Hospital Costs > In New Jersey > East Orange General 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 | 126 | 390 / 40 | $87.598,10 | 2520 / 22 | $14.191,50 | 2259 / 32 | $13.437,70 | 2219 / 43 |
Chronic Obstructive Pulmonary Disease W Cc | 59 | 120 / 27 | $47.565,70 | 2211 / 20 | $7.626,97 | 2013 / 36 | $6.752,25 | 2006 / 46 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 58 | 68 / 9 | $47.538,10 | 1452 / 12 | $8.877,72 | 1308 / 29 | $8.172,62 | 1305 / 36 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 53 | 222 / 43 | $37.739,40 | 2421 / 18 | $6.301,57 | 2300 / 39 | $5.517,57 | 2285 / 46 |
Heart Failure & Shock W Mcc | 53 | 231 / 49 | $65.543,30 | 2276 / 13 | $11.543,30 | 2119 / 33 | $10.860,40 | 2109 / 42 |
Syncope & Collapse | 50 | 119 / 28 | $38.736,20 | 1671 / 16 | $6.203,70 | 1521 / 39 | $5.218,12 | 1514 / 44 |
Renal Failure W Mcc | 49 | 146 / 21 | $56.895,60 | 1709 / 7 | $11.637,30 | 1666 / 27 | $10.960,40 | 1664 / 39 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 49 | 43 / 3 | $191.882,00 | 715 / 13 | $41.553,10 | 658 / 16 | $39.923,40 | 657 / 21 |
Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 38 | $56.807,90 | 2310 / 19 | $9.330,79 | 2124 / 34 | $8.392,00 | 2116 / 46 |
Chest Pain | 40 | 111 / 17 | $30.194,80 | 1395 / 16 | $5.326,52 | 1341 / 29 | $4.404,92 | 1333 / 39 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 40 | 80 / 17 | $36.739,90 | 1888 / 16 | $6.142,12 | 1749 / 37 | $5.157,90 | 1738 / 46 |
Heart Failure & Shock W Cc | 39 | 239 / 48 | $42.691,80 | 2408 / 10 | $8.072,56 | 2278 / 38 | $7.254,92 | 2272 / 46 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 35 | $40.165,00 | 2376 / 25 | $5.945,85 | 2131 / 36 | $5.309,95 | 2123 / 46 |
G.I. Hemorrhage W Cc | 35 | 183 / 43 | $50.724,10 | 2181 / 20 | $8.100,26 | 2007 / 35 | $7.288,37 | 2003 / 44 |
Other Circulatory System Diagnoses W Mcc | 35 | 81 / 12 | $57.199,40 | 886 / 5 | $14.270,20 | 1017 / 27 | $13.662,60 | 1010 / 35 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 34 | 62 / 15 | $47.521,10 | 1108 / 7 | $9.440,32 | 1126 / 26 | $8.787,62 | 1121 / 39 |
Cellulitis W/O Mcc | 33 | 156 / 51 | $38.776,90 | 2384 / 18 | $6.947,33 | 2155 / 34 | $5.958,24 | 2147 / 45 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 31 | 94 / 34 | $69.180,20 | 1448 / 16 | $13.220,40 | 1450 / 36 | $12.442,00 | 1438 / 45 |
G.I. Hemorrhage W Mcc | 30 | 91 / 21 | $78.300,20 | 1419 / 19 | $13.445,30 | 1302 / 30 | $12.912,80 | 1292 / 38 |
Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 47 | $44.031,40 | 2571 / 31 | $6.511,21 | 2253 / 39 | $5.606,07 | 2242 / 46 |
Renal Failure W Cc | 26 | 195 / 47 | $55.978,80 | 2323 / 32 | $7.867,88 | 2048 / 37 | $7.214,35 | 2038 / 44 |
Diabetes W Cc | 25 | 67 / 19 | $67.976,00 | 1605 / 49 | $7.615,28 | 1387 / 42 | $6.697,52 | 1382 / 46 |
Signs & Symptoms W/O Mcc | 20 | 71 / 18 | $39.643,90 | 1215 / 19 | $5.951,20 | 1066 / 21 | $5.223,20 | 1063 / 29 |
Transient Ischemia | 19 | 106 / 37 | $34.689,90 | 1318 / 14 | $5.991,37 | 1357 / 38 | $5.038,11 | 1350 / 45 |
Diabetes W Mcc | 19 | 38 / 9 | $58.428,20 | 624 / 8 | $10.816,60 | 567 / 14 | $10.178,30 | 566 / 19 |
Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 45 | $57.777,70 | 2064 / 9 | $11.072,10 | 2071 / 30 | $10.474,20 | 2069 / 43 |
Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 48 | $48.508,20 | 2530 / 19 | $7.954,53 | 2358 / 36 | $7.066,95 | 2349 / 47 |
Other Digestive System Diagnoses W Mcc | 18 | 44 / 11 | $60.334,10 | 561 / 5 | $12.697,30 | 486 / 15 | $11.647,10 | 485 / 17 |
Psychoses | 18 | 257 / 17 | $36.323,40 | 526 / 5 | $8.711,39 | 345 / 9 | $6.258,78 | 345 / 6 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 45 | $54.294,70 | 2331 / 21 | $8.582,61 | 2229 / 32 | $8.177,28 | 2220 / 45 |
Cellulitis W Mcc | 17 | 41 / 16 | $54.077,60 | 759 / 7 | $11.338,80 | 731 / 22 | $10.271,50 | 729 / 29 |
Red Blood Cell Disorders W Mcc | 16 | 55 / 18 | $53.671,90 | 884 / 11 | $9.847,25 | 809 / 24 | $9.089,25 | 805 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 46 | $47.309,60 | 1685 / 11 | $8.592,62 | 1677 / 32 | $7.532,62 | 1673 / 43 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 37 | $57.287,00 | 1650 / 16 | $9.569,44 | 1541 / 34 | $8.872,44 | 1538 / 45 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 42 | $34.520,30 | 1808 / 16 | $5.831,87 | 1687 / 42 | $5.027,60 | 1674 / 47 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 39 | $55.146,70 | 1749 / 19 | $9.020,00 | 1617 / 34 | $8.213,60 | 1613 / 39 |
Signs & Symptoms W Mcc | 15 | 26 / 6 | $44.876,40 | 218 / 3 | $9.036,80 | 186 / 6 | $8.395,73 | 186 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 42 | $29.181,70 | 1603 / 4 | $6.628,40 | 1841 / 37 | $5.984,13 | 1836 / 49 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 40 | $72.622,40 | 1293 / 16 | $13.284,10 | 1234 / 28 | $12.335,60 | 1228 / 35 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 41 | $173.358,00 | 1141 / 18 | $38.810,40 | 1158 / 28 | $37.905,20 | 1150 / 34 |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 46 | $44.352,80 | 1835 / 25 | $6.713,92 | 1560 / 35 | $5.689,92 | 1551 / 41 |
Other Vascular Procedures W Mcc | 13 | 84 / 26 | $75.673,60 | 327 / 1 | $23.078,90 | 638 / 14 | $22.616,20 | 635 / 24 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 24 | $26.587,40 | 740 / 8 | $5.646,15 | 744 / 27 | $4.591,08 | 740 / 35 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 30 | $33.585,80 | 984 / 4 | $7.505,15 | 1038 / 23 | $6.631,69 | 1034 / 29 |
Seizures W/O Mcc | 13 | 95 / 38 | $35.818,90 | 1074 / 13 | $6.425,31 | 967 / 29 | $5.398,85 | 965 / 38 |
Hiv W Major Related Condition W Mcc | 12 | 25 / 7 | $148.153,00 | 81 / 5 | $22.304,10 | 41 / 2 | $21.242,80 | 41 / 2 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 22 | $34.759,80 | 660 / 16 | $6.374,08 | 720 / 35 | $5.374,08 | 716 / 36 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 12 | 17 / 10 | $30.815,70 | 125 / 9 | $5.757,42 | 113 / 11 | $5.061,42 | 113 / 13 |
Angina Pectoris | 11 | 14 / 5 | $34.686,90 | 60 / 6 | $5.088,91 | 54 / 6 | $4.210,36 | 54 / 7 |
Hiv W Major Related Condition W Cc | 11 | 13 / 3 | $72.848,80 | 39 / 3 | $10.465,30 | 13 / 1 | $9.697,27 | 13 / 2 | Total 50 procedures | 1.401 | 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.