Hospital Costs > In New York > Olean General Hospital, 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 | 176 | 340 / 54 | $16.896,10 | 131 / 20 | $10.371,60 | 436 / 4 | $9.396,89 | 436 / 6 |
Chronic Obstructive Pulmonary Disease W Mcc | 91 | 111 / 20 | $13.708,80 | 235 / 16 | $6.658,26 | 406 / 2 | $5.693,85 | 405 / 5 |
Heart Failure & Shock W Mcc | 53 | 231 / 54 | $14.044,10 | 111 / 9 | $8.405,53 | 437 / 4 | $7.597,98 | 437 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 48 | 159 / 54 | $11.146,30 | 96 / 8 | $6.305,71 | 307 / 5 | $5.003,46 | 306 / 4 |
Simple Pneumonia & Pleurisy W Mcc | 47 | 158 / 33 | $13.641,20 | 72 / 6 | $8.066,00 | 368 / 1 | $7.142,53 | 368 / 2 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 39 | 86 / 25 | $17.122,00 | 91 / 12 | $9.075,54 | 140 / 3 | $8.078,03 | 140 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 77 | $9.255,21 | 161 / 15 | $4.479,32 | 594 / 5 | $3.480,35 | 591 / 7 |
Renal Failure W Cc | 33 | 188 / 54 | $8.672,64 | 35 / 2 | $5.859,73 | 437 / 7 | $4.684,18 | 434 / 6 |
Heart Failure & Shock W Cc | 32 | 246 / 75 | $8.915,06 | 74 / 7 | $5.631,75 | 682 / 6 | $5.049,31 | 681 / 10 |
G.I. Hemorrhage W Cc | 29 | 189 / 60 | $11.126,70 | 89 / 7 | $5.851,48 | 661 / 4 | $5.055,62 | 660 / 10 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 49 | $12.345,70 | 267 / 22 | $5.391,14 | 426 / 3 | $4.461,21 | 425 / 5 |
Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 62 | $9.672,43 | 92 / 7 | $6.106,71 | 395 / 15 | $4.558,71 | 392 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 33 | $11.766,80 | 41 / 2 | $6.961,04 | 444 / 1 | $6.276,74 | 441 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 64 | $6.866,60 | 66 / 3 | $4.227,68 | 380 / 3 | $3.219,68 | 380 / 3 |
Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 23 | $12.585,40 | 72 / 5 | $5.738,16 | 177 / 1 | $4.879,48 | 177 / 3 |
Pulmonary Edema & Respiratory Failure | 25 | 178 / 42 | $12.913,10 | 70 / 5 | $7.018,60 | 403 / 3 | $6.227,32 | 403 / 6 |
G.I. Hemorrhage W Mcc | 25 | 96 / 30 | $21.327,90 | 90 / 3 | $10.008,20 | 284 / 3 | $9.108,84 | 284 / 3 |
Renal Failure W Mcc | 24 | 171 / 47 | $12.232,20 | 17 / 2 | $8.477,25 | 178 / 1 | $7.500,12 | 178 / 2 |
Cellulitis W/O Mcc | 23 | 166 / 71 | $8.477,96 | 130 / 10 | $5.057,65 | 571 / 6 | $3.948,74 | 568 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 22 | 542 / 86 | $30.172,80 | 227 / 25 | $11.813,00 | 730 / 2 | $10.670,20 | 720 / 9 |
Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 21 | $36.084,90 | 8 / 1 | $26.038,40 | 99 / 1 | $24.975,40 | 99 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 46 | $39.995,60 | 23 / 4 | $26.524,10 | 87 / 2 | $25.384,50 | 87 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 45 | $12.820,50 | 83 / 4 | $6.472,94 | 265 / 1 | $5.640,19 | 263 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 54 | $9.664,19 | 96 / 8 | $4.774,62 | 647 / 5 | $3.959,75 | 644 / 9 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 33 | $24.156,10 | 17 / 2 | $13.979,30 | 286 / 4 | $12.833,90 | 284 / 4 |
Other Digestive System Diagnoses W Cc | 15 | 82 / 34 | $9.290,07 | 24 / 1 | $5.688,27 | 172 / 2 | $4.598,80 | 170 / 1 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 57 | $5.869,67 | 34 / 1 | $4.050,20 | 269 / 30 | $2.219,87 | 267 / 2 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 33 | $30.929,10 | 238 / 13 | $14.748,00 | 1047 / 24 | $13.910,90 | 1040 / 29 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 14 | 182 / 40 | $43.674,90 | 108 / 13 | $11.950,10 | 524 / 1 | $10.703,10 | 522 / 4 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 38 | $39.356,80 | 309 / 24 | $17.658,00 | 673 / 42 | $12.900,60 | 665 / 8 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $18.541,20 | 155 / 14 | $7.475,77 | 423 / 3 | $6.465,69 | 421 / 5 |
G.I. Obstruction W Cc | 13 | 79 / 33 | $9.661,69 | 47 / 1 | $5.477,15 | 186 / 8 | $4.032,69 | 185 / 2 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 35 | $13.873,20 | 29 / 2 | $8.760,62 | 231 / 2 | $8.128,85 | 231 / 3 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 42 | $7.863,00 | 89 / 4 | $4.377,62 | 287 / 5 | $3.126,08 | 287 / 3 |
Diabetes W Cc | 12 | 80 / 37 | $11.927,40 | 150 / 7 | $4.994,33 | 388 / 5 | $4.133,75 | 388 / 5 |
Pulmonary Embolism W Mcc | 12 | 31 / 7 | $14.352,10 | 11 / 1 | $8.448,08 | 99 / 1 | $7.684,00 | 99 / 1 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 44 | $19.626,00 | 101 / 8 | $7.579,42 | 27 / 12 | $4.421,75 | 27 / 1 |
Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 57 | $19.231,40 | 22 / 2 | $10.691,50 | 177 / 1 | $9.427,45 | 176 / 4 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 65 | $9.004,91 | 64 / 1 | $4.820,45 | 436 / 7 | $3.908,73 | 435 / 5 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 43 | $23.132,60 | 176 / 10 | $10.869,10 | 239 / 3 | $9.865,18 | 239 / 1 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 23 | $10.992,10 | 47 / 4 | $5.836,00 | 399 / 2 | $4.995,36 | 398 / 6 | Total 41 procedures | 1.125 | 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.