Hospital Costs > In New York > Nicholas H Noyes Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 27 | 537 / 82 | $33.471,70 | 374 / 35 | $13.317,60 | 1583 / 20 | $12.283,90 | 1547 / 33 |
| Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 64 | $13.258,30 | 375 / 31 | $6.316,12 | 1294 / 22 | $5.299,50 | 1290 / 25 |
| Cellulitis W/O Mcc | 23 | 166 / 71 | $14.751,70 | 828 / 51 | $5.662,87 | 1495 / 29 | $4.722,35 | 1488 / 38 |
| Pulmonary Edema & Respiratory Failure | 18 | 185 / 48 | $18.610,00 | 324 / 22 | $7.873,50 | 1183 / 18 | $7.206,83 | 1181 / 27 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 37 | $8.472,28 | 119 / 8 | $4.909,83 | 1280 / 20 | $4.042,28 | 1270 / 37 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 17 | 499 / 117 | $16.252,60 | 107 / 18 | $11.376,60 | 1277 / 18 | $10.591,70 | 1256 / 26 |
| Respiratory Infections & Inflammations W Cc | 15 | 73 / 31 | $12.376,90 | 37 / 3 | $7.893,80 | 399 / 3 | $7.166,33 | 396 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 37 | $33.750,30 | 180 / 13 | $13.954,60 | 775 / 7 | $13.235,60 | 767 / 12 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 36 | $8.770,20 | 131 / 10 | $4.750,33 | 1291 / 15 | $4.027,13 | 1284 / 36 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 72 | $7.918,13 | 138 / 6 | $4.834,87 | 1462 / 26 | $4.026,33 | 1457 / 37 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 79 | $11.527,20 | 116 / 10 | $6.862,00 | 1177 / 17 | $5.842,92 | 1172 / 20 |
| Heart Failure & Shock W Mcc | 12 | 272 / 81 | $11.161,00 | 29 / 3 | $9.544,83 | 1384 / 19 | $8.840,83 | 1380 / 26 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 65 | $11.098,30 | 163 / 7 | $5.418,18 | 918 / 17 | $4.429,09 | 912 / 18 | Total 13 procedures | 225 | 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.