Hospital Costs > In Pennsylvania > Lehigh Valley Hospital - Hazleton, 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 Cc | 32 | 59 / 12 | $21.692,10 | 365 / 21 | $5.527,09 | 139 / 4 | $4.810,09 | 139 / 16 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 52 | 73 / 11 | $29.787,40 | 435 / 30 | $8.352,19 | 34 / 5 | $7.232,98 | 34 / 4 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 21 | 32 / 6 | $17.988,00 | 232 / 12 | $4.277,57 | 80 / 5 | $3.245,95 | 80 / 5 |
Admit For Renal Dialysis | 11 | 8 / 1 | $18.360,30 | 6 / 1 | $5.252,27 | 3 / 1 | $4.708,27 | 3 / 1 |
Angina Pectoris | 11 | 14 / 5 | $17.987,90 | 25 / 3 | $3.498,64 | 11 / 1 | $2.581,18 | 11 / 1 |
Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 20 | $19.539,60 | 362 / 12 | $4.939,29 | 175 / 5 | $4.011,29 | 172 / 16 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 32 | $21.655,40 | 1175 / 51 | $4.838,78 | 273 / 30 | $3.581,89 | 273 / 24 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 32 | $25.334,70 | 677 / 38 | $6.746,54 | 138 / 13 | $5.722,54 | 138 / 15 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 38 | 112 / 29 | $14.302,50 | 902 / 41 | $3.262,61 | 284 / 12 | $2.247,03 | 282 / 32 |
Cellulitis W Mcc | 15 | 43 / 13 | $30.231,10 | 388 / 12 | $7.153,07 | 6 / 2 | $5.981,87 | 6 / 1 |
Cellulitis W/O Mcc | 90 | 99 / 15 | $16.651,50 | 1073 / 58 | $4.653,70 | 311 / 13 | $3.701,52 | 308 / 26 |
Chest Pain | 25 | 126 / 27 | $17.794,60 | 750 / 38 | $3.515,32 | 221 / 10 | $2.582,84 | 220 / 16 |
Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 38 | $20.863,20 | 1093 / 51 | $5.155,92 | 312 / 12 | $4.339,49 | 311 / 26 |
Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 32 | $29.065,80 | 1409 / 66 | $6.566,93 | 124 / 14 | $5.233,20 | 124 / 18 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 35 | 85 / 18 | $18.390,40 | 1147 / 52 | $4.082,80 | 281 / 12 | $3.120,06 | 281 / 31 |
Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 22 | $16.399,60 | 122 / 8 | $5.200,29 | 46 / 4 | $4.251,71 | 46 / 6 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 19 | $26.006,50 | 509 / 17 | $5.376,27 | 100 / 5 | $4.168,55 | 100 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 26 | $30.484,40 | 649 / 21 | $6.969,00 | 170 / 9 | $5.886,33 | 169 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 89 | 186 / 31 | $19.984,80 | 1387 / 65 | $4.258,49 | 410 / 13 | $3.332,56 | 408 / 36 |
Fractures Of Hip & Pelvis W/O Mcc | 24 | 37 / 5 | $16.405,80 | 346 / 13 | $3.837,79 | 66 / 5 | $2.829,79 | 66 / 8 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 23 | 39 / 10 | $16.879,20 | 259 / 8 | $4.334,13 | 97 / 5 | $3.285,09 | 97 / 7 |
G.I. Hemorrhage W Cc | 75 | 143 / 21 | $22.861,50 | 1013 / 49 | $5.608,87 | 273 / 15 | $4.669,13 | 273 / 26 |
G.I. Hemorrhage W Mcc | 21 | 100 / 30 | $34.223,60 | 472 / 23 | $8.782,57 | 45 / 1 | $8.150,19 | 45 / 4 |
G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 18 | $15.621,90 | 364 / 21 | $3.978,67 | 97 / 8 | $2.929,07 | 97 / 11 |
G.I. Obstruction W Cc | 18 | 74 / 27 | $20.289,90 | 675 / 30 | $4.893,89 | 313 / 8 | $4.223,67 | 312 / 22 |
G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 18 | $23.270,90 | 955 / 34 | $3.450,44 | 223 / 5 | $2.575,78 | 223 / 14 |
Heart Failure & Shock W Cc | 71 | 207 / 46 | $18.471,30 | 981 / 50 | $5.387,62 | 292 / 11 | $4.680,89 | 292 / 26 |
Heart Failure & Shock W Mcc | 88 | 196 / 28 | $35.414,80 | 1422 / 68 | $7.866,38 | 144 / 6 | $7.094,74 | 144 / 17 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 33 | $15.882,10 | 941 / 51 | $3.757,26 | 198 / 14 | $2.964,22 | 196 / 22 |
Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 36 | $56.717,40 | 1269 / 56 | $10.553,60 | 192 / 10 | $9.474,05 | 191 / 13 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 15 | $58.764,20 | 288 / 10 | $15.922,30 | 83 / 2 | $15.043,70 | 83 / 4 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 33 | $126.883,00 | 796 / 34 | $30.206,00 | 269 / 21 | $27.562,70 | 269 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 35 | $25.250,00 | 809 / 39 | $5.770,63 | 218 / 8 | $4.856,68 | 218 / 20 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 28 | $34.236,00 | 494 / 20 | $8.275,48 | 18 / 1 | $7.514,59 | 18 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 28 | 74 / 23 | $25.131,80 | 907 / 36 | $4.318,86 | 332 / 8 | $3.413,71 | 329 / 26 |
Kidney & Urinary Tract Infections W Mcc | 47 | 97 / 12 | $20.507,70 | 603 / 30 | $5.740,57 | 93 / 2 | $5.000,66 | 93 / 9 |
Kidney & Urinary Tract Infections W/O Mcc | 51 | 182 / 41 | $15.851,40 | 1054 / 53 | $4.220,92 | 182 / 10 | $3.272,84 | 182 / 19 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 11 | $39.028,00 | 293 / 10 | $6.830,92 | 99 / 3 | $5.617,58 | 99 / 6 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 25 | $24.387,70 | 455 / 24 | $6.459,91 | 98 / 10 | $5.578,45 | 98 / 12 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 51 | 513 / 72 | $57.104,20 | 1586 / 84 | $11.599,20 | 592 / 13 | $10.462,90 | 586 / 46 |
Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 15 | $136.495,00 | 710 / 24 | $26.393,80 | 140 / 5 | $25.660,60 | 140 / 9 |
Medical Back Problems W/O Mcc | 31 | 90 / 24 | $17.804,80 | 381 / 20 | $4.591,45 | 132 / 7 | $3.619,06 | 132 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 28 | $25.277,70 | 721 / 24 | $6.164,42 | 232 / 6 | $5.590,11 | 230 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 34 | $18.754,70 | 1427 / 67 | $4.040,97 | 524 / 17 | $3.325,00 | 522 / 40 |
Other Circulatory System Diagnoses W Mcc | 14 | 102 / 30 | $35.553,50 | 357 / 9 | $8.831,21 | 20 / 1 | $8.355,79 | 20 / 4 |
Other Vascular Procedures W Cc | 15 | 87 / 23 | $59.865,20 | 357 / 15 | $13.679,70 | 109 / 1 | $12.792,30 | 109 / 7 |
Other Vascular Procedures W Mcc | 18 | 79 / 20 | $81.418,20 | 399 / 16 | $17.010,60 | 47 / 1 | $16.338,60 | 47 / 1 |
Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 23 | $52.276,60 | 242 / 14 | $14.013,10 | 48 / 2 | $12.913,50 | 48 / 5 |
Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 11 | $89.262,80 | 262 / 10 | $18.427,30 | 3 / 2 | $16.292,70 | 3 / 2 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 19 | 38 / 10 | $45.427,50 | 225 / 10 | $11.688,70 | 122 / 4 | $10.860,10 | 122 / 5 |
Pulmonary Edema & Respiratory Failure | 81 | 122 / 10 | $26.854,10 | 848 / 42 | $6.716,32 | 185 / 9 | $5.879,19 | 185 / 21 |
Pulmonary Embolism W Mcc | 12 | 31 / 10 | $37.913,10 | 289 / 9 | $8.016,08 | 56 / 2 | $7.410,75 | 56 / 2 |
Red Blood Cell Disorders W Mcc | 17 | 54 / 15 | $17.152,60 | 94 / 2 | $6.948,06 | 163 / 5 | $6.381,47 | 163 / 10 |
Red Blood Cell Disorders W/O Mcc | 35 | 108 / 21 | $17.395,70 | 664 / 36 | $4.565,89 | 314 / 14 | $3.775,03 | 313 / 27 |
Renal Failure W Cc | 37 | 184 / 50 | $24.452,80 | 1384 / 64 | $5.231,97 | 252 / 12 | $4.477,81 | 251 / 22 |
Renal Failure W Mcc | 45 | 150 / 23 | $32.629,70 | 923 / 50 | $8.267,40 | 172 / 10 | $7.487,31 | 172 / 17 |
Renal Failure W/O Cc/Mcc | 18 | 38 / 9 | $20.687,40 | 574 / 23 | $3.632,56 | 118 / 4 | $2.757,89 | 117 / 5 |
Respiratory Infections & Inflammations W Cc | 24 | 64 / 19 | $23.680,00 | 410 / 17 | $6.999,46 | 116 / 1 | $6.546,12 | 116 / 9 |
Respiratory Infections & Inflammations W Mcc | 67 | 69 / 3 | $41.156,60 | 831 / 35 | $10.006,90 | 110 / 2 | $9.425,04 | 110 / 13 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 33 | $53.474,20 | 726 / 31 | $12.093,00 | 149 / 7 | $11.397,00 | 149 / 16 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 21 | 50 / 8 | $119.669,00 | 381 / 15 | $26.441,00 | 68 / 2 | $25.807,10 | 68 / 5 |
Seizures W/O Mcc | 15 | 93 / 30 | $17.236,90 | 382 / 22 | $4.465,07 | 135 / 8 | $3.408,53 | 134 / 12 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 19 | $122.169,00 | 332 / 12 | $29.890,60 | 74 / 3 | $29.204,90 | 74 / 6 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 270 | 248 / 16 | $41.057,00 | 1363 / 63 | $9.910,92 | 334 / 12 | $9.244,55 | 334 / 23 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 60 | 147 / 29 | $22.042,20 | 979 / 50 | $5.748,98 | 201 / 7 | $4.851,92 | 201 / 17 |
Signs & Symptoms W/O Mcc | 14 | 77 / 30 | $16.038,90 | 407 / 17 | $3.996,50 | 91 / 5 | $2.958,79 | 91 / 8 |
Simple Pneumonia & Pleurisy W Cc | 47 | 156 / 37 | $21.717,10 | 1322 / 58 | $5.169,11 | 141 / 7 | $4.220,00 | 141 / 15 |
Simple Pneumonia & Pleurisy W Mcc | 98 | 107 / 6 | $31.065,50 | 1108 / 49 | $7.693,27 | 115 / 8 | $6.627,82 | 115 / 11 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 16 | $14.786,50 | 712 / 33 | $4.051,14 | 194 / 13 | $2.886,57 | 192 / 16 |
Syncope & Collapse | 47 | 122 / 27 | $18.144,30 | 693 / 37 | $4.217,38 | 221 / 13 | $3.231,13 | 220 / 28 |
Transient Ischemia | 41 | 84 / 20 | $17.863,90 | 486 / 30 | $4.046,59 | 158 / 13 | $2.935,12 | 158 / 19 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 10 | $18.767,80 | 132 / 4 | $3.986,42 | 52 / 3 | $2.905,08 | 52 / 7 | Total 72 procedures | 2.534 | 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.