Hospital Costs > In New York > Faxton-St Luke's Healthcare, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Psychoses | 212 | 112 / 3 | $15.623,00 | 196 / 1 | $6.291,31 | 143 / 1 | $5.286,61 | 143 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 183 | 333 / 51 | $38.128,40 | 1219 / 65 | $11.598,90 | 1267 / 22 | $10.581,60 | 1246 / 24 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 106 | 60 / 13 | $16.181,70 | 1102 / 55 | $4.666,32 | 833 / 18 | $3.535,18 | 830 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 106 | 169 / 33 | $15.012,80 | 759 / 53 | $4.808,92 | 999 / 16 | $3.763,46 | 991 / 19 |
| G.I. Hemorrhage W Cc | 104 | 114 / 19 | $19.022,70 | 663 / 44 | $6.235,55 | 882 / 14 | $5.252,00 | 880 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 100 | 82 / 5 | $20.152,30 | 489 / 27 | $6.497,62 | 604 / 10 | $5.334,60 | 603 / 13 |
| Heart Failure & Shock W Mcc | 93 | 191 / 34 | $30.549,50 | 1116 / 49 | $9.590,72 | 1302 / 20 | $8.718,38 | 1299 / 24 |
| Heart Failure & Shock W Cc | 90 | 188 / 38 | $17.878,20 | 915 / 52 | $6.189,00 | 942 / 18 | $5.252,98 | 941 / 15 |
| Renal Failure W Cc | 85 | 136 / 22 | $20.779,00 | 1057 / 46 | $5.964,67 | 1025 / 10 | $5.210,18 | 1017 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 78 | 125 / 26 | $19.620,00 | 1094 / 61 | $6.134,31 | 977 / 19 | $5.058,86 | 974 / 15 |
| Kidney & Urinary Tract Infections W/O Mcc | 74 | 159 / 41 | $12.603,30 | 588 / 31 | $4.886,36 | 1140 / 13 | $4.049,96 | 1132 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 72 | 130 / 25 | $23.801,60 | 1042 / 45 | $7.193,96 | 1037 / 13 | $6.277,75 | 1032 / 15 |
| Simple Pneumonia & Pleurisy W Mcc | 69 | 136 / 23 | $23.867,60 | 626 / 37 | $8.724,01 | 814 / 14 | $7.670,90 | 814 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 68 | 496 / 66 | $40.669,40 | 790 / 55 | $12.486,00 | 1044 / 11 | $11.143,10 | 1021 / 15 |
| Pulmonary Edema & Respiratory Failure | 66 | 137 / 14 | $23.306,70 | 618 / 34 | $7.437,45 | 521 / 7 | $6.352,00 | 521 / 7 |
| Syncope & Collapse | 64 | 105 / 39 | $17.325,00 | 598 / 39 | $4.673,42 | 678 / 7 | $3.724,55 | 675 / 10 |
| Cellulitis W/O Mcc | 60 | 129 / 42 | $13.782,30 | 699 / 44 | $5.301,62 | 1107 / 10 | $4.353,42 | 1101 / 16 |
| Transient Ischemia | 59 | 66 / 13 | $14.414,00 | 261 / 24 | $4.566,49 | 604 / 10 | $3.477,75 | 600 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 59 | 148 / 46 | $22.641,40 | 1036 / 53 | $6.730,00 | 864 / 15 | $5.536,56 | 862 / 14 |
| Renal Failure W Mcc | 57 | 138 / 23 | $38.930,80 | 1243 / 49 | $11.520,30 | 1511 / 33 | $10.332,00 | 1510 / 29 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 56 | 112 / 17 | $36.935,20 | 582 / 24 | $10.793,10 | 600 / 8 | $9.628,59 | 599 / 7 |
| Respiratory Infections & Inflammations W Cc | 55 | 33 / 5 | $22.813,10 | 381 / 22 | $8.083,35 | 286 / 5 | $6.932,31 | 284 / 4 |
| Chronic Obstructive Pulmonary Disease W Cc | 54 | 125 / 29 | $16.011,60 | 607 / 44 | $6.046,69 | 707 / 20 | $4.731,98 | 705 / 10 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 49 | 71 / 13 | $12.483,30 | 492 / 37 | $4.689,04 | 849 / 15 | $3.611,61 | 844 / 16 |
| Red Blood Cell Disorders W/O Mcc | 47 | 96 / 31 | $15.270,00 | 475 / 30 | $5.135,79 | 606 / 11 | $4.094,45 | 602 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 46 | 80 / 19 | $21.591,20 | 500 / 18 | $6.975,89 | 317 / 4 | $5.741,46 | 314 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 46 | 115 / 28 | $16.601,10 | 701 / 37 | $4.992,52 | 879 / 8 | $4.181,24 | 876 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 44 | 106 / 32 | $13.033,40 | 717 / 44 | $3.853,34 | 753 / 15 | $2.630,75 | 749 / 11 |
| Medical Back Problems W/O Mcc | 42 | 79 / 24 | $15.105,30 | 232 / 19 | $5.319,40 | 314 / 7 | $3.975,26 | 314 / 5 |
| Other Circulatory System Diagnoses W Mcc | 41 | 75 / 13 | $36.649,00 | 390 / 21 | $11.994,20 | 523 / 4 | $10.838,40 | 521 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 39 | 149 / 31 | $26.385,60 | 351 / 21 | $6.553,23 | 488 / 2 | $5.423,77 | 486 / 6 |
| Hip & Femur Procedures Except Major Joint W Cc | 38 | 105 / 32 | $28.376,90 | 179 / 17 | $11.196,30 | 586 / 6 | $10.219,70 | 583 / 9 |
| Signs & Symptoms W/O Mcc | 38 | 53 / 16 | $16.743,20 | 457 / 26 | $4.549,39 | 462 / 5 | $3.607,68 | 461 / 7 |
| Depressive Neuroses | 38 | 13 / 1 | $7.982,21 | 29 / 1 | $4.297,34 | 38 / 2 | $3.387,55 | 38 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 37 | 73 / 26 | $13.318,20 | 636 / 40 | $4.344,95 | 934 / 8 | $3.672,95 | 927 / 18 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 36 | 66 / 18 | $14.572,50 | 224 / 12 | $4.827,56 | 713 / 7 | $3.871,39 | 709 / 12 |
| Respiratory Infections & Inflammations W Mcc | 35 | 101 / 21 | $36.092,10 | 629 / 30 | $11.845,70 | 690 / 8 | $10.902,70 | 682 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 35 | 161 / 34 | $45.598,70 | 140 / 17 | $12.487,50 | 225 / 3 | $9.916,03 | 225 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 33 | 63 / 14 | $29.796,20 | 633 / 33 | $8.755,79 | 959 / 19 | $8.005,58 | 954 / 24 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 33 | 44 / 5 | $29.692,00 | 80 / 16 | $9.321,15 | 130 / 1 | $8.136,94 | 130 / 3 |
| Chest Pain | 33 | 118 / 45 | $12.658,80 | 281 / 25 | $4.031,12 | 660 / 3 | $3.086,94 | 656 / 7 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 31 | 62 / 21 | $16.521,70 | 886 / 39 | $4.554,26 | 774 / 9 | $3.478,65 | 770 / 9 |
| Diabetes W Cc | 30 | 62 / 19 | $18.135,90 | 571 / 30 | $5.219,90 | 652 / 9 | $4.460,03 | 651 / 14 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 25 | $44.207,40 | 449 / 33 | $13.360,80 | 527 / 2 | $12.513,90 | 520 / 6 |
| G.I. Hemorrhage W Mcc | 26 | 95 / 29 | $30.196,00 | 330 / 16 | $10.143,70 | 389 / 5 | $9.380,00 | 389 / 6 |
| Other Vascular Procedures W Mcc | 26 | 71 / 18 | $43.337,30 | 55 / 4 | $18.124,20 | 149 / 1 | $17.437,00 | 149 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 26 | 75 / 21 | $72.100,30 | 280 / 17 | $20.053,50 | 342 / 2 | $18.919,20 | 342 / 5 |
| G.I. Hemorrhage W/O Cc/Mcc | 25 | 43 / 15 | $12.616,50 | 197 / 9 | $4.612,08 | 349 / 2 | $3.466,40 | 346 / 2 |
| Degenerative Nervous System Disorders W/O Mcc | 25 | 53 / 23 | $14.942,10 | 105 / 5 | $6.001,72 | 224 / 1 | $5.055,00 | 224 / 2 |
| G.I. Obstruction W Cc | 24 | 68 / 22 | $14.658,40 | 267 / 18 | $5.674,62 | 274 / 12 | $4.155,92 | 273 / 5 |
| Red Blood Cell Disorders W Mcc | 24 | 47 / 16 | $33.973,80 | 560 / 33 | $8.992,58 | 641 / 15 | $7.966,75 | 637 / 13 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 24 | 101 / 39 | $49.158,60 | 1118 / 68 | $11.551,20 | 1104 / 32 | $10.688,20 | 1099 / 37 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 23 | 78 / 25 | $26.530,20 | 289 / 14 | $8.916,22 | 122 / 3 | $7.652,48 | 122 / 1 |
| Pulmonary Embolism W/O Mcc | 23 | 51 / 12 | $21.629,90 | 474 / 21 | $5.978,74 | 516 / 6 | $5.218,91 | 514 / 10 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 22 | 51 / 14 | $16.750,00 | 171 / 5 | $7.018,18 | 479 / 4 | $6.605,41 | 477 / 7 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 22 | 40 / 22 | $11.716,10 | 102 / 7 | $4.781,82 | 179 / 4 | $3.551,86 | 179 / 2 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 21 | 25 / 10 | $13.958,50 | 61 / 4 | $4.480,29 | 145 / 1 | $3.428,05 | 145 / 4 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 21 | 35 / 9 | $25.138,50 | 90 / 4 | $9.570,24 | 278 / 1 | $8.394,67 | 277 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 39 | $26.585,10 | 762 / 43 | $7.330,14 | 541 / 7 | $6.427,10 | 538 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 28 | $28.377,30 | 671 / 44 | $6.521,60 | 596 / 9 | $5.651,35 | 595 / 13 |
| Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 43 | $21.075,80 | 641 / 23 | $6.616,95 | 634 / 5 | $5.858,10 | 633 / 6 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 19 | 57 / 9 | $27.918,60 | 74 / 2 | $10.455,70 | 16 / 1 | $8.697,11 | 16 / 1 |
| Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 19 | 12 / 2 | $47.689,10 | 47 / 5 | $10.962,30 | 13 / 1 | $9.240,21 | 13 / 1 |
| Cellulitis W Mcc | 19 | 39 / 18 | $28.096,70 | 333 / 16 | $8.743,53 | 356 / 2 | $8.127,11 | 354 / 3 |
| Peripheral Vascular Disorders W Mcc | 19 | 30 / 13 | $34.600,70 | 281 / 13 | $10.211,80 | 393 / 9 | $9.343,26 | 393 / 13 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 44 | $87.845,30 | 330 / 16 | $32.235,60 | 670 / 6 | $31.247,20 | 664 / 8 |
| Seizures W/O Mcc | 19 | 89 / 40 | $14.359,20 | 227 / 19 | $5.026,37 | 85 / 7 | $3.262,63 | 85 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 20 | $23.708,10 | 246 / 22 | $6.831,06 | 261 / 4 | $5.114,06 | 261 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 22 | $10.476,10 | 168 / 15 | $4.027,06 | 543 / 6 | $3.013,71 | 542 / 9 |
| Major Small & Large Bowel Procedures W Cc | 16 | 92 / 32 | $46.527,30 | 322 / 21 | $14.860,40 | 226 / 9 | $12.573,60 | 224 / 3 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 23 | $91.391,00 | 182 / 14 | $30.573,60 | 282 / 3 | $28.977,60 | 282 / 2 |
| Other Vascular Procedures W Cc | 16 | 86 / 35 | $38.867,20 | 81 / 5 | $13.900,40 | 108 / 1 | $12.790,60 | 108 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 16 | 40 / 10 | $29.632,10 | 134 / 3 | $11.439,60 | 86 / 2 | $9.697,69 | 86 / 1 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 37 | $104.323,00 | 209 / 21 | $34.055,90 | 288 / 3 | $32.984,60 | 287 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 25 | $15.788,10 | 118 / 7 | $6.121,12 | 268 / 2 | $5.378,38 | 268 / 3 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 16 | 108 / 41 | $14.261,40 | 306 / 24 | $4.780,88 | 344 / 9 | $3.926,06 | 344 / 10 |
| Organic Disturbances & Mental Retardation | 16 | 43 / 21 | $15.069,70 | 93 / 6 | $6.233,88 | 109 / 1 | $5.143,62 | 109 / 2 |
| Renal Failure W/O Cc/Mcc | 15 | 41 / 12 | $16.184,70 | 422 / 12 | $4.732,53 | 245 / 9 | $3.011,67 | 244 / 3 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 26 | $84.178,10 | 233 / 8 | $30.565,00 | 488 / 3 | $29.524,50 | 486 / 4 |
| Other Digestive System Diagnoses W Mcc | 15 | 47 / 20 | $34.735,30 | 239 / 13 | $9.782,40 | 97 / 2 | $8.803,33 | 97 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 11 | $39.526,60 | 250 / 10 | $9.906,00 | 325 / 2 | $8.734,47 | 325 / 2 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 20 | $14.668,80 | 99 / 8 | $5.667,29 | 109 / 1 | $4.238,71 | 109 / 1 |
| Fever | 13 | 33 / 16 | $17.116,00 | 67 / 2 | $5.706,08 | 68 / 2 | $4.252,46 | 68 / 1 |
| Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 13 | 19 / 4 | $58.800,60 | 60 / 3 | $14.780,70 | 50 / 2 | $12.017,10 | 50 / 1 |
| Respiratory Neoplasms W Cc | 13 | 34 / 14 | $37.583,90 | 289 / 16 | $8.441,00 | 262 / 8 | $7.183,23 | 261 / 9 |
| Pleural Effusion W Mcc | 13 | 17 / 5 | $39.763,20 | 90 / 3 | $10.168,70 | 103 / 1 | $9.433,62 | 103 / 2 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 35 | $14.842,70 | 145 / 10 | $5.994,00 | 392 / 6 | $5.040,00 | 389 / 6 |
| Hypertension W/O Mcc | 13 | 52 / 23 | $14.666,30 | 208 / 17 | $4.099,54 | 190 / 2 | $2.874,77 | 188 / 1 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 35 | $17.343,10 | 284 / 15 | $6.269,92 | 335 / 5 | $4.954,23 | 333 / 4 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 15 | $10.571,40 | 37 / 5 | $4.367,08 | 93 / 1 | $3.236,33 | 93 / 1 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 23 | $13.270,20 | 227 / 11 | $4.184,00 | 213 / 2 | $3.151,42 | 212 / 3 |
| Complications Of Treatment W Cc | 12 | 40 / 13 | $19.444,90 | 84 / 5 | $6.085,17 | 92 / 1 | $5.356,92 | 92 / 1 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 12 | 54 / 17 | $18.754,00 | 65 / 4 | $6.697,75 | 91 / 2 | $5.574,67 | 91 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 15 | $30.044,60 | 156 / 12 | $7.400,75 | 266 / 2 | $6.466,67 | 266 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 27 | $38.772,80 | 138 / 7 | $12.807,40 | 72 / 1 | $10.260,70 | 72 / 1 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 12 | 42 / 13 | $17.091,80 | 76 / 7 | $5.784,42 | 129 / 1 | $5.454,42 | 129 / 4 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 19 | $25.825,90 | 66 / 3 | $9.665,00 | 284 / 1 | $8.524,83 | 284 / 4 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 20 | $63.859,00 | 46 / 4 | $26.785,80 | 141 / 1 | $26.031,20 | 141 / 1 |
| Otitis Media & Uri W/O Mcc | 11 | 33 / 18 | $13.723,40 | 41 / 2 | $4.237,18 | 49 / 1 | $3.225,09 | 49 / 1 |
| Disorders Of The Biliary Tract W/O Cc/Mcc | 11 | 18 / 10 | $19.903,30 | 31 / 4 | $4.753,91 | 29 / 1 | $3.854,73 | 29 / 1 |
| Digestive Malignancy W Cc | 11 | 36 / 17 | $24.459,50 | 73 / 6 | $8.063,09 | 131 / 3 | $7.041,45 | 130 / 5 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 24 | $11.412,50 | 131 / 8 | $4.593,64 | 491 / 4 | $3.916,09 | 491 / 13 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 11 | 29 / 15 | $20.466,70 | 58 / 5 | $6.778,09 | 40 / 1 | $5.647,09 | 40 / 1 | Total 103 procedures | 3.767 | 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.