Hospital Costs > In New Jersey > Monmouth Medical Center-Southern Campus, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Psychoses | 469 | 28 / 1 | $57.520,00 | 597 / 12 | $7.226,13 | 342 / 4 | $6.238,91 | 342 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 127 | 389 / 39 | $77.710,60 | 2399 / 17 | $12.239,90 | 1651 / 14 | $11.324,70 | 1619 / 17 |
| Heart Failure & Shock W Cc | 65 | 213 / 40 | $59.019,70 | 2660 / 38 | $6.889,06 | 1797 / 20 | $6.137,26 | 1792 / 29 |
| Heart Failure & Shock W Mcc | 62 | 222 / 45 | $71.521,80 | 2370 / 19 | $10.053,20 | 1684 / 16 | $9.442,00 | 1679 / 23 |
| G.I. Hemorrhage W Cc | 61 | 157 / 32 | $52.092,40 | 2201 / 23 | $7.094,20 | 1667 / 25 | $6.291,07 | 1663 / 30 |
| Renal Failure W Cc | 60 | 161 / 31 | $48.848,90 | 2235 / 19 | $6.847,83 | 1715 / 25 | $6.190,80 | 1705 / 30 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 58 | 217 / 40 | $45.424,20 | 2595 / 44 | $5.734,22 | 1725 / 27 | $4.366,28 | 1712 / 29 |
| Chronic Obstructive Pulmonary Disease W Cc | 57 | 122 / 28 | $51.525,90 | 2270 / 32 | $6.714,14 | 1647 / 25 | $5.753,35 | 1640 / 32 |
| Cellulitis W/O Mcc | 57 | 132 / 40 | $39.021,20 | 2394 / 21 | $6.577,40 | 1779 / 27 | $5.118,79 | 1771 / 31 |
| Chronic Obstructive Pulmonary Disease W Mcc | 56 | 146 / 32 | $68.353,90 | 2437 / 31 | $8.136,18 | 1737 / 19 | $7.293,89 | 1729 / 24 |
| Renal Failure W Mcc | 55 | 140 / 20 | $73.457,70 | 1942 / 20 | $10.450,60 | 1353 / 15 | $9.789,18 | 1353 / 19 |
| Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 37 | $50.110,70 | 2563 / 24 | $6.907,38 | 1897 / 22 | $5.986,71 | 1889 / 29 |
| Kidney & Urinary Tract Infections W/O Mcc | 43 | 190 / 42 | $46.950,80 | 2607 / 40 | $5.629,88 | 1827 / 25 | $4.733,07 | 1816 / 29 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 41 | 84 / 28 | $63.258,80 | 1370 / 9 | $10.716,70 | 879 / 16 | $9.936,66 | 878 / 20 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 37 | 64 / 10 | $73.841,40 | 976 / 15 | $10.271,20 | 599 / 11 | $9.523,35 | 597 / 14 |
| Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 37 | $78.821,00 | 2334 / 29 | $10.079,10 | 1663 / 20 | $9.058,16 | 1663 / 23 |
| Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 31 | $63.858,50 | 1446 / 12 | $12.867,00 | 1273 / 14 | $11.879,80 | 1256 / 19 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 24 | $101.218,00 | 1529 / 20 | $15.730,20 | 1133 / 13 | $14.725,10 | 1120 / 18 |
| Respiratory Infections & Inflammations W Cc | 29 | 59 / 15 | $67.051,30 | 1313 / 18 | $9.402,86 | 978 / 14 | $8.590,97 | 973 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 35 | $42.729,50 | 1955 / 19 | $5.717,32 | 1371 / 25 | $4.760,68 | 1366 / 30 |
| Depressive Neuroses | 28 | 22 / 1 | $31.850,10 | 127 / 1 | $4.943,29 | 81 / 1 | $4.062,89 | 81 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 41 | $53.827,20 | 2323 / 20 | $7.514,32 | 1704 / 20 | $6.584,86 | 1697 / 25 |
| Respiratory Infections & Inflammations W Mcc | 28 | 108 / 24 | $76.076,50 | 1468 / 13 | $12.396,60 | 937 / 13 | $11.528,30 | 927 / 14 |
| Red Blood Cell Disorders W/O Mcc | 26 | 117 / 38 | $52.266,70 | 1927 / 39 | $5.791,42 | 1370 / 21 | $5.129,35 | 1361 / 28 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 44 | $40.284,30 | 2381 / 27 | $5.163,43 | 1580 / 26 | $4.155,57 | 1575 / 27 |
| Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 33 | $61.769,10 | 1827 / 29 | $8.105,83 | 1330 / 23 | $7.085,52 | 1326 / 27 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 22 | 542 / 50 | $67.962,50 | 1942 / 24 | $14.297,50 | 1902 / 18 | $13.245,30 | 1860 / 28 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 37 | $48.372,40 | 1972 / 47 | $5.044,90 | 1426 / 28 | $4.283,86 | 1415 / 34 |
| Syncope & Collapse | 21 | 148 / 43 | $37.522,00 | 1642 / 14 | $5.366,76 | 1063 / 24 | $4.157,86 | 1056 / 28 |
| G.I. Obstruction W Cc | 19 | 73 / 24 | $53.959,90 | 1630 / 34 | $5.995,16 | 1020 / 12 | $5.154,79 | 1017 / 24 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 35 | $41.478,70 | 1975 / 31 | $5.294,74 | 1492 / 24 | $4.399,58 | 1481 / 33 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 38 | $158.475,00 | 1073 / 14 | $32.871,30 | 766 / 11 | $32.164,30 | 760 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 44 | $72.382,60 | 1998 / 43 | $7.999,22 | 1237 / 28 | $6.208,89 | 1234 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 35 | $81.198,40 | 1856 / 45 | $8.232,11 | 1149 / 15 | $7.475,17 | 1146 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 16 | 152 / 39 | $77.526,80 | 1347 / 22 | $11.931,00 | 994 / 18 | $11.006,80 | 989 / 22 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 31 | $76.474,90 | 1407 / 17 | $11.490,30 | 904 / 14 | $10.873,90 | 899 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 47 | $38.500,50 | 1907 / 40 | $4.292,67 | 1241 / 28 | $3.078,40 | 1236 / 31 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 27 | $52.378,60 | 1212 / 15 | $7.264,53 | 872 / 20 | $6.290,33 | 870 / 24 |
| Seizures W/O Mcc | 14 | 94 / 37 | $49.644,50 | 1223 / 32 | $5.579,21 | 725 / 19 | $4.536,86 | 722 / 25 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 14 | 89 / 21 | $65.906,50 | 836 / 32 | $7.697,50 | 386 / 17 | $5.808,43 | 386 / 14 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 30 | $44.096,90 | 1861 / 36 | $5.211,93 | 1561 / 22 | $4.598,14 | 1553 / 39 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 20 | $30.912,60 | 593 / 6 | $5.923,79 | 542 / 26 | $4.438,00 | 538 / 23 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 21 | $46.912,20 | 918 / 10 | $8.192,92 | 750 / 15 | $7.526,15 | 748 / 21 |
| Pulmonary Edema & Respiratory Failure | 13 | 190 / 38 | $75.741,50 | 2097 / 27 | $8.480,38 | 1349 / 17 | $7.489,00 | 1345 / 21 |
| Transient Ischemia | 12 | 113 / 42 | $41.273,70 | 1468 / 26 | $5.184,08 | 1111 / 25 | $4.268,92 | 1105 / 30 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 13 | $53.276,80 | 316 / 17 | $6.011,50 | 211 / 11 | $5.092,83 | 211 / 14 |
| Diabetes W Cc | 12 | 80 / 31 | $39.448,40 | 1390 / 15 | $6.983,08 | 508 / 31 | $4.290,67 | 508 / 10 |
| Endocrine Disorders W Cc | 12 | 26 / 7 | $49.245,20 | 264 / 7 | $7.231,67 | 157 / 10 | $6.310,33 | 157 / 11 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 22 | $27.969,80 | 715 / 8 | $4.735,18 | 462 / 13 | $3.849,73 | 462 / 18 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 33 | $62.528,00 | 1217 / 39 | $6.902,09 | 747 / 23 | $6.004,82 | 744 / 26 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 18 | $242.145,00 | 232 / 2 | $54.694,70 | 120 / 3 | $53.987,90 | 120 / 4 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 26 | $30.880,20 | 820 / 15 | $5.177,82 | 678 / 22 | $4.290,82 | 674 / 27 | Total 52 procedures | 1.989 | 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.