Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc - costs for treatment in Pennsylvania

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Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc - costs for treatment in Pennsylvania


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Holy Spirit HospitalCamp Hill11$184,288.00$50,528.30$49,699.10
Pinnacle Health HospitalsHarrisburg15$189,610.00$69,039.50$64,894.50
Lancaster General HospitalLancaster15$208,160.00$62,429.10$60,605.70
Allegheny General HospitalPittsburgh15$226,126.00$73,111.60$58,000.20
Upmc HamotErie11$263,006.00$61,467.40$38,954.20
Main Line Hospital LankenauWynnewood15$292,484.00$61,821.90$53,333.90
Penn Presbyterian Medical CenterPhiladelphia41$332,354.00$71,307.10$68,418.20
Abington Memorial HospitalAbington11$338,317.00$70,208.90$58,242.30
Lehigh Valley HospitalAllentown23$438,099.00$65,733.40$59,054.80
St Luke's Hospital BethlehemBethlehem12$476,904.00$64,223.00$60,223.60
Temple University HospitalPhiladelphia14$547,917.00$91,749.40$81,469.30
Upmc Presbyterian ShadysidePittsburgh42$559,369.00$73,885.40$57,501.00
Hospital Of Univ Of PennsylvaniaPhiladelphia50$595,011.00$108,125.00$95,149.50
Total 13 hospitals275

DATA

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.





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