Hospital Costs > In Pennsylvania > Berwick Hospital Center, procedure costs
| 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 Mcc | 56 | 508 / 69 | $167.146,00 | 2677 / 130 | $12.388,00 | 421 / 34 | $10.206,60 | 419 / 32 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 50 | $37.627,20 | 1954 / 83 | $5.895,45 | 224 / 10 | $4.883,79 | 223 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 30 | 245 / 72 | $35.459,40 | 2367 / 108 | $4.136,73 | 138 / 9 | $3.012,47 | 138 / 15 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 22 | $31.005,00 | 1735 / 84 | $4.124,10 | 94 / 16 | $2.808,03 | 94 / 18 |
| Heart Failure & Shock W Cc | 28 | 250 / 81 | $41.185,20 | 2360 / 108 | $5.413,96 | 416 / 12 | $4.809,39 | 416 / 31 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 25 | 491 / 93 | $63.545,80 | 2172 / 91 | $9.551,16 | 178 / 6 | $8.872,76 | 178 / 16 |
| Cellulitis W/O Mcc | 25 | 164 / 62 | $26.882,20 | 1982 / 88 | $4.590,96 | 246 / 9 | $3.624,56 | 244 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 44 | $30.103,00 | 2143 / 89 | $3.920,88 | 205 / 14 | $3.014,21 | 205 / 24 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 68 | $32.555,90 | 2296 / 100 | $4.315,30 | 148 / 13 | $3.227,90 | 148 / 16 |
| Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 60 | $45.417,80 | 2470 / 105 | $5.295,50 | 170 / 11 | $4.273,10 | 170 / 20 |
| Chest Pain | 16 | 135 / 36 | $26.234,10 | 1259 / 62 | $3.436,56 | 182 / 8 | $2.526,56 | 181 / 14 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 59 | $39.363,70 | 2053 / 103 | $5.164,69 | 108 / 13 | $4.030,69 | 108 / 15 |
| Syncope & Collapse | 15 | 154 / 50 | $33.666,70 | 1546 / 80 | $4.072,40 | 159 / 10 | $3.101,73 | 159 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 50 | $43.620,00 | 1973 / 99 | $4.397,71 | 180 / 10 | $3.444,57 | 180 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 51 | $32.511,60 | 1818 / 94 | $3.264,54 | 174 / 13 | $2.085,38 | 174 / 23 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 28 | $56.024,80 | 1258 / 67 | $5.693,31 | 159 / 10 | $4.853,92 | 159 / 17 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 44 | $37.583,80 | 1863 / 98 | $3.814,58 | 113 / 16 | $2.801,25 | 112 / 15 |
| Renal Failure W Cc | 12 | 209 / 69 | $35.880,40 | 1928 / 91 | $5.117,58 | 108 / 9 | $4.210,92 | 108 / 10 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 32 | $31.581,30 | 1660 / 76 | $3.957,25 | 225 / 9 | $2.951,92 | 223 / 18 | Total 19 procedures | 414 | 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.