Hospital Costs > In Pennsylvania > Sunbury Community Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 13 | 176 / 72 | $18.703,20 | 1326 / 67 | $5.226,00 | 1151 / 42 | $4.391,54 | 1145 / 73 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 64 | $27.638,10 | 1598 / 75 | $5.656,00 | 415 / 36 | $4.442,91 | 414 / 34 |
| Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 32 | $36.782,80 | 1825 / 83 | $6.879,61 | 682 / 24 | $5.961,27 | 678 / 44 |
| Heart Failure & Shock W Mcc | 12 | 272 / 83 | $37.607,30 | 1537 / 73 | $8.671,25 | 104 / 27 | $6.980,42 | 104 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 12 | 552 / 98 | $102.815,00 | 2509 / 122 | $12.352,20 | 1123 / 31 | $11.250,80 | 1098 / 67 |
| Psychoses | 87 | 202 / 15 | $37.174,20 | 531 / 31 | $6.158,54 | 98 / 5 | $5.125,95 | 98 / 5 |
| Renal Failure W Cc | 18 | 203 / 63 | $25.734,80 | 1474 / 68 | $5.873,00 | 639 / 38 | $4.868,56 | 633 / 41 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 32 | $36.683,40 | 892 / 35 | $7.995,64 | 437 / 15 | $7.221,82 | 434 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 24 | 492 / 94 | $30.155,80 | 787 / 45 | $10.548,10 | 623 / 29 | $9.694,79 | 622 / 39 |
| Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 52 | $33.356,40 | 2116 / 86 | $5.965,90 | 869 / 40 | $4.967,50 | 866 / 56 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 58 | $53.440,90 | 1993 / 86 | $8.393,86 | 757 / 22 | $7.612,14 | 757 / 37 | Total 11 procedures | 276 | 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.