Hospital Costs > In Pennsylvania > Western Pennsylvania Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 36 | $40.970,20 | 852 / 49 | $18.982,10 | 1509 / 94 | $12.971,00 | 1496 / 94 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 42 | $24.694,50 | 641 / 36 | $15.311,50 | 1673 / 99 | $9.711,20 | 1670 / 95 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 58 | $22.875,20 | 1286 / 62 | $12.375,10 | 2145 / 120 | $7.334,59 | 2138 / 117 |
| Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 58 | $20.715,60 | 781 / 42 | $13.184,90 | 2259 / 117 | $9.131,06 | 2251 / 116 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 15 | 173 / 49 | $29.866,10 | 510 / 26 | $12.755,80 | 1484 / 72 | $9.032,80 | 1481 / 73 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 80 | $19.935,50 | 1380 / 64 | $10.830,00 | 2596 / 124 | $7.288,40 | 2581 / 125 |
| Full Thickness Burn W Skin Graft Or Inhal Inj W Cc/Mcc | 18 | 13 / 2 | $108.713,00 | 11 / 1 | $50.061,60 | 11 / 3 | $39.269,70 | 11 / 3 |
| G.I. Hemorrhage W Cc | 14 | 204 / 61 | $27.761,60 | 1427 / 64 | $12.835,10 | 2176 / 114 | $8.225,00 | 2172 / 112 |
| Heart Failure & Shock W Cc | 21 | 257 / 85 | $21.726,30 | 1368 / 64 | $13.093,90 | 2574 / 130 | $8.895,52 | 2568 / 128 |
| Heart Failure & Shock W Mcc | 27 | 257 / 70 | $36.774,50 | 1495 / 70 | $18.130,00 | 2320 / 125 | $12.022,70 | 2310 / 122 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 23 | 541 / 90 | $47.234,30 | 1146 / 67 | $20.111,90 | 2340 / 127 | $15.635,50 | 2295 / 126 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 36 | $62.944,60 | 709 / 28 | $26.751,80 | 1260 / 63 | $18.287,50 | 1246 / 59 |
| Non-Extensive Burns | 11 | 18 / 4 | $30.703,40 | 10 / 1 | $16.868,50 | 22 / 4 | $12.359,50 | 22 / 4 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 41 | $22.210,40 | 1084 / 52 | $12.174,70 | 1831 / 100 | $7.174,18 | 1822 / 97 |
| Renal Failure W Cc | 19 | 202 / 62 | $21.476,70 | 1117 / 52 | $13.226,20 | 2217 / 117 | $8.222,26 | 2207 / 115 |
| Renal Failure W Mcc | 19 | 176 / 46 | $43.788,50 | 1405 / 64 | $19.053,00 | 1955 / 106 | $13.249,30 | 1951 / 103 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 28 | 488 / 92 | $55.273,90 | 1959 / 83 | $23.080,70 | 2237 / 124 | $13.302,70 | 2197 / 116 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 68 | $34.360,20 | 1836 / 79 | $14.925,80 | 2346 / 116 | $8.933,92 | 2336 / 115 | Total 18 procedures | 317 | 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.