Hospital Costs > In New York > St Elizabeth Medical Center Utica, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 314 | 257 / 14 | $25.952,90 | 98 / 17 | $13.225,80 | 1052 / 19 | $11.149,00 | 1029 / 16 |
| Heart Failure & Shock W Cc | 109 | 169 / 29 | $17.389,40 | 853 / 47 | $6.605,11 | 1130 / 32 | $5.393,49 | 1128 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 103 | 63 / 14 | $13.720,50 | 791 / 43 | $4.843,77 | 922 / 28 | $3.593,13 | 919 / 19 |
| Cellulitis W/O Mcc | 95 | 94 / 24 | $13.561,00 | 670 / 42 | $5.688,62 | 1122 / 31 | $4.365,66 | 1116 / 17 |
| Simple Pneumonia & Pleurisy W Cc | 94 | 109 / 17 | $17.378,80 | 836 / 52 | $6.497,86 | 1102 / 28 | $5.155,93 | 1098 / 18 |
| Kidney & Urinary Tract Infections W/O Mcc | 93 | 140 / 30 | $12.283,80 | 547 / 27 | $5.251,94 | 896 / 27 | $3.886,86 | 889 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 90 | 426 / 86 | $24.988,70 | 529 / 34 | $11.234,90 | 775 / 17 | $9.881,82 | 774 / 9 |
| Heart Failure & Shock W Mcc | 84 | 200 / 36 | $30.620,80 | 1122 / 50 | $10.059,30 | 1262 / 34 | $8.668,15 | 1259 / 20 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 73 | 123 / 18 | $51.571,60 | 254 / 23 | $12.705,30 | 557 / 6 | $10.795,50 | 553 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 72 | 203 / 50 | $14.559,30 | 697 / 49 | $5.102,19 | 1115 / 30 | $3.834,01 | 1107 / 20 |
| Syncope & Collapse | 72 | 97 / 33 | $12.375,90 | 216 / 15 | $4.956,32 | 641 / 15 | $3.687,15 | 638 / 9 |
| Chest Pain | 71 | 80 / 22 | $12.899,50 | 304 / 27 | $4.323,41 | 466 / 14 | $2.896,16 | 464 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 70 | 118 / 20 | $25.155,40 | 292 / 18 | $6.995,73 | 671 / 8 | $5.695,19 | 669 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 57 | 93 / 24 | $11.912,20 | 575 / 37 | $3.991,54 | 897 / 26 | $2.746,02 | 893 / 17 |
| Chronic Obstructive Pulmonary Disease W Mcc | 55 | 147 / 40 | $24.218,50 | 1062 / 47 | $8.066,16 | 1353 / 43 | $6.645,62 | 1347 / 26 |
| Heart Failure & Shock W/O Cc/Mcc | 50 | 60 / 18 | $12.932,70 | 591 / 39 | $4.709,60 | 915 / 27 | $3.656,28 | 908 / 16 |
| G.I. Hemorrhage W Cc | 49 | 169 / 46 | $21.269,70 | 870 / 52 | $6.819,75 | 1205 / 29 | $5.580,27 | 1203 / 27 |
| Chronic Obstructive Pulmonary Disease W Cc | 49 | 130 / 32 | $16.201,10 | 624 / 45 | $6.310,04 | 712 / 31 | $4.734,71 | 710 / 11 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 47 | 73 / 14 | $13.499,80 | 610 / 43 | $5.024,11 | 658 / 32 | $3.446,13 | 656 / 11 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 45 | 86 / 10 | $43.064,70 | 418 / 29 | $15.798,80 | 1010 / 24 | $14.155,50 | 1000 / 24 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 42 | 165 / 59 | $20.131,50 | 794 / 48 | $7.148,79 | 1154 / 30 | $5.814,57 | 1149 / 18 |
| Hip & Femur Procedures Except Major Joint W Cc | 39 | 104 / 31 | $29.371,40 | 207 / 20 | $12.022,30 | 727 / 15 | $10.472,50 | 721 / 13 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 38 | 55 / 16 | $12.466,90 | 456 / 24 | $4.880,26 | 838 / 23 | $3.541,45 | 834 / 12 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 36 | 52 / 6 | $55.987,90 | 33 / 1 | $22.711,30 | 177 / 3 | $19.835,60 | 176 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 28 | $21.891,30 | 449 / 29 | $7.868,88 | 569 / 13 | $6.471,69 | 566 / 8 |
| Transient Ischemia | 32 | 93 / 28 | $10.873,80 | 96 / 10 | $4.771,22 | 470 / 13 | $3.346,81 | 469 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 31 | 72 / 15 | $16.361,30 | 134 / 11 | $6.494,35 | 215 / 3 | $5.241,48 | 215 / 2 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 31 | 93 / 28 | $14.944,00 | 335 / 27 | $4.727,42 | 185 / 7 | $3.483,23 | 185 / 3 |
| G.I. Hemorrhage W/O Cc/Mcc | 31 | 37 / 10 | $15.703,40 | 371 / 17 | $4.937,45 | 367 / 11 | $3.497,16 | 364 / 3 |
| Renal Failure W Cc | 29 | 192 / 58 | $19.588,90 | 943 / 43 | $6.795,55 | 1229 / 36 | $5.420,97 | 1221 / 20 |
| Red Blood Cell Disorders W/O Mcc | 28 | 115 / 48 | $15.110,00 | 463 / 29 | $5.453,29 | 853 / 19 | $4.365,04 | 848 / 16 |
| Signs & Symptoms W/O Mcc | 28 | 63 / 23 | $12.665,80 | 205 / 6 | $4.833,11 | 542 / 10 | $3.744,11 | 541 / 11 |
| Medical Back Problems W/O Mcc | 28 | 93 / 36 | $13.976,10 | 174 / 12 | $5.799,46 | 385 / 15 | $4.085,29 | 385 / 7 |
| Extracranial Procedures W/O Cc/Mcc | 26 | 72 / 12 | $17.164,70 | 83 / 9 | $6.734,15 | 279 / 3 | $5.168,38 | 279 / 3 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 26 | 92 / 14 | $73.673,20 | 18 / 1 | $30.782,20 | 132 / 1 | $29.270,60 | 132 / 4 |
| G.I. Obstruction W Cc | 25 | 67 / 21 | $20.353,80 | 682 / 33 | $6.029,92 | 507 / 24 | $4.484,60 | 506 / 11 |
| Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 50 | $22.507,10 | 543 / 34 | $9.199,04 | 955 / 19 | $7.830,84 | 955 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 46 | $17.316,80 | 790 / 41 | $5.405,75 | 720 / 29 | $4.031,54 | 717 / 12 |
| Renal Failure W Mcc | 23 | 172 / 48 | $25.301,00 | 478 / 22 | $10.170,30 | 950 / 14 | $8.829,91 | 950 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 42 | $25.904,00 | 762 / 29 | $8.175,53 | 798 / 19 | $6.579,21 | 795 / 9 |
| Seizures W/O Mcc | 18 | 90 / 41 | $14.410,00 | 231 / 20 | $5.284,28 | 554 / 15 | $4.168,78 | 551 / 13 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 12 | $23.364,10 | 64 / 2 | $10.153,80 | 333 / 3 | $8.598,06 | 332 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 30 | $26.228,50 | 582 / 39 | $6.954,94 | 581 / 19 | $5.619,11 | 580 / 11 |
| Dysequilibrium | 18 | 47 / 21 | $11.724,70 | 62 / 6 | $4.344,89 | 187 / 5 | $3.099,61 | 187 / 2 |
| Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 18 | $10.951,70 | 112 / 6 | $4.884,00 | 306 / 11 | $3.488,12 | 307 / 4 |
| G.I. Hemorrhage W Mcc | 17 | 104 / 37 | $24.711,60 | 166 / 5 | $11.195,80 | 634 / 11 | $10.025,80 | 635 / 11 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 22 | $13.674,90 | 417 / 29 | $4.306,71 | 560 / 14 | $3.038,29 | 559 / 11 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 29 | $22.956,30 | 386 / 23 | $9.091,59 | 584 / 20 | $7.529,88 | 581 / 12 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 28 | $13.175,80 | 132 / 14 | $5.156,56 | 273 / 9 | $3.814,25 | 273 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 24 | $62.633,80 | 101 / 9 | $20.013,90 | 405 / 1 | $18.761,40 | 402 / 5 |
| Other Respiratory System Diagnoses W/O Mcc | 16 | 30 / 9 | $14.437,50 | 52 / 3 | $5.390,00 | 40 / 1 | $3.810,62 | 40 / 1 |
| Major Chest Procedures W Cc | 16 | 58 / 13 | $41.502,90 | 53 / 3 | $15.415,20 | 128 / 3 | $13.685,80 | 128 / 2 |
| Diabetes W Cc | 16 | 76 / 33 | $16.719,10 | 462 / 23 | $5.689,31 | 526 / 13 | $4.309,19 | 526 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 48 | $88.740,10 | 348 / 17 | $34.430,10 | 691 / 11 | $31.449,10 | 685 / 9 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 38 | $55.723,50 | 28 / 2 | $33.725,00 | 220 / 2 | $31.994,80 | 220 / 2 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 15 | 54 / 12 | $42.559,70 | 79 / 7 | $11.283,00 | 238 / 1 | $10.009,10 | 238 / 3 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 15 | 61 / 17 | $79.347,30 | 39 / 2 | $28.297,40 | 282 / 1 | $26.386,70 | 282 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 21 | $16.726,10 | 170 / 4 | $7.893,60 | 403 / 7 | $6.402,40 | 402 / 5 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 33 | $39.682,70 | 186 / 15 | $15.863,10 | 539 / 13 | $13.763,80 | 533 / 11 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 25 | $25.082,50 | 312 / 19 | $8.525,40 | 388 / 6 | $7.085,93 | 386 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 25 | $36.463,00 | 108 / 5 | $13.034,20 | 318 / 2 | $11.634,30 | 313 / 3 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 34 | $15.648,90 | 207 / 9 | $6.386,57 | 420 / 7 | $5.139,43 | 418 / 6 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 14 | 30 / 15 | $19.589,40 | 103 / 12 | $5.251,57 | 57 / 4 | $3.597,00 | 57 / 1 |
| Cellulitis W Mcc | 14 | 44 / 23 | $27.015,60 | 304 / 15 | $10.484,80 | 537 / 11 | $8.916,50 | 535 / 7 |
| Other Vascular Procedures W Cc | 14 | 88 / 36 | $40.049,40 | 93 / 8 | $15.400,40 | 285 / 2 | $13.862,30 | 284 / 2 |
| Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 31 | $57.919,90 | 112 / 6 | $20.794,20 | 405 / 4 | $19.413,30 | 405 / 6 |
| Extracranial Procedures W Cc | 14 | 32 / 8 | $16.537,90 | 16 / 1 | $9.687,14 | 131 / 1 | $8.511,00 | 131 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 39 | $14.992,70 | 250 / 14 | $5.213,57 | 635 / 12 | $3.781,64 | 631 / 9 |
| Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 33 | $16.640,90 | 128 / 7 | $6.750,57 | 229 / 5 | $5.069,36 | 229 / 3 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 28 | $32.087,80 | 32 / 4 | $15.916,40 | 309 / 4 | $14.666,00 | 308 / 6 |
| Other Kidney & Urinary Tract Diagnoses W/O Cc/Mcc | 13 | 11 / 4 | $10.519,50 | 3 / 1 | $4.775,77 | 12 / 1 | $3.874,00 | 12 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 14 | $20.528,70 | 40 / 5 | $7.806,15 | 258 / 3 | $6.432,54 | 258 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 50 | $29.797,50 | 436 / 31 | $11.536,20 | 909 / 31 | $10.032,20 | 908 / 27 |
| Hypertension W/O Mcc | 13 | 52 / 23 | $13.023,00 | 143 / 12 | $4.434,62 | 212 / 10 | $2.918,08 | 210 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 14 | $30.402,30 | 97 / 6 | $10.453,20 | 425 / 3 | $9.158,83 | 425 / 4 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 22 | $22.062,40 | 497 / 22 | $6.514,25 | 466 / 11 | $5.129,83 | 464 / 8 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 11 | $53.819,80 | 79 / 5 | $18.022,30 | 164 / 1 | $16.198,70 | 163 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 12 | 17 / 6 | $15.995,50 | 33 / 1 | $5.650,92 | 53 / 1 | $4.408,50 | 53 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 15 | $30.656,00 | 39 / 5 | $13.336,30 | 376 / 3 | $12.012,40 | 373 / 6 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 36 | $14.497,30 | 136 / 9 | $6.212,75 | 314 / 7 | $4.883,67 | 311 / 4 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 13 | $16.688,10 | 92 / 7 | $5.653,33 | 83 / 3 | $4.148,83 | 83 / 3 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 15 | $48.284,00 | 30 / 4 | $22.840,10 | 247 / 5 | $21.599,20 | 247 / 6 |
| Organic Disturbances & Mental Retardation | 11 | 48 / 26 | $14.255,30 | 77 / 3 | $6.609,45 | 66 / 2 | $4.889,27 | 66 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 61 | $19.274,40 | 432 / 25 | $7.087,36 | 858 / 17 | $5.632,09 | 856 / 14 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 10 | $13.121,20 | 96 / 6 | $4.381,73 | 168 / 1 | $3.219,00 | 168 / 1 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 21 | $85.368,50 | 129 / 9 | $30.742,20 | 302 / 4 | $28.794,30 | 302 / 3 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 30 | $83.605,60 | 221 / 7 | $32.324,90 | 495 / 7 | $29.582,50 | 493 / 5 | Total 87 procedures | 2.952 | 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.