Hospital Costs > In New York > St Mary's Hospital Troy, 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 | 49 | 38 / 10 | $32.904,50 | 64 / 16 | $7.483,22 | 17 / 3 | $6.415,67 | 17 / 1 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 69 | 58 / 10 | $14.709,00 | 325 / 25 | $4.700,81 | 358 / 5 | $3.963,88 | 358 / 12 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 46 | 10 / 4 | $8.934,30 | 67 / 16 | $3.470,76 | 25 / 3 | $2.761,89 | 25 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 56 | $28.470,00 | 1565 / 83 | $5.964,07 | 1633 / 45 | $5.273,79 | 1628 / 58 |
| Cellulitis W/O Mcc | 46 | 143 / 53 | $16.792,30 | 1095 / 56 | $5.494,28 | 1433 / 21 | $4.654,63 | 1426 / 35 |
| Chronic Obstructive Pulmonary Disease W Cc | 55 | 124 / 28 | $26.032,40 | 1518 / 81 | $6.076,35 | 1372 / 21 | $5.340,20 | 1367 / 36 |
| Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 60 | $33.243,10 | 1655 / 75 | $7.539,61 | 1383 / 19 | $6.681,32 | 1377 / 29 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 29 | $17.711,10 | 1083 / 59 | $5.072,69 | 1279 / 33 | $4.041,81 | 1269 / 36 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 45 | 230 / 68 | $20.606,90 | 1468 / 79 | $5.066,40 | 1386 / 26 | $4.036,47 | 1375 / 28 |
| G.I. Hemorrhage W Cc | 25 | 193 / 64 | $30.274,40 | 1576 / 79 | $6.846,60 | 959 / 30 | $5.329,72 | 957 / 18 |
| G.I. Obstruction W Cc | 11 | 81 / 35 | $21.818,20 | 781 / 40 | $5.750,27 | 565 / 14 | $4.540,09 | 564 / 13 |
| Heart Failure & Shock W Cc | 42 | 236 / 66 | $24.536,60 | 1635 / 72 | $6.305,64 | 1117 / 23 | $5.383,74 | 1115 / 20 |
| Heart Failure & Shock W Mcc | 16 | 268 / 77 | $33.347,00 | 1306 / 59 | $9.150,00 | 1104 / 13 | $8.436,00 | 1101 / 15 |
| Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 46 | $18.557,20 | 1194 / 63 | $4.665,41 | 1133 / 22 | $3.888,00 | 1124 / 32 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 59 | $29.947,50 | 1153 / 48 | $6.658,08 | 987 / 14 | $5.823,62 | 984 / 17 |
| Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 48 | $20.923,10 | 631 / 22 | $6.941,29 | 784 / 6 | $6.077,29 | 783 / 9 |
| Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 76 | $17.602,20 | 1298 / 55 | $5.194,05 | 1308 / 24 | $4.175,00 | 1299 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 69 | $18.399,10 | 1365 / 65 | $4.810,79 | 1483 / 24 | $4.049,53 | 1478 / 42 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 33 | $20.608,50 | 438 / 19 | $6.040,80 | 430 / 4 | $5.157,60 | 428 / 7 |
| Pulmonary Edema & Respiratory Failure | 33 | 170 / 34 | $35.691,70 | 1321 / 65 | $7.827,58 | 1095 / 17 | $7.087,18 | 1093 / 20 |
| Renal Failure W Cc | 14 | 207 / 71 | $22.691,80 | 1250 / 53 | $6.247,50 | 1271 / 19 | $5.468,07 | 1263 / 24 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 35 | $30.935,10 | 718 / 36 | $8.151,18 | 370 / 9 | $7.111,18 | 367 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 66 | 450 / 97 | $50.981,90 | 1826 / 91 | $11.062,80 | 826 / 14 | $9.955,95 | 825 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 68 | $36.862,20 | 1928 / 95 | $6.957,47 | 1010 / 24 | $5.673,27 | 1007 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 57 | $28.901,00 | 1895 / 87 | $6.278,79 | 1286 / 21 | $5.289,70 | 1282 / 24 |
| Transient Ischemia | 11 | 114 / 45 | $24.938,90 | 953 / 57 | $4.792,73 | 862 / 17 | $3.797,82 | 858 / 25 | Total 26 procedures | 769 | 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.