Hospital Costs > In New York > Ellis Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Psychoses | 236 | 95 / 2 | $26.407,80 | 437 / 5 | $7.680,59 | 289 / 3 | $5.911,17 | 289 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 175 | 389 / 34 | $49.108,80 | 1249 / 76 | $13.628,10 | 1409 / 25 | $11.826,80 | 1376 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 159 | 357 / 60 | $35.883,40 | 1094 / 57 | $12.237,70 | 1269 / 34 | $10.582,00 | 1248 / 25 |
| Heart Failure & Shock W Cc | 122 | 156 / 24 | $19.235,50 | 1080 / 55 | $7.022,41 | 1601 / 49 | $5.874,66 | 1596 / 37 |
| Pulmonary Edema & Respiratory Failure | 100 | 103 / 6 | $34.572,60 | 1276 / 64 | $8.475,09 | 1158 / 38 | $7.179,06 | 1156 / 26 |
| Renal Failure W Cc | 95 | 126 / 18 | $21.775,80 | 1159 / 51 | $7.362,02 | 1457 / 51 | $5.687,35 | 1448 / 34 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 80 | 195 / 44 | $14.985,30 | 757 / 52 | $5.527,14 | 1627 / 49 | $4.257,83 | 1614 / 47 |
| Heart Failure & Shock W Mcc | 78 | 206 / 41 | $30.988,80 | 1149 / 54 | $10.019,00 | 1261 / 31 | $8.667,83 | 1258 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 78 | 104 / 12 | $28.438,10 | 1040 / 44 | $7.484,49 | 1000 / 29 | $5.843,19 | 997 / 18 |
| Simple Pneumonia & Pleurisy W Cc | 75 | 128 / 28 | $18.259,20 | 944 / 55 | $7.090,68 | 1351 / 52 | $5.359,57 | 1346 / 28 |
| Chronic Obstructive Pulmonary Disease W Cc | 75 | 104 / 19 | $20.041,40 | 1007 / 54 | $6.598,89 | 1488 / 45 | $5.499,81 | 1482 / 42 |
| G.I. Hemorrhage W Cc | 74 | 144 / 32 | $20.516,70 | 792 / 49 | $7.276,93 | 1349 / 49 | $5.752,32 | 1346 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 74 | 133 / 35 | $19.925,60 | 773 / 47 | $7.553,18 | 1364 / 46 | $6.073,26 | 1359 / 28 |
| Kidney & Urinary Tract Infections W/O Mcc | 73 | 160 / 42 | $16.626,70 | 1165 / 52 | $5.653,81 | 1758 / 44 | $4.631,66 | 1747 / 47 |
| Chronic Obstructive Pulmonary Disease W Mcc | 67 | 135 / 30 | $27.383,50 | 1298 / 57 | $8.018,06 | 1500 / 39 | $6.834,67 | 1493 / 36 |
| Hip & Femur Procedures Except Major Joint W Cc | 67 | 76 / 11 | $50.581,40 | 1065 / 55 | $12.484,50 | 1004 / 18 | $11.049,50 | 991 / 19 |
| Cellulitis W/O Mcc | 67 | 122 / 37 | $19.173,20 | 1393 / 68 | $6.048,67 | 1498 / 49 | $4.725,60 | 1491 / 39 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 67 | 99 / 31 | $14.839,30 | 941 / 51 | $5.468,58 | 1559 / 59 | $4.139,75 | 1554 / 46 |
| Simple Pneumonia & Pleurisy W Mcc | 55 | 150 / 29 | $37.334,30 | 1464 / 69 | $10.821,00 | 1767 / 58 | $9.297,13 | 1767 / 48 |
| Renal Failure W Mcc | 54 | 141 / 26 | $36.250,30 | 1113 / 44 | $10.836,20 | 997 / 21 | $8.926,80 | 997 / 13 |
| Heart Failure & Shock W/O Cc/Mcc | 52 | 58 / 16 | $14.487,70 | 790 / 46 | $5.146,90 | 1180 / 47 | $3.952,33 | 1170 / 35 |
| Kidney & Urinary Tract Infections W Mcc | 44 | 100 / 22 | $24.179,10 | 872 / 29 | $7.768,66 | 1112 / 24 | $6.596,00 | 1108 / 21 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 44 | 87 / 11 | $53.000,60 | 707 / 51 | $15.719,90 | 883 / 21 | $13.667,20 | 875 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 44 | 106 / 32 | $12.901,50 | 699 / 42 | $4.402,89 | 1300 / 45 | $3.168,59 | 1295 / 44 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 42 | 119 / 32 | $14.386,60 | 454 / 31 | $5.751,83 | 1384 / 37 | $4.786,98 | 1379 / 42 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 41 | 50 / 8 | $24.948,90 | 517 / 36 | $7.482,05 | 655 / 26 | $5.768,37 | 653 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 41 | 61 / 14 | $22.456,70 | 749 / 28 | $5.616,54 | 931 / 21 | $4.191,61 | 927 / 21 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 40 | 148 / 30 | $29.783,30 | 508 / 26 | $7.939,33 | 895 / 18 | $6.119,70 | 892 / 14 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 40 | 31 / 5 | $114.719,00 | 343 / 25 | $33.256,90 | 373 / 5 | $30.273,10 | 373 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 40 | 128 / 25 | $28.038,40 | 285 / 14 | $10.862,80 | 601 / 9 | $9.633,62 | 600 / 8 |
| Syncope & Collapse | 38 | 131 / 56 | $15.054,30 | 397 / 31 | $5.403,50 | 1108 / 31 | $4.239,92 | 1101 / 32 |
| Red Blood Cell Disorders W/O Mcc | 36 | 107 / 41 | $20.729,40 | 960 / 46 | $5.854,17 | 1175 / 31 | $4.762,94 | 1167 / 34 |
| Depressive Neuroses | 35 | 16 / 2 | $10.933,80 | 62 / 3 | $5.163,74 | 75 / 3 | $3.888,57 | 75 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 26 | $26.564,90 | 760 / 42 | $8.574,47 | 1098 / 28 | $7.346,82 | 1095 / 26 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 33 | 43 / 7 | $108.163,00 | 164 / 9 | $28.893,50 | 335 / 3 | $27.216,30 | 335 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 31 | $41.982,00 | 900 / 58 | $11.413,80 | 916 / 26 | $10.051,80 | 915 / 28 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 32 | 45 / 6 | $30.687,70 | 91 / 17 | $10.764,10 | 175 / 4 | $8.559,91 | 175 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 32 | 164 / 35 | $69.049,00 | 659 / 32 | $14.291,60 | 553 / 12 | $10.772,20 | 549 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 24 | $15.538,80 | 846 / 49 | $5.358,84 | 1357 / 47 | $4.175,74 | 1346 / 45 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 30 | 63 / 22 | $14.898,40 | 728 / 33 | $5.294,93 | 1182 / 33 | $3.880,27 | 1176 / 34 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 36 | $141.566,00 | 941 / 62 | $38.335,10 | 1012 / 27 | $35.629,90 | 1006 / 26 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 28 | 29 / 9 | $39.748,30 | 139 / 9 | $14.130,90 | 276 / 4 | $11.756,90 | 275 / 5 |
| Transient Ischemia | 27 | 98 / 33 | $21.835,00 | 792 / 49 | $5.237,81 | 1035 / 33 | $4.111,56 | 1030 / 33 |
| Other Digestive System Diagnoses W Cc | 26 | 71 / 23 | $20.891,00 | 460 / 22 | $6.841,92 | 753 / 15 | $5.692,08 | 749 / 18 |
| Respiratory Infections & Inflammations W Mcc | 26 | 110 / 29 | $42.914,30 | 877 / 35 | $12.371,20 | 722 / 12 | $10.969,80 | 714 / 8 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 25 | 28 / 8 | $23.197,30 | 397 / 30 | $5.866,56 | 470 / 21 | $4.205,76 | 467 / 9 |
| Major Small & Large Bowel Procedures W Cc | 24 | 84 / 25 | $42.220,80 | 246 / 18 | $16.046,40 | 730 / 14 | $14.460,30 | 722 / 17 |
| G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 16 | $12.289,90 | 306 / 22 | $4.766,43 | 860 / 29 | $3.551,96 | 857 / 29 |
| Chest Pain | 23 | 128 / 52 | $11.211,10 | 202 / 14 | $5.225,30 | 958 / 37 | $3.476,48 | 952 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 39 | $23.196,30 | 607 / 21 | $7.616,57 | 667 / 10 | $6.329,74 | 664 / 7 |
| Permanent Cardiac Pacemaker Implant W Cc | 23 | 54 / 18 | $50.538,00 | 221 / 13 | $16.607,80 | 433 / 6 | $15.413,60 | 432 / 9 |
| G.I. Hemorrhage W Mcc | 22 | 99 / 33 | $42.831,40 | 800 / 37 | $11.416,60 | 570 / 12 | $9.834,64 | 571 / 9 |
| Seizures W/O Mcc | 22 | 86 / 37 | $16.352,80 | 330 / 26 | $5.601,00 | 637 / 23 | $4.362,68 | 634 / 14 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 23 | $27.559,40 | 546 / 28 | $8.691,81 | 863 / 17 | $7.640,57 | 858 / 21 |
| G.I. Obstruction W Cc | 21 | 71 / 25 | $14.567,40 | 260 / 16 | $6.331,76 | 831 / 33 | $4.860,62 | 829 / 21 |
| Respiratory Infections & Inflammations W Cc | 21 | 67 / 25 | $28.439,50 | 623 / 31 | $9.429,33 | 867 / 25 | $8.198,14 | 862 / 24 |
| Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 21 | $23.336,30 | 516 / 24 | $8.053,90 | 416 / 28 | $4.586,90 | 412 / 5 |
| Medical Back Problems W/O Mcc | 21 | 100 / 42 | $20.206,10 | 545 / 36 | $6.187,05 | 880 / 27 | $4.933,67 | 877 / 26 |
| Other Circulatory System Diagnoses W Mcc | 21 | 95 / 27 | $52.558,00 | 806 / 40 | $12.635,40 | 702 / 6 | $11.621,90 | 700 / 10 |
| Other Vascular Procedures W Cc | 20 | 82 / 31 | $60.008,60 | 359 / 17 | $15.789,00 | 420 / 3 | $14.502,10 | 418 / 4 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 20 | 104 / 38 | $13.243,50 | 259 / 20 | $5.136,15 | 379 / 13 | $4.024,65 | 379 / 13 |
| Fractures Of Hip & Pelvis W/O Mcc | 19 | 42 / 16 | $20.312,40 | 526 / 26 | $5.262,58 | 513 / 22 | $3.963,79 | 513 / 17 |
| Renal Failure W/O Cc/Mcc | 19 | 37 / 8 | $12.525,30 | 253 / 7 | $4.954,21 | 445 / 13 | $3.436,37 | 444 / 10 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 19 | 42 / 16 | $18.617,40 | 466 / 22 | $5.861,00 | 359 / 20 | $3.487,37 | 358 / 7 |
| Cellulitis W Mcc | 19 | 39 / 18 | $49.929,40 | 731 / 37 | $11.241,00 | 672 / 19 | $9.771,42 | 670 / 18 |
| Degenerative Nervous System Disorders W/O Mcc | 18 | 60 / 29 | $29.710,80 | 490 / 35 | $7.540,67 | 448 / 21 | $5.869,39 | 448 / 14 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 18 | 51 / 11 | $58.513,70 | 246 / 17 | $12.064,10 | 212 / 5 | $9.819,06 | 212 / 2 |
| Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 21 | $19.153,20 | 115 / 12 | $7.134,82 | 579 / 6 | $6.033,47 | 578 / 10 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 17 | 37 / 9 | $17.632,50 | 130 / 4 | $5.446,12 | 209 / 5 | $4.415,82 | 209 / 4 |
| Pulmonary Embolism W/O Mcc | 17 | 57 / 17 | $18.856,30 | 336 / 17 | $6.663,12 | 761 / 12 | $5.700,88 | 758 / 19 |
| Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 13 | $28.137,60 | 574 / 21 | $6.738,82 | 548 / 12 | $5.423,06 | 545 / 10 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 17 | 30 / 10 | $25.977,90 | 94 / 10 | $8.278,18 | 371 / 6 | $7.111,12 | 370 / 15 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 16 | 26 / 9 | $17.850,20 | 108 / 9 | $6.070,12 | 167 / 8 | $4.669,06 | 167 / 6 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 16 | 102 / 19 | $108.784,00 | 110 / 8 | $31.137,30 | 154 / 2 | $29.720,20 | 154 / 5 |
| Signs & Symptoms W/O Mcc | 15 | 76 / 35 | $13.102,30 | 224 / 9 | $5.113,80 | 805 / 13 | $4.304,47 | 802 / 24 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 20 | $24.009,10 | 326 / 16 | $6.442,29 | 312 / 7 | $5.061,50 | 312 / 6 |
| Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 14 | 17 / 4 | $57.170,30 | 80 / 7 | $11.897,40 | 52 / 2 | $10.583,40 | 52 / 2 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 14 | 28 / 8 | $50.816,40 | 168 / 5 | $12.123,40 | 120 / 2 | $10.803,70 | 120 / 2 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 14 | 81 / 26 | $53.734,30 | 133 / 9 | $12.449,00 | 218 / 1 | $11.148,20 | 216 / 1 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 13 | 41 / 12 | $26.718,50 | 234 / 14 | $7.605,92 | 187 / 11 | $5.860,54 | 187 / 6 |
| Major Chest Procedures W Cc | 13 | 61 / 16 | $74.366,60 | 293 / 20 | $18.113,50 | 275 / 9 | $15.623,00 | 273 / 7 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 32 | $76.451,20 | 334 / 20 | $26.770,60 | 239 / 21 | $18.092,20 | 239 / 2 |
| Other Vascular Procedures W Mcc | 13 | 84 / 29 | $82.502,50 | 411 / 25 | $21.078,50 | 422 / 5 | $19.870,30 | 420 / 8 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 13 | $37.175,90 | 211 / 9 | $11.382,50 | 622 / 8 | $10.354,20 | 620 / 14 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 13 | 30 / 14 | $15.053,80 | 79 / 9 | $5.080,77 | 186 / 8 | $3.784,77 | 186 / 7 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 19 | $31.638,20 | 438 / 12 | $6.838,62 | 392 / 6 | $6.025,92 | 391 / 9 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 31 | $18.367,30 | 321 / 26 | $5.231,00 | 382 / 11 | $4.144,15 | 382 / 15 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 35 | $21.956,10 | 498 / 20 | $6.713,46 | 665 / 10 | $5.752,15 | 662 / 15 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 18 | $34.759,90 | 296 / 10 | $11.289,20 | 300 / 6 | $8.489,08 | 299 / 2 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 23 | $29.198,20 | 149 / 7 | $10.837,20 | 285 / 3 | $9.967,50 | 285 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 18 | $67.321,80 | 340 / 11 | $20.538,10 | 480 / 5 | $19.122,20 | 477 / 7 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 19 | $29.210,80 | 123 / 6 | $10.738,30 | 410 / 4 | $9.269,25 | 410 / 8 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 41 | $144.399,00 | 485 / 48 | $39.389,00 | 552 / 9 | $37.767,90 | 551 / 10 |
| Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 8 | $22.033,10 | 165 / 5 | $6.964,08 | 232 / 2 | $5.678,08 | 232 / 1 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 14 | $92.869,00 | 303 / 8 | $23.985,90 | 311 / 2 | $22.821,80 | 310 / 2 |
| Atherosclerosis W/O Mcc | 12 | 46 / 23 | $12.340,50 | 96 / 9 | $4.699,42 | / 9 | $3.427,42 | / |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 28 | $21.501,90 | 192 / 12 | $8.375,92 | 492 / 5 | $7.472,25 | 490 / 6 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 15 | $29.233,50 | 328 / 9 | $9.826,45 | 235 / 6 | $7.438,18 | 234 / 2 |
| Neuroses Except Depressive | 11 | 16 / 2 | $7.430,45 | 5 / 1 | $5.185,82 | 19 / 1 | $4.390,64 | 19 / 1 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 18 | $25.455,70 | 169 / 7 | $7.674,27 | 231 / 5 | $6.409,55 | 231 / 5 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 11 | 77 / 17 | $80.930,90 | 142 / 8 | $22.668,60 | 285 / 2 | $21.289,70 | 284 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 37 | $36.466,00 | 555 / 21 | $11.073,10 | 606 / 15 | $9.564,27 | 604 / 13 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 11 | 29 / 15 | $17.912,60 | 37 / 3 | $7.338,36 | 85 / 2 | $6.228,64 | 85 / 3 | Total 103 procedures | 3.711 | 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.