Hospital Costs > In Pennsylvania > Surgical Specialty Center At Coordinated Health, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 126 | 438 / 46 | $40.259,80 | 772 / 55 | $11.354,50 | 285 / 5 | $9.926,95 | 285 / 20 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 15 | 31 / 4 | $129.868,00 | 21 / 2 | $43.118,30 | 13 / 1 | $38.718,90 | 13 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 14 | 180 / 36 | $67.154,70 | 317 / 20 | $21.002,90 | 244 / 3 | $20.141,20 | 243 / 12 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 13 | 50 / 16 | $55.639,90 | 55 / 5 | $18.584,20 | 79 / 3 | $18.119,00 | 79 / 6 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 12 | $49.808,00 | 128 / 6 | $14.131,00 | 29 / 3 | $11.937,50 | 29 / 2 | Total 5 procedures | 179 | 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.