 | 1390 / 26 | $5.804,24 | 1387 / 36 |
| Heart Failure & Shock W Cc | 15 | 263 / 90 | $10.795,50 | 173 / 15 | $6.721,60 | 1562 / 37 | $5.834,13 | 1557 / 35 |
| Heart Failure & Shock W Mcc | 14 | 270 / 79 | $10.950,10 | 21 / 2 | $10.046,90 | 1639 / 33 | $9.358,86 | 1634 / 42 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 61 | $13.356,60 | 88 / 5 | $7.294,64 | 1283 / 26 | $6.299,73 | 1280 / 33 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 31 | 533 / 80 | $22.891,30 | 41 / 7 | $14.538,10 | 1787 / 36 | $12.839,50 | 1747 / 42 |
| Pulmonary Edema & Respiratory Failure | 34 | 169 / 33 | $10.852,90 | 19 / 2 | $8.167,79 | 1201 / 25 | $7.229,74 | 1199 / 28 |
| Renal Failure W Cc | 30 | 191 / 57 | $12.164,40 | 225 / 15 | $6.749,77 | 1632 / 35 | $5.986,07 | 1623 / 47 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 36 | $14.911,80 | 22 / 1 | $13.393,70 | 1209 / 24 | $12.593,70 | 1194 / 26 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 70 | 446 / 96 | $15.737,60 | 93 / 16 | $12.551,60 | 1769 / 39 | $11.653,80 | 1734 / 46 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 64 | $11.019,50 | 91 / 7 | $7.295,97 | 1330 / 37 | $6.021,00 | 1325 / 26 |
| Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 64 | $9.967,65 | 107 / 8 | $6.614,65 | 1533 / 32 | $5.548,81 | 1527 / 36 |
| Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 52 | $12.382,70 | 41 / 4 | $9.928,00 | 1637 / 36 | $8.988,87 | 1637 / 39 | Total 16 procedures | 407 | 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.