Hospital Costs > In Pennsylvania > Forbes 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 | 107 | 409 / 55 | $35.680,00 | 1085 / 52 | $11.373,10 | 344 / 51 | $9.262,85 | 344 / 24 |
| Heart Failure & Shock W Mcc | 73 | 211 / 36 | $26.636,10 | 870 / 49 | $9.062,81 | 99 / 47 | $6.967,12 | 99 / 13 |
| Heart Failure & Shock W Cc | 72 | 206 / 45 | $17.921,30 | 920 / 48 | $5.957,25 | 179 / 39 | $4.498,89 | 179 / 16 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 58 | 506 / 68 | $32.477,80 | 331 / 22 | $12.203,00 | 246 / 28 | $9.835,78 | 246 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 54 | 128 / 29 | $22.903,00 | 658 / 33 | $6.414,83 | 166 / 30 | $4.760,87 | 166 / 18 |
| Cellulitis W/O Mcc | 53 | 136 / 36 | $12.758,80 | 555 / 35 | $5.143,64 | 286 / 35 | $3.670,36 | 283 / 25 |
| Renal Failure W Cc | 53 | 168 / 38 | $17.234,20 | 696 / 40 | $6.011,66 | 115 / 45 | $4.224,72 | 115 / 12 |
| Kidney & Urinary Tract Infections W Mcc | 51 | 93 / 10 | $19.231,60 | 527 / 25 | $6.877,08 | 218 / 34 | $5.287,78 | 218 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 46 | 156 / 30 | $23.698,40 | 1036 / 53 | $7.877,43 | 1129 / 69 | $6.374,33 | 1124 / 63 |
| Kidney & Urinary Tract Infections W/O Mcc | 45 | 188 / 47 | $17.435,20 | 1279 / 61 | $4.735,87 | 335 / 35 | $3.478,58 | 335 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 38 | 123 / 30 | $17.470,30 | 808 / 38 | $4.896,74 | 237 / 32 | $3.528,58 | 237 / 23 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 67 | $17.855,50 | 1105 / 54 | $4.597,89 | 190 / 34 | $3.096,54 | 190 / 22 |
| Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 39 | $18.648,40 | 859 / 42 | $5.648,53 | 239 / 34 | $4.244,25 | 239 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 34 | 173 / 49 | $17.938,80 | 594 / 33 | $6.422,94 | 191 / 31 | $4.839,91 | 191 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 33 | 135 / 22 | $36.222,50 | 554 / 22 | $10.301,90 | 190 / 22 | $8.470,82 | 189 / 15 |
| G.I. Hemorrhage W Cc | 32 | 186 / 49 | $18.683,70 | 633 / 39 | $6.043,19 | 120 / 32 | $4.407,56 | 120 / 11 |
| Simple Pneumonia & Pleurisy W Cc | 32 | 171 / 50 | $23.722,30 | 1515 / 65 | $6.141,81 | 316 / 46 | $4.475,72 | 314 / 28 |
| Medical Back Problems W/O Mcc | 31 | 90 / 24 | $18.175,70 | 399 / 22 | $5.098,16 | 39 / 18 | $3.337,68 | 39 / 6 |
| Pulmonary Edema & Respiratory Failure | 31 | 172 / 35 | $23.588,30 | 638 / 38 | $7.371,35 | 237 / 30 | $5.997,19 | 237 / 24 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 39 | $27.533,70 | 401 / 22 | $6.424,73 | 238 / 11 | $5.038,70 | 238 / 18 |
| Respiratory Infections & Inflammations W Mcc | 30 | 106 / 22 | $28.068,90 | 328 / 19 | $11.336,20 | 148 / 25 | $9.576,57 | 148 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 38 | $10.713,20 | 417 / 22 | $3.450,72 | 53 / 24 | $1.838,00 | 53 / 10 |
| Renal Failure W Mcc | 29 | 166 / 37 | $29.718,10 | 746 / 39 | $9.662,38 | 332 / 38 | $7.791,76 | 332 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 30 | $23.896,10 | 579 / 35 | $7.322,07 | 134 / 32 | $5.716,79 | 134 / 14 |
| Syncope & Collapse | 26 | 143 / 41 | $18.215,20 | 704 / 38 | $4.406,65 | 57 / 22 | $2.893,27 | 57 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 26 | 76 / 25 | $19.326,50 | 529 / 27 | $4.609,85 | 120 / 18 | $3.038,73 | 118 / 14 |
| Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 34 | $47.591,40 | 958 / 46 | $11.994,00 | 505 / 45 | $10.069,80 | 504 / 29 |
| Red Blood Cell Disorders W/O Mcc | 22 | 121 / 30 | $13.481,60 | 311 / 19 | $4.846,18 | 53 / 28 | $3.256,50 | 53 / 9 |
| Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 50 | $28.365,80 | 932 / 41 | $8.816,14 | 537 / 39 | $7.364,73 | 537 / 29 |
| Peripheral Vascular Disorders W Cc | 21 | 63 / 14 | $14.370,80 | 159 / 13 | $5.886,14 | 85 / 23 | $4.335,10 | 85 / 12 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 32 | $15.881,20 | 890 / 43 | $4.464,05 | 26 / 31 | $2.584,45 | 26 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 48 | $14.618,30 | 908 / 47 | $4.446,65 | 144 / 38 | $2.911,70 | 144 / 19 |
| Transient Ischemia | 19 | 106 / 38 | $18.572,60 | 553 / 35 | $4.216,21 | 126 / 21 | $2.865,79 | 126 / 14 |
| Cellulitis W Mcc | 19 | 39 / 10 | $17.019,50 | 73 / 2 | $7.950,21 | 45 / 9 | $6.606,47 | 45 / 6 |
| Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 37 | $14.291,40 | 761 / 44 | $4.027,84 | 84 / 26 | $2.735,05 | 83 / 11 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 27 | $43.950,80 | 604 / 19 | $13.084,00 | 582 / 34 | $11.075,10 | 580 / 30 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 36 | $90.173,00 | 370 / 18 | $33.176,70 | 583 / 40 | $30.196,20 | 578 / 38 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 39 | $32.317,10 | 525 / 33 | $9.726,29 | 74 / 27 | $7.724,24 | 74 / 9 |
| Other Digestive System Diagnoses W Cc | 16 | 81 / 28 | $16.639,60 | 223 / 11 | $5.787,56 | 75 / 13 | $4.303,38 | 74 / 8 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 16 | $19.755,30 | 151 / 5 | $7.544,44 | 25 / 14 | $5.611,31 | 25 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 20 | $20.760,40 | 311 / 14 | $7.073,94 | 165 / 20 | $5.827,12 | 165 / 17 |
| Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 35 | $48.667,90 | 104 / 6 | $22.320,50 | 317 / 9 | $20.689,10 | 316 / 19 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 33 | $16.738,10 | 237 / 8 | $6.434,29 | 195 / 9 | $5.527,57 | 193 / 12 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 14 | 182 / 50 | $55.374,40 | 355 / 13 | $12.179,80 | 92 / 8 | $9.357,64 | 92 / 7 |
| Seizures W/O Mcc | 13 | 95 / 32 | $16.264,80 | 317 / 18 | $4.515,54 | 107 / 12 | $3.325,69 | 107 / 11 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 28 | $19.082,70 | 101 / 5 | $9.139,08 | 56 / 12 | $7.304,31 | 56 / 7 |
| Chest Pain | 13 | 138 / 39 | $15.676,30 | 558 / 27 | $3.614,08 | 69 / 16 | $2.277,62 | 69 / 10 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 31 | $19.196,00 | 1135 / 48 | $4.652,08 | 66 / 38 | $2.616,31 | 66 / 10 |
| Other Vascular Procedures W Cc | 13 | 89 / 25 | $67.629,20 | 480 / 22 | $17.233,80 | 598 / 33 | $15.548,80 | 595 / 38 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 10 | $36.227,30 | 232 / 7 | $10.466,20 | 18 / 3 | $8.886,58 | 18 / 2 |
| G.I. Obstruction W Cc | 12 | 80 / 33 | $14.471,80 | 253 / 15 | $5.257,08 | 45 / 16 | $3.605,83 | 45 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 29 | $16.666,60 | 105 / 1 | $6.965,08 | 60 / 8 | $5.530,00 | 60 / 8 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 12 | 104 / 19 | $157.247,00 | 108 / 7 | $47.754,80 | 113 / 7 | $45.740,20 | 113 / 7 |
| Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 25 | $68.481,70 | 235 / 13 | $19.474,50 | 261 / 8 | $18.288,50 | 261 / 13 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 32 | $23.963,10 | 428 / 18 | $7.706,09 | 4 / 10 | $5.675,45 | 4 / 1 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 22 | $13.237,70 | 233 / 17 | $4.152,09 | 61 / 12 | $2.828,73 | 61 / 6 |
| Other Vascular Procedures W Mcc | 11 | 86 / 26 | $51.648,40 | 91 / 4 | $18.101,50 | 85 / 3 | $16.794,50 | 85 / 3 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 12 | $21.882,70 | 78 / 4 | $7.750,45 | 11 / 2 | $5.951,09 | 11 / 1 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 22 | $16.007,40 | 384 / 15 | $4.379,00 | 26 / 6 | $2.746,36 | 26 / 4 | Total 59 procedures | 1.619 | 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.