Hospital Costs > In Pennsylvania > Lehigh Valley Hospital - Muhlenberg, 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 | 17 | 74 / 24 | $56.769,50 | 1263 / 68 | $7.455,76 | 269 / 51 | $5.087,12 | 269 / 26 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 35 | $65.433,90 | 1402 / 73 | $11.607,20 | 617 / 63 | $9.250,19 | 616 / 48 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 13 | $39.109,90 | 724 / 41 | $5.090,00 | 270 / 20 | $3.715,14 | 268 / 21 |
| Bone Diseases & Arthropathies W/O Mcc | 23 | 21 / 3 | $29.044,90 | 234 / 6 | $4.912,83 | 41 / 5 | $3.443,65 | 41 / 6 |
| Bronchitis & Asthma W Cc/Mcc | 30 | 46 / 10 | $36.402,30 | 841 / 41 | $6.133,20 | 251 / 28 | $4.222,77 | 248 / 23 |
| Bronchitis & Asthma W/O Cc/Mcc | 20 | 25 / 4 | $35.664,20 | 344 / 19 | $4.548,70 | 88 / 9 | $2.867,90 | 88 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 64 | 97 / 15 | $29.756,70 | 1621 / 74 | $5.602,70 | 393 / 65 | $3.725,83 | 393 / 32 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 42 | 81 / 18 | $36.223,50 | 1200 / 59 | $7.954,88 | 598 / 50 | $6.520,05 | 595 / 45 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 66 | 84 / 14 | $24.596,00 | 1613 / 79 | $3.975,23 | 368 / 53 | $2.327,59 | 365 / 38 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 17 | 101 / 20 | $180.558,00 | 374 / 14 | $31.478,10 | 164 / 6 | $29.949,20 | 164 / 11 |
| Cellulitis W Mcc | 12 | 46 / 16 | $43.883,50 | 663 / 30 | $9.610,75 | 341 / 24 | $8.061,42 | 340 / 25 |
| Cellulitis W/O Mcc | 123 | 66 / 6 | $34.831,50 | 2292 / 109 | $5.948,23 | 633 / 80 | $3.999,59 | 630 / 45 |
| Chest Pain | 41 | 110 / 15 | $26.329,70 | 1266 / 64 | $4.213,10 | 443 / 37 | $2.877,34 | 441 / 29 |
| Chronic Obstructive Pulmonary Disease W Cc | 100 | 79 / 8 | $35.626,70 | 1938 / 94 | $6.450,38 | 815 / 70 | $4.810,16 | 812 / 55 |
| Chronic Obstructive Pulmonary Disease W Mcc | 54 | 148 / 24 | $45.730,40 | 2086 / 95 | $7.992,81 | 890 / 72 | $6.143,52 | 885 / 54 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 67 | 53 / 7 | $27.727,60 | 1642 / 81 | $4.978,12 | 508 / 54 | $3.334,93 | 507 / 41 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 23 | $98.852,70 | 754 / 28 | $14.002,10 | 415 / 17 | $12.296,70 | 409 / 16 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 62 | 126 / 21 | $57.538,00 | 1352 / 58 | $7.471,32 | 840 / 35 | $5.986,02 | 838 / 44 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 11 | 65 / 17 | $194.810,00 | 486 / 25 | $30.622,40 | 134 / 17 | $23.970,10 | 134 / 11 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 14 | $36.757,60 | 561 / 16 | $6.259,67 | 31 / 14 | $3.745,53 | 31 / 1 |
| Degenerative Nervous System Disorders W/O Mcc | 20 | 58 / 16 | $53.829,20 | 794 / 43 | $6.522,40 | 201 / 18 | $4.982,40 | 201 / 18 |
| Diabetes W Cc | 23 | 69 / 17 | $38.432,10 | 1371 / 59 | $5.679,04 | 445 / 30 | $4.214,43 | 445 / 25 |
| Diabetes W Mcc | 13 | 44 / 11 | $65.034,40 | 666 / 18 | $10.741,20 | 416 / 13 | $8.779,31 | 416 / 14 |
| Digestive Malignancy W Cc | 12 | 35 / 9 | $47.447,20 | 283 / 10 | $8.399,00 | 91 / 7 | $6.658,33 | 90 / 6 |
| Disorders Of Pancreas Except Malignancy W Cc | 19 | 42 / 11 | $45.334,00 | 837 / 29 | $7.187,84 | 40 / 23 | $3.814,89 | 40 / 3 |
| Disorders Of The Biliary Tract W Cc | 11 | 43 / 13 | $51.170,70 | 399 / 19 | $7.210,73 | 113 / 10 | $5.584,18 | 113 / 9 |
| Dysequilibrium | 21 | 44 / 8 | $27.131,50 | 374 / 17 | $4.777,43 | 56 / 17 | $2.489,38 | 56 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 17 | $56.548,10 | 1239 / 52 | $8.067,83 | 349 / 31 | $6.340,00 | 347 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 165 | 110 / 8 | $33.833,00 | 2316 / 102 | $5.253,72 | 708 / 68 | $3.570,87 | 704 / 49 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 15 | 48 / 13 | $170.299,00 | 547 / 23 | $31.626,30 | 239 / 15 | $27.928,10 | 239 / 11 |
| Fever | 21 | 25 / 7 | $40.301,90 | 294 / 10 | $5.614,76 | 93 / 5 | $4.445,14 | 93 / 5 |
| Fractures Of Hip & Pelvis W/O Mcc | 19 | 42 / 7 | $24.770,90 | 649 / 21 | $4.724,37 | 227 / 18 | $3.298,74 | 228 / 17 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 21 | 41 / 12 | $32.749,60 | 640 / 25 | $5.224,95 | 209 / 18 | $3.625,24 | 209 / 13 |
| G.I. Hemorrhage W Cc | 103 | 115 / 13 | $48.487,80 | 2130 / 100 | $6.771,28 | 1074 / 61 | $5.434,84 | 1072 / 61 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 28 | $68.578,90 | 1324 / 59 | $12.014,30 | 672 / 52 | $10.131,80 | 673 / 45 |
| G.I. Hemorrhage W/O Cc/Mcc | 18 | 50 / 15 | $27.315,30 | 756 / 34 | $4.663,67 | 220 / 22 | $3.218,33 | 218 / 17 |
| G.I. Obstruction W Cc | 34 | 58 / 15 | $39.223,00 | 1442 / 57 | $6.157,12 | 413 / 41 | $4.368,35 | 412 / 29 |
| G.I. Obstruction W/O Cc/Mcc | 25 | 46 / 12 | $27.756,00 | 1079 / 43 | $4.306,44 | 256 / 27 | $2.634,64 | 256 / 17 |
| Headaches W/O Mcc | 13 | 30 / 9 | $30.717,10 | 167 / 9 | $5.073,54 | 36 / 6 | $2.970,77 | 36 / 4 |
| Heart Failure & Shock W Cc | 190 | 90 / 7 | $40.875,80 | 2352 / 107 | $6.786,36 | 978 / 81 | $5.276,43 | 977 / 62 |
| Heart Failure & Shock W Mcc | 75 | 209 / 35 | $61.003,60 | 2213 / 105 | $9.949,64 | 763 / 76 | $8.010,85 | 763 / 43 |
| Heart Failure & Shock W/O Cc/Mcc | 84 | 26 / 3 | $28.756,60 | 1680 / 81 | $4.601,40 | 409 / 53 | $3.223,01 | 407 / 34 |
| Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 23 | $77.454,20 | 1669 / 72 | $13.080,80 | 721 / 62 | $10.459,60 | 715 / 44 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 12 | $56.129,40 | 669 / 28 | $10.631,90 | 412 / 25 | $8.854,69 | 410 / 25 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 9 | $111.767,00 | 315 / 14 | $16.877,50 | 160 / 9 | $14.424,60 | 160 / 12 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 30 | $181.230,00 | 1181 / 49 | $34.164,60 | 411 / 42 | $28.746,90 | 409 / 30 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 46 | 136 / 32 | $45.441,60 | 1638 / 71 | $7.327,09 | 745 / 57 | $5.474,80 | 743 / 44 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 36 | $98.770,10 | 1499 / 62 | $12.816,40 | 535 / 52 | $9.427,50 | 534 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 30 | 72 / 21 | $41.703,80 | 1388 / 68 | $5.434,60 | 325 / 46 | $3.406,80 | 322 / 25 |
| Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 23 | $42.950,40 | 1563 / 71 | $7.581,83 | 774 / 52 | $6.058,17 | 773 / 45 |
| Kidney & Urinary Tract Infections W/O Mcc | 113 | 120 / 11 | $35.794,90 | 2396 / 108 | $5.549,11 | 818 / 81 | $3.834,74 | 813 / 51 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 7 | $67.740,10 | 646 / 19 | $11.413,90 | 287 / 17 | $8.615,41 | 287 / 14 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 12 | $58.829,50 | 480 / 22 | $8.122,91 | 291 / 10 | $6.584,27 | 291 / 17 |
| Major Cardiovasc Procedures W Mcc | 12 | 56 / 15 | $229.324,00 | 559 / 21 | $37.573,20 | 47 / 16 | $26.416,80 | 47 / 4 |
| Major Chest Procedures W Cc | 12 | 62 / 14 | $110.073,00 | 428 / 12 | $16.898,20 | 133 / 5 | $13.707,80 | 133 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 23 | $42.587,20 | 866 / 42 | $7.980,38 | 385 / 31 | $6.357,85 | 384 / 25 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 98 | 466 / 55 | $76.980,70 | 2146 / 103 | $13.926,30 | 1304 / 78 | $11.597,20 | 1272 / 81 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 32 | $108.581,00 | 1285 / 50 | $16.910,30 | 744 / 34 | $14.532,00 | 736 / 37 |
| Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 15 | $209.204,00 | 1072 / 40 | $33.234,80 | 477 / 31 | $29.422,70 | 475 / 28 |
| Medical Back Problems W/O Mcc | 41 | 80 / 16 | $33.269,60 | 1117 / 52 | $5.749,46 | 498 / 34 | $4.218,78 | 498 / 37 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 32 | $60.402,30 | 1602 / 66 | $7.578,07 | 664 / 36 | $6.325,53 | 661 / 35 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 75 | 91 / 11 | $32.215,10 | 2200 / 97 | $4.889,40 | 576 / 61 | $3.363,56 | 574 / 42 |
| Organic Disturbances & Mental Retardation | 21 | 38 / 6 | $35.573,10 | 412 / 18 | $6.826,00 | 202 / 12 | $5.677,86 | 202 / 13 |
| Other Circulatory System Diagnoses W Cc | 24 | 42 / 6 | $38.985,90 | 533 / 16 | $6.348,38 | 186 / 8 | $5.074,25 | 185 / 9 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 26 | $96.363,80 | 1249 / 48 | $12.632,40 | 416 / 28 | $10.435,10 | 415 / 24 |
| Other Circulatory System O.R. Procedures | 14 | 41 / 9 | $76.542,40 | 250 / 9 | $17.149,10 | 126 / 4 | $15.596,10 | 126 / 4 |
| Other Digestive System Diagnoses W Cc | 36 | 61 / 11 | $40.722,40 | 1149 / 49 | $6.672,25 | 321 / 30 | $4.895,00 | 318 / 28 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 19 | 24 / 5 | $27.818,70 | 258 / 13 | $5.128,84 | 35 / 12 | $2.737,05 | 35 / 2 |
| Other Disorders Of Nervous System W Cc | 24 | 32 / 9 | $31.947,60 | 404 / 17 | $5.954,21 | 168 / 15 | $4.703,42 | 168 / 11 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 28 | 75 / 13 | $39.211,50 | 652 / 28 | $6.706,11 | 219 / 14 | $5.259,93 | 219 / 12 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 27 | 74 / 16 | $62.594,40 | 907 / 33 | $10.342,90 | 207 / 27 | $8.016,59 | 207 / 12 |
| Other Resp System O.R. Procedures W Cc | 11 | 36 / 11 | $73.843,50 | 262 / 14 | $12.210,80 | 108 / 4 | $10.722,90 | 108 / 7 |
| Other Vascular Procedures W Cc | 18 | 84 / 21 | $104.414,00 | 873 / 42 | $16.586,10 | 454 / 27 | $14.663,60 | 451 / 29 |
| Other Vascular Procedures W Mcc | 13 | 84 / 24 | $140.106,00 | 832 / 37 | $21.020,80 | 305 / 16 | $18.808,10 | 304 / 15 |
| Otitis Media & Uri W/O Mcc | 23 | 21 / 2 | $34.991,10 | 200 / 12 | $4.507,61 | 17 / 3 | $2.785,57 | 17 / 1 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 12 | 28 / 8 | $41.837,90 | 213 / 8 | $7.648,17 | 79 / 6 | $6.116,83 | 79 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 18 | 82 / 20 | $140.059,00 | 779 / 30 | $21.566,30 | 44 / 18 | $15.547,20 | 44 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 65 | 131 / 18 | $104.667,00 | 1210 / 53 | $14.789,40 | 547 / 41 | $10.752,20 | 543 / 25 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 12 | 83 / 22 | $107.529,00 | 486 / 20 | $12.753,70 | 223 / 8 | $11.175,50 | 221 / 10 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 19 | $63.592,50 | 1221 / 64 | $6.742,07 | 223 / 38 | $4.690,47 | 222 / 19 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 15 | 30 / 8 | $24.201,70 | 281 / 9 | $4.517,53 | 85 / 6 | $3.173,27 | 85 / 6 |
| Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 17 | $144.479,00 | 920 / 48 | $22.747,90 | 141 / 48 | $13.612,10 | 141 / 9 |
| Permanent Cardiac Pacemaker Implant W Mcc | 13 | 39 / 10 | $187.525,00 | 560 / 26 | $24.417,40 | 270 / 16 | $22.139,80 | 270 / 18 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 15 | $108.626,00 | 677 / 37 | $13.910,40 | 359 / 20 | $12.395,90 | 358 / 22 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 16 | $35.806,20 | 820 / 34 | $4.798,93 | 98 / 15 | $2.903,47 | 98 / 6 |
| Pulmonary Edema & Respiratory Failure | 40 | 163 / 27 | $47.153,80 | 1693 / 75 | $8.370,72 | 512 / 62 | $6.343,35 | 512 / 39 |
| Pulmonary Embolism W/O Mcc | 40 | 34 / 8 | $39.185,20 | 1041 / 42 | $7.080,02 | 266 / 38 | $4.729,85 | 266 / 21 |
| Red Blood Cell Disorders W Mcc | 20 | 51 / 12 | $48.885,40 | 814 / 30 | $8.171,35 | 301 / 20 | $6.821,20 | 301 / 18 |
| Red Blood Cell Disorders W/O Mcc | 39 | 104 / 18 | $44.521,20 | 1839 / 88 | $5.743,10 | 678 / 62 | $4.162,44 | 674 / 51 |
| Renal Failure W Cc | 114 | 107 / 13 | $37.770,70 | 1983 / 95 | $6.615,49 | 812 / 70 | $5.013,31 | 805 / 49 |
| Renal Failure W Mcc | 36 | 159 / 32 | $63.414,10 | 1801 / 81 | $10.154,90 | 756 / 55 | $8.467,67 | 756 / 44 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 15 | $36.232,70 | 795 / 38 | $4.909,55 | 153 / 24 | $2.833,45 | 152 / 7 |
| Respiratory Infections & Inflammations W Cc | 24 | 64 / 19 | $49.372,20 | 1142 / 50 | $8.743,83 | 426 / 32 | $7.205,71 | 423 / 27 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 34 | $87.958,50 | 1567 / 71 | $14.139,20 | 711 / 63 | $10.945,30 | 703 / 47 |
| Respiratory Neoplasms W Cc | 14 | 33 / 12 | $36.852,00 | 280 / 9 | $7.702,50 | 161 / 5 | $6.463,29 | 160 / 7 |
| Respiratory Signs & Symptoms | 17 | 29 / 7 | $35.288,20 | 266 / 9 | $4.659,82 | 36 / 4 | $3.093,71 | 36 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 35 | $113.819,00 | 1634 / 68 | $15.040,50 | 793 / 42 | $13.292,60 | 785 / 45 |
| Seizures W/O Mcc | 25 | 83 / 22 | $37.961,40 | 1104 / 55 | $5.343,92 | 335 / 30 | $3.817,92 | 333 / 26 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 119 | 397 / 51 | $72.056,10 | 2313 / 101 | $12.351,10 | 786 / 78 | $9.890,70 | 785 / 46 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 73 | 134 / 23 | $44.153,50 | 2146 / 93 | $7.135,69 | 894 / 60 | $5.573,55 | 892 / 52 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 21 | 26 / 6 | $38.639,80 | 339 / 16 | $5.029,67 | 98 / 5 | $3.706,62 | 98 / 6 |
| Signs & Symptoms W/O Mcc | 55 | 36 / 2 | $36.631,60 | 1160 / 46 | $4.898,44 | 445 / 23 | $3.587,87 | 444 / 19 |
| Simple Pneumonia & Pleurisy W Cc | 100 | 103 / 12 | $40.821,10 | 2351 / 100 | $6.680,10 | 1049 / 74 | $5.122,38 | 1046 / 61 |
| Simple Pneumonia & Pleurisy W Mcc | 43 | 162 / 31 | $59.318,80 | 2090 / 89 | $9.621,35 | 980 / 65 | $7.853,42 | 980 / 56 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 15 | $29.665,60 | 1604 / 72 | $4.816,24 | 567 / 46 | $3.290,69 | 565 / 39 |
| Syncope & Collapse | 76 | 93 / 12 | $33.969,50 | 1552 / 81 | $4.911,71 | 493 / 46 | $3.547,09 | 491 / 38 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 13 | 29 / 11 | $32.242,10 | 254 / 15 | $5.689,85 | 128 / 14 | $4.411,69 | 128 / 15 |
| Transient Ischemia | 31 | 94 / 30 | $41.707,60 | 1473 / 83 | $5.076,77 | 760 / 55 | $3.663,45 | 756 / 51 |
| Transurethral Procedures W Cc | 14 | 27 / 8 | $64.323,00 | 327 / 21 | $8.468,00 | 144 / 7 | $6.894,14 | 144 / 8 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 14 | 32 / 8 | $33.678,90 | 299 / 14 | $4.576,21 | 91 / 10 | $3.144,57 | 91 / 11 |
| Viral Illness W/O Mcc | 24 | 6 / 2 | $38.005,70 | 49 / 6 | $5.639,17 | 6 / 2 | $3.799,62 | 6 / 2 | Total 111 procedures | 3.913 | 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.