Hospital Costs > In New Jersey > Saint Clare's Hospital, 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 Cc | 20 | 71 / 24 | $46.304,90 | 1134 / 10 | $7.231,55 | 859 / 19 | $6.268,35 | 857 / 22 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 50 | 75 / 20 | $54.529,70 | 1229 / 4 | $11.027,30 | 881 / 20 | $9.939,00 | 880 / 21 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 22 | $31.043,50 | 598 / 8 | $5.382,17 | 574 / 20 | $4.574,17 | 570 / 25 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 79 | 49 / 3 | $23.602,90 | 581 / 3 | $5.219,67 | 390 / 12 | $4.056,99 | 390 / 14 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 30 | 59 / 5 | $46.627,50 | 556 / 12 | $8.027,50 | 389 / 10 | $5.960,70 | 388 / 9 |
| Bronchitis & Asthma W Cc/Mcc | 20 | 56 / 19 | $35.439,10 | 818 / 5 | $6.291,00 | 546 / 15 | $4.920,00 | 542 / 16 |
| Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 12 | $21.024,80 | 227 / 2 | $4.693,00 | 183 / 8 | $3.485,00 | 183 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 66 | 95 / 15 | $37.165,30 | 1850 / 13 | $5.654,82 | 1367 / 23 | $4.756,88 | 1362 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 68 | 55 / 9 | $52.881,20 | 1588 / 11 | $8.565,44 | 1162 / 25 | $7.507,57 | 1159 / 24 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 51 | 99 / 24 | $22.965,30 | 1550 / 7 | $4.098,47 | 1226 / 23 | $3.058,78 | 1221 / 30 |
| Cellulitis W Mcc | 17 | 41 / 16 | $59.152,50 | 807 / 11 | $10.358,30 | 464 / 12 | $8.595,41 | 462 / 10 |
| Cellulitis W/O Mcc | 122 | 67 / 15 | $34.745,00 | 2291 / 15 | $6.287,71 | 1647 / 25 | $4.907,76 | 1640 / 28 |
| Chest Pain | 33 | 118 / 21 | $24.634,40 | 1188 / 6 | $4.446,88 | 875 / 18 | $3.373,61 | 870 / 21 |
| Chronic Obstructive Pulmonary Disease W Cc | 105 | 74 / 11 | $38.101,10 | 2026 / 9 | $6.529,29 | 1591 / 23 | $5.667,11 | 1584 / 29 |
| Chronic Obstructive Pulmonary Disease W Mcc | 90 | 112 / 18 | $47.321,00 | 2123 / 8 | $8.055,82 | 1589 / 17 | $6.970,33 | 1581 / 20 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 53 | 67 / 10 | $30.866,10 | 1731 / 8 | $5.196,09 | 1323 / 22 | $4.103,70 | 1312 / 28 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 19 | 74 / 17 | $80.107,60 | 663 / 6 | $13.994,90 | 546 / 10 | $13.232,00 | 540 / 14 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 34 | $45.231,80 | 1080 / 3 | $7.544,21 | 1084 / 15 | $6.637,54 | 1081 / 22 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 13 | $36.297,80 | 556 / 7 | $6.292,43 | 379 / 11 | $5.339,29 | 379 / 13 |
| Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 24 | $29.582,50 | 488 / 2 | $6.920,21 | 348 / 14 | $5.439,50 | 348 / 13 |
| Diabetes W Cc | 31 | 61 / 13 | $34.281,40 | 1293 / 11 | $6.024,58 | 838 / 22 | $4.774,06 | 834 / 24 |
| Diabetes W Mcc | 15 | 42 / 13 | $56.202,20 | 609 / 6 | $9.347,07 | 364 / 7 | $8.459,60 | 364 / 9 |
| Digestive Malignancy W Cc | 12 | 35 / 14 | $58.168,80 | 336 / 9 | $8.744,83 | 155 / 7 | $7.291,08 | 153 / 11 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 11 | $91.614,70 | 483 / 9 | $12.500,10 | 269 / 4 | $11.793,40 | 269 / 6 |
| Disorders Of Pancreas Except Malignancy W Cc | 24 | 37 / 5 | $37.765,60 | 760 / 10 | $6.553,17 | 555 / 13 | $5.446,50 | 552 / 16 |
| Endocrine Disorders W Cc | 14 | 24 / 5 | $39.647,40 | 233 / 3 | $6.893,36 | 142 / 8 | $6.029,36 | 142 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 22 | $49.844,40 | 1158 / 13 | $8.598,00 | 739 / 16 | $7.229,83 | 734 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 137 | 138 / 17 | $31.675,30 | 2236 / 9 | $5.369,92 | 1616 / 22 | $4.240,96 | 1603 / 27 |
| Fever | 25 | 21 / 4 | $27.387,00 | 196 / 3 | $6.055,24 | 199 / 9 | $5.425,48 | 199 / 12 |
| Fractures Of Hip & Pelvis W/O Mcc | 26 | 35 / 12 | $34.253,10 | 793 / 16 | $4.978,31 | 490 / 17 | $3.914,92 | 490 / 19 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 22 | 40 / 12 | $29.251,60 | 597 / 6 | $5.070,41 | 321 / 6 | $3.970,77 | 321 / 12 |
| G.I. Hemorrhage W Cc | 78 | 140 / 21 | $42.868,60 | 2026 / 11 | $7.089,15 | 1571 / 24 | $6.086,44 | 1567 / 26 |
| G.I. Hemorrhage W Mcc | 36 | 85 / 17 | $56.670,70 | 1136 / 5 | $11.811,10 | 892 / 18 | $10.819,90 | 887 / 18 |
| G.I. Hemorrhage W/O Cc/Mcc | 28 | 40 / 11 | $29.252,90 | 800 / 12 | $5.129,64 | 551 / 21 | $3.876,61 | 547 / 22 |
| G.I. Obstruction W Cc | 32 | 60 / 14 | $35.735,50 | 1364 / 7 | $6.032,62 | 864 / 13 | $4.900,50 | 862 / 16 |
| G.I. Obstruction W Mcc | 13 | 29 / 11 | $52.131,10 | 359 / 2 | $10.804,70 | 275 / 4 | $9.944,38 | 275 / 9 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 19 | $34.725,80 | 1181 / 21 | $4.525,33 | 790 / 20 | $3.421,78 | 787 / 24 |
| Heart Failure & Shock W Cc | 156 | 122 / 15 | $40.766,40 | 2348 / 9 | $6.961,26 | 1687 / 23 | $5.980,70 | 1682 / 24 |
| Heart Failure & Shock W Mcc | 118 | 166 / 27 | $57.996,30 | 2163 / 9 | $10.171,80 | 1730 / 18 | $9.541,30 | 1725 / 26 |
| Heart Failure & Shock W/O Cc/Mcc | 58 | 52 / 12 | $30.027,10 | 1705 / 8 | $4.891,69 | 1240 / 24 | $4.019,41 | 1230 / 28 |
| Hip & Femur Procedures Except Major Joint W Cc | 70 | 73 / 12 | $65.594,90 | 1471 / 14 | $13.433,40 | 1398 / 20 | $12.366,50 | 1380 / 25 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 22 | 34 / 11 | $53.440,20 | 633 / 12 | $11.368,00 | 653 / 18 | $10.218,90 | 650 / 23 |
| Hypertension W/O Mcc | 16 | 49 / 14 | $29.140,90 | 626 / 7 | $4.545,81 | 417 / 13 | $3.487,81 | 415 / 17 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 43 | $108.253,00 | 590 / 2 | $28.808,50 | 286 / 2 | $27.825,30 | 286 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 57 | 125 / 22 | $47.212,10 | 1682 / 10 | $7.404,79 | 1273 / 22 | $6.281,53 | 1270 / 26 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 31 | $55.636,20 | 1059 / 3 | $11.649,00 | 938 / 15 | $10.791,80 | 935 / 18 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 24 | $35.056,40 | 1246 / 8 | $5.508,14 | 774 / 21 | $3.963,50 | 770 / 17 |
| Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 12 | 28 / 3 | $45.237,70 | 75 / 1 | $10.527,30 | 82 / 1 | $9.415,33 | 82 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 64 | 80 / 15 | $43.756,20 | 1582 / 8 | $7.573,78 | 1182 / 18 | $6.719,66 | 1178 / 20 |
| Kidney & Urinary Tract Infections W/O Mcc | 167 | 70 / 11 | $32.711,20 | 2302 / 7 | $5.481,62 | 1704 / 22 | $4.558,32 | 1693 / 26 |
| Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 11 | 18 / 11 | $24.298,60 | 98 / 1 | $4.835,09 | 65 / 6 | $3.959,45 | 65 / 7 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 30 | 26 / 6 | $66.019,60 | 628 / 11 | $11.514,30 | 631 / 15 | $10.424,10 | 629 / 20 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 11 | $111.592,00 | 385 / 10 | $17.055,00 | 303 / 6 | $15.952,50 | 302 / 8 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 17 | 30 / 10 | $64.100,60 | 500 / 21 | $8.624,82 | 423 / 9 | $7.486,00 | 422 / 15 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 18 | $42.550,10 | 864 / 5 | $8.122,72 | 231 / 13 | $5.973,89 | 230 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 13 | $81.058,80 | 585 / 13 | $12.319,10 | 379 / 6 | $12.017,80 | 378 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 182 | 382 / 21 | $67.447,70 | 1927 / 23 | $14.820,20 | 1872 / 26 | $13.095,40 | 1830 / 26 |
| Major Small & Large Bowel Procedures W Cc | 30 | 78 / 18 | $107.683,00 | 1277 / 24 | $17.577,80 | 1101 / 18 | $16.570,90 | 1088 / 25 |
| Major Small & Large Bowel Procedures W Mcc | 30 | 55 / 16 | $176.721,00 | 952 / 18 | $34.343,10 | 619 / 16 | $31.011,90 | 617 / 14 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 16 | $80.216,50 | 674 / 17 | $11.325,90 | 569 / 5 | $10.627,20 | 569 / 12 |
| Medical Back Problems W/O Mcc | 40 | 81 / 19 | $43.876,50 | 1326 / 17 | $6.052,67 | 937 / 19 | $5.059,05 | 934 / 29 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 47 | 79 / 12 | $45.498,70 | 1415 / 10 | $7.533,77 | 953 / 14 | $6.910,45 | 950 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 105 | 61 / 7 | $32.592,30 | 2209 / 10 | $5.075,42 | 1603 / 24 | $4.183,84 | 1598 / 28 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 25 | $40.715,40 | 1148 / 15 | $6.736,05 | 846 / 16 | $5.910,79 | 842 / 23 |
| Other Digestive System Diagnoses W Mcc | 14 | 48 / 14 | $62.226,80 | 573 / 6 | $11.054,80 | 339 / 5 | $10.362,20 | 338 / 9 |
| Other Disorders Of Nervous System W Cc | 11 | 45 / 17 | $45.171,70 | 525 / 8 | $6.468,73 | 222 / 11 | $4.958,45 | 222 / 8 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 19 | $60.658,60 | 886 / 8 | $10.650,30 | 662 / 14 | $9.937,90 | 660 / 19 |
| Other Resp System O.R. Procedures W Cc | 12 | 35 / 10 | $69.538,80 | 250 / 4 | $13.752,80 | 222 / 5 | $13.051,50 | 222 / 7 |
| Other Vascular Procedures W Cc | 24 | 78 / 18 | $97.133,80 | 818 / 14 | $18.374,40 | 748 / 16 | $16.806,80 | 744 / 17 |
| Other Vascular Procedures W Mcc | 18 | 79 / 21 | $108.760,00 | 652 / 7 | $23.093,60 | 585 / 16 | $21.865,80 | 582 / 17 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 15 | 181 / 28 | $85.557,70 | 973 / 9 | $14.722,90 | 702 / 10 | $11.239,30 | 698 / 10 |
| Peripheral Vascular Disorders W Cc | 26 | 58 / 22 | $42.854,70 | 1056 / 15 | $6.670,27 | 710 / 18 | $5.882,58 | 707 / 23 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 14 | 31 / 10 | $37.238,20 | 366 / 13 | $4.879,86 | 239 / 8 | $4.015,86 | 239 / 14 |
| Permanent Cardiac Pacemaker Implant W Cc | 31 | 46 / 10 | $64.590,00 | 412 / 1 | $18.319,30 | 508 / 14 | $15.983,00 | 507 / 11 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 18 | $55.713,20 | 353 / 3 | $14.735,20 | 494 / 8 | $13.713,60 | 493 / 13 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 19 | 53 / 5 | $58.360,50 | 799 / 4 | $9.809,74 | 533 / 8 | $8.655,63 | 531 / 10 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 7 | $29.507,40 | 746 / 4 | $4.606,72 | 446 / 8 | $3.701,83 | 445 / 8 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 13 | 41 / 10 | $34.013,90 | 320 / 4 | $6.751,23 | 166 / 5 | $5.715,23 | 166 / 5 |
| Psychoses | 29 | 247 / 14 | $34.393,40 | 515 / 3 | $7.965,59 | 326 / 6 | $6.141,69 | 326 / 4 |
| Pulmonary Edema & Respiratory Failure | 21 | 182 / 32 | $50.812,00 | 1775 / 8 | $8.580,62 | 1473 / 19 | $7.776,05 | 1468 / 27 |
| Pulmonary Embolism W/O Mcc | 21 | 53 / 16 | $43.639,60 | 1102 / 10 | $6.900,10 | 841 / 13 | $5.927,90 | 838 / 19 |
| Red Blood Cell Disorders W Mcc | 22 | 49 / 12 | $46.445,60 | 782 / 5 | $8.784,50 | 584 / 16 | $7.727,05 | 581 / 15 |
| Red Blood Cell Disorders W/O Mcc | 47 | 96 / 22 | $40.792,50 | 1778 / 18 | $5.757,83 | 1231 / 20 | $4.857,74 | 1223 / 27 |
| Renal Failure W Cc | 122 | 99 / 9 | $40.519,00 | 2063 / 8 | $6.773,52 | 1524 / 22 | $5.789,43 | 1515 / 23 |
| Renal Failure W Mcc | 68 | 127 / 15 | $73.219,80 | 1938 / 18 | $10.983,10 | 1483 / 20 | $10.220,20 | 1482 / 27 |
| Renal Failure W/O Cc/Mcc | 19 | 37 / 9 | $30.606,20 | 744 / 3 | $4.431,79 | 546 / 7 | $3.732,84 | 545 / 13 |
| Respiratory Infections & Inflammations W Cc | 33 | 55 / 12 | $46.826,40 | 1089 / 7 | $9.388,24 | 995 / 13 | $8.650,79 | 990 / 21 |
| Respiratory Infections & Inflammations W Mcc | 36 | 100 / 17 | $53.203,00 | 1137 / 4 | $12.023,40 | 881 / 8 | $11.349,60 | 871 / 11 |
| Respiratory Neoplasms W Cc | 14 | 33 / 14 | $49.244,60 | 387 / 6 | $8.006,43 | 244 / 10 | $7.053,29 | 243 / 13 |
| Respiratory Signs & Symptoms | 11 | 35 / 10 | $29.288,40 | 226 / 1 | $4.924,09 | 164 / 6 | $4.159,00 | 164 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 48 | 83 / 13 | $63.465,30 | 992 / 4 | $15.769,10 | 1176 / 14 | $14.960,50 | 1163 / 21 |
| Seizures W/O Mcc | 27 | 81 / 26 | $27.067,50 | 848 / 6 | $6.769,74 | 496 / 36 | $4.048,63 | 493 / 15 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 25 | $184.838,00 | 693 / 10 | $40.738,40 | 619 / 13 | $39.043,70 | 618 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 95 | 421 / 46 | $71.372,20 | 2304 / 10 | $12.749,50 | 1842 / 18 | $11.858,60 | 1807 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 40 | $46.884,30 | 2203 / 11 | $7.489,86 | 1676 / 17 | $6.531,72 | 1669 / 24 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 11 | $47.359,40 | 365 / 10 | $5.129,91 | 210 / 6 | $4.580,09 | 210 / 10 |
| Signs & Symptoms W/O Mcc | 18 | 73 / 19 | $29.641,00 | 1020 / 5 | $4.968,33 | 754 / 12 | $4.168,33 | 751 / 16 |
| Simple Pneumonia & Pleurisy W Cc | 96 | 107 / 19 | $42.877,00 | 2406 / 15 | $6.907,28 | 1762 / 21 | $5.797,26 | 1754 / 26 |
| Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 26 | $59.149,90 | 2086 / 12 | $9.944,32 | 1698 / 19 | $9.148,16 | 1698 / 28 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 41 | 52 / 10 | $32.655,90 | 1683 / 11 | $5.272,78 | 1114 / 23 | $3.795,20 | 1108 / 24 |
| Syncope & Collapse | 71 | 98 / 18 | $30.153,10 | 1438 / 5 | $5.439,06 | 1064 / 27 | $4.159,30 | 1057 / 29 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 13 | 29 / 12 | $32.432,50 | 255 / 5 | $5.640,08 | 130 / 8 | $4.429,00 | 130 / 9 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 15 | $190.625,00 | 127 / 1 | $49.364,90 | 43 / 1 | $48.197,40 | 43 / 2 |
| Transient Ischemia | 48 | 77 / 16 | $34.188,60 | 1308 / 13 | $5.133,83 | 985 / 24 | $4.022,29 | 980 / 24 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 13 | 53 / 15 | $52.050,80 | 430 / 11 | $7.815,54 | 302 / 6 | $6.894,92 | 302 / 10 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 18 | 28 / 7 | $28.423,40 | 267 / 6 | $5.183,94 | 231 / 11 | $3.880,50 | 230 / 16 | Total 106 procedures | 4.103 | 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.