Hospital Costs > In Pennsylvania > Memorial Medical Center Johnstown, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Adjustment Reaction & Psychosocial Dysfunction | 11 | 19 / 5 | $10.872,90 | 11 / 2 | $5.726,09 | 11 / 3 | $3.255,36 | 11 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 28 | 63 / 15 | $14.130,20 | 95 / 5 | $8.010,57 | 875 / 60 | $6.298,36 | 873 / 62 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 36 | 89 / 21 | $22.635,30 | 227 / 18 | $12.163,50 | 865 / 70 | $9.906,67 | 864 / 63 |
| Acute Myocardial Infarction, Expired W Mcc | 12 | 18 / 7 | $17.775,00 | 9 / 1 | $11.803,60 | 67 / 6 | $10.026,40 | 67 / 6 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 22 | $11.678,40 | 189 / 8 | $6.154,45 | 524 / 25 | $4.536,64 | 523 / 26 |
| Behavioral & Developmental Disorders | 20 | 1 / 1 | $12.065,30 | 1 / 1 | $8.139,10 | 2 / 1 | $4.929,45 | 2 / 1 |
| Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 17 | $11.261,00 | 77 / 2 | $6.890,67 | 698 / 45 | $5.461,29 | 694 / 50 |
| Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 11 | $9.957,33 | 50 / 2 | $5.525,08 | 231 / 18 | $3.891,25 | 231 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 49 | 112 / 20 | $12.443,10 | 264 / 18 | $6.468,43 | 1382 / 88 | $4.782,90 | 1377 / 90 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 35 | 88 / 23 | $17.737,70 | 225 / 16 | $8.971,03 | 952 / 76 | $7.066,40 | 949 / 67 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 31 | 119 / 36 | $9.936,65 | 346 / 16 | $4.932,81 | 1339 / 85 | $3.217,39 | 1334 / 84 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 11 | 105 / 20 | $112.741,00 | 23 / 1 | $45.713,10 | 70 / 5 | $43.243,00 | 70 / 5 |
| Cellulitis W/O Mcc | 56 | 133 / 34 | $10.042,10 | 247 / 22 | $6.829,41 | 1733 / 102 | $5.025,91 | 1725 / 103 |
| Chest Pain | 33 | 118 / 20 | $15.284,70 | 517 / 23 | $5.978,12 | 1045 / 73 | $3.633,00 | 1039 / 65 |
| Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 33 | $13.565,00 | 377 / 17 | $7.438,38 | 1491 / 98 | $5.504,93 | 1485 / 87 |
| Chronic Obstructive Pulmonary Disease W Mcc | 74 | 128 / 12 | $14.696,80 | 296 / 14 | $8.679,28 | 1401 / 94 | $6.706,73 | 1395 / 84 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 32 | $10.628,70 | 313 / 16 | $6.007,75 | 1355 / 82 | $4.171,95 | 1344 / 81 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 22 | $23.995,10 | 23 / 2 | $14.331,50 | 434 / 19 | $12.459,30 | 428 / 17 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 50 | 138 / 26 | $20.054,70 | 112 / 6 | $8.253,76 | 994 / 52 | $6.329,78 | 991 / 55 |
| Degenerative Nervous System Disorders W/O Mcc | 27 | 51 / 12 | $12.503,90 | 60 / 4 | $7.430,22 | 377 / 30 | $5.554,19 | 377 / 27 |
| Depressive Neuroses | 14 | 36 / 2 | $8.054,21 | 30 / 1 | $6.059,21 | 80 / 2 | $4.016,57 | 80 / 2 |
| Diabetes W Cc | 37 | 55 / 9 | $13.009,10 | 205 / 9 | $6.670,57 | 816 / 54 | $4.729,38 | 812 / 47 |
| Diabetes W Mcc | 16 | 41 / 8 | $18.648,20 | 64 / 1 | $9.880,94 | 280 / 9 | $7.989,94 | 280 / 10 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 17 | $15.327,20 | 126 / 5 | $7.205,08 | 530 / 24 | $5.379,23 | 528 / 26 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 29 | 67 / 12 | $17.304,90 | 120 / 2 | $9.105,31 | 785 / 46 | $7.353,24 | 780 / 43 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 76 | 199 / 38 | $12.461,10 | 449 / 27 | $6.147,76 | 1858 / 101 | $4.562,25 | 1844 / 101 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 16 | $56.806,10 | 28 / 1 | $31.246,60 | 263 / 14 | $28.256,80 | 263 / 15 |
| Extracranial Procedures W/O Cc/Mcc | 19 | 79 / 12 | $17.908,90 | 96 / 7 | $7.510,00 | 595 / 28 | $6.095,89 | 593 / 31 |
| G.I. Hemorrhage W Cc | 60 | 158 / 31 | $16.609,90 | 451 / 28 | $7.831,80 | 1434 / 93 | $5.864,67 | 1431 / 83 |
| G.I. Hemorrhage W Mcc | 33 | 88 / 18 | $23.359,50 | 139 / 12 | $11.966,30 | 696 / 51 | $10.217,20 | 696 / 47 |
| G.I. Obstruction W Cc | 32 | 60 / 17 | $14.424,20 | 248 / 14 | $7.292,00 | 1109 / 60 | $5.312,69 | 1106 / 63 |
| G.I. Obstruction W Mcc | 15 | 27 / 6 | $20.276,70 | 31 / 1 | $11.663,60 | 246 / 9 | $9.698,00 | 246 / 12 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 24 | $8.672,42 | 75 / 2 | $5.145,00 | 882 / 43 | $3.607,75 | 879 / 46 |
| Heart Failure & Shock W Cc | 127 | 151 / 17 | $15.123,20 | 593 / 33 | $8.016,50 | 1751 / 109 | $6.063,99 | 1746 / 103 |
| Heart Failure & Shock W Mcc | 127 | 157 / 19 | $20.605,80 | 456 / 30 | $11.033,30 | 1468 / 99 | $8.980,50 | 1464 / 86 |
| Heart Failure & Shock W/O Cc/Mcc | 62 | 48 / 7 | $10.155,50 | 276 / 20 | $5.787,95 | 1396 / 89 | $4.225,06 | 1385 / 88 |
| Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 22 | $37.765,30 | 533 / 30 | $13.467,70 | 1052 / 69 | $11.147,10 | 1038 / 63 |
| Hypertension W/O Mcc | 12 | 53 / 18 | $20.056,20 | 416 / 13 | $6.848,25 | 663 / 23 | $4.945,00 | 661 / 22 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 32 | 92 / 22 | $67.124,10 | 154 / 6 | $35.321,40 | 617 / 48 | $30.589,50 | 611 / 43 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 59 | 123 / 26 | $16.483,60 | 238 / 14 | $7.917,27 | 1122 / 70 | $6.029,76 | 1119 / 68 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 42 | 126 / 17 | $20.863,40 | 108 / 3 | $12.103,10 | 731 / 43 | $9.979,43 | 730 / 41 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 28 | 74 / 23 | $13.535,10 | 154 / 7 | $6.174,11 | 1122 / 67 | $4.624,71 | 1118 / 69 |
| Kidney & Urinary Tract Infections W Mcc | 55 | 89 / 7 | $14.679,00 | 226 / 10 | $8.436,42 | 985 / 66 | $6.353,84 | 982 / 59 |
| Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 45 | $13.251,80 | 675 / 41 | $6.588,57 | 1751 / 106 | $4.621,66 | 1740 / 99 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 13 | 34 / 10 | $33.927,00 | 159 / 8 | $12.715,10 | 139 / 20 | $7.451,92 | 139 / 9 |
| Major Cardiovasc Procedures W Mcc | 15 | 53 / 12 | $58.827,30 | 14 / 1 | $32.362,80 | 169 / 5 | $29.818,50 | 169 / 9 |
| Major Cardiovasc Procedures W/O Mcc | 16 | 85 / 20 | $58.388,50 | 114 / 8 | $21.501,20 | 467 / 19 | $20.020,10 | 467 / 25 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 21 | $23.155,00 | 404 / 20 | $9.723,53 | 547 / 46 | $6.772,27 | 545 / 37 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 13 | $51.463,50 | 359 / 15 | $14.367,60 | 517 / 22 | $12.954,00 | 514 / 29 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 150 | 414 / 39 | $36.092,30 | 528 / 34 | $14.359,50 | 1385 / 90 | $11.779,70 | 1352 / 87 |
| Major Small & Large Bowel Procedures W Cc | 20 | 88 / 27 | $42.877,70 | 256 / 10 | $17.467,60 | 606 / 38 | $14.014,30 | 600 / 30 |
| Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 17 | $53.056,50 | 41 / 2 | $29.778,20 | 261 / 15 | $27.009,20 | 259 / 12 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 15 | $24.082,10 | 52 / 2 | $11.447,50 | 316 / 11 | $8.682,69 | 316 / 10 |
| Medical Back Problems W Mcc | 14 | 25 / 8 | $23.159,10 | 32 / 3 | $11.446,60 | 118 / 5 | $9.080,71 | 118 / 6 |
| Medical Back Problems W/O Mcc | 40 | 81 / 17 | $17.963,30 | 389 / 21 | $6.942,75 | 919 / 60 | $5.019,45 | 916 / 60 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 27 | $18.784,90 | 347 / 12 | $8.966,50 | 1085 / 57 | $7.303,40 | 1082 / 57 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 48 | 118 / 24 | $11.546,20 | 493 / 22 | $6.054,25 | 1767 / 92 | $4.417,35 | 1762 / 94 |
| Organic Disturbances & Mental Retardation | 22 | 37 / 5 | $13.143,30 | 57 / 2 | $7.938,77 | 255 / 18 | $6.004,36 | 255 / 18 |
| Other Digestive System Diagnoses W Cc | 37 | 60 / 10 | $18.137,90 | 289 / 16 | $7.778,22 | 909 / 51 | $6.165,84 | 905 / 57 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 16 | $21.732,00 | 56 / 2 | $12.151,70 | 239 / 13 | $9.724,27 | 239 / 10 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 23 | 80 / 16 | $17.605,30 | 174 / 5 | $8.216,91 | 414 / 31 | $5.907,91 | 414 / 26 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 23 | $15.189,00 | 47 / 3 | $10.040,80 | 253 / 21 | $8.206,06 | 253 / 14 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 14 | 14 / 4 | $34.279,30 | 25 / 1 | $11.567,10 | 49 / 3 | $9.652,86 | 49 / 3 |
| Other Resp System O.R. Procedures W Cc | 11 | 36 / 11 | $34.034,50 | 39 / 2 | $12.989,50 | 100 / 8 | $10.565,70 | 100 / 6 |
| Other Respiratory System Diagnoses W/O Mcc | 11 | 35 / 13 | $16.012,20 | 69 / 6 | $6.563,00 | 141 / 16 | $4.661,73 | 141 / 15 |
| Other Vascular Procedures W Cc | 14 | 88 / 24 | $46.846,00 | 160 / 6 | $16.779,70 | 489 / 31 | $14.874,20 | 486 / 32 |
| Other Vascular Procedures W Mcc | 20 | 77 / 18 | $49.152,20 | 78 / 2 | $20.991,40 | 300 / 15 | $18.753,80 | 299 / 14 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 40 | 60 / 7 | $67.741,70 | 145 / 6 | $22.259,30 | 476 / 20 | $19.452,20 | 472 / 19 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 64 | 132 / 19 | $41.792,80 | 84 / 6 | $13.968,30 | 697 / 31 | $11.213,30 | 693 / 34 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 17 | 52 / 14 | $41.822,40 | 71 / 3 | $12.472,80 | 311 / 15 | $10.669,90 | 311 / 19 |
| Peripheral Vascular Disorders W Cc | 18 | 66 / 16 | $12.399,90 | 88 / 6 | $7.858,28 | 758 / 52 | $6.041,94 | 755 / 53 |
| Permanent Cardiac Pacemaker Implant W Cc | 31 | 46 / 7 | $41.744,50 | 101 / 6 | $16.778,60 | 378 / 22 | $15.030,60 | 377 / 25 |
| Permanent Cardiac Pacemaker Implant W Mcc | 20 | 32 / 6 | $44.961,80 | 21 / 1 | $23.743,50 | 233 / 14 | $21.298,10 | 233 / 13 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 20 | 37 / 9 | $33.571,60 | 72 / 6 | $14.371,30 | 394 / 23 | $12.623,70 | 393 / 23 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 18 | $19.607,50 | 103 / 1 | $10.462,50 | 514 / 22 | $8.588,69 | 512 / 23 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 14 | $12.422,30 | 190 / 7 | $6.131,47 | 497 / 30 | $3.872,29 | 496 / 26 |
| Psychoses | 172 | 141 / 7 | $15.422,00 | 190 / 8 | $9.234,10 | 273 / 29 | $5.817,16 | 273 / 20 |
| Pulmonary Edema & Respiratory Failure | 35 | 168 / 31 | $16.801,50 | 222 / 12 | $9.307,06 | 1208 / 81 | $7.240,23 | 1206 / 72 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 29 | $16.176,20 | 197 / 6 | $7.713,55 | 624 / 44 | $5.407,82 | 621 / 39 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 19 | $18.874,30 | 133 / 3 | $9.171,69 | 632 / 34 | $7.930,00 | 629 / 36 |
| Red Blood Cell Disorders W/O Mcc | 32 | 111 / 24 | $14.015,90 | 356 / 22 | $6.556,28 | 1236 / 77 | $4.869,47 | 1228 / 77 |
| Renal Failure W Cc | 121 | 100 / 12 | $14.269,60 | 400 / 26 | $7.750,49 | 1572 / 96 | $5.872,92 | 1563 / 91 |
| Renal Failure W Mcc | 70 | 125 / 14 | $23.544,20 | 389 / 18 | $11.836,10 | 1259 / 85 | $9.574,70 | 1259 / 75 |
| Renal Failure W/O Cc/Mcc | 27 | 29 / 4 | $10.985,70 | 159 / 4 | $5.454,89 | 611 / 30 | $3.975,33 | 610 / 31 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 20 | $17.319,70 | 167 / 6 | $10.462,70 | 922 / 54 | $8.370,04 | 917 / 54 |
| Respiratory Infections & Inflammations W Mcc | 43 | 93 / 12 | $23.014,10 | 171 / 9 | $13.813,50 | 698 / 60 | $10.915,50 | 690 / 44 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 69 | 62 / 4 | $31.887,00 | 151 / 8 | $15.708,60 | 658 / 52 | $12.853,20 | 650 / 40 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 14 | $52.088,80 | 31 / 1 | $32.920,30 | 340 / 17 | $29.720,30 | 340 / 18 |
| Seizures W Mcc | 18 | 48 / 10 | $17.250,10 | 33 / 1 | $10.726,10 | 289 / 14 | $8.793,72 | 289 / 12 |
| Seizures W/O Mcc | 37 | 71 / 15 | $11.573,20 | 122 / 8 | $6.274,03 | 772 / 53 | $4.662,30 | 769 / 52 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 23 | 69 / 12 | $48.610,00 | 16 / 1 | $34.721,30 | 157 / 12 | $31.122,10 | 157 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 239 | 277 / 22 | $23.301,10 | 436 / 28 | $12.930,70 | 1298 / 89 | $10.641,40 | 1276 / 71 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 74 | 133 / 22 | $14.564,30 | 315 / 22 | $8.287,89 | 1503 / 91 | $6.263,01 | 1497 / 84 |
| Signs & Symptoms W/O Mcc | 21 | 70 / 23 | $13.586,00 | 253 / 10 | $5.984,48 | 866 / 40 | $4.430,43 | 863 / 41 |
| Simple Pneumonia & Pleurisy W Cc | 52 | 151 / 32 | $14.802,60 | 536 / 28 | $7.921,42 | 1865 / 107 | $5.945,23 | 1857 / 101 |
| Simple Pneumonia & Pleurisy W Mcc | 59 | 146 / 21 | $19.066,50 | 328 / 19 | $10.519,50 | 1381 / 83 | $8.456,98 | 1381 / 76 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 29 | $9.050,73 | 148 / 8 | $5.803,93 | 1342 / 76 | $4.114,20 | 1334 / 72 |
| Spinal Fusion Except Cervical W/O Mcc | 26 | 168 / 27 | $70.621,60 | 383 / 25 | $25.083,50 | 389 / 31 | $21.185,70 | 388 / 23 |
| Syncope & Collapse | 40 | 129 / 31 | $13.285,00 | 280 / 20 | $6.076,85 | 1281 / 81 | $4.554,70 | 1274 / 83 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 17 | 47 / 10 | $94.753,50 | 11 / 1 | $62.445,10 | 140 / 7 | $55.151,40 | 140 / 8 |
| Transient Ischemia | 51 | 74 / 16 | $12.584,80 | 148 / 8 | $5.889,47 | 1074 / 75 | $4.192,31 | 1069 / 77 |
| Transurethral Procedures W Cc | 11 | 30 / 11 | $22.722,50 | 47 / 5 | $9.381,18 | 225 / 13 | $7.534,09 | 225 / 18 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 17 | 49 / 13 | $17.766,00 | 50 / 2 | $8.074,06 | 238 / 12 | $6.435,65 | 238 / 16 | Total 103 procedures | 3.740 | 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.