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Southern Ocean Medical Center, procedure costs

1140 Rt 72 W, Manahawkin, NJ 08050,

Procedure Costs @ Southern Ocean 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 Mcc119397 / 42$82.707,902464 / 19$11.470,201249 / 6$10.552,801228 / 7
Heart Failure & Shock W Mcc115169 / 30$71.024,802363 / 18$9.470,441210 / 10$8.591,701207 / 9
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc90474 / 33$71.576,202033 / 27$13.032,501351 / 4$11.701,401319 / 10
G.I. Hemorrhage W Cc84134 / 20$58.785,402293 / 36$6.226,23713 / 8$5.102,31712 / 4
Heart Failure & Shock W Cc84194 / 36$55.038,102614 / 28$5.990,90921 / 2$5.227,86920 / 8
Chronic Obstructive Pulmonary Disease W Mcc75127 / 21$60.386,202357 / 24$7.243,68741 / 7$6.001,68736 / 3
Simple Pneumonia & Pleurisy W Mcc67138 / 18$63.895,502162 / 17$9.120,46652 / 8$7.500,66652 / 2
Simple Pneumonia & Pleurisy W Cc65138 / 26$49.971,302555 / 22$6.175,91804 / 8$4.911,05801 / 5
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc63212 / 37$40.130,502479 / 24$4.539,40555 / 4$3.449,36553 / 4
Pulmonary Edema & Respiratory Failure62141 / 12$64.108,901983 / 18$8.007,98650 / 11$6.513,89650 / 4
Acute Myocardial Infarction, Discharged Alive W Mcc5966 / 14$58.925,001310 / 8$8.966,25177 / 1$8.222,81177 / 2
Chronic Obstructive Pulmonary Disease W Cc55124 / 29$51.189,502263 / 30$5.768,00828 / 5$4.823,71825 / 10
Renal Failure W Cc55166 / 34$52.251,502288 / 24$5.895,71817 / 8$5.017,16810 / 8
Cellulitis W/O Mcc51138 / 43$42.191,402457 / 28$5.494,63835 / 9$4.151,16829 / 11
Kidney & Urinary Tract Infections W/O Mcc45188 / 41$40.201,402500 / 15$4.865,62719 / 9$3.766,96715 / 4
Acute Myocardial Infarction, Discharged Alive W Cc4249 / 11$38.505,301003 / 6$5.833,6982 / 3$4.637,1282 / 1
Cardiac Arrhythmia & Conduction Disorders W Cc41120 / 29$42.255,701947 / 18$4.699,56625 / 1$3.942,68622 / 8
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc39111 / 31$31.290,101788 / 20$3.588,46382 / 8$2.339,59379 / 9
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc37170 / 34$53.605,602321 / 19$6.405,84773 / 2$5.457,08771 / 2
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs36146 / 35$51.652,601776 / 14$6.977,50678 / 15$5.411,89677 / 5
G.I. Hemorrhage W Mcc3586 / 18$77.780,201414 / 18$10.597,10592 / 3$9.895,03593 / 6
Respiratory System Diagnosis W Ventilator Support <96 Hours3596 / 20$108.550,001598 / 26$14.283,70667 / 5$12.881,40659 / 6
Hip & Femur Procedures Except Major Joint W Cc35108 / 28$70.569,801555 / 17$11.694,60870 / 1$10.728,20857 / 4
Renal Failure W Mcc34161 / 33$72.489,501924 / 16$9.397,09921 / 6$8.760,88921 / 10
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc34132 / 39$41.973,602404 / 30$4.449,47449 / 10$3.277,18449 / 2
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc3288 / 23$42.491,201989 / 33$5.101,72432 / 20$3.264,44431 / 5
Heart Failure & Shock W/O Cc/Mcc3179 / 29$35.641,801827 / 20$4.094,61390 / 8$3.203,77388 / 4
Cardiac Arrhythmia & Conduction Disorders W Mcc2895 / 31$89.521,501880 / 50$10.332,701475 / 45$8.560,391472 / 40
G.I. Obstruction W Cc2864 / 16$35.131,201347 / 6$5.386,61367 / 4$4.307,82366 / 2
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc2825 / 7$33.919,90647 / 12$4.527,36266 / 2$3.709,07265 / 10
Intracranial Hemorrhage Or Cerebral Infarction W Mcc26142 / 31$73.996,501309 / 18$10.450,20568 / 5$9.518,50567 / 8
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc2630 / 9$58.402,00692 / 14$9.983,23418 / 6$8.868,15416 / 8
Other Digestive System Diagnoses W Cc2473 / 20$55.887,601333 / 30$6.204,50313 / 6$4.882,04310 / 3
O.R. Procedures For Obesity W/O Cc/Mcc2453 / 5$38.425,40167 / 11$10.221,2085 / 3$7.772,6785 / 1
Other Circulatory System Diagnoses W Mcc2393 / 23$66.518,001012 / 13$10.952,6062 / 3$8.890,0062 / 1
Red Blood Cell Disorders W/O Mcc23120 / 40$44.540,101840 / 26$4.896,22522 / 4$4.005,78520 / 7
Respiratory Infections & Inflammations W Cc2266 / 20$62.004,401269 / 16$8.608,41659 / 7$7.681,86655 / 8
G.I. Obstruction W/O Cc/Mcc2150 / 16$33.089,801158 / 17$4.280,9081 / 15$2.278,4881 / 1
Simple Pneumonia & Pleurisy W/O Cc/Mcc2073 / 25$37.259,901766 / 17$4.224,00730 / 3$3.441,60726 / 14
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc2082 / 26$43.979,101421 / 17$4.584,40383 / 3$3.483,20380 / 7
Respiratory Infections & Inflammations W Mcc18118 / 30$86.607,601560 / 21$11.957,90876 / 7$11.338,30866 / 10
Atherosclerosis W/O Mcc1741 / 14$29.240,90437 / 7$3.702,06 / 3$2.920,88 /
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1739 / 13$73.470,40686 / 16$9.984,76280 / 2$8.604,35280 / 3
Peripheral Vascular Disorders W Cc1668 / 29$36.613,90948 / 8$5.701,25194 / 1$4.633,38194 / 2
Cellulitis W Mcc1642 / 17$62.008,60825 / 13$8.828,81331 / 3$8.000,81330 / 5
Major Small & Large Bowel Procedures W Mcc1669 / 25$175.504,00947 / 17$29.910,20440 / 7$29.004,20438 / 7
Syncope & Collapse15154 / 45$42.315,301734 / 23$4.431,87573 / 4$3.625,47570 / 14
Poisoning & Toxic Effects Of Drugs W Mcc1557 / 8$85.035,10913 / 12$9.198,87462 / 6$8.394,60461 / 6
Kidney & Urinary Tract Infections W Mcc15129 / 39$72.350,801902 / 40$6.965,80959 / 11$6.319,40956 / 13
Transurethral Procedures W Cc1427 / 13$54.443,80299 / 12$7.778,79100 / 3$6.569,64100 / 3
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc14112 / 38$63.889,301625 / 26$7.327,93824 / 11$6.633,07821 / 13
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1433 / 13$57.016,40470 / 17$7.797,14139 / 2$5.840,79139 / 2
G.I. Hemorrhage W/O Cc/Mcc1454 / 23$41.746,30937 / 32$4.255,21318 / 5$3.395,79315 / 14
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc1426 / 8$120.950,00404 / 14$16.031,10241 / 3$15.164,80240 / 3
Seizures W/O Mcc1395 / 38$39.620,101128 / 17$4.560,54236 / 1$3.635,00235 / 5
Digestive Malignancy W Cc1334 / 13$92.284,00387 / 26$8.056,85138 / 4$7.121,54137 / 8
Other Kidney & Urinary Tract Diagnoses W Mcc1388 / 24$88.036,401037 / 23$9.827,38519 / 6$9.175,15517 / 9
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1383 / 30$49.385,801148 / 12$7.292,23315 / 4$6.268,23313 / 2
Circulatory Disorders Except Ami, W Card Cath W Mcc1380 / 23$81.476,20671 / 7$12.881,70384 / 3$12.042,30379 / 9
Hypertension W/O Mcc1352 / 17$37.921,80726 / 19$3.795,15107 / 3$2.672,69107 / 4
Major Small & Large Bowel Procedures W Cc1395 / 29$118.578,001335 / 27$15.073,90590 / 2$13.953,90584 / 4
Respiratory Neoplasms W Mcc1339 / 13$87.148,50562 / 11$11.205,70308 / 7$10.275,20308 / 7
Other Kidney & Urinary Tract Diagnoses W Cc1291 / 23$53.632,50780 / 18$5.838,17212 / 1$5.235,50212 / 5
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1261 / 22$46.775,70915 / 9$7.184,08391 / 4$6.378,75390 / 9
Infectious & Parasitic Diseases W O.R. Procedure W Mcc12112 / 42$155.846,001059 / 12$29.989,20434 / 5$28.939,80431 / 6
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc1142 / 13$52.332,50394 / 7$7.292,5592 / 3$6.195,8292 / 2
Peripheral Vascular Disorders W Mcc1138 / 15$51.101,70439 / 5$8.357,09155 / 4$7.373,82155 / 4
Transient Ischemia11114 / 43$34.014,601304 / 12$4.266,55318 / 2$3.169,82318 / 9
Respiratory Neoplasms W Cc1136 / 17$64.973,90460 / 13$7.182,73124 / 3$6.199,45123 / 3
Pulmonary Embolism W/O Mcc1163 / 24$36.567,00992 / 5$7.657,64150 / 19$4.491,09150 / 1
G.I. Obstruction W Mcc1131 / 13$60.936,50414 / 5$9.834,55229 / 2$9.505,82229 / 4
Endocrine Disorders W Cc1127 / 8$55.454,30278 / 8$6.243,1876 / 3$5.475,1876 / 3
Circulatory Disorders Except Ami, W Card Cath W/O Mcc11177 / 41$45.773,201094 / 4$6.551,00793 / 3$5.893,55791 / 14
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc1136 / 14$52.150,30340 / 8$9.228,27244 / 3$8.239,18244 / 5
Tendonitis, Myositis & Bursitis W/O Mcc1131 / 14$40.477,40291 / 9$5.117,7360 / 2$3.910,4560 / 3
Red Blood Cell Disorders W Mcc1160 / 22$69.766,301029 / 24$7.648,73243 / 4$6.681,45243 / 2
Total 76 procedures2.309discharges

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.