Hospital Costs > In New York > Sisters Of Charity 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 | 14 | 77 / 34 | $20.019,90 | 287 / 26 | $7.780,29 | 998 / 34 | $6.697,14 | 996 / 36 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 36 | $36.423,70 | 676 / 46 | $12.530,70 | 1218 / 45 | $11.081,90 | 1209 / 45 |
| Atherosclerosis W/O Mcc | 11 | 47 / 24 | $10.126,80 | 49 / 3 | $5.572,00 | / 19 | $3.925,73 | / |
| Bone Diseases & Arthropathies W/O Mcc | 13 | 31 / 14 | $13.119,50 | 82 / 4 | $6.152,08 | 173 / 6 | $4.890,08 | 173 / 6 |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 28 | $12.437,80 | 114 / 3 | $7.157,29 | 661 / 19 | $5.305,71 | 657 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 41 | $17.116,90 | 759 / 40 | $6.907,42 | 1530 / 63 | $5.047,32 | 1525 / 50 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 33 | $24.232,50 | 606 / 37 | $9.436,30 | 1374 / 41 | $8.214,89 | 1371 / 43 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 46 | $10.953,50 | 450 / 30 | $5.074,69 | 1660 / 61 | $3.939,38 | 1654 / 65 |
| Cellulitis W Mcc | 13 | 45 / 24 | $24.065,40 | 212 / 11 | $10.660,10 | 627 / 14 | $9.492,85 | 625 / 15 |
| Cellulitis W/O Mcc | 65 | 124 / 39 | $14.628,50 | 812 / 48 | $6.860,77 | 1906 / 68 | $5.352,91 | 1898 / 66 |
| Chest Pain | 20 | 131 / 54 | $11.335,30 | 209 / 15 | $5.361,10 | 1306 / 38 | $4.289,50 | 1299 / 41 |
| Chronic Obstructive Pulmonary Disease W Cc | 47 | 132 / 33 | $18.689,10 | 863 / 49 | $7.558,62 | 1848 / 67 | $6.225,23 | 1841 / 63 |
| Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 43 | $25.461,60 | 1160 / 50 | $9.214,56 | 1934 / 63 | $7.774,96 | 1926 / 59 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 31 | $12.804,30 | 524 / 40 | $6.106,12 | 1681 / 65 | $4.902,21 | 1670 / 63 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 21 | $15.382,10 | 108 / 9 | $7.867,23 | 426 / 16 | $5.523,38 | 426 / 12 |
| Diabetes W Cc | 27 | 65 / 22 | $17.274,60 | 493 / 26 | $7.354,70 | 1048 / 44 | $5.267,37 | 1044 / 28 |
| Dysequilibrium | 13 | 52 / 26 | $11.868,80 | 65 / 7 | $5.474,00 | 415 / 17 | $4.358,31 | 415 / 23 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 25 | $19.721,40 | 195 / 15 | $9.180,32 | 1037 / 24 | $8.272,21 | 1032 / 31 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 59 | 216 / 58 | $19.220,80 | 1304 / 73 | $7.374,15 | 2352 / 87 | $5.714,49 | 2337 / 84 |
| Extracranial Procedures W Cc | 12 | 34 / 10 | $21.176,40 | 26 / 2 | $12.292,50 | 230 / 5 | $9.548,17 | 230 / 3 |
| Extracranial Procedures W/O Cc/Mcc | 25 | 73 / 13 | $14.603,60 | 50 / 5 | $9.194,48 | 624 / 24 | $6.184,60 | 622 / 13 |
| G.I. Hemorrhage W Cc | 59 | 159 / 41 | $18.666,30 | 632 / 43 | $7.912,66 | 1852 / 62 | $6.761,14 | 1848 / 65 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 32 | $34.087,70 | 468 / 21 | $13.582,40 | 1087 / 34 | $11.651,30 | 1079 / 24 |
| G.I. Obstruction W Cc | 21 | 71 / 25 | $17.043,60 | 435 / 26 | $7.267,86 | 1448 / 47 | $6.437,48 | 1443 / 55 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 22 | $10.322,10 | 158 / 14 | $5.436,59 | 1072 / 46 | $4.191,88 | 1069 / 47 |
| Heart Failure & Shock W Cc | 77 | 201 / 44 | $19.809,70 | 1162 / 57 | $7.952,95 | 2132 / 73 | $6.812,48 | 2126 / 73 |
| Heart Failure & Shock W Mcc | 61 | 223 / 47 | $30.721,30 | 1129 / 52 | $11.783,10 | 1970 / 70 | $10.256,60 | 1963 / 62 |
| Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 39 | $11.030,50 | 365 / 29 | $5.863,83 | 1631 / 63 | $4.802,08 | 1618 / 59 |
| Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 52 | $24.993,50 | 83 / 8 | $14.162,20 | 1233 / 42 | $11.749,90 | 1218 / 28 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 39 | $100.418,00 | 494 / 26 | $41.778,90 | 1031 / 39 | $35.840,30 | 1025 / 27 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 61 | $25.262,10 | 810 / 39 | $8.435,64 | 1604 / 45 | $7.227,82 | 1601 / 52 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 49 | $24.496,50 | 192 / 11 | $11.706,40 | 851 / 14 | $10.420,70 | 849 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 37 | $15.045,60 | 254 / 15 | $6.377,75 | 1290 / 31 | $5.182,88 | 1286 / 40 |
| Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 68 | $13.547,40 | 721 / 40 | $6.485,03 | 2181 / 72 | $5.405,77 | 2170 / 72 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 16 | $20.168,90 | 36 / 4 | $9.582,91 | 402 / 12 | $7.301,09 | 401 / 17 |
| Major Cardiovasc Procedures W/O Mcc | 49 | 52 / 8 | $47.238,20 | 47 / 3 | $22.538,80 | 516 / 9 | $20.485,10 | 516 / 10 |
| Major Chest Procedures W Cc | 12 | 62 / 17 | $34.460,90 | 27 / 1 | $18.016,80 | 332 / 8 | $16.861,00 | 330 / 13 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 15 | $46.059,40 | 381 / 13 | $11.781,50 | 269 / 3 | $11.074,30 | 268 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 141 | 423 / 44 | $27.189,50 | 134 / 20 | $15.603,20 | 1837 / 53 | $12.983,20 | 1796 / 46 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 31 | $51.767,30 | 461 / 30 | $18.610,50 | 571 / 29 | $13.858,50 | 565 / 12 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 25 | $108.616,00 | 467 / 22 | $44.106,40 | 1117 / 31 | $42.027,30 | 1115 / 37 |
| Medical Back Problems W/O Mcc | 21 | 100 / 42 | $12.532,10 | 122 / 8 | $7.031,38 | 971 / 40 | $5.168,67 | 968 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 47 | $19.885,10 | 401 / 16 | $8.673,71 | 1135 / 24 | $7.428,00 | 1132 / 24 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 59 | $13.824,70 | 807 / 44 | $6.126,68 | 1977 / 74 | $4.827,13 | 1969 / 71 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 17 | 60 / 15 | $15.557,20 | 8 / 3 | $11.814,10 | 159 / 12 | $8.394,94 | 159 / 6 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 21 | $20.547,30 | 208 / 6 | $8.464,45 | 351 / 14 | $5.785,73 | 350 / 6 |
| Other Circulatory System Diagnoses W Mcc | 14 | 102 / 34 | $25.973,90 | 133 / 9 | $15.698,40 | 695 / 33 | $11.572,40 | 693 / 8 |
| Other Digestive System Diagnoses W Cc | 15 | 82 / 34 | $19.123,40 | 359 / 18 | $7.979,60 | 1086 / 30 | $6.826,00 | 1082 / 33 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 29 | $15.997,00 | 127 / 9 | $7.688,75 | 543 / 15 | $6.543,92 | 543 / 15 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 36 | $28.327,90 | 342 / 16 | $11.592,20 | 781 / 21 | $10.703,30 | 779 / 25 |
| Other Vascular Procedures W Cc | 74 | 31 / 8 | $38.943,30 | 82 / 6 | $18.344,30 | 503 / 12 | $14.962,10 | 500 / 7 |
| Other Vascular Procedures W Mcc | 23 | 74 / 21 | $62.007,30 | 177 / 16 | $23.348,00 | 444 / 8 | $20.141,00 | 442 / 9 |
| Other Vascular Procedures W/O Cc/Mcc | 31 | 25 / 8 | $26.067,60 | 39 / 6 | $12.646,10 | 359 / 8 | $10.747,50 | 358 / 9 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 33 | $16.584,30 | 247 / 12 | $7.598,87 | 886 / 24 | $6.583,40 | 883 / 26 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 20 | $19.882,00 | 59 / 3 | $9.648,73 | 352 / 5 | $8.876,55 | 352 / 9 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 15 | 30 / 12 | $9.546,00 | 38 / 1 | $5.804,27 | 299 / 8 | $4.641,20 | 299 / 9 |
| Pulmonary Edema & Respiratory Failure | 36 | 167 / 31 | $27.467,00 | 885 / 44 | $10.255,70 | 1741 / 64 | $8.654,86 | 1736 / 60 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 15 | $15.453,90 | 171 / 13 | $7.887,84 | 1073 / 27 | $6.971,95 | 1070 / 33 |
| Red Blood Cell Disorders W Mcc | 19 | 52 / 21 | $18.305,30 | 122 / 5 | $9.479,00 | 799 / 23 | $9.006,89 | 795 / 28 |
| Red Blood Cell Disorders W/O Mcc | 46 | 97 / 32 | $12.061,80 | 219 / 10 | $6.927,37 | 1464 / 58 | $5.382,17 | 1455 / 48 |
| Renal Failure W Cc | 65 | 156 / 29 | $28.668,00 | 1641 / 72 | $8.157,06 | 2004 / 69 | $7.005,00 | 1994 / 66 |
| Renal Failure W Mcc | 27 | 168 / 44 | $31.896,90 | 876 / 31 | $11.557,40 | 1586 / 34 | $10.608,40 | 1584 / 37 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 32 | $31.816,10 | 744 / 37 | $11.691,40 | 653 / 50 | $7.668,57 | 650 / 15 |
| Respiratory Infections & Inflammations W Mcc | 11 | 125 / 43 | $32.568,40 | 494 / 25 | $13.639,80 | 1075 / 25 | $11.966,90 | 1061 / 20 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 30 | $47.516,80 | 552 / 38 | $18.127,20 | 1344 / 46 | $16.029,70 | 1331 / 38 |
| Seizures W/O Mcc | 21 | 87 / 38 | $13.443,90 | 185 / 17 | $6.441,86 | 920 / 41 | $5.152,90 | 917 / 39 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 42 | $135.950,00 | 427 / 43 | $42.421,50 | 662 / 17 | $40.039,10 | 661 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 121 | 395 / 71 | $31.321,70 | 848 / 51 | $13.782,00 | 1912 / 59 | $12.080,50 | 1877 / 53 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 32 | 175 / 67 | $18.662,00 | 649 / 43 | $9.269,03 | 1878 / 80 | $7.002,50 | 1870 / 62 |
| Simple Pneumonia & Pleurisy W Cc | 42 | 161 / 48 | $17.598,10 | 861 / 53 | $7.921,79 | 2087 / 76 | $6.352,88 | 2079 / 66 |
| Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 51 | $31.904,70 | 1163 / 51 | $10.762,90 | 1677 / 56 | $9.090,92 | 1677 / 42 |
| Spinal Fusion Except Cervical W/O Mcc | 35 | 159 / 20 | $32.083,30 | 16 / 3 | $134.802,00 | 804 / 56 | $24.158,40 | 800 / 18 |
| Syncope & Collapse | 32 | 137 / 59 | $12.960,70 | 263 / 20 | $5.980,78 | 1464 / 45 | $5.046,09 | 1457 / 52 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 14 | 28 / 11 | $18.416,00 | 116 / 12 | $6.931,93 | 251 / 13 | $5.677,36 | 250 / 12 |
| Thyroid, Parathyroid & Thyroglossal Procedures W/O Cc/Mcc | 38 | 5 / 2 | $11.194,00 | 2 / 1 | $7.079,66 | 14 / 1 | $4.847,95 | 14 / 1 |
| Transient Ischemia | 23 | 102 / 35 | $12.942,80 | 177 / 18 | $5.966,48 | 1298 / 50 | $4.838,91 | 1292 / 49 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 17 | $16.582,00 | 100 / 6 | $6.132,08 | 290 / 12 | $4.469,25 | 289 / 9 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 13 | 33 / 14 | $13.876,80 | 19 / 3 | $8.051,00 | 145 / 6 | $5.976,69 | 145 / 5 |
| Vaginal Delivery W/O Complicating Diagnoses | 17 | 8 / 3 | $7.923,06 | 7 / 4 | $5.210,88 | 35 / 2 | $3.791,94 | 35 / 2 | Total 79 procedures | 2.207 | 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.