Hospital Costs > In New York > St Joseph's Hospital, Inc, 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 | 13 | 62 / 24 | $20.529,20 | 43 / 8 | $7.769,77 | 30 / 4 | $7.031,31 | 30 / 5 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 39 | 85 / 27 | $9.838,95 | 128 / 8 | $4.520,64 | 341 / 4 | $3.920,51 | 341 / 9 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 11 | 38 / 22 | $5.773,36 | 33 / 3 | $3.525,45 | 16 / 5 | $2.536,36 | 16 / 2 |
| Cellulitis W/O Mcc | 14 | 175 / 80 | $10.850,60 | 342 / 28 | $5.471,00 | 1402 / 19 | $4.628,71 | 1395 / 32 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 91 | $10.017,60 | 214 / 20 | $4.906,80 | 1566 / 18 | $4.185,73 | 1553 / 39 |
| Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 74 | $9.565,58 | 250 / 15 | $5.026,29 | 1418 / 18 | $4.270,29 | 1409 / 30 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 73 | $9.325,71 | 248 / 17 | $4.637,00 | 926 / 17 | $3.599,29 | 923 / 20 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 71 | $14.999,60 | 562 / 41 | $6.386,11 | 1694 / 24 | $5.715,89 | 1687 / 41 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 37 | $8.552,29 | 116 / 7 | $4.637,86 | 938 / 12 | $3.626,43 | 933 / 18 | Total 9 procedures | 162 | 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.