Hospital Costs > In Pennsylvania > Excela Health Westmoreland Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 20 | $18.990,90 | 253 / 16 | $6.424,10 | 266 / 28 | $5.084,86 | 266 / 25 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 33 | $26.482,60 | 323 / 23 | $11.218,00 | 215 / 55 | $8.352,22 | 215 / 24 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 19 | 34 / 8 | $15.375,20 | 140 / 8 | $4.838,47 | 378 / 15 | $3.941,32 | 375 / 25 |
| Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 21 | $15.920,20 | 232 / 9 | $5.427,62 | 349 / 17 | $4.439,00 | 345 / 28 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 32 | $15.080,50 | 532 / 25 | $5.002,22 | 804 / 37 | $4.111,25 | 801 / 54 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 31 | $18.079,30 | 244 / 17 | $7.195,37 | 504 / 25 | $6.382,85 | 501 / 39 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 57 | 93 / 18 | $11.094,10 | 470 / 25 | $3.779,32 | 989 / 43 | $2.812,33 | 984 / 66 |
| Cellulitis W/O Mcc | 64 | 125 / 28 | $13.436,70 | 652 / 40 | $5.242,05 | 883 / 45 | $4.185,11 | 877 / 53 |
| Chest Pain | 28 | 123 / 25 | $11.230,20 | 204 / 10 | $4.023,96 | 786 / 30 | $3.246,18 | 781 / 46 |
| Chronic Obstructive Pulmonary Disease W Cc | 48 | 131 / 28 | $17.240,90 | 729 / 33 | $6.207,46 | 637 / 59 | $4.667,69 | 635 / 44 |
| Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 40 | $20.170,00 | 729 / 39 | $6.976,31 | 488 / 31 | $5.771,09 | 487 / 34 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 44 | 76 / 13 | $13.278,20 | 582 / 27 | $4.782,45 | 147 / 43 | $2.918,11 | 147 / 22 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 38 | 150 / 34 | $23.601,70 | 225 / 14 | $6.643,03 | 527 / 17 | $5.496,34 | 525 / 29 |
| Diabetes W Cc | 15 | 77 / 25 | $14.053,20 | 274 / 15 | $5.202,27 | 600 / 22 | $4.393,73 | 599 / 35 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 19 | $10.915,30 | 43 / 1 | $5.600,64 | 330 / 9 | $4.834,36 | 329 / 14 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 14 | 24 / 6 | $10.546,90 | 47 / 1 | $4.206,07 | 172 / 3 | $3.254,00 | 172 / 6 |
| Dysequilibrium | 18 | 47 / 10 | $11.454,90 | 59 / 1 | $4.132,61 | 154 / 8 | $2.987,39 | 154 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 27 | $26.464,90 | 504 / 17 | $8.534,36 | 872 / 38 | $7.663,86 | 867 / 48 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 55 | 220 / 53 | $12.326,00 | 434 / 25 | $4.779,25 | 1132 / 45 | $3.847,51 | 1124 / 66 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 14 | $44.194,00 | 36 / 2 | $15.529,80 | 59 / 2 | $14.321,60 | 58 / 5 |
| Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 17 | $10.807,60 | 16 / 1 | $6.349,77 | 310 / 9 | $5.233,23 | 310 / 16 |
| Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 9 | $9.236,12 | 64 / 2 | $4.451,94 | 384 / 14 | $3.664,06 | 385 / 25 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 14 | $11.603,10 | 97 / 2 | $4.833,22 | 254 / 11 | $3.757,83 | 254 / 17 |
| G.I. Hemorrhage W Cc | 30 | 188 / 51 | $16.610,20 | 452 / 29 | $6.062,83 | 792 / 33 | $5.173,03 | 790 / 45 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 39 | $41.183,30 | 737 / 33 | $10.966,30 | 612 / 34 | $9.966,73 | 613 / 41 |
| G.I. Obstruction W Cc | 20 | 72 / 26 | $11.873,20 | 112 / 5 | $5.633,40 | 418 / 27 | $4.372,65 | 417 / 30 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 24 | $9.298,42 | 103 / 3 | $4.164,92 | 325 / 22 | $2.735,25 | 325 / 19 |
| Heart Failure & Shock W Cc | 82 | 196 / 38 | $19.239,20 | 1082 / 54 | $6.076,70 | 816 / 46 | $5.154,43 | 815 / 56 |
| Heart Failure & Shock W Mcc | 44 | 240 / 56 | $24.582,90 | 709 / 41 | $8.516,82 | 587 / 23 | $7.797,39 | 587 / 34 |
| Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 29 | $11.992,40 | 467 / 35 | $4.455,48 | 587 / 44 | $3.379,17 | 585 / 41 |
| Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 31 | $26.722,80 | 120 / 8 | $11.067,80 | 420 / 20 | $9.953,85 | 419 / 25 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 14 | $50.782,50 | 176 / 6 | $17.797,00 | 385 / 9 | $17.185,70 | 382 / 15 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 34 | $73.614,20 | 207 / 9 | $29.582,10 | 377 / 20 | $28.494,20 | 377 / 26 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 53 | $14.748,90 | 141 / 5 | $6.138,60 | 575 / 17 | $5.299,45 | 574 / 39 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 30 | $13.146,50 | 138 / 6 | $4.890,53 | 456 / 30 | $3.574,63 | 453 / 36 |
| Kidney & Urinary Tract Infections W Mcc | 32 | 112 / 22 | $15.832,20 | 300 / 13 | $6.488,25 | 407 / 19 | $5.578,31 | 406 / 29 |
| Kidney & Urinary Tract Infections W/O Mcc | 76 | 157 / 26 | $11.776,20 | 487 / 27 | $4.861,89 | 1117 / 42 | $4.032,32 | 1109 / 64 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 23 | $49.571,60 | 53 / 3 | $18.810,80 | 1 / 4 | $13.164,20 | 1 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 141 | 423 / 40 | $24.523,70 | 72 / 8 | $12.375,10 | 355 / 32 | $10.073,20 | 354 / 27 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 36 | $36.104,60 | 123 / 5 | $14.231,30 | 403 / 7 | $13.235,30 | 400 / 13 |
| Medical Back Problems W/O Mcc | 21 | 100 / 31 | $12.146,70 | 105 / 4 | $5.080,57 | 404 / 16 | $4.101,67 | 404 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 46 | $13.717,10 | 789 / 37 | $4.676,23 | 1438 / 47 | $4.012,05 | 1433 / 80 |
| Organic Disturbances & Mental Retardation | 13 | 46 / 13 | $16.599,00 | 119 / 4 | $6.040,15 | 151 / 2 | $5.381,31 | 151 / 9 |
| Other Digestive System Diagnoses W Cc | 15 | 82 / 29 | $12.422,20 | 71 / 2 | $5.923,87 | 580 / 17 | $5.356,27 | 577 / 41 |
| Other Disorders Of Nervous System W Cc | 14 | 42 / 18 | $14.183,40 | 74 / 1 | $5.659,14 | 84 / 10 | $4.282,71 | 84 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 46 | 150 / 29 | $55.343,80 | 353 / 12 | $14.081,80 | 371 / 32 | $10.331,30 | 371 / 19 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 20 | 49 / 11 | $50.780,60 | 164 / 7 | $10.849,60 | 131 / 5 | $9.144,70 | 131 / 8 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 23 | $10.787,40 | 56 / 3 | $5.708,36 | 279 / 15 | $4.826,45 | 278 / 25 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 21 | $47.944,20 | 190 / 12 | $14.919,50 | 188 / 6 | $13.986,60 | 188 / 13 |
| Psychoses | 153 | 151 / 9 | $16.912,90 | 246 / 12 | $6.413,57 | 110 / 7 | $5.198,56 | 110 / 8 |
| Pulmonary Edema & Respiratory Failure | 34 | 169 / 32 | $28.782,30 | 962 / 47 | $7.944,74 | 400 / 49 | $6.223,62 | 400 / 34 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 21 | $27.986,60 | 400 / 14 | $8.956,55 | 713 / 30 | $8.397,18 | 709 / 40 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 35 | $12.630,50 | 254 / 14 | $5.058,94 | 846 / 32 | $4.348,29 | 841 / 58 |
| Renal Failure W Cc | 42 | 179 / 45 | $14.965,40 | 460 / 30 | $5.684,67 | 707 / 26 | $4.923,17 | 700 / 45 |
| Renal Failure W Mcc | 30 | 165 / 36 | $26.470,80 | 543 / 26 | $8.862,17 | 466 / 20 | $8.021,47 | 466 / 30 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 15 | $10.546,50 | 137 / 2 | $4.083,45 | 338 / 11 | $3.202,09 | 337 / 17 |
| Respiratory Infections & Inflammations W Cc | 22 | 66 / 21 | $20.913,20 | 297 / 11 | $7.950,68 | 319 / 14 | $7.010,41 | 316 / 18 |
| Respiratory Infections & Inflammations W Mcc | 28 | 108 / 24 | $26.476,90 | 277 / 17 | $11.066,60 | 438 / 19 | $10.336,30 | 435 / 30 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 38 | $50.789,60 | 643 / 30 | $13.693,40 | 85 / 28 | $11.030,50 | 85 / 11 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 18 | $75.751,10 | 94 / 3 | $28.105,30 | 8 / 5 | $22.637,90 | 8 / 1 |
| Seizures W Mcc | 11 | 55 / 17 | $30.333,20 | 177 / 5 | $8.834,09 | 200 / 3 | $8.390,91 | 200 / 8 |
| Seizures W/O Mcc | 22 | 86 / 24 | $11.587,80 | 123 / 9 | $4.844,00 | 509 / 21 | $4.073,00 | 506 / 38 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 100 | 416 / 58 | $28.984,50 | 736 / 41 | $10.378,30 | 619 / 24 | $9.687,66 | 618 / 38 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 44 | $17.482,00 | 560 / 31 | $6.354,10 | 772 / 25 | $5.456,54 | 770 / 46 |
| Signs & Symptoms W/O Mcc | 26 | 65 / 18 | $13.946,40 | 270 / 12 | $4.462,42 | 551 / 14 | $3.762,19 | 550 / 26 |
| Simple Pneumonia & Pleurisy W Cc | 61 | 142 / 25 | $22.250,90 | 1379 / 62 | $6.027,11 | 859 / 41 | $4.957,64 | 856 / 55 |
| Simple Pneumonia & Pleurisy W Mcc | 55 | 150 / 23 | $26.153,00 | 780 / 37 | $8.496,25 | 855 / 25 | $7.721,82 | 855 / 50 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 19 | $14.309,20 | 649 / 29 | $4.572,44 | 910 / 35 | $3.600,96 | 905 / 53 |
| Syncope & Collapse | 48 | 121 / 26 | $12.711,20 | 246 / 16 | $4.925,48 | 669 / 48 | $3.712,92 | 666 / 46 |
| Transient Ischemia | 17 | 108 / 40 | $13.190,20 | 188 / 11 | $4.524,00 | 653 / 33 | $3.533,53 | 649 / 45 | Total 70 procedures | 2.193 | discharges |
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.