Hospital Costs > In New Jersey > Riverview Medical 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 | 272 | 295 / 12 | $65.003,90 | 1860 / 21 | $13.115,20 | 1139 / 7 | $11.279,70 | 1112 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 111 | 405 / 43 | $106.229,00 | 2691 / 43 | $12.381,10 | 1402 / 16 | $10.852,20 | 1375 / 10 |
Heart Failure & Shock W Cc | 104 | 174 / 30 | $57.103,40 | 2639 / 36 | $6.400,41 | 857 / 12 | $5.180,60 | 856 / 6 |
Kidney & Urinary Tract Infections W/O Mcc | 102 | 131 / 23 | $48.172,80 | 2628 / 42 | $4.771,80 | 777 / 8 | $3.810,12 | 772 / 8 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 86 | 189 / 29 | $40.820,90 | 2489 / 27 | $4.702,58 | 554 / 10 | $3.448,95 | 552 / 3 |
Heart Failure & Shock W Mcc | 78 | 206 / 40 | $81.999,40 | 2474 / 36 | $9.189,78 | 1170 / 5 | $8.540,74 | 1167 / 6 |
Renal Failure W Cc | 77 | 144 / 23 | $59.629,50 | 2357 / 41 | $6.264,43 | 636 / 13 | $4.865,53 | 630 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 74 | 108 / 18 | $64.876,90 | 1934 / 38 | $6.581,50 | 779 / 9 | $5.524,57 | 777 / 11 |
Cellulitis W/O Mcc | 71 | 118 / 30 | $39.499,00 | 2399 / 22 | $5.157,58 | 745 / 6 | $4.083,21 | 741 / 5 |
G.I. Hemorrhage W Cc | 65 | 153 / 28 | $58.598,20 | 2288 / 34 | $6.371,22 | 767 / 10 | $5.151,80 | 765 / 6 |
Chronic Obstructive Pulmonary Disease W Cc | 60 | 119 / 26 | $58.382,40 | 2351 / 41 | $5.810,95 | 786 / 6 | $4.786,42 | 784 / 9 |
Simple Pneumonia & Pleurisy W Cc | 60 | 143 / 30 | $64.059,00 | 2737 / 48 | $7.037,18 | 716 / 24 | $4.830,80 | 713 / 4 |
Chronic Obstructive Pulmonary Disease W Mcc | 56 | 146 / 32 | $76.289,00 | 2492 / 42 | $7.394,68 | 1255 / 8 | $6.530,68 | 1249 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 55 | 106 / 23 | $48.796,80 | 2051 / 32 | $5.275,18 | 376 / 14 | $3.705,71 | 376 / 4 |
Pulmonary Edema & Respiratory Failure | 52 | 151 / 16 | $100.865,00 | 2200 / 45 | $8.039,23 | 1174 / 12 | $7.196,44 | 1172 / 12 |
Respiratory Infections & Inflammations W Mcc | 52 | 84 / 13 | $105.825,00 | 1681 / 34 | $12.388,70 | 951 / 12 | $11.560,40 | 941 / 15 |
Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 25 | $88.967,70 | 2407 / 43 | $9.751,73 | 1357 / 16 | $8.413,38 | 1357 / 14 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 48 | 102 / 26 | $30.049,90 | 1753 / 13 | $3.652,42 | 308 / 10 | $2.270,00 | 306 / 5 |
Hip & Femur Procedures Except Major Joint W Cc | 47 | 96 / 21 | $80.762,20 | 1717 / 31 | $11.884,30 | 923 / 7 | $10.834,40 | 910 / 7 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 43 | 123 / 33 | $46.193,40 | 2463 / 38 | $4.290,30 | 736 / 7 | $3.476,91 | 734 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 43 | 80 / 20 | $80.519,30 | 1849 / 44 | $8.131,72 | 881 / 13 | $6.942,12 | 878 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 41 | 166 / 32 | $75.524,80 | 2523 / 49 | $6.964,54 | 1479 / 12 | $6.227,78 | 1473 / 19 |
Kidney & Urinary Tract Infections W Mcc | 41 | 103 / 24 | $67.825,80 | 1876 / 33 | $6.860,73 | 482 / 10 | $5.686,10 | 481 / 1 |
Syncope & Collapse | 39 | 130 / 35 | $44.502,10 | 1764 / 28 | $4.539,62 | 464 / 10 | $3.515,51 | 462 / 11 |
Medical Back Problems W/O Mcc | 39 | 82 / 20 | $49.785,50 | 1402 / 32 | $5.196,21 | 459 / 5 | $4.175,49 | 459 / 9 |
Respiratory Infections & Inflammations W Cc | 38 | 50 / 8 | $67.871,40 | 1318 / 19 | $8.414,08 | 628 / 4 | $7.632,95 | 625 / 7 |
Renal Failure W Mcc | 37 | 158 / 31 | $84.193,50 | 2021 / 30 | $9.462,62 | 759 / 8 | $8.471,92 | 759 / 6 |
Major Small & Large Bowel Procedures W Cc | 37 | 71 / 14 | $99.181,30 | 1206 / 19 | $15.076,90 | 642 / 3 | $14.125,60 | 636 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 37 | 131 / 24 | $78.818,10 | 1358 / 24 | $10.391,60 | 370 / 3 | $9.010,11 | 369 / 1 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 35 | 161 / 21 | $101.347,00 | 1178 / 20 | $13.610,20 | 657 / 6 | $11.120,50 | 653 / 7 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 35 | 21 / 3 | $81.972,00 | 739 / 21 | $10.171,50 | 400 / 7 | $9.056,49 | 400 / 8 |
Major Small & Large Bowel Procedures W Mcc | 34 | 51 / 12 | $198.038,00 | 1038 / 23 | $29.028,80 | 364 / 4 | $28.210,00 | 362 / 5 |
Acute Myocardial Infarction, Discharged Alive W Cc | 33 | 58 / 16 | $65.786,80 | 1343 / 38 | $6.539,06 | 599 / 11 | $5.657,61 | 598 / 15 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 33 | $88.585,00 | 1626 / 30 | $10.227,50 | 647 / 11 | $9.315,48 | 646 / 12 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 24 | $143.992,00 | 1760 / 48 | $14.664,20 | 800 / 9 | $13.327,10 | 792 / 8 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 31 | $57.704,00 | 1355 / 17 | $6.767,67 | 409 / 7 | $5.317,73 | 407 / 3 |
Spinal Fusion Except Cervical W/O Mcc | 29 | 165 / 13 | $103.260,00 | 766 / 12 | $24.526,70 | 727 / 4 | $23.445,30 | 723 / 7 |
Red Blood Cell Disorders W/O Mcc | 29 | 114 / 36 | $54.941,00 | 1950 / 44 | $4.899,31 | 507 / 5 | $3.987,86 | 506 / 6 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 28 | 73 / 15 | $98.487,60 | 1057 / 29 | $10.590,80 | 583 / 13 | $9.480,82 | 581 / 12 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 27 | $42.539,90 | 1990 / 34 | $4.375,04 | 420 / 5 | $3.251,61 | 419 / 4 |
G.I. Obstruction W Cc | 26 | 66 / 17 | $50.271,90 | 1602 / 29 | $6.520,27 | 157 / 22 | $3.966,04 | 156 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 22 | $50.507,10 | 1501 / 32 | $4.892,12 | 128 / 8 | $3.058,32 | 126 / 1 |
Transient Ischemia | 25 | 100 / 32 | $53.631,80 | 1597 / 44 | $4.268,80 | 344 / 3 | $3.206,40 | 344 / 10 |
Other Digestive System Diagnoses W Cc | 25 | 72 / 19 | $42.738,50 | 1172 / 17 | $5.920,20 | 355 / 4 | $4.955,08 | 352 / 5 |
Degenerative Nervous System Disorders W/O Mcc | 23 | 55 / 16 | $62.611,10 | 839 / 33 | $6.177,17 | 303 / 6 | $5.289,52 | 303 / 11 |
G.I. Hemorrhage W Mcc | 23 | 98 / 26 | $124.973,00 | 1638 / 50 | $11.028,80 | 783 / 9 | $10.505,70 | 780 / 15 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 23 | 34 / 11 | $71.286,00 | 515 / 12 | $13.564,20 | 262 / 4 | $11.708,80 | 261 / 2 |
Permanent Cardiac Pacemaker Implant W Cc | 23 | 54 / 13 | $82.594,80 | 646 / 9 | $16.351,50 | 426 / 5 | $15.352,50 | 425 / 7 |
Extracranial Procedures W/O Cc/Mcc | 22 | 76 / 10 | $41.509,00 | 655 / 13 | $6.411,59 | 343 / 3 | $5.314,86 | 343 / 4 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 22 | 31 / 12 | $34.265,50 | 652 / 13 | $4.770,23 | 214 / 8 | $3.613,32 | 213 / 8 |
Fractures Of Hip & Pelvis W/O Mcc | 22 | 39 / 14 | $44.851,20 | 890 / 31 | $4.628,55 | 145 / 10 | $3.089,86 | 146 / 3 |
Other Vascular Procedures W Cc | 21 | 81 / 20 | $94.804,20 | 801 / 12 | $15.724,90 | 311 / 4 | $13.981,20 | 309 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 32 | $101.226,00 | 1734 / 50 | $9.042,52 | 867 / 31 | $6.730,33 | 864 / 17 |
Diabetes W Cc | 21 | 71 / 23 | $54.635,70 | 1559 / 35 | $5.059,43 | 530 / 5 | $4.311,24 | 530 / 12 |
Other Kidney & Urinary Tract Diagnoses W Cc | 21 | 82 / 16 | $51.928,80 | 767 / 17 | $6.571,90 | 111 / 9 | $4.890,90 | 111 / 1 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 21 | 32 / 6 | $68.166,10 | 447 / 17 | $7.436,14 | 112 / 4 | $6.378,10 | 112 / 3 |
Other Digestive System Diagnoses W Mcc | 19 | 43 / 10 | $76.019,30 | 667 / 14 | $10.144,40 | 162 / 2 | $9.178,11 | 162 / 3 |
G.I. Hemorrhage W/O Cc/Mcc | 19 | 49 / 18 | $35.088,80 | 871 / 22 | $4.261,11 | 237 / 6 | $3.243,84 | 235 / 6 |
Seizures W/O Mcc | 19 | 89 / 33 | $59.248,90 | 1282 / 42 | $4.647,11 | 235 / 5 | $3.633,21 | 234 / 4 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 6 | $129.582,00 | 783 / 14 | $20.013,80 | 277 / 3 | $17.464,10 | 275 / 2 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 39 | $40.813,90 | 1904 / 32 | $4.124,61 | 597 / 9 | $3.385,06 | 595 / 14 |
Hip & Femur Procedures Except Major Joint W Mcc | 18 | 44 / 11 | $108.369,00 | 740 / 9 | $17.998,10 | 252 / 3 | $16.254,90 | 250 / 2 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 39 | $239.828,00 | 1391 / 41 | $36.848,90 | 1051 / 23 | $36.141,20 | 1044 / 28 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 17 | 107 / 17 | $35.447,60 | 749 / 8 | $4.076,76 | 167 / 1 | $3.436,76 | 167 / 5 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 17 | 45 / 16 | $37.742,20 | 704 / 15 | $7.156,76 | 120 / 26 | $3.390,82 | 120 / 2 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 27 | $47.315,40 | 1890 / 40 | $4.597,47 | 199 / 9 | $2.900,12 | 197 / 2 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 15 | $61.294,20 | 717 / 18 | $9.919,50 | 362 / 4 | $8.705,50 | 361 / 5 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 16 | 30 / 9 | $34.797,20 | 308 / 8 | $4.544,38 | 50 / 6 | $2.901,38 | 50 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 28 | $57.659,60 | 1250 / 20 | $8.076,44 | 441 / 11 | $6.510,44 | 438 / 7 |
Cervical Spinal Fusion W/O Cc/Mcc | 15 | 89 / 7 | $75.733,90 | 640 / 11 | $14.519,40 | 344 / 1 | $11.862,50 | 343 / 3 |
Other Vascular Procedures W Mcc | 15 | 82 / 24 | $143.906,00 | 848 / 21 | $20.091,70 | 145 / 4 | $17.420,50 | 145 / 1 |
Chest Pain | 15 | 136 / 36 | $31.069,10 | 1417 / 17 | $3.678,73 | 445 / 4 | $2.878,73 | 443 / 8 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 6 | $54.165,50 | 407 / 5 | $13.346,70 | 313 / 1 | $11.612,10 | 310 / 1 |
Other Resp System O.R. Procedures W Mcc | 14 | 49 / 10 | $192.408,00 | 545 / 16 | $23.542,70 | 254 / 4 | $21.400,60 | 253 / 3 |
Nervous System Neoplasms W Mcc | 14 | 34 / 7 | $46.787,80 | 198 / 3 | $7.923,71 | 82 / 2 | $7.318,00 | 82 / 3 |
Peripheral Vascular Disorders W Cc | 14 | 70 / 31 | $66.990,50 | 1230 / 42 | $6.076,07 | 425 / 10 | $5.146,93 | 423 / 11 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 15 | $188.183,00 | 610 / 15 | $29.288,60 | 287 / 4 | $28.598,40 | 287 / 8 |
Organic Disturbances & Mental Retardation | 13 | 46 / 14 | $48.586,90 | 490 / 10 | $6.162,62 | 173 / 2 | $5.515,23 | 173 / 3 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 23 | $119.950,00 | 838 / 28 | $15.858,80 | 273 / 20 | $11.392,10 | 268 / 5 |
Respiratory Neoplasms W Cc | 13 | 34 / 15 | $85.800,50 | 500 / 31 | $7.186,15 | 132 / 4 | $6.260,62 | 131 / 5 |
Respiratory Neoplasms W Mcc | 13 | 39 / 13 | $87.359,30 | 564 / 12 | $10.116,50 | 95 / 1 | $8.787,23 | 95 / 1 |
Other Vascular Procedures W/O Cc/Mcc | 13 | 43 / 10 | $75.321,90 | 462 / 16 | $10.414,20 | 274 / 2 | $9.673,23 | 273 / 5 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 32 | $100.302,00 | 1278 / 29 | $10.878,80 | 270 / 2 | $9.872,54 | 270 / 4 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 13 | 50 / 10 | $85.901,40 | 144 / 10 | $21.535,90 | 147 / 4 | $20.327,30 | 147 / 5 |
Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 10 | $65.247,00 | 833 / 5 | $9.011,15 | 127 / 5 | $6.937,31 | 127 / 1 |
Other Circulatory System Diagnoses W Cc | 13 | 53 / 13 | $67.174,40 | 650 / 24 | $5.837,46 | 120 / 2 | $4.789,31 | 119 / 3 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 13 | 53 / 9 | $61.866,50 | 365 / 3 | $11.997,00 | 117 / 2 | $9.541,15 | 117 / 1 |
Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 22 | $112.161,00 | 688 / 18 | $20.545,20 | 412 / 3 | $19.521,20 | 412 / 6 |
Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 12 | $78.607,40 | 286 / 7 | $21.370,30 | 21 / 3 | $15.176,70 | 21 / 1 |
Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 17 | $123.101,00 | 439 / 9 | $22.532,50 | 44 / 5 | $18.504,80 | 44 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 22 | $56.569,20 | 996 / 18 | $8.471,67 | 234 / 17 | $5.979,00 | 233 / 2 |
Atherosclerosis W/O Mcc | 12 | 46 / 19 | $36.733,60 | 505 / 23 | $3.710,83 | / 4 | $2.601,50 | / |
Cellulitis W Mcc | 12 | 46 / 21 | $105.985,00 | 954 / 40 | $9.672,58 | 484 / 8 | $8.667,25 | 482 / 12 |
Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 13 | $42.526,50 | 342 / 21 | $4.094,36 | 89 / 3 | $3.215,82 | 89 / 4 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 13 | $44.797,20 | 880 / 18 | $3.875,82 | 244 / 1 | $3.215,45 | 243 / 4 |
Other Skin, Subcut Tiss & Breast Proc W Cc | 11 | 13 / 5 | $50.758,00 | 61 / 2 | $8.083,73 | 9 / 1 | $6.984,09 | 9 / 1 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 6 | $81.026,50 | 340 / 4 | $16.212,00 | 271 / 2 | $15.220,00 | 271 / 2 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 11 | 40 / 12 | $123.503,00 | 325 / 11 | $11.941,30 | 78 / 1 | $10.835,80 | 78 / 1 |
Seizures W Mcc | 11 | 55 / 18 | $98.228,80 | 725 / 19 | $9.297,73 | 239 / 2 | $8.529,73 | 239 / 6 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 11 | $131.901,00 | 420 / 16 | $16.762,20 | 283 / 4 | $15.668,50 | 282 / 4 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 25 | $27.619,60 | 1074 / 8 | $4.637,73 | 125 / 21 | $2.387,73 | 125 / 2 |
Other Circulatory System O.R. Procedures | 11 | 44 / 16 | $175.680,00 | 441 / 27 | $21.368,80 | 324 / 18 | $20.439,50 | 324 / 20 |
Digestive Malignancy W Cc | 11 | 36 / 15 | $63.246,70 | 355 / 16 | $7.702,82 | 74 / 3 | $6.495,55 | 74 / 1 | Total 103 procedures | 3.281 | 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.