Hospital Costs > In New York > Southampton Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 160 | 356 / 59 | $47.880,90 | 1703 / 84 | $17.875,00 | 2526 / 98 | $15.460,50 | 2482 / 95 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 85 | 190 / 42 | $20.233,80 | 1418 / 76 | $7.582,51 | 2410 / 90 | $5.978,39 | 2395 / 89 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 70 | 137 / 38 | $31.387,20 | 1696 / 74 | $10.971,10 | 2289 / 92 | $8.572,76 | 2280 / 86 |
Syncope & Collapse | 59 | 110 / 41 | $17.960,80 | 673 / 45 | $7.209,85 | 1621 / 64 | $5.631,98 | 1614 / 62 |
Heart Failure & Shock W Cc | 51 | 227 / 60 | $27.316,80 | 1826 / 87 | $9.891,94 | 2493 / 94 | $8.259,27 | 2487 / 93 |
Heart Failure & Shock W Mcc | 51 | 233 / 55 | $30.127,50 | 1092 / 47 | $13.969,00 | 2351 / 83 | $12.363,00 | 2341 / 81 |
Cellulitis W/O Mcc | 47 | 142 / 52 | $24.689,40 | 1855 / 91 | $8.799,57 | 2342 / 96 | $6.728,47 | 2334 / 93 |
G.I. Hemorrhage W Cc | 45 | 173 / 48 | $27.422,20 | 1397 / 69 | $9.839,33 | 2160 / 83 | $8.096,62 | 2156 / 81 |
Medical Back Problems W/O Mcc | 41 | 80 / 25 | $26.079,80 | 875 / 49 | $8.633,29 | 1306 / 56 | $6.711,46 | 1301 / 55 |
Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 60 | $22.178,40 | 1770 / 76 | $7.879,25 | 2427 / 90 | $6.267,98 | 2416 / 89 |
Renal Failure W Cc | 38 | 183 / 49 | $32.340,60 | 1810 / 81 | $10.041,50 | 2210 / 82 | $8.138,05 | 2200 / 80 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 55 | $20.455,10 | 1600 / 77 | $7.234,24 | 2218 / 91 | $5.619,68 | 2210 / 85 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 37 | $16.270,70 | 1127 / 60 | $5.685,39 | 1754 / 70 | $4.302,78 | 1748 / 74 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 38 | $19.473,20 | 1008 / 51 | $7.843,00 | 1896 / 71 | $6.234,65 | 1891 / 73 |
Red Blood Cell Disorders W/O Mcc | 33 | 110 / 43 | $21.772,90 | 1052 / 54 | $8.206,58 | 1721 / 69 | $6.452,88 | 1712 / 66 |
Degenerative Nervous System Disorders W/O Mcc | 31 | 47 / 19 | $26.715,00 | 431 / 25 | $9.773,45 | 703 / 37 | $7.813,55 | 703 / 36 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 28 | 34 / 17 | $27.316,30 | 556 / 50 | $7.963,04 | 703 / 49 | $6.006,18 | 701 / 48 |
Hip & Femur Procedures Except Major Joint W Cc | 27 | 116 / 43 | $49.134,00 | 1019 / 50 | $18.433,40 | 1893 / 76 | $16.158,10 | 1873 / 72 |
Transient Ischemia | 27 | 98 / 33 | $23.559,30 | 889 / 54 | $7.111,89 | 1443 / 64 | $5.468,93 | 1435 / 60 |
Chest Pain | 25 | 126 / 50 | $12.655,90 | 280 / 24 | $6.005,40 | 1417 / 46 | $4.777,80 | 1409 / 48 |
Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 38 | $19.506,80 | 1262 / 70 | $6.830,40 | 1759 / 74 | $5.400,68 | 1746 / 73 |
Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 65 | $26.971,60 | 1766 / 80 | $10.029,20 | 2503 / 103 | $7.721,21 | 2494 / 99 |
Organic Disturbances & Mental Retardation | 24 | 35 / 15 | $24.002,40 | 261 / 13 | $9.607,58 | 427 / 23 | $7.822,08 | 427 / 20 |
Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 66 | $33.148,30 | 1652 / 74 | $11.591,50 | 2318 / 87 | $9.530,23 | 2310 / 84 |
Renal Failure W Mcc | 20 | 175 / 51 | $39.024,00 | 1247 / 50 | $14.775,40 | 1896 / 64 | $12.682,30 | 1892 / 60 |
Pulmonary Edema & Respiratory Failure | 19 | 184 / 47 | $32.515,90 | 1171 / 52 | $11.956,20 | 1955 / 77 | $9.710,47 | 1949 / 70 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 35 | $31.129,80 | 1143 / 52 | $7.969,44 | 1413 / 52 | $5.896,39 | 1409 / 52 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 18 | 546 / 90 | $69.594,00 | 1983 / 104 | $20.995,10 | 2547 / 92 | $18.558,80 | 2501 / 100 |
Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 58 | $43.429,90 | 1698 / 82 | $14.430,40 | 2293 / 88 | $12.145,40 | 2287 / 83 |
Signs & Symptoms W/O Mcc | 17 | 74 / 33 | $20.868,50 | 692 / 43 | $7.008,59 | 1110 / 44 | $5.501,94 | 1107 / 43 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 56 | $38.700,30 | 1476 / 64 | $11.171,00 | 1790 / 73 | $8.145,94 | 1786 / 63 |
Otitis Media & Uri W/O Mcc | 16 | 28 / 13 | $15.638,40 | 60 / 4 | $6.513,56 | 161 / 10 | $4.911,62 | 161 / 10 |
Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 19 | $26.437,30 | 684 / 40 | $7.321,56 | 803 / 41 | $5.292,81 | 802 / 38 |
Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 60 | $24.950,60 | 1446 / 73 | $9.307,31 | 2193 / 88 | $7.608,19 | 2186 / 89 |
Dysequilibrium | 16 | 49 / 23 | $19.352,90 | 231 / 26 | $6.353,19 | 465 / 27 | $4.757,75 | 465 / 28 |
G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 24 | $23.384,40 | 962 / 53 | $6.515,67 | 1149 / 54 | $4.569,73 | 1146 / 54 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 15 | 29 / 14 | $19.899,40 | 106 / 13 | $7.552,07 | 245 / 13 | $5.811,80 | 245 / 12 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 47 | $32.843,60 | 1280 / 46 | $11.358,50 | 1783 / 58 | $9.491,73 | 1779 / 57 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 33 | $71.526,70 | 884 / 43 | $24.994,20 | 1422 / 62 | $21.432,30 | 1408 / 59 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 12 | $35.325,90 | 238 / 21 | $12.139,90 | 549 / 28 | $9.956,20 | 548 / 27 |
Atherosclerosis W/O Mcc | 14 | 44 / 21 | $11.621,60 | 78 / 7 | $5.950,93 | / 20 | $5.316,43 | / |
Peripheral Vascular Disorders W Cc | 14 | 70 / 34 | $25.142,10 | 652 / 31 | $9.453,71 | 1056 / 44 | $7.640,64 | 1053 / 39 |
Other Vascular Procedures W Cc | 14 | 88 / 36 | $74.850,40 | 591 / 30 | $24.546,60 | 1048 / 35 | $22.204,40 | 1043 / 35 |
Other Disorders Of Nervous System W/O Cc/Mcc | 14 | 21 / 12 | $25.809,90 | 83 / 8 | $7.178,86 | 117 / 7 | $5.335,00 | 117 / 10 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 47 | $24.559,40 | 675 / 25 | $10.486,10 | 1438 / 46 | $8.945,79 | 1435 / 42 |
Angina Pectoris | 13 | 12 / 4 | $13.150,80 | 12 / 3 | $5.684,38 | 58 / 4 | $4.586,31 | 58 / 6 |
Seizures W/O Mcc | 12 | 96 / 47 | $21.317,20 | 620 / 48 | $7.398,50 | 1101 / 51 | $6.182,83 | 1099 / 56 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 49 | $20.953,30 | 388 / 25 | $11.511,50 | 1714 / 63 | $10.040,60 | 1711 / 66 |
Diabetes W Cc | 11 | 81 / 38 | $25.748,60 | 1026 / 56 | $8.637,36 | 1378 / 56 | $6.652,27 | 1373 / 53 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 37 | $26.713,60 | 746 / 33 | $9.720,55 | 1294 / 45 | $8.418,09 | 1290 / 49 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 24 | $25.757,80 | 669 / 34 | $6.784,18 | 737 / 25 | $5.045,64 | 736 / 25 |
Complications Of Treatment W Cc | 11 | 41 / 14 | $30.602,90 | 223 / 9 | $10.345,60 | 264 / 14 | $7.580,64 | 264 / 10 |
Renal Failure W/O Cc/Mcc | 11 | 45 / 15 | $23.006,90 | 635 / 23 | $6.701,82 | 739 / 24 | $4.859,27 | 737 / 23 | Total 53 procedures | 1.485 | 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.