Hospital Costs > In Pennsylvania > Wayne Memorial Hospital Scranton, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Pulmonary Edema & Respiratory Failure | 102 | 101 / 6 | $16.393,90 | 206 / 11 | $8.014,53 | 1197 / 52 | $7.222,14 | 1195 / 71 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 60 | 456 / 72 | $16.378,90 | 110 / 8 | $12.156,30 | 1622 / 75 | $11.270,50 | 1590 / 92 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 58 | 506 / 68 | $38.509,50 | 673 / 51 | $14.008,60 | 1786 / 80 | $12.839,40 | 1746 / 107 |
G.I. Hemorrhage W Cc | 45 | 173 / 39 | $12.698,80 | 143 / 8 | $6.591,93 | 1287 / 54 | $5.677,44 | 1284 / 72 |
Heart Failure & Shock W Cc | 44 | 234 / 68 | $12.667,00 | 338 / 21 | $6.478,86 | 1514 / 64 | $5.792,32 | 1509 / 90 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 65 | $12.326,80 | 435 / 26 | $4.851,21 | 1012 / 47 | $3.768,95 | 1004 / 60 |
Cellulitis W/O Mcc | 37 | 152 / 51 | $10.309,40 | 274 / 24 | $5.488,59 | 1218 / 56 | $4.444,70 | 1212 / 80 |
Heart Failure & Shock W Mcc | 34 | 250 / 65 | $15.733,30 | 178 / 12 | $9.840,29 | 1630 / 71 | $9.342,41 | 1625 / 101 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 50 | $13.142,80 | 224 / 16 | $7.031,91 | 1368 / 55 | $6.076,76 | 1363 / 79 |
Renal Failure W Mcc | 33 | 162 / 34 | $14.098,30 | 46 / 5 | $10.066,10 | 1171 / 52 | $9.331,03 | 1171 / 69 |
Renal Failure W Cc | 33 | 188 / 52 | $10.301,70 | 113 / 9 | $6.335,45 | 1326 / 56 | $5.536,91 | 1318 / 82 |
Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 41 | $17.759,20 | 254 / 14 | $9.482,74 | 1560 / 60 | $8.821,06 | 1560 / 84 |
Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 52 | $13.756,50 | 420 / 20 | $6.364,50 | 1546 / 57 | $5.561,30 | 1540 / 91 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 46 | $12.535,10 | 283 / 12 | $6.075,59 | 1270 / 52 | $5.244,69 | 1265 / 75 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 40 | $11.316,20 | 194 / 13 | $5.148,08 | 1108 / 43 | $4.404,69 | 1104 / 68 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 43 | $8.934,42 | 232 / 11 | $3.621,92 | 529 / 34 | $2.468,58 | 525 / 44 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 33 | $10.313,60 | 290 / 23 | $4.590,43 | 599 / 52 | $3.389,35 | 597 / 43 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 46 | $13.136,10 | 708 / 34 | $4.587,50 | 1286 / 46 | $3.873,32 | 1282 / 69 |
Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 54 | $13.874,20 | 244 / 12 | $7.619,30 | 1363 / 59 | $6.657,70 | 1357 / 79 |
Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 68 | $9.821,60 | 277 / 19 | $5.030,20 | 1171 / 56 | $4.067,00 | 1163 / 67 |
G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 16 | $9.945,90 | 134 / 5 | $4.106,15 | 341 / 20 | $2.754,00 | 341 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 54 | $15.450,50 | 176 / 7 | $7.125,16 | 908 / 51 | $5.694,05 | 905 / 55 |
Syncope & Collapse | 19 | 150 / 46 | $10.546,80 | 125 / 7 | $4.774,63 | 706 / 38 | $3.752,32 | 703 / 50 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 9 | $9.119,06 | 39 / 2 | $4.984,44 | 524 / 18 | $4.380,00 | 520 / 35 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 39 | $19.375,20 | 143 / 13 | $11.790,10 | 1194 / 64 | $11.010,80 | 1188 / 79 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 37 | $27.620,10 | 96 / 4 | $14.841,20 | 1028 / 40 | $14.241,20 | 1018 / 57 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 36 | $12.524,70 | 245 / 13 | $5.256,12 | 849 / 44 | $4.350,12 | 844 / 59 |
Transient Ischemia | 15 | 110 / 42 | $10.407,90 | 75 / 2 | $4.560,40 | 559 / 35 | $3.431,87 | 556 / 41 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 25 | $13.144,10 | 97 / 3 | $6.400,67 | 598 / 24 | $5.361,73 | 595 / 36 |
Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 17 | $21.405,80 | 183 / 13 | $6.890,46 | 477 / 17 | $5.676,92 | 476 / 24 |
Tendonitis, Myositis & Bursitis W/O Mcc | 13 | 29 / 11 | $9.905,38 | 26 / 1 | $5.459,08 | 132 / 12 | $4.440,00 | 132 / 16 |
Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 23 | $11.696,40 | 83 / 4 | $5.885,92 | 355 / 25 | $4.456,23 | 351 / 29 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 39 | $9.408,15 | 184 / 9 | $4.687,85 | 920 / 39 | $3.668,77 | 912 / 59 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 39 | $23.041,00 | 172 / 10 | $12.847,10 | 1094 / 51 | $12.041,80 | 1080 / 67 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 35 | $40.950,80 | 211 / 9 | $16.739,00 | 999 / 32 | $15.840,30 | 988 / 50 |
G.I. Hemorrhage W Mcc | 12 | 109 / 38 | $21.333,40 | 91 / 8 | $11.606,90 | 855 / 47 | $10.697,60 | 851 / 58 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 38 | $13.770,80 | 173 / 9 | $5.543,64 | 368 / 52 | $3.451,91 | 365 / 28 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 30 | $15.637,20 | 131 / 11 | $6.882,09 | 924 / 38 | $6.445,73 | 922 / 63 | Total 38 procedures | 1.008 | 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.