Hospital Costs > In New York > Glens Falls 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 | 284 | 234 / 28 | $37.528,30 | 1186 / 64 | $12.322,20 | 1473 / 36 | $10.981,30 | 1444 / 35 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 135 | 429 / 45 | $35.490,90 | 494 / 41 | $12.715,50 | 608 / 16 | $10.476,10 | 601 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 109 | 98 / 20 | $20.990,10 | 882 / 50 | $7.155,61 | 847 / 31 | $5.518,70 | 845 / 13 |
| Cellulitis W/O Mcc | 101 | 88 / 22 | $15.806,20 | 967 / 54 | $5.291,96 | 610 / 9 | $3.983,14 | 607 / 6 |
| Heart Failure & Shock W Cc | 95 | 183 / 35 | $17.851,00 | 911 / 50 | $5.875,86 | 595 / 12 | $4.983,17 | 595 / 9 |
| Pulmonary Edema & Respiratory Failure | 85 | 118 / 8 | $31.156,60 | 1104 / 49 | $7.624,31 | 614 / 11 | $6.465,24 | 614 / 10 |
| Simple Pneumonia & Pleurisy W Cc | 85 | 118 / 22 | $21.662,10 | 1313 / 65 | $6.260,56 | 836 / 20 | $4.940,13 | 833 / 12 |
| Renal Failure W Cc | 83 | 138 / 23 | $16.378,20 | 601 / 31 | $5.925,28 | 641 / 9 | $4.871,31 | 635 / 10 |
| Heart Failure & Shock W Mcc | 80 | 204 / 39 | $31.272,70 | 1170 / 55 | $9.788,39 | 1196 / 24 | $8.578,70 | 1193 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 78 | 197 / 45 | $15.632,20 | 837 / 56 | $4.697,92 | 669 / 10 | $3.545,26 | 665 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 76 | 103 / 18 | $23.023,10 | 1304 / 63 | $5.866,22 | 762 / 16 | $4.768,64 | 760 / 15 |
| Chronic Obstructive Pulmonary Disease W Mcc | 75 | 127 / 24 | $24.573,60 | 1090 / 49 | $7.289,19 | 299 / 16 | $5.564,37 | 298 / 4 |
| G.I. Hemorrhage W Cc | 69 | 149 / 34 | $17.868,10 | 558 / 38 | $6.075,93 | 513 / 10 | $4.920,52 | 512 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 59 | 146 / 27 | $31.497,70 | 1135 / 50 | $9.219,58 | 1404 / 20 | $8.503,64 | 1404 / 25 |
| Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 56 | $15.190,90 | 966 / 45 | $4.671,83 | 609 / 8 | $3.695,49 | 607 / 9 |
| Respiratory Infections & Inflammations W Cc | 43 | 45 / 9 | $26.187,70 | 522 / 26 | $8.545,72 | 456 / 14 | $7.253,63 | 453 / 9 |
| Respiratory Infections & Inflammations W Mcc | 42 | 94 / 15 | $39.893,80 | 781 / 33 | $12.913,10 | 1112 / 18 | $12.109,30 | 1098 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 40 | 121 / 33 | $16.734,20 | 721 / 38 | $5.291,45 | 876 / 20 | $4.176,65 | 873 / 17 |
| Hip & Femur Procedures Except Major Joint W Cc | 40 | 103 / 30 | $33.033,10 | 338 / 30 | $11.073,20 | 405 / 4 | $9.929,20 | 404 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 36 | 146 / 37 | $17.788,50 | 329 / 20 | $6.257,19 | 532 / 6 | $5.250,97 | 531 / 12 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 33 | 68 / 16 | $32.210,00 | 452 / 18 | $10.343,30 | 624 / 10 | $9.649,94 | 622 / 14 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 22 | $15.476,00 | 838 / 48 | $4.650,79 | 733 / 14 | $3.517,91 | 730 / 12 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 33 | 98 / 21 | $45.183,00 | 487 / 35 | $14.163,80 | 205 / 11 | $11.570,50 | 203 / 2 |
| Renal Failure W Mcc | 32 | 163 / 39 | $36.919,90 | 1148 / 46 | $10.126,90 | 1152 / 13 | $9.259,84 | 1152 / 17 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 61 | $14.274,60 | 871 / 49 | $4.376,55 | 651 / 9 | $3.419,86 | 649 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 31 | $24.840,60 | 650 / 40 | $8.235,86 | 1054 / 22 | $7.229,17 | 1051 / 23 |
| Red Blood Cell Disorders W/O Mcc | 27 | 116 / 49 | $14.519,90 | 401 / 23 | $4.900,59 | 521 / 9 | $4.005,78 | 520 / 6 |
| Transient Ischemia | 27 | 98 / 33 | $13.425,60 | 208 / 21 | $4.477,26 | 308 / 6 | $3.161,44 | 308 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 36 | $38.304,10 | 741 / 49 | $10.173,60 | 312 / 13 | $8.567,85 | 312 / 7 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 37 | $103.648,00 | 534 / 32 | $38.446,40 | 1003 / 28 | $35.584,70 | 997 / 23 |
| Other Circulatory System Diagnoses W Mcc | 26 | 90 / 23 | $28.822,70 | 190 / 12 | $10.273,30 | 179 / 1 | $9.531,12 | 179 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 26 | $14.554,80 | 685 / 31 | $4.415,48 | 408 / 7 | $3.150,04 | 406 / 3 |
| Other Digestive System Diagnoses W Cc | 25 | 72 / 24 | $18.598,10 | 323 / 17 | $5.959,52 | 430 / 5 | $5.089,12 | 427 / 7 |
| G.I. Obstruction W Cc | 25 | 67 / 21 | $21.651,40 | 767 / 38 | $5.835,64 | 718 / 18 | $4.722,64 | 717 / 18 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 38 | $22.808,50 | 185 / 12 | $6.696,25 | 212 / 4 | $4.995,50 | 212 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 39 | $13.463,20 | 659 / 43 | $4.256,62 | 583 / 6 | $3.377,62 | 581 / 7 |
| Major Small & Large Bowel Procedures W Cc | 23 | 85 / 26 | $41.438,10 | 225 / 17 | $14.279,20 | 427 / 5 | $13.333,10 | 424 / 9 |
| G.I. Hemorrhage W Mcc | 22 | 99 / 33 | $27.613,60 | 248 / 11 | $10.163,50 | 323 / 6 | $9.231,05 | 323 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 21 | 175 / 38 | $43.226,00 | 100 / 12 | $12.432,40 | 189 / 2 | $9.783,62 | 189 / 2 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 20 | 71 / 13 | $27.848,40 | 141 / 10 | $6.529,90 | 48 / 1 | $6.095,50 | 48 / 1 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 20 | 33 / 12 | $21.122,80 | 333 / 27 | $4.735,85 | 259 / 3 | $3.705,45 | 258 / 2 |
| Syncope & Collapse | 20 | 149 / 65 | $16.520,30 | 531 / 36 | $4.867,45 | 134 / 12 | $3.046,90 | 134 / 2 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 19 | 105 / 39 | $14.803,30 | 329 / 26 | $4.274,26 | 146 / 2 | $3.386,68 | 146 / 2 |
| Peripheral Vascular Disorders W Cc | 19 | 65 / 29 | $19.643,80 | 395 / 16 | $5.890,11 | 247 / 3 | $4.740,68 | 246 / 2 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 15 | $17.745,40 | 273 / 14 | $5.947,37 | 224 / 5 | $4.652,32 | 224 / 1 |
| Signs & Symptoms W/O Mcc | 19 | 72 / 31 | $16.126,70 | 416 / 23 | $4.327,84 | 230 / 2 | $3.280,26 | 229 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 23 | $106.682,00 | 451 / 21 | $35.199,80 | 825 / 10 | $34.118,60 | 823 / 16 |
| Other Vascular Procedures W Cc | 19 | 83 / 32 | $45.395,80 | 142 / 10 | $16.112,20 | 509 / 4 | $15.030,90 | 506 / 8 |
| Other Digestive System Diagnoses W Mcc | 18 | 44 / 17 | $29.369,80 | 151 / 8 | $8.913,22 | 24 / 1 | $7.986,56 | 24 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 26 | $44.121,50 | 1052 / 57 | $13.271,90 | 1264 / 52 | $9.898,11 | 1259 / 45 |
| Cellulitis W Mcc | 18 | 40 / 19 | $50.880,50 | 737 / 39 | $12.895,80 | 855 / 32 | $11.884,20 | 853 / 34 |
| Medical Back Problems W/O Mcc | 17 | 104 / 46 | $19.436,60 | 478 / 32 | $5.162,59 | 298 / 4 | $3.956,00 | 298 / 3 |
| Other Vascular Procedures W/O Cc/Mcc | 17 | 39 / 13 | $25.145,10 | 33 / 4 | $9.682,76 | 107 / 1 | $8.547,71 | 106 / 1 |
| Transurethral Procedures W Cc | 17 | 24 / 7 | $20.189,40 | 28 / 1 | $7.232,94 | 45 / 1 | $6.137,47 | 45 / 1 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 22 | $110.759,00 | 319 / 23 | $34.090,60 | 518 / 6 | $32.874,10 | 517 / 8 |
| Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 13 | $15.977,50 | 150 / 6 | $5.525,29 | 215 / 2 | $4.533,29 | 215 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 43 | $18.914,40 | 72 / 3 | $9.892,41 | 354 / 3 | $8.971,94 | 353 / 3 |
| Other Vascular Procedures W Mcc | 16 | 81 / 26 | $59.653,00 | 153 / 13 | $19.958,10 | 357 / 4 | $19.320,10 | 355 / 4 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 19 | $17.850,10 | 439 / 19 | $3.823,88 | 133 / 1 | $2.995,88 | 133 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 56 | $8.406,56 | 181 / 13 | $3.948,31 | 279 / 21 | $2.239,19 | 277 / 3 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 15 | $30.306,30 | 142 / 10 | $9.670,19 | 146 / 2 | $7.800,25 | 146 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 37 | $12.965,50 | 132 / 6 | $4.683,56 | 433 / 5 | $3.547,56 | 430 / 6 |
| Diabetes W Cc | 15 | 77 / 34 | $21.477,90 | 793 / 39 | $4.967,00 | 299 / 4 | $4.000,60 | 299 / 3 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 11 | $26.824,50 | 275 / 8 | $8.290,60 | 79 / 1 | $6.711,67 | 79 / 1 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 15 | 38 / 10 | $25.255,50 | 133 / 8 | $7.006,33 | 93 / 2 | $6.199,93 | 93 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 21 | $16.071,80 | 148 / 3 | $6.722,53 | 305 / 1 | $6.155,07 | 304 / 3 |
| Red Blood Cell Disorders W Mcc | 14 | 57 / 26 | $28.909,40 | 426 / 26 | $8.853,57 | 643 / 12 | $7.989,57 | 639 / 14 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 14 | 40 / 11 | $17.961,10 | 92 / 9 | $5.877,86 | 118 / 2 | $5.361,29 | 118 / 3 |
| Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 31 | $59.612,20 | 128 / 7 | $19.720,40 | 102 / 1 | $16.951,50 | 102 / 1 |
| Peritoneal Adhesiolysis W Cc | 14 | 25 / 6 | $43.654,50 | 51 / 3 | $12.778,90 | 18 / 1 | $11.004,40 | 18 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 12 | $31.817,90 | 59 / 5 | $11.154,00 | 125 / 1 | $10.034,00 | 125 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 25 | $15.945,20 | 584 / 38 | $4.130,93 | 602 / 8 | $3.095,43 | 601 / 16 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 13 | 53 / 16 | $15.490,30 | 25 / 1 | $6.470,62 | 85 / 1 | $5.545,08 | 85 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 13 | $29.222,70 | 80 / 4 | $9.425,62 | 270 / 1 | $8.586,23 | 270 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 35 | $23.106,50 | 432 / 32 | $5.966,23 | 155 / 2 | $4.843,77 | 155 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 50 | $15.137,20 | 254 / 13 | $6.344,33 | 698 / 2 | $5.947,00 | 697 / 7 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 21 | $16.517,10 | 108 / 2 | $5.685,36 | 177 / 1 | $5.022,09 | 176 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 25 | $13.894,30 | 43 / 4 | $6.210,45 | 260 / 2 | $5.113,73 | 260 / 1 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 42 | $127.528,00 | 371 / 38 | $40.940,60 | 653 / 12 | $39.846,70 | 652 / 17 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 16 | $17.711,80 | 16 / 1 | $7.154,27 | 211 / 1 | $6.165,18 | 211 / 2 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 20 | $55.721,20 | 249 / 11 | $17.281,10 | 105 / 2 | $15.212,70 | 105 / 1 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 17 | $34.703,70 | 172 / 6 | $11.042,60 | 280 / 2 | $10.047,70 | 280 / 4 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 11 | 29 / 15 | $31.683,90 | 157 / 12 | $8.910,09 | 131 / 11 | $6.797,00 | 131 / 7 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 31 | $15.770,80 | 228 / 12 | $5.398,45 | 103 / 2 | $3.806,18 | 102 / 1 |
| Respiratory Neoplasms W Cc | 11 | 36 / 16 | $34.717,00 | 255 / 13 | $7.327,27 | 140 / 2 | $6.341,09 | 139 / 3 | Total 85 procedures | 2.878 | 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.