Hospital Costs > In Pennsylvania > Memorial Hospital, Inc Towanda, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Heart Failure & Shock W Mcc | 13 | 271 / 82 | $18.830,10 | 360 / 24 | $8.839,15 | 1115 / 34 | $8.442,23 | 1112 / 67 |
Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 69 | $12.559,50 | 580 / 33 | $5.238,00 | 1294 / 68 | $4.163,47 | 1285 / 76 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 51 | $12.172,00 | 570 / 26 | $4.835,29 | 1329 / 56 | $3.909,18 | 1324 / 74 |
Pulmonary Edema & Respiratory Failure | 19 | 184 / 45 | $23.547,30 | 632 / 37 | $7.639,37 | 957 / 40 | $6.871,37 | 956 / 55 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 17 | 499 / 98 | $20.889,60 | 301 / 21 | $10.806,10 | 714 / 38 | $9.812,24 | 713 / 45 |
Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 46 | $19.613,30 | 1093 / 48 | $6.634,54 | 1636 / 72 | $5.654,65 | 1629 / 94 |
Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 59 | $24.282,10 | 653 / 33 | $8.374,00 | 867 / 20 | $7.731,54 | 867 / 51 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 31 | $13.044,10 | 513 / 26 | $4.843,62 | 1052 / 48 | $3.723,62 | 1046 / 56 | Total 8 procedures | 148 | 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.