Hospital Costs > In New Jersey > Saint Peter's University Hospital, 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 | 172 | 392 / 24 | $92.033,90 | 2388 / 45 | $19.095,20 | 2448 / 49 | $16.802,60 | 2402 / 50 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 168 | 348 / 34 | $152.485,00 | 2811 / 58 | $17.397,50 | 2559 / 52 | $15.732,20 | 2515 / 55 |
G.I. Hemorrhage W Cc | 95 | 123 / 16 | $91.361,00 | 2416 / 56 | $9.918,85 | 2215 / 51 | $8.518,45 | 2211 / 54 |
Kidney & Urinary Tract Infections W/O Mcc | 87 | 146 / 27 | $62.205,10 | 2696 / 53 | $7.679,99 | 2422 / 49 | $6.238,48 | 2411 / 52 |
Renal Failure W Cc | 84 | 137 / 19 | $80.790,00 | 2426 / 54 | $9.495,64 | 2178 / 49 | $7.912,29 | 2168 / 50 |
Heart Failure & Shock W Cc | 77 | 201 / 37 | $84.966,20 | 2752 / 57 | $9.476,10 | 2458 / 51 | $8.024,29 | 2452 / 52 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 74 | 133 / 21 | $92.903,20 | 2559 / 54 | $10.271,30 | 2298 / 47 | $8.616,05 | 2289 / 48 |
Simple Pneumonia & Pleurisy W Cc | 72 | 131 / 25 | $90.564,50 | 2816 / 59 | $9.566,74 | 2535 / 50 | $7.970,06 | 2526 / 55 |
Cellulitis W/O Mcc | 67 | 122 / 34 | $69.414,70 | 2629 / 58 | $8.487,22 | 2355 / 50 | $6.792,61 | 2347 / 52 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 66 | 209 / 36 | $67.196,40 | 2717 / 56 | $7.569,06 | 2447 / 50 | $6.209,92 | 2432 / 53 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 60 | 106 / 24 | $75.857,20 | 2541 / 56 | $7.521,75 | 2300 / 50 | $6.076,63 | 2292 / 51 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 53 | 108 / 24 | $81.271,80 | 2163 / 57 | $7.925,98 | 1945 / 51 | $6.554,58 | 1940 / 55 |
Pulmonary Edema & Respiratory Failure | 50 | 153 / 17 | $149.131,00 | 2242 / 49 | $12.644,40 | 2070 / 48 | $10.899,80 | 2064 / 49 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 45 | 143 / 24 | $107.678,00 | 1631 / 45 | $10.367,20 | 1473 / 41 | $8.885,40 | 1470 / 42 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 43 | 107 / 28 | $61.058,80 | 1983 / 56 | $6.064,05 | 1760 / 52 | $4.324,95 | 1754 / 51 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 31 | $95.050,20 | 2062 / 53 | $10.078,00 | 1845 / 48 | $8.529,34 | 1841 / 52 |
Chronic Obstructive Pulmonary Disease W Cc | 41 | 138 / 36 | $92.105,60 | 2440 / 57 | $9.066,93 | 2147 / 49 | $7.346,00 | 2140 / 52 |
Renal Failure W Mcc | 39 | 156 / 29 | $191.628,00 | 2173 / 58 | $17.902,00 | 2088 / 58 | $15.899,80 | 2084 / 58 |
Hip & Femur Procedures Except Major Joint W Cc | 39 | 104 / 24 | $117.484,00 | 1988 / 47 | $17.165,40 | 1841 / 42 | $15.462,70 | 1822 / 48 |
Syncope & Collapse | 39 | 130 / 35 | $58.045,90 | 1895 / 53 | $7.238,64 | 1658 / 46 | $5.820,92 | 1650 / 50 |
Heart Failure & Shock W Mcc | 38 | 246 / 52 | $162.203,00 | 2634 / 60 | $16.561,50 | 2532 / 59 | $15.001,80 | 2521 / 61 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 38 | 87 / 30 | $171.889,00 | 1816 / 57 | $17.112,30 | 1698 / 53 | $15.425,20 | 1685 / 56 |
G.I. Hemorrhage W Mcc | 37 | 84 / 16 | $222.318,00 | 1676 / 54 | $23.476,50 | 1650 / 54 | $21.255,70 | 1640 / 54 |
Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 33 | $137.717,00 | 2513 / 56 | $13.720,40 | 2233 / 49 | $11.629,40 | 2227 / 52 |
Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 44 | $114.025,00 | 2562 / 56 | $11.511,10 | 2305 / 50 | $9.446,00 | 2297 / 50 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 35 | 88 / 25 | $118.392,00 | 1909 / 55 | $11.606,70 | 1709 / 51 | $10.007,70 | 1706 / 52 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 35 | 89 / 23 | $352.281,00 | 1550 / 50 | $45.105,00 | 1314 / 44 | $42.317,20 | 1304 / 48 |
G.I. Obstruction W Cc | 31 | 61 / 15 | $97.461,70 | 1733 / 48 | $8.958,52 | 1579 / 42 | $7.276,10 | 1574 / 44 |
Red Blood Cell Disorders W/O Mcc | 29 | 114 / 36 | $63.194,40 | 1978 / 51 | $7.922,90 | 1766 / 48 | $6.703,76 | 1757 / 53 |
Seizures W/O Mcc | 28 | 80 / 25 | $68.406,10 | 1303 / 49 | $7.800,50 | 1108 / 41 | $6.207,68 | 1106 / 43 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 19 | $59.088,50 | 1940 / 47 | $7.206,79 | 1831 / 47 | $5.925,86 | 1823 / 50 |
Transient Ischemia | 27 | 98 / 31 | $56.543,90 | 1616 / 46 | $7.060,15 | 1497 / 47 | $5.846,44 | 1489 / 52 |
Other Digestive System Diagnoses W Cc | 27 | 70 / 18 | $72.721,70 | 1407 / 46 | $9.374,30 | 1259 / 42 | $8.030,44 | 1255 / 43 |
Other Vascular Procedures W Cc | 26 | 76 / 17 | $124.224,00 | 990 / 33 | $21.581,80 | 982 / 38 | $20.334,20 | 977 / 40 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 25 | 38 / 6 | $118.991,00 | 200 / 12 | $29.385,00 | 220 / 13 | $27.839,90 | 219 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 29 | $100.169,00 | 1733 / 49 | $10.929,40 | 1541 / 44 | $9.747,48 | 1538 / 48 |
Other Vascular Procedures W Mcc | 24 | 73 / 16 | $243.571,00 | 992 / 43 | $32.058,30 | 925 / 43 | $30.257,10 | 922 / 43 |
Major Small & Large Bowel Procedures W Cc | 24 | 84 / 22 | $174.758,00 | 1492 / 41 | $22.957,80 | 1404 / 40 | $20.876,40 | 1390 / 42 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 35 | $54.785,00 | 1992 / 52 | $6.856,52 | 1805 / 50 | $5.621,04 | 1792 / 53 |
G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 15 | $64.500,70 | 1307 / 41 | $6.466,45 | 1201 / 39 | $4.941,91 | 1198 / 41 |
Chest Pain | 22 | 129 / 30 | $48.299,80 | 1673 / 45 | $6.243,64 | 1486 / 45 | $5.171,23 | 1477 / 48 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 15 | $100.038,00 | 1103 / 41 | $11.182,20 | 1016 / 36 | $9.731,95 | 1014 / 38 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 24 | $90.922,20 | 1439 / 42 | $11.241,00 | 1272 / 41 | $10.009,90 | 1267 / 44 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 34 | $64.841,80 | 2089 / 52 | $7.303,85 | 1906 / 49 | $5.926,05 | 1895 / 52 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 26 | $75.799,20 | 1599 / 46 | $7.687,50 | 1435 / 41 | $6.096,80 | 1431 / 43 |
Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 35 | $101.897,00 | 1946 / 50 | $11.010,00 | 1782 / 45 | $9.468,20 | 1778 / 47 |
Peripheral Vascular Disorders W Cc | 20 | 64 / 26 | $78.597,40 | 1244 / 48 | $9.515,20 | 1048 / 47 | $7.590,10 | 1045 / 46 |
Respiratory Infections & Inflammations W Cc | 20 | 68 / 22 | $98.623,90 | 1456 / 40 | $12.841,40 | 1357 / 36 | $11.277,30 | 1352 / 40 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 31 | $256.624,00 | 1849 / 52 | $24.232,40 | 1766 / 54 | $22.257,50 | 1752 / 54 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 29 | $160.336,00 | 1789 / 45 | $19.442,20 | 1723 / 44 | $17.584,30 | 1707 / 46 |
Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 18 | $140.864,00 | 1067 / 22 | $33.240,90 | 1227 / 23 | $31.723,70 | 1222 / 26 |
Other Circulatory System Diagnoses W Mcc | 18 | 98 / 27 | $240.175,00 | 1397 / 52 | $24.957,60 | 1363 / 51 | $22.050,20 | 1355 / 52 |
Bronchitis & Asthma W Cc/Mcc | 18 | 58 / 20 | $101.958,00 | 1088 / 42 | $9.266,17 | 985 / 39 | $7.647,22 | 981 / 41 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 20 | $134.273,00 | 1099 / 37 | $14.534,30 | 937 / 30 | $12.715,60 | 933 / 32 |
Diabetes W Cc | 17 | 75 / 27 | $76.681,40 | 1617 / 53 | $8.128,35 | 1427 / 45 | $7.060,88 | 1422 / 50 |
Medical Back Problems W/O Mcc | 17 | 104 / 33 | $64.499,60 | 1469 / 46 | $8.325,35 | 1297 / 37 | $6.619,00 | 1292 / 45 |
Pulmonary Embolism W/O Mcc | 17 | 57 / 19 | $101.201,00 | 1277 / 35 | $10.231,10 | 1229 / 35 | $8.990,94 | 1226 / 36 |
Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 25 | $105.560,00 | 1421 / 49 | $10.111,10 | 1282 / 44 | $8.512,24 | 1280 / 47 |
Major Cardiovasc Procedures W/O Mcc | 16 | 85 / 19 | $150.984,00 | 879 / 26 | $27.541,90 | 856 / 28 | $26.129,10 | 855 / 31 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 21 | $48.572,80 | 972 / 43 | $7.064,12 | 901 / 43 | $5.840,69 | 897 / 45 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 20 | $228.115,00 | 917 / 41 | $19.339,30 | 785 / 32 | $17.293,60 | 778 / 34 |
Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 20 | $70.064,50 | 841 / 33 | $9.325,75 | 745 / 29 | $8.507,00 | 745 / 34 |
Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 23 | $118.528,00 | 880 / 43 | $10.017,90 | 721 / 40 | $7.948,40 | 721 / 41 |
Transurethral Procedures W Cc | 15 | 26 / 12 | $77.653,10 | 359 / 25 | $11.749,90 | 355 / 26 | $10.466,30 | 355 / 29 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 14 | 32 / 4 | $54.907,40 | 229 / 8 | $9.513,07 | 182 / 7 | $6.796,29 | 182 / 7 |
Renal Failure W/O Cc/Mcc | 14 | 42 / 14 | $53.671,60 | 853 / 29 | $6.507,36 | 754 / 25 | $4.964,57 | 752 / 27 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 14 | 26 / 14 | $86.663,50 | 293 / 18 | $10.258,80 | 235 / 15 | $8.871,14 | 235 / 16 |
Major Chest Procedures W Cc | 14 | 60 / 9 | $94.630,40 | 389 / 9 | $21.234,70 | 427 / 11 | $19.775,90 | 425 / 13 |
Other Vascular Procedures W/O Cc/Mcc | 14 | 42 / 9 | $77.143,70 | 472 / 18 | $14.929,60 | 489 / 20 | $13.650,10 | 488 / 21 |
Other Digestive System Diagnoses W/O Cc/Mcc | 14 | 29 / 10 | $61.451,60 | 359 / 27 | $6.974,71 | 317 / 25 | $5.581,14 | 317 / 26 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 14 | 50 / 14 | $105.374,00 | 730 / 20 | $14.690,40 | 689 / 18 | $12.982,00 | 689 / 20 |
Other Digestive System Diagnoses W Mcc | 14 | 48 / 14 | $125.344,00 | 748 / 31 | $14.202,90 | 578 / 23 | $12.820,20 | 577 / 25 |
Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 15 | $46.845,50 | 743 / 17 | $9.372,71 | 843 / 23 | $7.958,79 | 840 / 23 |
Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 22 | $205.377,00 | 965 / 39 | $23.126,90 | 866 / 34 | $21.300,50 | 862 / 35 |
Other Resp System O.R. Procedures W Cc | 13 | 34 / 9 | $138.756,00 | 320 / 15 | $16.823,90 | 278 / 14 | $15.188,10 | 278 / 14 |
Postoperative & Post-Traumatic Infections W Mcc | 13 | 30 / 5 | $146.054,00 | 222 / 8 | $18.431,60 | 170 / 8 | $15.323,10 | 170 / 8 |
Digestive Malignancy W Cc | 13 | 34 / 13 | $115.040,00 | 393 / 28 | $11.752,30 | 332 / 23 | $10.310,30 | 330 / 26 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 23 | $355.559,00 | 1042 / 43 | $50.221,40 | 701 / 40 | $41.049,40 | 700 / 26 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 16 | $142.357,00 | 859 / 35 | $16.036,20 | 690 / 34 | $11.063,70 | 687 / 24 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 14 | $89.799,50 | 737 / 33 | $8.957,62 | 572 / 29 | $6.626,23 | 572 / 25 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 41 | $135.359,00 | 1602 / 48 | $15.414,40 | 1394 / 45 | $14.026,40 | 1388 / 48 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 8 | $135.496,00 | 335 / 12 | $19.547,10 | 288 / 11 | $17.955,00 | 287 / 15 |
Other Resp System O.R. Procedures W Mcc | 12 | 51 / 12 | $331.932,00 | 591 / 21 | $38.249,20 | 541 / 21 | $32.714,50 | 540 / 19 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 17 | $381.483,00 | 748 / 32 | $51.560,10 | 727 / 32 | $48.896,80 | 727 / 33 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 18 | $102.134,00 | 892 / 37 | $14.716,80 | 831 / 32 | $12.921,70 | 828 / 35 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 29 | $440.178,00 | 1287 / 45 | $46.956,00 | 1164 / 43 | $44.043,80 | 1161 / 44 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 12 | 19 / 7 | $114.721,00 | 198 / 13 | $11.777,90 | 131 / 11 | $8.208,00 | 131 / 8 |
Respiratory Neoplasms W Cc | 11 | 36 / 17 | $100.972,00 | 504 / 33 | $11.094,50 | 435 / 28 | $9.839,18 | 434 / 32 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 16 | $90.068,40 | 519 / 19 | $10.385,50 | 440 / 16 | $8.882,18 | 439 / 19 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 11 | 19 / 6 | $157.841,00 | 199 / 9 | $16.831,80 | 169 / 9 | $14.958,30 | 168 / 9 |
Disorders Of The Biliary Tract W Mcc | 11 | 28 / 5 | $156.802,00 | 259 / 11 | $15.008,60 | 199 / 10 | $13.067,00 | 199 / 11 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 22 | $55.966,50 | 790 / 30 | $7.604,64 | 702 / 29 | $6.003,36 | 700 / 34 | Total 92 procedures | 2.798 | 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.