Hospital Costs > In Pennsylvania > Gnaden Huetten Memorial 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 | $25.297,70 | 296 / 22 | $9.341,25 | 387 / 21 | $8.733,25 | 387 / 35 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 20 | 33 / 7 | $12.832,20 | 90 / 5 | $4.737,25 | 407 / 14 | $4.015,65 | 404 / 27 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 46 | $24.154,10 | 1360 / 64 | $4.952,84 | 821 / 36 | $4.129,26 | 818 / 56 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 50 | $16.816,30 | 1181 / 58 | $3.660,20 | 838 / 37 | $2.698,07 | 834 / 56 |
Cellulitis W/O Mcc | 30 | 159 / 58 | $16.129,60 | 1012 / 55 | $5.116,47 | 1155 / 33 | $4.393,27 | 1149 / 74 |
Chronic Obstructive Pulmonary Disease W Cc | 33 | 146 / 42 | $18.828,10 | 877 / 44 | $5.781,48 | 701 / 40 | $4.726,61 | 699 / 50 |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 62 | $20.981,70 | 809 / 45 | $7.058,92 | 1280 / 35 | $6.554,92 | 1274 / 72 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 26 | $17.154,40 | 1028 / 45 | $4.503,81 | 640 / 34 | $3.436,73 | 639 / 46 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 30 | 245 / 72 | $14.956,00 | 750 / 41 | $4.734,63 | 1099 / 42 | $3.826,90 | 1091 / 64 |
G.I. Hemorrhage W Cc | 13 | 205 / 62 | $19.442,50 | 700 / 41 | $5.802,00 | 879 / 24 | $5.250,62 | 877 / 49 |
Heart Failure & Shock W Cc | 31 | 247 / 78 | $21.735,80 | 1369 / 65 | $6.350,10 | 1469 / 59 | $5.726,45 | 1464 / 86 |
Heart Failure & Shock W Mcc | 14 | 270 / 81 | $22.632,10 | 576 / 35 | $8.191,50 | 555 / 12 | $7.759,50 | 555 / 33 |
Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 35 | $15.699,50 | 922 / 49 | $4.324,14 | 690 / 37 | $3.461,67 | 687 / 50 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 59 | $19.849,40 | 461 / 23 | $6.130,54 | 265 / 16 | $4.925,46 | 265 / 21 |
Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 54 | $14.250,20 | 831 / 45 | $4.701,55 | 547 / 34 | $3.650,92 | 546 / 40 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 37 | 527 / 81 | $51.507,40 | 1358 / 76 | $12.423,60 | 909 / 35 | $10.904,70 | 890 / 55 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 45 | 121 / 27 | $14.586,60 | 902 / 46 | $4.470,47 | 1063 / 41 | $3.691,09 | 1060 / 59 |
Psychoses | 207 | 114 / 3 | $13.220,20 | 142 / 5 | $6.245,71 | 144 / 6 | $5.286,69 | 144 / 11 |
Red Blood Cell Disorders W/O Mcc | 12 | 131 / 40 | $17.239,90 | 646 / 34 | $4.932,58 | 638 / 31 | $4.129,92 | 634 / 48 |
Renal Failure W Cc | 15 | 206 / 66 | $22.315,30 | 1213 / 54 | $6.005,53 | 1181 / 44 | $5.363,47 | 1173 / 72 |
Renal Failure W Mcc | 11 | 184 / 54 | $20.720,90 | 255 / 14 | $8.530,64 | 560 / 13 | $8.143,73 | 560 / 36 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 32 | 484 / 90 | $23.476,10 | 448 / 29 | $10.349,60 | 632 / 22 | $9.707,62 | 631 / 40 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 60 | $18.866,80 | 673 / 37 | $6.361,90 | 753 / 27 | $5.443,05 | 751 / 45 |
Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 55 | $21.413,50 | 1291 / 57 | $5.912,15 | 1051 / 38 | $5.123,23 | 1048 / 62 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 24 | $16.548,10 | 889 / 38 | $4.479,35 | 673 / 30 | $3.392,95 | 670 / 44 |
Transient Ischemia | 14 | 111 / 43 | $14.739,90 | 285 / 20 | $4.449,86 | 636 / 31 | $3.508,14 | 632 / 44 | Total 26 procedures | 767 | 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.