Hospital Costs > In Pennsylvania > Holy Spirit 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 | 16 | 75 / 25 | $30.216,30 | 745 / 43 | $5.685,94 | 117 / 9 | $4.747,62 | 117 / 14 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 31 | $49.188,80 | 1120 / 58 | $9.463,96 | 321 / 24 | $8.594,20 | 321 / 33 |
| Bronchitis & Asthma W Cc/Mcc | 26 | 50 / 12 | $22.766,80 | 491 / 20 | $5.008,15 | 52 / 7 | $3.640,92 | 52 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 32 | $22.535,40 | 1249 / 57 | $4.280,69 | 57 / 7 | $3.183,31 | 57 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 38 | 85 / 20 | $32.303,10 | 1060 / 52 | $6.854,16 | 225 / 18 | $5.918,53 | 225 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 51 | 99 / 21 | $15.194,70 | 1014 / 48 | $3.055,69 | 149 / 8 | $2.044,02 | 149 / 19 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 11 | 58 / 8 | $184.288,00 | 57 / 1 | $50.528,30 | 33 / 1 | $49.699,10 | 33 / 2 |
| Carotid Artery Stent Procedure W/O Cc/Mcc | 14 | 18 / 3 | $35.785,40 | 28 / 2 | $9.468,79 | 21 / 1 | $8.422,86 | 21 / 1 |
| Cellulitis W Mcc | 23 | 35 / 7 | $37.247,20 | 530 / 17 | $7.884,52 | 152 / 7 | $7.249,78 | 152 / 15 |
| Cellulitis W/O Mcc | 79 | 110 / 20 | $20.644,00 | 1548 / 76 | $4.664,25 | 215 / 14 | $3.580,09 | 213 / 22 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 17 | $60.166,80 | 464 / 11 | $16.248,20 | 4 / 15 | $8.270,36 | 4 / 1 |
| Chest Pain | 23 | 128 / 29 | $20.435,00 | 951 / 44 | $3.318,43 | 131 / 4 | $2.428,09 | 131 / 12 |
| Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 49 | $25.158,80 | 1465 / 71 | $5.138,85 | 228 / 10 | $4.227,54 | 228 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 96 | 106 / 7 | $30.587,40 | 1511 / 68 | $6.582,71 | 100 / 15 | $5.161,43 | 100 / 14 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 32 | $19.672,60 | 1240 / 57 | $4.010,65 | 56 / 10 | $2.703,95 | 56 / 10 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 23 | $41.252,80 | 174 / 10 | $11.598,50 | 159 / 3 | $10.859,60 | 156 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 34 | 154 / 36 | $30.799,00 | 554 / 29 | $6.321,62 | 131 / 9 | $4.830,79 | 131 / 8 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 11 | 35 / 5 | $151.109,00 | 28 / 3 | $49.129,00 | 3 / 3 | $35.083,20 | 3 / 1 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 17 | 59 / 11 | $114.926,00 | 197 / 10 | $24.962,40 | 26 / 2 | $21.249,50 | 26 / 2 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 24 | $23.138,20 | 330 / 15 | $5.377,75 | 42 / 5 | $4.236,67 | 42 / 5 |
| Diabetes W Cc | 19 | 73 / 21 | $17.612,80 | 522 / 24 | $4.479,53 | 81 / 7 | $3.567,89 | 81 / 8 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 19 | $26.960,70 | 536 / 18 | $5.077,00 | 75 / 3 | $4.049,73 | 75 / 4 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 9 | $15.886,90 | 153 / 4 | $3.579,55 | 18 / 2 | $2.351,09 | 18 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 22 | $50.175,00 | 1164 / 46 | $8.597,89 | 868 / 39 | $7.653,84 | 863 / 47 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 106 | 169 / 23 | $17.272,80 | 1034 / 52 | $4.192,07 | 134 / 10 | $3.009,42 | 134 / 14 |
| Extracranial Procedures W/O Cc/Mcc | 12 | 86 / 18 | $29.106,80 | 413 / 18 | $6.795,67 | 504 / 15 | $5.772,08 | 503 / 27 |
| Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 10 | $17.318,80 | 397 / 15 | $3.519,88 | 30 / 3 | $2.664,62 | 30 / 6 |
| G.I. Hemorrhage W Cc | 96 | 122 / 15 | $22.865,50 | 1014 / 50 | $5.577,54 | 206 / 14 | $4.565,65 | 206 / 17 |
| G.I. Hemorrhage W Mcc | 39 | 82 / 14 | $37.706,40 | 613 / 27 | $9.770,15 | 128 / 12 | $8.598,44 | 128 / 11 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 22 | $13.152,70 | 228 / 16 | $3.841,82 | 40 / 4 | $2.722,45 | 40 / 3 |
| G.I. Obstruction W Cc | 14 | 78 / 31 | $21.561,30 | 761 / 34 | $4.905,00 | 119 / 9 | $3.839,57 | 118 / 10 |
| Heart Failure & Shock W Cc | 67 | 211 / 50 | $24.833,70 | 1655 / 72 | $5.534,64 | 265 / 16 | $4.641,94 | 265 / 23 |
| Heart Failure & Shock W Mcc | 126 | 158 / 20 | $33.612,80 | 1320 / 63 | $8.329,44 | 328 / 16 | $7.456,52 | 328 / 22 |
| Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 31 | $17.446,20 | 1103 / 55 | $3.659,04 | 105 / 9 | $2.776,81 | 104 / 13 |
| Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 29 | $34.119,00 | 383 / 23 | $10.415,10 | 197 / 6 | $9.479,89 | 196 / 15 |
| Hypertension W/O Mcc | 17 | 48 / 15 | $18.481,00 | 359 / 10 | $3.593,82 | 18 / 3 | $2.213,94 | 18 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 34 | $92.914,70 | 410 / 20 | $26.344,40 | 20 / 4 | $22.618,10 | 20 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 58 | 124 / 27 | $26.160,20 | 870 / 42 | $5.784,52 | 142 / 10 | $4.694,57 | 142 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 30 | 138 / 25 | $37.657,20 | 613 / 24 | $9.132,47 | 102 / 7 | $8.110,67 | 102 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 43 | 59 / 12 | $20.364,30 | 603 / 30 | $4.229,09 | 84 / 6 | $2.951,16 | 83 / 10 |
| Kidney & Urinary Tract Infections W Mcc | 37 | 107 / 18 | $21.057,90 | 639 / 33 | $5.958,41 | 111 / 7 | $5.048,89 | 111 / 11 |
| Kidney & Urinary Tract Infections W/O Mcc | 74 | 159 / 28 | $19.012,00 | 1461 / 69 | $4.139,20 | 113 / 7 | $3.156,01 | 113 / 14 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 13 | $38.192,10 | 120 / 4 | $10.882,80 | 90 / 2 | $9.742,15 | 90 / 8 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 12 | $25.953,80 | 59 / 3 | $8.200,73 | 72 / 2 | $6.975,73 | 72 / 3 |
| Major Cardiovasc Procedures W/O Mcc | 25 | 76 / 14 | $67.505,90 | 226 / 12 | $18.436,00 | 153 / 2 | $17.352,80 | 153 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 20 | $23.119,40 | 403 / 19 | $6.412,19 | 134 / 9 | $5.694,50 | 134 / 15 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 14 | $44.942,70 | 78 / 3 | $15.141,10 | 14 / 1 | $14.106,10 | 14 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 207 | 357 / 28 | $36.268,00 | 536 / 36 | $12.383,20 | 207 / 33 | $9.746,52 | 207 / 15 |
| Major Small & Large Bowel Procedures W Cc | 21 | 87 / 26 | $49.885,60 | 420 / 16 | $13.877,50 | 293 / 5 | $12.847,10 | 291 / 8 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 24 | $110.055,00 | 477 / 16 | $27.018,70 | 180 / 9 | $26.138,80 | 180 / 10 |
| Medical Back Problems W/O Mcc | 34 | 87 / 22 | $21.016,90 | 605 / 31 | $4.564,47 | 108 / 6 | $3.550,06 | 108 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 35 | 91 / 15 | $29.930,20 | 956 / 31 | $6.646,60 | 324 / 17 | $5.752,40 | 321 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 55 | 111 / 19 | $16.783,30 | 1176 / 54 | $3.876,76 | 86 / 11 | $2.800,67 | 86 / 13 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 32 | $48.547,80 | 708 / 23 | $10.330,40 | 144 / 8 | $9.351,83 | 144 / 13 |
| Other Digestive System Diagnoses W Cc | 28 | 69 / 16 | $24.627,10 | 657 / 30 | $5.324,21 | 93 / 5 | $4.381,89 | 92 / 13 |
| Other Digestive System Diagnoses W Mcc | 16 | 46 / 11 | $29.079,40 | 146 / 4 | $9.127,25 | 43 / 2 | $8.259,56 | 43 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 17 | 86 / 21 | $22.548,10 | 321 / 11 | $5.626,65 | 29 / 4 | $4.368,71 | 29 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 19 | $34.350,50 | 510 / 20 | $8.548,41 | 116 / 3 | $7.626,32 | 116 / 8 |
| Other Vascular Procedures W Cc | 29 | 73 / 14 | $53.864,00 | 264 / 10 | $14.497,80 | 64 / 3 | $12.455,30 | 64 / 5 |
| Other Vascular Procedures W Mcc | 12 | 85 / 25 | $75.061,10 | 323 / 14 | $17.748,90 | 78 / 2 | $16.698,10 | 78 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 19 | 81 / 19 | $70.672,10 | 172 / 7 | $18.287,90 | 59 / 6 | $15.863,50 | 59 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 38 | 158 / 35 | $53.115,50 | 288 / 10 | $12.285,20 | 146 / 9 | $9.636,55 | 146 / 11 |
| Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 17 | $43.309,20 | 121 / 8 | $13.630,40 | 38 / 1 | $12.752,50 | 38 / 4 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 11 | $108.684,00 | 377 / 15 | $22.035,90 | 245 / 8 | $21.552,10 | 245 / 16 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 17 | $16.810,60 | 387 / 11 | $3.694,79 | 10 / 3 | $2.351,57 | 10 / 1 |
| Pulmonary Edema & Respiratory Failure | 33 | 170 / 33 | $33.270,70 | 1213 / 53 | $7.095,09 | 77 / 19 | $5.610,06 | 77 / 13 |
| Pulmonary Embolism W Mcc | 11 | 32 / 11 | $35.310,00 | 253 / 7 | $8.517,55 | 106 / 4 | $7.702,18 | 106 / 4 |
| Pulmonary Embolism W/O Mcc | 29 | 45 / 12 | $22.727,20 | 534 / 22 | $5.395,17 | 136 / 5 | $4.451,31 | 136 / 13 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 17 | $20.350,10 | 165 / 6 | $6.886,40 | 51 / 4 | $5.852,40 | 51 / 5 |
| Red Blood Cell Disorders W/O Mcc | 25 | 118 / 27 | $21.669,70 | 1044 / 51 | $4.563,16 | 74 / 13 | $3.340,84 | 74 / 11 |
| Renal Failure W Cc | 76 | 145 / 21 | $20.600,90 | 1036 / 50 | $5.170,89 | 110 / 10 | $4.214,43 | 110 / 11 |
| Renal Failure W Mcc | 38 | 157 / 30 | $38.867,40 | 1234 / 58 | $8.541,37 | 318 / 14 | $7.764,76 | 318 / 24 |
| Respiratory Infections & Inflammations W Mcc | 36 | 100 / 18 | $45.889,50 | 961 / 42 | $10.896,00 | 155 / 18 | $9.592,19 | 155 / 15 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 30 | $44.199,40 | 447 / 20 | $11.809,30 | 72 / 3 | $10.956,70 | 72 / 9 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 13 | $129.913,00 | 446 / 19 | $29.904,40 | 88 / 7 | $26.221,20 | 88 / 7 |
| Seizures W/O Mcc | 18 | 90 / 27 | $21.790,70 | 641 / 29 | $4.434,39 | 11 / 7 | $2.783,94 | 11 / 2 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 20 | $147.374,00 | 507 / 18 | $32.598,00 | 131 / 8 | $30.634,90 | 131 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 249 | 267 / 19 | $36.935,10 | 1149 / 56 | $10.122,20 | 270 / 14 | $9.096,69 | 270 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 90 | 117 / 19 | $25.206,40 | 1274 / 60 | $5.901,20 | 207 / 11 | $4.860,18 | 206 / 18 |
| Simple Pneumonia & Pleurisy W Cc | 63 | 140 / 23 | $22.102,80 | 1362 / 60 | $5.375,92 | 137 / 13 | $4.209,62 | 137 / 14 |
| Simple Pneumonia & Pleurisy W Mcc | 107 | 98 / 1 | $32.692,20 | 1202 / 55 | $7.867,41 | 201 / 10 | $6.837,46 | 201 / 15 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 24 | $16.990,30 | 929 / 39 | $4.061,85 | 36 / 14 | $2.519,95 | 36 / 6 |
| Spinal Fusion Except Cervical W/O Mcc | 58 | 136 / 11 | $86.858,60 | 600 / 35 | $23.427,70 | 276 / 18 | $20.372,90 | 275 / 15 |
| Syncope & Collapse | 45 | 124 / 28 | $19.050,70 | 765 / 41 | $3.998,82 | 106 / 8 | $2.994,27 | 106 / 16 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 12 | $18.545,30 | 120 / 7 | $4.209,00 | 3 / 2 | $3.077,08 | 3 / 2 |
| Transient Ischemia | 37 | 88 / 24 | $19.892,30 | 661 / 36 | $3.998,65 | 56 / 10 | $2.673,95 | 56 / 9 | Total 86 procedures | 3.155 | 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.