Hospital Costs > In Pennsylvania > Evangelical Community 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 | 229 | 335 / 23 | $36.130,90 | 530 / 35 | $12.034,70 | 564 / 22 | $10.418,50 | 559 / 44 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 151 | 365 / 39 | $19.670,70 | 249 / 19 | $9.803,56 | 154 / 8 | $8.811,11 | 154 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 109 | 98 / 12 | $14.210,90 | 292 / 19 | $5.886,72 | 136 / 8 | $4.735,05 | 136 / 13 |
Pulmonary Edema & Respiratory Failure | 76 | 127 / 12 | $20.365,60 | 427 / 26 | $6.891,00 | 368 / 14 | $6.176,49 | 368 / 32 |
Renal Failure W Cc | 42 | 179 / 45 | $11.982,20 | 208 / 15 | $5.097,98 | 167 / 8 | $4.323,12 | 167 / 15 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 40 | 235 / 64 | $12.793,30 | 485 / 28 | $4.093,55 | 133 / 8 | $3.003,15 | 133 / 13 |
G.I. Hemorrhage W Cc | 38 | 180 / 44 | $13.896,10 | 216 / 13 | $5.498,05 | 129 / 9 | $4.424,42 | 129 / 12 |
Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 26 | $35.343,40 | 424 / 25 | $10.533,70 | 193 / 8 | $9.474,69 | 192 / 14 |
Heart Failure & Shock W Cc | 31 | 247 / 78 | $12.881,30 | 359 / 22 | $5.286,94 | 119 / 8 | $4.391,97 | 119 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 37 | $12.857,30 | 304 / 19 | $4.256,14 | 31 / 5 | $3.085,48 | 31 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 47 | $19.205,40 | 424 / 20 | $5.703,74 | 312 / 7 | $4.991,44 | 311 / 23 |
Acute Myocardial Infarction, Discharged Alive W Cc | 26 | 65 / 16 | $15.488,70 | 128 / 10 | $5.851,92 | 40 / 13 | $4.470,65 | 40 / 9 |
G.I. Obstruction W/O Cc/Mcc | 25 | 46 / 12 | $12.018,60 | 280 / 12 | $3.659,40 | 57 / 8 | $2.189,88 | 57 / 2 |
Spinal Fusion Except Cervical W/O Mcc | 25 | 169 / 28 | $53.274,40 | 140 / 7 | $23.106,00 | 524 / 13 | $21.946,20 | 521 / 30 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 42 | $11.518,50 | 525 / 28 | $3.046,40 | 70 / 6 | $1.884,16 | 70 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 27 | $15.733,70 | 302 / 22 | $4.102,04 | 66 / 4 | $2.888,83 | 65 / 9 |
Major Small & Large Bowel Procedures W Cc | 22 | 86 / 25 | $47.148,40 | 338 / 13 | $15.106,30 | 654 / 13 | $14.173,90 | 648 / 32 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 21 | 32 / 6 | $16.267,90 | 177 / 10 | $4.119,29 | 94 / 1 | $3.313,19 | 94 / 7 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 35 | $22.862,10 | 232 / 19 | $8.889,67 | 84 / 10 | $7.797,10 | 84 / 11 |
Pulmonary Embolism W/O Mcc | 21 | 53 / 19 | $16.059,80 | 192 / 5 | $5.974,86 | 85 / 16 | $4.263,48 | 85 / 10 |
Respiratory Infections & Inflammations W Cc | 21 | 67 / 22 | $15.970,70 | 129 / 3 | $7.261,48 | 49 / 4 | $6.228,33 | 49 / 5 |
Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 62 | $13.564,80 | 400 / 19 | $5.380,00 | 191 / 14 | $4.306,22 | 191 / 23 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 10 | $34.473,70 | 293 / 14 | $8.966,00 | 122 / 4 | $7.821,11 | 122 / 7 |
Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 70 | $13.551,10 | 723 / 42 | $4.221,11 | 239 / 11 | $3.353,56 | 239 / 23 |
Transient Ischemia | 18 | 107 / 39 | $16.336,20 | 375 / 27 | $4.138,00 | 130 / 17 | $2.873,67 | 130 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 51 | $12.866,60 | 656 / 29 | $3.792,71 | 56 / 8 | $2.725,41 | 56 / 6 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 48 | $23.342,80 | 213 / 13 | $5.918,06 | 177 / 4 | $4.922,29 | 177 / 13 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 36 | $33.578,50 | 178 / 13 | $12.947,90 | 472 / 15 | $12.377,60 | 466 / 33 |
Syncope & Collapse | 16 | 153 / 49 | $12.425,40 | 222 / 15 | $3.985,62 | 65 / 7 | $2.921,62 | 65 / 13 |
Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 60 | $11.595,50 | 198 / 8 | $5.096,73 | 85 / 8 | $3.968,20 | 85 / 12 |
Heart Failure & Shock W Mcc | 14 | 270 / 81 | $18.455,40 | 337 / 22 | $7.907,93 | 56 / 7 | $6.794,79 | 56 / 8 |
Cellulitis W/O Mcc | 13 | 176 / 72 | $8.202,31 | 105 / 14 | $4.414,00 | 35 / 7 | $3.210,31 | 35 / 9 |
Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 17 | $18.824,20 | 108 / 8 | $5.750,31 | 146 / 4 | $4.814,92 | 146 / 8 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 10 | $53.082,50 | 160 / 7 | $14.543,10 | 139 / 4 | $13.521,50 | 139 / 7 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 14 | $50.527,10 | 349 / 14 | $12.724,20 | 93 / 5 | $10.381,50 | 93 / 6 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 39 | $18.184,10 | 58 / 5 | $10.266,80 | 7 / 6 | $8.399,25 | 7 / 2 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 14 | $11.948,80 | 210 / 7 | $3.424,08 | 58 / 2 | $2.517,42 | 57 / 2 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 32 | $13.214,80 | 100 / 4 | $5.312,25 | 101 / 4 | $4.405,58 | 100 / 14 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 45 | $16.571,90 | 179 / 11 | $6.640,17 | 239 / 8 | $5.941,50 | 239 / 26 |
G.I. Obstruction W Cc | 12 | 80 / 33 | $11.775,80 | 107 / 4 | $4.877,67 | 160 / 6 | $3.971,00 | 159 / 13 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 45 | $9.470,73 | 215 / 16 | $3.700,27 | 343 / 11 | $3.150,45 | 341 / 29 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 22 | $9.426,36 | 80 / 9 | $3.825,55 | 41 / 3 | $2.731,73 | 41 / 4 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 19 | $50.155,80 | 156 / 6 | $14.009,70 | 127 / 23 | $9.129,64 | 127 / 7 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 41 | $12.472,70 | 490 / 24 | $3.927,55 | 65 / 5 | $2.720,27 | 65 / 11 | Total 44 procedures | 1.358 | 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.