Hospital Costs > In Pennsylvania > Warren General 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 | 70 | 446 / 69 | $23.003,80 | 421 / 26 | $12.674,40 | 1801 / 85 | $11.752,80 | 1766 / 101 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 58 | 506 / 68 | $46.742,40 | 1124 / 65 | $14.810,90 | 2019 / 98 | $13.685,90 | 1977 / 114 |
| Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 47 | $13.830,20 | 424 / 21 | $6.611,17 | 1570 / 71 | $5.581,23 | 1563 / 93 |
| Heart Failure & Shock W Cc | 35 | 243 / 74 | $14.209,30 | 495 / 29 | $6.577,69 | 1451 / 68 | $5.714,60 | 1446 / 83 |
| G.I. Hemorrhage W Cc | 34 | 184 / 48 | $18.192,50 | 585 / 36 | $6.741,56 | 1521 / 60 | $5.994,26 | 1517 / 87 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 52 | $15.872,60 | 423 / 26 | $7.086,03 | 1409 / 57 | $6.121,77 | 1404 / 82 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 49 | $17.465,60 | 517 / 25 | $8.217,69 | 1675 / 79 | $7.148,12 | 1667 / 95 |
| Heart Failure & Shock W Mcc | 23 | 261 / 74 | $16.723,30 | 230 / 17 | $10.057,40 | 1597 / 81 | $9.269,96 | 1592 / 97 |
| Cellulitis W/O Mcc | 19 | 170 / 67 | $11.710,20 | 430 / 31 | $5.652,11 | 1414 / 65 | $4.639,89 | 1407 / 88 |
| G.I. Obstruction W Cc | 17 | 75 / 28 | $13.913,90 | 218 / 12 | $5.930,71 | 942 / 35 | $5.006,47 | 939 / 49 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 40 | $10.271,30 | 284 / 22 | $4.588,94 | 773 / 51 | $3.530,94 | 769 / 52 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 48 | $21.170,90 | 477 / 28 | $8.040,00 | 1185 / 53 | $7.208,00 | 1183 / 69 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 84 | $14.292,30 | 651 / 35 | $5.014,38 | 1283 / 57 | $3.954,38 | 1272 / 74 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 16 | 108 / 18 | $7.546,81 | 68 / 5 | $4.649,81 | 288 / 8 | $3.743,81 | 288 / 16 |
| Syncope & Collapse | 15 | 154 / 50 | $10.718,00 | 131 / 9 | $4.922,60 | 987 / 47 | $4.041,53 | 981 / 63 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 57 | $15.570,10 | 182 / 9 | $7.270,80 | 1288 / 55 | $6.312,93 | 1285 / 75 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 74 | $14.525,80 | 865 / 46 | $5.230,86 | 1528 / 67 | $4.376,00 | 1517 / 87 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 61 | $15.671,80 | 578 / 27 | $6.272,79 | 1199 / 64 | $5.152,79 | 1195 / 71 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 28 | $15.747,20 | 137 / 12 | $7.002,31 | 856 / 42 | $6.261,38 | 854 / 60 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 51 | $16.872,80 | 735 / 35 | $5.347,85 | 1201 / 52 | $4.508,46 | 1197 / 76 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 59 | $15.693,60 | 152 / 7 | $9.614,69 | 1544 / 64 | $8.780,23 | 1544 / 82 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 45 | $25.199,40 | 667 / 37 | $8.078,33 | 1108 / 55 | $7.374,33 | 1105 / 78 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 43 | $28.309,80 | 175 / 13 | $13.144,80 | 1341 / 64 | $12.136,80 | 1323 / 77 |
| Renal Failure W Cc | 11 | 210 / 70 | $14.127,60 | 391 / 25 | $6.514,82 | 1321 / 66 | $5.531,55 | 1313 / 80 | Total 24 procedures | 543 | 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.