Hospital Costs > In New York > Clifton Springs Hospital And Clinic, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 60 | 33 / 7 | $11.818,30 | 21 / 1 | $8.776,87 | 57 / 9 | $8.114,48 | 57 / 13 |
| Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 55 | $7.882,49 | 29 / 2 | $7.373,69 | 2145 / 65 | $6.476,77 | 2137 / 71 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 19 | 30 / 16 | $3.995,16 | 21 / 1 | $4.852,74 | 71 / 13 | $3.988,00 | 70 / 14 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 71 | $9.865,24 | 295 / 21 | $6.665,88 | 2230 / 84 | $5.701,41 | 2222 / 87 |
| Cellulitis W/O Mcc | 17 | 172 / 77 | $8.393,41 | 121 / 8 | $6.949,18 | 2126 / 72 | $5.887,53 | 2118 / 77 |
| Heart Failure & Shock W Cc | 17 | 261 / 88 | $7.508,71 | 19 / 1 | $7.422,18 | 2028 / 60 | $6.573,24 | 2023 / 64 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 81 | $7.235,57 | 61 / 2 | $6.441,79 | 2115 / 69 | $5.237,21 | 2104 / 68 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 62 | $9.755,46 | 8 / 1 | $10.006,70 | 1758 / 39 | $9.260,85 | 1758 / 47 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 12 | 504 / 120 | $12.197,20 | 21 / 3 | $11.851,10 | 1452 / 30 | $10.944,40 | 1424 / 34 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 39 | $5.894,25 | 17 / 2 | $6.194,83 | 1687 / 54 | $5.085,50 | 1679 / 59 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 52 | $6.257,18 | 30 / 1 | $6.045,00 | 1696 / 65 | $5.064,64 | 1683 / 67 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 41 | $17.405,00 | 6 / 1 | $13.944,20 | 97 / 6 | $11.124,80 | 97 / 1 |
| Renal Failure W Cc | 11 | 210 / 74 | $8.059,91 | 17 / 1 | $7.551,18 | 1616 / 56 | $5.963,45 | 1607 / 46 | Total 13 procedures | 249 | 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.