Hospital Costs > In New York > Forest Hills Hospital, 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 | 283 | 235 / 29 | $39.936,20 | 1314 / 69 | $17.211,90 | 2580 / 96 | $15.982,80 | 2535 / 100 |
| Syncope & Collapse | 168 | 21 / 9 | $20.816,50 | 929 / 59 | $7.671,78 | 1739 / 69 | $6.370,01 | 1731 / 74 |
| Chest Pain | 165 | 17 / 6 | $19.104,30 | 854 / 63 | $6.731,01 | 1456 / 57 | $5.020,79 | 1448 / 54 |
| Kidney & Urinary Tract Infections W/O Mcc | 146 | 87 / 11 | $22.284,60 | 1779 / 77 | $8.073,51 | 2526 / 92 | $6.897,73 | 2515 / 99 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 133 | 142 / 23 | $23.120,20 | 1729 / 90 | $7.866,51 | 2473 / 94 | $6.361,92 | 2458 / 97 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 99 | 67 / 16 | $19.511,10 | 1507 / 73 | $7.581,11 | 2332 / 94 | $6.278,89 | 2323 / 96 |
| Chronic Obstructive Pulmonary Disease W Mcc | 87 | 115 / 22 | $31.164,10 | 1544 / 68 | $11.403,20 | 2392 / 86 | $10.135,00 | 2384 / 91 |
| Simple Pneumonia & Pleurisy W Cc | 85 | 118 / 22 | $27.298,80 | 1794 / 81 | $9.994,34 | 2634 / 101 | $8.604,93 | 2625 / 107 |
| Cellulitis W/O Mcc | 85 | 104 / 28 | $22.986,00 | 1733 / 84 | $8.629,09 | 2436 / 94 | $7.336,66 | 2428 / 102 |
| Chronic Obstructive Pulmonary Disease W Cc | 71 | 108 / 20 | $26.152,10 | 1527 / 82 | $9.394,48 | 2262 / 89 | $8.195,86 | 2255 / 94 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 70 | 137 / 38 | $31.559,30 | 1707 / 77 | $10.854,30 | 2391 / 91 | $9.249,66 | 2381 / 97 |
| Simple Pneumonia & Pleurisy W Mcc | 67 | 138 / 24 | $34.159,30 | 1297 / 57 | $13.638,80 | 2342 / 84 | $12.516,60 | 2336 / 91 |
| Heart Failure & Shock W Mcc | 66 | 218 / 44 | $48.277,60 | 1942 / 102 | $15.139,60 | 2480 / 91 | $13.962,90 | 2469 / 96 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 63 | 63 / 15 | $27.691,50 | 843 / 38 | $10.976,70 | 1530 / 50 | $9.639,57 | 1527 / 54 |
| Heart Failure & Shock W Cc | 62 | 216 / 51 | $26.849,50 | 1798 / 85 | $9.898,87 | 2578 / 95 | $8.916,32 | 2572 / 103 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 58 | 92 / 23 | $21.323,70 | 1464 / 90 | $6.652,34 | 1839 / 82 | $4.821,62 | 1833 / 81 |
| G.I. Hemorrhage W Cc | 54 | 164 / 44 | $40.827,80 | 1975 / 103 | $10.134,00 | 2238 / 85 | $8.681,24 | 2234 / 91 |
| Transient Ischemia | 52 | 73 / 18 | $23.239,40 | 867 / 53 | $7.602,29 | 1512 / 67 | $5.968,83 | 1504 / 67 |
| Degenerative Nervous System Disorders W/O Mcc | 47 | 31 / 10 | $34.079,10 | 586 / 44 | $11.536,40 | 801 / 47 | $9.386,94 | 801 / 48 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 47 | 45 / 15 | $99.320,30 | 179 / 16 | $49.992,00 | 914 / 38 | $47.862,00 | 913 / 39 |
| Renal Failure W Mcc | 44 | 151 / 29 | $43.809,90 | 1406 / 63 | $14.673,50 | 1923 / 63 | $12.980,10 | 1919 / 63 |
| Kidney & Urinary Tract Infections W Mcc | 44 | 100 / 22 | $30.985,30 | 1220 / 42 | $11.056,80 | 1822 / 56 | $9.925,14 | 1818 / 63 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 43 | 521 / 76 | $49.397,30 | 1255 / 77 | $21.956,90 | 2362 / 99 | $15.835,90 | 2317 / 84 |
| Medical Back Problems W/O Mcc | 43 | 78 / 23 | $18.880,70 | 446 / 30 | $8.567,00 | 1374 / 55 | $7.382,21 | 1369 / 63 |
| Bronchitis & Asthma W Cc/Mcc | 43 | 33 / 8 | $24.994,80 | 586 / 30 | $8.871,02 | 996 / 32 | $7.808,93 | 992 / 36 |
| Red Blood Cell Disorders W/O Mcc | 42 | 101 / 36 | $19.044,30 | 809 / 44 | $8.166,50 | 1848 / 68 | $7.306,21 | 1839 / 78 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 34 | $25.539,30 | 1426 / 72 | $8.221,72 | 1996 / 75 | $7.018,56 | 1991 / 81 |
| G.I. Hemorrhage W/O Cc/Mcc | 39 | 29 / 7 | $22.682,40 | 654 / 40 | $7.360,21 | 934 / 39 | $6.349,36 | 930 / 45 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 39 | 81 / 18 | $19.207,00 | 1204 / 65 | $7.585,33 | 1970 / 81 | $6.430,51 | 1959 / 85 |
| Hypertension W/O Mcc | 38 | 27 / 9 | $17.298,10 | 310 / 22 | $6.854,37 | 694 / 27 | $5.322,03 | 692 / 29 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 37 | 56 / 17 | $20.029,70 | 1197 / 55 | $7.442,89 | 1860 / 70 | $6.254,22 | 1852 / 74 |
| Renal Failure W Cc | 37 | 184 / 50 | $25.069,00 | 1425 / 60 | $9.662,54 | 2201 / 78 | $8.109,65 | 2191 / 79 |
| Dysequilibrium | 37 | 28 / 9 | $16.879,80 | 173 / 18 | $6.820,24 | 497 / 31 | $5.318,16 | 497 / 31 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 36 | 95 / 18 | $62.460,40 | 966 / 64 | $22.205,00 | 1604 / 62 | $18.952,70 | 1590 / 56 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 36 | 60 / 12 | $27.384,20 | 541 / 27 | $11.790,90 | 1270 / 45 | $9.994,25 | 1265 / 46 |
| Diabetes W Cc | 35 | 57 / 16 | $21.668,20 | 803 / 41 | $8.521,69 | 1454 / 55 | $7.359,57 | 1449 / 61 |
| Seizures W/O Mcc | 35 | 73 / 29 | $19.200,60 | 510 / 41 | $7.909,17 | 1181 / 58 | $6.905,29 | 1179 / 62 |
| Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 30 | $26.753,90 | 1618 / 96 | $7.290,91 | 1892 / 82 | $6.368,03 | 1879 / 87 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 31 | 93 / 34 | $100.941,00 | 504 / 28 | $43.434,50 | 1291 / 43 | $41.587,00 | 1281 / 46 |
| Red Blood Cell Disorders W Mcc | 31 | 40 / 10 | $24.299,90 | 278 / 16 | $11.918,40 | 989 / 34 | $11.180,20 | 985 / 44 |
| Bronchitis & Asthma W/O Cc/Mcc | 31 | 14 / 5 | $17.309,30 | 169 / 12 | $6.918,77 | 345 / 13 | $5.760,84 | 345 / 16 |
| G.I. Hemorrhage W Mcc | 31 | 90 / 24 | $54.690,40 | 1103 / 55 | $16.459,30 | 1521 / 52 | $15.552,90 | 1511 / 53 |
| Other Digestive System Diagnoses W Cc | 28 | 69 / 21 | $26.784,40 | 748 / 34 | $9.621,11 | 1312 / 43 | $8.652,61 | 1308 / 51 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 28 | 34 / 17 | $15.634,50 | 217 / 19 | $7.984,25 | 729 / 50 | $6.419,50 | 727 / 53 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 34 | $41.181,10 | 728 / 29 | $16.144,20 | 1459 / 49 | $15.083,60 | 1452 / 52 |
| Fractures Of Hip & Pelvis W/O Mcc | 26 | 35 / 10 | $17.367,10 | 402 / 21 | $7.349,38 | 854 / 43 | $6.099,04 | 853 / 47 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 37 | $33.075,60 | 553 / 40 | $12.879,70 | 1347 / 48 | $11.745,20 | 1337 / 53 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 47 | $38.521,20 | 1471 / 63 | $11.096,10 | 1839 / 72 | $8.473,40 | 1835 / 68 |
| Diabetes W/O Cc/Mcc | 24 | 14 / 6 | $15.576,60 | 133 / 16 | $6.558,17 | 246 / 18 | $5.022,04 | 246 / 17 |
| Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 47 | $52.103,90 | 1123 / 58 | $17.862,00 | 1923 / 70 | $16.649,90 | 1903 / 78 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 38 | $43.774,10 | 1414 / 78 | $12.143,50 | 1762 / 67 | $10.735,40 | 1759 / 72 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 22 | 46 / 13 | $24.206,50 | 330 / 17 | $8.948,18 | 657 / 25 | $7.808,68 | 657 / 30 |
| G.I. Obstruction W Cc | 21 | 71 / 25 | $26.801,80 | 1075 / 48 | $8.861,86 | 1587 / 63 | $7.322,95 | 1582 / 67 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 21 | 22 / 7 | $21.855,90 | 197 / 18 | $7.398,52 | 329 / 24 | $5.876,81 | 329 / 26 |
| Other Vascular Procedures W Mcc | 20 | 77 / 23 | $89.731,60 | 487 / 30 | $30.787,20 | 881 / 28 | $28.080,80 | 878 / 32 |
| G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 19 | $24.795,80 | 998 / 57 | $6.630,10 | 1247 / 57 | $5.553,30 | 1244 / 64 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 19 | 23 / 7 | $18.117,20 | 114 / 11 | $8.494,05 | 302 / 15 | $7.145,79 | 301 / 17 |
| Signs & Symptoms W/O Mcc | 19 | 72 / 31 | $16.736,20 | 456 / 25 | $7.381,95 | 1181 / 48 | $6.034,42 | 1178 / 54 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 30 | $45.418,90 | 634 / 32 | $16.690,50 | 1141 / 38 | $14.943,40 | 1133 / 37 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 30 | $36.908,20 | 566 / 22 | $14.206,70 | 979 / 35 | $13.463,60 | 975 / 39 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 14 | $12.606,80 | 86 / 7 | $7.618,11 | 812 / 36 | $6.783,67 | 808 / 39 |
| Other Vascular Procedures W Cc | 17 | 85 / 34 | $73.605,70 | 562 / 28 | $22.575,60 | 1025 / 28 | $21.423,10 | 1020 / 33 |
| Diabetes W Mcc | 17 | 40 / 16 | $28.613,50 | 255 / 9 | $12.711,20 | 656 / 17 | $11.767,90 | 655 / 21 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 22 | $123.057,00 | 400 / 30 | $42.295,20 | 810 / 26 | $40.792,80 | 809 / 31 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 24 | $128.051,00 | 633 / 30 | $47.332,40 | 1163 / 39 | $43.991,40 | 1160 / 43 |
| Other Digestive System Diagnoses W Mcc | 17 | 45 / 18 | $35.703,50 | 254 / 15 | $15.503,50 | 645 / 23 | $14.276,90 | 644 / 25 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 17 | 21 / 4 | $23.397,00 | 309 / 8 | $6.990,24 | 428 / 10 | $5.796,35 | 427 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 37 | $25.517,20 | 929 / 37 | $7.844,00 | 1487 / 51 | $6.646,50 | 1483 / 60 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 32 | $24.638,60 | 625 / 28 | $9.033,00 | 1095 / 41 | $8.090,81 | 1092 / 46 |
| Bone Diseases & Arthropathies W/O Mcc | 16 | 28 / 11 | $18.175,20 | 142 / 5 | $7.596,44 | 242 / 8 | $6.408,69 | 242 / 14 |
| Organic Disturbances & Mental Retardation | 15 | 44 / 22 | $23.459,50 | 249 / 12 | $10.073,00 | 473 / 25 | $8.687,07 | 473 / 28 |
| Cellulitis W Mcc | 15 | 43 / 22 | $38.933,50 | 575 / 26 | $13.854,90 | 889 / 36 | $12.711,30 | 887 / 40 |
| Respiratory Infections & Inflammations W Mcc | 15 | 121 / 39 | $57.186,70 | 1220 / 51 | $19.140,60 | 1730 / 64 | $17.716,10 | 1714 / 64 |
| G.I. Obstruction W Mcc | 14 | 28 / 11 | $35.458,40 | 197 / 6 | $14.755,60 | 479 / 15 | $13.815,60 | 479 / 19 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 16 | $45.117,40 | 497 / 24 | $15.105,60 | 852 / 27 | $13.599,90 | 849 / 29 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 23 | $40.242,60 | 824 / 31 | $11.528,80 | 1061 / 37 | $10.711,60 | 1059 / 44 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 28 | $26.539,40 | 438 / 20 | $9.891,38 | 700 / 24 | $7.867,92 | 700 / 23 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 13 | 34 / 17 | $20.521,40 | 170 / 13 | $7.493,92 | 332 / 15 | $6.453,08 | 332 / 18 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 13 | 31 / 16 | $20.618,20 | 115 / 15 | $7.765,77 | 268 / 16 | $6.429,31 | 268 / 18 |
| Other Disorders Of Nervous System W/O Cc/Mcc | 12 | 23 / 13 | $13.484,20 | 21 / 3 | $7.032,33 | 129 / 6 | $5.975,25 | 129 / 12 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 24 | $217.186,00 | 178 / 11 | $88.831,30 | 453 / 11 | $85.906,80 | 452 / 14 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 14 | $101.430,00 | 628 / 35 | $24.064,50 | 659 / 32 | $22.006,20 | 658 / 34 |
| Otitis Media & Uri W/O Mcc | 11 | 33 / 18 | $19.069,80 | 90 / 8 | $6.958,45 | 194 / 12 | $6.004,82 | 194 / 16 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 24 | $19.848,00 | 509 / 24 | $7.003,45 | 759 / 29 | $5.228,00 | 758 / 28 |
| Degenerative Nervous System Disorders W Mcc | 11 | 27 / 12 | $39.330,90 | 104 / 4 | $15.980,50 | 189 / 6 | $14.766,60 | 189 / 7 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 20 | $29.042,80 | 179 / 5 | $12.533,00 | 508 / 19 | $11.493,30 | 508 / 22 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 11 | 31 / 10 | $76.712,10 | 246 / 13 | $19.305,40 | 271 / 12 | $17.587,50 | 271 / 15 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 35 | $30.134,70 | 696 / 33 | $13.254,50 | 1410 / 55 | $12.316,10 | 1405 / 66 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 19 | $33.125,50 | 688 / 27 | $9.242,00 | 882 / 27 | $8.119,73 | 879 / 31 |
| Seizures W Mcc | 11 | 55 / 20 | $56.272,30 | 538 / 28 | $13.790,00 | 604 / 14 | $12.317,00 | 604 / 14 | Total 90 procedures | 3.556 | 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.