Hospital Costs > In New York > Oneida Healthcare Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 56 | $13.546,50 | 375 / 27 | $5.213,43 | 1262 / 16 | $4.585,29 | 1257 / 36 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 61 | $12.976,00 | 707 / 43 | $4.234,09 | 1273 / 37 | $3.128,64 | 1268 / 40 |
| Cellulitis W/O Mcc | 20 | 169 / 74 | $13.842,80 | 706 / 45 | $5.936,30 | 1446 / 46 | $4.669,25 | 1439 / 36 |
| Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 41 | $23.462,20 | 1344 / 65 | $6.642,57 | 1455 / 47 | $5.450,22 | 1450 / 39 |
| Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 69 | $27.480,10 | 1304 / 58 | $8.343,17 | 1831 / 50 | $7.513,17 | 1823 / 55 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 32 | $16.502,10 | 967 / 51 | $5.312,74 | 1131 / 41 | $3.851,22 | 1122 / 24 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 18 | $28.356,10 | 580 / 22 | $7.280,42 | 731 / 16 | $6.353,00 | 728 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 84 | $18.107,50 | 1147 / 63 | $5.542,07 | 1947 / 50 | $4.681,56 | 1933 / 62 |
| G.I. Hemorrhage W Cc | 16 | 202 / 72 | $20.324,70 | 775 / 48 | $6.942,25 | 1191 / 37 | $5.566,75 | 1189 / 25 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 28 | $9.240,73 | 99 / 9 | $4.553,00 | 865 / 22 | $3.558,82 | 862 / 30 |
| Heart Failure & Shock W Cc | 17 | 261 / 88 | $17.062,20 | 812 / 46 | $7.068,88 | 1401 / 51 | $5.643,65 | 1396 / 30 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 78 | $16.806,60 | 1200 / 53 | $5.436,76 | 1657 / 38 | $4.501,82 | 1646 / 43 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 25 | $22.330,60 | 368 / 17 | $8.361,00 | 250 / 12 | $6.009,09 | 249 / 1 |
| Major Small & Large Bowel Procedures W Cc | 19 | 89 / 29 | $48.614,20 | 382 / 24 | $16.788,90 | 988 / 18 | $15.766,90 | 977 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 68 | $14.810,70 | 937 / 50 | $4.933,10 | 1460 / 38 | $4.025,33 | 1455 / 36 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 50 | $30.976,70 | 1095 / 47 | $8.400,93 | 1364 / 34 | $7.513,60 | 1360 / 38 |
| Renal Failure W Cc | 16 | 205 / 69 | $17.030,60 | 669 / 36 | $6.507,50 | 1245 / 26 | $5.440,75 | 1237 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 24 | 492 / 111 | $34.972,20 | 1049 / 56 | $12.661,00 | 1364 / 43 | $10.749,70 | 1337 / 30 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 72 | $19.037,50 | 693 / 44 | $7.020,62 | 1390 / 26 | $6.105,21 | 1385 / 30 |
| Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 70 | $24.615,80 | 1594 / 72 | $6.962,84 | 1908 / 49 | $5.997,89 | 1900 / 53 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 63 | $27.900,60 | 902 / 45 | $9.698,67 | 1710 / 31 | $9.179,33 | 1710 / 44 | Total 21 procedures | 384 | 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.