Hospital Costs > In New York > Saratoga 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 | 181 | 383 / 33 | $32.514,30 | 334 / 33 | $11.953,90 | 492 / 4 | $10.304,00 | 489 / 6 |
| Psychoses | 134 | 164 / 5 | $25.626,90 | 419 / 4 | $7.025,34 | 226 / 2 | $5.632,19 | 226 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 117 | 399 / 74 | $45.975,30 | 1623 / 80 | $11.449,90 | 1055 / 19 | $10.266,40 | 1042 / 19 |
| Simple Pneumonia & Pleurisy W Cc | 67 | 136 / 32 | $29.133,70 | 1905 / 89 | $6.069,39 | 926 / 12 | $5.024,36 | 923 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 61 | 146 / 44 | $27.164,20 | 1440 / 66 | $6.742,21 | 287 / 16 | $4.973,16 | 286 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 58 | 217 / 59 | $18.458,30 | 1204 / 67 | $4.455,47 | 663 / 4 | $3.540,16 | 659 / 8 |
| Heart Failure & Shock W Cc | 55 | 223 / 57 | $20.964,50 | 1285 / 59 | $5.575,18 | 361 / 5 | $4.741,44 | 361 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 55 | 178 / 51 | $21.514,10 | 1726 / 72 | $4.653,07 | 420 / 6 | $3.560,05 | 420 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 31 | $34.741,70 | 1333 / 62 | $8.239,12 | 402 / 4 | $7.188,48 | 402 / 3 |
| Cellulitis W/O Mcc | 46 | 143 / 53 | $17.324,80 | 1162 / 61 | $5.049,28 | 456 / 4 | $3.839,33 | 453 / 4 |
| Heart Failure & Shock W Mcc | 46 | 238 / 60 | $46.419,70 | 1891 / 99 | $11.158,40 | 1862 / 58 | $9.933,33 | 1857 / 53 |
| Chronic Obstructive Pulmonary Disease W Cc | 43 | 136 / 37 | $19.801,50 | 979 / 52 | $5.414,63 | 353 / 4 | $4.379,47 | 352 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 41 | 161 / 48 | $37.896,40 | 1855 / 92 | $7.673,17 | 1202 / 23 | $6.465,24 | 1196 / 18 |
| Pulmonary Edema & Respiratory Failure | 40 | 163 / 27 | $42.451,10 | 1585 / 77 | $7.950,67 | 978 / 20 | $6.913,48 | 977 / 19 |
| Renal Failure W Cc | 40 | 181 / 48 | $22.450,40 | 1225 / 52 | $5.721,77 | 562 / 4 | $4.812,95 | 558 / 8 |
| G.I. Hemorrhage W Cc | 34 | 184 / 55 | $26.947,00 | 1364 / 67 | $6.017,59 | 375 / 9 | $4.779,03 | 375 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 31 | 92 / 29 | $28.416,80 | 876 / 47 | $7.428,26 | 632 / 8 | $6.570,42 | 629 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 42 | $19.122,90 | 975 / 47 | $5.129,30 | 342 / 11 | $3.657,97 | 342 / 2 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 29 | 95 / 30 | $15.841,30 | 374 / 30 | $4.149,86 | 199 / 1 | $3.525,31 | 199 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 28 | 138 / 62 | $20.131,60 | 1568 / 74 | $5.202,39 | 1795 / 47 | $4.469,79 | 1790 / 58 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 24 | $17.746,40 | 986 / 44 | $4.208,61 | 400 / 1 | $3.142,61 | 398 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 38 | $46.352,10 | 1042 / 63 | $9.899,56 | 584 / 12 | $9.178,92 | 583 / 14 |
| G.I. Obstruction W/O Cc/Mcc | 24 | 47 / 15 | $18.482,30 | 749 / 42 | $3.836,83 | 254 / 3 | $2.632,83 | 254 / 3 |
| Respiratory Infections & Inflammations W Mcc | 22 | 114 / 32 | $48.337,70 | 1028 / 38 | $12.481,00 | 1007 / 15 | $11.712,90 | 994 / 18 |
| Renal Failure W Mcc | 22 | 173 / 49 | $31.206,40 | 829 / 29 | $8.814,09 | 411 / 3 | $7.937,00 | 411 / 5 |
| Other Digestive System Diagnoses W Cc | 21 | 76 / 28 | $28.609,30 | 823 / 36 | $5.642,62 | 178 / 1 | $4.607,95 | 176 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 51 | $13.901,50 | 855 / 47 | $3.667,38 | 366 / 6 | $2.326,05 | 363 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 48 | $49.849,20 | 1036 / 52 | $12.566,20 | 151 / 21 | $9.355,57 | 150 / 3 |
| Medical Back Problems W/O Mcc | 20 | 101 / 43 | $25.718,30 | 859 / 47 | $5.018,80 | 365 / 3 | $4.057,20 | 365 / 6 |
| G.I. Obstruction W Cc | 19 | 73 / 27 | $27.004,80 | 1085 / 50 | $5.113,42 | 232 / 3 | $4.099,53 | 231 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 41 | $26.257,70 | 345 / 20 | $6.123,89 | 444 / 1 | $5.357,58 | 442 / 5 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 30 | $50.438,80 | 432 / 26 | $13.875,60 | 380 / 3 | $13.137,80 | 377 / 7 |
| Red Blood Cell Disorders W/O Mcc | 18 | 125 / 58 | $21.111,10 | 998 / 50 | $4.768,17 | 250 / 3 | $3.696,17 | 250 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 46 | $16.891,50 | 1047 / 57 | $4.457,00 | 191 / 13 | $2.957,00 | 189 / 3 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 28 | $32.179,00 | 635 / 60 | $5.596,56 | 510 / 21 | $4.608,56 | 508 / 28 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 39 | $20.040,50 | 1267 / 67 | $4.312,38 | 506 / 2 | $3.330,38 | 505 / 7 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 16 | 41 / 20 | $52.447,90 | 310 / 16 | $13.225,40 | 29 / 2 | $10.072,10 | 29 / 1 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 15 | 58 / 10 | $32.420,70 | 106 / 7 | $8.051,27 | 68 / 1 | $5.748,60 | 68 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 15 | 83 / 22 | $19.287,00 | 118 / 13 | $6.056,87 | 317 / 1 | $5.252,60 | 317 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 15 | $59.130,50 | 245 / 7 | $19.632,90 | 154 / 2 | $16.404,90 | 154 / 1 |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 28 | $22.793,90 | 493 / 23 | $5.130,64 | 199 / 1 | $4.095,21 | 196 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 48 | $44.258,90 | 1592 / 65 | $7.508,43 | 1051 / 15 | $6.487,86 | 1048 / 16 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 32 | $35.601,40 | 863 / 44 | $7.981,50 | 46 / 4 | $6.214,64 | 46 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 58 | $22.357,70 | 629 / 32 | $5.995,71 | 496 / 2 | $5.218,57 | 495 / 10 |
| G.I. Hemorrhage W Mcc | 14 | 107 / 40 | $38.871,80 | 656 / 31 | $9.442,71 | 77 / 1 | $8.361,57 | 77 / 2 |
| Syncope & Collapse | 14 | 155 / 71 | $17.851,70 | 661 / 42 | $4.366,79 | 455 / 1 | $3.502,79 | 453 / 6 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 17 | $85.495,60 | 584 / 25 | $20.379,90 | 584 / 8 | $19.166,10 | 581 / 9 |
| Spinal Fusion Except Cervical W/O Mcc | 14 | 180 / 36 | $67.039,60 | 316 / 24 | $22.135,20 | 350 / 2 | $20.930,70 | 349 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $35.563,10 | 825 / 43 | $6.913,54 | 160 / 1 | $5.845,23 | 159 / 1 |
| Other Digestive System Diagnoses W Mcc | 13 | 49 / 22 | $53.527,50 | 499 / 27 | $11.565,80 | 387 / 5 | $10.723,90 | 386 / 7 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 28 | $54.190,70 | 266 / 16 | $14.391,20 | 106 / 1 | $13.369,60 | 106 / 2 |
| Depressive Neuroses | 13 | 37 / 4 | $12.669,50 | 79 / 4 | $4.007,00 | 19 / 1 | $3.086,38 | 19 / 1 |
| Respiratory Neoplasms W Cc | 12 | 35 / 15 | $34.605,10 | 253 / 12 | $7.744,00 | 226 / 3 | $6.938,67 | 225 / 5 |
| Transient Ischemia | 12 | 113 / 44 | $19.331,80 | 610 / 40 | $4.220,58 | 448 / 2 | $3.313,92 | 447 / 5 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 13 | $41.294,70 | 181 / 6 | $10.468,30 | 86 / 1 | $9.257,67 | 86 / 1 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 23 | $33.055,90 | 920 / 36 | $5.841,09 | 272 / 4 | $4.741,55 | 272 / 2 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 24 | $22.660,90 | 598 / 36 | $4.297,18 | 233 / 2 | $3.313,91 | 234 / 2 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 29 | $20.073,20 | 158 / 7 | $7.126,00 | 126 / 1 | $6.256,18 | 126 / 1 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 13 | $18.475,40 | 151 / 6 | $5.204,55 | 63 / 1 | $4.552,91 | 63 / 2 |
| Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 18 | $47.813,00 | 61 / 4 | $18.326,70 | 12 / 1 | $14.698,90 | 12 / 1 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 11 | 66 / 20 | $29.314,10 | 77 / 15 | $9.861,36 | 26 / 3 | $6.949,09 | 26 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 41 | $81.789,30 | 1326 / 82 | $17.657,60 | 1376 / 41 | $16.259,60 | 1362 / 42 |
| Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 16 | $81.608,30 | 216 / 14 | $20.177,80 | 92 / 1 | $19.409,80 | 92 / 1 | Total 63 procedures | 1.864 | 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.