Hospital Costs > In New York > John T Mather Memorial Hospital Of Port Jefferson, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 177 | 99 / 14 | $27.682,40 | 2046 / 108 | $5.398,40 | 1318 / 44 | $3.985,15 | 1307 / 25 |
| Heart Failure & Shock W Mcc | 158 | 126 / 13 | $60.625,50 | 2204 / 117 | $10.911,50 | 1845 / 54 | $9.853,14 | 1840 / 52 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 146 | 370 / 65 | $71.669,70 | 2309 / 129 | $13.934,50 | 2156 / 63 | $13.031,70 | 2118 / 73 |
| Simple Pneumonia & Pleurisy W Cc | 143 | 61 / 7 | $43.992,00 | 2434 / 129 | $7.119,13 | 2021 / 55 | $6.212,14 | 2013 / 61 |
| Cellulitis W/O Mcc | 140 | 50 / 8 | $41.286,10 | 2438 / 136 | $6.030,21 | 1612 / 48 | $4.858,12 | 1605 / 50 |
| Kidney & Urinary Tract Infections W/O Mcc | 130 | 103 / 17 | $35.235,70 | 2383 / 122 | $5.368,52 | 1504 / 32 | $4.355,75 | 1493 / 35 |
| Renal Failure W Cc | 103 | 118 / 14 | $38.852,20 | 2015 / 103 | $7.276,03 | 1511 / 48 | $5.770,38 | 1502 / 39 |
| Syncope & Collapse | 103 | 66 / 19 | $27.707,00 | 1345 / 90 | $4.998,83 | 1006 / 16 | $4.067,35 | 999 / 27 |
| Chronic Obstructive Pulmonary Disease W Mcc | 101 | 101 / 17 | $50.615,10 | 2201 / 119 | $8.176,75 | 1731 / 47 | $7.279,14 | 1723 / 50 |
| G.I. Hemorrhage W Cc | 100 | 118 / 21 | $41.899,60 | 2006 / 106 | $7.077,42 | 1424 / 43 | $5.851,01 | 1421 / 38 |
| Red Blood Cell Disorders W/O Mcc | 93 | 53 / 11 | $30.893,50 | 1533 / 90 | $6.053,47 | 1160 / 37 | $4.734,39 | 1152 / 31 |
| Chronic Obstructive Pulmonary Disease W Cc | 92 | 87 / 11 | $43.442,40 | 2141 / 126 | $7.002,01 | 1782 / 53 | $6.039,16 | 1775 / 58 |
| Heart Failure & Shock W Cc | 91 | 187 / 37 | $42.775,50 | 2409 / 124 | $7.204,57 | 1782 / 54 | $6.105,74 | 1777 / 51 |
| Simple Pneumonia & Pleurisy W Mcc | 89 | 116 / 15 | $65.655,80 | 2185 / 114 | $10.688,00 | 1926 / 53 | $9.792,64 | 1926 / 55 |
| Transient Ischemia | 81 | 44 / 5 | $28.085,80 | 1113 / 69 | $4.931,36 | 826 / 24 | $3.744,48 | 822 / 23 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 80 | 484 / 62 | $65.674,10 | 1883 / 100 | $15.182,20 | 2012 / 44 | $13.649,70 | 1970 / 59 |
| Chest Pain | 79 | 72 / 21 | $21.630,70 | 1029 / 73 | $4.206,19 | 675 / 8 | $3.109,52 | 671 / 9 |
| Renal Failure W Mcc | 70 | 125 / 17 | $58.961,60 | 1744 / 87 | $11.646,60 | 1579 / 39 | $10.575,00 | 1577 / 35 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 67 | 99 / 31 | $28.905,90 | 2093 / 111 | $4.869,39 | 1343 / 34 | $3.924,07 | 1338 / 32 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 66 | 84 / 18 | $21.968,40 | 1503 / 92 | $3.846,17 | 1092 / 14 | $2.902,77 | 1087 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 60 | 101 / 22 | $36.477,50 | 1835 / 106 | $5.860,50 | 1086 / 41 | $4.383,57 | 1082 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 56 | 67 / 16 | $51.726,40 | 1567 / 87 | $10.389,50 | 1461 / 55 | $8.524,27 | 1458 / 49 |
| Kidney & Urinary Tract Infections W Mcc | 49 | 95 / 19 | $46.807,80 | 1639 / 71 | $7.888,41 | 1373 / 27 | $7.219,82 | 1369 / 33 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 47 | 73 / 14 | $34.739,20 | 1838 / 111 | $4.930,81 | 1175 / 22 | $3.919,74 | 1166 / 29 |
| Respiratory Infections & Inflammations W Cc | 46 | 42 / 7 | $56.132,90 | 1220 / 69 | $9.620,09 | 1023 / 29 | $8.781,39 | 1018 / 33 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 41 | 52 / 13 | $30.907,50 | 1638 / 85 | $5.054,63 | 1075 / 26 | $3.750,22 | 1069 / 28 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 41 | 60 / 9 | $71.385,20 | 965 / 52 | $12.750,30 | 741 / 29 | $10.481,00 | 739 / 20 |
| Other Digestive System Diagnoses W Cc | 36 | 61 / 15 | $34.977,60 | 1022 / 50 | $6.719,08 | 867 / 13 | $6.010,50 | 863 / 21 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 35 | 90 / 29 | $50.410,90 | 1152 / 71 | $11.568,40 | 838 / 33 | $9.839,77 | 837 / 23 |
| Cellulitis W Mcc | 35 | 23 / 5 | $77.848,90 | 904 / 56 | $12.267,30 | 835 / 30 | $11.527,70 | 833 / 33 |
| Major Small & Large Bowel Procedures W Mcc | 35 | 50 / 12 | $196.580,00 | 1031 / 52 | $46.528,10 | 1153 / 38 | $43.722,60 | 1151 / 42 |
| Respiratory Infections & Inflammations W Mcc | 34 | 102 / 22 | $82.668,00 | 1526 / 67 | $14.878,90 | 1449 / 41 | $13.922,30 | 1434 / 42 |
| G.I. Obstruction W Cc | 34 | 58 / 13 | $36.889,90 | 1393 / 61 | $6.239,24 | 786 / 29 | $4.798,32 | 784 / 19 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 66 | $43.580,00 | 2129 / 116 | $7.905,36 | 1562 / 55 | $6.364,88 | 1555 / 43 |
| Pulmonary Edema & Respiratory Failure | 33 | 170 / 34 | $58.181,30 | 1895 / 94 | $10.069,00 | 1891 / 61 | $9.317,88 | 1885 / 67 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 41 | $50.649,70 | 1758 / 92 | $7.653,47 | 1387 / 33 | $6.539,34 | 1384 / 40 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 31 | 65 / 15 | $46.976,60 | 1103 / 59 | $8.606,10 | 911 / 15 | $7.812,13 | 906 / 23 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 31 | 60 / 17 | $35.561,20 | 923 / 56 | $6.609,48 | 603 / 12 | $5.667,68 | 602 / 15 |
| Other Vascular Procedures W Mcc | 31 | 66 / 14 | $119.235,00 | 725 / 44 | $27.864,30 | 800 / 20 | $25.704,70 | 797 / 22 |
| Other Vascular Procedures W Cc | 30 | 72 / 24 | $88.832,40 | 739 / 38 | $18.849,60 | 833 / 14 | $17.728,50 | 828 / 20 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 30 | 73 / 16 | $48.112,90 | 732 / 41 | $7.084,63 | 548 / 10 | $6.582,37 | 548 / 16 |
| Bronchitis & Asthma W Cc/Mcc | 30 | 46 / 13 | $42.486,70 | 926 / 59 | $6.121,87 | 576 / 9 | $5.008,67 | 572 / 10 |
| G.I. Hemorrhage W Mcc | 30 | 91 / 25 | $58.191,20 | 1161 / 58 | $12.267,60 | 1017 / 19 | $11.315,10 | 1009 / 20 |
| Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 33 | $25.678,10 | 1586 / 92 | $4.689,07 | 1090 / 25 | $3.835,07 | 1081 / 30 |
| Major Small & Large Bowel Procedures W Cc | 29 | 79 / 20 | $94.191,70 | 1160 / 65 | $19.582,80 | 1228 / 41 | $17.850,50 | 1214 / 42 |
| Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 42 | $57.626,50 | 1290 / 70 | $13.610,20 | 1440 / 36 | $12.520,50 | 1422 / 38 |
| Peripheral Vascular Disorders W Cc | 27 | 57 / 22 | $41.250,20 | 1028 / 65 | $6.739,00 | 762 / 11 | $6.052,19 | 759 / 17 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 37 | $145.753,00 | 986 / 66 | $40.132,00 | 1192 / 33 | $38.917,20 | 1184 / 39 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 26 | 27 / 4 | $37.931,60 | 303 / 14 | $8.249,96 | 245 / 5 | $7.398,27 | 245 / 8 |
| Respiratory Neoplasms W Mcc | 26 | 26 / 5 | $73.959,80 | 524 / 23 | $13.067,90 | 465 / 10 | $11.960,80 | 463 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 36 | $62.431,20 | 1173 / 59 | $12.843,70 | 1167 / 24 | $11.897,90 | 1161 / 31 |
| Medical Back Problems W/O Mcc | 25 | 96 / 39 | $36.322,40 | 1176 / 71 | $5.862,76 | 799 / 16 | $4.741,48 | 796 / 19 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 24 | 32 / 4 | $60.588,60 | 583 / 26 | $12.494,10 | 658 / 16 | $10.691,50 | 656 / 17 |
| Red Blood Cell Disorders W Mcc | 24 | 47 / 16 | $60.851,50 | 954 / 68 | $12.071,70 | 993 / 36 | $11.232,20 | 989 / 45 |
| Signs & Symptoms W/O Mcc | 23 | 68 / 28 | $27.481,70 | 974 / 63 | $5.268,87 | 648 / 22 | $3.941,74 | 647 / 16 |
| G.I. Hemorrhage W/O Cc/Mcc | 23 | 45 / 17 | $21.887,10 | 624 / 37 | $4.816,17 | 494 / 5 | $3.759,83 | 490 / 9 |
| Degenerative Nervous System Disorders W/O Mcc | 23 | 55 / 25 | $37.168,60 | 634 / 48 | $7.224,43 | 532 / 11 | $6.262,70 | 532 / 19 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 23 | 68 / 10 | $57.133,90 | 341 / 21 | $7.810,48 | 192 / 5 | $7.468,22 | 192 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 31 | $38.357,20 | 1315 / 68 | $6.492,55 | 1151 / 33 | $4.695,14 | 1147 / 32 |
| G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 17 | $26.589,00 | 1050 / 60 | $4.228,05 | 618 / 11 | $3.118,41 | 617 / 17 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 31 | $79.469,60 | 1302 / 79 | $17.645,50 | 1456 / 40 | $17.004,40 | 1442 / 50 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 22 | 40 / 22 | $25.140,90 | 507 / 42 | $6.249,82 | 319 / 32 | $3.954,50 | 319 / 7 |
| Atherosclerosis W/O Mcc | 21 | 37 / 14 | $20.269,20 | 318 / 26 | $4.419,33 | / 5 | $3.193,86 | / |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 41 | $39.095,20 | 1284 / 67 | $7.672,05 | 901 / 12 | $6.792,05 | 898 / 12 |
| Diabetes W Cc | 20 | 72 / 29 | $43.722,80 | 1464 / 92 | $5.963,45 | 965 / 17 | $5.052,05 | 961 / 22 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 20 | 33 / 12 | $23.313,30 | 403 / 31 | $5.155,60 | 441 / 10 | $4.129,00 | 438 / 8 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 16 | $49.862,60 | 939 / 43 | $8.481,65 | 648 / 15 | $7.165,10 | 646 / 15 |
| Dysequilibrium | 20 | 45 / 19 | $30.951,70 | 423 / 51 | $4.323,55 | 254 / 3 | $3.347,75 | 254 / 10 |
| Major Cardiovasc Procedures W/O Mcc | 20 | 81 / 26 | $85.352,50 | 443 / 27 | $25.002,90 | 570 / 15 | $20.994,00 | 570 / 12 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 19 | 58 / 13 | $62.168,30 | 330 / 26 | $10.999,40 | 270 / 7 | $9.779,21 | 270 / 14 |
| Disorders Of Pancreas Except Malignancy W Cc | 19 | 42 / 11 | $27.203,70 | 548 / 18 | $6.353,47 | 649 / 7 | $5.851,58 | 646 / 15 |
| Fever | 18 | 28 / 11 | $33.252,10 | 250 / 20 | $5.856,61 | 176 / 4 | $5.175,72 | 176 / 8 |
| Disorders Of The Biliary Tract W Cc | 17 | 37 / 15 | $48.499,40 | 382 / 23 | $6.933,82 | 179 / 4 | $6.000,65 | 179 / 5 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 17 | 36 / 9 | $84.715,10 | 291 / 20 | $14.717,60 | 258 / 9 | $13.814,60 | 259 / 12 |
| Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 18 | $29.364,70 | 740 / 49 | $4.976,06 | 514 / 17 | $3.966,65 | 514 / 18 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 17 | 28 / 10 | $22.587,90 | 261 / 12 | $4.967,88 | 161 / 3 | $3.599,06 | 161 / 1 |
| Seizures W/O Mcc | 16 | 92 / 43 | $35.749,30 | 1072 / 90 | $5.386,25 | 526 / 19 | $4.099,25 | 523 / 11 |
| Renal Failure W/O Cc/Mcc | 16 | 40 / 11 | $26.207,80 | 697 / 30 | $4.354,88 | 341 / 3 | $3.204,12 | 340 / 6 |
| Other Resp System O.R. Procedures W Mcc | 16 | 47 / 10 | $89.124,40 | 279 / 6 | $24.891,20 | 357 / 3 | $23.970,80 | 356 / 5 |
| Extracranial Procedures W/O Cc/Mcc | 15 | 83 / 22 | $16.758,80 | 78 / 8 | $7.322,53 | 677 / 9 | $6.432,40 | 674 / 15 |
| Other Disorders Of Nervous System W Cc | 15 | 41 / 16 | $41.837,90 | 506 / 26 | $6.670,53 | 388 / 6 | $5.768,40 | 388 / 8 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 19 | $36.727,00 | 560 / 34 | $6.046,07 | 375 / 2 | $5.323,40 | 375 / 10 |
| Other Digestive System Diagnoses W Mcc | 15 | 47 / 20 | $65.211,70 | 601 / 37 | $13.960,50 | 534 / 17 | $12.266,10 | 533 / 15 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 15 | 25 / 3 | $75.778,60 | 269 / 6 | $21.818,00 | 237 / 7 | $15.083,20 | 236 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 12 | $39.621,70 | 301 / 27 | $9.431,67 | 279 / 11 | $6.525,87 | 279 / 7 |
| Hypertension W/O Mcc | 14 | 51 / 22 | $23.913,90 | 508 / 34 | $4.332,36 | 357 / 7 | $3.291,50 | 355 / 9 |
| Major Chest Procedures W Mcc | 14 | 35 / 8 | $180.723,00 | 253 / 9 | $48.820,50 | 302 / 9 | $43.158,10 | 301 / 8 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 14 | 40 / 11 | $41.139,80 | 376 / 28 | $6.607,79 | 218 / 6 | $6.075,79 | 218 / 10 |
| Major Chest Procedures W Cc | 14 | 60 / 15 | $64.227,60 | 228 / 16 | $17.509,10 | 157 / 5 | $14.074,70 | 157 / 4 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 18 | $171.120,00 | 549 / 28 | $40.602,10 | 641 / 19 | $39.559,90 | 641 / 22 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 21 | $30.885,20 | 764 / 46 | $4.357,14 | 363 / 5 | $3.495,43 | 362 / 8 |
| Peripheral Vascular Disorders W Mcc | 13 | 36 / 18 | $53.245,90 | 447 / 26 | $13.121,60 | 217 / 20 | $7.810,62 | 217 / 3 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 13 | $37.806,80 | 532 / 14 | $9.438,62 | 561 / 3 | $8.808,46 | 559 / 7 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 18 | $109.642,00 | 753 / 40 | $23.883,80 | 828 / 21 | $23.211,80 | 825 / 26 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 28 | $92.323,20 | 719 / 31 | $18.287,30 | 668 / 12 | $17.455,30 | 667 / 14 |
| Coagulation Disorders | 13 | 14 / 7 | $70.844,90 | 73 / 10 | $14.196,70 | 60 / 2 | $13.590,20 | 60 / 5 |
| Other Circulatory System Diagnoses W Mcc | 13 | 103 / 35 | $83.222,10 | 1169 / 68 | $16.461,30 | 1169 / 35 | $15.396,70 | 1161 / 38 |
| Endocrine Disorders W Mcc | 13 | 13 / 5 | $88.399,10 | 111 / 10 | $15.152,40 | 100 / 2 | $14.193,60 | 100 / 4 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 15 | $26.334,10 | 242 / 25 | $4.650,67 | 205 / 3 | $3.926,33 | 205 / 9 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 20 | $52.147,60 | 483 / 23 | $11.283,50 | 524 / 7 | $10.181,30 | 524 / 13 |
| Peritoneal Adhesiolysis W Cc | 11 | 28 / 9 | $125.427,00 | 273 / 19 | $23.892,10 | 279 / 13 | $22.087,50 | 279 / 17 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 44 | $29.426,60 | 688 / 51 | $4.743,73 | 291 / 8 | $3.754,27 | 291 / 8 |
| Inflammatory Bowel Disease W Cc | 11 | 21 / 6 | $39.667,40 | 106 / 4 | $7.495,27 | 84 / 2 | $6.512,27 | 84 / 2 |
| Other Resp System O.R. Procedures W Cc | 11 | 36 / 9 | $52.540,50 | 171 / 5 | $13.267,50 | 192 / 2 | $12.277,60 | 192 / 5 |
| Endocrine Disorders W Cc | 11 | 27 / 14 | $42.658,80 | 244 / 12 | $7.906,09 | 198 / 3 | $7.098,55 | 198 / 4 | Total 105 procedures | 4.097 | 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.