Hospital Costs > In New York > Hudson Valley Hospital Center, 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 | 260 | 256 / 34 | $60.435,80 | 2100 / 116 | $13.288,40 | 2061 / 52 | $12.584,00 | 2024 / 65 |
Heart Failure & Shock W Mcc | 130 | 154 / 20 | $51.298,80 | 2020 / 105 | $10.857,80 | 1964 / 53 | $10.237,00 | 1957 / 60 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 110 | 454 / 54 | $96.565,70 | 2431 / 118 | $15.646,30 | 1991 / 56 | $13.567,10 | 1949 / 56 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 78 | 129 / 33 | $33.923,80 | 1811 / 82 | $7.682,27 | 1810 / 50 | $6.809,86 | 1802 / 59 |
Simple Pneumonia & Pleurisy W Mcc | 76 | 129 / 22 | $60.140,80 | 2099 / 106 | $11.150,10 | 2047 / 61 | $10.339,10 | 2046 / 67 |
Heart Failure & Shock W Cc | 68 | 210 / 47 | $34.105,10 | 2145 / 107 | $7.195,53 | 1953 / 53 | $6.430,82 | 1948 / 58 |
Simple Pneumonia & Pleurisy W Cc | 63 | 140 / 35 | $33.358,30 | 2117 / 106 | $7.362,62 | 1946 / 64 | $6.072,71 | 1938 / 57 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 60 | 106 / 36 | $21.426,20 | 1681 / 80 | $5.211,12 | 1716 / 48 | $4.346,05 | 1711 / 56 |
Kidney & Urinary Tract Infections W/O Mcc | 59 | 174 / 47 | $24.417,80 | 1943 / 84 | $5.685,85 | 1861 / 46 | $4.765,98 | 1850 / 51 |
G.I. Hemorrhage W Cc | 59 | 159 / 41 | $35.279,80 | 1793 / 90 | $7.452,75 | 1711 / 54 | $6.382,81 | 1707 / 57 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 56 | 219 / 60 | $25.588,50 | 1925 / 100 | $5.761,55 | 1739 / 59 | $4.385,34 | 1726 / 51 |
Red Blood Cell Disorders W/O Mcc | 54 | 89 / 25 | $31.946,60 | 1577 / 94 | $5.955,81 | 1392 / 33 | $5.178,56 | 1383 / 43 |
Renal Failure W Cc | 52 | 169 / 39 | $34.623,30 | 1887 / 92 | $7.879,21 | 2020 / 64 | $7.065,67 | 2010 / 68 |
Syncope & Collapse | 51 | 118 / 46 | $21.782,90 | 1015 / 68 | $5.425,51 | 1208 / 32 | $4.397,00 | 1201 / 39 |
Pulmonary Edema & Respiratory Failure | 47 | 156 / 23 | $42.524,20 | 1589 / 78 | $8.852,92 | 1636 / 42 | $8.237,43 | 1631 / 52 |
Cellulitis W/O Mcc | 42 | 147 / 57 | $27.795,00 | 2036 / 104 | $6.344,31 | 1796 / 60 | $5.140,76 | 1788 / 58 |
Transient Ischemia | 38 | 87 / 25 | $26.897,80 | 1048 / 64 | $5.227,79 | 1100 / 32 | $4.240,00 | 1094 / 39 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 37 | 88 / 27 | $66.063,90 | 1410 / 86 | $13.867,50 | 1503 / 55 | $12.937,30 | 1491 / 59 |
Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 33 | $73.684,30 | 1611 / 87 | $13.727,10 | 1493 / 39 | $12.747,20 | 1475 / 42 |
Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 43 | $33.692,50 | 1871 / 107 | $6.837,57 | 1751 / 50 | $5.973,60 | 1744 / 56 |
Respiratory Infections & Inflammations W Mcc | 34 | 102 / 22 | $72.694,30 | 1440 / 63 | $14.000,50 | 1372 / 28 | $13.411,30 | 1357 / 32 |
Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 54 | $42.292,60 | 1998 / 104 | $9.747,88 | 1741 / 74 | $7.304,18 | 1733 / 52 |
Renal Failure W Mcc | 33 | 162 / 38 | $42.090,20 | 1352 / 58 | $10.689,50 | 1390 / 18 | $9.928,48 | 1390 / 22 |
Kidney & Urinary Tract Infections W Mcc | 32 | 112 / 31 | $30.427,10 | 1195 / 39 | $7.995,66 | 1331 / 30 | $7.088,66 | 1327 / 31 |
Acute Myocardial Infarction, Discharged Alive W Cc | 28 | 63 / 20 | $27.230,80 | 619 / 41 | $7.508,32 | 1022 / 27 | $6.773,46 | 1020 / 39 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 24 | $25.735,00 | 1489 / 74 | $5.198,36 | 1484 / 29 | $4.380,07 | 1476 / 46 |
Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 36 | $22.112,20 | 1406 / 79 | $5.065,93 | 1327 / 42 | $4.128,44 | 1316 / 44 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 45 | $17.693,10 | 1248 / 71 | $4.328,85 | 1251 / 41 | $3.090,37 | 1246 / 36 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 45 | $39.627,60 | 1507 / 69 | $7.880,56 | 1588 / 40 | $7.162,33 | 1585 / 50 |
Seizures W/O Mcc | 25 | 83 / 35 | $25.566,80 | 793 / 64 | $5.653,28 | 829 / 25 | $4.828,96 | 826 / 32 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 32 | $33.557,70 | 1808 / 109 | $5.341,13 | 1462 / 45 | $4.347,74 | 1451 / 52 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 39 | $50.477,00 | 971 / 38 | $12.222,50 | 931 / 18 | $10.767,50 | 928 / 18 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 49 | $26.013,30 | 1455 / 76 | $5.859,86 | 1555 / 40 | $5.108,62 | 1550 / 53 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 42 | $130.434,00 | 844 / 52 | $35.150,90 | 940 / 13 | $34.516,90 | 934 / 19 |
Bronchitis & Asthma W Cc/Mcc | 20 | 56 / 22 | $33.574,40 | 791 / 45 | $6.426,20 | 657 / 11 | $5.294,20 | 653 / 17 |
Diabetes W Cc | 18 | 74 / 31 | $28.972,20 | 1142 / 64 | $6.136,67 | 969 / 24 | $5.059,33 | 965 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 42 | $50.735,20 | 1543 / 86 | $9.774,11 | 1576 / 48 | $9.105,61 | 1573 / 58 |
Other Circulatory System Diagnoses W Mcc | 17 | 99 / 31 | $65.764,10 | 1000 / 54 | $13.088,40 | 895 / 14 | $12.663,00 | 889 / 18 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 32 | $32.967,20 | 965 / 45 | $7.095,41 | 973 / 17 | $6.387,65 | 969 / 28 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 35 | $93.281,80 | 1442 / 90 | $20.259,90 | 1610 / 54 | $19.038,60 | 1596 / 57 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 16 | $17.695,90 | 221 / 20 | $5.511,81 | 624 / 14 | $4.833,81 | 620 / 23 |
Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 25 | $175.776,00 | 950 / 44 | $41.221,60 | 941 / 25 | $36.275,40 | 939 / 23 |
G.I. Obstruction W Cc | 16 | 76 / 30 | $37.546,40 | 1409 / 63 | $6.781,25 | 1320 / 41 | $5.947,25 | 1315 / 47 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 38 | $29.446,20 | 1080 / 48 | $5.815,60 | 988 / 23 | $4.318,67 | 984 / 27 |
Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 20 | $21.167,70 | 551 / 30 | $5.320,80 | 637 / 23 | $4.360,80 | 637 / 27 |
Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 14 | $158.990,00 | 624 / 26 | $30.235,90 | 627 / 16 | $29.346,30 | 625 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 47 | $31.011,40 | 1010 / 48 | $8.108,71 | 1133 / 18 | $7.418,43 | 1130 / 23 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 26 | $21.334,60 | 604 / 35 | $5.310,38 | 589 / 16 | $4.019,23 | 585 / 17 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 40 | $189.088,00 | 704 / 65 | $46.317,20 | 870 / 29 | $45.851,80 | 869 / 35 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $41.898,20 | 996 / 54 | $8.658,85 | 984 / 16 | $8.100,08 | 979 / 26 |
G.I. Hemorrhage W Mcc | 13 | 108 / 41 | $42.010,10 | 773 / 36 | $11.951,40 | 1090 / 16 | $11.673,20 | 1082 / 25 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 28 | $60.226,00 | 949 / 67 | $12.743,20 | 1022 / 42 | $11.915,80 | 1018 / 49 |
Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 15 | $25.785,00 | 237 / 22 | $4.975,50 | 218 / 6 | $4.068,83 | 218 / 10 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 18 | $29.835,20 | 622 / 23 | $6.679,42 | 580 / 11 | $5.567,42 | 577 / 11 |
Diabetes W Mcc | 12 | 45 / 21 | $39.571,70 | 451 / 24 | $10.004,80 | 446 / 7 | $9.002,17 | 446 / 6 |
Acute Myocardial Infarction, Expired W Mcc | 11 | 19 / 10 | $53.018,80 | 117 / 7 | $12.110,10 | 109 / 2 | $11.449,70 | 109 / 2 |
Other Disorders Of Nervous System W Cc | 11 | 45 / 19 | $28.104,70 | 344 / 10 | $6.578,73 | 355 / 5 | $5.586,73 | 355 / 6 | Total 57 procedures | 2.130 | 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.