Hospital Costs > In New York > Newark-Wayne Community 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 | 105 | 411 / 79 | $24.429,40 | 499 / 32 | $10.488,50 | 429 / 6 | $9.392,56 | 429 / 5 |
| Heart Failure & Shock W Cc | 48 | 230 / 62 | $12.945,70 | 366 / 24 | $5.870,60 | 1196 / 11 | $5.445,27 | 1193 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 41 | 166 / 60 | $18.480,90 | 630 / 42 | $6.918,51 | 1080 / 21 | $5.737,76 | 1077 / 17 |
| Cellulitis W/O Mcc | 40 | 149 / 58 | $13.172,50 | 610 / 40 | $5.339,62 | 890 / 12 | $4.188,92 | 884 / 14 |
| Kidney & Urinary Tract Infections W/O Mcc | 39 | 194 / 61 | $13.823,40 | 771 / 42 | $4.786,31 | 1085 / 10 | $4.015,03 | 1077 / 16 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 29 | 535 / 81 | $38.263,80 | 657 / 50 | $12.277,70 | 1053 / 8 | $11.152,20 | 1030 / 17 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 26 | $11.765,20 | 421 / 34 | $4.585,03 | 921 / 10 | $3.669,17 | 913 / 18 |
| Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 50 | $14.298,70 | 452 / 35 | $5.708,56 | 759 / 10 | $4.767,52 | 757 / 14 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 63 | $15.453,60 | 615 / 45 | $5.812,11 | 909 / 7 | $5.008,56 | 906 / 13 |
| G.I. Hemorrhage W Cc | 26 | 192 / 63 | $17.933,90 | 565 / 39 | $6.151,35 | 1050 / 12 | $5.409,19 | 1048 / 20 |
| Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 63 | $15.790,60 | 373 / 28 | $6.841,44 | 867 / 5 | $6.116,96 | 862 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 87 | $14.450,30 | 680 / 48 | $4.773,46 | 1161 / 15 | $3.865,46 | 1153 / 21 |
| Pulmonary Edema & Respiratory Failure | 24 | 179 / 43 | $26.052,50 | 797 / 41 | $8.171,88 | 1337 / 26 | $7.465,21 | 1333 / 35 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 42 | $9.915,43 | 254 / 20 | $4.369,62 | 1059 / 10 | $3.795,14 | 1051 / 26 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 58 | $21.068,30 | 449 / 29 | $8.313,18 | 742 / 6 | $7.603,53 | 742 / 10 |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 53 | $30.380,00 | 236 / 24 | $11.091,60 | 475 / 5 | $10.033,60 | 474 / 8 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 32 | $21.219,90 | 150 / 7 | $8.609,56 | 238 / 1 | $8.155,56 | 238 / 4 |
| Chest Pain | 15 | 136 / 58 | $11.453,10 | 220 / 18 | $4.075,00 | 524 / 4 | $2.952,40 | 520 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 72 | $12.223,50 | 575 / 34 | $4.335,40 | 816 / 8 | $3.526,87 | 813 / 11 |
| Heart Failure & Shock W Mcc | 14 | 270 / 79 | $19.281,70 | 386 / 27 | $8.321,50 | 541 / 3 | $7.739,79 | 541 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 47 | $21.334,90 | 411 / 27 | $7.573,77 | 682 / 12 | $6.638,38 | 679 / 11 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 33 | $18.616,20 | 213 / 13 | $8.123,23 | 516 / 7 | $7.377,38 | 513 / 11 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 41 | $22.158,20 | 150 / 7 | $10.791,10 | 430 / 1 | $10.323,40 | 428 / 4 |
| Transient Ischemia | 13 | 112 / 43 | $12.504,70 | 143 / 15 | $4.535,92 | 545 / 8 | $3.418,38 | 542 / 9 |
| G.I. Obstruction W Cc | 11 | 81 / 35 | $17.881,80 | 503 / 27 | $5.558,82 | 405 / 11 | $4.348,64 | 404 / 9 |
| Syncope & Collapse | 11 | 158 / 74 | $16.994,50 | 571 / 37 | $4.675,36 | 740 / 8 | $3.793,91 | 737 / 12 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 52 | $16.856,70 | 84 / 10 | $9.073,36 | 240 / 2 | $8.410,09 | 240 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 42 | $14.679,10 | 231 / 13 | $4.883,09 | 213 / 8 | $3.217,55 | 211 / 2 | Total 28 procedures | 694 | 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.