Hospital Costs > In New York > Hospital For Special Surgery, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 111 | 2 / 1 | $55.993,20 | 317 / 12 | $16.575,70 | 388 / 9 | $12.425,50 | 385 / 7 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 145 | 3 / 2 | $43.325,50 | 511 / 23 | $9.902,83 | 510 / 13 | $6.616,37 | 509 / 11 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 201 | 1 / 1 | $90.092,00 | 153 / 8 | $35.837,50 | 189 / 12 | $23.000,70 | 188 / 10 |
| Cervical Spinal Fusion W Cc | 35 | 19 / 3 | $94.873,80 | 270 / 11 | $27.085,50 | 302 / 9 | $21.427,60 | 301 / 10 |
| Cervical Spinal Fusion W/O Cc/Mcc | 67 | 39 / 1 | $71.369,00 | 592 / 23 | $20.313,90 | 679 / 17 | $14.612,40 | 676 / 14 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 79 | 1 / 1 | $197.800,00 | 52 / 3 | $71.005,50 | 80 / 3 | $58.912,70 | 80 / 3 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 34 | 13 / 1 | $128.504,00 | 41 / 4 | $51.969,90 | 93 / 4 | $45.450,30 | 93 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 40 | 103 / 30 | $79.685,70 | 1702 / 91 | $18.936,10 | 1742 / 79 | $14.319,50 | 1723 / 66 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 12 | $63.165,60 | 736 / 41 | $14.083,00 | 720 / 24 | $10.915,40 | 717 / 18 |
| Knee Procedures W/O Pdx Of Infection W Cc/Mcc | 14 | 4 / 1 | $41.175,90 | 12 / 1 | $14.105,50 | 11 / 1 | $10.723,40 | 11 / 1 |
| Knee Procedures W/O Pdx Of Infection W/O Cc/Mcc | 27 | 1 / 1 | $40.723,50 | 27 / 1 | $10.878,20 | 32 / 1 | $8.679,33 | 32 / 1 |
| Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc | 20 | 5 / 1 | $74.240,20 | 36 / 1 | $15.434,00 | 31 / 1 | $13.690,00 | 31 / 1 |
| Local Excision & Removal Int Fix Devices Exc Hip & Femur W/O Cc/Mcc | 36 | 2 / 1 | $49.275,90 | 12 / 2 | $12.025,10 | 8 / 1 | $7.563,03 | 8 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 31 | 24 / 3 | $78.862,30 | 482 / 17 | $19.415,00 | 490 / 17 | $13.713,80 | 486 / 12 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 46 | 5 / 1 | $61.971,10 | 408 / 30 | $13.294,50 | 401 / 14 | $9.931,54 | 401 / 11 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 233 | 1 / 1 | $51.006,80 | 355 / 19 | $20.201,30 | 636 / 20 | $14.478,10 | 632 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 64 | 7 / 1 | $92.073,60 | 589 / 19 | $27.354,90 | 804 / 23 | $24.561,50 | 801 / 24 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 3855 | 1 / 1 | $59.648,20 | 1681 / 94 | $20.574,40 | 2136 / 91 | $14.221,50 | 2093 / 69 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 75 | 7 / 1 | $58.316,40 | 188 / 5 | $22.850,60 | 383 / 4 | $18.162,00 | 383 / 3 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 19 | 35 / 8 | $47.845,00 | 404 / 33 | $10.213,60 | 207 / 23 | $5.962,58 | 207 / 8 |
| Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 26 | 13 / 3 | $99.572,10 | 152 / 9 | $22.523,00 | 163 / 8 | $19.765,90 | 163 / 9 |
| Revision Of Hip Or Knee Replacement W Cc | 242 | 1 / 1 | $85.191,30 | 333 / 13 | $29.693,00 | 566 / 15 | $25.356,00 | 564 / 15 |
| Revision Of Hip Or Knee Replacement W Mcc | 21 | 5 / 1 | $111.311,00 | 10 / 1 | $41.338,50 | 28 / 1 | $37.101,80 | 28 / 1 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 192 | 1 / 1 | $63.350,40 | 214 / 11 | $25.186,90 | 406 / 11 | $18.931,50 | 405 / 10 |
| Soft Tissue Procedures W Cc | 11 | 11 / 2 | $69.957,50 | 30 / 1 | $16.650,50 | 28 / 1 | $13.460,60 | 28 / 1 |
| Soft Tissue Procedures W/O Cc/Mcc | 33 | 2 / 2 | $40.607,30 | 13 / 4 | $10.021,30 | 11 / 1 | $7.266,97 | 11 / 2 |
| Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 30 | 13 / 2 | $198.820,00 | 51 / 3 | $66.014,80 | 69 / 2 | $56.899,60 | 69 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 315 | 5 / 1 | $98.778,70 | 719 / 36 | $34.172,40 | 1163 / 37 | $29.634,90 | 1158 / 41 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 35 | 8 / 1 | $161.417,00 | 140 / 6 | $40.683,00 | 150 / 6 | $36.242,30 | 150 / 6 | Total 29 procedures | 6.055 | 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.