Hospital Costs > In Pennsylvania > J C Blair Memorial Hospital, 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 | 65 | 451 / 70 | $14.874,60 | 72 / 7 | $10.696,10 | 590 / 33 | $9.657,35 | 589 / 36 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 44 | $10.055,20 | 63 / 5 | $6.315,26 | 748 / 24 | $5.437,49 | 746 / 44 |
| Heart Failure & Shock W Cc | 28 | 250 / 81 | $8.489,11 | 55 / 3 | $6.079,46 | 711 / 47 | $5.073,39 | 710 / 48 |
| Pulmonary Edema & Respiratory Failure | 27 | 176 / 38 | $14.680,00 | 137 / 8 | $7.326,78 | 583 / 26 | $6.429,59 | 583 / 42 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 81 | $13.607,20 | 576 / 32 | $5.366,84 | 1759 / 75 | $4.411,89 | 1746 / 98 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 17 | 547 / 94 | $25.962,80 | 99 / 11 | $12.788,70 | 1296 / 49 | $11.578,40 | 1264 / 80 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 40 | $7.878,31 | 104 / 6 | $4.218,88 | 499 / 33 | $3.308,88 | 497 / 38 |
| G.I. Hemorrhage W Cc | 15 | 203 / 60 | $14.219,90 | 242 / 15 | $5.947,27 | 664 / 28 | $5.057,67 | 663 / 40 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 53 | $5.738,00 | 22 / 1 | $4.326,33 | 685 / 32 | $3.443,13 | 683 / 46 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 76 | $8.948,75 | 195 / 12 | $4.785,08 | 1039 / 39 | $3.982,42 | 1031 / 60 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 62 | $12.745,00 | 162 / 7 | $6.853,42 | 668 / 23 | $5.946,75 | 664 / 43 |
| Heart Failure & Shock W Mcc | 11 | 273 / 84 | $13.525,60 | 100 / 9 | $8.898,09 | 1041 / 38 | $8.348,27 | 1039 / 63 | Total 12 procedures | 276 | 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.