Hospital Costs > In New York > Healthalliance Hospital Broadway Campus, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Heart Failure & Shock W Cc | 121 | 157 / 25 | $25.923,50 | 1742 / 79 | $6.607,04 | 1388 / 33 | $5.631,95 | 1383 / 29 |
Chest Pain | 119 | 40 / 14 | $14.917,20 | 488 / 40 | $4.291,41 | 704 / 12 | $3.138,66 | 699 / 13 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 107 | 168 / 32 | $18.882,50 | 1261 / 71 | $5.143,76 | 1565 / 32 | $4.184,84 | 1552 / 38 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 99 | 67 / 16 | $20.218,90 | 1574 / 75 | $4.946,39 | 1266 / 39 | $3.857,37 | 1262 / 29 |
Simple Pneumonia & Pleurisy W Cc | 89 | 114 / 19 | $30.900,10 | 1994 / 95 | $6.676,91 | 1503 / 34 | $5.523,06 | 1497 / 34 |
Kidney & Urinary Tract Infections W/O Mcc | 89 | 144 / 31 | $22.175,30 | 1768 / 75 | $5.355,19 | 1379 / 31 | $4.228,65 | 1370 / 26 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 80 | 436 / 91 | $43.489,20 | 1503 / 74 | $11.737,80 | 1285 / 26 | $10.617,30 | 1264 / 27 |
Cellulitis W/O Mcc | 78 | 111 / 33 | $25.334,40 | 1890 / 93 | $5.844,94 | 1534 / 40 | $4.762,53 | 1527 / 41 |
Signs & Symptoms W/O Mcc | 72 | 21 / 4 | $20.756,40 | 689 / 42 | $4.876,65 | 610 / 11 | $3.884,46 | 609 / 14 |
Renal Failure W Cc | 67 | 154 / 28 | $28.684,90 | 1642 / 73 | $6.620,45 | 1263 / 30 | $5.458,54 | 1255 / 23 |
Heart Failure & Shock W Mcc | 66 | 218 / 44 | $40.726,10 | 1691 / 82 | $9.738,82 | 1285 / 22 | $8.695,70 | 1282 / 21 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 65 | 55 / 7 | $21.584,40 | 1378 / 77 | $4.950,72 | 1042 / 25 | $3.776,34 | 1033 / 23 |
Chronic Obstructive Pulmonary Disease W Mcc | 64 | 138 / 33 | $31.616,60 | 1566 / 70 | $7.855,30 | 1477 / 31 | $6.806,42 | 1471 / 34 |
Transient Ischemia | 61 | 64 / 12 | $19.506,70 | 625 / 42 | $4.848,67 | 746 / 21 | $3.650,95 | 742 / 17 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 56 | 37 / 8 | $19.356,70 | 1148 / 50 | $4.896,05 | 924 / 25 | $3.612,64 | 919 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 55 | 152 / 48 | $35.592,70 | 1888 / 88 | $7.360,80 | 1544 / 39 | $6.337,75 | 1537 / 42 |
Syncope & Collapse | 53 | 116 / 44 | $19.060,60 | 766 / 50 | $5.043,32 | 808 / 18 | $3.852,49 | 804 / 15 |
Chronic Obstructive Pulmonary Disease W Cc | 52 | 127 / 31 | $28.225,80 | 1637 / 88 | $6.212,02 | 1328 / 29 | $5.295,75 | 1323 / 33 |
Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 31 | $45.917,20 | 1787 / 88 | $9.968,21 | 1525 / 37 | $8.734,25 | 1525 / 33 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 51 | 20 / 4 | $71.684,40 | 77 / 7 | $29.817,40 | 240 / 1 | $28.387,10 | 240 / 1 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 51 | 99 / 27 | $15.955,00 | 1095 / 57 | $4.004,82 | 1040 / 27 | $2.857,45 | 1035 / 26 |
Medical Back Problems W/O Mcc | 49 | 72 / 21 | $26.785,30 | 909 / 52 | $5.867,22 | 856 / 17 | $4.881,55 | 853 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 46 | 136 / 32 | $30.093,80 | 1166 / 50 | $7.126,07 | 1033 / 19 | $5.873,93 | 1030 / 19 |
Red Blood Cell Disorders W/O Mcc | 45 | 98 / 33 | $28.432,70 | 1427 / 81 | $5.558,16 | 826 / 24 | $4.325,49 | 821 / 14 |
G.I. Hemorrhage W Cc | 43 | 175 / 49 | $25.496,10 | 1240 / 61 | $6.755,74 | 1255 / 27 | $5.648,30 | 1252 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 41 | 61 / 14 | $22.575,60 | 760 / 29 | $5.320,54 | 737 / 16 | $3.911,49 | 733 / 14 |
Heart Failure & Shock W/O Cc/Mcc | 37 | 73 / 26 | $18.336,40 | 1180 / 62 | $4.757,03 | 1026 / 32 | $3.757,89 | 1018 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 37 | 124 / 36 | $19.053,20 | 969 / 45 | $5.347,38 | 1143 / 23 | $4.438,43 | 1139 / 28 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 35 | 88 / 25 | $27.926,60 | 850 / 46 | $7.984,74 | 730 / 15 | $6.705,00 | 727 / 13 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 32 | 60 / 23 | $89.584,80 | 128 / 10 | $32.909,30 | 139 / 1 | $30.797,80 | 139 / 1 |
Acute Myocardial Infarction, Discharged Alive W Cc | 30 | 61 / 18 | $21.170,70 | 337 / 29 | $6.839,73 | 597 / 15 | $5.655,73 | 596 / 14 |
Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 40 | $38.729,90 | 569 / 35 | $12.723,30 | 952 / 23 | $10.921,50 | 939 / 18 |
G.I. Hemorrhage W/O Cc/Mcc | 30 | 38 / 11 | $16.259,50 | 390 / 19 | $4.860,40 | 540 / 8 | $3.853,67 | 536 / 12 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 36 | $30.359,60 | 453 / 32 | $10.474,10 | 356 / 18 | $8.675,67 | 356 / 10 |
Renal Failure W Mcc | 26 | 169 / 45 | $37.128,70 | 1157 / 47 | $9.976,35 | 851 / 11 | $8.644,73 | 851 / 10 |
Fractures Of Hip & Pelvis W/O Mcc | 26 | 35 / 10 | $16.718,90 | 365 / 17 | $4.704,46 | 310 / 5 | $3.493,23 | 311 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 27 | $53.401,60 | 722 / 52 | $14.822,00 | 896 / 15 | $13.733,30 | 888 / 18 |
Dysequilibrium | 26 | 39 / 15 | $18.374,20 | 205 / 24 | $4.442,04 | 181 / 7 | $3.086,65 | 181 / 1 |
G.I. Obstruction W/O Cc/Mcc | 25 | 46 / 14 | $13.885,40 | 440 / 30 | $4.394,84 | 508 / 17 | $2.971,80 | 507 / 8 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 24 | 38 / 20 | $21.035,80 | 405 / 28 | $5.278,83 | 348 / 14 | $4.051,08 | 348 / 11 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 24 | 29 / 9 | $15.666,10 | 153 / 13 | $5.089,42 | 473 / 7 | $4.212,08 | 470 / 10 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 38 | $25.711,00 | 318 / 19 | $7.199,62 | 877 / 9 | $6.076,79 | 874 / 13 |
Degenerative Nervous System Disorders W/O Mcc | 23 | 55 / 25 | $28.968,70 | 477 / 34 | $6.612,00 | 347 / 4 | $5.438,35 | 347 / 8 |
Organic Disturbances & Mental Retardation | 23 | 36 / 16 | $29.066,40 | 333 / 19 | $6.921,26 | 223 / 5 | $5.774,65 | 223 / 4 |
Seizures W/O Mcc | 22 | 86 / 37 | $20.197,30 | 562 / 45 | $5.266,18 | 514 / 13 | $4.078,36 | 511 / 10 |
Diabetes W Cc | 22 | 70 / 27 | $20.114,90 | 703 / 37 | $5.683,95 | 874 / 12 | $4.841,95 | 870 / 18 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 22 | 22 / 7 | $17.747,40 | 84 / 10 | $5.125,59 | 127 / 2 | $4.173,86 | 127 / 4 |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 41 | $33.818,50 | 1320 / 50 | $7.572,86 | 1071 / 17 | $6.520,23 | 1068 / 17 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 21 | 40 / 14 | $13.728,30 | 251 / 14 | $4.453,29 | 386 / 8 | $3.552,81 | 385 / 9 |
Pulmonary Edema & Respiratory Failure | 21 | 182 / 46 | $30.703,80 | 1078 / 46 | $7.912,67 | 960 / 19 | $6.873,43 | 959 / 18 |
Pulmonary Embolism W/O Mcc | 21 | 53 / 13 | $27.321,80 | 739 / 29 | $6.390,62 | 588 / 8 | $5.327,48 | 585 / 13 |
Peripheral Vascular Disorders W Cc | 21 | 63 / 27 | $23.087,10 | 543 / 24 | $6.475,00 | 504 / 9 | $5.350,05 | 502 / 8 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 20 | 48 / 15 | $26.099,80 | 380 / 20 | $6.067,90 | 280 / 3 | $4.951,20 | 280 / 3 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 88 | $44.783,80 | 1017 / 62 | $13.721,70 | 1643 / 27 | $12.414,10 | 1606 / 36 |
Renal Failure W/O Cc/Mcc | 20 | 36 / 7 | $15.926,20 | 408 / 11 | $4.390,65 | 360 / 6 | $3.233,75 | 359 / 7 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 29 | $21.190,60 | 470 / 23 | $7.245,75 | 600 / 19 | $5.395,80 | 597 / 9 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 18 | 11 / 5 | $23.753,30 | 95 / 10 | $4.823,11 | 57 / 4 | $3.857,11 | 57 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 43 | $48.751,30 | 1474 / 82 | $9.007,22 | 949 / 31 | $6.897,61 | 946 / 14 |
G.I. Hemorrhage W Mcc | 18 | 103 / 36 | $47.804,90 | 942 / 47 | $12.279,20 | 981 / 20 | $11.144,70 | 974 / 18 |
Red Blood Cell Disorders W Mcc | 17 | 54 / 23 | $36.550,40 | 616 / 36 | $8.314,53 | 449 / 4 | $7.321,29 | 447 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 16 | 152 / 44 | $63.649,80 | 1187 / 60 | $11.577,60 | 807 / 12 | $10.218,80 | 805 / 12 |
Fever | 16 | 30 / 13 | $24.782,10 | 167 / 12 | $5.865,69 | 89 / 5 | $4.422,69 | 89 / 2 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 15 | 32 / 15 | $26.428,40 | 252 / 22 | $5.168,07 | 129 / 3 | $3.923,07 | 129 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 29 | $39.073,70 | 920 / 48 | $8.066,87 | 496 / 7 | $6.615,40 | 493 / 7 |
Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 27 | $89.464,60 | 294 / 12 | $30.374,00 | 411 / 2 | $28.595,90 | 409 / 3 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 35 | $53.636,50 | 823 / 41 | $12.093,30 | 376 / 5 | $10.277,90 | 375 / 3 |
Angina Pectoris | 13 | 12 / 4 | $13.356,70 | 15 / 4 | $4.006,92 | 31 / 2 | $3.215,08 | 31 / 2 |
Tendonitis, Myositis & Bursitis W/O Mcc | 13 | 29 / 12 | $23.974,70 | 191 / 14 | $5.749,92 | 141 / 5 | $4.513,77 | 141 / 4 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 14 | $19.586,90 | 31 / 3 | $8.071,77 | 317 / 5 | $6.738,69 | 316 / 11 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 14 | $29.759,20 | 91 / 5 | $10.756,30 | 453 / 6 | $9.341,33 | 451 / 5 |
Diabetes W Mcc | 12 | 45 / 21 | $41.136,20 | 474 / 26 | $8.320,92 | 175 / 1 | $7.412,25 | 175 / 1 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 18 | $37.182,80 | 345 / 12 | $10.658,60 | 507 / 4 | $9.322,75 | 505 / 6 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 18 | $20.206,30 | 304 / 12 | $6.271,50 | 324 / 6 | $4.825,33 | 323 / 4 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 36 | $66.043,60 | 772 / 42 | $16.075,90 | 749 / 15 | $14.554,10 | 741 / 19 |
Transurethral Procedures W Cc | 12 | 29 / 12 | $32.579,20 | 150 / 7 | $10.300,50 | 132 / 10 | $6.822,25 | 132 / 2 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 52 | $104.319,00 | 545 / 33 | $33.936,10 | 296 / 8 | $27.952,90 | 296 / 6 |
Digestive Malignancy W Cc | 11 | 36 / 17 | $27.758,90 | 113 / 7 | $7.415,91 | 52 / 1 | $6.306,64 | 52 / 1 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 35 | $30.912,50 | 716 / 35 | $8.973,00 | 669 / 19 | $7.697,73 | 665 / 17 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 15 | $46.450,40 | 654 / 20 | $11.816,20 | 248 / 15 | $7.482,55 | 247 / 3 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 11 | 31 / 10 | $72.769,10 | 240 / 12 | $12.910,60 | 150 / 4 | $11.534,90 | 150 / 4 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 30 | $24.331,60 | 371 / 17 | $6.705,45 | 405 / 6 | $5.870,91 | 405 / 4 | Total 81 procedures | 2.865 | 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.