Hospital Costs > In Pennsylvania > Windber 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 | 24 | 492 / 94 | $16.794,80 | 126 / 10 | $8.886,54 | 5 / 2 | $7.533,88 | 5 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 68 | $11.899,20 | 244 / 16 | $4.717,67 | 2 / 1 | $3.507,00 | 2 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 44 | $9.744,83 | 240 / 17 | $3.375,58 | 12 / 1 | $2.468,92 | 12 / 3 |
| Cellulitis W/O Mcc | 11 | 178 / 74 | $7.383,18 | 62 / 7 | $3.891,00 | 8 / 1 | $2.901,91 | 8 / 2 | Total 4 procedures | 59 | 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.