Hospital Costs > In New York > St Joseph Hospital Bethpage, 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 | 122 | 394 / 70 | $68.374,50 | 2260 / 125 | $13.881,30 | 2137 / 61 | $12.945,70 | 2100 / 70 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 91 | 473 / 57 | $59.056,10 | 1659 / 92 | $15.608,40 | 1904 / 54 | $13.253,20 | 1862 / 51 |
Heart Failure & Shock W Cc | 88 | 190 / 39 | $44.287,70 | 2442 / 129 | $6.845,11 | 1746 / 42 | $6.055,75 | 1741 / 49 |
G.I. Hemorrhage W Cc | 83 | 135 / 29 | $48.016,70 | 2119 / 117 | $7.064,36 | 1427 / 41 | $5.857,27 | 1424 / 40 |
Cellulitis W/O Mcc | 74 | 115 / 34 | $30.041,50 | 2126 / 112 | $5.879,68 | 1621 / 42 | $4.867,95 | 1614 / 51 |
Heart Failure & Shock W Mcc | 73 | 211 / 42 | $44.505,70 | 1836 / 96 | $10.356,00 | 1803 / 43 | $9.719,66 | 1798 / 50 |
Chronic Obstructive Pulmonary Disease W Mcc | 66 | 136 / 31 | $49.075,10 | 2155 / 116 | $8.159,88 | 1725 / 46 | $7.262,24 | 1717 / 48 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 66 | 209 / 53 | $34.522,50 | 2337 / 129 | $5.245,61 | 1489 / 39 | $4.121,74 | 1478 / 33 |
Kidney & Urinary Tract Infections W/O Mcc | 64 | 169 / 45 | $36.031,20 | 2411 / 124 | $5.414,03 | 1570 / 37 | $4.411,58 | 1559 / 40 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 62 | 145 / 43 | $43.416,10 | 2128 / 115 | $7.446,05 | 1519 / 44 | $6.284,27 | 1513 / 39 |
Simple Pneumonia & Pleurisy W Cc | 55 | 148 / 40 | $45.431,40 | 2471 / 132 | $6.832,24 | 1831 / 45 | $5.897,82 | 1823 / 50 |
Renal Failure W Cc | 50 | 171 / 40 | $46.352,40 | 2190 / 113 | $6.739,66 | 1611 / 34 | $5.953,74 | 1602 / 45 |
Heart Failure & Shock W/O Cc/Mcc | 48 | 62 / 19 | $30.977,40 | 1729 / 105 | $4.650,21 | 968 / 21 | $3.702,42 | 960 / 20 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 41 | 52 / 13 | $32.066,90 | 1671 / 90 | $5.068,54 | 988 / 27 | $3.665,88 | 983 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 39 | 143 / 36 | $48.065,10 | 1699 / 84 | $7.496,64 | 1317 / 31 | $6.371,46 | 1314 / 35 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 38 | 64 / 16 | $37.555,50 | 1301 / 66 | $5.524,68 | 940 / 18 | $4.204,71 | 936 / 22 |
Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 43 | $40.629,00 | 2080 / 121 | $6.594,34 | 1486 / 44 | $5.497,31 | 1480 / 41 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 34 | 86 / 21 | $27.830,50 | 1646 / 97 | $5.114,15 | 1171 / 35 | $3.916,00 | 1162 / 28 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 58 | $33.132,30 | 2218 / 124 | $4.864,82 | 1348 / 32 | $3.929,29 | 1343 / 33 |
Hip & Femur Procedures Except Major Joint W Cc | 33 | 110 / 37 | $60.043,90 | 1353 / 74 | $13.761,60 | 1459 / 40 | $12.582,60 | 1441 / 40 |
Simple Pneumonia & Pleurisy W Mcc | 32 | 173 / 44 | $45.448,20 | 1771 / 87 | $10.220,90 | 1642 / 44 | $8.996,72 | 1642 / 40 |
Fractures Of Hip & Pelvis W/O Mcc | 30 | 31 / 7 | $29.773,60 | 745 / 50 | $4.868,67 | 413 / 10 | $3.736,20 | 413 / 8 |
Medical Back Problems W/O Mcc | 30 | 91 / 34 | $35.778,90 | 1163 / 68 | $5.926,77 | 835 / 20 | $4.833,57 | 832 / 22 |
Transient Ischemia | 29 | 96 / 31 | $32.909,60 | 1276 / 84 | $4.937,66 | 788 / 25 | $3.689,10 | 784 / 18 |
Syncope & Collapse | 28 | 141 / 61 | $35.228,80 | 1590 / 104 | $5.146,61 | 824 / 23 | $3.874,11 | 820 / 16 |
Renal Failure W Mcc | 26 | 169 / 45 | $60.945,00 | 1774 / 91 | $11.608,20 | 1622 / 36 | $10.759,90 | 1620 / 42 |
Seizures W/O Mcc | 25 | 83 / 35 | $29.173,00 | 925 / 77 | $5.304,64 | 691 / 16 | $4.481,04 | 688 / 21 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 47 | $26.344,30 | 1664 / 104 | $3.922,20 | 950 / 20 | $2.784,36 | 945 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 24 | 144 / 37 | $68.018,70 | 1248 / 69 | $13.120,00 | 1218 / 26 | $12.251,60 | 1212 / 37 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 40 | $44.681,70 | 979 / 61 | $10.462,60 | 874 / 17 | $9.927,39 | 873 / 26 |
Respiratory Infections & Inflammations W Mcc | 22 | 114 / 32 | $78.580,50 | 1492 / 65 | $14.225,90 | 1381 / 32 | $13.435,00 | 1366 / 33 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 21 | 41 / 23 | $24.526,00 | 499 / 41 | $5.288,38 | 372 / 15 | $4.125,71 | 372 / 13 |
G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 18 | $27.110,70 | 1062 / 65 | $4.191,10 | 706 / 9 | $3.267,57 | 703 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 49 | $33.383,20 | 1754 / 100 | $5.376,67 | 1278 / 25 | $4.617,62 | 1273 / 39 |
G.I. Hemorrhage W Mcc | 19 | 102 / 35 | $72.186,90 | 1363 / 76 | $12.260,60 | 1060 / 18 | $11.544,10 | 1052 / 23 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 57 | $41.699,60 | 1791 / 105 | $5.599,21 | 1131 / 25 | $4.701,84 | 1123 / 27 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 28 | $45.304,60 | 1067 / 56 | $9.745,50 | 1063 / 31 | $8.930,39 | 1058 / 37 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 34 | $85.483,70 | 1377 / 88 | $15.850,70 | 1147 / 26 | $14.821,50 | 1134 / 26 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 36 | $151.395,00 | 532 / 54 | $44.164,00 | 661 / 21 | $40.002,90 | 660 / 19 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 13 | $68.132,10 | 778 / 45 | $11.414,90 | 651 / 8 | $10.193,10 | 648 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 44 | $57.159,80 | 1646 / 94 | $8.719,19 | 1240 / 30 | $7.725,50 | 1237 / 35 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 47 | $122.882,00 | 769 / 50 | $35.836,10 | 941 / 15 | $34.525,10 | 935 / 20 |
Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 31 | $49.732,00 | 774 / 64 | $6.830,38 | 436 / 6 | $5.832,75 | 436 / 11 |
Other Digestive System Diagnoses W/O Cc/Mcc | 14 | 29 / 13 | $26.794,00 | 248 / 26 | $4.818,93 | 190 / 4 | $3.812,43 | 190 / 8 |
Signs & Symptoms W/O Mcc | 14 | 77 / 36 | $41.966,10 | 1252 / 85 | $4.985,00 | 407 / 12 | $3.537,00 | 406 / 5 |
Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 29 | $31.167,40 | 737 / 39 | $6.506,69 | 559 / 12 | $4.955,00 | 555 / 9 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 26 | $141.977,00 | 515 / 38 | $38.272,10 | 726 / 16 | $37.773,20 | 725 / 21 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 35 | $27.348,30 | 626 / 42 | $6.523,77 | 454 / 10 | $5.402,85 | 453 / 9 |
Peripheral Vascular Disorders W Mcc | 13 | 36 / 18 | $44.324,30 | 383 / 20 | $9.150,23 | 297 / 3 | $8.419,92 | 297 / 5 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 26 | $25.388,40 | 716 / 47 | $5.113,85 | 398 / 13 | $3.558,69 | 394 / 5 |
Peripheral Vascular Disorders W/O Cc/Mcc | 13 | 32 / 13 | $23.849,50 | 275 / 13 | $4.782,54 | 172 / 2 | $3.667,54 | 172 / 2 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 36 | $30.882,80 | 831 / 42 | $6.396,92 | 572 / 8 | $5.481,42 | 570 / 11 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 29 | $51.826,30 | 766 / 45 | $6.928,92 | 441 / 7 | $6.009,67 | 441 / 10 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 14 | $20.854,80 | 578 / 18 | $4.361,08 | 418 / 4 | $3.350,25 | 417 / 8 |
Hypertension W/O Mcc | 12 | 53 / 24 | $32.140,70 | 662 / 49 | $4.316,58 | 391 / 6 | $3.406,42 | 389 / 12 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 16 | $42.092,70 | 336 / 29 | $8.568,18 | 421 / 7 | $7.465,09 | 420 / 20 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 16 | $50.001,00 | 314 / 19 | $10.551,40 | 351 / 4 | $9.334,45 | 351 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 33 | $47.968,10 | 1114 / 60 | $8.330,45 | 900 / 10 | $7.767,00 | 895 / 22 |
G.I. Obstruction W Cc | 11 | 81 / 35 | $39.820,60 | 1453 / 71 | $6.020,82 | 948 / 22 | $5.021,00 | 945 / 27 |
Diabetes W Cc | 11 | 81 / 38 | $37.703,10 | 1356 / 85 | $6.056,09 | 656 / 20 | $4.476,00 | 654 / 15 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 11 | 43 / 15 | $34.085,50 | 315 / 21 | $5.112,73 | 136 / 2 | $3.899,45 | 136 / 1 |
Angina Pectoris | 11 | 14 / 6 | $18.103,40 | 27 / 6 | $3.965,55 | 24 / 1 | $2.975,18 | 24 / 1 | Total 62 procedures | 1.940 | 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.