Hospital Costs > In Pennsylvania > Jefferson Regional Medical Center Pittsburgh, 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 | 19 | 72 / 22 | $20.661,30 | 309 / 18 | $5.426,84 | 36 / 2 | $4.409,58 | 36 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 44 | $32.374,90 | 529 / 34 | $8.825,00 | 100 / 7 | $7.918,33 | 100 / 13 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 15 | $19.447,10 | 277 / 14 | $4.150,75 | 8 / 2 | $2.736,75 | 8 / 2 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 19 | $11.595,00 | 185 / 7 | $3.524,33 | 3 / 1 | $2.213,20 | 3 / 3 |
| Bronchitis & Asthma W Cc/Mcc | 22 | 54 / 16 | $16.011,90 | 235 / 10 | $4.647,77 | 3 / 1 | $3.050,82 | 3 / 1 |
| Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 10 | $12.241,70 | 78 / 5 | $3.293,62 | 4 / 1 | $2.089,92 | 4 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 34 | $15.033,70 | 524 / 24 | $4.081,45 | 25 / 1 | $3.047,79 | 25 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 42 | $22.631,40 | 498 / 33 | $6.387,53 | 3 / 2 | $4.904,13 | 3 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 45 | 105 / 25 | $11.254,00 | 489 / 26 | $2.905,13 | 48 / 2 | $1.829,29 | 48 / 9 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 13 | 37 / 10 | $115.311,00 | 81 / 3 | $30.699,20 | 12 / 1 | $26.777,20 | 12 / 1 |
| Cellulitis W Mcc | 11 | 47 / 17 | $18.424,90 | 98 / 4 | $7.661,55 | 9 / 4 | $6.037,91 | 9 / 2 |
| Cellulitis W/O Mcc | 77 | 112 / 22 | $12.009,20 | 470 / 32 | $4.388,36 | 127 / 6 | $3.447,78 | 127 / 14 |
| Chest Pain | 13 | 138 / 39 | $17.598,80 | 739 / 36 | $3.086,46 | 15 / 1 | $2.041,54 | 15 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 68 | 111 / 20 | $17.211,70 | 724 / 31 | $4.786,74 | 72 / 2 | $3.934,03 | 72 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 33 | $19.964,30 | 708 / 37 | $6.019,62 | 32 / 3 | $4.855,90 | 32 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 45 | 75 / 12 | $14.394,20 | 713 / 35 | $3.657,71 | 41 / 1 | $2.646,31 | 41 / 8 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 48 | $21.671,60 | 149 / 9 | $5.632,12 | 15 / 1 | $4.271,94 | 15 / 2 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 16 | 60 / 12 | $83.023,80 | 48 / 4 | $24.397,80 | 97 / 1 | $23.265,80 | 97 / 9 |
| Diabetes W Cc | 12 | 80 / 28 | $14.939,80 | 337 / 18 | $4.241,50 | 25 / 1 | $3.244,17 | 25 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 29 | $21.792,80 | 292 / 10 | $5.941,50 | 34 / 1 | $5.338,92 | 34 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 49 | 226 / 58 | $16.174,30 | 894 / 48 | $3.952,78 | 52 / 2 | $2.828,29 | 52 / 7 |
| Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 13 | $14.137,10 | 46 / 2 | $5.493,53 | 15 / 1 | $4.196,94 | 15 / 2 |
| G.I. Hemorrhage W Cc | 36 | 182 / 46 | $18.125,90 | 581 / 35 | $5.145,89 | 61 / 3 | $4.237,58 | 61 / 7 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 39 | $38.343,50 | 632 / 30 | $9.051,55 | 160 / 5 | $8.722,82 | 160 / 15 |
| G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 18 | $13.066,20 | 225 / 15 | $3.569,80 | 13 / 1 | $2.524,47 | 13 / 2 |
| G.I. Obstruction W Cc | 20 | 72 / 26 | $12.674,00 | 146 / 6 | $4.676,70 | 6 / 1 | $3.267,15 | 6 / 1 |
| Heart Failure & Shock W Cc | 98 | 180 / 32 | $16.168,50 | 703 / 37 | $4.969,91 | 79 / 1 | $4.299,05 | 79 / 9 |
| Heart Failure & Shock W Mcc | 34 | 250 / 65 | $32.713,90 | 1266 / 62 | $8.507,38 | 616 / 22 | $7.829,74 | 616 / 37 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 34 | $10.532,00 | 325 / 25 | $3.417,09 | 78 / 2 | $2.729,09 | 77 / 10 |
| Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 36 | $27.661,70 | 152 / 10 | $10.018,70 | 79 / 2 | $9.127,79 | 79 / 7 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 11 | $23.295,40 | 62 / 5 | $8.438,35 | 16 / 1 | $7.100,00 | 16 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 42 | $20.516,60 | 511 / 28 | $5.459,19 | 60 / 3 | $4.441,19 | 60 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 29 | $20.871,80 | 638 / 32 | $4.047,95 | 15 / 3 | $2.633,30 | 15 / 4 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 40 | $22.009,30 | 709 / 35 | $5.767,83 | 39 / 3 | $4.757,17 | 39 / 5 |
| Kidney & Urinary Tract Infections W/O Mcc | 70 | 163 / 30 | $12.480,20 | 573 / 32 | $3.875,70 | 42 / 1 | $3.007,81 | 42 / 5 |
| Major Cardiovasc Procedures W/O Mcc | 16 | 85 / 20 | $51.806,80 | 67 / 4 | $17.198,10 | 42 / 1 | $16.142,10 | 42 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 17 | $12.906,60 | 68 / 5 | $5.559,58 | 5 / 1 | $4.668,63 | 5 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 104 | 460 / 51 | $30.112,20 | 221 / 15 | $11.483,70 | 20 / 8 | $8.648,31 | 20 / 4 |
| Major Small & Large Bowel Procedures W Cc | 22 | 86 / 25 | $37.812,40 | 144 / 6 | $12.648,30 | 39 / 1 | $11.299,50 | 39 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 22 | $71.066,80 | 134 / 4 | $23.302,50 | 19 / 1 | $22.261,50 | 19 / 2 |
| Medical Back Problems W/O Mcc | 25 | 96 / 28 | $15.484,50 | 252 / 17 | $4.184,64 | 54 / 2 | $3.414,08 | 54 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 29 | $20.998,40 | 458 / 18 | $5.613,61 | 25 / 1 | $4.843,83 | 25 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 36 | $10.906,10 | 418 / 17 | $3.597,59 | 23 / 4 | $2.575,59 | 23 / 1 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 30 | $15.088,20 | 155 / 5 | $4.950,50 | 83 / 1 | $4.349,36 | 82 / 11 |
| Other Vascular Procedures W Cc | 12 | 90 / 26 | $61.656,80 | 392 / 18 | $14.034,20 | 160 / 2 | $13.130,10 | 160 / 8 |
| Other Vascular Procedures W/O Cc/Mcc | 16 | 40 / 11 | $35.827,10 | 122 / 4 | $8.723,00 | 24 / 1 | $7.745,00 | 24 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 31 | 165 / 40 | $57.855,70 | 400 / 17 | $10.834,00 | 98 / 1 | $9.397,94 | 98 / 9 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 12 | 57 / 18 | $36.044,00 | 32 / 1 | $9.644,75 | 2 / 1 | $7.090,83 | 2 / 1 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 16 | $40.707,80 | 159 / 9 | $11.073,10 | 34 / 1 | $10.145,10 | 34 / 2 |
| Pulmonary Edema & Respiratory Failure | 19 | 184 / 45 | $27.332,70 | 875 / 43 | $6.243,37 | 125 / 1 | $5.734,74 | 125 / 16 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 20 | $27.592,20 | 387 / 11 | $6.403,75 | 29 / 1 | $5.651,75 | 29 / 3 |
| Red Blood Cell Disorders W/O Mcc | 21 | 122 / 31 | $17.546,40 | 680 / 37 | $4.104,71 | 30 / 1 | $3.129,48 | 30 / 5 |
| Renal Failure W Cc | 39 | 182 / 48 | $15.661,50 | 527 / 33 | $4.804,33 | 17 / 1 | $3.860,74 | 17 / 4 |
| Renal Failure W Mcc | 19 | 176 / 46 | $31.842,50 | 869 / 46 | $7.940,37 | 86 / 2 | $7.174,05 | 86 / 10 |
| Respiratory Neoplasms W Mcc | 12 | 40 / 10 | $18.397,10 | 32 / 1 | $8.726,08 | 16 / 1 | $7.928,75 | 16 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 31 | $53.621,20 | 728 / 32 | $12.084,50 | 50 / 6 | $10.730,80 | 50 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 39 | 477 / 85 | $37.312,60 | 1172 / 57 | $9.583,82 | 91 / 7 | $8.598,38 | 91 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 58 | $19.756,80 | 760 / 42 | $5.350,04 | 79 / 1 | $4.559,78 | 79 / 9 |
| Signs & Symptoms W/O Mcc | 18 | 73 / 26 | $13.650,90 | 258 / 11 | $3.543,22 | 49 / 1 | $2.805,44 | 49 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 64 | 139 / 22 | $19.639,20 | 1097 / 49 | $4.982,81 | 93 / 2 | $4.133,81 | 93 / 11 |
| Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 38 | $30.743,70 | 1085 / 48 | $7.510,62 | 102 / 5 | $6.589,21 | 102 / 9 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 27 | 66 / 17 | $10.515,60 | 267 / 20 | $3.645,96 | 40 / 1 | $2.536,22 | 40 / 8 |
| Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 38 | $55.876,60 | 167 / 9 | $20.743,20 | 37 / 2 | $17.706,80 | 37 / 3 |
| Syncope & Collapse | 40 | 129 / 31 | $15.469,80 | 439 / 27 | $3.715,88 | 38 / 1 | $2.807,88 | 38 / 9 |
| Transient Ischemia | 18 | 107 / 39 | $17.879,00 | 491 / 32 | $3.570,39 | 90 / 1 | $2.768,61 | 90 / 12 | Total 65 procedures | 1.751 | 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.