Hospital Costs > In Pennsylvania > Waynesboro 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 | 129 | 387 / 46 | $25.156,60 | 543 / 32 | $15.135,90 | 1697 / 110 | $11.443,80 | 1664 / 97 |
| Heart Failure & Shock W Mcc | 53 | 231 / 51 | $25.631,30 | 791 / 45 | $10.538,70 | 1824 / 89 | $9.785,81 | 1819 / 106 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 45 | 162 / 39 | $16.187,90 | 456 / 28 | $7.538,02 | 1615 / 78 | $6.446,69 | 1608 / 94 |
| Pulmonary Edema & Respiratory Failure | 35 | 168 / 31 | $20.209,50 | 415 / 25 | $8.545,60 | 1458 / 67 | $7.752,91 | 1453 / 84 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 73 | $16.473,10 | 938 / 50 | $5.275,93 | 1718 / 70 | $4.357,86 | 1705 / 95 |
| Renal Failure W Cc | 28 | 193 / 57 | $14.619,50 | 429 / 27 | $6.832,29 | 1598 / 76 | $5.926,00 | 1589 / 93 |
| Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 51 | $19.694,10 | 686 / 35 | $8.284,33 | 1822 / 82 | $7.477,67 | 1814 / 105 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 33 | $24.893,30 | 290 / 21 | $11.891,20 | 1160 / 65 | $10.892,20 | 1155 / 78 |
| Heart Failure & Shock W Cc | 21 | 257 / 85 | $17.102,00 | 817 / 46 | $7.017,48 | 1873 / 88 | $6.273,86 | 1868 / 106 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 38 | $22.057,90 | 463 / 29 | $8.532,70 | 1208 / 68 | $7.630,30 | 1205 / 81 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 54 | $22.442,90 | 634 / 32 | $7.556,37 | 1333 / 66 | $6.412,79 | 1330 / 77 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 53 | $21.598,60 | 479 / 22 | $10.188,70 | 1854 / 77 | $9.553,74 | 1854 / 99 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 26 | $27.934,30 | 172 / 4 | $13.338,50 | 913 / 35 | $12.801,60 | 907 / 47 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 49 | $14.515,60 | 926 / 44 | $4.151,94 | 878 / 65 | $2.730,94 | 874 / 60 |
| G.I. Obstruction W Cc | 16 | 76 / 29 | $19.868,80 | 645 / 29 | $6.697,69 | 1050 / 53 | $5.197,94 | 1047 / 56 |
| G.I. Hemorrhage W Cc | 15 | 203 / 60 | $20.439,70 | 784 / 45 | $7.134,93 | 1404 / 78 | $5.826,07 | 1401 / 80 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 66 | $15.787,90 | 658 / 36 | $6.934,79 | 1943 / 85 | $6.068,50 | 1935 / 107 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 74 | $13.554,40 | 724 / 43 | $6.048,14 | 1378 / 96 | $4.227,36 | 1369 / 79 |
| Renal Failure W Mcc | 14 | 181 / 51 | $17.870,30 | 151 / 10 | $10.451,50 | 1394 / 62 | $9.937,21 | 1394 / 86 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 50 | $17.043,60 | 750 / 36 | $5.526,93 | 1303 / 61 | $4.660,64 | 1298 / 81 |
| Diabetes W Cc | 13 | 79 / 27 | $14.483,20 | 301 / 17 | $5.879,00 | 835 / 40 | $4.763,92 | 831 / 48 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 39 | $31.629,20 | 440 / 23 | $13.702,10 | 1294 / 58 | $12.896,80 | 1279 / 74 |
| Transient Ischemia | 12 | 113 / 45 | $18.320,20 | 534 / 33 | $4.966,83 | 895 / 48 | $3.862,83 | 891 / 60 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 63 | $13.909,00 | 401 / 20 | $6.618,83 | 1560 / 74 | $5.610,83 | 1554 / 93 | Total 24 procedures | 615 | 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.