Hospital Costs > In New York > Cobleskill Regional Hospital, 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 | 16 | 173 / 78 | $8.780,44 | 148 / 12 | $7.278,50 | 2243 / 79 | $6.294,50 | 2235 / 84 |
Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 63 | $12.623,50 | 289 / 25 | $8.061,85 | 2158 / 76 | $7.409,54 | 2151 / 82 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 33 | $9.596,95 | 202 / 18 | $6.172,32 | 1743 / 66 | $5.130,86 | 1732 / 69 |
Heart Failure & Shock W Cc | 16 | 262 / 89 | $11.058,60 | 200 / 19 | $8.577,69 | 2407 / 81 | $7.817,69 | 2401 / 87 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 49 | $10.612,70 | 333 / 28 | $5.823,79 | 1691 / 61 | $5.051,21 | 1678 / 65 |
Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 80 | $9.970,13 | 294 / 18 | $6.687,53 | 2238 / 77 | $5.549,80 | 2227 / 78 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 65 | $11.062,00 | 158 / 6 | $6.911,00 | 1619 / 57 | $5.919,00 | 1610 / 60 |
Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 66 | $10.007,60 | 111 / 9 | $8.417,30 | 2452 / 88 | $7.469,83 | 2443 / 90 | Total 8 procedures | 130 | 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.