Hospital Costs > In Pennsylvania > Coordinated Health Orthopedic Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 38 | 26 / 6 | $53.228,30 | 50 / 4 | $18.425,70 | 57 / 1 | $17.536,40 | 57 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 272 | 295 / 17 | $37.575,40 | 616 / 45 | $11.360,80 | 286 / 6 | $9.927,22 | 286 / 21 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 24 | 45 / 3 | $46.632,00 | 102 / 4 | $14.003,80 | 91 / 2 | $12.895,80 | 91 / 5 |
| Revision Of Hip Or Knee Replacement W Cc | 22 | 64 / 9 | $58.429,90 | 130 / 2 | $17.882,50 | 98 / 2 | $16.894,90 | 98 / 7 | Total 4 procedures | 356 | 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.