Hospital Costs > In New Jersey > St Luke's Warren 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 | 232 | 284 / 23 | $88.959,10 | 2537 / 23 | $13.020,60 | 1655 / 22 | $11.332,30 | 1623 / 18 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 100 | 107 / 10 | $49.390,30 | 2244 / 15 | $7.617,37 | 1332 / 22 | $6.023,12 | 1327 / 14 |
Renal Failure W Cc | 74 | 147 / 24 | $48.499,80 | 2230 / 18 | $6.723,36 | 1174 / 20 | $5.353,92 | 1166 / 15 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 70 | 205 / 34 | $41.710,40 | 2509 / 30 | $5.250,26 | 1442 / 20 | $4.080,13 | 1431 / 23 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 61 | 503 / 40 | $95.105,10 | 2415 / 46 | $14.606,70 | 1736 / 24 | $12.650,30 | 1696 / 21 |
Chronic Obstructive Pulmonary Disease W Cc | 60 | 119 / 26 | $60.037,40 | 2359 / 42 | $6.744,70 | 1289 / 26 | $5.262,28 | 1284 / 19 |
Cellulitis W/O Mcc | 58 | 131 / 39 | $39.534,70 | 2400 / 23 | $6.030,67 | 1234 / 20 | $4.457,36 | 1228 / 18 |
Heart Failure & Shock W Cc | 53 | 225 / 44 | $56.342,40 | 2633 / 34 | $6.941,32 | 1432 / 22 | $5.687,74 | 1427 / 18 |
Chronic Obstructive Pulmonary Disease W Mcc | 46 | 156 / 36 | $84.928,80 | 2525 / 50 | $9.639,70 | 1524 / 39 | $6.863,91 | 1517 / 19 |
Heart Failure & Shock W Mcc | 41 | 243 / 51 | $75.496,70 | 2413 / 26 | $10.446,00 | 1553 / 20 | $9.170,27 | 1549 / 17 |
Kidney & Urinary Tract Infections W/O Mcc | 39 | 194 / 44 | $43.532,80 | 2559 / 28 | $5.384,90 | 1248 / 21 | $4.121,46 | 1239 / 19 |
Renal Failure W Mcc | 38 | 157 / 30 | $77.744,90 | 1978 / 25 | $11.136,20 | 1216 / 23 | $9.469,76 | 1216 / 17 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 33 | $43.186,50 | 1968 / 20 | $5.601,81 | 998 / 22 | $4.296,91 | 995 / 20 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 24 | $45.180,30 | 2014 / 39 | $5.130,48 | 898 / 21 | $3.653,03 | 890 / 18 |
Syncope & Collapse | 30 | 139 / 39 | $47.160,30 | 1812 / 38 | $5.103,57 | 686 / 19 | $3.735,37 | 683 / 17 |
Pulmonary Edema & Respiratory Failure | 29 | 174 / 28 | $79.354,80 | 2126 / 30 | $8.824,90 | 1307 / 24 | $7.421,48 | 1303 / 15 |
Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 38 | $87.606,10 | 2395 / 39 | $10.423,80 | 1451 / 24 | $8.604,48 | 1451 / 16 |
Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 45 | $71.062,40 | 2769 / 53 | $7.720,64 | 1860 / 32 | $5.939,64 | 1852 / 28 |
G.I. Obstruction W Cc | 28 | 64 / 16 | $38.287,40 | 1422 / 13 | $6.361,89 | 960 / 18 | $5.039,64 | 957 / 21 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 31 | $177.082,00 | 1160 / 20 | $35.872,10 | 856 / 20 | $33.310,70 | 850 / 21 |
Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 29 | $56.590,30 | 1768 / 20 | $8.162,89 | 1118 / 25 | $6.603,37 | 1114 / 19 |
G.I. Hemorrhage W Cc | 24 | 194 / 47 | $69.358,80 | 2378 / 46 | $7.029,50 | 1147 / 22 | $5.515,83 | 1145 / 16 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 24 | 77 / 17 | $65.540,80 | 933 / 11 | $10.985,00 | 576 / 16 | $9.463,75 | 574 / 11 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 42 | $62.431,40 | 1975 / 49 | $5.707,37 | 718 / 19 | $4.201,74 | 713 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 46 | $55.791,20 | 2508 / 50 | $5.058,32 | 882 / 23 | $3.562,05 | 879 / 13 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 39 | $102.256,00 | 1907 / 43 | $13.552,80 | 1316 / 23 | $12.042,60 | 1299 / 21 |
Medical Back Problems W/O Mcc | 16 | 105 / 34 | $52.004,20 | 1422 / 39 | $5.743,81 | 564 / 14 | $4.330,81 | 562 / 13 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 28 | $56.951,60 | 1242 / 19 | $8.544,00 | 631 / 14 | $6.959,12 | 626 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 37 | $65.738,80 | 1743 / 27 | $8.329,38 | 861 / 18 | $6.914,38 | 858 / 12 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 34 | $127.613,00 | 1708 / 41 | $16.027,60 | 1040 / 16 | $14.308,40 | 1030 / 16 |
Other Circulatory System Diagnoses W Mcc | 16 | 100 / 29 | $76.699,80 | 1118 / 16 | $13.122,30 | 739 / 17 | $11.788,90 | 737 / 17 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 46 | $54.712,10 | 1810 / 19 | $6.938,12 | 691 / 14 | $5.424,44 | 690 / 8 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 32 | $91.903,60 | 1606 / 24 | $14.774,90 | 1344 / 28 | $13.190,90 | 1329 / 28 |
Peripheral Vascular Disorders W Cc | 15 | 69 / 30 | $54.828,40 | 1179 / 34 | $6.716,33 | 433 / 21 | $5.161,27 | 431 / 12 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 48 | $37.443,00 | 1893 / 39 | $4.020,14 | 842 / 22 | $2.702,00 | 838 / 22 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 22 | $51.717,50 | 764 / 16 | $7.127,08 | 453 / 15 | $6.062,77 | 453 / 16 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 24 | $76.918,20 | 1379 / 26 | $10.260,30 | 903 / 22 | $8.322,38 | 898 / 16 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 13 | 23 / 7 | $122.945,00 | 327 / 9 | $17.299,70 | 190 / 4 | $15.040,40 | 190 / 3 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 45 | $70.474,80 | 1467 / 18 | $10.398,40 | 535 / 14 | $9.076,31 | 534 / 10 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 44 | $42.274,10 | 1928 / 39 | $4.809,31 | 762 / 22 | $3.522,15 | 758 / 17 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 11 | $20.861,40 | 545 / 1 | $4.297,00 | 477 / 4 | $3.814,62 | 476 / 9 |
G.I. Hemorrhage W Mcc | 12 | 109 / 32 | $74.157,00 | 1383 / 15 | $12.254,50 | 918 / 21 | $10.935,30 | 913 / 20 |
Cirrhosis & Alcoholic Hepatitis W Cc | 12 | 14 / 4 | $40.961,10 | 73 / 2 | $6.529,17 | 32 / 2 | $5.704,92 | 32 / 3 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 16 | $33.991,00 | 778 / 9 | $4.378,00 | 223 / 6 | $2.972,75 | 222 / 6 |
Diabetes W Cc | 11 | 81 / 32 | $29.853,30 | 1166 / 5 | $5.792,18 | 733 / 19 | $4.580,09 | 731 / 15 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 27 | $53.199,60 | 1025 / 29 | $6.290,45 | 485 / 14 | $4.747,27 | 481 / 13 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 25 | $23.823,20 | 976 / 4 | $4.289,36 | 624 / 16 | $3.126,73 | 623 / 21 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 14 | $50.073,20 | 865 / 21 | $6.602,45 | 463 / 14 | $5.179,18 | 462 / 12 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 24 | $51.795,70 | 1179 / 12 | $6.932,00 | 646 / 15 | $5.446,18 | 643 / 12 | Total 49 procedures | 1.544 | 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.