Hospital Costs > In New York > Flushing Hospital Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 231 | 285 / 38 | $38.659,70 | 1253 / 67 | $21.405,60 | 2729 / 116 | $18.616,40 | 2684 / 117 |
Syncope & Collapse | 99 | 70 / 20 | $14.964,10 | 390 / 30 | $10.105,10 | 1867 / 90 | $8.475,61 | 1859 / 90 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 88 | 45 / 8 | $12.484,40 | 220 / 14 | $9.596,69 | 801 / 46 | $7.828,34 | 800 / 45 |
Kidney & Urinary Tract Infections W/O Mcc | 80 | 153 / 37 | $19.795,20 | 1555 / 65 | $10.999,40 | 2652 / 117 | $8.852,30 | 2641 / 114 |
Chest Pain | 68 | 83 / 23 | $14.697,90 | 470 / 38 | $8.945,25 | 1640 / 74 | $7.270,25 | 1631 / 71 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 62 | 104 / 35 | $18.269,10 | 1356 / 64 | $10.216,00 | 2482 / 115 | $8.328,85 | 2473 / 115 |
Heart Failure & Shock W Mcc | 60 | 224 / 48 | $38.029,60 | 1556 / 69 | $17.960,10 | 2556 / 106 | $15.603,00 | 2545 / 108 |
Cellulitis W/O Mcc | 57 | 132 / 44 | $20.100,10 | 1494 / 75 | $11.526,10 | 2561 / 118 | $9.363,37 | 2553 / 118 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 56 | 36 / 12 | $100.570,00 | 185 / 18 | $55.347,00 | 947 / 49 | $49.580,50 | 946 / 45 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 49 | 158 / 53 | $24.347,10 | 1194 / 58 | $13.608,70 | 2511 / 111 | $11.529,70 | 2501 / 113 |
Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 46 | $25.581,00 | 1661 / 75 | $13.119,50 | 2761 / 123 | $10.853,70 | 2752 / 122 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 43 | 81 / 26 | $112.551,00 | 648 / 43 | $57.004,40 | 1464 / 70 | $48.317,20 | 1454 / 63 |
Kidney & Urinary Tract Infections W Mcc | 41 | 103 / 25 | $33.153,30 | 1296 / 48 | $15.024,50 | 1914 / 77 | $12.309,30 | 1910 / 76 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 41 | 234 / 71 | $18.603,30 | 1224 / 68 | $10.472,40 | 2647 / 115 | $8.259,10 | 2632 / 114 |
Seizures W/O Mcc | 37 | 71 / 27 | $17.485,00 | 393 / 31 | $10.633,60 | 1264 / 78 | $8.679,38 | 1262 / 78 |
Heart Failure & Shock W Cc | 36 | 242 / 71 | $25.389,20 | 1696 / 75 | $13.668,70 | 2688 / 120 | $10.822,80 | 2682 / 117 |
Renal Failure W Cc | 34 | 187 / 53 | $28.375,30 | 1626 / 70 | $13.107,10 | 2383 / 104 | $10.794,50 | 2373 / 104 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 33 | 117 / 40 | $12.245,70 | 624 / 40 | $8.505,73 | 1954 / 98 | $6.903,18 | 1948 / 98 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 33 | 16 / 7 | $7.049,58 | 46 / 7 | $7.422,45 | 99 / 22 | $6.261,70 | 98 / 22 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 33 | 531 / 79 | $40.800,00 | 795 / 56 | $22.960,00 | 2631 / 104 | $20.876,60 | 2585 / 110 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 40 | $20.174,80 | 1067 / 54 | $11.090,60 | 2113 / 95 | $8.962,72 | 2108 / 97 |
Red Blood Cell Disorders W/O Mcc | 32 | 111 / 44 | $23.706,50 | 1161 / 61 | $11.087,50 | 1935 / 91 | $9.193,91 | 1926 / 93 |
Transient Ischemia | 32 | 93 / 28 | $16.548,30 | 381 / 30 | $9.846,66 | 1630 / 85 | $8.095,06 | 1622 / 86 |
Renal Failure W Mcc | 29 | 166 / 42 | $36.014,70 | 1101 / 43 | $17.976,30 | 2075 / 80 | $15.463,30 | 2071 / 79 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 49 | $18.236,70 | 828 / 48 | $12.341,60 | 2387 / 112 | $10.236,30 | 2380 / 111 |
G.I. Hemorrhage W Cc | 29 | 189 / 60 | $27.911,30 | 1436 / 70 | $13.227,80 | 2368 / 108 | $10.752,70 | 2364 / 107 |
G.I. Hemorrhage W/O Cc/Mcc | 28 | 40 / 13 | $20.883,50 | 585 / 33 | $9.898,57 | 986 / 56 | $7.951,86 | 982 / 58 |
Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 61 | $38.056,30 | 1863 / 93 | $16.040,20 | 2534 / 113 | $13.021,40 | 2526 / 111 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 36 | $30.250,60 | 972 / 45 | $14.398,20 | 1672 / 71 | $12.217,90 | 1668 / 71 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 26 | $19.446,00 | 1158 / 52 | $10.334,50 | 1946 / 88 | $8.441,88 | 1938 / 89 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 47 | $30.515,10 | 1187 / 52 | $14.072,00 | 2010 / 91 | $10.869,00 | 2006 / 90 |
Medical Back Problems W/O Mcc | 25 | 96 / 39 | $17.492,50 | 358 / 27 | $11.468,60 | 1457 / 77 | $9.463,40 | 1452 / 76 |
Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 51 | $41.426,40 | 1612 / 77 | $19.248,70 | 2493 / 111 | $16.573,00 | 2487 / 112 |
Degenerative Nervous System Disorders W/O Mcc | 23 | 55 / 25 | $19.601,70 | 223 / 11 | $13.137,70 | 824 / 55 | $10.299,00 | 824 / 52 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 30 | $49.342,60 | 593 / 43 | $25.375,80 | 1742 / 77 | $21.565,40 | 1728 / 73 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 38 | $39.998,00 | 1326 / 72 | $20.394,10 | 1865 / 103 | $13.134,70 | 1862 / 88 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 34 | $16.768,00 | 998 / 54 | $10.258,30 | 2067 / 104 | $8.274,19 | 2055 / 104 |
Organic Disturbances & Mental Retardation | 20 | 39 / 18 | $12.955,50 | 55 / 2 | $12.251,40 | 521 / 33 | $10.417,70 | 521 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 40 | $51.944,80 | 999 / 42 | $20.904,80 | 1558 / 68 | $17.945,40 | 1551 / 69 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 20 | 51 / 19 | $101.321,00 | 264 / 18 | $55.175,40 | 932 / 43 | $49.556,40 | 931 / 49 |
Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 44 | $15.991,10 | 954 / 50 | $9.646,79 | 1964 / 100 | $7.838,26 | 1951 / 98 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 19 | 45 / 17 | $262.656,00 | 271 / 21 | $119.732,00 | 525 / 29 | $105.559,00 | 524 / 27 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 26 | $17.701,00 | 293 / 21 | $10.572,10 | 793 / 64 | $8.729,39 | 791 / 64 |
G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 21 | $13.459,90 | 404 / 28 | $8.847,72 | 1293 / 75 | $6.836,06 | 1290 / 74 |
Dysequilibrium | 18 | 47 / 21 | $13.957,30 | 105 / 13 | $9.159,72 | 552 / 45 | $7.510,44 | 552 / 45 |
G.I. Hemorrhage W Mcc | 18 | 103 / 36 | $47.177,20 | 923 / 44 | $19.187,60 | 1580 / 63 | $16.838,10 | 1570 / 62 |
Signs & Symptoms W/O Mcc | 16 | 75 / 34 | $18.373,40 | 564 / 34 | $10.117,70 | 1294 / 69 | $8.255,06 | 1291 / 68 |
Hypertension W/O Mcc | 16 | 49 / 20 | $18.724,80 | 367 / 24 | $9.356,25 | 764 / 43 | $7.632,56 | 762 / 43 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 47 | $29.181,00 | 413 / 28 | $18.147,40 | 1683 / 75 | $15.124,90 | 1670 / 72 |
Other Circulatory System Diagnoses W Mcc | 16 | 100 / 32 | $43.270,90 | 580 / 29 | $22.436,40 | 1334 / 60 | $19.801,60 | 1326 / 62 |
Other Vascular Procedures W Mcc | 15 | 82 / 27 | $68.646,10 | 243 / 19 | $32.624,50 | 912 / 36 | $29.407,50 | 909 / 36 |
Other Vascular Procedures W Cc | 13 | 89 / 37 | $58.185,30 | 331 / 15 | $27.446,80 | 1059 / 42 | $22.816,00 | 1054 / 36 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 35 | $20.005,80 | 413 / 21 | $12.631,20 | 1401 / 64 | $10.808,50 | 1397 / 64 |
Seizures W Mcc | 13 | 53 / 18 | $47.492,00 | 446 / 18 | $17.994,90 | 684 / 27 | $14.337,20 | 684 / 21 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 34 | $20.879,60 | 295 / 18 | $15.948,20 | 1459 / 73 | $13.931,90 | 1454 / 73 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 41 | $17.656,80 | 407 / 20 | $10.564,80 | 1576 / 69 | $8.785,42 | 1572 / 72 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 23 | $17.219,10 | 390 / 20 | $10.192,20 | 912 / 60 | $8.254,08 | 911 / 59 |
Angina Pectoris | 12 | 13 / 5 | $11.032,60 | 6 / 2 | $8.530,67 | 69 / 8 | $7.273,75 | 69 / 8 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 32 | $18.096,50 | 144 / 13 | $14.477,60 | 1421 / 59 | $13.145,80 | 1416 / 63 |
Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 15 | $16.463,70 | 106 / 11 | $9.705,92 | 357 / 35 | $7.892,50 | 357 / 34 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 18 | $34.932,40 | 301 / 11 | $18.679,40 | 897 / 39 | $16.463,10 | 894 / 41 |
Diabetes W Cc | 11 | 81 / 38 | $21.600,30 | 797 / 40 | $11.542,00 | 1574 / 79 | $9.732,91 | 1569 / 80 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 24 | $18.581,00 | 464 / 21 | $9.619,64 | 880 / 45 | $7.416,55 | 879 / 44 |
Diabetes W/O Cc/Mcc | 11 | 27 / 16 | $13.472,00 | 97 / 9 | $8.748,91 | 276 / 27 | $7.366,00 | 276 / 27 | Total 64 procedures | 2.084 | 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.