Hospital Costs > In New Jersey > Robert Wood Johnson University Hospital At Rahway, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 39 | $147.946,00 | 1806 / 55 | $10.989,30 | 968 / 19 | $10.203,80 | 966 / 23 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 19 | 34 / 15 | $62.003,50 | 832 / 40 | $4.614,16 | 134 / 5 | $3.415,63 | 134 / 3 |
Atherosclerosis W/O Mcc | 23 | 35 / 10 | $52.070,30 | 539 / 31 | $3.669,43 | / 2 | $2.726,13 | / |
Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 30 | $69.465,40 | 2150 / 54 | $4.719,79 | 578 / 3 | $3.892,97 | 576 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 29 | $116.264,00 | 1907 / 54 | $7.817,50 | 915 / 11 | $7.000,13 | 912 / 17 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 43 | 107 / 28 | $54.423,60 | 1972 / 54 | $3.359,49 | 526 / 2 | $2.467,56 | 522 / 12 |
Cellulitis W/O Mcc | 29 | 160 / 53 | $53.912,70 | 2589 / 49 | $5.073,76 | 785 / 1 | $4.114,86 | 780 / 8 |
Chest Pain | 22 | 129 / 30 | $56.954,30 | 1702 / 50 | $3.652,77 | 170 / 2 | $2.496,41 | 169 / 3 |
Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 38 | $69.993,20 | 2406 / 52 | $5.655,50 | 684 / 2 | $4.711,92 | 682 / 6 |
Chronic Obstructive Pulmonary Disease W Mcc | 67 | 135 / 26 | $87.796,70 | 2533 / 51 | $7.177,73 | 696 / 5 | $5.968,63 | 692 / 2 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 31 | $67.402,70 | 2096 / 55 | $4.330,08 | 490 / 3 | $3.319,42 | 489 / 7 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 23 | 70 / 14 | $153.853,00 | 894 / 37 | $12.932,90 | 399 / 4 | $12.200,40 | 394 / 11 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 71 | 117 / 14 | $81.514,80 | 1572 / 38 | $6.458,46 | 396 / 1 | $5.304,99 | 394 / 2 |
Degenerative Nervous System Disorders W/O Mcc | 20 | 58 / 19 | $60.190,40 | 827 / 28 | $5.933,35 | 216 / 3 | $5.026,15 | 216 / 5 |
Diabetes W Cc | 18 | 74 / 26 | $58.305,70 | 1582 / 42 | $5.013,28 | 398 / 3 | $4.143,94 | 398 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 31 | $109.472,00 | 1460 / 48 | $7.423,58 | 493 / 7 | $6.612,92 | 490 / 9 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 45 | 230 / 46 | $62.325,70 | 2706 / 54 | $4.492,31 | 801 / 2 | $3.630,44 | 796 / 12 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 18 | $183.092,00 | 594 / 13 | $25.103,90 | 58 / 1 | $24.147,50 | 58 / 1 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 22 | $52.961,50 | 788 / 29 | $4.588,64 | 156 / 2 | $3.494,82 | 156 / 4 |
G.I. Hemorrhage W Cc | 75 | 143 / 24 | $83.579,90 | 2410 / 54 | $6.455,48 | 658 / 11 | $5.053,32 | 657 / 1 |
G.I. Hemorrhage W Mcc | 25 | 96 / 24 | $124.925,00 | 1637 / 49 | $11.199,60 | 754 / 12 | $10.423,90 | 752 / 14 |
G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 23 | $46.633,50 | 963 / 41 | $4.221,79 | 201 / 3 | $3.186,36 | 200 / 4 |
G.I. Obstruction W Cc | 14 | 78 / 28 | $72.403,30 | 1710 / 43 | $5.371,86 | 524 / 3 | $4.507,86 | 523 / 4 |
Heart Failure & Shock W Cc | 95 | 183 / 32 | $74.839,00 | 2740 / 55 | $6.020,87 | 1046 / 5 | $5.323,27 | 1044 / 12 |
Heart Failure & Shock W Mcc | 129 | 155 / 23 | $115.323,00 | 2594 / 55 | $9.066,51 | 936 / 3 | $8.200,19 | 935 / 2 |
Heart Failure & Shock W/O Cc/Mcc | 41 | 69 / 23 | $65.135,30 | 2005 / 58 | $4.083,83 | 579 / 5 | $3.373,59 | 577 / 11 |
Hip & Femur Procedures Except Major Joint W Cc | 38 | 105 / 25 | $121.157,00 | 1997 / 48 | $11.808,50 | 871 / 5 | $10.728,90 | 858 / 5 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 16 | $85.398,20 | 859 / 35 | $9.902,21 | 358 / 3 | $8.697,64 | 357 / 3 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 31 | 93 / 27 | $205.132,00 | 1282 / 29 | $29.666,10 | 391 / 4 | $28.546,40 | 391 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 35 | 147 / 36 | $92.380,30 | 2059 / 52 | $6.543,29 | 554 / 4 | $5.277,63 | 553 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 31 | 137 / 28 | $120.408,00 | 1579 / 47 | $11.537,80 | 481 / 13 | $9.309,65 | 480 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 27 | $63.942,40 | 1574 / 44 | $5.364,53 | 241 / 19 | $3.277,53 | 239 / 3 |
Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 36 | $86.749,30 | 1934 / 46 | $6.726,22 | 631 / 2 | $5.855,11 | 630 / 4 |
Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 43 | $64.283,00 | 2698 / 54 | $4.672,36 | 734 / 2 | $3.779,40 | 729 / 7 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 13 | $111.199,00 | 645 / 22 | $11.456,60 | 297 / 2 | $11.256,60 | 296 / 4 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 59 | 505 / 41 | $105.063,00 | 2533 / 48 | $13.014,00 | 1441 / 3 | $11.888,10 | 1408 / 13 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 30 | $187.406,00 | 1507 / 43 | $15.800,70 | 786 / 8 | $14.701,10 | 778 / 12 |
Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 23 | $231.833,00 | 1128 / 28 | $28.023,10 | 277 / 2 | $27.175,10 | 275 / 4 |
Medical Back Problems W/O Mcc | 15 | 106 / 35 | $49.106,40 | 1396 / 31 | $5.466,40 | 183 / 10 | $3.718,80 | 183 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 27 | $71.870,70 | 1676 / 33 | $6.676,26 | 486 / 1 | $6.004,26 | 483 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 54 | 112 / 27 | $55.685,60 | 2507 / 49 | $4.250,31 | 687 / 4 | $3.444,39 | 685 / 7 |
Other Circulatory System Diagnoses W Mcc | 27 | 89 / 19 | $139.732,00 | 1366 / 42 | $11.529,90 | 550 / 7 | $10.937,90 | 548 / 9 |
Other Circulatory System O.R. Procedures | 11 | 44 / 16 | $173.486,00 | 439 / 26 | $18.239,70 | 197 / 7 | $17.037,50 | 197 / 6 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 23 | $96.101,90 | 1054 / 28 | $8.885,36 | 165 / 1 | $7.857,93 | 165 / 1 |
Other Vascular Procedures W Cc | 19 | 83 / 22 | $127.334,00 | 1002 / 35 | $15.252,90 | 415 / 1 | $14.489,90 | 413 / 3 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 13 | 183 / 29 | $135.975,00 | 1395 / 32 | $12.339,20 | 700 / 2 | $11.221,60 | 696 / 9 |
Peripheral Vascular Disorders W Cc | 16 | 68 / 29 | $72.897,40 | 1236 / 45 | $5.811,00 | 344 / 4 | $4.985,00 | 342 / 5 |
Peripheral Vascular Disorders W/O Cc/Mcc | 13 | 32 / 11 | $47.477,80 | 393 / 21 | $4.347,08 | 87 / 4 | $3.186,08 | 87 / 4 |
Permanent Cardiac Pacemaker Implant W Cc | 22 | 55 / 14 | $140.682,00 | 910 / 30 | $16.187,30 | 405 / 4 | $15.196,80 | 404 / 5 |
Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 17 | $246.633,00 | 598 / 27 | $25.099,30 | 383 / 8 | $24.088,70 | 383 / 10 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 20 | $105.022,00 | 672 / 23 | $13.093,60 | 321 / 2 | $12.101,60 | 320 / 6 |
Pulmonary Edema & Respiratory Failure | 11 | 192 / 39 | $102.556,00 | 2205 / 46 | $7.830,91 | 1410 / 7 | $7.609,82 | 1406 / 24 |
Red Blood Cell Disorders W Mcc | 18 | 53 / 16 | $101.707,00 | 1101 / 41 | $7.581,22 | 304 / 2 | $6.830,56 | 304 / 4 |
Red Blood Cell Disorders W/O Mcc | 35 | 108 / 31 | $63.847,30 | 1981 / 53 | $4.848,71 | 494 / 3 | $3.976,26 | 493 / 4 |
Renal Failure W Cc | 56 | 165 / 33 | $73.868,80 | 2412 / 53 | $5.866,38 | 857 / 5 | $5.049,23 | 850 / 9 |
Renal Failure W Mcc | 33 | 162 / 34 | $106.222,00 | 2136 / 52 | $9.254,58 | 886 / 3 | $8.704,79 | 886 / 9 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 15 | $62.273,20 | 857 / 31 | $3.719,15 | 130 / 1 | $2.786,23 | 129 / 2 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 29 | $100.630,00 | 1657 / 30 | $11.497,10 | 612 / 1 | $10.702,10 | 604 / 2 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 24 | $141.941,00 | 1750 / 47 | $17.462,80 | 638 / 27 | $12.787,90 | 630 / 4 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 19 | $204.640,00 | 759 / 11 | $28.689,20 | 135 / 1 | $26.971,10 | 135 / 1 |
Seizures W/O Mcc | 15 | 93 / 36 | $58.110,90 | 1277 / 41 | $4.566,60 | 95 / 2 | $3.279,93 | 95 / 1 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 45 | 47 / 5 | $231.532,00 | 847 / 22 | $34.020,70 | 49 / 1 | $28.353,10 | 49 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 213 | 303 / 25 | $115.207,00 | 2728 / 50 | $11.466,40 | 1366 / 5 | $10.751,50 | 1339 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 67 | 140 / 24 | $81.149,50 | 2541 / 51 | $6.518,81 | 859 / 5 | $5.532,06 | 857 / 3 |
Simple Pneumonia & Pleurisy W Cc | 52 | 151 / 33 | $73.264,50 | 2780 / 55 | $6.047,94 | 905 / 6 | $5.004,17 | 902 / 7 |
Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 32 | $99.238,50 | 2455 / 49 | $8.947,11 | 1026 / 5 | $7.899,76 | 1026 / 6 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 30 | $56.647,40 | 1931 / 46 | $4.166,43 | 302 / 2 | $3.046,43 | 300 / 3 |
Syncope & Collapse | 49 | 120 / 29 | $63.019,20 | 1907 / 54 | $4.378,35 | 412 / 1 | $3.464,71 | 410 / 8 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 15 | 49 / 14 | $415.263,00 | 450 / 17 | $52.384,00 | 87 / 2 | $51.703,50 | 87 / 3 |
Transient Ischemia | 45 | 80 / 18 | $66.129,80 | 1646 / 52 | $4.316,38 | 229 / 4 | $3.056,00 | 229 / 2 | Total 70 procedures | 2.322 | 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.