Hospital Costs > In Pennsylvania > Lewistown Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Chronic Obstructive Pulmonary Disease W Cc | 76 | 103 / 16 | $12.837,00 | 308 / 14 | $5.842,33 | 1096 / 43 | $5.052,55 | 1092 / 64 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 69 | 206 / 42 | $11.949,30 | 386 / 22 | $4.980,64 | 1040 / 53 | $3.783,59 | 1032 / 61 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 58 | 108 / 17 | $11.458,70 | 484 / 21 | $4.462,93 | 756 / 40 | $3.489,76 | 754 / 47 |
Simple Pneumonia & Pleurisy W Cc | 58 | 145 / 27 | $14.148,20 | 457 / 24 | $6.153,55 | 1000 / 47 | $5.079,55 | 997 / 60 |
Kidney & Urinary Tract Infections W/O Mcc | 56 | 177 / 37 | $12.056,20 | 519 / 29 | $4.841,43 | 624 / 40 | $3.707,59 | 622 / 43 |
Heart Failure & Shock W Cc | 55 | 223 / 60 | $13.547,50 | 417 / 25 | $6.205,69 | 742 / 50 | $5.098,82 | 741 / 49 |
Cellulitis W/O Mcc | 51 | 138 / 38 | $10.624,30 | 315 / 26 | $5.275,80 | 851 / 47 | $4.162,22 | 845 / 52 |
G.I. Hemorrhage W Cc | 50 | 168 / 36 | $15.338,90 | 325 / 21 | $6.314,92 | 966 / 45 | $5.335,34 | 964 / 54 |
Heart Failure & Shock W/O Cc/Mcc | 44 | 66 / 18 | $9.426,93 | 213 / 15 | $4.220,02 | 373 / 34 | $3.185,91 | 371 / 32 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 38 | 526 / 80 | $33.647,00 | 382 / 26 | $13.933,10 | 1390 / 79 | $11.794,60 | 1357 / 88 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 33 | 483 / 89 | $28.574,20 | 718 / 40 | $12.997,90 | 1142 / 90 | $10.386,80 | 1126 / 69 |
Red Blood Cell Disorders W/O Mcc | 33 | 110 / 23 | $14.550,60 | 404 / 24 | $5.059,58 | 673 / 33 | $4.159,70 | 669 / 50 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 33 | 117 / 34 | $7.387,33 | 99 / 4 | $3.472,18 | 598 / 27 | $2.519,03 | 594 / 47 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 21 | $9.484,35 | 192 / 11 | $4.447,61 | 537 / 29 | $3.356,61 | 536 / 43 |
Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 44 | $17.872,00 | 562 / 28 | $7.341,42 | 1185 / 50 | $6.444,00 | 1179 / 65 |
Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 42 | $18.445,00 | 292 / 18 | $9.034,40 | 1144 / 49 | $8.048,67 | 1144 / 64 |
Chest Pain | 28 | 123 / 25 | $11.491,40 | 223 / 11 | $3.762,07 | 444 / 24 | $2.877,86 | 442 / 30 |
Pulmonary Edema & Respiratory Failure | 27 | 176 / 38 | $15.197,70 | 157 / 10 | $7.572,41 | 821 / 35 | $6.734,37 | 821 / 51 |
Syncope & Collapse | 27 | 142 / 40 | $12.345,90 | 215 / 14 | $4.530,67 | 376 / 30 | $3.420,85 | 374 / 32 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 41 | $11.494,50 | 203 / 15 | $4.928,12 | 694 / 34 | $4.007,00 | 691 / 51 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 21 | $10.339,70 | 250 / 19 | $4.405,00 | 476 / 27 | $3.217,91 | 474 / 32 |
Heart Failure & Shock W Mcc | 22 | 262 / 75 | $18.631,50 | 350 / 23 | $9.347,86 | 802 / 55 | $8.051,68 | 802 / 46 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 62 | $20.012,30 | 784 / 43 | $7.857,32 | 968 / 86 | $5.635,53 | 965 / 58 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 37 | $18.055,80 | 108 / 8 | $10.701,80 | 787 / 49 | $9.684,16 | 786 / 57 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 34 | $45.215,10 | 489 / 25 | $18.541,40 | 1488 / 70 | $17.430,10 | 1474 / 74 |
Signs & Symptoms W/O Mcc | 17 | 74 / 27 | $16.658,80 | 451 / 20 | $5.619,12 | 1011 / 35 | $4.969,41 | 1008 / 47 |
Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 24 | $13.019,70 | 79 / 4 | $6.531,29 | 451 / 29 | $5.400,24 | 450 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 55 | $15.411,20 | 175 / 6 | $6.703,88 | 1040 / 38 | $5.885,47 | 1037 / 64 |
Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 21 | $10.955,30 | 69 / 1 | $5.424,44 | 290 / 16 | $4.300,38 | 287 / 26 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 12 | $10.768,60 | 60 / 4 | $4.673,60 | 410 / 12 | $4.021,00 | 407 / 28 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 32 | $17.427,70 | 272 / 10 | $6.960,07 | 587 / 24 | $6.170,20 | 584 / 32 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 41 | $25.488,60 | 87 / 5 | $12.193,40 | 958 / 47 | $10.937,90 | 945 / 59 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 29 | $24.426,90 | 446 / 20 | $8.838,93 | 809 / 34 | $8.020,79 | 804 / 48 |
Seizures W/O Mcc | 14 | 94 / 31 | $11.184,80 | 105 / 6 | $4.739,71 | 394 / 17 | $3.898,29 | 392 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 35 | $13.006,60 | 134 / 5 | $4.728,86 | 447 / 22 | $3.569,21 | 444 / 35 |
G.I. Hemorrhage W Mcc | 13 | 108 / 37 | $27.237,90 | 237 / 16 | $11.145,80 | 629 / 38 | $10.007,80 | 630 / 43 |
Diabetes W Cc | 12 | 80 / 28 | $41.444,80 | 1432 / 65 | $15.283,20 | 1579 / 78 | $9.959,17 | 1574 / 76 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 45 | $17.687,20 | 224 / 15 | $7.535,33 | 819 / 37 | $6.839,33 | 816 / 60 |
Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 24 | $14.524,50 | 98 / 7 | $6.145,42 | 167 / 14 | $4.858,67 | 167 / 13 |
Transient Ischemia | 12 | 113 / 45 | $12.618,20 | 151 / 10 | $4.332,50 | 369 / 28 | $3.227,00 | 368 / 34 |
Renal Failure W Mcc | 11 | 184 / 54 | $27.440,70 | 605 / 29 | $9.774,82 | 861 / 41 | $8.674,36 | 861 / 47 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 15 | $8.690,91 | 45 / 1 | $4.442,18 | 182 / 13 | $3.199,45 | 183 / 15 | Total 42 procedures | 1.191 | 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.