Hospital Costs > In Pennsylvania > Riddle Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 348 | 227 / 10 | $71.453,70 | 2030 / 97 | $14.361,50 | 813 / 91 | $10.778,50 | 799 / 51 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 186 | 330 / 28 | $84.482,60 | 2485 / 106 | $11.110,40 | 1078 / 43 | $10.293,20 | 1065 / 66 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 93 | 182 / 29 | $45.066,10 | 2589 / 118 | $4.590,98 | 192 / 33 | $3.103,41 | 192 / 23 |
| Cellulitis W/O Mcc | 85 | 104 / 17 | $39.547,20 | 2401 / 116 | $5.234,54 | 446 / 44 | $3.832,73 | 443 / 33 |
| Heart Failure & Shock W Cc | 80 | 198 / 39 | $44.994,00 | 2460 / 116 | $6.006,80 | 465 / 43 | $4.866,02 | 465 / 36 |
| Kidney & Urinary Tract Infections W/O Mcc | 80 | 153 / 24 | $39.818,60 | 2493 / 117 | $4.695,99 | 537 / 32 | $3.645,36 | 536 / 39 |
| Heart Failure & Shock W Mcc | 80 | 204 / 32 | $66.891,70 | 2296 / 110 | $8.850,14 | 942 / 36 | $8.210,45 | 941 / 55 |
| Simple Pneumonia & Pleurisy W Mcc | 70 | 135 / 15 | $68.483,80 | 2219 / 97 | $8.629,87 | 874 / 31 | $7.736,61 | 874 / 52 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 66 | 116 / 22 | $58.649,50 | 1853 / 85 | $6.497,36 | 714 / 35 | $5.450,71 | 713 / 42 |
| Respiratory Infections & Inflammations W Mcc | 65 | 71 / 4 | $90.201,80 | 1593 / 73 | $11.714,10 | 699 / 32 | $10.918,30 | 691 / 45 |
| Chronic Obstructive Pulmonary Disease W Mcc | 65 | 137 / 18 | $60.865,60 | 2365 / 108 | $6.980,95 | 809 / 32 | $6.052,46 | 804 / 50 |
| Renal Failure W Cc | 62 | 159 / 30 | $48.974,80 | 2239 / 111 | $5.854,39 | 764 / 36 | $4.973,69 | 757 / 47 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 60 | 147 / 29 | $60.856,50 | 2417 / 108 | $6.567,92 | 1095 / 39 | $5.754,85 | 1092 / 66 |
| G.I. Hemorrhage W Cc | 58 | 160 / 32 | $49.579,30 | 2155 / 101 | $6.434,00 | 793 / 47 | $5.174,45 | 791 / 46 |
| Spinal Fusion Except Cervical W/O Mcc | 56 | 138 / 12 | $109.270,00 | 826 / 44 | $25.603,90 | 320 / 33 | $20.704,10 | 319 / 21 |
| Pulmonary Edema & Respiratory Failure | 52 | 151 / 22 | $59.381,20 | 1918 / 88 | $7.304,31 | 696 / 23 | $6.586,15 | 696 / 48 |
| Simple Pneumonia & Pleurisy W Cc | 51 | 152 / 33 | $48.523,60 | 2531 / 112 | $6.515,57 | 350 / 66 | $4.512,86 | 348 / 30 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 48 | 17 / 3 | $98.282,40 | 169 / 16 | $21.957,70 | 120 / 10 | $19.285,50 | 120 / 11 |
| Kidney & Urinary Tract Infections W Mcc | 47 | 97 / 12 | $63.554,70 | 1851 / 86 | $7.138,62 | 916 / 39 | $6.241,26 | 913 / 54 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 46 | 120 / 26 | $37.628,10 | 2320 / 102 | $4.308,57 | 314 / 31 | $3.152,24 | 314 / 29 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 45 | 57 / 11 | $47.636,30 | 1465 / 73 | $4.507,76 | 429 / 11 | $3.541,36 | 426 / 33 |
| G.I. Obstruction W Cc | 45 | 47 / 8 | $46.429,80 | 1559 / 68 | $5.799,42 | 278 / 34 | $4.169,13 | 277 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 45 | 116 / 23 | $37.322,50 | 1852 / 88 | $4.771,91 | 425 / 26 | $3.752,18 | 425 / 35 |
| Red Blood Cell Disorders W/O Mcc | 45 | 98 / 15 | $34.906,50 | 1658 / 76 | $5.135,89 | 428 / 38 | $3.899,49 | 427 / 39 |
| Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 33 | $46.632,50 | 2195 / 111 | $5.602,62 | 715 / 32 | $4.737,10 | 713 / 51 |
| Syncope & Collapse | 41 | 128 / 30 | $45.453,80 | 1783 / 95 | $4.596,41 | 212 / 33 | $3.213,15 | 211 / 26 |
| Transient Ischemia | 40 | 85 / 21 | $40.512,40 | 1449 / 82 | $4.229,40 | 181 / 22 | $2.977,73 | 181 / 23 |
| Seizures W/O Mcc | 38 | 70 / 14 | $46.884,40 | 1201 / 60 | $4.733,16 | 160 / 16 | $3.465,55 | 159 / 16 |
| Hip & Femur Procedures Except Major Joint W Cc | 38 | 105 / 21 | $81.765,80 | 1728 / 74 | $11.774,10 | 897 / 41 | $10.789,60 | 884 / 56 |
| Renal Failure W Mcc | 38 | 157 / 30 | $90.104,70 | 2071 / 99 | $9.333,08 | 419 / 32 | $7.946,42 | 419 / 28 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 35 | 90 / 22 | $73.779,20 | 1495 / 76 | $9.805,83 | 257 / 29 | $8.439,23 | 257 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 33 | 117 / 34 | $23.415,80 | 1572 / 76 | $3.889,33 | 160 / 50 | $2.060,06 | 160 / 20 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 31 | 38 / 4 | $113.080,00 | 450 / 18 | $16.526,30 | 263 / 1 | $15.436,20 | 262 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 28 | $58.941,20 | 1668 / 86 | $7.318,63 | 545 / 31 | $6.433,30 | 542 / 44 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 28 | 61 / 14 | $56.012,80 | 630 / 28 | $7.061,64 | 149 / 11 | $5.013,82 | 149 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 28 | $63.697,30 | 1190 / 44 | $10.312,80 | 548 / 23 | $9.459,48 | 547 / 29 |
| Respiratory Infections & Inflammations W Cc | 27 | 61 / 16 | $57.735,80 | 1237 / 59 | $8.172,59 | 422 / 18 | $7.198,96 | 419 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 23 | $54.358,50 | 1542 / 59 | $6.593,16 | 460 / 14 | $5.967,24 | 457 / 25 |
| Other Disorders Of Nervous System W Cc | 23 | 33 / 10 | $56.328,50 | 586 / 36 | $5.304,70 | 120 / 5 | $4.467,13 | 120 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 32 | $167.666,00 | 1115 / 44 | $29.450,90 | 401 / 18 | $28.688,70 | 400 / 29 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 22 | 69 / 19 | $35.035,30 | 907 / 47 | $6.292,55 | 238 / 22 | $5.027,09 | 238 / 23 |
| Medical Back Problems W/O Mcc | 21 | 100 / 31 | $53.518,20 | 1437 / 75 | $5.134,29 | 402 / 19 | $4.101,14 | 402 / 30 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 35 | $34.404,70 | 1805 / 92 | $4.034,90 | 156 / 27 | $2.913,90 | 154 / 19 |
| Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 17 | $221.910,00 | 1104 / 43 | $30.241,60 | 463 / 19 | $29.274,70 | 461 / 26 |
| G.I. Hemorrhage W/O Cc/Mcc | 21 | 47 / 12 | $36.225,10 | 886 / 49 | $4.695,43 | 64 / 24 | $2.831,90 | 64 / 7 |
| G.I. Hemorrhage W Mcc | 21 | 100 / 30 | $74.359,70 | 1386 / 64 | $10.574,40 | 624 / 27 | $9.996,90 | 625 / 42 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 21 | $61.837,70 | 897 / 32 | $9.353,05 | 405 / 14 | $8.751,45 | 404 / 24 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 20 | 36 / 8 | $66.381,90 | 764 / 35 | $9.870,90 | 370 / 16 | $8.723,70 | 368 / 20 |
| G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 16 | $45.758,20 | 1271 / 54 | $3.875,95 | 224 / 15 | $2.578,50 | 224 / 15 |
| Other Digestive System Diagnoses W Cc | 20 | 77 / 24 | $55.235,90 | 1324 / 61 | $5.719,05 | 384 / 10 | $5.019,85 | 381 / 30 |
| Chest Pain | 20 | 131 / 32 | $31.742,40 | 1437 / 73 | $4.011,70 | 59 / 29 | $2.246,65 | 59 / 8 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 20 | 76 / 9 | $79.164,30 | 659 / 26 | $13.491,30 | 418 / 18 | $12.278,50 | 415 / 25 |
| Diabetes W Cc | 19 | 73 / 21 | $48.210,50 | 1522 / 70 | $5.005,79 | 253 / 16 | $3.924,53 | 253 / 15 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 25 | $32.501,30 | 1678 / 77 | $5.075,53 | 257 / 57 | $3.005,00 | 255 / 20 |
| Degenerative Nervous System Disorders W/O Mcc | 18 | 60 / 18 | $46.981,10 | 744 / 37 | $5.959,83 | 253 / 11 | $5.154,50 | 253 / 22 |
| Other Circulatory System Diagnoses W Cc | 18 | 48 / 10 | $38.701,60 | 529 / 15 | $5.795,33 | 67 / 6 | $4.567,83 | 67 / 3 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 29 | $128.329,00 | 1380 / 59 | $18.382,30 | 262 / 46 | $12.704,80 | 260 / 7 |
| Seizures W Mcc | 18 | 48 / 10 | $93.675,00 | 718 / 25 | $9.757,06 | 265 / 9 | $8.651,28 | 265 / 9 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 35 | $36.516,10 | 1881 / 93 | $4.323,41 | 347 / 22 | $3.182,71 | 347 / 33 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 18 | $38.335,70 | 981 / 46 | $5.633,00 | 248 / 12 | $4.744,00 | 247 / 23 |
| Revision Of Hip Or Knee Replacement W Cc | 16 | 70 / 12 | $141.126,00 | 597 / 23 | $21.183,20 | 43 / 7 | $16.043,10 | 43 / 3 |
| Pulmonary Embolism W/O Mcc | 16 | 58 / 24 | $48.014,20 | 1145 / 52 | $6.858,25 | 139 / 33 | $4.462,94 | 139 / 14 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 16 | $65.098,80 | 993 / 43 | $7.557,38 | 290 / 15 | $6.805,38 | 290 / 17 |
| Other Digestive System Diagnoses W Mcc | 16 | 46 / 11 | $116.474,00 | 744 / 25 | $11.983,90 | 466 / 12 | $11.402,40 | 465 / 21 |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 22 | $34.283,10 | 802 / 37 | $5.261,93 | 247 / 13 | $4.218,73 | 244 / 22 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 22 | $52.644,20 | 968 / 49 | $7.019,36 | 306 / 18 | $6.155,36 | 305 / 20 |
| Dysequilibrium | 14 | 51 / 13 | $33.878,70 | 457 / 26 | $4.809,86 | 17 / 18 | $2.212,14 | 17 / 3 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 30 | $39.248,90 | 1205 / 49 | $4.183,00 | 259 / 9 | $3.319,00 | 258 / 16 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 18 | $22.763,20 | 593 / 22 | $3.851,31 | 106 / 8 | $2.920,85 | 106 / 7 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 25 | $42.445,60 | 679 / 30 | $5.725,54 | 142 / 6 | $4.987,08 | 142 / 9 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 13 | $35.332,80 | 814 / 37 | $4.305,00 | 177 / 11 | $3.187,46 | 178 / 13 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 13 | 183 / 51 | $88.958,90 | 1035 / 41 | $12.346,50 | 728 / 12 | $11.322,50 | 724 / 36 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 10 | $109.958,00 | 429 / 17 | $16.020,20 | 243 / 10 | $14.902,60 | 243 / 13 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 14 | $112.556,00 | 716 / 21 | $18.958,80 | 74 / 7 | $15.586,20 | 74 / 3 |
| Organic Disturbances & Mental Retardation | 12 | 47 / 14 | $62.839,20 | 539 / 29 | $6.273,58 | 98 / 8 | $5.068,25 | 98 / 7 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 12 | $75.335,40 | 695 / 21 | $10.030,20 | 201 / 7 | $8.293,33 | 201 / 11 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 10 | $41.144,40 | 341 / 18 | $4.767,58 | 16 / 12 | $2.576,25 | 16 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 29 | $85.246,80 | 1425 / 63 | $7.508,08 | 89 / 18 | $5.659,08 | 89 / 9 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 15 | $36.316,60 | 679 / 37 | $5.437,92 | 83 / 26 | $3.258,42 | 83 / 6 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 14 | $127.071,00 | 815 / 23 | $17.704,60 | 308 / 6 | $16.603,20 | 305 / 11 |
| Fever | 11 | 35 / 16 | $52.727,50 | 323 / 16 | $5.588,73 | 27 / 4 | $3.776,64 | 27 / 1 |
| Female Reproductive System Reconstructive Procedures | 11 | 14 / 1 | $45.091,50 | 32 / 1 | $6.633,82 | 4 / 1 | $4.465,64 | 4 / 1 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 23 | $75.616,40 | 568 / 24 | $16.148,50 | 438 / 19 | $15.491,00 | 437 / 29 | Total 83 procedures | 3.089 | 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.