Hospital Costs > In Pennsylvania > Oss Orthopaedic Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 320 | 251 / 11 | $31.778,30 | 302 / 20 | $12.021,40 | 384 / 21 | $10.144,80 | 383 / 30 |
| Spinal Fusion Except Cervical W/O Mcc | 54 | 140 / 13 | $31.320,40 | 14 / 2 | $22.084,50 | 251 / 6 | $20.183,60 | 250 / 13 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 35 | 61 / 4 | $41.302,00 | 192 / 7 | $13.149,50 | 22 / 8 | $9.450,20 | 22 / 3 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 23 | 46 / 8 | $55.268,70 | 154 / 3 | $19.059,60 | 272 / 12 | $15.582,40 | 271 / 12 |
| Cervical Spinal Fusion W/O Cc/Mcc | 13 | 91 / 16 | $30.334,50 | 61 / 3 | $12.321,90 | 204 / 3 | $11.108,40 | 204 / 9 | Total 5 procedures | 445 | 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.