Hospital Costs > In Pennsylvania > Chester County Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 22 | 69 / 19 | $28.641,00 | 684 / 39 | $6.248,64 | 302 / 20 | $5.153,36 | 302 / 27 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 41 | 84 / 17 | $36.676,20 | 689 / 43 | $10.718,60 | 757 / 50 | $9.623,02 | 756 / 55 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 16 | $21.805,40 | 359 / 20 | $4.487,55 | 212 / 9 | $3.603,18 | 211 / 16 |
Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 22 | $22.376,50 | 476 / 19 | $5.225,53 | 232 / 11 | $4.180,20 | 229 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 70 | 91 / 12 | $21.049,90 | 1134 / 48 | $4.787,23 | 374 / 27 | $3.704,01 | 374 / 31 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 61 | 62 / 8 | $37.459,40 | 1240 / 61 | $7.971,23 | 718 / 51 | $6.691,49 | 715 / 53 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 37 | 113 / 30 | $14.321,50 | 904 / 43 | $3.454,65 | 247 / 26 | $2.199,08 | 245 / 26 |
Cellulitis W Mcc | 20 | 38 / 9 | $31.767,30 | 421 / 14 | $8.605,50 | 234 / 15 | $7.585,40 | 233 / 21 |
Cellulitis W/O Mcc | 79 | 110 / 20 | $24.514,10 | 1845 / 83 | $5.122,49 | 618 / 34 | $3.987,71 | 615 / 44 |
Chest Pain | 13 | 138 / 39 | $24.065,80 | 1164 / 56 | $3.613,85 | 236 / 15 | $2.599,69 | 235 / 20 |
Chronic Obstructive Pulmonary Disease W Cc | 43 | 136 / 32 | $27.087,10 | 1578 / 73 | $5.791,21 | 487 / 41 | $4.531,44 | 486 / 36 |
Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 31 | $32.750,90 | 1634 / 74 | $7.016,11 | 460 / 34 | $5.749,53 | 459 / 33 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 38 | $19.910,50 | 1259 / 59 | $4.403,64 | 279 / 28 | $3.118,57 | 279 / 30 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 25 | 68 / 14 | $49.404,20 | 312 / 13 | $12.655,10 | 225 / 10 | $11.164,60 | 220 / 7 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 48 | 140 / 28 | $29.328,50 | 481 / 25 | $6.655,23 | 366 / 18 | $5.259,67 | 365 / 22 |
Coronary Bypass W Cardiac Cath W/O Mcc | 15 | 61 / 13 | $120.130,00 | 229 / 13 | $27.767,80 | 290 / 10 | $26.558,20 | 290 / 19 |
Digestive Malignancy W Cc | 13 | 34 / 8 | $26.019,40 | 95 / 4 | $7.057,15 | 30 / 1 | $6.040,54 | 30 / 1 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 13 | $23.469,50 | 255 / 9 | $5.689,15 | 70 / 3 | $4.592,62 | 70 / 3 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 13 | 63 / 11 | $34.893,30 | 159 / 6 | $9.689,31 | 5 / 1 | $8.266,46 | 5 / 1 |
Disorders Of The Biliary Tract W Cc | 14 | 40 / 10 | $26.443,10 | 154 / 7 | $6.301,86 | 85 / 5 | $5.353,29 | 85 / 7 |
Disorders Of The Biliary Tract W Mcc | 11 | 28 / 10 | $47.040,80 | 137 / 5 | $10.119,50 | 16 / 1 | $8.139,36 | 16 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 28 | 68 / 13 | $25.230,50 | 441 / 14 | $7.254,11 | 511 / 16 | $6.651,82 | 508 / 27 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 74 | 201 / 39 | $20.813,20 | 1488 / 69 | $4.520,99 | 318 / 27 | $3.252,57 | 317 / 31 |
Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 17 | $21.841,90 | 198 / 14 | $6.822,85 | 101 / 16 | $4.667,46 | 101 / 6 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 14 | $16.454,60 | 351 / 14 | $4.329,75 | 50 / 12 | $2.773,67 | 50 / 7 |
G.I. Hemorrhage W Cc | 82 | 136 / 16 | $24.323,50 | 1146 / 54 | $6.037,62 | 511 / 31 | $4.919,89 | 510 / 37 |
G.I. Hemorrhage W Mcc | 32 | 89 / 19 | $43.699,20 | 828 / 38 | $10.174,30 | 426 / 19 | $9.459,03 | 427 / 27 |
G.I. Obstruction W Cc | 28 | 64 / 19 | $22.900,70 | 852 / 37 | $5.418,18 | 691 / 24 | $4.683,32 | 690 / 39 |
G.I. Obstruction W Mcc | 12 | 30 / 9 | $28.719,80 | 116 / 6 | $9.617,58 | 18 / 3 | $7.546,50 | 18 / 1 |
G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 18 | $14.043,20 | 456 / 23 | $4.051,61 | 85 / 17 | $2.298,11 | 85 / 4 |
Heart Failure & Shock W Cc | 119 | 159 / 20 | $26.798,40 | 1794 / 81 | $5.931,19 | 540 / 34 | $4.931,49 | 540 / 39 |
Heart Failure & Shock W Mcc | 153 | 131 / 9 | $36.652,20 | 1488 / 69 | $9.013,27 | 938 / 46 | $8.202,18 | 937 / 54 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 44 | $20.695,10 | 1331 / 66 | $4.054,58 | 187 / 29 | $2.947,92 | 185 / 21 |
Hip & Femur Procedures Except Major Joint W Cc | 50 | 93 / 14 | $39.559,50 | 617 / 34 | $11.592,60 | 753 / 35 | $10.528,90 | 746 / 49 |
Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 11 | $48.256,10 | 131 / 4 | $17.784,60 | 98 / 8 | $15.165,70 | 98 / 5 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 18 | 18 / 5 | $58.601,40 | 160 / 8 | $13.733,30 | 32 / 3 | $12.011,30 | 32 / 3 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 43 | 81 / 15 | $89.254,40 | 357 / 17 | $31.333,00 | 133 / 30 | $26.017,50 | 133 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 65 | 117 / 23 | $27.364,90 | 955 / 44 | $6.188,95 | 360 / 20 | $5.047,03 | 359 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 28 | $31.966,20 | 408 / 14 | $9.544,07 | 215 / 13 | $8.533,11 | 214 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 31 | 71 / 20 | $26.436,10 | 966 / 40 | $4.678,45 | 198 / 20 | $3.202,10 | 196 / 17 |
Kidney & Urinary Tract Infections W Mcc | 36 | 108 / 19 | $23.874,30 | 848 / 38 | $6.377,94 | 378 / 17 | $5.540,61 | 377 / 25 |
Kidney & Urinary Tract Infections W/O Mcc | 46 | 187 / 46 | $19.540,70 | 1519 / 71 | $4.747,39 | 343 / 36 | $3.486,93 | 343 / 28 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 7 | $42.768,00 | 317 / 9 | $10.446,20 | 90 / 9 | $7.773,06 | 90 / 6 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 12 | $39.881,40 | 306 / 12 | $7.364,45 | 206 / 6 | $6.157,18 | 206 / 11 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 15 | $37.455,50 | 111 / 3 | $12.150,00 | 81 / 6 | $9.680,82 | 81 / 7 |
Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 22 | $56.617,10 | 103 / 5 | $19.825,90 | 329 / 11 | $18.788,10 | 329 / 15 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 25 | $25.448,70 | 495 / 27 | $7.047,82 | 436 / 19 | $6.495,09 | 435 / 30 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 19 | 46 / 7 | $62.962,90 | 292 / 10 | $19.201,70 | 385 / 9 | $18.245,10 | 383 / 12 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 152 | 412 / 38 | $37.060,50 | 593 / 40 | $13.006,80 | 1084 / 56 | $11.193,60 | 1060 / 66 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 12 | $43.239,70 | 79 / 3 | $15.910,70 | 228 / 9 | $14.700,50 | 228 / 11 |
Major Small & Large Bowel Procedures W Cc | 23 | 85 / 24 | $62.297,90 | 694 / 27 | $15.261,00 | 665 / 17 | $14.205,00 | 659 / 33 |
Major Small & Large Bowel Procedures W Mcc | 30 | 55 / 10 | $94.594,00 | 336 / 13 | $30.131,30 | 455 / 18 | $29.205,40 | 453 / 25 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 17 | $38.448,50 | 273 / 8 | $9.924,73 | 194 / 5 | $8.044,27 | 194 / 5 |
Medical Back Problems W/O Mcc | 17 | 104 / 34 | $24.825,70 | 823 / 40 | $5.321,47 | 71 / 24 | $3.451,18 | 71 / 9 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 24 | $30.442,80 | 979 / 34 | $6.547,38 | 273 / 13 | $5.646,04 | 270 / 17 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 35 | $22.153,00 | 1730 / 74 | $4.304,55 | 300 / 30 | $3.132,91 | 300 / 28 |
Other Circulatory System Diagnoses W Mcc | 21 | 95 / 23 | $50.393,00 | 747 / 26 | $11.326,40 | 434 / 15 | $10.515,70 | 433 / 25 |
Other Digestive System Diagnoses W Cc | 22 | 75 / 22 | $22.951,30 | 562 / 26 | $6.001,23 | 226 / 19 | $4.721,00 | 224 / 23 |
Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 22 | $23.089,20 | 336 / 12 | $5.893,44 | 188 / 10 | $5.139,44 | 188 / 11 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 29 | 72 / 14 | $33.064,80 | 472 / 17 | $9.044,41 | 276 / 10 | $8.296,28 | 276 / 16 |
Other Resp System O.R. Procedures W Mcc | 12 | 51 / 13 | $81.186,70 | 226 / 5 | $20.080,80 | 120 / 3 | $19.478,20 | 120 / 5 |
Other Vascular Procedures W Mcc | 19 | 78 / 19 | $73.369,90 | 301 / 12 | $19.059,60 | 266 / 6 | $18.421,30 | 265 / 11 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 24 | $60.254,30 | 79 / 3 | $19.108,60 | 327 / 9 | $18.157,70 | 325 / 14 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 48 | 148 / 28 | $39.376,10 | 60 / 3 | $12.661,60 | 419 / 18 | $10.439,00 | 418 / 22 |
Peripheral Vascular Disorders W Cc | 18 | 66 / 16 | $25.722,40 | 666 / 33 | $5.762,28 | 281 / 18 | $4.828,94 | 280 / 26 |
Permanent Cardiac Pacemaker Implant W Cc | 21 | 56 / 13 | $60.913,40 | 362 / 17 | $15.767,00 | 326 / 10 | $14.729,30 | 325 / 19 |
Pulmonary Edema & Respiratory Failure | 46 | 157 / 25 | $42.183,70 | 1573 / 69 | $7.500,43 | 627 / 33 | $6.485,04 | 627 / 44 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 24 | $28.309,20 | 782 / 30 | $5.606,62 | 322 / 8 | $4.850,62 | 322 / 23 |
Red Blood Cell Disorders W Mcc | 18 | 53 / 14 | $26.558,80 | 355 / 10 | $7.507,56 | 223 / 13 | $6.617,78 | 223 / 12 |
Red Blood Cell Disorders W/O Mcc | 34 | 109 / 22 | $21.181,40 | 1006 / 50 | $4.834,06 | 223 / 27 | $3.666,88 | 223 / 22 |
Renal Failure W Cc | 48 | 173 / 41 | $30.436,00 | 1713 / 79 | $5.834,42 | 629 / 35 | $4.859,96 | 623 / 40 |
Renal Failure W Mcc | 49 | 146 / 21 | $33.928,60 | 997 / 53 | $9.213,16 | 582 / 27 | $8.175,29 | 582 / 39 |
Respiratory Infections & Inflammations W Cc | 15 | 73 / 28 | $34.573,80 | 838 / 33 | $8.001,00 | 475 / 16 | $7.284,20 | 472 / 31 |
Respiratory Infections & Inflammations W Mcc | 48 | 88 / 8 | $38.853,80 | 741 / 32 | $11.123,30 | 425 / 20 | $10.313,60 | 423 / 27 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 38 | $62.469,50 | 967 / 41 | $14.873,50 | 657 / 41 | $12.845,10 | 649 / 39 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 418 | 124 / 5 | $43.028,90 | 1479 / 67 | $11.284,00 | 1030 / 49 | $10.226,00 | 1019 / 62 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 154 | 53 / 4 | $29.615,00 | 1596 / 68 | $6.511,16 | 659 / 36 | $5.363,23 | 657 / 39 |
Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 56 | $28.972,00 | 1901 / 78 | $6.706,32 | 1405 / 75 | $5.425,24 | 1399 / 79 |
Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 41 | $44.130,60 | 1724 / 68 | $8.863,52 | 659 / 43 | $7.511,71 | 659 / 32 |
Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 38 | $81.275,10 | 544 / 33 | $24.075,90 | 666 / 25 | $22.862,80 | 662 / 38 |
Syncope & Collapse | 31 | 138 / 36 | $24.217,50 | 1181 / 61 | $4.351,26 | 475 / 19 | $3.533,71 | 473 / 37 |
Transient Ischemia | 41 | 84 / 20 | $25.162,00 | 966 / 48 | $4.238,95 | 224 / 24 | $3.049,10 | 224 / 27 |
Transurethral Procedures W Cc | 13 | 28 / 9 | $24.458,50 | 60 / 6 | $7.629,08 | 126 / 3 | $6.787,23 | 126 / 6 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 10 | $23.444,20 | 214 / 9 | $4.147,50 | 76 / 4 | $3.046,17 | 76 / 10 | Total 84 procedures | 3.167 | 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.