Hospital Costs > In Pennsylvania > Nazareth 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 Cc | 25 | 66 / 17 | $57.232,10 | 1273 / 70 | $7.055,04 | 537 / 44 | $5.540,04 | 536 / 39 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 44 | 81 / 16 | $63.904,10 | 1380 / 72 | $10.797,00 | 644 / 51 | $9.308,23 | 643 / 50 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 16 | $34.388,20 | 655 / 35 | $5.606,73 | 300 / 31 | $3.774,55 | 297 / 22 |
Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 21 | $35.788,00 | 825 / 39 | $5.816,50 | 541 / 23 | $4.898,25 | 537 / 42 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 33 | $34.923,40 | 1798 / 85 | $5.489,62 | 1046 / 55 | $4.341,97 | 1042 / 64 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 25 | $39.777,00 | 1317 / 66 | $8.370,21 | 808 / 65 | $6.825,27 | 805 / 58 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 44 | $32.658,30 | 1826 / 96 | $4.109,04 | 806 / 61 | $2.675,48 | 802 / 55 |
Cellulitis W/O Mcc | 41 | 148 / 47 | $32.104,40 | 2197 / 101 | $5.900,88 | 1206 / 76 | $4.433,44 | 1200 / 76 |
Chest Pain | 27 | 124 / 26 | $31.629,40 | 1433 / 72 | $4.351,81 | 697 / 39 | $3.132,70 | 692 / 40 |
Chronic Obstructive Pulmonary Disease W Cc | 56 | 123 / 24 | $33.634,50 | 1869 / 87 | $6.042,55 | 1272 / 51 | $5.244,96 | 1267 / 76 |
Chronic Obstructive Pulmonary Disease W Mcc | 58 | 144 / 21 | $44.447,30 | 2058 / 91 | $34.443,80 | 1324 / 123 | $6.599,48 | 1318 / 75 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 32 | $25.997,30 | 1577 / 73 | $4.937,35 | 955 / 52 | $3.697,05 | 946 / 60 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 43 | $62.673,60 | 1420 / 62 | $7.411,92 | 808 / 32 | $5.925,54 | 806 / 40 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 17 | $32.091,80 | 502 / 14 | $5.885,18 | 259 / 10 | $4.890,45 | 259 / 14 |
Diabetes W Cc | 14 | 78 / 26 | $27.729,60 | 1101 / 42 | $5.436,29 | 767 / 26 | $4.649,64 | 764 / 43 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 15 | $33.086,50 | 410 / 15 | $6.699,00 | 159 / 10 | $5.103,09 | 159 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 23 | $40.199,70 | 951 / 30 | $9.129,94 | 175 / 47 | $5.916,78 | 174 / 17 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 53 | 222 / 54 | $34.511,70 | 2336 / 105 | $5.252,28 | 1297 / 67 | $3.967,89 | 1286 / 75 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 16 | $101.427,00 | 222 / 10 | $25.637,10 | 95 / 2 | $25.104,00 | 95 / 2 |
Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 11 | $25.624,50 | 665 / 24 | $4.766,67 | 369 / 19 | $3.627,13 | 370 / 24 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 18 | $26.960,40 | 545 / 20 | $5.126,69 | 365 / 16 | $4.096,85 | 365 / 22 |
G.I. Hemorrhage W Cc | 34 | 184 / 48 | $42.198,40 | 2014 / 89 | $7.082,03 | 1084 / 75 | $5.446,59 | 1082 / 62 |
G.I. Hemorrhage W Mcc | 19 | 102 / 32 | $57.956,60 | 1155 / 49 | $11.225,20 | 836 / 41 | $10.631,90 | 832 / 57 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 21 | $31.444,80 | 829 / 43 | $6.169,00 | 317 / 44 | $3.392,75 | 314 / 24 |
G.I. Obstruction W Cc | 11 | 81 / 34 | $38.550,10 | 1429 / 56 | $5.631,36 | 642 / 26 | $4.627,91 | 641 / 37 |
Heart Failure & Shock W Cc | 97 | 181 / 33 | $37.451,10 | 2249 / 96 | $6.550,95 | 1357 / 67 | $5.606,93 | 1353 / 79 |
Heart Failure & Shock W Mcc | 83 | 201 / 30 | $49.693,20 | 1977 / 92 | $10.100,80 | 1213 / 83 | $8.595,40 | 1210 / 72 |
Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 26 | $26.031,70 | 1596 / 75 | $4.483,62 | 944 / 47 | $3.682,62 | 937 / 61 |
Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 32 | $54.033,70 | 1181 / 50 | $12.022,10 | 1027 / 46 | $11.092,90 | 1014 / 62 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 27 | $115.648,00 | 696 / 30 | $32.660,10 | 451 / 36 | $29.084,60 | 447 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 51 | 131 / 30 | $41.018,10 | 1544 / 68 | $7.246,57 | 888 / 54 | $5.672,31 | 886 / 54 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 30 | 138 / 25 | $48.958,20 | 938 / 35 | $10.867,50 | 714 / 33 | $9.927,90 | 713 / 40 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 33 | $36.821,90 | 1285 / 57 | $5.087,81 | 820 / 39 | $4.022,81 | 816 / 53 |
Kidney & Urinary Tract Infections W Mcc | 32 | 112 / 22 | $36.096,00 | 1391 / 57 | $7.157,72 | 876 / 42 | $6.186,59 | 874 / 53 |
Kidney & Urinary Tract Infections W/O Mcc | 43 | 190 / 49 | $25.338,20 | 1986 / 88 | $5.461,91 | 1199 / 76 | $4.085,53 | 1191 / 70 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 12 | $73.637,10 | 421 / 15 | $19.903,50 | 479 / 13 | $19.114,30 | 476 / 17 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 90 | 474 / 58 | $62.127,00 | 1770 / 89 | $15.115,00 | 993 / 105 | $11.039,40 | 973 / 63 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 32 | $109.360,00 | 1290 / 52 | $17.233,50 | 506 / 37 | $13.630,00 | 501 / 22 |
Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 18 | $129.841,00 | 650 / 21 | $31.344,90 | 582 / 21 | $30.474,50 | 580 / 33 |
Medical Back Problems W/O Mcc | 24 | 97 / 29 | $36.426,50 | 1183 / 59 | $5.800,71 | 510 / 38 | $4.239,33 | 508 / 38 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 17 | $32.500,80 | 1067 / 38 | $7.473,16 | 682 / 34 | $6.348,84 | 679 / 36 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 28 | $27.055,50 | 2001 / 82 | $4.770,32 | 1265 / 53 | $3.855,64 | 1261 / 68 |
Organic Disturbances & Mental Retardation | 11 | 48 / 15 | $26.542,50 | 298 / 13 | $6.517,09 | 190 / 9 | $5.621,82 | 190 / 12 |
Other Circulatory System Diagnoses W Mcc | 11 | 105 / 33 | $49.605,90 | 733 / 25 | $12.530,10 | 140 / 27 | $9.338,18 | 140 / 12 |
Other Circulatory System O.R. Procedures | 11 | 44 / 12 | $75.022,60 | 244 / 8 | $16.803,50 | 147 / 3 | $15.911,30 | 147 / 6 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 31 | $50.722,90 | 1276 / 59 | $6.904,92 | 421 / 37 | $5.067,38 | 418 / 32 |
Other Disorders Of Nervous System W Cc | 21 | 35 / 12 | $32.727,40 | 412 / 18 | $5.950,29 | 284 / 14 | $5.192,24 | 284 / 24 |
Other Disorders Of Nervous System W Mcc | 11 | 29 / 8 | $50.834,80 | 210 / 3 | $11.100,50 | 113 / 1 | $9.296,45 | 113 / 4 |
Other Vascular Procedures W Mcc | 14 | 83 / 23 | $116.661,00 | 702 / 26 | $19.618,10 | 248 / 9 | $18.282,10 | 247 / 10 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 13 | 183 / 51 | $114.050,00 | 1283 / 56 | $15.296,30 | 219 / 47 | $9.889,00 | 219 / 13 |
Peripheral Vascular Disorders W Cc | 16 | 68 / 18 | $33.028,80 | 883 / 40 | $6.129,19 | 551 / 28 | $5.433,62 | 549 / 40 |
Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 18 | $69.691,50 | 483 / 21 | $18.813,60 | 81 / 37 | $13.181,00 | 81 / 6 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 16 | $81.512,50 | 584 / 31 | $13.631,10 | 398 / 19 | $12.683,60 | 397 / 26 |
Poisoning & Toxic Effects Of Drugs W Mcc | 18 | 54 / 13 | $45.567,10 | 643 / 19 | $9.375,33 | 333 / 11 | $7.827,61 | 332 / 16 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 15 | $25.811,20 | 673 / 25 | $5.024,06 | 95 / 20 | $2.895,56 | 95 / 5 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 28 | $39.139,20 | 1040 / 41 | $7.233,08 | 447 / 40 | $5.092,00 | 445 / 28 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 17 | $38.596,60 | 656 / 23 | $8.113,60 | 465 / 19 | $7.365,67 | 463 / 26 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 32 | $42.409,10 | 1798 / 87 | $5.398,35 | 972 / 51 | $4.485,95 | 966 / 65 |
Renal Failure W Cc | 45 | 176 / 43 | $35.103,70 | 1901 / 90 | $6.505,82 | 1415 / 65 | $5.636,69 | 1406 / 84 |
Renal Failure W Mcc | 56 | 139 / 17 | $59.050,70 | 1747 / 76 | $10.214,00 | 990 / 57 | $8.913,27 | 990 / 57 |
Respiratory Infections & Inflammations W Cc | 22 | 66 / 21 | $43.419,10 | 1028 / 40 | $9.152,23 | 752 / 38 | $7.849,68 | 747 / 44 |
Respiratory Infections & Inflammations W Mcc | 25 | 111 / 27 | $55.462,40 | 1185 / 52 | $13.015,90 | 300 / 54 | $10.023,60 | 300 / 22 |
Respiratory Neoplasms W Mcc | 13 | 39 / 9 | $51.858,50 | 399 / 7 | $12.086,20 | 25 / 7 | $8.115,15 | 25 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 28 | $72.477,80 | 1184 / 49 | $15.944,20 | 737 / 53 | $13.080,20 | 729 / 42 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 17 | $104.553,00 | 282 / 11 | $34.187,80 | 115 / 19 | $26.624,50 | 115 / 9 |
Seizures W Mcc | 15 | 51 / 13 | $43.196,60 | 396 / 12 | $9.312,40 | 122 / 5 | $7.890,53 | 122 / 4 |
Seizures W/O Mcc | 22 | 86 / 24 | $33.055,70 | 1025 / 50 | $5.400,23 | 486 / 35 | $4.032,27 | 483 / 34 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 17 | $106.361,00 | 226 / 10 | $34.133,20 | 256 / 11 | $32.441,90 | 255 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 91 | 425 / 60 | $56.443,10 | 1997 / 85 | $11.898,70 | 1222 / 69 | $10.509,10 | 1202 / 70 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 56 | $41.564,30 | 2083 / 88 | $7.746,04 | 970 / 85 | $5.635,92 | 967 / 59 |
Signs & Symptoms W/O Mcc | 13 | 78 / 31 | $34.186,20 | 1111 / 41 | $4.663,77 | 629 / 20 | $3.909,15 | 628 / 29 |
Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 47 | $33.988,10 | 2144 / 87 | $6.444,57 | 1518 / 61 | $5.533,26 | 1512 / 87 |
Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 47 | $47.431,30 | 1830 / 76 | $9.624,80 | 819 / 66 | $7.675,52 | 819 / 44 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 27 | $28.562,10 | 1576 / 67 | $5.568,06 | 739 / 70 | $3.445,41 | 735 / 46 |
Spinal Fusion Except Cervical W/O Mcc | 16 | 178 / 34 | $73.303,20 | 422 / 27 | $28.080,90 | 306 / 45 | $20.581,40 | 305 / 18 |
Syncope & Collapse | 73 | 96 / 13 | $32.576,60 | 1518 / 76 | $5.193,60 | 690 / 57 | $3.737,42 | 687 / 48 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 15 | $217.314,00 | 179 / 5 | $66.698,20 | 284 / 10 | $65.014,20 | 284 / 17 |
Transient Ischemia | 39 | 86 / 22 | $30.743,50 | 1198 / 65 | $4.773,56 | 745 / 43 | $3.650,79 | 741 / 50 | Total 78 procedures | 2.136 | 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.