Hospital Costs > In New York > Queens Hospital Center, 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 | 148 | 368 / 64 | $56.529,20 | 2000 / 104 | $28.355,40 | 2810 / 135 | $24.671,50 | 2765 / 135 |
Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 62 | $28.994,10 | 2174 / 105 | $14.987,00 | 2707 / 128 | $12.538,50 | 2696 / 128 |
Heart Failure & Shock W Cc | 31 | 247 / 76 | $38.933,10 | 2293 / 115 | $17.262,90 | 2744 / 133 | $14.136,10 | 2738 / 131 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 29 | 63 / 25 | $169.945,00 | 631 / 63 | $78.227,10 | 1086 / 77 | $69.028,90 | 1085 / 78 |
Red Blood Cell Disorders W/O Mcc | 27 | 116 / 49 | $29.227,10 | 1468 / 83 | $15.505,00 | 1994 / 106 | $13.326,40 | 1985 / 106 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 37 | $26.676,70 | 798 / 31 | $19.042,80 | 1735 / 87 | $17.217,40 | 1731 / 87 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 71 | $37.905,80 | 1962 / 98 | $18.611,00 | 2565 / 127 | $15.814,60 | 2555 / 127 |
Diabetes W Cc | 23 | 69 / 26 | $28.320,60 | 1118 / 62 | $15.455,00 | 1615 / 92 | $13.271,00 | 1610 / 92 |
Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 66 | $40.417,90 | 2336 / 123 | $19.044,70 | 2826 / 137 | $16.090,40 | 2817 / 136 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 89 | $35.594,80 | 2373 / 131 | $15.487,50 | 2727 / 131 | $12.904,20 | 2712 / 130 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 69 | $23.298,00 | 1793 / 92 | $14.066,20 | 2538 / 128 | $12.233,50 | 2529 / 128 |
Heart Failure & Shock W Mcc | 19 | 265 / 76 | $45.297,30 | 1856 / 97 | $21.386,20 | 2595 / 121 | $17.973,10 | 2584 / 117 |
Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 56 | $62.446,50 | 2132 / 110 | $25.267,60 | 2522 / 123 | $21.449,10 | 2516 / 121 |
Seizures W/O Mcc | 18 | 90 / 41 | $24.904,70 | 770 / 61 | $13.698,90 | 1306 / 92 | $11.802,90 | 1304 / 92 |
Syncope & Collapse | 18 | 151 / 67 | $28.736,80 | 1387 / 94 | $14.564,50 | 1923 / 105 | $12.385,40 | 1915 / 104 |
Chest Pain | 17 | 134 / 56 | $25.925,80 | 1251 / 84 | $13.298,10 | 1697 / 87 | $10.971,20 | 1688 / 86 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 46 | $22.889,10 | 1444 / 82 | $13.839,80 | 2011 / 113 | $12.058,70 | 1998 / 112 |
Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 25 | $34.830,00 | 808 / 48 | $16.917,40 | 1084 / 60 | $14.225,30 | 1080 / 60 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 54 | $27.181,20 | 1498 / 81 | $15.092,40 | 2163 / 111 | $12.820,40 | 2158 / 111 |
Cellulitis W/O Mcc | 15 | 174 / 79 | $41.730,90 | 2449 / 138 | $16.432,90 | 2626 / 133 | $13.456,80 | 2618 / 132 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 48 | $38.381,90 | 745 / 50 | $22.683,50 | 1796 / 92 | $20.405,60 | 1783 / 94 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 37 | $55.346,80 | 778 / 57 | $30.384,10 | 1832 / 91 | $27.126,10 | 1818 / 92 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 37 | $19.437,10 | 1155 / 51 | $13.842,20 | 1967 / 97 | $12.263,70 | 1959 / 97 |
Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 62 | $37.304,00 | 1995 / 116 | $17.435,90 | 2442 / 126 | $14.738,60 | 2435 / 126 |
Pulmonary Edema & Respiratory Failure | 14 | 189 / 51 | $61.106,60 | 1951 / 98 | $22.863,40 | 2234 / 105 | $18.752,70 | 2228 / 105 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 27 | $54.021,40 | 892 / 61 | $25.224,70 | 1106 / 78 | $18.800,00 | 1102 / 74 |
Diabetes W/O Cc/Mcc | 13 | 25 / 14 | $23.408,90 | 211 / 29 | $12.988,80 | 287 / 35 | $11.125,80 | 287 / 35 |
G.I. Hemorrhage W Cc | 13 | 205 / 75 | $39.994,60 | 1956 / 101 | $18.536,10 | 2427 / 123 | $15.597,80 | 2423 / 122 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 34 | $41.689,70 | 689 / 56 | $17.844,40 | 870 / 69 | $15.130,30 | 870 / 69 |
Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 73 | $31.742,80 | 1572 / 71 | $19.100,00 | 2570 / 123 | $16.810,10 | 2562 / 123 |
Signs & Symptoms W/O Mcc | 13 | 78 / 37 | $21.421,80 | 723 / 45 | $13.965,80 | 1335 / 81 | $12.168,60 | 1332 / 82 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 23 | $20.623,90 | 534 / 26 | $13.338,40 | 918 / 51 | $11.768,80 | 917 / 51 |
G.I. Hemorrhage W Mcc | 11 | 110 / 43 | $69.658,30 | 1336 / 74 | $33.179,10 | 1674 / 88 | $29.134,00 | 1664 / 88 |
Dysequilibrium | 11 | 54 / 28 | $24.779,60 | 341 / 37 | $12.450,50 | 564 / 53 | $10.137,50 | 564 / 53 | Total 34 procedures | 748 | 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.