Hospital Costs > In New York > Peconic Bay Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 35 | $25.844,00 | 563 / 37 | $7.839,46 | 703 / 38 | $5.868,31 | 701 / 21 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 42 | $28.155,00 | 376 / 25 | $11.080,70 | 869 / 22 | $9.914,24 | 868 / 25 |
| Atherosclerosis W/O Mcc | 20 | 38 / 15 | $12.706,50 | 109 / 11 | $5.044,35 | / 14 | $4.302,15 | / |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 41 | $18.366,40 | 889 / 44 | $6.262,00 | 1585 / 54 | $5.165,65 | 1580 / 56 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 31 | $29.298,30 | 920 / 49 | $9.814,38 | 1493 / 49 | $8.625,17 | 1490 / 51 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 34 | 116 / 39 | $16.912,70 | 1193 / 64 | $4.772,18 | 1531 / 57 | $3.593,62 | 1525 / 59 |
| Cellulitis W/O Mcc | 55 | 134 / 46 | $27.497,30 | 2012 / 100 | $7.065,71 | 2087 / 75 | $5.779,73 | 2079 / 74 |
| Chest Pain | 15 | 136 / 58 | $17.407,30 | 719 / 54 | $5.106,27 | 1138 / 33 | $3.817,73 | 1131 / 32 |
| Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 46 | $29.785,30 | 1707 / 97 | $7.511,19 | 1893 / 64 | $6.360,09 | 1886 / 68 |
| Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 47 | $39.704,20 | 1908 / 98 | $9.266,19 | 1998 / 64 | $7.959,62 | 1990 / 65 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 42 | $24.537,20 | 1515 / 90 | $6.025,46 | 1666 / 64 | $4.858,38 | 1655 / 62 |
| Degenerative Nervous System Disorders W/O Mcc | 18 | 60 / 29 | $28.932,30 | 476 / 33 | $8.094,67 | 619 / 28 | $6.828,56 | 619 / 27 |
| Diabetes W Cc | 19 | 73 / 30 | $32.258,50 | 1243 / 75 | $6.941,37 | 1226 / 40 | $5.857,16 | 1221 / 42 |
| Dysequilibrium | 15 | 50 / 24 | $23.029,20 | 306 / 32 | $5.314,93 | 374 / 16 | $4.052,40 | 374 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 69 | 206 / 51 | $25.043,20 | 1890 / 98 | $6.270,28 | 2149 / 73 | $5.108,80 | 2135 / 73 |
| Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 23 | $20.499,70 | 151 / 16 | $8.531,00 | 789 / 18 | $7.345,23 | 786 / 24 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 29 | 33 / 16 | $27.095,50 | 551 / 49 | $6.405,93 | 589 / 34 | $5.011,21 | 587 / 35 |
| G.I. Hemorrhage W Cc | 47 | 171 / 47 | $35.794,10 | 1812 / 92 | $8.045,19 | 1803 / 65 | $6.649,89 | 1799 / 61 |
| G.I. Hemorrhage W Mcc | 13 | 108 / 41 | $38.645,60 | 645 / 30 | $13.881,00 | 1297 / 37 | $12.887,40 | 1287 / 42 |
| G.I. Obstruction W Cc | 14 | 78 / 32 | $50.619,90 | 1608 / 85 | $7.910,93 | 1371 / 57 | $6.110,79 | 1366 / 51 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 27 | $21.630,90 | 892 / 49 | $5.188,42 | 1032 / 42 | $4.056,58 | 1029 / 45 |
| Heart Failure & Shock W Cc | 52 | 226 / 59 | $26.817,10 | 1795 / 84 | $8.072,48 | 2181 / 75 | $6.952,19 | 2175 / 76 |
| Heart Failure & Shock W Mcc | 57 | 227 / 51 | $39.120,40 | 1613 / 76 | $11.571,90 | 2014 / 65 | $10.444,50 | 2006 / 64 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 45 | $17.657,00 | 1122 / 59 | $5.521,56 | 1516 / 54 | $4.476,50 | 1504 / 55 |
| Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 33 | $59.927,30 | 1350 / 73 | $15.549,60 | 1709 / 58 | $14.097,60 | 1690 / 63 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 48 | $35.330,50 | 1372 / 57 | $8.926,00 | 1653 / 55 | $7.440,04 | 1649 / 55 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 40 | $55.635,10 | 1058 / 48 | $16.581,20 | 1020 / 51 | $11.141,40 | 1015 / 22 |
| Kidney & Urinary Tract Infections W Mcc | 32 | 112 / 31 | $49.190,40 | 1670 / 74 | $9.833,19 | 1665 / 52 | $8.445,72 | 1661 / 51 |
| Kidney & Urinary Tract Infections W/O Mcc | 59 | 174 / 47 | $28.245,80 | 2141 / 102 | $6.494,93 | 2106 / 73 | $5.215,25 | 2095 / 67 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 4 | $54.372,60 | 134 / 3 | $19.699,40 | 387 / 5 | $18.149,30 | 386 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 17 | $30.758,50 | 673 / 24 | $9.434,47 | 864 / 25 | $8.212,42 | 862 / 25 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 16 | $104.297,00 | 687 / 25 | $24.240,60 | 727 / 16 | $22.637,90 | 724 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 353 | 223 / 10 | $69.659,20 | 1985 / 105 | $17.551,40 | 2279 / 74 | $15.199,00 | 2235 / 81 |
| Major Small & Large Bowel Procedures W Cc | 28 | 80 / 21 | $65.261,20 | 754 / 40 | $19.553,20 | 1240 / 40 | $17.967,20 | 1226 / 43 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 29 | $111.179,00 | 488 / 25 | $32.898,50 | 606 / 8 | $30.792,80 | 604 / 8 |
| Medical Back Problems W/O Mcc | 33 | 88 / 31 | $31.930,60 | 1081 / 63 | $7.072,76 | 1087 / 41 | $5.530,03 | 1084 / 40 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 38 | $44.287,60 | 1385 / 77 | $9.630,96 | 1304 / 39 | $8.141,75 | 1301 / 38 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 52 | $26.479,10 | 1961 / 104 | $5.910,34 | 1887 / 72 | $4.629,41 | 1881 / 67 |
| Organic Disturbances & Mental Retardation | 11 | 48 / 26 | $30.989,20 | 357 / 24 | $8.447,09 | 376 / 16 | $7.036,55 | 376 / 14 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 37 | $89.690,50 | 1211 / 72 | $18.333,00 | 1226 / 47 | $16.383,00 | 1218 / 47 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 15 | $47.733,40 | 673 / 21 | $11.001,30 | 693 / 12 | $9.771,82 | 691 / 14 |
| Postoperative & Post-Traumatic Infections W Mcc | 11 | 32 / 13 | $75.294,30 | 181 / 13 | $18.976,10 | 197 / 9 | $17.155,30 | 197 / 10 |
| Pulmonary Edema & Respiratory Failure | 25 | 178 / 42 | $34.459,40 | 1269 / 62 | $9.089,40 | 1518 / 46 | $7.882,00 | 1513 / 46 |
| Pulmonary Embolism W/O Mcc | 13 | 61 / 21 | $29.758,90 | 831 / 33 | $7.660,08 | 972 / 24 | $6.438,69 | 969 / 30 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 29 | $51.062,70 | 854 / 59 | $13.447,00 | 797 / 48 | $9.001,73 | 793 / 27 |
| Red Blood Cell Disorders W/O Mcc | 25 | 118 / 51 | $24.748,60 | 1235 / 66 | $6.692,72 | 1515 / 50 | $5.537,72 | 1506 / 51 |
| Renal Failure W Cc | 60 | 161 / 34 | $29.298,70 | 1664 / 74 | $7.993,75 | 1911 / 66 | $6.682,10 | 1901 / 61 |
| Renal Failure W Mcc | 38 | 157 / 34 | $47.707,10 | 1522 / 69 | $12.501,00 | 1757 / 47 | $11.464,40 | 1754 / 48 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 15 | $23.355,70 | 648 / 24 | $5.424,55 | 660 / 18 | $4.250,18 | 659 / 18 |
| Respiratory Infections & Inflammations W Cc | 27 | 61 / 19 | $37.848,40 | 921 / 46 | $10.439,70 | 1152 / 38 | $9.397,30 | 1147 / 40 |
| Respiratory Infections & Inflammations W Mcc | 17 | 119 / 37 | $54.551,50 | 1165 / 48 | $14.351,20 | 1267 / 33 | $12.798,90 | 1252 / 27 |
| Revision Of Hip Or Knee Replacement W Cc | 24 | 62 / 6 | $134.587,00 | 584 / 24 | $27.725,00 | 560 / 12 | $25.042,80 | 558 / 14 |
| Seizures W Mcc | 16 | 50 / 15 | $45.848,50 | 431 / 17 | $12.266,80 | 518 / 8 | $10.742,60 | 518 / 10 |
| Seizures W/O Mcc | 17 | 91 / 42 | $28.580,60 | 909 / 75 | $6.333,18 | 917 / 40 | $5.138,06 | 914 / 37 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 167 | 349 / 57 | $65.986,00 | 2220 / 123 | $15.269,30 | 2260 / 83 | $13.442,50 | 2220 / 85 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 53 | 154 / 50 | $40.903,10 | 2061 / 109 | $8.800,92 | 2028 / 72 | $7.390,04 | 2020 / 73 |
| Simple Pneumonia & Pleurisy W Cc | 54 | 149 / 41 | $35.568,70 | 2203 / 114 | $7.980,54 | 2206 / 78 | $6.639,85 | 2198 / 77 |
| Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 46 | $51.274,90 | 1941 / 95 | $11.594,20 | 2030 / 69 | $10.254,60 | 2029 / 65 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 24 | $30.425,30 | 1627 / 84 | $6.326,18 | 1540 / 57 | $4.532,14 | 1532 / 48 |
| Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 38 | $134.463,00 | 1024 / 49 | $43.186,40 | 1045 / 50 | $27.274,80 | 1040 / 33 |
| Syncope & Collapse | 46 | 123 / 50 | $20.441,70 | 894 / 54 | $6.081,20 | 1439 / 50 | $4.966,70 | 1432 / 49 |
| Transient Ischemia | 44 | 81 / 22 | $24.000,60 | 916 / 56 | $5.885,73 | 1239 / 49 | $4.622,36 | 1233 / 46 | Total 62 procedures | 2.152 | 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.