Hospital Costs > In New York > Putnam Hospital Center, 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 | 279 | 288 / 17 | $57.715,00 | 1613 / 89 | $15.475,90 | 1874 / 49 | $13.101,60 | 1832 / 48 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 190 | 326 / 49 | $41.590,50 | 1389 / 71 | $13.630,00 | 1972 / 57 | $12.248,50 | 1935 / 57 |
Heart Failure & Shock W Cc | 66 | 212 / 49 | $27.226,60 | 1817 / 86 | $6.804,48 | 1639 / 39 | $5.925,94 | 1634 / 40 |
Heart Failure & Shock W Mcc | 64 | 220 / 45 | $32.692,00 | 1264 / 58 | $9.966,89 | 1561 / 29 | $9.190,89 | 1556 / 37 |
Chronic Obstructive Pulmonary Disease W Mcc | 62 | 140 / 35 | $25.747,70 | 1182 / 51 | $8.412,48 | 1465 / 52 | $6.790,95 | 1459 / 31 |
Simple Pneumonia & Pleurisy W Mcc | 56 | 149 / 28 | $35.582,10 | 1390 / 68 | $9.761,38 | 1681 / 32 | $9.103,09 | 1681 / 43 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 55 | 220 / 61 | $26.572,70 | 1974 / 104 | $5.120,71 | 1473 / 31 | $4.110,09 | 1462 / 31 |
Respiratory Infections & Inflammations W Mcc | 53 | 83 / 10 | $35.537,60 | 604 / 28 | $13.311,40 | 1187 / 23 | $12.503,30 | 1173 / 23 |
Kidney & Urinary Tract Infections W/O Mcc | 48 | 185 / 55 | $25.468,10 | 1995 / 86 | $6.707,52 | 2312 / 78 | $5.802,19 | 2301 / 81 |
G.I. Hemorrhage W Cc | 47 | 171 / 47 | $25.230,10 | 1213 / 59 | $6.852,60 | 1426 / 31 | $5.854,06 | 1423 / 39 |
Cellulitis W/O Mcc | 46 | 143 / 53 | $19.782,20 | 1457 / 70 | $5.759,37 | 1504 / 36 | $4.731,20 | 1497 / 40 |
Renal Failure W Cc | 38 | 183 / 49 | $23.857,80 | 1339 / 56 | $6.868,76 | 1336 / 39 | $5.542,18 | 1328 / 28 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 63 | $28.819,40 | 1545 / 69 | $7.389,00 | 1631 / 40 | $6.473,97 | 1624 / 48 |
Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 54 | $23.745,80 | 1518 / 69 | $6.758,33 | 1753 / 38 | $5.785,89 | 1745 / 44 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 57 | $19.006,00 | 1453 / 68 | $5.043,94 | 796 / 41 | $3.516,74 | 793 / 10 |
Pulmonary Edema & Respiratory Failure | 33 | 170 / 34 | $32.547,10 | 1176 / 53 | $8.422,39 | 1341 / 36 | $7.472,58 | 1337 / 36 |
Renal Failure W Mcc | 32 | 163 / 39 | $32.248,90 | 903 / 33 | $10.405,20 | 1288 / 17 | $9.634,16 | 1288 / 21 |
Hip & Femur Procedures Except Major Joint W Cc | 29 | 114 / 41 | $56.353,50 | 1255 / 66 | $13.425,20 | 1426 / 32 | $12.479,00 | 1408 / 37 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 49 | $24.134,80 | 1389 / 68 | $6.428,79 | 1548 / 36 | $5.594,59 | 1542 / 48 |
Respiratory Infections & Inflammations W Cc | 27 | 61 / 19 | $22.254,90 | 361 / 21 | $8.658,67 | 816 / 15 | $8.034,07 | 811 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 47 | $21.295,40 | 1146 / 57 | $5.379,70 | 1287 / 26 | $4.631,87 | 1282 / 40 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 38 | $41.962,20 | 750 / 31 | $11.429,10 | 891 / 10 | $10.588,80 | 889 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 50 | $29.620,30 | 1127 / 46 | $7.210,73 | 1245 / 23 | $6.221,64 | 1242 / 29 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 41 | $90.340,50 | 371 / 19 | $34.272,60 | 848 / 10 | $33.234,00 | 842 / 12 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 51 | $16.642,70 | 1161 / 61 | $3.820,10 | 1090 / 13 | $2.899,71 | 1085 / 30 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 56 | $23.716,70 | 1164 / 62 | $5.457,70 | 1174 / 20 | $4.761,70 | 1166 / 33 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 35 | $22.804,50 | 1444 / 82 | $4.924,05 | 1411 / 21 | $4.260,05 | 1400 / 50 |
Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 43 | $16.457,20 | 1012 / 54 | $4.544,40 | 1081 / 15 | $3.822,80 | 1073 / 29 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 33 | $45.869,80 | 506 / 36 | $15.789,20 | 1187 / 22 | $15.026,20 | 1174 / 29 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 44 | $30.147,80 | 1179 / 38 | $7.652,95 | 1322 / 19 | $7.064,32 | 1318 / 30 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 44 | $31.106,30 | 479 / 35 | $9.399,63 | 314 / 7 | $8.574,37 | 314 / 8 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 19 | 73 / 34 | $94.916,20 | 153 / 13 | $37.910,60 | 527 / 6 | $37.341,40 | 526 / 9 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 32 | $22.934,70 | 1353 / 62 | $4.848,74 | 1042 / 19 | $3.710,21 | 1036 / 26 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 42 | $27.339,70 | 810 / 45 | $8.386,89 | 1136 / 25 | $7.446,44 | 1133 / 30 |
Major Small & Large Bowel Procedures W Cc | 18 | 90 / 30 | $65.693,50 | 764 / 41 | $17.209,50 | 1071 / 22 | $16.336,60 | 1058 / 30 |
G.I. Obstruction W Cc | 17 | 75 / 29 | $23.891,70 | 916 / 42 | $6.121,53 | 1126 / 26 | $5.340,35 | 1123 / 35 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 44 | $31.307,80 | 1019 / 50 | $8.246,59 | 1185 / 20 | $7.604,76 | 1182 / 29 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 16 | $17.397,00 | 214 / 19 | $5.085,00 | 488 / 6 | $4.251,00 | 485 / 12 |
Fever | 14 | 32 / 15 | $22.006,90 | 136 / 10 | $5.835,50 | 171 / 3 | $5.147,50 | 171 / 7 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 14 | 49 / 9 | $92.747,70 | 161 / 11 | $24.934,90 | 171 / 4 | $21.524,40 | 170 / 6 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 35 | $22.898,20 | 420 / 30 | $6.712,38 | 618 / 13 | $5.688,38 | 617 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 40 | $28.759,10 | 1057 / 47 | $5.236,85 | 677 / 13 | $3.832,62 | 673 / 10 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $23.324,40 | 358 / 19 | $8.082,15 | 708 / 8 | $7.156,62 | 703 / 13 |
Syncope & Collapse | 13 | 156 / 72 | $21.636,00 | 1002 / 65 | $5.391,69 | 731 / 29 | $3.781,23 | 728 / 11 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 23 | $22.470,80 | 595 / 35 | $4.914,75 | 401 / 14 | $3.706,75 | 402 / 7 |
Seizures W/O Mcc | 12 | 96 / 47 | $20.473,50 | 574 / 46 | $5.236,67 | 661 / 11 | $4.426,00 | 658 / 17 |
G.I. Hemorrhage W Mcc | 12 | 109 / 42 | $49.782,90 | 1002 / 48 | $12.561,80 | 1110 / 25 | $11.764,50 | 1102 / 27 |
Transient Ischemia | 11 | 114 / 45 | $28.282,50 | 1120 / 70 | $4.813,82 | 814 / 18 | $3.725,82 | 810 / 21 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 15 | $42.943,70 | 340 / 10 | $13.254,40 | 437 / 8 | $12.596,90 | 436 / 11 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 15 | $55.181,00 | 525 / 22 | $11.426,80 | 618 / 10 | $10.333,00 | 616 / 13 |
Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 18 | $85.513,50 | 338 / 14 | $23.566,20 | 494 / 8 | $22.571,30 | 492 / 9 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 33 | $22.018,80 | 432 / 32 | $5.057,00 | 397 / 5 | $4.181,36 | 396 / 16 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 16 | $36.961,00 | 266 / 24 | $8.614,45 | 293 / 8 | $6.596,09 | 293 / 9 | Total 53 procedures | 1.796 | 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.