Hospital Costs > In New York > St Catherine Of Siena 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 | 285 | 233 / 27 | $70.697,00 | 2292 / 127 | $13.583,50 | 1824 / 55 | $11.802,90 | 1789 / 50 |
| Cellulitis W/O Mcc | 117 | 72 / 13 | $34.203,90 | 2279 / 125 | $5.734,03 | 1133 / 34 | $4.373,79 | 1127 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 98 | 109 / 24 | $46.166,60 | 2189 / 118 | $7.603,82 | 1436 / 49 | $6.157,05 | 1430 / 34 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 91 | 473 / 57 | $72.224,90 | 2048 / 107 | $15.414,20 | 1773 / 48 | $12.777,80 | 1733 / 41 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 91 | 184 / 40 | $33.934,90 | 2319 / 127 | $5.398,14 | 937 / 43 | $3.723,14 | 931 / 17 |
| Heart Failure & Shock W Mcc | 82 | 202 / 37 | $79.166,30 | 2444 / 125 | $11.736,10 | 1518 / 69 | $9.098,38 | 1514 / 32 |
| Simple Pneumonia & Pleurisy W Cc | 80 | 123 / 25 | $48.444,80 | 2529 / 134 | $6.737,25 | 1771 / 37 | $5.811,27 | 1763 / 46 |
| Syncope & Collapse | 79 | 90 / 28 | $41.083,00 | 1717 / 110 | $4.925,56 | 826 / 13 | $3.875,01 | 822 / 17 |
| Chronic Obstructive Pulmonary Disease W Cc | 76 | 103 / 18 | $43.971,10 | 2150 / 128 | $6.334,54 | 1327 / 32 | $5.295,54 | 1322 / 32 |
| Renal Failure W Cc | 75 | 146 / 25 | $46.517,30 | 2194 / 114 | $6.678,39 | 1495 / 32 | $5.749,08 | 1486 / 37 |
| Heart Failure & Shock W Cc | 74 | 204 / 45 | $47.837,00 | 2513 / 132 | $6.597,47 | 1590 / 30 | $5.862,77 | 1585 / 36 |
| Kidney & Urinary Tract Infections W/O Mcc | 71 | 162 / 43 | $37.407,20 | 2441 / 126 | $5.597,94 | 1182 / 43 | $4.076,70 | 1174 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 66 | 100 / 32 | $32.254,80 | 2203 / 123 | $4.871,05 | 1102 / 35 | $3.724,95 | 1099 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 65 | 137 / 32 | $53.865,00 | 2261 / 122 | $8.010,98 | 1233 / 36 | $6.500,57 | 1227 / 21 |
| G.I. Hemorrhage W Cc | 64 | 154 / 38 | $43.704,20 | 2044 / 110 | $7.144,83 | 933 / 44 | $5.307,72 | 931 / 17 |
| Red Blood Cell Disorders W/O Mcc | 49 | 94 / 29 | $43.817,80 | 1828 / 107 | $5.501,04 | 944 / 21 | $4.463,27 | 938 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 49 | 112 / 26 | $42.064,30 | 1945 / 113 | $5.535,14 | 1266 / 34 | $4.589,02 | 1261 / 38 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 48 | 134 / 31 | $61.359,20 | 1888 / 104 | $7.476,31 | 1376 / 28 | $6.522,33 | 1373 / 39 |
| Transient Ischemia | 43 | 82 / 23 | $44.538,10 | 1511 / 96 | $4.783,95 | 804 / 15 | $3.708,93 | 800 / 19 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 43 | 77 / 15 | $35.654,20 | 1864 / 113 | $4.969,77 | 794 / 28 | $3.569,21 | 790 / 13 |
| Seizures W/O Mcc | 41 | 67 / 23 | $37.654,50 | 1098 / 93 | $5.269,83 | 355 / 14 | $3.853,12 | 353 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 40 | 165 / 38 | $67.507,50 | 2210 / 115 | $10.012,30 | 1801 / 40 | $9.405,15 | 1801 / 50 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 40 | 53 / 14 | $35.839,50 | 1748 / 95 | $4.757,60 | 958 / 16 | $3.638,10 | 953 / 21 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 39 | 149 / 31 | $52.797,80 | 1269 / 52 | $7.657,46 | 764 / 15 | $5.837,18 | 762 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 39 | 111 / 35 | $32.058,20 | 1812 / 111 | $4.115,26 | 398 / 32 | $2.355,90 | 395 / 5 |
| Renal Failure W Mcc | 36 | 159 / 36 | $82.546,60 | 2011 / 104 | $11.055,10 | 1575 / 26 | $10.551,90 | 1573 / 33 |
| Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 34 | $85.546,70 | 1769 / 98 | $13.221,10 | 1274 / 30 | $11.881,10 | 1257 / 30 |
| Kidney & Urinary Tract Infections W Mcc | 35 | 109 / 29 | $44.771,90 | 1606 / 68 | $7.734,17 | 735 / 23 | $6.004,66 | 734 / 8 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 35 | 161 / 34 | $102.043,00 | 1183 / 47 | $15.233,90 | 1060 / 17 | $12.958,50 | 1053 / 16 |
| Heart Failure & Shock W/O Cc/Mcc | 35 | 75 / 28 | $34.505,80 | 1807 / 112 | $5.018,34 | 799 / 40 | $3.556,31 | 795 / 11 |
| Chest Pain | 35 | 116 / 43 | $34.087,90 | 1484 / 92 | $4.349,09 | 698 / 16 | $3.133,20 | 693 / 12 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 35 | 89 / 30 | $175.054,00 | 1148 / 75 | $39.883,70 | 860 / 32 | $33.353,60 | 854 / 13 |
| Medical Back Problems W/O Mcc | 33 | 88 / 31 | $42.038,90 | 1286 / 81 | $5.761,03 | 666 / 14 | $4.509,91 | 664 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 30 | 95 / 34 | $73.614,50 | 1492 / 94 | $11.965,50 | 1260 / 38 | $11.278,50 | 1250 / 48 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 31 | $65.670,30 | 1742 / 100 | $9.138,31 | 1134 / 38 | $7.444,31 | 1131 / 29 |
| Bronchitis & Asthma W Cc/Mcc | 29 | 47 / 14 | $39.043,50 | 873 / 51 | $5.972,03 | 372 / 5 | $4.493,34 | 368 / 4 |
| Pulmonary Edema & Respiratory Failure | 29 | 174 / 38 | $59.070,20 | 1915 / 96 | $9.371,72 | 1705 / 52 | $8.484,79 | 1700 / 58 |
| G.I. Hemorrhage W Mcc | 29 | 92 / 26 | $71.916,20 | 1362 / 75 | $11.448,30 | 827 / 13 | $10.615,80 | 824 / 14 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 28 | 34 / 17 | $35.384,50 | 672 / 63 | $5.089,54 | 344 / 8 | $4.040,32 | 344 / 10 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 27 | 74 / 22 | $67.159,80 | 943 / 51 | $11.416,20 | 786 / 19 | $10.744,20 | 784 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 36 | $42.083,60 | 1345 / 73 | $7.486,58 | 877 / 8 | $6.743,19 | 874 / 11 |
| G.I. Obstruction W Cc | 26 | 66 / 20 | $40.660,20 | 1466 / 75 | $5.975,08 | 856 / 20 | $4.892,62 | 854 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 36 | $72.235,90 | 1286 / 72 | $11.908,30 | 988 / 16 | $10.990,50 | 983 / 20 |
| Respiratory Infections & Inflammations W Mcc | 25 | 111 / 30 | $79.501,80 | 1504 / 66 | $14.136,50 | 1384 / 30 | $13.447,60 | 1369 / 34 |
| G.I. Obstruction W/O Cc/Mcc | 24 | 47 / 15 | $27.067,80 | 1060 / 64 | $5.010,88 | 370 / 38 | $2.794,17 | 370 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 24 | 67 / 24 | $52.191,80 | 1208 / 74 | $7.424,00 | 1021 / 24 | $6.772,00 | 1019 / 38 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 24 | 68 / 29 | $162.834,00 | 597 / 60 | $39.421,70 | 593 / 10 | $38.534,00 | 592 / 13 |
| Signs & Symptoms W/O Mcc | 24 | 67 / 27 | $38.648,50 | 1194 / 82 | $4.689,96 | 465 / 7 | $3.612,12 | 464 / 8 |
| Hypertension W/O Mcc | 23 | 42 / 13 | $33.283,70 | 671 / 50 | $4.170,22 | 367 / 3 | $3.320,83 | 365 / 11 |
| G.I. Hemorrhage W/O Cc/Mcc | 22 | 46 / 18 | $25.187,80 | 710 / 46 | $4.886,41 | 416 / 10 | $3.588,86 | 412 / 6 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 22 | 31 / 10 | $40.053,00 | 736 / 53 | $6.039,45 | 403 / 25 | $4.007,27 | 400 / 5 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 22 | 22 / 7 | $41.284,30 | 274 / 35 | $4.976,27 | 109 / 1 | $4.042,45 | 109 / 3 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 27 | $35.971,60 | 1046 / 54 | $6.636,41 | 661 / 12 | $5.496,36 | 657 / 14 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 15 | $47.025,00 | 919 / 41 | $7.898,19 | 739 / 8 | $7.495,90 | 737 / 18 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 32 | $41.537,10 | 1383 / 75 | $6.038,33 | 555 / 25 | $3.690,24 | 551 / 8 |
| Dysequilibrium | 21 | 44 / 18 | $43.387,60 | 529 / 59 | $4.179,19 | 198 / 1 | $3.149,10 | 198 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 21 | 173 / 29 | $132.681,00 | 1019 / 48 | $27.557,70 | 989 / 15 | $26.344,80 | 984 / 29 |
| Fever | 21 | 25 / 8 | $31.752,70 | 240 / 17 | $5.692,48 | 149 / 1 | $4.884,86 | 149 / 5 |
| Traumatic Injury W/O Mcc | 20 | 2 / 1 | $33.576,50 | 17 / 4 | $4.816,40 | 7 / 1 | $3.828,75 | 7 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 20 | 41 / 15 | $37.328,30 | 836 / 59 | $4.787,70 | 450 / 7 | $3.822,90 | 450 / 10 |
| Diabetes W Cc | 20 | 72 / 29 | $46.600,40 | 1504 / 99 | $5.874,55 | 370 / 14 | $4.113,10 | 370 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 33 | $75.946,50 | 1247 / 77 | $15.920,80 | 768 / 27 | $13.200,10 | 760 / 11 |
| Peripheral Vascular Disorders W Cc | 19 | 65 / 29 | $43.815,30 | 1074 / 68 | $6.359,63 | 675 / 6 | $5.787,00 | 672 / 16 |
| Other Circulatory System Diagnoses W Cc | 18 | 48 / 14 | $35.980,20 | 496 / 19 | $6.032,00 | 284 / 2 | $5.461,33 | 283 / 3 |
| Other Vascular Procedures W Cc | 18 | 84 / 33 | $121.442,00 | 977 / 51 | $20.184,60 | 683 / 20 | $16.270,00 | 680 / 11 |
| Red Blood Cell Disorders W Mcc | 17 | 54 / 23 | $79.091,00 | 1068 / 76 | $8.975,35 | 655 / 13 | $8.074,18 | 651 / 16 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 10 | $66.233,20 | 630 / 28 | $11.543,70 | 480 / 12 | $9.466,50 | 478 / 8 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 25 | $45.954,30 | 715 / 39 | $6.543,94 | 423 / 4 | $5.941,94 | 423 / 9 |
| Renal Failure W/O Cc/Mcc | 16 | 40 / 11 | $28.465,60 | 728 / 32 | $4.841,56 | 156 / 11 | $2.840,31 | 155 / 1 |
| Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 32 | $43.775,70 | 712 / 58 | $7.078,80 | 291 / 7 | $5.235,47 | 291 / 5 |
| Cellulitis W Mcc | 15 | 43 / 22 | $70.803,90 | 873 / 53 | $10.590,70 | 646 / 13 | $9.622,07 | 644 / 16 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 15 | 51 / 14 | $57.988,90 | 460 / 25 | $7.289,87 | 223 / 3 | $6.373,60 | 223 / 4 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 26 | $177.767,00 | 957 / 45 | $39.163,50 | 794 / 21 | $33.482,60 | 792 / 13 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 33 | $130.140,00 | 1389 / 73 | $18.833,90 | 951 / 33 | $15.519,70 | 940 / 24 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 15 | $66.073,00 | 760 / 44 | $12.142,20 | 472 / 13 | $9.129,60 | 470 / 5 |
| Transurethral Procedures W Cc | 14 | 27 / 10 | $64.409,60 | 328 / 26 | $8.805,86 | 145 / 4 | $6.906,57 | 145 / 3 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 32 | $51.111,80 | 1167 / 63 | $9.502,21 | 706 / 28 | $7.761,29 | 701 / 19 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 20 | $45.130,60 | 1119 / 49 | $7.606,71 | 371 / 21 | $4.930,50 | 371 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 30 | $40.384,80 | 955 / 51 | $8.476,64 | 278 / 13 | $6.186,93 | 276 / 2 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 11 | $72.621,60 | 457 / 30 | $9.645,07 | 307 / 13 | $8.140,43 | 307 / 11 |
| Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 16 | $27.260,20 | 279 / 25 | $4.465,08 | 102 / 1 | $2.966,15 | 102 / 1 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 13 | 33 / 16 | $34.258,60 | 305 / 25 | $4.787,54 | 129 / 2 | $3.363,08 | 129 / 3 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 23 | $82.440,00 | 592 / 34 | $18.423,40 | 220 / 20 | $11.474,80 | 219 / 2 |
| Respiratory Neoplasms W Cc | 13 | 34 / 14 | $52.449,80 | 410 / 25 | $7.901,54 | 245 / 4 | $7.062,15 | 244 / 7 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 13 | 30 / 14 | $25.567,80 | 234 / 21 | $4.508,85 | 101 / 2 | $3.297,77 | 101 / 3 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 22 | $36.206,20 | 827 / 53 | $4.274,08 | 215 / 3 | $3.156,54 | 214 / 4 |
| Other Vascular Procedures W Mcc | 13 | 84 / 29 | $93.121,70 | 523 / 31 | $21.197,70 | 402 / 6 | $19.685,10 | 400 / 7 |
| Organic Disturbances & Mental Retardation | 12 | 47 / 25 | $41.474,80 | 454 / 34 | $6.782,92 | 239 / 3 | $5.873,58 | 239 / 5 |
| Seizures W Mcc | 12 | 54 / 19 | $58.384,30 | 553 / 30 | $10.522,80 | 135 / 1 | $7.980,67 | 135 / 1 |
| Bone Diseases & Arthropathies W/O Mcc | 12 | 32 / 15 | $43.287,20 | 283 / 27 | $4.886,75 | 72 / 1 | $3.736,58 | 72 / 1 |
| Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 12 | 17 / 10 | $38.998,80 | 143 / 23 | $4.633,33 | 17 / 3 | $3.186,58 | 17 / 1 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 20 | $186.854,00 | 604 / 34 | $33.913,40 | 466 / 11 | $32.426,70 | 466 / 12 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 36 | $85.119,00 | 1188 / 70 | $15.003,50 | 855 / 27 | $12.449,20 | 850 / 17 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 16 | $61.200,60 | 405 / 29 | $10.156,00 | 337 / 3 | $9.169,82 | 337 / 5 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 19 | $36.497,10 | 743 / 32 | $6.418,27 | 298 / 8 | $4.740,36 | 297 / 3 |
| G.I. Obstruction W Mcc | 11 | 31 / 14 | $57.582,60 | 390 / 15 | $10.833,40 | 284 / 2 | $10.068,30 | 284 / 4 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 28 | $146.735,00 | 540 / 41 | $35.330,00 | 599 / 10 | $34.651,50 | 598 / 13 |
| Pleural Effusion W Cc | 11 | 17 / 6 | $42.946,30 | 93 / 5 | $8.585,55 | 3 / 2 | $4.528,45 | 3 / 1 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 30 | $130.595,00 | 895 / 42 | $19.100,50 | 728 / 14 | $18.326,70 | 726 / 17 |
| Respiratory Signs & Symptoms | 11 | 35 / 17 | $29.901,10 | 232 / 17 | $5.538,91 | 34 / 5 | $3.080,18 | 34 / 1 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 25 | $362.603,00 | 401 / 34 | $79.119,10 | 390 / 4 | $76.511,90 | 389 / 5 | Total 101 procedures | 3.350 | 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.