Hospital Costs > In Pennsylvania > Hanover Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 154 | 362 / 37 | $23.099,50 | 425 / 27 | $12.411,20 | 1599 / 79 | $11.234,10 | 1567 / 89 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 137 | 427 / 43 | $31.071,80 | 267 / 19 | $14.416,90 | 1727 / 92 | $12.626,10 | 1687 / 103 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 94 | 113 / 18 | $15.366,60 | 378 / 24 | $7.234,90 | 1252 / 66 | $5.926,81 | 1247 / 73 |
Heart Failure & Shock W Mcc | 68 | 216 / 40 | $21.175,60 | 488 / 32 | $10.056,10 | 1563 / 80 | $9.194,49 | 1558 / 93 |
Heart Failure & Shock W Cc | 64 | 214 / 53 | $15.499,50 | 628 / 35 | $6.578,11 | 1371 / 69 | $5.616,64 | 1366 / 80 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 62 | 63 / 8 | $22.473,80 | 216 / 16 | $11.309,70 | 1012 / 58 | $10.350,20 | 1010 / 72 |
Acute Myocardial Infarction, Discharged Alive W Cc | 53 | 38 / 4 | $15.259,90 | 122 / 9 | $7.276,25 | 698 / 46 | $5.858,42 | 696 / 49 |
Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 25 | $22.209,80 | 521 / 24 | $9.741,94 | 1383 / 71 | $8.461,10 | 1383 / 77 |
Renal Failure W Cc | 52 | 169 / 39 | $13.919,00 | 378 / 23 | $6.229,31 | 1072 / 52 | $5.256,62 | 1064 / 64 |
G.I. Hemorrhage W Cc | 45 | 173 / 39 | $14.635,70 | 271 / 20 | $6.538,31 | 1217 / 52 | $5.597,51 | 1215 / 67 |
Kidney & Urinary Tract Infections W/O Mcc | 43 | 190 / 49 | $12.106,40 | 525 / 30 | $4.997,47 | 1281 / 53 | $4.152,07 | 1272 / 74 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 39 | 143 / 37 | $16.576,40 | 245 / 15 | $7.050,51 | 969 / 49 | $5.789,67 | 966 / 61 |
Pulmonary Edema & Respiratory Failure | 37 | 166 / 30 | $17.996,50 | 286 / 19 | $7.940,73 | 1110 / 48 | $7.121,27 | 1108 / 64 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 67 | $13.874,70 | 607 / 33 | $5.393,59 | 1066 / 77 | $3.797,00 | 1058 / 63 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 34 | $14.458,10 | 891 / 45 | $4.550,80 | 929 / 44 | $3.600,40 | 926 / 54 |
Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 48 | $13.922,00 | 434 / 22 | $6.374,76 | 1365 / 59 | $5.378,06 | 1360 / 74 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 34 | $16.163,00 | 643 / 32 | $5.807,24 | 638 / 73 | $3.955,15 | 635 / 47 |
Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 42 | $17.109,30 | 486 / 24 | $7.581,85 | 1453 / 57 | $6.775,06 | 1447 / 87 |
Cellulitis W/O Mcc | 32 | 157 / 56 | $10.370,70 | 282 / 25 | $5.607,09 | 1029 / 62 | $4.286,84 | 1023 / 61 |
Transient Ischemia | 31 | 94 / 30 | $15.814,90 | 343 / 25 | $5.078,94 | 508 / 56 | $3.384,03 | 506 / 39 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 39 | $20.907,50 | 127 / 7 | $7.008,40 | 803 / 25 | $5.910,83 | 801 / 39 |
Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 29 | $26.151,00 | 105 / 7 | $12.810,30 | 1241 / 59 | $11.771,50 | 1225 / 75 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 31 | $20.670,10 | 370 / 24 | $8.925,85 | 710 / 74 | $6.681,30 | 707 / 52 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 26 | 76 / 25 | $15.385,10 | 279 / 19 | $4.900,92 | 718 / 31 | $3.878,15 | 714 / 47 |
Renal Failure W Mcc | 26 | 169 / 40 | $28.135,20 | 659 / 32 | $11.334,70 | 1582 / 74 | $10.590,10 | 1580 / 94 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 51 | $19.753,20 | 974 / 49 | $6.269,00 | 1430 / 63 | $5.421,67 | 1425 / 84 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 20 | 76 / 9 | $40.450,60 | 179 / 5 | $18.273,80 | 259 / 34 | $11.383,20 | 256 / 10 |
G.I. Hemorrhage W Mcc | 19 | 102 / 32 | $21.369,10 | 92 / 9 | $11.379,70 | 826 / 42 | $10.613,40 | 823 / 56 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 34 | $13.578,80 | 317 / 21 | $5.151,11 | 724 / 39 | $4.207,11 | 719 / 54 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 30 | $50.369,20 | 429 / 17 | $18.881,30 | 1224 / 48 | $17.817,70 | 1210 / 58 |
G.I. Obstruction W Cc | 16 | 76 / 29 | $12.904,70 | 155 / 7 | $5.731,25 | 1002 / 30 | $5.123,25 | 999 / 52 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 36 | $24.036,40 | 198 / 11 | $12.763,10 | 1106 / 47 | $12.087,10 | 1092 / 68 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 11 | $14.925,00 | 132 / 7 | $5.497,50 | 246 / 27 | $3.678,62 | 245 / 18 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 41 | $10.427,10 | 306 / 24 | $4.379,40 | 1268 / 41 | $4.055,13 | 1258 / 84 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 26 | $20.601,20 | 229 / 7 | $8.961,87 | 557 / 45 | $6.745,80 | 552 / 29 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 39 | $44.639,90 | 470 / 24 | $17.091,60 | 1327 / 61 | $15.908,80 | 1314 / 71 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 30 | $17.561,90 | 266 / 15 | $7.059,71 | 82 / 42 | $4.342,93 | 81 / 10 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 27 | $13.226,80 | 22 / 1 | $9.717,50 | 452 / 17 | $8.944,93 | 451 / 28 |
Seizures W/O Mcc | 13 | 95 / 32 | $16.077,90 | 306 / 17 | $4.945,00 | 340 / 22 | $3.827,46 | 338 / 28 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 13 | $12.000,20 | 213 / 8 | $4.199,69 | 88 / 13 | $2.639,69 | 87 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 37 | $24.210,80 | 187 / 7 | $11.342,20 | 808 / 37 | $10.224,60 | 806 / 47 |
Atherosclerosis W/O Mcc | 13 | 45 / 7 | $12.165,50 | 91 / 1 | $3.939,23 | / 5 | $3.195,85 | / |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 51 | $11.852,50 | 568 / 29 | $3.603,46 | 801 / 33 | $2.673,00 | 797 / 54 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 31 | $23.100,20 | 391 / 16 | $9.113,67 | 898 / 37 | $8.305,67 | 893 / 51 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 22 | $10.649,30 | 123 / 11 | $4.510,36 | 488 / 18 | $3.745,27 | 484 / 32 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 17 | $21.918,00 | 48 / 4 | $10.629,00 | 534 / 24 | $9.413,00 | 532 / 30 |
Syncope & Collapse | 11 | 158 / 53 | $11.735,70 | 185 / 12 | $4.608,18 | 785 / 34 | $3.834,36 | 781 / 53 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 13 | $15.963,70 | 8 / 1 | $11.584,30 | 220 / 3 | $11.252,50 | 220 / 8 | Total 48 procedures | 1.611 | 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.