Hospital Costs > In Pennsylvania > Pocono Medical Center, 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 | 172 | 344 / 31 | $46.067,60 | 1628 / 71 | $13.383,60 | 2016 / 95 | $12.426,10 | 1979 / 108 |
| Heart Failure & Shock W Cc | 146 | 132 / 13 | $26.432,40 | 1775 / 79 | $7.122,62 | 1910 / 93 | $6.351,99 | 1905 / 108 |
| Simple Pneumonia & Pleurisy W Cc | 135 | 69 / 4 | $27.237,70 | 1788 / 74 | $7.021,65 | 1923 / 90 | $6.030,24 | 1915 / 104 |
| Heart Failure & Shock W Mcc | 133 | 151 / 17 | $32.355,60 | 1238 / 59 | $10.859,70 | 1904 / 95 | $10.058,60 | 1898 / 111 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 102 | 462 / 52 | $36.786,40 | 582 / 39 | $15.453,00 | 2112 / 111 | $14.098,70 | 2070 / 118 |
| Chronic Obstructive Pulmonary Disease W Mcc | 93 | 109 / 8 | $25.534,20 | 1170 / 57 | $8.433,10 | 1804 / 87 | $7.442,79 | 1796 / 104 |
| Kidney & Urinary Tract Infections W/O Mcc | 88 | 145 / 20 | $19.665,90 | 1537 / 73 | $5.522,40 | 1708 / 78 | $4.561,67 | 1697 / 96 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 84 | 191 / 34 | $22.190,80 | 1648 / 73 | $5.539,35 | 1536 / 84 | $4.157,77 | 1524 / 84 |
| Cellulitis W/O Mcc | 82 | 107 / 19 | $17.568,60 | 1195 / 63 | $6.025,90 | 1753 / 82 | $5.054,20 | 1745 / 105 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 79 | 41 / 3 | $18.669,50 | 1166 / 55 | $5.199,80 | 1208 / 63 | $3.955,66 | 1199 / 75 |
| Chronic Obstructive Pulmonary Disease W Cc | 78 | 101 / 15 | $22.326,10 | 1240 / 60 | $6.830,71 | 1534 / 84 | $5.570,05 | 1528 / 92 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 71 | 111 / 19 | $28.655,90 | 1059 / 49 | $7.770,96 | 1444 / 69 | $6.691,80 | 1441 / 83 |
| Renal Failure W Cc | 69 | 152 / 25 | $28.869,00 | 1653 / 78 | $7.080,15 | 1680 / 86 | $6.076,99 | 1671 / 98 |
| G.I. Hemorrhage W Cc | 67 | 151 / 26 | $27.278,50 | 1388 / 62 | $7.229,04 | 1609 / 82 | $6.174,73 | 1605 / 92 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 60 | 147 / 29 | $29.990,10 | 1616 / 71 | $7.707,65 | 1761 / 82 | $6.703,53 | 1754 / 99 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 57 | 104 / 17 | $22.239,80 | 1222 / 53 | $5.619,58 | 1275 / 66 | $4.604,42 | 1270 / 80 |
| Syncope & Collapse | 54 | 115 / 21 | $27.008,30 | 1312 / 65 | $5.283,65 | 1032 / 61 | $4.104,81 | 1025 / 68 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 53 | 72 / 10 | $49.150,60 | 1117 / 57 | $12.709,50 | 1375 / 75 | $11.886,50 | 1364 / 87 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 52 | 79 / 12 | $63.184,30 | 985 / 42 | $16.365,30 | 1264 / 56 | $15.462,80 | 1251 / 65 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 50 | 116 / 23 | $21.724,00 | 1700 / 73 | $5.022,48 | 1647 / 66 | $4.243,92 | 1642 / 88 |
| Simple Pneumonia & Pleurisy W Mcc | 49 | 156 / 28 | $33.190,50 | 1234 / 58 | $10.452,70 | 1807 / 81 | $9.421,75 | 1807 / 95 |
| Hip & Femur Procedures Except Major Joint W Cc | 48 | 95 / 15 | $42.462,70 | 740 / 40 | $14.283,70 | 1503 / 77 | $12.814,20 | 1485 / 84 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 46 | 104 / 24 | $16.203,30 | 1119 / 56 | $4.065,24 | 1031 / 58 | $2.852,26 | 1026 / 70 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 44 | 49 / 5 | $20.150,00 | 1209 / 51 | $5.028,50 | 1298 / 56 | $4.040,86 | 1291 / 70 |
| Respiratory Infections & Inflammations W Cc | 44 | 44 / 6 | $33.077,40 | 793 / 31 | $10.346,60 | 1047 / 52 | $8.858,57 | 1042 / 59 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 44 | 79 / 17 | $32.944,80 | 1090 / 54 | $8.668,50 | 1301 / 73 | $7.926,68 | 1298 / 84 |
| Heart Failure & Shock W/O Cc/Mcc | 43 | 67 / 19 | $20.113,90 | 1292 / 62 | $4.944,23 | 1031 / 68 | $3.762,81 | 1023 / 67 |
| Seizures W/O Mcc | 42 | 66 / 12 | $22.165,50 | 656 / 31 | $5.710,64 | 538 / 43 | $4.123,48 | 535 / 39 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 42 | 154 / 32 | $64.097,00 | 542 / 28 | $14.662,20 | 1156 / 39 | $13.568,90 | 1149 / 57 |
| Diabetes W Cc | 41 | 51 / 6 | $21.808,30 | 808 / 30 | $5.920,15 | 992 / 41 | $5.124,05 | 988 / 57 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 39 | 149 / 33 | $34.617,50 | 739 / 35 | $7.799,46 | 1156 / 47 | $6.869,00 | 1153 / 61 |
| Medical Back Problems W/O Mcc | 38 | 83 / 19 | $21.010,20 | 604 / 30 | $6.279,29 | 808 / 50 | $4.770,55 | 805 / 56 |
| Renal Failure W Mcc | 37 | 158 / 31 | $32.490,20 | 917 / 48 | $11.215,80 | 1433 / 73 | $10.050,10 | 1433 / 88 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 34 | 68 / 18 | $26.824,90 | 977 / 41 | $5.479,85 | 926 / 50 | $4.181,24 | 922 / 61 |
| Major Small & Large Bowel Procedures W Cc | 34 | 74 / 18 | $63.314,10 | 715 / 29 | $18.461,80 | 1141 / 47 | $16.968,10 | 1128 / 56 |
| Respiratory Infections & Inflammations W Mcc | 31 | 105 / 21 | $52.045,90 | 1119 / 50 | $14.261,90 | 1409 / 65 | $13.639,50 | 1394 / 79 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 30 | 46 / 4 | $85.941,80 | 59 / 6 | $34.554,00 | 494 / 25 | $31.989,40 | 494 / 28 |
| G.I. Hemorrhage W/O Cc/Mcc | 30 | 38 / 6 | $19.089,20 | 516 / 26 | $5.070,47 | 502 / 31 | $3.778,63 | 498 / 35 |
| Chest Pain | 30 | 121 / 23 | $20.491,80 | 958 / 45 | $4.367,20 | 826 / 41 | $3.284,50 | 821 / 47 |
| Other Digestive System Diagnoses W Cc | 27 | 70 / 17 | $21.812,50 | 503 / 21 | $7.158,85 | 758 / 45 | $5.701,44 | 754 / 49 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 27 | $109.195,00 | 599 / 27 | $39.938,00 | 1144 / 56 | $37.690,20 | 1136 / 62 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 28 | $46.555,90 | 872 / 32 | $13.479,10 | 901 / 57 | $10.639,30 | 899 / 51 |
| Degenerative Nervous System Disorders W/O Mcc | 26 | 52 / 13 | $30.513,00 | 509 / 26 | $7.469,58 | 579 / 31 | $6.590,81 | 579 / 40 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 26 | $48.449,70 | 963 / 42 | $13.739,40 | 1306 / 66 | $12.920,10 | 1296 / 73 |
| Other Vascular Procedures W Cc | 25 | 77 / 17 | $57.992,50 | 329 / 14 | $18.048,00 | 794 / 41 | $17.280,00 | 789 / 48 |
| Spinal Fusion Except Cervical W/O Mcc | 24 | 170 / 29 | $55.081,80 | 158 / 8 | $31.473,00 | 818 / 55 | $24.259,30 | 814 / 51 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 23 | 33 / 3 | $44.504,10 | 352 / 10 | $12.028,30 | 614 / 19 | $10.300,00 | 612 / 25 |
| Permanent Cardiac Pacemaker Implant W Cc | 22 | 55 / 12 | $58.074,10 | 319 / 16 | $19.151,30 | 716 / 40 | $18.162,20 | 714 / 45 |
| Respiratory Neoplasms W Cc | 22 | 25 / 5 | $31.444,70 | 215 / 7 | $8.504,73 | 297 / 10 | $7.528,50 | 296 / 15 |
| Bronchitis & Asthma W Cc/Mcc | 22 | 54 / 16 | $19.635,00 | 368 / 14 | $6.235,45 | 632 / 31 | $5.189,64 | 628 / 45 |
| Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 16 | $123.771,00 | 598 / 18 | $37.290,10 | 944 / 39 | $36.357,70 | 942 / 45 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 20 | $29.746,80 | 728 / 41 | $8.008,29 | 747 / 59 | $5.994,19 | 745 / 51 |
| Pulmonary Embolism W/O Mcc | 21 | 53 / 19 | $28.085,50 | 772 / 29 | $7.958,52 | 396 / 48 | $4.987,19 | 396 / 25 |
| Other Circulatory System Diagnoses W Mcc | 20 | 96 / 24 | $40.737,00 | 503 / 15 | $13.550,80 | 806 / 37 | $12.131,50 | 801 / 40 |
| Red Blood Cell Disorders W/O Mcc | 20 | 123 / 32 | $27.030,50 | 1362 / 61 | $5.737,20 | 1188 / 61 | $4.774,00 | 1180 / 73 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 20 | 51 / 9 | $129.310,00 | 440 / 18 | $37.536,10 | 683 / 27 | $36.568,10 | 682 / 30 |
| Signs & Symptoms W/O Mcc | 20 | 71 / 24 | $21.972,50 | 767 / 29 | $4.955,80 | 734 / 24 | $4.111,00 | 731 / 38 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 20 | 41 / 11 | $19.041,40 | 480 / 16 | $4.561,35 | 431 / 11 | $3.657,35 | 430 / 22 |
| Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 32 | $20.779,20 | 619 / 32 | $8.065,60 | 1354 / 60 | $7.160,00 | 1350 / 73 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 19 | 43 / 13 | $30.110,10 | 605 / 24 | $5.409,47 | 402 / 22 | $4.203,58 | 401 / 25 |
| Other Vascular Procedures W Mcc | 18 | 79 / 20 | $69.060,10 | 250 / 11 | $22.410,80 | 529 / 25 | $20.976,40 | 526 / 29 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 18 | 51 / 13 | $51.906,90 | 176 / 9 | $13.344,60 | 393 / 19 | $11.351,80 | 391 / 23 |
| Pulmonary Edema & Respiratory Failure | 18 | 185 / 46 | $33.881,80 | 1242 / 55 | $8.742,33 | 1512 / 74 | $7.867,67 | 1507 / 85 |
| Renal Failure W/O Cc/Mcc | 18 | 38 / 9 | $15.988,10 | 414 / 13 | $4.459,67 | 597 / 15 | $3.926,33 | 596 / 30 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 18 | $19.116,70 | 785 / 29 | $4.348,89 | 679 / 28 | $3.211,11 | 677 / 33 |
| Transient Ischemia | 18 | 107 / 39 | $25.995,90 | 1006 / 52 | $5.187,89 | 851 / 60 | $3.777,83 | 847 / 56 |
| Bronchitis & Asthma W/O Cc/Mcc | 17 | 28 / 6 | $16.071,50 | 151 / 6 | $4.589,59 | 238 / 10 | $3.949,59 | 238 / 18 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 11 | $35.141,50 | 304 / 15 | $11.698,60 | 686 / 33 | $10.561,60 | 683 / 38 |
| G.I. Obstruction W Cc | 17 | 75 / 28 | $26.382,80 | 1055 / 42 | $6.437,00 | 975 / 48 | $5.077,06 | 972 / 50 |
| Organic Disturbances & Mental Retardation | 16 | 43 / 10 | $22.656,90 | 226 / 8 | $7.225,00 | 283 / 14 | $6.171,00 | 283 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 31 | $23.687,90 | 628 / 21 | $7.967,31 | 1138 / 45 | $7.441,31 | 1135 / 59 |
| Peripheral Vascular Disorders W Mcc | 16 | 33 / 8 | $34.515,00 | 280 / 10 | $10.609,80 | 321 / 17 | $8.632,06 | 321 / 18 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 16 | 54 / 10 | $25.066,00 | 290 / 12 | $6.658,88 | 296 / 9 | $5.980,88 | 296 / 18 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 12 | $24.230,50 | 426 / 24 | $5.427,60 | 525 / 24 | $4.380,13 | 521 / 36 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 17 | $33.031,70 | 534 / 19 | $8.955,67 | 697 / 29 | $8.311,40 | 693 / 38 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 14 | $51.835,50 | 304 / 12 | $15.488,80 | 563 / 32 | $14.720,80 | 562 / 36 |
| Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 21 | $58.253,40 | 113 / 7 | $24.061,30 | 733 / 32 | $23.178,10 | 732 / 37 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 19 | $24.065,80 | 589 / 29 | $6.915,20 | 820 / 40 | $6.270,93 | 817 / 55 |
| Psychoses | 14 | 261 / 24 | $28.666,90 | 459 / 26 | $7.197,00 | 344 / 17 | $6.246,14 | 344 / 28 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 9 | $33.373,40 | 209 / 7 | $8.786,93 | 435 / 12 | $7.666,93 | 434 / 21 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 12 | $20.556,70 | 533 / 19 | $5.098,57 | 555 / 24 | $4.065,43 | 555 / 34 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 14 | 89 / 24 | $24.395,10 | 373 / 15 | $7.087,36 | 523 / 21 | $6.440,50 | 523 / 31 |
| Dysequilibrium | 14 | 51 / 13 | $23.219,10 | 311 / 15 | $4.451,14 | 245 / 13 | $3.324,29 | 245 / 18 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 22 | $27.535,30 | 572 / 32 | $8.377,14 | 809 / 37 | $7.856,00 | 807 / 46 |
| Diabetes W/O Cc/Mcc | 13 | 25 / 6 | $15.886,40 | 140 / 5 | $4.111,77 | 74 / 3 | $2.903,15 | 74 / 3 |
| Respiratory Infections & Inflammations W/O Cc/Mcc | 13 | 16 / 3 | $29.352,10 | 80 / 3 | $7.853,69 | 72 / 3 | $5.655,23 | 72 / 3 |
| Other Vascular Procedures W/O Cc/Mcc | 13 | 43 / 14 | $49.184,20 | 285 / 10 | $12.199,30 | 405 / 12 | $11.357,50 | 404 / 16 |
| Pleural Effusion W Cc | 12 | 16 / 5 | $26.619,80 | 40 / 2 | $7.750,00 | 62 / 3 | $6.944,67 | 62 / 5 |
| Other Disorders Of Nervous System W/O Cc/Mcc | 11 | 24 / 8 | $22.687,90 | 71 / 3 | $4.747,45 | 70 / 4 | $4.087,09 | 70 / 6 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 17 | $89.943,20 | 155 / 8 | $35.302,10 | 535 / 20 | $34.483,20 | 535 / 26 |
| Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 19 | $26.140,50 | 311 / 17 | $7.705,27 | 556 / 31 | $5.940,45 | 555 / 29 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 22 | $104.451,00 | 210 / 9 | $42.299,10 | 721 / 26 | $41.531,10 | 720 / 32 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 17 | $38.429,30 | 272 / 7 | $11.749,40 | 578 / 13 | $10.763,20 | 578 / 21 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 9 | $25.199,40 | 331 / 13 | $4.638,00 | 283 / 6 | $3.759,45 | 282 / 13 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 13 | $69.235,70 | 409 / 10 | $15.415,50 | 431 / 10 | $14.973,40 | 431 / 12 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 14 | $98.078,70 | 304 / 15 | $23.839,00 | 375 / 19 | $23.181,50 | 373 / 22 | Total 96 procedures | 3.465 | 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.