Hospital Costs > In New York > St Francis Hospital Poughkeepsie, 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 | 52 | 512 / 72 | $45.825,40 | 1076 / 65 | $17.090,90 | 2207 / 72 | $14.709,80 | 2163 / 74 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 46 | 470 / 101 | $62.452,90 | 2147 / 119 | $15.438,70 | 2236 / 86 | $13.300,20 | 2196 / 83 |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 44 | 42 / 13 | $44.911,60 | 74 / 20 | $10.136,80 | 69 / 17 | $9.187,02 | 69 / 18 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 42 | 82 / 24 | $25.003,10 | 618 / 44 | $6.755,24 | 693 / 31 | $5.584,12 | 692 / 34 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 32 | 17 / 8 | $16.114,80 | 99 / 27 | $4.766,91 | 62 / 12 | $3.611,41 | 61 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 70 | $43.273,90 | 2124 / 114 | $9.142,52 | 2256 / 78 | $8.339,85 | 2247 / 84 |
| Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 63 | $49.664,70 | 2175 / 117 | $9.781,60 | 2194 / 75 | $8.820,32 | 2186 / 80 |
| Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 69 | $35.619,80 | 2204 / 115 | $8.575,00 | 2469 / 89 | $7.554,20 | 2460 / 93 |
| Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 32 | $62.160,20 | 247 / 21 | $28.444,60 | 952 / 20 | $25.760,70 | 947 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 55 | $50.248,80 | 1746 / 89 | $9.809,94 | 1758 / 62 | $7.977,47 | 1754 / 62 |
| Heart Failure & Shock W Cc | 15 | 263 / 90 | $40.489,70 | 2339 / 119 | $8.603,93 | 2369 / 82 | $7.641,80 | 2363 / 84 |
| Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 80 | $32.690,50 | 2300 / 115 | $6.893,73 | 2217 / 81 | $5.479,33 | 2206 / 76 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 73 | $29.258,60 | 2110 / 113 | $6.459,64 | 2191 / 80 | $5.513,36 | 2183 / 82 |
| Cellulitis W/O Mcc | 14 | 175 / 80 | $26.110,40 | 1935 / 94 | $7.438,07 | 2294 / 82 | $6.500,93 | 2286 / 89 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 62 | $51.583,80 | 1950 / 97 | $11.705,10 | 2139 / 70 | $10.870,60 | 2134 / 74 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 56 | $56.560,90 | 1262 / 67 | $14.944,20 | 1623 / 54 | $13.463,30 | 1604 / 53 |
| Heart Failure & Shock W Mcc | 12 | 272 / 81 | $76.363,10 | 2424 / 123 | $13.270,30 | 2355 / 80 | $12.417,00 | 2345 / 84 |
| Pulmonary Edema & Respiratory Failure | 11 | 192 / 54 | $44.227,30 | 1633 / 84 | $10.348,50 | 1764 / 66 | $8.752,27 | 1759 / 61 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 37 | $85.396,40 | 1062 / 57 | $19.894,50 | 1307 / 44 | $18.920,00 | 1293 / 52 |
| Seizures W/O Mcc | 11 | 97 / 48 | $49.801,60 | 1226 / 99 | $6.981,00 | 1075 / 47 | $6.000,64 | 1073 / 53 | Total 20 procedures | 451 | 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.