Hospital Costs > In Pennsylvania > Excela Health Latrobe 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 Mcc | 12 | 113 / 44 | $18.600,40 | 117 / 10 | $10.305,20 | 342 / 39 | $8.647,17 | 342 / 34 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 24 | $11.331,30 | 14 / 2 | $7.273,91 | 256 / 13 | $5.436,91 | 256 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 44 | $9.903,05 | 104 / 7 | $5.572,95 | 806 / 64 | $4.111,73 | 803 / 55 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 43 | $18.195,20 | 252 / 18 | $8.118,86 | 618 / 56 | $6.554,29 | 615 / 46 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 49 | $8.236,75 | 168 / 8 | $4.100,94 | 890 / 60 | $2.737,44 | 886 / 61 |
Cellulitis W/O Mcc | 32 | 157 / 56 | $9.911,66 | 233 / 21 | $6.141,66 | 1089 / 88 | $4.341,41 | 1083 / 66 |
Chest Pain | 12 | 139 / 40 | $10.082,60 | 148 / 9 | $4.430,33 | 529 / 47 | $2.954,33 | 525 / 34 |
Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 55 | $14.991,20 | 511 / 26 | $6.533,40 | 911 / 72 | $4.883,40 | 908 / 56 |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 62 | $16.451,30 | 431 / 21 | $7.841,83 | 893 / 66 | $6.145,83 | 888 / 55 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 67 | $9.687,92 | 184 / 12 | $5.340,78 | 1163 / 74 | $3.865,78 | 1155 / 68 |
G.I. Hemorrhage W Cc | 35 | 183 / 47 | $16.020,60 | 394 / 25 | $6.888,54 | 948 / 65 | $5.322,60 | 946 / 53 |
Heart Failure & Shock W Cc | 35 | 243 / 74 | $14.138,10 | 489 / 28 | $6.618,26 | 815 / 74 | $5.154,40 | 814 / 55 |
Heart Failure & Shock W Mcc | 27 | 257 / 70 | $23.668,00 | 640 / 38 | $10.000,10 | 867 / 78 | $8.123,04 | 867 / 49 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 38 | $11.270,60 | 385 / 29 | $4.885,11 | 954 / 64 | $3.692,22 | 946 / 63 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 41 | $24.812,60 | 80 / 4 | $12.542,90 | 783 / 55 | $10.576,10 | 775 / 51 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 58 | $17.385,00 | 311 / 17 | $7.335,00 | 790 / 58 | $5.535,00 | 788 / 46 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 33 | $15.400,80 | 283 / 21 | $5.679,69 | 590 / 54 | $3.725,62 | 586 / 39 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 33 | $16.825,20 | 353 / 16 | $7.865,84 | 269 / 58 | $5.374,47 | 269 / 21 |
Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 63 | $11.233,90 | 426 / 26 | $5.597,74 | 1044 / 84 | $3.987,48 | 1036 / 61 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 47 | 517 / 75 | $27.652,00 | 147 / 12 | $13.535,50 | 1295 / 70 | $11.577,60 | 1263 / 79 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 36 | $27.250,30 | 32 / 3 | $15.226,20 | 346 / 16 | $13.026,20 | 343 / 11 |
Medical Back Problems W/O Mcc | 14 | 107 / 37 | $13.001,40 | 131 / 7 | $6.087,86 | 553 / 46 | $4.308,43 | 551 / 42 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 31 | $16.394,20 | 210 / 9 | $6.863,46 | 586 / 34 | $5.369,31 | 583 / 42 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 25 | $31.581,80 | 433 / 16 | $11.630,80 | 645 / 34 | $9.760,69 | 643 / 37 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 41 | $10.435,80 | 123 / 8 | $5.614,36 | 710 / 57 | $4.188,91 | 705 / 53 |
Renal Failure W Cc | 25 | 196 / 59 | $14.827,30 | 446 / 29 | $6.923,28 | 909 / 80 | $5.092,04 | 901 / 55 |
Renal Failure W Mcc | 13 | 182 / 52 | $29.647,50 | 742 / 38 | $10.117,20 | 503 / 53 | $8.068,54 | 503 / 31 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 92 | 424 / 59 | $25.669,00 | 569 / 33 | $11.719,00 | 668 / 62 | $9.748,58 | 667 / 42 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 32 | 175 / 51 | $16.274,50 | 462 / 29 | $7.442,97 | 923 / 75 | $5.601,38 | 921 / 54 |
Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 61 | $13.928,50 | 436 / 23 | $6.898,84 | 1280 / 82 | $5.281,16 | 1276 / 71 |
Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 60 | $18.121,20 | 273 / 15 | $9.246,25 | 1118 / 54 | $8.014,25 | 1118 / 62 |
Spinal Fusion Except Cervical W/O Mcc | 19 | 175 / 32 | $43.940,70 | 63 / 5 | $23.871,20 | 532 / 21 | $22.005,10 | 529 / 31 |
Syncope & Collapse | 19 | 150 / 46 | $11.875,50 | 192 / 13 | $5.237,89 | 742 / 59 | $3.794,11 | 739 / 52 | Total 33 procedures | 736 | 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.