Hospital Costs > In New York > Mary Imogene Bassett Hospital, 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 | 186 | 378 / 32 | $36.429,10 | 546 / 44 | $19.565,80 | 2481 / 86 | $17.211,10 | 2435 / 92 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 150 | 366 / 63 | $31.188,50 | 839 / 50 | $17.978,70 | 2616 / 99 | $16.453,30 | 2571 / 104 |
Heart Failure & Shock W Cc | 103 | 175 / 30 | $16.374,90 | 729 / 44 | $9.230,21 | 2480 / 88 | $8.153,49 | 2474 / 92 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 91 | 184 / 40 | $13.692,90 | 589 / 45 | $6.813,40 | 2343 / 78 | $5.684,59 | 2328 / 83 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 73 | 134 / 36 | $19.043,00 | 694 / 45 | $9.850,14 | 2294 / 84 | $8.590,82 | 2285 / 87 |
G.I. Hemorrhage W Cc | 58 | 160 / 42 | $15.691,60 | 359 / 27 | $9.268,10 | 2087 / 80 | $7.679,22 | 2083 / 76 |
Hip & Femur Procedures Except Major Joint W Cc | 53 | 90 / 19 | $39.318,20 | 601 / 37 | $18.213,10 | 1891 / 73 | $16.122,30 | 1871 / 71 |
Heart Failure & Shock W Mcc | 51 | 233 / 55 | $26.211,60 | 842 / 42 | $14.293,40 | 2407 / 84 | $12.903,20 | 2396 / 88 |
Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 46 | $13.579,50 | 402 / 34 | $8.878,33 | 2476 / 91 | $7.600,37 | 2467 / 94 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 44 | 152 / 29 | $44.091,00 | 116 / 15 | $18.538,50 | 1401 / 30 | $17.370,40 | 1393 / 39 |
Cellulitis W/O Mcc | 42 | 147 / 57 | $12.020,00 | 473 / 34 | $7.702,62 | 2327 / 86 | $6.671,24 | 2319 / 91 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 51 | $12.918,70 | 664 / 40 | $6.507,74 | 2105 / 81 | $5.204,98 | 2097 / 77 |
Syncope & Collapse | 41 | 128 / 54 | $13.763,60 | 308 / 24 | $6.647,24 | 1609 / 57 | $5.568,12 | 1602 / 60 |
Chronic Obstructive Pulmonary Disease W Cc | 41 | 138 / 39 | $12.568,50 | 285 / 24 | $8.498,78 | 2183 / 79 | $7.544,78 | 2176 / 87 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 37 | 113 / 36 | $8.831,62 | 213 / 17 | $5.151,11 | 1627 / 65 | $3.828,76 | 1621 / 62 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 37 | $14.041,20 | 418 / 30 | $8.115,72 | 1814 / 74 | $5.888,36 | 1809 / 66 |
Chest Pain | 36 | 115 / 42 | $10.832,60 | 181 / 10 | $5.528,22 | 1360 / 40 | $4.470,72 | 1352 / 43 |
Renal Failure W Cc | 34 | 187 / 53 | $15.751,10 | 541 / 26 | $9.026,50 | 2143 / 74 | $7.670,18 | 2133 / 76 |
Signs & Symptoms W/O Mcc | 31 | 60 / 21 | $13.472,90 | 246 / 11 | $6.385,61 | 1069 / 38 | $5.231,42 | 1066 / 39 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 24 | $10.964,10 | 351 / 31 | $6.690,71 | 1752 / 73 | $5.178,00 | 1741 / 71 |
Pulmonary Edema & Respiratory Failure | 31 | 172 / 36 | $22.577,90 | 570 / 32 | $11.288,80 | 1997 / 72 | $10.147,50 | 1991 / 74 |
G.I. Hemorrhage W Mcc | 30 | 91 / 25 | $33.775,40 | 459 / 20 | $16.209,80 | 1492 / 51 | $15.080,80 | 1482 / 52 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 43 | $21.841,90 | 589 / 29 | $10.180,20 | 1811 / 66 | $8.276,83 | 1807 / 66 |
Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 34 | $10.484,90 | 315 / 25 | $6.145,69 | 1693 / 66 | $5.056,72 | 1680 / 66 |
Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 60 | $21.465,10 | 856 / 43 | $10.831,50 | 2266 / 83 | $9.178,71 | 2258 / 83 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 33 | $22.507,30 | 492 / 32 | $11.243,70 | 1671 / 62 | $9.703,44 | 1668 / 63 |
Medical Back Problems W/O Mcc | 27 | 94 / 37 | $14.370,80 | 188 / 15 | $7.900,63 | 1283 / 51 | $6.517,30 | 1279 / 52 |
Other Vascular Procedures W Cc | 26 | 76 / 26 | $38.697,30 | 80 / 4 | $22.665,20 | 1019 / 29 | $21.310,00 | 1014 / 32 |
Major Small & Large Bowel Procedures W Mcc | 25 | 60 / 18 | $103.883,00 | 416 / 19 | $49.994,60 | 1186 / 45 | $45.148,00 | 1183 / 46 |
Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 73 | $10.723,90 | 363 / 23 | $7.017,04 | 2395 / 83 | $6.139,60 | 2384 / 86 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 37 | $23.831,20 | 237 / 15 | $9.874,12 | 1450 / 32 | $8.643,56 | 1447 / 34 |
Other Digestive System Diagnoses W Cc | 24 | 73 / 25 | $15.775,00 | 176 / 11 | $8.849,46 | 1227 / 40 | $7.715,54 | 1223 / 42 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 30 | $18.079,70 | 436 / 22 | $6.929,61 | 1380 / 44 | $5.669,61 | 1376 / 47 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 39 | $21.507,40 | 127 / 7 | $15.831,50 | 1411 / 46 | $14.294,60 | 1404 / 48 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 41 | $30.746,70 | 466 / 34 | $15.907,60 | 1652 / 63 | $14.687,30 | 1639 / 67 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 22 | $22.270,60 | 305 / 18 | $10.968,30 | 1246 / 40 | $9.738,77 | 1241 / 44 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 42 | $89.175,50 | 355 / 18 | $50.359,70 | 1437 / 58 | $46.988,00 | 1427 / 60 |
Major Cardiovasc Procedures W/O Mcc | 20 | 81 / 26 | $60.683,10 | 135 / 9 | $29.897,20 | 898 / 26 | $27.713,10 | 897 / 28 |
Renal Failure W Mcc | 20 | 175 / 51 | $24.951,50 | 455 / 20 | $13.498,80 | 1866 / 54 | $12.377,00 | 1862 / 59 |
Major Small & Large Bowel Procedures W Cc | 20 | 88 / 28 | $38.690,40 | 167 / 13 | $23.034,60 | 1431 / 54 | $21.734,20 | 1417 / 62 |
Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 56 | $19.875,20 | 384 / 26 | $13.266,60 | 2314 / 81 | $12.316,80 | 2308 / 85 |
Organic Disturbances & Mental Retardation | 19 | 40 / 19 | $17.584,60 | 138 / 7 | $9.535,68 | 440 / 21 | $8.095,47 | 440 / 23 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 19 | 28 / 11 | $12.761,40 | 59 / 5 | $6.545,79 | 291 / 11 | $5.515,89 | 291 / 13 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 26 | $12.045,30 | 112 / 10 | $7.000,17 | 602 / 41 | $5.083,56 | 600 / 38 |
G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 21 | $11.658,60 | 256 / 19 | $5.559,00 | 1137 / 47 | $4.507,78 | 1134 / 53 |
Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 20 | $23.218,40 | 230 / 20 | $9.359,56 | 851 / 25 | $8.142,33 | 848 / 27 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 18 | 46 / 13 | $30.617,30 | 145 / 11 | $14.763,80 | 685 / 22 | $12.874,20 | 685 / 25 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 23 | $59.289,80 | 74 / 7 | $28.488,50 | 920 / 18 | $27.257,70 | 915 / 23 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 17 | 71 / 13 | $73.717,60 | 90 / 5 | $35.481,50 | 520 / 12 | $28.921,20 | 519 / 15 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 17 | 36 / 15 | $16.266,80 | 176 / 16 | $8.020,47 | 721 / 38 | $5.392,29 | 717 / 32 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 36 | $39.175,30 | 304 / 22 | $20.849,10 | 1650 / 57 | $19.684,90 | 1636 / 60 |
Other Circulatory System Diagnoses W Mcc | 16 | 100 / 32 | $22.106,10 | 78 / 5 | $17.098,70 | 1217 / 39 | $16.211,40 | 1209 / 45 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 23 | $9.085,19 | 72 / 2 | $6.295,94 | 830 / 30 | $5.107,44 | 826 / 32 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 18 | $18.601,40 | 320 / 16 | $9.078,31 | 1152 / 38 | $7.727,06 | 1149 / 38 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 38 | $36.607,40 | 642 / 31 | $18.700,80 | 1714 / 60 | $17.366,60 | 1698 / 61 |
Other Vascular Procedures W/O Cc/Mcc | 16 | 40 / 14 | $25.407,90 | 35 / 5 | $15.300,00 | 498 / 15 | $14.037,00 | 497 / 18 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 15 | $57.158,90 | 210 / 6 | $32.130,20 | 870 / 28 | $28.372,10 | 866 / 29 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 38 | $82.497,10 | 100 / 8 | $53.487,30 | 985 / 42 | $51.803,10 | 984 / 51 |
Seizures W/O Mcc | 15 | 93 / 44 | $11.819,90 | 126 / 12 | $6.975,20 | 1060 / 46 | $5.917,47 | 1058 / 52 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 15 | 25 / 11 | $23.318,30 | 78 / 8 | $10.468,30 | 234 / 16 | $8.859,40 | 234 / 18 |
Coronary Bypass W Cardiac Cath W/O Mcc | 15 | 61 / 17 | $100.670,00 | 126 / 6 | $44.327,60 | 556 / 17 | $36.285,20 | 556 / 18 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 36 | $12.740,30 | 484 / 25 | $6.473,60 | 1743 / 61 | $5.333,07 | 1735 / 64 |
Other Digestive System Diagnoses W Mcc | 15 | 47 / 20 | $31.199,50 | 175 / 10 | $15.563,30 | 655 / 24 | $14.420,40 | 654 / 26 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 21 | $18.559,70 | 229 / 10 | $10.891,50 | 973 / 34 | $9.204,73 | 971 / 32 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 15 | 54 / 12 | $38.079,90 | 43 / 4 | $16.879,10 | 509 / 17 | $14.070,40 | 507 / 18 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 20 | $12.461,60 | 60 / 3 | $8.071,14 | 611 / 17 | $7.005,29 | 611 / 25 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 26 | $20.982,50 | 180 / 11 | $11.323,90 | 868 / 30 | $9.625,21 | 864 / 32 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 62 | $16.305,90 | 561 / 34 | $7.313,64 | 1712 / 61 | $6.406,50 | 1703 / 64 |
Cellulitis W Mcc | 14 | 44 / 23 | $24.399,90 | 224 / 14 | $13.525,30 | 882 / 35 | $12.519,30 | 880 / 38 |
Skin Graft For Skin Ulcer Or Cellulitis W Mcc | 14 | 8 / 1 | $42.615,40 | 4 / 1 | $32.169,10 | 20 / 1 | $28.042,00 | 20 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 47 | $20.225,40 | 421 / 17 | $10.242,10 | 1462 / 44 | $9.166,50 | 1459 / 45 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 11 | $14.267,40 | 72 / 2 | $8.478,71 | 449 / 6 | $7.715,43 | 449 / 12 |
Other Digestive System Diagnoses W/O Cc/Mcc | 14 | 29 / 13 | $9.563,71 | 26 / 2 | $6.123,57 | 289 / 15 | $4.987,14 | 289 / 15 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 17 | $16.921,80 | 178 / 7 | $8.334,54 | 826 / 23 | $7.272,54 | 823 / 27 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 8 | $11.193,10 | 55 / 3 | $6.258,08 | 348 / 7 | $4.271,92 | 347 / 5 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 13 | $46.613,10 | 383 / 14 | $20.689,80 | 644 / 27 | $19.314,50 | 643 / 29 |
Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 18 | $57.168,80 | 270 / 12 | $29.166,70 | 913 / 32 | $27.558,70 | 910 / 35 |
Transient Ischemia | 13 | 112 / 43 | $14.070,50 | 243 / 22 | $6.338,69 | 1377 / 53 | $5.151,62 | 1370 / 57 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 12 | $16.345,20 | 32 / 4 | $10.816,70 | 407 / 15 | $10.001,60 | 407 / 17 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 36 | $16.918,70 | 171 / 16 | $9.558,08 | 1268 / 54 | $8.366,92 | 1266 / 54 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 12 | 20 / 6 | $39.315,20 | 42 / 2 | $24.411,50 | 152 / 4 | $22.824,30 | 152 / 4 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 23 | $7.066,00 | 22 / 2 | $5.714,42 | 695 / 19 | $4.733,08 | 694 / 21 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 37 | $13.331,90 | 120 / 4 | $8.878,73 | 1070 / 40 | $7.796,73 | 1067 / 41 |
Hypertension W/O Mcc | 11 | 54 / 25 | $9.825,36 | 63 / 5 | $6.585,36 | 542 / 24 | $4.008,91 | 540 / 19 |
Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 18 | $63.477,10 | 168 / 8 | $30.726,50 | 630 / 18 | $29.623,80 | 628 / 19 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 15 | $28.343,10 | 70 / 3 | $14.966,70 | 833 / 27 | $13.790,00 | 829 / 30 |
Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 30 | $42.168,60 | 106 / 7 | $24.731,60 | 740 / 28 | $18.488,50 | 737 / 21 |
Other Disorders Of Nervous System W Cc | 11 | 45 / 19 | $15.170,50 | 91 / 2 | $8.171,27 | 544 / 15 | $7.457,82 | 543 / 20 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 28 | $67.598,70 | 66 / 5 | $47.425,90 | 892 / 37 | $45.429,40 | 891 / 39 | Total 89 procedures | 2.436 | 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.