Hospital Costs > In New York > Samaritan Medical Center, 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 | 145 | 419 / 41 | $25.410,30 | 87 / 16 | $19.628,10 | 2527 / 87 | $18.141,00 | 2481 / 96 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 123 | 393 / 69 | $32.554,10 | 915 / 53 | $19.070,30 | 2697 / 105 | $17.995,30 | 2652 / 114 |
Heart Failure & Shock W Mcc | 102 | 182 / 31 | $29.220,00 | 1037 / 46 | $14.746,70 | 2464 / 88 | $13.657,00 | 2453 / 94 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 76 | 199 / 47 | $17.738,70 | 1092 / 62 | $7.243,87 | 2467 / 84 | $6.313,18 | 2452 / 96 |
Renal Failure W Cc | 64 | 157 / 30 | $19.362,40 | 912 / 42 | $9.278,44 | 2233 / 76 | $8.368,20 | 2223 / 83 |
Cellulitis W/O Mcc | 54 | 135 / 47 | $18.002,30 | 1243 / 64 | $9.097,59 | 2414 / 103 | $7.227,80 | 2406 / 100 |
Heart Failure & Shock W Cc | 53 | 225 / 58 | $23.627,10 | 1547 / 65 | $9.918,70 | 2577 / 96 | $8.908,40 | 2571 / 102 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 55 | $18.115,90 | 607 / 39 | $9.873,55 | 2320 / 85 | $8.751,25 | 2310 / 91 |
Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 47 | $18.456,40 | 962 / 56 | $9.366,87 | 2581 / 96 | $8.280,64 | 2572 / 103 |
Chronic Obstructive Pulmonary Disease W Cc | 45 | 134 / 35 | $20.903,10 | 1096 / 56 | $9.079,29 | 2226 / 87 | $7.908,62 | 2219 / 92 |
Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 47 | $24.415,50 | 1080 / 48 | $11.082,50 | 2382 / 84 | $10.027,20 | 2374 / 90 |
Simple Pneumonia & Pleurisy W Mcc | 39 | 166 / 39 | $25.499,00 | 738 / 41 | $13.440,70 | 2333 / 83 | $12.448,40 | 2327 / 88 |
G.I. Hemorrhage W Cc | 36 | 182 / 54 | $23.707,90 | 1098 / 56 | $10.318,50 | 2290 / 88 | $9.252,50 | 2286 / 97 |
Renal Failure W Mcc | 36 | 159 / 36 | $42.798,20 | 1377 / 60 | $19.746,10 | 2131 / 87 | $17.997,90 | 2127 / 92 |
Kidney & Urinary Tract Infections W/O Mcc | 34 | 199 / 65 | $15.279,80 | 980 / 47 | $7.122,38 | 2425 / 84 | $6.267,03 | 2414 / 88 |
Syncope & Collapse | 31 | 138 / 60 | $19.600,30 | 815 / 51 | $6.692,65 | 1606 / 58 | $5.560,26 | 1599 / 59 |
Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 40 | $31.847,00 | 287 / 28 | $18.166,40 | 1940 / 72 | $16.971,10 | 1920 / 82 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 30 | $26.587,40 | 763 / 44 | $11.964,60 | 1785 / 65 | $11.008,00 | 1782 / 75 |
Red Blood Cell Disorders W/O Mcc | 30 | 113 / 46 | $16.853,50 | 609 / 37 | $7.370,23 | 1754 / 62 | $6.649,57 | 1745 / 73 |
Pulmonary Edema & Respiratory Failure | 27 | 176 / 40 | $16.813,70 | 224 / 19 | $11.223,80 | 2030 / 71 | $10.429,20 | 2024 / 76 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 65 | $21.884,50 | 1709 / 84 | $6.546,46 | 2235 / 82 | $5.713,96 | 2227 / 88 |
Diabetes W Cc | 23 | 69 / 26 | $21.161,20 | 778 / 38 | $8.486,61 | 1479 / 54 | $7.575,04 | 1474 / 62 |
Other Circulatory System Diagnoses W Mcc | 23 | 93 / 25 | $33.907,00 | 313 / 20 | $18.569,30 | 1275 / 48 | $17.701,30 | 1267 / 54 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 48 | $15.225,70 | 543 / 33 | $7.267,32 | 1915 / 67 | $6.356,14 | 1910 / 75 |
Respiratory Infections & Inflammations W Cc | 21 | 67 / 25 | $19.924,80 | 254 / 16 | $12.855,80 | 1391 / 54 | $11.872,00 | 1386 / 62 |
Medical Back Problems W/O Mcc | 21 | 100 / 42 | $18.711,10 | 436 / 29 | $7.836,24 | 1302 / 49 | $6.694,14 | 1297 / 54 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 33 | $27.414,40 | 999 / 44 | $7.014,35 | 1412 / 45 | $5.881,75 | 1408 / 51 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 36 | $10.377,90 | 279 / 24 | $6.580,32 | 1819 / 69 | $5.408,21 | 1808 / 76 |
G.I. Hemorrhage W Mcc | 19 | 102 / 35 | $37.233,30 | 598 / 28 | $19.518,50 | 1623 / 64 | $18.839,70 | 1613 / 71 |
Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 44 | $14.049,90 | 730 / 45 | $6.214,63 | 1743 / 68 | $5.291,68 | 1730 / 71 |
G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 20 | $11.286,10 | 226 / 18 | $5.594,58 | 1157 / 48 | $4.609,63 | 1154 / 55 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 54 | $25.566,80 | 833 / 40 | $9.935,94 | 1912 / 63 | $9.087,61 | 1908 / 75 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 19 | $21.398,50 | 333 / 16 | $11.147,70 | 1037 / 36 | $10.173,20 | 1035 / 40 |
Seizures W/O Mcc | 16 | 92 / 43 | $19.921,40 | 551 / 44 | $6.988,56 | 1055 / 48 | $5.905,19 | 1053 / 50 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 45 | $42.811,40 | 1361 / 75 | $17.544,10 | 1727 / 83 | $15.341,80 | 1723 / 84 |
Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 25 | $109.133,00 | 472 / 23 | $61.497,20 | 1280 / 59 | $58.829,20 | 1277 / 61 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 39 | $30.520,50 | 398 / 22 | $18.362,70 | 1725 / 58 | $17.632,90 | 1709 / 63 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 33 | $28.461,20 | 44 / 5 | $23.586,10 | 1450 / 56 | $22.468,10 | 1436 / 66 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 37 | $13.886,60 | 607 / 29 | $6.471,00 | 1773 / 60 | $5.485,86 | 1765 / 68 |
Cellulitis W Mcc | 14 | 44 / 23 | $19.875,60 | 121 / 7 | $13.482,90 | 876 / 33 | $12.363,70 | 874 / 36 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 48 | $58.516,60 | 1795 / 84 | $20.741,50 | 1950 / 86 | $15.709,00 | 1946 / 86 |
Hypertension W/O Mcc | 13 | 52 / 23 | $13.762,00 | 166 / 14 | $5.706,23 | 625 / 19 | $4.569,46 | 623 / 21 |
Transient Ischemia | 13 | 112 / 43 | $19.223,80 | 602 / 39 | $6.507,00 | 1317 / 57 | $4.916,92 | 1311 / 51 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 27 | $20.802,40 | 175 / 10 | $11.501,70 | 979 / 33 | $10.998,00 | 975 / 41 |
Disorders Of The Biliary Tract W Cc | 13 | 41 / 19 | $17.155,80 | 41 / 1 | $9.669,92 | 408 / 16 | $8.605,15 | 408 / 21 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 36 | $41.832,80 | 655 / 26 | $21.299,20 | 1064 / 56 | $16.388,30 | 1060 / 52 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 36 | $22.593,80 | 521 / 23 | $10.125,50 | 1177 / 49 | $9.255,83 | 1174 / 56 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 48 | $23.703,90 | 169 / 8 | $16.017,10 | 1471 / 48 | $15.271,10 | 1464 / 56 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 36 | $18.346,10 | 233 / 21 | $9.698,00 | 1295 / 55 | $8.660,33 | 1293 / 58 |
Respiratory Neoplasms W Cc | 11 | 36 / 16 | $25.372,30 | 132 / 6 | $10.842,00 | 439 / 16 | $10.004,20 | 438 / 19 |
G.I. Obstruction W Cc | 11 | 81 / 35 | $19.794,30 | 636 / 32 | $8.219,82 | 1554 / 59 | $7.053,64 | 1549 / 64 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 33 | $24.986,20 | 435 / 25 | $12.108,30 | 1363 / 48 | $11.463,50 | 1358 / 54 |
Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 39 | $32.922,50 | 18 / 5 | $36.990,80 | 1298 / 42 | $35.856,00 | 1293 / 50 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 20 | $42.705,60 | 70 / 7 | $28.284,40 | 906 / 31 | $27.093,70 | 903 / 32 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 23 | $19.052,60 | 346 / 19 | $9.112,64 | 1189 / 39 | $8.187,55 | 1186 / 43 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 61 | $11.130,10 | 475 / 32 | $5.103,18 | 1644 / 62 | $3.878,09 | 1638 / 63 | Total 56 procedures | 1.651 | 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.