Hospital Costs > In Pennsylvania > Gettysburg 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 | $21.292,40 | 185 / 15 | $8.000,17 | 43 / 3 | $7.394,83 | 43 / 6 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 16 | $10.760,50 | 59 / 3 | $4.250,82 | 121 / 4 | $3.372,27 | 121 / 9 |
Atherosclerosis W/O Mcc | 11 | 47 / 9 | $14.447,30 | 153 / 5 | $4.076,55 | / 7 | $2.510,36 | / |
Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 23 | $14.169,60 | 165 / 7 | $5.582,15 | 39 / 19 | $3.585,00 | 39 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 44 | 117 / 24 | $15.482,10 | 568 / 27 | $4.764,18 | 283 / 25 | $3.589,75 | 283 / 25 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 35 | $19.534,00 | 310 / 20 | $7.571,43 | 60 / 38 | $5.459,30 | 60 / 8 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 31 | 119 / 36 | $12.063,10 | 595 / 31 | $3.192,55 | 264 / 10 | $2.215,00 | 262 / 28 |
Cellulitis W Mcc | 11 | 47 / 17 | $18.183,90 | 90 / 3 | $7.353,00 | 43 / 3 | $6.579,18 | 43 / 5 |
Cellulitis W/O Mcc | 46 | 143 / 43 | $14.286,40 | 765 / 45 | $5.157,83 | 425 / 37 | $3.815,24 | 422 / 31 |
Chest Pain | 11 | 140 / 41 | $14.608,20 | 462 / 20 | $3.466,64 | 226 / 9 | $2.588,09 | 225 / 18 |
Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 48 | $16.388,80 | 651 / 30 | $5.527,44 | 242 / 24 | $4.248,63 | 242 / 23 |
Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 46 | $22.720,00 | 949 / 49 | $6.808,17 | 489 / 22 | $5.772,34 | 488 / 35 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 41 | $11.248,40 | 371 / 19 | $4.109,18 | 778 / 14 | $3.556,45 | 775 / 53 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 47 | $24.756,20 | 276 / 17 | $7.548,44 | 145 / 39 | $4.863,06 | 145 / 10 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 52 | 223 / 55 | $13.032,00 | 508 / 29 | $4.686,33 | 171 / 40 | $3.061,83 | 171 / 19 |
G.I. Hemorrhage W Cc | 43 | 175 / 41 | $16.696,80 | 462 / 30 | $6.204,58 | 202 / 41 | $4.562,93 | 202 / 15 |
G.I. Hemorrhage W Mcc | 11 | 110 / 39 | $14.971,90 | 20 / 2 | $9.120,36 | 122 / 6 | $8.573,45 | 122 / 10 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 22 | $8.688,55 | 63 / 5 | $3.952,09 | 111 / 6 | $2.968,82 | 111 / 12 |
G.I. Obstruction W Cc | 11 | 81 / 34 | $13.388,60 | 186 / 9 | $4.905,64 | 264 / 10 | $4.140,55 | 263 / 16 |
Heart Failure & Shock W Cc | 63 | 215 / 54 | $13.902,40 | 453 / 27 | $5.960,71 | 355 / 40 | $4.730,98 | 355 / 28 |
Heart Failure & Shock W Mcc | 40 | 244 / 60 | $26.016,60 | 821 / 47 | $8.485,38 | 677 / 21 | $7.894,98 | 677 / 39 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 45 | $12.530,20 | 533 / 37 | $3.808,45 | 118 / 15 | $2.816,45 | 117 / 16 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 41 | $35.586,30 | 434 / 27 | $11.168,40 | 587 / 23 | $10.222,10 | 584 / 34 |
Hypertension W/O Mcc | 11 | 54 / 19 | $15.780,20 | 249 / 7 | $3.579,18 | 46 / 2 | $2.371,91 | 46 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 47 | $18.409,30 | 381 / 19 | $7.038,93 | 116 / 48 | $4.626,15 | 116 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 38 | $18.343,50 | 456 / 25 | $4.295,73 | 257 / 7 | $3.306,64 | 255 / 22 |
Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 55 | $12.637,90 | 597 / 35 | $4.987,72 | 165 / 52 | $3.253,58 | 165 / 18 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 16 | $15.652,60 | 134 / 7 | $6.520,60 | 330 / 11 | $6.218,20 | 329 / 22 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 11 | $25.944,80 | 141 / 6 | $10.134,50 | 267 / 12 | $7.606,62 | 267 / 11 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 15 | $46.889,50 | 279 / 11 | $12.859,60 | 319 / 6 | $11.656,90 | 316 / 11 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 141 | 423 / 40 | $36.535,20 | 555 / 38 | $13.765,90 | 591 / 73 | $10.461,40 | 585 / 45 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 35 | $49.837,80 | 418 / 15 | $15.175,10 | 623 / 14 | $14.065,80 | 617 / 31 |
Medical Back Problems W/O Mcc | 12 | 109 / 39 | $13.683,40 | 156 / 10 | $5.736,08 | 159 / 33 | $3.672,67 | 159 / 17 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 39 | $15.547,90 | 1023 / 51 | $5.076,83 | 85 / 69 | $2.795,76 | 85 / 12 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 23 | $14.048,50 | 146 / 10 | $5.265,73 | 239 / 7 | $4.713,00 | 238 / 22 |
Pulmonary Edema & Respiratory Failure | 13 | 190 / 51 | $19.038,80 | 345 / 23 | $7.027,69 | 439 / 16 | $6.279,38 | 439 / 35 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 28 | $21.070,10 | 445 / 18 | $6.345,00 | 73 / 22 | $4.231,17 | 73 / 8 |
Red Blood Cell Disorders W/O Mcc | 17 | 126 / 35 | $11.426,40 | 185 / 11 | $4.750,53 | 102 / 20 | $3.423,88 | 102 / 13 |
Renal Failure W Cc | 39 | 182 / 48 | $16.237,40 | 587 / 35 | $5.455,97 | 322 / 21 | $4.559,97 | 320 / 25 |
Renal Failure W Mcc | 27 | 168 / 39 | $23.438,10 | 384 / 17 | $8.528,15 | 295 / 12 | $7.726,89 | 295 / 23 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 37 | $30.030,40 | 385 / 21 | $10.875,30 | 337 / 16 | $10.102,70 | 337 / 23 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 152 | 364 / 38 | $26.112,20 | 592 / 34 | $10.426,20 | 249 / 26 | $9.059,41 | 249 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 80 | 127 / 20 | $20.336,10 | 813 / 45 | $6.404,20 | 322 / 30 | $5.020,51 | 321 / 24 |
Signs & Symptoms W/O Mcc | 12 | 79 / 32 | $10.951,10 | 128 / 4 | $4.083,33 | 36 / 7 | $2.751,00 | 36 / 4 |
Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 49 | $16.155,50 | 704 / 38 | $5.636,30 | 468 / 23 | $4.621,55 | 465 / 36 |
Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 48 | $28.500,30 | 939 / 42 | $10.106,20 | 514 / 76 | $7.342,38 | 514 / 27 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 31 | $14.513,50 | 673 / 32 | $4.048,08 | 282 / 12 | $3.029,00 | 280 / 22 |
Syncope & Collapse | 33 | 136 / 34 | $15.734,20 | 460 / 30 | $4.986,24 | 143 / 49 | $3.067,97 | 143 / 19 |
Transient Ischemia | 24 | 101 / 35 | $15.163,00 | 309 / 21 | $4.133,33 | 85 / 16 | $2.748,08 | 85 / 11 | Total 49 procedures | 1.382 | 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.