Hospital Costs > In Pennsylvania > Holy Redeemer Hospital And Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 34 | 91 / 23 | $94.950,00 | 1679 / 91 | $12.220,40 | 1263 / 71 | $11.295,60 | 1253 / 81 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 15 | $38.209,00 | 711 / 40 | $5.557,00 | 515 / 28 | $4.342,17 | 511 / 34 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 15 | 74 / 20 | $34.734,70 | 381 / 17 | $7.953,00 | 313 / 21 | $5.649,27 | 312 / 14 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 13 | 50 / 16 | $77.178,70 | 119 / 14 | $23.399,90 | 82 / 13 | $18.151,20 | 82 / 7 |
Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 20 | $39.275,70 | 875 / 44 | $6.265,41 | 663 / 33 | $5.313,12 | 659 / 47 |
Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 11 | $37.091,30 | 349 / 22 | $4.851,58 | 223 / 11 | $3.812,92 | 223 / 14 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 40 | 121 / 28 | $45.927,10 | 2013 / 101 | $5.774,05 | 1357 / 70 | $4.742,50 | 1352 / 85 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 35 | 88 / 23 | $56.785,90 | 1638 / 83 | $8.351,00 | 1060 / 63 | $7.238,89 | 1057 / 77 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 64 | 86 / 15 | $32.589,50 | 1822 / 95 | $4.335,11 | 1317 / 75 | $3.189,16 | 1312 / 82 |
Cellulitis W Mcc | 11 | 47 / 17 | $57.800,50 | 798 / 38 | $9.623,09 | 463 / 25 | $8.583,36 | 461 / 31 |
Cellulitis W/O Mcc | 48 | 141 / 41 | $29.937,60 | 2122 / 95 | $6.054,10 | 1664 / 84 | $4.918,19 | 1657 / 98 |
Chest Pain | 29 | 122 / 24 | $31.564,90 | 1430 / 71 | $4.584,79 | 1008 / 54 | $3.571,28 | 1002 / 62 |
Chronic Obstructive Pulmonary Disease W Cc | 33 | 146 / 42 | $38.338,40 | 2034 / 100 | $6.687,33 | 1479 / 80 | $5.484,00 | 1473 / 86 |
Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 44 | $63.370,40 | 2393 / 109 | $8.053,00 | 1676 / 75 | $7.152,71 | 1668 / 96 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 32 | 88 / 20 | $30.287,40 | 1718 / 83 | $5.337,62 | 1310 / 68 | $4.092,44 | 1299 / 79 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 36 | 152 / 35 | $66.062,80 | 1457 / 64 | $7.577,94 | 1045 / 40 | $6.477,83 | 1042 / 57 |
Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 24 | $33.974,70 | 583 / 29 | $6.757,50 | 414 / 22 | $5.721,08 | 414 / 32 |
Diabetes W Cc | 14 | 78 / 26 | $32.420,60 | 1246 / 49 | $6.238,57 | 551 / 47 | $4.338,64 | 551 / 32 |
Digestive Malignancy W Cc | 12 | 35 / 9 | $51.003,70 | 306 / 13 | $7.964,25 | 119 / 4 | $6.951,33 | 118 / 9 |
Dysequilibrium | 15 | 50 / 12 | $33.424,30 | 452 / 24 | $4.710,07 | 314 / 16 | $3.642,80 | 314 / 23 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 83 | 192 / 35 | $33.356,50 | 2293 / 98 | $5.521,75 | 1563 / 83 | $4.182,35 | 1550 / 89 |
Fractures Of Hip & Pelvis W/O Mcc | 19 | 42 / 7 | $26.414,40 | 683 / 26 | $5.278,74 | 618 / 27 | $4.298,05 | 618 / 36 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 17 | 45 / 15 | $28.943,10 | 591 / 23 | $5.466,18 | 432 / 24 | $4.306,00 | 430 / 27 |
G.I. Hemorrhage W Cc | 44 | 174 / 40 | $43.619,20 | 2043 / 95 | $7.171,64 | 1418 / 79 | $5.843,77 | 1415 / 82 |
G.I. Hemorrhage W Mcc | 15 | 106 / 35 | $69.033,30 | 1328 / 60 | $11.703,30 | 900 / 48 | $10.843,40 | 895 / 60 |
G.I. Hemorrhage W/O Cc/Mcc | 19 | 49 / 14 | $34.295,70 | 864 / 46 | $5.186,42 | 590 / 35 | $4.019,95 | 586 / 40 |
G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 20 | $26.715,50 | 1054 / 41 | $4.627,12 | 911 / 36 | $3.702,12 | 908 / 48 |
Heart Failure & Shock W Cc | 99 | 179 / 31 | $49.600,90 | 2536 / 122 | $7.052,56 | 1743 / 90 | $6.052,01 | 1738 / 101 |
Heart Failure & Shock W Mcc | 57 | 227 / 49 | $75.614,60 | 2414 / 118 | $10.151,10 | 1608 / 85 | $9.294,70 | 1603 / 100 |
Heart Failure & Shock W/O Cc/Mcc | 51 | 59 / 13 | $33.660,70 | 1796 / 91 | $4.994,94 | 1191 / 70 | $3.964,92 | 1181 / 78 |
Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 31 | $73.209,80 | 1600 / 71 | $13.196,80 | 1214 / 65 | $11.682,20 | 1200 / 74 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 24 | 32 / 4 | $52.319,70 | 619 / 23 | $11.047,80 | 565 / 27 | $9.549,50 | 563 / 32 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 40 | $117.377,00 | 711 / 32 | $29.542,70 | 384 / 19 | $28.525,50 | 384 / 28 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 38 | $46.752,10 | 1670 / 74 | $7.489,87 | 1415 / 62 | $6.596,66 | 1412 / 81 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 36 | $61.928,30 | 1163 / 42 | $11.781,90 | 702 / 40 | $9.897,14 | 701 / 39 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 26 | 76 / 25 | $41.170,80 | 1376 / 66 | $5.572,73 | 1083 / 53 | $4.528,00 | 1079 / 67 |
Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 27 | $43.892,40 | 1588 / 72 | $7.775,72 | 1196 / 56 | $6.749,68 | 1192 / 64 |
Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 40 | $32.889,20 | 2309 / 103 | $5.598,35 | 1633 / 85 | $4.476,69 | 1622 / 92 |
Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 23 | $87.894,30 | 476 / 20 | $19.824,80 | 328 / 10 | $18.787,40 | 328 / 14 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 24 | $52.354,70 | 965 / 48 | $7.830,58 | 765 / 29 | $7.577,50 | 763 / 43 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 199 | 365 / 31 | $66.990,10 | 1914 / 93 | $14.214,90 | 1614 / 84 | $12.347,80 | 1577 / 97 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 36 | $125.489,00 | 1369 / 58 | $15.722,10 | 323 / 24 | $12.965,30 | 321 / 10 |
Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 22 | $182.825,00 | 986 / 35 | $31.326,70 | 268 / 20 | $27.072,70 | 266 / 14 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 19 | 45 / 10 | $51.043,30 | 472 / 12 | $10.607,90 | 341 / 7 | $8.797,21 | 341 / 12 |
Medical Back Problems W/O Mcc | 19 | 102 / 33 | $33.799,30 | 1129 / 53 | $5.925,58 | 855 / 42 | $4.881,11 | 852 / 58 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 27 | $59.917,90 | 1598 / 64 | $7.748,55 | 952 / 40 | $6.908,00 | 949 / 50 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 60 | 106 / 16 | $30.370,60 | 2148 / 90 | $5.169,90 | 1754 / 74 | $4.403,48 | 1749 / 93 |
Organic Disturbances & Mental Retardation | 17 | 42 / 9 | $40.484,30 | 450 / 25 | $6.687,65 | 234 / 11 | $5.847,00 | 234 / 16 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 32 | $78.541,20 | 1135 / 42 | $12.639,40 | 755 / 29 | $11.879,60 | 752 / 37 |
Other Digestive System Diagnoses W Cc | 21 | 76 / 23 | $46.479,00 | 1219 / 55 | $6.867,00 | 903 / 35 | $6.138,48 | 899 / 56 |
Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 11 | $34.810,80 | 314 / 20 | $5.119,58 | 166 / 11 | $3.651,17 | 166 / 14 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 26 | $44.748,60 | 701 / 32 | $6.942,67 | 440 / 17 | $6.009,50 | 440 / 28 |
Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 11 | 16 / 4 | $66.223,40 | 51 / 5 | $7.445,09 | 24 / 1 | $6.349,09 | 24 / 2 |
Other Vascular Procedures W Cc | 22 | 80 / 19 | $90.906,20 | 758 / 35 | $16.496,40 | 610 / 26 | $15.620,50 | 607 / 42 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 32 | 164 / 39 | $127.075,00 | 1355 / 60 | $14.082,80 | 781 / 33 | $11.564,10 | 776 / 39 |
Peripheral Vascular Disorders W Cc | 21 | 63 / 14 | $44.390,20 | 1082 / 55 | $6.734,48 | 714 / 37 | $5.894,19 | 711 / 50 |
Pulmonary Edema & Respiratory Failure | 13 | 190 / 51 | $63.256,50 | 1974 / 89 | $9.814,46 | 1723 / 86 | $8.566,08 | 1718 / 95 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 17 | $51.569,80 | 865 / 33 | $8.622,93 | 623 / 25 | $7.885,67 | 620 / 35 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 30 | $40.215,40 | 1765 / 86 | $5.827,27 | 1302 / 65 | $4.997,27 | 1293 / 81 |
Renal Failure W Cc | 44 | 177 / 44 | $44.558,30 | 2138 / 105 | $6.762,34 | 1596 / 73 | $5.923,32 | 1587 / 92 |
Renal Failure W Mcc | 21 | 174 / 45 | $109.617,00 | 2140 / 107 | $11.075,50 | 1349 / 72 | $9.783,76 | 1349 / 81 |
Respiratory Infections & Inflammations W Cc | 40 | 48 / 9 | $56.015,10 | 1216 / 57 | $9.596,50 | 902 / 46 | $8.320,28 | 897 / 53 |
Respiratory Infections & Inflammations W Mcc | 37 | 99 / 17 | $77.451,40 | 1479 / 63 | $13.163,20 | 1067 / 56 | $11.932,20 | 1053 / 62 |
Respiratory Neoplasms W Cc | 12 | 35 / 14 | $63.214,20 | 456 / 19 | $8.156,75 | 256 / 7 | $7.111,83 | 255 / 12 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 39 | $96.649,20 | 1475 / 58 | $14.045,00 | 824 / 32 | $13.394,60 | 816 / 46 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 11 | 58 / 14 | $95.425,50 | 399 / 16 | $18.335,10 | 255 / 7 | $15.348,80 | 254 / 10 |
Seizures W/O Mcc | 18 | 90 / 27 | $42.842,80 | 1164 / 57 | $5.388,33 | 756 / 34 | $4.626,78 | 753 / 48 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 64 | 452 / 71 | $89.454,50 | 2542 / 111 | $12.336,80 | 1703 / 77 | $11.452,60 | 1670 / 99 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 45 | $44.380,80 | 2156 / 95 | $7.402,42 | 1730 / 70 | $6.641,87 | 1723 / 96 |
Signs & Symptoms W/O Mcc | 15 | 76 / 29 | $29.056,90 | 1010 / 36 | $5.231,47 | 711 / 30 | $4.067,53 | 708 / 36 |
Simple Pneumonia & Pleurisy W Cc | 51 | 152 / 33 | $45.955,20 | 2487 / 110 | $6.952,25 | 1759 / 88 | $5.795,16 | 1751 / 98 |
Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 41 | $79.297,60 | 2340 / 105 | $9.749,32 | 1543 / 72 | $8.778,61 | 1543 / 81 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 30 | 63 / 14 | $33.459,30 | 1697 / 79 | $5.175,67 | 1366 / 60 | $4.151,40 | 1358 / 74 |
Spinal Fusion Except Cervical W/O Mcc | 22 | 172 / 30 | $62.703,10 | 252 / 17 | $27.495,70 | 104 / 43 | $18.994,40 | 103 / 7 |
Syncope & Collapse | 42 | 127 / 29 | $34.122,90 | 1562 / 83 | $5.369,95 | 1219 / 66 | $4.420,29 | 1212 / 78 |
Transient Ischemia | 42 | 83 / 19 | $35.123,20 | 1327 / 76 | $5.224,98 | 933 / 62 | $3.916,62 | 928 / 65 | Total 76 procedures | 2.263 | 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.