Hospital Costs > In New Jersey > Newark Beth Israel Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 31 | $60.915,20 | 1302 / 30 | $12.655,50 | 1392 / 52 | $10.785,70 | 1390 / 52 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 40 | 85 / 29 | $117.990,00 | 1762 / 48 | $19.499,70 | 1751 / 59 | $17.264,20 | 1738 / 59 |
| Atherosclerosis W Mcc | 14 | 7 / 3 | $63.861,60 | 18 / 2 | $12.363,40 | 22 / 4 | $11.078,60 | 22 / 4 |
| Atherosclerosis W/O Mcc | 12 | 46 / 19 | $32.162,80 | 467 / 11 | $9.543,08 | / 35 | $5.844,33 | / |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 27 | $43.144,60 | 941 / 18 | $10.896,40 | 1021 / 42 | $8.283,09 | 1017 / 42 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 34 | $56.401,70 | 2108 / 44 | $10.256,50 | 2091 / 58 | $8.449,37 | 2086 / 59 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 49 | 74 / 17 | $88.475,70 | 1876 / 49 | $14.248,10 | 1808 / 57 | $11.459,90 | 1805 / 56 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 44 | $41.699,60 | 1936 / 48 | $8.101,86 | 1940 / 60 | $6.330,95 | 1934 / 60 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 11 | 17 / 6 | $241.849,00 | 57 / 2 | $64.247,00 | 70 / 7 | $60.805,90 | 70 / 7 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 16 | 30 / 5 | $217.275,00 | 97 / 3 | $55.546,60 | 112 / 8 | $53.474,60 | 112 / 8 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 25 | 44 / 6 | $417.067,00 | 248 / 6 | $88.540,70 | 255 / 12 | $83.557,60 | 255 / 11 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 88 | 36 / 3 | $187.221,00 | 390 / 4 | $47.545,20 | 490 / 13 | $44.745,80 | 490 / 13 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 62 | 55 / 3 | $245.551,00 | 306 / 2 | $67.667,30 | 399 / 12 | $64.038,70 | 399 / 13 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 17 | 25 / 2 | $152.661,00 | 85 / 2 | $41.428,20 | 115 / 6 | $39.399,90 | 115 / 6 |
| Cellulitis W/O Mcc | 42 | 147 / 48 | $42.362,70 | 2458 / 29 | $11.488,60 | 2520 / 60 | $8.384,17 | 2512 / 60 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 11 | 80 / 14 | $49.598,30 | 315 / 9 | $13.059,50 | 368 / 18 | $11.865,30 | 368 / 18 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Mcc | 11 | 23 / 2 | $110.804,00 | 46 / 2 | $25.067,20 | 40 / 2 | $22.926,00 | 40 / 2 |
| Chest Pain | 54 | 97 / 10 | $40.992,20 | 1607 / 38 | $8.390,61 | 1633 / 54 | $7.050,22 | 1624 / 53 |
| Chronic Obstructive Pulmonary Disease W Cc | 50 | 129 / 32 | $55.808,60 | 2319 / 35 | $11.655,70 | 2372 / 60 | $9.822,00 | 2365 / 59 |
| Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 35 | $69.570,40 | 2443 / 34 | $13.741,80 | 2504 / 59 | $11.822,40 | 2496 / 59 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 47 | 73 / 11 | $35.303,50 | 1856 / 13 | $9.399,47 | 2061 / 58 | $8.067,04 | 2049 / 58 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 55 | 39 / 4 | $139.474,00 | 875 / 35 | $22.641,10 | 849 / 39 | $20.171,50 | 841 / 38 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 107 | 81 / 7 | $89.346,40 | 1603 / 43 | $12.963,20 | 1572 / 48 | $10.760,00 | 1569 / 48 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 24 | 64 / 8 | $187.108,00 | 527 / 11 | $39.904,50 | 563 / 15 | $32.575,30 | 562 / 15 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 25 | $83.840,00 | 865 / 38 | $13.104,30 | 817 / 43 | $10.071,00 | 817 / 43 |
| Diabetes W Cc | 36 | 56 / 10 | $44.337,20 | 1475 / 23 | $10.499,10 | 1550 / 54 | $8.937,36 | 1545 / 55 |
| Diabetes W Mcc | 13 | 44 / 15 | $53.237,50 | 588 / 4 | $15.537,50 | 689 / 31 | $12.748,30 | 688 / 31 |
| Diabetes W/O Cc/Mcc | 18 | 20 / 7 | $38.746,70 | 285 / 15 | $8.223,56 | 272 / 16 | $6.713,56 | 272 / 16 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 34 | 47 / 6 | $751.074,00 | 399 / 10 | $160.830,00 | 361 / 12 | $148.811,00 | 360 / 14 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 31 | 65 / 17 | $65.849,50 | 1332 / 28 | $13.984,90 | 1390 / 49 | $12.068,30 | 1385 / 49 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 43 | 232 / 47 | $45.048,30 | 2588 / 42 | $9.679,91 | 2616 / 60 | $7.647,56 | 2601 / 60 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 14 | $172.317,00 | 553 / 11 | $43.447,90 | 657 / 25 | $40.219,40 | 657 / 28 |
| G.I. Hemorrhage W Cc | 40 | 178 / 39 | $54.543,20 | 2244 / 28 | $12.113,10 | 2349 / 59 | $10.222,40 | 2345 / 59 |
| G.I. Hemorrhage W Mcc | 28 | 93 / 23 | $108.864,00 | 1596 / 41 | $20.241,10 | 1575 / 53 | $16.715,80 | 1565 / 52 |
| G.I. Hemorrhage W/O Cc/Mcc | 18 | 50 / 19 | $33.815,10 | 857 / 20 | $9.144,33 | 980 / 49 | $7.564,89 | 976 / 49 |
| Heart Failure & Shock W Cc | 145 | 133 / 18 | $71.121,20 | 2729 / 52 | $12.633,50 | 2666 / 61 | $10.268,60 | 2660 / 61 |
| Heart Failure & Shock W Mcc | 127 | 157 / 25 | $91.878,40 | 2538 / 46 | $17.134,70 | 2520 / 61 | $14.830,70 | 2509 / 60 |
| Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 30 | $41.140,10 | 1911 / 35 | $8.979,24 | 1941 / 60 | $7.042,66 | 1928 / 60 |
| Heart Transplant Or Implant Of Heart Assist System W Mcc | 24 | 14 / 1 | $1.025.090,00 | 55 / 2 | $238.821,00 | 46 / 2 | $215.226,00 | 46 / 2 |
| Hiv W Major Related Condition W Mcc | 13 | 24 / 6 | $58.240,20 | 24 / 2 | $25.853,10 | 61 / 5 | $24.137,60 | 61 / 6 |
| Hypertension W/O Mcc | 14 | 51 / 16 | $50.626,40 | 773 / 30 | $8.864,21 | 746 / 34 | $6.524,93 | 744 / 34 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 32 | 92 / 26 | $188.906,00 | 1218 / 25 | $49.093,60 | 1381 / 52 | $44.660,00 | 1371 / 52 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 50 | 132 / 27 | $74.991,80 | 2009 / 45 | $13.657,90 | 2003 / 58 | $10.766,80 | 1999 / 58 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 42 | 126 / 21 | $93.511,80 | 1458 / 33 | $17.986,90 | 1492 / 52 | $15.717,30 | 1485 / 51 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 23 | $60.084,60 | 1558 / 42 | $9.841,25 | 1554 / 47 | $7.815,50 | 1550 / 48 |
| Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 27 | $61.092,70 | 1824 / 28 | $13.351,20 | 1894 / 52 | $11.556,10 | 1890 / 52 |
| Kidney & Urinary Tract Infections W/O Mcc | 64 | 169 / 32 | $54.733,60 | 2665 / 47 | $10.182,10 | 2631 / 59 | $8.347,02 | 2620 / 59 |
| Major Cardiovasc Procedures W Mcc | 17 | 51 / 10 | $269.395,00 | 596 / 18 | $49.093,40 | 555 / 19 | $44.759,50 | 554 / 19 |
| Major Cardiovasc Procedures W/O Mcc | 30 | 71 / 13 | $126.889,00 | 776 / 21 | $30.615,10 | 916 / 33 | $28.424,80 | 915 / 33 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 15 | 41 / 10 | $74.384,00 | 563 / 8 | $19.004,70 | 620 / 26 | $17.141,30 | 619 / 27 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 12 | $90.721,00 | 471 / 23 | $14.371,20 | 456 / 24 | $12.200,40 | 456 / 24 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 53 | 511 / 42 | $52.023,30 | 1379 / 5 | $21.482,70 | 2596 / 55 | $19.689,20 | 2550 / 56 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 25 | 48 / 1 | $30.442,30 | 87 / 1 | $13.915,40 | 359 / 6 | $11.942,40 | 359 / 6 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 29 | $95.277,80 | 1174 / 17 | $25.518,90 | 1472 / 44 | $23.258,40 | 1458 / 44 |
| Medical Back Problems W/O Mcc | 15 | 106 / 35 | $51.617,80 | 1416 / 37 | $10.398,30 | 1433 / 51 | $8.555,67 | 1428 / 53 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 70 | 56 / 3 | $54.430,30 | 1543 / 18 | $12.911,30 | 1646 / 53 | $11.445,80 | 1643 / 53 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 60 | 106 / 24 | $46.612,60 | 2468 / 40 | $9.433,05 | 2457 / 57 | $7.733,40 | 2448 / 57 |
| Organic Disturbances & Mental Retardation | 24 | 35 / 6 | $52.579,10 | 512 / 17 | $12.026,20 | 519 / 29 | $10.353,80 | 519 / 30 |
| Other Circulatory System Diagnoses W Cc | 22 | 44 / 6 | $72.145,60 | 659 / 25 | $13.923,00 | 656 / 26 | $11.156,50 | 655 / 26 |
| Other Circulatory System Diagnoses W Mcc | 63 | 53 / 3 | $77.798,10 | 1129 / 19 | $19.447,90 | 1270 / 46 | $17.617,50 | 1262 / 48 |
| Other Circulatory System O.R. Procedures | 31 | 24 / 3 | $189.131,00 | 446 / 30 | $29.679,40 | 398 / 31 | $24.760,40 | 398 / 30 |
| Other Digestive System Diagnoses W Cc | 15 | 82 / 28 | $56.089,30 | 1335 / 32 | $11.747,30 | 1387 / 50 | $10.094,70 | 1383 / 50 |
| Other Digestive System Diagnoses W Mcc | 14 | 48 / 14 | $80.760,90 | 680 / 19 | $18.148,60 | 699 / 31 | $15.942,30 | 698 / 31 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 34 | 69 / 9 | $51.182,10 | 762 / 14 | $12.091,20 | 826 / 36 | $10.350,30 | 826 / 36 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 26 | 75 / 16 | $95.254,50 | 1051 / 27 | $17.391,60 | 1033 / 37 | $14.730,00 | 1029 / 37 |
| Other Kidney & Urinary Tract Procedures W Cc | 11 | 15 / 4 | $169.341,00 | 89 / 5 | $23.797,00 | 84 / 7 | $20.752,50 | 84 / 7 |
| Other Kidney & Urinary Tract Procedures W Mcc | 14 | 24 / 4 | $167.386,00 | 209 / 7 | $31.632,10 | 205 / 11 | $28.651,60 | 204 / 12 |
| Other Resp System O.R. Procedures W Mcc | 18 | 45 / 7 | $185.654,00 | 537 / 12 | $37.912,40 | 554 / 19 | $34.269,80 | 553 / 21 |
| Other Vascular Procedures W Cc | 14 | 88 / 27 | $93.679,90 | 787 / 9 | $24.855,40 | 1068 / 45 | $23.026,60 | 1063 / 46 |
| Other Vascular Procedures W Mcc | 34 | 63 / 9 | $146.659,00 | 858 / 23 | $31.842,10 | 902 / 41 | $29.101,90 | 899 / 42 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 39 | 61 / 9 | $147.225,00 | 811 / 16 | $30.136,90 | 909 / 25 | $26.838,40 | 904 / 23 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 68 | 128 / 14 | $89.157,00 | 1039 / 12 | $20.859,20 | 1442 / 36 | $18.886,00 | 1434 / 37 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 22 | 32 / 5 | $148.719,00 | 231 / 6 | $29.766,30 | 236 / 10 | $27.636,90 | 236 / 11 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 31 | 64 / 7 | $105.155,00 | 480 / 9 | $19.507,70 | 537 / 14 | $16.833,10 | 533 / 14 |
| Peripheral Vascular Disorders W Cc | 19 | 65 / 27 | $60.665,80 | 1214 / 38 | $12.330,90 | 1205 / 54 | $9.991,26 | 1202 / 54 |
| Peripheral Vascular Disorders W Mcc | 12 | 37 / 14 | $80.119,90 | 557 / 21 | $15.570,90 | 559 / 29 | $13.587,30 | 559 / 29 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 21 | $114.101,00 | 837 / 25 | $26.324,80 | 933 / 39 | $24.139,60 | 929 / 39 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 13 | $56.062,50 | 913 / 25 | $9.678,73 | 888 / 28 | $7.877,91 | 887 / 28 |
| Psychoses | 51 | 228 / 12 | $77.919,70 | 610 / 17 | $14.056,90 | 569 / 20 | $10.064,30 | 569 / 20 |
| Red Blood Cell Disorders W Mcc | 34 | 37 / 5 | $74.599,40 | 1049 / 30 | $15.338,80 | 1033 / 44 | $12.120,20 | 1029 / 44 |
| Red Blood Cell Disorders W/O Mcc | 136 | 19 / 3 | $43.228,80 | 1815 / 20 | $10.528,60 | 1919 / 59 | $8.598,46 | 1910 / 59 |
| Renal Failure W Cc | 90 | 131 / 18 | $59.604,50 | 2356 / 40 | $11.737,90 | 2360 / 58 | $9.924,08 | 2350 / 58 |
| Renal Failure W Mcc | 44 | 151 / 24 | $72.413,00 | 1920 / 15 | $16.803,10 | 2022 / 57 | $14.205,10 | 2018 / 56 |
| Renal Failure W/O Cc/Mcc | 18 | 38 / 10 | $43.998,70 | 831 / 22 | $8.874,72 | 844 / 31 | $7.198,72 | 842 / 31 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 25 | $80.476,80 | 1395 / 29 | $16.238,50 | 1456 / 42 | $13.825,80 | 1451 / 42 |
| Respiratory Neoplasms W Cc | 11 | 36 / 17 | $88.543,40 | 501 / 32 | $15.329,00 | 471 / 34 | $10.924,80 | 470 / 34 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 60 | 71 / 11 | $102.802,00 | 1546 / 23 | $23.443,20 | 1706 / 53 | $20.657,80 | 1692 / 53 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 21 | 50 / 14 | $210.927,00 | 780 / 15 | $45.557,80 | 838 / 30 | $42.114,10 | 837 / 32 |
| Seizures W/O Mcc | 23 | 85 / 30 | $47.496,00 | 1207 / 27 | $9.973,57 | 1242 / 51 | $7.908,43 | 1240 / 51 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 22 | 70 / 16 | $224.766,00 | 822 / 21 | $55.435,30 | 981 / 44 | $51.647,80 | 980 / 45 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 124 | 392 / 41 | $106.899,00 | 2696 / 45 | $20.505,60 | 2644 / 59 | $17.002,00 | 2599 / 58 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 40 | $70.086,40 | 2489 / 41 | $13.067,30 | 2494 / 58 | $10.992,00 | 2484 / 58 |
| Signs & Symptoms W Mcc | 14 | 27 / 7 | $57.152,50 | 252 / 8 | $12.981,90 | 254 / 13 | $11.205,10 | 254 / 13 |
| Signs & Symptoms W/O Mcc | 17 | 74 / 20 | $50.994,80 | 1307 / 30 | $9.407,35 | 1287 / 41 | $7.817,18 | 1284 / 41 |
| Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 35 | $59.501,20 | 2692 / 41 | $12.059,20 | 2733 / 61 | $10.118,50 | 2724 / 61 |
| Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 35 | $81.095,40 | 2350 / 30 | $16.587,50 | 2420 / 57 | $13.769,90 | 2414 / 58 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 27 | $42.027,00 | 1829 / 29 | $9.582,76 | 1931 / 55 | $7.744,06 | 1923 / 55 |
| Syncope & Collapse | 51 | 118 / 27 | $50.862,50 | 1841 / 42 | $9.366,71 | 1847 / 60 | $7.808,88 | 1839 / 60 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 22 | 42 / 9 | $341.308,00 | 376 / 8 | $92.160,10 | 459 / 27 | $87.238,90 | 458 / 30 |
| Transient Ischemia | 33 | 92 / 26 | $44.914,10 | 1517 / 33 | $9.373,27 | 1621 / 57 | $7.609,82 | 1613 / 57 | Total 100 procedures | 3.494 | 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.