Hospital Costs > In Pennsylvania > Saint Vincent 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 | 180 | 384 / 35 | $67.687,60 | 1935 / 94 | $13.408,00 | 1164 / 68 | $11.314,50 | 1136 / 70 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 168 | 348 / 33 | $43.566,70 | 1505 / 69 | $11.578,90 | 904 / 58 | $10.063,10 | 901 / 53 |
| Psychoses | 156 | 149 / 8 | $20.922,60 | 349 / 17 | $7.679,73 | 211 / 21 | $5.549,03 | 211 / 17 |
| Heart Failure & Shock W Mcc | 100 | 184 / 24 | $38.833,80 | 1598 / 75 | $10.083,30 | 1375 / 82 | $8.835,00 | 1372 / 78 |
| Heart Failure & Shock W Cc | 86 | 192 / 36 | $29.683,30 | 1939 / 88 | $6.995,00 | 1496 / 86 | $5.766,08 | 1491 / 89 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 80 | 108 / 13 | $35.835,30 | 798 / 38 | $7.450,50 | 844 / 34 | $5.994,26 | 842 / 45 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 78 | 118 / 11 | $103.488,00 | 1198 / 52 | $12.777,40 | 715 / 20 | $11.290,80 | 711 / 35 |
| Spinal Fusion Except Cervical W/O Mcc | 77 | 117 / 10 | $111.755,00 | 854 / 45 | $23.640,30 | 422 / 19 | $21.374,10 | 419 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 69 | 138 / 25 | $25.076,30 | 1262 / 59 | $7.435,80 | 1162 / 74 | $5.823,06 | 1157 / 67 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 68 | 93 / 13 | $26.433,70 | 1473 / 69 | $5.879,97 | 1217 / 78 | $4.520,03 | 1212 / 77 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 64 | 118 / 24 | $34.521,90 | 1339 / 59 | $7.096,77 | 871 / 50 | $5.656,48 | 869 / 53 |
| Renal Failure W Cc | 64 | 157 / 29 | $27.880,80 | 1593 / 71 | $6.862,69 | 1390 / 78 | $5.604,73 | 1381 / 83 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 62 | 213 / 47 | $21.598,20 | 1569 / 71 | $5.592,58 | 1586 / 87 | $4.206,03 | 1573 / 91 |
| G.I. Hemorrhage W Cc | 62 | 156 / 29 | $24.085,50 | 1131 / 53 | $7.066,37 | 1252 / 72 | $5.647,10 | 1249 / 70 |
| Renal Failure W Mcc | 61 | 134 / 16 | $36.173,40 | 1109 / 54 | $10.053,10 | 867 / 51 | $8.680,71 | 867 / 49 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 52 | 71 / 12 | $39.618,50 | 1313 / 65 | $8.381,27 | 816 / 66 | $6.835,31 | 813 / 59 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 50 | 100 / 22 | $20.996,50 | 1452 / 68 | $4.462,42 | 1307 / 78 | $3.178,74 | 1302 / 81 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 48 | 83 / 15 | $72.192,60 | 1179 / 48 | $14.717,00 | 590 / 38 | $12.665,80 | 582 / 37 |
| Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 33 | $30.271,30 | 1495 / 67 | $7.952,43 | 1247 / 71 | $6.518,95 | 1241 / 69 |
| Major Small & Large Bowel Procedures W Mcc | 42 | 43 / 4 | $144.526,00 | 771 / 26 | $30.101,90 | 315 / 17 | $27.620,60 | 313 / 16 |
| Simple Pneumonia & Pleurisy W Mcc | 41 | 164 / 33 | $29.826,00 | 1024 / 46 | $9.454,05 | 1054 / 58 | $7.930,41 | 1054 / 59 |
| Chronic Obstructive Pulmonary Disease W Cc | 40 | 139 / 35 | $24.089,80 | 1387 / 67 | $6.661,20 | 1424 / 78 | $5.415,40 | 1419 / 83 |
| Hip & Femur Procedures Except Major Joint W Cc | 40 | 103 / 20 | $56.353,30 | 1254 / 54 | $12.433,20 | 738 / 53 | $10.493,10 | 731 / 47 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 39 | 129 / 19 | $47.448,50 | 904 / 33 | $10.953,20 | 594 / 35 | $9.605,92 | 593 / 34 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 38 | 51 / 8 | $39.857,20 | 465 / 20 | $7.414,63 | 335 / 15 | $5.732,13 | 334 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 46 | $24.715,40 | 1606 / 66 | $6.919,89 | 1440 / 84 | $5.454,38 | 1434 / 82 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 33 | $18.545,90 | 1385 / 64 | $5.295,84 | 1261 / 79 | $3.852,38 | 1257 / 67 |
| Other Digestive System Diagnoses W Cc | 35 | 62 / 12 | $20.918,10 | 462 / 20 | $6.830,09 | 718 / 31 | $5.609,51 | 714 / 47 |
| Transient Ischemia | 34 | 91 / 27 | $29.064,90 | 1149 / 62 | $5.189,79 | 977 / 61 | $4.016,21 | 972 / 70 |
| Red Blood Cell Disorders W/O Mcc | 34 | 109 / 22 | $25.015,30 | 1257 / 57 | $5.888,38 | 996 / 67 | $4.516,68 | 990 / 67 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 32 | 92 / 22 | $118.261,00 | 714 / 33 | $29.084,40 | 210 / 15 | $26.999,80 | 210 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 17 | $30.151,00 | 964 / 33 | $7.670,90 | 884 / 38 | $6.754,90 | 881 / 45 |
| Major Cardiovasc Procedures W/O Mcc | 31 | 70 / 11 | $123.468,00 | 755 / 29 | $20.450,50 | 347 / 14 | $18.949,70 | 347 / 17 |
| Pulmonary Edema & Respiratory Failure | 30 | 173 / 36 | $38.120,20 | 1436 / 62 | $8.126,80 | 692 / 57 | $6.579,33 | 692 / 47 |
| Syncope & Collapse | 30 | 139 / 37 | $22.944,40 | 1098 / 55 | $5.380,50 | 957 / 68 | $4.008,23 | 951 / 62 |
| Other Circulatory System Diagnoses W Mcc | 30 | 86 / 17 | $76.052,10 | 1113 / 41 | $12.779,60 | 611 / 30 | $11.181,80 | 609 / 31 |
| G.I. Hemorrhage W Mcc | 29 | 92 / 22 | $48.678,10 | 969 / 43 | $12.265,10 | 910 / 57 | $10.886,70 | 905 / 61 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 29 | 96 / 28 | $59.585,80 | 1320 / 68 | $11.431,40 | 888 / 60 | $9.962,28 | 887 / 65 |
| Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 24 | $24.740,70 | 902 / 41 | $7.494,07 | 782 / 51 | $6.076,93 | 781 / 46 |
| Other Vascular Procedures W Mcc | 28 | 69 / 13 | $149.867,00 | 866 / 40 | $22.535,40 | 519 / 26 | $20.909,50 | 516 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 24 | $32.168,00 | 1163 / 54 | $5.798,11 | 622 / 60 | $3.761,67 | 618 / 42 |
| Other Vascular Procedures W Cc | 27 | 75 / 15 | $96.633,00 | 812 / 38 | $16.731,90 | 574 / 29 | $15.387,30 | 571 / 36 |
| Cellulitis W/O Mcc | 26 | 163 / 61 | $13.072,60 | 600 / 37 | $6.078,92 | 1451 / 86 | $4.673,15 | 1444 / 89 |
| Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 31 | $20.577,30 | 1320 / 65 | $5.122,42 | 1230 / 76 | $4.008,85 | 1220 / 82 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 25 | 41 / 8 | $45.635,50 | 227 / 8 | $11.958,90 | 223 / 5 | $10.456,20 | 222 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 25 | 68 / 14 | $61.447,00 | 491 / 19 | $13.381,20 | 267 / 13 | $11.370,00 | 262 / 9 |
| G.I. Obstruction W Cc | 24 | 68 / 22 | $22.765,20 | 845 / 36 | $6.395,54 | 996 / 47 | $5.111,96 | 993 / 51 |
| Chest Pain | 24 | 127 / 28 | $26.250,90 | 1263 / 63 | $4.665,12 | 1000 / 59 | $3.553,42 | 994 / 61 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 22 | 96 / 15 | $213.204,00 | 435 / 21 | $31.352,70 | 139 / 5 | $29.472,10 | 139 / 8 |
| Major Small & Large Bowel Procedures W Cc | 22 | 86 / 25 | $69.430,20 | 843 / 31 | $16.569,30 | 195 / 30 | $12.472,00 | 194 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 22 | 78 / 16 | $130.106,00 | 727 / 26 | $19.443,50 | 290 / 10 | $17.825,40 | 288 / 11 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 22 | 69 / 19 | $35.205,80 | 913 / 48 | $7.370,55 | 608 / 48 | $5.676,05 | 607 / 45 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 21 | 95 / 15 | $255.705,00 | 328 / 15 | $44.606,10 | 61 / 3 | $42.739,00 | 61 / 4 |
| Seizures W/O Mcc | 21 | 87 / 25 | $24.101,50 | 739 / 37 | $5.626,62 | 764 / 40 | $4.651,57 | 761 / 50 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 20 | 49 / 11 | $93.473,70 | 474 / 25 | $11.580,70 | 245 / 12 | $10.044,80 | 245 / 15 |
| Cervical Spinal Fusion W/O Cc/Mcc | 18 | 86 / 12 | $59.696,60 | 459 / 10 | $13.676,40 | 201 / 8 | $11.102,10 | 201 / 8 |
| Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 13 | $23.153,70 | 411 / 14 | $6.350,18 | 442 / 16 | $5.110,88 | 441 / 21 |
| Medical Back Problems W/O Mcc | 17 | 104 / 34 | $20.609,40 | 578 / 27 | $5.767,29 | 636 / 35 | $4.457,47 | 634 / 46 |
| Respiratory Infections & Inflammations W Mcc | 17 | 119 / 35 | $60.948,60 | 1283 / 56 | $12.936,30 | 782 / 52 | $11.102,60 | 774 / 50 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 71 | $22.969,40 | 1841 / 82 | $5.772,82 | 1705 / 89 | $4.558,53 | 1694 / 95 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 16 | 41 / 13 | $62.443,80 | 430 / 16 | $13.439,10 | 315 / 16 | $12.049,60 | 314 / 18 |
| Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 14 | $47.979,10 | 748 / 31 | $7.186,69 | 480 / 23 | $5.684,00 | 479 / 25 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 16 | 60 / 12 | $172.233,00 | 433 / 20 | $28.924,10 | 301 / 12 | $26.717,60 | 301 / 21 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 25 | $24.176,50 | 615 / 24 | $6.798,27 | 460 / 31 | $5.111,33 | 458 / 29 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 13 | $50.499,70 | 589 / 21 | $10.576,50 | 425 / 22 | $8.894,20 | 423 / 26 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 11 | $84.519,50 | 525 / 16 | $18.909,50 | 240 / 6 | $17.104,10 | 238 / 8 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 15 | 83 / 12 | $102.763,00 | 202 / 6 | $26.617,90 | 122 / 4 | $24.667,80 | 122 / 4 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 15 | 25 / 3 | $84.717,90 | 306 / 8 | $17.091,70 | 246 / 6 | $15.195,70 | 245 / 9 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 21 | $14.035,30 | 454 / 22 | $4.811,93 | 816 / 37 | $3.477,47 | 813 / 41 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 26 | $40.613,00 | 963 / 33 | $8.250,87 | 694 / 32 | $7.114,73 | 689 / 38 |
| Major Cardiovasc Procedures W Mcc | 14 | 54 / 13 | $266.018,00 | 591 / 24 | $42.231,40 | 492 / 22 | $39.811,10 | 491 / 25 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 22 | $22.075,00 | 359 / 16 | $8.068,93 | 495 / 34 | $6.630,29 | 493 / 34 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 27 | $30.941,70 | 413 / 14 | $10.268,10 | 524 / 25 | $9.203,64 | 522 / 30 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 13 | $192.919,00 | 130 / 4 | $49.250,00 | 24 / 1 | $44.411,80 | 24 / 1 |
| Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 22 | $37.724,60 | 644 / 30 | $6.883,43 | 391 / 24 | $5.610,07 | 391 / 31 |
| Extracranial Procedures W Cc | 14 | 32 / 3 | $67.691,20 | 309 / 8 | $11.181,80 | 134 / 7 | $8.523,79 | 134 / 4 |
| Complications Of Treatment W Mcc | 14 | 37 / 7 | $43.585,90 | 134 / 6 | $11.309,90 | 60 / 3 | $9.701,00 | 60 / 3 |
| Nonspecific Cva & Precerebral Occlusion W/O Infarct W/O Mcc | 13 | 10 / 1 | $26.200,20 | 19 / 1 | $6.047,85 | 29 / 1 | $4.996,00 | 29 / 2 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 13 | $19.109,30 | 527 / 19 | $4.843,31 | 567 / 23 | $3.784,31 | 566 / 28 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 39 | $18.012,30 | 1113 / 51 | $5.355,31 | 1313 / 69 | $4.097,31 | 1302 / 80 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 18 | $27.714,70 | 721 / 29 | $5.287,23 | 554 / 22 | $4.041,00 | 553 / 27 |
| Other Disorders Of Nervous System W Cc | 13 | 43 / 19 | $28.500,70 | 350 / 10 | $6.469,00 | 276 / 21 | $5.169,08 | 276 / 22 |
| Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 8 | $201.479,00 | 241 / 8 | $38.940,90 | 69 / 4 | $36.645,50 | 69 / 4 |
| Disorders Of The Biliary Tract W Mcc | 13 | 26 / 8 | $45.317,10 | 125 / 4 | $10.541,40 | 44 / 3 | $8.867,54 | 44 / 3 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 12 | 76 / 15 | $124.755,00 | 390 / 13 | $23.146,90 | 140 / 6 | $19.350,90 | 139 / 5 |
| Other Resp System O.R. Procedures W Cc | 12 | 35 / 10 | $60.153,30 | 212 / 5 | $12.445,70 | 65 / 6 | $10.128,20 | 65 / 3 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 20 | $30.734,90 | 470 / 18 | $8.461,00 | 389 / 24 | $7.086,58 | 387 / 22 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 11 | $144.690,00 | 499 / 20 | $26.041,70 | 167 / 21 | $20.332,20 | 167 / 10 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 17 | $103.838,00 | 274 / 10 | $31.070,40 | 294 / 12 | $29.112,80 | 294 / 14 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 15 | $56.905,80 | 528 / 16 | $10.610,00 | 95 / 5 | $8.789,75 | 95 / 4 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 11 | 84 / 23 | $96.575,90 | 441 / 17 | $12.338,30 | 250 / 7 | $11.438,90 | 248 / 12 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 16 | $31.265,30 | 602 / 30 | $5.576,09 | 452 / 30 | $4.153,73 | 449 / 32 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 11 | $38.716,90 | 278 / 8 | $11.585,60 | 177 / 6 | $10.374,00 | 177 / 5 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 23 | $74.743,30 | 557 / 23 | $16.040,40 | 297 / 17 | $14.614,50 | 296 / 16 |
| Diabetes W Cc | 11 | 81 / 29 | $17.813,50 | 542 / 26 | $5.835,73 | 756 / 38 | $4.634,09 | 754 / 42 |
| Diabetes W Mcc | 11 | 46 / 12 | $33.075,50 | 340 / 9 | $9.223,18 | 333 / 7 | $8.295,36 | 333 / 11 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 23 | $16.555,20 | 244 / 16 | $6.763,27 | 602 / 39 | $5.565,91 | 599 / 43 |
| Interstitial Lung Disease W Mcc | 11 | 14 / 3 | $36.866,00 | 35 / 1 | $10.698,30 | 24 / 1 | $9.219,91 | 24 / 1 |
| Nervous System Neoplasms W Mcc | 11 | 37 / 11 | $29.052,10 | 77 / 4 | $8.907,91 | 94 / 1 | $7.472,18 | 94 / 3 | Total 99 procedures | 3.235 | 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.