Hospital Costs > In New Jersey > Newton 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 | 343 | 178 / 9 | $105.947,00 | 2686 / 41 | $11.540,60 | 1157 / 7 | $10.412,70 | 1139 / 3 |
| Heart Failure & Shock W Mcc | 128 | 156 / 24 | $77.191,70 | 2428 / 27 | $9.330,70 | 904 / 7 | $8.163,38 | 903 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 110 | 165 / 21 | $48.715,10 | 2637 / 48 | $4.631,95 | 477 / 8 | $3.384,99 | 475 / 1 |
| Cellulitis W/O Mcc | 106 | 83 / 20 | $53.010,20 | 2581 / 48 | $5.337,09 | 684 / 8 | $4.031,21 | 680 / 2 |
| Heart Failure & Shock W Cc | 105 | 173 / 29 | $66.534,40 | 2710 / 49 | $6.139,41 | 769 / 8 | $5.120,98 | 768 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 97 | 467 / 32 | $83.432,90 | 2269 / 39 | $13.874,00 | 1029 / 15 | $11.118,60 | 1007 / 3 |
| Renal Failure W Mcc | 80 | 115 / 11 | $87.089,10 | 2048 / 36 | $9.826,94 | 727 / 11 | $8.422,24 | 727 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 74 | 133 / 21 | $73.635,20 | 2509 / 44 | $6.836,31 | 644 / 10 | $5.348,65 | 642 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 70 | 135 / 16 | $88.824,10 | 2406 / 42 | $8.871,00 | 965 / 1 | $7.841,83 | 965 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 68 | 134 / 25 | $59.675,10 | 2351 / 23 | $7.533,74 | 641 / 10 | $5.913,53 | 638 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 66 | 95 / 15 | $62.135,20 | 2128 / 49 | $5.160,65 | 320 / 9 | $3.637,82 | 320 / 3 |
| Renal Failure W Cc | 62 | 159 / 29 | $60.430,40 | 2367 / 43 | $5.946,58 | 674 / 9 | $4.897,98 | 667 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 61 | 142 / 29 | $63.263,70 | 2728 / 46 | $6.484,77 | 285 / 13 | $4.450,89 | 284 / 1 |
| Pulmonary Edema & Respiratory Failure | 60 | 143 / 13 | $83.218,60 | 2150 / 37 | $7.941,98 | 510 / 9 | $6.341,32 | 510 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 60 | 173 / 34 | $60.547,70 | 2687 / 51 | $4.911,27 | 668 / 10 | $3.733,37 | 664 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 47 | 78 / 22 | $94.332,90 | 1676 / 35 | $9.700,47 | 190 / 4 | $8.279,96 | 190 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 47 | 135 / 28 | $75.538,20 | 2014 / 46 | $6.571,43 | 816 / 7 | $5.568,53 | 814 / 12 |
| Chronic Obstructive Pulmonary Disease W Cc | 46 | 133 / 34 | $60.086,60 | 2360 / 43 | $5.811,17 | 355 / 7 | $4.380,57 | 354 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 44 | 79 / 19 | $83.430,00 | 1862 / 47 | $7.591,55 | 716 / 7 | $6.689,16 | 713 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 44 | 106 / 27 | $38.605,80 | 1910 / 41 | $4.000,05 | 102 / 21 | $1.936,32 | 102 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 34 | $48.309,20 | 2479 / 44 | $4.392,19 | 401 / 9 | $3.243,48 | 401 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 41 | 103 / 24 | $70.692,10 | 1895 / 39 | $6.860,32 | 690 / 9 | $5.933,10 | 689 / 6 |
| G.I. Hemorrhage W Cc | 40 | 178 / 39 | $67.258,80 | 2366 / 44 | $6.111,12 | 772 / 4 | $5.158,33 | 770 / 8 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 39 | 149 / 27 | $75.274,90 | 1536 / 36 | $6.938,10 | 178 / 8 | $4.926,44 | 178 / 1 |
| Medical Back Problems W/O Mcc | 38 | 83 / 21 | $59.002,40 | 1457 / 44 | $5.169,21 | 294 / 4 | $3.946,97 | 294 / 5 |
| Syncope & Collapse | 36 | 133 / 36 | $54.257,80 | 1867 / 49 | $5.147,00 | 335 / 21 | $3.372,61 | 333 / 2 |
| G.I. Hemorrhage W Mcc | 34 | 87 / 19 | $106.841,00 | 1590 / 40 | $11.135,20 | 287 / 11 | $9.116,79 | 287 / 1 |
| Respiratory Infections & Inflammations W Mcc | 34 | 102 / 19 | $100.573,00 | 1656 / 29 | $11.709,40 | 609 / 4 | $10.696,00 | 601 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 30 | $95.253,50 | 1849 / 40 | $11.769,10 | 894 / 3 | $10.785,10 | 881 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 31 | 100 / 23 | $145.729,00 | 1763 / 50 | $14.783,20 | 457 / 10 | $12.335,20 | 452 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 30 | 96 / 24 | $74.266,20 | 1684 / 35 | $6.677,73 | 288 / 2 | $5.686,40 | 285 / 2 |
| Diabetes W Cc | 28 | 64 / 16 | $58.385,10 | 1583 / 43 | $5.003,18 | 452 / 1 | $4.223,75 | 452 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 28 | 68 / 19 | $69.179,60 | 1355 / 31 | $7.700,04 | 200 / 8 | $5.997,21 | 199 / 1 |
| Seizures W/O Mcc | 26 | 82 / 27 | $54.688,80 | 1264 / 39 | $4.639,65 | 197 / 4 | $3.558,12 | 196 / 3 |
| Hypertension W/O Mcc | 25 | 40 / 6 | $46.238,50 | 766 / 26 | $3.956,12 | 64 / 5 | $2.480,68 | 64 / 1 |
| Other Digestive System Diagnoses W Cc | 25 | 72 / 19 | $63.979,70 | 1380 / 41 | $6.021,20 | 250 / 5 | $4.765,64 | 247 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 24 | 49 / 12 | $70.895,20 | 1065 / 34 | $7.579,12 | 240 / 9 | $5.987,71 | 239 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 33 | $227.797,00 | 1356 / 36 | $29.276,60 | 351 / 3 | $28.318,00 | 351 / 4 |
| G.I. Obstruction W Cc | 22 | 70 / 21 | $63.596,40 | 1688 / 39 | $5.433,14 | 577 / 6 | $4.551,68 | 576 / 9 |
| Pulmonary Embolism W/O Mcc | 22 | 52 / 15 | $58.556,90 | 1213 / 19 | $6.070,00 | 441 / 4 | $5.078,00 | 439 / 4 |
| Chest Pain | 21 | 130 / 31 | $46.463,30 | 1661 / 44 | $3.845,33 | 190 / 6 | $2.538,19 | 189 / 4 |
| Transient Ischemia | 21 | 104 / 35 | $52.780,60 | 1593 / 43 | $4.420,10 | 294 / 6 | $3.149,05 | 294 / 7 |
| Hip & Femur Procedures Except Major Joint W Mcc | 20 | 42 / 10 | $125.399,00 | 806 / 14 | $17.872,70 | 324 / 1 | $16.728,70 | 321 / 3 |
| Bronchitis & Asthma W Cc/Mcc | 20 | 56 / 19 | $58.813,90 | 1045 / 33 | $5.718,95 | 173 / 6 | $4.009,40 | 170 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 26 | $49.456,40 | 1487 / 28 | $4.981,60 | 136 / 11 | $3.094,90 | 134 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 35 | $49.537,80 | 2049 / 45 | $5.087,16 | 419 / 19 | $3.251,58 | 418 / 3 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 19 | 53 / 5 | $79.628,20 | 896 / 10 | $8.572,53 | 320 / 1 | $7.747,26 | 319 / 3 |
| Red Blood Cell Disorders W/O Mcc | 18 | 125 / 43 | $40.143,30 | 1762 / 15 | $4.841,67 | 369 / 1 | $3.840,78 | 368 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 18 | 75 / 18 | $122.116,00 | 841 / 29 | $12.526,90 | 269 / 1 | $11.385,60 | 264 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 37 | $88.607,90 | 1427 / 29 | $10.500,70 | 509 / 6 | $9.359,39 | 508 / 6 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 24 | $277.681,00 | 1214 / 38 | $33.514,80 | 730 / 14 | $32.643,70 | 728 / 20 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 25 | $121.682,00 | 1348 / 29 | $15.638,50 | 412 / 7 | $13.265,80 | 409 / 1 |
| Peripheral Vascular Disorders W Cc | 17 | 67 / 28 | $53.303,70 | 1169 / 32 | $6.012,24 | 147 / 8 | $4.516,65 | 147 / 1 |
| Atherosclerosis W/O Mcc | 17 | 41 / 14 | $51.045,50 | 536 / 30 | $4.099,88 | / 11 | $2.780,29 | / |
| Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 40 | $47.121,30 | 1968 / 45 | $4.076,59 | 288 / 4 | $3.080,82 | 286 / 2 |
| Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 18 | $148.779,00 | 928 / 32 | $16.360,70 | 434 / 6 | $15.440,20 | 433 / 8 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 17 | $56.046,70 | 792 / 32 | $4.535,88 | 125 / 1 | $3.403,88 | 125 / 3 |
| Cellulitis W Mcc | 16 | 42 / 17 | $75.397,00 | 893 / 26 | $8.396,81 | 191 / 1 | $7.399,81 | 190 / 1 |
| Other Circulatory System Diagnoses W Mcc | 16 | 100 / 29 | $90.714,20 | 1218 / 25 | $11.107,40 | 107 / 5 | $9.179,69 | 107 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 16 | 40 / 9 | $104.823,00 | 636 / 19 | $11.619,20 | 235 / 4 | $10.865,20 | 234 / 3 |
| Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 18 | $49.032,90 | 902 / 36 | $4.162,53 | 217 / 1 | $3.279,33 | 218 / 7 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 21 | $336.810,00 | 1032 / 42 | $40.235,70 | 366 / 12 | $34.331,20 | 365 / 3 |
| Endocrine Disorders W Mcc | 15 | 11 / 1 | $83.291,10 | 110 / 5 | $9.921,53 | 28 / 1 | $8.957,27 | 28 / 1 |
| Medical Back Problems W Mcc | 14 | 25 / 5 | $140.481,00 | 327 / 12 | $13.780,90 | 276 / 7 | $12.841,40 | 276 / 11 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 30 | $59.261,00 | 1941 / 48 | $4.764,64 | 109 / 15 | $2.739,29 | 108 / 1 |
| Other Disorders Of Nervous System W Cc | 14 | 42 / 14 | $54.819,90 | 580 / 18 | $5.094,14 | 93 / 1 | $4.327,21 | 93 / 1 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 15 | $399.719,00 | 437 / 15 | $61.099,40 | 216 / 6 | $60.173,10 | 216 / 8 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 28 | $75.152,10 | 1386 / 42 | $6.765,00 | 142 / 12 | $4.815,86 | 142 / 2 |
| Seizures W Mcc | 14 | 52 / 15 | $83.719,90 | 695 / 14 | $9.365,07 | 196 / 3 | $8.375,36 | 196 / 3 |
| Transurethral Procedures W Cc | 13 | 28 / 14 | $91.930,30 | 372 / 29 | $8.273,69 | 59 / 6 | $6.211,54 | 59 / 1 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 14 | $62.640,90 | 712 / 26 | $5.389,38 | 194 / 2 | $4.643,54 | 194 / 6 |
| Other Digestive System Diagnoses W Mcc | 13 | 49 / 15 | $102.258,00 | 729 / 28 | $11.784,70 | 451 / 9 | $11.321,90 | 450 / 14 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 21 | $70.898,80 | 1035 / 26 | $7.649,62 | 396 / 5 | $7.100,69 | 394 / 7 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 25 | $45.101,40 | 958 / 39 | $5.421,75 | 47 / 25 | $2.749,58 | 47 / 1 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 21 | $60.613,80 | 840 / 26 | $4.198,50 | 54 / 3 | $2.993,17 | 54 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 24 | $39.528,70 | 1229 / 27 | $3.943,75 | 144 / 4 | $2.419,25 | 144 / 3 |
| Diabetes W Mcc | 12 | 45 / 16 | $74.714,00 | 694 / 18 | $8.668,33 | 63 / 2 | $6.694,83 | 63 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 17 | $99.916,80 | 805 / 32 | $9.812,58 | 183 / 1 | $8.234,08 | 183 / 1 |
| Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 18 | $124.733,00 | 445 / 10 | $22.282,00 | 232 / 3 | $21.292,90 | 232 / 5 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 23 | $59.731,40 | 826 / 39 | $4.616,73 | 284 / 6 | $3.738,18 | 282 / 11 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 15 | $107.319,00 | 581 / 27 | $8.302,27 | 121 / 3 | $7.122,64 | 121 / 2 | Total 81 procedures | 2.975 | 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.