Hospital Costs > Lower Extrem & Humer Proc Except Hip,Foot,Femur W Mcc > Lower Extrem & Humer Proc Except Hip,Foot,Femur W Mcc - costs for treatment in Pennsylvania
Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
---|---|---|---|---|---|
Lancaster General Hospital | Lancaster | 11 | $76,007.00 | $19,709.70 | $18,627.00 |
Upmc Presbyterian Shadyside | Pittsburgh | 12 | $245,867.00 | $29,649.90 | $20,637.20 |
Allegheny General Hospital | Pittsburgh | 11 | $105,049.00 | $28,124.20 | $21,395.00 |
Milton S Hershey Medical Center | Hershey | 11 | $307,690.00 | $137,402.00 | $133,086.00 | Total 4 hospitals | 45 |
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.