Hospital Costs > In New York > United Memorial 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 | 71 | 445 / 95 | $14.810,20 | 68 / 12 | $11.231,10 | 858 / 16 | $9.995,41 | 857 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 41 | 523 / 77 | $38.446,80 | 669 / 51 | $13.957,20 | 905 / 30 | $10.901,40 | 886 / 12 |
| Heart Failure & Shock W Cc | 40 | 238 / 68 | $13.513,20 | 414 / 26 | $6.939,30 | 1886 / 48 | $6.295,80 | 1881 / 56 |
| Heart Failure & Shock W Mcc | 32 | 252 / 68 | $15.628,10 | 167 / 12 | $9.436,91 | 1125 / 16 | $8.458,66 | 1122 / 16 |
| Pulmonary Edema & Respiratory Failure | 30 | 173 / 37 | $18.360,90 | 314 / 20 | $8.417,03 | 1101 / 35 | $7.094,90 | 1099 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 62 | $14.350,60 | 273 / 22 | $7.759,73 | 1468 / 28 | $6.793,96 | 1462 / 32 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 72 | $13.749,60 | 262 / 22 | $7.204,38 | 1357 / 32 | $6.057,46 | 1352 / 27 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 87 | $11.629,70 | 343 / 24 | $5.556,29 | 1769 / 51 | $4.430,17 | 1756 / 53 |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 24 | 56 / 19 | $29.402,70 | 60 / 15 | $8.383,21 | 34 / 8 | $7.104,21 | 34 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 52 | $12.766,10 | 301 / 27 | $6.173,46 | 1285 / 25 | $5.259,00 | 1280 / 29 |
| Cellulitis W/O Mcc | 21 | 168 / 73 | $11.884,30 | 453 / 33 | $6.126,52 | 1745 / 50 | $5.046,95 | 1737 / 57 |
| Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 43 | $13.483,50 | 170 / 7 | $7.466,65 | 1074 / 14 | $6.523,65 | 1071 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 52 | $10.595,70 | 145 / 11 | $5.797,44 | 1435 / 38 | $4.872,28 | 1430 / 45 |
| G.I. Hemorrhage W Cc | 16 | 202 / 72 | $15.573,70 | 342 / 26 | $6.895,06 | 1498 / 35 | $5.959,38 | 1494 / 46 |
| Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 74 | $17.005,00 | 798 / 51 | $6.818,53 | 1726 / 43 | $5.754,87 | 1718 / 42 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 45 | $14.609,00 | 109 / 10 | $8.171,87 | 1128 / 19 | $7.437,33 | 1125 / 28 |
| Diabetes W Cc | 14 | 78 / 35 | $12.748,10 | 191 / 12 | $6.004,50 | 1158 / 18 | $5.604,57 | 1153 / 36 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 74 | $10.326,00 | 346 / 26 | $5.238,31 | 1585 / 50 | $4.158,31 | 1580 / 47 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 82 | $11.832,50 | 495 / 25 | $5.940,85 | 1302 / 56 | $4.170,85 | 1293 / 22 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 63 | $20.459,20 | 420 / 27 | $9.573,92 | 1418 / 26 | $8.536,33 | 1418 / 27 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 57 | $34.158,40 | 387 / 33 | $12.360,30 | 1035 / 17 | $11.111,80 | 1022 / 20 | Total 21 procedures | 504 | 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.