Hospital Costs > In New York > Unity Hospital Of Rochester, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 32 | $12.986,20 | 78 / 6 | $7.691,00 | 1023 / 31 | $6.773,94 | 1021 / 40 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 28 | 97 / 35 | $15.075,40 | 49 / 6 | $11.481,70 | 846 / 29 | $9.851,21 | 845 / 24 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 82 | 26 / 5 | $16.359,50 | 36 / 4 | $8.797,24 | 44 / 10 | $7.594,94 | 44 / 10 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 26 | 23 / 12 | $5.907,92 | 35 / 4 | $4.505,04 | 45 / 11 | $3.231,31 | 44 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 43 | $14.668,20 | 111 / 11 | $8.805,76 | 1234 / 33 | $7.710,88 | 1231 / 34 |
Cellulitis W Mcc | 11 | 47 / 26 | $18.326,20 | 97 / 6 | $10.332,00 | 579 / 10 | $9.229,82 | 577 / 12 |
Cellulitis W/O Mcc | 48 | 141 / 51 | $9.685,40 | 217 / 21 | $6.600,17 | 1946 / 66 | $5.453,69 | 1938 / 70 |
Cervical Spinal Fusion W/O Cc/Mcc | 13 | 91 / 19 | $25.798,50 | 32 / 6 | $14.694,50 | 473 / 5 | $12.554,20 | 470 / 5 |
Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 57 | $11.419,10 | 182 / 14 | $7.005,84 | 1535 / 55 | $5.575,89 | 1529 / 45 |
Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 75 | $10.839,40 | 67 / 8 | $8.507,00 | 1373 / 53 | $6.668,36 | 1367 / 28 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 27 | $22.206,00 | 17 / 2 | $13.423,60 | 394 / 3 | $12.151,30 | 389 / 4 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 13 | 175 / 43 | $16.034,60 | 41 / 2 | $7.575,69 | 953 / 11 | $6.241,31 | 950 / 16 |
Diabetes W Cc | 21 | 71 / 28 | $12.212,90 | 167 / 9 | $6.976,67 | 1041 / 41 | $5.235,57 | 1037 / 27 |
Diabetes W Mcc | 11 | 46 / 22 | $12.855,90 | 20 / 1 | $9.386,09 | 413 / 3 | $8.760,91 | 413 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 30 | $14.483,20 | 69 / 4 | $8.696,21 | 845 / 18 | $7.577,00 | 840 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 78 | $9.115,42 | 155 / 13 | $6.009,82 | 2111 / 65 | $5.027,15 | 2097 / 71 |
G.I. Hemorrhage W Cc | 33 | 185 / 56 | $12.925,00 | 159 / 16 | $7.548,70 | 1615 / 58 | $6.181,18 | 1611 / 52 |
G.I. Hemorrhage W Mcc | 15 | 106 / 39 | $18.415,80 | 53 / 1 | $11.027,20 | 604 / 9 | $9.937,33 | 605 / 10 |
G.I. Obstruction W Cc | 17 | 75 / 29 | $11.450,10 | 96 / 8 | $6.916,94 | 1242 / 43 | $5.692,35 | 1238 / 41 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 25 | $12.741,70 | 346 / 25 | $5.324,43 | 955 / 44 | $3.823,50 | 952 / 40 |
Heart Failure & Shock W Cc | 43 | 235 / 65 | $14.496,70 | 524 / 32 | $7.395,77 | 1908 / 59 | $6.349,91 | 1903 / 57 |
Heart Failure & Shock W Mcc | 61 | 223 / 47 | $15.341,60 | 155 / 11 | $10.143,90 | 1451 / 39 | $8.958,29 | 1447 / 28 |
Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 47 | $9.383,81 | 211 / 17 | $5.622,25 | 1558 / 60 | $4.608,81 | 1545 / 56 |
Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 39 | $24.407,20 | 73 / 7 | $13.181,50 | 1259 / 29 | $11.829,10 | 1243 / 29 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 38 | $39.794,00 | 20 / 3 | $31.786,50 | 273 / 5 | $27.635,50 | 273 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 23 | 159 / 49 | $13.800,00 | 100 / 7 | $7.388,43 | 1304 / 27 | $6.347,61 | 1301 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 42 | $20.375,80 | 95 / 5 | $11.922,90 | 922 / 17 | $10.731,90 | 919 / 16 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 44 | $15.524,20 | 284 / 14 | $8.345,11 | 1397 / 35 | $7.305,37 | 1393 / 35 |
Kidney & Urinary Tract Infections W/O Mcc | 34 | 199 / 65 | $12.147,40 | 531 / 26 | $6.191,06 | 2074 / 64 | $5.133,79 | 2063 / 65 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 17 | $40.382,20 | 51 / 2 | $22.043,80 | 604 / 9 | $20.734,50 | 601 / 8 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 255 | 310 / 22 | $24.981,30 | 80 / 13 | $14.115,30 | 1094 / 32 | $11.214,60 | 1070 / 20 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 29 | $69.415,10 | 121 / 3 | $37.608,40 | 690 / 17 | $32.142,50 | 688 / 10 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 22 | 104 / 40 | $22.111,00 | 532 / 20 | $9.905,95 | 1450 / 42 | $9.048,73 | 1447 / 44 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 63 | $9.778,70 | 289 / 20 | $5.752,63 | 1874 / 66 | $4.596,67 | 1868 / 65 |
Other Circulatory System Diagnoses W Mcc | 21 | 95 / 27 | $21.896,60 | 77 / 4 | $12.719,90 | 757 / 9 | $11.882,90 | 754 / 12 |
Other Digestive System Diagnoses W Cc | 18 | 79 / 31 | $12.180,80 | 63 / 4 | $7.373,17 | 963 / 21 | $6.336,67 | 959 / 27 |
Pulmonary Edema & Respiratory Failure | 43 | 160 / 25 | $13.330,30 | 83 / 9 | $8.819,65 | 1505 / 41 | $7.848,53 | 1500 / 45 |
Pulmonary Embolism W Mcc | 13 | 30 / 6 | $14.864,70 | 12 / 2 | $11.564,30 | 313 / 7 | $8.974,92 | 313 / 5 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 61 | $13.657,00 | 325 / 19 | $6.358,93 | 1487 / 42 | $5.437,67 | 1478 / 49 |
Renal Failure W Cc | 27 | 194 / 60 | $12.536,70 | 259 / 17 | $7.049,22 | 1547 / 42 | $5.833,19 | 1538 / 41 |
Renal Failure W Mcc | 13 | 182 / 57 | $16.509,60 | 113 / 6 | $10.690,40 | 1247 / 19 | $9.537,54 | 1247 / 20 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 34 | $14.966,90 | 101 / 9 | $9.873,50 | 1031 / 33 | $8.802,33 | 1026 / 34 |
Respiratory Infections & Inflammations W Mcc | 25 | 111 / 30 | $28.200,90 | 332 / 19 | $14.554,00 | 1188 / 36 | $12.503,30 | 1173 / 23 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 39 | $27.369,50 | 90 / 9 | $15.362,10 | 1006 / 19 | $14.142,50 | 996 / 23 |
Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 14 | $42.442,90 | 37 / 1 | $21.633,70 | 372 / 3 | $20.374,40 | 371 / 5 |
Seizures W/O Mcc | 11 | 97 / 48 | $9.348,82 | 56 / 4 | $6.098,36 | 820 / 33 | $4.808,82 | 817 / 31 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 37 | $67.270,40 | 53 / 4 | $36.833,30 | 417 / 5 | $35.331,80 | 416 / 6 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 223 | 293 / 40 | $18.921,00 | 221 / 23 | $12.545,20 | 1664 / 38 | $11.359,80 | 1632 / 40 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 83 | 124 / 31 | $12.601,50 | 185 / 16 | $7.995,01 | 1673 / 57 | $6.527,96 | 1666 / 54 |
Signs & Symptoms W/O Mcc | 12 | 79 / 38 | $13.524,20 | 249 / 12 | $5.574,25 | 905 / 30 | $4.558,67 | 902 / 32 |
Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 51 | $11.686,20 | 229 / 23 | $7.294,97 | 2047 / 60 | $6.260,54 | 2039 / 63 |
Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 52 | $18.078,10 | 270 / 18 | $10.266,10 | 1795 / 45 | $9.386,35 | 1795 / 49 |
Spinal Fusion Except Cervical W/O Mcc | 32 | 162 / 23 | $34.732,00 | 24 / 6 | $25.381,20 | 258 / 9 | $20.225,30 | 257 / 2 | Total 53 procedures | 1.708 | 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.