O.R. Procedures For Obesity W/O Cc/Mcc - costs for treatment in Pennsylvania

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O.R. Procedures For Obesity W/O Cc/Mcc - costs for treatment in Pennsylvania


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Lehigh Valley HospitalAllentown37$65,106.60$11,619.80$8,087.35
Reading HospitalReading36$27,527.40$11,507.60$8,163.33
Magee Womens Hospital Of Upmc Health SystemPittsburgh33$47,335.60$17,685.40$13,269.00
Hospital Of Univ Of PennsylvaniaPhiladelphia31$85,902.20$17,704.30$14,274.70
Pinnacle Health HospitalsHarrisburg28$21,194.30$11,019.40$8,416.29
St Luke's Hospital BethlehemBethlehem28$76,669.80$11,261.70$8,179.29
Abington Memorial HospitalAbington27$49,068.30$11,390.70$9,103.44
Geisinger Medical CenterDanville26$65,453.40$13,419.60$10,860.30
Sacred Heart Hospital AllentownAllentown23$46,462.70$11,234.80$9,826.48
Lancaster General HospitalLancaster21$30,258.80$12,404.30$7,356.86
Wilkes-Barre General HospitalWilkes-Barre21$68,385.40$9,029.71$7,741.57
Mercy Fitzgerald HospitalDarby18$87,103.10$14,088.50$11,971.60
Milton S Hershey Medical CenterHershey17$37,102.30$14,489.10$10,507.60
Heritage Valley SewickleySewickley16$16,548.50$8,566.88$5,646.50
York HospitalYork16$36,524.10$12,040.80$8,760.56
Thomas Jefferson University HospitalPhiladelphia13$87,576.40$15,102.50$12,708.30
Albert Einstein Medical CenterPhiladelphia12$65,107.80$16,766.60$14,079.70
Total 17 hospitals403

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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