Hospital Costs > Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc > Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc - costs for treatment in Pennsylvania
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| Thomas Jefferson University Hospital | Philadelphia | 18 | $70,980.20 | $15,847.40 | $13,615.90 |
| Upmc Presbyterian Shadyside | Pittsburgh | 16 | $110,318.00 | $14,785.10 | $10,368.20 |
| Wilkes-Barre General Hospital | Wilkes-Barre | 15 | $96,484.60 | $9,703.87 | $8,717.47 |
| Memorial Medical Center Johnstown | Johnstown | 14 | $34,279.30 | $11,567.10 | $9,652.86 |
| Main Line Hospital Paoli | Paoli | 12 | $41,803.70 | $11,080.30 | $7,377.58 | Total 5 hospitals | 75 |
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.