Hospital Costs > In New York > Our Lady Of Lourdes Memorial Hospital, Inc, 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 | 208 | 356 / 28 | $36.297,50 | 539 / 42 | $12.495,80 | 1028 / 13 | $11.118,40 | 1006 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 200 | 316 / 47 | $23.775,20 | 464 / 30 | $11.024,60 | 929 / 12 | $10.096,40 | 925 / 17 |
| Heart Failure & Shock W Mcc | 102 | 182 / 31 | $15.784,90 | 181 / 13 | $8.817,71 | 783 / 9 | $8.031,63 | 783 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 94 | 113 / 26 | $14.931,90 | 346 / 26 | $6.438,16 | 607 / 8 | $5.321,62 | 605 / 9 |
| Kidney & Urinary Tract Infections W/O Mcc | 87 | 146 / 33 | $10.778,90 | 367 / 24 | $4.688,06 | 529 / 9 | $3.639,53 | 528 / 7 |
| Heart Failure & Shock W Cc | 84 | 194 / 42 | $9.419,40 | 96 / 9 | $5.833,46 | 804 / 8 | $5.144,25 | 803 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 73 | 202 / 49 | $13.098,40 | 518 / 38 | $4.608,25 | 749 / 9 | $3.598,90 | 745 / 11 |
| Cellulitis W/O Mcc | 72 | 117 / 35 | $14.580,70 | 804 / 47 | $5.405,67 | 885 / 15 | $4.186,43 | 879 / 13 |
| G.I. Hemorrhage W Cc | 68 | 150 / 35 | $13.023,90 | 168 / 17 | $5.985,57 | 761 / 7 | $5.143,25 | 759 / 12 |
| Renal Failure W Cc | 61 | 160 / 33 | $13.225,30 | 308 / 20 | $5.880,89 | 920 / 8 | $5.101,13 | 912 / 13 |
| Simple Pneumonia & Pleurisy W Mcc | 60 | 145 / 26 | $15.660,30 | 147 / 11 | $8.502,18 | 683 / 8 | $7.541,03 | 683 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 58 | 144 / 38 | $10.727,80 | 63 / 7 | $6.890,91 | 636 / 6 | $5.907,86 | 633 / 11 |
| Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 43 | $12.243,10 | 270 / 27 | $5.854,56 | 675 / 9 | $4.799,06 | 672 / 9 |
| Hip & Femur Procedures Except Major Joint W Cc | 49 | 94 / 23 | $29.082,20 | 197 / 19 | $11.354,90 | 621 / 8 | $10.284,60 | 618 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 49 | 117 / 46 | $9.688,31 | 282 / 19 | $4.569,84 | 898 / 15 | $3.574,76 | 895 / 18 |
| Major Small & Large Bowel Procedures W Cc | 47 | 61 / 10 | $48.110,40 | 359 / 23 | $14.946,10 | 458 / 10 | $13.453,20 | 454 / 10 |
| Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 38 | $11.052,20 | 154 / 12 | $5.557,52 | 862 / 7 | $4.848,00 | 859 / 16 |
| Pulmonary Edema & Respiratory Failure | 40 | 163 / 27 | $14.632,50 | 133 / 14 | $7.764,75 | 1106 / 14 | $7.109,62 | 1104 / 23 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 39 | 86 / 25 | $16.156,80 | 76 / 9 | $9.704,46 | 377 / 10 | $8.715,67 | 377 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 37 | 124 / 36 | $9.646,38 | 93 / 7 | $4.864,95 | 618 / 6 | $3.933,27 | 615 / 8 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 36 | 65 / 14 | $19.382,20 | 108 / 6 | $9.125,61 | 201 / 5 | $7.991,81 | 201 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 36 | 146 / 37 | $13.565,60 | 94 / 6 | $6.175,22 | 471 / 5 | $5.194,50 | 470 / 7 |
| Red Blood Cell Disorders W/O Mcc | 35 | 108 / 42 | $12.103,10 | 220 / 11 | $4.795,63 | 533 / 4 | $4.016,74 | 531 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 27 | $12.721,30 | 64 / 5 | $7.214,48 | 374 / 5 | $6.166,67 | 372 / 3 |
| Respiratory Infections & Inflammations W Mcc | 31 | 105 / 25 | $32.227,50 | 474 / 24 | $12.130,70 | 828 / 9 | $11.183,70 | 818 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 44 | $8.511,00 | 196 / 16 | $3.562,55 | 621 / 5 | $2.534,59 | 617 / 10 |
| Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 34 | $7.079,90 | 63 / 5 | $4.174,90 | 368 / 4 | $3.181,41 | 366 / 5 |
| Spinal Fusion Except Cervical W/O Mcc | 29 | 165 / 25 | $59.692,70 | 213 / 19 | $23.300,90 | 478 / 4 | $21.647,20 | 475 / 9 |
| Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 35 | $11.929,40 | 103 / 5 | $5.930,79 | 166 / 1 | $5.190,89 | 166 / 1 |
| G.I. Obstruction W Cc | 27 | 65 / 19 | $14.669,40 | 268 / 19 | $5.347,41 | 484 / 6 | $4.454,07 | 483 / 10 |
| Respiratory Infections & Inflammations W Cc | 26 | 62 / 20 | $13.596,80 | 67 / 5 | $8.106,12 | 469 / 6 | $7.270,73 | 466 / 10 |
| Renal Failure W Mcc | 26 | 169 / 45 | $21.584,30 | 298 / 16 | $8.913,62 | 540 / 5 | $8.122,69 | 540 / 7 |
| Medical Back Problems W/O Mcc | 25 | 96 / 39 | $13.436,60 | 144 / 9 | $4.999,52 | 281 / 1 | $3.930,52 | 281 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 28 | $22.422,60 | 32 / 2 | $13.550,00 | 212 / 4 | $11.593,50 | 210 / 3 |
| Syncope & Collapse | 25 | 144 / 63 | $9.772,56 | 100 / 6 | $4.510,88 | 300 / 5 | $3.327,32 | 298 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 27 | $8.569,50 | 118 / 8 | $4.383,08 | 523 / 4 | $3.254,25 | 521 / 5 |
| Pulmonary Embolism W/O Mcc | 24 | 50 / 11 | $12.695,40 | 87 / 6 | $5.838,42 | 398 / 3 | $4.993,00 | 397 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 38 | $19.954,70 | 92 / 4 | $10.427,40 | 621 / 5 | $9.672,65 | 620 / 9 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 27 | $12.126,50 | 61 / 3 | $5.853,09 | 277 / 4 | $4.827,55 | 274 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 31 | $11.765,10 | 89 / 3 | $4.812,00 | 340 / 6 | $3.424,05 | 337 / 4 |
| Diabetes W Cc | 21 | 71 / 28 | $11.031,00 | 119 / 6 | $5.330,86 | 554 / 10 | $4.340,00 | 554 / 9 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 27 | $8.822,62 | 24 / 2 | $6.040,52 | 274 / 5 | $5.090,24 | 274 / 6 |
| Peripheral Vascular Disorders W Cc | 21 | 63 / 27 | $11.491,70 | 66 / 1 | $5.716,29 | 224 / 2 | $4.693,71 | 223 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 43 | $73.137,10 | 200 / 12 | $33.769,80 | 738 / 7 | $31.848,50 | 732 / 10 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 20 | 71 / 13 | $15.375,00 | 35 / 5 | $6.616,70 | 77 / 2 | $6.468,20 | 77 / 2 |
| Signs & Symptoms W/O Mcc | 20 | 71 / 30 | $10.953,10 | 129 / 4 | $4.230,15 | 370 / 1 | $3.480,95 | 369 / 4 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 26 | $9.866,94 | 55 / 2 | $4.605,11 | 185 / 2 | $3.564,22 | 185 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 18 | $17.201,40 | 184 / 6 | $6.944,50 | 348 / 3 | $6.274,50 | 347 / 4 |
| Red Blood Cell Disorders W Mcc | 18 | 53 / 22 | $20.648,00 | 170 / 9 | $7.619,94 | 160 / 2 | $6.375,72 | 160 / 2 |
| Hypertension W/O Mcc | 17 | 48 / 19 | $8.657,41 | 43 / 3 | $3.925,59 | 255 / 1 | $3.042,71 | 253 / 4 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 38 | $8.132,47 | 102 / 7 | $4.378,06 | 543 / 6 | $3.360,76 | 542 / 8 |
| Transient Ischemia | 17 | 108 / 40 | $9.931,71 | 61 / 4 | $4.345,35 | 533 / 5 | $3.407,53 | 530 / 8 |
| Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 15 | $32.926,50 | 21 / 2 | $17.277,20 | 255 / 1 | $16.271,50 | 253 / 3 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 16 | $7.700,56 | 25 / 1 | $4.629,94 | 305 / 2 | $3.780,19 | 302 / 3 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 24 | $12.709,90 | 344 / 24 | $4.017,20 | 291 / 5 | $2.686,00 | 291 / 4 |
| Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 20 | $11.300,00 | 127 / 7 | $4.270,20 | 214 / 1 | $3.274,60 | 215 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 26 | $80.180,30 | 196 / 5 | $30.964,00 | 540 / 4 | $30.015,20 | 538 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 26 | $13.597,90 | 79 / 5 | $5.843,40 | 208 / 1 | $5.229,60 | 208 / 1 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 15 | $21.373,20 | 43 / 1 | $9.954,31 | 163 / 1 | $9.236,46 | 163 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 13 | $40.161,40 | 261 / 11 | $10.502,50 | 491 / 5 | $9.507,77 | 489 / 10 |
| G.I. Hemorrhage W Mcc | 13 | 108 / 41 | $23.160,90 | 131 / 4 | $10.034,50 | 394 / 4 | $9.385,38 | 394 / 7 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 14 | $6.654,33 | 27 / 2 | $3.934,83 | 288 / 2 | $3.114,00 | 287 / 4 |
| Seizures W/O Mcc | 12 | 96 / 47 | $10.279,40 | 74 / 8 | $4.705,08 | 255 / 3 | $3.667,33 | 254 / 5 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 12 | 42 / 13 | $17.583,70 | 84 / 8 | $5.981,42 | 148 / 3 | $5.614,25 | 148 / 5 |
| Pulmonary Embolism W Mcc | 12 | 31 / 7 | $16.653,90 | 20 / 3 | $8.493,92 | 112 / 2 | $7.733,08 | 112 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 32 | $16.687,20 | 106 / 7 | $7.106,17 | 353 / 2 | $6.355,17 | 351 / 3 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 13 | $13.186,50 | 15 / 2 | $6.597,33 | 67 / 1 | $5.959,67 | 67 / 1 |
| Cellulitis W Mcc | 12 | 46 / 25 | $15.960,20 | 56 / 2 | $8.616,33 | 280 / 1 | $7.750,17 | 279 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 16 | $36.206,50 | 115 / 10 | $12.837,50 | 328 / 2 | $11.714,10 | 325 / 3 |
| Respiratory Neoplasms W Cc | 11 | 36 / 16 | $13.880,40 | 20 / 1 | $7.009,09 | 122 / 1 | $6.195,82 | 121 / 2 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 14 | $11.391,40 | 37 / 1 | $4.991,55 | 51 / 1 | $3.854,55 | 51 / 2 |
| Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 11 | 18 / 11 | $8.322,09 | 12 / 1 | $4.152,55 | 38 / 1 | $3.476,00 | 38 / 3 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 28 | $8.226,45 | 51 / 1 | $4.345,00 | 225 / 1 | $3.227,27 | 223 / 1 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 20 | $16.367,60 | 33 / 1 | $8.085,91 | 112 / 1 | $7.090,64 | 112 / 1 | Total 74 procedures | 2.584 | 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.