Hospital Costs > In New York > Lincoln Medical & Mental Health Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 50 | $40.764,90 | 840 / 53 | $40.930,70 | 1825 / 106 | $37.931,20 | 1812 / 106 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 14 | 110 / 43 | $18.293,10 | 450 / 34 | $16.432,90 | 844 / 60 | $15.591,40 | 843 / 61 |
Allergic Reactions W/O Mcc | 13 | 9 / 1 | $9.203,15 | 6 / 1 | $13.100,60 | 23 / 1 | $11.954,70 | 23 / 1 |
Bronchitis & Asthma W Cc/Mcc | 35 | 41 / 10 | $15.561,70 | 216 / 11 | $17.941,00 | 1087 / 63 | $16.844,00 | 1083 / 63 |
Bronchitis & Asthma W/O Cc/Mcc | 43 | 6 / 3 | $11.883,00 | 73 / 3 | $14.547,70 | 381 / 33 | $13.242,40 | 381 / 33 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 39 | $24.754,30 | 1389 / 69 | $20.113,50 | 2177 / 118 | $18.779,70 | 2172 / 119 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 45 | $16.410,40 | 171 / 13 | $20.372,50 | 1917 / 102 | $19.268,20 | 1914 / 105 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 41 | $10.749,90 | 421 / 28 | $13.536,00 | 1991 / 112 | $12.324,10 | 1985 / 112 |
Cellulitis W/O Mcc | 19 | 170 / 75 | $16.933,20 | 1116 / 57 | $18.076,10 | 2645 / 137 | $16.619,50 | 2637 / 139 |
Chest Pain | 80 | 71 / 20 | $10.104,00 | 152 / 8 | $13.810,80 | 1707 / 89 | $12.878,40 | 1698 / 90 |
Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 50 | $20.898,00 | 1095 / 55 | $18.564,90 | 2453 / 130 | $17.359,70 | 2446 / 132 |
Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 71 | $26.879,00 | 1268 / 55 | $24.130,70 | 2583 / 132 | $22.439,30 | 2575 / 132 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 28 | $13.463,00 | 600 / 42 | $15.215,00 | 2113 / 120 | $13.830,90 | 2101 / 119 |
Diabetes W Cc | 19 | 73 / 30 | $13.518,00 | 235 / 16 | $16.274,70 | 1625 / 95 | $15.365,10 | 1620 / 97 |
Diabetes W/O Cc/Mcc | 21 | 17 / 7 | $13.112,20 | 89 / 7 | $13.395,80 | 289 / 37 | $12.399,40 | 289 / 37 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 15 | 55 / 10 | $20.972,80 | 206 / 8 | $17.989,80 | 570 / 22 | $17.163,70 | 570 / 22 |
Dysequilibrium | 14 | 51 / 25 | $12.427,00 | 74 / 9 | $13.384,50 | 568 / 54 | $12.310,60 | 568 / 56 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 26 | $12.123,50 | 37 / 1 | $20.466,60 | 1471 / 78 | $19.486,90 | 1466 / 79 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 72 | 203 / 50 | $13.001,30 | 503 / 37 | $15.767,00 | 2734 / 134 | $14.435,00 | 2719 / 134 |
G.I. Hemorrhage W Cc | 15 | 203 / 73 | $24.539,60 | 1167 / 57 | $18.903,40 | 2435 / 124 | $17.466,40 | 2431 / 126 |
Heart Failure & Shock W Cc | 27 | 251 / 78 | $23.816,20 | 1566 / 68 | $20.406,70 | 2768 / 140 | $19.165,90 | 2762 / 141 |
Heart Failure & Shock W Mcc | 30 | 254 / 69 | $38.232,50 | 1569 / 70 | $33.349,90 | 2644 / 135 | $31.606,80 | 2633 / 135 |
Heart Failure & Shock W/O Cc/Mcc | 51 | 59 / 17 | $15.942,60 | 950 / 49 | $14.700,00 | 2015 / 114 | $13.566,80 | 2002 / 114 |
Hypertension W/O Mcc | 11 | 54 / 25 | $11.997,70 | 108 / 9 | $14.289,60 | 782 / 52 | $13.134,50 | 780 / 53 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 53 | $32.317,30 | 1261 / 53 | $22.086,70 | 2086 / 108 | $20.330,80 | 2081 / 109 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 36 | $21.334,40 | 675 / 27 | $16.398,00 | 1616 / 82 | $14.830,60 | 1612 / 82 |
Kidney & Urinary Tract Infections W/O Mcc | 37 | 196 / 63 | $25.498,50 | 1998 / 87 | $20.367,50 | 2728 / 137 | $18.630,50 | 2717 / 137 |
Medical Back Problems W/O Mcc | 13 | 108 / 50 | $19.253,40 | 468 / 31 | $16.455,90 | 1498 / 87 | $15.006,50 | 1493 / 89 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 41 | 85 / 24 | $31.057,70 | 1013 / 49 | $30.463,80 | 1749 / 96 | $28.728,70 | 1745 / 96 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 56 | 110 / 40 | $19.266,50 | 1483 / 71 | $15.933,90 | 2552 / 131 | $14.639,10 | 2543 / 135 |
Organic Disturbances & Mental Retardation | 11 | 48 / 26 | $30.159,80 | 347 / 20 | $23.740,40 | 563 / 48 | $22.315,50 | 563 / 49 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 37 | $27.901,20 | 742 / 37 | $18.692,50 | 1261 / 77 | $17.348,90 | 1258 / 76 |
Poisoning & Toxic Effects Of Drugs W Mcc | 19 | 53 / 8 | $18.106,50 | 74 / 2 | $21.404,70 | 985 / 32 | $20.505,20 | 982 / 34 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 31 | 30 / 7 | $13.289,30 | 228 / 12 | $15.397,90 | 926 / 53 | $14.322,30 | 925 / 55 |
Red Blood Cell Disorders W/O Mcc | 38 | 105 / 39 | $15.351,20 | 483 / 31 | $17.121,50 | 2004 / 110 | $15.921,90 | 1995 / 112 |
Renal Failure W Cc | 24 | 197 / 63 | $23.671,40 | 1326 / 55 | $20.181,20 | 2450 / 123 | $18.816,20 | 2440 / 125 |
Renal Failure W Mcc | 24 | 171 / 47 | $28.796,60 | 692 / 28 | $30.784,00 | 2177 / 108 | $29.373,20 | 2173 / 108 |
Renal Failure W/O Cc/Mcc | 17 | 39 / 10 | $10.956,40 | 157 / 5 | $13.970,20 | 860 / 39 | $12.722,40 | 858 / 39 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 23 | $36.469,30 | 242 / 20 | $35.185,00 | 1858 / 98 | $33.495,30 | 1844 / 100 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 23 | $106.311,00 | 292 / 20 | $100.185,00 | 990 / 64 | $96.276,20 | 989 / 64 |
Seizures W/O Mcc | 38 | 70 / 26 | $15.335,80 | 279 / 23 | $15.700,90 | 1319 / 95 | $14.718,00 | 1317 / 98 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 41 | $93.864,50 | 146 / 11 | $92.048,60 | 1105 / 79 | $88.994,50 | 1104 / 80 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 43 | 473 / 104 | $36.416,90 | 1117 / 59 | $32.691,60 | 2831 / 144 | $30.981,10 | 2786 / 146 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 73 | $31.436,10 | 1699 / 75 | $23.830,60 | 2584 / 137 | $21.858,40 | 2574 / 137 |
Signs & Symptoms W/O Mcc | 14 | 77 / 36 | $14.770,50 | 314 / 19 | $14.835,90 | 1341 / 83 | $13.830,90 | 1338 / 86 |
Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 72 | $18.070,30 | 921 / 54 | $18.417,40 | 2830 / 136 | $16.956,30 | 2821 / 138 |
Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 62 | $33.504,50 | 1253 / 55 | $28.283,50 | 2529 / 124 | $26.601,50 | 2523 / 125 |
Syncope & Collapse | 49 | 120 / 48 | $15.072,20 | 400 / 32 | $15.898,00 | 1932 / 108 | $14.665,10 | 1924 / 108 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 24 | $196.568,00 | 139 / 6 | $187.449,00 | 571 / 48 | $177.969,00 | 570 / 48 |
Transient Ischemia | 21 | 104 / 37 | $19.535,00 | 628 / 43 | $14.613,80 | 1667 / 98 | $13.163,50 | 1659 / 99 | Total 50 procedures | 1.303 | 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.