Hospital Costs > In New York > St Luke's Cornwall Hospital, 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 | 235 | 281 / 36 | $64.091,60 | 2181 / 121 | $14.093,70 | 2210 / 69 | $13.191,40 | 2170 / 78 |
| Heart Failure & Shock W Mcc | 134 | 150 / 19 | $53.892,20 | 2087 / 109 | $11.423,70 | 2020 / 60 | $10.469,10 | 2012 / 65 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 131 | 433 / 47 | $43.993,60 | 974 / 60 | $15.911,20 | 2130 / 60 | $14.171,10 | 2087 / 68 |
| Simple Pneumonia & Pleurisy W Mcc | 128 | 77 / 3 | $44.335,50 | 1734 / 84 | $10.657,70 | 1911 / 52 | $9.731,95 | 1911 / 53 |
| Chronic Obstructive Pulmonary Disease W Mcc | 121 | 81 / 8 | $36.616,20 | 1816 / 89 | $8.959,02 | 1992 / 58 | $7.942,79 | 1984 / 63 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 64 | 102 / 33 | $25.948,60 | 1936 / 101 | $5.500,61 | 1871 / 60 | $4.594,77 | 1865 / 64 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 63 | 212 / 55 | $23.366,90 | 1750 / 91 | $5.790,43 | 2033 / 60 | $4.870,05 | 2019 / 68 |
| Renal Failure W Cc | 61 | 160 / 33 | $34.983,80 | 1896 / 93 | $7.324,69 | 1819 / 50 | $6.452,82 | 1809 / 56 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 61 | 146 / 44 | $38.552,50 | 1984 / 100 | $8.167,00 | 1925 / 63 | $7.078,33 | 1917 / 66 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 60 | 101 / 22 | $25.892,80 | 1443 / 74 | $6.177,90 | 1562 / 50 | $5.120,58 | 1557 / 55 |
| Heart Failure & Shock W Cc | 59 | 219 / 54 | $33.312,40 | 2110 / 102 | $7.472,69 | 2055 / 62 | $6.632,02 | 2050 / 67 |
| Cellulitis W/O Mcc | 58 | 131 / 43 | $27.280,00 | 2006 / 99 | $6.528,95 | 1973 / 64 | $5.508,26 | 1965 / 71 |
| Renal Failure W Mcc | 58 | 137 / 22 | $46.770,80 | 1499 / 67 | $11.583,20 | 1569 / 35 | $10.540,50 | 1567 / 32 |
| G.I. Hemorrhage W Cc | 57 | 161 / 43 | $32.830,60 | 1702 / 83 | $7.568,86 | 1845 / 59 | $6.743,04 | 1841 / 64 |
| Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 44 | $26.478,00 | 1740 / 79 | $7.404,85 | 2109 / 68 | $6.397,52 | 2101 / 68 |
| Kidney & Urinary Tract Infections W/O Mcc | 46 | 187 / 57 | $26.183,60 | 2041 / 92 | $5.962,74 | 1949 / 57 | $4.905,35 | 1938 / 60 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 42 | 84 / 23 | $33.686,10 | 1120 / 54 | $8.458,57 | 1137 / 22 | $7.435,81 | 1134 / 25 |
| Chest Pain | 42 | 109 / 37 | $18.658,10 | 819 / 60 | $4.874,79 | 1127 / 29 | $3.798,86 | 1120 / 31 |
| Red Blood Cell Disorders W/O Mcc | 41 | 102 / 37 | $25.810,90 | 1305 / 71 | $6.306,00 | 1414 / 41 | $5.243,59 | 1405 / 45 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 39 | 81 / 18 | $28.469,20 | 1662 / 102 | $5.612,21 | 1616 / 55 | $4.684,21 | 1605 / 60 |
| Syncope & Collapse | 38 | 131 / 56 | $25.572,30 | 1246 / 83 | $5.726,37 | 1349 / 42 | $4.708,26 | 1342 / 46 |
| Medical Back Problems W/O Mcc | 37 | 84 / 28 | $31.558,20 | 1071 / 60 | $6.512,95 | 1079 / 32 | $5.496,73 | 1076 / 39 |
| Transient Ischemia | 37 | 88 / 26 | $27.298,10 | 1070 / 65 | $5.511,89 | 1276 / 38 | $4.759,46 | 1270 / 48 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 37 | 88 / 27 | $70.525,60 | 1468 / 91 | $13.956,30 | 1519 / 56 | $13.081,50 | 1506 / 61 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 37 | 87 / 29 | $130.470,00 | 845 / 53 | $37.846,60 | 1091 / 24 | $36.861,40 | 1084 / 30 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 36 | 160 / 33 | $62.288,70 | 502 / 29 | $14.721,40 | 1143 / 14 | $13.464,20 | 1136 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 35 | 133 / 28 | $50.587,20 | 973 / 39 | $12.282,70 | 1074 / 20 | $11.453,40 | 1069 / 24 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 26 | $46.743,70 | 1472 / 82 | $9.370,09 | 1376 / 40 | $8.216,24 | 1373 / 44 |
| Hip & Femur Procedures Except Major Joint W Cc | 34 | 109 / 36 | $50.366,20 | 1059 / 54 | $14.180,50 | 1562 / 44 | $13.116,90 | 1543 / 47 |
| Chronic Obstructive Pulmonary Disease W Cc | 33 | 146 / 45 | $34.417,70 | 1890 / 108 | $7.003,21 | 1826 / 54 | $6.162,48 | 1819 / 60 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 41 | $19.027,80 | 1336 / 79 | $4.580,09 | 1378 / 51 | $3.261,84 | 1372 / 52 |
| Kidney & Urinary Tract Infections W Mcc | 31 | 113 / 32 | $35.760,00 | 1378 / 54 | $8.289,13 | 1390 / 33 | $7.274,42 | 1386 / 34 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 23 | $75.398,90 | 1240 / 74 | $16.834,70 | 1360 / 31 | $16.150,90 | 1347 / 40 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 42 | $48.156,40 | 1702 / 85 | $8.024,70 | 1581 / 42 | $7.143,63 | 1578 / 48 |
| Seizures W/O Mcc | 29 | 79 / 31 | $23.725,40 | 724 / 56 | $5.859,00 | 689 / 29 | $4.472,52 | 686 / 20 |
| Heart Failure & Shock W/O Cc/Mcc | 28 | 82 / 35 | $25.040,30 | 1559 / 89 | $5.337,36 | 1474 / 53 | $4.372,46 | 1462 / 52 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 28 | 73 / 21 | $43.481,20 | 699 / 32 | $11.113,90 | 739 / 16 | $10.423,60 | 737 / 19 |
| G.I. Hemorrhage W Mcc | 28 | 93 / 27 | $61.568,10 | 1224 / 65 | $13.516,40 | 1288 / 32 | $12.847,80 | 1278 / 41 |
| Other Disorders Of Nervous System W Cc | 27 | 29 / 7 | $32.847,70 | 415 / 18 | $6.906,56 | 420 / 9 | $5.970,26 | 420 / 10 |
| Pulmonary Edema & Respiratory Failure | 27 | 176 / 40 | $31.378,90 | 1115 / 51 | $9.290,81 | 1657 / 48 | $8.315,37 | 1652 / 54 |
| Diabetes W Mcc | 27 | 30 / 7 | $39.681,90 | 454 / 25 | $10.216,60 | 508 / 10 | $9.544,56 | 508 / 11 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 25 | $28.953,80 | 1588 / 82 | $5.508,65 | 1499 / 41 | $4.439,12 | 1491 / 47 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 23 | $31.889,50 | 812 / 46 | $7.844,36 | 1007 / 39 | $6.733,32 | 1005 / 37 |
| G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 16 | $19.677,00 | 804 / 44 | $4.901,26 | 947 / 34 | $3.799,35 | 944 / 38 |
| Respiratory Infections & Inflammations W Mcc | 22 | 114 / 32 | $58.363,40 | 1240 / 54 | $14.078,80 | 1350 / 29 | $13.241,70 | 1335 / 29 |
| Peripheral Vascular Disorders W Cc | 21 | 63 / 27 | $26.023,50 | 675 / 33 | $7.370,57 | 869 / 21 | $6.509,62 | 866 / 25 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 21 | 71 / 32 | $137.897,00 | 439 / 46 | $41.274,20 | 595 / 13 | $38.539,00 | 594 / 14 |
| G.I. Obstruction W Cc | 20 | 72 / 26 | $30.525,70 | 1219 / 53 | $6.855,50 | 1360 / 42 | $6.066,70 | 1355 / 50 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 20 | 33 / 12 | $31.286,80 | 604 / 42 | $5.926,40 | 655 / 23 | $4.960,00 | 651 / 25 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 40 | $33.594,10 | 689 / 32 | $8.262,55 | 1260 / 21 | $7.294,55 | 1257 / 28 |
| Cellulitis W Mcc | 19 | 39 / 18 | $33.848,80 | 461 / 20 | $10.816,10 | 573 / 16 | $9.202,79 | 571 / 10 |
| Major Small & Large Bowel Procedures W Cc | 19 | 89 / 29 | $51.092,60 | 445 / 27 | $18.064,60 | 1149 / 25 | $17.045,70 | 1136 / 36 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 12 | $40.549,00 | 423 / 17 | $11.992,70 | 722 / 12 | $10.922,50 | 719 / 19 |
| Dysequilibrium | 18 | 47 / 21 | $23.653,20 | 319 / 33 | $4.997,00 | 376 / 14 | $4.056,56 | 376 / 20 |
| Degenerative Nervous System Disorders W/O Mcc | 18 | 60 / 29 | $31.377,70 | 532 / 38 | $7.379,67 | 548 / 14 | $6.371,67 | 548 / 21 |
| Diabetes W Cc | 17 | 75 / 32 | $37.621,20 | 1354 / 84 | $6.433,06 | 1193 / 31 | $5.725,29 | 1188 / 40 |
| Acute Myocardial Infarction, Expired W Mcc | 16 | 14 / 5 | $42.486,10 | 76 / 3 | $12.465,10 | 117 / 3 | $11.633,10 | 117 / 4 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 28 | $27.814,00 | 569 / 54 | $5.946,81 | 503 / 26 | $4.586,81 | 501 / 27 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 15 | 41 / 11 | $76.442,70 | 570 / 23 | $15.484,30 | 565 / 15 | $14.923,10 | 564 / 17 |
| Other Disorders Of Nervous System W Mcc | 15 | 25 / 5 | $64.672,70 | 256 / 8 | $11.782,90 | 172 / 1 | $10.293,40 | 172 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 29 | $33.985,90 | 769 / 40 | $10.096,50 | 748 / 33 | $7.246,33 | 743 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 38 | $32.804,40 | 1181 / 55 | $6.817,80 | 1044 / 41 | $4.437,93 | 1040 / 29 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 15 | $98.979,30 | 648 / 23 | $24.853,60 | 781 / 18 | $23.804,00 | 778 / 21 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 33 | $48.375,50 | 702 / 35 | $13.555,10 | 915 / 15 | $12.829,80 | 909 / 21 |
| Red Blood Cell Disorders W Mcc | 14 | 57 / 26 | $29.721,40 | 452 / 27 | $9.404,21 | 693 / 21 | $8.287,64 | 689 / 19 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 20 | $37.047,30 | 1005 / 40 | $7.401,07 | 939 / 19 | $6.283,36 | 936 / 23 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 25 | $156.292,00 | 592 / 48 | $39.750,00 | 602 / 21 | $34.729,10 | 601 / 14 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 18 | $103.565,00 | 713 / 35 | $24.613,70 | 834 / 23 | $23.501,10 | 831 / 27 |
| Peripheral Vascular Disorders W Mcc | 13 | 36 / 18 | $55.913,50 | 462 / 27 | $10.455,00 | 403 / 11 | $9.431,00 | 403 / 15 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 22 | $23.676,50 | 617 / 37 | $5.374,38 | 668 / 24 | $4.448,85 | 667 / 30 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 17 | $23.489,20 | 420 / 16 | $7.074,85 | 698 / 14 | $6.144,38 | 695 / 17 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 28 | $111.438,00 | 604 / 22 | $23.107,10 | 727 / 8 | $22.403,10 | 722 / 12 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 13 | $46.307,20 | 369 / 19 | $8.981,17 | 317 / 9 | $8.282,50 | 317 / 12 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 14 | $38.548,90 | 547 / 16 | $10.520,80 | 651 / 8 | $9.466,17 | 649 / 11 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 44 | $22.898,40 | 561 / 37 | $5.278,36 | 517 / 15 | $4.507,45 | 516 / 20 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 28 | $18.701,20 | 496 / 25 | $5.526,55 | 708 / 21 | $4.432,73 | 704 / 24 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 25 | $53.768,60 | 981 / 48 | $9.384,73 | 900 / 23 | $8.503,27 | 898 / 27 |
| Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 25 | $23.598,10 | 244 / 21 | $7.977,18 | 764 / 16 | $7.095,73 | 761 / 21 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 39 | $24.104,20 | 856 / 52 | $5.293,82 | 804 / 25 | $4.301,82 | 801 / 23 | Total 79 procedures | 2.837 | 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.