Hospital Costs > In New York > Nassau University Medical Center, 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 | 192 | 324 / 48 | $48.349,30 | 1729 / 87 | $24.179,30 | 2777 / 126 | $21.240,10 | 2732 / 128 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 180 | 14 / 5 | $19.504,60 | 1504 / 72 | $11.243,10 | 2514 / 121 | $9.623,58 | 2505 / 123 |
Syncope & Collapse | 113 | 56 / 17 | $17.164,20 | 583 / 38 | $11.443,50 | 1909 / 95 | $9.912,42 | 1901 / 100 |
Chest Pain | 109 | 47 / 15 | $13.563,00 | 357 / 31 | $10.126,70 | 1680 / 80 | $8.816,12 | 1671 / 83 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 79 | 128 / 32 | $35.646,40 | 1890 / 89 | $15.619,90 | 2551 / 120 | $13.324,80 | 2541 / 124 |
Kidney & Urinary Tract Infections W/O Mcc | 76 | 157 / 39 | $27.802,10 | 2119 / 98 | $12.503,90 | 2691 / 125 | $10.447,80 | 2680 / 125 |
Seizures W/O Mcc | 75 | 33 / 9 | $18.767,90 | 482 / 39 | $11.893,40 | 1297 / 84 | $10.474,10 | 1295 / 87 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 70 | 56 / 12 | $25.505,20 | 739 / 28 | $15.269,30 | 1711 / 74 | $13.612,60 | 1707 / 79 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 69 | 206 / 51 | $18.185,00 | 1159 / 64 | $11.789,20 | 2706 / 122 | $10.094,80 | 2691 / 125 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 53 | 72 / 17 | $24.497,20 | 604 / 41 | $11.666,00 | 820 / 52 | $9.580,25 | 819 / 52 |
Concussion W/O Cc/Mcc | 52 | 1 / 1 | $18.712,80 | 1 / 1 | $11.301,50 | 7 / 2 | $9.803,88 | 7 / 2 |
Cellulitis W/O Mcc | 52 | 137 / 48 | $17.798,90 | 1218 / 63 | $12.609,30 | 2610 / 122 | $11.032,00 | 2602 / 128 |
Red Blood Cell Disorders W/O Mcc | 47 | 96 / 31 | $21.438,00 | 1021 / 52 | $12.580,90 | 1978 / 99 | $10.822,30 | 1969 / 101 |
Medical Back Problems W/O Mcc | 40 | 81 / 26 | $23.958,10 | 776 / 44 | $12.841,50 | 1486 / 83 | $11.138,50 | 1481 / 84 |
Heart Failure & Shock W Mcc | 38 | 246 / 66 | $42.398,70 | 1758 / 89 | $20.019,10 | 2592 / 113 | $17.950,30 | 2581 / 115 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 38 | 23 / 5 | $22.628,70 | 585 / 29 | $10.932,00 | 910 / 49 | $9.175,21 | 909 / 50 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 35 | 57 / 21 | $113.791,00 | 277 / 29 | $61.801,30 | 1033 / 58 | $56.826,50 | 1032 / 62 |
Renal Failure W Cc | 35 | 186 / 52 | $27.397,30 | 1570 / 67 | $14.258,80 | 2417 / 110 | $12.125,30 | 2407 / 113 |
Heart Failure & Shock W Cc | 34 | 244 / 73 | $39.282,00 | 2302 / 116 | $15.486,60 | 2740 / 127 | $13.205,90 | 2734 / 129 |
Diabetes W/O Cc/Mcc | 32 | 8 / 4 | $15.315,80 | 128 / 15 | $10.021,50 | 283 / 32 | $8.677,66 | 283 / 33 |
Hypertension W/O Mcc | 31 | 34 / 10 | $23.269,60 | 501 / 33 | $10.750,90 | 775 / 48 | $9.064,06 | 773 / 49 |
Diabetes W Cc | 31 | 61 / 18 | $22.807,40 | 869 / 44 | $12.854,40 | 1603 / 86 | $11.261,00 | 1598 / 88 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 30 | 138 / 32 | $60.799,90 | 1144 / 56 | $23.531,80 | 1599 / 77 | $20.615,70 | 1592 / 78 |
Organic Disturbances & Mental Retardation | 29 | 30 / 12 | $36.054,60 | 416 / 27 | $15.485,10 | 541 / 42 | $12.492,70 | 541 / 42 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 43 | $23.635,10 | 1328 / 63 | $12.321,30 | 2152 / 105 | $10.671,00 | 2147 / 107 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 43 | $41.727,90 | 1561 / 72 | $15.854,00 | 2058 / 99 | $13.399,20 | 2053 / 100 |
Transient Ischemia | 29 | 96 / 31 | $16.781,00 | 399 / 31 | $11.188,70 | 1653 / 95 | $9.516,24 | 1645 / 94 |
G.I. Hemorrhage W Cc | 28 | 190 / 61 | $25.887,40 | 1280 / 63 | $14.518,90 | 2413 / 114 | $12.731,10 | 2409 / 117 |
Hip & Femur Procedures Except Major Joint W Cc | 27 | 116 / 43 | $51.945,10 | 1119 / 57 | $24.428,00 | 2034 / 97 | $21.814,40 | 2012 / 98 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 25 | 37 / 19 | $26.814,80 | 540 / 47 | $12.210,00 | 809 / 72 | $10.147,00 | 807 / 72 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 48 | $16.246,50 | 1124 / 59 | $9.794,96 | 1982 / 105 | $8.384,25 | 1976 / 108 |
Renal Failure W Mcc | 24 | 171 / 47 | $39.955,60 | 1291 / 54 | $20.041,70 | 2129 / 89 | $17.816,80 | 2125 / 91 |
Degenerative Nervous System Disorders W/O Mcc | 24 | 54 / 24 | $34.423,10 | 593 / 45 | $16.302,40 | 862 / 66 | $13.865,40 | 862 / 66 |
G.I. Hemorrhage W Mcc | 24 | 97 / 31 | $58.704,00 | 1172 / 62 | $22.737,70 | 1641 / 78 | $20.007,80 | 1631 / 79 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 21 | $24.694,20 | 420 / 23 | $16.659,90 | 1448 / 72 | $14.668,40 | 1443 / 73 |
Concussion W Cc | 23 | 1 / 1 | $21.515,30 | 5 / 1 | $13.532,90 | 20 / 2 | $11.986,30 | 20 / 2 |
Pulmonary Edema & Respiratory Failure | 23 | 180 / 44 | $31.131,60 | 1102 / 48 | $16.949,30 | 2213 / 99 | $15.117,00 | 2207 / 101 |
Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 53 | $24.636,10 | 1429 / 71 | $13.954,60 | 2430 / 120 | $12.131,20 | 2423 / 122 |
Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 41 | $26.662,90 | 1613 / 95 | $11.451,70 | 2001 / 109 | $9.753,00 | 1988 / 109 |
Dysequilibrium | 21 | 44 / 18 | $16.900,90 | 177 / 20 | $10.478,10 | 562 / 51 | $8.915,19 | 562 / 51 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 21 | 28 / 15 | $13.030,00 | 90 / 22 | $8.908,95 | 105 / 27 | $7.732,90 | 104 / 27 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 40 | $35.389,00 | 1177 / 62 | $17.663,40 | 1905 / 95 | $15.894,60 | 1902 / 101 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 20 | 24 / 9 | $16.412,30 | 69 / 7 | $11.444,80 | 311 / 31 | $10.026,00 | 311 / 32 |
Signs & Symptoms W/O Mcc | 19 | 72 / 31 | $16.385,20 | 434 / 24 | $10.772,90 | 1320 / 75 | $9.379,05 | 1317 / 77 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 19 | 545 / 89 | $48.661,10 | 1226 / 71 | $26.047,90 | 2663 / 114 | $23.633,80 | 2617 / 115 |
Red Blood Cell Disorders W Mcc | 18 | 53 / 22 | $50.814,30 | 848 / 58 | $20.588,20 | 1096 / 70 | $16.772,70 | 1092 / 70 |
Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 17 | $21.746,20 | 572 / 31 | $10.950,20 | 918 / 61 | $9.392,06 | 917 / 63 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 18 | 50 / 16 | $22.691,40 | 287 / 13 | $13.326,50 | 731 / 45 | $11.559,60 | 731 / 45 |
Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 45 | $29.886,20 | 1168 / 37 | $15.670,90 | 1934 / 79 | $13.372,70 | 1930 / 80 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 32 | $29.888,00 | 861 / 39 | $14.795,90 | 1426 / 71 | $12.879,80 | 1422 / 73 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 38 | $14.455,90 | 722 / 46 | $11.250,80 | 2098 / 109 | $9.892,53 | 2086 / 113 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 35 | $43.585,00 | 429 / 31 | $27.586,00 | 1820 / 83 | $25.502,90 | 1806 / 87 |
Diabetes W Mcc | 17 | 40 / 16 | $29.794,70 | 273 / 10 | $17.720,60 | 734 / 37 | $15.849,80 | 733 / 40 |
Cellulitis W Mcc | 17 | 41 / 20 | $42.711,60 | 644 / 30 | $19.028,10 | 951 / 54 | $16.405,70 | 949 / 56 |
Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 25 | $20.215,60 | 391 / 18 | $13.111,20 | 1078 / 55 | $11.542,00 | 1074 / 58 |
Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 26 | $32.458,90 | 562 / 27 | $14.872,40 | 853 / 47 | $12.689,50 | 853 / 47 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 49 | $120.241,00 | 739 / 49 | $58.185,10 | 1515 / 72 | $52.581,50 | 1505 / 73 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 14 | 52 / 15 | $40.064,10 | 344 / 16 | $15.152,40 | 520 / 26 | $13.137,70 | 519 / 26 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 14 | 40 / 12 | $19.974,20 | 168 / 6 | $11.443,60 | 399 / 22 | $10.283,10 | 399 / 23 |
Otitis Media & Uri W/O Mcc | 14 | 30 / 15 | $14.606,10 | 48 / 3 | $10.670,60 | 221 / 27 | $8.939,07 | 221 / 27 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 22 | $214.674,00 | 175 / 10 | $105.750,00 | 496 / 23 | $95.964,60 | 495 / 22 |
Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 18 | $72.404,10 | 448 / 18 | $35.683,50 | 946 / 41 | $32.203,70 | 943 / 42 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 13 | 34 / 17 | $20.727,80 | 173 / 14 | $11.681,00 | 379 / 30 | $10.214,50 | 379 / 30 |
Seizures W Mcc | 13 | 53 / 18 | $49.312,20 | 480 / 20 | $20.398,80 | 748 / 35 | $17.880,40 | 748 / 38 |
Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 73 | $41.073,20 | 1958 / 102 | $16.553,80 | 2549 / 116 | $14.240,20 | 2541 / 116 |
Other Digestive System Diagnoses W Mcc | 13 | 49 / 22 | $32.999,00 | 209 / 12 | $21.359,50 | 742 / 41 | $19.282,70 | 741 / 44 |
Atherosclerosis W/O Mcc | 12 | 46 / 23 | $18.344,60 | 275 / 23 | $10.394,10 | / 43 | $8.938,92 | / |
Cardiac Congenital & Valvular Disorders W/O Mcc | 12 | 12 / 4 | $16.054,60 | 6 / 1 | $12.142,40 | 35 / 8 | $10.973,10 | 35 / 8 |
Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 14 | $26.293,40 | 214 / 17 | $12.963,80 | 330 / 33 | $10.806,40 | 329 / 33 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 52 | $37.896,50 | 730 / 48 | $19.765,50 | 1768 / 81 | $17.984,70 | 1755 / 84 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 15 | $36.337,30 | 501 / 12 | $18.380,00 | 964 / 28 | $16.089,50 | 961 / 29 | Total 71 procedures | 2.419 | 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.