Hospital Costs > In Pennsylvania > Lancaster Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 23 | $43.273,40 | 510 / 21 | $6.816,75 | 300 / 7 | $5.608,75 | 299 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 48 | $29.986,60 | 1629 / 75 | $5.096,41 | 1089 / 39 | $4.384,88 | 1085 / 67 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 44 | $37.269,50 | 1232 / 60 | $7.180,62 | 287 / 24 | $6.014,85 | 286 / 29 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 52 | $20.033,60 | 1393 / 66 | $4.468,82 | 1027 / 79 | $2.850,64 | 1022 / 69 |
Cellulitis W/O Mcc | 20 | 169 / 66 | $28.843,60 | 2073 / 91 | $5.387,60 | 1124 / 49 | $4.366,80 | 1118 / 72 |
Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 59 | $36.225,60 | 1962 / 96 | $5.781,06 | 1152 / 39 | $5.101,06 | 1148 / 67 |
Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 57 | $48.159,60 | 2141 / 97 | $9.225,24 | 50 / 98 | $4.964,88 | 50 / 11 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 45 | $50.722,10 | 1223 / 50 | $6.960,85 | 533 / 24 | $5.503,05 | 531 / 30 |
Diabetes W Cc | 11 | 81 / 29 | $29.879,00 | 1167 / 46 | $5.158,55 | 319 / 21 | $4.042,18 | 319 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 77 | $29.520,80 | 2138 / 92 | $5.005,50 | 866 / 56 | $3.671,17 | 861 / 55 |
G.I. Hemorrhage W Cc | 14 | 204 / 61 | $42.155,40 | 2012 / 88 | $6.285,71 | 1060 / 44 | $5.424,00 | 1058 / 60 |
Heart Failure & Shock W Cc | 33 | 245 / 76 | $38.863,00 | 2288 / 100 | $6.275,21 | 1143 / 55 | $5.398,61 | 1140 / 68 |
Heart Failure & Shock W Mcc | 30 | 254 / 68 | $40.078,30 | 1663 / 78 | $9.146,70 | 1198 / 51 | $8.581,37 | 1195 / 71 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 42 | $23.556,20 | 1490 / 71 | $4.442,86 | 825 / 42 | $3.578,86 | 821 / 56 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 39 | $54.006,90 | 1180 / 49 | $11.336,90 | 654 / 24 | $10.352,90 | 651 / 37 |
Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 70 | $22.505,10 | 1806 / 80 | $4.982,39 | 1017 / 51 | $3.972,61 | 1009 / 59 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 139 | 425 / 42 | $78.627,20 | 2182 / 105 | $13.102,10 | 983 / 59 | $11.026,40 | 963 / 62 |
Psychoses | 101 | 191 / 14 | $19.045,40 | 303 / 14 | $6.441,87 | 153 / 8 | $5.334,48 | 153 / 13 |
Renal Failure W Cc | 17 | 204 / 64 | $23.758,40 | 1331 / 62 | $6.049,24 | 1163 / 47 | $5.339,59 | 1155 / 71 |
Renal Failure W Mcc | 12 | 183 / 53 | $60.673,30 | 1769 / 78 | $10.402,30 | 1228 / 60 | $9.498,33 | 1228 / 73 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 38 | $87.139,50 | 1564 / 70 | $12.589,30 | 988 / 45 | $11.656,40 | 977 / 57 |
Revision Of Hip Or Knee Replacement W Cc | 19 | 67 / 11 | $113.321,00 | 513 / 19 | $25.622,00 | 32 / 18 | $15.745,20 | 32 / 2 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 13 | $87.199,70 | 367 / 12 | $17.242,80 | 35 / 5 | $12.651,40 | 35 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 11 | 505 / 101 | $99.678,30 | 2634 / 118 | $14.122,20 | 2191 / 102 | $13.133,10 | 2153 / 115 |
Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 65 | $44.525,40 | 2444 / 103 | $6.117,13 | 890 / 45 | $4.988,60 | 887 / 57 |
Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 59 | $62.729,20 | 2138 / 93 | $9.533,85 | 413 / 62 | $7.201,77 | 413 / 23 |
Spinal Fusion Except Cervical W/O Mcc | 30 | 164 / 24 | $125.165,00 | 969 / 49 | $26.370,30 | 237 / 34 | $20.094,60 | 236 / 11 |
Syncope & Collapse | 14 | 155 / 51 | $25.869,00 | 1258 / 64 | $4.719,14 | 904 / 36 | $3.942,00 | 899 / 59 | Total 28 procedures | 682 | 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.