Hospital Costs > In New York > Columbia Memorial Hospital, 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 | 188 | 328 / 50 | $22.780,40 | 402 / 29 | $11.765,50 | 1391 / 27 | $10.826,60 | 1364 / 31 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 99 | 108 / 23 | $16.329,10 | 465 / 33 | $7.076,86 | 1469 / 28 | $6.206,07 | 1463 / 36 |
Heart Failure & Shock W Cc | 74 | 204 / 45 | $17.693,10 | 894 / 49 | $6.703,68 | 1684 / 35 | $5.972,01 | 1679 / 44 |
Kidney & Urinary Tract Infections W/O Mcc | 71 | 162 / 43 | $13.360,00 | 694 / 39 | $5.223,48 | 1471 / 26 | $4.324,32 | 1462 / 33 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 70 | 494 / 65 | $40.100,40 | 762 / 53 | $13.877,00 | 1599 / 28 | $12.322,40 | 1562 / 34 |
Simple Pneumonia & Pleurisy W Cc | 68 | 135 / 31 | $16.826,80 | 775 / 50 | $6.389,54 | 1500 / 25 | $5.517,54 | 1494 / 33 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 54 | 66 / 12 | $11.906,40 | 438 / 36 | $5.238,65 | 1139 / 37 | $3.867,70 | 1130 / 25 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 52 | 223 / 64 | $12.026,90 | 398 / 29 | $5.082,52 | 1608 / 29 | $4.232,67 | 1595 / 45 |
G.I. Hemorrhage W Cc | 50 | 168 / 45 | $16.785,00 | 470 / 33 | $6.647,32 | 1388 / 23 | $5.801,24 | 1385 / 35 |
Heart Failure & Shock W/O Cc/Mcc | 44 | 66 / 22 | $10.424,70 | 305 / 24 | $4.692,55 | 1274 / 26 | $4.060,55 | 1264 / 40 |
Cellulitis W/O Mcc | 42 | 147 / 57 | $12.926,00 | 577 / 36 | $5.710,64 | 1483 / 33 | $4.703,40 | 1476 / 37 |
Syncope & Collapse | 39 | 130 / 55 | $13.347,90 | 288 / 23 | $4.938,90 | 890 / 14 | $3.932,82 | 885 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 54 | $9.919,47 | 303 / 22 | $4.860,42 | 1467 / 30 | $4.030,95 | 1462 / 39 |
Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 42 | $15.771,30 | 587 / 43 | $6.398,44 | 1061 / 34 | $5.020,78 | 1057 / 21 |
Chest Pain | 33 | 118 / 45 | $11.696,60 | 236 / 20 | $4.251,52 | 801 / 11 | $3.261,45 | 796 / 16 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 40 | $14.719,60 | 490 / 32 | $5.402,28 | 1172 / 27 | $4.469,78 | 1168 / 31 |
Heart Failure & Shock W Mcc | 30 | 254 / 69 | $22.645,80 | 579 / 35 | $9.825,13 | 1288 / 25 | $8.700,80 | 1285 / 22 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 44 | $9.780,52 | 327 / 23 | $3.964,93 | 959 / 24 | $2.790,97 | 954 / 22 |
Signs & Symptoms W/O Mcc | 28 | 63 / 23 | $13.968,40 | 272 / 14 | $4.803,89 | 695 / 8 | $4.024,46 | 692 / 19 |
Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 62 | $19.510,70 | 672 / 37 | $7.741,77 | 1598 / 25 | $6.995,92 | 1590 / 43 |
Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 51 | $20.617,10 | 430 / 28 | $9.421,42 | 1460 / 23 | $8.612,08 | 1460 / 29 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 37 | $22.227,90 | 475 / 31 | $8.167,57 | 1173 / 18 | $7.535,96 | 1170 / 31 |
Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 48 | $30.132,10 | 226 / 22 | $12.591,60 | 1163 / 22 | $11.500,60 | 1149 / 26 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 31 | $11.927,30 | 410 / 21 | $4.871,70 | 1113 / 21 | $3.794,90 | 1107 / 31 |
Renal Failure W Cc | 20 | 201 / 66 | $11.883,30 | 200 / 14 | $6.458,50 | 1079 / 24 | $5.261,90 | 1071 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 53 | $19.529,40 | 447 / 26 | $7.187,74 | 1127 / 22 | $6.039,11 | 1124 / 21 |
Fractures Of Hip & Pelvis W/O Mcc | 19 | 42 / 16 | $13.974,90 | 240 / 13 | $4.767,42 | 501 / 6 | $3.942,16 | 501 / 14 |
G.I. Hemorrhage W/O Cc/Mcc | 19 | 49 / 21 | $13.154,30 | 229 / 11 | $4.838,47 | 380 / 6 | $3.525,68 | 377 / 4 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 28 | $15.950,80 | 127 / 10 | $8.725,89 | 822 / 17 | $8.052,11 | 817 / 23 |
Medical Back Problems W/O Mcc | 18 | 103 / 45 | $11.713,70 | 95 / 6 | $5.753,89 | 757 / 13 | $4.681,89 | 754 / 15 |
Pulmonary Edema & Respiratory Failure | 17 | 186 / 49 | $19.445,00 | 372 / 25 | $8.045,35 | 1262 / 23 | $7.335,71 | 1260 / 34 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 60 | $18.118,80 | 725 / 41 | $6.128,12 | 852 / 40 | $4.359,44 | 847 / 15 |
Diabetes W Cc | 16 | 76 / 33 | $12.930,80 | 202 / 14 | $5.946,25 | 596 / 16 | $4.389,00 | 595 / 11 |
G.I. Obstruction W Cc | 16 | 76 / 30 | $11.966,10 | 117 / 10 | $6.007,94 | 951 / 21 | $5.025,94 | 948 / 28 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 49 | $69.716,90 | 171 / 10 | $35.192,40 | 916 / 14 | $34.248,40 | 910 / 17 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 38 | $33.780,10 | 181 / 14 | $14.013,90 | 754 / 8 | $13.145,30 | 746 / 10 |
Seizures W/O Mcc | 13 | 95 / 46 | $14.586,60 | 243 / 22 | $5.220,23 | 528 / 10 | $4.102,69 | 525 / 12 |
Transient Ischemia | 13 | 112 / 43 | $10.872,30 | 95 / 9 | $4.836,46 | 924 / 20 | $3.906,00 | 919 / 28 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 27 | $9.835,75 | 128 / 12 | $4.279,75 | 813 / 13 | $3.474,42 | 810 / 25 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 22 | $14.407,00 | 130 / 11 | $7.166,83 | 562 / 17 | $5.290,17 | 559 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 32 | $17.633,90 | 129 / 10 | $7.579,75 | 718 / 4 | $7.179,75 | 713 / 14 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 32 | $10.778,10 | 71 / 4 | $5.197,25 | 428 / 10 | $4.298,58 | 426 / 20 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 37 | $49.829,80 | 417 / 25 | $16.305,30 | 917 / 16 | $15.322,00 | 909 / 22 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 42 | $13.473,60 | 152 / 8 | $5.133,91 | 836 / 10 | $4.043,00 | 832 / 18 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 37 | $15.698,00 | 134 / 13 | $7.003,18 | 593 / 20 | $5.645,64 | 592 / 12 | Total 45 procedures | 1.504 | 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.