Hospital Costs > In New York > Tlc Health Network, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 71 | $7.605,72 | 19 / 1 | $4.844,28 | 8 / 1 | $3.697,17 | 8 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 17 | 547 / 91 | $22.203,80 | 31 / 5 | $11.551,10 | 82 / 1 | $9.242,94 | 82 / 1 |
| Heart Failure & Shock W Cc | 12 | 266 / 92 | $9.107,33 | 81 / 8 | $5.349,17 | 11 / 1 | $3.896,42 | 11 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 83 | $6.661,58 | 40 / 1 | $3.964,42 | 61 / 1 | $3.054,33 | 61 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 93 | $7.221,64 | 60 / 1 | $3.813,82 | 48 / 1 | $2.818,36 | 48 / 1 | Total 5 procedures | 70 | 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.