Hospital Costs > In Pennsylvania > Memorial Medical Center Johnstown, procedure costs

Memorial Medical Center Johnstown, procedure costs

1086 Franklin Street, Johnstown, PA 15905,

Procedure Costs @ Memorial Medical Center Johnstown
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc239277 / 22$23.301,10436 / 28$12.930,701298 / 89$10.641,401276 / 71
Psychoses172141 / 7$15.422,00190 / 8$9.234,10273 / 29$5.817,16273 / 20
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc150414 / 39$36.092,30528 / 34$14.359,501385 / 90$11.779,701352 / 87
Heart Failure & Shock W Mcc127157 / 19$20.605,80456 / 30$11.033,301468 / 99$8.980,501464 / 86
Heart Failure & Shock W Cc127151 / 17$15.123,20593 / 33$8.016,501751 / 109$6.063,991746 / 103
Renal Failure W Cc121100 / 12$14.269,60400 / 26$7.750,491572 / 96$5.872,921563 / 91
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc76199 / 38$12.461,10449 / 27$6.147,761858 / 101$4.562,251844 / 101
Chronic Obstructive Pulmonary Disease W Mcc74128 / 12$14.696,80296 / 14$8.679,281401 / 94$6.706,731395 / 84
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc74133 / 22$14.564,30315 / 22$8.287,891503 / 91$6.263,011497 / 84
Renal Failure W Mcc70125 / 14$23.544,20389 / 18$11.836,101259 / 85$9.574,701259 / 75
Respiratory System Diagnosis W Ventilator Support <96 Hours6962 / 4$31.887,00151 / 8$15.708,60658 / 52$12.853,20650 / 40
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc64132 / 19$41.792,8084 / 6$13.968,30697 / 31$11.213,30693 / 34
Heart Failure & Shock W/O Cc/Mcc6248 / 7$10.155,50276 / 20$5.787,951396 / 89$4.225,061385 / 88
G.I. Hemorrhage W Cc60158 / 31$16.609,90451 / 28$7.831,801434 / 93$5.864,671431 / 83
Simple Pneumonia & Pleurisy W Mcc59146 / 21$19.066,50328 / 19$10.519,501381 / 83$8.456,981381 / 76
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs59123 / 26$16.483,60238 / 14$7.917,271122 / 70$6.029,761119 / 68
Cellulitis W/O Mcc56133 / 34$10.042,10247 / 22$6.829,411733 / 102$5.025,911725 / 103
Kidney & Urinary Tract Infections W Mcc5589 / 7$14.679,00226 / 10$8.436,42985 / 66$6.353,84982 / 59
Simple Pneumonia & Pleurisy W Cc52151 / 32$14.802,60536 / 28$7.921,421865 / 107$5.945,231857 / 101
Transient Ischemia5174 / 16$12.584,80148 / 8$5.889,471074 / 75$4.192,311069 / 77
Circulatory Disorders Except Ami, W Card Cath W/O Mcc50138 / 26$20.054,70112 / 6$8.253,76994 / 52$6.329,78991 / 55
Cardiac Arrhythmia & Conduction Disorders W Cc49112 / 20$12.443,10264 / 18$6.468,431382 / 88$4.782,901377 / 90
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc48118 / 24$11.546,20493 / 22$6.054,251767 / 92$4.417,351762 / 94
Kidney & Urinary Tract Infections W/O Mcc47186 / 45$13.251,80675 / 41$6.588,571751 / 106$4.621,661740 / 99
Respiratory Infections & Inflammations W Mcc4393 / 12$23.014,10171 / 9$13.813,50698 / 60$10.915,50690 / 44
Intracranial Hemorrhage Or Cerebral Infarction W Mcc42126 / 17$20.863,40108 / 3$12.103,10731 / 43$9.979,43730 / 41
Chronic Obstructive Pulmonary Disease W Cc42137 / 33$13.565,00377 / 17$7.438,381491 / 98$5.504,931485 / 87
Medical Back Problems W/O Mcc4081 / 17$17.963,30389 / 21$6.942,75919 / 60$5.019,45916 / 60
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents4060 / 7$67.741,70145 / 6$22.259,30476 / 20$19.452,20472 / 19
Syncope & Collapse40129 / 31$13.285,00280 / 20$6.076,851281 / 81$4.554,701274 / 83
Seizures W/O Mcc3771 / 15$11.573,20122 / 8$6.274,03772 / 53$4.662,30769 / 52
Other Digestive System Diagnoses W Cc3760 / 10$18.137,90289 / 16$7.778,22909 / 51$6.165,84905 / 57
Diabetes W Cc3755 / 9$13.009,10205 / 9$6.670,57816 / 54$4.729,38812 / 47
Acute Myocardial Infarction, Discharged Alive W Mcc3689 / 21$22.635,30227 / 18$12.163,50865 / 70$9.906,67864 / 63
Hip & Femur Procedures Except Major Joint W Cc36107 / 22$37.765,30533 / 30$13.467,701052 / 69$11.147,101038 / 63
Pulmonary Edema & Respiratory Failure35168 / 31$16.801,50222 / 12$9.307,061208 / 81$7.240,231206 / 72
Cardiac Arrhythmia & Conduction Disorders W Mcc3588 / 23$17.737,70225 / 16$8.971,03952 / 76$7.066,40949 / 67
G.I. Hemorrhage W Mcc3388 / 18$23.359,50139 / 12$11.966,30696 / 51$10.217,20696 / 47
Chest Pain33118 / 20$15.284,70517 / 23$5.978,121045 / 73$3.633,001039 / 65
G.I. Obstruction W Cc3260 / 17$14.424,20248 / 14$7.292,001109 / 60$5.312,691106 / 63
Red Blood Cell Disorders W/O Mcc32111 / 24$14.015,90356 / 22$6.556,281236 / 77$4.869,471228 / 77
Infectious & Parasitic Diseases W O.R. Procedure W Mcc3292 / 22$67.124,10154 / 6$35.321,40617 / 48$30.589,50611 / 43
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc31119 / 36$9.936,65346 / 16$4.932,811339 / 85$3.217,391334 / 84
Permanent Cardiac Pacemaker Implant W Cc3146 / 7$41.744,50101 / 6$16.778,60378 / 22$15.030,60377 / 25
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2967 / 12$17.304,90120 / 2$9.105,31785 / 46$7.353,24780 / 43
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc2874 / 23$13.535,10154 / 7$6.174,111122 / 67$4.624,711118 / 69
Acute Myocardial Infarction, Discharged Alive W Cc2863 / 15$14.130,2095 / 5$8.010,57875 / 60$6.298,36873 / 62
Renal Failure W/O Cc/Mcc2729 / 4$10.985,70159 / 4$5.454,89611 / 30$3.975,33610 / 31
Degenerative Nervous System Disorders W/O Mcc2751 / 12$12.503,9060 / 4$7.430,22377 / 30$5.554,19377 / 27
Spinal Fusion Except Cervical W/O Mcc26168 / 27$70.621,60383 / 25$25.083,50389 / 31$21.185,70388 / 23
Septicemia Or Severe Sepsis W Mv 96+ Hours2369 / 12$48.610,0016 / 1$34.721,30157 / 12$31.122,10157 / 10
Respiratory Infections & Inflammations W Cc2365 / 20$17.319,70167 / 6$10.462,70922 / 54$8.370,04917 / 54
Other Kidney & Urinary Tract Diagnoses W Cc2380 / 16$17.605,30174 / 5$8.216,91414 / 31$5.907,91414 / 26
Organic Disturbances & Mental Retardation2237 / 5$13.143,3057 / 2$7.938,77255 / 18$6.004,36255 / 18
Signs & Symptoms W/O Mcc2170 / 23$13.586,00253 / 10$5.984,48866 / 40$4.430,43863 / 41
Major Small & Large Bowel Procedures W Mcc2164 / 17$53.056,5041 / 2$29.778,20261 / 15$27.009,20259 / 12
Bronchitis & Asthma W Cc/Mcc2155 / 17$11.261,0077 / 2$6.890,67698 / 45$5.461,29694 / 50
Major Small & Large Bowel Procedures W Cc2088 / 27$42.877,70256 / 10$17.467,60606 / 38$14.014,30600 / 30
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc2037 / 9$33.571,6072 / 6$14.371,30394 / 23$12.623,70393 / 23
Permanent Cardiac Pacemaker Implant W Mcc2032 / 6$44.961,8021 / 1$23.743,50233 / 14$21.298,10233 / 13
Other Vascular Procedures W Mcc2077 / 18$49.152,2078 / 2$20.991,40300 / 15$18.753,80299 / 14
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc20100 / 32$10.628,70313 / 16$6.007,751355 / 82$4.171,951344 / 81
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc20106 / 27$18.784,90347 / 12$8.966,501085 / 57$7.303,401082 / 57
Behavioral & Developmental Disorders201 / 1$12.065,301 / 1$8.139,102 / 1$4.929,452 / 1
Extracranial Procedures W/O Cc/Mcc1979 / 12$17.908,9096 / 7$7.510,00595 / 28$6.095,89593 / 31
Seizures W Mcc1848 / 10$17.250,1033 / 1$10.726,10289 / 14$8.793,72289 / 12
Peripheral Vascular Disorders W Cc1866 / 16$12.399,9088 / 6$7.858,28758 / 52$6.041,94755 / 53
Other Kidney & Urinary Tract Diagnoses W Mcc1883 / 23$15.189,0047 / 3$10.040,80253 / 21$8.206,06253 / 14
Poisoning & Toxic Effects Of Drugs W/O Mcc1744 / 14$12.422,30190 / 7$6.131,47497 / 30$3.872,29496 / 26
Traumatic Stupor & Coma, Coma <1 Hr W Cc1749 / 13$17.766,0050 / 2$8.074,06238 / 12$6.435,65238 / 16
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.1747 / 10$94.753,5011 / 1$62.445,10140 / 7$55.151,40140 / 8
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc1752 / 14$41.822,4071 / 3$12.472,80311 / 15$10.669,90311 / 19
Major Cardiovasc Procedures W/O Mcc1685 / 20$58.388,50114 / 8$21.501,20467 / 19$20.020,10467 / 25
Diabetes W Mcc1641 / 8$18.648,2064 / 1$9.880,94280 / 9$7.989,94280 / 10
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1558 / 21$23.155,00404 / 20$9.723,53547 / 46$6.772,27545 / 37
G.I. Obstruction W Mcc1527 / 6$20.276,7031 / 1$11.663,60246 / 9$9.698,00246 / 12
Circulatory Disorders Except Ami, W Card Cath W Mcc1578 / 22$23.995,1023 / 2$14.331,50434 / 19$12.459,30428 / 17
Major Cardiovasc Procedures W Mcc1553 / 12$58.827,3014 / 1$32.362,80169 / 5$29.818,50169 / 9
Respiratory System Diagnosis W Ventilator Support 96+ Hours1556 / 14$52.088,8031 / 1$32.920,30340 / 17$29.720,30340 / 18
Simple Pneumonia & Pleurisy W/O Cc/Mcc1578 / 29$9.050,73148 / 8$5.803,931342 / 76$4.114,201334 / 72
Depressive Neuroses1436 / 2$8.054,2130 / 1$6.059,2180 / 2$4.016,5780 / 2
Other Vascular Procedures W Cc1488 / 24$46.846,00160 / 6$16.779,70489 / 31$14.874,20486 / 32
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc1482 / 13$51.463,50359 / 15$14.367,60517 / 22$12.954,00514 / 29
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc1414 / 4$34.279,3025 / 1$11.567,1049 / 3$9.652,8649 / 3
Medical Back Problems W Mcc1425 / 8$23.159,1032 / 3$11.446,60118 / 5$9.080,71118 / 6
Major Small & Large Bowel Procedures W/O Cc/Mcc1351 / 15$24.082,1052 / 2$11.447,50316 / 11$8.682,69316 / 10
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc1334 / 10$33.927,00159 / 8$12.715,10139 / 20$7.451,92139 / 9
Poisoning & Toxic Effects Of Drugs W Mcc1359 / 18$19.607,50103 / 1$10.462,50514 / 22$8.588,69512 / 23
Red Blood Cell Disorders W Mcc1358 / 19$18.874,30133 / 3$9.171,69632 / 34$7.930,00629 / 36
Disorders Of Pancreas Except Malignancy W Cc1348 / 17$15.327,20126 / 5$7.205,08530 / 24$5.379,23528 / 26
Bronchitis & Asthma W/O Cc/Mcc1233 / 11$9.957,3350 / 2$5.525,08231 / 18$3.891,25231 / 16
Hypertension W/O Mcc1253 / 18$20.056,20416 / 13$6.848,25663 / 23$4.945,00661 / 22
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1251 / 16$56.806,1028 / 1$31.246,60263 / 14$28.256,80263 / 15
Acute Myocardial Infarction, Expired W Mcc1218 / 7$17.775,009 / 1$11.803,6067 / 6$10.026,4067 / 6
G.I. Obstruction W/O Cc/Mcc1259 / 24$8.672,4275 / 2$5.145,00882 / 43$3.607,75879 / 46
Other Respiratory System Diagnoses W/O Mcc1135 / 13$16.012,2069 / 6$6.563,00141 / 16$4.661,73141 / 15
Transurethral Procedures W Cc1130 / 11$22.722,5047 / 5$9.381,18225 / 13$7.534,09225 / 18
Other Resp System O.R. Procedures W Cc1136 / 11$34.034,5039 / 2$12.989,50100 / 8$10.565,70100 / 6
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc11113 / 22$11.678,40189 / 8$6.154,45524 / 25$4.536,64523 / 26
Pulmonary Embolism W/O Mcc1163 / 29$16.176,20197 / 6$7.713,55624 / 44$5.407,82621 / 39
Other Digestive System Diagnoses W Mcc1151 / 16$21.732,0056 / 2$12.151,70239 / 13$9.724,27239 / 10
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc11105 / 20$112.741,0023 / 1$45.713,1070 / 5$43.243,0070 / 5
Acute Adjustment Reaction & Psychosocial Dysfunction1119 / 5$10.872,9011 / 2$5.726,0911 / 3$3.255,3611 / 1
Total 103 procedures3.740discharges

DATA

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.