Hospital Costs > In New York > Metropolitan Hospital Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 43 | 81 / 23 | $10.282,10 | 138 / 10 | $17.734,00 | 847 / 63 | $16.252,50 | 846 / 64 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 31 | $18.947,40 | 345 / 16 | $19.503,50 | 1089 / 64 | $18.204,90 | 1085 / 65 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 57 | $29.906,90 | 1623 / 88 | $18.957,20 | 2175 / 116 | $17.537,20 | 2170 / 118 |
| Chest Pain | 32 | 119 / 46 | $13.845,70 | 391 / 33 | $16.365,80 | 1715 / 94 | $15.264,40 | 1706 / 95 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 64 | $28.379,20 | 1646 / 92 | $20.464,90 | 2455 / 134 | $18.518,60 | 2448 / 134 |
| Diabetes W Cc | 11 | 81 / 38 | $18.774,80 | 605 / 34 | $19.059,90 | 1630 / 100 | $17.675,40 | 1625 / 100 |
| Dysequilibrium | 12 | 53 / 27 | $13.522,30 | 97 / 12 | $16.576,20 | 571 / 59 | $15.307,10 | 571 / 59 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 85 | $16.103,50 | 880 / 58 | $17.919,70 | 2739 / 137 | $16.541,60 | 2724 / 138 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 76 | $16.622,10 | 1153 / 57 | $17.365,70 | 2555 / 137 | $16.119,80 | 2546 / 137 |
| Renal Failure W Cc | 16 | 205 / 69 | $25.361,20 | 1452 / 62 | $19.783,80 | 2448 / 121 | $18.234,00 | 2438 / 123 |
| Renal Failure W Mcc | 14 | 181 / 56 | $35.703,20 | 1080 / 42 | $27.030,10 | 2170 / 104 | $25.074,90 | 2166 / 106 |
| Seizures W/O Mcc | 12 | 96 / 47 | $22.330,10 | 661 / 52 | $18.299,80 | 1324 / 102 | $16.738,30 | 1322 / 103 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 22 | 494 / 112 | $46.327,50 | 1640 / 82 | $33.029,60 | 2830 / 145 | $30.707,90 | 2785 / 145 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 79 | $34.417,40 | 1840 / 86 | $22.313,80 | 2579 / 135 | $20.064,70 | 2569 / 135 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 78 | $20.568,50 | 1190 / 62 | $20.257,60 | 2834 / 141 | $18.799,40 | 2825 / 142 |
| Syncope & Collapse | 15 | 154 / 70 | $17.549,20 | 632 / 41 | $17.876,30 | 1939 / 113 | $16.449,10 | 1931 / 114 | Total 16 procedures | 274 | 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.