Hospital Costs > In Pennsylvania > Palmerton 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 | 38 | 526 / 80 | $49.584,60 | 1265 / 71 | $12.207,20 | 331 / 29 | $10.031,70 | 330 / 25 |
| Cellulitis W/O Mcc | 34 | 155 / 54 | $13.982,30 | 725 / 44 | $4.301,50 | 133 / 2 | $3.450,68 | 133 / 15 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 41 | $12.877,10 | 657 / 30 | $3.633,30 | 110 / 5 | $2.853,44 | 110 / 14 |
| Heart Failure & Shock W Cc | 27 | 251 / 82 | $18.558,60 | 998 / 51 | $5.252,37 | 149 / 7 | $4.448,81 | 149 / 12 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 54 | $19.036,60 | 1034 / 45 | $5.158,04 | 166 / 6 | $4.259,67 | 166 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 77 | $14.770,90 | 720 / 39 | $4.040,25 | 77 / 4 | $2.897,21 | 77 / 10 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 29 | $14.880,00 | 765 / 37 | $3.824,83 | 101 / 4 | $2.825,87 | 101 / 19 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 53 | $18.333,90 | 835 / 40 | $4.975,77 | 213 / 6 | $4.204,86 | 213 / 20 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 68 | $14.610,20 | 878 / 48 | $4.003,75 | 454 / 4 | $3.584,55 | 454 / 33 |
| Renal Failure W Cc | 19 | 202 / 62 | $19.808,40 | 968 / 47 | $5.048,95 | 186 / 6 | $4.350,00 | 185 / 20 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 59 | $16.846,80 | 466 / 23 | $6.013,07 | 153 / 2 | $5.287,73 | 153 / 20 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 58 | $25.299,20 | 725 / 36 | $7.450,71 | 298 / 4 | $7.016,43 | 298 / 19 |
| Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 39 | $21.509,70 | 674 / 34 | $5.913,15 | 159 / 6 | $5.169,77 | 159 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 67 | $20.332,40 | 812 / 44 | $5.599,08 | 149 / 5 | $4.762,15 | 149 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 51 | $17.155,80 | 768 / 37 | $5.007,31 | 43 / 38 | $3.147,08 | 43 / 9 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 43 | $12.674,80 | 554 / 38 | $3.551,15 | 10 / 5 | $2.433,62 | 10 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 29 | $14.801,80 | 106 / 6 | $5.514,50 | 4 / 3 | $3.889,25 | 4 / 2 |
| G.I. Hemorrhage W Cc | 11 | 207 / 64 | $16.335,50 | 422 / 26 | $5.328,27 | 271 / 7 | $4.667,91 | 271 / 25 |
| Transient Ischemia | 11 | 114 / 46 | $17.063,10 | 421 / 29 | $3.737,00 | 24 / 3 | $2.526,82 | 24 / 5 | Total 19 procedures | 376 | 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.