Hospital Costs > In New York > St John's Riverside 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/O Rehabilitation Therapy W/O Mcc | 229 | 10 / 2 | $9.026,72 | 101 / 2 | $7.973,84 | 771 / 38 | $6.890,85 | 770 / 39 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 190 | 326 / 49 | $45.805,70 | 1612 / 79 | $16.999,20 | 2555 / 95 | $15.702,60 | 2511 / 97 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 159 | 2 / 1 | $7.440,45 | 50 / 9 | $6.213,66 | 89 / 19 | $5.295,99 | 88 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 123 | 152 / 27 | $20.599,40 | 1465 / 78 | $8.721,41 | 2560 / 104 | $7.011,13 | 2545 / 104 |
| Heart Failure & Shock W Mcc | 118 | 166 / 23 | $40.611,50 | 1687 / 81 | $14.485,20 | 2381 / 87 | $12.645,30 | 2370 / 86 |
| Heart Failure & Shock W Cc | 117 | 161 / 26 | $26.009,70 | 1746 / 80 | $10.428,10 | 2608 / 99 | $9.196,61 | 2602 / 105 |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 104 | 19 / 2 | $38.229,00 | 69 / 18 | $12.902,90 | 77 / 24 | $10.310,20 | 77 / 21 |
| Chronic Obstructive Pulmonary Disease W Cc | 100 | 79 / 7 | $25.784,50 | 1492 / 78 | $10.173,70 | 2288 / 98 | $8.479,17 | 2281 / 95 |
| Chronic Obstructive Pulmonary Disease W Mcc | 97 | 105 / 18 | $31.358,90 | 1550 / 69 | $11.657,20 | 2411 / 88 | $10.347,60 | 2403 / 93 |
| Kidney & Urinary Tract Infections W/O Mcc | 89 | 144 / 31 | $19.210,90 | 1481 / 63 | $8.558,84 | 2584 / 99 | $7.487,13 | 2573 / 105 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 84 | 480 / 61 | $51.160,10 | 1343 / 82 | $18.488,60 | 2430 / 82 | $16.590,90 | 2384 / 88 |
| G.I. Hemorrhage W Cc | 74 | 144 / 32 | $31.741,50 | 1650 / 81 | $10.670,00 | 2274 / 93 | $9.049,99 | 2270 / 93 |
| Simple Pneumonia & Pleurisy W Mcc | 66 | 139 / 25 | $40.590,50 | 1576 / 75 | $13.977,70 | 2339 / 86 | $12.497,90 | 2333 / 90 |
| Syncope & Collapse | 65 | 104 / 38 | $18.544,90 | 730 / 47 | $8.021,68 | 1795 / 74 | $6.886,94 | 1787 / 78 |
| Red Blood Cell Disorders W/O Mcc | 65 | 78 / 20 | $23.352,70 | 1142 / 60 | $8.741,52 | 1882 / 74 | $7.803,48 | 1873 / 83 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 64 | 143 / 41 | $30.238,80 | 1630 / 71 | $10.827,00 | 2430 / 90 | $9.685,92 | 2420 / 101 |
| Simple Pneumonia & Pleurisy W Cc | 61 | 142 / 37 | $25.610,30 | 1666 / 76 | $10.171,40 | 2669 / 105 | $8.972,66 | 2660 / 111 |
| Renal Failure W Cc | 59 | 162 / 35 | $28.583,10 | 1638 / 71 | $10.031,40 | 2296 / 81 | $8.942,64 | 2286 / 89 |
| Cellulitis W/O Mcc | 57 | 132 / 44 | $20.005,10 | 1484 / 73 | $9.001,19 | 2462 / 102 | $7.525,44 | 2454 / 107 |
| Renal Failure W Mcc | 57 | 138 / 23 | $41.963,90 | 1346 / 56 | $15.937,90 | 1912 / 67 | $12.860,50 | 1908 / 61 |
| Medical Back Problems W/O Mcc | 53 | 68 / 18 | $23.424,30 | 749 / 41 | $9.095,49 | 1412 / 61 | $7.989,60 | 1407 / 68 |
| Atherosclerosis W/O Mcc | 51 | 13 / 5 | $17.401,30 | 252 / 20 | $7.522,76 | / 28 | $6.157,53 | / |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 50 | 111 / 25 | $21.766,10 | 1190 / 59 | $8.537,02 | 2023 / 79 | $7.233,98 | 2018 / 84 |
| Chest Pain | 49 | 102 / 31 | $15.655,60 | 555 / 45 | $7.164,16 | 1586 / 60 | $6.040,55 | 1577 / 61 |
| Kidney & Urinary Tract Infections W Mcc | 45 | 99 / 21 | $26.373,40 | 997 / 33 | $11.162,30 | 1846 / 57 | $10.230,40 | 1842 / 65 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 43 | 139 / 34 | $26.511,30 | 893 / 42 | $10.831,70 | 1920 / 68 | $9.166,42 | 1916 / 77 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 43 | 80 / 21 | $29.837,90 | 946 / 50 | $12.491,70 | 1722 / 70 | $10.148,40 | 1719 / 67 |
| Peripheral Vascular Disorders W Cc | 37 | 47 / 16 | $26.298,20 | 690 / 34 | $9.904,11 | 1166 / 47 | $8.902,41 | 1163 / 54 |
| G.I. Hemorrhage W Mcc | 35 | 86 / 22 | $45.944,70 | 893 / 40 | $15.960,20 | 1479 / 49 | $14.882,40 | 1469 / 51 |
| Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 30 | $16.979,20 | 1058 / 58 | $7.679,24 | 1914 / 86 | $6.638,18 | 1901 / 90 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 31 | 119 / 42 | $13.448,70 | 788 / 46 | $6.708,68 | 1897 / 83 | $5.444,87 | 1891 / 88 |
| Other Digestive System Diagnoses W Cc | 30 | 67 / 19 | $24.301,40 | 636 / 28 | $9.926,87 | 1319 / 46 | $8.706,73 | 1315 / 52 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 30 | 32 / 15 | $16.871,30 | 258 / 20 | $8.501,10 | 750 / 55 | $6.866,20 | 748 / 55 |
| Degenerative Nervous System Disorders W/O Mcc | 30 | 48 / 20 | $20.671,00 | 253 / 12 | $10.070,90 | 783 / 39 | $9.037,07 | 783 / 46 |
| Respiratory Infections & Inflammations W Mcc | 30 | 106 / 26 | $52.385,70 | 1123 / 43 | $17.847,50 | 1684 / 57 | $16.699,10 | 1668 / 58 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 25 | $16.314,00 | 943 / 50 | $8.154,53 | 1980 / 85 | $6.519,53 | 1969 / 86 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 30 | 38 / 8 | $23.882,70 | 322 / 15 | $9.453,57 | 674 / 27 | $7.987,43 | 674 / 33 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 28 | 43 / 11 | $98.736,20 | 246 / 17 | $40.660,90 | 749 / 22 | $38.648,40 | 748 / 23 |
| Other Vascular Procedures W Cc | 28 | 74 / 25 | $62.891,10 | 413 / 19 | $21.900,40 | 991 / 24 | $20.548,60 | 986 / 27 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 26 | $47.627,30 | 554 / 39 | $20.203,40 | 1601 / 53 | $18.881,40 | 1587 / 55 |
| Hip & Femur Procedures Except Major Joint W Cc | 27 | 116 / 43 | $51.606,60 | 1107 / 56 | $17.532,00 | 1894 / 68 | $16.178,70 | 1874 / 73 |
| Other Disorders Of Nervous System W Cc | 27 | 29 / 7 | $25.713,60 | 298 / 9 | $9.826,78 | 570 / 23 | $7.977,96 | 569 / 23 |
| Cellulitis W Mcc | 26 | 32 / 11 | $36.976,70 | 523 / 22 | $13.879,90 | 885 / 37 | $12.606,10 | 883 / 39 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 64 | $16.788,50 | 1177 / 58 | $7.942,68 | 2427 / 98 | $7.111,92 | 2418 / 106 |
| G.I. Obstruction W Cc | 25 | 67 / 21 | $20.855,60 | 710 / 36 | $9.004,36 | 1578 / 64 | $7.261,84 | 1573 / 66 |
| Other Vascular Procedures W Mcc | 25 | 72 / 19 | $59.890,20 | 157 / 14 | $26.538,80 | 781 / 17 | $25.299,90 | 778 / 20 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 24 | 49 / 12 | $28.067,90 | 590 / 21 | $11.637,20 | 1051 / 38 | $10.400,60 | 1049 / 42 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 39 | $109.769,00 | 611 / 40 | $43.277,80 | 1263 / 41 | $40.521,10 | 1253 / 43 |
| Organic Disturbances & Mental Retardation | 24 | 35 / 15 | $21.829,00 | 211 / 10 | $10.279,50 | 495 / 28 | $9.198,96 | 495 / 31 |
| Diabetes W Cc | 23 | 69 / 26 | $19.364,10 | 649 / 36 | $8.913,65 | 1504 / 60 | $7.853,35 | 1499 / 65 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 23 | 21 / 6 | $18.138,00 | 91 / 11 | $8.292,09 | 290 / 20 | $7.287,52 | 290 / 23 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 40 | $30.471,80 | 458 / 33 | $14.763,10 | 1570 / 61 | $13.697,50 | 1557 / 62 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 23 | 69 / 30 | $110.216,00 | 258 / 27 | $48.532,80 | 759 / 37 | $42.344,30 | 758 / 25 |
| Transient Ischemia | 23 | 102 / 35 | $17.863,60 | 485 / 34 | $7.954,26 | 1581 / 71 | $6.768,30 | 1573 / 75 |
| Skin Ulcers W Cc | 22 | 2 / 1 | $26.234,20 | 8 / 1 | $10.454,10 | 12 / 1 | $9.091,18 | 12 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 27 | $20.396,50 | 298 / 27 | $9.312,52 | 1259 / 52 | $8.257,43 | 1257 / 52 |
| Dysequilibrium | 21 | 44 / 18 | $17.315,90 | 184 / 23 | $7.401,29 | 529 / 34 | $6.202,67 | 529 / 37 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 20 | 7 / 1 | $10.759,50 | 2 / 1 | $14.158,20 | 111 / 3 | $13.202,30 | 111 / 3 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 26 | $35.402,00 | 859 / 43 | $13.434,70 | 1407 / 60 | $12.168,80 | 1402 / 65 |
| Seizures W/O Mcc | 20 | 88 / 39 | $16.593,60 | 348 / 28 | $8.786,75 | 1193 / 65 | $7.015,40 | 1191 / 64 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 20 | 33 / 6 | $29.193,80 | 188 / 10 | $11.881,80 | 426 / 18 | $10.483,50 | 426 / 20 |
| Red Blood Cell Disorders W Mcc | 20 | 51 / 20 | $35.789,10 | 598 / 35 | $12.260,30 | 985 / 37 | $11.098,50 | 981 / 43 |
| Disorders Of The Biliary Tract W Cc | 20 | 34 / 13 | $25.811,10 | 144 / 7 | $10.642,90 | 442 / 20 | $9.664,15 | 442 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 34 | $23.826,80 | 826 / 30 | $8.311,53 | 1433 / 56 | $6.090,74 | 1429 / 55 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 41 | $40.766,10 | 715 / 28 | $15.910,90 | 1448 / 47 | $14.759,50 | 1441 / 50 |
| Major Small & Large Bowel Procedures W Cc | 19 | 89 / 29 | $72.593,60 | 898 / 45 | $22.164,60 | 1384 / 53 | $20.514,40 | 1370 / 57 |
| Coagulation Disorders | 19 | 9 / 4 | $35.040,80 | 21 / 2 | $16.690,00 | 59 / 6 | $13.463,10 | 59 / 4 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 17 | 74 / 14 | $31.191,60 | 175 / 12 | $11.029,40 | 353 / 12 | $10.725,60 | 353 / 18 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 34 | $18.261,20 | 1052 / 46 | $8.069,18 | 1894 / 76 | $6.642,41 | 1886 / 79 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 15 | 48 / 17 | $78.328,80 | 91 / 7 | $39.473,80 | 610 / 18 | $37.907,10 | 610 / 21 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 33 | $27.877,60 | 170 / 10 | $16.632,70 | 1178 / 37 | $15.517,30 | 1170 / 39 |
| Atherosclerosis W Mcc | 15 | 6 / 1 | $16.200,10 | 4 / 2 | $10.290,20 | 19 / 2 | $9.336,67 | 19 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 14 | 89 / 27 | $22.218,10 | 314 / 15 | $10.243,40 | 785 / 27 | $9.142,86 | 785 / 31 |
| Respiratory Neoplasms W Cc | 14 | 33 / 13 | $43.209,60 | 354 / 20 | $11.816,60 | 472 / 19 | $10.934,40 | 471 / 25 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $27.639,80 | 551 / 29 | $11.289,60 | 1271 / 43 | $10.000,70 | 1266 / 47 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 17 | $21.381,70 | 343 / 14 | $9.287,00 | 805 / 28 | $6.938,08 | 802 / 25 |
| Seizures W Mcc | 13 | 53 / 18 | $52.117,20 | 506 / 23 | $17.170,40 | 727 / 24 | $15.903,90 | 727 / 33 |
| Traumatic Injury W/O Mcc | 13 | 5 / 4 | $17.068,30 | 7 / 1 | $8.011,15 | 22 / 3 | $6.827,31 | 22 / 3 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 19 | $26.364,20 | 335 / 10 | $10.501,70 | 597 / 22 | $8.427,46 | 596 / 21 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 22 | $17.891,40 | 431 / 22 | $8.092,54 | 886 / 51 | $6.902,46 | 885 / 52 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 13 | 27 / 13 | $35.477,90 | 179 / 13 | $11.396,00 | 269 / 17 | $10.109,10 | 269 / 23 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 13 | 29 / 12 | $22.408,10 | 174 / 13 | $9.005,31 | 311 / 19 | $7.860,00 | 310 / 20 |
| Respiratory Neoplasms W Mcc | 12 | 40 / 16 | $43.237,50 | 298 / 10 | $15.716,10 | 578 / 13 | $14.576,40 | 575 / 15 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 23 | $34.764,20 | 242 / 14 | $15.311,20 | 637 / 22 | $14.080,50 | 636 / 22 |
| Other Kidney & Urinary Tract Procedures W Mcc | 12 | 26 / 11 | $73.930,20 | 90 / 6 | $26.449,80 | 182 / 5 | $24.990,20 | 181 / 7 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 30 | $115.792,00 | 521 / 26 | $40.557,50 | 1025 / 24 | $38.286,40 | 1023 / 30 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 28 | $15.330,70 | 549 / 36 | $7.295,09 | 1273 / 63 | $6.038,00 | 1270 / 67 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 21 | $13.278,00 | 98 / 8 | $7.758,00 | 805 / 37 | $6.611,09 | 801 / 38 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 50 | $23.468,00 | 617 / 22 | $10.847,20 | 1511 / 49 | $9.515,36 | 1508 / 53 | Total 89 procedures | 3.604 | 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.