Hospital Costs > In New York > St John's Episcopal Hospital At South Shore, 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 | 439 | 110 / 13 | $43.444,30 | 1500 / 73 | $23.866,80 | 2760 / 125 | $20.091,50 | 2715 / 120 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 71 | 136 / 37 | $27.268,30 | 1447 / 67 | $14.954,00 | 2526 / 116 | $12.107,00 | 2516 / 115 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 70 | 54 / 9 | $106.963,00 | 569 / 37 | $60.023,50 | 1520 / 75 | $52.937,70 | 1510 / 75 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 56 | 36 / 12 | $99.597,50 | 181 / 17 | $64.871,60 | 1037 / 64 | $57.451,40 | 1036 / 64 |
Syncope & Collapse | 56 | 113 / 42 | $21.632,10 | 1001 / 64 | $11.595,30 | 1892 / 97 | $9.059,11 | 1884 / 95 |
Renal Failure W Mcc | 49 | 146 / 27 | $32.396,30 | 912 / 34 | $20.075,20 | 2114 / 90 | $16.873,40 | 2110 / 85 |
Heart Failure & Shock W Cc | 45 | 233 / 64 | $30.197,20 | 1963 / 91 | $14.930,20 | 2720 / 126 | $11.858,30 | 2714 / 122 |
Chest Pain | 43 | 108 / 36 | $15.253,10 | 513 / 43 | $9.934,91 | 1661 / 78 | $7.967,70 | 1652 / 77 |
Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 46 | $33.385,10 | 1662 / 76 | $17.568,50 | 2555 / 121 | $14.308,30 | 2547 / 118 |
Seizures W/O Mcc | 43 | 65 / 21 | $18.721,50 | 479 / 37 | $11.749,10 | 1280 / 82 | $9.409,65 | 1278 / 80 |
Transient Ischemia | 42 | 83 / 24 | $18.587,80 | 556 / 36 | $11.014,00 | 1645 / 92 | $8.802,38 | 1637 / 90 |
Heart Failure & Shock W Mcc | 40 | 244 / 65 | $38.839,50 | 1599 / 74 | $20.461,50 | 2580 / 115 | $16.790,40 | 2569 / 111 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 40 | 235 / 72 | $19.979,90 | 1386 / 75 | $11.719,30 | 2686 / 121 | $9.254,70 | 2671 / 119 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 53 | $23.651,30 | 1812 / 94 | $11.488,60 | 2498 / 124 | $8.730,21 | 2489 / 118 |
Red Blood Cell Disorders W/O Mcc | 37 | 106 / 40 | $22.240,80 | 1089 / 56 | $12.367,40 | 1963 / 98 | $9.923,16 | 1954 / 95 |
Cellulitis W/O Mcc | 35 | 154 / 62 | $26.894,50 | 1983 / 98 | $13.225,90 | 2594 / 126 | $10.248,70 | 2586 / 123 |
Diabetes W Cc | 30 | 62 / 19 | $22.981,30 | 884 / 46 | $12.374,90 | 1575 / 83 | $9.836,60 | 1570 / 81 |
G.I. Hemorrhage W Cc | 29 | 189 / 60 | $28.705,20 | 1483 / 72 | $14.706,40 | 2396 / 115 | $11.959,00 | 2392 / 111 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 24 | $44.820,20 | 477 / 34 | $26.656,10 | 1789 / 81 | $23.452,20 | 1775 / 82 |
Renal Failure W Cc | 29 | 192 / 58 | $26.326,90 | 1510 / 65 | $14.164,00 | 2402 / 109 | $11.527,10 | 2392 / 107 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 34 | $29.303,40 | 936 / 43 | $15.881,60 | 1701 / 78 | $13.079,00 | 1697 / 76 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 29 | $21.361,20 | 1359 / 75 | $11.581,80 | 2089 / 112 | $9.189,31 | 2077 / 108 |
Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 73 | $18.378,70 | 1394 / 59 | $11.751,80 | 2667 / 119 | $9.321,56 | 2656 / 118 |
Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 51 | $25.615,50 | 1483 / 76 | $14.073,90 | 2418 / 121 | $11.290,60 | 2411 / 118 |
Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 38 | $19.454,40 | 1256 / 69 | $10.983,80 | 1988 / 108 | $8.727,80 | 1975 / 103 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 50 | $20.488,70 | 1421 / 82 | $9.649,09 | 1957 / 103 | $6.959,09 | 1951 / 100 |
G.I. Hemorrhage W Mcc | 20 | 101 / 34 | $47.575,00 | 933 / 45 | $23.232,90 | 1631 / 79 | $19.071,30 | 1621 / 74 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 20 | 44 / 16 | $188.672,00 | 122 / 5 | $119.457,00 | 527 / 28 | $106.399,00 | 526 / 28 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 24 | $37.066,60 | 880 / 46 | $17.340,00 | 1431 / 73 | $13.549,20 | 1426 / 68 |
Other Circulatory System Diagnoses W Mcc | 19 | 97 / 29 | $83.310,90 | 1170 / 69 | $29.535,90 | 1375 / 76 | $23.113,80 | 1367 / 72 |
Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 71 | $24.448,90 | 1581 / 70 | $14.293,80 | 2778 / 127 | $11.444,00 | 2769 / 125 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 52 | $26.807,60 | 1481 / 78 | $12.440,70 | 2137 / 106 | $9.814,72 | 2132 / 102 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 42 | $32.711,30 | 1081 / 56 | $17.319,20 | 1882 / 93 | $13.948,70 | 1879 / 91 |
Signs & Symptoms W/O Mcc | 17 | 74 / 33 | $18.629,80 | 579 / 36 | $11.261,70 | 1306 / 76 | $8.818,35 | 1303 / 73 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 46 | $41.219,20 | 863 / 55 | $20.781,90 | 1755 / 85 | $17.373,50 | 1742 / 81 |
Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 58 | $34.584,20 | 1320 / 60 | $17.305,20 | 2461 / 104 | $14.894,20 | 2455 / 105 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 43 | $50.848,10 | 978 / 40 | $22.998,80 | 1570 / 75 | $18.564,70 | 1563 / 71 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 16 | 548 / 92 | $64.800,80 | 1854 / 97 | $26.424,20 | 2659 / 116 | $23.135,60 | 2613 / 113 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 37 | $26.569,40 | 971 / 41 | $12.127,10 | 1588 / 78 | $9.185,50 | 1584 / 74 |
Peripheral Vascular Disorders W Cc | 14 | 70 / 34 | $20.573,20 | 436 / 18 | $13.708,10 | 1239 / 69 | $11.298,80 | 1236 / 66 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 38 | $24.218,60 | 1413 / 66 | $11.740,40 | 1950 / 95 | $8.752,85 | 1942 / 90 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 27 | $34.577,80 | 570 / 34 | $17.497,40 | 1049 / 67 | $13.041,60 | 1045 / 56 |
Other Digestive System Diagnoses W/O Cc/Mcc | 13 | 30 / 14 | $13.146,00 | 56 / 7 | $10.391,00 | 359 / 36 | $8.432,69 | 359 / 36 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 27 | $21.430,10 | 881 / 48 | $10.587,30 | 1304 / 78 | $7.785,83 | 1301 / 77 |
Diabetes W Mcc | 12 | 45 / 21 | $22.295,40 | 116 / 6 | $17.756,60 | 718 / 38 | $14.657,40 | 717 / 33 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 19 | $41.701,80 | 444 / 19 | $20.873,50 | 905 / 44 | $17.789,50 | 902 / 44 |
Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 57 | $65.063,30 | 1465 / 80 | $25.540,90 | 2027 / 100 | $21.244,50 | 2005 / 96 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 28 | $71.142,40 | 76 / 6 | $54.097,90 | 931 / 41 | $49.490,10 | 930 / 48 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 37 | $23.891,60 | 619 / 27 | $14.306,00 | 1417 / 70 | $11.604,80 | 1413 / 69 |
Other Digestive System Diagnoses W Mcc | 11 | 51 / 24 | $48.549,30 | 444 / 24 | $22.443,30 | 736 / 45 | $18.265,10 | 735 / 43 |
Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 36 | $20.738,80 | 258 / 13 | $13.956,50 | 847 / 59 | $11.428,70 | 847 / 58 |
Atherosclerosis W/O Mcc | 11 | 47 / 24 | $17.901,60 | 262 / 22 | $10.079,50 | / 42 | $7.898,73 | / | Total 52 procedures | 1.803 | 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.