Hospital Costs > In Pennsylvania > Regional Hospital Of Scranton, 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 | 19 | 72 / 22 | $36.846,10 | 958 / 50 | $5.669,95 | 84 / 8 | $4.643,74 | 84 / 11 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 44 | 81 / 16 | $49.501,50 | 1130 / 61 | $9.284,23 | 184 / 19 | $8.249,48 | 184 / 22 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 22 | 31 / 5 | $26.295,30 | 493 / 26 | $4.165,23 | 32 / 3 | $2.965,45 | 32 / 3 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 22 | 41 / 11 | $125.509,00 | 202 / 20 | $18.520,00 | 47 / 2 | $17.225,40 | 47 / 1 |
Bronchitis & Asthma W Cc/Mcc | 18 | 58 / 19 | $28.948,30 | 684 / 30 | $4.794,00 | 6 / 3 | $3.170,56 | 6 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 43 | 118 / 25 | $23.457,90 | 1316 / 61 | $4.270,33 | 80 / 6 | $3.234,40 | 80 / 14 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 48 | 75 / 15 | $32.232,80 | 1058 / 51 | $6.492,90 | 94 / 3 | $5.591,75 | 94 / 10 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 74 | 76 / 10 | $15.568,80 | 1066 / 52 | $2.983,62 | 106 / 4 | $1.940,81 | 106 / 16 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 12 | 38 / 11 | $267.066,00 | 234 / 12 | $43.721,00 | 195 / 11 | $42.838,20 | 195 / 13 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 29 | 89 / 12 | $163.492,00 | 331 / 13 | $28.667,10 | 26 / 2 | $25.823,90 | 26 / 1 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 21 | 95 / 15 | $196.896,00 | 211 / 12 | $42.033,70 | 10 / 1 | $38.726,80 | 10 / 1 |
Cellulitis W Mcc | 20 | 38 / 9 | $37.974,40 | 542 / 18 | $7.664,65 | 52 / 5 | $6.704,30 | 52 / 8 |
Cellulitis W/O Mcc | 121 | 68 / 7 | $23.674,50 | 1789 / 82 | $4.557,97 | 172 / 8 | $3.514,55 | 172 / 18 |
Chest Pain | 37 | 114 / 18 | $17.195,60 | 707 / 34 | $3.254,89 | 31 / 2 | $2.137,73 | 31 / 5 |
Chronic Obstructive Pulmonary Disease W Cc | 44 | 135 / 31 | $33.003,60 | 1850 / 86 | $5.110,57 | 76 / 9 | $3.944,75 | 76 / 11 |
Chronic Obstructive Pulmonary Disease W Mcc | 71 | 131 / 14 | $34.593,40 | 1719 / 79 | $6.260,85 | 69 / 8 | $5.054,70 | 69 / 12 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 41 | 79 / 15 | $23.941,00 | 1493 / 68 | $3.983,05 | 12 / 9 | $2.446,71 | 12 / 3 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 23 | 70 / 16 | $56.921,30 | 423 / 15 | $12.052,90 | 97 / 5 | $10.442,40 | 95 / 2 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 74 | 114 / 16 | $35.370,10 | 777 / 36 | $5.821,24 | 104 / 3 | $4.752,80 | 104 / 7 |
Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 16 | $164.653,00 | 407 / 19 | $27.175,50 | 70 / 6 | $22.572,90 | 70 / 5 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 14 | $27.495,10 | 411 / 11 | $4.754,60 | 39 / 1 | $3.806,07 | 39 / 3 |
Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 25 | $19.498,80 | 219 / 13 | $4.962,45 | 10 / 2 | $3.975,00 | 10 / 2 |
Diabetes W Cc | 13 | 79 / 27 | $22.848,90 | 873 / 34 | $4.500,15 | 30 / 8 | $3.289,92 | 30 / 5 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 11 | 18 / 4 | $29.978,70 | 73 / 3 | $4.260,27 | 1 / 1 | $2.593,55 | 1 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 23 | $37.054,20 | 878 / 28 | $6.434,56 | 37 / 3 | $5.357,00 | 37 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 100 | 175 / 25 | $26.797,10 | 1985 / 88 | $4.040,44 | 140 / 5 | $3.015,62 | 140 / 16 |
Extracranial Procedures W/O Cc/Mcc | 12 | 86 / 18 | $64.206,20 | 849 / 39 | $5.554,25 | 26 / 2 | $4.287,17 | 26 / 3 |
Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 12 | $16.225,40 | 340 / 12 | $3.826,07 | 19 / 4 | $2.612,50 | 19 / 5 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 16 | $20.392,10 | 387 / 13 | $3.914,06 | 22 / 2 | $2.890,31 | 22 / 3 |
G.I. Hemorrhage W Cc | 74 | 144 / 22 | $34.755,10 | 1773 / 75 | $5.535,01 | 219 / 11 | $4.593,99 | 219 / 19 |
G.I. Hemorrhage W Mcc | 31 | 90 / 20 | $61.747,00 | 1226 / 51 | $11.574,80 | 733 / 46 | $10.342,50 | 732 / 52 |
G.I. Hemorrhage W/O Cc/Mcc | 22 | 46 / 11 | $25.959,30 | 728 / 30 | $3.793,82 | 81 / 2 | $2.875,23 | 81 / 8 |
G.I. Obstruction W Cc | 48 | 44 / 7 | $25.775,40 | 1028 / 41 | $4.816,25 | 131 / 5 | $3.893,17 | 130 / 12 |
G.I. Obstruction W Mcc | 12 | 30 / 9 | $50.858,20 | 351 / 11 | $9.703,33 | 99 / 5 | $8.424,42 | 99 / 3 |
G.I. Obstruction W/O Cc/Mcc | 25 | 46 / 12 | $19.449,40 | 793 / 30 | $3.313,80 | 113 / 1 | $2.359,24 | 113 / 6 |
Heart Failure & Shock W Cc | 125 | 153 / 18 | $26.868,30 | 1800 / 82 | $5.334,70 | 155 / 10 | $4.457,61 | 155 / 13 |
Heart Failure & Shock W Mcc | 152 | 132 / 10 | $48.019,60 | 1936 / 91 | $8.158,51 | 119 / 11 | $7.027,13 | 119 / 16 |
Heart Failure & Shock W/O Cc/Mcc | 71 | 39 / 5 | $20.332,80 | 1308 / 64 | $3.596,55 | 48 / 7 | $2.656,55 | 48 / 7 |
Hip & Femur Procedures Except Major Joint W Cc | 29 | 114 / 28 | $70.251,20 | 1548 / 67 | $10.892,90 | 259 / 16 | $9.644,10 | 258 / 17 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 12 | $62.716,20 | 728 / 33 | $8.699,19 | 77 / 3 | $7.563,88 | 77 / 6 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 33 | $149.839,00 | 1019 / 41 | $29.378,20 | 281 / 16 | $27.788,90 | 281 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 36 | 146 / 40 | $28.143,40 | 1018 / 46 | $5.632,31 | 71 / 6 | $4.481,06 | 71 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 35 | $33.893,30 | 483 / 19 | $9.046,73 | 139 / 5 | $8.264,60 | 138 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 32 | $25.667,20 | 938 / 37 | $4.039,65 | 102 / 2 | $3.003,24 | 100 / 13 |
Kidney & Urinary Tract Infections W Mcc | 35 | 109 / 20 | $33.241,70 | 1299 / 53 | $5.986,91 | 138 / 9 | $5.123,06 | 138 / 12 |
Kidney & Urinary Tract Infections W/O Mcc | 83 | 150 / 23 | $25.506,60 | 1999 / 89 | $4.160,61 | 125 / 8 | $3.183,24 | 125 / 15 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 8 | $75.586,40 | 698 / 23 | $9.364,81 | 47 / 2 | $7.490,44 | 47 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 10 | $52.368,90 | 435 / 18 | $6.543,54 | 64 / 1 | $5.399,23 | 64 / 3 |
Major Cardiovasc Procedures W Mcc | 12 | 56 / 15 | $164.760,00 | 408 / 13 | $30.257,30 | 145 / 1 | $29.104,50 | 145 / 7 |
Major Cardiovasc Procedures W/O Mcc | 23 | 78 / 16 | $131.474,00 | 798 / 31 | $19.200,80 | 244 / 7 | $18.138,00 | 244 / 11 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 23 | $27.561,70 | 574 / 33 | $6.251,77 | 97 / 6 | $5.578,23 | 97 / 11 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 8 | $51.870,40 | 437 / 12 | $9.996,79 | 47 / 2 | $9.278,57 | 47 / 4 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 20 | 76 / 9 | $106.365,00 | 770 / 35 | $11.804,00 | 115 / 1 | $10.573,20 | 115 / 7 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 227 | 337 / 24 | $83.799,90 | 2272 / 110 | $11.539,00 | 321 / 10 | $10.013,90 | 320 / 23 |
Major Small & Large Bowel Procedures W Cc | 23 | 85 / 24 | $90.291,60 | 1115 / 40 | $14.478,20 | 418 / 9 | $13.288,60 | 415 / 15 |
Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 21 | $151.737,00 | 820 / 29 | $29.335,70 | 340 / 13 | $27.996,70 | 338 / 18 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 12 | $64.147,60 | 606 / 18 | $9.328,88 | 14 / 2 | $6.555,44 | 14 / 1 |
Medical Back Problems W/O Mcc | 11 | 110 / 40 | $23.027,40 | 730 / 36 | $4.506,91 | 27 / 4 | $3.299,36 | 27 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 26 | $30.846,20 | 1002 / 36 | $5.948,43 | 52 / 3 | $5.081,14 | 52 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 47 | 119 / 25 | $23.362,60 | 1796 / 78 | $3.818,81 | 152 / 9 | $2.927,77 | 152 / 20 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 27 | $35.170,20 | 1028 / 41 | $5.469,94 | 41 / 8 | $4.190,06 | 41 / 7 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 26 | $33.704,90 | 489 / 19 | $8.172,27 | 25 / 2 | $6.929,67 | 25 / 4 |
Other Vascular Procedures W Cc | 22 | 80 / 19 | $114.890,00 | 945 / 46 | $17.263,50 | 703 / 34 | $16.462,10 | 699 / 47 |
Other Vascular Procedures W Mcc | 12 | 85 / 25 | $131.835,00 | 791 / 33 | $21.410,60 | 464 / 19 | $20.335,80 | 462 / 24 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 26 | $106.266,00 | 558 / 18 | $17.333,40 | 137 / 2 | $16.668,00 | 137 / 6 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 93 | 103 / 6 | $71.534,80 | 715 / 31 | $11.147,10 | 89 / 2 | $9.306,58 | 89 / 6 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 22 | 23 / 3 | $98.147,80 | 161 / 5 | $16.913,50 | 53 / 2 | $16.080,50 | 53 / 2 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 54 | 18 / 2 | $66.007,80 | 320 / 17 | $9.675,70 | 43 / 2 | $8.493,39 | 43 / 2 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 11 | 84 / 23 | $104.971,00 | 479 / 19 | $11.693,30 | 182 / 3 | $10.728,20 | 180 / 5 |
Peripheral Vascular Disorders W Cc | 24 | 60 / 11 | $24.097,90 | 592 / 30 | $5.044,71 | 31 / 4 | $4.018,67 | 31 / 8 |
Peripheral Vascular Disorders W Mcc | 15 | 34 / 9 | $29.798,50 | 203 / 9 | $7.303,27 | 26 / 1 | $6.303,33 | 26 / 3 |
Peripheral Vascular Disorders W/O Cc/Mcc | 16 | 29 / 7 | $21.251,80 | 238 / 7 | $3.609,12 | 17 / 3 | $2.622,94 | 17 / 2 |
Permanent Cardiac Pacemaker Implant W Cc | 23 | 54 / 11 | $96.453,00 | 754 / 36 | $14.433,00 | 101 / 4 | $13.352,40 | 101 / 7 |
Permanent Cardiac Pacemaker Implant W Mcc | 17 | 35 / 7 | $121.401,00 | 426 / 16 | $21.495,50 | 176 / 7 | $20.480,30 | 176 / 11 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 16 | 41 / 13 | $84.854,60 | 602 / 34 | $11.313,90 | 75 / 2 | $10.497,80 | 75 / 4 |
Pulmonary Edema & Respiratory Failure | 17 | 186 / 47 | $35.415,40 | 1311 / 56 | $6.554,06 | 73 / 6 | $5.590,71 | 73 / 12 |
Pulmonary Embolism W Mcc | 14 | 29 / 8 | $42.215,90 | 351 / 10 | $8.013,07 | 36 / 1 | $7.065,43 | 36 / 1 |
Pulmonary Embolism W/O Mcc | 13 | 61 / 27 | $41.509,70 | 1073 / 44 | $5.378,31 | 57 / 4 | $4.164,92 | 57 / 6 |
Red Blood Cell Disorders W Mcc | 18 | 53 / 14 | $46.472,90 | 783 / 29 | $7.013,61 | 64 / 6 | $5.920,39 | 64 / 6 |
Red Blood Cell Disorders W/O Mcc | 44 | 99 / 16 | $31.246,80 | 1549 / 71 | $4.445,32 | 131 / 8 | $3.491,02 | 131 / 16 |
Renal Failure W Cc | 59 | 162 / 32 | $28.782,10 | 1649 / 77 | $5.188,95 | 155 / 11 | $4.299,31 | 155 / 14 |
Renal Failure W Mcc | 38 | 157 / 30 | $43.098,40 | 1385 / 63 | $8.153,66 | 97 / 8 | $7.212,63 | 97 / 12 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 13 | $20.524,50 | 569 / 22 | $3.401,54 | 5 / 1 | $2.157,23 | 5 / 1 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 25 | $40.242,30 | 966 / 39 | $7.238,28 | 50 / 3 | $6.237,17 | 50 / 6 |
Respiratory Infections & Inflammations W Mcc | 38 | 98 / 16 | $56.493,50 | 1204 / 53 | $10.806,00 | 253 / 14 | $9.905,05 | 253 / 19 |
Respiratory Neoplasms W Mcc | 11 | 41 / 11 | $56.632,20 | 432 / 8 | $8.982,64 | 19 / 2 | $8.013,91 | 19 / 3 |
Respiratory Signs & Symptoms | 11 | 35 / 12 | $21.703,50 | 142 / 2 | $3.620,36 | 10 / 1 | $2.698,27 | 10 / 2 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 30 | $64.786,70 | 1030 / 43 | $12.408,50 | 108 / 10 | $11.213,00 | 108 / 13 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 18 | $119.969,00 | 382 / 16 | $27.856,90 | 113 / 4 | $26.618,60 | 113 / 8 |
Seizures W/O Mcc | 25 | 83 / 22 | $23.136,20 | 704 / 34 | $4.063,12 | 71 / 2 | $3.214,16 | 71 / 7 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 21 | 71 / 14 | $116.514,00 | 297 / 11 | $28.818,20 | 22 / 1 | $27.212,10 | 22 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 206 | 310 / 26 | $52.799,00 | 1883 / 80 | $10.323,40 | 372 / 21 | $9.300,48 | 372 / 28 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 131 | 76 / 7 | $34.040,80 | 1818 / 78 | $5.887,94 | 273 / 9 | $4.955,18 | 272 / 22 |
Simple Pneumonia & Pleurisy W Cc | 100 | 103 / 12 | $32.546,90 | 2085 / 84 | $5.277,18 | 99 / 9 | $4.139,94 | 99 / 12 |
Simple Pneumonia & Pleurisy W Mcc | 84 | 121 / 9 | $49.459,00 | 1899 / 78 | $8.042,44 | 249 / 11 | $6.935,26 | 249 / 16 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 43 | 50 / 6 | $25.715,60 | 1488 / 62 | $3.722,40 | 126 / 5 | $2.777,02 | 125 / 13 |
Syncope & Collapse | 60 | 109 / 18 | $22.777,30 | 1086 / 53 | $3.942,97 | 74 / 5 | $2.938,73 | 74 / 15 |
Transient Ischemia | 34 | 91 / 27 | $25.541,20 | 987 / 50 | $3.755,82 | 51 / 4 | $2.659,21 | 51 / 8 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 13 | 33 / 9 | $46.549,90 | 359 / 20 | $3.700,92 | 7 / 1 | $2.410,92 | 7 / 2 | Total 99 procedures | 3.703 | 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.