Hospital Costs > In New York > Mercy Hospital Buffalo, 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 | 220 | 296 / 43 | $27.789,90 | 684 / 43 | $12.436,80 | 1524 / 37 | $11.058,10 | 1493 / 37 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 94 | 113 / 26 | $13.282,40 | 232 / 21 | $7.236,03 | 1484 / 34 | $6.235,52 | 1478 / 37 |
| Heart Failure & Shock W Cc | 91 | 187 / 37 | $15.020,40 | 583 / 35 | $7.062,25 | 1515 / 50 | $5.792,43 | 1510 / 33 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 85 | 103 / 15 | $16.781,00 | 49 / 3 | $7.701,62 | 978 / 16 | $6.290,14 | 975 / 17 |
| Heart Failure & Shock W Mcc | 81 | 203 / 38 | $18.965,80 | 373 / 26 | $10.092,50 | 1458 / 37 | $8.968,53 | 1454 / 30 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 78 | 197 / 45 | $12.511,40 | 458 / 34 | $5.358,19 | 1751 / 42 | $4.405,58 | 1738 / 52 |
| G.I. Hemorrhage W Cc | 67 | 151 / 36 | $15.181,10 | 317 / 24 | $7.062,82 | 1443 / 40 | $5.880,45 | 1439 / 42 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 63 | 119 / 20 | $16.826,90 | 266 / 16 | $7.246,21 | 1230 / 25 | $6.186,65 | 1227 / 27 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 60 | 504 / 70 | $23.515,40 | 50 / 9 | $14.357,80 | 1353 / 33 | $11.706,90 | 1321 / 26 |
| Renal Failure W Cc | 57 | 164 / 36 | $13.829,10 | 368 / 22 | $7.098,28 | 1305 / 45 | $5.499,07 | 1297 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 54 | 112 / 41 | $11.220,50 | 455 / 29 | $5.129,07 | 1587 / 45 | $4.158,70 | 1582 / 48 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 51 | 74 / 17 | $22.341,30 | 209 / 18 | $11.523,10 | 733 / 30 | $9.544,59 | 732 / 18 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 48 | 148 / 27 | $46.469,50 | 161 / 18 | $13.430,90 | 857 / 9 | $11.896,90 | 851 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 47 | 121 / 22 | $26.100,20 | 236 / 13 | $11.506,30 | 746 / 11 | $10.024,10 | 745 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 44 | 117 / 30 | $11.928,40 | 227 / 15 | $5.668,68 | 1388 / 36 | $4.791,95 | 1383 / 43 |
| Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 46 | $14.765,40 | 300 / 25 | $7.837,49 | 1517 / 30 | $6.861,49 | 1510 / 38 |
| Pulmonary Edema & Respiratory Failure | 41 | 162 / 26 | $23.238,80 | 613 / 33 | $8.918,83 | 1448 / 43 | $7.717,98 | 1443 / 41 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 40 | 51 / 9 | $16.901,70 | 170 / 15 | $7.562,33 | 817 / 29 | $6.164,12 | 815 / 26 |
| Chronic Obstructive Pulmonary Disease W Cc | 40 | 139 / 40 | $12.243,30 | 257 / 21 | $6.496,95 | 1608 / 40 | $5.693,75 | 1601 / 51 |
| Spinal Fusion Except Cervical W/O Mcc | 39 | 155 / 17 | $48.885,00 | 108 / 14 | $27.095,90 | 318 / 13 | $20.689,50 | 317 / 3 |
| Seizures W/O Mcc | 36 | 72 / 28 | $12.274,40 | 142 / 14 | $5.371,64 | 645 / 18 | $4.381,25 | 642 / 15 |
| Other Vascular Procedures W Cc | 35 | 67 / 19 | $31.803,10 | 42 / 2 | $17.418,80 | 306 / 8 | $13.967,40 | 304 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 35 | 89 / 30 | $95.137,80 | 434 / 23 | $37.701,00 | 952 / 23 | $34.644,30 | 946 / 21 |
| Cellulitis W/O Mcc | 35 | 154 / 62 | $10.847,70 | 341 / 27 | $5.904,63 | 1587 / 45 | $4.818,46 | 1580 / 47 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 35 | 54 / 7 | $15.675,70 | 40 / 5 | $7.565,83 | 411 / 5 | $6.057,11 | 410 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 34 | 68 / 20 | $15.568,80 | 293 / 17 | $5.467,85 | 982 / 17 | $4.311,15 | 978 / 26 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 57 | $11.903,90 | 246 / 25 | $7.177,27 | 1404 / 57 | $5.424,39 | 1398 / 30 |
| Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 67 | $12.682,10 | 608 / 32 | $5.570,81 | 1790 / 41 | $4.676,31 | 1779 / 49 |
| Red Blood Cell Disorders W/O Mcc | 32 | 111 / 44 | $11.256,60 | 174 / 8 | $5.728,31 | 1194 / 28 | $4.781,31 | 1186 / 35 |
| Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 38 | $26.123,30 | 104 / 10 | $13.364,10 | 926 / 31 | $10.841,90 | 913 / 17 |
| Syncope & Collapse | 31 | 138 / 60 | $11.212,50 | 159 / 11 | $5.284,13 | 1129 / 27 | $4.266,84 | 1122 / 34 |
| Renal Failure W Mcc | 31 | 164 / 40 | $31.364,80 | 840 / 30 | $10.286,70 | 1001 / 15 | $8.941,71 | 1001 / 15 |
| Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 45 | $19.523,20 | 357 / 25 | $9.490,19 | 1407 / 24 | $8.509,55 | 1407 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 43 | $8.147,13 | 156 / 11 | $4.538,23 | 1328 / 50 | $3.202,33 | 1323 / 49 |
| G.I. Hemorrhage W Mcc | 30 | 91 / 25 | $30.587,20 | 343 / 18 | $11.879,50 | 938 / 15 | $10.979,20 | 932 / 17 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 29 | 21 / 4 | $83.340,80 | 22 / 4 | $35.387,90 | 82 / 1 | $31.745,80 | 82 / 3 |
| G.I. Obstruction W Cc | 28 | 64 / 18 | $20.616,50 | 694 / 34 | $7.629,32 | 1311 / 53 | $5.892,32 | 1306 / 46 |
| Medical Back Problems W/O Mcc | 28 | 93 / 36 | $15.019,00 | 226 / 17 | $5.897,39 | 779 / 18 | $4.709,39 | 776 / 17 |
| Heart Failure & Shock W/O Cc/Mcc | 28 | 82 / 35 | $8.658,50 | 160 / 12 | $4.945,50 | 1123 / 36 | $3.873,50 | 1114 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 32 | $20.949,90 | 387 / 24 | $8.203,39 | 1093 / 20 | $7.335,39 | 1090 / 25 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 27 | 73 / 17 | $57.853,30 | 65 / 6 | $20.838,40 | 402 / 2 | $18.735,30 | 400 / 4 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 26 | 50 / 9 | $82.799,50 | 47 / 3 | $29.367,80 | 264 / 4 | $26.112,20 | 264 / 2 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 26 | 31 / 11 | $40.772,00 | 161 / 11 | $14.553,80 | 366 / 6 | $12.431,70 | 365 / 7 |
| Chest Pain | 24 | 127 / 51 | $8.943,88 | 104 / 5 | $4.533,33 | 1054 / 20 | $3.653,33 | 1047 / 26 |
| Major Small & Large Bowel Procedures W Cc | 22 | 86 / 27 | $32.476,40 | 79 / 9 | $18.315,40 | 327 / 27 | $12.975,70 | 325 / 6 |
| Signs & Symptoms W/O Mcc | 22 | 69 / 29 | $16.004,00 | 404 / 22 | $5.286,82 | 811 / 23 | $4.312,18 | 808 / 25 |
| Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 20 | $85.363,90 | 241 / 9 | $34.101,10 | 743 / 9 | $32.894,50 | 741 / 12 |
| Major Cardiovasc Procedures W/O Mcc | 22 | 79 / 24 | $60.527,20 | 134 / 8 | $22.188,10 | 460 / 6 | $19.937,00 | 460 / 7 |
| Permanent Cardiac Pacemaker Implant W Cc | 22 | 55 / 19 | $44.544,00 | 130 / 9 | $17.310,90 | 231 / 9 | $14.224,20 | 230 / 4 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 22 | 73 / 20 | $53.186,00 | 131 / 8 | $14.057,50 | 292 / 6 | $11.804,90 | 289 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 21 | 72 / 18 | $20.664,40 | 11 / 1 | $14.954,80 | 142 / 8 | $10.762,00 | 139 / 2 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 21 | 97 / 16 | $77.545,10 | 24 / 2 | $34.226,40 | 4 / 6 | $21.519,80 | 4 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 21 | 83 / 15 | $21.341,60 | 14 / 3 | $14.645,00 | 451 / 4 | $12.425,20 | 449 / 4 |
| G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 18 | $9.696,62 | 120 / 11 | $4.836,76 | 834 / 31 | $3.518,67 | 831 / 28 |
| Diabetes W Cc | 21 | 71 / 28 | $12.578,00 | 184 / 11 | $6.069,71 | 583 / 21 | $4.369,14 | 582 / 10 |
| Pulmonary Embolism W/O Mcc | 21 | 53 / 13 | $13.220,00 | 101 / 7 | $7.655,19 | 617 / 23 | $5.400,52 | 614 / 14 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 21 | 71 / 32 | $147.227,00 | 506 / 51 | $45.012,60 | 791 / 23 | $42.953,90 | 790 / 27 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 19 | 47 / 8 | $22.143,60 | 21 / 1 | $12.350,90 | 141 / 2 | $9.778,79 | 141 / 2 |
| Transient Ischemia | 19 | 106 / 39 | $12.912,20 | 176 / 17 | $5.120,32 | 1069 / 27 | $4.179,68 | 1064 / 36 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 19 | 62 / 15 | $410.060,00 | 188 / 10 | $147.894,00 | 278 / 6 | $122.928,00 | 277 / 3 |
| Peripheral Vascular Disorders W Cc | 18 | 66 / 30 | $24.748,10 | 634 / 30 | $7.019,50 | 802 / 16 | $6.195,50 | 799 / 21 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 36 | $29.343,00 | 366 / 20 | $12.245,10 | 865 / 11 | $11.309,10 | 855 / 14 |
| Major Cardiovasc Procedures W Mcc | 17 | 51 / 17 | $136.476,00 | 291 / 11 | $41.516,00 | 501 / 7 | $40.465,50 | 500 / 10 |
| Coronary Bypass W Cardiac Cath W Mcc | 17 | 39 / 7 | $124.370,00 | 47 / 4 | $46.075,40 | 258 / 3 | $45.197,30 | 258 / 5 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 31 | $57.881,20 | 900 / 48 | $20.077,80 | 1324 / 53 | $19.149,70 | 1316 / 59 |
| Permanent Cardiac Pacemaker Implant W Mcc | 17 | 35 / 10 | $48.153,80 | 28 / 3 | $22.415,90 | 235 / 4 | $21.330,70 | 235 / 5 |
| Other Vascular Procedures W/O Cc/Mcc | 17 | 39 / 13 | $18.558,60 | 8 / 1 | $11.719,90 | 254 / 3 | $9.455,88 | 253 / 2 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 17 | 29 / 10 | $12.184,90 | 11 / 1 | $7.618,12 | 70 / 4 | $4.959,71 | 70 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 19 | $8.150,81 | 36 / 2 | $4.845,44 | 421 / 8 | $3.755,44 | 421 / 9 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 28 | $12.479,60 | 118 / 12 | $5.295,56 | 399 / 17 | $4.184,56 | 398 / 17 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 16 | 72 / 14 | $58.656,60 | 35 / 2 | $21.221,80 | 65 / 1 | $18.111,00 | 65 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 39 | $9.993,31 | 242 / 21 | $5.345,25 | 1331 / 46 | $4.119,62 | 1320 / 43 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 36 | $39.698,20 | 316 / 25 | $14.587,90 | 852 / 13 | $13.522,90 | 844 / 15 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 19 | $9.572,60 | 30 / 1 | $6.477,33 | 302 / 8 | $5.024,87 | 302 / 5 |
| Seizures W Mcc | 15 | 51 / 16 | $30.323,50 | 175 / 2 | $12.641,00 | 354 / 11 | $9.223,27 | 354 / 2 |
| Other Digestive System Diagnoses W Cc | 15 | 82 / 34 | $22.617,90 | 539 / 25 | $8.420,27 | 1097 / 36 | $6.879,80 | 1093 / 34 |
| Other Vascular Procedures W Mcc | 15 | 82 / 27 | $60.726,50 | 167 / 15 | $27.891,10 | 534 / 21 | $21.013,70 | 531 / 10 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 15 | $17.142,90 | 184 / 8 | $6.467,67 | 583 / 9 | $5.580,20 | 580 / 12 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 21 | $16.787,60 | 386 / 18 | $4.793,07 | 490 / 12 | $3.851,36 | 489 / 13 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 32 | $14.677,90 | 94 / 7 | $8.521,93 | 661 / 13 | $7.685,36 | 657 / 16 |
| Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 34 | $12.854,20 | 68 / 1 | $6.564,69 | 360 / 3 | $5.489,00 | 360 / 9 |
| Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 13 | 18 / 5 | $39.524,70 | 19 / 2 | $12.035,40 | 61 / 3 | $10.830,50 | 61 / 3 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 13 | 41 / 12 | $15.087,10 | 48 / 4 | $6.847,54 | 242 / 8 | $6.309,69 | 242 / 14 |
| Cervical Spinal Fusion W Cc | 13 | 40 / 8 | $35.604,00 | 20 / 1 | $17.852,00 | 53 / 1 | $14.654,40 | 53 / 2 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 13 | 34 / 4 | $49.769,10 | 1 / 1 | $38.229,30 | 52 / 2 | $37.078,50 | 52 / 3 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 13 | 33 / 4 | $48.879,80 | 2 / 1 | $46.907,60 | 34 / 1 | $45.052,80 | 34 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 39 | $9.357,75 | 175 / 15 | $5.591,42 | 867 / 44 | $3.563,08 | 863 / 13 |
| Respiratory Neoplasms W Cc | 12 | 35 / 15 | $17.109,60 | 42 / 3 | $7.974,50 | 250 / 5 | $7.086,50 | 249 / 8 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 12 | 86 / 19 | $118.900,00 | 261 / 10 | $38.059,40 | 443 / 7 | $36.794,10 | 443 / 16 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 20 | $14.699,70 | 130 / 10 | $5.449,42 | 581 / 12 | $4.600,08 | 577 / 20 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 15 | $39.114,90 | 561 / 17 | $11.889,80 | 686 / 16 | $9.718,82 | 684 / 13 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 11 | 63 / 9 | $40.964,70 | 28 / 4 | $15.893,10 | 153 / 2 | $14.850,20 | 152 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 50 | $13.904,40 | 119 / 5 | $7.590,55 | 978 / 9 | $6.981,09 | 975 / 16 |
| Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 25 | $15.437,20 | 58 / 6 | $7.178,55 | 584 / 8 | $6.055,64 | 582 / 11 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 11 | 29 / 15 | $13.275,00 | 14 / 1 | $8.293,73 | 52 / 7 | $5.808,91 | 52 / 2 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 15 | $47.250,50 | 125 / 13 | $12.494,30 | 405 / 8 | $11.458,60 | 403 / 10 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 11 | 105 / 20 | $128.373,00 | 38 / 3 | $57.324,70 | 7 / 4 | $38.131,10 | 7 / 1 | Total 97 procedures | 2.939 | 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.