Hospital Costs > In New York > St Anthony Community 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 | 90 | 426 / 86 | $58.797,60 | 2055 / 111 | $13.139,80 | 2001 / 50 | $12.380,70 | 1964 / 62 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 61 | 503 / 69 | $65.549,80 | 1877 / 99 | $14.837,60 | 1758 / 40 | $12.711,60 | 1718 / 39 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 64 | $30.910,10 | 1674 / 72 | $7.238,17 | 1429 / 35 | $6.148,19 | 1424 / 32 |
| Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 54 | $37.642,20 | 1850 / 91 | $7.743,91 | 1539 / 26 | $6.891,21 | 1532 / 39 |
| Heart Failure & Shock W Mcc | 32 | 252 / 68 | $41.239,80 | 1711 / 86 | $10.066,20 | 1638 / 36 | $9.355,66 | 1633 / 41 |
| Simple Pneumonia & Pleurisy W Mcc | 26 | 179 / 49 | $42.041,00 | 1635 / 78 | $9.867,50 | 1655 / 34 | $9.029,35 | 1655 / 41 |
| Pulmonary Edema & Respiratory Failure | 21 | 182 / 46 | $33.406,40 | 1222 / 55 | $8.223,90 | 816 / 29 | $6.728,81 | 816 / 14 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 70 | $18.512,30 | 1380 / 66 | $4.747,83 | 1477 / 20 | $4.044,28 | 1472 / 41 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 71 | $31.310,10 | 2024 / 98 | $6.634,06 | 1681 / 33 | $5.700,72 | 1674 / 40 |
| G.I. Hemorrhage W Cc | 18 | 200 / 70 | $27.223,60 | 1383 / 68 | $7.360,00 | 901 / 50 | $5.274,39 | 899 / 16 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 17 | 79 / 12 | $79.021,90 | 657 / 27 | $15.117,90 | 612 / 8 | $14.048,80 | 608 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 90 | $27.988,90 | 2062 / 110 | $5.029,06 | 1215 / 22 | $3.903,06 | 1204 / 23 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 61 | $31.019,10 | 1535 / 91 | $5.423,60 | 1018 / 18 | $4.536,13 | 1011 / 25 |
| Heart Failure & Shock W Cc | 14 | 264 / 91 | $26.086,40 | 1752 / 81 | $6.122,14 | 951 / 15 | $5.258,14 | 950 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 57 | $23.118,80 | 1290 / 62 | $5.133,85 | 803 / 12 | $4.109,85 | 800 / 16 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 82 | $30.204,20 | 2225 / 110 | $6.097,46 | 1153 / 61 | $4.056,54 | 1145 / 19 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 51 | $111.650,00 | 636 / 41 | $37.295,80 | 1044 / 21 | $36.037,10 | 1037 / 28 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 50 | $27.403,20 | 1061 / 34 | $7.623,83 | 1186 / 18 | $6.725,17 | 1182 / 24 |
| Renal Failure W Cc | 12 | 209 / 73 | $19.924,80 | 976 / 44 | $6.447,83 | 1490 / 23 | $5.741,17 | 1481 / 36 |
| Cellulitis W/O Mcc | 12 | 177 / 82 | $19.143,80 | 1385 / 67 | $5.554,08 | 1131 / 24 | $4.371,42 | 1125 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 61 | $11.569,00 | 535 / 36 | $3.751,55 | 919 / 9 | $2.759,55 | 914 / 18 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 65 | $28.362,60 | 1645 / 91 | $6.347,55 | 1275 / 33 | $5.247,91 | 1270 / 28 | Total 22 procedures | 512 | 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.