Hospital Costs > In New York > Massena Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 41 | 162 / 49 | $11.505,00 | 212 / 19 | $6.830,78 | 1812 / 44 | $5.863,76 | 1804 / 49 |
| Heart Failure & Shock W Cc | 38 | 240 / 69 | $11.768,20 | 251 / 21 | $6.905,71 | 1857 / 47 | $6.237,92 | 1852 / 54 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 38 | 82 / 19 | $7.925,42 | 91 / 5 | $4.983,45 | 1226 / 30 | $3.983,45 | 1217 / 31 |
| Cellulitis W/O Mcc | 35 | 154 / 62 | $8.497,60 | 133 / 11 | $5.868,49 | 1598 / 41 | $4.834,43 | 1591 / 48 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 79 | $9.753,06 | 188 / 19 | $5.184,50 | 1618 / 34 | $4.242,50 | 1605 / 46 |
| Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 71 | $8.816,04 | 182 / 11 | $5.373,44 | 1682 / 34 | $4.534,93 | 1671 / 44 |
| Pulmonary Edema & Respiratory Failure | 26 | 177 / 41 | $13.674,20 | 93 / 10 | $9.338,62 | 1460 / 51 | $7.756,35 | 1455 / 43 |
| Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 37 | $8.195,08 | 125 / 10 | $4.778,73 | 593 / 33 | $3.383,69 | 591 / 8 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 66 | $14.561,00 | 288 / 23 | $8.184,23 | 1788 / 48 | $7.414,77 | 1780 / 53 |
| Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 55 | $12.104,10 | 246 / 19 | $6.525,29 | 1557 / 41 | $5.604,90 | 1551 / 49 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 18 | 498 / 116 | $25.023,30 | 531 / 35 | $13.566,70 | 1925 / 54 | $12.117,80 | 1890 / 54 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 71 | $7.035,82 | 78 / 4 | $4.900,94 | 1230 / 37 | $3.831,76 | 1226 / 28 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 58 | $14.577,50 | 107 / 9 | $10.120,10 | 1825 / 43 | $9.483,88 | 1825 / 51 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 57 | $7.743,00 | 128 / 10 | $3.871,53 | 997 / 16 | $2.821,93 | 992 / 24 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 36 | $9.870,53 | 204 / 16 | $5.583,07 | 814 / 43 | $3.514,73 | 810 / 10 |
| G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 24 | $11.754,80 | 156 / 8 | $5.011,53 | 577 / 12 | $3.964,07 | 573 / 15 |
| Heart Failure & Shock W Mcc | 14 | 270 / 79 | $13.006,70 | 82 / 6 | $10.486,30 | 1731 / 48 | $9.544,57 | 1726 / 47 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 78 | $13.067,60 | 217 / 20 | $7.442,93 | 1642 / 43 | $6.492,07 | 1635 / 51 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 13 | 551 / 95 | $43.186,80 | 938 / 59 | $15.194,20 | 2081 / 45 | $13.980,70 | 2039 / 65 |
| Chest Pain | 13 | 138 / 60 | $7.378,69 | 53 / 2 | $4.184,15 | 792 / 7 | $3.251,23 | 787 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 59 | $14.987,20 | 150 / 8 | $7.549,92 | 1340 / 32 | $6.432,38 | 1337 / 37 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 58 | $10.724,90 | 152 / 12 | $5.509,42 | 1199 / 33 | $4.504,08 | 1195 / 32 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 24 | $7.254,09 | 25 / 3 | $4.413,00 | 520 / 7 | $3.949,73 | 519 / 14 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 28 | $8.666,73 | 74 / 7 | $4.242,36 | 559 / 12 | $3.038,00 | 558 / 10 |
| Syncope & Collapse | 11 | 158 / 74 | $10.064,30 | 105 / 7 | $5.066,45 | 1074 / 20 | $4.185,00 | 1067 / 29 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 39 | $11.352,00 | 151 / 5 | $4.829,91 | 656 / 9 | $3.954,27 | 654 / 17 | Total 26 procedures | 526 | 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.