Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc - costs for treatment in Pennsylvania

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Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc - costs for treatment in Pennsylvania


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Pinnacle Health HospitalsHarrisburg18$14,550.90$8,368.28$6,622.94
York HospitalYork15$19,571.70$8,329.80$6,674.13
Upmc PassavantPittsburgh11$24,476.30$5,490.91$4,821.45
Lancaster General HospitalLancaster12$24,524.10$7,058.25$5,823.58
St Mary Medical Center LanghorneLanghorne12$31,407.80$5,797.50$4,988.67
Milton S Hershey Medical CenterHershey17$33,014.30$12,286.10$9,421.29
Lehigh Valley HospitalAllentown27$41,793.00$8,461.00$6,392.41
Lehigh Valley Hospital - MuhlenbergBethlehem12$41,837.90$7,648.17$6,116.83
St Luke's Hospital BethlehemBethlehem20$49,946.50$8,504.90$6,746.05
Abington Memorial HospitalAbington15$51,524.80$7,808.87$5,989.67
Main Line Hospital Bryn Mawr CampusBryn Mawr12$54,096.80$7,202.75$5,459.00
Upmc Presbyterian ShadysidePittsburgh29$55,975.70$10,351.90$6,690.72
Thomas Jefferson University HospitalPhiladelphia13$57,101.20$13,309.30$9,717.15
Geisinger Medical CenterDanville13$57,797.30$11,312.20$8,335.08
Wilkes-Barre General HospitalWilkes-Barre13$58,147.80$6,785.69$5,541.23
Total 15 hospitals239

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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