Hospital Costs > In Pennsylvania > Highlands Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 15 | 174 / 71 | $7.277,20 | 56 / 6 | $5.408,53 | 1111 / 52 | $4.358,93 | 1105 / 69 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 86 | $9.634,57 | 181 / 11 | $4.875,29 | 1253 / 48 | $3.931,29 | 1242 / 73 |
| Heart Failure & Shock W Cc | 13 | 265 / 92 | $11.675,20 | 246 / 16 | $5.874,69 | 669 / 31 | $5.040,23 | 668 / 47 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 42 | $10.545,10 | 329 / 26 | $4.518,64 | 1007 / 49 | $3.741,50 | 999 / 65 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 76 | $7.661,83 | 90 / 7 | $4.757,17 | 845 / 37 | $3.853,17 | 840 / 53 |
| Renal Failure W Cc | 11 | 210 / 70 | $9.442,64 | 67 / 4 | $6.060,82 | 1214 / 48 | $5.403,36 | 1206 / 74 | Total 6 procedures | 79 | 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.