Hospital Costs > In Pennsylvania > Geisinger Wyoming Valley Medical Center, 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 | 22 | 69 / 19 | $36.501,80 | 949 / 49 | $7.492,18 | 543 / 52 | $5.551,27 | 542 / 40 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 30 | $44.819,70 | 987 / 54 | $11.106,00 | 831 / 54 | $9.804,77 | 830 / 60 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 14 | $34.378,70 | 654 / 34 | $5.437,46 | 384 / 25 | $3.953,77 | 381 / 26 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 15 | $87.318,10 | 494 / 18 | $12.237,80 | 159 / 6 | $9.928,75 | 159 / 4 |
Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 21 | $28.786,50 | 678 / 28 | $6.322,94 | 495 / 36 | $4.785,94 | 491 / 35 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 42 | 119 / 26 | $22.248,10 | 1225 / 54 | $5.778,31 | 1136 / 71 | $4.426,83 | 1132 / 71 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 31 | $30.397,40 | 982 / 46 | $8.200,04 | 924 / 59 | $7.012,59 | 921 / 66 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 31 | $16.124,70 | 1111 / 55 | $4.224,69 | 1154 / 69 | $2.967,11 | 1149 / 76 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 12 | 38 / 11 | $162.399,00 | 162 / 5 | $35.267,50 | 51 / 3 | $29.821,70 | 51 / 3 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 20 | 98 / 17 | $229.473,00 | 455 / 24 | $32.058,80 | 188 / 8 | $30.454,00 | 188 / 15 |
Cellulitis W Mcc | 20 | 38 / 9 | $57.772,00 | 797 / 37 | $11.224,40 | 660 / 35 | $9.712,60 | 658 / 39 |
Cellulitis W/O Mcc | 63 | 126 / 29 | $26.013,40 | 1926 / 85 | $6.291,54 | 1105 / 93 | $4.351,41 | 1099 / 68 |
Cervical Spinal Fusion W/O Cc/Mcc | 30 | 74 / 7 | $105.362,00 | 787 / 23 | $14.395,80 | 450 / 10 | $12.420,60 | 448 / 13 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 11 | 80 / 12 | $66.123,30 | 361 / 15 | $7.762,36 | 168 / 4 | $7.292,36 | 168 / 9 |
Chest Pain | 29 | 122 / 24 | $21.089,30 | 993 / 46 | $4.589,72 | 745 / 55 | $3.198,55 | 740 / 43 |
Chronic Obstructive Pulmonary Disease W Cc | 39 | 140 / 36 | $35.639,80 | 1939 / 95 | $6.666,36 | 1377 / 79 | $5.344,77 | 1372 / 80 |
Chronic Obstructive Pulmonary Disease W Mcc | 64 | 138 / 19 | $37.036,60 | 1831 / 84 | $8.104,02 | 1125 / 78 | $6.370,81 | 1120 / 62 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 36 | 84 / 17 | $26.806,50 | 1606 / 77 | $5.236,00 | 1046 / 64 | $3.780,58 | 1037 / 66 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 45 | 143 / 31 | $49.688,80 | 1195 / 49 | $7.645,07 | 920 / 43 | $6.170,73 | 917 / 50 |
Coronary Bypass W Cardiac Cath W/O Mcc | 24 | 52 / 6 | $244.488,00 | 548 / 30 | $31.166,20 | 407 / 19 | $29.053,20 | 407 / 25 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 14 | 41 / 5 | $137.756,00 | 192 / 7 | $17.208,50 | 31 / 1 | $15.845,40 | 31 / 2 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 26 | 72 / 7 | $152.295,00 | 354 / 9 | $24.177,60 | 43 / 2 | $22.448,00 | 43 / 3 |
Degenerative Nervous System Disorders W/O Mcc | 18 | 60 / 18 | $26.706,80 | 430 / 24 | $6.481,22 | 183 / 17 | $4.911,44 | 183 / 14 |
Diabetes W Cc | 26 | 66 / 15 | $26.339,80 | 1052 / 41 | $6.036,65 | 808 / 43 | $4.717,35 | 804 / 45 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 17 | 53 / 9 | $38.741,20 | 463 / 18 | $6.501,41 | 180 / 8 | $5.234,12 | 180 / 8 |
Disorders Of Pancreas Except Malignancy W Cc | 22 | 39 / 8 | $34.612,50 | 716 / 24 | $6.650,64 | 408 / 17 | $5.029,55 | 407 / 19 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 16 | 22 / 4 | $20.592,40 | 264 / 9 | $4.801,81 | 204 / 8 | $3.389,94 | 204 / 9 |
Disorders Of The Biliary Tract W Cc | 12 | 42 / 12 | $45.227,70 | 367 / 15 | $7.361,33 | 162 / 11 | $5.898,25 | 162 / 12 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 15 | 14 / 2 | $37.682,90 | 92 / 6 | $5.580,93 | 39 / 3 | $4.199,33 | 39 / 3 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 16 | 65 / 14 | $636.699,00 | 346 / 13 | $106.128,00 | 165 / 5 | $101.581,00 | 165 / 10 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 25 | $49.457,20 | 1150 / 43 | $8.355,31 | 786 / 35 | $7.355,75 | 781 / 44 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 91 | 184 / 30 | $28.089,60 | 2071 / 90 | $5.439,12 | 1558 / 81 | $4.178,53 | 1545 / 87 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 13 | 31 / 12 | $99.606,50 | 312 / 17 | $16.677,70 | 123 / 4 | $15.473,50 | 122 / 10 |
Extracranial Procedures W Cc | 12 | 34 / 5 | $62.254,00 | 292 / 7 | $10.435,20 | 175 / 4 | $8.897,67 | 175 / 6 |
Extracranial Procedures W/O Cc/Mcc | 27 | 71 / 8 | $55.370,90 | 811 / 36 | $7.016,70 | 526 / 20 | $5.844,33 | 525 / 28 |
Fractures Of Hip & Pelvis W/O Mcc | 23 | 38 / 6 | $25.435,70 | 661 / 23 | $5.066,70 | 430 / 23 | $3.773,91 | 430 / 28 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 27 | 35 / 8 | $28.822,90 | 589 / 22 | $5.423,37 | 251 / 23 | $3.754,93 | 251 / 16 |
G.I. Hemorrhage W Cc | 118 | 100 / 9 | $37.108,10 | 1856 / 83 | $6.971,96 | 1294 / 70 | $5.683,70 | 1291 / 74 |
G.I. Hemorrhage W Mcc | 24 | 97 / 27 | $68.159,80 | 1317 / 58 | $11.908,90 | 731 / 50 | $10.332,50 | 730 / 51 |
G.I. Hemorrhage W/O Cc/Mcc | 23 | 45 / 10 | $28.482,20 | 781 / 36 | $5.100,61 | 557 / 32 | $3.889,96 | 553 / 37 |
G.I. Obstruction W Cc | 22 | 70 / 24 | $31.228,20 | 1239 / 50 | $6.466,68 | 1012 / 49 | $5.140,91 | 1009 / 53 |
G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 21 | $23.537,40 | 966 / 35 | $4.609,73 | 861 / 34 | $3.555,00 | 858 / 45 |
Heart Failure & Shock W Cc | 103 | 175 / 29 | $32.036,50 | 2060 / 91 | $6.957,01 | 1419 / 85 | $5.672,79 | 1414 / 81 |
Heart Failure & Shock W Mcc | 142 | 142 / 13 | $43.150,70 | 1789 / 83 | $9.661,90 | 1035 / 65 | $8.339,95 | 1033 / 62 |
Heart Failure & Shock W/O Cc/Mcc | 47 | 63 / 15 | $23.957,90 | 1505 / 72 | $5.005,40 | 1025 / 71 | $3.757,57 | 1017 / 66 |
Hip & Femur Procedures Except Major Joint W Cc | 47 | 96 / 16 | $87.666,10 | 1793 / 78 | $13.830,70 | 693 / 73 | $10.411,70 | 688 / 42 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 15 | 21 / 6 | $88.710,70 | 268 / 12 | $15.200,50 | 130 / 7 | $13.769,50 | 130 / 9 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 42 | 82 / 16 | $201.925,00 | 1269 / 55 | $34.401,90 | 756 / 44 | $32.052,40 | 750 / 48 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 69 | 113 / 21 | $36.169,90 | 1397 / 61 | $7.405,68 | 918 / 59 | $5.715,26 | 915 / 56 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 41 | 127 / 18 | $97.809,80 | 1495 / 61 | $13.372,60 | 1078 / 56 | $11.477,80 | 1073 / 57 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 26 | 76 / 25 | $37.528,80 | 1299 / 59 | $5.447,96 | 839 / 47 | $4.050,50 | 835 / 57 |
Kidney & Urinary Tract Infections W Mcc | 33 | 111 / 21 | $38.133,90 | 1448 / 62 | $8.671,58 | 1294 / 68 | $6.989,61 | 1290 / 71 |
Kidney & Urinary Tract Infections W/O Mcc | 93 | 140 / 18 | $26.610,70 | 2062 / 95 | $5.524,29 | 1371 / 79 | $4.221,90 | 1362 / 78 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 14 | $83.666,80 | 517 / 21 | $12.459,50 | 301 / 7 | $11.324,20 | 300 / 16 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 14 | 33 / 9 | $67.480,80 | 435 / 23 | $9.502,50 | 284 / 10 | $8.571,50 | 284 / 17 |
Major Cardiovasc Procedures W Mcc | 13 | 55 / 14 | $230.830,00 | 562 / 23 | $34.535,30 | 297 / 9 | $32.813,10 | 297 / 13 |
Major Cardiovasc Procedures W/O Mcc | 27 | 74 / 13 | $157.369,00 | 902 / 37 | $21.914,80 | 518 / 20 | $20.487,00 | 518 / 29 |
Major Chest Procedures W/O Cc/Mcc | 11 | 48 / 10 | $74.392,00 | 204 / 6 | $11.356,90 | 83 / 2 | $10.065,30 | 83 / 3 |
Major Chest Trauma W Cc | 13 | 23 / 8 | $38.713,10 | 93 / 5 | $6.644,69 | 25 / 2 | $4.759,54 | 25 / 3 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 27 | 46 / 11 | $30.955,80 | 677 / 35 | $7.856,41 | 575 / 30 | $6.882,63 | 573 / 40 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 10 | $47.145,90 | 389 / 9 | $11.784,00 | 191 / 7 | $10.462,90 | 191 / 6 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 17 | 36 / 8 | $62.392,20 | 430 / 15 | $8.458,18 | 221 / 6 | $7.148,47 | 221 / 9 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 264 | 301 / 18 | $80.620,10 | 2218 / 107 | $13.495,90 | 1338 / 69 | $11.677,70 | 1306 / 85 |
Major Small & Large Bowel Procedures W Cc | 35 | 73 / 17 | $105.157,00 | 1256 / 47 | $16.968,30 | 676 / 35 | $14.255,90 | 670 / 34 |
Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 21 | $145.974,00 | 783 / 27 | $31.628,60 | 445 / 22 | $29.034,00 | 443 / 23 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 13 | $69.671,90 | 634 / 21 | $10.737,50 | 428 / 9 | $9.386,60 | 428 / 15 |
Medical Back Problems W Mcc | 11 | 28 / 11 | $40.798,40 | 147 / 5 | $9.671,64 | 56 / 1 | $8.258,00 | 56 / 2 |
Medical Back Problems W/O Mcc | 44 | 77 / 14 | $35.732,20 | 1162 / 58 | $6.183,50 | 786 / 48 | $4.720,52 | 783 / 55 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 30 | 96 / 18 | $29.982,20 | 960 / 32 | $7.651,30 | 726 / 37 | $6.447,23 | 723 / 39 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 62 | 104 / 15 | $24.447,80 | 1858 / 80 | $5.077,74 | 1298 / 70 | $3.886,92 | 1294 / 71 |
Other Circulatory System Diagnoses W Mcc | 29 | 87 / 18 | $73.098,80 | 1083 / 39 | $12.516,20 | 412 / 26 | $10.426,40 | 411 / 22 |
Other Digestive System Diagnoses W Cc | 22 | 75 / 22 | $37.122,90 | 1073 / 44 | $7.117,36 | 579 / 43 | $5.353,18 | 576 / 40 |
Other Digestive System Diagnoses W Mcc | 11 | 51 / 16 | $54.237,80 | 504 / 15 | $11.014,70 | 263 / 7 | $9.858,91 | 263 / 11 |
Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 12 | $25.391,90 | 231 / 9 | $4.864,09 | 154 / 9 | $3.599,00 | 154 / 12 |
Other Disorders Of Nervous System W Cc | 15 | 41 / 17 | $30.089,30 | 374 / 14 | $6.202,20 | 218 / 18 | $4.932,47 | 218 / 16 |
Other Kidney & Urinary Tract Diagnoses W Cc | 18 | 85 / 20 | $40.990,70 | 671 / 29 | $6.762,94 | 264 / 15 | $5.370,06 | 264 / 16 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 25 | 76 / 18 | $44.168,00 | 705 / 25 | $10.114,00 | 427 / 22 | $8.851,52 | 426 / 25 |
Other Respiratory System Diagnoses W/O Mcc | 12 | 34 / 12 | $33.908,70 | 251 / 15 | $5.552,17 | 58 / 9 | $4.000,92 | 58 / 8 |
Other Vascular Procedures W Cc | 36 | 66 / 8 | $87.369,50 | 723 / 33 | $15.884,20 | 446 / 17 | $14.617,60 | 443 / 28 |
Other Vascular Procedures W Mcc | 13 | 84 / 24 | $124.974,00 | 766 / 32 | $23.326,80 | 379 / 29 | $19.469,50 | 377 / 17 |
Other Vascular Procedures W/O Cc/Mcc | 19 | 37 / 8 | $73.068,20 | 454 / 17 | $11.082,70 | 280 / 9 | $9.747,53 | 279 / 11 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 33 | 163 / 38 | $100.963,00 | 1174 / 50 | $13.148,60 | 849 / 24 | $11.842,90 | 843 / 44 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 16 | 53 / 15 | $103.452,00 | 501 / 27 | $12.402,20 | 195 / 14 | $9.661,94 | 195 / 10 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 25 | 70 / 11 | $156.015,00 | 580 / 30 | $14.652,30 | 419 / 18 | $13.379,10 | 415 / 22 |
Permanent Cardiac Pacemaker Implant W Cc | 19 | 58 / 15 | $87.881,80 | 684 / 31 | $16.455,80 | 365 / 20 | $14.957,70 | 364 / 23 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 17 | 40 / 12 | $66.962,20 | 486 / 22 | $13.616,00 | 328 / 18 | $12.127,80 | 327 / 21 |
Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 19 | $49.523,60 | 700 / 22 | $9.474,17 | 407 / 13 | $8.181,17 | 406 / 19 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 13 | $44.245,20 | 879 / 37 | $6.890,33 | 788 / 33 | $5.566,89 | 787 / 37 |
Postoperative & Post-Traumatic Infections W/O Mcc | 14 | 40 / 10 | $41.808,80 | 380 / 13 | $7.274,14 | 163 / 9 | $5.702,36 | 163 / 10 |
Pulmonary Edema & Respiratory Failure | 100 | 103 / 7 | $42.434,10 | 1583 / 71 | $8.667,72 | 955 / 70 | $6.870,93 | 955 / 54 |
Pulmonary Embolism W/O Mcc | 13 | 61 / 27 | $27.961,50 | 768 / 28 | $7.180,54 | 423 / 39 | $5.040,38 | 422 / 26 |
Red Blood Cell Disorders W/O Mcc | 32 | 111 / 24 | $31.825,00 | 1571 / 73 | $5.883,03 | 879 / 66 | $4.386,56 | 874 / 60 |
Renal Failure W Cc | 94 | 127 / 17 | $28.775,40 | 1648 / 76 | $6.741,39 | 1256 / 71 | $5.451,73 | 1248 / 76 |
Renal Failure W Mcc | 37 | 158 / 31 | $51.588,90 | 1612 / 69 | $10.597,20 | 1101 / 66 | $9.138,08 | 1101 / 64 |
Renal Failure W/O Cc/Mcc | 27 | 29 / 4 | $17.962,70 | 486 / 16 | $4.705,89 | 453 / 18 | $3.455,41 | 452 / 21 |
Respiratory Infections & Inflammations W Mcc | 18 | 118 / 34 | $67.616,60 | 1384 / 60 | $12.750,20 | 868 / 46 | $11.319,50 | 858 / 53 |
Respiratory Signs & Symptoms | 12 | 34 / 11 | $31.078,80 | 243 / 7 | $5.090,75 | 107 / 7 | $3.697,92 | 107 / 6 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 37 | 94 / 20 | $102.500,00 | 1542 / 61 | $15.169,60 | 890 / 44 | $13.694,50 | 882 / 51 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 15 | $244.415,00 | 850 / 31 | $35.829,20 | 554 / 23 | $33.643,20 | 553 / 26 |
Revision Of Hip Or Knee Replacement W Cc | 25 | 61 / 7 | $126.881,00 | 559 / 20 | $21.389,70 | 44 / 9 | $16.044,80 | 44 / 4 |
Seizures W Mcc | 15 | 51 / 13 | $79.633,20 | 674 / 23 | $10.892,50 | 269 / 15 | $8.679,67 | 269 / 10 |
Seizures W/O Mcc | 67 | 41 / 6 | $37.150,60 | 1091 / 54 | $5.735,75 | 501 / 45 | $4.059,13 | 498 / 36 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 19 | $258.581,00 | 921 / 31 | $39.002,60 | 488 / 18 | $36.553,60 | 487 / 23 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 225 | 291 / 24 | $64.433,40 | 2192 / 92 | $12.306,70 | 1394 / 76 | $10.834,10 | 1367 / 77 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 102 | 105 / 15 | $39.143,40 | 2009 / 86 | $7.709,85 | 1209 / 83 | $5.884,81 | 1204 / 71 |
Signs & Symptoms W Mcc | 11 | 30 / 8 | $41.975,40 | 206 / 4 | $8.008,09 | 92 / 1 | $6.612,45 | 92 / 1 |
Signs & Symptoms W/O Mcc | 23 | 68 / 21 | $26.895,40 | 955 / 35 | $4.999,61 | 665 / 25 | $3.977,13 | 662 / 33 |
Simple Pneumonia & Pleurisy W Cc | 75 | 128 / 17 | $35.811,40 | 2211 / 92 | $7.422,43 | 1193 / 100 | $5.222,08 | 1189 / 68 |
Simple Pneumonia & Pleurisy W Mcc | 57 | 148 / 22 | $52.325,80 | 1972 / 82 | $10.053,90 | 1243 / 75 | $8.215,75 | 1243 / 66 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 24 | $25.893,40 | 1496 / 64 | $5.189,75 | 1122 / 62 | $3.801,05 | 1116 / 61 |
Spinal Fusion Except Cervical W/O Mcc | 54 | 140 / 13 | $212.956,00 | 1300 / 58 | $27.463,80 | 977 / 42 | $26.174,80 | 972 / 55 |
Syncope & Collapse | 50 | 119 / 25 | $30.045,30 | 1432 / 72 | $5.321,74 | 853 / 63 | $3.895,18 | 849 / 58 |
Tendonitis, Myositis & Bursitis W/O Mcc | 21 | 21 / 4 | $38.195,80 | 283 / 20 | $6.107,29 | 140 / 15 | $4.509,71 | 140 / 17 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 16 | $287.948,00 | 312 / 9 | $56.804,40 | 122 / 3 | $54.194,00 | 122 / 7 |
Transient Ischemia | 41 | 84 / 20 | $30.292,50 | 1184 / 64 | $5.113,66 | 858 / 58 | $3.791,56 | 854 / 57 |
Transurethral Procedures W Cc | 12 | 29 / 10 | $66.558,70 | 337 / 23 | $9.535,00 | 178 / 14 | $7.132,58 | 178 / 14 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 14 | 52 / 15 | $41.322,60 | 356 / 13 | $7.752,29 | 168 / 9 | $6.019,14 | 168 / 9 | Total 117 procedures | 4.047 | 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.