Hospital Costs > In Pennsylvania > Butler Memorial 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 | 122 | 442 / 47 | $42.652,00 | 906 / 59 | $12.075,50 | 368 / 25 | $10.102,40 | 367 / 29 |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 83 | 25 / 3 | $16.745,00 | 37 / 3 | $6.921,87 | 7 / 1 | $5.940,65 | 7 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 70 | 446 / 69 | $37.452,10 | 1181 / 58 | $10.178,80 | 155 / 18 | $8.820,80 | 155 / 13 |
| Psychoses | 67 | 217 / 19 | $23.676,40 | 392 / 19 | $6.143,64 | 97 / 4 | $5.122,37 | 97 / 4 |
| Chronic Obstructive Pulmonary Disease W Cc | 54 | 125 / 25 | $18.924,50 | 889 / 45 | $5.456,89 | 494 / 22 | $4.538,96 | 493 / 37 |
| Simple Pneumonia & Pleurisy W Cc | 53 | 150 / 31 | $20.797,10 | 1216 / 53 | $5.841,75 | 198 / 31 | $4.318,26 | 198 / 25 |
| Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 40 | $15.323,80 | 985 / 51 | $4.569,54 | 625 / 26 | $3.707,62 | 623 / 44 |
| G.I. Hemorrhage W Cc | 48 | 170 / 37 | $28.111,30 | 1446 / 67 | $6.129,25 | 15 / 36 | $3.991,88 | 15 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 47 | 103 / 23 | $16.910,20 | 1192 / 59 | $3.712,94 | 405 / 41 | $2.359,94 | 402 / 41 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 46 | 78 / 6 | $12.775,80 | 233 / 10 | $4.303,46 | 189 / 4 | $3.497,61 | 189 / 9 |
| Renal Failure W Cc | 46 | 175 / 42 | $18.104,30 | 781 / 41 | $5.672,00 | 461 / 25 | $4.708,39 | 457 / 31 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 43 | 164 / 40 | $23.004,20 | 1066 / 53 | $6.612,21 | 349 / 42 | $5.042,12 | 348 / 25 |
| Cellulitis W/O Mcc | 42 | 147 / 46 | $15.890,10 | 981 / 54 | $5.092,12 | 485 / 30 | $3.865,29 | 482 / 35 |
| Pulmonary Edema & Respiratory Failure | 40 | 163 / 27 | $21.402,20 | 496 / 29 | $7.054,58 | 253 / 17 | $6.026,00 | 253 / 26 |
| Simple Pneumonia & Pleurisy W Mcc | 38 | 167 / 36 | $32.960,70 | 1225 / 56 | $8.189,00 | 484 / 17 | $7.300,47 | 484 / 25 |
| Heart Failure & Shock W Cc | 37 | 241 / 72 | $23.057,30 | 1497 / 66 | $5.886,03 | 268 / 33 | $4.648,76 | 268 / 25 |
| Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 39 | $23.415,50 | 1014 / 50 | $6.696,17 | 434 / 19 | $5.727,72 | 433 / 32 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 34 | 162 / 37 | $97.553,00 | 1134 / 47 | $13.417,30 | 895 / 26 | $12.075,60 | 888 / 46 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 34 | 154 / 36 | $38.736,00 | 905 / 41 | $6.528,41 | 217 / 15 | $5.005,47 | 217 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 32 | 70 / 19 | $29.393,90 | 1077 / 48 | $4.736,66 | 417 / 23 | $3.532,47 | 414 / 32 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 30 | 19 / 3 | $8.317,87 | 57 / 5 | $3.020,23 | 12 / 2 | $2.268,77 | 12 / 3 |
| Heart Failure & Shock W Mcc | 29 | 255 / 69 | $27.545,10 | 945 / 50 | $8.288,66 | 190 / 14 | $7.222,24 | 190 / 18 |
| Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 29 | $15.704,00 | 923 / 50 | $4.234,76 | 296 / 35 | $3.091,48 | 294 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 38 | $16.234,40 | 658 / 33 | $4.821,50 | 533 / 28 | $3.845,54 | 531 / 40 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 47 | $33.818,20 | 1315 / 58 | $6.291,59 | 563 / 25 | $5.290,56 | 562 / 37 |
| G.I. Obstruction W Cc | 27 | 65 / 20 | $16.093,00 | 367 / 17 | $5.097,63 | 409 / 13 | $4.362,07 | 408 / 28 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 42 | $13.777,40 | 800 / 39 | $4.282,27 | 425 / 28 | $3.261,31 | 425 / 38 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 26 | $15.676,50 | 867 / 42 | $4.390,50 | 492 / 27 | $3.320,96 | 491 / 40 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 76 | $17.997,70 | 1128 / 58 | $4.531,96 | 661 / 30 | $3.538,68 | 657 / 47 |
| Other Vascular Procedures W Cc | 25 | 77 / 17 | $101.036,00 | 852 / 41 | $18.472,00 | 798 / 44 | $17.360,20 | 793 / 49 |
| Major Cardiovasc Procedures W/O Mcc | 24 | 77 / 15 | $102.149,00 | 602 / 24 | $22.010,30 | 425 / 22 | $19.648,70 | 425 / 22 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 30 | $49.226,10 | 592 / 28 | $13.620,20 | 143 / 26 | $11.378,20 | 143 / 15 |
| Renal Failure W Mcc | 22 | 173 / 44 | $26.932,10 | 574 / 28 | $8.844,45 | 131 / 19 | $7.366,91 | 131 / 16 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 21 | 97 / 16 | $101.694,00 | 79 / 1 | $27.978,80 | 29 / 1 | $26.113,40 | 29 / 2 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 18 | 58 / 10 | $106.654,00 | 159 / 9 | $26.242,20 | 91 / 4 | $23.032,20 | 91 / 7 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 37 | $42.686,80 | 751 / 41 | $10.990,90 | 63 / 18 | $9.037,17 | 63 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 23 | $30.421,60 | 751 / 44 | $6.155,67 | 163 / 17 | $4.860,33 | 163 / 18 |
| G.I. Hemorrhage W Mcc | 17 | 104 / 34 | $33.420,10 | 441 / 22 | $8.862,12 | 2 / 3 | $6.613,71 | 2 / 1 |
| Transient Ischemia | 17 | 108 / 40 | $27.181,10 | 1061 / 58 | $4.301,06 | 340 / 26 | $3.202,47 | 340 / 33 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 17 | 40 / 12 | $78.214,10 | 569 / 28 | $12.934,10 | 318 / 11 | $12.079,50 | 317 / 19 |
| Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 13 | $29.237,50 | 419 / 19 | $6.129,82 | 237 / 7 | $5.058,76 | 237 / 12 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 17 | 71 / 12 | $71.706,90 | 80 / 3 | $20.874,90 | 74 / 1 | $18.328,10 | 74 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 28 | $15.772,60 | 811 / 36 | $4.254,25 | 542 / 22 | $3.272,25 | 540 / 36 |
| Other Vascular Procedures W/O Cc/Mcc | 16 | 40 / 11 | $40.753,30 | 185 / 6 | $9.557,25 | 104 / 2 | $8.499,25 | 104 / 5 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 21 | $13.440,50 | 402 / 16 | $3.769,67 | 501 / 10 | $2.965,40 | 500 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 43 | $22.151,10 | 471 / 30 | $6.980,14 | 317 / 20 | $6.065,86 | 316 / 31 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 42 | $39.498,70 | 789 / 47 | $10.038,20 | 152 / 38 | $8.152,21 | 152 / 21 |
| Syncope & Collapse | 14 | 155 / 51 | $21.402,20 | 980 / 48 | $4.740,07 | 188 / 37 | $3.154,36 | 187 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 37 | $40.710,40 | 713 / 29 | $9.758,77 | 51 / 15 | $7.866,85 | 51 / 6 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 41 | $71.158,70 | 179 / 8 | $25.289,80 | 38 / 2 | $24.005,80 | 38 / 5 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 40 | $28.434,00 | 1428 / 66 | $4.778,92 | 5 / 21 | $2.777,00 | 5 / 2 |
| Seizures W/O Mcc | 12 | 96 / 33 | $26.233,50 | 820 / 43 | $4.755,75 | 142 / 18 | $3.431,17 | 141 / 14 |
| Diabetes W Cc | 12 | 80 / 28 | $16.042,20 | 403 / 21 | $5.258,92 | 126 / 23 | $3.653,92 | 126 / 11 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 32 | $20.676,40 | 446 / 19 | $6.010,92 | 78 / 20 | $4.319,92 | 77 / 9 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 32 | $18.938,70 | 599 / 23 | $4.465,75 | 118 / 15 | $3.029,33 | 118 / 10 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 23 | $75.924,60 | 571 / 26 | $15.431,80 | 334 / 8 | $14.774,40 | 333 / 20 |
| Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 10 | $122.672,00 | 44 / 4 | $33.277,90 | 11 / 2 | $31.477,00 | 11 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 27 | $127.950,00 | 718 / 25 | $22.538,20 | 638 / 22 | $21.145,00 | 634 / 33 |
| Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 38 | $67.247,00 | 319 / 21 | $20.327,60 | 116 / 1 | $19.126,20 | 115 / 8 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 16 | $26.178,50 | 489 / 25 | $4.615,45 | 173 / 11 | $3.512,91 | 172 / 12 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 36 | $70.312,50 | 866 / 32 | $13.425,80 | 129 / 3 | $12.070,00 | 129 / 3 | Total 61 procedures | 1.765 | 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.