Hospital Costs > In New York > Nathan Littauer Hospital, 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 | 45 | 471 / 102 | $31.620,00 | 864 / 52 | $11.657,20 | 1427 / 24 | $10.904,10 | 1400 / 33 |
| Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 60 | $19.062,40 | 1465 / 61 | $5.062,35 | 1334 / 19 | $4.190,35 | 1325 / 24 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 38 | 526 / 78 | $42.311,00 | 882 / 58 | $13.684,00 | 1733 / 26 | $12.633,90 | 1693 / 38 |
| Spinal Fusion Except Cervical W/O Mcc | 33 | 161 / 22 | $27.289,20 | 5 / 2 | $25.336,60 | 806 / 8 | $24.160,40 | 802 / 19 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 26 | $18.091,70 | 1120 / 62 | $4.705,07 | 804 / 17 | $3.578,45 | 800 / 14 |
| Pulmonary Edema & Respiratory Failure | 28 | 175 / 39 | $34.110,90 | 1249 / 58 | $7.971,00 | 1107 / 21 | $7.110,96 | 1105 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 83 | $18.281,60 | 1175 / 65 | $5.073,25 | 1593 / 27 | $4.213,79 | 1580 / 43 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 63 | $23.559,60 | 1502 / 68 | $6.802,56 | 1254 / 42 | $5.261,74 | 1250 / 23 |
| Heart Failure & Shock W Cc | 26 | 252 / 79 | $22.708,90 | 1457 / 63 | $6.429,35 | 1471 / 25 | $5.731,50 | 1466 / 32 |
| Cellulitis W/O Mcc | 23 | 166 / 71 | $18.697,50 | 1324 / 65 | $5.484,52 | 1271 / 20 | $4.496,00 | 1265 / 26 |
| Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 69 | $29.277,20 | 1424 / 63 | $7.559,11 | 1231 / 20 | $6.496,89 | 1225 / 20 |
| G.I. Hemorrhage W Cc | 18 | 200 / 70 | $26.475,60 | 1326 / 64 | $6.514,67 | 1206 / 21 | $5.581,33 | 1204 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 75 | $17.349,80 | 543 / 36 | $6.869,00 | 1376 / 18 | $6.089,71 | 1371 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 56 | $19.443,20 | 1005 / 50 | $5.199,64 | 1041 / 15 | $4.335,64 | 1037 / 22 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 61 | $25.647,80 | 746 / 42 | $9.271,29 | 1400 / 22 | $8.498,71 | 1400 / 24 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 63 | $22.763,50 | 1278 / 62 | $6.132,38 | 1235 / 24 | $5.201,92 | 1230 / 26 |
| Syncope & Collapse | 12 | 157 / 73 | $20.096,90 | 867 / 53 | $4.804,33 | 862 / 9 | $3.902,92 | 858 / 20 |
| Heart Failure & Shock W Mcc | 12 | 272 / 81 | $30.985,80 | 1148 / 53 | $9.609,83 | 1292 / 21 | $8.703,17 | 1289 / 23 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 40 | $49.550,70 | 603 / 44 | $15.813,80 | 1225 / 25 | $15.208,40 | 1212 / 32 |
| Renal Failure W Cc | 11 | 210 / 74 | $21.507,60 | 1122 / 48 | $6.207,82 | 1353 / 18 | $5.556,18 | 1345 / 29 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 76 | $21.591,50 | 1689 / 81 | $4.622,27 | 821 / 16 | $3.528,45 | 818 / 12 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 40 | $22.138,60 | 1313 / 57 | $4.651,55 | 978 / 13 | $3.659,55 | 973 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 61 | $16.978,30 | 1195 / 65 | $3.777,36 | 1191 / 10 | $3.009,36 | 1186 / 34 | Total 23 procedures | 491 | 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.