Hospital Costs > In New York > Erie County Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 150 | 414 / 39 | $25.240,40 | 83 / 14 | $20.082,70 | 2327 / 89 | $15.536,20 | 2282 / 83 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 123 | 28 / 4 | $10.822,10 | 155 / 12 | $9.315,82 | 776 / 45 | $6.915,16 | 775 / 40 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 121 | 395 / 71 | $26.334,00 | 603 / 38 | $19.519,00 | 2483 / 107 | $15.097,50 | 2439 / 92 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 48 | 48 / 4 | $29.348,60 | 32 / 3 | $19.201,20 | 661 / 18 | $14.861,40 | 657 / 17 |
Heart Failure & Shock W Mcc | 46 | 238 / 60 | $26.920,40 | 890 / 44 | $17.178,00 | 2361 / 101 | $12.458,10 | 2351 / 85 |
Kidney Transplant | 45 | 58 / 5 | $173.841,00 | 64 / 5 | $35.008,30 | 110 / 2 | $25.665,40 | 110 / 4 |
Renal Failure W Cc | 43 | 178 / 45 | $15.941,20 | 557 / 29 | $11.712,20 | 2314 / 96 | $9.143,12 | 2304 / 93 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 42 | 13 / 2 | $25.713,30 | 19 / 1 | $18.816,40 | 578 / 12 | $16.174,70 | 574 / 19 |
Renal Failure W Mcc | 42 | 153 / 30 | $18.329,50 | 166 / 10 | $16.062,90 | 1915 / 69 | $12.923,20 | 1911 / 62 |
Hip & Femur Procedures Except Major Joint W Cc | 42 | 101 / 28 | $28.216,20 | 172 / 16 | $19.683,70 | 1856 / 82 | $15.573,10 | 1836 / 70 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 41 | 166 / 60 | $17.423,90 | 552 / 37 | $12.717,90 | 2445 / 107 | $9.815,80 | 2435 / 104 |
Kidney & Urinary Tract Infections W/O Mcc | 39 | 194 / 61 | $16.240,80 | 1111 / 51 | $10.712,50 | 2597 / 114 | $7.651,33 | 2586 / 107 |
Heart Failure & Shock W Cc | 38 | 240 / 69 | $18.922,40 | 1039 / 54 | $12.737,20 | 2627 / 115 | $9.521,18 | 2621 / 109 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 35 | 26 / 6 | $11.346,50 | 153 / 8 | $8.472,20 | 850 / 38 | $6.629,09 | 849 / 38 |
Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 53 | $14.590,10 | 290 / 24 | $13.140,10 | 2413 / 101 | $10.366,30 | 2405 / 94 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 77 | $13.560,40 | 573 / 43 | $9.788,56 | 2591 / 110 | $7.254,97 | 2576 / 107 |
Cellulitis W/O Mcc | 33 | 156 / 64 | $13.126,10 | 606 / 39 | $10.433,60 | 2480 / 111 | $7.759,94 | 2472 / 108 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 30 | 19 / 10 | $9.656,60 | 71 / 19 | $7.564,80 | 97 / 24 | $5.573,63 | 96 / 21 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 28 | 73 / 21 | $18.455,30 | 89 / 3 | $16.560,90 | 1003 / 40 | $13.917,30 | 999 / 40 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 26 | $38.036,90 | 279 / 21 | $24.526,60 | 1687 / 73 | $20.304,60 | 1673 / 65 |
G.I. Hemorrhage W Cc | 27 | 191 / 62 | $14.953,40 | 305 / 22 | $11.516,30 | 2305 / 98 | $9.479,15 | 2301 / 99 |
Other Kidney & Urinary Tract Diagnoses W Cc | 26 | 77 / 17 | $13.112,20 | 71 / 3 | $11.479,30 | 771 / 34 | $8.876,35 | 771 / 30 |
Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 50 | $16.836,60 | 205 / 14 | $14.787,30 | 2266 / 92 | $11.803,80 | 2260 / 80 |
Spinal Fusion Except Cervical W/O Mcc | 24 | 170 / 28 | $44.909,50 | 71 / 10 | $34.887,80 | 1093 / 39 | $27.964,30 | 1088 / 38 |
Pulmonary Edema & Respiratory Failure | 24 | 179 / 43 | $19.212,70 | 357 / 24 | $13.723,30 | 2041 / 86 | $10.538,00 | 2035 / 77 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 41 | $69.388,20 | 169 / 9 | $53.217,40 | 1399 / 62 | $45.394,60 | 1389 / 56 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 67 | $11.806,70 | 528 / 32 | $9.131,09 | 2437 / 107 | $7.252,91 | 2428 / 110 |
Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 55 | $12.952,50 | 323 / 28 | $11.193,30 | 2326 / 104 | $8.864,62 | 2319 / 100 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 21 | 71 / 32 | $81.573,70 | 93 / 6 | $54.252,90 | 879 / 47 | $46.017,70 | 878 / 37 |
Signs & Symptoms W/O Mcc | 20 | 71 / 30 | $16.901,90 | 465 / 27 | $9.718,50 | 1255 / 66 | $7.052,95 | 1252 / 63 |
G.I. Hemorrhage W Mcc | 20 | 101 / 34 | $30.542,60 | 340 / 17 | $19.117,80 | 1535 / 61 | $15.818,30 | 1525 / 55 |
Diabetes W Mcc | 19 | 38 / 14 | $21.716,70 | 109 / 5 | $14.577,90 | 636 / 24 | $11.316,00 | 635 / 18 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 18 | 51 / 5 | $34.013,50 | 21 / 1 | $22.436,10 | 404 / 3 | $19.013,70 | 404 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 43 | $17.748,70 | 294 / 13 | $12.958,10 | 1505 / 61 | $9.451,06 | 1502 / 52 |
O.R. Procedures For Obesity W/O Cc/Mcc | 18 | 59 / 14 | $10.076,80 | 1 / 1 | $15.353,00 | 385 / 20 | $13.297,90 | 384 / 23 |
Seizures W/O Mcc | 18 | 90 / 41 | $18.208,90 | 447 / 34 | $10.098,90 | 1219 / 73 | $7.408,11 | 1217 / 68 |
Other Circulatory System Diagnoses W Mcc | 18 | 98 / 30 | $28.747,00 | 186 / 11 | $21.498,20 | 1272 / 57 | $17.646,30 | 1264 / 53 |
Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 9 | $26.382,00 | 258 / 7 | $15.374,00 | 863 / 22 | $11.992,40 | 860 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 53 | $19.128,40 | 976 / 48 | $11.954,50 | 2100 / 101 | $8.639,47 | 2095 / 95 |
Diabetes W Cc | 17 | 75 / 32 | $17.822,30 | 544 / 28 | $10.710,10 | 1511 / 73 | $8.031,24 | 1506 / 66 |
Syncope & Collapse | 17 | 152 / 68 | $15.607,20 | 449 / 34 | $9.555,29 | 1826 / 84 | $7.305,71 | 1818 / 83 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 17 | 47 / 19 | $155.215,00 | 69 / 3 | $105.701,00 | 468 / 22 | $88.428,70 | 467 / 16 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 60 | $13.438,60 | 306 / 16 | $10.020,40 | 1879 / 83 | $7.765,38 | 1870 / 82 |
Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 15 | $38.931,60 | 49 / 3 | $26.918,90 | 818 / 28 | $22.976,90 | 815 / 24 |
Medical Back Problems W/O Mcc | 16 | 105 / 47 | $18.370,20 | 413 / 28 | $10.398,10 | 1403 / 69 | $7.857,75 | 1398 / 67 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 42 | $23.458,00 | 218 / 14 | $12.318,10 | 1544 / 44 | $9.866,38 | 1541 / 45 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 15 | 32 / 12 | $16.881,60 | 9 / 1 | $14.840,60 | 463 / 20 | $11.880,80 | 463 / 21 |
Peripheral Vascular Disorders W Cc | 15 | 69 / 33 | $13.864,20 | 139 / 6 | $11.241,60 | 1161 / 54 | $8.870,73 | 1158 / 53 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 45 | $21.857,90 | 446 / 28 | $14.182,70 | 1773 / 80 | $10.830,00 | 1770 / 73 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 18 | $57.697,20 | 30 / 3 | $47.976,50 | 518 / 28 | $33.976,30 | 518 / 16 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 14 | 52 / 15 | $23.457,70 | 131 / 6 | $13.157,40 | 476 / 22 | $9.869,14 | 475 / 19 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 30 | $17.537,20 | 125 / 9 | $13.532,20 | 1330 / 53 | $10.847,80 | 1325 / 51 |
Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 75 | $14.657,10 | 518 / 40 | $11.780,90 | 2688 / 114 | $9.180,64 | 2679 / 113 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 35 | $12.923,80 | 85 / 5 | $11.371,20 | 1355 / 56 | $9.219,85 | 1351 / 56 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 43 | $10.181,00 | 262 / 22 | $9.111,25 | 2017 / 96 | $6.988,67 | 2005 / 90 |
Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 20 | $18.562,30 | 7 / 2 | $20.277,70 | 775 / 16 | $16.726,60 | 772 / 18 |
Other Kidney & Urinary Tract Diagnoses W/O Cc/Mcc | 12 | 12 / 5 | $14.140,90 | 10 / 3 | $9.356,25 | 40 / 5 | $7.497,58 | 40 / 7 |
Other Vascular Procedures W Mcc | 12 | 85 / 30 | $45.073,90 | 61 / 6 | $32.092,20 | 852 / 33 | $27.114,00 | 849 / 29 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 12 | 69 / 22 | $224.837,00 | 22 / 2 | $155.059,00 | 295 / 8 | $128.135,00 | 294 / 6 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 12 | 63 / 25 | $33.385,30 | 66 / 17 | $20.779,60 | 81 / 29 | $11.056,20 | 81 / 24 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 19 | $13.658,70 | 88 / 3 | $10.987,30 | 909 / 34 | $8.726,27 | 906 / 34 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 29 | $32.953,60 | 532 / 30 | $17.219,90 | 1060 / 65 | $13.422,40 | 1056 / 61 |
G.I. Obstruction W Cc | 11 | 81 / 35 | $18.436,40 | 543 / 29 | $11.618,70 | 1671 / 80 | $8.440,36 | 1666 / 75 | Total 63 procedures | 1.771 | 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.