Hospital Costs > In New York > Good Samaritan Hospital Of Suffern, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 30 | 61 / 18 | $39.008,90 | 1014 / 62 | $8.543,63 | 1191 / 44 | $7.615,63 | 1189 / 48 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 53 | 72 / 16 | $62.098,10 | 1356 / 82 | $13.153,60 | 1445 / 51 | $12.421,30 | 1433 / 55 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 20 | 33 / 12 | $38.141,60 | 709 / 51 | $6.777,05 | 724 / 32 | $5.411,65 | 720 / 33 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 17 | 59 / 21 | $51.722,20 | 78 / 23 | $9.660,59 | 61 / 16 | $8.567,59 | 61 / 15 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 18 | 106 / 40 | $27.779,90 | 662 / 46 | $6.053,56 | 644 / 24 | $5.246,44 | 643 / 27 |
Atherosclerosis W/O Mcc | 13 | 45 / 22 | $22.474,20 | 359 / 32 | $5.485,69 | / 18 | $4.739,85 | / |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 19 | $37.247,20 | 419 / 20 | $11.293,60 | 610 / 18 | $7.330,25 | 609 / 16 |
Bronchitis & Asthma W Cc/Mcc | 19 | 57 / 23 | $26.657,70 | 629 / 34 | $7.524,58 | 844 / 24 | $6.178,95 | 840 / 29 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 55 | 106 / 23 | $29.755,70 | 1620 / 87 | $6.779,42 | 1816 / 62 | $5.897,24 | 1811 / 67 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 32 | $38.786,10 | 1284 / 70 | $9.532,18 | 1498 / 45 | $8.664,71 | 1495 / 53 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 41 | 109 / 34 | $18.581,00 | 1313 / 77 | $5.117,98 | 1671 / 64 | $3.999,54 | 1665 / 67 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 26 | 43 / 12 | $330.448,00 | 213 / 16 | $67.668,10 | 185 / 4 | $66.966,50 | 185 / 6 |
Cellulitis W Mcc | 12 | 46 / 25 | $37.965,40 | 541 / 23 | $11.653,70 | 780 / 25 | $10.752,30 | 778 / 29 |
Cellulitis W/O Mcc | 84 | 105 / 29 | $28.265,00 | 2058 / 108 | $7.311,11 | 2205 / 81 | $6.146,76 | 2197 / 81 |
Chest Pain | 18 | 133 / 55 | $19.103,60 | 853 / 62 | $5.392,39 | 1330 / 39 | $4.385,28 | 1323 / 42 |
Chronic Obstructive Pulmonary Disease W Cc | 45 | 134 / 35 | $36.487,00 | 1968 / 114 | $8.809,56 | 2026 / 84 | $6.785,67 | 2019 / 75 |
Chronic Obstructive Pulmonary Disease W Mcc | 63 | 139 / 34 | $36.287,60 | 1808 / 88 | $9.347,08 | 2163 / 66 | $8.617,56 | 2155 / 76 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 33 | $26.440,00 | 1594 / 95 | $6.271,95 | 1785 / 67 | $5.287,23 | 1774 / 73 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 32 | 61 / 10 | $72.106,10 | 604 / 22 | $16.024,60 | 613 / 12 | $13.809,00 | 607 / 11 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 81 | 107 / 18 | $48.151,20 | 1156 / 45 | $9.352,90 | 1362 / 29 | $7.893,64 | 1359 / 32 |
Coronary Bypass W Cardiac Cath W Mcc | 15 | 41 / 9 | $225.953,00 | 285 / 13 | $52.038,90 | 328 / 6 | $51.153,60 | 328 / 8 |
Coronary Bypass W Cardiac Cath W/O Mcc | 15 | 61 / 17 | $195.663,00 | 487 / 26 | $34.973,40 | 522 / 10 | $33.928,10 | 522 / 16 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 21 | $27.799,90 | 417 / 23 | $7.465,54 | 571 / 14 | $6.626,15 | 571 / 22 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 34 | $31.090,80 | 527 / 37 | $8.127,92 | 682 / 29 | $7.574,08 | 682 / 34 |
Diabetes W Cc | 21 | 71 / 28 | $26.713,40 | 1069 / 58 | $6.987,95 | 1300 / 42 | $6.178,81 | 1295 / 50 |
Diabetes W/O Cc/Mcc | 11 | 27 / 16 | $22.777,60 | 209 / 28 | $5.219,91 | 218 / 9 | $4.347,18 | 218 / 13 |
Dysequilibrium | 11 | 54 / 28 | $27.615,50 | 381 / 44 | $5.835,00 | 399 / 24 | $4.204,55 | 399 / 21 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 25 | $40.838,90 | 970 / 52 | $9.705,74 | 1128 / 31 | $8.813,11 | 1123 / 37 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 65 | 210 / 54 | $30.659,70 | 2200 / 122 | $6.357,25 | 2216 / 75 | $5.270,98 | 2201 / 78 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 17 | 46 / 15 | $148.717,00 | 467 / 24 | $33.491,50 | 477 / 10 | $32.640,70 | 477 / 13 |
Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 20 | $40.362,30 | 639 / 34 | $8.669,94 | 807 / 19 | $7.530,39 | 804 / 25 |
Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 18 | $27.870,20 | 712 / 43 | $6.255,29 | 770 / 35 | $5.046,82 | 769 / 35 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 31 | $29.239,40 | 596 / 57 | $6.432,31 | 642 / 36 | $5.319,69 | 640 / 42 |
G.I. Hemorrhage W Cc | 69 | 149 / 34 | $37.644,80 | 1881 / 99 | $8.340,65 | 2052 / 70 | $7.500,30 | 2048 / 73 |
G.I. Hemorrhage W Mcc | 31 | 90 / 24 | $65.043,10 | 1267 / 69 | $13.918,50 | 1272 / 38 | $12.715,40 | 1263 / 39 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 27 | $25.640,60 | 724 / 48 | $6.141,58 | 818 / 28 | $5.032,25 | 814 / 30 |
G.I. Obstruction W Cc | 24 | 68 / 22 | $32.760,00 | 1286 / 57 | $7.424,17 | 1494 / 51 | $6.718,83 | 1489 / 57 |
Heart Failure & Shock W Cc | 84 | 194 / 42 | $33.009,60 | 2099 / 100 | $8.174,76 | 2276 / 78 | $7.244,56 | 2270 / 80 |
Heart Failure & Shock W Mcc | 115 | 169 / 25 | $51.617,10 | 2026 / 106 | $12.061,60 | 2214 / 73 | $11.371,10 | 2204 / 77 |
Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 36 | $21.320,50 | 1380 / 76 | $5.859,56 | 1678 / 62 | $4.967,11 | 1665 / 64 |
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 11 | 21 / 8 | $54.370,50 | 112 / 9 | $10.664,30 | 94 / 3 | $7.864,91 | 94 / 2 |
Hip & Femur Procedures Except Major Joint W Cc | 43 | 100 / 27 | $81.861,00 | 1730 / 94 | $15.113,30 | 1690 / 55 | $13.960,50 | 1671 / 58 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 9 | $106.700,00 | 308 / 18 | $19.631,80 | 303 / 7 | $19.026,60 | 302 / 10 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 71 | 53 / 8 | $144.308,00 | 976 / 65 | $39.318,70 | 1055 / 29 | $36.211,90 | 1048 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 49 | 133 / 30 | $42.368,00 | 1573 / 75 | $10.296,70 | 1734 / 67 | $7.852,51 | 1730 / 59 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 41 | 127 / 24 | $51.739,30 | 991 / 41 | $13.534,60 | 1265 / 34 | $12.685,40 | 1259 / 40 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 35 | 67 / 19 | $31.335,30 | 1148 / 53 | $6.693,74 | 1343 / 39 | $5.431,89 | 1339 / 46 |
Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 33 | $35.018,30 | 1359 / 52 | $9.012,57 | 1644 / 42 | $8.368,30 | 1640 / 50 |
Kidney & Urinary Tract Infections W/O Mcc | 84 | 149 / 35 | $29.150,00 | 2179 / 106 | $6.656,49 | 2267 / 76 | $5.655,64 | 2256 / 79 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 15 | $69.594,40 | 656 / 32 | $13.041,40 | 765 / 21 | $11.944,60 | 761 / 27 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 15 | $53.642,30 | 357 / 23 | $11.876,30 | 431 / 11 | $10.767,00 | 431 / 16 |
Major Cardiovasc Procedures W Mcc | 20 | 48 / 15 | $156.408,00 | 375 / 14 | $34.408,20 | 319 / 3 | $33.321,80 | 319 / 4 |
Major Cardiovasc Procedures W/O Mcc | 25 | 76 / 22 | $122.395,00 | 747 / 38 | $25.486,70 | 794 / 18 | $24.475,50 | 793 / 22 |
Major Chest Procedures W Mcc | 14 | 35 / 8 | $123.798,00 | 162 / 4 | $32.074,40 | 165 / 2 | $31.304,10 | 165 / 2 |
Major Chest Procedures W/O Cc/Mcc | 12 | 47 / 12 | $89.472,70 | 227 / 17 | $14.515,70 | 206 / 5 | $13.707,70 | 206 / 9 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 25 | $44.750,60 | 892 / 38 | $9.582,27 | 939 / 27 | $8.820,09 | 937 / 31 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 19 | $128.255,00 | 776 / 34 | $21.810,20 | 613 / 8 | $20.821,00 | 610 / 11 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 123 | 441 / 50 | $77.053,00 | 2150 / 112 | $17.050,10 | 2235 / 71 | $14.881,50 | 2191 / 78 |
Major Small & Large Bowel Procedures W Cc | 22 | 86 / 27 | $102.266,00 | 1230 / 68 | $18.805,30 | 1225 / 32 | $17.819,10 | 1211 / 40 |
Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 24 | $160.425,00 | 868 / 39 | $36.583,10 | 915 / 14 | $35.801,90 | 913 / 22 |
Medical Back Problems W/O Mcc | 24 | 97 / 40 | $30.930,30 | 1043 / 59 | $7.418,04 | 1180 / 42 | $5.918,50 | 1176 / 45 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 39 | $38.020,90 | 1256 / 63 | $9.135,87 | 1354 / 35 | $8.401,26 | 1351 / 39 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 55 | $27.207,10 | 2012 / 105 | $6.177,38 | 2134 / 75 | $5.327,22 | 2126 / 79 |
O.R. Procedures For Obesity W/O Cc/Mcc | 31 | 46 / 7 | $49.452,50 | 257 / 24 | $12.494,10 | 340 / 13 | $11.322,50 | 339 / 19 |
Organic Disturbances & Mental Retardation | 11 | 48 / 26 | $30.804,40 | 355 / 23 | $8.221,18 | 387 / 14 | $7.124,45 | 387 / 17 |
Other Circulatory System Diagnoses W Mcc | 30 | 86 / 19 | $72.781,40 | 1082 / 62 | $14.869,10 | 927 / 25 | $12.885,10 | 920 / 22 |
Other Digestive System Diagnoses W Cc | 29 | 68 / 20 | $36.813,30 | 1065 / 56 | $8.089,07 | 1161 / 32 | $7.184,52 | 1157 / 39 |
Other Digestive System Diagnoses W Mcc | 16 | 46 / 19 | $59.579,10 | 553 / 31 | $13.429,80 | 569 / 15 | $12.691,80 | 568 / 18 |
Other Disorders Of Nervous System W Cc | 11 | 45 / 19 | $39.182,00 | 490 / 23 | $7.355,91 | 466 / 13 | $6.474,45 | 466 / 14 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 31 | $47.232,10 | 757 / 37 | $11.971,70 | 867 / 23 | $11.512,40 | 863 / 31 |
Other Resp System O.R. Procedures W Mcc | 12 | 51 / 14 | $116.396,00 | 405 / 13 | $25.145,90 | 384 / 4 | $24.543,20 | 383 / 7 |
Other Vascular Procedures W Cc | 26 | 76 / 26 | $111.690,00 | 923 / 47 | $20.181,90 | 941 / 19 | $19.394,20 | 936 / 25 |
Other Vascular Procedures W Mcc | 18 | 79 / 24 | $157.178,00 | 889 / 51 | $29.751,30 | 876 / 26 | $27.998,40 | 873 / 31 |
Other Vascular Procedures W/O Cc/Mcc | 18 | 38 / 12 | $70.408,60 | 442 / 25 | $13.384,30 | 447 / 9 | $12.244,80 | 446 / 13 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 35 | 65 / 13 | $185.435,00 | 936 / 37 | $25.353,00 | 835 / 12 | $24.556,70 | 830 / 17 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 72 | 124 / 19 | $132.855,00 | 1386 / 53 | $16.414,10 | 1291 / 20 | $15.264,80 | 1284 / 28 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 15 | 30 / 6 | $135.041,00 | 228 / 7 | $22.497,50 | 203 / 3 | $21.776,40 | 202 / 4 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 19 | 50 / 10 | $117.575,00 | 521 / 27 | $14.152,20 | 479 / 11 | $13.262,90 | 477 / 16 |
Peripheral Vascular Disorders W Cc | 18 | 66 / 30 | $35.675,40 | 931 / 54 | $7.972,50 | 963 / 31 | $6.964,50 | 960 / 31 |
Permanent Cardiac Pacemaker Implant W Cc | 21 | 56 / 20 | $97.695,80 | 759 / 34 | $20.359,30 | 786 / 20 | $19.323,10 | 782 / 23 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 16 | $131.286,00 | 467 / 25 | $27.462,70 | 475 / 12 | $26.921,60 | 475 / 14 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 24 | 33 / 13 | $84.423,90 | 601 / 35 | $16.574,30 | 601 / 11 | $15.615,60 | 600 / 18 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 24 | $24.330,50 | 631 / 32 | $5.670,91 | 716 / 18 | $4.902,91 | 715 / 24 |
Postoperative & Post-Traumatic Infections W Mcc | 17 | 26 / 8 | $49.648,80 | 112 / 5 | $14.730,60 | 148 / 3 | $14.106,60 | 148 / 6 |
Postoperative & Post-Traumatic Infections W/O Mcc | 11 | 43 / 14 | $32.817,20 | 313 / 16 | $8.224,00 | 342 / 16 | $7.560,73 | 342 / 19 |
Pulmonary Edema & Respiratory Failure | 31 | 172 / 36 | $38.692,10 | 1458 / 71 | $10.106,90 | 1777 / 62 | $8.829,71 | 1772 / 63 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 23 | $37.669,70 | 1013 / 41 | $8.137,55 | 1110 / 29 | $7.261,91 | 1107 / 35 |
Red Blood Cell Disorders W Mcc | 24 | 47 / 16 | $33.835,90 | 555 / 32 | $10.057,60 | 862 / 27 | $9.580,25 | 858 / 31 |
Red Blood Cell Disorders W/O Mcc | 60 | 83 / 23 | $30.130,20 | 1506 / 88 | $6.869,05 | 1634 / 56 | $5.970,92 | 1625 / 61 |
Renal Failure W Cc | 74 | 147 / 26 | $34.232,90 | 1870 / 90 | $7.943,12 | 2039 / 65 | $7.146,58 | 2029 / 69 |
Renal Failure W Mcc | 54 | 141 / 26 | $54.543,00 | 1667 / 80 | $12.232,10 | 1749 / 44 | $11.438,00 | 1746 / 47 |
Renal Failure W/O Cc/Mcc | 11 | 45 / 15 | $18.044,50 | 489 / 16 | $5.617,73 | 725 / 19 | $4.736,27 | 723 / 22 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 29 | $42.824,60 | 1016 / 53 | $10.662,20 | 1210 / 42 | $9.807,65 | 1205 / 45 |
Respiratory Infections & Inflammations W Mcc | 30 | 106 / 26 | $55.386,20 | 1184 / 49 | $14.672,10 | 1441 / 38 | $13.890,80 | 1426 / 40 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 33 | 98 / 21 | $56.563,00 | 820 / 59 | $18.943,00 | 1421 / 49 | $16.663,60 | 1407 / 47 |
Seizures W Mcc | 11 | 55 / 20 | $43.169,80 | 395 / 14 | $11.543,00 | 527 / 3 | $10.882,60 | 527 / 11 |
Seizures W/O Mcc | 27 | 81 / 33 | $32.731,80 | 1017 / 86 | $6.592,74 | 1020 / 42 | $5.657,63 | 1018 / 47 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 85 | 15 / 5 | $121.245,00 | 321 / 32 | $38.895,60 | 512 / 8 | $37.012,50 | 511 / 8 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 524 | 68 / 9 | $58.168,80 | 2036 / 109 | $14.278,50 | 2254 / 73 | $13.397,80 | 2214 / 84 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 101 | 106 / 22 | $37.310,90 | 1945 / 96 | $9.245,29 | 2089 / 79 | $7.600,49 | 2081 / 76 |
Signs & Symptoms W/O Mcc | 16 | 75 / 34 | $20.131,90 | 662 / 41 | $6.104,94 | 1095 / 37 | $5.422,94 | 1092 / 42 |
Simple Pneumonia & Pleurisy W Cc | 62 | 141 / 36 | $34.529,60 | 2165 / 111 | $8.066,08 | 2328 / 80 | $6.974,68 | 2319 / 84 |
Simple Pneumonia & Pleurisy W Mcc | 55 | 150 / 29 | $45.364,40 | 1768 / 86 | $11.383,10 | 2067 / 66 | $10.458,00 | 2065 / 69 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 26 | $22.226,00 | 1317 / 58 | $6.184,48 | 1697 / 53 | $5.123,36 | 1689 / 60 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 12 | 36 / 9 | $48.909,50 | 143 / 10 | $11.765,80 | 170 / 5 | $10.656,40 | 169 / 7 |
Syncope & Collapse | 52 | 117 / 45 | $25.182,40 | 1229 / 81 | $6.373,98 | 1528 / 53 | $5.236,63 | 1521 / 55 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 19 | 45 / 17 | $223.961,00 | 194 / 12 | $68.810,30 | 311 / 2 | $67.807,30 | 311 / 2 |
Transient Ischemia | 49 | 76 / 20 | $33.422,60 | 1291 / 88 | $6.338,75 | 1333 / 54 | $4.964,49 | 1326 / 54 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 12 | 39 / 13 | $50.584,40 | 151 / 5 | $14.225,40 | 210 / 1 | $13.518,80 | 210 / 3 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 14 | 32 / 15 | $41.463,30 | 342 / 29 | $6.101,86 | 319 / 11 | $4.986,43 | 318 / 12 | Total 110 procedures | 3.919 | 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.