Hospital Costs > In Pennsylvania > Heritage Valley Beaver, 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 | 184 | 332 / 29 | $17.015,70 | 137 / 11 | $10.367,50 | 166 / 23 | $8.852,41 | 166 / 14 |
| Heart Failure & Shock W Mcc | 78 | 206 / 34 | $14.172,60 | 115 / 10 | $8.418,69 | 80 / 18 | $6.878,35 | 80 / 10 |
| Renal Failure W Mcc | 70 | 125 / 14 | $12.263,10 | 18 / 3 | $8.626,79 | 115 / 15 | $7.282,30 | 115 / 14 |
| G.I. Hemorrhage W Cc | 66 | 152 / 27 | $14.077,00 | 230 / 14 | $5.758,00 | 172 / 22 | $4.505,36 | 172 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 64 | 500 / 65 | $21.999,20 | 27 / 6 | $12.063,70 | 466 / 24 | $10.263,60 | 463 / 35 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 61 | 214 / 48 | $9.515,33 | 175 / 10 | $4.401,82 | 322 / 20 | $3.260,72 | 321 / 32 |
| Heart Failure & Shock W Cc | 58 | 220 / 58 | $8.358,48 | 50 / 2 | $5.768,81 | 224 / 27 | $4.579,66 | 224 / 18 |
| Renal Failure W Cc | 54 | 167 / 37 | $9.140,46 | 51 / 3 | $5.686,30 | 152 / 27 | $4.292,00 | 152 / 13 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 43 | 145 / 32 | $12.845,90 | 20 / 2 | $6.117,09 | 180 / 7 | $4.926,65 | 180 / 14 |
| Respiratory Infections & Inflammations W Mcc | 42 | 94 / 13 | $16.399,60 | 38 / 2 | $10.782,10 | 105 / 13 | $9.400,90 | 105 / 11 |
| Cellulitis W/O Mcc | 41 | 148 / 47 | $6.510,95 | 23 / 3 | $4.871,66 | 116 / 21 | $3.438,17 | 116 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 40 | 167 / 43 | $11.295,00 | 104 / 10 | $6.292,12 | 28 / 22 | $4.312,77 | 28 / 3 |
| Simple Pneumonia & Pleurisy W Mcc | 39 | 166 / 35 | $14.070,50 | 88 / 4 | $8.161,21 | 111 / 15 | $6.618,92 | 111 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 39 | 163 / 36 | $11.756,30 | 115 / 4 | $6.908,90 | 169 / 27 | $5.339,49 | 169 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 31 | $5.283,03 | 23 / 1 | $3.337,00 | 65 / 20 | $1.871,75 | 65 / 12 |
| Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 56 | $7.448,37 | 68 / 5 | $4.494,74 | 157 / 20 | $3.244,23 | 157 / 17 |
| Hip & Femur Procedures Except Major Joint W Cc | 34 | 109 / 24 | $17.321,10 | 11 / 1 | $11.013,90 | 267 / 19 | $9.656,21 | 266 / 19 |
| Syncope & Collapse | 31 | 138 / 36 | $7.845,94 | 34 / 1 | $4.376,77 | 18 / 21 | $2.726,81 | 18 / 4 |
| Transient Ischemia | 29 | 96 / 31 | $10.771,60 | 89 / 4 | $4.078,45 | 81 / 14 | $2.743,69 | 81 / 10 |
| Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 53 | $7.793,25 | 23 / 1 | $5.605,89 | 89 / 20 | $4.125,11 | 89 / 10 |
| Pulmonary Edema & Respiratory Failure | 27 | 176 / 38 | $10.287,70 | 13 / 2 | $7.340,07 | 32 / 29 | $5.380,44 | 32 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 29 | $15.080,40 | 50 / 5 | $9.924,04 | 243 / 33 | $8.412,89 | 243 / 27 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 47 | $11.707,00 | 51 / 2 | $5.773,04 | 78 / 9 | $4.509,85 | 78 / 10 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 27 | 169 / 43 | $39.713,20 | 64 / 4 | $11.862,70 | 95 / 6 | $9.382,30 | 95 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 32 | $11.246,00 | 31 / 3 | $7.035,19 | 112 / 21 | $5.654,15 | 112 / 12 |
| Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 32 | $7.322,48 | 77 / 3 | $4.011,88 | 112 / 23 | $2.800,16 | 111 / 14 |
| Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 27 | $8.739,52 | 24 / 1 | $6.400,60 | 74 / 18 | $4.949,84 | 74 / 8 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 26 | $20.077,30 | 72 / 7 | $9.930,12 | 143 / 15 | $8.670,28 | 143 / 14 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 29 | $36.215,60 | 12 / 1 | $26.960,80 | 31 / 8 | $23.812,40 | 31 / 4 |
| Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 50 | $10.016,60 | 101 / 5 | $5.221,92 | 16 / 16 | $3.587,68 | 16 / 3 |
| Medical Back Problems W/O Mcc | 24 | 97 / 29 | $9.744,12 | 49 / 2 | $4.951,38 | 58 / 12 | $3.421,88 | 58 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 42 | $5.701,21 | 1 / 1 | $4.606,58 | 30 / 18 | $3.080,12 | 30 / 5 |
| Red Blood Cell Disorders W/O Mcc | 23 | 120 / 29 | $8.523,74 | 52 / 2 | $4.644,57 | 167 / 17 | $3.563,83 | 167 / 20 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 31 | $6.864,00 | 36 / 2 | $4.212,48 | 76 / 19 | $2.744,38 | 76 / 14 |
| Spinal Fusion Except Cervical W/O Mcc | 21 | 173 / 31 | $30.890,50 | 10 / 1 | $22.114,50 | 319 / 7 | $20.703,70 | 318 / 20 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 33 | $32.018,70 | 152 / 9 | $13.037,10 | 313 / 16 | $11.931,50 | 310 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 50 | $6.374,33 | 48 / 3 | $3.988,17 | 161 / 16 | $2.949,72 | 161 / 21 |
| Chest Pain | 18 | 133 / 34 | $7.298,17 | 51 / 2 | $3.638,00 | 21 / 18 | $2.088,22 | 21 / 3 |
| Peripheral Vascular Disorders W Cc | 17 | 67 / 17 | $8.728,29 | 21 / 2 | $5.626,47 | 27 / 11 | $3.981,71 | 27 / 7 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 27 | $22.756,10 | 83 / 1 | $10.764,90 | 117 / 11 | $9.208,24 | 117 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 32 | $10.779,50 | 59 / 3 | $4.513,76 | 37 / 13 | $2.792,76 | 37 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 19 | $10.127,00 | 26 / 3 | $6.670,41 | 112 / 12 | $5.620,47 | 112 / 13 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 20 | $24.957,50 | 26 / 3 | $13.874,00 | 410 / 14 | $12.265,10 | 404 / 15 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 16 | 60 / 12 | $49.757,10 | 8 / 1 | $25.354,00 | 36 / 3 | $21.693,40 | 36 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 28 | $8.496,44 | 113 / 6 | $4.335,94 | 38 / 26 | $2.527,25 | 38 / 7 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 18 | $62.017,90 | 42 / 2 | $30.689,10 | 64 / 5 | $29.029,20 | 64 / 5 |
| G.I. Obstruction W Cc | 15 | 77 / 30 | $9.549,93 | 45 / 1 | $5.212,20 | 103 / 15 | $3.785,27 | 102 / 9 |
| Other Digestive System Diagnoses W Cc | 15 | 82 / 29 | $9.293,93 | 25 / 1 | $5.633,67 | 182 / 9 | $4.616,20 | 180 / 18 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 14 | $57.960,20 | 49 / 2 | $26.800,40 | 35 / 3 | $24.728,00 | 35 / 3 |
| G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 19 | $6.537,36 | 20 / 1 | $4.175,79 | 44 / 14 | $2.737,21 | 44 / 5 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 29 | $10.122,00 | 11 / 1 | $7.850,79 | 79 / 12 | $6.394,93 | 79 / 7 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 19 | $12.195,50 | 36 / 1 | $7.215,00 | 121 / 7 | $6.234,46 | 121 / 8 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 25 | $44.456,90 | 20 / 1 | $18.204,50 | 180 / 5 | $17.023,50 | 180 / 8 |
| Other Vascular Procedures W Mcc | 13 | 84 / 24 | $49.990,00 | 82 / 3 | $19.995,10 | 282 / 10 | $18.557,60 | 281 / 13 |
| Other Vascular Procedures W Cc | 13 | 89 / 25 | $39.923,90 | 91 / 3 | $15.278,80 | 320 / 10 | $14.047,10 | 318 / 17 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 23 | $49.316,30 | 52 / 2 | $18.877,10 | 165 / 5 | $17.442,50 | 165 / 7 |
| Transurethral Procedures W Cc | 12 | 29 / 10 | $11.718,50 | 7 / 1 | $7.264,17 | 18 / 1 | $5.806,75 | 18 / 2 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 19 | $7.994,08 | 32 / 1 | $4.327,58 | 34 / 4 | $2.986,50 | 34 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 38 | $12.724,00 | 11 / 1 | $9.033,42 | 79 / 4 | $8.014,17 | 79 / 7 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 12 | 83 / 22 | $32.612,80 | 21 / 2 | $10.995,20 | 58 / 1 | $9.631,92 | 57 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 29 | $17.566,20 | 126 / 3 | $7.010,75 | 137 / 10 | $5.794,75 | 137 / 14 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 9 | $20.865,80 | 8 / 1 | $13.589,50 | 30 / 2 | $11.954,90 | 30 / 2 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 12 | $16.232,70 | 6 / 1 | $8.541,09 | 75 / 3 | $6.999,91 | 75 / 4 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 33 | $8.233,82 | 48 / 1 | $4.147,91 | 18 / 8 | $2.667,45 | 18 / 3 | Total 64 procedures | 1.863 | 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.