Hospital Costs > In New Jersey > Monmouth Medical Center, 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 | 218 | 346 / 17 | $70.389,00 | 2002 / 26 | $18.043,50 | 2271 / 45 | $15.104,30 | 2227 / 45 |
| Cellulitis W/O Mcc | 105 | 84 / 21 | $43.233,30 | 2476 / 35 | $8.287,08 | 2300 / 48 | $6.522,06 | 2292 / 50 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 104 | 171 / 23 | $42.032,30 | 2517 / 31 | $7.450,10 | 2412 / 49 | $5.987,73 | 2397 / 51 |
| Heart Failure & Shock W Cc | 104 | 174 / 30 | $56.587,10 | 2636 / 35 | $9.426,09 | 2430 / 50 | $7.909,25 | 2424 / 50 |
| Heart Failure & Shock W Mcc | 84 | 200 / 36 | $77.394,20 | 2431 / 28 | $13.372,50 | 2282 / 49 | $11.705,20 | 2272 / 50 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 75 | 441 / 50 | $89.224,50 | 2539 / 24 | $16.390,30 | 2454 / 47 | $14.688,30 | 2410 / 49 |
| Chronic Obstructive Pulmonary Disease W Cc | 75 | 104 / 19 | $63.054,10 | 2384 / 48 | $9.029,24 | 2143 / 48 | $7.325,33 | 2136 / 51 |
| Spinal Fusion Except Cervical W/O Mcc | 69 | 125 / 3 | $112.971,00 | 869 / 16 | $33.598,20 | 1154 / 26 | $29.384,50 | 1149 / 23 |
| Simple Pneumonia & Pleurisy W Cc | 63 | 140 / 28 | $56.280,70 | 2660 / 38 | $9.327,81 | 2486 / 49 | $7.643,94 | 2477 / 52 |
| Renal Failure W Cc | 62 | 159 / 29 | $61.623,80 | 2371 / 45 | $9.207,13 | 2112 / 47 | $7.517,11 | 2102 / 46 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 61 | 105 / 23 | $47.607,80 | 2474 / 43 | $7.283,54 | 2272 / 48 | $5.928,61 | 2264 / 49 |
| Kidney & Urinary Tract Infections W/O Mcc | 60 | 173 / 34 | $40.582,90 | 2508 / 18 | $7.608,78 | 2398 / 48 | $6.153,87 | 2387 / 50 |
| G.I. Hemorrhage W Cc | 59 | 159 / 33 | $55.457,30 | 2252 / 29 | $9.296,27 | 2134 / 49 | $7.929,61 | 2130 / 49 |
| Syncope & Collapse | 55 | 114 / 25 | $42.227,70 | 1733 / 22 | $7.401,40 | 1643 / 48 | $5.741,15 | 1635 / 49 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 52 | 136 / 22 | $69.199,60 | 1492 / 32 | $10.076,60 | 1440 / 40 | $8.577,02 | 1437 / 41 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 51 | 99 / 24 | $31.956,00 | 1808 / 21 | $5.770,16 | 1781 / 49 | $4.464,63 | 1775 / 53 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 42 | 83 / 27 | $92.564,50 | 1656 / 32 | $15.020,70 | 1524 / 48 | $13.147,10 | 1511 / 47 |
| Red Blood Cell Disorders W/O Mcc | 42 | 101 / 25 | $53.131,50 | 1934 / 42 | $8.059,50 | 1743 / 49 | $6.592,88 | 1734 / 50 |
| Chronic Obstructive Pulmonary Disease W Mcc | 41 | 161 / 40 | $70.246,20 | 2447 / 35 | $10.720,00 | 2224 / 48 | $8.930,83 | 2216 / 48 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 41 | 55 / 9 | $86.699,90 | 1429 / 41 | $11.405,10 | 1247 / 43 | $9.741,07 | 1242 / 42 |
| Renal Failure W Mcc | 41 | 154 / 27 | $108.879,00 | 2138 / 54 | $15.673,10 | 1993 / 54 | $13.756,40 | 1989 / 55 |
| Heart Failure & Shock W/O Cc/Mcc | 39 | 71 / 24 | $50.409,20 | 1979 / 49 | $6.941,85 | 1774 / 53 | $5.455,85 | 1761 / 52 |
| Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 32 | $99.795,50 | 2457 / 50 | $13.931,80 | 2218 / 50 | $11.463,60 | 2212 / 51 |
| Transient Ischemia | 36 | 89 / 25 | $50.347,20 | 1578 / 42 | $7.106,78 | 1417 / 48 | $5.323,97 | 1410 / 47 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 36 | 146 / 35 | $58.014,20 | 1845 / 22 | $9.799,83 | 1817 / 45 | $8.306,42 | 1813 / 48 |
| Seizures W/O Mcc | 35 | 73 / 22 | $47.718,30 | 1211 / 29 | $8.002,71 | 1136 / 43 | $6.497,20 | 1134 / 45 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 33 | $51.748,90 | 2081 / 40 | $7.746,41 | 1906 / 48 | $6.286,88 | 1901 / 53 |
| Chest Pain | 31 | 120 / 23 | $35.077,20 | 1502 / 25 | $6.089,10 | 1424 / 42 | $4.825,00 | 1416 / 42 |
| G.I. Hemorrhage W Mcc | 30 | 91 / 21 | $94.476,90 | 1532 / 32 | $15.655,80 | 1390 / 44 | $13.743,90 | 1380 / 44 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 26 | $45.627,00 | 2020 / 42 | $7.496,66 | 1744 / 51 | $5.139,79 | 1733 / 44 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 29 | 97 / 25 | $57.531,70 | 1581 / 23 | $10.504,60 | 1451 / 42 | $9.048,97 | 1448 / 43 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 19 | $47.147,90 | 1888 / 39 | $7.298,43 | 1757 / 48 | $5.398,04 | 1749 / 48 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 32 | $66.817,60 | 1751 / 31 | $11.143,80 | 1641 / 50 | $9.479,30 | 1638 / 51 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 26 | 22 / 1 | $56.289,70 | 174 / 3 | $12.880,10 | 185 / 3 | $11.316,70 | 184 / 3 |
| Degenerative Nervous System Disorders W/O Mcc | 26 | 52 / 13 | $46.397,60 | 738 / 12 | $8.941,08 | 702 / 35 | $7.779,42 | 702 / 38 |
| Respiratory Infections & Inflammations W Cc | 26 | 62 / 16 | $81.977,00 | 1403 / 30 | $12.783,20 | 1333 / 35 | $10.972,60 | 1328 / 37 |
| Extracranial Procedures W/O Cc/Mcc | 24 | 74 / 8 | $29.285,70 | 422 / 3 | $9.379,54 | 848 / 24 | $8.095,33 | 845 / 24 |
| Diabetes W Cc | 23 | 69 / 21 | $46.147,30 | 1500 / 26 | $8.025,00 | 1409 / 44 | $6.955,22 | 1404 / 48 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 21 | $53.133,30 | 1221 / 17 | $9.292,30 | 1220 / 39 | $7.856,09 | 1218 / 43 |
| Medical Back Problems W/O Mcc | 22 | 99 / 30 | $51.603,60 | 1415 / 36 | $8.380,14 | 1309 / 38 | $6.757,18 | 1304 / 46 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 21 | 47 / 6 | $48.109,20 | 664 / 19 | $8.570,57 | 620 / 26 | $7.129,19 | 620 / 30 |
| Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 35 | $67.984,70 | 1878 / 35 | $10.459,00 | 1695 / 41 | $8.641,65 | 1691 / 43 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 20 | 104 / 14 | $44.689,00 | 810 / 16 | $6.993,80 | 623 / 26 | $5.111,90 | 622 / 24 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 20 | 83 / 17 | $58.306,50 | 807 / 23 | $9.458,00 | 726 / 30 | $8.230,75 | 726 / 32 |
| Major Small & Large Bowel Procedures W Cc | 19 | 89 / 24 | $101.377,00 | 1221 / 20 | $21.579,50 | 1332 / 37 | $19.434,20 | 1318 / 38 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 25 | $58.043,50 | 1351 / 35 | $9.310,00 | 1233 / 41 | $7.760,74 | 1229 / 42 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 44 | $74.606,90 | 2517 / 46 | $10.315,60 | 2311 / 48 | $8.727,63 | 2302 / 50 |
| Cervical Spinal Fusion W/O Cc/Mcc | 18 | 86 / 4 | $60.631,70 | 468 / 4 | $18.537,00 | 785 / 14 | $17.081,00 | 782 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 37 | $77.056,70 | 1344 / 21 | $14.973,90 | 1335 / 43 | $13.344,10 | 1329 / 40 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 19 | $36.599,60 | 1199 / 23 | $6.242,78 | 1158 / 37 | $4.615,33 | 1155 / 38 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 18 | 59 / 8 | $49.656,60 | 260 / 18 | $14.161,70 | 316 / 22 | $10.714,50 | 315 / 16 |
| Other Vascular Procedures W Cc | 18 | 84 / 23 | $104.572,00 | 876 / 22 | $22.013,60 | 971 / 39 | $20.160,70 | 966 / 39 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 24 | $125.176,00 | 612 / 3 | $35.494,30 | 771 / 21 | $33.236,00 | 769 / 23 |
| G.I. Obstruction W Cc | 17 | 75 / 25 | $52.255,50 | 1617 / 33 | $8.522,35 | 1575 / 41 | $7.233,76 | 1570 / 43 |
| Bronchitis & Asthma W/O Cc/Mcc | 17 | 28 / 8 | $38.202,20 | 355 / 15 | $6.624,59 | 324 / 22 | $5.197,47 | 324 / 24 |
| Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 21 | $65.335,50 | 1064 / 38 | $8.913,59 | 843 / 36 | $6.167,06 | 839 / 32 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 13 | $80.798,40 | 735 / 20 | $15.276,20 | 763 / 32 | $11.935,00 | 759 / 32 |
| Extracranial Procedures W Cc | 16 | 30 / 3 | $34.816,30 | 119 / 1 | $13.579,40 | 344 / 6 | $12.387,20 | 344 / 8 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 13 | $60.840,20 | 571 / 11 | $13.734,30 | 616 / 16 | $11.500,20 | 616 / 17 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 29 | $62.944,90 | 1218 / 40 | $9.384,94 | 1018 / 46 | $7.366,44 | 1015 / 43 |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 39 | $73.406,70 | 1605 / 22 | $16.694,10 | 1808 / 41 | $15.068,10 | 1789 / 45 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 15 | 58 / 4 | $37.941,60 | 170 / 2 | $11.352,10 | 311 / 3 | $9.203,47 | 311 / 4 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 20 | $123.979,00 | 874 / 28 | $22.515,60 | 842 / 33 | $20.618,20 | 838 / 34 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 15 | 38 / 9 | $49.755,90 | 383 / 6 | $10.860,80 | 387 / 19 | $9.644,40 | 387 / 21 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 23 | $57.152,60 | 1320 / 34 | $7.209,43 | 1172 / 33 | $5.980,43 | 1169 / 36 |
| Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 21 | $86.035,30 | 453 / 7 | $27.198,40 | 842 / 25 | $25.684,90 | 841 / 29 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 36 | $91.511,10 | 1426 / 11 | $19.598,10 | 1525 / 43 | $17.836,80 | 1511 / 43 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 23 | $82.084,90 | 1018 / 20 | $14.787,80 | 961 / 31 | $13.103,10 | 957 / 34 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 21 | $66.505,60 | 1244 / 27 | $9.352,64 | 1144 / 30 | $7.634,50 | 1141 / 32 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 33 | $95.102,00 | 1627 / 26 | $17.265,30 | 1536 / 38 | $14.519,90 | 1520 / 38 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 41 | $203.380,00 | 1274 / 28 | $42.102,80 | 1205 / 38 | $39.156,10 | 1197 / 37 |
| Organic Disturbances & Mental Retardation | 14 | 45 / 13 | $48.158,10 | 487 / 8 | $9.120,29 | 420 / 22 | $7.716,50 | 420 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 29 | $44.398,10 | 1426 / 20 | $7.437,29 | 1445 / 40 | $6.147,21 | 1441 / 44 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 20 | $42.449,20 | 754 / 28 | $7.995,64 | 739 / 42 | $5.623,50 | 735 / 38 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 22 | $123.526,00 | 845 / 30 | $18.132,00 | 706 / 28 | $15.475,40 | 699 / 29 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 13 | 53 / 15 | $43.284,00 | 375 / 6 | $9.856,62 | 416 / 14 | $8.447,69 | 415 / 17 |
| Other Disorders Of Nervous System W Cc | 13 | 43 / 15 | $44.211,20 | 518 / 6 | $8.505,77 | 537 / 23 | $7.341,23 | 536 / 24 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 17 | $62.974,10 | 734 / 21 | $14.249,10 | 828 / 29 | $12.884,30 | 825 / 34 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 21 | $70.031,30 | 1031 / 25 | $10.868,50 | 816 / 35 | $9.114,54 | 812 / 33 |
| Atherosclerosis W/O Mcc | 13 | 45 / 18 | $36.075,90 | 500 / 21 | $6.254,69 | / 29 | $5.100,00 | / |
| Cellulitis W Mcc | 13 | 45 / 20 | $67.881,50 | 859 / 16 | $13.055,10 | 818 / 35 | $11.271,40 | 816 / 36 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 15 | $39.912,30 | 817 / 20 | $6.317,38 | 730 / 23 | $4.779,08 | 728 / 24 |
| Respiratory Neoplasms W Cc | 12 | 35 / 16 | $65.050,80 | 461 / 14 | $11.076,30 | 409 / 27 | $9.165,50 | 408 / 29 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 22 | $69.549,20 | 1057 / 32 | $11.130,90 | 976 / 35 | $9.258,33 | 974 / 37 |
| Stomach, Esophageal & Duodenal Proc W Cc | 12 | 38 / 3 | $77.461,70 | 130 / 1 | $19.983,70 | 140 / 2 | $18.339,80 | 140 / 2 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 12 | 42 / 11 | $51.545,80 | 417 / 12 | $9.667,08 | 334 / 18 | $7.402,67 | 334 / 16 |
| Rectal Resection W Cc | 12 | 12 / 2 | $65.753,40 | 23 / 2 | $20.317,00 | 35 / 3 | $18.809,30 | 35 / 3 |
| Disorders Of The Biliary Tract W Cc | 12 | 42 / 14 | $62.967,70 | 439 / 13 | $9.951,58 | 402 / 18 | $8.507,00 | 402 / 20 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 13 | $34.428,50 | 805 / 10 | $6.445,64 | 800 / 21 | $5.726,36 | 799 / 24 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 11 | 31 / 7 | $107.832,00 | 286 / 7 | $15.800,50 | 223 / 8 | $13.925,90 | 223 / 9 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 25 | $268.059,00 | 941 / 30 | $49.925,70 | 897 / 39 | $46.877,80 | 896 / 41 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 13 | $34.774,50 | 313 / 14 | $8.073,36 | 275 / 27 | $4.773,00 | 275 / 20 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 26 | $42.372,90 | 941 / 34 | $6.971,00 | 873 / 42 | $5.547,36 | 869 / 44 |
| Transurethral Procedures W Cc | 11 | 30 / 16 | $80.935,60 | 364 / 27 | $12.486,60 | 358 / 29 | $10.531,00 | 358 / 30 | Total 94 procedures | 2.869 | 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.