Hospital Costs > In Pennsylvania > St Luke's Hospital Anderson Campus, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 172 | 344 / 31 | $76.446,90 | 2385 / 103 | $12.656,80 | 315 / 84 | $9.201,15 | 315 / 22 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 100 | 175 / 25 | $33.574,80 | 2307 / 101 | $4.994,48 | 72 / 55 | $2.883,21 | 72 / 9 |
| Heart Failure & Shock W Mcc | 91 | 193 / 26 | $62.374,80 | 2230 / 107 | $10.171,60 | 94 / 86 | $6.945,97 | 94 / 12 |
| Renal Failure W Cc | 87 | 134 / 19 | $37.221,20 | 1963 / 93 | $6.349,22 | 38 / 58 | $3.998,13 | 38 / 7 |
| Heart Failure & Shock W Cc | 73 | 205 / 44 | $42.019,20 | 2386 / 111 | $6.676,23 | 28 / 78 | $4.085,34 | 28 / 3 |
| Cellulitis W/O Mcc | 57 | 132 / 33 | $31.174,90 | 2165 / 97 | $5.581,93 | 29 / 60 | $3.189,21 | 29 / 8 |
| Renal Failure W Mcc | 55 | 140 / 18 | $51.889,70 | 1617 / 70 | $9.332,07 | 34 / 31 | $6.871,96 | 34 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 48 | 159 / 36 | $42.133,70 | 2102 / 89 | $7.218,79 | 76 / 64 | $4.550,19 | 76 / 7 |
| Pulmonary Edema & Respiratory Failure | 44 | 159 / 26 | $57.500,00 | 1882 / 84 | $8.800,16 | 3 / 75 | $4.862,09 | 3 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 43 | 162 / 31 | $55.918,80 | 2035 / 87 | $9.601,51 | 50 / 63 | $6.408,26 | 50 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 42 | 161 / 42 | $34.317,90 | 2156 / 88 | $7.075,00 | 9 / 93 | $3.719,29 | 9 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 33 | $31.032,00 | 2167 / 93 | $4.341,16 | 65 / 33 | $2.755,03 | 65 / 8 |
| G.I. Hemorrhage W Cc | 36 | 182 / 46 | $42.445,20 | 2015 / 90 | $6.536,00 | 14 / 51 | $3.986,64 | 14 / 2 |
| Other Disorders Of Nervous System W Cc | 35 | 21 / 5 | $33.664,90 | 423 / 19 | $5.570,49 | 7 / 9 | $3.512,29 | 7 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 34 | $35.548,30 | 1816 / 86 | $6.023,67 | 32 / 80 | $3.089,12 | 32 / 7 |
| Medical Back Problems W/O Mcc | 30 | 91 / 25 | $35.244,30 | 1154 / 56 | $5.720,30 | 8 / 31 | $3.136,20 | 8 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 29 | 139 / 26 | $63.858,00 | 1191 / 45 | $10.168,50 | 50 / 20 | $7.865,90 | 50 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 47 | $45.807,40 | 1649 / 72 | $6.478,74 | 30 / 33 | $4.307,48 | 30 / 4 |
| Transient Ischemia | 27 | 98 / 32 | $34.959,90 | 1323 / 75 | $4.548,78 | 13 / 34 | $2.456,33 | 13 / 3 |
| Syncope & Collapse | 25 | 144 / 42 | $27.391,70 | 1324 / 66 | $4.508,48 | 31 / 29 | $2.781,52 | 31 / 7 |
| Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 32 | $81.042,10 | 1721 / 73 | $11.643,00 | 48 / 37 | $8.899,96 | 48 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 25 | 171 / 44 | $99.286,40 | 1148 / 49 | $12.303,70 | 23 / 10 | $8.668,56 | 23 / 3 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 29 | $143.691,00 | 1758 / 76 | $17.987,80 | 379 / 68 | $12.088,30 | 375 / 25 |
| Respiratory Infections & Inflammations W Mcc | 22 | 114 / 30 | $73.370,60 | 1446 / 62 | $12.144,20 | 53 / 40 | $9.108,00 | 53 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 20 | $49.475,10 | 1151 / 44 | $8.035,52 | 28 / 30 | $5.308,81 | 28 / 5 |
| Red Blood Cell Disorders W/O Mcc | 20 | 123 / 32 | $34.961,50 | 1661 / 77 | $5.389,55 | 120 / 50 | $3.464,85 | 120 / 15 |
| Other Digestive System Diagnoses W Cc | 20 | 77 / 24 | $46.187,00 | 1217 / 54 | $6.927,60 | 13 / 38 | $3.864,80 | 13 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 22 | $41.373,80 | 1062 / 58 | $6.107,32 | 18 / 15 | $4.252,16 | 18 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 35 | $169.846,00 | 1126 / 45 | $28.386,30 | 2 / 11 | $19.565,80 | 2 / 1 |
| G.I. Hemorrhage W Mcc | 19 | 102 / 32 | $78.258,40 | 1418 / 67 | $11.046,70 | 70 / 36 | $8.324,05 | 70 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 34 | $30.467,40 | 1199 / 52 | $7.189,39 | 12 / 44 | $4.548,39 | 12 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 47 | $56.854,10 | 1343 / 57 | $6.503,00 | 57 / 13 | $4.586,00 | 57 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 24 | $57.338,50 | 858 / 31 | $10.279,40 | 157 / 26 | $7.828,65 | 157 / 10 |
| Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 20 | $45.245,70 | 973 / 50 | $6.193,18 | 77 / 30 | $3.740,00 | 77 / 10 |
| Pulmonary Embolism W/O Mcc | 16 | 58 / 24 | $39.728,40 | 1050 / 43 | $6.668,19 | 1 / 28 | $3.426,56 | 1 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 72 | $37.873,90 | 2452 / 113 | $4.905,06 | 81 / 48 | $3.085,94 | 81 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 41 | $44.688,10 | 1435 / 68 | $8.192,62 | 2 / 58 | $4.819,69 | 2 / 1 |
| Other Circulatory System Diagnoses W Mcc | 16 | 100 / 28 | $64.910,30 | 988 / 36 | $11.644,10 | 32 / 17 | $8.614,44 | 32 / 5 |
| Chest Pain | 16 | 135 / 36 | $24.776,90 | 1198 / 60 | $3.753,69 | 47 / 23 | $2.209,94 | 47 / 6 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 14 | $31.720,90 | 494 / 13 | $5.939,40 | 38 / 12 | $3.793,53 | 38 / 2 |
| Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 21 | $26.240,70 | 418 / 20 | $5.872,00 | 3 / 10 | $3.794,93 | 3 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 32 | $59.436,60 | 1590 / 63 | $7.261,33 | 12 / 29 | $4.697,20 | 12 / 2 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 19 | $40.031,70 | 1012 / 49 | $6.301,93 | 68 / 31 | $4.274,00 | 68 / 10 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 60 | $35.276,00 | 1921 / 92 | $6.590,40 | 26 / 73 | $3.683,60 | 26 / 7 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 59 | $45.279,30 | 2078 / 94 | $7.772,53 | 82 / 62 | $5.098,07 | 82 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 50 | $25.557,20 | 1640 / 85 | $3.743,87 | 5 / 42 | $1.551,60 | 5 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 15 | 549 / 96 | $88.055,10 | 2329 / 113 | $13.153,80 | 132 / 62 | $9.484,40 | 132 / 12 |
| Respiratory Infections & Inflammations W Cc | 15 | 73 / 28 | $47.852,90 | 1113 / 48 | $9.352,13 | 118 / 42 | $6.546,80 | 118 / 10 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 38 | $27.634,20 | 1636 / 80 | $4.829,79 | 19 / 46 | $2.536,29 | 19 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 43 | $93.755,00 | 1669 / 90 | $13.367,10 | 1057 / 80 | $10.510,70 | 1054 / 74 |
| Degenerative Nervous System Disorders W Mcc | 13 | 25 / 5 | $31.809,30 | 72 / 2 | $8.457,69 | 1 / 1 | $6.372,08 | 1 / 1 |
| Seizures W Mcc | 13 | 53 / 15 | $53.704,50 | 522 / 16 | $8.461,00 | 4 / 1 | $6.019,23 | 4 / 1 |
| G.I. Obstruction W Cc | 13 | 79 / 32 | $39.879,10 | 1455 / 59 | $5.761,92 | 56 / 31 | $3.652,38 | 56 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 37 | $39.889,30 | 1360 / 64 | $4.829,83 | 40 / 26 | $2.811,50 | 40 / 6 |
| Extracranial Procedures W/O Cc/Mcc | 12 | 86 / 18 | $49.488,80 | 763 / 34 | $5.857,67 | 12 / 5 | $4.191,17 | 12 / 1 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 14 | $122.390,00 | 800 / 22 | $18.937,10 | 3 / 14 | $12.694,70 | 3 / 1 |
| Cellulitis W Mcc | 11 | 47 / 17 | $60.696,10 | 815 / 40 | $9.709,45 | 68 / 26 | $6.827,09 | 68 / 10 |
| Dysequilibrium | 11 | 54 / 16 | $29.156,00 | 406 / 20 | $3.768,00 | 7 / 6 | $2.128,91 | 7 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 33 | $25.659,30 | 1485 / 61 | $4.579,18 | 31 / 36 | $2.496,18 | 31 / 5 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 19 | $42.426,40 | 814 / 28 | $5.777,82 | 23 / 11 | $3.671,36 | 23 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 15 | $28.845,80 | 730 / 29 | $4.802,00 | 3 / 20 | $2.361,64 | 3 / 1 | Total 61 procedures | 1.747 | 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.