Hospital Costs > In Pennsylvania > Jameson Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 49 | $8.888,19 | 67 / 5 | $5.567,88 | 667 / 63 | $3.978,38 | 664 / 49 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 40 | $13.136,20 | 74 / 6 | $7.999,76 | 176 / 53 | $5.796,24 | 176 / 21 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 44 | $8.090,83 | 152 / 7 | $4.147,17 | 936 / 64 | $2.773,09 | 931 / 63 |
Cellulitis W/O Mcc | 28 | 161 / 60 | $9.077,96 | 163 / 18 | $5.980,21 | 903 / 81 | $4.203,21 | 897 / 57 |
Chest Pain | 28 | 123 / 25 | $8.315,43 | 81 / 5 | $4.424,46 | 439 / 46 | $2.871,11 | 437 / 28 |
Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 38 | $11.905,70 | 223 / 9 | $6.521,95 | 351 / 71 | $4.378,03 | 350 / 28 |
Chronic Obstructive Pulmonary Disease W Mcc | 51 | 151 / 26 | $15.486,30 | 350 / 17 | $8.074,35 | 349 / 77 | $5.609,22 | 348 / 30 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 25 | $8.798,59 | 134 / 6 | $5.269,74 | 428 / 65 | $3.259,37 | 427 / 37 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 13 | 175 / 50 | $22.212,10 | 163 / 11 | $7.056,38 | 361 / 27 | $5.246,85 | 360 / 21 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 51 | 224 / 56 | $9.511,37 | 174 / 9 | $5.395,61 | 464 / 78 | $3.372,22 | 462 / 38 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 15 | $9.984,82 | 82 / 4 | $5.175,45 | 313 / 25 | $3.502,00 | 314 / 22 |
G.I. Hemorrhage W Cc | 21 | 197 / 56 | $12.139,10 | 124 / 6 | $7.187,43 | 599 / 81 | $5.001,00 | 598 / 39 |
Heart Failure & Shock W Cc | 57 | 221 / 59 | $11.551,10 | 237 / 15 | $6.896,91 | 549 / 84 | $4.942,68 | 549 / 41 |
Heart Failure & Shock W Mcc | 59 | 225 / 48 | $15.963,70 | 190 / 14 | $9.773,59 | 786 / 69 | $8.033,93 | 786 / 44 |
Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 36 | $10.244,30 | 281 / 21 | $5.093,55 | 345 / 74 | $3.151,95 | 343 / 30 |
Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 35 | $27.881,80 | 158 / 11 | $11.846,30 | 126 / 42 | $9.299,15 | 125 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 55 | $12.290,00 | 63 / 3 | $7.019,12 | 450 / 47 | $5.158,18 | 449 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 38 | $11.471,70 | 83 / 4 | $5.195,00 | 535 / 40 | $3.670,64 | 531 / 38 |
Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 35 | $13.031,90 | 151 / 7 | $7.613,94 | 248 / 55 | $5.345,00 | 248 / 20 |
Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 60 | $7.945,65 | 109 / 8 | $5.400,32 | 574 / 72 | $3.675,42 | 572 / 41 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 59 | 505 / 67 | $34.125,20 | 402 / 29 | $12.854,90 | 183 / 51 | $9.671,30 | 183 / 14 |
Medical Back Problems W/O Mcc | 21 | 100 / 31 | $8.279,95 | 27 / 1 | $5.723,10 | 256 / 32 | $3.885,86 | 256 / 21 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 51 | $7.602,24 | 113 / 5 | $5.086,06 | 908 / 71 | $3.580,88 | 905 / 53 |
Psychoses | 53 | 226 / 21 | $9.297,06 | 45 / 1 | $7.045,94 | 133 / 16 | $5.256,43 | 133 / 9 |
Pulmonary Edema & Respiratory Failure | 11 | 192 / 53 | $12.220,50 | 42 / 4 | $8.092,55 | 330 / 55 | $6.124,45 | 330 / 29 |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 39 | $9.207,31 | 71 / 4 | $5.702,23 | 448 / 59 | $3.925,92 | 447 / 42 |
Renal Failure W Cc | 27 | 194 / 58 | $11.815,50 | 193 / 14 | $6.937,22 | 698 / 81 | $4.914,96 | 691 / 44 |
Renal Failure W Mcc | 21 | 174 / 45 | $16.954,70 | 127 / 8 | $10.171,10 | 9 / 56 | $6.325,62 | 9 / 2 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 25 | $16.459,60 | 140 / 4 | $9.358,67 | 147 / 43 | $6.633,72 | 147 / 11 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 39 | $16.612,70 | 40 / 3 | $12.247,90 | 343 / 41 | $10.114,60 | 343 / 24 |
Seizures W/O Mcc | 12 | 96 / 33 | $9.574,42 | 59 / 2 | $5.374,33 | 311 / 33 | $3.772,67 | 309 / 25 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 166 | 350 / 34 | $21.625,90 | 347 / 24 | $11.625,60 | 350 / 59 | $9.272,90 | 350 / 25 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 52 | 155 / 33 | $15.109,40 | 361 / 23 | $7.486,12 | 458 / 76 | $5.161,58 | 456 / 30 |
Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 56 | $11.721,40 | 234 / 15 | $6.608,16 | 494 / 70 | $4.639,16 | 491 / 37 |
Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 42 | $21.149,20 | 451 / 21 | $9.723,27 | 428 / 70 | $7.216,73 | 428 / 24 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 29 | $8.039,47 | 94 / 5 | $4.866,40 | 384 / 53 | $3.128,20 | 382 / 28 |
Syncope & Collapse | 34 | 135 / 33 | $9.384,79 | 82 / 2 | $5.040,68 | 383 / 51 | $3.431,47 | 381 / 34 |
Transient Ischemia | 18 | 107 / 39 | $10.432,20 | 77 / 3 | $5.062,00 | 526 / 52 | $3.404,22 | 523 / 40 | Total 38 procedures | 1.159 | 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.