Hospital Costs > Respiratory Infections & Inflammations W/O Cc/Mcc > Respiratory Infections & Inflammations W/O Cc/Mcc - costs for treatment in Pennsylvania
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| St Mary Medical Center Langhorne | Langhorne | 14 | $28,292.40 | $5,851.50 | $4,898.43 |
| Main Line Hospital Paoli | Paoli | 12 | $32,662.20 | $5,755.83 | $4,943.92 |
| Pocono Medical Center | East Stroudsbur | 13 | $29,352.10 | $7,853.69 | $5,655.23 |
| Upmc Presbyterian Shadyside | Pittsburgh | 13 | $86,277.30 | $11,352.90 | $5,725.31 |
| Milton S Hershey Medical Center | Hershey | 15 | $29,773.30 | $11,343.60 | $6,093.13 |
| Albert Einstein Medical Center | Philadelphia | 11 | $23,341.80 | $13,187.30 | $8,883.91 | Total 6 hospitals | 78 |
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.