Hospital Costs > In Pennsylvania > Phoenixville Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 138 | 378 / 42 | $99.004,10 | 2627 / 116 | $11.817,70 | 1395 / 64 | $10.836,60 | 1368 / 78 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 65 | 210 / 45 | $54.968,70 | 2679 / 125 | $5.236,52 | 1738 / 66 | $4.382,37 | 1725 / 97 |
Heart Failure & Shock W Mcc | 63 | 221 / 45 | $70.603,80 | 2356 / 115 | $9.613,65 | 1431 / 62 | $8.922,86 | 1427 / 84 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 58 | 506 / 68 | $115.019,00 | 2573 / 125 | $13.800,50 | 924 / 75 | $10.926,30 | 905 / 56 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 52 | 144 / 24 | $264.369,00 | 1489 / 68 | $16.274,70 | 1202 / 52 | $14.096,40 | 1195 / 60 |
Simple Pneumonia & Pleurisy W Mcc | 51 | 154 / 26 | $93.182,10 | 2430 / 112 | $9.636,12 | 1513 / 67 | $8.699,96 | 1513 / 80 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 48 | 140 / 28 | $103.963,00 | 1625 / 74 | $7.483,31 | 830 / 36 | $5.972,33 | 828 / 42 |
Heart Failure & Shock W Cc | 47 | 231 / 66 | $53.332,10 | 2594 / 126 | $6.600,28 | 1488 / 71 | $5.754,66 | 1483 / 88 |
Pulmonary Edema & Respiratory Failure | 46 | 157 / 25 | $76.233,80 | 2106 / 96 | $8.117,59 | 1259 / 56 | $7.333,00 | 1257 / 77 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 44 | 56 / 6 | $297.769,00 | 1009 / 42 | $22.847,40 | 620 / 24 | $20.997,40 | 616 / 30 |
Respiratory Infections & Inflammations W Mcc | 44 | 92 / 11 | $101.107,00 | 1660 / 78 | $12.846,40 | 701 / 50 | $10.922,50 | 693 / 46 |
Cellulitis W/O Mcc | 40 | 149 / 48 | $39.779,10 | 2404 / 118 | $5.893,65 | 1372 / 75 | $4.602,02 | 1366 / 86 |
Kidney & Urinary Tract Infections W Mcc | 37 | 107 / 18 | $56.656,90 | 1769 / 80 | $7.473,89 | 1211 / 50 | $6.786,32 | 1207 / 65 |
Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 40 | $74.894,40 | 2477 / 116 | $7.873,34 | 1390 / 68 | $6.687,20 | 1384 / 82 |
G.I. Hemorrhage W Cc | 35 | 183 / 47 | $87.277,60 | 2414 / 117 | $6.783,43 | 1535 / 62 | $6.023,66 | 1531 / 88 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 35 | $37.532,00 | 1897 / 98 | $4.141,50 | 1212 / 63 | $3.040,72 | 1207 / 77 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 30 | 94 / 24 | $239.779,00 | 1390 / 61 | $32.820,70 | 600 / 38 | $30.338,00 | 595 / 41 |
Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 62 | $51.611,00 | 2655 / 123 | $5.418,46 | 1739 / 75 | $4.600,18 | 1728 / 98 |
Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 53 | $68.736,20 | 2762 / 123 | $6.482,43 | 1480 / 64 | $5.492,71 | 1474 / 83 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 54 | $62.631,30 | 2438 / 112 | $7.244,82 | 1292 / 67 | $5.972,96 | 1287 / 75 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 26 | 67 / 13 | $152.070,00 | 892 / 38 | $13.990,30 | 463 / 16 | $12.653,10 | 457 / 19 |
Renal Failure W Cc | 24 | 197 / 60 | $57.897,50 | 2342 / 115 | $6.841,50 | 1100 / 77 | $5.291,46 | 1092 / 66 |
Red Blood Cell Disorders W/O Mcc | 23 | 120 / 29 | $68.502,60 | 1989 / 101 | $5.734,83 | 787 / 60 | $4.284,00 | 782 / 56 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 43 | $52.073,60 | 2085 / 104 | $5.521,74 | 1317 / 60 | $4.682,78 | 1312 / 82 |
Other Vascular Procedures W Mcc | 20 | 77 / 18 | $293.778,00 | 1004 / 52 | $26.729,80 | 817 / 42 | $26.070,50 | 814 / 44 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 24 | $65.825,90 | 1386 / 67 | $6.618,20 | 868 / 29 | $6.011,80 | 864 / 54 |
Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 19 | $330.237,00 | 1001 / 46 | $28.438,60 | 798 / 42 | $24.577,80 | 797 / 40 |
Syncope & Collapse | 17 | 152 / 48 | $43.001,80 | 1747 / 92 | $5.169,94 | 1116 / 56 | $4.245,71 | 1109 / 72 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 24 | $84.802,30 | 1030 / 41 | $10.248,10 | 400 / 24 | $8.736,06 | 399 / 23 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 35 | $46.384,90 | 2026 / 102 | $5.129,29 | 1258 / 58 | $4.021,06 | 1248 / 78 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 41 | $73.428,40 | 1803 / 97 | $8.278,81 | 790 / 60 | $6.801,81 | 787 / 56 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 40 | $137.482,00 | 1797 / 99 | $12.999,60 | 1405 / 77 | $12.095,60 | 1393 / 88 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 17 | $63.379,90 | 996 / 54 | $5.422,75 | 616 / 38 | $4.092,81 | 612 / 42 |
Other Vascular Procedures W Cc | 15 | 87 / 23 | $277.395,00 | 1135 / 62 | $19.729,30 | 910 / 49 | $18.922,80 | 905 / 54 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 29 | $97.480,00 | 1255 / 49 | $12.068,10 | 643 / 22 | $11.302,20 | 641 / 33 |
Renal Failure W Mcc | 15 | 180 / 50 | $81.615,10 | 2006 / 96 | $9.800,93 | 1146 / 42 | $9.237,73 | 1146 / 68 |
Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 16 | $57.125,80 | 908 / 36 | $6.074,21 | 409 / 13 | $5.034,21 | 408 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 27 | $71.639,90 | 1375 / 59 | $7.944,57 | 578 / 27 | $6.822,29 | 573 / 31 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 29 | $66.491,30 | 1302 / 63 | $8.175,71 | 647 / 19 | $7.661,43 | 644 / 39 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 42 | $44.388,40 | 1943 / 101 | $4.753,43 | 1203 / 60 | $3.976,29 | 1193 / 79 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 14 | 55 / 17 | $232.358,00 | 561 / 31 | $12.873,10 | 424 / 17 | $11.929,10 | 422 / 24 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 13 | 82 / 21 | $154.957,00 | 579 / 29 | $13.182,20 | 98 / 11 | $10.008,20 | 97 / 4 |
Other Digestive System Diagnoses W/O Cc/Mcc | 13 | 30 / 10 | $39.708,30 | 334 / 22 | $4.806,00 | 174 / 8 | $3.690,92 | 174 / 15 |
G.I. Hemorrhage W Mcc | 13 | 108 / 37 | $124.572,00 | 1635 / 82 | $12.014,30 | 1034 / 52 | $11.408,80 | 1026 / 67 |
Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 63 | $69.502,40 | 2404 / 122 | $6.416,83 | 1499 / 67 | $5.510,17 | 1493 / 88 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 33 | $38.980,00 | 1788 / 82 | $5.359,36 | 824 / 65 | $3.524,82 | 820 / 47 |
Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 19 | $75.303,00 | 884 / 40 | $7.348,91 | 127 / 25 | $4.782,73 | 127 / 7 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 57 | $37.851,10 | 2323 / 104 | $4.893,00 | 1442 / 62 | $4.014,45 | 1437 / 81 |
Diabetes W Cc | 11 | 81 / 29 | $51.755,40 | 1543 / 73 | $5.436,00 | 644 / 25 | $4.446,91 | 643 / 36 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 23 | $79.218,50 | 1245 / 66 | $6.565,64 | 749 / 35 | $6.012,91 | 746 / 52 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 26 | $230.884,00 | 1125 / 44 | $29.214,00 | 382 / 12 | $28.341,30 | 380 / 19 |
Chest Pain | 11 | 140 / 41 | $41.010,70 | 1609 / 81 | $4.394,91 | 903 / 44 | $3.402,91 | 898 / 57 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 29 | $50.847,50 | 1168 / 55 | $6.749,00 | 860 / 30 | $5.983,91 | 857 / 51 | Total 53 procedures | 1.456 | 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.