Hospital Costs > In New York > Northern Dutchess 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 | 211 | 353 / 26 | $40.580,60 | 785 / 54 | $14.964,70 | 1849 / 42 | $13.017,10 | 1808 / 47 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 75 | 441 / 94 | $37.207,30 | 1165 / 62 | $12.788,10 | 1689 / 45 | $11.428,40 | 1656 / 41 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 55 | $25.652,10 | 1302 / 62 | $7.231,17 | 1530 / 33 | $6.305,89 | 1524 / 41 |
| Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 66 | $20.501,20 | 1626 / 67 | $5.378,82 | 1613 / 35 | $4.454,45 | 1602 / 41 |
| Cellulitis W/O Mcc | 32 | 157 / 65 | $16.037,90 | 1002 / 55 | $5.698,03 | 1373 / 32 | $4.602,03 | 1367 / 29 |
| Heart Failure & Shock W Cc | 30 | 248 / 77 | $22.423,30 | 1437 / 62 | $6.721,20 | 1700 / 36 | $5.999,07 | 1695 / 45 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 82 | $18.408,00 | 1200 / 66 | $5.522,14 | 753 / 48 | $3.601,10 | 748 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 50 | $38.843,20 | 1519 / 72 | $9.927,24 | 1534 / 35 | $8.764,56 | 1534 / 34 |
| Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 65 | $31.657,30 | 2042 / 100 | $7.118,58 | 2113 / 54 | $6.413,21 | 2105 / 69 |
| Spinal Fusion Except Cervical W/O Mcc | 24 | 170 / 28 | $57.000,80 | 175 / 17 | $27.190,00 | 974 / 14 | $26.131,30 | 969 / 27 |
| Heart Failure & Shock W Mcc | 21 | 263 / 74 | $33.531,40 | 1315 / 61 | $10.095,30 | 1663 / 38 | $9.403,52 | 1658 / 43 |
| Pulmonary Edema & Respiratory Failure | 19 | 184 / 47 | $27.663,40 | 895 / 45 | $8.283,74 | 1501 / 30 | $7.839,11 | 1496 / 44 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 54 | $26.285,20 | 879 / 41 | $7.164,33 | 1208 / 21 | $6.158,11 | 1205 / 26 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 59 | $21.641,50 | 1178 / 59 | $6.203,94 | 1312 / 28 | $5.281,59 | 1307 / 31 |
| Renal Failure W Cc | 17 | 204 / 68 | $30.021,60 | 1696 / 78 | $6.578,18 | 1309 / 29 | $5.514,65 | 1301 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 47 | $24.348,50 | 615 / 38 | $8.233,69 | 932 / 21 | $7.027,54 | 929 / 19 |
| Transient Ischemia | 13 | 112 / 43 | $15.651,50 | 333 / 29 | $4.739,31 | 805 / 12 | $3.710,38 | 801 / 20 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 73 | $23.618,50 | 1031 / 44 | $7.759,08 | 1688 / 27 | $7.179,38 | 1680 / 46 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 42 | $55.481,20 | 1186 / 50 | $14.434,50 | 1431 / 34 | $13.829,20 | 1416 / 37 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 75 | $19.241,50 | 1478 / 69 | $4.768,92 | 1141 / 22 | $3.758,25 | 1138 / 24 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 34 | $34.012,70 | 818 / 41 | $9.497,50 | 955 / 27 | $8.494,83 | 950 / 27 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 39 | $21.776,30 | 1293 / 56 | $4.772,00 | 1087 / 17 | $3.769,33 | 1081 / 29 |
| G.I. Hemorrhage W Cc | 12 | 206 / 76 | $20.112,30 | 755 / 46 | $6.775,42 | 1503 / 28 | $5.967,42 | 1499 / 47 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 57 | $43.873,50 | 799 / 44 | $13.108,80 | 1336 / 28 | $12.122,60 | 1318 / 32 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 52 | $19.520,80 | 1263 / 71 | $4.585,64 | 845 / 17 | $3.593,64 | 841 / 12 | Total 25 procedures | 743 | 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.