Hospital Costs > In New York > Plainview 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 | 222 | 294 / 41 | $49.373,10 | 1761 / 89 | $14.522,90 | 2163 / 76 | $13.049,10 | 2125 / 74 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 127 | 437 / 49 | $50.752,10 | 1328 / 80 | $17.806,30 | 2174 / 77 | $14.517,40 | 2130 / 73 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 107 | 59 / 12 | $23.533,80 | 1803 / 93 | $5.659,41 | 1702 / 62 | $4.320,76 | 1697 / 54 |
| Cellulitis W/O Mcc | 106 | 83 / 19 | $24.323,30 | 1840 / 89 | $6.581,33 | 1879 / 65 | $5.312,45 | 1871 / 63 |
| Heart Failure & Shock W Cc | 102 | 176 / 31 | $27.934,00 | 1851 / 88 | $7.807,27 | 2051 / 71 | $6.628,60 | 2046 / 66 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 101 | 174 / 36 | $26.309,80 | 1962 / 102 | $6.248,42 | 1730 / 72 | $4.373,50 | 1717 / 50 |
| Kidney & Urinary Tract Infections W/O Mcc | 100 | 133 / 27 | $26.064,70 | 2030 / 91 | $6.153,69 | 1901 / 63 | $4.828,92 | 1890 / 57 |
| Respiratory Infections & Inflammations W Mcc | 94 | 44 / 4 | $53.793,90 | 1149 / 46 | $16.867,00 | 1586 / 53 | $15.126,10 | 1570 / 52 |
| G.I. Hemorrhage W Cc | 93 | 125 / 25 | $34.904,50 | 1781 / 88 | $7.913,25 | 1863 / 63 | $6.798,29 | 1859 / 66 |
| Heart Failure & Shock W Mcc | 82 | 202 / 37 | $43.470,00 | 1799 / 94 | $11.969,70 | 1969 / 71 | $10.255,30 | 1962 / 61 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 75 | 132 / 34 | $31.359,40 | 1694 / 73 | $8.651,97 | 1948 / 71 | $7.145,49 | 1940 / 67 |
| Syncope & Collapse | 74 | 95 / 31 | $20.573,40 | 912 / 57 | $5.703,08 | 1298 / 40 | $4.589,47 | 1291 / 43 |
| Respiratory Infections & Inflammations W Cc | 70 | 21 / 3 | $40.005,40 | 959 / 48 | $11.187,80 | 1221 / 46 | $9.871,69 | 1216 / 46 |
| Simple Pneumonia & Pleurisy W Cc | 62 | 141 / 36 | $32.904,40 | 2102 / 105 | $7.935,37 | 2051 / 77 | $6.269,23 | 2043 / 64 |
| Hip & Femur Procedures Except Major Joint W Cc | 59 | 84 / 15 | $56.300,50 | 1251 / 65 | $15.576,80 | 1706 / 59 | $14.083,70 | 1687 / 62 |
| Kidney & Urinary Tract Infections W Mcc | 58 | 86 / 15 | $31.732,20 | 1244 / 44 | $9.196,93 | 1504 / 45 | $7.632,74 | 1500 / 42 |
| Chronic Obstructive Pulmonary Disease W Mcc | 57 | 145 / 39 | $30.639,40 | 1515 / 67 | $9.081,60 | 1991 / 59 | $7.940,89 | 1983 / 62 |
| Transient Ischemia | 57 | 68 / 15 | $25.942,90 | 1005 / 60 | $5.522,39 | 1122 / 39 | $4.292,88 | 1116 / 41 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 55 | 95 / 25 | $16.861,10 | 1189 / 62 | $4.532,33 | 1285 / 49 | $3.146,31 | 1280 / 41 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 51 | 50 / 8 | $42.406,70 | 671 / 29 | $12.373,60 | 763 / 26 | $10.594,30 | 761 / 23 |
| Heart Failure & Shock W/O Cc/Mcc | 46 | 64 / 20 | $20.749,80 | 1336 / 73 | $5.559,48 | 1342 / 56 | $4.138,83 | 1331 / 46 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 45 | 116 / 29 | $25.890,10 | 1442 / 73 | $6.215,29 | 1510 / 52 | $5.000,73 | 1505 / 47 |
| Chronic Obstructive Pulmonary Disease W Cc | 45 | 134 / 35 | $32.069,00 | 1813 / 103 | $7.463,82 | 1836 / 63 | $6.192,31 | 1829 / 61 |
| Simple Pneumonia & Pleurisy W Mcc | 44 | 161 / 36 | $43.281,50 | 1692 / 81 | $11.568,50 | 2001 / 68 | $10.151,80 | 2001 / 62 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 44 | 138 / 33 | $36.680,40 | 1415 / 59 | $8.562,09 | 1629 / 49 | $7.309,82 | 1625 / 53 |
| Renal Failure W Cc | 43 | 178 / 45 | $24.878,80 | 1406 / 58 | $7.433,23 | 1756 / 53 | $6.284,14 | 1746 / 51 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 43 | 83 / 22 | $32.762,30 | 1082 / 52 | $8.894,00 | 1235 / 29 | $7.823,81 | 1232 / 33 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 39 | 54 / 15 | $24.687,00 | 1436 / 69 | $6.351,90 | 1092 / 58 | $3.773,46 | 1086 / 30 |
| Red Blood Cell Disorders W/O Mcc | 39 | 104 / 38 | $27.817,30 | 1402 / 78 | $6.399,64 | 1412 / 43 | $5.240,41 | 1403 / 44 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 38 | 82 / 19 | $25.573,60 | 1564 / 93 | $5.939,58 | 1314 / 59 | $4.098,16 | 1303 / 41 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 35 | 90 / 29 | $36.133,50 | 663 / 45 | $13.538,60 | 1045 / 54 | $10.480,90 | 1042 / 32 |
| Medical Back Problems W/O Mcc | 32 | 89 / 32 | $23.225,40 | 742 / 40 | $6.674,09 | 1061 / 33 | $5.424,03 | 1058 / 37 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 30 | $31.872,90 | 1041 / 54 | $9.485,93 | 1368 / 43 | $8.191,07 | 1365 / 41 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 24 | $29.475,70 | 1081 / 49 | $6.473,83 | 1113 / 32 | $4.605,00 | 1109 / 31 |
| Signs & Symptoms W/O Mcc | 28 | 63 / 23 | $21.886,10 | 758 / 46 | $5.437,00 | 851 / 27 | $4.392,29 | 848 / 26 |
| Renal Failure W Mcc | 28 | 167 / 43 | $54.048,10 | 1662 / 79 | $13.673,70 | 1850 / 55 | $12.268,00 | 1846 / 57 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 28 | 34 / 17 | $23.626,40 | 481 / 38 | $6.073,79 | 463 / 28 | $4.439,57 | 461 / 23 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 37 | $92.523,30 | 403 / 22 | $40.768,70 | 1196 / 35 | $38.961,90 | 1188 / 40 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 34 | $46.904,00 | 881 / 34 | $13.600,10 | 1204 / 35 | $12.145,30 | 1198 / 36 |
| Fractures Of Hip & Pelvis W/O Mcc | 26 | 35 / 10 | $19.619,40 | 501 / 24 | $5.614,54 | 634 / 27 | $4.351,31 | 634 / 26 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 27 | $55.093,30 | 770 / 56 | $17.441,80 | 1394 / 37 | $16.462,20 | 1380 / 44 |
| Hip & Femur Procedures Except Major Joint W Mcc | 24 | 38 / 8 | $84.996,20 | 579 / 22 | $24.130,40 | 795 / 22 | $22.266,40 | 792 / 22 |
| Chest Pain | 23 | 128 / 52 | $17.462,60 | 726 / 55 | $4.736,52 | 1059 / 26 | $3.666,35 | 1052 / 27 |
| Diabetes W Cc | 23 | 69 / 26 | $31.490,30 | 1226 / 72 | $6.651,30 | 1160 / 33 | $5.610,35 | 1155 / 37 |
| Atherosclerosis W/O Mcc | 23 | 35 / 12 | $11.902,70 | 87 / 8 | $5.308,48 | / 17 | $3.681,52 | / |
| Degenerative Nervous System Disorders W/O Mcc | 23 | 55 / 25 | $44.098,00 | 714 / 59 | $7.841,48 | 629 / 22 | $6.885,39 | 629 / 28 |
| Cellulitis W Mcc | 23 | 35 / 14 | $44.557,00 | 676 / 31 | $11.790,30 | 745 / 27 | $10.387,20 | 743 / 25 |
| Peripheral Vascular Disorders W Cc | 23 | 61 / 25 | $29.359,50 | 784 / 40 | $7.610,57 | 838 / 25 | $6.342,39 | 835 / 24 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 32 | $41.451,00 | 750 / 34 | $13.714,40 | 1255 / 36 | $12.607,00 | 1247 / 38 |
| G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 17 | $23.978,60 | 978 / 56 | $4.773,27 | 827 / 30 | $3.500,36 | 824 / 27 |
| G.I. Obstruction W Cc | 22 | 70 / 24 | $39.122,40 | 1439 / 68 | $7.340,32 | 1148 / 49 | $5.424,91 | 1145 / 36 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 22 | 51 / 14 | $41.422,50 | 846 / 35 | $9.267,82 | 850 / 21 | $8.112,95 | 848 / 24 |
| G.I. Hemorrhage W/O Cc/Mcc | 21 | 47 / 19 | $21.003,70 | 589 / 34 | $5.425,67 | 706 / 18 | $4.424,71 | 702 / 23 |
| Other Digestive System Diagnoses W Cc | 21 | 76 / 28 | $29.451,20 | 843 / 38 | $7.590,14 | 936 / 26 | $6.256,86 | 932 / 24 |
| Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 21 | $92.194,60 | 312 / 14 | $38.487,90 | 961 / 20 | $36.728,10 | 959 / 26 |
| Organic Disturbances & Mental Retardation | 21 | 38 / 17 | $34.798,90 | 401 / 26 | $8.026,00 | 331 / 13 | $6.659,48 | 331 / 10 |
| Seizures W/O Mcc | 19 | 89 / 40 | $23.178,10 | 706 / 54 | $5.959,84 | 815 / 31 | $4.800,37 | 812 / 30 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 18 | 85 / 23 | $32.045,30 | 557 / 26 | $7.907,83 | 539 / 18 | $6.517,78 | 539 / 14 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 30 | $31.885,40 | 811 / 45 | $8.898,11 | 1025 / 47 | $6.783,00 | 1023 / 41 |
| Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 17 | 12 / 6 | $31.335,00 | 128 / 17 | $5.412,94 | 68 / 8 | $4.045,71 | 68 / 9 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 31 | $64.041,60 | 727 / 38 | $19.597,10 | 1252 / 43 | $18.097,40 | 1238 / 46 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 27 | $39.890,90 | 943 / 50 | $9.468,41 | 988 / 28 | $8.115,06 | 983 / 27 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 17 | 30 / 10 | $26.962,20 | 113 / 11 | $9.879,94 | 444 / 16 | $7.755,29 | 443 / 21 |
| Bone Diseases & Arthropathies W/O Mcc | 16 | 28 / 11 | $25.033,00 | 211 / 10 | $5.803,38 | 128 / 4 | $4.259,00 | 128 / 4 |
| Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 26 | $17.111,30 | 277 / 14 | $7.514,31 | 551 / 22 | $4.936,06 | 547 / 8 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 16 | $17.750,80 | 223 / 21 | $5.884,62 | 683 / 22 | $5.145,25 | 679 / 27 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 16 | 31 / 14 | $18.341,40 | 126 / 11 | $5.524,25 | 201 / 7 | $4.468,44 | 201 / 7 |
| Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 16 | 16 / 2 | $54.230,20 | 51 / 2 | $16.442,30 | 92 / 4 | $15.381,90 | 92 / 4 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 42 | $32.623,90 | 729 / 54 | $5.599,87 | 436 / 19 | $4.202,80 | 435 / 15 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 38 | $150.867,00 | 529 / 53 | $46.621,50 | 830 / 31 | $44.149,70 | 829 / 30 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 15 | 29 / 14 | $23.767,90 | 144 / 18 | $5.869,93 | 188 / 6 | $4.784,47 | 188 / 7 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 25 | $26.909,60 | 371 / 23 | $9.085,33 | 664 / 17 | $8.149,13 | 660 / 17 |
| Respiratory Infections & Inflammations W/O Cc/Mcc | 15 | 14 / 3 | $32.117,60 | 88 / 4 | $7.828,07 | 101 / 3 | $6.609,40 | 101 / 4 |
| Bronchitis & Asthma W/O Cc/Mcc | 14 | 31 / 15 | $18.424,50 | 188 / 15 | $5.086,93 | 224 / 3 | $3.824,43 | 224 / 4 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 14 | 32 / 15 | $23.029,30 | 206 / 14 | $5.403,79 | 274 / 5 | $4.289,43 | 273 / 7 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 16 | $33.272,40 | 692 / 28 | $7.125,07 | 685 / 15 | $6.036,07 | 682 / 16 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 16 | $74.058,10 | 432 / 16 | $24.653,10 | 745 / 17 | $23.049,10 | 742 / 18 |
| Fever | 13 | 33 / 16 | $19.564,80 | 104 / 6 | $6.666,62 | 208 / 11 | $5.491,38 | 208 / 13 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 13 | 17 / 5 | $51.660,40 | 104 / 1 | $16.839,50 | 143 / 3 | $13.285,50 | 142 / 2 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 19 | $107.550,00 | 278 / 17 | $38.910,10 | 587 / 17 | $36.694,60 | 587 / 18 |
| Other Vascular Procedures W Cc | 13 | 89 / 37 | $58.276,10 | 334 / 16 | $22.408,90 | 752 / 27 | $16.827,90 | 747 / 13 |
| Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 38 | $105.357,00 | 792 / 40 | $31.705,30 | 1184 / 31 | $30.200,40 | 1179 / 42 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 22 | $23.660,00 | 315 / 14 | $7.354,08 | 320 / 13 | $5.110,75 | 320 / 7 |
| Fractures Of Hip & Pelvis W Mcc | 12 | 9 / 3 | $35.207,10 | 39 / 1 | $9.760,67 | 43 / 1 | $8.571,75 | 43 / 1 |
| Otitis Media & Uri W/O Mcc | 12 | 32 / 17 | $22.848,60 | 123 / 11 | $5.351,83 | 87 / 7 | $3.680,33 | 87 / 5 |
| Dysequilibrium | 12 | 53 / 27 | $20.558,80 | 260 / 29 | $4.894,08 | 276 / 11 | $3.505,83 | 276 / 11 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 15 | $38.369,80 | 542 / 15 | $10.729,30 | 678 / 10 | $9.627,73 | 676 / 12 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 23 | $28.659,50 | 790 / 30 | $7.696,27 | 964 / 25 | $6.403,73 | 961 / 28 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 16 | $46.849,50 | 283 / 16 | $11.846,10 | 420 / 10 | $10.349,60 | 420 / 15 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 28 | $133.978,00 | 469 / 35 | $42.784,50 | 807 / 28 | $40.709,80 | 806 / 30 |
| Diabetes W/O Cc/Mcc | 11 | 27 / 16 | $14.508,30 | 119 / 14 | $4.499,27 | 125 / 2 | $3.313,73 | 125 / 2 | Total 91 procedures | 3.330 | 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.