Hospital Costs > Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc > 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 |
|---|---|---|---|---|---|
| Hospital Of Univ Of Pennsylvania | Philadelphia | 50 | $595,011.00 | $108,125.00 | $95,149.50 |
| Upmc Presbyterian Shadyside | Pittsburgh | 42 | $559,369.00 | $73,885.40 | $57,501.00 |
| Penn Presbyterian Medical Center | Philadelphia | 41 | $332,354.00 | $71,307.10 | $68,418.20 |
| Lehigh Valley Hospital | Allentown | 23 | $438,099.00 | $65,733.40 | $59,054.80 |
| Allegheny General Hospital | Pittsburgh | 15 | $226,126.00 | $73,111.60 | $58,000.20 |
| Lancaster General Hospital | Lancaster | 15 | $208,160.00 | $62,429.10 | $60,605.70 |
| Main Line Hospital Lankenau | Wynnewood | 15 | $292,484.00 | $61,821.90 | $53,333.90 |
| Pinnacle Health Hospitals | Harrisburg | 15 | $189,610.00 | $69,039.50 | $64,894.50 |
| Temple University Hospital | Philadelphia | 14 | $547,917.00 | $91,749.40 | $81,469.30 |
| St Luke's Hospital Bethlehem | Bethlehem | 12 | $476,904.00 | $64,223.00 | $60,223.60 |
| Abington Memorial Hospital | Abington | 11 | $338,317.00 | $70,208.90 | $58,242.30 |
| Holy Spirit Hospital | Camp Hill | 11 | $184,288.00 | $50,528.30 | $49,699.10 |
| Upmc Hamot | Erie | 11 | $263,006.00 | $61,467.40 | $38,954.20 | Total 13 hospitals | 275 |
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.