Hospital Costs > In Pennsylvania > Doylestown 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 | 24 | 67 / 18 | $39.438,90 | 1022 / 55 | $6.329,08 | 407 / 25 | $5.321,08 | 406 / 33 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 29 | 96 / 28 | $41.258,50 | 865 / 50 | $9.873,72 | 499 / 30 | $8.996,48 | 498 / 40 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 11 | $28.739,10 | 549 / 29 | $4.690,69 | 164 / 13 | $3.475,44 | 163 / 11 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 19 | 70 / 17 | $26.437,80 | 225 / 12 | $6.682,21 | 44 / 5 | $4.497,84 | 44 / 3 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 21 | 42 / 12 | $74.003,40 | 108 / 11 | $21.831,20 | 76 / 9 | $17.992,50 | 76 / 5 |
| Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 21 | $29.207,90 | 690 / 31 | $5.201,62 | 214 / 9 | $4.143,62 | 211 / 19 |
| Bronchitis & Asthma W/O Cc/Mcc | 17 | 28 / 6 | $19.148,20 | 196 / 9 | $4.154,71 | 27 / 7 | $2.440,88 | 27 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 38 | 123 / 30 | $22.421,70 | 1240 / 56 | $4.713,29 | 670 / 23 | $3.980,66 | 667 / 50 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 31 | $37.865,20 | 1258 / 64 | $7.232,26 | 537 / 26 | $6.426,33 | 534 / 43 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 46 | 104 / 24 | $18.430,40 | 1304 / 63 | $3.310,20 | 346 / 18 | $2.311,93 | 344 / 37 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 42 | 76 / 10 | $136.668,00 | 236 / 12 | $33.268,10 | 91 / 12 | $28.012,00 | 91 / 4 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 12 | 104 / 19 | $185.404,00 | 181 / 10 | $44.920,20 | 84 / 4 | $44.120,20 | 84 / 6 |
| Cellulitis W Mcc | 19 | 39 / 10 | $38.281,60 | 551 / 21 | $8.642,21 | 317 / 17 | $7.943,26 | 316 / 23 |
| Cellulitis W/O Mcc | 132 | 58 / 4 | $23.471,60 | 1773 / 80 | $5.021,86 | 783 / 28 | $4.113,83 | 778 / 49 |
| Chest Pain | 14 | 137 / 38 | $22.883,00 | 1111 / 53 | $3.596,07 | 270 / 14 | $2.647,50 | 269 / 24 |
| Chronic Obstructive Pulmonary Disease W Cc | 44 | 135 / 31 | $28.180,80 | 1630 / 76 | $5.652,77 | 572 / 35 | $4.614,41 | 570 / 41 |
| Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 29 | $34.945,60 | 1734 / 80 | $7.111,56 | 686 / 41 | $5.965,27 | 682 / 45 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 32 | 88 / 20 | $24.553,10 | 1516 / 70 | $4.364,72 | 174 / 25 | $2.969,91 | 174 / 24 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 21 | $61.585,20 | 493 / 20 | $12.058,90 | 177 / 6 | $10.949,90 | 174 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 38 | $49.421,70 | 1190 / 48 | $6.618,75 | 391 / 16 | $5.297,69 | 389 / 23 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 13 | 63 / 15 | $132.293,00 | 283 / 15 | $29.572,20 | 233 / 13 | $25.600,80 | 233 / 15 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 19 | 69 / 11 | $94.095,00 | 215 / 9 | $23.168,80 | 124 / 7 | $19.168,20 | 123 / 4 |
| Diabetes W Cc | 23 | 69 / 17 | $24.776,20 | 986 / 38 | $4.938,96 | 520 / 13 | $4.307,30 | 520 / 29 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 17 | $31.572,50 | 661 / 22 | $5.416,00 | 231 / 6 | $4.579,08 | 231 / 11 |
| Disorders Of The Biliary Tract W Cc | 12 | 42 / 12 | $34.776,90 | 272 / 11 | $5.838,75 | 54 / 2 | $5.132,08 | 54 / 4 |
| Dysequilibrium | 14 | 51 / 13 | $18.872,40 | 213 / 8 | $3.698,00 | 93 / 3 | $2.744,86 | 93 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 25 | $40.619,10 | 964 / 34 | $7.699,12 | 232 / 22 | $6.069,56 | 231 / 21 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 94 | 181 / 28 | $22.251,30 | 1652 / 74 | $4.470,71 | 606 / 24 | $3.488,01 | 603 / 45 |
| Fever | 22 | 24 / 6 | $30.352,50 | 232 / 6 | $5.054,32 | 77 / 2 | $4.284,86 | 77 / 4 |
| Fractures Of Hip & Pelvis W/O Mcc | 30 | 31 / 2 | $18.173,20 | 440 / 16 | $4.113,80 | 129 / 8 | $3.027,93 | 130 / 11 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 19 | $20.190,50 | 381 / 12 | $4.522,33 | 105 / 7 | $3.314,33 | 105 / 9 |
| G.I. Hemorrhage W Cc | 81 | 137 / 17 | $35.397,40 | 1798 / 76 | $6.088,00 | 669 / 35 | $5.060,91 | 668 / 41 |
| G.I. Hemorrhage W Mcc | 24 | 97 / 27 | $50.840,60 | 1024 / 45 | $10.263,20 | 377 / 20 | $9.354,25 | 377 / 24 |
| G.I. Hemorrhage W/O Cc/Mcc | 27 | 41 / 7 | $18.693,70 | 495 / 25 | $4.208,85 | 113 / 16 | $2.979,74 | 113 / 13 |
| G.I. Obstruction W Cc | 33 | 59 / 16 | $25.090,20 | 995 / 39 | $5.258,61 | 363 / 17 | $4.299,64 | 362 / 27 |
| G.I. Obstruction W/O Cc/Mcc | 28 | 43 / 10 | $16.311,60 | 616 / 26 | $3.782,54 | 164 / 11 | $2.465,68 | 164 / 10 |
| Heart Failure & Shock W Cc | 112 | 166 / 25 | $32.336,00 | 2070 / 92 | $5.947,63 | 878 / 38 | $5.191,92 | 877 / 59 |
| Heart Failure & Shock W Mcc | 69 | 215 / 39 | $39.119,90 | 1612 / 76 | $8.788,36 | 920 / 32 | $8.176,19 | 919 / 53 |
| Heart Failure & Shock W/O Cc/Mcc | 41 | 69 / 21 | $20.824,80 | 1345 / 68 | $3.981,76 | 494 / 21 | $3.304,29 | 492 / 37 |
| Hip & Femur Procedures Except Major Joint W Cc | 44 | 99 / 19 | $49.260,50 | 1024 / 47 | $11.570,90 | 426 / 31 | $9.957,02 | 425 / 27 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 14 | $78.007,70 | 504 / 14 | $19.355,20 | 510 / 15 | $18.349,80 | 507 / 20 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 16 | $40.944,90 | 431 / 16 | $9.568,17 | 295 / 8 | $8.456,17 | 294 / 13 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 35 | $116.991,00 | 705 / 31 | $29.067,80 | 306 / 14 | $28.052,20 | 306 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 45 | 137 / 33 | $30.013,90 | 1159 / 54 | $6.248,42 | 538 / 23 | $5.255,71 | 537 / 35 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 28 | 140 / 27 | $39.818,90 | 688 / 27 | $10.130,90 | 425 / 19 | $9.162,93 | 424 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 24 | $25.039,20 | 902 / 35 | $4.635,48 | 227 / 19 | $3.249,30 | 225 / 19 |
| Kidney & Urinary Tract Infections W Mcc | 65 | 79 / 5 | $27.621,00 | 1075 / 47 | $6.585,48 | 563 / 24 | $5.787,45 | 562 / 36 |
| Kidney & Urinary Tract Infections W/O Mcc | 137 | 96 / 8 | $19.870,80 | 1566 / 75 | $4.620,77 | 493 / 30 | $3.616,67 | 493 / 35 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 20 | 27 / 4 | $36.069,20 | 248 / 9 | $7.480,00 | 134 / 7 | $5.816,65 | 134 / 8 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 15 | 32 / 8 | $35.403,00 | 178 / 10 | $8.866,07 | 179 / 5 | $7.737,53 | 179 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 17 | $23.903,20 | 435 / 23 | $6.954,05 | 393 / 17 | $6.381,42 | 392 / 27 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 11 | $33.488,90 | 190 / 6 | $11.183,00 | 29 / 4 | $9.098,18 | 29 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 263 | 302 / 19 | $50.488,90 | 1313 / 73 | $12.728,50 | 759 / 48 | $10.709,40 | 749 / 50 |
| Major Small & Large Bowel Procedures W Cc | 29 | 79 / 20 | $86.104,80 | 1069 / 38 | $15.484,90 | 755 / 20 | $14.569,10 | 747 / 39 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 24 | $128.466,00 | 640 / 20 | $31.974,50 | 608 / 25 | $30.859,40 | 606 / 35 |
| Medical Back Problems W/O Mcc | 27 | 94 / 27 | $25.461,60 | 843 / 41 | $5.060,63 | 453 / 15 | $4.163,44 | 453 / 35 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 34 | $29.720,50 | 951 / 30 | $6.650,00 | 368 / 18 | $5.820,46 | 365 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 45 | 121 / 27 | $19.746,10 | 1532 / 69 | $4.187,42 | 799 / 26 | $3.517,56 | 796 / 49 |
| Other Circulatory System Diagnoses W Cc | 15 | 51 / 13 | $36.020,30 | 499 / 14 | $5.687,13 | 238 / 4 | $5.283,93 | 237 / 12 |
| Other Circulatory System Diagnoses W Mcc | 14 | 102 / 30 | $43.725,90 | 595 / 18 | $9.604,93 | 77 / 3 | $8.982,07 | 77 / 7 |
| Other Digestive System Diagnoses W Cc | 21 | 76 / 23 | $33.151,90 | 971 / 39 | $5.737,05 | 408 / 11 | $5.051,33 | 405 / 31 |
| Other Disorders Of Nervous System W Cc | 23 | 33 / 10 | $25.359,10 | 291 / 7 | $5.304,96 | 102 / 6 | $4.357,48 | 102 / 5 |
| Other Disorders Of Nervous System W/O Cc/Mcc | 13 | 22 / 6 | $25.186,10 | 81 / 4 | $3.965,15 | 26 / 1 | $3.130,69 | 26 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 26 | $29.415,70 | 513 / 18 | $5.916,00 | 237 / 11 | $5.308,00 | 237 / 13 |
| Other Vascular Procedures W Cc | 14 | 88 / 24 | $61.744,20 | 395 / 19 | $15.363,30 | 53 / 11 | $12.309,30 | 53 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 19 | 81 / 19 | $125.038,00 | 698 / 23 | $19.086,80 | 134 / 8 | $16.637,70 | 134 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 81 | 115 / 10 | $84.787,60 | 954 / 37 | $12.800,80 | 341 / 21 | $10.253,80 | 341 / 18 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 12 | 57 / 18 | $72.317,40 | 364 / 20 | $10.914,00 | 210 / 7 | $9.804,67 | 210 / 12 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 14 | 81 / 20 | $79.164,40 | 335 / 11 | $11.796,40 | 213 / 4 | $11.106,10 | 211 / 8 |
| Peripheral Vascular Disorders W Cc | 20 | 64 / 15 | $36.854,80 | 955 / 42 | $5.607,40 | 330 / 10 | $4.945,00 | 328 / 31 |
| Peripheral Vascular Disorders W Mcc | 14 | 35 / 10 | $38.276,50 | 331 / 12 | $8.360,29 | 203 / 7 | $7.670,00 | 203 / 11 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 19 | 38 / 10 | $76.965,20 | 559 / 27 | $12.918,30 | 304 / 10 | $11.966,70 | 303 / 17 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 19 | $21.829,50 | 566 / 21 | $3.810,09 | 54 / 6 | $2.707,55 | 54 / 4 |
| Pulmonary Edema & Respiratory Failure | 30 | 173 / 36 | $38.115,70 | 1434 / 61 | $7.337,17 | 337 / 28 | $6.134,00 | 337 / 31 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 21 | $30.070,40 | 840 / 32 | $6.506,84 | 31 / 26 | $3.976,26 | 31 / 5 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 17 | $41.502,10 | 708 / 25 | $7.472,13 | 217 / 10 | $6.604,93 | 217 / 11 |
| Red Blood Cell Disorders W/O Mcc | 39 | 104 / 18 | $34.815,20 | 1656 / 75 | $4.804,67 | 307 / 23 | $3.764,03 | 306 / 26 |
| Renal Failure W Cc | 58 | 163 / 33 | $34.136,50 | 1867 / 87 | $5.740,24 | 836 / 31 | $5.032,38 | 829 / 51 |
| Renal Failure W Mcc | 37 | 158 / 31 | $42.327,40 | 1360 / 62 | $9.275,59 | 556 / 28 | $8.137,43 | 556 / 35 |
| Respiratory Infections & Inflammations W Cc | 29 | 59 / 14 | $38.969,00 | 945 / 37 | $8.086,41 | 497 / 17 | $7.337,17 | 494 / 33 |
| Respiratory Infections & Inflammations W Mcc | 40 | 96 / 14 | $53.723,70 | 1146 / 51 | $11.696,20 | 567 / 30 | $10.607,80 | 559 / 35 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 37 | $68.125,90 | 1106 / 47 | $13.236,60 | 133 / 20 | $11.331,90 | 133 / 14 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 11 | $100.707,00 | 258 / 9 | $26.059,80 | 31 / 1 | $24.589,10 | 31 / 2 |
| Seizures W/O Mcc | 16 | 92 / 29 | $20.157,40 | 560 / 26 | $4.474,56 | 140 / 9 | $3.418,56 | 139 / 13 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 21 | $103.781,00 | 204 / 8 | $31.934,20 | 16 / 7 | $26.964,60 | 16 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 154 | 362 / 37 | $48.635,40 | 1740 / 74 | $11.105,40 | 989 / 42 | $10.166,90 | 980 / 59 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 63 | 144 / 27 | $26.817,50 | 1408 / 62 | $6.438,89 | 730 / 32 | $5.417,94 | 728 / 42 |
| Signs & Symptoms W/O Mcc | 22 | 69 / 22 | $22.307,50 | 785 / 30 | $4.257,09 | 233 / 11 | $3.281,50 | 232 / 13 |
| Simple Pneumonia & Pleurisy W Cc | 114 | 89 / 7 | $29.426,20 | 1922 / 79 | $5.849,02 | 575 / 32 | $4.711,77 | 572 / 40 |
| Simple Pneumonia & Pleurisy W Mcc | 104 | 101 / 3 | $45.996,40 | 1790 / 72 | $8.693,63 | 805 / 33 | $7.659,28 | 805 / 42 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 63 | 30 / 1 | $19.523,40 | 1165 / 50 | $4.176,84 | 416 / 19 | $3.160,46 | 414 / 29 |
| Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 35 | $59.503,30 | 212 / 12 | $24.032,90 | 671 / 24 | $22.904,40 | 667 / 40 |
| Syncope & Collapse | 28 | 141 / 39 | $23.612,20 | 1141 / 56 | $4.330,25 | 518 / 18 | $3.565,96 | 516 / 40 |
| Transient Ischemia | 52 | 73 / 15 | $25.581,70 | 991 / 51 | $4.146,33 | 233 / 18 | $3.060,06 | 233 / 29 |
| Transurethral Procedures W Cc | 14 | 27 / 8 | $47.510,80 | 263 / 11 | $8.143,07 | 60 / 5 | $6.222,86 | 60 / 3 |
| Transurethral Prostatectomy W/O Cc/Mcc | 14 | 15 / 2 | $23.819,10 | 38 / 1 | $4.434,07 | 30 / 2 | $3.659,21 | 30 / 3 | Total 96 procedures | 3.445 | 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.