Hospital Costs > In Pennsylvania > Acmh Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 23 | $12.993,20 | 24 / 3 | $6.932,17 | 269 / 9 | $5.467,17 | 269 / 11 |
| Cellulitis W/O Mcc | 19 | 170 / 67 | $7.858,16 | 87 / 11 | $5.640,37 | 1194 / 64 | $4.422,89 | 1188 / 75 |
| Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 60 | $14.969,40 | 308 / 15 | $6.881,64 | 644 / 25 | $5.917,64 | 641 / 41 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 86 | $11.625,60 | 342 / 21 | $5.140,57 | 1538 / 63 | $4.162,64 | 1526 / 85 |
| Heart Failure & Shock W Cc | 12 | 266 / 93 | $16.077,70 | 694 / 36 | $6.457,17 | 1062 / 61 | $5.339,50 | 1060 / 64 |
| Heart Failure & Shock W Mcc | 24 | 260 / 73 | $17.596,40 | 281 / 20 | $9.238,08 | 1097 / 54 | $8.427,00 | 1094 / 66 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 45 | $9.251,27 | 200 / 13 | $4.670,00 | 945 / 56 | $3.683,82 | 938 / 62 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 59 | $15.519,70 | 179 / 8 | $6.328,46 | 567 / 27 | $5.295,08 | 566 / 38 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 38 | $14.601,20 | 228 / 13 | $5.045,91 | 841 / 37 | $4.053,91 | 837 / 58 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 76 | $13.642,30 | 741 / 44 | $5.131,75 | 1468 / 61 | $4.321,58 | 1459 / 82 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 40 | 524 / 79 | $21.546,90 | 24 / 5 | $12.627,00 | 882 / 47 | $10.870,30 | 863 / 53 |
| Psychoses | 82 | 206 / 18 | $10.120,40 | 61 / 3 | $6.450,44 | 137 / 9 | $5.265,39 | 137 / 10 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 49 | $19.796,90 | 394 / 24 | $7.882,80 | 973 / 46 | $6.901,67 | 972 / 56 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 91 | $25.059,50 | 534 / 31 | $11.204,80 | 1077 / 45 | $10.293,00 | 1064 / 65 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 62 | $14.449,80 | 308 / 20 | $6.676,42 | 908 / 45 | $5.585,68 | 906 / 53 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 62 | $12.260,00 | 273 / 17 | $6.367,44 | 1182 / 58 | $5.218,44 | 1178 / 67 |
| Simple Pneumonia & Pleurisy W Mcc | 32 | 173 / 40 | $16.505,20 | 194 / 11 | $8.805,50 | 923 / 38 | $7.784,44 | 923 / 54 | Total 17 procedures | 379 | discharges |
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.