Hospital Costs > In Pennsylvania > Punxsutawney Area Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 16 | 173 / 70 | $6.750,12 | 35 / 5 | $5.214,31 | 1239 / 41 | $4.460,31 | 1233 / 81 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 59 | $13.396,80 | 357 / 15 | $5.854,56 | 1146 / 44 | $5.094,56 | 1142 / 66 |
| Heart Failure & Shock W Cc | 21 | 257 / 85 | $11.429,70 | 230 / 14 | $6.162,10 | 1164 / 49 | $5.413,90 | 1161 / 69 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 44 | $9.279,33 | 202 / 14 | $4.344,00 | 784 / 39 | $3.541,33 | 780 / 53 |
| Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 50 | $8.530,76 | 155 / 10 | $4.889,79 | 1201 / 46 | $4.087,50 | 1193 / 71 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 43 | $8.483,84 | 185 / 11 | $4.495,00 | 1299 / 42 | $3.887,64 | 1295 / 72 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 37 | $13.552,70 | 314 / 20 | $5.078,07 | 709 / 34 | $4.188,47 | 704 / 52 |
| Renal Failure W Cc | 12 | 209 / 69 | $10.177,80 | 107 / 8 | $6.039,92 | 1049 / 46 | $5.234,58 | 1041 / 62 |
| Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 47 | $11.000,70 | 176 / 11 | $6.052,49 | 1242 / 43 | $5.256,14 | 1238 / 69 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 31 | 62 / 13 | $10.243,90 | 246 / 18 | $4.505,58 | 922 / 32 | $3.610,61 | 917 / 54 | Total 10 procedures | 225 | 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.