Hospital Costs > In Pennsylvania > Heart Of Lancaster Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 26 | 538 / 87 | $81.840,10 | 2240 / 108 | $15.127,50 | 1439 / 106 | $11.884,00 | 1406 / 90 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 77 | $26.695,40 | 1978 / 87 | $5.787,33 | 2001 / 93 | $4.782,04 | 1987 / 108 |
Heart Failure & Shock W Mcc | 23 | 261 / 74 | $34.832,00 | 1383 / 65 | $9.523,22 | 1194 / 59 | $8.577,13 | 1191 / 70 |
Heart Failure & Shock W Cc | 20 | 258 / 86 | $26.590,30 | 1785 / 80 | $6.616,55 | 1465 / 73 | $5.724,55 | 1460 / 84 |
Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 60 | $23.252,00 | 1476 / 64 | $6.737,15 | 1347 / 77 | $5.355,55 | 1342 / 73 |
Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 53 | $31.191,50 | 1115 / 50 | $8.894,63 | 1061 / 46 | $7.939,68 | 1061 / 60 |
Cellulitis W/O Mcc | 19 | 170 / 67 | $18.867,30 | 1349 / 68 | $5.855,95 | 830 / 73 | $4.147,16 | 825 / 51 |
Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 34 | $23.727,90 | 833 / 37 | $7.295,11 | 841 / 48 | $6.148,44 | 839 / 51 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 28 | $20.778,80 | 1250 / 56 | $4.859,12 | 1054 / 51 | $3.727,12 | 1048 / 57 |
Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 61 | $25.385,40 | 1471 / 72 | $6.237,57 | 1523 / 61 | $5.545,00 | 1517 / 90 |
Renal Failure W Cc | 14 | 207 / 67 | $23.636,90 | 1322 / 61 | $6.384,14 | 1075 / 61 | $5.259,57 | 1067 / 65 |
Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 75 | $15.658,90 | 1026 / 52 | $5.187,08 | 1191 / 64 | $4.081,85 | 1183 / 68 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 55 | $15.099,30 | 967 / 49 | $4.757,23 | 1120 / 51 | $3.740,62 | 1117 / 62 |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 62 | $25.499,80 | 1167 / 56 | $7.598,17 | 1222 / 58 | $6.488,83 | 1216 / 67 |
Renal Failure W Mcc | 11 | 184 / 54 | $28.455,20 | 678 / 33 | $9.851,73 | 1076 / 44 | $9.083,73 | 1076 / 61 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 52 | $24.418,90 | 1372 / 65 | $5.369,00 | 1085 / 53 | $4.382,82 | 1081 / 66 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 46 | $32.891,70 | 1087 / 53 | $7.751,64 | 902 / 42 | $6.980,73 | 899 / 63 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 17 | $17.428,60 | 151 / 3 | $5.927,45 | 245 / 11 | $4.833,64 | 245 / 13 | Total 18 procedures | 295 | 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.