Hospital Costs > In New Jersey > Robert Wood Johnson University Hospital Hamilton, 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 | 188 | 376 / 20 | $104.101,00 | 2525 / 47 | $12.850,70 | 1281 / 2 | $11.549,00 | 1249 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 126 | 390 / 40 | $95.404,60 | 2597 / 31 | $11.189,40 | 1083 / 2 | $10.297,30 | 1070 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 113 | 66 / 10 | $57.670,20 | 2342 / 39 | $5.723,37 | 571 / 3 | $4.613,12 | 569 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 113 | 120 / 20 | $42.484,10 | 2544 / 25 | $4.696,81 | 588 / 5 | $3.681,14 | 586 / 1 |
| Heart Failure & Shock W Cc | 109 | 169 / 27 | $62.784,30 | 2686 / 44 | $5.989,18 | 886 / 1 | $5.194,91 | 885 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 97 | 178 / 26 | $40.205,20 | 2481 / 25 | $4.504,30 | 528 / 3 | $3.429,69 | 526 / 2 |
| Cellulitis W/O Mcc | 97 | 92 / 25 | $44.415,50 | 2494 / 40 | $5.078,97 | 749 / 2 | $4.086,14 | 745 / 6 |
| G.I. Hemorrhage W Cc | 78 | 140 / 21 | $65.447,00 | 2351 / 42 | $6.066,22 | 768 / 3 | $5.152,99 | 766 / 7 |
| Chronic Obstructive Pulmonary Disease W Mcc | 75 | 127 / 21 | $69.240,00 | 2440 / 33 | $7.031,85 | 924 / 1 | $6.177,67 | 919 / 5 |
| Renal Failure W Cc | 72 | 149 / 25 | $63.685,60 | 2380 / 46 | $5.802,33 | 815 / 2 | $5.016,33 | 808 / 7 |
| Heart Failure & Shock W Mcc | 67 | 217 / 43 | $87.006,20 | 2513 / 42 | $9.052,27 | 1102 / 1 | $8.432,33 | 1099 / 5 |
| Renal Failure W Mcc | 65 | 130 / 18 | $85.962,90 | 2036 / 34 | $10.733,60 | 735 / 17 | $8.430,57 | 735 / 5 |
| Simple Pneumonia & Pleurisy W Mcc | 60 | 145 / 22 | $95.239,90 | 2441 / 46 | $8.872,90 | 1197 / 2 | $8.133,30 | 1197 / 10 |
| Simple Pneumonia & Pleurisy W Cc | 58 | 145 / 31 | $57.642,00 | 2672 / 39 | $5.858,90 | 937 / 1 | $5.031,03 | 934 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 52 | 71 / 15 | $79.832,90 | 1843 / 43 | $7.263,10 | 411 / 2 | $6.236,73 | 409 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 52 | 130 / 26 | $63.809,00 | 1922 / 35 | $6.570,94 | 683 / 6 | $5.414,56 | 682 / 6 |
| Syncope & Collapse | 49 | 120 / 29 | $47.705,20 | 1819 / 39 | $4.389,45 | 405 / 2 | $3.456,22 | 403 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 49 | 101 / 25 | $37.004,10 | 1888 / 37 | $3.353,53 | 357 / 1 | $2.317,78 | 355 / 6 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 46 | 74 / 12 | $44.887,20 | 2010 / 38 | $4.326,15 | 499 / 2 | $3.325,80 | 498 / 8 |
| Kidney & Urinary Tract Infections W Mcc | 46 | 98 / 21 | $57.785,80 | 1784 / 22 | $6.759,78 | 622 / 4 | $5.842,22 | 621 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 45 | 80 / 24 | $92.648,40 | 1659 / 33 | $10.043,80 | 384 / 9 | $8.727,96 | 384 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 32 | $44.182,10 | 2431 / 34 | $4.244,02 | 732 / 3 | $3.475,30 | 730 / 8 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 41 | 90 / 17 | $88.313,40 | 1400 / 9 | $13.706,50 | 707 / 3 | $12.992,70 | 699 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 40 | 167 / 33 | $74.439,80 | 2516 / 45 | $6.475,45 | 971 / 3 | $5.636,65 | 968 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 30 | $54.102,10 | 2097 / 42 | $5.554,28 | 209 / 21 | $3.484,38 | 209 / 1 |
| Transient Ischemia | 38 | 87 / 23 | $43.083,00 | 1489 / 31 | $4.342,03 | 188 / 5 | $2.998,39 | 188 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 38 | 86 / 21 | $220.602,00 | 1332 / 32 | $32.030,70 | 463 / 9 | $29.170,70 | 459 / 7 |
| Peripheral Vascular Disorders W Cc | 37 | 47 / 13 | $62.949,10 | 1219 / 41 | $5.742,68 | 296 / 2 | $4.859,65 | 295 / 3 |
| Pulmonary Edema & Respiratory Failure | 34 | 169 / 25 | $82.536,90 | 2141 / 35 | $7.283,85 | 641 / 1 | $6.502,68 | 641 / 3 |
| Red Blood Cell Disorders W/O Mcc | 33 | 110 / 33 | $56.034,50 | 1955 / 47 | $4.848,48 | 599 / 2 | $4.083,39 | 595 / 9 |
| Other Circulatory System Diagnoses W Mcc | 33 | 83 / 14 | $86.157,60 | 1194 / 24 | $11.066,50 | 453 / 4 | $10.562,70 | 452 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 33 | 110 / 29 | $85.757,60 | 1773 / 34 | $11.802,90 | 815 / 4 | $10.635,40 | 806 / 3 |
| G.I. Obstruction W Cc | 32 | 60 / 14 | $46.036,60 | 1551 / 22 | $5.344,88 | 529 / 1 | $4.511,88 | 528 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 32 | 41 / 7 | $53.095,30 | 974 / 14 | $7.176,53 | 243 / 3 | $5.994,31 | 242 / 4 |
| Respiratory Infections & Inflammations W Mcc | 32 | 104 / 21 | $105.245,00 | 1679 / 33 | $12.024,20 | 795 / 9 | $11.122,40 | 785 / 7 |
| Diabetes W Cc | 30 | 62 / 14 | $55.198,00 | 1560 / 36 | $5.011,13 | 352 / 2 | $4.086,33 | 352 / 4 |
| G.I. Hemorrhage W Mcc | 29 | 92 / 22 | $97.397,20 | 1544 / 35 | $10.756,80 | 675 / 5 | $10.134,50 | 676 / 12 |
| Atherosclerosis W/O Mcc | 29 | 29 / 7 | $37.230,90 | 508 / 25 | $3.665,93 | / 1 | $2.835,03 | / |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 28 | 74 / 19 | $48.824,80 | 1477 / 27 | $4.601,61 | 382 / 5 | $3.482,75 | 379 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 27 | 66 / 20 | $46.335,20 | 1881 / 37 | $4.256,07 | 442 / 4 | $3.184,67 | 440 / 7 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 27 | 36 / 5 | $152.054,00 | 219 / 14 | $21.306,30 | 143 / 2 | $20.143,70 | 143 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 27 | 69 / 20 | $69.262,90 | 1357 / 32 | $7.215,41 | 338 / 1 | $6.319,41 | 336 / 3 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 21 | $128.554,00 | 1383 / 31 | $15.303,90 | 647 / 6 | $14.145,80 | 641 / 8 |
| Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 33 | $41.551,20 | 1918 / 37 | $4.086,88 | 358 / 6 | $3.167,84 | 356 / 3 |
| Bronchitis & Asthma W Cc/Mcc | 24 | 52 / 17 | $47.273,60 | 986 / 24 | $5.507,50 | 205 / 3 | $4.123,96 | 202 / 3 |
| Other Vascular Procedures W Mcc | 24 | 73 / 16 | $156.069,00 | 885 / 28 | $18.450,00 | 165 / 1 | $17.625,30 | 165 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 22 | $245.446,00 | 1156 / 30 | $31.252,30 | 572 / 10 | $30.359,10 | 570 / 12 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 19 | $68.325,70 | 1325 / 20 | $8.164,96 | 367 / 2 | $7.108,00 | 364 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 15 | $30.477,80 | 1119 / 12 | $3.894,95 | 194 / 3 | $2.530,14 | 194 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 23 | $59.185,70 | 1291 / 28 | $5.945,71 | 402 / 4 | $5.314,86 | 401 / 7 |
| Chest Pain | 21 | 130 / 31 | $37.867,80 | 1550 / 32 | $3.647,10 | 287 / 1 | $2.670,33 | 286 / 5 |
| Medical Back Problems W/O Mcc | 21 | 100 / 31 | $51.647,60 | 1417 / 38 | $5.373,90 | 233 / 7 | $3.827,90 | 233 / 3 |
| Other Vascular Procedures W Cc | 20 | 82 / 21 | $122.298,00 | 980 / 32 | $15.706,50 | 262 / 3 | $13.713,20 | 261 / 1 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 20 | 33 / 14 | $37.108,60 | 688 / 18 | $4.468,35 | 128 / 1 | $3.399,65 | 128 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 36 | $84.390,10 | 1397 / 27 | $10.397,90 | 603 / 4 | $9.634,95 | 602 / 9 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 16 | $186.362,00 | 695 / 8 | $31.761,30 | 401 / 3 | $30.685,10 | 401 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 38 | $80.418,60 | 1563 / 37 | $6.590,47 | 712 / 5 | $5.766,89 | 710 / 12 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 26 | $54.726,90 | 1316 / 29 | $5.839,94 | 585 / 1 | $5.368,83 | 582 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 35 | $63.918,50 | 1626 / 27 | $6.760,00 | 236 / 4 | $5.594,82 | 234 / 1 |
| Other Resp System O.R. Procedures W Mcc | 17 | 46 / 8 | $187.981,00 | 541 / 15 | $22.879,90 | 274 / 2 | $21.972,50 | 273 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 20 | $116.370,00 | 827 / 26 | $12.613,70 | 363 / 2 | $11.939,70 | 358 / 7 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 20 | $64.632,00 | 834 / 31 | $5.999,75 | 175 / 2 | $5.095,75 | 175 / 3 |
| Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 22 | $48.086,50 | 762 / 14 | $5.978,31 | 161 / 4 | $4.848,31 | 161 / 3 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 16 | 48 / 13 | $306.986,00 | 333 / 5 | $55.805,00 | 141 / 4 | $55.199,00 | 141 / 5 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 16 | 61 / 10 | $80.100,60 | 375 / 22 | $9.568,88 | 157 / 1 | $8.366,88 | 157 / 5 |
| Respiratory Neoplasms W Cc | 15 | 32 / 13 | $73.917,50 | 484 / 27 | $7.102,00 | 121 / 1 | $6.192,13 | 120 / 2 |
| Hypertension W/O Mcc | 14 | 51 / 16 | $43.328,80 | 754 / 23 | $4.515,64 | 96 / 12 | $2.626,07 | 96 / 2 |
| Cellulitis W Mcc | 14 | 44 / 19 | $73.102,20 | 882 / 22 | $8.854,64 | 366 / 4 | $8.166,64 | 364 / 7 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 13 | 32 / 11 | $49.250,80 | 394 / 22 | $4.057,92 | 114 / 1 | $3.314,54 | 114 / 5 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 21 | $62.644,30 | 974 / 18 | $7.575,62 | 294 / 1 | $6.808,85 | 294 / 3 |
| Nonspecific Cva & Precerebral Occlusion W/O Infarct W/O Mcc | 13 | 10 / 2 | $51.896,80 | 53 / 2 | $5.210,54 | 6 / 1 | $4.184,08 | 6 / 2 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 23 | $221.454,00 | 819 / 20 | $35.843,40 | 378 / 2 | $34.629,80 | 377 / 4 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 22 | $115.606,00 | 845 / 26 | $15.949,00 | 349 / 3 | $14.833,90 | 348 / 3 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 17 | $68.446,40 | 782 / 29 | $9.884,62 | 416 / 2 | $8.860,62 | 414 / 7 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 21 | $38.605,70 | 846 / 22 | $4.418,58 | 140 / 4 | $3.073,58 | 141 / 2 |
| Complications Of Treatment W Cc | 12 | 40 / 7 | $65.451,70 | 354 / 14 | $5.911,42 | 96 / 1 | $5.410,08 | 96 / 4 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 17 | $84.958,80 | 756 / 26 | $10.022,20 | 291 / 3 | $8.628,83 | 291 / 4 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 13 | $61.286,60 | 328 / 23 | $6.501,50 | 37 / 13 | $3.593,25 | 37 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 10 | $166.055,00 | 868 / 23 | $19.471,80 | 404 / 2 | $18.373,10 | 402 / 6 |
| Other Circulatory System Diagnoses W Cc | 12 | 54 / 14 | $59.547,10 | 634 / 18 | $5.788,92 | 203 / 1 | $5.135,58 | 202 / 8 |
| Peritoneal Adhesiolysis W Cc | 11 | 28 / 8 | $83.490,50 | 207 / 8 | $13.320,20 | 82 / 2 | $12.560,90 | 82 / 2 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 15 | $69.518,50 | 523 / 11 | $8.268,00 | 127 / 1 | $7.162,55 | 127 / 3 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 26 | $41.706,30 | 936 / 31 | $4.218,64 | 233 / 2 | $3.238,27 | 231 / 5 |
| Seizures W/O Mcc | 11 | 97 / 40 | $53.121,70 | 1251 / 37 | $4.592,55 | 425 / 3 | $3.938,00 | 423 / 10 |
| Endocrine Disorders W Cc | 11 | 27 / 8 | $58.354,40 | 288 / 10 | $6.174,82 | 62 / 2 | $5.296,27 | 62 / 2 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 13 | $71.111,90 | 455 / 18 | $7.221,45 | 73 / 2 | $6.008,36 | 73 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 14 | $55.832,50 | 902 / 23 | $5.560,64 | 279 / 2 | $4.687,91 | 278 / 5 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 16 | $163.394,00 | 906 / 23 | $19.675,20 | 537 / 11 | $18.691,90 | 534 / 11 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 24 | $66.854,50 | 1246 / 29 | $5.750,18 | 337 / 2 | $4.868,73 | 337 / 3 | Total 89 procedures | 3.111 | 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.