Hospital Costs > In Pennsylvania > Penn Highlands Elk, 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 | 11 | 114 / 45 | $12.663,90 | 19 / 3 | $8.740,55 | 113 / 6 | $7.966,73 | 113 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 44 | $10.774,00 | 155 / 8 | $4.111,91 | 42 / 2 | $3.145,77 | 42 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 40 | $12.904,10 | 71 / 5 | $6.287,76 | 12 / 1 | $5.114,71 | 12 / 4 |
| Cellulitis W/O Mcc | 33 | 156 / 55 | $8.679,00 | 143 / 17 | $4.340,18 | 18 / 4 | $3.080,06 | 18 / 4 |
| Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 47 | $11.097,60 | 157 / 6 | $4.794,54 | 88 / 3 | $3.975,11 | 88 / 13 |
| Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 33 | $12.900,00 | 178 / 11 | $6.039,14 | 31 / 4 | $4.845,74 | 31 / 4 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 35 | $10.265,60 | 270 / 14 | $3.659,41 | 69 / 2 | $2.737,06 | 69 / 12 |
| Diabetes W Cc | 12 | 80 / 28 | $10.546,80 | 99 / 5 | $4.247,33 | 24 / 2 | $3.236,67 | 24 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 71 | $10.596,50 | 259 / 17 | $3.849,41 | 19 / 1 | $2.709,34 | 19 / 4 |
| G.I. Hemorrhage W Cc | 20 | 198 / 57 | $13.122,60 | 171 / 10 | $5.137,20 | 33 / 2 | $4.111,60 | 33 / 6 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 39 | $13.547,80 | 12 / 1 | $8.944,09 | 63 / 4 | $8.283,73 | 63 / 5 |
| Heart Failure & Shock W Cc | 68 | 210 / 49 | $9.537,38 | 107 / 8 | $5.103,85 | 78 / 5 | $4.293,99 | 78 / 8 |
| Heart Failure & Shock W Mcc | 35 | 249 / 64 | $12.885,50 | 75 / 8 | $7.673,63 | 81 / 4 | $6.880,94 | 81 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 29 | $7.570,83 | 89 / 5 | $3.499,52 | 16 / 4 | $2.508,59 | 16 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 42 | $32.436,20 | 311 / 18 | $10.141,80 | 127 / 3 | $9.299,92 | 126 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 60 | $13.940,60 | 107 / 4 | $5.532,58 | 56 / 4 | $4.423,25 | 56 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 41 | $9.368,73 | 33 / 2 | $5.771,91 | 94 / 4 | $5.006,82 | 94 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 56 | $9.682,80 | 268 / 18 | $3.987,49 | 39 / 2 | $2.981,29 | 39 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 24 | $9.324,25 | 18 / 1 | $5.984,08 | 58 / 2 | $5.406,75 | 58 / 9 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 42 | 522 / 77 | $37.276,40 | 601 / 42 | $11.141,10 | 111 / 3 | $9.402,48 | 111 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 51 | $7.945,12 | 141 / 9 | $3.594,76 | 60 / 3 | $2.738,29 | 60 / 7 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 23 | $11.164,60 | 60 / 4 | $4.953,64 | 16 / 2 | $3.848,18 | 16 / 6 |
| Red Blood Cell Disorders W/O Mcc | 20 | 123 / 32 | $7.312,35 | 21 / 1 | $4.169,80 | 39 / 2 | $3.179,75 | 39 / 7 |
| Renal Failure W Cc | 28 | 193 / 57 | $9.751,32 | 79 / 5 | $4.935,00 | 170 / 3 | $4.328,14 | 170 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 42 | 474 / 83 | $13.794,50 | 42 / 2 | $9.433,71 | 118 / 4 | $8.695,62 | 118 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 48 | $9.915,26 | 61 / 4 | $5.527,97 | 36 / 3 | $4.378,20 | 36 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 55 | 148 / 30 | $11.199,20 | 191 / 12 | $5.037,24 | 63 / 3 | $4.035,09 | 63 / 8 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 25 | $7.535,89 | 68 / 2 | $3.649,16 | 18 / 2 | $2.432,26 | 18 / 3 |
| Syncope & Collapse | 12 | 157 / 52 | $12.890,10 | 258 / 17 | $3.719,92 | 14 / 2 | $2.714,58 | 14 / 3 | Total 29 procedures | 741 | 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.