Hospital Costs > In New Jersey > St Mary's General Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Angina Pectoris | 14 | 11 / 3 | $27.101,30 | 45 / 4 | $4.749,43 | 38 / 5 | $3.607,57 | 38 / 4 |
| Atherosclerosis W/O Mcc | 18 | 40 / 13 | $26.101,20 | 403 / 5 | $5.038,17 | / 17 | $3.948,83 | / |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 26 | $40.697,40 | 899 / 14 | $6.928,08 | 829 / 19 | $6.092,33 | 825 / 30 |
| Bronchitis & Asthma W/O Cc/Mcc | 15 | 30 / 10 | $33.317,10 | 331 / 9 | $5.300,00 | 259 / 12 | $4.147,40 | 259 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 43 | 118 / 27 | $41.926,90 | 1940 / 15 | $6.335,19 | 1655 / 31 | $5.325,98 | 1650 / 40 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 29 | $50.544,70 | 1540 / 8 | $9.339,60 | 1434 / 29 | $8.420,63 | 1431 / 36 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 41 | $30.347,40 | 1765 / 15 | $4.668,24 | 1581 / 33 | $3.687,32 | 1575 / 43 |
| Cellulitis W Mcc | 30 | 28 / 6 | $77.463,30 | 901 / 28 | $12.460,80 | 833 / 33 | $11.525,10 | 831 / 37 |
| Cellulitis W/O Mcc | 52 | 137 / 42 | $40.643,80 | 2426 / 24 | $6.725,67 | 2052 / 31 | $5.675,10 | 2044 / 43 |
| Chest Pain | 36 | 115 / 19 | $23.212,00 | 1125 / 4 | $6.045,00 | 1109 / 40 | $3.761,56 | 1102 / 30 |
| Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 43 | $56.530,50 | 2330 / 37 | $11.640,10 | 1864 / 59 | $6.274,42 | 1857 / 40 |
| Chronic Obstructive Pulmonary Disease W Mcc | 62 | 140 / 29 | $51.516,80 | 2214 / 14 | $9.615,58 | 2008 / 38 | $7.984,77 | 2000 / 37 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 32 | $38.449,80 | 1921 / 20 | $5.802,64 | 1717 / 31 | $5.008,36 | 1706 / 42 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 28 | 65 / 12 | $84.116,20 | 686 / 9 | $15.798,00 | 673 / 19 | $14.798,60 | 666 / 27 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 56 | 132 / 20 | $45.827,20 | 1096 / 5 | $8.493,55 | 1283 / 25 | $7.398,93 | 1280 / 30 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 21 | 47 / 6 | $39.260,70 | 594 / 8 | $6.998,38 | 527 / 16 | $6.227,38 | 527 / 23 |
| Diabetes W Cc | 15 | 77 / 29 | $34.279,10 | 1292 / 10 | $6.622,53 | 1148 / 26 | $5.553,60 | 1143 / 36 |
| Dysequilibrium | 11 | 54 / 19 | $35.195,30 | 469 / 13 | $5.134,64 | 388 / 16 | $4.122,27 | 388 / 20 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 24 | $51.474,00 | 1184 / 15 | $10.429,40 | 989 / 36 | $8.115,24 | 984 / 26 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 80 | 195 / 31 | $32.642,60 | 2266 / 11 | $5.986,50 | 2083 / 31 | $4.954,73 | 2069 / 40 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 17 | $157.657,00 | 503 / 7 | $35.027,80 | 520 / 15 | $34.042,80 | 520 / 20 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 15 | 47 / 18 | $34.026,70 | 655 / 11 | $5.985,47 | 570 / 16 | $4.913,93 | 568 / 26 |
| G.I. Hemorrhage W Cc | 52 | 166 / 35 | $49.149,70 | 2147 / 17 | $7.814,31 | 1914 / 30 | $6.952,44 | 1910 / 40 |
| G.I. Hemorrhage W Mcc | 22 | 99 / 27 | $61.945,50 | 1230 / 8 | $13.301,50 | 1234 / 28 | $12.445,30 | 1226 / 32 |
| G.I. Obstruction W Cc | 15 | 77 / 27 | $36.120,30 | 1375 / 8 | $7.026,67 | 1350 / 25 | $6.037,87 | 1345 / 36 |
| Heart Failure & Shock W Cc | 88 | 190 / 35 | $46.392,40 | 2494 / 15 | $7.730,12 | 2160 / 33 | $6.877,70 | 2154 / 40 |
| Heart Failure & Shock W Mcc | 116 | 168 / 29 | $72.193,20 | 2380 / 21 | $11.280,50 | 2026 / 30 | $10.483,90 | 2017 / 35 |
| Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 38 | $41.248,00 | 1915 / 36 | $5.530,00 | 1574 / 34 | $4.656,30 | 1561 / 40 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 37 | $59.054,30 | 1325 / 8 | $14.256,10 | 1583 / 26 | $13.225,00 | 1564 / 33 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 20 | 16 / 3 | $98.171,40 | 291 / 6 | $21.021,90 | 240 / 15 | $16.282,50 | 240 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 47 | 77 / 14 | $146.444,00 | 995 / 9 | $33.933,40 | 835 / 13 | $33.134,90 | 829 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 37 | $52.213,30 | 1782 / 16 | $10.672,90 | 1592 / 53 | $7.171,45 | 1589 / 38 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 32 | $64.086,20 | 1194 / 8 | $12.940,70 | 1173 / 25 | $11.937,90 | 1167 / 29 |
| Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 41 | $51.216,50 | 1698 / 14 | $13.210,20 | 1341 / 50 | $7.123,77 | 1337 / 29 |
| Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 49 | $34.192,20 | 2346 / 11 | $6.188,38 | 2026 / 31 | $5.057,17 | 2015 / 37 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 36 | 528 / 48 | $67.149,30 | 1921 / 22 | $15.960,70 | 2259 / 34 | $15.056,60 | 2215 / 42 |
| Major Small & Large Bowel Procedures W Cc | 24 | 84 / 22 | $77.916,20 | 975 / 7 | $16.946,10 | 987 / 14 | $15.749,20 | 976 / 19 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 28 | $220.645,00 | 1098 / 26 | $36.965,80 | 931 / 27 | $36.003,10 | 929 / 31 |
| Medical Back Problems W/O Mcc | 23 | 98 / 29 | $47.303,70 | 1375 / 28 | $6.779,22 | 1136 / 26 | $5.751,52 | 1132 / 40 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 28 | $45.376,10 | 1411 / 8 | $8.628,15 | 1219 / 27 | $7.759,69 | 1216 / 32 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 36 | 130 / 37 | $43.147,30 | 2419 / 33 | $5.676,22 | 1925 / 30 | $4.708,56 | 1918 / 36 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 28 | $63.218,60 | 973 / 11 | $13.877,80 | 974 / 22 | $13.398,50 | 967 / 31 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 29 | $55.980,30 | 1334 / 31 | $7.624,36 | 1046 / 26 | $6.646,36 | 1042 / 30 |
| Other Respiratory System Diagnoses W/O Mcc | 12 | 34 / 10 | $32.821,50 | 244 / 4 | $6.368,83 | 201 / 5 | $5.345,75 | 201 / 10 |
| Other Vascular Procedures W Cc | 27 | 75 / 16 | $82.574,10 | 682 / 3 | $18.914,10 | 767 / 21 | $16.984,00 | 762 / 21 |
| Other Vascular Procedures W Mcc | 15 | 82 / 24 | $142.291,00 | 843 / 20 | $23.169,70 | 605 / 17 | $22.152,90 | 602 / 20 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 16 | $137.569,00 | 767 / 10 | $23.598,90 | 736 / 9 | $22.550,00 | 731 / 12 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 27 | 169 / 22 | $86.976,10 | 1004 / 11 | $17.864,30 | 1155 / 30 | $13.546,30 | 1148 / 20 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 31 | $49.165,90 | 1139 / 28 | $7.620,29 | 877 / 28 | $6.550,57 | 874 / 33 |
| Permanent Cardiac Pacemaker Implant W Cc | 23 | 54 / 13 | $99.714,30 | 769 / 17 | $19.626,60 | 745 / 21 | $18.542,20 | 742 / 24 |
| Permanent Cardiac Pacemaker Implant W Mcc | 15 | 37 / 15 | $142.744,00 | 495 / 18 | $27.047,40 | 455 / 14 | $26.186,60 | 455 / 17 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 21 | 36 / 12 | $77.647,70 | 565 / 17 | $18.994,70 | 542 / 27 | $14.293,60 | 541 / 20 |
| Red Blood Cell Disorders W Mcc | 22 | 49 / 12 | $54.771,90 | 908 / 14 | $9.613,82 | 802 / 21 | $9.031,50 | 798 / 31 |
| Red Blood Cell Disorders W/O Mcc | 30 | 113 / 35 | $30.188,60 | 1512 / 8 | $6.639,13 | 1495 / 34 | $5.466,23 | 1486 / 38 |
| Renal Failure W Cc | 36 | 185 / 42 | $44.867,20 | 2144 / 12 | $7.524,72 | 1781 / 30 | $6.369,61 | 1771 / 34 |
| Renal Failure W Mcc | 36 | 159 / 32 | $87.881,90 | 2054 / 37 | $11.991,00 | 1685 / 29 | $11.094,00 | 1683 / 41 |
| Respiratory Infections & Inflammations W Mcc | 31 | 105 / 22 | $78.539,70 | 1491 / 17 | $13.861,20 | 1356 / 21 | $13.270,10 | 1341 / 29 |
| Respiratory Neoplasms W Mcc | 18 | 34 / 9 | $85.755,20 | 558 / 9 | $13.207,70 | 493 / 15 | $12.351,40 | 490 / 19 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 35 | $77.880,90 | 1286 / 6 | $17.022,60 | 1390 / 23 | $16.419,10 | 1376 / 33 |
| Seizures W/O Mcc | 12 | 96 / 39 | $30.395,70 | 968 / 8 | $6.111,50 | 930 / 24 | $5.190,00 | 928 / 35 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 19 | $152.811,00 | 540 / 3 | $39.825,90 | 612 / 10 | $38.840,20 | 611 / 15 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 325 | 193 / 10 | $72.833,90 | 2326 / 11 | $13.937,00 | 2120 / 29 | $12.863,50 | 2083 / 35 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 83 | 124 / 17 | $47.334,30 | 2206 / 12 | $8.216,28 | 1987 / 29 | $7.269,77 | 1979 / 37 |
| Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 41 | $53.156,60 | 2610 / 29 | $7.979,76 | 2241 / 37 | $6.719,53 | 2233 / 41 |
| Simple Pneumonia & Pleurisy W Mcc | 49 | 156 / 27 | $62.080,50 | 2126 / 14 | $11.652,20 | 1894 / 37 | $9.690,35 | 1894 / 36 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 33 | $36.249,00 | 1756 / 15 | $5.717,82 | 1558 / 30 | $4.595,27 | 1550 / 37 |
| Syncope & Collapse | 34 | 135 / 37 | $39.472,00 | 1684 / 17 | $5.895,03 | 1422 / 32 | $4.913,24 | 1415 / 40 |
| Transient Ischemia | 41 | 84 / 20 | $33.779,30 | 1297 / 11 | $5.683,05 | 1228 / 28 | $4.600,73 | 1222 / 36 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 22 | 22 / 4 | $32.134,10 | 207 / 2 | $6.701,09 | 172 / 8 | $4.608,50 | 172 / 12 | Total 69 procedures | 2.319 | 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.