Hospital Costs > In Pennsylvania > Bucks County Specialty Hospital, 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 | 297 | 271 / 13 | $59.736,90 | 1684 / 87 | $12.525,40 | 1173 / 39 | $11.331,90 | 1145 / 72 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 32 | 64 / 5 | $85.495,20 | 684 / 28 | $13.338,50 | 406 / 11 | $12.207,50 | 403 / 21 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 30 | 33 / 9 | $114.328,00 | 194 / 19 | $21.100,60 | 139 / 7 | $20.049,90 | 139 / 15 |
Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 37 | $155.248,00 | 1135 / 52 | $31.362,60 | 1181 / 54 | $30.161,50 | 1176 / 60 | Total 4 procedures | 372 | 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.