Hospital Costs > In New York > Orange Regional Medical Center, procedure costs

Orange Regional Medical Center, procedure costs

707 East Main Street, Middletown, NY 10940,

Procedure Costs @ Orange Regional Medical Center
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 Mcc59945 / 6$64.409,802189 / 122$14.188,102230 / 71$13.262,502190 / 81
Heart Failure & Shock W Mcc29331 / 4$56.888,702144 / 113$11.495,702079 / 64$10.676,902070 / 71
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc278289 / 18$48.798,401233 / 73$15.610,201993 / 55$13.570,501951 / 57
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc16643 / 6$42.608,502116 / 112$8.155,361897 / 62$7.027,741889 / 64
Heart Failure & Shock W Cc162116 / 16$41.396,102367 / 121$7.502,012072 / 63$6.667,272067 / 69
Renal Failure W Cc14776 / 4$39.318,402023 / 104$7.490,031857 / 54$6.562,651847 / 59
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc142133 / 19$30.350,202184 / 121$5.828,621907 / 62$4.614,291893 / 60
G.I. Hemorrhage W Cc14276 / 9$37.118,101857 / 96$7.376,491697 / 52$6.358,151693 / 56
Pulmonary Edema & Respiratory Failure12974 / 2$44.325,701634 / 85$9.543,831605 / 55$8.127,661600 / 50
Cellulitis W/O Mcc12762 / 11$34.311,202281 / 126$6.496,681832 / 63$5.208,801824 / 60
Chronic Obstructive Pulmonary Disease W Mcc11983 / 9$49.936,302181 / 118$9.553,681837 / 72$7.521,601829 / 56
Syncope & Collapse11753 / 16$36.335,301617 / 105$5.549,321303 / 36$4.600,671296 / 44
Simple Pneumonia & Pleurisy W Mcc11293 / 7$49.193,401892 / 93$10.738,901945 / 54$9.896,161945 / 59
Renal Failure W Mcc10986 / 8$53.917,901657 / 77$11.404,101610 / 30$10.711,801608 / 40
Chronic Obstructive Pulmonary Disease W Cc10079 / 7$40.048,602071 / 120$7.569,491767 / 68$6.019,951760 / 57
Respiratory Infections & Inflammations W Mcc9543 / 3$68.597,101390 / 58$15.078,701511 / 43$14.303,601495 / 47
Chest Pain9457 / 16$29.247,601368 / 88$4.613,081009 / 22$3.572,321003 / 25
Simple Pneumonia & Pleurisy W Cc92111 / 18$36.403,302231 / 116$7.335,642063 / 62$6.289,452055 / 65
Acute Myocardial Infarction, Discharged Alive W Mcc9037 / 5$61.821,801350 / 81$12.484,201256 / 44$11.262,501246 / 47
Circulatory Disorders Except Ami, W Card Cath W/O Mcc87101 / 13$41.321,50986 / 40$8.778,171187 / 26$6.964,971184 / 24
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs82100 / 10$48.267,001703 / 86$8.093,181552 / 43$7.048,111549 / 46
Kidney & Urinary Tract Infections W Mcc7866 / 8$42.482,201553 / 63$8.484,561485 / 37$7.568,881481 / 39
Cardiac Arrhythmia & Conduction Disorders W Mcc7845 / 7$56.840,101639 / 93$9.857,421447 / 50$8.486,041444 / 46
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc7872 / 12$30.230,501760 / 109$4.235,091298 / 38$3.166,371293 / 43
Cardiac Arrhythmia & Conduction Disorders W Cc7685 / 14$36.328,601832 / 105$6.297,891752 / 55$5.624,421747 / 64
Kidney & Urinary Tract Infections W/O Mcc75158 / 40$29.815,402210 / 108$5.551,591764 / 40$4.641,081753 / 48
Red Blood Cell Disorders W/O Mcc7073 / 17$37.082,001715 / 103$6.770,111533 / 54$5.579,231524 / 52
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc62104 / 35$29.873,102131 / 116$5.447,101886 / 58$4.626,471880 / 66
Transient Ischemia5966 / 13$30.810,001203 / 79$5.260,101050 / 35$4.138,731045 / 35
G.I. Hemorrhage W Mcc5665 / 12$51.986,501047 / 50$12.457,801124 / 23$11.811,501116 / 29
Seizures W/O Mcc5652 / 15$30.070,30953 / 80$5.632,79774 / 24$4.669,93771 / 25
Acute Myocardial Infarction, Discharged Alive W Cc5536 / 6$38.907,301012 / 61$7.479,18955 / 25$6.534,89953 / 32
Hip & Femur Procedures Except Major Joint W Cc5291 / 20$61.197,501383 / 77$15.140,801705 / 56$14.073,101686 / 61
G.I. Obstruction W Cc5240 / 5$37.496,901408 / 62$6.664,191268 / 39$5.758,981264 / 43
Other Circulatory System Diagnoses W Mcc5165 / 10$57.795,70898 / 47$13.720,90897 / 17$12.682,70891 / 19
Infectious & Parasitic Diseases W O.R. Procedure W Mcc5074 / 21$139.306,00917 / 60$39.339,001174 / 30$38.448,301166 / 38
Respiratory System Diagnosis W Ventilator Support <96 Hours5081 / 9$83.978,501354 / 84$18.180,401487 / 47$17.424,901473 / 52
Intracranial Hemorrhage Or Cerebral Infarction W Mcc47121 / 22$61.099,401148 / 57$12.964,601200 / 25$12.118,301194 / 35
Medical Back Problems W/O Mcc4675 / 22$33.596,001125 / 65$6.157,43898 / 24$4.981,30895 / 28
Heart Failure & Shock W/O Cc/Mcc4466 / 22$29.029,201686 / 103$5.006,841369 / 39$4.182,111358 / 47
Respiratory Infections & Inflammations W Cc4048 / 10$56.991,101228 / 70$9.883,651062 / 34$8.928,471057 / 36
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc4086 / 25$38.242,601264 / 64$7.985,021062 / 17$7.260,231059 / 20
Hypertension W/O Mcc3926 / 8$28.807,90620 / 48$4.688,49451 / 12$3.570,95449 / 13
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc38158 / 31$72.947,20738 / 35$15.684,001110 / 18$13.258,701103 / 20
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc3864 / 16$41.901,701390 / 76$6.584,111157 / 37$4.713,001153 / 33
Esophagitis, Gastroent & Misc Digest Disorders W Mcc3660 / 12$48.352,801126 / 62$9.061,751018 / 23$8.231,971013 / 29
Signs & Symptoms W/O Mcc3655 / 18$28.110,90984 / 65$5.288,03859 / 24$4.416,03856 / 27
Circulatory Disorders Except Ami, W Card Cath W Mcc3657 / 8$59.029,90452 / 15$15.495,70667 / 9$14.689,40660 / 14
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc3419 / 2$31.937,90620 / 45$5.584,38590 / 17$4.625,32586 / 22
Diabetes W Cc3458 / 17$39.848,001400 / 88$6.342,001126 / 29$5.469,501122 / 35
Other Vascular Procedures W Cc3369 / 21$73.507,70559 / 27$18.273,90730 / 11$16.609,80726 / 12
Cellulitis W Mcc3226 / 8$49.905,50729 / 36$11.606,20787 / 24$10.813,20785 / 30
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc3189 / 24$30.519,401724 / 105$5.282,061463 / 39$4.347,871452 / 53
Diabetes W Mcc3027 / 4$51.022,30565 / 32$9.743,70469 / 6$9.149,03469 / 8
G.I. Obstruction W/O Cc/Mcc2843 / 12$30.596,701120 / 72$4.559,68885 / 23$3.614,54882 / 34
Seizures W Mcc2838 / 6$48.672,80470 / 19$11.138,90484 / 2$10.361,80484 / 6
Major Small & Large Bowel Procedures W Cc2781 / 22$87.604,101081 / 58$19.436,801280 / 38$18.496,901266 / 48
Peripheral Vascular Disorders W Cc2757 / 22$43.123,601060 / 67$7.512,78887 / 22$6.587,15884 / 27
Other Vascular Procedures W Mcc2770 / 17$87.553,90468 / 27$25.983,90715 / 16$23.884,90712 / 16
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc2742 / 4$66.493,70325 / 21$13.488,30404 / 10$11.452,90402 / 9
Major Cardiovasc Procedures W/O Mcc2774 / 20$80.592,50383 / 23$22.772,30646 / 10$21.832,40645 / 15
Other Resp System O.R. Procedures W Mcc2637 / 3$107.774,00379 / 12$28.047,60468 / 8$27.492,50467 / 11
Other Digestive System Diagnoses W Cc2671 / 23$34.345,201005 / 49$7.048,38919 / 16$6.196,08915 / 23
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc2532 / 12$77.060,50561 / 33$17.941,80649 / 17$16.875,60648 / 23
G.I. Obstruction W Mcc2517 / 5$68.701,20448 / 22$13.766,00447 / 12$12.751,00447 / 13
Bronchitis & Asthma W Cc/Mcc2452 / 18$44.116,90952 / 61$8.705,50764 / 31$5.766,00760 / 24
Spinal Fusion Except Cervical W/O Mcc24170 / 28$109.719,00829 / 41$28.939,101078 / 24$27.784,401073 / 36
Major Gastrointestinal Disorders & Peritoneal Infections W Cc2350 / 13$38.577,60801 / 30$9.506,87603 / 26$6.983,57601 / 11
Disorders Of Pancreas Except Malignancy W Cc2338 / 9$31.335,00652 / 25$6.591,83638 / 10$5.802,96635 / 13
Other Kidney & Urinary Tract Diagnoses W Mcc2378 / 25$46.588,30750 / 36$11.405,10507 / 18$9.134,26505 / 9
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc23101 / 35$34.810,60744 / 57$5.123,00469 / 12$4.334,13468 / 17
Poisoning & Toxic Effects Of Drugs W Mcc2250 / 5$41.804,70596 / 18$9.701,05512 / 4$8.583,95510 / 5
Major Small & Large Bowel Procedures W Mcc2263 / 20$155.019,00832 / 36$37.279,10949 / 15$36.511,10947 / 24
Atherosclerosis W/O Mcc2236 / 13$25.791,60398 / 33$4.882,59 / 12$3.447,41 /
Dysequilibrium2144 / 18$27.470,60378 / 43$4.749,33306 / 10$3.595,05306 / 13
Degenerative Nervous System Disorders W/O Mcc2157 / 27$43.211,00707 / 57$7.224,76538 / 12$6.301,38538 / 20
Renal Failure W/O Cc/Mcc2135 / 6$28.695,30731 / 34$5.394,00429 / 17$3.396,76428 / 9
Extracranial Procedures W/O Cc/Mcc2177 / 17$28.867,80407 / 25$7.596,71691 / 10$6.501,10688 / 16
Poisoning & Toxic Effects Of Drugs W/O Mcc2041 / 15$28.234,80725 / 41$4.779,90631 / 11$4.355,90630 / 19
Hip & Femur Procedures Except Major Joint W Mcc2042 / 11$80.875,60539 / 21$20.572,30628 / 9$19.604,30625 / 10
G.I. Hemorrhage W/O Cc/Mcc2048 / 20$26.869,80744 / 49$5.204,10623 / 14$4.116,10619 / 20
Respiratory Neoplasms W Mcc2032 / 8$70.184,60496 / 20$12.152,50407 / 6$11.304,50405 / 8
Peripheral Vascular Disorders W Mcc2029 / 12$51.471,10441 / 25$11.496,60476 / 14$10.715,80476 / 18
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1937 / 11$42.038,50451 / 20$11.514,20659 / 9$10.311,60656 / 11
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1937 / 8$66.753,80633 / 29$14.812,20605 / 26$10.213,60603 / 12
Other Digestive System Diagnoses W Mcc1943 / 16$64.332,50591 / 34$12.832,50515 / 13$12.023,20514 / 14
Simple Pneumonia & Pleurisy W/O Cc/Mcc1974 / 32$24.333,501423 / 67$5.244,741411 / 31$4.225,791403 / 41
Major Small & Large Bowel Procedures W/O Cc/Mcc1945 / 12$47.673,40431 / 20$13.009,20493 / 14$9.871,84493 / 12
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents1926 / 4$93.218,20139 / 5$23.111,50152 / 4$19.062,60151 / 2
Nervous System Neoplasms W Mcc1929 / 9$53.949,10228 / 13$13.737,30282 / 9$12.593,70282 / 14
Permanent Cardiac Pacemaker Implant W Cc1859 / 23$77.989,50600 / 23$18.275,70651 / 11$17.267,70650 / 13
Other Kidney & Urinary Tract Procedures W Mcc1820 / 6$113.289,00166 / 12$26.087,90187 / 4$25.348,30186 / 9
Permanent Cardiac Pacemaker Implant W Mcc1834 / 9$89.158,70261 / 16$25.646,40412 / 10$24.773,40412 / 13
Digestive Malignancy W Cc1730 / 11$61.741,20350 / 23$10.075,80294 / 10$9.294,65292 / 12
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc1778 / 23$64.470,90220 / 16$15.499,30275 / 9$11.629,80272 / 4
Red Blood Cell Disorders W Mcc1754 / 23$48.578,40809 / 53$8.976,18670 / 14$8.195,00666 / 18
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc1647 / 7$52.728,6049 / 4$26.156,50174 / 5$21.765,10173 / 7
Septicemia Or Severe Sepsis W Mv 96+ Hours1676 / 37$153.490,00546 / 56$42.806,60751 / 19$42.181,50750 / 24
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1647 / 16$177.575,00572 / 31$41.104,80653 / 20$40.010,80653 / 23
Other Vascular Procedures W/O Cc/Mcc1541 / 15$47.063,80258 / 19$13.406,50367 / 10$10.793,90366 / 10
Other Circulatory System Diagnoses W Cc1551 / 17$34.159,70478 / 17$6.477,67330 / 5$5.647,27329 / 5
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc1539 / 11$28.621,20271 / 17$5.417,60223 / 3$4.532,27223 / 5
Disorders Of Pancreas Except Malignancy W Mcc1531 / 5$59.935,00260 / 5$13.647,30239 / 2$12.762,00239 / 3
Disorders Of The Biliary Tract W Cc1539 / 17$52.902,10411 / 30$9.769,60409 / 17$8.638,87409 / 22
Revision Of Hip Or Knee Replacement W Cc1571 / 14$65.885,70184 / 9$23.351,20483 / 7$22.305,90481 / 7
Respiratory System Diagnosis W Ventilator Support 96+ Hours1457 / 25$184.581,00690 / 55$45.656,60861 / 31$43.444,00860 / 36
Infectious & Parasitic Diseases W O.R. Procedure W Cc1422 / 7$87.888,40264 / 13$20.702,10323 / 8$20.096,40322 / 13
Major Chest Procedures W/O Cc/Mcc1445 / 10$47.474,30106 / 9$13.005,20169 / 4$11.878,30169 / 7
Transurethral Procedures W Cc1427 / 10$38.579,90208 / 11$9.216,21226 / 6$7.540,36226 / 7
Pulmonary Embolism W Mcc1429 / 5$55.432,40458 / 12$11.003,00452 / 4$10.312,70451 / 7
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc1439 / 11$42.095,50341 / 17$8.304,43240 / 6$7.353,57240 / 7
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1451 / 16$70.488,60383 / 14$19.131,10371 / 1$18.180,20369 / 2
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc1442 / 12$45.769,90378 / 11$13.056,60433 / 7$12.535,40432 / 10
Peritoneal Adhesiolysis W Cc1425 / 6$92.410,90231 / 14$20.671,60262 / 11$19.723,00262 / 13
Otitis Media & Uri W/O Mcc1331 / 16$30.774,20186 / 25$4.862,92104 / 4$3.930,00104 / 6
Disorders Of The Biliary Tract W/O Cc/Mcc1316 / 8$26.966,5063 / 7$5.686,3837 / 3$4.182,3837 / 2
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc1327 / 13$49.775,50239 / 21$9.222,23223 / 12$8.476,31223 / 15
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents1387 / 27$104.918,00543 / 20$24.662,80539 / 11$20.045,20535 / 7
Pulmonary Embolism W/O Mcc1361 / 21$56.826,901205 / 54$9.805,691230 / 42$9.062,461227 / 48
Acute Myocardial Infarction, Expired W Mcc1317 / 8$70.777,90151 / 10$14.862,90160 / 6$14.023,50160 / 6
Other Circulatory System O.R. Procedures1342 / 15$122.248,00380 / 22$26.750,20416 / 12$26.006,80416 / 17
Kidney & Ureter Procedures For Neoplasm W Cc1232 / 9$50.647,2066 / 3$16.770,8057 / 2$11.693,8057 / 1
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.1252 / 24$283.930,00304 / 26$80.627,30412 / 6$79.442,10411 / 9
Major Chest Procedures W Cc1262 / 17$66.303,80242 / 18$24.449,00182 / 22$14.380,50182 / 5
Revision Of Hip Or Knee Replacement W/O Cc/Mcc1257 / 12$50.160,90107 / 7$19.277,80395 / 5$18.371,20394 / 9
Fractures Of Hip & Pelvis W/O Mcc1249 / 23$28.592,50723 / 45$4.912,08402 / 13$3.706,75402 / 7
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1243 / 14$61.093,10372 / 13$14.068,00462 / 4$13.062,70458 / 10
Cranial & Peripheral Nerve Disorders W/O Mcc1256 / 22$45.577,30649 / 42$9.433,50277 / 26$4.937,25277 / 2
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1235 / 15$36.131,80250 / 22$10.206,60350 / 21$6.968,17349 / 13
Pleural Effusion W Mcc1218 / 6$66.151,70161 / 9$11.021,70135 / 3$10.419,10135 / 4
Cirrhosis & Alcoholic Hepatitis W Mcc1230 / 9$69.278,60231 / 10$12.743,00159 / 3$11.735,00159 / 5
Other Disorders Of Nervous System W Cc1145 / 19$30.184,10379 / 13$7.305,45483 / 12$6.642,18483 / 15
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc1178 / 20$41.370,60487 / 22$7.285,73438 / 3$6.186,09437 / 9
Organic Disturbances & Mental Retardation1148 / 26$49.273,60493 / 37$7.355,73328 / 6$6.640,09328 / 9
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1151 / 33$31.795,90627 / 59$5.611,55516 / 22$4.625,36514 / 29
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1127 / 10$26.511,90346 / 12$7.381,36399 / 12$5.060,91398 / 10
Fever1135 / 18$35.401,00267 / 23$7.689,09188 / 15$5.316,45188 / 10
Medical Back Problems W Mcc1128 / 10$60.457,90252 / 9$10.972,00182 / 1$10.204,00182 / 2
Pneumothorax W Mcc117 / 1$54.892,8010 / 1$12.804,7010 / 1$12.365,5010 / 1
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc1180 / 18$45.575,80298 / 17$8.001,64182 / 6$7.393,64182 / 5
Total 140 procedures6.409discharges

DATA

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.