Hospital Costs > In Pennsylvania > Nason Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
G.I. Hemorrhage W Cc | 12 | 206 / 63 | $8.419,17 | 14 / 1 | $6.883,83 | 1565 / 64 | $6.075,83 | 1561 / 91 |
Heart Failure & Shock W Cc | 15 | 263 / 90 | $9.527,87 | 104 / 7 | $6.820,20 | 1952 / 82 | $6.417,00 | 1947 / 111 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 38 | $8.037,17 | 114 / 7 | $4.910,17 | 1172 / 66 | $3.929,78 | 1162 / 76 |
Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 68 | $8.789,10 | 179 / 11 | $5.526,10 | 1791 / 80 | $4.679,70 | 1780 / 101 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 11 | $36.816,40 | 127 / 2 | $14.427,40 | 464 / 24 | $12.520,40 | 461 / 27 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 55 | 509 / 70 | $23.366,00 | 47 / 7 | $11.783,00 | 475 / 19 | $10.281,10 | 472 / 38 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 55 | $7.879,46 | 134 / 8 | $5.055,15 | 1730 / 67 | $4.369,23 | 1725 / 92 |
Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 67 | $10.741,20 | 155 / 9 | $6.603,77 | 1657 / 69 | $5.675,77 | 1650 / 96 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 25 | $8.884,00 | 136 / 7 | $5.184,37 | 1279 / 61 | $4.016,63 | 1272 / 69 | Total 9 procedures | 181 | 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.