Hospital Costs > In New York > Jones Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 11 | 178 / 83 | $8.879,09 | 154 / 13 | $5.617,55 | 1406 / 27 | $4.631,36 | 1399 / 34 |
| Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 53 | $12.456,70 | 277 / 23 | $6.103,70 | 1094 / 22 | $5.051,87 | 1090 / 22 |
| G.I. Hemorrhage W Cc | 12 | 206 / 76 | $9.061,25 | 27 / 3 | $6.385,00 | 1196 / 20 | $5.574,33 | 1194 / 26 |
| Heart Failure & Shock W Cc | 21 | 257 / 84 | $9.467,38 | 102 / 10 | $6.404,29 | 1346 / 24 | $5.598,19 | 1342 / 25 |
| Heart Failure & Shock W Mcc | 21 | 263 / 74 | $11.232,40 | 31 / 4 | $9.212,24 | 1195 / 14 | $8.578,33 | 1192 / 17 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 52 | $6.511,00 | 39 / 3 | $4.503,27 | 997 / 14 | $3.729,45 | 989 / 21 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 49 | $16.357,20 | 204 / 18 | $7.823,59 | 915 / 16 | $6.829,71 | 915 / 17 |
| Renal Failure W Cc | 15 | 206 / 70 | $9.120,00 | 50 / 5 | $6.279,53 | 1283 / 20 | $5.475,27 | 1275 / 25 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 40 | $16.277,50 | 37 / 3 | $12.185,10 | 809 / 10 | $11.145,10 | 799 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 85 | 431 / 88 | $15.474,10 | 84 / 14 | $11.521,80 | 1350 / 20 | $10.726,00 | 1323 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 79 | $8.221,38 | 19 / 1 | $6.542,92 | 1046 / 12 | $5.703,54 | 1043 / 16 |
| Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 70 | $12.358,10 | 287 / 28 | $6.585,47 | 1732 / 31 | $5.758,58 | 1724 / 43 | Total 12 procedures | 262 | 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.