Hospital Costs > In New Jersey > Bergen Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 11 | 16 / 3 | $38.367,50 | 76 / 1 | $20.952,80 | 135 / 3 | $18.809,40 | 135 / 3 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 167 | 22 / 1 | $14.488,00 | 317 / 1 | $13.841,20 | 831 / 31 | $12.349,70 | 830 / 31 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 27 | 22 / 1 | $8.462,41 | 60 / 1 | $11.825,50 | 107 / 3 | $10.841,70 | 106 / 3 |
| Cellulitis W/O Mcc | 17 | 172 / 56 | $24.279,90 | 1836 / 5 | $15.283,60 | 2627 / 61 | $13.480,70 | 2619 / 62 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 47 | $21.546,90 | 1030 / 2 | $14.723,90 | 1996 / 61 | $13.557,10 | 1987 / 61 |
| Renal Failure W Cc | 17 | 204 / 50 | $28.877,30 | 1655 / 3 | $16.046,90 | 2433 / 60 | $14.611,90 | 2423 / 60 |
| Seizures W/O Mcc | 13 | 95 / 38 | $26.538,20 | 832 / 3 | $14.650,50 | 1314 / 53 | $13.313,40 | 1312 / 53 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 25 | $105.578,00 | 220 / 1 | $50.721,30 | 934 / 41 | $48.681,50 | 933 / 42 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 55 | $59.331,50 | 2073 / 5 | $23.238,10 | 2779 / 61 | $21.585,50 | 2734 / 61 |
| Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 47 | $30.292,70 | 1958 / 4 | $16.292,40 | 2815 / 63 | $14.806,30 | 2806 / 63 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 47 | $42.411,70 | 1654 / 3 | $20.016,30 | 2510 / 59 | $18.459,40 | 2504 / 60 | Total 11 procedures | 342 | 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.