Hospital Costs > In New York > Health Alliance Hospital Mary's Avenue Campus, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 159 | 405 / 37 | $37.130,90 | 595 / 47 | $15.012,70 | 1893 / 43 | $13.194,10 | 1851 / 49 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 40 | 84 / 26 | $13.353,70 | 265 / 21 | $5.526,75 | 507 / 17 | $4.491,05 | 506 / 18 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 29 | 52 / 18 | $46.571,20 | 76 / 22 | $8.972,31 | 51 / 11 | $7.941,45 | 51 / 11 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 26 | 65 / 8 | $29.739,50 | 161 / 11 | $8.173,38 | 126 / 8 | $6.920,62 | 126 / 3 |
Extracranial Procedures W/O Cc/Mcc | 26 | 72 / 12 | $10.467,70 | 14 / 2 | $7.735,50 | 718 / 11 | $6.751,08 | 715 / 19 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 16 | 33 / 18 | $9.543,88 | 70 / 18 | $3.891,00 | 29 / 9 | $2.818,12 | 28 / 5 |
Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 16 | $87.282,30 | 362 / 15 | $23.215,30 | 486 / 6 | $22.419,80 | 484 / 8 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 15 | $42.023,80 | 207 / 13 | $15.462,70 | 631 / 10 | $14.441,80 | 627 / 13 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 76 | $28.402,50 | 2068 / 109 | $6.177,64 | 2205 / 76 | $5.577,18 | 2197 / 83 |
Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 84 | $28.584,10 | 2154 / 104 | $6.018,55 | 2157 / 59 | $5.343,55 | 2146 / 69 | Total 10 procedures | 343 | 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.