Hospital Costs > In New York > Mercy Medical Center Rockville Centr, 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 | 190 | 326 / 49 | $60.042,50 | 2090 / 112 | $14.225,60 | 2235 / 72 | $13.300,10 | 2195 / 82 |
Kidney & Urinary Tract Infections W/O Mcc | 71 | 162 / 43 | $30.118,00 | 2222 / 109 | $6.334,86 | 2187 / 67 | $5.425,23 | 2176 / 73 |
Cellulitis W/O Mcc | 63 | 126 / 40 | $30.810,50 | 2154 / 115 | $6.912,83 | 2108 / 71 | $5.834,41 | 2100 / 76 |
Chronic Obstructive Pulmonary Disease W Mcc | 62 | 140 / 35 | $42.367,40 | 2000 / 106 | $9.346,66 | 2178 / 65 | $8.703,23 | 2170 / 78 |
Chronic Obstructive Pulmonary Disease W Cc | 62 | 117 / 24 | $34.816,80 | 1905 / 111 | $7.551,74 | 1974 / 66 | $6.605,77 | 1967 / 73 |
Simple Pneumonia & Pleurisy W Cc | 60 | 143 / 38 | $37.202,00 | 2258 / 118 | $7.798,30 | 2278 / 73 | $6.803,83 | 2270 / 81 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 58 | 506 / 71 | $78.653,90 | 2183 / 113 | $16.675,90 | 2234 / 67 | $14.878,30 | 2190 / 77 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 55 | 220 / 61 | $28.854,40 | 2112 / 115 | $6.221,75 | 2153 / 71 | $5.121,44 | 2139 / 74 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 51 | 156 / 51 | $35.690,80 | 1891 / 90 | $8.423,59 | 2069 / 65 | $7.527,88 | 2061 / 74 |
Rehabilitation W Cc/Mcc | 48 | 18 / 4 | $53.551,30 | 23 / 5 | $10.712,00 | 11 / 5 | $10.380,50 | 11 / 5 |
Heart Failure & Shock W Mcc | 47 | 237 / 59 | $59.571,30 | 2191 / 116 | $11.979,30 | 2064 / 72 | $10.635,40 | 2055 / 69 |
Red Blood Cell Disorders W/O Mcc | 46 | 97 / 32 | $34.652,00 | 1650 / 98 | $6.583,59 | 1592 / 45 | $5.811,72 | 1583 / 59 |
Syncope & Collapse | 46 | 123 / 50 | $28.370,30 | 1367 / 92 | $6.024,67 | 1474 / 48 | $5.062,65 | 1467 / 54 |
Renal Failure W Cc | 45 | 176 / 43 | $43.439,80 | 2119 / 109 | $7.718,80 | 1959 / 59 | $6.848,22 | 1949 / 63 |
Heart Failure & Shock W Cc | 43 | 235 / 65 | $34.566,30 | 2161 / 109 | $8.109,05 | 2129 / 76 | $6.808,30 | 2123 / 72 |
G.I. Hemorrhage W Cc | 40 | 178 / 51 | $48.913,80 | 2141 / 119 | $8.825,60 | 2106 / 76 | $7.753,12 | 2102 / 77 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 36 | 89 / 28 | $47.588,60 | 1072 / 65 | $12.002,40 | 1234 / 39 | $11.152,60 | 1225 / 46 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 35 | 147 / 38 | $42.662,70 | 1578 / 76 | $8.464,97 | 1655 / 47 | $7.455,83 | 1651 / 56 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 22 | $22.361,20 | 1427 / 80 | $5.959,15 | 1696 / 60 | $4.930,42 | 1685 / 64 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 39 | $35.477,50 | 1815 / 104 | $6.458,61 | 1740 / 56 | $5.569,48 | 1735 / 61 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 59 | $22.799,50 | 1766 / 90 | $5.780,81 | 1980 / 67 | $4.837,61 | 1972 / 72 |
Acute Myocardial Infarction, Discharged Alive W Cc | 31 | 60 / 17 | $35.119,60 | 910 / 52 | $8.072,32 | 1154 / 41 | $7.362,42 | 1152 / 46 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 29 | 139 / 33 | $73.264,30 | 1300 / 74 | $13.342,40 | 1134 / 31 | $11.720,20 | 1128 / 28 |
Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 42 | $77.205,60 | 1668 / 90 | $14.878,80 | 1684 / 53 | $13.920,30 | 1665 / 56 |
Simple Pneumonia & Pleurisy W Mcc | 28 | 177 / 47 | $49.925,00 | 1918 / 94 | $11.222,40 | 2060 / 63 | $10.405,80 | 2058 / 68 |
G.I. Obstruction W Cc | 27 | 65 / 19 | $37.782,20 | 1413 / 64 | $7.218,93 | 1400 / 45 | $6.216,33 | 1395 / 53 |
Rehabilitation W/O Cc/Mcc | 26 | 18 / 6 | $46.222,70 | 19 / 5 | $9.835,73 | 8 / 4 | $8.643,92 | 8 / 4 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 25 | 67 / 28 | $193.034,00 | 722 / 66 | $45.687,60 | 832 / 28 | $44.486,80 | 831 / 31 |
Renal Failure W Mcc | 23 | 172 / 48 | $50.922,40 | 1597 / 73 | $12.299,00 | 1705 / 45 | $11.190,20 | 1703 / 45 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 40 | $46.577,70 | 1632 / 70 | $9.349,35 | 1717 / 47 | $8.809,52 | 1713 / 54 |
Transient Ischemia | 23 | 102 / 35 | $29.038,00 | 1147 / 74 | $5.841,74 | 1326 / 46 | $4.940,83 | 1319 / 53 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 29 | $26.242,60 | 1512 / 76 | $5.881,23 | 1631 / 50 | $4.831,05 | 1623 / 55 |
Pulmonary Edema & Respiratory Failure | 22 | 181 / 45 | $43.418,10 | 1615 / 83 | $9.602,32 | 1812 / 56 | $8.974,95 | 1807 / 65 |
G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 17 | $27.004,50 | 1058 / 62 | $5.148,91 | 1043 / 41 | $4.098,05 | 1040 / 46 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 51 | $19.852,70 | 1382 / 81 | $5.303,10 | 1331 / 66 | $3.207,29 | 1326 / 50 |
Diabetes W Cc | 21 | 71 / 28 | $31.392,70 | 1222 / 71 | $6.681,86 | 1236 / 34 | $5.898,81 | 1231 / 43 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 42 | $143.180,00 | 964 / 64 | $37.946,00 | 1101 / 25 | $37.021,40 | 1094 / 33 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 32 | $114.602,00 | 1638 / 97 | $20.639,80 | 1665 / 55 | $19.926,10 | 1651 / 61 |
G.I. Hemorrhage W Mcc | 20 | 101 / 34 | $72.577,70 | 1366 / 77 | $13.246,30 | 1276 / 30 | $12.747,20 | 1266 / 40 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 43 | $50.337,20 | 1493 / 84 | $8.739,56 | 1227 / 28 | $7.789,89 | 1224 / 31 |
Medical Back Problems W/O Mcc | 18 | 103 / 45 | $30.207,70 | 1018 / 56 | $6.851,11 | 1142 / 37 | $5.773,67 | 1138 / 43 |
Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 30 | $26.920,20 | 437 / 26 | $7.482,18 | 549 / 17 | $6.403,71 | 549 / 22 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 29 | $41.357,40 | 990 / 49 | $10.493,60 | 1162 / 40 | $9.457,53 | 1157 / 41 |
Seizures W/O Mcc | 17 | 91 / 42 | $32.949,70 | 1022 / 87 | $6.219,76 | 918 / 37 | $5.147,06 | 915 / 38 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 31 | $133.492,00 | 1403 / 74 | $20.177,40 | 1327 / 45 | $19.368,50 | 1313 / 53 |
Chest Pain | 16 | 135 / 57 | $21.172,10 | 996 / 70 | $5.153,69 | 1303 / 36 | $4.280,69 | 1296 / 40 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 16 | $29.847,40 | 571 / 39 | $6.159,56 | 707 / 27 | $5.320,06 | 703 / 30 |
Signs & Symptoms W/O Mcc | 16 | 75 / 34 | $38.618,80 | 1191 / 81 | $5.884,31 | 950 / 36 | $4.730,75 | 947 / 36 |
Cellulitis W Mcc | 16 | 42 / 21 | $53.294,40 | 754 / 41 | $11.016,70 | 560 / 18 | $9.051,94 | 558 / 8 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 15 | 38 / 10 | $37.882,90 | 302 / 13 | $9.389,40 | 337 / 11 | $8.658,20 | 337 / 14 |
G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 24 | $28.745,00 | 788 / 51 | $6.030,60 | 739 / 26 | $4.556,67 | 735 / 25 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 33 | $42.249,00 | 665 / 28 | $10.839,10 | 690 / 13 | $10.098,20 | 688 / 17 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 46 | $37.117,90 | 1226 / 64 | $9.527,00 | 1534 / 44 | $8.828,14 | 1531 / 56 |
Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 27 | $174.848,00 | 944 / 42 | $39.724,10 | 1054 / 23 | $38.919,80 | 1052 / 32 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 22 | $26.704,20 | 687 / 41 | $5.947,38 | 753 / 33 | $4.913,85 | 752 / 33 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 27 | $133.188,00 | 461 / 34 | $39.246,00 | 742 / 19 | $38.408,20 | 741 / 22 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 32 | $79.279,70 | 1410 / 78 | $10.943,50 | 1114 / 39 | $8.692,00 | 1109 / 36 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 51 | $25.945,80 | 1592 / 93 | $5.587,67 | 1622 / 57 | $4.774,67 | 1609 / 58 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 33 | $22.195,70 | 438 / 33 | $6.102,00 | 590 / 29 | $5.011,27 | 588 / 36 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 45 | $48.810,00 | 1179 / 47 | $8.651,55 | 1327 / 24 | $7.655,73 | 1324 / 29 |
Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 18 | $22.732,20 | 245 / 20 | $5.443,27 | 281 / 6 | $4.448,73 | 281 / 8 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 37 | $22.500,60 | 514 / 22 | $7.580,09 | 910 / 23 | $6.691,55 | 907 / 28 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 15 | $81.064,90 | 224 / 3 | $23.452,30 | 306 / 1 | $22.665,00 | 305 / 1 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 37 | $33.429,70 | 980 / 48 | $7.782,82 | 1101 / 27 | $6.892,09 | 1097 / 35 |
Renal Failure W/O Cc/Mcc | 11 | 45 / 15 | $24.503,80 | 674 / 29 | $5.312,45 | 693 / 16 | $4.428,45 | 691 / 20 | Total 65 procedures | 1.955 | 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.