Hospital Costs > In Pennsylvania > Heritage Valley Sewickley, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 24 | $8.403,64 | 2 / 1 | $5.732,18 | 55 / 1 | $4.538,64 | 55 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 50 | $8.839,64 | 64 / 4 | $4.334,64 | 66 / 8 | $3.209,50 | 66 / 12 |
| Cellulitis W/O Mcc | 31 | 158 / 57 | $7.607,48 | 76 / 9 | $4.625,58 | 15 / 11 | $3.008,32 | 15 / 3 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 17 | $14.867,00 | 1 / 1 | $11.673,80 | 101 / 1 | $10.402,40 | 101 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 44 | $12.888,30 | 177 / 10 | $6.241,03 | 40 / 7 | $4.919,68 | 40 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 68 | $8.689,60 | 133 / 6 | $4.092,57 | 70 / 7 | $2.881,26 | 70 / 8 |
| G.I. Hemorrhage W Cc | 24 | 194 / 54 | $12.937,20 | 160 / 9 | $5.411,96 | 63 / 8 | $4.239,50 | 63 / 8 |
| G.I. Hemorrhage W Mcc | 21 | 100 / 30 | $19.367,60 | 63 / 5 | $9.230,29 | 67 / 7 | $8.296,14 | 67 / 6 |
| Heart Failure & Shock W Cc | 35 | 243 / 74 | $10.941,80 | 190 / 11 | $5.433,06 | 33 / 13 | $4.116,06 | 33 / 4 |
| Heart Failure & Shock W Mcc | 27 | 257 / 70 | $18.295,00 | 327 / 21 | $7.851,04 | 20 / 5 | $6.376,59 | 20 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 38 | $19.081,30 | 21 / 3 | $10.380,20 | 88 / 4 | $9.164,76 | 88 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 42 | $53.862,50 | 70 / 4 | $26.533,50 | 62 / 6 | $24.780,10 | 62 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 37 | $10.385,40 | 52 / 2 | $4.601,00 | 1 / 17 | $1.914,08 | 1 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 41 | $10.717,40 | 69 / 4 | $5.961,00 | 17 / 8 | $4.566,91 | 17 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 75 | $9.082,46 | 203 / 13 | $4.165,85 | 36 / 9 | $2.948,31 | 36 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 126 | 438 / 46 | $20.279,80 | 19 / 4 | $11.658,00 | 39 / 17 | $8.914,81 | 39 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 55 | $8.916,92 | 219 / 14 | $3.754,38 | 40 / 7 | $2.671,69 | 40 / 5 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 16 | 61 / 12 | $16.548,50 | 9 / 1 | $8.566,88 | 3 / 1 | $5.646,50 | 3 / 1 |
| Other Resp System O.R. Procedures W Mcc | 11 | 52 / 14 | $32.380,20 | 12 / 1 | $17.832,30 | 10 / 1 | $16.234,90 | 10 / 2 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 39 | $8.862,77 | 63 / 3 | $4.312,08 | 118 / 4 | $3.459,54 | 118 / 14 |
| Renal Failure W Cc | 20 | 201 / 61 | $12.093,30 | 219 / 18 | $5.347,40 | 16 / 15 | $3.858,35 | 16 / 3 |
| Respiratory Infections & Inflammations W Mcc | 23 | 113 / 29 | $17.032,70 | 43 / 4 | $10.219,50 | 20 / 5 | $8.704,17 | 20 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 38 | 478 / 86 | $18.222,30 | 184 / 16 | $9.979,68 | 88 / 13 | $8.588,97 | 88 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 53 | $15.387,30 | 383 / 25 | $5.935,52 | 105 / 12 | $4.646,66 | 105 / 11 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 62 | $10.366,40 | 133 / 7 | $5.253,11 | 289 / 8 | $4.453,83 | 287 / 27 |
| Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 51 | $14.869,50 | 118 / 6 | $7.680,24 | 3 / 7 | $5.624,52 | 3 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 32 | $7.980,50 | 89 / 4 | $3.926,58 | 6 / 7 | $2.346,08 | 6 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 53 | 141 / 14 | $33.393,00 | 19 / 3 | $21.232,00 | 41 / 4 | $17.856,80 | 41 / 5 |
| Syncope & Collapse | 11 | 158 / 53 | $12.960,50 | 262 / 18 | $3.969,73 | 56 / 6 | $2.892,82 | 56 / 11 | Total 29 procedures | 708 | 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.