Hospital Costs > In Pennsylvania > Tyler Memorial 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 | 16 | 173 / 70 | $16.923,50 | 1113 / 60 | $5.179,19 | 1052 / 39 | $4.311,19 | 1046 / 64 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 64 | $17.747,10 | 773 / 36 | $5.562,64 | 935 / 29 | $4.905,18 | 932 / 57 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 52 | $20.732,20 | 783 / 43 | $7.225,41 | 580 / 46 | $5.850,55 | 579 / 40 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 30 | $26.747,60 | 1605 / 76 | $4.484,64 | 704 / 32 | $3.495,55 | 702 / 48 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 81 | $14.742,10 | 717 / 37 | $4.645,89 | 797 / 39 | $3.626,95 | 792 / 52 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 52 | $13.622,90 | 780 / 35 | $4.377,56 | 462 / 35 | $3.285,56 | 462 / 39 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 39 | $16.066,20 | 544 / 31 | $4.904,08 | 562 / 30 | $4.048,69 | 560 / 47 |
| Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 53 | $22.204,80 | 1374 / 61 | $5.740,57 | 723 / 26 | $4.833,14 | 720 / 49 |
| Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 48 | $23.605,10 | 605 / 28 | $8.316,62 | 850 / 18 | $7.716,62 | 850 / 49 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 32 | $17.274,90 | 947 / 41 | $4.483,83 | 293 / 31 | $3.039,58 | 291 / 23 | Total 10 procedures | 183 | 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.