Hospital Costs > In New York > Elmhurst Hospital Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 50 | $41.813,60 | 894 / 57 | $24.588,60 | 1811 / 98 | $22.714,50 | 1798 / 101 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 14 | $25.406,40 | 470 / 36 | $14.260,80 | 859 / 55 | $12.745,80 | 855 / 55 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 25 | 99 / 33 | $33.580,40 | 735 / 55 | $13.947,70 | 830 / 55 | $12.134,10 | 829 / 55 |
Bronchitis & Asthma W/O Cc/Mcc | 14 | 31 / 15 | $19.657,10 | 203 / 16 | $13.125,90 | 380 / 32 | $11.790,00 | 380 / 32 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 38 | 123 / 35 | $24.086,70 | 1358 / 67 | $14.835,10 | 2164 / 110 | $13.337,80 | 2159 / 112 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 38 | $30.709,20 | 996 / 53 | $19.040,90 | 1913 / 98 | $17.278,20 | 1910 / 103 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 44 | $22.216,00 | 1517 / 94 | $12.304,00 | 1988 / 110 | $10.869,50 | 1982 / 111 |
Cellulitis W/O Mcc | 40 | 149 / 58 | $32.578,30 | 2220 / 120 | $15.932,40 | 2634 / 132 | $14.179,40 | 2626 / 133 |
Chest Pain | 51 | 100 / 29 | $16.177,30 | 600 / 49 | $12.636,60 | 1698 / 86 | $11.421,70 | 1689 / 87 |
Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 56 | $22.224,90 | 1232 / 60 | $16.114,00 | 2441 / 125 | $14.684,80 | 2434 / 125 |
Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 70 | $47.206,80 | 2119 / 113 | $21.058,40 | 2577 / 126 | $19.063,60 | 2569 / 127 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 42 | $22.956,60 | 1452 / 84 | $13.928,20 | 2106 / 116 | $12.368,30 | 2094 / 117 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 44 | $22.904,30 | 192 / 13 | $17.404,90 | 1638 / 61 | $15.950,80 | 1635 / 62 |
Degenerative Nervous System Disorders W/O Mcc | 18 | 60 / 29 | $78.119,80 | 861 / 72 | $30.338,30 | 880 / 73 | $25.528,10 | 880 / 73 |
Diabetes W Cc | 20 | 72 / 29 | $29.311,50 | 1151 / 66 | $15.233,50 | 1616 / 91 | $13.604,80 | 1611 / 93 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 77 | $21.356,60 | 1535 / 83 | $14.243,40 | 2724 / 129 | $12.797,00 | 2709 / 129 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 19 | 43 / 25 | $37.686,80 | 702 / 68 | $15.875,20 | 815 / 74 | $13.899,50 | 813 / 74 |
G.I. Hemorrhage W Cc | 14 | 204 / 74 | $32.685,90 | 1695 / 82 | $17.042,60 | 2425 / 121 | $15.412,90 | 2421 / 121 |
G.I. Hemorrhage W Mcc | 13 | 108 / 41 | $63.026,40 | 1244 / 67 | $28.105,60 | 1671 / 85 | $25.904,90 | 1661 / 86 |
Heart Failure & Shock W Cc | 34 | 244 / 73 | $34.045,80 | 2143 / 106 | $16.465,90 | 2751 / 131 | $14.995,30 | 2745 / 133 |
Heart Failure & Shock W Mcc | 20 | 264 / 75 | $40.178,40 | 1669 / 80 | $22.149,50 | 2616 / 124 | $20.366,40 | 2605 / 125 |
Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 47 | $26.367,40 | 1605 / 94 | $13.583,10 | 2013 / 112 | $12.305,80 | 2000 / 113 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 46 | $55.521,50 | 1223 / 64 | $27.307,80 | 2047 / 101 | $24.914,60 | 2025 / 101 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 19 | 37 / 11 | $47.611,20 | 536 / 28 | $23.615,50 | 915 / 46 | $21.440,70 | 912 / 46 |
Hypertension W/O Mcc | 19 | 46 / 17 | $59.414,20 | 779 / 56 | $24.243,80 | 786 / 56 | $19.040,50 | 784 / 56 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 52 | $129.562,00 | 831 / 51 | $68.359,50 | 1583 / 84 | $63.478,70 | 1573 / 87 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 50 | $43.144,30 | 1591 / 79 | $18.404,00 | 2077 / 103 | $16.153,40 | 2072 / 105 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 24 | 144 / 37 | $69.051,00 | 1257 / 70 | $26.351,50 | 1620 / 81 | $23.653,90 | 1613 / 83 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 36 | $24.948,50 | 899 / 33 | $14.315,90 | 1606 / 81 | $12.605,50 | 1602 / 81 |
Kidney & Urinary Tract Infections W/O Mcc | 58 | 175 / 48 | $34.910,90 | 2372 / 120 | $15.674,90 | 2717 / 130 | $13.841,00 | 2706 / 130 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 13 | 551 / 95 | $48.681,50 | 1227 / 72 | $28.748,40 | 2681 / 118 | $26.529,70 | 2635 / 118 |
Medical Back Problems W/O Mcc | 14 | 107 / 49 | $41.616,10 | 1276 / 80 | $14.753,10 | 1491 / 85 | $12.812,60 | 1486 / 86 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 30 | 96 / 32 | $36.005,20 | 1199 / 60 | $20.188,90 | 1741 / 90 | $18.390,60 | 1737 / 90 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 46 | 120 / 47 | $40.683,60 | 2392 / 136 | $16.162,70 | 2548 / 133 | $13.558,70 | 2539 / 132 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 21 | 175 / 38 | $22.688,80 | 17 / 1 | $26.991,70 | 1486 / 52 | $25.674,90 | 1478 / 52 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 20 | $54.103,80 | 906 / 57 | $23.352,60 | 930 / 58 | $19.077,10 | 929 / 58 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 60 | $32.526,40 | 1594 / 95 | $15.046,20 | 1995 / 105 | $13.485,90 | 1986 / 107 |
Renal Failure W Cc | 40 | 181 / 48 | $46.826,20 | 2202 / 116 | $19.023,20 | 2444 / 119 | $16.834,40 | 2434 / 119 |
Renal Failure W Mcc | 16 | 179 / 54 | $65.428,00 | 1836 / 94 | $26.328,30 | 2165 / 103 | $23.678,90 | 2161 / 103 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 14 | $42.467,30 | 829 / 39 | $17.150,20 | 861 / 40 | $15.209,70 | 859 / 40 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 35 | $31.423,80 | 144 / 11 | $29.711,80 | 1840 / 89 | $28.438,30 | 1826 / 94 |
Seizures W/O Mcc | 13 | 95 / 46 | $25.045,80 | 775 / 62 | $14.463,50 | 1310 / 93 | $12.910,20 | 1308 / 93 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 37 | $110.121,00 | 255 / 26 | $67.782,80 | 1065 / 69 | $63.787,60 | 1064 / 72 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 99 | 417 / 83 | $51.997,40 | 1856 / 94 | $26.848,40 | 2808 / 131 | $24.536,00 | 2763 / 134 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 57 | $42.791,00 | 2119 / 113 | $18.612,10 | 2569 / 128 | $16.481,70 | 2559 / 129 |
Signs & Symptoms W/O Mcc | 35 | 56 / 19 | $32.115,10 | 1072 / 71 | $14.344,80 | 1336 / 82 | $12.581,70 | 1333 / 83 |
Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 43 | $33.733,30 | 2134 / 107 | $16.800,30 | 2820 / 134 | $15.015,00 | 2811 / 135 |
Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 58 | $63.251,90 | 2151 / 112 | $29.908,60 | 2527 / 125 | $24.687,60 | 2521 / 124 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 33 | $24.501,20 | 1428 / 68 | $13.883,40 | 1968 / 98 | $12.386,40 | 1960 / 98 |
Syncope & Collapse | 82 | 87 / 26 | $23.805,80 | 1149 / 77 | $13.902,70 | 1924 / 103 | $12.417,60 | 1916 / 105 |
Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 13 | $107.505,00 | 333 / 35 | $33.897,00 | 333 / 35 | $25.599,90 | 332 / 35 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 22 | 22 / 7 | $31.049,80 | 203 / 24 | $14.627,50 | 314 / 33 | $12.976,40 | 314 / 33 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 13 | 41 / 13 | $20.263,90 | 171 / 7 | $13.950,10 | 403 / 24 | $12.484,90 | 403 / 24 | Total 53 procedures | 1.355 | 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.