Hospital Costs > In Pennsylvania > Williamsport Regional Medical Center, 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 Cc | 31 | 60 / 13 | $24.315,20 | 491 / 28 | $7.396,52 | 588 / 50 | $5.637,45 | 587 / 43 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 40 | 85 / 18 | $35.011,10 | 616 / 39 | $10.332,00 | 502 / 40 | $9.001,30 | 501 / 41 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 15 | $21.485,30 | 346 / 18 | $4.867,42 | 248 / 17 | $3.683,75 | 247 / 19 |
Angina Pectoris | 26 | 3 / 1 | $16.187,70 | 19 / 2 | $3.743,88 | 13 / 2 | $2.661,46 | 13 / 2 |
Atherosclerosis W/O Mcc | 12 | 46 / 8 | $15.249,80 | 175 / 7 | $3.969,50 | / 6 | $3.151,92 | / |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 21 | 45 / 10 | $38.042,80 | 141 / 4 | $11.254,70 | 170 / 4 | $10.016,10 | 170 / 5 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 28 | 61 / 14 | $25.141,40 | 198 / 9 | $6.691,57 | 282 / 6 | $5.510,14 | 281 / 12 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 11 | 52 / 18 | $67.000,40 | 88 / 9 | $20.365,00 | 122 / 4 | $19.345,50 | 122 / 13 |
Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 24 | 8 / 1 | $45.595,80 | 25 / 1 | $13.353,00 | 51 / 1 | $12.084,20 | 51 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 67 | 94 / 14 | $15.618,30 | 581 / 29 | $5.111,73 | 629 / 42 | $3.945,63 | 626 / 46 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 49 | 74 / 14 | $27.181,50 | 796 / 40 | $7.782,08 | 763 / 43 | $6.749,31 | 760 / 55 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 39 | 111 / 28 | $12.282,10 | 632 / 33 | $3.792,33 | 587 / 45 | $2.508,00 | 583 / 46 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 16 | 102 / 21 | $135.112,00 | 232 / 11 | $34.590,50 | 298 / 13 | $33.356,80 | 298 / 22 |
Cellulitis W/O Mcc | 43 | 146 / 45 | $19.788,90 | 1458 / 72 | $5.792,49 | 1254 / 68 | $4.475,35 | 1248 / 82 |
Cervical Spinal Fusion W Cc | 17 | 36 / 5 | $47.017,50 | 72 / 2 | $17.140,80 | 110 / 2 | $15.543,00 | 109 / 2 |
Cervical Spinal Fusion W/O Cc/Mcc | 22 | 82 / 9 | $36.324,30 | 138 / 6 | $13.149,80 | 371 / 5 | $11.983,50 | 370 / 12 |
Chest Pain | 45 | 106 / 14 | $14.718,00 | 472 / 21 | $3.924,29 | 377 / 27 | $2.790,36 | 376 / 27 |
Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 43 | $18.520,20 | 846 / 41 | $6.128,34 | 390 / 54 | $4.418,81 | 389 / 32 |
Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 29 | $20.274,90 | 746 / 40 | $7.109,50 | 533 / 39 | $5.807,21 | 532 / 36 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 34 | $13.396,70 | 594 / 30 | $4.536,50 | 582 / 36 | $3.394,11 | 581 / 45 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 34 | 154 / 36 | $21.276,90 | 138 / 8 | $6.922,44 | 311 / 21 | $5.156,91 | 311 / 19 |
Combined Anterior/Posterior Spinal Fusion W Cc | 21 | 25 / 2 | $118.286,00 | 14 / 1 | $45.775,20 | 32 / 2 | $44.495,10 | 32 / 3 |
Coronary Bypass W Cardiac Cath W/O Mcc | 14 | 62 / 14 | $105.855,00 | 151 / 8 | $27.714,40 | 261 / 9 | $26.077,00 | 261 / 16 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 13 | 75 / 14 | $84.414,20 | 158 / 8 | $22.813,20 | 110 / 5 | $18.927,00 | 110 / 3 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 17 | $14.811,00 | 100 / 2 | $5.554,82 | 190 / 6 | $4.629,27 | 190 / 9 |
Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 21 | $23.152,30 | 331 / 16 | $7.355,07 | 485 / 27 | $6.002,93 | 485 / 35 |
Diabetes W Cc | 23 | 69 / 17 | $15.011,30 | 341 / 19 | $5.148,22 | 305 / 19 | $4.020,78 | 305 / 19 |
Diabetes W Mcc | 11 | 46 / 12 | $23.930,30 | 152 / 6 | $8.439,91 | 187 / 2 | $7.500,09 | 187 / 7 |
Digestive Malignancy W Cc | 11 | 36 / 10 | $27.884,80 | 115 / 6 | $7.827,55 | 87 / 3 | $6.639,18 | 86 / 5 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 13 | $21.679,90 | 220 / 7 | $5.908,38 | 209 / 5 | $5.384,23 | 209 / 13 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 13 | $32.968,30 | 139 / 5 | $10.794,20 | 117 / 2 | $10.065,80 | 117 / 4 |
Disorders Of Pancreas Except Malignancy W Cc | 21 | 40 / 9 | $16.580,30 | 168 / 8 | $5.693,10 | 377 / 10 | $4.974,95 | 376 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 21 | $27.442,80 | 542 / 18 | $7.741,75 | 332 / 24 | $6.307,40 | 330 / 23 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 85 | 190 / 33 | $16.392,20 | 927 / 49 | $4.827,45 | 807 / 46 | $3.636,38 | 802 / 53 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 15 | $73.719,80 | 72 / 4 | $26.857,50 | 117 / 3 | $25.618,30 | 117 / 4 |
Extracranial Procedures W/O Cc/Mcc | 19 | 79 / 12 | $32.275,70 | 486 / 23 | $7.066,95 | 274 / 21 | $5.158,05 | 274 / 14 |
Fractures Of Hip & Pelvis W/O Mcc | 19 | 42 / 7 | $13.552,80 | 224 / 9 | $4.653,58 | 365 / 17 | $3.618,89 | 366 / 23 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 20 | $15.026,70 | 193 / 6 | $4.788,73 | 155 / 10 | $3.478,91 | 155 / 11 |
G.I. Hemorrhage W Cc | 73 | 145 / 23 | $24.697,10 | 1182 / 57 | $6.245,31 | 849 / 42 | $5.214,33 | 847 / 48 |
G.I. Hemorrhage W Mcc | 35 | 86 / 17 | $38.132,30 | 626 / 29 | $10.604,70 | 464 / 28 | $9.560,20 | 465 / 32 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 21 | $16.386,30 | 395 / 23 | $4.522,58 | 339 / 19 | $3.456,50 | 336 / 25 |
G.I. Obstruction W Cc | 37 | 55 / 13 | $19.492,60 | 615 / 27 | $5.713,43 | 546 / 28 | $4.523,32 | 545 / 35 |
G.I. Obstruction W Mcc | 14 | 28 / 7 | $22.965,10 | 56 / 4 | $9.886,21 | 126 / 6 | $8.657,14 | 126 / 6 |
G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 23 | $13.203,00 | 380 / 15 | $4.365,08 | 320 / 29 | $2.725,85 | 320 / 18 |
Heart Failure & Shock W Cc | 89 | 189 / 35 | $19.731,10 | 1150 / 55 | $6.055,09 | 547 / 45 | $4.941,62 | 547 / 40 |
Heart Failure & Shock W Mcc | 72 | 212 / 37 | $25.345,60 | 769 / 43 | $8.926,51 | 890 / 41 | $8.150,28 | 890 / 50 |
Heart Failure & Shock W/O Cc/Mcc | 31 | 79 / 27 | $12.522,90 | 532 / 36 | $4.327,16 | 608 / 38 | $3.393,81 | 606 / 44 |
Hip & Femur Procedures Except Major Joint W Cc | 57 | 86 / 11 | $39.514,40 | 616 / 33 | $11.622,60 | 691 / 36 | $10.409,90 | 686 / 41 |
Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 11 | $55.997,20 | 253 / 8 | $17.682,50 | 285 / 5 | $16.471,60 | 282 / 9 |
Hypertension W/O Mcc | 19 | 46 / 13 | $12.126,20 | 114 / 1 | $4.028,00 | 181 / 7 | $2.846,95 | 179 / 7 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 13 | 23 / 7 | $35.030,80 | 42 / 4 | $14.127,60 | 84 / 4 | $12.904,20 | 84 / 5 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 32 | 92 / 22 | $92.597,30 | 405 / 19 | $29.383,60 | 315 / 17 | $28.103,20 | 315 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 35 | $21.341,80 | 557 / 30 | $6.564,80 | 620 / 36 | $5.351,39 | 619 / 40 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 52 | 116 / 14 | $27.713,50 | 277 / 10 | $11.436,30 | 387 / 39 | $9.053,77 | 386 / 22 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 22 | $14.939,60 | 247 / 15 | $4.837,45 | 442 / 28 | $3.563,34 | 439 / 34 |
Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 24 | $19.877,50 | 564 / 27 | $6.705,07 | 419 / 27 | $5.588,61 | 418 / 32 |
Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 60 | $14.941,70 | 923 / 49 | $4.889,77 | 808 / 45 | $3.827,84 | 803 / 50 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 10 | $39.256,80 | 243 / 8 | $10.519,90 | 177 / 11 | $8.199,71 | 177 / 7 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 12 | $34.376,50 | 225 / 8 | $7.495,82 | 224 / 8 | $6.246,00 | 224 / 13 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 12 | $47.959,30 | 237 / 9 | $12.115,90 | 232 / 5 | $10.788,40 | 232 / 11 |
Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 21 | $56.650,30 | 105 / 6 | $19.475,20 | 260 / 9 | $18.285,90 | 260 / 12 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 20 | $27.320,60 | 567 / 31 | $7.158,38 | 303 / 22 | $6.150,38 | 302 / 19 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 16 | $57.240,30 | 444 / 17 | $13.071,20 | 338 / 7 | $11.789,00 | 335 / 14 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 21 | 44 / 5 | $69.375,50 | 372 / 13 | $21.701,20 | 581 / 18 | $20.386,30 | 578 / 21 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 262 | 303 / 20 | $42.824,30 | 916 / 60 | $13.203,30 | 1056 / 64 | $11.154,00 | 1033 / 65 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 20 | 49 / 5 | $64.022,30 | 233 / 10 | $16.792,80 | 136 / 11 | $13.494,20 | 136 / 6 |
Major Small & Large Bowel Procedures W Cc | 19 | 89 / 28 | $57.885,80 | 586 / 23 | $15.950,40 | 442 / 27 | $13.388,90 | 439 / 16 |
Medical Back Problems W/O Mcc | 25 | 96 / 28 | $14.544,00 | 202 / 13 | $5.210,28 | 377 / 21 | $4.078,72 | 377 / 29 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 29 | 97 / 19 | $15.100,90 | 155 / 5 | $6.705,59 | 320 / 19 | $5.746,38 | 317 / 19 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 34 | $16.934,10 | 1198 / 56 | $4.797,09 | 1027 / 54 | $3.669,77 | 1024 / 58 |
Nonspecific Cerebrovascular Disorders W Cc | 17 | 39 / 4 | $22.890,80 | 180 / 4 | $6.161,71 | 154 / 3 | $5.200,71 | 154 / 3 |
Organic Disturbances & Mental Retardation | 12 | 47 / 14 | $20.857,80 | 196 / 7 | $6.272,00 | 67 / 7 | $4.894,17 | 67 / 3 |
Other Circulatory System Diagnoses W Mcc | 20 | 96 / 24 | $46.590,40 | 665 / 21 | $12.852,50 | 811 / 32 | $12.144,90 | 806 / 41 |
Other Digestive System Diagnoses W Cc | 18 | 79 / 26 | $19.698,10 | 391 / 17 | $6.231,44 | 132 / 24 | $4.497,44 | 131 / 16 |
Other Digestive System Diagnoses W Mcc | 11 | 51 / 16 | $29.486,70 | 154 / 5 | $10.037,50 | 93 / 4 | $8.783,45 | 93 / 3 |
Other Disorders Of Nervous System W Cc | 16 | 40 / 16 | $16.829,70 | 121 / 4 | $5.684,94 | 170 / 11 | $4.718,88 | 170 / 12 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 22 | $28.062,90 | 334 / 13 | $9.438,00 | 368 / 15 | $8.642,05 | 368 / 21 |
Other Respiratory System Diagnoses W/O Mcc | 12 | 34 / 12 | $13.597,90 | 41 / 3 | $5.017,33 | 102 / 7 | $4.302,75 | 102 / 13 |
Other Vascular Procedures W Cc | 29 | 73 / 14 | $60.122,30 | 363 / 16 | $15.653,00 | 387 / 15 | $14.324,90 | 385 / 23 |
Other Vascular Procedures W Mcc | 13 | 84 / 24 | $63.400,50 | 188 / 6 | $19.135,70 | 235 / 7 | $18.208,10 | 234 / 9 |
Other Vascular Procedures W/O Cc/Mcc | 27 | 29 / 3 | $39.728,30 | 175 / 5 | $10.179,60 | 190 / 4 | $9.081,81 | 189 / 7 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 26 | $105.201,00 | 546 / 17 | $23.020,20 | 663 / 25 | $21.475,70 | 659 / 35 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 39 | 157 / 34 | $62.909,30 | 522 / 25 | $12.862,10 | 596 / 23 | $10.931,20 | 592 / 28 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 12 | 42 / 10 | $72.998,90 | 62 / 2 | $18.316,80 | 56 / 2 | $17.197,30 | 56 / 2 |
Peripheral Vascular Disorders W Cc | 13 | 71 / 21 | $14.243,20 | 152 / 12 | $5.703,62 | 305 / 14 | $4.869,69 | 303 / 28 |
Permanent Cardiac Pacemaker Implant W Cc | 24 | 53 / 10 | $67.471,70 | 450 / 18 | $16.014,30 | 351 / 15 | $14.858,60 | 350 / 21 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 12 | $83.353,40 | 227 / 8 | $21.030,20 | 140 / 5 | $19.971,70 | 140 / 9 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 15 | $63.614,50 | 447 / 18 | $12.799,00 | 290 / 7 | $11.885,40 | 289 / 13 |
Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 17 | $26.023,90 | 246 / 4 | $9.693,50 | 261 / 15 | $7.532,79 | 260 / 11 |
Pulmonary Edema & Respiratory Failure | 70 | 133 / 14 | $28.687,00 | 952 / 46 | $7.878,74 | 1028 / 45 | $6.994,97 | 1027 / 59 |
Pulmonary Embolism W Mcc | 18 | 25 / 4 | $31.582,80 | 191 / 5 | $9.351,78 | 205 / 7 | $8.324,22 | 205 / 8 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 25 | $20.992,00 | 439 / 17 | $6.062,73 | 360 / 18 | $4.914,20 | 360 / 24 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 36 | $20.509,90 | 941 / 47 | $5.133,56 | 427 / 37 | $3.898,38 | 426 / 38 |
Renal Failure W Cc | 72 | 149 / 23 | $20.708,30 | 1046 / 51 | $6.286,56 | 580 / 53 | $4.827,94 | 575 / 39 |
Renal Failure W Mcc | 43 | 152 / 25 | $25.802,10 | 505 / 24 | $9.654,05 | 946 / 37 | $8.810,02 | 946 / 54 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 14 | $13.710,50 | 297 / 12 | $3.906,25 | 315 / 8 | $3.169,08 | 314 / 15 |
Respiratory Infections & Inflammations W Mcc | 24 | 112 / 28 | $37.300,30 | 666 / 30 | $11.708,30 | 661 / 31 | $10.841,50 | 653 / 42 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 25 | $46.930,70 | 537 / 27 | $13.186,40 | 437 / 19 | $12.275,90 | 432 / 30 |
Revision Of Hip Or Knee Replacement W Cc | 24 | 62 / 8 | $86.167,60 | 347 / 12 | $21.019,50 | 343 / 6 | $20.013,50 | 342 / 14 |
Seizures W Mcc | 12 | 54 / 16 | $25.843,20 | 113 / 3 | $8.778,08 | 18 / 2 | $6.801,33 | 18 / 2 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 240 | 276 / 21 | $34.828,30 | 1042 / 50 | $11.271,20 | 845 / 47 | $9.985,85 | 844 / 51 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 46 | 161 / 38 | $20.687,70 | 844 / 46 | $6.676,15 | 875 / 44 | $5.552,26 | 873 / 51 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 17 | 30 / 8 | $13.432,50 | 64 / 2 | $4.693,71 | 41 / 3 | $3.390,29 | 41 / 2 |
Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 38 | $18.760,30 | 995 / 44 | $6.157,74 | 646 / 49 | $4.773,02 | 643 / 43 |
Simple Pneumonia & Pleurisy W Mcc | 63 | 142 / 19 | $27.023,10 | 838 / 39 | $8.644,87 | 570 / 32 | $7.403,27 | 570 / 30 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 26 | $17.283,40 | 948 / 42 | $4.430,06 | 337 / 29 | $3.081,06 | 335 / 24 |
Spinal Fusion Except Cervical W/O Mcc | 16 | 178 / 34 | $69.890,20 | 372 / 24 | $23.365,30 | 538 / 17 | $22.038,40 | 535 / 32 |
Syncope & Collapse | 60 | 109 / 18 | $15.257,00 | 412 / 26 | $4.672,63 | 504 / 35 | $3.557,80 | 502 / 39 |
Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 12 | $16.176,70 | 83 / 4 | $5.187,25 | 112 / 9 | $4.300,00 | 112 / 11 |
Transient Ischemia | 57 | 68 / 11 | $15.467,20 | 321 / 23 | $4.501,72 | 422 / 32 | $3.290,88 | 421 / 36 | Total 110 procedures | 3.395 | 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.