Hospital Costs > In New Jersey > University Hospital Newark, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cellulitis W/O Mcc | 26 | 163 / 54 | $49.135,00 | 2549 / 42 | $15.389,00 | 2613 / 62 | $11.312,70 | 2605 / 61 |
Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 45 | $46.802,40 | 2198 / 18 | $15.214,40 | 2432 / 61 | $12.653,40 | 2425 / 61 |
Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 51 | $45.949,40 | 2091 / 6 | $16.819,10 | 2550 / 60 | $14.250,00 | 2542 / 60 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 12 | 30 / 6 | $129.043,00 | 292 / 10 | $30.033,40 | 293 / 11 | $25.107,40 | 293 / 11 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 14 | 28 / 6 | $242.020,00 | 155 / 4 | $63.035,90 | 170 / 6 | $55.823,80 | 170 / 6 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 14 | 84 / 11 | $260.647,00 | 477 / 14 | $47.793,20 | 480 / 17 | $43.009,90 | 480 / 17 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 12 | 62 / 6 | $118.513,00 | 246 / 6 | $26.070,50 | 253 / 7 | $21.320,00 | 252 / 7 |
Diabetes W Cc | 16 | 76 / 28 | $39.436,20 | 1389 / 14 | $13.737,10 | 1602 / 57 | $11.247,10 | 1597 / 56 |
Diabetes W Mcc | 14 | 43 / 14 | $132.903,00 | 746 / 32 | $26.063,90 | 743 / 33 | $21.286,80 | 742 / 33 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 37 | 33 / 1 | $59.689,50 | 538 / 12 | $16.217,30 | 562 / 18 | $12.406,40 | 562 / 18 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 50 | 26 / 1 | $89.099,60 | 471 / 7 | $26.277,00 | 541 / 20 | $21.792,10 | 541 / 20 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 15 | 66 / 9 | $767.138,00 | 404 / 12 | $196.143,00 | 399 / 16 | $165.118,00 | 398 / 17 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 52 | $28.375,90 | 2085 / 5 | $12.067,90 | 2699 / 61 | $9.769,07 | 2684 / 61 |
G.I. Hemorrhage W Cc | 16 | 202 / 48 | $53.926,40 | 2233 / 26 | $15.687,60 | 2415 / 60 | $12.934,10 | 2411 / 60 |
G.I. Hemorrhage W Mcc | 11 | 110 / 33 | $87.061,50 | 1494 / 28 | $27.104,00 | 1661 / 56 | $23.441,00 | 1651 / 56 |
Heart Failure & Shock W Cc | 15 | 263 / 52 | $62.554,60 | 2683 / 43 | $16.146,70 | 2735 / 62 | $12.703,70 | 2729 / 62 |
Heart Failure & Shock W Mcc | 14 | 270 / 57 | $81.123,60 | 2463 / 34 | $24.059,30 | 2617 / 62 | $20.406,10 | 2606 / 62 |
Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 36 | $105.053,00 | 1924 / 44 | $24.671,90 | 2029 / 52 | $21.363,00 | 2007 / 53 |
Hiv W Major Related Condition W Cc | 14 | 10 / 1 | $50.904,60 | 24 / 1 | $19.533,30 | 38 / 4 | $16.287,40 | 38 / 4 |
Hiv W Major Related Condition W Mcc | 25 | 13 / 1 | $158.632,00 | 84 / 7 | $39.583,90 | 84 / 8 | $34.245,30 | 84 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 39 | 143 / 33 | $68.139,30 | 1981 / 40 | $16.694,30 | 2059 / 59 | $13.407,30 | 2054 / 59 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 37 | 131 / 24 | $103.090,00 | 1519 / 41 | $25.533,40 | 1602 / 54 | $21.030,70 | 1595 / 53 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 28 | $44.343,40 | 1425 / 19 | $12.681,30 | 1600 / 50 | $10.277,70 | 1596 / 50 |
Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 52 | $40.844,50 | 2512 / 19 | $12.609,20 | 2686 / 60 | $10.040,00 | 2675 / 60 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 24 | 540 / 49 | $129.546,00 | 2621 / 51 | $28.902,80 | 2671 / 57 | $25.034,20 | 2625 / 57 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 30 | $165.703,00 | 1483 / 38 | $37.504,50 | 1528 / 45 | $31.761,80 | 1514 / 45 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 37 | $84.343,10 | 1713 / 44 | $19.893,90 | 1722 / 55 | $14.671,30 | 1718 / 55 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 48 | $45.188,70 | 2445 / 36 | $12.682,90 | 2522 / 60 | $9.978,50 | 2513 / 60 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 32 | $84.601,00 | 1181 / 22 | $25.562,60 | 1361 / 52 | $21.703,50 | 1353 / 51 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 25 | $98.741,10 | 1059 / 31 | $25.727,30 | 1102 / 38 | $21.588,80 | 1098 / 38 |
Other O.R. Procedures For Injuries W Cc | 12 | 23 / 4 | $97.000,40 | 158 / 6 | $27.769,20 | 169 / 7 | $23.020,60 | 169 / 7 |
Psychoses | 169 | 142 / 5 | $110.270,00 | 618 / 20 | $23.712,70 | 607 / 21 | $14.559,40 | 607 / 21 |
Red Blood Cell Disorders W/O Mcc | 38 | 105 / 28 | $40.377,70 | 1769 / 17 | $13.544,70 | 1983 / 60 | $11.273,20 | 1974 / 60 |
Renal Failure W Cc | 30 | 191 / 45 | $45.114,60 | 2157 / 14 | $15.365,60 | 2419 / 59 | $12.481,00 | 2409 / 59 |
Renal Failure W Mcc | 19 | 176 / 42 | $98.045,30 | 2105 / 46 | $24.768,30 | 2153 / 59 | $20.393,20 | 2149 / 59 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 33 | $97.787,50 | 1493 / 16 | $29.760,00 | 1825 / 55 | $26.107,70 | 1811 / 55 |
Seizures W Mcc | 22 | 44 / 10 | $85.636,20 | 702 / 16 | $23.782,40 | 764 / 27 | $19.930,10 | 764 / 27 |
Seizures W/O Mcc | 50 | 58 / 12 | $34.365,50 | 1050 / 12 | $12.903,60 | 1296 / 52 | $10.331,90 | 1294 / 52 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 23 | 69 / 15 | $277.034,00 | 960 / 33 | $74.320,40 | 1069 / 47 | $64.448,40 | 1068 / 47 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 69 | 447 / 51 | $102.453,00 | 2657 / 40 | $27.568,10 | 2791 / 62 | $22.929,30 | 2746 / 62 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 42 | $58.908,50 | 2397 / 28 | $16.585,00 | 2549 / 59 | $13.255,00 | 2539 / 59 |
Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 49 | $42.491,90 | 2396 / 14 | $14.927,70 | 2803 / 62 | $12.366,10 | 2794 / 62 |
Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 22 | $181.670,00 | 1226 / 27 | $44.434,90 | 1342 / 29 | $41.381,90 | 1337 / 29 |
Syncope & Collapse | 16 | 153 / 44 | $44.096,30 | 1758 / 27 | $12.502,10 | 1885 / 61 | $8.904,12 | 1877 / 61 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 18 | $478.044,00 | 496 / 22 | $112.590,00 | 511 / 32 | $99.353,80 | 510 / 32 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 11 | 32 / 6 | $202.022,00 | 146 / 7 | $38.423,30 | 145 / 7 | $31.238,20 | 145 / 7 | Total 46 procedures | 1.108 | 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.