Hospital Costs > In New Jersey > Robert Wood Johnson University Hospital Somerset, procedure costs

Robert Wood Johnson University Hospital Somerset, procedure costs

110 Rehill Ave, Somerville, NJ 08876,

Procedure Costs @ Robert Wood Johnson University Hospital Somerset
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 Mcc233283 / 22$116.185,002733 / 51$11.941,901462 / 10$10.954,701433 / 12
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc176388 / 22$77.028,902149 / 35$13.799,901318 / 14$11.631,401286 / 9
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc176100 / 8$51.809,702653 / 49$4.906,64808 / 12$3.637,18803 / 13
Heart Failure & Shock W Mcc142142 / 19$106.596,002582 / 54$9.644,181319 / 15$8.747,501316 / 13
Heart Failure & Shock W Cc133145 / 21$76.428,502743 / 56$6.408,641216 / 13$5.466,281213 / 15
Chronic Obstructive Pulmonary Disease W Mcc11983 / 7$101.644,002554 / 54$7.683,831358 / 15$6.652,991352 / 13
Renal Failure W Cc116105 / 10$69.181,102404 / 51$6.205,96980 / 12$5.162,47972 / 12
Cardiac Arrhythmia & Conduction Disorders W Cc10160 / 9$68.536,602147 / 53$5.178,54716 / 10$4.026,14713 / 14
Simple Pneumonia & Pleurisy W Mcc99106 / 9$103.936,002475 / 52$9.457,671177 / 11$8.104,741177 / 9
Syncope & Collapse9970 / 9$57.545,301892 / 52$5.062,99466 / 17$3.517,51464 / 12
Kidney & Urinary Tract Infections W/O Mcc95138 / 25$61.736,102692 / 52$5.343,96976 / 19$3.946,73969 / 14
G.I. Hemorrhage W Cc94124 / 17$72.351,702389 / 49$6.505,171023 / 13$5.385,331021 / 13
Respiratory Infections & Inflammations W Mcc9147 / 2$111.219,001705 / 37$12.431,30927 / 14$11.493,60917 / 13
Simple Pneumonia & Pleurisy W Cc87116 / 22$74.435,502787 / 56$6.445,37910 / 12$5.009,07907 / 8
Cellulitis W/O Mcc81108 / 29$51.673,402570 / 45$5.572,05928 / 13$4.223,38922 / 12
Renal Failure W Mcc77118 / 12$100.905,002117 / 48$10.078,10957 / 12$8.835,10957 / 11
Chest Pain7774 / 6$42.754,301632 / 42$3.911,78477 / 8$2.901,90475 / 10
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc7393 / 18$48.889,402485 / 46$4.567,29857 / 12$3.548,40854 / 12
Transient Ischemia7154 / 7$57.410,001621 / 48$4.595,69708 / 10$3.598,69704 / 18
Red Blood Cell Disorders W/O Mcc7073 / 12$69.119,301991 / 56$5.218,47687 / 9$4.172,27683 / 11
Intracranial Hemorrhage Or Cerebral Infarction W Mcc6999 / 12$107.728,001541 / 44$12.153,60543 / 19$9.447,38542 / 7
Chronic Obstructive Pulmonary Disease W Cc68111 / 23$83.170,402434 / 56$6.326,431121 / 15$5.074,561117 / 13
Kidney & Urinary Tract Infections W Mcc6678 / 13$73.499,501905 / 41$7.202,39838 / 12$6.146,06837 / 11
Acute Myocardial Infarction, Discharged Alive W Mcc6560 / 10$122.001,001768 / 50$10.843,00820 / 17$9.769,35819 / 17
Hip & Femur Procedures Except Major Joint W Cc6281 / 15$80.087,201709 / 29$12.883,20741 / 15$10.499,00734 / 2
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs60122 / 21$89.632,302054 / 50$7.077,32884 / 17$5.669,10882 / 14
Circulatory Disorders Except Ami, W Card Cath W/O Mcc60128 / 18$81.803,401573 / 39$7.098,68511 / 9$5.461,37509 / 5
Cardiac Arrhythmia & Conduction Disorders W Mcc6063 / 12$97.131,301890 / 51$7.959,03879 / 12$6.939,68876 / 14
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc58138 / 17$134.855,001393 / 31$13.491,00638 / 5$11.061,10634 / 6
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc5595 / 21$44.037,501944 / 50$3.985,91378 / 20$2.336,91375 / 8
Medical Back Problems W/O Mcc5368 / 16$64.332,701468 / 45$6.208,30476 / 21$4.193,38476 / 11
Heart Failure & Shock W/O Cc/Mcc5258 / 16$50.673,601980 / 50$4.378,12586 / 12$3.378,81584 / 12
G.I. Obstruction W Cc4943 / 6$78.867,301719 / 45$6.287,80674 / 17$4.667,45673 / 10
G.I. Hemorrhage W Mcc4675 / 12$104.579,001581 / 39$11.476,40641 / 13$10.047,10642 / 8
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc4581 / 13$83.795,701709 / 43$7.222,82624 / 9$6.239,36621 / 9
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc42165 / 31$69.787,302488 / 40$6.924,981171 / 11$5.838,431166 / 12
Seizures W/O Mcc4167 / 20$51.858,001243 / 35$4.914,95351 / 8$3.846,56349 / 8
Pulmonary Edema & Respiratory Failure40163 / 22$107.973,002216 / 47$8.728,38911 / 23$6.820,35911 / 8
Acute Myocardial Infarction, Discharged Alive W Cc4051 / 12$89.691,101412 / 48$6.871,27682 / 14$5.823,52680 / 17
Peripheral Vascular Disorders W Cc3945 / 11$67.540,401232 / 43$6.528,62363 / 15$5.038,56361 / 8
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc3864 / 13$55.690,801540 / 39$4.886,74389 / 7$3.488,55386 / 8
Major Chest Procedures W/O Cc/Mcc3824 / 3$36.773,3053 / 3$11.144,6080 / 1$9.994,3280 / 2
Permanent Cardiac Pacemaker Implant W Cc3740 / 9$142.754,00916 / 31$17.404,30381 / 8$15.044,60380 / 4
Major Small & Large Bowel Procedures W Cc3573 / 15$119.363,001339 / 28$15.089,50544 / 4$13.781,70538 / 2
Other Digestive System Diagnoses W Cc3364 / 14$62.402,801373 / 39$6.356,12370 / 8$4.992,58367 / 6
Bronchitis & Asthma W Cc/Mcc3343 / 9$77.939,001079 / 40$5.692,94338 / 5$4.409,39334 / 7
Respiratory Infections & Inflammations W Cc3355 / 12$90.814,601438 / 38$8.693,03729 / 8$7.809,55724 / 10
Infectious & Parasitic Diseases W O.R. Procedure W Mcc3292 / 26$235.875,001377 / 38$33.949,80785 / 14$32.538,60779 / 15
Diabetes W Cc3161 / 13$56.690,301570 / 40$5.311,42515 / 10$4.299,81515 / 11
Other Kidney & Urinary Tract Diagnoses W Mcc2873 / 15$91.767,101046 / 26$10.055,20428 / 8$8.857,71427 / 6
Other Disorders Of Nervous System W Cc2729 / 3$61.962,10598 / 21$5.777,00228 / 3$4.983,89228 / 10
Seizures W Mcc2739 / 6$107.314,00747 / 24$10.040,60347 / 7$9.186,48347 / 9
Respiratory System Diagnosis W Ventilator Support <96 Hours27104 / 26$163.275,001801 / 51$16.281,301157 / 19$14.865,901144 / 20
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc2762 / 7$37.326,70420 / 3$6.982,70361 / 3$5.816,41360 / 6
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc2730 / 8$112.948,00681 / 25$15.130,00288 / 10$11.865,40287 / 3
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents2773 / 13$192.593,00944 / 23$20.582,20388 / 2$18.607,40386 / 2
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2769 / 20$79.783,001414 / 39$7.721,26608 / 9$6.893,93603 / 12
Pulmonary Embolism W/O Mcc2648 / 11$86.015,001272 / 34$6.557,04509 / 9$5.209,62507 / 7
G.I. Hemorrhage W/O Cc/Mcc2642 / 13$44.529,50955 / 37$4.625,42238 / 12$3.244,27236 / 7
Other Vascular Procedures W Cc2676 / 17$124.332,00991 / 34$16.046,80477 / 5$14.794,20474 / 6
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc2595 / 30$58.382,202082 / 50$5.036,24369 / 16$3.206,16368 / 1
Other Vascular Procedures W Mcc2473 / 16$182.442,00947 / 36$21.271,20470 / 8$20.412,10468 / 10
Permanent Cardiac Pacemaker Implant W Mcc2428 / 8$224.104,00590 / 26$26.516,00430 / 10$25.271,50430 / 14
Red Blood Cell Disorders W Mcc2447 / 11$103.068,001102 / 42$8.163,17429 / 8$7.218,67427 / 10
Fever2422 / 5$58.463,50330 / 20$5.651,2579 / 4$4.308,2579 / 1
Major Small & Large Bowel Procedures W Mcc2461 / 21$291.470,001226 / 40$32.192,50597 / 11$30.720,40595 / 13
Other Circulatory System Diagnoses W Mcc2294 / 24$142.784,001374 / 44$12.956,20835 / 15$12.288,30830 / 22
Respiratory System Diagnosis W Ventilator Support 96+ Hours2249 / 13$269.235,00887 / 27$32.412,30302 / 4$29.234,70302 / 3
Disorders Of Pancreas Except Malignancy W Cc2041 / 7$67.407,00931 / 30$5.978,30411 / 5$5.044,40410 / 10
Respiratory Signs & Symptoms2026 / 3$43.778,90296 / 8$4.391,9075 / 2$3.472,1075 / 2
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc2042 / 14$57.539,40798 / 33$4.919,30238 / 5$3.714,40238 / 8
Disorders Of The Biliary Tract W Cc2034 / 7$83.291,00469 / 20$6.765,65119 / 2$5.656,65119 / 4
G.I. Obstruction W/O Cc/Mcc2051 / 17$50.560,401290 / 39$4.081,75258 / 10$2.635,05258 / 7
Septicemia Or Severe Sepsis W Mv 96+ Hours2072 / 18$316.228,001010 / 40$37.364,90449 / 7$35.797,40448 / 9
Fractures Of Hip & Pelvis W/O Mcc2041 / 16$44.849,10889 / 30$4.500,35183 / 5$3.205,90184 / 4
Dysequilibrium2045 / 11$46.986,20538 / 26$4.017,60133 / 3$2.917,00133 / 5
Major Gastrointestinal Disorders & Peritoneal Infections W Cc2053 / 16$71.300,001068 / 36$7.496,10408 / 8$6.428,40407 / 10
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc2043 / 10$214.922,00651 / 19$28.681,80209 / 2$27.360,40209 / 3
Other Digestive System Diagnoses W/O Cc/Mcc1924 / 6$48.798,40348 / 24$4.472,0066 / 6$3.069,3766 / 3
Other Digestive System Diagnoses W Mcc1943 / 10$96.984,40709 / 24$11.050,50131 / 4$9.001,37131 / 2
Psychoses19256 / 16$59.918,10599 / 14$7.981,8486 / 7$5.048,1686 / 1
Major Chest Procedures W Cc1955 / 6$92.257,10375 / 7$16.849,50195 / 4$14.556,70195 / 3
Simple Pneumonia & Pleurisy W/O Cc/Mcc1974 / 26$49.138,001900 / 42$4.696,00339 / 12$3.084,58337 / 5
Digestive Malignancy W Cc1928 / 8$74.609,00375 / 22$8.857,21107 / 9$6.864,74106 / 3
Transurethral Procedures W Cc1823 / 10$78.684,40362 / 26$8.205,39199 / 5$7.324,06199 / 12
Circulatory Disorders Except Ami, W Card Cath W Mcc1875 / 18$135.518,00868 / 32$15.267,5039 / 15$9.991,3939 / 1
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc1826 / 10$136.220,00387 / 16$17.364,10168 / 1$16.249,30167 / 3
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc1858 / 7$100.552,00507 / 14$11.972,20214 / 2$11.160,90214 / 3
Other Circulatory System Diagnoses W Cc1848 / 9$66.857,30649 / 23$7.047,94195 / 9$5.109,44194 / 7
G.I. Obstruction W Mcc1824 / 8$124.240,00532 / 21$11.011,70289 / 7$10.127,20289 / 10
Other Resp System O.R. Procedures W Mcc1746 / 8$182.149,00532 / 11$23.499,10193 / 3$20.534,10193 / 1
Cellulitis W Mcc1741 / 16$98.573,60944 / 36$9.490,94478 / 7$8.635,53476 / 11
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc17107 / 17$62.690,90843 / 29$4.466,18270 / 5$3.700,88270 / 10
Degenerative Nervous System Disorders W/O Mcc1761 / 21$69.651,60852 / 34$6.116,29268 / 5$5.188,53268 / 9
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc1723 / 11$77.344,30288 / 16$6.729,0643 / 1$5.722,5943 / 1
Signs & Symptoms W/O Mcc1774 / 20$52.513,901310 / 31$4.653,53349 / 5$3.454,88348 / 4
Other Kidney & Urinary Tract Diagnoses W Cc1687 / 20$62.664,90828 / 29$6.185,94171 / 6$5.085,81171 / 2
Acute Myocardial Infarction, Expired W Mcc1614 / 5$116.257,00195 / 13$10.916,4043 / 2$9.350,0643 / 2
Poisoning & Toxic Effects Of Drugs W Mcc1656 / 7$86.068,80919 / 14$8.920,69393 / 4$8.125,88392 / 5
Peripheral Vascular Disorders W/O Cc/Mcc1629 / 9$53.002,10396 / 23$4.361,94169 / 5$3.645,44169 / 8
Tendonitis, Myositis & Bursitis W/O Mcc1626 / 9$68.549,00331 / 24$5.448,1288 / 5$4.176,0088 / 5
Hip & Femur Procedures Except Major Joint W Mcc1547 / 13$147.330,00875 / 19$18.851,30445 / 7$17.719,90442 / 7
Cranial & Peripheral Nerve Disorders W/O Mcc1553 / 12$59.999,50706 / 25$5.690,47204 / 4$4.688,87204 / 8
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1538 / 19$68.092,50843 / 43$5.077,27120 / 12$3.366,13120 / 1
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1550 / 8$134.482,00797 / 16$19.354,10353 / 1$18.021,30351 / 3
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1541 / 14$89.539,90771 / 30$10.863,50364 / 10$8.921,47364 / 5
Respiratory Neoplasms W Cc1532 / 13$67.102,30466 / 17$7.593,93163 / 5$6.485,27162 / 7
Hypertension W/O Mcc1451 / 16$39.045,50732 / 21$4.000,71237 / 6$2.983,29235 / 8
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc1433 / 8$49.720,10367 / 12$4.592,7183 / 3$3.636,7183 / 2
Diabetes W/O Cc/Mcc1424 / 9$38.590,90283 / 14$3.853,1428 / 3$2.602,3628 / 2
Craniotomy & Endovascular Intracranial Procedures W Mcc1484 / 11$305.846,00492 / 16$32.084,30329 / 8$30.666,80329 / 10
Endocrine Disorders W Cc1325 / 6$92.024,40302 / 15$6.665,38106 / 6$5.732,46106 / 7
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc1343 / 12$129.581,00657 / 26$12.166,50320 / 5$11.407,80319 / 5
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1325 / 10$45.818,40434 / 19$4.203,15158 / 2$3.182,85158 / 6
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc1317 / 5$117.937,00190 / 7$13.753,0064 / 2$10.502,8063 / 1
Organic Disturbances & Mental Retardation1346 / 14$104.457,00565 / 30$8.003,31365 / 11$6.947,15365 / 14
Urinary Stones W/O Esw Lithotripsy W/O Mcc1333 / 11$43.908,20353 / 20$4.448,38162 / 5$3.544,69162 / 10
Respiratory Neoplasms W Mcc1339 / 13$95.691,70585 / 15$10.171,70167 / 2$9.266,46167 / 2
Bronchitis & Asthma W/O Cc/Mcc1233 / 12$55.404,10381 / 24$4.723,6758 / 9$2.678,0858 / 2
Poisoning & Toxic Effects Of Drugs W/O Mcc1249 / 12$51.078,20900 / 20$4.147,17229 / 2$3.186,17228 / 3
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc1241 / 12$57.334,00417 / 10$7.665,17194 / 6$6.952,17194 / 7
Otitis Media & Uri W/O Mcc1232 / 9$45.410,10215 / 12$4.198,6736 / 1$3.098,3336 / 2
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1244 / 18$65.942,10758 / 24$10.467,20500 / 9$9.263,58498 / 11
Major Cardiovasc Procedures W/O Mcc1190 / 24$92.782,10517 / 11$20.934,00450 / 4$19.876,50450 / 7
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1144 / 13$80.097,50493 / 14$12.522,00308 / 3$11.407,30307 / 6
Disorders Of The Biliary Tract W/O Cc/Mcc1118 / 5$54.203,50106 / 7$4.876,5518 / 3$3.678,7318 / 3
Disorders Of The Biliary Tract W Mcc1128 / 5$116.040,00250 / 10$10.261,5063 / 2$9.297,3663 / 3
Atherosclerosis W/O Mcc1147 / 20$57.214,90544 / 34$3.932,64 / 8$3.071,73 /
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc1143 / 13$57.378,80390 / 14$4.744,7359 / 1$3.439,4559 / 2
Diabetes W Mcc1146 / 17$128.548,00742 / 31$9.647,82432 / 10$8.930,45432 / 13
Disorders Of Pancreas Except Malignancy W Mcc1135 / 6$140.127,00349 / 11$13.255,40219 / 5$12.187,20219 / 6
Major Male Pelvic Procedures W/O Cc/Mcc1162 / 6$42.677,00200 / 3$8.254,09203 / 1$7.118,82203 / 1
Total 132 procedures5.074discharges

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.