Hospital Costs > In Pennsylvania > Allegheny Valley Hospital, procedure costs
| 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 Mcc | 49 | 467 / 80 | $28.558,70 | 716 / 39 | $10.471,40 | 67 / 27 | $8.516,84 | 67 / 6 |
| Heart Failure & Shock W Mcc | 46 | 238 / 55 | $26.145,70 | 836 / 48 | $8.611,72 | 40 / 25 | $6.722,22 | 40 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 41 | 523 / 78 | $33.850,20 | 390 / 27 | $12.318,80 | 12 / 30 | $8.396,51 | 12 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 24 | $24.226,80 | 270 / 20 | $9.217,70 | 44 / 18 | $7.410,18 | 44 / 7 |
| Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 45 | $14.021,10 | 418 / 22 | $5.552,97 | 23 / 28 | $3.660,70 | 23 / 6 |
| Heart Failure & Shock W Cc | 29 | 249 / 80 | $17.042,20 | 809 / 45 | $5.696,90 | 51 / 25 | $4.210,31 | 51 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 73 | $14.918,40 | 746 / 40 | $4.538,28 | 21 / 31 | $2.722,21 | 21 / 5 |
| Respiratory Infections & Inflammations W Mcc | 29 | 107 / 23 | $25.573,40 | 253 / 15 | $10.555,90 | 21 / 12 | $8.723,34 | 21 / 6 |
| Pulmonary Edema & Respiratory Failure | 28 | 175 / 37 | $14.901,60 | 144 / 9 | $7.055,00 | 22 / 18 | $5.299,36 | 22 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 28 | 177 / 44 | $21.777,50 | 490 / 23 | $8.447,64 | 64 / 23 | $6.463,57 | 64 / 8 |
| Renal Failure W Mcc | 25 | 170 / 41 | $23.835,00 | 401 / 19 | $8.953,88 | 24 / 24 | $6.789,48 | 24 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 34 | $20.169,30 | 347 / 22 | $6.916,75 | 22 / 19 | $5.243,00 | 22 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 66 | $12.434,20 | 568 / 31 | $4.545,17 | 70 / 24 | $3.066,25 | 70 / 7 |
| Cellulitis W/O Mcc | 23 | 166 / 63 | $13.745,40 | 695 / 43 | $5.098,22 | 23 / 32 | $3.142,04 | 23 / 6 |
| Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 58 | $15.429,60 | 610 / 33 | $5.672,77 | 3 / 25 | $3.521,05 | 3 / 3 |
| G.I. Hemorrhage W Cc | 21 | 197 / 56 | $17.393,50 | 526 / 32 | $5.549,95 | 87 / 13 | $4.331,14 | 87 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 48 | $13.091,90 | 697 / 32 | $4.137,45 | 163 / 23 | $2.953,20 | 163 / 22 |
| Renal Failure W Cc | 19 | 202 / 62 | $16.713,70 | 637 / 37 | $5.779,11 | 21 / 34 | $3.907,26 | 21 / 6 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 55 | $16.190,90 | 406 / 18 | $6.150,05 | 3 / 6 | $4.260,79 | 3 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 35 | $37.990,60 | 278 / 15 | $12.553,40 | 33 / 11 | $10.487,90 | 33 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 55 | $22.943,80 | 662 / 34 | $6.368,41 | 43 / 29 | $4.362,35 | 43 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 64 | $21.466,80 | 917 / 48 | $6.549,41 | 26 / 38 | $4.280,88 | 26 / 2 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 35 | $26.908,30 | 224 / 15 | $9.729,00 | 26 / 11 | $8.061,27 | 26 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 40 | $30.015,10 | 224 / 16 | $10.553,80 | 47 / 11 | $8.895,60 | 47 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 37 | $17.177,70 | 378 / 17 | $6.180,20 | 8 / 12 | $4.489,93 | 8 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 38 | $13.359,80 | 591 / 29 | $4.284,64 | 22 / 20 | $2.561,36 | 22 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 51 | $18.411,90 | 895 / 42 | $4.694,62 | 22 / 21 | $3.041,08 | 22 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 29 | $14.994,80 | 115 / 7 | $5.738,42 | 2 / 11 | $3.859,58 | 2 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 24 | $15.551,20 | 132 / 6 | $6.397,92 | 13 / 8 | $4.888,17 | 13 / 6 |
| Syncope & Collapse | 11 | 158 / 53 | $20.424,50 | 891 / 45 | $4.570,45 | 3 / 32 | $2.510,36 | 3 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 52 | $10.611,70 | 403 / 20 | $3.301,45 | 19 / 16 | $1.750,18 | 19 / 4 | Total 31 procedures | 709 | 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.