Hospital Costs > In Pennsylvania > Magee Womens Hospital Of Upmc Health System, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 23 | 166 / 63 | $28.202,80 | 2054 / 90 | $14.044,30 | 2621 / 127 | $12.015,90 | 2613 / 127 |
| Cesarean Section W Cc/Mcc | 20 | 4 / 1 | $26.560,80 | 14 / 1 | $15.269,70 | 39 / 3 | $12.606,30 | 39 / 5 |
| Chest Pain | 14 | 137 / 38 | $16.200,40 | 603 / 29 | $11.658,10 | 1692 / 88 | $10.145,50 | 1683 / 88 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 61 | $38.090,60 | 2025 / 99 | $13.165,40 | 2411 / 123 | $11.063,20 | 2404 / 125 |
| Diabetes W Cc | 12 | 80 / 28 | $12.882,10 | 196 / 8 | $12.992,70 | 1612 / 76 | $12.381,50 | 1607 / 78 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 65 | $20.795,20 | 1486 / 68 | $12.614,90 | 2717 / 129 | $11.252,10 | 2702 / 129 |
| G.I. Hemorrhage W Cc | 19 | 199 / 58 | $32.007,90 | 1660 / 71 | $13.571,70 | 2391 / 115 | $11.789,80 | 2387 / 119 |
| Heart Failure & Shock W Cc | 14 | 264 / 91 | $25.983,60 | 1745 / 76 | $12.685,90 | 2699 / 129 | $11.108,70 | 2693 / 134 |
| Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 66 | $26.108,20 | 2034 / 91 | $12.983,60 | 2694 / 127 | $10.858,20 | 2683 / 127 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 229 | 335 / 23 | $50.618,80 | 1319 / 74 | $21.135,10 | 2496 / 129 | $17.414,80 | 2450 / 128 |
| Medical Back Problems W/O Mcc | 14 | 107 / 37 | $21.347,80 | 627 / 32 | $13.054,10 | 1483 / 78 | $10.796,10 | 1478 / 80 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 56 | $13.112,90 | 702 / 33 | $12.306,60 | 2531 / 116 | $11.089,80 | 2522 / 116 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 33 | 44 / 3 | $47.335,60 | 241 / 8 | $17.685,40 | 384 / 16 | $13.269,00 | 383 / 15 |
| Other Antepartum Diagnoses W Medical Complications | 24 | 3 / 1 | $15.462,40 | 8 / 1 | $12.802,00 | 28 / 3 | $11.296,80 | 28 / 3 |
| Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 12 | 15 / 3 | $37.134,70 | 25 / 2 | $14.385,20 | 60 / 6 | $13.041,20 | 60 / 6 |
| Renal Failure W Cc | 13 | 208 / 68 | $32.286,20 | 1801 / 83 | $14.054,50 | 2408 / 120 | $11.666,40 | 2398 / 122 |
| Revision Of Hip Or Knee Replacement W Cc | 24 | 62 / 8 | $100.519,00 | 449 / 16 | $29.412,60 | 431 / 27 | $21.202,50 | 429 / 20 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 30 | 39 / 5 | $88.031,50 | 372 / 13 | $25.736,30 | 415 / 21 | $19.389,80 | 414 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 20 | 496 / 96 | $45.856,80 | 1615 / 70 | $19.587,60 | 2666 / 122 | $17.423,30 | 2621 / 125 |
| Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 67 | $40.839,10 | 2354 / 101 | $14.775,70 | 2804 / 127 | $12.506,70 | 2795 / 127 |
| Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 15 | 13 / 2 | $43.557,30 | 46 / 1 | $17.534,60 | 103 / 3 | $15.709,50 | 103 / 4 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 17 | 29 / 3 | $37.773,40 | 173 / 6 | $13.728,30 | 250 / 12 | $11.021,60 | 250 / 11 |
| Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc | 14 | 12 / 1 | $73.705,70 | 47 / 2 | $21.723,00 | 56 / 2 | $19.183,90 | 56 / 2 |
| Vaginal Delivery W Complicating Diagnoses | 16 | 2 / 1 | $16.665,80 | 8 / 1 | $12.007,60 | 14 / 1 | $10.024,70 | 14 / 1 |
| Vaginal Delivery W/O Complicating Diagnoses | 17 | 8 / 3 | $14.488,90 | 43 / 3 | $10.274,10 | 74 / 7 | $8.164,47 | 74 / 8 | Total 25 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.