Hospital Costs > In Pennsylvania > Grand View 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 Cc | 11 | 80 / 30 | $23.921,40 | 466 / 26 | $5.332,64 | 26 / 1 | $4.346,45 | 26 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 29 | 96 / 28 | $40.174,10 | 811 / 48 | $9.998,86 | 539 / 36 | $9.084,07 | 538 / 42 |
| Bronchitis & Asthma W Cc/Mcc | 24 | 52 / 14 | $27.642,90 | 655 / 27 | $6.259,67 | 158 / 32 | $3.963,38 | 155 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 46 | 115 / 22 | $22.194,80 | 1219 / 52 | $5.512,17 | 157 / 58 | $3.418,48 | 157 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 58 | 65 / 9 | $34.583,40 | 1146 / 56 | $7.310,62 | 518 / 28 | $6.393,67 | 515 / 42 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 41 | 109 / 27 | $17.154,30 | 1212 / 60 | $3.393,85 | 272 / 21 | $2.223,54 | 270 / 30 |
| Cellulitis W Mcc | 12 | 46 / 16 | $39.554,40 | 585 / 24 | $8.675,58 | 217 / 19 | $7.515,58 | 216 / 20 |
| Cellulitis W/O Mcc | 39 | 150 / 49 | $20.296,70 | 1511 / 74 | $5.092,77 | 328 / 31 | $3.731,82 | 325 / 27 |
| Chest Pain | 23 | 128 / 29 | $21.913,00 | 1050 / 49 | $3.624,17 | 256 / 17 | $2.629,39 | 255 / 23 |
| Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 50 | $28.335,90 | 1643 / 77 | $5.574,72 | 566 / 30 | $4.609,60 | 564 / 40 |
| Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 47 | $33.960,60 | 1688 / 77 | $7.144,25 | 656 / 42 | $5.933,39 | 652 / 42 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 39 | $21.621,80 | 1380 / 64 | $4.757,62 | 93 / 42 | $2.803,62 | 93 / 17 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 46 | $30.583,80 | 547 / 28 | $6.927,79 | 55 / 23 | $4.581,42 | 55 / 4 |
| Diabetes W Cc | 12 | 80 / 28 | $24.283,60 | 960 / 37 | $4.835,58 | 546 / 11 | $4.336,92 | 546 / 31 |
| Diabetes W Mcc | 13 | 44 / 11 | $43.358,80 | 498 / 14 | $8.835,15 | 21 / 4 | $6.192,38 | 21 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 69 | 206 / 42 | $23.984,80 | 1802 / 80 | $4.617,35 | 455 / 36 | $3.365,03 | 453 / 37 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 17 | $83.368,30 | 115 / 7 | $28.528,80 | 246 / 10 | $27.984,80 | 246 / 14 |
| Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 19 | $35.366,10 | 560 / 25 | $6.304,09 | 380 / 8 | $5.431,36 | 380 / 18 |
| G.I. Hemorrhage W Cc | 44 | 174 / 40 | $30.024,10 | 1554 / 69 | $6.910,98 | 247 / 66 | $4.634,45 | 247 / 23 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 35 | $45.797,20 | 887 / 41 | $10.358,30 | 399 / 22 | $9.391,87 | 399 / 26 |
| G.I. Obstruction W Cc | 20 | 72 / 26 | $33.725,10 | 1316 / 52 | $6.103,25 | 297 / 39 | $4.189,85 | 296 / 20 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 23 | $22.288,80 | 918 / 33 | $3.660,92 | 157 / 9 | $2.447,38 | 157 / 9 |
| Heart Failure & Shock W Cc | 77 | 201 / 41 | $28.148,30 | 1863 / 86 | $5.800,45 | 509 / 29 | $4.905,29 | 509 / 38 |
| Heart Failure & Shock W Mcc | 61 | 223 / 46 | $46.667,20 | 1900 / 87 | $9.005,90 | 864 / 45 | $8.121,05 | 864 / 48 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 38 | $15.613,80 | 914 / 48 | $4.055,78 | 685 / 30 | $3.454,89 | 682 / 49 |
| Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 27 | $42.383,80 | 734 / 38 | $11.499,30 | 752 / 28 | $10.522,80 | 745 / 48 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 15 | $29.433,50 | 178 / 9 | $9.568,54 | 294 / 9 | $8.455,92 | 293 / 12 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 35 | $112.562,00 | 650 / 28 | $31.201,20 | 291 / 29 | $27.924,30 | 291 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 48 | $27.073,90 | 936 / 43 | $6.182,42 | 406 / 19 | $5.114,12 | 405 / 27 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 36 | $38.128,60 | 632 / 26 | $9.409,29 | 249 / 11 | $8.634,43 | 248 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 35 | $28.204,90 | 1026 / 44 | $4.828,79 | 253 / 25 | $3.298,21 | 251 / 21 |
| Kidney & Urinary Tract Infections W Mcc | 24 | 120 / 28 | $24.956,20 | 918 / 42 | $6.506,71 | 385 / 21 | $5.548,04 | 384 / 27 |
| Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 64 | $22.851,70 | 1831 / 81 | $4.698,27 | 242 / 33 | $3.357,04 | 242 / 24 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 8 | $44.813,70 | 362 / 11 | $10.653,20 | 85 / 14 | $7.740,75 | 85 / 5 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 19 | 34 / 7 | $22.955,10 | 103 / 2 | $7.576,00 | 48 / 4 | $5.843,74 | 48 / 5 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 15 | $43.402,50 | 225 / 10 | $13.435,70 | 410 / 16 | $12.238,30 | 407 / 22 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 207 | 357 / 28 | $33.364,60 | 369 / 25 | $13.133,50 | 527 / 60 | $10.357,90 | 523 / 42 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 29 | $54.678,60 | 520 / 20 | $15.788,30 | 473 / 25 | $13.517,80 | 469 / 19 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 23 | $141.754,00 | 750 / 25 | $31.792,90 | 599 / 23 | $30.759,70 | 597 / 34 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 27 | $36.477,90 | 1211 / 40 | $6.720,45 | 216 / 21 | $5.565,50 | 214 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 43 | $27.248,30 | 2013 / 84 | $4.384,36 | 341 / 36 | $3.179,76 | 341 / 31 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 15 | $29.832,80 | 409 / 10 | $5.280,00 | 63 / 2 | $4.536,62 | 63 / 2 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 27 | $19.771,40 | 397 / 18 | $6.079,35 | 84 / 23 | $4.350,65 | 83 / 12 |
| Other Vascular Procedures W Cc | 24 | 78 / 18 | $76.316,00 | 614 / 29 | $15.470,40 | 251 / 13 | $13.675,10 | 250 / 13 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 23 | $23.372,70 | 559 / 26 | $7.047,00 | 2 / 44 | $3.255,55 | 2 / 2 |
| Permanent Cardiac Pacemaker Implant W Cc | 22 | 55 / 12 | $43.588,60 | 122 / 9 | $16.609,90 | 115 / 21 | $13.434,60 | 115 / 8 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 16 | $45.502,80 | 228 / 11 | $13.019,30 | 295 / 13 | $11.909,20 | 294 / 15 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 20 | $38.285,60 | 540 / 12 | $8.274,45 | 225 / 4 | $7.398,82 | 224 / 8 |
| Pulmonary Edema & Respiratory Failure | 23 | 180 / 41 | $42.275,70 | 1577 / 70 | $7.188,09 | 600 / 20 | $6.452,09 | 600 / 43 |
| Pulmonary Embolism W/O Mcc | 20 | 54 / 20 | $27.776,60 | 758 / 27 | $5.871,00 | 226 / 12 | $4.655,55 | 226 / 17 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 35 | $27.701,70 | 1391 / 63 | $4.820,24 | 489 / 25 | $3.973,18 | 488 / 43 |
| Renal Failure W Cc | 41 | 180 / 46 | $28.685,30 | 1643 / 75 | $5.982,93 | 551 / 43 | $4.805,20 | 547 / 38 |
| Renal Failure W Mcc | 15 | 180 / 50 | $71.845,60 | 1915 / 91 | $11.524,10 | 1577 / 78 | $10.557,70 | 1575 / 93 |
| Respiratory Infections & Inflammations W Cc | 42 | 46 / 8 | $32.822,30 | 783 / 29 | $8.359,64 | 413 / 24 | $7.183,14 | 410 / 24 |
| Respiratory Infections & Inflammations W Mcc | 37 | 99 / 17 | $46.892,90 | 998 / 44 | $11.822,40 | 791 / 34 | $11.113,60 | 781 / 51 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 33 | $105.610,00 | 1565 / 63 | $15.679,00 | 833 / 51 | $13.446,10 | 825 / 48 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 103 | 413 / 57 | $66.682,40 | 2240 / 97 | $11.682,40 | 1426 / 61 | $10.903,80 | 1399 / 80 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 40 | 167 / 43 | $33.457,40 | 1789 / 76 | $6.492,67 | 552 / 35 | $5.266,10 | 550 / 33 |
| Simple Pneumonia & Pleurisy W Cc | 56 | 147 / 29 | $25.110,10 | 1630 / 68 | $5.899,14 | 647 / 37 | $4.773,14 | 644 / 44 |
| Simple Pneumonia & Pleurisy W Mcc | 46 | 159 / 29 | $40.951,20 | 1592 / 63 | $8.731,00 | 963 / 34 | $7.839,15 | 963 / 55 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 30 | $18.926,60 | 1116 / 47 | $4.132,71 | 539 / 17 | $3.268,71 | 537 / 35 |
| Syncope & Collapse | 16 | 153 / 49 | $24.920,20 | 1214 / 62 | $4.364,44 | 472 / 20 | $3.530,44 | 470 / 36 |
| Transient Ischemia | 45 | 80 / 18 | $26.053,90 | 1010 / 53 | $4.386,31 | 227 / 30 | $3.054,44 | 227 / 28 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 11 | $27.406,20 | 256 / 12 | $4.465,36 | 53 / 7 | $2.906,18 | 53 / 8 | Total 64 procedures | 1.887 | 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.