Hospital Costs > In New Jersey > Hackensack-Umc Mountainside, 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 | 235 | 281 / 21 | $65.535,90 | 2209 / 7 | $15.488,90 | 2208 / 44 | $13.187,10 | 2168 / 39 |
| Heart Failure & Shock W Cc | 124 | 154 / 22 | $42.926,20 | 2412 / 11 | $8.641,62 | 2096 / 46 | $6.716,30 | 2090 / 39 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 112 | 452 / 31 | $50.333,60 | 1305 / 4 | $17.313,90 | 2204 / 42 | $14.707,10 | 2160 / 39 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 109 | 166 / 22 | $36.856,10 | 2399 / 15 | $6.492,60 | 1861 / 41 | $4.565,04 | 1847 / 30 |
| G.I. Hemorrhage W Cc | 95 | 123 / 16 | $42.964,90 | 2027 / 12 | $8.546,54 | 1720 / 44 | $6.401,15 | 1716 / 32 |
| Heart Failure & Shock W Mcc | 89 | 195 / 35 | $55.008,20 | 2107 / 7 | $12.504,30 | 2067 / 42 | $10.650,90 | 2058 / 37 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 89 | 77 / 12 | $35.467,00 | 2270 / 13 | $6.341,08 | 1757 / 42 | $4.405,42 | 1752 / 31 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 79 | 128 / 20 | $41.376,30 | 2075 / 7 | $9.123,99 | 1940 / 37 | $7.129,73 | 1932 / 35 |
| Simple Pneumonia & Pleurisy W Cc | 75 | 128 / 23 | $42.307,60 | 2389 / 12 | $8.480,71 | 2140 / 44 | $6.466,29 | 2132 / 37 |
| Chronic Obstructive Pulmonary Disease W Mcc | 72 | 130 / 22 | $49.161,10 | 2157 / 10 | $9.990,31 | 2072 / 44 | $8.162,39 | 2064 / 39 |
| Cellulitis W/O Mcc | 68 | 121 / 33 | $30.512,10 | 2146 / 9 | $7.363,03 | 1911 / 43 | $5.364,09 | 1903 / 36 |
| Hip & Femur Procedures Except Major Joint W Cc | 63 | 80 / 14 | $53.537,60 | 1163 / 3 | $15.600,80 | 1609 / 37 | $13.398,80 | 1590 / 36 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 60 | 122 / 21 | $52.131,60 | 1781 / 15 | $9.107,72 | 1561 / 43 | $7.071,83 | 1558 / 34 |
| Syncope & Collapse | 57 | 112 / 24 | $33.496,70 | 1543 / 7 | $6.184,74 | 1259 / 38 | $4.502,44 | 1252 / 31 |
| Kidney & Urinary Tract Infections W/O Mcc | 54 | 179 / 37 | $33.044,50 | 2315 / 8 | $6.739,44 | 1969 / 42 | $4.952,54 | 1958 / 35 |
| Renal Failure W Cc | 53 | 168 / 36 | $45.896,80 | 2179 / 15 | $8.401,36 | 1761 / 41 | $6.311,75 | 1751 / 31 |
| Chronic Obstructive Pulmonary Disease W Cc | 50 | 129 / 32 | $48.439,70 | 2223 / 23 | $8.353,78 | 1630 / 47 | $5.726,44 | 1623 / 31 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 47 | 78 / 22 | $81.361,80 | 1567 / 23 | $14.703,80 | 1407 / 46 | $12.104,70 | 1395 / 40 |
| Red Blood Cell Disorders W/O Mcc | 44 | 99 / 24 | $38.589,50 | 1744 / 13 | $6.911,57 | 1371 / 40 | $5.145,75 | 1362 / 29 |
| Pulmonary Edema & Respiratory Failure | 43 | 160 / 20 | $59.623,10 | 1923 / 10 | $10.747,80 | 1811 / 41 | $8.963,02 | 1806 / 39 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 42 | 119 / 28 | $35.973,20 | 1826 / 12 | $6.852,64 | 1511 / 41 | $5.002,05 | 1506 / 35 |
| Simple Pneumonia & Pleurisy W Mcc | 42 | 163 / 29 | $63.380,50 | 2154 / 15 | $12.569,50 | 2027 / 45 | $10.247,40 | 2026 / 39 |
| Renal Failure W Mcc | 38 | 157 / 30 | $49.981,50 | 1583 / 4 | $12.539,90 | 1632 / 41 | $10.797,70 | 1630 / 37 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 38 | 88 / 17 | $44.609,90 | 1397 / 7 | $9.649,74 | 1198 / 40 | $7.649,89 | 1195 / 29 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 37 | 131 / 24 | $71.841,50 | 1282 / 14 | $13.970,60 | 1177 / 35 | $11.952,60 | 1171 / 30 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 36 | 84 / 20 | $40.586,50 | 1964 / 29 | $6.371,67 | 1348 / 41 | $4.155,67 | 1337 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 34 | 116 / 36 | $26.330,60 | 1663 / 9 | $4.788,65 | 1260 / 36 | $3.102,00 | 1255 / 32 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 29 | $61.950,60 | 1410 / 21 | $9.172,25 | 1282 / 32 | $7.394,00 | 1279 / 29 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 32 | 59 / 17 | $59.958,30 | 1297 / 29 | $10.867,70 | 1169 / 49 | $7.487,56 | 1167 / 39 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 29 | $142.246,00 | 951 / 8 | $40.453,80 | 1102 / 33 | $37.023,30 | 1095 / 32 |
| G.I. Hemorrhage W Mcc | 29 | 92 / 22 | $74.061,80 | 1380 / 14 | $15.138,70 | 1310 / 43 | $12.956,10 | 1300 / 39 |
| Chest Pain | 29 | 122 / 25 | $27.987,30 | 1317 / 10 | $5.105,97 | 1085 / 27 | $3.706,21 | 1078 / 28 |
| Transient Ischemia | 28 | 97 / 30 | $30.749,10 | 1201 / 5 | $5.884,68 | 1164 / 34 | $4.405,11 | 1158 / 32 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 31 | $56.851,40 | 1640 / 14 | $10.596,60 | 1403 / 48 | $8.328,04 | 1400 / 32 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 26 | $100.031,00 | 1518 / 19 | $18.961,90 | 1417 / 42 | $16.644,60 | 1403 / 38 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 21 | $32.255,10 | 1675 / 10 | $6.208,85 | 1344 / 38 | $4.119,31 | 1336 / 29 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 21 | $79.269,90 | 993 / 9 | $20.724,10 | 1185 / 35 | $17.375,50 | 1171 / 30 |
| Medical Back Problems W/O Mcc | 25 | 96 / 28 | $39.095,50 | 1234 / 11 | $7.280,08 | 1045 / 33 | $5.372,56 | 1042 / 33 |
| G.I. Obstruction W Cc | 25 | 67 / 18 | $39.505,50 | 1445 / 14 | $7.689,00 | 1247 / 37 | $5.703,00 | 1243 / 27 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 22 | $43.588,90 | 1413 / 15 | $6.506,40 | 1023 / 35 | $4.377,24 | 1019 / 26 |
| Kidney & Urinary Tract Infections W Mcc | 24 | 120 / 32 | $50.442,30 | 1693 / 13 | $9.815,50 | 1513 / 39 | $7.657,58 | 1509 / 34 |
| Other Circulatory System Diagnoses W Mcc | 24 | 92 / 22 | $50.974,60 | 768 / 3 | $15.315,80 | 901 / 36 | $12.725,30 | 895 / 25 |
| Fractures Of Hip & Pelvis W/O Mcc | 24 | 37 / 13 | $32.146,40 | 774 / 12 | $6.225,54 | 675 / 30 | $4.467,00 | 674 / 27 |
| Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 34 | $30.944,00 | 1728 / 11 | $5.834,08 | 1371 / 43 | $4.184,00 | 1360 / 32 |
| Signs & Symptoms W/O Mcc | 23 | 68 / 15 | $34.375,70 | 1116 / 11 | $6.053,39 | 843 / 24 | $4.382,91 | 840 / 20 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 23 | 69 / 15 | $189.788,00 | 706 / 12 | $43.180,00 | 635 / 21 | $39.531,20 | 634 / 19 |
| Diabetes W Cc | 23 | 69 / 21 | $29.689,20 | 1161 / 4 | $6.934,17 | 1121 / 29 | $5.462,78 | 1117 / 35 |
| Red Blood Cell Disorders W Mcc | 22 | 49 / 12 | $48.543,00 | 808 / 6 | $10.653,40 | 777 / 34 | $8.867,77 | 773 / 26 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 22 | 49 / 13 | $232.510,00 | 830 / 21 | $44.090,00 | 696 / 28 | $37.051,60 | 695 / 24 |
| Other Vascular Procedures W Cc | 21 | 81 / 20 | $94.334,70 | 794 / 11 | $21.009,20 | 881 / 37 | $18.396,20 | 876 / 32 |
| Seizures W/O Mcc | 21 | 87 / 31 | $41.315,90 | 1147 / 18 | $6.690,52 | 858 / 35 | $4.909,00 | 855 / 28 |
| Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 18 | $45.193,10 | 969 / 22 | $7.810,90 | 674 / 32 | $5.342,29 | 670 / 22 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 20 | 42 / 14 | $30.631,80 | 614 / 8 | $6.686,20 | 427 / 24 | $4.295,20 | 425 / 18 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 25 | $39.879,90 | 1133 / 12 | $8.137,16 | 1052 / 35 | $6.668,84 | 1048 / 31 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 16 | $43.550,60 | 761 / 29 | $6.473,39 | 553 / 37 | $4.484,17 | 549 / 24 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 30 | $63.369,00 | 1325 / 8 | $15.246,60 | 1369 / 32 | $13.379,80 | 1354 / 30 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 17 | 49 / 13 | $45.329,50 | 400 / 8 | $9.377,00 | 345 / 12 | $7.349,12 | 344 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 27 | $55.830,50 | 1230 / 17 | $10.456,20 | 1056 / 37 | $8.393,76 | 1051 / 30 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 17 | 23 / 11 | $34.517,90 | 176 / 2 | $9.003,35 | 161 / 11 | $7.251,94 | 161 / 9 |
| Cellulitis W Mcc | 16 | 42 / 17 | $41.723,00 | 630 / 2 | $12.100,00 | 703 / 31 | $10.042,40 | 701 / 24 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 22 | $55.565,40 | 843 / 4 | $13.003,20 | 846 / 26 | $11.313,10 | 843 / 25 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 16 | 61 / 10 | $34.341,40 | 130 / 6 | $12.556,70 | 298 / 17 | $10.270,10 | 298 / 14 |
| Hypertension W/O Mcc | 16 | 49 / 14 | $27.274,10 | 592 / 5 | $5.285,94 | 476 / 20 | $3.667,50 | 474 / 19 |
| Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 19 | $78.347,10 | 605 / 7 | $21.317,00 | 784 / 30 | $19.246,20 | 780 / 29 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 30 | $32.080,70 | 863 / 4 | $7.975,00 | 705 / 34 | $5.865,80 | 702 / 22 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 26 | $123.840,00 | 599 / 2 | $39.274,10 | 692 / 31 | $32.159,20 | 690 / 17 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 15 | 181 / 28 | $90.619,20 | 1056 / 13 | $16.428,30 | 1230 / 22 | $14.463,50 | 1223 / 26 |
| Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 20 | $87.629,20 | 474 / 8 | $26.629,70 | 790 / 24 | $24.403,80 | 789 / 25 |
| Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 16 | $39.280,50 | 620 / 11 | $8.378,08 | 759 / 16 | $7.051,38 | 756 / 19 |
| Other Vascular Procedures W Mcc | 13 | 84 / 26 | $91.003,10 | 504 / 3 | $25.307,60 | 659 / 26 | $22.978,50 | 656 / 28 |
| Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 11 | $35.165,80 | 339 / 11 | $5.664,54 | 218 / 19 | $3.775,08 | 218 / 12 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 17 | $101.282,00 | 334 / 3 | $30.074,60 | 494 / 22 | $27.407,90 | 494 / 20 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 24 | $79.477,20 | 656 / 5 | $16.835,70 | 470 / 24 | $12.689,90 | 464 / 13 |
| Signs & Symptoms W Mcc | 12 | 29 / 9 | $36.124,70 | 176 / 1 | $9.214,58 | 167 / 9 | $7.894,92 | 167 / 8 |
| Dysequilibrium | 12 | 53 / 18 | $33.494,00 | 454 / 9 | $5.370,50 | 282 / 21 | $3.523,00 | 282 / 14 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 12 | $55.877,80 | 310 / 4 | $16.019,20 | 439 / 15 | $12.808,30 | 436 / 13 |
| Atherosclerosis W/O Mcc | 12 | 46 / 19 | $31.460,10 | 463 / 10 | $5.458,42 | / 25 | $3.768,42 | / |
| Transurethral Procedures W Cc | 12 | 29 / 15 | $38.736,60 | 211 / 4 | $10.411,20 | 291 / 19 | $8.496,83 | 291 / 19 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 13 | $57.907,10 | 480 / 2 | $14.689,00 | 454 / 15 | $12.876,90 | 453 / 13 |
| Digestive Malignancy W Cc | 12 | 35 / 14 | $60.492,80 | 348 / 13 | $11.036,20 | 267 / 22 | $8.684,92 | 265 / 18 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 25 | $32.861,40 | 849 / 18 | $5.959,42 | 702 / 32 | $4.393,58 | 698 / 30 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 16 | $57.152,20 | 532 / 2 | $14.177,40 | 360 / 21 | $10.513,00 | 359 / 11 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 15 | $45.714,10 | 377 / 10 | $9.963,42 | 480 / 18 | $8.337,50 | 479 / 19 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 13 | $30.936,70 | 245 / 4 | $7.157,00 | 224 / 19 | $5.281,92 | 224 / 17 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 17 | $65.721,60 | 623 / 10 | $13.728,70 | 732 / 28 | $11.518,20 | 729 / 29 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 18 | $250.778,00 | 699 / 29 | $46.264,60 | 673 / 29 | $41.745,50 | 673 / 29 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 11 | $73.394,60 | 259 / 2 | $20.333,50 | 382 / 15 | $18.076,00 | 381 / 14 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 13 | $30.228,30 | 276 / 5 | $5.600,55 | 203 / 15 | $3.903,09 | 203 / 14 |
| Peritoneal Adhesiolysis W Cc | 11 | 28 / 8 | $36.193,90 | 24 / 1 | $19.040,40 | 199 / 9 | $15.551,20 | 199 / 8 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 17 | $68.848,00 | 174 / 1 | $20.115,50 | 256 / 6 | $18.222,30 | 254 / 6 | Total 90 procedures | 3.046 | 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.