Hospital Costs > In Pennsylvania > St Luke's Quakertown 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 | 91 | 425 / 60 | $65.937,40 | 2219 / 96 | $10.856,90 | 583 / 39 | $9.641,09 | 582 / 35 |
| Heart Failure & Shock W Mcc | 43 | 241 / 57 | $53.452,90 | 2079 / 98 | $8.841,49 | 432 / 35 | $7.594,60 | 432 / 27 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 50 | $57.842,10 | 2380 / 105 | $6.398,55 | 723 / 29 | $5.409,45 | 721 / 41 |
| Heart Failure & Shock W Cc | 32 | 246 / 77 | $39.071,70 | 2295 / 101 | $5.687,22 | 579 / 23 | $4.972,22 | 579 / 42 |
| Renal Failure W Cc | 31 | 190 / 54 | $34.357,50 | 1876 / 88 | $5.632,00 | 330 / 23 | $4.569,16 | 328 / 26 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 31 | 533 / 84 | $91.067,90 | 2375 / 115 | $13.053,10 | 1142 / 58 | $11.287,00 | 1115 / 68 |
| Renal Failure W Mcc | 26 | 169 / 40 | $40.030,80 | 1294 / 60 | $7.974,92 | 99 / 3 | $7.216,15 | 99 / 13 |
| Cellulitis W/O Mcc | 22 | 167 / 64 | $34.122,90 | 2276 / 107 | $4.927,23 | 404 / 24 | $3.801,68 | 401 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 38 | $55.131,30 | 1619 / 80 | $7.463,20 | 197 / 35 | $5.848,35 | 197 / 22 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 63 | $45.652,80 | 2476 / 106 | $5.869,41 | 766 / 35 | $4.873,65 | 763 / 51 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 85 | $33.540,00 | 2305 / 100 | $4.692,87 | 254 / 41 | $3.181,60 | 254 / 27 |
| Pulmonary Edema & Respiratory Failure | 14 | 189 / 50 | $46.890,40 | 1688 / 74 | $7.435,14 | 205 / 31 | $5.928,43 | 205 / 22 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 42 | $86.175,40 | 1776 / 76 | $11.736,50 | 266 / 39 | $9.655,85 | 265 / 18 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 40 | $132.697,00 | 864 / 36 | $26.134,20 | 44 / 3 | $24.273,20 | 44 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 59 | $51.944,80 | 1962 / 81 | $8.882,38 | 489 / 44 | $7.311,85 | 489 / 26 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 45 | $53.945,80 | 1219 / 65 | $8.940,91 | 109 / 13 | $7.954,73 | 109 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 52 | $25.220,80 | 1632 / 83 | $3.627,55 | 143 / 35 | $2.036,00 | 143 / 18 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 41 | $38.248,80 | 1452 / 63 | $6.569,73 | 413 / 23 | $5.583,55 | 412 / 30 | Total 18 procedures | 447 | 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.