Hospital Costs > In Pennsylvania > Lower Bucks 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 | 87 | 429 / 62 | $60.312,90 | 2095 / 88 | $11.868,40 | 1007 / 66 | $10.198,00 | 998 / 60 |
| Heart Failure & Shock W Mcc | 72 | 212 / 37 | $47.978,70 | 1934 / 90 | $9.640,82 | 1143 / 64 | $8.491,50 | 1140 / 69 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 56 | 219 / 52 | $26.382,40 | 1966 / 86 | $5.546,07 | 1791 / 85 | $4.462,84 | 1778 / 100 |
| Other Respiratory System Diagnoses W/O Mcc | 41 | 11 / 2 | $29.411,40 | 222 / 13 | $5.865,32 | 90 / 12 | $4.217,88 | 90 / 11 |
| Heart Failure & Shock W Cc | 35 | 243 / 74 | $38.447,30 | 2278 / 99 | $6.702,54 | 1749 / 79 | $6.063,00 | 1744 / 102 |
| Cellulitis W/O Mcc | 29 | 160 / 59 | $33.380,70 | 2248 / 105 | $5.923,24 | 1767 / 77 | $5.086,83 | 1759 / 106 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 29 | 39 / 3 | $40.997,60 | 615 / 20 | $6.332,86 | 377 / 15 | $5.336,45 | 377 / 20 |
| Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 49 | $35.577,10 | 1935 / 93 | $6.743,96 | 1329 / 83 | $5.296,88 | 1324 / 77 |
| Renal Failure W Mcc | 26 | 169 / 40 | $57.493,20 | 1718 / 74 | $10.035,60 | 1130 / 49 | $9.202,38 | 1130 / 67 |
| Pulmonary Edema & Respiratory Failure | 26 | 177 / 39 | $40.859,70 | 1528 / 65 | $8.255,50 | 1281 / 59 | $7.369,35 | 1278 / 78 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 52 | $40.321,30 | 1933 / 87 | $7.798,95 | 1399 / 64 | $6.702,45 | 1393 / 83 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 45 | $37.452,20 | 1853 / 89 | $5.862,52 | 1244 / 77 | $4.557,48 | 1239 / 79 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 19 | 53 / 12 | $46.262,00 | 650 / 20 | $8.300,26 | 159 / 5 | $7.074,32 | 158 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 37 | $86.260,40 | 1604 / 86 | $10.550,90 | 832 / 45 | $9.808,63 | 831 / 61 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 48 | $79.028,70 | 1558 / 72 | $9.331,35 | 455 / 62 | $5.370,06 | 453 / 27 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 31 | $34.648,10 | 1153 / 39 | $7.825,19 | 710 / 42 | $6.411,00 | 707 / 37 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 37 | $147.644,00 | 1004 / 39 | $28.391,80 | 256 / 12 | $27.407,80 | 256 / 17 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 16 | 180 / 49 | $92.399,80 | 1077 / 45 | $13.451,00 | 1018 / 27 | $12.621,00 | 1011 / 51 |
| Chest Pain | 15 | 136 / 37 | $24.509,10 | 1185 / 59 | $4.607,20 | 1126 / 56 | $3.798,67 | 1119 / 68 |
| Renal Failure W Cc | 15 | 206 / 66 | $38.527,30 | 2004 / 98 | $6.944,73 | 1154 / 82 | $5.328,00 | 1146 / 70 |
| G.I. Hemorrhage W Cc | 13 | 205 / 62 | $36.602,40 | 1843 / 81 | $6.961,62 | 1153 / 68 | $5.523,62 | 1151 / 64 |
| Other Vascular Procedures W Cc | 13 | 89 / 25 | $100.527,00 | 845 / 40 | $16.374,10 | 570 / 25 | $15.347,60 | 567 / 34 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 13 | 14 / 2 | $32.057,70 | 56 / 2 | $9.347,08 | 17 / 1 | $8.444,31 | 17 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 67 | $35.730,30 | 1893 / 82 | $8.028,00 | 933 / 88 | $5.606,92 | 930 / 55 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 21 | $35.816,90 | 755 / 30 | $5.063,75 | 414 / 13 | $4.154,42 | 414 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 45 | $46.788,30 | 1473 / 71 | $8.353,33 | 1159 / 64 | $7.504,00 | 1156 / 80 |
| Cellulitis W Mcc | 12 | 46 / 16 | $36.518,20 | 515 / 15 | $8.256,75 | 184 / 12 | $7.358,08 | 183 / 17 |
| Other Vascular Procedures W Mcc | 11 | 86 / 26 | $109.854,00 | 662 / 22 | $21.131,10 | 190 / 17 | $17.842,90 | 190 / 5 |
| Hypertension W/O Mcc | 11 | 54 / 19 | $32.944,50 | 668 / 25 | $4.731,45 | 517 / 12 | $3.847,09 | 515 / 20 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 39 | $61.931,40 | 1229 / 53 | $10.966,10 | 262 / 33 | $9.045,00 | 262 / 17 |
| Cranial & Peripheral Nerve Disorders W Mcc | 11 | 25 / 3 | $50.459,80 | 114 / 2 | $9.028,27 | 33 / 1 | $7.346,73 | 33 / 1 | Total 31 procedures | 735 | 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.