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Mercy Hospital Buffalo, procedure costs

565 Abbott Road, Buffalo, NY 14220,

Procedure Costs @ Mercy Hospital Buffalo
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 Mcc220296 / 43$27.789,90684 / 43$12.436,801524 / 37$11.058,101493 / 37
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc94113 / 26$13.282,40232 / 21$7.236,031484 / 34$6.235,521478 / 37
Heart Failure & Shock W Cc91187 / 37$15.020,40583 / 35$7.062,251515 / 50$5.792,431510 / 33
Circulatory Disorders Except Ami, W Card Cath W/O Mcc85103 / 15$16.781,0049 / 3$7.701,62978 / 16$6.290,14975 / 17
Heart Failure & Shock W Mcc81203 / 38$18.965,80373 / 26$10.092,501458 / 37$8.968,531454 / 30
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc78197 / 45$12.511,40458 / 34$5.358,191751 / 42$4.405,581738 / 52
G.I. Hemorrhage W Cc67151 / 36$15.181,10317 / 24$7.062,821443 / 40$5.880,451439 / 42
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs63119 / 20$16.826,90266 / 16$7.246,211230 / 25$6.186,651227 / 27
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc60504 / 70$23.515,4050 / 9$14.357,801353 / 33$11.706,901321 / 26
Renal Failure W Cc57164 / 36$13.829,10368 / 22$7.098,281305 / 45$5.499,071297 / 26
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc54112 / 41$11.220,50455 / 29$5.129,071587 / 45$4.158,701582 / 48
Acute Myocardial Infarction, Discharged Alive W Mcc5174 / 17$22.341,30209 / 18$11.523,10733 / 30$9.544,59732 / 18
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc48148 / 27$46.469,50161 / 18$13.430,90857 / 9$11.896,90851 / 11
Intracranial Hemorrhage Or Cerebral Infarction W Mcc47121 / 22$26.100,20236 / 13$11.506,30746 / 11$10.024,10745 / 10
Cardiac Arrhythmia & Conduction Disorders W Cc44117 / 30$11.928,40227 / 15$5.668,681388 / 36$4.791,951383 / 43
Chronic Obstructive Pulmonary Disease W Mcc43159 / 46$14.765,40300 / 25$7.837,491517 / 30$6.861,491510 / 38
Pulmonary Edema & Respiratory Failure41162 / 26$23.238,80613 / 33$8.918,831448 / 43$7.717,981443 / 41
Acute Myocardial Infarction, Discharged Alive W Cc4051 / 9$16.901,70170 / 15$7.562,33817 / 29$6.164,12815 / 26
Chronic Obstructive Pulmonary Disease W Cc40139 / 40$12.243,30257 / 21$6.496,951608 / 40$5.693,751601 / 51
Spinal Fusion Except Cervical W/O Mcc39155 / 17$48.885,00108 / 14$27.095,90318 / 13$20.689,50317 / 3
Seizures W/O Mcc3672 / 28$12.274,40142 / 14$5.371,64645 / 18$4.381,25642 / 15
Other Vascular Procedures W Cc3567 / 19$31.803,1042 / 2$17.418,80306 / 8$13.967,40304 / 3
Infectious & Parasitic Diseases W O.R. Procedure W Mcc3589 / 30$95.137,80434 / 23$37.701,00952 / 23$34.644,30946 / 21
Cellulitis W/O Mcc35154 / 62$10.847,70341 / 27$5.904,631587 / 45$4.818,461580 / 47
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc3554 / 7$15.675,7040 / 5$7.565,83411 / 5$6.057,11410 / 7
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc3468 / 20$15.568,80293 / 17$5.467,85982 / 17$4.311,15978 / 26
Simple Pneumonia & Pleurisy W Cc33170 / 57$11.903,90246 / 25$7.177,271404 / 57$5.424,391398 / 30
Kidney & Urinary Tract Infections W/O Mcc32201 / 67$12.682,10608 / 32$5.570,811790 / 41$4.676,311779 / 49
Red Blood Cell Disorders W/O Mcc32111 / 44$11.256,60174 / 8$5.728,311194 / 28$4.781,311186 / 35
Hip & Femur Procedures Except Major Joint W Cc32111 / 38$26.123,30104 / 10$13.364,10926 / 31$10.841,90913 / 17
Syncope & Collapse31138 / 60$11.212,50159 / 11$5.284,131129 / 27$4.266,841122 / 34
Renal Failure W Mcc31164 / 40$31.364,80840 / 30$10.286,701001 / 15$8.941,711001 / 15
Simple Pneumonia & Pleurisy W Mcc31174 / 45$19.523,20357 / 25$9.490,191407 / 24$8.509,551407 / 26
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc30120 / 43$8.147,13156 / 11$4.538,231328 / 50$3.202,331323 / 49
G.I. Hemorrhage W Mcc3091 / 25$30.587,20343 / 18$11.879,50938 / 15$10.979,20932 / 17
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc2921 / 4$83.340,8022 / 4$35.387,9082 / 1$31.745,8082 / 3
G.I. Obstruction W Cc2864 / 18$20.616,50694 / 34$7.629,321311 / 53$5.892,321306 / 46
Medical Back Problems W/O Mcc2893 / 36$15.019,00226 / 17$5.897,39779 / 18$4.709,39776 / 17
Heart Failure & Shock W/O Cc/Mcc2882 / 35$8.658,50160 / 12$4.945,501123 / 36$3.873,501114 / 31
Cardiac Arrhythmia & Conduction Disorders W Mcc2895 / 32$20.949,90387 / 24$8.203,391093 / 20$7.335,391090 / 25
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents2773 / 17$57.853,3065 / 6$20.838,40402 / 2$18.735,30400 / 4
Coronary Bypass W Cardiac Cath W/O Mcc2650 / 9$82.799,5047 / 3$29.367,80264 / 4$26.112,20264 / 2
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc2631 / 11$40.772,00161 / 11$14.553,80366 / 6$12.431,70365 / 7
Chest Pain24127 / 51$8.943,88104 / 5$4.533,331054 / 20$3.653,331047 / 26
Major Small & Large Bowel Procedures W Cc2286 / 27$32.476,4079 / 9$18.315,40327 / 27$12.975,70325 / 6
Signs & Symptoms W/O Mcc2269 / 29$16.004,00404 / 22$5.286,82811 / 23$4.312,18808 / 25
Major Small & Large Bowel Procedures W Mcc2263 / 20$85.363,90241 / 9$34.101,10743 / 9$32.894,50741 / 12
Major Cardiovasc Procedures W/O Mcc2279 / 24$60.527,20134 / 8$22.188,10460 / 6$19.937,00460 / 7
Permanent Cardiac Pacemaker Implant W Cc2255 / 19$44.544,00130 / 9$17.310,90231 / 9$14.224,20230 / 4
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc2273 / 20$53.186,00131 / 8$14.057,50292 / 6$11.804,90289 / 5
Circulatory Disorders Except Ami, W Card Cath W Mcc2172 / 18$20.664,4011 / 1$14.954,80142 / 8$10.762,00139 / 2
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc2197 / 16$77.545,1024 / 2$34.226,404 / 6$21.519,804 / 1
Cervical Spinal Fusion W/O Cc/Mcc2183 / 15$21.341,6014 / 3$14.645,00451 / 4$12.425,20449 / 4
G.I. Obstruction W/O Cc/Mcc2150 / 18$9.696,62120 / 11$4.836,76834 / 31$3.518,67831 / 28
Diabetes W Cc2171 / 28$12.578,00184 / 11$6.069,71583 / 21$4.369,14582 / 10
Pulmonary Embolism W/O Mcc2153 / 13$13.220,00101 / 7$7.655,19617 / 23$5.400,52614 / 14
Septicemia Or Severe Sepsis W Mv 96+ Hours2171 / 32$147.227,00506 / 51$45.012,60791 / 23$42.953,90790 / 27
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim1947 / 8$22.143,6021 / 1$12.350,90141 / 2$9.778,79141 / 2
Transient Ischemia19106 / 39$12.912,20176 / 17$5.120,321069 / 27$4.179,681064 / 36
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.1962 / 15$410.060,00188 / 10$147.894,00278 / 6$122.928,00277 / 3
Peripheral Vascular Disorders W Cc1866 / 30$24.748,10634 / 30$7.019,50802 / 16$6.195,50799 / 21
Respiratory Infections & Inflammations W Mcc18118 / 36$29.343,00366 / 20$12.245,10865 / 11$11.309,10855 / 14
Major Cardiovasc Procedures W Mcc1751 / 17$136.476,00291 / 11$41.516,00501 / 7$40.465,50500 / 10
Coronary Bypass W Cardiac Cath W Mcc1739 / 7$124.370,0047 / 4$46.075,40258 / 3$45.197,30258 / 5
Other Circulatory System Diagnoses W Mcc1799 / 31$57.881,20900 / 48$20.077,801324 / 53$19.149,701316 / 59
Permanent Cardiac Pacemaker Implant W Mcc1735 / 10$48.153,8028 / 3$22.415,90235 / 4$21.330,70235 / 5
Other Vascular Procedures W/O Cc/Mcc1739 / 13$18.558,608 / 1$11.719,90254 / 3$9.455,88253 / 2
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc1729 / 10$12.184,9011 / 1$7.618,1270 / 4$4.959,7170 / 1
Fractures Of Hip & Pelvis W/O Mcc1645 / 19$8.150,8136 / 2$4.845,44421 / 8$3.755,44421 / 9
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1646 / 28$12.479,60118 / 12$5.295,56399 / 17$4.184,56398 / 17
Coronary Bypass W/O Cardiac Cath W/O Mcc1672 / 14$58.656,6035 / 2$21.221,8065 / 1$18.111,0065 / 1
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc16104 / 39$9.993,31242 / 21$5.345,251331 / 46$4.119,621320 / 43
Respiratory System Diagnosis W Ventilator Support <96 Hours16115 / 36$39.698,20316 / 25$14.587,90852 / 13$13.522,90844 / 15
Cranial & Peripheral Nerve Disorders W/O Mcc1553 / 19$9.572,6030 / 1$6.477,33302 / 8$5.024,87302 / 5
Seizures W Mcc1551 / 16$30.323,50175 / 2$12.641,00354 / 11$9.223,27354 / 2
Other Digestive System Diagnoses W Cc1582 / 34$22.617,90539 / 25$8.420,271097 / 36$6.879,801093 / 34
Other Vascular Procedures W Mcc1582 / 27$60.726,50167 / 15$27.891,10534 / 21$21.013,70531 / 10
Disorders Of Pancreas Except Malignancy W Cc1546 / 15$17.142,90184 / 8$6.467,67583 / 9$5.580,20580 / 12
Poisoning & Toxic Effects Of Drugs W/O Mcc1447 / 21$16.787,60386 / 18$4.793,07490 / 12$3.851,36489 / 13
Respiratory Infections & Inflammations W Cc1474 / 32$14.677,9094 / 7$8.521,93661 / 13$7.685,36657 / 16
Degenerative Nervous System Disorders W/O Mcc1365 / 34$12.854,2068 / 1$6.564,69360 / 3$5.489,00360 / 9
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc1318 / 5$39.524,7019 / 2$12.035,4061 / 3$10.830,5061 / 3
Postoperative & Post-Traumatic Infections W/O Mcc1341 / 12$15.087,1048 / 4$6.847,54242 / 8$6.309,69242 / 14
Cervical Spinal Fusion W Cc1340 / 8$35.604,0020 / 1$17.852,0053 / 1$14.654,4053 / 2
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc1334 / 4$49.769,101 / 1$38.229,3052 / 2$37.078,5052 / 3
Combined Anterior/Posterior Spinal Fusion W Cc1333 / 4$48.879,802 / 1$46.907,6034 / 1$45.052,8034 / 1
Simple Pneumonia & Pleurisy W/O Cc/Mcc1281 / 39$9.357,75175 / 15$5.591,42867 / 44$3.563,08863 / 13
Respiratory Neoplasms W Cc1235 / 15$17.109,6042 / 3$7.974,50250 / 5$7.086,50249 / 8
Craniotomy & Endovascular Intracranial Procedures W Mcc1286 / 19$118.900,00261 / 10$38.059,40443 / 7$36.794,10443 / 16
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1241 / 20$14.699,70130 / 10$5.449,42581 / 12$4.600,08577 / 20
Poisoning & Toxic Effects Of Drugs W Mcc1161 / 15$39.114,90561 / 17$11.889,80686 / 16$9.718,82684 / 13
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc1163 / 9$40.964,7028 / 4$15.893,10153 / 2$14.850,20152 / 3
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc11115 / 50$13.904,40119 / 5$7.590,55978 / 9$6.981,09975 / 16
Extracranial Procedures W/O Cc/Mcc1187 / 25$15.437,2058 / 6$7.178,55584 / 8$6.055,64582 / 11
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc1129 / 15$13.275,0014 / 1$8.293,7352 / 7$5.808,9152 / 2
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc1158 / 15$47.250,50125 / 13$12.494,30405 / 8$11.458,60403 / 10
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc11105 / 20$128.373,0038 / 3$57.324,707 / 4$38.131,107 / 1
Total 97 procedures2.939discharges

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.