Hospital Costs > In New Jersey > Southern Ocean Medical Center, 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 | 119 | 397 / 42 | $82.707,90 | 2464 / 19 | $11.470,20 | 1249 / 6 | $10.552,80 | 1228 / 7 |
| Heart Failure & Shock W Mcc | 115 | 169 / 30 | $71.024,80 | 2363 / 18 | $9.470,44 | 1210 / 10 | $8.591,70 | 1207 / 9 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 90 | 474 / 33 | $71.576,20 | 2033 / 27 | $13.032,50 | 1351 / 4 | $11.701,40 | 1319 / 10 |
| G.I. Hemorrhage W Cc | 84 | 134 / 20 | $58.785,40 | 2293 / 36 | $6.226,23 | 713 / 8 | $5.102,31 | 712 / 4 |
| Heart Failure & Shock W Cc | 84 | 194 / 36 | $55.038,10 | 2614 / 28 | $5.990,90 | 921 / 2 | $5.227,86 | 920 / 8 |
| Chronic Obstructive Pulmonary Disease W Mcc | 75 | 127 / 21 | $60.386,20 | 2357 / 24 | $7.243,68 | 741 / 7 | $6.001,68 | 736 / 3 |
| Simple Pneumonia & Pleurisy W Mcc | 67 | 138 / 18 | $63.895,50 | 2162 / 17 | $9.120,46 | 652 / 8 | $7.500,66 | 652 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 65 | 138 / 26 | $49.971,30 | 2555 / 22 | $6.175,91 | 804 / 8 | $4.911,05 | 801 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 63 | 212 / 37 | $40.130,50 | 2479 / 24 | $4.539,40 | 555 / 4 | $3.449,36 | 553 / 4 |
| Pulmonary Edema & Respiratory Failure | 62 | 141 / 12 | $64.108,90 | 1983 / 18 | $8.007,98 | 650 / 11 | $6.513,89 | 650 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 59 | 66 / 14 | $58.925,00 | 1310 / 8 | $8.966,25 | 177 / 1 | $8.222,81 | 177 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 55 | 124 / 29 | $51.189,50 | 2263 / 30 | $5.768,00 | 828 / 5 | $4.823,71 | 825 / 10 |
| Renal Failure W Cc | 55 | 166 / 34 | $52.251,50 | 2288 / 24 | $5.895,71 | 817 / 8 | $5.017,16 | 810 / 8 |
| Cellulitis W/O Mcc | 51 | 138 / 43 | $42.191,40 | 2457 / 28 | $5.494,63 | 835 / 9 | $4.151,16 | 829 / 11 |
| Kidney & Urinary Tract Infections W/O Mcc | 45 | 188 / 41 | $40.201,40 | 2500 / 15 | $4.865,62 | 719 / 9 | $3.766,96 | 715 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 42 | 49 / 11 | $38.505,30 | 1003 / 6 | $5.833,69 | 82 / 3 | $4.637,12 | 82 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 41 | 120 / 29 | $42.255,70 | 1947 / 18 | $4.699,56 | 625 / 1 | $3.942,68 | 622 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 39 | 111 / 31 | $31.290,10 | 1788 / 20 | $3.588,46 | 382 / 8 | $2.339,59 | 379 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 34 | $53.605,60 | 2321 / 19 | $6.405,84 | 773 / 2 | $5.457,08 | 771 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 36 | 146 / 35 | $51.652,60 | 1776 / 14 | $6.977,50 | 678 / 15 | $5.411,89 | 677 / 5 |
| G.I. Hemorrhage W Mcc | 35 | 86 / 18 | $77.780,20 | 1414 / 18 | $10.597,10 | 592 / 3 | $9.895,03 | 593 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 35 | 96 / 20 | $108.550,00 | 1598 / 26 | $14.283,70 | 667 / 5 | $12.881,40 | 659 / 6 |
| Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 28 | $70.569,80 | 1555 / 17 | $11.694,60 | 870 / 1 | $10.728,20 | 857 / 4 |
| Renal Failure W Mcc | 34 | 161 / 33 | $72.489,50 | 1924 / 16 | $9.397,09 | 921 / 6 | $8.760,88 | 921 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 39 | $41.973,60 | 2404 / 30 | $4.449,47 | 449 / 10 | $3.277,18 | 449 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 32 | 88 / 23 | $42.491,20 | 1989 / 33 | $5.101,72 | 432 / 20 | $3.264,44 | 431 / 5 |
| Heart Failure & Shock W/O Cc/Mcc | 31 | 79 / 29 | $35.641,80 | 1827 / 20 | $4.094,61 | 390 / 8 | $3.203,77 | 388 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 31 | $89.521,50 | 1880 / 50 | $10.332,70 | 1475 / 45 | $8.560,39 | 1472 / 40 |
| G.I. Obstruction W Cc | 28 | 64 / 16 | $35.131,20 | 1347 / 6 | $5.386,61 | 367 / 4 | $4.307,82 | 366 / 2 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 28 | 25 / 7 | $33.919,90 | 647 / 12 | $4.527,36 | 266 / 2 | $3.709,07 | 265 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 31 | $73.996,50 | 1309 / 18 | $10.450,20 | 568 / 5 | $9.518,50 | 567 / 8 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 26 | 30 / 9 | $58.402,00 | 692 / 14 | $9.983,23 | 418 / 6 | $8.868,15 | 416 / 8 |
| Other Digestive System Diagnoses W Cc | 24 | 73 / 20 | $55.887,60 | 1333 / 30 | $6.204,50 | 313 / 6 | $4.882,04 | 310 / 3 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 24 | 53 / 5 | $38.425,40 | 167 / 11 | $10.221,20 | 85 / 3 | $7.772,67 | 85 / 1 |
| Other Circulatory System Diagnoses W Mcc | 23 | 93 / 23 | $66.518,00 | 1012 / 13 | $10.952,60 | 62 / 3 | $8.890,00 | 62 / 1 |
| Red Blood Cell Disorders W/O Mcc | 23 | 120 / 40 | $44.540,10 | 1840 / 26 | $4.896,22 | 522 / 4 | $4.005,78 | 520 / 7 |
| Respiratory Infections & Inflammations W Cc | 22 | 66 / 20 | $62.004,40 | 1269 / 16 | $8.608,41 | 659 / 7 | $7.681,86 | 655 / 8 |
| G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 16 | $33.089,80 | 1158 / 17 | $4.280,90 | 81 / 15 | $2.278,48 | 81 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 25 | $37.259,90 | 1766 / 17 | $4.224,00 | 730 / 3 | $3.441,60 | 726 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 26 | $43.979,10 | 1421 / 17 | $4.584,40 | 383 / 3 | $3.483,20 | 380 / 7 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 30 | $86.607,60 | 1560 / 21 | $11.957,90 | 876 / 7 | $11.338,30 | 866 / 10 |
| Atherosclerosis W/O Mcc | 17 | 41 / 14 | $29.240,90 | 437 / 7 | $3.702,06 | / 3 | $2.920,88 | / |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 13 | $73.470,40 | 686 / 16 | $9.984,76 | 280 / 2 | $8.604,35 | 280 / 3 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 29 | $36.613,90 | 948 / 8 | $5.701,25 | 194 / 1 | $4.633,38 | 194 / 2 |
| Cellulitis W Mcc | 16 | 42 / 17 | $62.008,60 | 825 / 13 | $8.828,81 | 331 / 3 | $8.000,81 | 330 / 5 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 25 | $175.504,00 | 947 / 17 | $29.910,20 | 440 / 7 | $29.004,20 | 438 / 7 |
| Syncope & Collapse | 15 | 154 / 45 | $42.315,30 | 1734 / 23 | $4.431,87 | 573 / 4 | $3.625,47 | 570 / 14 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 8 | $85.035,10 | 913 / 12 | $9.198,87 | 462 / 6 | $8.394,60 | 461 / 6 |
| Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 39 | $72.350,80 | 1902 / 40 | $6.965,80 | 959 / 11 | $6.319,40 | 956 / 13 |
| Transurethral Procedures W Cc | 14 | 27 / 13 | $54.443,80 | 299 / 12 | $7.778,79 | 100 / 3 | $6.569,64 | 100 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 38 | $63.889,30 | 1625 / 26 | $7.327,93 | 824 / 11 | $6.633,07 | 821 / 13 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 13 | $57.016,40 | 470 / 17 | $7.797,14 | 139 / 2 | $5.840,79 | 139 / 2 |
| G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 23 | $41.746,30 | 937 / 32 | $4.255,21 | 318 / 5 | $3.395,79 | 315 / 14 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 8 | $120.950,00 | 404 / 14 | $16.031,10 | 241 / 3 | $15.164,80 | 240 / 3 |
| Seizures W/O Mcc | 13 | 95 / 38 | $39.620,10 | 1128 / 17 | $4.560,54 | 236 / 1 | $3.635,00 | 235 / 5 |
| Digestive Malignancy W Cc | 13 | 34 / 13 | $92.284,00 | 387 / 26 | $8.056,85 | 138 / 4 | $7.121,54 | 137 / 8 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 24 | $88.036,40 | 1037 / 23 | $9.827,38 | 519 / 6 | $9.175,15 | 517 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 30 | $49.385,80 | 1148 / 12 | $7.292,23 | 315 / 4 | $6.268,23 | 313 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 23 | $81.476,20 | 671 / 7 | $12.881,70 | 384 / 3 | $12.042,30 | 379 / 9 |
| Hypertension W/O Mcc | 13 | 52 / 17 | $37.921,80 | 726 / 19 | $3.795,15 | 107 / 3 | $2.672,69 | 107 / 4 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 29 | $118.578,00 | 1335 / 27 | $15.073,90 | 590 / 2 | $13.953,90 | 584 / 4 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 13 | $87.148,50 | 562 / 11 | $11.205,70 | 308 / 7 | $10.275,20 | 308 / 7 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 23 | $53.632,50 | 780 / 18 | $5.838,17 | 212 / 1 | $5.235,50 | 212 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 22 | $46.775,70 | 915 / 9 | $7.184,08 | 391 / 4 | $6.378,75 | 390 / 9 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 42 | $155.846,00 | 1059 / 12 | $29.989,20 | 434 / 5 | $28.939,80 | 431 / 6 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 13 | $52.332,50 | 394 / 7 | $7.292,55 | 92 / 3 | $6.195,82 | 92 / 2 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 15 | $51.101,70 | 439 / 5 | $8.357,09 | 155 / 4 | $7.373,82 | 155 / 4 |
| Transient Ischemia | 11 | 114 / 43 | $34.014,60 | 1304 / 12 | $4.266,55 | 318 / 2 | $3.169,82 | 318 / 9 |
| Respiratory Neoplasms W Cc | 11 | 36 / 17 | $64.973,90 | 460 / 13 | $7.182,73 | 124 / 3 | $6.199,45 | 123 / 3 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 24 | $36.567,00 | 992 / 5 | $7.657,64 | 150 / 19 | $4.491,09 | 150 / 1 |
| G.I. Obstruction W Mcc | 11 | 31 / 13 | $60.936,50 | 414 / 5 | $9.834,55 | 229 / 2 | $9.505,82 | 229 / 4 |
| Endocrine Disorders W Cc | 11 | 27 / 8 | $55.454,30 | 278 / 8 | $6.243,18 | 76 / 3 | $5.475,18 | 76 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 41 | $45.773,20 | 1094 / 4 | $6.551,00 | 793 / 3 | $5.893,55 | 791 / 14 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 14 | $52.150,30 | 340 / 8 | $9.228,27 | 244 / 3 | $8.239,18 | 244 / 5 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 14 | $40.477,40 | 291 / 9 | $5.117,73 | 60 / 2 | $3.910,45 | 60 / 3 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 22 | $69.766,30 | 1029 / 24 | $7.648,73 | 243 / 4 | $6.681,45 | 243 / 2 | Total 76 procedures | 2.309 | 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.