Hospital Costs > In New York > Kingsbrook Jewish Medical 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 | 118 | 398 / 73 | $81.312,70 | 2450 / 136 | $19.663,20 | 2691 / 108 | $17.891,30 | 2646 / 110 |
Syncope & Collapse | 66 | 103 / 37 | $28.703,00 | 1382 / 93 | $8.452,09 | 1815 / 79 | $7.179,83 | 1807 / 81 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 62 | 30 / 9 | $169.586,00 | 628 / 62 | $52.649,00 | 938 / 41 | $49.033,80 | 937 / 43 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 61 | 214 / 56 | $30.029,50 | 2168 / 119 | $8.603,82 | 2581 / 102 | $7.188,18 | 2566 / 105 |
Heart Failure & Shock W Mcc | 55 | 229 / 52 | $56.540,20 | 2138 / 112 | $15.912,00 | 2492 / 95 | $14.224,40 | 2481 / 100 |
Red Blood Cell Disorders W/O Mcc | 48 | 95 / 30 | $29.580,50 | 1483 / 85 | $9.124,56 | 1891 / 79 | $7.905,50 | 1882 / 84 |
Chest Pain | 46 | 105 / 33 | $23.787,80 | 1153 / 82 | $7.271,61 | 1589 / 62 | $6.096,07 | 1580 / 63 |
Cellulitis W/O Mcc | 46 | 143 / 53 | $42.735,70 | 2467 / 140 | $10.849,20 | 2545 / 114 | $8.870,80 | 2537 / 116 |
Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 47 | $40.903,70 | 1952 / 100 | $12.008,20 | 2432 / 90 | $10.587,60 | 2424 / 97 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 40 | 86 / 25 | $41.929,90 | 1342 / 72 | $12.156,60 | 1614 / 57 | $10.747,00 | 1611 / 62 |
Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 51 | $57.068,00 | 2667 / 140 | $12.308,40 | 2735 / 116 | $10.179,00 | 2726 / 119 |
Heart Failure & Shock W Cc | 37 | 241 / 70 | $42.595,20 | 2404 / 123 | $11.046,60 | 2639 / 106 | $9.683,41 | 2633 / 110 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 36 | 130 / 56 | $31.317,00 | 2176 / 121 | $8.333,50 | 2422 / 101 | $7.051,42 | 2413 / 104 |
Renal Failure W Cc | 36 | 185 / 51 | $47.173,70 | 2207 / 117 | $10.998,20 | 2331 / 91 | $9.324,67 | 2321 / 94 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 35 | 89 / 30 | $156.938,00 | 1064 / 69 | $49.198,70 | 1415 / 55 | $45.978,20 | 1405 / 57 |
Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 66 | $37.575,20 | 2445 / 127 | $9.019,00 | 2592 / 104 | $7.573,97 | 2581 / 106 |
G.I. Hemorrhage W Mcc | 32 | 89 / 23 | $52.812,20 | 1062 / 52 | $17.225,60 | 1536 / 54 | $15.841,10 | 1526 / 56 |
Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 47 | $31.829,30 | 1802 / 102 | $10.314,30 | 2338 / 100 | $8.993,19 | 2331 / 101 |
G.I. Hemorrhage W Cc | 30 | 188 / 59 | $45.317,60 | 2075 / 114 | $11.086,50 | 2304 / 96 | $9.474,73 | 2300 / 98 |
Renal Failure W Mcc | 30 | 165 / 41 | $58.408,10 | 1735 / 86 | $15.553,20 | 1971 / 65 | $13.416,80 | 1967 / 67 |
Signs & Symptoms W/O Mcc | 29 | 62 / 22 | $28.476,00 | 996 / 66 | $7.988,62 | 1215 / 58 | $6.422,38 | 1212 / 56 |
Other Circulatory System Diagnoses W Mcc | 29 | 87 / 20 | $58.256,80 | 905 / 49 | $17.882,10 | 1195 / 44 | $15.831,10 | 1187 / 41 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 24 | $89.652,50 | 1411 / 89 | $22.573,70 | 1688 / 65 | $20.336,10 | 1674 / 66 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 28 | 36 / 11 | $298.666,00 | 324 / 30 | $95.074,70 | 478 / 17 | $90.322,30 | 477 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 28 | 154 / 44 | $38.837,10 | 1479 / 65 | $11.381,70 | 1962 / 80 | $9.856,96 | 1958 / 83 |
Seizures W/O Mcc | 28 | 80 / 32 | $31.309,40 | 990 / 84 | $8.880,82 | 1234 / 67 | $7.652,57 | 1232 / 70 |
Diabetes W Cc | 27 | 65 / 22 | $32.574,20 | 1248 / 76 | $9.323,04 | 1519 / 64 | $8.145,48 | 1514 / 68 |
Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 48 | $64.166,00 | 2168 / 113 | $15.393,00 | 2423 / 94 | $13.863,70 | 2417 / 98 |
Red Blood Cell Disorders W Mcc | 26 | 45 / 15 | $38.705,60 | 661 / 39 | $13.431,00 | 1034 / 47 | $12.184,30 | 1030 / 52 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 35 | $44.051,10 | 1421 / 79 | $12.848,80 | 1790 / 75 | $11.130,30 | 1787 / 78 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 38 | $65.397,90 | 1401 / 85 | $16.914,80 | 1674 / 69 | $14.984,40 | 1661 / 69 |
Transient Ischemia | 24 | 101 / 34 | $28.401,10 | 1128 / 72 | $8.191,12 | 1590 / 75 | $6.894,29 | 1582 / 77 |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 41 | $71.529,10 | 1898 / 87 | $15.783,10 | 1940 / 80 | $13.828,20 | 1936 / 84 |
Other Digestive System Diagnoses W Cc | 22 | 75 / 27 | $38.081,50 | 1092 / 58 | $10.734,40 | 1349 / 52 | $9.139,23 | 1345 / 55 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 33 | $28.167,00 | 1652 / 99 | $8.400,32 | 2025 / 87 | $7.093,73 | 2013 / 93 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 21 | 50 / 18 | $150.416,00 | 561 / 44 | $42.637,40 | 773 / 27 | $39.339,00 | 772 / 25 |
Other Digestive System Diagnoses W Mcc | 21 | 41 / 15 | $47.624,10 | 430 / 23 | $16.457,40 | 673 / 25 | $14.782,60 | 672 / 29 |
Diabetes W/O Cc/Mcc | 19 | 19 / 9 | $32.103,80 | 269 / 36 | $7.215,16 | 263 / 20 | $6.071,47 | 263 / 22 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 45 | $28.469,80 | 1671 / 101 | $8.006,50 | 1928 / 90 | $6.787,78 | 1915 / 91 |
Other Digestive System Diagnoses W/O Cc/Mcc | 17 | 26 / 10 | $26.104,50 | 240 / 24 | $7.959,29 | 346 / 25 | $6.628,06 | 346 / 28 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 15 | 549 / 93 | $93.976,90 | 2399 / 116 | $21.464,10 | 2545 / 96 | $18.538,30 | 2499 / 99 |
Dysequilibrium | 14 | 51 / 25 | $28.093,50 | 389 / 46 | $7.510,00 | 526 / 35 | $6.009,14 | 526 / 36 |
G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 25 | $24.453,10 | 695 / 45 | $8.121,79 | 933 / 47 | $6.318,21 | 929 / 44 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 47 | $64.897,30 | 1201 / 61 | $18.610,30 | 1540 / 59 | $17.214,10 | 1533 / 64 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 59 | $27.460,80 | 1694 / 106 | $6.862,38 | 1880 / 86 | $5.207,15 | 1874 / 86 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 80 | $50.555,60 | 2275 / 122 | $11.794,50 | 2463 / 101 | $10.096,00 | 2453 / 106 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 32 | $61.536,20 | 1290 / 74 | $14.943,80 | 1429 / 62 | $13.432,00 | 1424 / 66 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 36 | $46.347,70 | 744 / 34 | $14.996,20 | 903 / 37 | $12.140,90 | 899 / 35 |
Diabetes W Mcc | 12 | 45 / 21 | $45.373,60 | 518 / 31 | $12.967,80 | 661 / 18 | $11.851,70 | 660 / 23 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 30 | $39.575,80 | 878 / 53 | $9.987,92 | 1032 / 39 | $8.493,25 | 1028 / 43 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 37 | $34.333,20 | 907 / 51 | $10.706,70 | 1134 / 53 | $8.483,45 | 1131 / 51 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 37 | $40.797,20 | 1051 / 65 | $11.318,90 | 1379 / 64 | $10.169,10 | 1377 / 66 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 11 | 18 / 11 | $32.449,60 | 131 / 18 | $8.024,09 | 136 / 17 | $6.627,91 | 136 / 18 | Total 53 procedures | 1.572 | 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.