Hospital Costs > In Pennsylvania > St Luke's Miners Memorial Hospital, 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 | 131 | 385 / 45 | $37.658,90 | 1192 / 59 | $11.830,20 | 1465 / 65 | $10.961,00 | 1436 / 82 |
| Heart Failure & Shock W Mcc | 44 | 240 / 56 | $32.388,30 | 1241 / 60 | $9.604,77 | 1445 / 61 | $8.945,86 | 1441 / 85 |
| Renal Failure W Mcc | 37 | 158 / 31 | $28.792,10 | 691 / 34 | $9.860,81 | 922 / 45 | $8.763,32 | 922 / 53 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 36 | 528 / 82 | $64.174,60 | 1841 / 91 | $14.258,80 | 1718 / 88 | $12.612,90 | 1680 / 102 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 34 | 173 / 49 | $23.499,80 | 1116 / 54 | $6.835,71 | 1176 / 50 | $5.842,76 | 1171 / 70 |
| Pulmonary Edema & Respiratory Failure | 32 | 171 / 34 | $21.971,50 | 534 / 33 | $7.824,97 | 1005 / 44 | $6.959,97 | 1004 / 57 |
| Heart Failure & Shock W Cc | 32 | 246 / 77 | $21.321,50 | 1332 / 63 | $6.242,78 | 915 / 52 | $5.225,78 | 914 / 61 |
| Renal Failure W Cc | 30 | 191 / 55 | $21.576,40 | 1134 / 53 | $6.179,93 | 951 / 49 | $5.135,80 | 943 / 58 |
| Cellulitis W/O Mcc | 25 | 164 / 62 | $14.781,20 | 831 / 48 | $5.399,36 | 1207 / 50 | $4.435,52 | 1201 / 77 |
| Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 34 | $17.854,80 | 418 / 18 | $7.031,89 | 702 / 37 | $5.954,56 | 701 / 41 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 82 | $18.801,70 | 1249 / 59 | $4.751,50 | 1189 / 43 | $3.882,17 | 1179 / 70 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 51 | $13.050,70 | 685 / 31 | $4.939,12 | 369 / 64 | $3.206,71 | 369 / 34 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 59 | $21.217,10 | 1135 / 53 | $6.035,81 | 1234 / 50 | $5.201,81 | 1229 / 73 |
| Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 73 | $19.339,90 | 1501 / 70 | $4.860,80 | 1141 / 41 | $4.050,13 | 1133 / 65 |
| Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 60 | $27.541,70 | 1313 / 61 | $7.574,93 | 1471 / 56 | $6.797,79 | 1465 / 88 |
| Medical Back Problems W/O Mcc | 11 | 110 / 40 | $20.971,00 | 602 / 29 | $5.937,27 | 116 / 43 | $3.574,73 | 116 / 14 | Total 16 procedures | 510 | 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.