Hospital Costs > In Pennsylvania > Good Samaritan Hospital Lebanon, 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 | 18 | 73 / 23 | $24.055,20 | 477 / 27 | $6.732,22 | 531 / 34 | $5.530,56 | 530 / 38 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 29 | $27.590,80 | 356 / 28 | $10.982,30 | 772 / 52 | $9.658,48 | 771 / 56 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 20 | 33 / 7 | $16.633,20 | 188 / 11 | $5.036,60 | 313 / 19 | $3.810,60 | 310 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 39 | $18.491,20 | 904 / 43 | $5.285,22 | 754 / 48 | $4.072,15 | 751 / 53 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 35 | $25.354,80 | 679 / 39 | $7.853,57 | 684 / 46 | $6.641,78 | 681 / 51 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 35 | 115 / 32 | $9.984,69 | 351 / 17 | $3.805,69 | 685 / 46 | $2.577,91 | 681 / 50 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 24 | 94 / 13 | $113.900,00 | 139 / 6 | $33.222,30 | 225 / 11 | $31.560,10 | 225 / 16 |
Cellulitis W/O Mcc | 52 | 137 / 37 | $15.285,80 | 896 / 52 | $5.504,31 | 902 / 57 | $4.202,77 | 896 / 56 |
Chest Pain | 17 | 134 / 35 | $15.640,80 | 554 / 26 | $4.254,24 | 523 / 38 | $2.951,29 | 519 / 32 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 46 | $17.535,70 | 756 / 35 | $6.031,90 | 653 / 49 | $4.680,28 | 651 / 45 |
Chronic Obstructive Pulmonary Disease W Mcc | 49 | 153 / 28 | $20.881,60 | 803 / 44 | $7.470,31 | 1012 / 53 | $6.257,53 | 1007 / 60 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 29 | $14.072,40 | 671 / 33 | $4.797,96 | 571 / 44 | $3.384,26 | 570 / 44 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 42 | $24.293,20 | 255 / 16 | $7.614,76 | 496 / 42 | $5.437,80 | 494 / 28 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 27 | 61 / 8 | $75.176,70 | 98 / 5 | $22.268,20 | 258 / 4 | $20.856,80 | 257 / 10 |
Diabetes W Cc | 18 | 74 / 22 | $19.601,40 | 664 / 27 | $5.720,44 | 491 / 34 | $4.268,06 | 491 / 27 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 56 | 219 / 52 | $17.984,10 | 1126 / 57 | $4.993,79 | 780 / 54 | $3.612,41 | 775 / 51 |
G.I. Hemorrhage W Cc | 55 | 163 / 34 | $27.920,50 | 1437 / 66 | $6.609,02 | 1001 / 56 | $5.365,02 | 999 / 56 |
G.I. Hemorrhage W Mcc | 17 | 104 / 34 | $37.858,30 | 618 / 28 | $11.488,20 | 698 / 43 | $10.219,40 | 698 / 48 |
G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 16 | $15.363,50 | 354 / 20 | $4.689,71 | 285 / 23 | $3.336,65 | 283 / 22 |
G.I. Obstruction W Cc | 11 | 81 / 34 | $45.212,50 | 1539 / 66 | $10.930,90 | 1705 / 75 | $9.512,27 | 1700 / 78 |
G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 17 | $17.691,70 | 707 / 28 | $4.161,74 | 380 / 21 | $2.802,11 | 380 / 22 |
Heart Failure & Shock W Cc | 60 | 218 / 56 | $17.020,10 | 804 / 44 | $6.472,13 | 1089 / 62 | $5.361,98 | 1087 / 65 |
Heart Failure & Shock W Mcc | 38 | 246 / 62 | $20.231,80 | 435 / 28 | $9.159,71 | 746 / 52 | $7.985,87 | 746 / 41 |
Heart Failure & Shock W/O Cc/Mcc | 42 | 68 / 20 | $11.872,60 | 451 / 33 | $4.469,26 | 802 / 46 | $3.559,98 | 798 / 55 |
Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 32 | $40.960,50 | 684 / 36 | $12.428,20 | 734 / 52 | $10.484,70 | 727 / 46 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 14 | $33.958,60 | 284 / 13 | $10.286,60 | 408 / 20 | $8.827,50 | 406 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 52 | $21.418,20 | 562 / 31 | $7.010,62 | 782 / 46 | $5.527,57 | 780 / 45 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 33 | $16.333,40 | 327 / 24 | $5.018,19 | 629 / 35 | $3.770,00 | 625 / 44 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 33 | $18.601,80 | 476 / 22 | $6.874,00 | 557 / 33 | $5.781,05 | 556 / 35 |
Kidney & Urinary Tract Infections W/O Mcc | 64 | 169 / 32 | $16.151,50 | 1097 / 55 | $5.121,59 | 868 / 59 | $3.869,75 | 862 / 55 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 22 | $21.025,40 | 320 / 15 | $7.543,29 | 544 / 27 | $6.753,79 | 542 / 36 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 15 | $54.772,80 | 179 / 6 | $19.859,50 | 397 / 12 | $18.318,90 | 395 / 14 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 132 | 432 / 44 | $42.166,80 | 875 / 58 | $13.356,30 | 1042 / 67 | $11.134,30 | 1019 / 64 |
Major Small & Large Bowel Procedures W Cc | 21 | 87 / 26 | $57.580,90 | 581 / 22 | $15.590,00 | 595 / 21 | $13.969,20 | 589 / 29 |
Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 23 | $85.089,10 | 240 / 10 | $28.710,40 | 262 / 11 | $27.028,50 | 260 / 13 |
Medical Back Problems W/O Mcc | 13 | 108 / 38 | $17.792,20 | 378 / 19 | $5.782,15 | 160 / 36 | $3.677,92 | 160 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 30 | $20.163,10 | 417 / 14 | $7.107,76 | 566 / 26 | $6.132,29 | 563 / 31 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 31 | $15.698,50 | 1046 / 52 | $4.716,49 | 790 / 49 | $3.513,49 | 787 / 48 |
Other Circulatory System Diagnoses W Cc | 11 | 55 / 17 | $21.396,40 | 228 / 5 | $6.263,64 | 190 / 7 | $5.097,91 | 189 / 10 |
Other Digestive System Diagnoses W Cc | 15 | 82 / 29 | $22.944,30 | 561 / 25 | $6.420,73 | 511 / 27 | $5.220,27 | 508 / 36 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 20 | 176 / 46 | $61.427,40 | 489 / 20 | $12.733,20 | 269 / 19 | $10.051,40 | 269 / 16 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 24 | 45 / 9 | $57.796,40 | 238 / 13 | $11.365,10 | 250 / 11 | $10.075,50 | 250 / 16 |
Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 23 | $77.521,10 | 592 / 28 | $17.619,90 | 553 / 30 | $16.335,00 | 552 / 36 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 12 | $96.475,50 | 302 / 12 | $23.047,50 | 257 / 12 | $21.763,50 | 257 / 17 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 16 | $74.360,30 | 542 / 26 | $14.645,20 | 467 / 25 | $13.384,30 | 466 / 31 |
Pulmonary Edema & Respiratory Failure | 27 | 176 / 38 | $25.423,90 | 757 / 41 | $7.623,85 | 118 / 39 | $5.723,81 | 118 / 15 |
Pulmonary Embolism W/O Mcc | 18 | 56 / 22 | $16.885,60 | 230 / 7 | $6.308,44 | 262 / 20 | $4.727,89 | 262 / 20 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 34 | $17.363,00 | 659 / 35 | $5.252,50 | 329 / 42 | $3.793,17 | 328 / 31 |
Renal Failure W Cc | 37 | 184 / 50 | $19.416,60 | 919 / 46 | $6.336,89 | 894 / 57 | $5.079,97 | 886 / 54 |
Renal Failure W Mcc | 23 | 172 / 43 | $37.836,00 | 1194 / 56 | $10.468,60 | 1129 / 63 | $9.201,65 | 1129 / 66 |
Respiratory Infections & Inflammations W Cc | 15 | 73 / 28 | $25.552,00 | 497 / 22 | $8.786,07 | 592 / 33 | $7.538,47 | 589 / 37 |
Respiratory Infections & Inflammations W Mcc | 23 | 113 / 29 | $34.412,30 | 568 / 27 | $11.921,20 | 627 / 38 | $10.743,60 | 619 / 39 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 35 | $40.501,20 | 341 / 17 | $13.906,40 | 432 / 30 | $12.262,00 | 427 / 28 |
Seizures W/O Mcc | 13 | 95 / 32 | $14.575,40 | 242 / 16 | $5.019,31 | 339 / 25 | $3.824,85 | 337 / 27 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 92 | 424 / 59 | $36.014,50 | 1100 / 53 | $11.679,50 | 953 / 60 | $10.125,50 | 947 / 56 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 37 | $24.855,00 | 1240 / 58 | $6.961,89 | 363 / 54 | $5.052,66 | 362 / 27 |
Signs & Symptoms W/O Mcc | 12 | 79 / 32 | $16.223,90 | 421 / 18 | $4.454,17 | 510 / 13 | $3.685,75 | 509 / 23 |
Simple Pneumonia & Pleurisy W Cc | 77 | 126 / 16 | $25.590,40 | 1663 / 71 | $6.937,53 | 1427 / 86 | $5.446,01 | 1421 / 80 |
Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 27 | $31.900,90 | 1162 / 53 | $9.695,06 | 1268 / 68 | $8.262,18 | 1268 / 67 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 37 | 56 / 11 | $19.358,70 | 1149 / 49 | $4.759,81 | 721 / 41 | $3.435,16 | 717 / 45 |
Syncope & Collapse | 23 | 146 / 43 | $17.077,20 | 575 / 33 | $4.852,78 | 595 / 44 | $3.647,74 | 592 / 43 |
Transient Ischemia | 42 | 83 / 19 | $15.169,40 | 311 / 22 | $4.674,10 | 578 / 41 | $3.450,67 | 575 / 43 | Total 62 procedures | 1.826 | 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.