Hospital Costs > In New York > Niagara Falls Memorial Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 20 | 169 / 74 | $10.523,60 | 304 / 25 | $7.802,70 | 2348 / 87 | $6.754,25 | 2340 / 94 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 20 | $15.990,30 | 2 / 1 | $16.643,80 | 719 / 10 | $15.411,80 | 716 / 15 |
| Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 53 | $14.112,60 | 429 / 33 | $8.365,26 | 2167 / 78 | $7.452,39 | 2160 / 84 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 38 | $10.925,60 | 348 / 30 | $6.893,65 | 1877 / 75 | $5.730,88 | 1866 / 78 |
| Depressive Neuroses | 15 | 35 / 3 | $9.201,20 | 45 / 2 | $6.646,93 | 117 / 5 | $5.511,20 | 117 / 5 |
| Diabetes W/O Cc/Mcc | 11 | 27 / 16 | $8.419,18 | 25 / 1 | $6.042,45 | 251 / 14 | $5.228,09 | 251 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 92 | $9.349,17 | 165 / 16 | $7.152,33 | 2413 / 83 | $5.994,67 | 2398 / 90 |
| Heart Failure & Shock W Cc | 19 | 259 / 86 | $11.766,80 | 250 / 20 | $8.611,05 | 2431 / 83 | $7.912,47 | 2425 / 89 |
| Heart Failure & Shock W Mcc | 15 | 269 / 78 | $21.005,00 | 479 / 31 | $11.586,50 | 2094 / 66 | $10.750,40 | 2085 / 74 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 48 | $9.972,27 | 258 / 21 | $6.729,40 | 1822 / 72 | $5.705,20 | 1809 / 75 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 78 | $13.968,80 | 795 / 43 | $8.071,18 | 2502 / 91 | $6.741,82 | 2491 / 97 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 14 | 550 / 94 | $23.665,90 | 54 / 10 | $16.022,60 | 2231 / 62 | $14.839,30 | 2187 / 76 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 72 | $9.933,00 | 305 / 23 | $6.818,87 | 2276 / 85 | $5.948,00 | 2268 / 91 |
| Neuroses Except Depressive | 30 | 3 / 1 | $8.158,07 | 8 / 2 | $6.889,53 | 32 / 2 | $5.968,87 | 32 / 2 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 19 | $19.896,10 | 510 / 25 | $6.857,31 | 802 / 26 | $5.729,94 | 801 / 30 |
| Psychoses | 339 | 52 / 1 | $17.569,60 | 260 / 2 | $9.533,70 | 499 / 7 | $8.101,78 | 499 / 8 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 63 | $12.402,40 | 238 / 12 | $7.534,15 | 1751 / 65 | $6.626,77 | 1742 / 72 |
| Renal Failure W Cc | 14 | 207 / 71 | $14.285,70 | 402 / 23 | $8.323,07 | 2098 / 70 | $7.465,64 | 2088 / 73 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 35 | $23.975,00 | 46 / 6 | $16.977,60 | 1370 / 34 | $16.210,90 | 1357 / 41 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 21 | 495 / 113 | $18.776,40 | 216 / 22 | $14.871,20 | 1929 / 78 | $12.130,10 | 1894 / 55 |
| Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 70 | $15.285,80 | 594 / 43 | $8.581,95 | 2490 / 90 | $7.663,58 | 2481 / 96 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 39 | $9.102,33 | 154 / 11 | $7.015,50 | 1703 / 66 | $5.171,58 | 1695 / 62 |
| Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 38 | $41.005,90 | 49 / 7 | $27.690,00 | 1002 / 17 | $26.443,90 | 997 / 31 |
| Syncope & Collapse | 12 | 157 / 73 | $9.296,25 | 77 / 4 | $7.037,67 | 1678 / 61 | $5.985,58 | 1670 / 70 | Total 24 procedures | 710 | 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.