Hospital Costs > In Pennsylvania > Pocono Medical Center, procedure costs

Pocono Medical Center, procedure costs

206 East Brown Street, East Stroudsbur, PA 18301,

Procedure Costs @ Pocono Medical Center
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 Mcc172344 / 31$46.067,601628 / 71$13.383,602016 / 95$12.426,101979 / 108
Heart Failure & Shock W Cc146132 / 13$26.432,401775 / 79$7.122,621910 / 93$6.351,991905 / 108
Simple Pneumonia & Pleurisy W Cc13569 / 4$27.237,701788 / 74$7.021,651923 / 90$6.030,241915 / 104
Heart Failure & Shock W Mcc133151 / 17$32.355,601238 / 59$10.859,701904 / 95$10.058,601898 / 111
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc102462 / 52$36.786,40582 / 39$15.453,002112 / 111$14.098,702070 / 118
Chronic Obstructive Pulmonary Disease W Mcc93109 / 8$25.534,201170 / 57$8.433,101804 / 87$7.442,791796 / 104
Kidney & Urinary Tract Infections W/O Mcc88145 / 20$19.665,901537 / 73$5.522,401708 / 78$4.561,671697 / 96
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc84191 / 34$22.190,801648 / 73$5.539,351536 / 84$4.157,771524 / 84
Cellulitis W/O Mcc82107 / 19$17.568,601195 / 63$6.025,901753 / 82$5.054,201745 / 105
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc7941 / 3$18.669,501166 / 55$5.199,801208 / 63$3.955,661199 / 75
Chronic Obstructive Pulmonary Disease W Cc78101 / 15$22.326,101240 / 60$6.830,711534 / 84$5.570,051528 / 92
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs71111 / 19$28.655,901059 / 49$7.770,961444 / 69$6.691,801441 / 83
Renal Failure W Cc69152 / 25$28.869,001653 / 78$7.080,151680 / 86$6.076,991671 / 98
G.I. Hemorrhage W Cc67151 / 26$27.278,501388 / 62$7.229,041609 / 82$6.174,731605 / 92
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc60147 / 29$29.990,101616 / 71$7.707,651761 / 82$6.703,531754 / 99
Cardiac Arrhythmia & Conduction Disorders W Cc57104 / 17$22.239,801222 / 53$5.619,581275 / 66$4.604,421270 / 80
Syncope & Collapse54115 / 21$27.008,301312 / 65$5.283,651032 / 61$4.104,811025 / 68
Acute Myocardial Infarction, Discharged Alive W Mcc5372 / 10$49.150,601117 / 57$12.709,501375 / 75$11.886,501364 / 87
Respiratory System Diagnosis W Ventilator Support <96 Hours5279 / 12$63.184,30985 / 42$16.365,301264 / 56$15.462,801251 / 65
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc50116 / 23$21.724,001700 / 73$5.022,481647 / 66$4.243,921642 / 88
Simple Pneumonia & Pleurisy W Mcc49156 / 28$33.190,501234 / 58$10.452,701807 / 81$9.421,751807 / 95
Hip & Femur Procedures Except Major Joint W Cc4895 / 15$42.462,70740 / 40$14.283,701503 / 77$12.814,201485 / 84
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc46104 / 24$16.203,301119 / 56$4.065,241031 / 58$2.852,261026 / 70
Simple Pneumonia & Pleurisy W/O Cc/Mcc4449 / 5$20.150,001209 / 51$5.028,501298 / 56$4.040,861291 / 70
Respiratory Infections & Inflammations W Cc4444 / 6$33.077,40793 / 31$10.346,601047 / 52$8.858,571042 / 59
Cardiac Arrhythmia & Conduction Disorders W Mcc4479 / 17$32.944,801090 / 54$8.668,501301 / 73$7.926,681298 / 84
Heart Failure & Shock W/O Cc/Mcc4367 / 19$20.113,901292 / 62$4.944,231031 / 68$3.762,811023 / 67
Seizures W/O Mcc4266 / 12$22.165,50656 / 31$5.710,64538 / 43$4.123,48535 / 39
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc42154 / 32$64.097,00542 / 28$14.662,201156 / 39$13.568,901149 / 57
Diabetes W Cc4151 / 6$21.808,30808 / 30$5.920,15992 / 41$5.124,05988 / 57
Circulatory Disorders Except Ami, W Card Cath W/O Mcc39149 / 33$34.617,50739 / 35$7.799,461156 / 47$6.869,001153 / 61
Medical Back Problems W/O Mcc3883 / 19$21.010,20604 / 30$6.279,29808 / 50$4.770,55805 / 56
Renal Failure W Mcc37158 / 31$32.490,20917 / 48$11.215,801433 / 73$10.050,101433 / 88
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc3468 / 18$26.824,90977 / 41$5.479,85926 / 50$4.181,24922 / 61
Major Small & Large Bowel Procedures W Cc3474 / 18$63.314,10715 / 29$18.461,801141 / 47$16.968,101128 / 56
Respiratory Infections & Inflammations W Mcc31105 / 21$52.045,901119 / 50$14.261,901409 / 65$13.639,501394 / 79
Coronary Bypass W Cardiac Cath W/O Mcc3046 / 4$85.941,8059 / 6$34.554,00494 / 25$31.989,40494 / 28
G.I. Hemorrhage W/O Cc/Mcc3038 / 6$19.089,20516 / 26$5.070,47502 / 31$3.778,63498 / 35
Chest Pain30121 / 23$20.491,80958 / 45$4.367,20826 / 41$3.284,50821 / 47
Other Digestive System Diagnoses W Cc2770 / 17$21.812,50503 / 21$7.158,85758 / 45$5.701,44754 / 49
Infectious & Parasitic Diseases W O.R. Procedure W Mcc2797 / 27$109.195,00599 / 27$39.938,001144 / 56$37.690,201136 / 62
Intracranial Hemorrhage Or Cerebral Infarction W Mcc27141 / 28$46.555,90872 / 32$13.479,10901 / 57$10.639,30899 / 51
Degenerative Nervous System Disorders W/O Mcc2652 / 13$30.513,00509 / 26$7.469,58579 / 31$6.590,81579 / 40
G.I. Hemorrhage W Mcc2596 / 26$48.449,70963 / 42$13.739,401306 / 66$12.920,101296 / 73
Other Vascular Procedures W Cc2577 / 17$57.992,50329 / 14$18.048,00794 / 41$17.280,00789 / 48
Spinal Fusion Except Cervical W/O Mcc24170 / 29$55.081,80158 / 8$31.473,00818 / 55$24.259,30814 / 51
Laparoscopic Cholecystectomy W/O C.D.E. W Cc2333 / 3$44.504,10352 / 10$12.028,30614 / 19$10.300,00612 / 25
Permanent Cardiac Pacemaker Implant W Cc2255 / 12$58.074,10319 / 16$19.151,30716 / 40$18.162,20714 / 45
Respiratory Neoplasms W Cc2225 / 5$31.444,70215 / 7$8.504,73297 / 10$7.528,50296 / 15
Bronchitis & Asthma W Cc/Mcc2254 / 16$19.635,00368 / 14$6.235,45632 / 31$5.189,64628 / 45
Major Small & Large Bowel Procedures W Mcc2263 / 16$123.771,00598 / 18$37.290,10944 / 39$36.357,70942 / 45
Acute Myocardial Infarction, Discharged Alive W Cc2170 / 20$29.746,80728 / 41$8.008,29747 / 59$5.994,19745 / 51
Pulmonary Embolism W/O Mcc2153 / 19$28.085,50772 / 29$7.958,52396 / 48$4.987,19396 / 25
Other Circulatory System Diagnoses W Mcc2096 / 24$40.737,00503 / 15$13.550,80806 / 37$12.131,50801 / 40
Red Blood Cell Disorders W/O Mcc20123 / 32$27.030,501362 / 61$5.737,201188 / 61$4.774,001180 / 73
Respiratory System Diagnosis W Ventilator Support 96+ Hours2051 / 9$129.310,00440 / 18$37.536,10683 / 27$36.568,10682 / 30
Signs & Symptoms W/O Mcc2071 / 24$21.972,50767 / 29$4.955,80734 / 24$4.111,00731 / 38
Poisoning & Toxic Effects Of Drugs W/O Mcc2041 / 11$19.041,40480 / 16$4.561,35431 / 11$3.657,35430 / 22
Kidney & Urinary Tract Infections W Mcc20124 / 32$20.779,20619 / 32$8.065,601354 / 60$7.160,001350 / 73
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1943 / 13$30.110,10605 / 24$5.409,47402 / 22$4.203,58401 / 25
Other Vascular Procedures W Mcc1879 / 20$69.060,10250 / 11$22.410,80529 / 25$20.976,40526 / 29
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc1851 / 13$51.906,90176 / 9$13.344,60393 / 19$11.351,80391 / 23
Pulmonary Edema & Respiratory Failure18185 / 46$33.881,801242 / 55$8.742,331512 / 74$7.867,671507 / 85
Renal Failure W/O Cc/Mcc1838 / 9$15.988,10414 / 13$4.459,67597 / 15$3.926,33596 / 30
G.I. Obstruction W/O Cc/Mcc1853 / 18$19.116,70785 / 29$4.348,89679 / 28$3.211,11677 / 33
Transient Ischemia18107 / 39$25.995,901006 / 52$5.187,89851 / 60$3.777,83847 / 56
Bronchitis & Asthma W/O Cc/Mcc1728 / 6$16.071,50151 / 6$4.589,59238 / 10$3.949,59238 / 18
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1739 / 11$35.141,50304 / 15$11.698,60686 / 33$10.561,60683 / 38
G.I. Obstruction W Cc1775 / 28$26.382,801055 / 42$6.437,00975 / 48$5.077,06972 / 50
Organic Disturbances & Mental Retardation1643 / 10$22.656,90226 / 8$7.225,00283 / 14$6.171,00283 / 20
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc16110 / 31$23.687,90628 / 21$7.967,311138 / 45$7.441,311135 / 59
Peripheral Vascular Disorders W Mcc1633 / 8$34.515,00280 / 10$10.609,80321 / 17$8.632,06321 / 18
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1654 / 10$25.066,00290 / 12$6.658,88296 / 9$5.980,88296 / 18
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1538 / 12$24.230,50426 / 24$5.427,60525 / 24$4.380,13521 / 36
Red Blood Cell Disorders W Mcc1556 / 17$33.031,70534 / 19$8.955,67697 / 29$8.311,40693 / 38
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc1542 / 14$51.835,50304 / 12$15.488,80563 / 32$14.720,80562 / 36
Major Cardiovasc Procedures W/O Mcc1586 / 21$58.253,40113 / 7$24.061,30733 / 32$23.178,10732 / 37
Peripheral Vascular Disorders W Cc1569 / 19$24.065,80589 / 29$6.915,20820 / 40$6.270,93817 / 55
Psychoses14261 / 24$28.666,90459 / 26$7.197,00344 / 17$6.246,14344 / 28
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1433 / 9$33.373,40209 / 7$8.786,93435 / 12$7.666,93434 / 21
Fractures Of Hip & Pelvis W/O Mcc1447 / 12$20.556,70533 / 19$5.098,57555 / 24$4.065,43555 / 34
Other Kidney & Urinary Tract Diagnoses W Cc1489 / 24$24.395,10373 / 15$7.087,36523 / 21$6.440,50523 / 31
Dysequilibrium1451 / 13$23.219,10311 / 15$4.451,14245 / 13$3.324,29245 / 18
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1459 / 22$27.535,30572 / 32$8.377,14809 / 37$7.856,00807 / 46
Diabetes W/O Cc/Mcc1325 / 6$15.886,40140 / 5$4.111,7774 / 3$2.903,1574 / 3
Respiratory Infections & Inflammations W/O Cc/Mcc1316 / 3$29.352,1080 / 3$7.853,6972 / 3$5.655,2372 / 3
Other Vascular Procedures W/O Cc/Mcc1343 / 14$49.184,20285 / 10$12.199,30405 / 12$11.357,50404 / 16
Pleural Effusion W Cc1216 / 5$26.619,8040 / 2$7.750,0062 / 3$6.944,6762 / 5
Other Disorders Of Nervous System W/O Cc/Mcc1124 / 8$22.687,9071 / 3$4.747,4570 / 4$4.087,0970 / 6
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1152 / 17$89.943,20155 / 8$35.302,10535 / 20$34.483,20535 / 26
Extracranial Procedures W/O Cc/Mcc1187 / 19$26.140,50311 / 17$7.705,27556 / 31$5.940,45555 / 29
Septicemia Or Severe Sepsis W Mv 96+ Hours1181 / 22$104.451,00210 / 9$42.299,10721 / 26$41.531,10720 / 32
Major Small & Large Bowel Procedures W/O Cc/Mcc1153 / 17$38.429,30272 / 7$11.749,40578 / 13$10.763,20578 / 21
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1127 / 9$25.199,40331 / 13$4.638,00283 / 6$3.759,45282 / 13
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc1165 / 13$69.235,70409 / 10$15.415,50431 / 10$14.973,40431 / 12
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc1133 / 14$98.078,70304 / 15$23.839,00375 / 19$23.181,50373 / 22
Total 96 procedures3.465discharges

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.