Hospital Costs > In Pennsylvania > Bradford Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Adjustment Reaction & Psychosocial Dysfunction | 23 | 8 / 1 | $9.637,96 | 7 / 1 | $5.450,43 | 48 / 1 | $4.381,00 | 48 / 4 |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 40 | 45 / 5 | $22.424,60 | 49 / 5 | $8.626,00 | 40 / 3 | $7.321,20 | 40 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 52 | $6.502,64 | 58 / 3 | $4.985,00 | 1735 / 87 | $4.220,55 | 1729 / 97 |
| Cellulitis W/O Mcc | 11 | 178 / 74 | $6.164,82 | 14 / 2 | $6.610,18 | 1923 / 101 | $5.396,45 | 1915 / 110 |
| Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 44 | $9.327,52 | 63 / 2 | $7.012,55 | 1774 / 91 | $6.029,23 | 1767 / 106 |
| Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 38 | $11.504,50 | 99 / 3 | $8.350,59 | 1704 / 84 | $7.211,03 | 1696 / 100 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 36 | $8.390,19 | 114 / 5 | $5.890,50 | 1661 / 80 | $4.824,00 | 1650 / 93 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 80 | $9.075,30 | 153 / 8 | $6.045,05 | 2107 / 99 | $5.016,20 | 2093 / 112 |
| G.I. Hemorrhage W Cc | 21 | 197 / 56 | $9.103,90 | 29 / 2 | $7.409,43 | 1753 / 84 | $6.486,00 | 1749 / 98 |
| G.I. Hemorrhage W Mcc | 17 | 104 / 34 | $15.595,50 | 25 / 3 | $11.187,40 | 713 / 39 | $10.251,50 | 713 / 49 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 23 | $6.603,62 | 33 / 1 | $5.292,08 | 1066 / 45 | $4.172,54 | 1063 / 51 |
| Heart Failure & Shock W Cc | 21 | 257 / 85 | $8.603,71 | 60 / 4 | $7.362,81 | 2015 / 98 | $6.553,57 | 2010 / 115 |
| Heart Failure & Shock W Mcc | 12 | 272 / 83 | $11.240,30 | 33 / 3 | $10.034,40 | 1581 / 79 | $9.220,58 | 1576 / 95 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 45 | $7.366,36 | 80 / 4 | $5.587,82 | 1553 / 86 | $4.601,82 | 1540 / 95 |
| Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 77 | $5.582,27 | 12 / 2 | $6.065,00 | 1973 / 97 | $4.959,36 | 1962 / 108 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 40 | 524 / 79 | $38.081,20 | 648 / 49 | $13.869,10 | 1747 / 77 | $12.685,50 | 1707 / 105 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 36 | $24.318,00 | 19 / 1 | $16.022,20 | 494 / 28 | $13.603,10 | 489 / 20 |
| Psychoses | 64 | 218 / 20 | $9.556,31 | 49 / 2 | $7.451,34 | 385 / 20 | $6.619,91 | 385 / 29 |
| Pulmonary Edema & Respiratory Failure | 12 | 191 / 52 | $14.519,90 | 126 / 7 | $9.337,67 | 1159 / 82 | $7.179,08 | 1157 / 67 |
| Renal Failure W Cc | 13 | 208 / 68 | $8.278,38 | 23 / 1 | $7.227,08 | 1789 / 88 | $6.381,00 | 1779 / 103 |
| Renal Failure W Mcc | 15 | 180 / 50 | $12.161,90 | 15 / 2 | $10.438,70 | 1187 / 61 | $9.382,67 | 1187 / 71 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 58 | 458 / 74 | $13.900,10 | 47 / 3 | $11.961,00 | 1536 / 70 | $11.080,90 | 1505 / 86 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 54 | $10.565,90 | 75 / 6 | $7.712,75 | 1823 / 84 | $6.841,39 | 1815 / 103 |
| Simple Pneumonia & Pleurisy W Cc | 44 | 159 / 40 | $10.890,50 | 165 / 10 | $7.303,30 | 2022 / 97 | $6.212,98 | 2014 / 109 |
| Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 52 | $15.760,10 | 154 / 8 | $9.716,80 | 1633 / 69 | $8.977,70 | 1633 / 88 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 24 | $9.649,60 | 195 / 12 | $5.774,10 | 1500 / 75 | $4.440,15 | 1492 / 80 | Total 26 procedures | 620 | 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.