Hospital Costs > In Pennsylvania > Mercy Fitzgerald Hospital, procedure costs
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 Mcc | 19 | 106 / 37 | $88.992,00 | 1629 / 87 | $15.042,70 | 1460 / 86 | $12.544,90 | 1448 / 91 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 105 | 36 / 4 | $16.720,10 | 404 / 16 | $7.813,84 | 671 / 33 | $5.418,67 | 670 / 32 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 18 | 31 / 4 | $11.678,80 | 83 / 9 | $5.524,22 | 65 / 6 | $3.643,56 | 64 / 6 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 12 | 18 / 4 | $85.942,80 | 171 / 9 | $17.356,20 | 163 / 10 | $14.559,70 | 162 / 10 |
Atherosclerosis W/O Mcc | 12 | 46 / 8 | $42.667,20 | 527 / 19 | $7.197,50 | / 19 | $4.848,75 | / |
Bone Diseases & Arthropathies W/O Mcc | 15 | 29 / 8 | $35.272,30 | 259 / 13 | $7.856,60 | 211 / 11 | $5.583,00 | 211 / 12 |
Bronchitis & Asthma W Cc/Mcc | 29 | 47 / 11 | $47.113,20 | 985 / 53 | $8.870,48 | 900 / 53 | $6.551,45 | 896 / 56 |
Bronchitis & Asthma W/O Cc/Mcc | 21 | 24 / 3 | $36.115,30 | 345 / 20 | $6.968,86 | 333 / 23 | $5.422,00 | 333 / 25 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 32 | $39.291,90 | 1894 / 94 | $8.292,11 | 1881 / 101 | $6.182,61 | 1876 / 103 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 35 | $67.461,10 | 1760 / 92 | $12.345,90 | 1732 / 93 | $10.236,30 | 1729 / 98 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 35 | 115 / 32 | $25.563,50 | 1641 / 86 | $6.240,94 | 1755 / 97 | $4.311,20 | 1749 / 99 |
Cellulitis W/O Mcc | 57 | 132 / 33 | $34.218,50 | 2280 / 108 | $8.468,04 | 2214 / 115 | $6.164,74 | 2206 / 116 |
Chest Pain | 41 | 110 / 15 | $38.197,00 | 1558 / 78 | $6.971,29 | 1503 / 80 | $5.266,61 | 1494 / 81 |
Chronic Obstructive Pulmonary Disease W Cc | 111 | 68 / 4 | $49.567,60 | 2236 / 115 | $9.342,52 | 2079 / 113 | $7.035,33 | 2072 / 114 |
Chronic Obstructive Pulmonary Disease W Mcc | 66 | 136 / 17 | $70.554,40 | 2449 / 114 | $11.678,10 | 2215 / 111 | $8.898,03 | 2207 / 115 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 70 | 50 / 6 | $39.503,80 | 1947 / 98 | $7.595,53 | 1843 / 97 | $5.563,90 | 1832 / 99 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 42 | $64.840,80 | 1449 / 63 | $10.539,70 | 1451 / 66 | $8.675,64 | 1448 / 71 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 19 | 49 / 10 | $44.364,10 | 641 / 21 | $9.381,53 | 580 / 28 | $6.682,84 | 580 / 27 |
Degenerative Nervous System Disorders W/O Mcc | 20 | 58 / 16 | $41.925,20 | 693 / 32 | $10.026,50 | 684 / 44 | $7.608,70 | 684 / 44 |
Diabetes W Cc | 56 | 36 / 2 | $34.417,20 | 1300 / 52 | $8.441,50 | 1355 / 65 | $6.529,82 | 1350 / 67 |
Diabetes W Mcc | 20 | 37 / 4 | $74.775,60 | 695 / 23 | $13.901,20 | 651 / 22 | $11.611,70 | 650 / 24 |
Diabetes W/O Cc/Mcc | 24 | 14 / 1 | $26.589,00 | 235 / 9 | $6.357,00 | 238 / 9 | $4.769,08 | 238 / 10 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 17 | 21 / 3 | $37.915,10 | 416 / 21 | $7.427,29 | 380 / 18 | $4.628,47 | 379 / 17 |
Dysequilibrium | 45 | 20 / 1 | $35.682,90 | 473 / 27 | $6.833,16 | 480 / 29 | $4.920,53 | 480 / 30 |
Endocrine Disorders W Cc | 12 | 26 / 8 | $59.583,10 | 290 / 16 | $10.493,70 | 239 / 15 | $8.237,33 | 239 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 27 | 69 / 14 | $55.547,30 | 1225 / 50 | $11.702,70 | 1212 / 56 | $9.453,26 | 1207 / 60 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 142 | 133 / 14 | $38.043,90 | 2430 / 111 | $8.010,21 | 2381 / 117 | $5.832,94 | 2366 / 119 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 17 | $152.727,00 | 490 / 17 | $38.099,60 | 541 / 23 | $34.603,30 | 541 / 27 |
Fever | 14 | 32 / 13 | $40.836,90 | 295 / 11 | $8.593,79 | 270 / 14 | $6.696,36 | 270 / 15 |
G.I. Hemorrhage W Cc | 57 | 161 / 33 | $52.271,40 | 2205 / 104 | $10.213,60 | 2131 / 108 | $7.917,86 | 2127 / 110 |
G.I. Hemorrhage W Mcc | 33 | 88 / 18 | $103.330,00 | 1573 / 76 | $17.163,00 | 1429 / 77 | $14.186,60 | 1419 / 79 |
G.I. Hemorrhage W/O Cc/Mcc | 22 | 46 / 11 | $36.037,20 | 883 / 48 | $7.477,23 | 843 / 49 | $5.313,27 | 839 / 50 |
G.I. Obstruction W Cc | 18 | 74 / 27 | $53.479,10 | 1623 / 72 | $9.602,72 | 1581 / 72 | $7.281,50 | 1576 / 74 |
Heart Failure & Shock W Cc | 116 | 162 / 22 | $50.995,50 | 2564 / 124 | $9.892,27 | 2380 / 120 | $7.691,64 | 2374 / 123 |
Heart Failure & Shock W Mcc | 60 | 224 / 47 | $66.771,60 | 2292 / 109 | $13.526,70 | 2219 / 117 | $11.391,10 | 2209 / 119 |
Heart Failure & Shock W/O Cc/Mcc | 42 | 68 / 20 | $32.496,10 | 1764 / 89 | $7.400,83 | 1686 / 98 | $5.023,29 | 1673 / 98 |
Hypertension W/O Mcc | 11 | 54 / 19 | $29.686,50 | 628 / 18 | $6.797,36 | 688 / 22 | $5.185,36 | 686 / 25 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 35 | 89 / 19 | $181.669,00 | 1183 / 50 | $40.102,70 | 1020 / 57 | $35.745,50 | 1014 / 60 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 58 | 124 / 27 | $56.493,30 | 1831 / 84 | $10.877,70 | 1766 / 90 | $8.012,12 | 1762 / 91 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 16 | 152 / 34 | $75.516,30 | 1323 / 52 | $15.676,80 | 1135 / 60 | $11.723,80 | 1129 / 61 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 24 | $47.811,30 | 1467 / 74 | $8.074,74 | 1418 / 76 | $5.924,59 | 1414 / 79 |
Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 25 | $63.303,60 | 1848 / 85 | $11.539,40 | 1740 / 84 | $9.078,19 | 1736 / 85 |
Kidney & Urinary Tract Infections W/O Mcc | 103 | 130 / 13 | $37.336,30 | 2440 / 111 | $8.159,30 | 2397 / 115 | $6.146,83 | 2386 / 118 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 22 | 542 / 91 | $104.609,00 | 2528 / 123 | $19.192,60 | 2332 / 126 | $15.557,50 | 2287 / 124 |
Major Small & Large Bowel Procedures W Cc | 16 | 92 / 31 | $165.970,00 | 1484 / 62 | $22.700,00 | 1303 / 59 | $18.819,10 | 1289 / 61 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 24 | $316.675,00 | 1243 / 52 | $55.148,50 | 1041 / 52 | $38.567,00 | 1039 / 50 |
Medical Back Problems W/O Mcc | 27 | 94 / 27 | $36.819,10 | 1187 / 60 | $8.198,04 | 1242 / 68 | $6.242,41 | 1238 / 73 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 65 | 61 / 3 | $60.232,00 | 1601 / 65 | $11.002,90 | 1397 / 65 | $8.689,02 | 1394 / 68 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 92 | 74 / 7 | $36.773,80 | 2297 / 101 | $7.632,61 | 2233 / 105 | $5.712,02 | 2225 / 107 |
O.R. Procedures For Obesity W/O Cc/Mcc | 18 | 59 / 10 | $87.103,10 | 387 / 16 | $14.088,50 | 354 / 12 | $11.971,60 | 353 / 13 |
Organic Disturbances & Mental Retardation | 19 | 40 / 8 | $39.603,20 | 443 / 24 | $10.005,70 | 424 / 25 | $7.764,05 | 424 / 27 |
Other Circulatory System Diagnoses W Mcc | 21 | 95 / 23 | $86.363,80 | 1197 / 47 | $16.728,20 | 954 / 48 | $13.156,70 | 947 / 48 |
Other Digestive System Diagnoses W Cc | 18 | 79 / 26 | $60.121,60 | 1360 / 64 | $10.430,10 | 1175 / 63 | $7.252,89 | 1171 / 62 |
Other Disorders Of Nervous System W Cc | 13 | 43 / 19 | $40.226,00 | 497 / 28 | $8.855,77 | 500 / 31 | $6.878,23 | 499 / 35 |
Other Disorders Of Nervous System W/O Cc/Mcc | 12 | 23 / 7 | $26.992,60 | 88 / 5 | $6.939,42 | 111 / 8 | $5.248,58 | 111 / 8 |
Other Vascular Procedures W Mcc | 20 | 77 / 18 | $144.239,00 | 850 / 39 | $26.445,40 | 670 / 41 | $23.182,20 | 667 / 38 |
Otitis Media & Uri W/O Mcc | 18 | 26 / 5 | $30.398,20 | 184 / 8 | $6.912,39 | 168 / 13 | $5.074,72 | 168 / 13 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 20 | 176 / 46 | $125.403,00 | 1350 / 59 | $22.303,80 | 1195 / 64 | $14.004,00 | 1188 / 59 |
Peripheral Vascular Disorders W Cc | 23 | 61 / 12 | $39.106,30 | 1000 / 47 | $9.411,61 | 908 / 61 | $6.681,70 | 905 / 59 |
Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 10 | $32.558,50 | 347 / 11 | $7.247,75 | 334 / 15 | $5.321,92 | 334 / 17 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 35 | 26 / 3 | $28.622,00 | 729 / 30 | $6.956,11 | 752 / 34 | $5.200,51 | 751 / 34 |
Psychoses | 86 | 203 / 16 | $32.976,30 | 503 / 28 | $11.419,40 | 488 / 32 | $7.869,06 | 488 / 33 |
Pulmonary Edema & Respiratory Failure | 23 | 180 / 41 | $87.569,70 | 2169 / 101 | $12.567,00 | 2029 / 98 | $10.421,40 | 2023 / 100 |
Pulmonary Embolism W/O Mcc | 26 | 48 / 14 | $50.736,90 | 1166 / 54 | $9.813,04 | 1083 / 56 | $7.053,15 | 1080 / 56 |
Red Blood Cell Disorders W Mcc | 34 | 37 / 3 | $58.793,00 | 940 / 37 | $12.093,70 | 900 / 47 | $9.840,15 | 896 / 48 |
Red Blood Cell Disorders W/O Mcc | 61 | 82 / 8 | $39.790,50 | 1758 / 85 | $8.321,18 | 1664 / 91 | $6.152,87 | 1655 / 92 |
Renal Failure W Cc | 73 | 148 / 22 | $47.540,50 | 2210 / 109 | $9.798,73 | 2090 / 110 | $7.429,44 | 2080 / 113 |
Renal Failure W Mcc | 40 | 155 / 28 | $76.459,50 | 1972 / 94 | $14.617,20 | 1839 / 97 | $12.200,70 | 1835 / 101 |
Renal Failure W/O Cc/Mcc | 21 | 35 / 6 | $29.296,80 | 733 / 32 | $6.862,19 | 773 / 34 | $5.119,33 | 771 / 36 |
Respiratory Infections & Inflammations W Cc | 16 | 72 / 27 | $83.648,40 | 1415 / 68 | $13.291,40 | 1299 / 63 | $10.511,80 | 1294 / 66 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 51 | 80 / 13 | $108.762,00 | 1599 / 64 | $20.019,80 | 1496 / 72 | $17.477,40 | 1482 / 75 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 11 | $194.711,00 | 730 / 25 | $43.580,90 | 765 / 34 | $39.112,80 | 764 / 36 |
Seizures W Mcc | 17 | 49 / 11 | $58.371,50 | 552 / 18 | $13.434,10 | 576 / 22 | $11.648,60 | 576 / 26 |
Seizures W/O Mcc | 77 | 31 / 4 | $34.143,50 | 1046 / 51 | $7.824,43 | 1092 / 60 | $6.114,74 | 1090 / 64 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 18 | $265.576,00 | 934 / 32 | $50.524,30 | 858 / 35 | $45.338,00 | 857 / 37 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 109 | 407 / 53 | $94.132,10 | 2586 / 115 | $17.059,40 | 2346 / 117 | $13.875,20 | 2304 / 119 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 53 | $61.730,20 | 2428 / 109 | $10.964,80 | 2192 / 110 | $7.995,03 | 2183 / 110 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 12 | $27.064,80 | 258 / 8 | $7.345,67 | 307 / 16 | $5.918,33 | 307 / 19 |
Signs & Symptoms W Mcc | 14 | 27 / 6 | $44.520,60 | 215 / 6 | $10.456,00 | 206 / 7 | $9.067,43 | 206 / 9 |
Signs & Symptoms W/O Mcc | 46 | 45 / 5 | $40.761,90 | 1238 / 51 | $7.723,17 | 1084 / 51 | $5.346,74 | 1081 / 49 |
Simple Pneumonia & Pleurisy W Cc | 55 | 148 / 30 | $55.495,60 | 2650 / 119 | $10.090,60 | 2445 / 118 | $7.440,36 | 2436 / 120 |
Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 47 | $63.145,40 | 2147 / 94 | $13.389,40 | 2170 / 105 | $11.069,60 | 2165 / 108 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 22 | $43.779,70 | 1856 / 85 | $7.725,86 | 1780 / 84 | $5.527,95 | 1772 / 84 |
Syncope & Collapse | 86 | 83 / 7 | $35.704,80 | 1607 / 86 | $7.533,44 | 1605 / 92 | $5.560,22 | 1598 / 95 |
Tendonitis, Myositis & Bursitis W/O Mcc | 34 | 9 / 1 | $33.018,60 | 260 / 17 | $8.322,68 | 279 / 22 | $6.474,56 | 278 / 23 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 17 | 47 / 10 | $309.687,00 | 335 / 12 | $69.629,00 | 270 / 13 | $63.769,00 | 270 / 16 |
Transient Ischemia | 56 | 69 / 12 | $32.844,10 | 1275 / 70 | $7.380,29 | 1456 / 87 | $5.525,73 | 1448 / 89 | Total 87 procedures | 3.254 | 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.