Hospital Costs > In Pennsylvania > Pennsylvania Hosp Of The Univ Of Pa Health Sys, 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 | 204 | 360 / 30 | $70.573,70 | 2008 / 95 | $18.648,90 | 2339 / 124 | $15.624,30 | 2294 / 125 |
| Spinal Fusion Except Cervical W/O Mcc | 113 | 81 / 7 | $93.401,30 | 669 / 37 | $32.214,80 | 1149 / 56 | $29.284,20 | 1144 / 58 |
| Red Blood Cell Disorders W/O Mcc | 104 | 42 / 2 | $48.580,10 | 1896 / 94 | $9.146,04 | 1760 / 95 | $6.669,11 | 1751 / 95 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 83 | 16 / 1 | $51.120,40 | 593 / 26 | $10.382,20 | 679 / 30 | $8.375,60 | 678 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 71 | 445 / 68 | $106.388,00 | 2693 / 120 | $19.276,60 | 2632 / 121 | $16.721,90 | 2587 / 124 |
| Heart Failure & Shock W Cc | 67 | 211 / 50 | $65.774,50 | 2705 / 130 | $11.180,10 | 2573 / 127 | $8.892,16 | 2567 / 127 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 56 | 219 / 52 | $46.642,50 | 2610 / 121 | $8.083,77 | 2440 / 118 | $6.169,00 | 2425 / 122 |
| Cellulitis W/O Mcc | 54 | 135 / 35 | $47.424,40 | 2530 / 123 | $9.206,06 | 2313 / 119 | $6.589,78 | 2305 / 119 |
| Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 45 | $44.173,40 | 2574 / 120 | $8.333,08 | 2471 / 117 | $6.514,98 | 2460 / 121 |
| Cervical Spinal Fusion W/O Cc/Mcc | 47 | 57 / 3 | $75.545,00 | 638 / 17 | $19.280,90 | 721 / 22 | $15.522,20 | 718 / 23 |
| Major Small & Large Bowel Procedures W Cc | 43 | 65 / 15 | $111.182,00 | 1300 / 53 | $22.253,10 | 1341 / 57 | $19.528,80 | 1327 / 62 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 43 | 32 / 4 | $101.036,00 | 216 / 9 | $18.709,00 | 198 / 9 | $17.124,40 | 197 / 10 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 40 | 29 / 2 | $89.878,50 | 378 / 14 | $24.339,20 | 436 / 19 | $20.214,20 | 435 / 20 |
| Simple Pneumonia & Pleurisy W Cc | 40 | 163 / 43 | $66.856,10 | 2753 / 122 | $11.743,60 | 2657 / 122 | $8.805,20 | 2648 / 124 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 37 | 27 / 7 | $98.284,60 | 170 / 17 | $28.461,10 | 211 / 21 | $26.573,80 | 210 / 20 |
| G.I. Hemorrhage W Cc | 37 | 181 / 45 | $54.164,30 | 2238 / 106 | $9.758,13 | 2151 / 106 | $8.042,03 | 2147 / 111 |
| Revision Of Hip Or Knee Replacement W Cc | 35 | 51 / 5 | $143.218,00 | 599 / 24 | $29.253,10 | 590 / 26 | $26.277,90 | 588 / 27 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 34 | 32 / 6 | $70.839,40 | 411 / 12 | $17.067,40 | 464 / 18 | $14.017,20 | 460 / 19 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 50 | $70.655,00 | 2491 / 115 | $11.942,00 | 2429 / 113 | $9.679,91 | 2419 / 116 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 32 | 164 / 39 | $157.689,00 | 1447 / 63 | $19.898,20 | 1421 / 63 | $17.966,90 | 1413 / 64 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 39 | $73.804,40 | 1524 / 68 | $11.270,80 | 1480 / 68 | $9.007,40 | 1477 / 72 |
| Renal Failure W Cc | 28 | 193 / 57 | $62.713,10 | 2374 / 118 | $10.873,70 | 2316 / 114 | $9.183,07 | 2306 / 117 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 20 | $72.923,10 | 1679 / 73 | $15.142,60 | 1633 / 73 | $11.097,50 | 1630 / 74 |
| Renal Failure W Mcc | 27 | 168 / 39 | $76.044,60 | 1969 / 93 | $16.228,90 | 1990 / 101 | $13.711,90 | 1986 / 104 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 26 | 38 / 5 | $62.383,90 | 593 / 16 | $14.219,10 | 653 / 20 | $12.283,10 | 653 / 24 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 42 | $42.700,50 | 2413 / 108 | $7.880,42 | 2378 / 108 | $6.590,54 | 2369 / 111 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 49 | $79.988,90 | 2508 / 119 | $12.311,00 | 2332 / 114 | $9.680,85 | 2324 / 117 |
| Other Vascular Procedures W Cc | 25 | 77 / 17 | $122.595,00 | 984 / 50 | $25.672,70 | 1039 / 57 | $21.949,60 | 1034 / 59 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 42 | $32.161,40 | 1813 / 93 | $6.633,76 | 1840 / 99 | $4.839,92 | 1834 / 101 |
| Major Cardiovasc Procedures W/O Mcc | 25 | 76 / 14 | $120.034,00 | 739 / 28 | $27.298,80 | 830 / 41 | $25.382,50 | 829 / 43 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 23 | 23 / 1 | $50.587,10 | 219 / 9 | $9.594,17 | 191 / 8 | $7.107,09 | 191 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 52 | $69.822,60 | 2405 / 123 | $10.338,20 | 2278 / 117 | $8.336,96 | 2271 / 119 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 45 | $52.939,80 | 2088 / 105 | $8.474,43 | 1941 / 103 | $6.512,48 | 1936 / 106 |
| Heart Failure & Shock W Mcc | 21 | 263 / 76 | $104.644,00 | 2579 / 126 | $18.344,80 | 2548 / 126 | $15.379,00 | 2537 / 127 |
| Diabetes W Cc | 20 | 72 / 20 | $54.328,10 | 1557 / 75 | $9.771,90 | 1494 / 69 | $7.752,40 | 1489 / 72 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 20 | 71 / 7 | $59.140,20 | 348 / 14 | $11.348,00 | 289 / 13 | $9.055,75 | 289 / 12 |
| Cranio W Major Dev Impl/Acute Complex Cns Pdx W/O Mcc | 20 | 4 / 1 | $159.129,00 | 28 / 1 | $29.849,20 | 9 / 1 | $22.167,70 | 9 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 36 | $43.649,10 | 1936 / 100 | $7.508,10 | 1857 / 99 | $6.048,50 | 1844 / 102 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 38 | $65.912,90 | 1748 / 90 | $11.722,20 | 1665 / 91 | $9.665,75 | 1662 / 94 |
| Signs & Symptoms W/O Mcc | 19 | 72 / 25 | $38.782,30 | 1197 / 48 | $7.492,89 | 1196 / 48 | $6.184,16 | 1193 / 54 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 19 | 24 / 5 | $179.559,00 | 144 / 10 | $32.855,20 | 139 / 10 | $28.692,60 | 139 / 10 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 17 | 78 / 18 | $199.088,00 | 596 / 31 | $24.422,50 | 589 / 31 | $20.725,70 | 585 / 33 |
| Other Vascular Procedures W/O Cc/Mcc | 17 | 39 / 10 | $74.400,80 | 455 / 18 | $14.862,50 | 478 / 20 | $13.182,20 | 477 / 22 |
| Cervical Spinal Fusion W Cc | 17 | 36 / 5 | $115.165,00 | 309 / 7 | $24.386,50 | 316 / 10 | $22.328,20 | 315 / 11 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 17 | 37 / 7 | $59.549,90 | 433 / 19 | $10.466,30 | 394 / 17 | $8.637,35 | 394 / 18 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 55 | $83.353,30 | 2371 / 108 | $13.766,90 | 2237 / 106 | $11.656,90 | 2231 / 109 |
| Medical Back Problems W/O Mcc | 16 | 105 / 35 | $32.394,70 | 1095 / 51 | $8.577,06 | 1324 / 70 | $6.908,06 | 1319 / 75 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 16 | 34 / 9 | $179.744,00 | 182 / 8 | $43.389,90 | 168 / 10 | $38.350,40 | 168 / 11 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 20 | $62.576,80 | 1027 / 52 | $12.071,30 | 1036 / 53 | $10.169,40 | 1034 / 55 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 37 | $256.511,00 | 1435 / 64 | $51.617,40 | 1443 / 66 | $47.169,60 | 1433 / 71 |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 22 | $95.473,50 | 1086 / 61 | $10.862,60 | 1019 / 57 | $8.276,93 | 1015 / 58 |
| Other Vascular Procedures W Mcc | 15 | 82 / 22 | $141.671,00 | 840 / 38 | $29.735,70 | 830 / 45 | $26.347,80 | 827 / 45 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 14 | 33 / 9 | $53.485,10 | 355 / 15 | $13.273,50 | 460 / 22 | $11.755,20 | 460 / 25 |
| Red Blood Cell Disorders W Mcc | 14 | 57 / 18 | $67.884,30 | 1011 / 45 | $11.263,90 | 829 / 46 | $9.246,29 | 825 / 45 |
| Syncope & Collapse | 14 | 155 / 51 | $81.424,50 | 1926 / 103 | $13.302,90 | 1880 / 103 | $8.775,50 | 1872 / 102 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 24 | $181.146,00 | 977 / 34 | $37.649,60 | 862 / 41 | $34.670,20 | 860 / 43 |
| G.I. Hemorrhage W Mcc | 13 | 108 / 37 | $61.892,10 | 1228 / 52 | $15.690,30 | 1386 / 73 | $13.714,20 | 1376 / 76 |
| Craniotomy & Endovascular Intracranial Procedures W Cc | 13 | 42 / 6 | $113.933,00 | 167 / 5 | $22.969,30 | 134 / 5 | $21.009,50 | 134 / 10 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 39 | $52.669,30 | 2064 / 105 | $8.084,69 | 1954 / 101 | $6.322,85 | 1943 / 102 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 15 | $76.756,50 | 664 / 28 | $10.377,20 | 587 / 24 | $8.238,23 | 586 / 25 |
| Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 23 | $55.268,20 | 803 / 44 | $10.995,20 | 720 / 46 | $7.940,85 | 720 / 46 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 38 | $159.666,00 | 1787 / 89 | $26.002,00 | 1800 / 88 | $23.011,90 | 1784 / 88 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 12 | 36 / 8 | $50.377,10 | 151 / 4 | $13.156,20 | 191 / 7 | $11.545,40 | 190 / 9 |
| Digestive Malignancy W Cc | 12 | 35 / 9 | $63.322,50 | 357 / 19 | $12.363,40 | 340 / 16 | $10.591,50 | 338 / 18 |
| Extracranial Procedures W/O Cc/Mcc | 12 | 86 / 18 | $49.267,50 | 761 / 32 | $9.647,67 | 871 / 39 | $8.393,00 | 868 / 41 |
| Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 12 | 16 / 3 | $97.877,90 | 102 / 3 | $15.820,20 | 72 / 2 | $11.752,30 | 72 / 2 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 31 | $112.225,00 | 1476 / 71 | $18.557,20 | 1464 / 70 | $14.343,70 | 1459 / 72 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 32 | $131.148,00 | 1354 / 57 | $23.983,20 | 1338 / 60 | $20.085,40 | 1330 / 60 |
| Chest Pain | 12 | 139 / 40 | $42.611,80 | 1629 / 82 | $6.743,42 | 1522 / 79 | $5.405,58 | 1513 / 82 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 12 | 86 / 13 | $139.526,00 | 321 / 8 | $30.210,40 | 243 / 7 | $27.983,60 | 243 / 11 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 22 | $50.388,90 | 828 / 38 | $7.870,64 | 666 / 34 | $5.392,45 | 665 / 31 |
| Vaginal Delivery W/O Complicating Diagnoses | 11 | 14 / 6 | $21.106,70 | 64 / 5 | $6.333,00 | 55 / 5 | $4.646,18 | 55 / 5 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 11 | $91.711,90 | 575 / 16 | $16.033,90 | 560 / 15 | $13.927,50 | 557 / 16 |
| Respiratory Neoplasms W Cc | 11 | 36 / 15 | $58.452,50 | 439 / 17 | $11.379,90 | 431 / 16 | $9.772,55 | 430 / 19 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 25 | $151.689,00 | 891 / 37 | $24.359,40 | 857 / 38 | $20.549,90 | 849 / 41 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 13 | $45.052,80 | 364 / 10 | $11.191,10 | 406 / 13 | $9.994,18 | 406 / 16 | Total 76 procedures | 2.186 | 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.