Hospital Costs > In Pennsylvania > Main Line Hospital Paoli, procedure costs

Main Line Hospital Paoli, procedure costs

255 West Lancaster Avenue, Paoli, PA 19301,

Procedure Costs @ Main Line Hospital Paoli
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 Cc2071 / 21$46.120,101132 / 64$6.210,20472 / 18$5.427,45471 / 35
Acute Myocardial Infarction, Discharged Alive W Mcc18107 / 38$71.236,601476 / 75$10.663,10463 / 48$8.900,83463 / 39
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc16108 / 18$39.821,80788 / 33$4.348,19124 / 5$3.295,62124 / 6
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim2244 / 9$73.738,80425 / 13$15.099,10341 / 13$11.688,40339 / 14
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc5039 / 5$34.263,10369 / 16$7.312,5099 / 14$4.766,5699 / 5
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc3429 / 8$67.787,1090 / 10$24.018,0062 / 14$17.609,4062 / 4
Bone Diseases & Arthropathies W/O Mcc1133 / 11$37.488,90268 / 15$4.318,1840 / 2$3.439,8240 / 5
Bronchitis & Asthma W Cc/Mcc3838 / 4$46.702,60981 / 52$5.218,05253 / 10$4.228,61250 / 24
Bronchitis & Asthma W/O Cc/Mcc1233 / 11$29.461,10299 / 17$3.849,4255 / 4$2.652,0855 / 5
Cardiac Arrhythmia & Conduction Disorders W Cc56105 / 18$40.488,501914 / 95$4.941,71434 / 35$3.757,68434 / 36
Cardiac Arrhythmia & Conduction Disorders W Mcc2697 / 32$63.422,901721 / 88$7.890,001057 / 47$7.231,881054 / 76
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc7971 / 8$23.809,901586 / 78$3.544,01320 / 32$2.285,00318 / 33
Cellulitis W Mcc1147 / 17$65.131,30844 / 42$8.611,55245 / 16$7.620,36244 / 22
Cellulitis W/O Mcc67122 / 26$38.684,602382 / 114$5.232,58507 / 43$3.889,52504 / 37
Chest Pain23128 / 29$31.140,501420 / 70$3.676,26201 / 21$2.551,13200 / 15
Chronic Obstructive Pulmonary Disease W Cc51128 / 26$40.610,302079 / 104$5.552,61514 / 27$4.556,18512 / 38
Chronic Obstructive Pulmonary Disease W Mcc50152 / 27$67.212,702431 / 113$7.514,06695 / 55$5.968,50691 / 47
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc2298 / 30$35.238,501854 / 90$5.146,18167 / 59$2.956,23167 / 23
Circulatory Disorders Except Ami, W Card Cath W Mcc1281 / 24$113.288,00815 / 31$14.323,30385 / 18$12.048,20380 / 14
Circulatory Disorders Except Ami, W Card Cath W/O Mcc49139 / 27$54.924,701311 / 54$7.770,94136 / 46$4.839,10136 / 9
Degenerative Nervous System Disorders W/O Mcc1761 / 19$45.062,10721 / 35$5.754,94197 / 8$4.968,88197 / 17
Diabetes W Cc1775 / 23$36.362,801334 / 54$4.957,29413 / 14$4.170,06413 / 24
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1357 / 13$54.533,50522 / 23$5.943,3865 / 6$4.561,7765 / 2
Disorders Of Pancreas Except Malignancy W Cc1447 / 16$39.602,20790 / 27$5.510,79186 / 8$4.464,57186 / 9
Disorders Of The Biliary Tract W Cc2331 / 5$48.753,80384 / 18$6.260,8769 / 4$5.261,9669 / 5
Dysequilibrium1451 / 13$39.238,80497 / 29$3.728,7963 / 5$2.516,6463 / 7
Endocrine Disorders W Cc1226 / 8$46.488,40256 / 11$6.793,6725 / 6$4.903,2525 / 2
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1878 / 23$56.238,301235 / 51$7.246,50116 / 15$5.742,17116 / 12
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc137138 / 15$38.903,802452 / 114$4.554,42514 / 32$3.415,52512 / 40
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc1133 / 14$95.294,70295 / 14$17.427,2065 / 9$14.517,5064 / 7
Extracranial Procedures W/O Cc/Mcc1781 / 13$23.522,50239 / 16$6.443,76155 / 11$4.845,65155 / 9
Fever1432 / 13$31.365,50237 / 7$4.960,5749 / 1$4.093,3649 / 3
Fractures Of Hip & Pelvis W/O Mcc1843 / 8$35.223,60811 / 36$4.267,44180 / 10$3.197,17181 / 14
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc2933 / 7$37.126,80695 / 31$4.747,0360 / 9$3.088,1760 / 6
G.I. Hemorrhage W Cc67151 / 26$51.918,402197 / 103$6.494,10351 / 50$4.761,07351 / 28
G.I. Hemorrhage W Mcc17104 / 34$100.737,001563 / 74$11.053,00490 / 37$9.627,53491 / 34
G.I. Hemorrhage W/O Cc/Mcc2444 / 9$34.484,30866 / 47$4.171,38246 / 13$3.262,00244 / 19
G.I. Obstruction W Cc3557 / 14$44.657,301526 / 65$5.558,49260 / 25$4.137,37259 / 15
G.I. Obstruction W Mcc1131 / 10$69.517,90451 / 16$9.699,91155 / 4$8.922,73155 / 7
G.I. Obstruction W/O Cc/Mcc3437 / 7$31.258,301134 / 45$4.077,09219 / 19$2.564,35219 / 13
Heart Failure & Shock W Cc115163 / 23$45.727,102474 / 117$6.027,18646 / 44$5.024,07645 / 46
Heart Failure & Shock W Mcc60224 / 47$68.769,702326 / 112$8.989,28758 / 43$8.005,42758 / 42
Heart Failure & Shock W/O Cc/Mcc3674 / 23$28.830,101681 / 82$3.940,78276 / 18$3.066,11274 / 25
Hip & Femur Procedures Except Major Joint W Cc6380 / 9$72.030,501580 / 70$11.729,40690 / 38$10.409,80685 / 40
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc2531 / 3$48.032,80542 / 20$9.739,28326 / 12$8.579,08325 / 16
Hypertension W/O Mcc2045 / 12$30.087,40637 / 21$3.719,60115 / 4$2.690,00115 / 6
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs78104 / 15$51.034,901768 / 78$7.498,83303 / 63$4.983,03302 / 22
Intracranial Hemorrhage Or Cerebral Infarction W Mcc39129 / 19$83.182,101388 / 55$10.553,90646 / 26$9.740,64645 / 35
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc3567 / 17$39.647,401354 / 62$4.929,31229 / 32$3.255,94227 / 20
Kidney & Ureter Procedures For Non-Neoplasm W Cc1134 / 7$69.958,30143 / 4$12.456,0014 / 1$9.314,4514 / 1
Kidney & Urinary Tract Infections W Mcc14130 / 38$59.569,401813 / 81$6.316,64313 / 14$5.442,86312 / 23
Kidney & Urinary Tract Infections W/O Mcc84149 / 22$35.938,502406 / 109$4.892,75344 / 47$3.488,83344 / 29
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1136 / 12$49.280,50409 / 16$7.348,27251 / 5$6.362,00251 / 14
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1738 / 10$58.399,60338 / 11$12.537,3044 / 9$9.432,8844 / 3
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc1829 / 6$37.206,60193 / 11$9.681,1189 / 11$7.097,7889 / 6
Major Cardiovasc Procedures W Mcc1256 / 15$168.609,00425 / 14$32.674,7079 / 6$27.320,5079 / 5
Major Cardiovasc Procedures W/O Mcc1388 / 23$83.120,80412 / 18$23.302,30182 / 27$17.641,20182 / 8
Major Chest Trauma W Cc1323 / 8$59.640,70130 / 11$5.936,0833 / 1$4.970,5433 / 4
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1954 / 17$64.007,801038 / 53$7.268,63252 / 23$6.013,79251 / 18
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc1439 / 10$59.538,70422 / 13$7.140,64139 / 3$6.527,29139 / 6
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc1581 / 12$66.466,00553 / 21$13.371,10411 / 14$12.240,30408 / 23
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1154 / 15$143.419,00827 / 23$20.266,20505 / 14$19.379,40502 / 18
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc196368 / 32$55.502,301526 / 82$13.257,00891 / 65$10.882,10872 / 54
Major Joint/Limb Reattachment Procedure Of Upper Extremities1356 / 10$70.176,30278 / 13$15.877,60234 / 8$14.761,60234 / 12
Major Small & Large Bowel Procedures W Cc2781 / 22$92.864,401145 / 43$15.865,90700 / 26$14.347,40694 / 35
Major Small & Large Bowel Procedures W Mcc1867 / 19$183.760,00991 / 36$31.817,10286 / 24$27.260,60284 / 15
Medical Back Problems W/O Mcc7249 / 8$42.647,001303 / 70$5.229,75273 / 22$3.915,99273 / 23
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc13113 / 34$62.116,801613 / 69$6.624,92346 / 16$5.783,62343 / 22
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc47119 / 25$32.220,902202 / 98$4.452,98363 / 39$3.199,34363 / 33
Organic Disturbances & Mental Retardation1148 / 15$48.086,40486 / 27$6.044,7392 / 3$5.049,1892 / 6
Other Circulatory System Diagnoses W Mcc11105 / 33$62.761,10967 / 35$11.754,5037 / 20$8.678,5537 / 6
Other Digestive System Diagnoses W Cc3661 / 11$41.276,001155 / 50$6.013,83282 / 21$4.835,42279 / 26
Other Digestive System Diagnoses W/O Cc/Mcc1825 / 6$33.126,90297 / 18$4.013,9456 / 3$3.005,5656 / 4
Other Disorders Of Nervous System W Cc2234 / 11$44.876,00520 / 29$5.558,23149 / 8$4.624,59149 / 10
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc1216 / 5$41.803,7043 / 2$11.080,302 / 2$7.377,582 / 1
Other Resp System O.R. Procedures W Cc1532 / 7$71.291,10255 / 11$12.117,2023 / 3$9.452,6023 / 1
Other Respiratory System Diagnoses W/O Mcc2323 / 5$46.604,50297 / 23$5.000,3539 / 6$3.810,5239 / 6
Other Vascular Procedures W Cc1389 / 25$77.879,30633 / 32$15.090,80370 / 9$14.246,10368 / 22
Otitis Media & Uri W/O Mcc1628 / 7$38.903,90207 / 15$3.874,6221 / 1$2.887,5021 / 3
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc31165 / 40$78.751,40851 / 35$14.891,00265 / 43$10.042,50265 / 15
Peripheral Vascular Disorders W Cc1371 / 21$29.607,50792 / 38$5.733,62273 / 17$4.799,46272 / 24
Peripheral Vascular Disorders W Mcc1435 / 10$39.721,10347 / 13$7.811,9335 / 3$6.381,0735 / 4
Permanent Cardiac Pacemaker Implant W Cc2651 / 8$88.061,80685 / 32$15.898,80354 / 13$14.869,30353 / 22
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc1443 / 15$68.668,30500 / 23$13.557,60155 / 17$11.082,00154 / 7
Poisoning & Toxic Effects Of Drugs W/O Mcc1150 / 19$49.185,40893 / 39$3.823,36164 / 7$3.042,91163 / 10
Pulmonary Edema & Respiratory Failure17186 / 47$67.016,802022 / 91$7.587,71470 / 37$6.306,12470 / 37
Pulmonary Embolism W Mcc1429 / 8$58.710,70479 / 14$8.151,2179 / 3$7.539,2979 / 3
Pulmonary Embolism W/O Mcc3143 / 10$43.704,001104 / 47$6.330,32229 / 21$4.661,48229 / 18
Red Blood Cell Disorders W Mcc2645 / 7$55.619,20914 / 35$7.736,62404 / 17$7.127,65402 / 23
Red Blood Cell Disorders W/O Mcc5291 / 11$37.515,401722 / 82$5.178,58262 / 40$3.711,81262 / 23
Renal Failure W Cc72149 / 23$45.730,302175 / 107$5.736,67446 / 30$4.696,22443 / 30
Renal Failure W Mcc43152 / 25$92.300,702080 / 101$10.535,80800 / 64$8.542,77800 / 45
Respiratory Infections & Inflammations W Cc4246 / 8$53.312,801188 / 54$8.389,86442 / 26$7.228,69439 / 29
Respiratory Infections & Inflammations W Mcc3898 / 16$101.033,001659 / 77$12.792,101073 / 48$11.958,601059 / 63
Respiratory Infections & Inflammations W/O Cc/Mcc1217 / 4$32.662,2091 / 5$5.755,8335 / 1$4.943,9235 / 2
Respiratory Neoplasms W Cc1532 / 11$41.102,90335 / 11$7.033,00148 / 2$6.384,40147 / 6
Respiratory System Diagnosis W Ventilator Support <96 Hours16115 / 37$97.865,601495 / 59$13.798,40444 / 29$12.301,10439 / 31
Revision Of Hip Or Knee Replacement W Cc1571 / 13$83.846,10325 / 10$21.811,10233 / 10$18.446,50233 / 10
Revision Of Hip Or Knee Replacement W/O Cc/Mcc1455 / 11$59.212,10183 / 6$17.115,1062 / 4$13.162,1062 / 4
Seizures W Mcc1452 / 14$48.216,30462 / 14$8.863,36136 / 4$7.994,86136 / 6
Seizures W/O Mcc3177 / 18$43.907,001175 / 58$4.545,71468 / 13$3.999,13466 / 32
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc108408 / 54$92.556,902571 / 113$11.578,001324 / 57$10.683,201301 / 72
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc41166 / 42$54.904,202340 / 103$6.290,41712 / 21$5.399,07710 / 40
Signs & Symptoms W/O Mcc2764 / 17$43.068,601261 / 53$6.428,15235 / 44$3.283,56234 / 15
Simple Pneumonia & Pleurisy W Cc71132 / 18$45.700,702479 / 108$5.854,90720 / 33$4.831,77717 / 48
Simple Pneumonia & Pleurisy W Mcc34171 / 38$78.621,802332 / 104$8.842,18821 / 40$7.678,00821 / 45
Simple Pneumonia & Pleurisy W/O Cc/Mcc1479 / 30$33.170,101692 / 78$4.209,21428 / 20$3.173,14426 / 31
Spinal Fusion Except Cervical W/O Mcc49145 / 17$82.146,70555 / 34$24.006,30667 / 22$22.864,70663 / 39
Syncope & Collapse63106 / 15$42.879,901743 / 91$4.451,38392 / 26$3.440,19390 / 35
Tendonitis, Myositis & Bursitis W/O Mcc1725 / 7$49.096,50307 / 23$5.063,5967 / 7$3.997,3567 / 8
Transient Ischemia5174 / 16$39.809,101432 / 81$4.314,20162 / 27$2.944,78162 / 20
Transurethral Procedures W Cc1526 / 7$42.243,90235 / 10$9.581,538 / 15$5.525,878 / 1
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc1529 / 8$30.969,70201 / 6$4.519,0733 / 2$3.318,0033 / 2
Traumatic Stupor & Coma, Coma <1 Hr W Cc2244 / 9$49.831,30416 / 16$6.933,0936 / 5$5.142,7336 / 2
Traumatic Stupor & Coma, Coma <1 Hr W Mcc1437 / 8$78.855,50259 / 8$11.484,0052 / 1$10.438,4052 / 1
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc4113 / 3$42.835,40354 / 16$4.398,5158 / 2$3.423,7658 / 6
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc1432 / 6$29.609,90121 / 4$6.897,6414 / 4$4.065,8614 / 2
Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W/O Cc/Mcc196 / 1$29.588,3011 / 1$7.246,533 / 1$5.376,743 / 1
Total 118 procedures3.671discharges

DATA

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.