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Shore Medical Center, procedure costs

100 Medical Center Way, Somers Point, NJ 08244,

Procedure Costs @ Shore Medical Center
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc297271 / 11$75.460,502122 / 33$14.058,101774 / 16$12.786,101734 / 22
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc198318 / 28$94.208,502589 / 30$12.936,101871 / 20$11.950,801836 / 23
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc109166 / 22$43.955,302562 / 37$5.118,261257 / 16$3.933,391246 / 18
Cellulitis W/O Mcc10188 / 23$41.276,402437 / 26$5.763,041269 / 17$4.495,631263 / 19
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc94113 / 13$56.547,002366 / 24$7.089,821418 / 13$6.130,031413 / 16
Heart Failure & Shock W Mcc93191 / 34$81.018,902461 / 33$10.108,801661 / 17$9.399,011656 / 21
Chronic Obstructive Pulmonary Disease W Cc9287 / 15$48.956,102229 / 25$6.193,041286 / 13$5.259,031281 / 18
Renal Failure W Cc92129 / 17$49.098,902241 / 20$6.426,391365 / 16$5.570,621357 / 21
Heart Failure & Shock W Cc88190 / 35$55.548,002622 / 33$6.570,481347 / 15$5.598,501343 / 17
Kidney & Urinary Tract Infections W/O Mcc72161 / 29$41.580,502524 / 20$5.153,491296 / 15$4.164,391287 / 20
G.I. Hemorrhage W Cc69149 / 26$53.202,602226 / 25$6.708,331300 / 16$5.690,641297 / 20
Chronic Obstructive Pulmonary Disease W Mcc69133 / 24$57.824,402323 / 21$7.647,001441 / 14$6.757,641435 / 15
Renal Failure W Mcc66129 / 17$79.694,801991 / 26$10.107,801086 / 13$9.094,681086 / 14
Cardiac Arrhythmia & Conduction Disorders W Mcc6063 / 12$76.262,501821 / 37$8.405,73979 / 21$7.098,45976 / 20
Cardiac Arrhythmia & Conduction Disorders W Cc60101 / 19$42.063,501944 / 17$5.450,30632 / 17$3.948,90629 / 9
Acute Myocardial Infarction, Discharged Alive W Mcc5570 / 17$94.868,201678 / 36$12.971,40847 / 35$9.856,47846 / 18
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc5496 / 22$33.360,701837 / 27$3.810,81608 / 14$2.523,09604 / 15
Syncope & Collapse49120 / 29$47.978,201823 / 40$5.248,16618 / 23$3.666,53615 / 15
Hip & Femur Procedures Except Major Joint W Cc4697 / 22$82.673,101742 / 33$13.529,101176 / 22$11.559,901162 / 18
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs46136 / 29$56.416,701829 / 20$7.202,541045 / 19$5.904,261042 / 18
Simple Pneumonia & Pleurisy W Cc45158 / 37$44.702,202450 / 17$6.517,821472 / 14$5.484,531466 / 19
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc44122 / 32$46.479,402467 / 39$4.879,501160 / 18$3.782,731157 / 18
Infectious & Parasitic Diseases W O.R. Procedure W Mcc4282 / 17$195.346,001241 / 26$34.766,90881 / 16$33.700,80875 / 22
Other Circulatory System Diagnoses W Mcc3878 / 10$119.905,001337 / 38$14.593,701018 / 29$13.665,901011 / 36
Red Blood Cell Disorders W/O Mcc36107 / 30$44.759,201843 / 27$5.354,28875 / 13$4.380,81870 / 19
Medical Back Problems W/O Mcc3586 / 22$50.458,701407 / 34$6.229,91673 / 22$4.522,29671 / 18
Kidney & Urinary Tract Infections W Mcc32112 / 26$53.732,001724 / 15$7.451,531037 / 16$6.459,591034 / 16
Major Small & Large Bowel Procedures W Mcc3154 / 15$267.655,001193 / 35$38.749,40990 / 30$37.381,20988 / 34
Other Digestive System Diagnoses W Cc3166 / 16$65.702,501385 / 42$6.483,94607 / 10$5.413,32604 / 14
Peripheral Vascular Disorders W Cc3153 / 18$42.182,701042 / 12$6.379,65623 / 13$5.603,45620 / 18
Respiratory System Diagnosis W Ventilator Support <96 Hours31100 / 23$92.239,401430 / 13$13.725,20578 / 4$12.640,60570 / 3
Transient Ischemia3194 / 28$41.741,101474 / 28$4.645,48654 / 13$3.535,10650 / 14
Respiratory Infections & Inflammations W Mcc30106 / 23$93.182,401618 / 25$13.214,101100 / 18$12.069,501086 / 17
Other Kidney & Urinary Tract Diagnoses W Mcc3071 / 14$70.904,60960 / 14$10.367,30607 / 12$9.570,57605 / 15
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim3036 / 2$77.855,30455 / 8$12.561,80319 / 3$11.446,30317 / 6
Chest Pain29122 / 25$36.770,001536 / 30$4.065,48478 / 12$2.901,90475 / 10
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc2861 / 6$45.089,00542 / 11$7.169,36379 / 4$5.876,07378 / 8
Heart Failure & Shock W/O Cc/Mcc2882 / 31$40.726,001900 / 30$4.476,64682 / 14$3.454,25679 / 16
Intracranial Hemorrhage Or Cerebral Infarction W Mcc27141 / 30$57.948,701108 / 5$10.914,60670 / 9$9.802,56669 / 11
Major Small & Large Bowel Procedures W Cc2682 / 21$94.762,601167 / 16$16.748,90986 / 12$15.747,60975 / 18
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc2694 / 29$38.828,201929 / 21$4.672,04762 / 10$3.542,42759 / 16
Bronchitis & Asthma W Cc/Mcc2551 / 16$38.358,60863 / 9$5.858,92394 / 9$4.541,32390 / 8
Respiratory Infections & Inflammations W Cc2563 / 17$54.377,001203 / 10$8.999,80799 / 10$7.990,32794 / 11
Pulmonary Edema & Respiratory Failure24179 / 30$61.524,901955 / 13$8.494,171455 / 18$7.744,621450 / 26
G.I. Hemorrhage W Mcc2497 / 25$87.121,001496 / 29$11.704,90652 / 16$10.066,00653 / 10
Major Gastrointestinal Disorders & Peritoneal Infections W Cc2449 / 12$60.581,201015 / 22$8.413,00291 / 16$6.113,92290 / 7
G.I. Obstruction W Cc2468 / 19$47.041,301563 / 24$5.898,00899 / 10$4.951,92897 / 19
G.I. Obstruction W/O Cc/Mcc2348 / 14$37.152,801208 / 24$4.069,96588 / 8$3.064,35587 / 19
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc2280 / 24$41.388,601379 / 11$5.218,18632 / 17$3.779,00628 / 13
Circulatory Disorders Except Ami, W Card Cath W/O Mcc22166 / 36$88.174,201596 / 40$7.112,59531 / 10$5.501,23529 / 6
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc21105 / 32$47.602,601453 / 13$7.423,90887 / 12$6.758,62884 / 20
Fractures Of Hip & Pelvis W/O Mcc2140 / 15$37.306,10835 / 20$4.617,71307 / 9$3.488,62308 / 9
Simple Pneumonia & Pleurisy W Mcc21184 / 43$70.448,402239 / 20$9.730,291671 / 15$9.083,481671 / 25
Other Kidney & Urinary Tract Diagnoses W Cc2182 / 16$47.045,60724 / 9$6.624,95376 / 11$5.778,86376 / 12
Diabetes W Cc2072 / 24$49.177,601532 / 31$5.532,65837 / 13$4.769,45833 / 23
Pulmonary Embolism W/O Mcc2054 / 17$56.227,801202 / 15$6.563,75756 / 10$5.682,60753 / 16
Degenerative Nervous System Disorders W/O Mcc1959 / 20$49.434,60769 / 17$6.983,11432 / 15$5.800,05432 / 16
Red Blood Cell Disorders W Mcc1952 / 15$86.678,101081 / 36$9.692,05800 / 23$9.019,74796 / 30
Transurethral Procedures W Cc1823 / 10$73.744,00351 / 23$8.500,39219 / 7$7.510,50219 / 14
Major Cardiovasc Procedures W/O Mcc1883 / 18$132.972,00808 / 24$22.353,60593 / 9$21.243,70593 / 11
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1844 / 15$37.211,70698 / 14$5.857,39230 / 15$3.676,94230 / 7
Other Vascular Procedures W Mcc1780 / 22$129.857,00786 / 17$21.388,30488 / 9$20.606,70486 / 11
Urinary Stones W/O Esw Lithotripsy W/O Mcc1630 / 9$36.581,90318 / 9$5.133,25120 / 10$3.318,00120 / 9
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1680 / 28$76.503,001398 / 35$8.552,62914 / 15$7.817,75909 / 20
Spinal Fusion Except Cervical W/O Mcc16178 / 19$160.912,001163 / 26$30.008,90780 / 18$23.923,50776 / 11
Cellulitis W Mcc1543 / 18$94.785,70938 / 35$11.600,70757 / 25$10.475,80755 / 31
Peripheral Vascular Disorders W Mcc1534 / 11$92.012,50574 / 25$11.353,30461 / 19$10.426,10461 / 23
Septicemia Or Severe Sepsis W Mv 96+ Hours1577 / 21$206.397,00769 / 17$39.520,10580 / 9$38.271,70579 / 14
Revision Of Hip Or Knee Replacement W Cc1472 / 10$110.209,00498 / 10$22.374,10368 / 5$20.311,90367 / 5
Atherosclerosis W/O Mcc1444 / 17$32.403,60473 / 13$4.129,29 / 12$3.044,21 /
Postoperative & Post-Traumatic Infections W/O Mcc1440 / 9$37.279,70353 / 7$6.390,29169 / 3$5.749,71169 / 6
Cervical Spinal Fusion W/O Cc/Mcc1490 / 8$80.684,90673 / 12$14.954,10607 / 3$13.723,10604 / 8
Extracranial Procedures W/O Cc/Mcc1484 / 15$48.473,80753 / 18$7.126,86416 / 8$5.517,64415 / 6
Acute Myocardial Infarction, Discharged Alive W Cc1477 / 28$54.579,001242 / 19$6.420,00427 / 8$5.346,00426 / 10
Respiratory Neoplasms W Cc1334 / 15$63.128,80455 / 11$7.908,92210 / 7$6.844,23209 / 10
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1340 / 21$31.618,80611 / 10$4.934,77459 / 11$4.175,69456 / 20
Respiratory System Diagnosis W Ventilator Support 96+ Hours1358 / 19$216.693,00794 / 16$37.136,20628 / 12$35.444,50627 / 13
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc1340 / 11$63.675,70433 / 14$7.967,00224 / 7$7.176,69224 / 9
Other Kidney & Urinary Tract Procedures W Mcc1325 / 5$150.490,00193 / 5$24.469,00166 / 4$23.722,60165 / 7
Digestive Malignancy W Cc1334 / 13$59.931,80344 / 11$8.695,54133 / 6$7.060,08132 / 7
Other Vascular Procedures W Cc1389 / 28$129.992,001013 / 36$16.722,40480 / 10$14.829,50477 / 7
Simple Pneumonia & Pleurisy W/O Cc/Mcc1380 / 31$38.114,801775 / 19$5.036,23561 / 20$3.288,00559 / 12
Other Disorders Of Nervous System W Cc1343 / 15$52.532,80570 / 15$5.976,77256 / 6$5.109,08256 / 12
Nervous System Neoplasms W Mcc1335 / 8$80.021,80288 / 11$11.703,5025 / 10$6.475,2325 / 1
Fever1234 / 12$38.162,20282 / 10$5.649,25113 / 3$4.615,08113 / 6
Poisoning & Toxic Effects Of Drugs W/O Mcc1249 / 12$41.751,20863 / 17$4.257,17408 / 3$3.617,92407 / 7
Other Circulatory System O.R. Procedures1243 / 15$110.797,00348 / 9$18.092,70212 / 5$17.333,80212 / 9
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1244 / 18$67.805,30773 / 26$15.093,00165 / 33$8.032,42165 / 1
Disorders Of The Biliary Tract W Cc1242 / 14$64.766,80444 / 15$6.951,00163 / 4$5.905,83163 / 5
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1244 / 17$82.468,20744 / 24$11.047,50556 / 11$9.904,00554 / 15
Diabetes W Mcc1245 / 16$57.755,30621 / 7$9.120,17424 / 6$8.885,42424 / 12
Circulatory Disorders Except Ami, W Card Cath W Mcc1281 / 24$136.790,00871 / 34$15.355,60651 / 16$14.384,30644 / 22
Renal Failure W/O Cc/Mcc1244 / 16$31.285,70750 / 5$4.275,33192 / 5$2.916,00191 / 5
Dysequilibrium1154 / 19$41.065,70513 / 19$4.490,5581 / 8$2.649,9181 / 3
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc1165 / 12$73.560,20432 / 6$10.792,00121 / 1$10.094,00121 / 1
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc1185 / 9$94.663,80734 / 10$13.957,80456 / 4$12.485,60453 / 5
Hip & Femur Procedures Except Major Joint W Mcc1151 / 16$117.614,00784 / 12$18.976,30469 / 8$17.930,70466 / 9
Total 97 procedures3.396discharges

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.