Hospital Costs > In New York > Rome Memorial Hospital, Inc, 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 | 86 | 430 / 87 | $30.072,70 | 782 / 46 | $10.794,90 | 794 / 9 | $9.903,15 | 793 / 10 |
Heart Failure & Shock W Cc | 48 | 230 / 62 | $17.877,60 | 914 / 51 | $6.141,46 | 1031 / 16 | $5.313,46 | 1029 / 18 |
Heart Failure & Shock W Mcc | 48 | 236 / 58 | $26.495,40 | 863 / 43 | $8.952,25 | 950 / 11 | $8.221,58 | 949 / 13 |
Pulmonary Edema & Respiratory Failure | 47 | 156 / 23 | $25.682,40 | 773 / 40 | $7.778,40 | 745 / 15 | $6.645,43 | 745 / 12 |
Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 44 | $21.357,70 | 843 / 42 | $7.156,62 | 1090 / 9 | $6.325,33 | 1085 / 16 |
Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 53 | $18.970,50 | 1022 / 59 | $6.099,08 | 1135 / 14 | $5.182,32 | 1131 / 19 |
Renal Failure W Cc | 32 | 189 / 55 | $18.730,30 | 853 / 41 | $6.067,53 | 1205 / 17 | $5.388,53 | 1197 / 18 |
Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 46 | $19.752,00 | 973 / 51 | $5.873,44 | 883 / 17 | $4.856,09 | 880 / 17 |
Cellulitis W/O Mcc | 32 | 157 / 65 | $16.998,90 | 1125 / 58 | $5.407,94 | 1147 / 16 | $4.386,94 | 1141 / 21 |
G.I. Hemorrhage W Cc | 31 | 187 / 58 | $18.532,80 | 613 / 42 | $6.238,48 | 1092 / 15 | $5.458,10 | 1090 / 23 |
G.I. Obstruction W Cc | 27 | 65 / 19 | $20.825,70 | 706 / 35 | $5.746,00 | 523 / 13 | $4.507,63 | 522 / 12 |
Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 72 | $18.347,20 | 1391 / 58 | $4.997,85 | 1357 / 16 | $4.208,92 | 1348 / 25 |
Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 45 | $42.448,50 | 738 / 42 | $11.495,50 | 732 / 10 | $10.481,80 | 726 / 14 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 27 | $16.570,70 | 892 / 41 | $4.624,58 | 929 / 11 | $3.619,25 | 924 / 16 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 66 | $13.893,70 | 822 / 45 | $4.569,04 | 1161 / 14 | $3.782,96 | 1158 / 25 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 33 | $14.658,70 | 745 / 47 | $4.691,55 | 1024 / 16 | $3.762,09 | 1015 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 39 | $23.069,70 | 530 / 33 | $7.512,05 | 775 / 10 | $6.768,38 | 772 / 14 |
Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 55 | $33.418,50 | 1246 / 54 | $8.633,95 | 1135 / 11 | $8.030,70 | 1135 / 17 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 57 | $16.864,70 | 612 / 38 | $5.176,47 | 609 / 12 | $4.096,89 | 605 / 10 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 18 | 546 / 90 | $51.564,80 | 1363 / 83 | $12.915,00 | 1382 / 18 | $11.773,70 | 1349 / 27 |
Syncope & Collapse | 17 | 152 / 68 | $25.625,60 | 1249 / 84 | $5.078,18 | 1015 / 22 | $4.078,59 | 1008 / 28 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 53 | $20.627,10 | 1098 / 55 | $5.183,53 | 669 / 13 | $3.979,59 | 666 / 10 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 29 | $26.724,40 | 554 / 28 | $8.490,00 | 636 / 12 | $7.642,94 | 633 / 14 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 36 | $49.855,00 | 611 / 45 | $14.122,40 | 831 / 10 | $13.444,40 | 823 / 13 |
G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 23 | $14.359,80 | 484 / 33 | $4.039,69 | 580 / 7 | $3.057,69 | 579 / 13 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 90 | $21.239,10 | 1523 / 81 | $4.839,81 | 1541 / 17 | $4.163,81 | 1529 / 36 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 76 | $15.509,90 | 395 / 29 | $6.482,12 | 737 / 10 | $5.424,12 | 735 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 57 | $24.927,10 | 789 / 35 | $6.424,93 | 351 / 9 | $5.039,60 | 350 / 5 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 48 | $14.867,40 | 837 / 47 | $4.410,07 | 864 / 11 | $3.607,93 | 860 / 14 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 49 | $26.395,60 | 322 / 21 | $9.193,14 | 317 / 5 | $8.587,43 | 317 / 9 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 58 | $15.137,40 | 1008 / 52 | $3.797,57 | 923 / 12 | $2.762,14 | 918 / 19 |
Diabetes W Cc | 11 | 81 / 38 | $17.897,00 | 547 / 29 | $6.884,73 | 424 / 38 | $4.186,18 | 424 / 6 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 51 | $22.268,30 | 726 / 25 | $6.992,00 | 366 / 9 | $5.518,55 | 365 / 2 |
Transient Ischemia | 11 | 114 / 45 | $19.664,40 | 641 / 44 | $4.599,64 | 622 / 11 | $3.497,09 | 618 / 12 | Total 34 procedures | 869 | 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.