Hospital Costs > In Pennsylvania > Roxborough Memorial Hospital, 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 | 13 | 78 / 28 | $44.246,80 | 1104 / 60 | $10.372,30 | 1230 / 70 | $7.971,38 | 1228 / 73 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 36 | $61.432,20 | 1347 / 70 | $15.753,80 | 1428 / 89 | $12.278,20 | 1416 / 89 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 38 | $25.698,70 | 1432 / 67 | $7.178,46 | 1548 / 95 | $5.098,29 | 1543 / 93 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 46 | $44.174,10 | 1423 / 67 | $11.397,70 | 1367 / 89 | $8.185,27 | 1364 / 86 |
Chest Pain | 17 | 134 / 35 | $18.650,90 | 818 / 40 | $5.631,53 | 1229 / 71 | $4.067,18 | 1222 / 72 |
Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 58 | $32.615,40 | 1832 / 84 | $7.971,29 | 1525 / 105 | $5.550,29 | 1519 / 91 |
Dysequilibrium | 11 | 54 / 16 | $17.865,50 | 194 / 7 | $5.912,09 | 328 / 26 | $3.730,18 | 328 / 24 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 30 | $32.395,60 | 723 / 23 | $10.561,30 | 942 / 53 | $7.946,00 | 937 / 50 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 67 | $25.303,00 | 1904 / 81 | $6.957,08 | 1926 / 112 | $4.638,68 | 1912 / 103 |
G.I. Hemorrhage W Cc | 13 | 205 / 62 | $38.241,60 | 1902 / 85 | $9.489,92 | 1730 / 104 | $6.424,62 | 1726 / 97 |
Heart Failure & Shock W Cc | 30 | 248 / 79 | $31.178,50 | 2021 / 90 | $9.349,97 | 2067 / 119 | $6.658,10 | 2062 / 116 |
Heart Failure & Shock W Mcc | 43 | 241 / 57 | $45.883,30 | 1874 / 85 | $12.960,40 | 1879 / 115 | $9.973,93 | 1874 / 110 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 30 | $115.091,00 | 687 / 29 | $38.064,20 | 802 / 53 | $32.740,40 | 796 / 50 |
Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 32 | $25.573,90 | 956 / 44 | $9.648,70 | 1292 / 77 | $6.986,10 | 1288 / 70 |
Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 73 | $21.150,30 | 1686 / 78 | $6.912,93 | 1773 / 110 | $4.651,13 | 1762 / 100 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 14 | 550 / 97 | $85.317,60 | 2296 / 111 | $17.863,90 | 2205 / 122 | $14.708,10 | 2161 / 119 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 21 | $32.092,40 | 1053 / 37 | $9.966,41 | 1020 / 63 | $7.149,81 | 1017 / 53 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 46 | $20.629,60 | 1616 / 71 | $6.605,95 | 1770 / 100 | $4.422,77 | 1765 / 95 |
Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 9 | $23.137,50 | 184 / 5 | $7.962,00 | 274 / 10 | $5.930,18 | 274 / 11 |
Nonspecific Cerebrovascular Disorders W Mcc | 15 | 36 / 6 | $36.675,90 | 161 / 3 | $13.292,90 | 237 / 6 | $10.632,10 | 237 / 5 |
Other Respiratory System Diagnoses W/O Mcc | 18 | 28 / 7 | $21.524,20 | 130 / 8 | $6.967,56 | 187 / 20 | $5.182,22 | 187 / 20 |
Pulmonary Edema & Respiratory Failure | 51 | 152 / 23 | $41.352,00 | 1548 / 67 | $10.760,00 | 1610 / 93 | $8.132,53 | 1605 / 89 |
Renal Failure W Cc | 25 | 196 / 59 | $25.388,60 | 1455 / 67 | $8.750,60 | 1767 / 104 | $6.329,32 | 1757 / 102 |
Renal Failure W Mcc | 49 | 146 / 21 | $29.401,70 | 726 / 36 | $11.683,00 | 1083 / 82 | $9.093,73 | 1083 / 63 |
Respiratory Infections & Inflammations W Mcc | 18 | 118 / 34 | $51.171,30 | 1104 / 47 | $16.126,90 | 1196 / 77 | $12.541,80 | 1181 / 70 |
Seizures W/O Mcc | 12 | 96 / 33 | $23.161,40 | 705 / 35 | $6.606,17 | 868 / 56 | $4.954,50 | 865 / 59 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 156 | 360 / 36 | $57.724,50 | 2024 / 87 | $16.520,20 | 2046 / 115 | $12.541,70 | 2009 / 109 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 59 | $29.450,60 | 1583 / 66 | $9.859,45 | 1542 / 107 | $6.332,41 | 1535 / 89 |
Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 59 | $43.149,50 | 1683 / 66 | $11.892,20 | 1594 / 99 | $8.900,31 | 1594 / 86 |
Syncope & Collapse | 25 | 144 / 42 | $24.123,40 | 1173 / 59 | $6.932,56 | 1351 / 90 | $4.714,40 | 1344 / 86 |
Transient Ischemia | 17 | 108 / 40 | $23.813,60 | 904 / 44 | $6.281,24 | 1187 / 81 | $4.488,00 | 1181 / 81 | Total 31 procedures | 805 | 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.