Hospital Costs > In Pennsylvania > Clarion Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 25 | 164 / 62 | $7.726,80 | 81 / 10 | $5.761,08 | 1041 / 67 | $4.301,92 | 1035 / 63 |
| Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 57 | $8.653,89 | 41 / 1 | $6.164,00 | 1088 / 57 | $5.042,78 | 1084 / 63 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 37 | $9.747,80 | 217 / 12 | $4.871,67 | 655 / 48 | $3.444,87 | 653 / 47 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 89 | $7.995,27 | 95 / 4 | $5.015,18 | 468 / 58 | $3.376,36 | 466 / 39 |
| G.I. Hemorrhage W Cc | 13 | 205 / 62 | $11.253,50 | 93 / 5 | $6.626,00 | 1166 / 57 | $5.538,85 | 1164 / 66 |
| Heart Failure & Shock W Cc | 16 | 262 / 89 | $11.203,80 | 211 / 12 | $6.652,19 | 1544 / 76 | $5.820,19 | 1539 / 91 |
| Heart Failure & Shock W Mcc | 15 | 269 / 80 | $11.513,60 | 36 / 4 | $9.861,67 | 1383 / 72 | $8.840,13 | 1379 / 79 |
| Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 60 | $9.093,13 | 204 / 14 | $5.365,16 | 515 / 71 | $3.633,42 | 515 / 37 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 25 | 539 / 88 | $24.775,90 | 74 / 9 | $13.807,90 | 1571 / 76 | $12.250,40 | 1535 / 95 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 56 | $9.040,17 | 224 / 15 | $4.758,75 | 637 / 52 | $3.408,58 | 635 / 43 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 33 | $10.418,20 | 122 / 7 | $5.334,47 | 512 / 48 | $3.998,74 | 511 / 45 |
| Renal Failure W Cc | 17 | 204 / 64 | $10.657,60 | 135 / 11 | $6.560,29 | 681 / 69 | $4.903,53 | 674 / 42 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 52 | 464 / 78 | $14.345,80 | 52 / 4 | $12.096,10 | 1333 / 74 | $10.703,60 | 1309 / 74 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 50 | $11.576,00 | 121 / 13 | $7.215,73 | 805 / 63 | $5.482,64 | 803 / 48 |
| Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 56 | $10.132,40 | 118 / 5 | $6.554,08 | 1129 / 67 | $5.175,28 | 1125 / 66 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 30 | $9.375,00 | 176 / 10 | $4.778,50 | 583 / 43 | $3.302,14 | 581 / 41 | Total 16 procedures | 341 | 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.