Hospital Costs > In Pennsylvania > Excela Health Frick Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 37 | 479 / 87 | $31.321,50 | 847 / 48 | $10.264,30 | 279 / 19 | $9.116,81 | 279 / 21 |
| Heart Failure & Shock W Mcc | 33 | 251 / 66 | $23.206,70 | 610 / 36 | $8.004,73 | 279 / 8 | $7.386,06 | 279 / 20 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 44 | $16.823,90 | 465 / 22 | $6.541,45 | 112 / 12 | $5.195,90 | 112 / 16 |
| Cellulitis W/O Mcc | 25 | 164 / 62 | $10.906,80 | 349 / 27 | $5.156,44 | 210 / 36 | $3.574,24 | 209 / 21 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 69 | $10.938,30 | 376 / 25 | $4.393,11 | 300 / 16 | $3.441,53 | 300 / 26 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 54 | $27.934,10 | 905 / 40 | $8.353,72 | 293 / 19 | $7.012,28 | 293 / 17 |
| Heart Failure & Shock W Cc | 17 | 261 / 88 | $16.318,60 | 722 / 38 | $5.554,71 | 257 / 18 | $4.634,24 | 257 / 22 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 26 | $21.332,80 | 315 / 12 | $7.347,65 | 175 / 5 | $6.711,41 | 174 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 84 | $12.233,80 | 423 / 24 | $4.527,00 | 292 / 28 | $3.223,75 | 291 / 30 |
| Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 65 | $17.151,10 | 814 / 40 | $5.567,53 | 627 / 19 | $4.759,00 | 624 / 42 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 49 | $21.680,30 | 515 / 30 | $6.466,80 | 50 / 4 | $5.497,00 | 50 / 8 |
| G.I. Hemorrhage W Cc | 14 | 204 / 61 | $18.055,40 | 573 / 34 | $5.628,00 | 357 / 16 | $4.766,29 | 357 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 51 | $10.002,80 | 354 / 18 | $3.532,85 | 228 / 31 | $2.178,15 | 227 / 24 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 45 | $16.620,50 | 182 / 12 | $6.844,58 | 146 / 16 | $5.740,58 | 146 / 16 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 45 | $18.033,30 | 106 / 7 | $8.297,91 | 55 / 4 | $7.529,91 | 55 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 52 | $15.030,40 | 521 / 23 | $4.652,00 | 457 / 19 | $3.776,36 | 457 / 37 |
| Respiratory Infections & Inflammations W Mcc | 11 | 125 / 40 | $24.897,50 | 228 / 13 | $10.034,70 | 49 / 3 | $9.070,36 | 49 / 7 | Total 17 procedures | 315 | 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.