Hospital Costs > In Pennsylvania > Kane Community 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 | 42 | 474 / 83 | $17.609,30 | 158 / 13 | $12.720,80 | 1866 / 86 | $11.943,70 | 1831 / 103 |
| Heart Failure & Shock W Mcc | 24 | 260 / 73 | $20.598,90 | 455 / 29 | $10.525,30 | 1847 / 88 | $9.870,67 | 1842 / 108 |
| Heart Failure & Shock W Cc | 21 | 257 / 85 | $12.479,70 | 314 / 20 | $6.850,29 | 1643 / 83 | $5.932,95 | 1638 / 94 |
| Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 64 | $15.988,80 | 681 / 37 | $6.735,00 | 1784 / 76 | $5.827,00 | 1776 / 99 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 67 | $11.457,20 | 112 / 11 | $7.342,85 | 1592 / 68 | $6.412,38 | 1585 / 92 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 31 | $12.449,50 | 454 / 24 | $4.824,77 | 1320 / 47 | $4.081,38 | 1312 / 71 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 62 | $14.532,70 | 468 / 24 | $6.437,77 | 1610 / 68 | $5.699,31 | 1603 / 95 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 56 | $10.169,80 | 328 / 16 | $4.820,83 | 1538 / 55 | $4.116,83 | 1533 / 84 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 41 | $13.338,80 | 587 / 28 | $4.906,18 | 1172 / 51 | $3.917,09 | 1163 / 72 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 63 | $18.788,10 | 626 / 32 | $8.061,64 | 1642 / 76 | $7.075,45 | 1634 / 94 | Total 10 procedures | 176 | 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.