Hospital Costs > In New Jersey > Hunterdon Medical Center, 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 | 166 | 398 / 25 | $49.927,30 | 1284 / 2 | $14.360,50 | 1428 / 19 | $11.870,30 | 1395 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 129 | 387 / 38 | $56.313,60 | 1993 / 4 | $13.193,20 | 1736 / 23 | $11.563,40 | 1703 / 19 |
| Kidney & Urinary Tract Infections W/O Mcc | 126 | 107 / 16 | $21.470,10 | 1722 / 1 | $5.371,00 | 1093 / 20 | $4.018,67 | 1085 / 15 |
| Cellulitis W/O Mcc | 103 | 86 / 22 | $21.848,50 | 1650 / 3 | $5.876,83 | 1311 / 18 | $4.544,85 | 1305 / 20 |
| Simple Pneumonia & Pleurisy W Cc | 98 | 105 / 18 | $24.149,20 | 1550 / 1 | $6.698,39 | 1298 / 19 | $5.305,07 | 1294 / 17 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 92 | 183 / 27 | $23.409,10 | 1757 / 1 | $5.145,07 | 1052 / 17 | $3.789,55 | 1044 / 15 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 72 | 94 / 19 | $18.600,50 | 1398 / 1 | $4.830,39 | 957 / 16 | $3.623,01 | 954 / 16 |
| Heart Failure & Shock W Cc | 65 | 213 / 40 | $24.379,10 | 1620 / 2 | $6.866,78 | 1321 / 18 | $5.567,66 | 1317 / 16 |
| G.I. Hemorrhage W Cc | 64 | 154 / 29 | $27.311,40 | 1390 / 1 | $7.121,25 | 1179 / 26 | $5.552,92 | 1177 / 18 |
| Chronic Obstructive Pulmonary Disease W Cc | 63 | 116 / 25 | $26.713,20 | 1562 / 3 | $6.526,21 | 1156 / 22 | $5.105,33 | 1152 / 15 |
| Pulmonary Edema & Respiratory Failure | 59 | 144 / 14 | $49.321,70 | 1742 / 5 | $9.379,54 | 1549 / 28 | $7.953,25 | 1544 / 29 |
| Respiratory Infections & Inflammations W Mcc | 50 | 86 / 14 | $45.651,60 | 950 / 3 | $13.970,20 | 1182 / 23 | $12.455,90 | 1168 / 20 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 46 | 142 / 23 | $37.796,90 | 868 / 1 | $7.188,02 | 744 / 12 | $5.799,57 | 742 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 41 | 166 / 32 | $37.341,80 | 1947 / 4 | $8.426,51 | 1779 / 30 | $6.754,59 | 1772 / 29 |
| Medical Back Problems W/O Mcc | 40 | 81 / 19 | $20.939,50 | 595 / 1 | $5.844,70 | 641 / 16 | $4.464,55 | 639 / 17 |
| Respiratory Infections & Inflammations W Cc | 39 | 49 / 7 | $28.726,40 | 638 / 1 | $9.443,08 | 875 / 16 | $8.231,92 | 870 / 15 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 37 | 88 / 31 | $54.970,80 | 1234 / 5 | $12.169,40 | 1142 / 26 | $10.820,10 | 1137 / 29 |
| Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 43 | $45.280,20 | 2079 / 3 | $9.341,97 | 1717 / 35 | $7.253,25 | 1709 / 22 |
| Renal Failure W Cc | 36 | 185 / 42 | $36.085,20 | 1934 / 5 | $7.824,89 | 1777 / 36 | $6.362,25 | 1767 / 33 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 34 | $17.059,50 | 1202 / 1 | $3.785,08 | 573 / 13 | $2.495,83 | 569 / 14 |
| Syncope & Collapse | 33 | 136 / 38 | $20.067,10 | 858 / 1 | $4.851,58 | 347 / 13 | $3.387,85 | 345 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 33 | $24.253,00 | 1367 / 2 | $5.432,47 | 907 / 16 | $4.203,75 | 904 / 18 |
| Transient Ischemia | 32 | 93 / 27 | $16.986,70 | 416 / 1 | $4.709,22 | 524 / 14 | $3.402,47 | 521 / 13 |
| Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 31 | $44.034,70 | 807 / 1 | $12.863,30 | 1172 / 13 | $11.553,60 | 1158 / 17 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 25 | $19.629,20 | 1237 / 1 | $5.004,40 | 546 / 14 | $3.364,30 | 545 / 11 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 29 | 62 / 7 | $35.527,10 | 219 / 5 | $7.364,31 | 137 / 3 | $7.035,28 | 137 / 5 |
| Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 38 | $47.314,40 | 1825 / 4 | $10.740,00 | 1686 / 26 | $9.112,31 | 1686 / 26 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 18 | $20.569,70 | 619 / 1 | $5.104,10 | 564 / 14 | $3.698,93 | 560 / 11 |
| Heart Failure & Shock W Mcc | 28 | 256 / 53 | $47.565,80 | 1923 / 3 | $10.541,10 | 1585 / 23 | $9.233,39 | 1580 / 19 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 28 | 25 / 7 | $31.771,60 | 616 / 11 | $5.088,57 | 311 / 14 | $3.807,36 | 308 / 13 |
| Seizures W/O Mcc | 27 | 81 / 26 | $18.707,20 | 477 / 1 | $5.196,52 | 428 / 14 | $3.943,30 | 426 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 32 | $20.820,00 | 1343 / 2 | $4.695,81 | 837 / 20 | $3.587,67 | 833 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 40 | $33.101,70 | 1288 / 2 | $7.462,85 | 1188 / 24 | $6.118,96 | 1185 / 22 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 26 | 65 / 19 | $26.264,00 | 583 / 1 | $7.091,54 | 426 / 18 | $5.341,50 | 425 / 9 |
| G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 14 | $19.231,60 | 787 / 1 | $4.236,65 | 385 / 12 | $2.811,26 | 385 / 11 |
| Signs & Symptoms W/O Mcc | 23 | 68 / 15 | $19.241,30 | 613 / 1 | $4.794,13 | 386 / 10 | $3.511,39 | 385 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 23 | $18.927,50 | 1117 / 1 | $4.833,87 | 700 / 16 | $3.418,52 | 696 / 13 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 22 | 70 / 16 | $157.521,00 | 567 / 4 | $43.731,40 | 702 / 25 | $41.069,00 | 701 / 27 |
| G.I. Hemorrhage W Mcc | 22 | 99 / 27 | $45.676,10 | 883 / 2 | $11.883,00 | 747 / 20 | $10.389,10 | 746 / 13 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 22 | 51 / 14 | $26.154,50 | 528 / 1 | $7.816,23 | 588 / 10 | $6.943,64 | 586 / 17 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 22 | 49 / 13 | $134.681,00 | 473 / 1 | $39.359,60 | 689 / 22 | $36.655,60 | 688 / 23 |
| Fractures Of Hip & Pelvis W/O Mcc | 22 | 39 / 14 | $16.165,50 | 335 / 1 | $4.817,82 | 324 / 15 | $3.521,23 | 325 / 10 |
| G.I. Obstruction W Cc | 21 | 71 / 22 | $27.072,60 | 1091 / 2 | $6.211,52 | 937 / 16 | $5.001,81 | 934 / 20 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 21 | 41 / 13 | $22.658,10 | 448 / 1 | $5.284,38 | 280 / 11 | $3.833,48 | 280 / 11 |
| Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 18 | $36.105,30 | 831 / 7 | $7.395,95 | 471 / 27 | $4.722,67 | 467 / 12 |
| Renal Failure W Mcc | 20 | 175 / 41 | $56.273,10 | 1696 / 6 | $12.114,50 | 1472 / 31 | $10.196,60 | 1471 / 26 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 31 | $37.896,50 | 275 / 1 | $15.013,80 | 924 / 11 | $13.816,30 | 916 / 14 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 18 | $18.479,10 | 315 / 1 | $6.360,32 | 500 / 6 | $5.186,32 | 498 / 5 |
| Disorders Of Pancreas Except Malignancy W Cc | 19 | 42 / 8 | $29.227,90 | 606 / 3 | $6.229,05 | 432 / 8 | $5.094,42 | 431 / 11 |
| Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 36 | $33.908,10 | 1326 / 2 | $7.868,72 | 1050 / 21 | $6.482,89 | 1047 / 17 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 25 | $61.147,90 | 664 / 1 | $16.455,90 | 762 / 11 | $14.588,80 | 754 / 11 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 13 | $35.191,40 | 307 / 1 | $10.842,70 | 555 / 13 | $9.515,94 | 553 / 15 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 44 | $17.522,10 | 676 / 1 | $5.405,82 | 860 / 15 | $4.369,24 | 855 / 18 |
| Fever | 17 | 29 / 8 | $33.266,20 | 251 / 5 | $7.404,06 | 202 / 18 | $5.436,94 | 202 / 13 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 12 | $34.881,20 | 216 / 1 | $11.412,10 | 285 / 6 | $8.527,65 | 285 / 4 |
| Respiratory Neoplasms W Cc | 15 | 32 / 13 | $30.803,90 | 207 / 1 | $8.002,20 | 209 / 9 | $6.843,73 | 208 / 9 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 15 | 74 / 10 | $33.043,50 | 343 / 1 | $7.233,20 | 362 / 5 | $5.818,80 | 361 / 7 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 15 | 23 / 8 | $19.545,50 | 241 / 1 | $4.639,00 | 98 / 5 | $2.922,40 | 98 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 40 | $38.829,10 | 654 / 1 | $11.776,30 | 833 / 16 | $10.334,70 | 831 / 15 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 14 | 49 / 9 | $79.447,80 | 127 / 8 | $22.936,60 | 169 / 7 | $21.479,30 | 168 / 8 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 31 | $42.847,00 | 1055 / 14 | $9.224,00 | 947 / 44 | $6.892,29 | 944 / 38 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 29 | $45.395,30 | 1076 / 4 | $10.157,60 | 1067 / 33 | $8.462,36 | 1062 / 33 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 14 | 63 / 12 | $35.144,00 | 133 / 7 | $10.350,70 | 220 / 4 | $9.055,14 | 220 / 9 |
| Bone Diseases & Arthropathies W/O Mcc | 13 | 31 / 8 | $17.120,40 | 128 / 1 | $5.300,62 | 33 / 9 | $3.360,54 | 33 / 2 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 13 | 111 / 20 | $19.204,90 | 469 / 2 | $4.837,31 | 184 / 10 | $3.482,92 | 184 / 6 |
| Otitis Media & Uri W/O Mcc | 13 | 31 / 8 | $19.329,80 | 93 / 1 | $4.505,31 | 39 / 4 | $3.133,00 | 39 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 23 | $44.937,10 | 234 / 1 | $13.830,80 | 456 / 8 | $12.624,70 | 450 / 12 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 30 | $23.191,90 | 572 / 2 | $6.579,15 | 502 / 12 | $5.202,00 | 499 / 10 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 24 | $18.286,90 | 477 / 1 | $4.758,31 | 307 / 14 | $3.371,00 | 304 / 12 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 17 | $87.128,40 | 251 / 1 | $27.021,80 | 428 / 13 | $25.180,60 | 428 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 41 | $36.793,30 | 1216 / 2 | $8.360,08 | 784 / 19 | $6.784,67 | 781 / 9 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 42 | $107.080,00 | 572 / 1 | $35.119,20 | 826 / 17 | $33.054,20 | 820 / 17 |
| Disorders Of The Biliary Tract W Cc | 12 | 42 / 14 | $27.298,70 | 166 / 1 | $7.155,08 | 170 / 7 | $5.945,58 | 170 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 12 | 184 / 30 | $86.642,00 | 998 / 10 | $17.148,30 | 243 / 27 | $9.962,17 | 243 / 2 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 19 | $46.855,90 | 247 / 1 | $13.958,90 | 375 / 5 | $12.531,60 | 374 / 7 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 12 | $28.540,20 | 351 / 1 | $6.210,50 | 207 / 4 | $5.375,33 | 207 / 3 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 25 | $23.061,20 | 325 / 1 | $6.451,42 | 238 / 8 | $5.110,50 | 238 / 6 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 34 | $61.141,10 | 945 / 7 | $13.282,30 | 701 / 19 | $11.619,40 | 699 / 14 |
| Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 23 | $87.360,60 | 610 / 7 | $25.274,90 | 777 / 6 | $23.912,80 | 773 / 10 |
| Cellulitis W Mcc | 11 | 47 / 22 | $28.979,90 | 351 / 1 | $10.272,20 | 263 / 11 | $7.690,55 | 262 / 3 |
| Other Vascular Procedures W Cc | 11 | 91 / 30 | $78.289,80 | 634 / 2 | $18.500,50 | 776 / 17 | $17.054,10 | 771 / 23 |
| Disorders Of The Biliary Tract W Mcc | 11 | 28 / 5 | $56.715,30 | 183 / 2 | $13.920,30 | 182 / 9 | $12.384,50 | 182 / 9 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 10 | $57.730,60 | 427 / 2 | $14.616,40 | 561 / 2 | $13.259,00 | 558 / 6 | Total 83 procedures | 2.584 | 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.