Hospital Costs > In New York > Franklin 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 | 175 | 341 / 55 | $52.599,00 | 1877 / 96 | $15.380,50 | 2187 / 84 | $13.125,10 | 2149 / 75 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 90 | 474 / 58 | $59.485,00 | 1676 / 93 | $16.765,50 | 2264 / 69 | $15.077,30 | 2220 / 79 |
Syncope & Collapse | 80 | 89 / 27 | $21.372,90 | 972 / 61 | $6.167,16 | 1459 / 51 | $5.035,02 | 1452 / 50 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 68 | 139 / 39 | $34.117,70 | 1821 / 83 | $8.520,51 | 2100 / 68 | $7.626,84 | 2092 / 78 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 59 | 107 / 37 | $26.326,60 | 1958 / 103 | $5.896,98 | 2087 / 70 | $5.114,53 | 2079 / 76 |
Cellulitis W/O Mcc | 56 | 133 / 45 | $28.238,30 | 2056 / 107 | $7.105,62 | 2036 / 76 | $5.655,96 | 2028 / 72 |
G.I. Hemorrhage W Cc | 54 | 164 / 44 | $41.915,10 | 2007 / 107 | $8.250,44 | 1944 / 69 | $7.072,07 | 1940 / 70 |
Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 52 | $21.882,70 | 1752 / 73 | $6.242,08 | 2163 / 66 | $5.350,87 | 2152 / 70 |
Heart Failure & Shock W Cc | 52 | 226 / 59 | $26.248,00 | 1764 / 82 | $8.150,46 | 2211 / 77 | $7.026,67 | 2205 / 77 |
Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 43 | $38.833,40 | 2294 / 121 | $8.082,26 | 2390 / 81 | $7.180,10 | 2381 / 85 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 49 | 226 / 65 | $28.116,20 | 2074 / 112 | $6.214,71 | 2188 / 70 | $5.204,55 | 2174 / 75 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 46 | 136 / 32 | $39.446,20 | 1502 / 67 | $8.777,00 | 1633 / 51 | $7.339,61 | 1629 / 54 |
Heart Failure & Shock W Mcc | 42 | 242 / 63 | $36.402,30 | 1473 / 66 | $11.590,50 | 2100 / 67 | $10.768,00 | 2091 / 75 |
Transient Ischemia | 34 | 91 / 27 | $23.775,10 | 899 / 55 | $6.087,12 | 1211 / 51 | $4.561,15 | 1205 / 45 |
Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 55 | $36.147,50 | 1803 / 87 | $9.526,30 | 2054 / 71 | $8.107,67 | 2046 / 70 |
Chest Pain | 33 | 118 / 45 | $15.988,60 | 584 / 47 | $5.149,12 | 1239 / 35 | $4.106,12 | 1232 / 38 |
Red Blood Cell Disorders W/O Mcc | 32 | 111 / 44 | $25.662,20 | 1297 / 69 | $6.607,28 | 1567 / 47 | $5.720,47 | 1558 / 55 |
Heart Failure & Shock W/O Cc/Mcc | 31 | 79 / 32 | $18.957,60 | 1215 / 64 | $5.611,26 | 1650 / 59 | $4.844,39 | 1637 / 62 |
G.I. Hemorrhage W/O Cc/Mcc | 30 | 38 / 11 | $30.467,70 | 814 / 56 | $6.412,40 | 772 / 33 | $4.710,70 | 768 / 27 |
Seizures W/O Mcc | 29 | 79 / 31 | $23.714,70 | 722 / 55 | $6.265,76 | 968 / 38 | $5.402,48 | 966 / 43 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 29 | 97 / 33 | $28.379,30 | 884 / 40 | $8.906,41 | 1296 / 30 | $8.076,34 | 1293 / 37 |
Simple Pneumonia & Pleurisy W Mcc | 28 | 177 / 47 | $51.639,70 | 1951 / 98 | $11.321,80 | 2086 / 65 | $10.558,70 | 2082 / 70 |
Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 50 | $27.485,90 | 1592 / 85 | $7.581,19 | 1990 / 71 | $6.651,48 | 1983 / 74 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 30 | $24.401,90 | 1511 / 89 | $5.983,24 | 1734 / 61 | $5.081,36 | 1723 / 68 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 47 | $20.630,30 | 1432 / 84 | $4.802,76 | 1655 / 60 | $3.909,08 | 1649 / 64 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 38 | $34.306,70 | 592 / 41 | $11.474,60 | 982 / 28 | $10.257,90 | 980 / 30 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 29 | $52.718,00 | 701 / 50 | $17.530,70 | 1413 / 39 | $16.617,40 | 1399 / 46 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 27 | $27.579,30 | 1543 / 80 | $5.952,79 | 1609 / 51 | $4.760,25 | 1601 / 53 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 40 | $98.133,60 | 467 / 25 | $37.322,30 | 1009 / 22 | $35.613,20 | 1003 / 25 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 47 | $33.354,80 | 1750 / 98 | $6.544,83 | 1747 / 59 | $5.601,48 | 1742 / 63 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 39 | $52.204,80 | 1003 / 43 | $13.460,20 | 1236 / 33 | $12.337,80 | 1230 / 39 |
Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 42 | $34.010,70 | 1333 / 51 | $9.501,38 | 1486 / 49 | $7.569,62 | 1482 / 40 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 21 | 42 / 4 | $69.670,70 | 97 / 6 | $29.597,90 | 187 / 7 | $22.868,40 | 186 / 9 |
Renal Failure W Cc | 21 | 200 / 65 | $34.049,10 | 1864 / 89 | $7.788,24 | 1999 / 60 | $6.991,33 | 1989 / 64 |
Pulmonary Edema & Respiratory Failure | 21 | 182 / 46 | $33.465,70 | 1227 / 56 | $10.544,40 | 1590 / 68 | $8.097,90 | 1585 / 48 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 19 | 34 / 13 | $20.115,10 | 304 / 24 | $6.221,95 | 718 / 28 | $5.370,84 | 714 / 31 |
Medical Back Problems W/O Mcc | 19 | 102 / 44 | $23.443,20 | 750 / 42 | $6.969,05 | 1206 / 39 | $6.046,89 | 1202 / 48 |
Diabetes W Cc | 18 | 74 / 31 | $25.488,80 | 1016 / 55 | $6.814,94 | 1238 / 36 | $5.909,11 | 1233 / 44 |
Other Circulatory System Diagnoses W Mcc | 18 | 98 / 30 | $44.058,10 | 606 / 30 | $13.627,10 | 935 / 16 | $12.965,60 | 928 / 23 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 35 | $136.091,00 | 428 / 44 | $46.337,70 | 863 / 30 | $45.605,40 | 862 / 34 |
G.I. Hemorrhage W Mcc | 17 | 104 / 37 | $52.184,60 | 1051 / 51 | $13.694,90 | 1243 / 35 | $12.524,00 | 1235 / 36 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 52 | $60.279,90 | 1357 / 75 | $16.892,20 | 1553 / 65 | $13.071,80 | 1535 / 46 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 32 | $42.631,10 | 674 / 30 | $12.441,90 | 749 / 27 | $10.517,90 | 747 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 37 | $27.351,60 | 996 / 43 | $6.244,75 | 1265 / 26 | $5.088,19 | 1261 / 37 |
Organic Disturbances & Mental Retardation | 16 | 43 / 21 | $26.905,60 | 306 / 14 | $7.790,75 | 381 / 10 | $7.072,12 | 381 / 16 |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 32 | $23.249,60 | 438 / 33 | $9.211,69 | 1038 / 51 | $6.835,56 | 1036 / 42 |
Signs & Symptoms W/O Mcc | 16 | 75 / 34 | $19.541,20 | 627 / 38 | $5.812,19 | 987 / 34 | $4.885,50 | 984 / 37 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 29 | $48.240,90 | 1121 / 61 | $9.519,87 | 1082 / 29 | $8.528,87 | 1077 / 33 |
G.I. Obstruction W Cc | 15 | 77 / 31 | $38.297,50 | 1423 / 65 | $7.272,40 | 1423 / 48 | $6.330,20 | 1418 / 54 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 46 | $37.450,10 | 1239 / 65 | $9.539,00 | 1547 / 47 | $8.886,86 | 1544 / 57 |
Seizures W Mcc | 14 | 52 / 17 | $35.489,90 | 273 / 7 | $11.633,50 | 510 / 4 | $10.640,20 | 510 / 8 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 17 | $55.985,70 | 667 / 38 | $12.710,80 | 766 / 16 | $11.552,60 | 763 / 22 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 22 | $16.517,10 | 353 / 16 | $5.824,62 | 747 / 31 | $4.869,31 | 746 / 32 |
Signs & Symptoms W Mcc | 13 | 28 / 8 | $21.211,70 | 63 / 5 | $9.046,46 | 180 / 3 | $8.187,23 | 180 / 3 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 36 | $33.655,80 | 892 / 50 | $7.857,50 | 986 / 30 | $7.103,00 | 983 / 34 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 27 | $107.319,00 | 297 / 21 | $37.594,90 | 684 / 15 | $36.587,70 | 683 / 17 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 29 | $40.731,40 | 692 / 44 | $12.657,40 | 766 / 40 | $8.742,91 | 762 / 25 |
Diabetes W/O Cc/Mcc | 11 | 27 / 16 | $17.078,10 | 153 / 20 | $4.944,09 | 198 / 6 | $4.043,00 | 198 / 7 |
Renal Failure W Mcc | 11 | 184 / 58 | $43.527,40 | 1399 / 62 | $12.074,60 | 1727 / 42 | $11.348,90 | 1725 / 46 | Total 59 procedures | 1.814 | 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.