Hospital Costs > In New Jersey > Clara Maass Medical Center, procedure costs

Clara Maass Medical Center, procedure costs

One Clara Maas Drive, Belleville, NJ 07109,

Procedure Costs @ Clara Maass Medical Center
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 Mcc158358 / 35$79.924,602431 / 18$13.869,802135 / 28$12.939,702098 / 36
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc135429 / 28$53.983,401465 / 9$15.980,402127 / 35$14.164,002084 / 37
Heart Failure & Shock W Mcc134150 / 21$65.514,302275 / 12$11.390,402078 / 32$10.672,302069 / 38
Kidney & Urinary Tract Infections W/O Mcc128105 / 14$42.736,602548 / 26$6.217,382169 / 32$5.375,312158 / 42
Chronic Obstructive Pulmonary Disease W Cc12257 / 6$47.384,502208 / 19$7.423,841935 / 33$6.490,591928 / 44
Heart Failure & Shock W Cc118160 / 23$51.356,902570 / 23$7.814,872177 / 34$6.943,712171 / 41
Cellulitis W/O Mcc10980 / 18$40.938,802429 / 25$6.745,752044 / 32$5.666,842036 / 41
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc101174 / 24$43.599,002555 / 36$6.510,172125 / 42$5.057,292111 / 41
Simple Pneumonia & Pleurisy W Cc99104 / 17$50.034,302560 / 23$7.822,732163 / 34$6.524,612155 / 38
Renal Failure W Cc96125 / 16$52.963,902296 / 26$7.807,541870 / 34$6.598,061860 / 37
G.I. Hemorrhage W Cc71147 / 25$51.798,002196 / 22$7.849,961960 / 31$7.120,611956 / 43
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc66100 / 22$38.797,802348 / 22$5.804,141974 / 33$4.820,791966 / 40
Chronic Obstructive Pulmonary Disease W Mcc65137 / 27$61.883,802372 / 25$9.054,582075 / 29$8.177,802067 / 40
Transient Ischemia6164 / 10$46.255,201533 / 35$5.753,971254 / 30$4.676,131248 / 38
Circulatory Disorders Except Ami, W Card Cath W/O Mcc60128 / 18$52.650,601268 / 12$8.367,121292 / 24$7.450,431289 / 32
Cardiac Arrhythmia & Conduction Disorders W Cc59102 / 20$45.611,502008 / 26$6.350,121721 / 32$5.520,561716 / 42
Acute Myocardial Infarction, Discharged Alive W Mcc5867 / 15$68.443,001438 / 14$12.653,801378 / 32$11.891,801367 / 36
Red Blood Cell Disorders W/O Mcc5588 / 17$35.843,701688 / 12$6.461,531570 / 29$5.731,441561 / 42
Diabetes W Cc5537 / 6$42.494,201450 / 18$6.640,001207 / 27$5.773,201202 / 38
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs54128 / 24$62.418,401904 / 29$8.640,481606 / 34$7.231,061603 / 39
Chest Pain5398 / 11$37.523,701545 / 31$5.027,251215 / 24$4.031,581208 / 34
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc53143 / 18$68.949,90656 / 1$15.568,801179 / 16$13.812,401172 / 23
Syncope & Collapse52117 / 26$44.847,801769 / 29$5.915,021400 / 33$4.859,711393 / 39
Simple Pneumonia & Pleurisy W Mcc50155 / 26$70.846,002244 / 21$11.082,202039 / 31$10.288,602038 / 42
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc4575 / 13$36.098,501871 / 14$5.997,531611 / 35$4.672,331600 / 38
Septicemia Or Severe Sepsis W Mv 96+ Hours4547 / 5$166.902,00619 / 6$38.180,10492 / 8$36.644,50491 / 12
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc4482 / 14$48.223,201459 / 14$8.579,861239 / 26$7.834,001236 / 33
Cardiac Arrhythmia & Conduction Disorders W Mcc4380 / 20$52.321,301576 / 9$9.319,631470 / 28$8.544,421467 / 39
Renal Failure W Mcc42153 / 26$71.180,801904 / 13$12.175,101597 / 33$10.652,501595 / 35
Heart Failure & Shock W/O Cc/Mcc3872 / 25$37.603,001864 / 24$5.513,531634 / 32$4.803,761621 / 44
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc37113 / 33$30.404,601767 / 16$4.719,621571 / 34$3.666,761565 / 42
Acute Myocardial Infarction, Discharged Alive W Cc3655 / 14$46.130,901133 / 9$7.898,811104 / 27$7.116,031102 / 35
Intracranial Hemorrhage Or Cerebral Infarction W Mcc35133 / 25$92.843,701451 / 31$12.874,701184 / 24$12.022,001178 / 32
G.I. Hemorrhage W/O Cc/Mcc3533 / 6$30.107,60809 / 14$5.723,91781 / 28$4.759,57777 / 37
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc35172 / 35$48.782,502233 / 14$8.183,801923 / 27$7.077,911915 / 34
Atherosclerosis W/O Mcc3325 / 6$33.006,80478 / 15$5.084,18 / 19$4.271,09 /
Peripheral Vascular Disorders W Cc3351 / 16$39.557,301007 / 9$8.192,61812 / 36$6.243,27809 / 28
Other Digestive System Diagnoses W Cc3265 / 15$47.186,501228 / 20$7.640,591088 / 28$6.832,941084 / 36
Infectious & Parasitic Diseases W O.R. Procedure W Mcc3292 / 26$158.123,001072 / 13$37.486,001041 / 24$36.009,101034 / 27
G.I. Hemorrhage W Mcc3190 / 20$82.094,901455 / 23$12.908,401167 / 25$12.002,701159 / 28
Major Small & Large Bowel Procedures W Mcc3154 / 15$159.675,00860 / 10$35.207,40748 / 19$32.924,50746 / 21
Medical Back Problems W/O Mcc3091 / 25$46.176,801359 / 23$6.798,901145 / 27$5.777,071141 / 41
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc2973 / 18$42.880,601404 / 13$6.168,831257 / 29$5.076,101253 / 36
Major Gastrointestinal Disorders & Peritoneal Infections W Cc2845 / 9$70.009,801060 / 33$9.225,71877 / 22$8.341,86875 / 29
Simple Pneumonia & Pleurisy W/O Cc/Mcc2865 / 19$39.512,401800 / 23$5.774,111559 / 31$4.596,431551 / 38
Major Small & Large Bowel Procedures W Cc2781 / 20$107.111,001274 / 23$18.434,501200 / 20$17.461,701186 / 31
Respiratory System Diagnosis W Ventilator Support <96 Hours27104 / 26$99.803,301515 / 18$17.256,901419 / 26$16.648,701405 / 39
Other Kidney & Urinary Tract Diagnoses W Cc2578 / 13$43.871,30694 / 6$7.729,04631 / 19$7.183,56631 / 26
Seizures W/O Mcc2583 / 28$47.923,201213 / 30$6.665,68897 / 34$5.087,72894 / 31
Degenerative Nervous System Disorders W/O Mcc2553 / 14$51.408,60783 / 19$7.781,60602 / 24$6.701,64602 / 28
Other Kidney & Urinary Tract Diagnoses W Mcc2477 / 17$59.715,50876 / 6$11.766,70829 / 19$11.105,40826 / 24
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc2439 / 7$138.976,00439 / 5$34.205,20495 / 12$33.164,00495 / 14
Other Vascular Procedures W Cc2478 / 18$117.727,00959 / 30$19.345,80885 / 26$18.486,20880 / 33
Hypertension W/O Mcc2441 / 7$30.982,50646 / 9$5.110,33550 / 18$4.066,33548 / 24
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2472 / 22$61.470,201288 / 23$9.232,171027 / 22$8.247,501022 / 28
Other Vascular Procedures W Mcc2374 / 17$96.433,20559 / 5$23.337,50641 / 18$22.657,70638 / 25
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc2321 / 7$70.878,40186 / 2$20.965,00286 / 10$18.997,20284 / 11
Respiratory System Diagnosis W Ventilator Support 96+ Hours2348 / 12$167.644,00641 / 4$34.934,40582 / 9$34.314,80581 / 10
Urinary Stones W/O Esw Lithotripsy W/O Mcc2224 / 5$37.539,50325 / 11$5.686,09293 / 14$4.522,09292 / 18
Other Circulatory System O.R. Procedures2233 / 5$111.545,00350 / 10$21.826,70225 / 19$17.745,70225 / 12
Hip & Femur Procedures Except Major Joint W Cc22121 / 36$63.397,001438 / 10$14.496,701597 / 29$13.333,501578 / 35
Signs & Symptoms W/O Mcc2170 / 17$39.296,001206 / 17$5.997,52777 / 23$4.225,86774 / 17
Poisoning & Toxic Effects Of Drugs W/O Mcc2140 / 4$31.830,10776 / 7$5.292,76644 / 12$4.421,24643 / 15
Renal Failure W/O Cc/Mcc2036 / 8$35.617,40786 / 11$5.457,30612 / 17$3.975,35611 / 16
Laparoscopic Cholecystectomy W/O C.D.E. W Cc2036 / 11$55.859,20531 / 5$12.491,80731 / 21$11.517,30728 / 28
Organic Disturbances & Mental Retardation2039 / 9$48.444,10488 / 9$7.756,35367 / 9$6.956,90367 / 15
O.R. Procedures For Obesity W/O Cc/Mcc1958 / 7$36.111,90144 / 9$11.960,70319 / 12$10.809,30318 / 17
Dysequilibrium1946 / 12$44.679,80535 / 25$5.190,32423 / 17$4.413,84423 / 25
Respiratory Infections & Inflammations W Mcc18118 / 30$91.342,601599 / 23$14.806,201486 / 29$14.106,601470 / 35
Respiratory Infections & Inflammations W Cc1870 / 23$69.392,301332 / 21$10.454,501212 / 23$9.827,061207 / 31
Digestive Malignancy W Cc1829 / 9$62.482,80353 / 14$9.691,72285 / 14$9.008,06283 / 21
Kidney & Urinary Tract Infections W Mcc18126 / 36$54.248,201732 / 16$8.778,061597 / 30$8.089,831593 / 38
Circulatory Disorders Except Ami, W Card Cath W Mcc1875 / 18$83.280,90682 / 8$15.369,40654 / 17$14.410,50647 / 23
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc1838 / 7$75.176,00566 / 9$13.927,70460 / 11$13.000,20459 / 15
Extracranial Procedures W/O Cc/Mcc1781 / 13$25.997,90309 / 1$8.199,41748 / 14$6.988,88745 / 17
Transurethral Procedures W Cc1724 / 11$50.053,60281 / 8$9.794,18306 / 16$8.716,59306 / 23
Other Circulatory System Diagnoses W Mcc1799 / 28$71.282,201066 / 14$14.208,30998 / 26$13.545,60991 / 34
G.I. Obstruction W/O Cc/Mcc1754 / 20$30.189,701115 / 11$5.089,411059 / 27$4.163,241056 / 36
Other Digestive System Diagnoses W Mcc1745 / 12$59.439,40549 / 3$12.503,60495 / 12$11.782,40494 / 18
Respiratory Neoplasms W Mcc1735 / 10$70.395,90500 / 6$12.851,70484 / 14$12.190,80481 / 18
Postoperative & Post-Traumatic Infections W/O Mcc1638 / 8$35.412,80337 / 6$8.370,94193 / 13$5.905,94193 / 8
Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Mcc1611 / 2$101.197,0046 / 2$21.814,5025 / 2$20.325,1025 / 2
G.I. Obstruction W Cc1676 / 26$48.671,801583 / 28$7.093,441282 / 26$5.791,881277 / 31
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1640 / 15$49.088,40556 / 9$12.326,70752 / 24$11.415,70749 / 29
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.1648 / 13$258.500,00263 / 3$70.698,20329 / 13$68.923,60329 / 16
Permanent Cardiac Pacemaker Implant W Cc1562 / 20$74.950,00561 / 5$19.447,10746 / 20$18.543,70743 / 25
Major Cardiovasc Procedures W Mcc1553 / 12$118.230,00202 / 1$36.738,80398 / 6$35.990,50397 / 8
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1532 / 12$46.394,70387 / 12$9.468,53493 / 13$8.488,40492 / 21
Peripheral Vascular Disorders W Mcc1435 / 12$74.520,70537 / 15$10.459,90415 / 12$9.578,79415 / 17
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc1420 / 1$174.029,00158 / 3$34.049,50130 / 2$32.482,90130 / 4
Red Blood Cell Disorders W Mcc1457 / 20$73.357,701046 / 28$9.654,36745 / 22$8.578,43741 / 23
Bronchitis & Asthma W Cc/Mcc1462 / 24$36.076,00829 / 6$7.042,64712 / 20$5.516,79708 / 25
Cranial & Peripheral Nerve Disorders W/O Mcc1454 / 13$46.596,70657 / 17$7.031,79484 / 18$5.902,43484 / 19
Cellulitis W Mcc1444 / 19$61.675,10823 / 12$10.838,10712 / 18$10.131,20710 / 26
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents1486 / 19$111.453,00605 / 4$23.300,30703 / 8$22.070,40699 / 10
Bronchitis & Asthma W/O Cc/Mcc1332 / 11$29.077,40295 / 3$5.340,54276 / 13$4.401,54276 / 20
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc1378 / 13$26.581,10131 / 4$8.610,77255 / 7$8.508,00255 / 10
Fractures Of Hip & Pelvis W/O Mcc1348 / 20$41.778,50874 / 28$5.836,38735 / 25$4.801,38734 / 31
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1340 / 21$36.662,60683 / 17$6.067,15693 / 28$5.225,54689 / 34
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc1340 / 11$44.961,30363 / 3$9.225,38339 / 12$8.697,54339 / 18
Disorders Of Pancreas Except Malignancy W Cc1348 / 13$65.320,90924 / 29$7.306,69715 / 18$6.260,85712 / 24
Permanent Cardiac Pacemaker Implant W Mcc1240 / 17$114.055,00392 / 4$26.985,20450 / 12$26.050,00450 / 16
Pulmonary Embolism W/O Mcc1262 / 23$57.749,801209 / 17$8.158,58953 / 26$6.335,08950 / 24
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1226 / 11$33.912,50399 / 11$5.377,17373 / 10$4.564,50372 / 16
Transurethral Prostatectomy W Cc/Mcc1113 / 1$65.922,5041 / 1$10.576,1034 / 1$9.795,0934 / 1
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc1146 / 20$70.625,90512 / 10$16.036,30516 / 19$13.983,80515 / 16
Other Endocrine, Nutrit & Metab O.R. Proc W Cc1112 / 2$70.730,6028 / 2$15.413,7025 / 3$14.619,5025 / 4
Total 107 procedures3.858discharges

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.