Hospital Costs > In New Jersey > Raritan Bay Medical 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 | 236 | 280 / 20 | $122.728,00 | 2753 / 54 | $15.537,60 | 2372 / 45 | $14.073,00 | 2330 / 46 |
| Psychoses | 222 | 105 / 4 | $56.397,40 | 593 / 11 | $8.764,21 | 411 / 10 | $6.878,92 | 411 / 11 |
| Heart Failure & Shock W Mcc | 151 | 133 / 16 | $93.581,50 | 2544 / 48 | $12.238,90 | 2103 / 39 | $10.768,90 | 2093 / 40 |
| Cellulitis W/O Mcc | 136 | 54 / 10 | $49.172,80 | 2550 / 43 | $7.478,32 | 1992 / 44 | $5.543,53 | 1984 / 38 |
| Kidney & Urinary Tract Infections W/O Mcc | 117 | 116 / 17 | $52.836,00 | 2659 / 46 | $6.661,46 | 2179 / 40 | $5.402,03 | 2168 / 44 |
| Heart Failure & Shock W Cc | 109 | 169 / 27 | $68.902,80 | 2725 / 50 | $8.411,08 | 2238 / 44 | $7.093,55 | 2232 / 44 |
| Chronic Obstructive Pulmonary Disease W Mcc | 102 | 100 / 12 | $75.826,90 | 2488 / 41 | $10.264,80 | 2088 / 46 | $8.233,21 | 2080 / 42 |
| Simple Pneumonia & Pleurisy W Cc | 102 | 101 / 16 | $66.098,30 | 2743 / 49 | $8.305,89 | 2279 / 41 | $6.806,05 | 2271 / 44 |
| Chronic Obstructive Pulmonary Disease W Cc | 88 | 91 / 16 | $61.642,10 | 2373 / 45 | $8.165,78 | 1910 / 43 | $6.416,76 | 1903 / 43 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 85 | 190 / 30 | $53.263,10 | 2668 / 51 | $6.513,06 | 2143 / 43 | $5.100,69 | 2129 / 42 |
| Renal Failure W Cc | 83 | 138 / 20 | $64.222,00 | 2381 / 47 | $8.162,78 | 2015 / 40 | $7.040,14 | 2005 / 43 |
| G.I. Hemorrhage W Cc | 78 | 140 / 21 | $59.639,00 | 2303 / 38 | $8.379,29 | 1950 / 42 | $7.093,00 | 1946 / 41 |
| Renal Failure W Mcc | 72 | 123 / 13 | $103.664,00 | 2123 / 50 | $13.238,10 | 1803 / 45 | $11.836,40 | 1799 / 48 |
| Syncope & Collapse | 68 | 101 / 20 | $53.726,00 | 1861 / 47 | $6.312,82 | 1471 / 42 | $5.058,82 | 1464 / 43 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 59 | 107 / 25 | $57.548,80 | 2513 / 52 | $6.447,68 | 2124 / 44 | $5.274,25 | 2116 / 45 |
| Simple Pneumonia & Pleurisy W Mcc | 57 | 148 / 23 | $95.824,00 | 2444 / 48 | $12.102,20 | 2145 / 42 | $10.905,40 | 2140 / 46 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 57 | 68 / 16 | $114.149,00 | 1753 / 47 | $14.035,00 | 1442 / 42 | $12.388,60 | 1430 / 43 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 57 | 131 / 19 | $73.395,30 | 1523 / 35 | $9.019,14 | 1304 / 30 | $7.502,44 | 1301 / 34 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 57 | 63 / 9 | $51.365,90 | 2057 / 46 | $6.261,70 | 1716 / 40 | $5.002,19 | 1705 / 41 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 53 | 108 / 24 | $51.942,80 | 2083 / 41 | $7.007,96 | 1714 / 44 | $5.511,45 | 1709 / 41 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 53 | 143 / 18 | $108.895,00 | 1245 / 24 | $15.992,70 | 1248 / 20 | $14.639,40 | 1241 / 27 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 50 | 514 / 44 | $88.373,40 | 2337 / 42 | $16.683,60 | 2261 / 38 | $15.066,80 | 2217 / 43 |
| Kidney & Urinary Tract Infections W Mcc | 49 | 95 / 20 | $90.272,10 | 1937 / 47 | $10.505,20 | 1743 / 42 | $9.136,94 | 1739 / 45 |
| Heart Failure & Shock W/O Cc/Mcc | 43 | 67 / 22 | $42.880,60 | 1933 / 41 | $5.919,56 | 1604 / 44 | $4.738,60 | 1591 / 43 |
| Transient Ischemia | 41 | 84 / 20 | $49.442,20 | 1570 / 40 | $6.049,22 | 1293 / 39 | $4.815,95 | 1287 / 42 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 40 | 167 / 33 | $68.618,50 | 2484 / 38 | $9.196,12 | 2105 / 38 | $7.638,08 | 2097 / 41 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 40 | 83 / 22 | $68.662,40 | 1768 / 32 | $9.926,55 | 1509 / 36 | $8.726,95 | 1506 / 44 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 38 | 53 / 5 | $63.500,40 | 357 / 15 | $8.970,39 | 256 / 8 | $8.514,61 | 256 / 11 |
| Chest Pain | 37 | 114 / 18 | $42.208,20 | 1623 / 41 | $5.329,14 | 1226 / 30 | $4.055,95 | 1219 / 35 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 37 | 94 / 19 | $92.189,70 | 1429 / 12 | $17.669,70 | 1387 / 29 | $16.400,50 | 1373 / 32 |
| Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 26 | $78.659,70 | 1686 / 28 | $15.611,80 | 1591 / 38 | $13.296,30 | 1572 / 34 |
| Red Blood Cell Disorders W/O Mcc | 36 | 107 / 30 | $52.364,90 | 1929 / 41 | $6.856,94 | 1524 / 37 | $5.554,00 | 1515 / 39 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 35 | 57 / 9 | $252.691,00 | 906 / 26 | $42.974,20 | 694 / 20 | $40.892,10 | 693 / 25 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 34 | 90 / 24 | $218.168,00 | 1327 / 31 | $41.144,90 | 1194 / 34 | $38.943,80 | 1186 / 35 |
| Diabetes W Cc | 33 | 59 / 12 | $65.498,60 | 1601 / 48 | $7.182,15 | 1242 / 34 | $5.923,33 | 1237 / 42 |
| Seizures W/O Mcc | 31 | 77 / 23 | $54.082,60 | 1261 / 38 | $6.494,94 | 929 / 31 | $5.185,97 | 926 / 34 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 31 | 151 / 38 | $63.858,80 | 1924 / 36 | $8.760,71 | 1634 / 37 | $7.339,87 | 1630 / 40 |
| G.I. Hemorrhage W Mcc | 31 | 90 / 20 | $114.831,00 | 1610 / 45 | $14.657,10 | 1362 / 38 | $13.430,00 | 1352 / 43 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 23 | $112.585,00 | 1739 / 52 | $11.888,50 | 1564 / 52 | $10.040,70 | 1561 / 51 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 38 | $39.013,60 | 1917 / 43 | $4.991,57 | 1620 / 41 | $3.802,00 | 1614 / 46 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 29 | 67 / 18 | $78.041,00 | 1406 / 38 | $9.977,24 | 1123 / 31 | $8.767,48 | 1118 / 37 |
| Other Vascular Procedures W Mcc | 28 | 69 / 14 | $160.086,00 | 903 / 31 | $27.035,90 | 788 / 32 | $25.436,90 | 785 / 35 |
| G.I. Obstruction W Cc | 28 | 64 / 16 | $65.603,20 | 1695 / 40 | $7.654,93 | 1433 / 35 | $6.376,79 | 1428 / 39 |
| Bronchitis & Asthma W Cc/Mcc | 28 | 48 / 14 | $54.101,70 | 1031 / 31 | $7.310,43 | 805 / 24 | $5.983,86 | 801 / 29 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 19 | $40.810,30 | 1817 / 26 | $6.264,96 | 1583 / 39 | $4.691,57 | 1575 / 40 |
| Respiratory Infections & Inflammations W Mcc | 26 | 110 / 25 | $77.232,30 | 1476 / 14 | $14.711,00 | 1388 / 27 | $13.496,60 | 1373 / 32 |
| Degenerative Nervous System Disorders W/O Mcc | 26 | 52 / 13 | $57.701,30 | 814 / 26 | $8.468,58 | 634 / 30 | $6.952,73 | 634 / 31 |
| G.I. Hemorrhage W/O Cc/Mcc | 26 | 42 / 13 | $44.307,60 | 953 / 36 | $6.091,50 | 803 / 36 | $4.923,92 | 799 / 39 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 25 | 99 / 11 | $44.201,90 | 805 / 15 | $6.019,40 | 559 / 22 | $4.699,24 | 558 / 22 |
| Other Digestive System Diagnoses W Cc | 25 | 72 / 19 | $70.800,80 | 1403 / 45 | $8.248,60 | 1135 / 37 | $7.035,48 | 1131 / 39 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 24 | 47 / 11 | $251.502,00 | 858 / 22 | $38.756,80 | 660 / 18 | $36.186,10 | 659 / 17 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 24 | 67 / 20 | $77.708,40 | 1391 / 44 | $8.825,46 | 1188 / 36 | $7.578,79 | 1186 / 41 |
| Peripheral Vascular Disorders W Cc | 24 | 60 / 23 | $47.695,20 | 1126 / 24 | $7.932,38 | 954 / 33 | $6.912,00 | 951 / 39 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 19 | $76.259,40 | 1374 / 25 | $11.237,70 | 1246 / 32 | $10.031,10 | 1241 / 33 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 34 | $94.922,80 | 1478 / 37 | $13.547,90 | 1216 / 30 | $12.245,10 | 1210 / 33 |
| Medical Back Problems W/O Mcc | 22 | 99 / 30 | $57.122,50 | 1454 / 43 | $8.452,59 | 1070 / 40 | $5.449,64 | 1067 / 34 |
| Cellulitis W Mcc | 21 | 37 / 13 | $91.810,90 | 934 / 33 | $12.355,50 | 720 / 32 | $10.193,80 | 718 / 28 |
| Red Blood Cell Disorders W Mcc | 21 | 50 / 13 | $94.196,60 | 1091 / 39 | $10.395,00 | 784 / 31 | $8.911,48 | 780 / 27 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 21 | 82 / 16 | $59.398,90 | 814 / 25 | $8.377,67 | 675 / 27 | $7.488,14 | 675 / 28 |
| Signs & Symptoms W/O Mcc | 21 | 70 / 17 | $45.082,80 | 1282 / 24 | $6.092,71 | 1038 / 25 | $5.084,10 | 1035 / 28 |
| Other Circulatory System Diagnoses W Mcc | 21 | 95 / 25 | $101.255,00 | 1282 / 32 | $14.901,70 | 985 / 33 | $13.490,30 | 978 / 33 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 15 | $63.208,50 | 1032 / 25 | $9.302,00 | 874 / 24 | $8.325,00 | 872 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 25 | $56.321,30 | 1544 / 40 | $6.420,33 | 1291 / 34 | $5.183,95 | 1287 / 38 |
| Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 23 | $205.637,00 | 1063 / 24 | $39.558,80 | 789 / 33 | $33.460,10 | 787 / 24 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 20 | 73 / 16 | $116.131,00 | 826 / 25 | $17.771,20 | 615 / 27 | $13.833,20 | 609 / 18 |
| Permanent Cardiac Pacemaker Implant W Mcc | 20 | 32 / 11 | $139.028,00 | 486 / 16 | $29.163,80 | 495 / 20 | $27.431,80 | 495 / 21 |
| Permanent Cardiac Pacemaker Implant W Cc | 19 | 58 / 16 | $92.332,60 | 720 / 12 | $20.743,70 | 779 / 28 | $19.172,30 | 775 / 27 |
| Other Circulatory System Diagnoses W Cc | 18 | 48 / 9 | $54.577,50 | 618 / 14 | $8.002,06 | 533 / 18 | $7.211,17 | 532 / 20 |
| Other Vascular Procedures W Cc | 18 | 84 / 23 | $114.540,00 | 944 / 28 | $19.789,10 | 876 / 31 | $18.299,60 | 871 / 30 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 16 | $47.572,60 | 782 / 35 | $6.408,78 | 651 / 36 | $4.943,44 | 647 / 30 |
| Diabetes W Mcc | 18 | 39 / 10 | $100.791,00 | 730 / 29 | $11.284,90 | 569 / 18 | $10.181,80 | 568 / 20 |
| Disorders Of Pancreas Except Malignancy W Cc | 18 | 43 / 9 | $55.514,20 | 900 / 22 | $7.742,67 | 789 / 24 | $6.754,67 | 786 / 29 |
| Atherosclerosis W/O Mcc | 17 | 41 / 14 | $50.509,60 | 535 / 29 | $5.418,00 | / 24 | $4.498,47 | / |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 35 | $89.269,50 | 2175 / 40 | $10.145,40 | 1799 / 33 | $8.920,18 | 1794 / 37 |
| Bronchitis & Asthma W/O Cc/Mcc | 17 | 28 / 8 | $31.490,40 | 317 / 7 | $5.549,12 | 260 / 18 | $4.171,88 | 260 / 18 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 8 | $67.779,20 | 922 / 28 | $5.858,19 | 681 / 19 | $4.619,69 | 680 / 18 |
| Other Circulatory System O.R. Procedures | 16 | 39 / 11 | $114.195,00 | 355 / 11 | $19.182,20 | 213 / 8 | $17.343,80 | 213 / 10 |
| Renal Failure W/O Cc/Mcc | 16 | 40 / 12 | $46.659,40 | 838 / 24 | $5.734,75 | 628 / 21 | $4.045,31 | 627 / 18 |
| Organic Disturbances & Mental Retardation | 16 | 43 / 12 | $54.596,00 | 518 / 18 | $8.478,50 | 408 / 17 | $7.476,25 | 408 / 22 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 15 | 47 / 18 | $43.217,40 | 750 / 20 | $6.521,07 | 623 / 21 | $5.198,33 | 621 / 28 |
| Other Digestive System Diagnoses W Mcc | 15 | 47 / 13 | $75.607,30 | 662 / 13 | $13.335,40 | 513 / 17 | $12.003,10 | 512 / 20 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 22 | $48.732,90 | 1283 / 37 | $5.458,20 | 956 / 31 | $3.830,73 | 953 / 29 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 8 | $126.221,00 | 979 / 21 | $12.267,40 | 782 / 15 | $10.599,30 | 780 / 17 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 15 | $544.883,00 | 526 / 27 | $89.068,30 | 429 / 23 | $81.708,40 | 428 / 25 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 19 | $142.345,00 | 788 / 12 | $24.481,00 | 766 / 13 | $23.023,90 | 761 / 15 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 14 | 24 / 9 | $46.889,90 | 439 / 20 | $5.556,07 | 344 / 14 | $4.233,93 | 343 / 15 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 11 | $92.128,50 | 609 / 15 | $14.108,30 | 473 / 13 | $13.136,00 | 472 / 16 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 14 | 31 / 10 | $44.986,40 | 390 / 19 | $5.782,64 | 305 / 19 | $4.666,36 | 305 / 20 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 15 | $77.708,90 | 717 / 19 | $13.432,40 | 589 / 26 | $10.118,80 | 587 / 16 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 14 | $55.532,40 | 462 / 16 | $10.002,50 | 492 / 19 | $8.476,00 | 491 / 20 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 13 | 64 / 13 | $28.112,20 | 65 / 1 | $12.410,50 | 330 / 16 | $11.144,50 | 329 / 20 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 18 | $67.867,50 | 494 / 8 | $16.790,40 | 596 / 22 | $15.497,40 | 595 / 24 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 12 | $62.215,20 | 545 / 14 | $7.880,17 | 363 / 8 | $6.568,50 | 363 / 9 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 13 | $56.149,50 | 323 / 21 | $7.218,17 | 254 / 20 | $5.702,83 | 253 / 22 |
| Dysequilibrium | 11 | 54 / 19 | $37.312,10 | 486 / 15 | $5.518,91 | 430 / 23 | $4.486,55 | 430 / 26 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 15 | $85.907,00 | 566 / 24 | $11.065,20 | 423 / 16 | $9.657,18 | 423 / 18 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 26 | $98.570,70 | 1058 / 30 | $12.857,00 | 884 / 25 | $11.829,30 | 880 / 26 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 16 | $119.561,00 | 789 / 13 | $22.385,50 | 734 / 17 | $20.987,70 | 731 / 18 |
| Peritoneal Adhesiolysis W/O Cc/Mcc | 11 | 13 / 5 | $42.948,00 | 29 / 1 | $12.453,00 | 49 / 2 | $10.403,70 | 49 / 2 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 11 | 33 / 14 | $54.222,90 | 306 / 15 | $6.424,91 | 201 / 7 | $5.026,36 | 201 / 14 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 22 | $51.403,00 | 905 / 38 | $6.314,00 | 788 / 31 | $5.148,55 | 787 / 33 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 18 | $219.768,00 | 656 / 22 | $35.782,30 | 509 / 16 | $33.710,20 | 509 / 16 | Total 102 procedures | 3.880 | 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.