Hospital Costs > In Pennsylvania > Upmc Passavant, 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 | 169 | 395 / 36 | $59.204,40 | 1665 / 86 | $11.653,60 | 80 / 16 | $9.237,66 | 80 / 8 |
| Kidney & Urinary Tract Infections W/O Mcc | 115 | 118 / 10 | $18.815,90 | 1435 / 68 | $4.057,91 | 67 / 6 | $3.062,39 | 67 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 104 | 171 / 24 | $23.377,80 | 1752 / 79 | $4.405,10 | 35 / 21 | $2.780,29 | 35 / 6 |
| Heart Failure & Shock W Cc | 89 | 189 / 35 | $27.050,30 | 1808 / 83 | $5.102,98 | 46 / 4 | $4.186,42 | 46 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 86 | 430 / 63 | $52.439,80 | 1870 / 79 | $10.141,10 | 250 / 16 | $9.059,44 | 250 / 18 |
| Heart Failure & Shock W Mcc | 82 | 202 / 31 | $35.239,80 | 1414 / 67 | $8.048,76 | 32 / 9 | $6.653,91 | 32 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 75 | 128 / 17 | $25.489,60 | 1653 / 69 | $5.117,19 | 24 / 5 | $3.881,45 | 24 / 5 |
| G.I. Hemorrhage W Cc | 68 | 150 / 25 | $27.653,60 | 1415 / 63 | $5.278,68 | 16 / 4 | $4.000,69 | 16 / 4 |
| Renal Failure W Cc | 67 | 154 / 27 | $22.580,10 | 1234 / 56 | $4.999,33 | 14 / 4 | $3.815,96 | 14 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 63 | 98 / 16 | $22.379,00 | 1235 / 55 | $4.161,81 | 23 / 3 | $3.042,92 | 23 / 3 |
| Cellulitis W/O Mcc | 60 | 129 / 31 | $20.148,30 | 1502 / 73 | $4.380,63 | 36 / 5 | $3.213,17 | 36 / 10 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 56 | 35 / 3 | $29.325,70 | 284 / 13 | $6.082,38 | 8 / 4 | $3.883,86 | 8 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 27 | $39.358,90 | 1541 / 60 | $7.445,74 | 62 / 3 | $6.461,64 | 62 / 7 |
| Chronic Obstructive Pulmonary Disease W Mcc | 46 | 156 / 30 | $42.506,60 | 2003 / 88 | $7.085,76 | 127 / 38 | $5.234,70 | 127 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 46 | 104 / 24 | $13.565,20 | 805 / 37 | $2.998,83 | 11 / 5 | $1.697,17 | 11 / 3 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 45 | 21 / 3 | $34.528,80 | 105 / 3 | $9.836,49 | 28 / 1 | $8.571,73 | 28 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 44 | 99 / 19 | $49.629,70 | 1030 / 48 | $10.435,80 | 61 / 7 | $9.029,45 | 61 / 4 |
| Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 33 | $24.635,50 | 1428 / 69 | $5.079,43 | 12 / 7 | $3.544,64 | 12 / 2 |
| Major Small & Large Bowel Procedures W Cc | 41 | 67 / 16 | $81.384,40 | 1017 / 36 | $13.799,00 | 26 / 4 | $11.108,00 | 26 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 41 | 153 / 20 | $100.500,00 | 740 / 40 | $21.605,40 | 39 / 5 | $17.762,90 | 39 / 4 |
| Pulmonary Edema & Respiratory Failure | 40 | 163 / 27 | $37.397,10 | 1404 / 59 | $6.479,27 | 45 / 5 | $5.478,50 | 45 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 31 | $18.667,30 | 1412 / 66 | $3.594,69 | 125 / 2 | $2.877,26 | 125 / 16 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 38 | 87 / 20 | $49.240,50 | 1122 / 59 | $10.035,40 | 80 / 37 | $7.773,74 | 80 / 10 |
| Respiratory Infections & Inflammations W Mcc | 36 | 100 / 18 | $50.919,40 | 1094 / 46 | $10.131,00 | 11 / 4 | $8.497,33 | 11 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 25 | $37.791,40 | 1254 / 63 | $6.779,12 | 57 / 14 | $5.437,42 | 57 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 33 | 111 / 21 | $26.530,30 | 1006 / 46 | $5.844,36 | 44 / 5 | $4.796,45 | 44 / 6 |
| Chest Pain | 32 | 119 / 21 | $19.024,50 | 846 / 41 | $3.335,50 | 23 / 5 | $2.097,09 | 23 / 4 |
| Syncope & Collapse | 32 | 137 / 35 | $17.846,50 | 660 / 36 | $3.771,16 | 33 / 3 | $2.788,16 | 33 / 8 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 31 | 100 / 23 | $74.329,50 | 1222 / 50 | $12.615,80 | 19 / 12 | $10.022,10 | 19 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 44 | $28.305,40 | 1031 / 47 | $5.811,03 | 22 / 11 | $4.227,90 | 22 / 3 |
| Major Chest Procedures W Cc | 30 | 44 / 5 | $82.396,80 | 337 / 8 | $14.099,70 | 9 / 1 | $11.148,30 | 9 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 29 | 56 / 11 | $124.584,00 | 605 / 19 | $26.835,80 | 77 / 8 | $24.597,00 | 77 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 29 | 167 / 42 | $74.479,20 | 762 / 32 | $12.319,40 | 3 / 11 | $8.029,59 | 3 / 2 |
| Renal Failure W Mcc | 28 | 167 / 38 | $33.790,50 | 990 / 52 | $8.061,75 | 37 / 5 | $6.885,04 | 37 / 6 |
| Medical Back Problems W/O Mcc | 28 | 93 / 26 | $21.894,70 | 665 / 33 | $4.432,18 | 77 / 3 | $3.466,96 | 77 / 10 |
| G.I. Hemorrhage W Mcc | 28 | 93 / 23 | $54.344,30 | 1094 / 47 | $9.397,71 | 136 / 8 | $8.619,96 | 136 / 12 |
| Peripheral Vascular Disorders W Cc | 27 | 57 / 10 | $22.692,10 | 524 / 25 | $5.848,85 | 9 / 21 | $3.686,63 | 9 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 26 | 70 / 15 | $36.302,90 | 854 / 27 | $6.687,69 | 106 / 6 | $5.720,31 | 106 / 11 |
| Other Digestive System Diagnoses W Cc | 26 | 71 / 18 | $25.656,70 | 709 / 32 | $5.039,31 | 25 / 2 | $4.055,00 | 25 / 5 |
| Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 31 | $18.393,80 | 1183 / 58 | $3.620,15 | 23 / 8 | $2.577,38 | 23 / 6 |
| Pulmonary Embolism W/O Mcc | 25 | 49 / 15 | $28.762,40 | 795 / 31 | $5.209,20 | 17 / 2 | $3.788,20 | 17 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 56 | $29.813,50 | 1610 / 70 | $5.678,32 | 77 / 6 | $4.550,40 | 77 / 8 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 19 | $18.539,00 | 1080 / 46 | $3.658,40 | 30 / 3 | $2.492,64 | 30 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 23 | $29.096,80 | 922 / 29 | $6.103,28 | 2 / 5 | $4.478,80 | 2 / 1 |
| Transient Ischemia | 25 | 100 / 34 | $21.984,60 | 801 / 40 | $3.858,28 | 15 / 6 | $2.487,44 | 15 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 17 | $29.931,00 | 736 / 42 | $6.125,08 | 16 / 16 | $4.236,48 | 16 / 3 |
| G.I. Obstruction W Cc | 25 | 67 / 21 | $27.122,80 | 1095 / 43 | $4.757,68 | 7 / 4 | $3.300,72 | 7 / 2 |
| Red Blood Cell Disorders W/O Mcc | 24 | 119 / 28 | $19.997,10 | 899 / 45 | $4.267,50 | 56 / 3 | $3.276,67 | 56 / 10 |
| Bronchitis & Asthma W Cc/Mcc | 23 | 53 / 15 | $28.840,00 | 679 / 29 | $5.363,70 | 4 / 14 | $3.111,39 | 4 / 2 |
| Diabetes W Cc | 23 | 69 / 17 | $23.745,60 | 927 / 36 | $4.299,09 | 45 / 4 | $3.442,74 | 45 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 15 | $25.868,50 | 516 / 29 | $6.139,67 | 3 / 3 | $4.557,10 | 3 / 1 |
| Degenerative Nervous System Disorders W/O Mcc | 21 | 57 / 15 | $19.301,30 | 212 / 11 | $4.859,95 | 11 / 1 | $3.991,00 | 11 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 45 | $40.873,60 | 974 / 45 | $6.510,85 | 3 / 14 | $4.070,60 | 3 / 1 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 19 | 43 / 13 | $17.547,80 | 282 / 10 | $3.890,74 | 2 / 1 | $2.562,53 | 2 / 1 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 19 | 25 / 8 | $68.341,80 | 169 / 8 | $15.547,40 | 9 / 3 | $12.955,20 | 9 / 1 |
| Other Vascular Procedures W Mcc | 18 | 79 / 20 | $119.736,00 | 728 / 27 | $18.998,60 | 231 / 5 | $18.182,70 | 230 / 7 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 26 | $34.360,90 | 328 / 8 | $9.573,00 | 6 / 2 | $7.860,28 | 6 / 2 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 17 | 79 / 10 | $82.288,10 | 671 / 27 | $11.923,50 | 42 / 2 | $9.835,88 | 42 / 4 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 36 | $14.791,80 | 756 / 36 | $4.103,62 | 10 / 13 | $2.427,25 | 10 / 2 |
| Cervical Spinal Fusion W Cc | 16 | 37 / 6 | $71.381,60 | 176 / 5 | $15.635,40 | 21 / 1 | $13.457,50 | 21 / 1 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 19 | $96.589,10 | 755 / 37 | $14.289,50 | 2 / 3 | $10.875,30 | 2 / 1 |
| Permanent Cardiac Pacemaker Implant W Mcc | 15 | 37 / 9 | $123.353,00 | 442 / 18 | $20.300,90 | 12 / 3 | $17.086,30 | 12 / 3 |
| Cellulitis W Mcc | 15 | 43 / 13 | $37.083,80 | 527 / 16 | $7.879,87 | 15 / 6 | $6.171,87 | 15 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 34 | $27.534,10 | 1005 / 43 | $3.953,80 | 43 / 1 | $2.818,60 | 43 / 7 |
| Complications Of Treatment W Cc | 15 | 37 / 8 | $26.796,10 | 181 / 4 | $5.088,00 | 27 / 1 | $4.739,47 | 27 / 1 |
| Stomach, Esophageal & Duodenal Proc W Cc | 15 | 35 / 6 | $78.063,20 | 131 / 4 | $14.741,70 | 2 / 1 | $11.246,20 | 2 / 1 |
| Seizures W/O Mcc | 15 | 93 / 30 | $19.865,10 | 547 / 25 | $4.085,87 | 24 / 3 | $2.952,53 | 24 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 39 | $99.710,40 | 485 / 23 | $27.151,50 | 98 / 9 | $25.510,10 | 98 / 10 |
| Pancreas, Liver & Shunt Procedures W Cc | 14 | 41 / 5 | $69.610,20 | 43 / 1 | $13.724,50 | 2 / 1 | $12.584,80 | 2 / 1 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 14 | $101.796,00 | 226 / 11 | $23.910,80 | 30 / 1 | $22.704,50 | 30 / 1 |
| Other Vascular Procedures W Cc | 14 | 88 / 24 | $93.330,00 | 778 / 36 | $14.916,20 | 56 / 7 | $12.359,50 | 56 / 3 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 29 | $36.743,00 | 895 / 36 | $7.378,00 | 21 / 6 | $5.918,86 | 21 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 37 | $42.197,00 | 757 / 30 | $8.856,62 | 80 / 3 | $8.016,62 | 80 / 8 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 11 | $25.224,20 | 132 / 4 | $6.190,62 | 36 / 1 | $5.634,31 | 36 / 3 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 20 | $16.175,50 | 385 / 22 | $3.863,00 | 1 / 5 | $2.232,31 | 1 / 1 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 13 | 29 / 11 | $17.855,20 | 109 / 6 | $4.313,92 | 6 / 3 | $3.191,15 | 6 / 3 |
| Stomach, Esophageal & Duodenal Proc W Mcc | 13 | 28 / 8 | $185.465,00 | 167 / 5 | $33.377,10 | 3 / 1 | $20.879,70 | 3 / 1 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 13 | 82 / 21 | $102.891,00 | 467 / 18 | $11.605,50 | 23 / 2 | $9.029,08 | 23 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 13 | 91 / 16 | $67.019,90 | 545 / 14 | $11.677,70 | 125 / 2 | $10.556,80 | 125 / 7 |
| Hypertension W/O Mcc | 13 | 52 / 17 | $18.350,90 | 355 / 9 | $3.232,46 | 9 / 1 | $2.107,23 | 9 / 1 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 11 | $79.042,10 | 330 / 14 | $15.088,20 | 3 / 5 | $10.570,80 | 3 / 1 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 16 | $44.839,30 | 384 / 11 | $8.531,33 | 66 / 1 | $7.310,67 | 66 / 3 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 11 | $21.124,60 | 180 / 5 | $3.727,67 | 1 / 1 | $2.184,42 | 1 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 18 | $34.516,80 | 712 / 23 | $4.777,00 | 31 / 1 | $3.763,67 | 31 / 2 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 10 | $20.398,50 | 160 / 6 | $4.473,58 | 1 / 8 | $1.791,50 | 1 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 26 | $33.122,10 | 571 / 22 | $5.025,92 | 12 / 1 | $4.217,25 | 12 / 2 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 14 | $15.357,00 | 303 / 10 | $3.499,67 | 4 / 2 | $2.387,00 | 4 / 2 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 12 | 42 / 12 | $19.606,20 | 123 / 3 | $4.949,83 | 21 / 1 | $4.435,50 | 21 / 1 |
| Other Circulatory System Diagnoses W Cc | 12 | 54 / 16 | $23.399,20 | 268 / 7 | $4.812,50 | 16 / 1 | $4.112,17 | 16 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 12 | $51.382,10 | 480 / 13 | $8.982,25 | 9 / 1 | $6.875,83 | 9 / 1 |
| Other Respiratory System Diagnoses W/O Mcc | 12 | 34 / 12 | $19.710,30 | 108 / 7 | $4.131,50 | 9 / 1 | $3.221,17 | 9 / 3 |
| Dysequilibrium | 12 | 53 / 15 | $21.858,00 | 288 / 11 | $3.233,92 | 19 / 1 | $2.225,25 | 19 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 26 | $109.147,00 | 581 / 19 | $17.178,60 | 66 / 1 | $15.966,60 | 66 / 4 |
| Bone Diseases & Arthropathies W/O Mcc | 12 | 32 / 10 | $16.238,50 | 115 / 2 | $3.750,92 | 2 / 1 | $2.645,58 | 2 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 14 | $60.222,80 | 358 / 13 | $10.369,10 | 7 / 1 | $8.507,08 | 7 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 12 | 89 / 24 | $103.985,00 | 620 / 26 | $18.791,60 | 10 / 3 | $15.381,30 | 10 / 3 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 17 | $41.952,40 | 450 / 17 | $8.486,91 | 47 / 2 | $7.381,45 | 47 / 4 |
| Hernia Procedures Except Inguinal & Femoral W Cc | 11 | 23 / 6 | $52.422,90 | 91 / 3 | $9.352,36 | 1 / 1 | $6.217,09 | 1 / 1 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 22 | $149.517,00 | 520 / 19 | $28.941,50 | 21 / 2 | $27.207,00 | 21 / 3 |
| Peritoneal Adhesiolysis W Cc | 11 | 28 / 10 | $89.200,40 | 220 / 5 | $12.875,80 | 52 / 1 | $11.760,50 | 52 / 2 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 18 | $73.646,90 | 538 / 25 | $11.849,60 | 2 / 5 | $8.948,45 | 2 / 1 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 11 | 29 / 9 | $24.476,30 | 92 / 3 | $5.490,91 | 9 / 1 | $4.821,45 | 9 / 1 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 21 | $34.552,40 | 569 / 20 | $6.504,45 | 40 / 2 | $5.811,36 | 40 / 4 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 16 | $45.117,20 | 391 / 10 | $8.613,18 | 21 / 1 | $7.945,91 | 21 / 1 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 11 | 43 / 11 | $98.973,20 | 136 / 6 | $14.290,40 | 2 / 1 | $13.302,00 | 2 / 1 |
| Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 16 | $79.632,80 | 293 / 7 | $17.733,10 | 84 / 1 | $16.736,70 | 84 / 5 |
| Other Digestive System O.R. Procedures W Cc | 11 | 16 / 5 | $49.373,20 | 30 / 2 | $10.746,40 | 4 / 1 | $9.861,27 | 4 / 1 |
| Other Resp System O.R. Procedures W Mcc | 11 | 52 / 14 | $106.754,00 | 373 / 8 | $18.254,90 | 7 / 2 | $15.588,30 | 7 / 1 |
| Endocrine Disorders W Cc | 11 | 27 / 9 | $22.197,30 | 96 / 4 | $5.104,09 | 2 / 1 | $4.196,91 | 2 / 1 |
| Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 10 | $191.023,00 | 215 / 7 | $31.078,50 | 1 / 1 | $25.024,40 | 1 / 1 | Total 110 procedures | 3.065 | 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.