Hospital Costs > In New Jersey > Trinitas Regional Medical Center, 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 | 179 | 337 / 31 | $82.790,70 | 2466 / 20 | $14.822,80 | 2229 / 41 | $13.260,40 | 2189 / 41 |
Heart Failure & Shock W Mcc | 97 | 187 / 33 | $70.579,50 | 2355 / 17 | $12.424,50 | 2150 / 41 | $11.008,00 | 2140 / 43 |
Heart Failure & Shock W Cc | 68 | 210 / 39 | $43.902,50 | 2432 / 12 | $8.644,29 | 2303 / 47 | $7.329,12 | 2297 / 47 |
Syncope & Collapse | 66 | 103 / 21 | $37.076,80 | 1633 / 11 | $6.773,53 | 1569 / 44 | $5.391,71 | 1562 / 47 |
Chronic Obstructive Pulmonary Disease W Mcc | 64 | 138 / 28 | $58.366,50 | 2331 / 22 | $9.891,77 | 2099 / 43 | $8.289,52 | 2091 / 43 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 62 | 213 / 38 | $36.920,00 | 2402 / 16 | $6.931,02 | 2379 / 47 | $5.828,00 | 2364 / 48 |
Cellulitis W/O Mcc | 60 | 129 / 37 | $33.859,60 | 2265 / 13 | $7.665,10 | 2264 / 46 | $6.376,95 | 2256 / 48 |
Chronic Obstructive Pulmonary Disease W Cc | 60 | 119 / 26 | $41.646,90 | 2108 / 14 | $8.051,00 | 2049 / 40 | $6.882,78 | 2042 / 48 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 52 | 512 / 43 | $61.831,70 | 1763 / 19 | $16.672,10 | 2292 / 37 | $15.317,90 | 2248 / 46 |
Renal Failure W Cc | 50 | 171 / 37 | $53.671,60 | 2303 / 28 | $9.433,44 | 2188 / 48 | $7.999,04 | 2178 / 51 |
Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 35 | $49.237,50 | 2539 / 21 | $8.658,33 | 2425 / 46 | $7.385,60 | 2416 / 49 |
Chest Pain | 47 | 104 / 13 | $28.788,30 | 1351 / 14 | $5.799,92 | 1373 / 37 | $4.541,96 | 1365 / 41 |
Kidney & Urinary Tract Infections W/O Mcc | 45 | 188 / 41 | $35.726,00 | 2395 / 13 | $7.153,60 | 2362 / 47 | $6.002,27 | 2351 / 49 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 43 | 164 / 30 | $50.476,80 | 2270 / 17 | $9.310,72 | 2204 / 41 | $8.046,40 | 2195 / 44 |
Red Blood Cell Disorders W/O Mcc | 41 | 102 / 26 | $43.443,90 | 1821 / 21 | $7.406,49 | 1636 / 43 | $5.981,59 | 1627 / 46 |
Transient Ischemia | 40 | 85 / 21 | $32.764,90 | 1271 / 10 | $6.561,65 | 1415 / 43 | $5.305,85 | 1408 / 46 |
G.I. Hemorrhage W Cc | 36 | 182 / 42 | $48.000,40 | 2118 / 15 | $8.788,19 | 2053 / 45 | $7.500,86 | 2049 / 47 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 36 | 152 / 28 | $46.938,00 | 1122 / 6 | $9.237,56 | 1379 / 33 | $8.035,39 | 1376 / 38 |
Heart Failure & Shock W/O Cc/Mcc | 35 | 75 / 28 | $32.714,70 | 1773 / 14 | $6.439,94 | 1716 / 48 | $5.121,11 | 1703 / 48 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 35 | 29 / 3 | $367.542,00 | 403 / 10 | $61.208,70 | 191 / 8 | $58.404,50 | 191 / 7 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 34 | 86 / 21 | $28.892,40 | 1672 / 4 | $6.495,21 | 1847 / 43 | $5.597,38 | 1836 / 49 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 34 | 58 / 10 | $204.905,00 | 761 / 16 | $39.945,30 | 476 / 11 | $36.248,20 | 475 / 11 |
Renal Failure W Mcc | 33 | 162 / 34 | $67.354,90 | 1862 / 12 | $12.289,30 | 1683 / 35 | $11.084,30 | 1681 / 40 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 34 | $40.982,80 | 1923 / 14 | $7.312,33 | 1794 / 46 | $5.819,73 | 1789 / 46 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 30 | 94 / 28 | $163.503,00 | 1093 / 15 | $39.148,80 | 1064 / 29 | $36.316,00 | 1057 / 30 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 29 | 139 / 29 | $75.595,40 | 1324 / 20 | $13.666,60 | 1223 / 33 | $12.294,80 | 1217 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 39 | $48.610,50 | 1710 / 12 | $9.003,10 | 1697 / 41 | $7.598,07 | 1693 / 45 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 39 | $33.983,90 | 1849 / 28 | $5.239,66 | 1703 / 46 | $4.109,66 | 1697 / 48 |
Seizures W/O Mcc | 29 | 79 / 24 | $45.043,60 | 1189 / 24 | $7.099,48 | 974 / 39 | $5.424,59 | 972 / 39 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 42 | $33.990,90 | 2238 / 11 | $6.619,90 | 2135 / 46 | $5.331,93 | 2127 / 47 |
Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 28 | $48.862,10 | 1660 / 10 | $9.674,00 | 1661 / 37 | $8.429,50 | 1657 / 40 |
Simple Pneumonia & Pleurisy W Mcc | 28 | 177 / 39 | $78.666,30 | 2333 / 28 | $12.157,90 | 2089 / 43 | $10.580,20 | 2085 / 45 |
Other Circulatory System Diagnoses W Mcc | 28 | 88 / 18 | $66.105,60 | 1004 / 12 | $14.782,20 | 983 / 32 | $13.482,50 | 976 / 32 |
Diabetes W Cc | 27 | 65 / 17 | $41.004,00 | 1423 / 17 | $7.571,26 | 1307 / 40 | $6.224,59 | 1302 / 44 |
Peripheral Vascular Disorders W Cc | 27 | 57 / 21 | $36.291,70 | 939 / 6 | $8.500,67 | 988 / 40 | $7.130,37 | 985 / 41 |
Atherosclerosis W/O Mcc | 26 | 32 / 9 | $30.600,00 | 452 / 9 | $5.899,77 | / 28 | $4.550,27 | / |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 33 | $59.710,60 | 1681 / 18 | $10.252,70 | 1570 / 44 | $9.049,62 | 1567 / 47 |
G.I. Hemorrhage W Mcc | 25 | 96 / 24 | $80.081,30 | 1439 / 21 | $14.003,50 | 1256 / 34 | $12.615,60 | 1248 / 33 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 25 | 99 / 11 | $47.264,00 | 818 / 19 | $6.573,68 | 675 / 24 | $5.439,56 | 674 / 27 |
Hypertension W/O Mcc | 23 | 42 / 8 | $30.334,30 | 641 / 8 | $6.020,04 | 647 / 26 | $4.762,22 | 645 / 28 |
Pulmonary Edema & Respiratory Failure | 22 | 181 / 31 | $67.637,10 | 2030 / 21 | $10.380,70 | 1750 / 39 | $8.690,36 | 1745 / 34 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 22 | 174 / 24 | $77.131,40 | 819 / 5 | $15.979,60 | 1254 / 19 | $14.753,90 | 1247 / 28 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 28 | $108.297,00 | 1596 / 25 | $18.055,00 | 1433 / 34 | $16.764,10 | 1419 / 40 |
Diabetes W Mcc | 21 | 36 / 7 | $87.863,50 | 712 / 23 | $12.237,40 | 607 / 25 | $10.799,80 | 606 / 25 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 20 | 51 / 15 | $192.928,00 | 723 / 9 | $37.009,60 | 616 / 11 | $35.075,90 | 615 / 11 |
Medical Back Problems W/O Mcc | 17 | 104 / 33 | $37.794,00 | 1204 / 9 | $7.269,12 | 1215 / 32 | $6.077,53 | 1211 / 43 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 17 | 51 / 10 | $32.603,20 | 511 / 2 | $7.898,59 | 581 / 24 | $6.708,29 | 581 / 27 |
Red Blood Cell Disorders W Mcc | 16 | 55 / 18 | $46.236,20 | 779 / 4 | $10.464,90 | 867 / 33 | $9.622,88 | 863 / 36 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 39 | $69.740,70 | 1542 / 16 | $15.330,70 | 1665 / 35 | $13.786,80 | 1646 / 39 |
G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 21 | $28.330,90 | 1087 / 9 | $5.976,19 | 1159 / 36 | $4.616,81 | 1156 / 39 |
Other Vascular Procedures W Cc | 16 | 86 / 25 | $107.749,00 | 900 / 25 | $19.592,80 | 877 / 27 | $18.309,00 | 872 / 31 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 28 | $35.486,60 | 1744 / 13 | $6.610,88 | 1726 / 44 | $5.279,25 | 1718 / 46 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 43 | $105.254,00 | 1721 / 43 | $13.591,90 | 1382 / 40 | $11.912,70 | 1371 / 37 |
Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 23 | $29.442,80 | 697 / 2 | $7.716,80 | 898 / 31 | $6.529,00 | 894 / 35 |
Other Digestive System Diagnoses W Cc | 15 | 82 / 28 | $41.992,70 | 1161 / 16 | $8.587,47 | 1138 / 39 | $7.085,13 | 1134 / 40 |
G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 22 | $27.639,10 | 765 / 11 | $6.275,27 | 686 / 37 | $4.342,07 | 682 / 29 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 28 | $88.063,50 | 1087 / 13 | $19.556,00 | 1229 / 29 | $17.893,00 | 1215 / 33 |
Other Vascular Procedures W Mcc | 15 | 82 / 24 | $84.490,90 | 427 / 2 | $23.895,00 | 643 / 24 | $22.724,50 | 640 / 26 |
Dysequilibrium | 14 | 51 / 17 | $29.882,00 | 412 / 3 | $5.998,86 | 452 / 26 | $4.649,93 | 452 / 29 |
Diabetes W/O Cc/Mcc | 14 | 24 / 9 | $29.728,30 | 257 / 5 | $5.634,79 | 222 / 12 | $4.532,21 | 222 / 12 |
Hiv W Major Related Condition W Mcc | 14 | 23 / 5 | $143.290,00 | 80 / 4 | $21.471,00 | 32 / 1 | $19.427,40 | 32 / 1 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 19 | $118.700,00 | 654 / 6 | $24.282,50 | 759 / 12 | $22.887,40 | 754 / 14 |
Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 24 | $31.356,20 | 530 / 3 | $8.542,79 | 659 / 31 | $7.278,14 | 659 / 32 |
Other Circulatory System O.R. Procedures | 14 | 41 / 13 | $94.108,70 | 305 / 6 | $20.947,50 | 295 / 12 | $19.620,40 | 295 / 17 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 16 | $53.963,90 | 642 / 13 | $13.091,40 | 776 / 26 | $11.699,60 | 773 / 31 |
Seizures W Mcc | 13 | 53 / 16 | $68.907,10 | 628 / 9 | $12.567,70 | 547 / 15 | $11.221,50 | 547 / 16 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 28 | $142.557,00 | 755 / 6 | $36.592,30 | 878 / 25 | $34.945,30 | 876 / 30 |
G.I. Obstruction W Cc | 13 | 79 / 29 | $32.125,10 | 1266 / 5 | $7.654,92 | 1337 / 34 | $6.000,15 | 1332 / 35 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 30 | $38.431,80 | 1319 / 10 | $7.001,54 | 1242 / 38 | $4.982,46 | 1238 / 33 |
Respiratory Neoplasms W Cc | 13 | 34 / 15 | $63.126,20 | 454 / 10 | $10.240,60 | 390 / 24 | $8.974,85 | 389 / 27 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 30 | $59.057,20 | 1270 / 22 | $10.215,80 | 1120 / 35 | $8.737,38 | 1115 / 36 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 24 | $110.408,00 | 806 / 21 | $17.133,20 | 661 / 25 | $14.505,20 | 654 / 26 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 16 | $74.417,50 | 659 / 12 | $13.598,50 | 522 / 20 | $12.111,00 | 521 / 21 |
Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 12 | $32.714,00 | 292 / 8 | $6.366,42 | 299 / 21 | $5.112,17 | 299 / 23 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 12 | $37.046,40 | 833 / 12 | $6.214,42 | 711 / 20 | $4.873,17 | 710 / 21 |
Signs & Symptoms W/O Mcc | 12 | 79 / 25 | $54.537,90 | 1313 / 32 | $6.814,17 | 1154 / 30 | $5.858,25 | 1151 / 34 |
Organic Disturbances & Mental Retardation | 12 | 47 / 15 | $50.146,90 | 497 / 13 | $8.835,25 | 385 / 21 | $7.118,75 | 385 / 19 |
Peripheral Vascular Disorders W Mcc | 11 | 38 / 15 | $78.185,80 | 548 / 17 | $12.379,30 | 494 / 24 | $11.151,40 | 494 / 25 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 14 | $44.428,30 | 531 / 10 | $9.271,91 | 640 / 15 | $7.831,55 | 639 / 18 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 20 | $57.466,90 | 370 / 4 | $16.714,70 | 602 / 21 | $15.630,60 | 601 / 25 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 14 | $42.549,30 | 816 / 15 | $8.247,45 | 811 / 27 | $7.067,27 | 808 / 30 |
Transurethral Procedures W Cc | 11 | 30 / 16 | $53.186,50 | 293 / 10 | $10.714,90 | 330 / 22 | $9.416,64 | 330 / 26 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 41 | $59.706,40 | 1595 / 25 | $9.556,82 | 1314 / 37 | $8.206,27 | 1311 / 37 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 18 | $134.089,00 | 416 / 3 | $33.968,00 | 460 / 10 | $32.289,80 | 460 / 12 | Total 84 procedures | 2.369 | 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.