Hospital Costs > In New York > Northern Westchester 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 | 191 | 373 / 30 | $49.707,80 | 1274 / 78 | $16.417,10 | 1793 / 64 | $12.875,90 | 1753 / 43 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 112 | 404 / 76 | $41.130,80 | 1368 / 70 | $15.228,30 | 1976 / 81 | $12.287,90 | 1939 / 58 |
Heart Failure & Shock W Cc | 67 | 211 / 48 | $21.197,20 | 1312 / 60 | $6.672,18 | 1650 / 34 | $5.936,18 | 1645 / 41 |
Spinal Fusion Except Cervical W/O Mcc | 59 | 135 / 11 | $67.833,50 | 331 / 25 | $30.513,50 | 809 / 28 | $24.190,80 | 805 / 20 |
Simple Pneumonia & Pleurisy W Cc | 54 | 149 / 41 | $25.288,90 | 1643 / 74 | $8.085,43 | 2189 / 82 | $6.593,87 | 2181 / 75 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 52 | 114 / 43 | $15.538,70 | 1022 / 53 | $5.293,81 | 835 / 52 | $3.537,04 | 832 / 14 |
Kidney & Urinary Tract Infections W/O Mcc | 50 | 183 / 54 | $19.069,80 | 1466 / 62 | $5.286,44 | 1505 / 28 | $4.357,16 | 1494 / 36 |
Cellulitis W/O Mcc | 50 | 139 / 50 | $17.486,50 | 1183 / 62 | $5.741,06 | 1405 / 35 | $4.631,30 | 1398 / 33 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 48 | 227 / 66 | $17.267,00 | 1032 / 60 | $5.628,10 | 1256 / 54 | $3.932,81 | 1245 / 24 |
G.I. Hemorrhage W Cc | 47 | 171 / 47 | $20.572,10 | 799 / 50 | $6.924,83 | 1567 / 36 | $6.077,85 | 1563 / 51 |
Renal Failure W Cc | 46 | 175 / 42 | $21.258,30 | 1096 / 47 | $6.879,61 | 1558 / 40 | $5.855,98 | 1549 / 43 |
Heart Failure & Shock W Mcc | 46 | 238 / 60 | $33.549,90 | 1316 / 62 | $11.464,90 | 2034 / 61 | $10.507,60 | 2025 / 67 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 57 | $22.987,40 | 1062 / 55 | $7.246,84 | 1655 / 36 | $6.504,30 | 1648 / 52 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 42 | 108 / 33 | $11.258,80 | 491 / 33 | $3.985,93 | 828 / 25 | $2.693,36 | 824 / 13 |
Red Blood Cell Disorders W/O Mcc | 41 | 102 / 37 | $17.366,00 | 660 / 39 | $6.444,20 | 922 / 44 | $4.435,22 | 916 / 19 |
Hip & Femur Procedures Except Major Joint W Cc | 41 | 102 / 29 | $42.902,50 | 760 / 43 | $13.501,10 | 1408 / 34 | $12.411,60 | 1390 / 36 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 40 | 121 / 33 | $19.070,90 | 971 / 46 | $5.295,38 | 1236 / 21 | $4.548,58 | 1231 / 35 |
Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 43 | $29.483,50 | 1692 / 95 | $7.367,09 | 1966 / 61 | $6.573,49 | 1959 / 72 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 40 | $24.502,50 | 760 / 34 | $7.697,73 | 1132 / 35 | $6.044,36 | 1129 / 22 |
Renal Failure W Mcc | 32 | 163 / 39 | $36.908,70 | 1145 / 45 | $11.967,00 | 1598 / 41 | $10.655,20 | 1596 / 38 |
Syncope & Collapse | 31 | 138 / 60 | $22.410,60 | 1065 / 73 | $5.754,87 | 1151 / 43 | $4.308,52 | 1144 / 35 |
G.I. Obstruction W Cc | 30 | 62 / 16 | $16.290,30 | 385 / 22 | $6.301,83 | 916 / 30 | $4.972,63 | 914 / 25 |
Signs & Symptoms W/O Mcc | 28 | 63 / 23 | $17.566,20 | 516 / 31 | $5.136,29 | 578 / 16 | $3.814,07 | 577 / 12 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 27 | 62 / 10 | $20.578,40 | 100 / 7 | $8.018,93 | 383 / 7 | $5.901,22 | 382 / 5 |
Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 61 | $34.271,40 | 1702 / 79 | $9.431,67 | 2057 / 70 | $8.121,44 | 2049 / 71 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 30 | $21.787,80 | 1391 / 78 | $5.580,40 | 968 / 54 | $3.709,84 | 959 / 20 |
Major Small & Large Bowel Procedures W Cc | 25 | 83 / 24 | $51.503,40 | 455 / 28 | $17.199,10 | 1075 / 21 | $16.382,40 | 1062 / 31 |
G.I. Obstruction W/O Cc/Mcc | 24 | 47 / 15 | $14.752,00 | 513 / 34 | $5.067,67 | 309 / 40 | $2.711,42 | 309 / 5 |
Cervical Spinal Fusion W/O Cc/Mcc | 24 | 80 / 14 | $45.842,20 | 281 / 15 | $15.497,80 | 665 / 6 | $14.393,80 | 662 / 13 |
Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 39 | $13.450,20 | 656 / 42 | $4.602,21 | 1146 / 18 | $3.900,88 | 1137 / 34 |
Transurethral Prostatectomy W/O Cc/Mcc | 22 | 8 / 3 | $12.296,70 | 6 / 1 | $5.894,27 | 25 / 2 | $3.617,68 | 25 / 1 |
Respiratory Infections & Inflammations W Mcc | 22 | 114 / 32 | $48.978,40 | 1049 / 39 | $15.974,00 | 1582 / 48 | $15.095,50 | 1566 / 50 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 39 | $32.663,30 | 1077 / 55 | $8.969,14 | 1341 / 35 | $8.102,10 | 1338 / 39 |
Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 43 | $23.648,40 | 827 / 26 | $7.656,30 | 1271 / 20 | $6.934,70 | 1267 / 28 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 33 | $21.170,90 | 665 / 26 | $5.180,75 | 945 / 11 | $4.217,55 | 941 / 23 |
Fever | 19 | 27 / 10 | $19.575,20 | 105 / 7 | $6.241,79 | 117 / 6 | $4.639,05 | 117 / 4 |
Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 23 | $103.193,00 | 411 / 18 | $47.385,60 | 1194 / 40 | $45.368,50 | 1191 / 48 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 28 | $27.177,60 | 579 / 29 | $10.272,10 | 879 / 37 | $8.255,33 | 874 / 25 |
Medical Back Problems W/O Mcc | 18 | 103 / 45 | $19.896,00 | 510 / 33 | $5.670,89 | 794 / 11 | $4.732,22 | 791 / 18 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 18 | 46 / 13 | $33.720,30 | 196 / 14 | $13.533,50 | 381 / 19 | $9.047,00 | 381 / 7 |
Pulmonary Embolism W/O Mcc | 17 | 57 / 17 | $19.013,90 | 344 / 18 | $6.845,53 | 650 / 14 | $5.457,12 | 647 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 44 | $29.155,20 | 929 / 42 | $8.459,47 | 1233 / 23 | $7.817,65 | 1230 / 32 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 34 | $14.665,10 | 695 / 32 | $5.748,82 | 945 / 46 | $3.632,18 | 940 / 19 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 17 | 36 / 8 | $20.879,90 | 76 / 7 | $8.854,53 | 155 / 8 | $6.659,71 | 155 / 4 |
Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 31 | $24.849,60 | 383 / 20 | $7.127,38 | 497 / 9 | $6.071,38 | 497 / 16 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 16 | 50 / 10 | $31.341,30 | 60 / 2 | $14.486,90 | 300 / 5 | $11.286,50 | 298 / 4 |
Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 19 | $16.727,20 | 367 / 18 | $4.904,56 | 525 / 12 | $3.998,56 | 525 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 16 | 152 / 44 | $42.812,20 | 772 / 32 | $15.355,20 | 1441 / 44 | $14.675,30 | 1434 / 49 |
Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 59 | $43.956,80 | 1713 / 83 | $12.064,00 | 2180 / 73 | $11.156,10 | 2175 / 77 |
Atherosclerosis W/O Mcc | 15 | 43 / 20 | $12.346,60 | 97 / 10 | $4.175,67 | / 1 | $3.290,33 | / |
Chest Pain | 15 | 136 / 58 | $14.865,70 | 484 / 39 | $4.145,07 | 860 / 6 | $3.342,93 | 855 / 18 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 26 | $29.998,50 | 458 / 28 | $9.377,71 | 739 / 19 | $8.520,57 | 735 / 22 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 14 | 84 / 17 | $63.042,50 | 35 / 2 | $28.689,40 | 235 / 1 | $27.820,80 | 235 / 2 |
Disorders Of The Biliary Tract W Cc | 14 | 40 / 18 | $30.979,40 | 225 / 12 | $7.320,21 | 241 / 5 | $6.456,21 | 241 / 7 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 49 | $35.425,90 | 636 / 43 | $10.391,60 | 793 / 16 | $9.701,36 | 792 / 20 |
Seizures W/O Mcc | 13 | 95 / 46 | $18.628,30 | 471 / 36 | $5.136,15 | 694 / 8 | $4.486,31 | 691 / 22 |
Cervical Spinal Fusion W Cc | 12 | 41 / 9 | $60.148,80 | 131 / 7 | $21.430,60 | 291 / 5 | $20.323,90 | 290 / 8 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 23 | $30.135,60 | 162 / 9 | $12.109,90 | 448 / 7 | $11.304,60 | 447 / 10 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 36 | $23.550,10 | 568 / 26 | $7.731,33 | 409 / 28 | $5.117,75 | 407 / 5 |
Major Male Pelvic Procedures W/O Cc/Mcc | 12 | 61 / 11 | $28.238,30 | 68 / 4 | $11.627,40 | 143 / 6 | $6.436,00 | 143 / 4 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 52 | $111.782,00 | 637 / 42 | $45.304,00 | 1376 / 48 | $44.428,40 | 1366 / 54 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 16 | $47.776,70 | 300 / 16 | $16.457,50 | 508 / 12 | $12.891,10 | 505 / 9 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 20 | $64.407,10 | 350 / 15 | $23.213,30 | 789 / 19 | $22.230,10 | 786 / 21 |
Pulmonary Edema & Respiratory Failure | 11 | 192 / 54 | $46.719,80 | 1683 / 87 | $11.533,50 | 2088 / 74 | $11.091,50 | 2082 / 82 | Total 64 procedures | 1.931 | 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.