Hospital Costs > In New York > Eastern Long Island Hospital, 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/O Rehabilitation Therapy W/O Mcc | 47 | 77 / 21 | $16.786,80 | 409 / 33 | $7.064,55 | 723 / 32 | $6.007,23 | 722 / 37 |
| Rehabilitation W/O Cc/Mcc | 30 | 17 / 5 | $50.588,40 | 20 / 6 | $11.187,60 | 12 / 6 | $10.663,80 | 12 / 6 |
| Heart Failure & Shock W Cc | 26 | 252 / 79 | $24.688,20 | 1643 / 73 | $9.318,81 | 2537 / 90 | $8.579,12 | 2531 / 98 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 85 | $28.500,30 | 2092 / 114 | $7.639,31 | 2517 / 91 | $6.622,69 | 2502 / 99 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 66 | $30.063,50 | 2141 / 118 | $7.225,17 | 2347 / 90 | $6.383,43 | 2338 / 98 |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 22 | 57 / 20 | $57.523,70 | 83 / 25 | $11.103,40 | 78 / 19 | $10.338,30 | 78 / 22 |
| G.I. Hemorrhage W Cc | 19 | 199 / 69 | $30.021,70 | 1553 / 77 | $9.639,53 | 2244 / 82 | $8.750,26 | 2240 / 92 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 57 | $48.570,70 | 1872 / 91 | $13.818,70 | 2174 / 85 | $11.089,40 | 2169 / 76 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 48 | $19.243,20 | 1242 / 68 | $7.068,20 | 1879 / 75 | $6.263,93 | 1866 / 85 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 77 | $41.492,10 | 2079 / 110 | $9.833,27 | 2367 / 83 | $9.116,47 | 2357 / 94 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 37 | $30.985,70 | 1642 / 86 | $7.331,57 | 1865 / 69 | $6.300,71 | 1857 / 75 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 75 | $30.644,20 | 1978 / 93 | $9.411,36 | 2609 / 99 | $8.462,79 | 2600 / 105 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 12 | 504 / 120 | $48.954,70 | 1751 / 88 | $16.126,00 | 2493 / 89 | $15.143,30 | 2449 / 93 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 61 | $13.201,50 | 746 / 45 | $6.180,64 | 1878 / 77 | $5.188,64 | 1872 / 84 |
| Cellulitis W/O Mcc | 11 | 178 / 83 | $32.282,40 | 2207 / 119 | $8.153,55 | 2423 / 90 | $7.272,09 | 2415 / 101 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 57 | $48.942,20 | 1011 / 49 | $17.184,20 | 1897 / 67 | $16.198,00 | 1877 / 75 | Total 16 procedures | 314 | 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.