Hospital Costs > In Pennsylvania > St Joseph's Hospital Philadelphia, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 36 | 88 / 8 | $21.668,50 | 529 / 20 | $9.045,69 | 802 / 37 | $7.868,86 | 801 / 39 |
| Chest Pain | 32 | 119 / 21 | $19.324,40 | 872 / 43 | $8.411,25 | 1646 / 83 | $7.556,72 | 1637 / 86 |
| Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 43 | $27.200,50 | 1581 / 74 | $9.779,47 | 2322 / 116 | $8.790,31 | 2315 / 122 |
| Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 59 | $32.726,80 | 2303 / 101 | $9.946,50 | 2651 / 122 | $8.817,94 | 2640 / 125 |
| Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 27 | $45.238,60 | 1609 / 73 | $11.895,90 | 1862 / 85 | $10.560,90 | 1858 / 89 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 78 | $22.952,70 | 1712 / 76 | $9.400,00 | 2652 / 123 | $8.437,22 | 2637 / 126 |
| Renal Failure W Mcc | 22 | 173 / 44 | $66.251,70 | 1847 / 84 | $16.499,60 | 2059 / 103 | $15.181,00 | 2055 / 106 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 52 | $31.329,20 | 1549 / 72 | $12.055,70 | 2482 / 113 | $11.349,00 | 2474 / 121 |
| Heart Failure & Shock W Mcc | 22 | 262 / 75 | $39.490,50 | 1629 / 77 | $13.313,20 | 2349 / 116 | $12.316,80 | 2339 / 123 |
| Syncope & Collapse | 20 | 149 / 45 | $19.269,60 | 788 / 42 | $9.223,40 | 1860 / 98 | $8.162,35 | 1852 / 100 |
| Respiratory Infections & Inflammations W Mcc | 20 | 116 / 32 | $78.251,00 | 1488 / 64 | $19.021,20 | 1733 / 82 | $17.783,90 | 1717 / 84 |
| Renal Failure W Cc | 19 | 202 / 62 | $31.274,20 | 1763 / 81 | $10.938,50 | 2367 / 115 | $10.193,90 | 2357 / 120 |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 17 | 59 / 6 | $95.864,30 | 88 / 6 | $13.832,20 | 86 / 6 | $11.773,70 | 86 / 6 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 26 | $47.894,60 | 1115 / 49 | $12.987,50 | 1396 / 61 | $12.040,40 | 1391 / 69 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 36 | $44.049,40 | 442 / 19 | $16.111,90 | 1281 / 54 | $15.596,90 | 1268 / 67 |
| Seizures W/O Mcc | 15 | 93 / 30 | $16.584,00 | 347 / 20 | $9.486,73 | 1258 / 64 | $8.512,53 | 1256 / 68 |
| Heart Failure & Shock W Cc | 14 | 264 / 91 | $25.445,40 | 1700 / 73 | $11.167,10 | 2674 / 126 | $10.424,70 | 2668 / 132 |
| Cellulitis W/O Mcc | 13 | 176 / 72 | $31.401,80 | 2177 / 98 | $10.312,10 | 2553 / 122 | $9.201,38 | 2545 / 125 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 18 | $17.656,00 | 431 / 13 | $8.613,92 | 884 / 39 | $7.687,62 | 883 / 41 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 39 | $22.108,80 | 1414 / 66 | $9.189,23 | 2073 / 103 | $8.528,92 | 2061 / 106 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 17 | $104.816,00 | 284 / 12 | $38.767,30 | 664 / 28 | $36.252,10 | 663 / 29 |
| G.I. Hemorrhage W Cc | 11 | 207 / 64 | $35.583,80 | 1806 / 78 | $10.507,50 | 2332 / 110 | $9.799,73 | 2328 / 116 |
| Other Vascular Procedures W Mcc | 11 | 86 / 26 | $65.624,00 | 214 / 8 | $26.180,40 | 761 / 40 | $25.040,70 | 758 / 43 |
| Seizures W Mcc | 11 | 55 / 17 | $37.743,40 | 315 / 7 | $14.852,10 | 668 / 25 | $13.880,60 | 668 / 29 | Total 24 procedures | 469 | 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.