Hospital Costs > In Pennsylvania > Soldiers And Sailors Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 52 | $17.936,20 | 1267 / 61 | $3.839,36 | 895 / 47 | $2.745,55 | 891 / 62 |
| Cellulitis W/O Mcc | 13 | 176 / 72 | $16.161,20 | 1016 / 56 | $5.839,31 | 1581 / 70 | $4.810,38 | 1574 / 95 |
| Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 52 | $23.495,90 | 1347 / 66 | $7.250,17 | 1799 / 96 | $6.096,87 | 1792 / 108 |
| Chronic Obstructive Pulmonary Disease W Mcc | 40 | 162 / 35 | $25.573,80 | 1172 / 59 | $8.612,88 | 1736 / 91 | $7.289,50 | 1728 / 102 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 30 | $21.384,40 | 1363 / 62 | $5.012,32 | 1400 / 55 | $4.242,86 | 1389 / 83 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 79 | $15.685,80 | 844 / 45 | $5.119,09 | 1568 / 62 | $4.188,18 | 1555 / 90 |
| G.I. Hemorrhage W Cc | 25 | 193 / 53 | $18.050,50 | 570 / 33 | $6.949,80 | 1481 / 67 | $5.939,88 | 1477 / 84 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 24 | $14.022,80 | 452 / 21 | $4.205,42 | 732 / 23 | $3.304,08 | 729 / 37 |
| Heart Failure & Shock W Cc | 31 | 247 / 78 | $19.173,60 | 1069 / 52 | $7.587,97 | 1709 / 102 | $6.007,29 | 1704 / 99 |
| Heart Failure & Shock W Mcc | 18 | 266 / 78 | $35.130,10 | 1402 / 66 | $11.835,80 | 2197 / 108 | $11.233,20 | 2187 / 118 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 45 | $10.108,20 | 269 / 19 | $4.663,27 | 1228 / 55 | $4.005,82 | 1218 / 81 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 40 | $19.214,20 | 525 / 24 | $7.837,92 | 1229 / 57 | $6.829,92 | 1225 / 67 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 71 | $17.619,20 | 1299 / 62 | $5.564,12 | 1816 / 83 | $4.711,47 | 1805 / 102 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 41 | 523 / 78 | $41.531,90 | 849 / 57 | $14.887,00 | 2044 / 100 | $13.767,00 | 2002 / 115 |
| Renal Failure W Cc | 32 | 189 / 53 | $18.128,80 | 786 / 42 | $6.762,38 | 1538 / 74 | $5.821,38 | 1529 / 90 |
| Renal Failure W Mcc | 18 | 177 / 47 | $47.641,90 | 1519 / 67 | $15.996,90 | 2061 / 100 | $15.189,80 | 2057 / 107 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 39 | $56.540,80 | 1205 / 54 | $18.617,40 | 1739 / 81 | $17.908,10 | 1723 / 85 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 56 | 460 / 76 | $33.200,70 | 950 / 49 | $13.816,50 | 2170 / 97 | $13.062,80 | 2132 / 114 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 61 | $19.178,60 | 711 / 39 | $7.397,45 | 1743 / 69 | $6.672,65 | 1736 / 97 |
| Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 38 | $19.541,20 | 1080 / 47 | $6.918,50 | 1936 / 83 | $6.055,91 | 1928 / 105 |
| Simple Pneumonia & Pleurisy W Mcc | 44 | 161 / 30 | $30.079,70 | 1038 / 47 | $10.655,70 | 1928 / 85 | $9.802,61 | 1928 / 101 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 30 | $16.505,60 | 885 / 37 | $4.853,36 | 1372 / 50 | $4.163,07 | 1364 / 75 | Total 22 procedures | 540 | 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.