Hospital Costs > In Pennsylvania > Pottstown Memorial Medical Center, 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 Cc | 11 | 80 / 30 | $27.411,30 | 631 / 33 | $5.626,36 | 213 / 7 | $4.966,00 | 213 / 21 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 40 | $98.200,10 | 1693 / 92 | $9.396,06 | 275 / 22 | $8.492,12 | 275 / 30 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 15 | $26.339,70 | 495 / 27 | $4.409,42 | 255 / 8 | $3.702,75 | 254 / 20 |
| Atherosclerosis W/O Mcc | 13 | 45 / 7 | $26.250,00 | 404 / 13 | $3.605,92 | / 1 | $2.488,38 | / |
| Bronchitis & Asthma W Cc/Mcc | 30 | 46 / 10 | $49.095,50 | 998 / 55 | $5.172,77 | 245 / 8 | $4.210,63 | 242 / 21 |
| Bronchitis & Asthma W/O Cc/Mcc | 16 | 29 / 7 | $36.918,10 | 347 / 21 | $3.933,81 | 72 / 5 | $2.742,88 | 72 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 29 | $41.410,90 | 1933 / 96 | $4.843,33 | 349 / 31 | $3.669,95 | 349 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 31 | $61.192,20 | 1700 / 87 | $7.068,67 | 431 / 22 | $6.265,11 | 429 / 36 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 38 | 112 / 29 | $24.935,70 | 1624 / 81 | $3.295,55 | 251 / 15 | $2.201,61 | 249 / 27 |
| Cellulitis W/O Mcc | 66 | 123 / 27 | $33.581,50 | 2259 / 106 | $5.168,94 | 548 / 38 | $3.932,24 | 545 / 41 |
| Chronic Obstructive Pulmonary Disease W Cc | 73 | 106 / 19 | $54.894,30 | 2308 / 116 | $5.529,86 | 522 / 25 | $4.563,40 | 520 / 39 |
| Chronic Obstructive Pulmonary Disease W Mcc | 101 | 101 / 5 | $66.412,50 | 2425 / 112 | $7.063,35 | 577 / 36 | $5.847,20 | 576 / 39 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 28 | $37.058,90 | 1894 / 94 | $4.311,46 | 330 / 21 | $3.165,04 | 330 / 32 |
| Complications Of Treatment W Cc | 11 | 41 / 10 | $47.807,50 | 322 / 8 | $5.821,09 | 68 / 2 | $5.136,00 | 68 / 2 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 16 | $48.129,30 | 665 / 23 | $5.233,67 | 151 / 3 | $4.433,67 | 151 / 8 |
| Diabetes W Cc | 29 | 63 / 13 | $37.169,30 | 1348 / 57 | $4.983,21 | 296 / 15 | $3.997,28 | 296 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 29 | $50.779,20 | 1171 / 49 | $7.084,75 | 323 / 13 | $6.282,08 | 321 / 22 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 86 | 189 / 32 | $41.536,50 | 2506 / 117 | $4.408,77 | 539 / 22 | $3.437,93 | 537 / 41 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 15 | $31.282,00 | 759 / 30 | $4.098,73 | 241 / 6 | $3.333,64 | 242 / 18 |
| G.I. Hemorrhage W Cc | 44 | 174 / 40 | $61.699,50 | 2325 / 111 | $5.961,11 | 691 / 30 | $5.084,02 | 690 / 43 |
| G.I. Hemorrhage W Mcc | 21 | 100 / 30 | $99.643,50 | 1555 / 73 | $10.392,10 | 98 / 23 | $8.457,62 | 98 / 9 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 20 | $46.961,90 | 966 / 52 | $4.189,62 | 94 / 15 | $2.925,00 | 94 / 10 |
| G.I. Obstruction W Cc | 24 | 68 / 22 | $58.963,60 | 1671 / 74 | $5.277,62 | 346 / 18 | $4.270,96 | 345 / 24 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 24 | $40.171,90 | 1232 / 52 | $3.810,58 | 146 / 12 | $2.424,42 | 146 / 8 |
| Heart Failure & Shock W Cc | 67 | 211 / 50 | $50.419,60 | 2558 / 123 | $5.725,70 | 788 / 26 | $5.132,51 | 787 / 53 |
| Heart Failure & Shock W Mcc | 66 | 218 / 42 | $74.035,20 | 2396 / 117 | $8.809,95 | 540 / 33 | $7.739,53 | 540 / 32 |
| Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 25 | $35.579,00 | 1825 / 95 | $4.020,53 | 321 / 24 | $3.125,47 | 319 / 28 |
| Hip & Femur Procedures Except Major Joint W Cc | 33 | 110 / 25 | $131.016,00 | 2021 / 89 | $11.747,10 | 886 / 40 | $10.769,20 | 873 / 55 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 14 | $101.901,00 | 891 / 42 | $9.705,29 | 327 / 11 | $8.580,71 | 326 / 17 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 40 | $280.078,00 | 1480 / 67 | $31.149,80 | 586 / 28 | $30.219,30 | 581 / 39 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 38 | $54.350,30 | 1808 / 81 | $6.436,50 | 382 / 32 | $5.082,87 | 381 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 32 | $90.591,00 | 1441 / 59 | $10.934,40 | 753 / 34 | $10.048,50 | 752 / 43 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 31 | $42.779,70 | 1402 / 69 | $4.513,22 | 403 / 12 | $3.512,33 | 400 / 30 |
| Kidney & Urinary Tract Infections W Mcc | 41 | 103 / 16 | $46.334,20 | 1628 / 74 | $6.544,56 | 509 / 22 | $5.715,68 | 508 / 33 |
| Kidney & Urinary Tract Infections W/O Mcc | 71 | 162 / 29 | $35.273,90 | 2384 / 106 | $4.564,63 | 417 / 25 | $3.559,11 | 417 / 31 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 11 | $97.792,80 | 799 / 27 | $9.840,31 | 341 / 5 | $8.828,62 | 341 / 16 |
| Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 25 | $309.985,00 | 1000 / 45 | $24.741,30 | 770 / 34 | $23.973,30 | 769 / 39 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 88 | 476 / 59 | $166.247,00 | 2675 / 129 | $13.295,80 | 727 / 66 | $10.666,00 | 717 / 49 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 41 | $28.367,50 | 2065 / 86 | $4.127,37 | 349 / 22 | $3.186,33 | 349 / 32 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 27 | $142.226,00 | 1371 / 59 | $11.204,20 | 398 / 14 | $10.353,90 | 397 / 21 |
| Other Digestive System Diagnoses W Cc | 27 | 70 / 17 | $61.937,80 | 1370 / 65 | $5.806,93 | 211 / 14 | $4.695,52 | 209 / 21 |
| Other Disorders Of Nervous System W Cc | 11 | 45 / 21 | $52.092,90 | 566 / 35 | $5.271,45 | 219 / 3 | $4.942,73 | 219 / 17 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 25 | $33.231,30 | 573 / 23 | $5.823,31 | 68 / 8 | $4.709,54 | 68 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 22 | $107.966,00 | 1077 / 47 | $9.953,63 | 587 / 20 | $9.493,00 | 585 / 33 |
| Other Vascular Procedures W Cc | 13 | 89 / 25 | $206.623,00 | 1124 / 60 | $16.257,30 | 606 / 24 | $15.605,00 | 603 / 40 |
| Other Vascular Procedures W Mcc | 19 | 78 / 19 | $258.041,00 | 995 / 51 | $24.294,00 | 682 / 33 | $23.321,30 | 679 / 40 |
| Peripheral Vascular Disorders W Cc | 17 | 67 / 17 | $44.249,90 | 1080 / 53 | $5.650,18 | 148 / 13 | $4.517,00 | 148 / 16 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 19 | 42 / 12 | $25.909,80 | 678 / 27 | $3.724,79 | 183 / 4 | $3.091,53 | 182 / 11 |
| Psychoses | 15 | 260 / 23 | $29.846,80 | 470 / 27 | $5.811,07 | 14 / 1 | $4.369,87 | 14 / 1 |
| Pulmonary Edema & Respiratory Failure | 52 | 151 / 22 | $66.878,60 | 2021 / 90 | $7.216,87 | 668 / 21 | $6.541,63 | 668 / 45 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 29 | $36.399,90 | 988 / 37 | $5.794,82 | 249 / 10 | $4.695,18 | 249 / 19 |
| Red Blood Cell Disorders W Mcc | 22 | 49 / 10 | $55.244,00 | 910 / 34 | $7.430,00 | 255 / 8 | $6.731,09 | 255 / 14 |
| Red Blood Cell Disorders W/O Mcc | 37 | 106 / 19 | $45.002,30 | 1850 / 91 | $4.832,51 | 382 / 26 | $3.849,35 | 381 / 33 |
| Renal Failure W Cc | 60 | 161 / 31 | $42.045,40 | 2098 / 102 | $5.766,40 | 523 / 33 | $4.779,42 | 519 / 37 |
| Renal Failure W Mcc | 35 | 160 / 33 | $59.980,00 | 1758 / 77 | $9.278,17 | 548 / 29 | $8.128,46 | 548 / 33 |
| Renal Failure W/O Cc/Mcc | 20 | 36 / 7 | $38.149,80 | 802 / 39 | $3.667,35 | 208 / 7 | $2.942,55 | 207 / 11 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 26 | $47.408,20 | 1104 / 47 | $7.672,88 | 489 / 9 | $7.317,12 | 486 / 32 |
| Respiratory Infections & Inflammations W Mcc | 39 | 97 / 15 | $91.067,30 | 1598 / 74 | $11.744,20 | 517 / 33 | $10.518,80 | 512 / 34 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 34 | $115.386,00 | 1649 / 70 | $13.172,20 | 417 / 18 | $12.220,60 | 412 / 26 |
| Seizures W/O Mcc | 21 | 87 / 25 | $31.566,10 | 994 / 48 | $4.656,43 | 79 / 15 | $3.247,81 | 79 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 154 | 362 / 37 | $93.109,80 | 2579 / 114 | $11.066,50 | 838 / 41 | $9.978,57 | 837 / 49 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 71 | 136 / 24 | $57.919,30 | 2382 / 106 | $6.586,72 | 732 / 40 | $5.421,13 | 730 / 43 |
| Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 34 | $49.453,90 | 2546 / 114 | $5.820,06 | 855 / 28 | $4.951,58 | 852 / 54 |
| Simple Pneumonia & Pleurisy W Mcc | 66 | 139 / 18 | $81.118,70 | 2351 / 107 | $8.779,06 | 836 / 36 | $7.697,05 | 836 / 46 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 20 | $36.167,40 | 1755 / 81 | $4.176,17 | 377 / 18 | $3.121,50 | 375 / 27 |
| Spinal Fusion Except Cervical W/O Mcc | 24 | 170 / 29 | $342.700,00 | 1360 / 61 | $28.054,90 | 711 / 44 | $23.258,20 | 707 / 45 |
| Syncope & Collapse | 29 | 140 / 38 | $32.031,10 | 1502 / 75 | $4.407,45 | 174 / 23 | $3.123,69 | 173 / 23 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 13 | $36.182,90 | 275 / 19 | $4.860,45 | 77 / 5 | $4.098,27 | 77 / 9 |
| Transient Ischemia | 41 | 84 / 20 | $37.018,00 | 1378 / 79 | $4.286,46 | 145 / 25 | $2.908,27 | 145 / 17 |
| Transurethral Prostatectomy W Cc/Mcc | 12 | 12 / 2 | $53.711,30 | 34 / 2 | $8.219,83 | 14 / 1 | $7.411,83 | 14 / 1 |
| Transurethral Prostatectomy W/O Cc/Mcc | 11 | 18 / 4 | $40.943,20 | 75 / 3 | $4.417,55 | 15 / 1 | $3.320,82 | 15 / 2 | Total 71 procedures | 2.290 | 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.