Hospital Costs > In New York > Community Memorial Hospital, Inc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 71 | $11.336,10 | 91 / 10 | $7.201,60 | 475 / 14 | $5.761,00 | 474 / 7 |
| Heart Failure & Shock W Cc | 11 | 267 / 93 | $12.302,10 | 295 / 23 | $6.019,18 | 776 / 13 | $5.125,36 | 775 / 11 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 16 | $31.210,40 | 43 / 7 | $13.932,50 | 489 / 4 | $12.726,10 | 486 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 113 | 451 / 52 | $21.883,20 | 26 / 3 | $13.441,10 | 1341 / 21 | $11.680,70 | 1309 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 22 | 494 / 112 | $13.516,50 | 37 / 5 | $11.032,80 | 1123 / 13 | $10.353,40 | 1107 / 21 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 75 | $11.620,90 | 223 / 22 | $6.089,36 | 1048 / 13 | $5.121,14 | 1045 / 16 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 39 | $9.977,75 | 214 / 17 | $4.405,00 | 569 / 6 | $3.291,67 | 567 / 7 |
| Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 39 | $44.811,20 | 70 / 9 | $24.822,50 | 747 / 7 | $23.599,60 | 743 / 16 | Total 8 procedures | 209 | 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.