Hospital Costs > In New York > Southside 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 | 270 | 248 / 30 | $55.842,10 | 1981 / 103 | $15.929,00 | 2379 / 87 | $14.121,70 | 2337 / 89 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 190 | 374 / 31 | $57.652,00 | 1610 / 88 | $18.648,50 | 2318 / 83 | $15.467,60 | 2273 / 82 |
| Syncope & Collapse | 121 | 50 / 15 | $26.488,80 | 1294 / 87 | $6.718,74 | 1542 / 59 | $5.295,98 | 1535 / 56 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 116 | 91 / 16 | $38.745,20 | 1994 / 101 | $9.129,54 | 2211 / 77 | $8.069,15 | 2202 / 82 |
| Heart Failure & Shock W Mcc | 109 | 175 / 28 | $42.735,50 | 1775 / 92 | $12.592,30 | 2295 / 75 | $11.777,30 | 2285 / 80 |
| Heart Failure & Shock W Cc | 99 | 179 / 33 | $38.763,00 | 2284 / 114 | $8.764,13 | 2343 / 84 | $7.515,33 | 2337 / 82 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 98 | 90 / 11 | $40.601,80 | 963 / 39 | $9.676,25 | 1345 / 30 | $7.768,85 | 1342 / 30 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 92 | 104 / 14 | $102.402,00 | 1185 / 48 | $17.793,90 | 1310 / 28 | $15.507,90 | 1303 / 30 |
| Cellulitis W/O Mcc | 88 | 101 / 26 | $31.318,20 | 2173 / 117 | $7.627,44 | 2223 / 85 | $6.203,89 | 2215 / 82 |
| Chest Pain | 87 | 64 / 17 | $22.154,10 | 1064 / 78 | $5.678,98 | 1377 / 42 | $4.555,59 | 1369 / 44 |
| Transient Ischemia | 80 | 45 / 6 | $33.156,80 | 1283 / 85 | $6.385,42 | 1412 / 55 | $5.293,17 | 1405 / 58 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 77 | 89 / 27 | $28.086,70 | 2050 / 106 | $6.433,81 | 2157 / 79 | $5.403,65 | 2149 / 80 |
| G.I. Hemorrhage W Cc | 68 | 150 / 35 | $44.093,30 | 2052 / 112 | $8.591,12 | 2049 / 73 | $7.496,74 | 2045 / 72 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 66 | 209 / 53 | $35.526,40 | 2370 / 130 | $6.911,74 | 2305 / 81 | $5.545,76 | 2290 / 81 |
| Simple Pneumonia & Pleurisy W Cc | 66 | 137 / 33 | $36.723,20 | 2238 / 117 | $8.370,38 | 2403 / 87 | $7.245,98 | 2394 / 86 |
| Heart Failure & Shock W/O Cc/Mcc | 64 | 46 / 12 | $27.114,10 | 1632 / 98 | $6.387,72 | 1742 / 69 | $5.282,41 | 1729 / 70 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 63 | 32 / 7 | $88.175,20 | 395 / 27 | $17.353,40 | 452 / 13 | $14.182,10 | 448 / 12 |
| Red Blood Cell Disorders W/O Mcc | 61 | 82 / 22 | $33.142,10 | 1612 / 96 | $7.416,98 | 1732 / 63 | $6.510,36 | 1723 / 67 |
| Chronic Obstructive Pulmonary Disease W Mcc | 60 | 142 / 36 | $44.537,90 | 2063 / 109 | $10.484,30 | 2203 / 80 | $8.854,05 | 2195 / 81 |
| Chronic Obstructive Pulmonary Disease W Cc | 58 | 121 / 27 | $43.159,70 | 2136 / 125 | $8.625,60 | 2093 / 82 | $7.076,29 | 2086 / 79 |
| Kidney & Urinary Tract Infections W/O Mcc | 55 | 178 / 51 | $34.034,00 | 2343 / 117 | $7.003,40 | 2324 / 82 | $5.840,02 | 2313 / 82 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 52 | 130 / 27 | $42.879,60 | 1581 / 77 | $9.736,48 | 1740 / 61 | $7.885,29 | 1736 / 60 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 49 | 101 / 28 | $22.036,70 | 1509 / 93 | $5.652,14 | 1663 / 69 | $3.956,55 | 1657 / 66 |
| Hip & Femur Procedures Except Major Joint W Cc | 47 | 96 / 25 | $65.198,00 | 1467 / 81 | $16.984,70 | 1712 / 66 | $14.136,00 | 1693 / 64 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 47 | 73 / 14 | $31.409,90 | 1753 / 107 | $6.630,85 | 1816 / 71 | $5.397,38 | 1805 / 75 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 46 | 72 / 11 | $159.945,00 | 317 / 14 | $40.980,00 | 439 / 10 | $39.939,50 | 439 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 44 | 117 / 30 | $29.175,20 | 1602 / 86 | $7.048,75 | 1882 / 65 | $6.183,07 | 1877 / 70 |
| Seizures W/O Mcc | 44 | 64 / 20 | $27.899,50 | 889 / 74 | $6.928,68 | 1001 / 45 | $5.541,20 | 999 / 46 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 42 | 81 / 22 | $38.068,00 | 1266 / 68 | $10.426,60 | 1628 / 56 | $9.399,26 | 1625 / 60 |
| Medical Back Problems W/O Mcc | 41 | 80 / 25 | $36.289,00 | 1175 / 70 | $7.543,68 | 1258 / 45 | $6.350,22 | 1254 / 49 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 40 | 60 / 11 | $151.655,00 | 835 / 33 | $28.209,90 | 916 / 17 | $27.170,30 | 911 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 39 | 63 / 15 | $33.233,30 | 1192 / 57 | $7.580,26 | 1263 / 49 | $5.083,46 | 1259 / 36 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 38 | 55 / 16 | $31.134,80 | 1648 / 87 | $6.445,68 | 1749 / 59 | $5.357,37 | 1741 / 65 |
| Renal Failure W Mcc | 37 | 158 / 35 | $57.992,70 | 1726 / 85 | $13.907,90 | 1861 / 59 | $12.355,10 | 1857 / 58 |
| Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 42 | $48.988,80 | 1883 / 92 | $12.530,50 | 2136 / 76 | $10.855,60 | 2131 / 73 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 32 | 136 / 31 | $59.453,10 | 1125 / 54 | $14.350,90 | 1334 / 39 | $13.339,40 | 1328 / 43 |
| Permanent Cardiac Pacemaker Implant W Cc | 30 | 47 / 11 | $82.098,50 | 640 / 25 | $21.609,00 | 836 / 22 | $20.527,60 | 832 / 26 |
| Major Small & Large Bowel Procedures W Mcc | 30 | 55 / 14 | $138.901,00 | 725 / 33 | $41.560,50 | 972 / 27 | $36.983,40 | 970 / 28 |
| Diabetes W Cc | 30 | 62 / 19 | $34.230,70 | 1291 / 80 | $7.534,93 | 1360 / 45 | $6.547,57 | 1355 / 52 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 28 | 48 / 8 | $149.280,00 | 354 / 15 | $39.696,80 | 534 / 14 | $34.822,00 | 534 / 17 |
| Degenerative Nervous System Disorders W/O Mcc | 27 | 51 / 21 | $49.239,00 | 768 / 63 | $9.018,00 | 717 / 33 | $7.907,26 | 717 / 38 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 23 | $77.571,50 | 970 / 51 | $21.123,70 | 1283 / 47 | $18.517,30 | 1269 / 49 |
| Pulmonary Edema & Respiratory Failure | 26 | 177 / 41 | $40.396,70 | 1512 / 75 | $10.545,80 | 1934 / 69 | $9.582,15 | 1928 / 69 |
| Signs & Symptoms W/O Mcc | 26 | 65 / 25 | $24.963,20 | 887 / 55 | $6.411,81 | 1079 / 39 | $5.298,58 | 1076 / 40 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 39 | $172.713,00 | 1139 / 73 | $48.538,80 | 1340 / 54 | $43.243,50 | 1330 / 51 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 24 | 23 / 5 | $52.921,20 | 349 / 21 | $12.575,50 | 433 / 13 | $10.775,10 | 433 / 17 |
| G.I. Obstruction W/O Cc/Mcc | 24 | 47 / 15 | $31.022,20 | 1128 / 73 | $5.962,21 | 1102 / 51 | $4.309,12 | 1099 / 50 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 24 | 33 / 13 | $57.334,80 | 368 / 19 | $17.342,50 | 621 / 14 | $16.069,00 | 620 / 20 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 31 | $75.529,00 | 1242 / 75 | $19.529,20 | 1459 / 52 | $17.030,80 | 1445 / 51 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 23 | $42.721,80 | 1019 / 55 | $10.391,70 | 1108 / 34 | $8.672,86 | 1103 / 35 |
| Pulmonary Embolism W/O Mcc | 21 | 53 / 13 | $41.801,00 | 1076 / 46 | $8.452,00 | 1123 / 33 | $7.367,24 | 1120 / 37 |
| Hypertension W/O Mcc | 20 | 45 / 16 | $20.397,90 | 427 / 28 | $5.790,35 | 627 / 20 | $4.582,65 | 625 / 22 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 20 | 49 / 15 | $347.675,00 | 225 / 17 | $95.155,20 | 245 / 15 | $81.159,90 | 245 / 11 |
| Renal Failure W Cc | 20 | 201 / 66 | $37.545,10 | 1971 / 99 | $8.027,65 | 2003 / 68 | $6.999,85 | 1993 / 65 |
| Other Circulatory System Diagnoses W Mcc | 19 | 97 / 29 | $69.365,40 | 1042 / 57 | $15.538,10 | 1127 / 30 | $14.814,30 | 1119 / 35 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 42 | $41.681,40 | 1335 / 71 | $9.700,32 | 1275 / 40 | $7.991,26 | 1272 / 36 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 19 | 74 / 20 | $58.924,40 | 451 / 14 | $17.009,30 | 733 / 16 | $16.032,90 | 726 / 19 |
| G.I. Hemorrhage W/O Cc/Mcc | 19 | 49 / 21 | $28.992,40 | 793 / 52 | $6.372,79 | 847 / 32 | $5.344,05 | 843 / 33 |
| Peripheral Vascular Disorders W Cc | 19 | 65 / 29 | $37.829,70 | 977 / 58 | $8.308,21 | 1028 / 34 | $7.407,26 | 1025 / 36 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 19 | 37 / 11 | $49.019,10 | 555 / 31 | $13.422,10 | 799 / 21 | $12.225,80 | 796 / 24 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 30 | $43.217,80 | 1176 / 65 | $8.490,42 | 1224 / 38 | $7.675,42 | 1220 / 41 |
| Other Respiratory System Diagnoses W/O Mcc | 18 | 28 / 7 | $30.353,20 | 225 / 13 | $7.508,94 | 233 / 5 | $5.899,94 | 233 / 6 |
| Other Vascular Procedures W Cc | 18 | 84 / 33 | $68.695,70 | 499 / 22 | $22.177,50 | 854 / 26 | $17.961,00 | 849 / 22 |
| G.I. Hemorrhage W Mcc | 18 | 103 / 36 | $51.142,70 | 1031 / 49 | $14.520,90 | 1378 / 44 | $13.600,80 | 1368 / 46 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 17 | 33 / 10 | $113.099,00 | 74 / 11 | $42.625,40 | 185 / 5 | $41.557,10 | 185 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 31 | $65.390,80 | 931 / 50 | $13.513,40 | 934 / 32 | $12.664,60 | 930 / 37 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 29 | $49.209,30 | 1141 / 61 | $12.186,10 | 1351 / 52 | $11.138,60 | 1346 / 56 |
| Dysequilibrium | 17 | 48 / 22 | $32.821,50 | 446 / 53 | $5.824,00 | 462 / 22 | $4.737,06 | 462 / 27 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 17 | 37 / 9 | $24.611,50 | 228 / 11 | $6.640,76 | 309 / 10 | $5.570,53 | 309 / 12 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 22 | $120.356,00 | 384 / 28 | $38.736,00 | 711 / 18 | $37.373,90 | 710 / 20 |
| Diabetes W/O Cc/Mcc | 16 | 22 / 11 | $25.540,30 | 229 / 31 | $5.461,06 | 211 / 10 | $4.267,19 | 211 / 11 |
| Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 19 | $22.083,70 | 585 / 33 | $6.376,06 | 805 / 36 | $5.317,56 | 804 / 39 |
| Permanent Cardiac Pacemaker Implant W Mcc | 16 | 36 / 11 | $116.064,00 | 399 / 22 | $32.490,70 | 550 / 18 | $31.518,60 | 550 / 21 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 19 | $34.187,50 | 802 / 51 | $5.962,75 | 714 / 21 | $4.895,62 | 713 / 23 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 16 | $179.788,00 | 583 / 32 | $44.519,70 | 692 / 24 | $43.366,40 | 692 / 30 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 47 | $70.304,60 | 1461 / 90 | $16.716,00 | 1686 / 68 | $15.148,40 | 1673 / 74 |
| G.I. Obstruction W Cc | 16 | 76 / 30 | $42.701,20 | 1497 / 78 | $10.546,40 | 1472 / 73 | $6.603,75 | 1467 / 56 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 16 | 65 / 18 | $577.185,00 | 308 / 20 | $168.298,00 | 379 / 12 | $155.147,00 | 378 / 14 |
| Other Vascular Procedures W Mcc | 16 | 81 / 26 | $76.417,30 | 336 / 22 | $24.881,10 | 723 / 13 | $24.015,70 | 720 / 17 |
| Respiratory Infections & Inflammations W Mcc | 15 | 121 / 39 | $78.310,90 | 1489 / 64 | $17.814,10 | 1703 / 56 | $17.047,70 | 1687 / 60 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 38 | $111.429,00 | 268 / 28 | $42.982,40 | 729 / 20 | $41.748,60 | 728 / 23 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 42 | $31.542,40 | 713 / 53 | $6.319,87 | 669 / 27 | $5.404,93 | 668 / 30 |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 27 | $32.154,60 | 762 / 43 | $7.713,67 | 901 / 26 | $6.555,53 | 897 / 30 |
| Cellulitis W Mcc | 15 | 43 / 22 | $78.054,90 | 905 / 57 | $16.500,80 | 928 / 48 | $14.069,50 | 926 / 50 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 15 | 30 / 12 | $25.659,50 | 299 / 15 | $6.274,20 | 314 / 10 | $4.904,13 | 314 / 10 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 22 | $349.438,00 | 385 / 33 | $92.985,10 | 481 / 14 | $90.609,60 | 480 / 19 |
| Bronchitis & Asthma W/O Cc/Mcc | 14 | 31 / 15 | $30.126,40 | 305 / 29 | $5.992,00 | 304 / 9 | $4.764,00 | 304 / 10 |
| Major Cardiovasc Procedures W Mcc | 14 | 54 / 20 | $174.550,00 | 442 / 20 | $49.155,00 | 585 / 14 | $47.525,70 | 584 / 21 |
| Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 48 | $59.126,90 | 1801 / 85 | $11.489,20 | 1798 / 60 | $9.670,79 | 1794 / 59 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 14 | 50 / 17 | $47.439,60 | 426 / 19 | $13.498,60 | 650 / 17 | $12.241,30 | 650 / 21 |
| Coronary Bypass W Cardiac Cath W Mcc | 14 | 42 / 10 | $226.276,00 | 286 / 14 | $59.666,40 | 377 / 9 | $58.293,40 | 377 / 11 |
| Organic Disturbances & Mental Retardation | 14 | 45 / 23 | $43.675,90 | 466 / 35 | $9.018,86 | 431 / 18 | $7.908,07 | 431 / 21 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 14 | 40 / 13 | $130.395,00 | 203 / 10 | $28.273,50 | 231 / 6 | $27.278,40 | 231 / 9 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 13 | $45.134,80 | 370 / 15 | $12.864,50 | 714 / 20 | $11.329,60 | 711 / 20 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 13 | 17 / 5 | $62.352,90 | 133 / 3 | $18.732,40 | 150 / 5 | $14.048,60 | 149 / 3 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 13 | 53 / 16 | $44.680,70 | 391 / 19 | $9.910,31 | 373 / 11 | $7.737,38 | 372 / 11 |
| Postoperative & Post-Traumatic Infections W Mcc | 12 | 31 / 12 | $64.018,90 | 154 / 8 | $15.319,70 | 141 / 5 | $13.806,50 | 141 / 5 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 19 | $104.610,00 | 724 / 36 | $27.182,50 | 896 / 29 | $26.241,50 | 893 / 31 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 28 | $48.732,20 | 812 / 54 | $10.601,70 | 913 / 28 | $9.939,67 | 909 / 34 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 32 | $25.272,70 | 515 / 43 | $6.858,50 | 467 / 39 | $4.452,92 | 465 / 24 |
| Major Chest Procedures W Cc | 12 | 62 / 17 | $65.057,80 | 235 / 17 | $20.790,30 | 424 / 12 | $19.715,80 | 422 / 17 |
| Respiratory Neoplasms W Mcc | 12 | 40 / 16 | $79.334,20 | 539 / 25 | $14.659,00 | 547 / 12 | $13.617,80 | 544 / 13 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 11 | 105 / 20 | $207.557,00 | 240 / 9 | $72.430,60 | 275 / 12 | $53.890,20 | 275 / 4 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 16 | $31.822,30 | 289 / 34 | $6.182,45 | 291 / 16 | $5.007,73 | 291 / 16 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 11 | 31 / 10 | $68.869,80 | 230 / 9 | $16.284,30 | 191 / 7 | $12.820,60 | 191 / 7 |
| Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 25 | $34.876,20 | 550 / 32 | $10.459,30 | 653 / 31 | $6.319,91 | 650 / 14 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 11 | 35 / 16 | $22.047,60 | 58 / 7 | $8.560,27 | 199 / 7 | $7.426,09 | 199 / 9 |
| Other Resp System O.R. Procedures W Cc | 11 | 36 / 9 | $61.396,20 | 222 / 8 | $16.098,10 | 275 / 7 | $15.061,70 | 275 / 7 | Total 108 procedures | 3.876 | 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.