Hospital Costs > In New York > St James Mercy Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 22 | 57 / 20 | $24.893,50 | 52 / 9 | $9.326,77 | 62 / 14 | $8.574,50 | 62 / 16 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 12 | 37 / 21 | $8.125,42 | 56 / 12 | $5.016,17 | 78 / 14 | $4.206,75 | 77 / 17 |
| Cellulitis W/O Mcc | 13 | 176 / 81 | $9.308,15 | 186 / 16 | $7.292,92 | 2261 / 80 | $6.363,62 | 2253 / 86 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 93 | $9.739,18 | 187 / 18 | $6.584,27 | 2289 / 77 | $5.490,45 | 2274 / 80 |
| Heart Failure & Shock W Cc | 15 | 263 / 90 | $8.008,33 | 37 / 2 | $7.806,47 | 2172 / 70 | $6.927,27 | 2166 / 75 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 82 | $8.071,00 | 119 / 7 | $6.812,69 | 2337 / 79 | $5.879,15 | 2326 / 83 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 49 | $9.236,18 | 8 / 1 | $9.306,24 | 1712 / 49 | $8.522,59 | 1707 / 59 |
| Renal Failure W Cc | 11 | 210 / 74 | $9.529,18 | 71 / 7 | $7.573,82 | 2008 / 58 | $7.021,27 | 1998 / 67 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 32 | 484 / 107 | $12.633,40 | 25 / 4 | $13.080,80 | 1748 / 49 | $11.616,80 | 1715 / 44 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 72 | $11.370,00 | 109 / 9 | $8.618,21 | 2093 / 70 | $7.609,00 | 2085 / 77 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 72 | $9.189,06 | 71 / 6 | $7.770,59 | 2308 / 72 | $6.913,24 | 2300 / 83 | Total 11 procedures | 187 | 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.