Major Chest Procedures W Mcc - costs for treatment in New Jersey

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Major Chest Procedures W Mcc - costs for treatment in New Jersey


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Jersey Shore University Medical CenterNeptune29$276,619.00$40,542.10$36,266.30
Hackensack University Medical CenterHackensack22$244,883.00$48,330.30$41,000.60
Morristown Medical CenterMorristown22$104,377.00$37,711.60$35,717.90
Community Medical Center Toms RiverToms River16$166,877.00$30,683.70$29,929.70
Saint Barnabas Medical CenterLivingston15$208,760.00$47,720.30$36,938.30
Atlanticare Regional Medical Center - City DivPomona14$310,453.00$38,198.90$37,120.10
Kennedy University Hospital - Stratford DivStratford14$178,561.00$37,328.80$32,256.30
St Joseph's Regional Medical CenterPaterson13$206,490.00$43,439.00$40,779.00
Centrastate Medical CenterFreehold12$141,044.00$26,943.90$24,402.50
Ocean Medical CenterBrick12$212,627.00$30,565.20$29,957.20
Virtua West Jersey Hospitals BerlinBerlin12$211,153.00$31,090.40$29,898.90
Inspira Medical Center WoodburyWoodbury11$177,221.00$32,390.80$31,128.70
Total 12 hospitals192

DATA

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.





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