Hospital Costs > In Pennsylvania > St Clair 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 | 219 | 345 / 27 | $40.009,00 | 755 / 54 | $11.622,50 | 7 / 15 | $8.086,25 | 7 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 120 | 396 / 50 | $26.653,20 | 629 / 36 | $9.468,81 | 21 / 5 | $8.059,70 | 21 / 4 |
| Heart Failure & Shock W Mcc | 112 | 172 / 23 | $20.802,90 | 469 / 31 | $7.520,95 | 28 / 2 | $6.589,79 | 28 / 4 |
| Heart Failure & Shock W Cc | 84 | 194 / 37 | $14.719,60 | 547 / 30 | $5.009,45 | 27 / 2 | $4.085,13 | 27 / 2 |
| Cellulitis W/O Mcc | 78 | 111 / 21 | $11.016,90 | 361 / 28 | $4.325,99 | 20 / 3 | $3.088,03 | 20 / 5 |
| Kidney & Urinary Tract Infections W/O Mcc | 75 | 158 / 27 | $12.798,40 | 624 / 37 | $3.999,57 | 27 / 3 | $2.908,25 | 27 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 68 | 207 / 43 | $15.186,70 | 781 / 43 | $4.049,10 | 6 / 6 | $2.470,49 | 6 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 67 | 138 / 17 | $22.568,70 | 549 / 25 | $7.420,78 | 20 / 2 | $6.096,55 | 20 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 64 | 139 / 22 | $19.168,00 | 1049 / 46 | $5.087,73 | 56 / 4 | $4.006,66 | 56 / 7 |
| Transient Ischemia | 56 | 69 / 12 | $14.190,30 | 248 / 16 | $3.685,66 | 10 / 2 | $2.443,61 | 10 / 2 |
| G.I. Hemorrhage W Cc | 55 | 163 / 34 | $23.453,90 | 1073 / 51 | $5.293,80 | 134 / 5 | $4.441,51 | 134 / 13 |
| Kidney & Urinary Tract Infections W Mcc | 52 | 92 / 9 | $16.418,90 | 328 / 14 | $5.736,02 | 72 / 1 | $4.943,96 | 72 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 51 | 115 / 22 | $13.726,20 | 792 / 38 | $3.585,14 | 69 / 1 | $2.763,96 | 69 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 49 | 153 / 28 | $18.459,10 | 601 / 31 | $5.976,80 | 41 / 1 | $4.923,37 | 41 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 47 | 103 / 23 | $9.076,64 | 241 / 13 | $2.933,70 | 42 / 3 | $1.816,70 | 42 / 6 |
| Hip & Femur Procedures Except Major Joint W Cc | 45 | 98 / 18 | $32.468,30 | 312 / 19 | $9.990,73 | 74 / 1 | $9.105,40 | 74 / 6 |
| Renal Failure W Mcc | 45 | 150 / 23 | $24.546,00 | 434 / 21 | $8.043,22 | 84 / 4 | $7.167,84 | 84 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 45 | 134 / 30 | $14.924,50 | 502 / 25 | $4.794,67 | 67 / 4 | $3.909,33 | 67 / 9 |
| Renal Failure W Cc | 44 | 177 / 44 | $19.343,00 | 908 / 45 | $5.017,70 | 58 / 5 | $4.071,00 | 58 / 8 |
| Heart Failure & Shock W/O Cc/Mcc | 43 | 67 / 19 | $11.989,80 | 466 / 34 | $3.456,93 | 49 / 3 | $2.661,40 | 49 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 40 | 62 / 14 | $14.725,00 | 236 / 14 | $4.383,62 | 6 / 10 | $2.549,80 | 6 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 29 | $11.028,60 | 175 / 10 | $4.191,00 | 52 / 4 | $3.156,36 | 52 / 10 |
| Syncope & Collapse | 38 | 131 / 32 | $13.318,50 | 283 / 22 | $3.777,76 | 24 / 4 | $2.762,16 | 24 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 38 | 85 / 20 | $17.269,10 | 205 / 14 | $6.556,68 | 4 / 4 | $4.914,95 | 4 / 3 |
| Respiratory Infections & Inflammations W Mcc | 37 | 99 / 17 | $22.428,90 | 156 / 8 | $9.946,32 | 15 / 1 | $8.582,87 | 15 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 46 | $18.573,10 | 641 / 35 | $5.433,30 | 54 / 2 | $4.486,35 | 54 / 5 |
| Red Blood Cell Disorders W/O Mcc | 37 | 106 / 19 | $15.643,50 | 510 / 28 | $4.392,81 | 12 / 6 | $2.963,19 | 12 / 3 |
| G.I. Hemorrhage W Mcc | 31 | 90 / 20 | $31.859,30 | 384 / 20 | $8.787,16 | 10 / 2 | $7.559,13 | 10 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 24 | $32.233,90 | 155 / 10 | $11.815,80 | 21 / 4 | $10.056,50 | 21 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 44 | $19.754,90 | 458 / 22 | $5.556,90 | 4 / 5 | $3.979,90 | 4 / 2 |
| Pulmonary Edema & Respiratory Failure | 27 | 176 / 38 | $16.940,30 | 231 / 13 | $6.304,48 | 62 / 2 | $5.543,59 | 62 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 29 | $22.512,00 | 219 / 17 | $8.917,11 | 117 / 11 | $7.980,81 | 117 / 18 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 18 | $11.328,00 | 350 / 21 | $3.691,62 | 2 / 4 | $2.175,00 | 2 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 24 | 47 / 13 | $13.099,90 | 375 / 14 | $3.321,83 | 20 / 2 | $2.023,33 | 20 / 1 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 20 | $18.858,10 | 219 / 9 | $7.126,61 | 5 / 2 | $5.676,74 | 5 / 2 |
| Red Blood Cell Disorders W Mcc | 23 | 48 / 9 | $19.183,70 | 138 / 4 | $6.586,39 | 13 / 3 | $5.495,61 | 13 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 19 | $18.796,20 | 94 / 4 | $7.591,95 | 18 / 1 | $6.816,55 | 18 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 44 | $25.698,00 | 315 / 19 | $5.807,64 | 22 / 2 | $4.386,00 | 22 / 3 |
| G.I. Obstruction W Cc | 21 | 71 / 25 | $16.717,70 | 415 / 21 | $4.682,33 | 9 / 2 | $3.314,24 | 9 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 26 | $16.026,20 | 188 / 6 | $5.701,95 | 32 / 2 | $4.897,38 | 32 / 4 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 32 | $11.584,50 | 403 / 21 | $3.787,90 | 44 / 3 | $2.663,45 | 44 / 9 |
| Other Digestive System Diagnoses W Cc | 20 | 77 / 24 | $23.130,60 | 569 / 27 | $5.084,50 | 17 / 3 | $3.908,90 | 17 / 3 |
| Major Small & Large Bowel Procedures W Cc | 19 | 89 / 28 | $71.283,60 | 879 / 33 | $15.641,70 | 146 / 23 | $12.168,90 | 146 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 48 | $55.466,60 | 358 / 14 | $13.692,90 | 1 / 29 | $7.474,50 | 1 / 1 |
| Medical Back Problems W/O Mcc | 17 | 104 / 34 | $14.757,90 | 214 / 15 | $4.160,18 | 2 / 1 | $2.738,18 | 2 / 2 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 12 | $28.249,90 | 153 / 8 | $8.995,06 | 3 / 5 | $6.555,00 | 3 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 25 | $21.459,30 | 270 / 8 | $6.162,44 | 25 / 2 | $5.256,44 | 25 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 16 | 49 / 10 | $54.464,20 | 174 / 5 | $17.299,60 | 150 / 4 | $16.389,60 | 150 / 5 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 22 | $78.263,30 | 184 / 8 | $24.488,30 | 12 / 3 | $21.549,80 | 12 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 12 | $64.642,30 | 528 / 20 | $12.713,40 | 1 / 4 | $7.571,13 | 1 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 11 | $11.725,80 | 149 / 6 | $3.350,73 | 13 / 1 | $2.550,73 | 13 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 21 | $19.269,90 | 266 / 12 | $6.224,13 | 6 / 5 | $4.697,07 | 6 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 23 | $76.561,00 | 237 / 9 | $18.044,10 | 32 / 4 | $15.223,10 | 32 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 21 | $82.132,10 | 403 / 17 | $19.991,70 | 3 / 12 | $14.748,10 | 3 / 2 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 14 | $100.138,00 | 250 / 8 | $33.576,70 | 50 / 18 | $25.116,70 | 50 / 4 |
| Spinal Fusion Except Cervical W/O Mcc | 14 | 180 / 36 | $73.985,40 | 437 / 28 | $22.382,60 | 1 / 10 | $12.615,90 | 1 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 36 | $35.192,90 | 529 / 21 | $9.469,64 | 25 / 12 | $7.626,71 | 25 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 40 | $88.307,10 | 342 / 16 | $27.271,20 | 170 / 10 | $26.530,30 | 170 / 15 |
| Cellulitis W Mcc | 13 | 45 / 15 | $15.126,80 | 41 / 1 | $6.858,38 | 13 / 1 | $6.135,31 | 13 / 3 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 13 | 78 / 10 | $20.885,10 | 79 / 2 | $7.017,38 | 1 / 1 | $2.454,38 | 1 / 1 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 10 | $65.643,40 | 247 / 12 | $13.697,10 | 60 / 1 | $12.488,50 | 60 / 4 |
| Pulmonary Embolism W/O Mcc | 13 | 61 / 27 | $17.820,40 | 280 / 12 | $4.949,31 | 14 / 1 | $3.748,08 | 14 / 3 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 13 | 40 / 8 | $31.167,40 | 49 / 2 | $9.214,46 | 6 / 1 | $7.542,46 | 6 / 1 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 13 | 32 / 9 | $10.044,30 | 47 / 2 | $3.396,62 | 11 / 1 | $2.557,23 | 11 / 1 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 12 | $15.427,10 | 74 / 3 | $4.132,42 | 2 / 1 | $3.033,42 | 2 / 1 |
| Seizures W/O Mcc | 12 | 96 / 33 | $11.917,10 | 130 / 10 | $3.846,33 | 53 / 1 | $3.142,33 | 53 / 5 |
| Other Respiratory System Diagnoses W/O Mcc | 12 | 34 / 12 | $10.674,40 | 20 / 1 | $4.245,58 | 1 / 2 | $2.855,25 | 1 / 1 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 11 | $64.321,30 | 107 / 7 | $18.419,20 | 1 / 1 | $15.430,80 | 1 / 1 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 32 | $14.153,90 | 281 / 13 | $3.925,92 | 3 / 3 | $2.296,83 | 3 / 1 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 22 | $17.244,10 | 280 / 18 | $4.944,67 | 13 / 1 | $3.739,33 | 13 / 5 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 14 | $37.090,20 | 37 / 1 | $15.157,70 | 27 / 1 | $14.149,70 | 27 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 10 | $32.859,50 | 181 / 5 | $9.237,42 | 2 / 1 | $7.018,50 | 2 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 11 | $30.401,40 | 162 / 5 | $6.790,00 | 1 / 2 | $4.274,42 | 1 / 1 |
| Dysequilibrium | 11 | 54 / 16 | $15.921,20 | 147 / 6 | $4.200,18 | 26 / 9 | $2.260,36 | 26 / 5 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 22 | $75.814,20 | 71 / 4 | $30.564,30 | 107 / 4 | $30.122,10 | 107 / 7 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 16 | $13.575,80 | 107 / 6 | $4.344,73 | 1 / 7 | $2.474,55 | 1 / 1 |
| Other Vascular Procedures W Cc | 11 | 91 / 27 | $73.221,30 | 552 / 27 | $17.545,70 | 57 / 36 | $12.371,70 | 57 / 4 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 11 | 35 / 9 | $12.299,70 | 13 / 1 | $6.005,64 | 1 / 1 | $2.494,64 | 1 / 1 |
| Other Skin, Subcut Tiss & Breast Proc W Cc | 11 | 13 / 4 | $27.559,40 | 11 / 1 | $8.477,09 | 2 / 2 | $5.747,27 | 2 / 1 | Total 79 procedures | 2.552 | 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.