Hospital Costs > In New York > Montefiore Mount Vernon Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 22 | 167 / 72 | $18.921,60 | 1358 / 66 | $9.125,55 | 2315 / 104 | $6.593,91 | 2307 / 90 |
| Chest Pain | 37 | 114 / 41 | $11.344,90 | 211 / 16 | $6.521,32 | 1457 / 54 | $5.025,57 | 1449 / 55 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 64 | $25.152,10 | 1464 / 75 | $9.856,75 | 2185 / 94 | $7.556,17 | 2178 / 88 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 43 | $36.604,80 | 1885 / 117 | $9.084,25 | 2031 / 94 | $7.214,25 | 2019 / 94 |
| Diabetes W Cc | 15 | 77 / 34 | $24.855,70 | 989 / 53 | $9.214,60 | 1441 / 63 | $7.158,47 | 1436 / 60 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 88 | $13.449,90 | 564 / 42 | $7.744,22 | 2419 / 92 | $6.017,70 | 2404 / 93 |
| G.I. Hemorrhage W Cc | 14 | 204 / 74 | $20.315,50 | 772 / 47 | $10.526,90 | 2170 / 90 | $8.182,36 | 2166 / 83 |
| Heart Failure & Shock W Cc | 20 | 258 / 85 | $23.794,10 | 1562 / 67 | $10.639,90 | 2478 / 103 | $8.125,25 | 2472 / 91 |
| Heart Failure & Shock W Mcc | 20 | 264 / 75 | $35.202,00 | 1411 / 64 | $16.319,00 | 2448 / 98 | $13.419,70 | 2437 / 92 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 50 | $18.140,80 | 1164 / 61 | $7.758,69 | 1846 / 87 | $5.938,46 | 1833 / 81 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 60 | $25.043,80 | 798 / 37 | $11.490,20 | 1860 / 81 | $8.633,08 | 1856 / 70 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 79 | $15.373,20 | 994 / 48 | $8.530,12 | 2435 / 98 | $6.305,00 | 2424 / 90 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 70 | $22.642,40 | 1754 / 87 | $10.134,00 | 2456 / 114 | $7.721,67 | 2447 / 112 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 60 | $20.608,40 | 953 / 45 | $8.872,25 | 1748 / 77 | $6.617,50 | 1739 / 71 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 28 | $123.810,00 | 405 / 32 | $54.472,00 | 922 / 42 | $48.522,10 | 921 / 44 |
| Seizures W/O Mcc | 13 | 95 / 46 | $13.901,20 | 205 / 18 | $8.067,62 | 1087 / 59 | $6.092,08 | 1085 / 54 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 16 | 500 / 118 | $48.205,30 | 1718 / 86 | $21.064,40 | 2635 / 113 | $16.786,20 | 2590 / 108 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 80 | $25.861,20 | 1320 / 63 | $11.513,80 | 2377 / 98 | $9.158,00 | 2367 / 95 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 36 | $15.089,60 | 333 / 20 | $7.830,21 | 1141 / 53 | $5.780,07 | 1138 / 47 |
| Syncope & Collapse | 36 | 133 / 57 | $12.926,10 | 261 / 19 | $7.702,17 | 1671 / 71 | $5.924,94 | 1663 / 68 | Total 20 procedures | 352 | 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.