Hospital Costs > In Pennsylvania > Sharon Regional Health System, 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 | 20 | 71 / 21 | $28.179,80 | 662 / 37 | $6.621,00 | 320 / 33 | $5.182,85 | 319 / 28 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 34 | $27.054,40 | 338 / 25 | $9.879,18 | 195 / 31 | $8.286,18 | 195 / 23 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 21 | $12.474,70 | 219 / 9 | $4.872,92 | 191 / 10 | $3.500,08 | 191 / 10 |
| Atherosclerosis W/O Mcc | 27 | 31 / 1 | $13.814,00 | 132 / 4 | $4.162,63 | / 8 | $3.213,11 | / |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 49 | 112 / 20 | $16.028,70 | 628 / 31 | $5.215,78 | 648 / 46 | $3.960,08 | 645 / 48 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 30 | $20.968,90 | 391 / 25 | $7.581,00 | 328 / 39 | $6.086,57 | 327 / 32 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 62 | 88 / 16 | $12.919,40 | 700 / 35 | $3.954,58 | 671 / 51 | $2.570,39 | 667 / 49 |
| Cellulitis W/O Mcc | 42 | 147 / 46 | $13.595,90 | 680 / 42 | $5.672,98 | 680 / 66 | $4.028,45 | 676 / 46 |
| Chest Pain | 58 | 93 / 9 | $14.238,00 | 430 / 18 | $4.153,76 | 536 / 33 | $2.961,16 | 532 / 36 |
| Chronic Obstructive Pulmonary Disease W Cc | 50 | 129 / 27 | $17.238,40 | 728 / 32 | $6.175,42 | 676 / 58 | $4.707,08 | 674 / 47 |
| Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 40 | $23.420,50 | 1015 / 51 | $7.495,14 | 383 / 54 | $5.657,63 | 382 / 31 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 39 | 81 / 16 | $14.121,20 | 677 / 34 | $4.902,59 | 812 / 50 | $3.586,18 | 808 / 57 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 59 | 129 / 22 | $29.093,00 | 471 / 23 | $6.737,10 | 225 / 19 | $5.015,54 | 225 / 16 |
| Degenerative Nervous System Disorders W/O Mcc | 32 | 46 / 9 | $13.833,50 | 88 / 6 | $6.355,34 | 191 / 15 | $4.947,53 | 191 / 15 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 19 | $17.904,90 | 221 / 9 | $5.961,82 | 263 / 12 | $4.633,73 | 262 / 12 |
| Dysequilibrium | 20 | 45 / 9 | $12.403,20 | 71 / 2 | $4.280,25 | 171 / 10 | $3.059,60 | 171 / 14 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 29 | $25.576,50 | 456 / 15 | $7.725,08 | 217 / 23 | $6.031,58 | 216 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 72 | 203 / 40 | $15.780,90 | 851 / 46 | $5.039,62 | 879 / 59 | $3.678,88 | 874 / 56 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 14 | $9.691,25 | 73 / 3 | $4.815,17 | 287 / 22 | $3.429,67 | 288 / 21 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 18 | $13.072,50 | 128 / 4 | $5.068,46 | 277 / 14 | $3.830,46 | 277 / 18 |
| G.I. Hemorrhage W Cc | 38 | 180 / 44 | $18.943,20 | 657 / 40 | $6.153,29 | 453 / 37 | $4.865,50 | 452 / 31 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 35 | $36.317,30 | 561 / 25 | $10.899,90 | 430 / 30 | $9.464,33 | 431 / 29 |
| G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 17 | $10.789,40 | 127 / 12 | $4.622,94 | 290 / 20 | $3.342,81 | 288 / 23 |
| G.I. Obstruction W Cc | 11 | 81 / 34 | $17.703,30 | 487 / 24 | $5.969,82 | 600 / 36 | $4.584,55 | 599 / 36 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 23 | $10.723,10 | 184 / 6 | $4.272,08 | 581 / 26 | $3.057,85 | 580 / 30 |
| Heart Failure & Shock W Cc | 51 | 227 / 63 | $16.334,90 | 723 / 39 | $6.245,55 | 596 / 53 | $4.983,45 | 596 / 43 |
| Heart Failure & Shock W Mcc | 64 | 220 / 44 | $23.931,40 | 659 / 40 | $9.126,00 | 409 / 50 | $7.574,75 | 409 / 25 |
| Heart Failure & Shock W/O Cc/Mcc | 36 | 74 / 23 | $13.387,70 | 645 / 41 | $4.689,75 | 625 / 57 | $3.410,06 | 623 / 45 |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 39 | $37.705,40 | 528 / 29 | $11.509,20 | 539 / 29 | $10.133,90 | 537 / 31 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 41 | $69.291,50 | 167 / 7 | $28.548,80 | 169 / 13 | $26.484,00 | 169 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 45 | $19.926,00 | 470 / 24 | $6.756,38 | 726 / 40 | $5.462,45 | 725 / 43 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 37 | $24.298,00 | 189 / 8 | $9.915,08 | 164 / 17 | $8.371,62 | 163 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 38 | $15.352,40 | 277 / 18 | $4.870,73 | 599 / 29 | $3.736,64 | 595 / 40 |
| Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 34 | $20.113,80 | 581 / 28 | $7.166,67 | 388 / 43 | $5.552,78 | 387 / 28 |
| Kidney & Urinary Tract Infections W/O Mcc | 41 | 192 / 51 | $13.200,70 | 671 / 40 | $5.240,15 | 753 / 69 | $3.793,78 | 748 / 47 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 16 | 49 / 10 | $70.230,50 | 381 / 14 | $18.548,10 | 225 / 5 | $16.977,00 | 224 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 97 | 467 / 56 | $53.116,60 | 1425 / 78 | $12.479,90 | 439 / 37 | $10.236,90 | 436 / 33 |
| Major Small & Large Bowel Procedures W Cc | 16 | 92 / 31 | $57.327,40 | 576 / 21 | $15.183,20 | 459 / 15 | $13.454,80 | 455 / 18 |
| Medical Back Problems W/O Mcc | 43 | 78 / 15 | $13.643,90 | 155 / 9 | $5.599,33 | 551 / 29 | $4.301,98 | 549 / 41 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 22 | $14.821,10 | 137 / 4 | $6.923,27 | 477 / 23 | $5.984,54 | 474 / 27 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 57 | 109 / 18 | $13.840,40 | 809 / 40 | $4.855,18 | 864 / 59 | $3.553,26 | 861 / 50 |
| Other Vascular Procedures W Cc | 11 | 91 / 27 | $60.749,10 | 376 / 17 | $15.834,00 | 367 / 16 | $14.232,30 | 365 / 21 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 22 | 174 / 45 | $63.480,00 | 531 / 27 | $11.756,00 | 401 / 5 | $10.405,70 | 401 / 21 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 28 | 41 / 7 | $48.495,50 | 138 / 4 | $10.968,10 | 94 / 8 | $8.958,64 | 94 / 4 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 22 | $16.607,20 | 251 / 17 | $6.276,33 | 136 / 30 | $4.490,83 | 136 / 15 |
| Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 18 | $69.489,80 | 480 / 20 | $16.022,10 | 247 / 16 | $14.336,90 | 246 / 14 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 17 | $32.089,00 | 392 / 5 | $8.713,57 | 171 / 7 | $7.129,29 | 170 / 7 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 19 | $11.107,10 | 144 / 4 | $4.312,09 | 326 / 10 | $3.385,82 | 325 / 16 |
| Psychoses | 107 | 186 / 13 | $16.835,60 | 244 / 11 | $6.936,23 | 99 / 15 | $5.130,17 | 99 / 6 |
| Pulmonary Edema & Respiratory Failure | 59 | 144 / 19 | $20.719,90 | 445 / 27 | $7.601,15 | 331 / 38 | $6.125,19 | 331 / 30 |
| Pulmonary Embolism W/O Mcc | 17 | 57 / 23 | $19.338,10 | 352 / 15 | $6.369,53 | 215 / 23 | $4.629,41 | 215 / 15 |
| Red Blood Cell Disorders W/O Mcc | 21 | 122 / 31 | $14.554,50 | 405 / 25 | $5.276,19 | 503 / 45 | $3.983,24 | 502 / 44 |
| Renal Failure W Cc | 52 | 169 / 39 | $15.083,80 | 474 / 31 | $6.189,79 | 938 / 50 | $5.121,13 | 930 / 57 |
| Renal Failure W Mcc | 22 | 173 / 44 | $29.938,10 | 761 / 42 | $9.673,23 | 706 / 39 | $8.376,91 | 706 / 41 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 23 | $18.938,80 | 223 / 10 | $8.529,05 | 377 / 28 | $7.124,55 | 374 / 22 |
| Respiratory Infections & Inflammations W Mcc | 21 | 115 / 31 | $31.523,20 | 435 / 22 | $11.882,70 | 369 / 35 | $10.188,30 | 368 / 26 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 42 | $44.537,10 | 465 / 22 | $12.744,00 | 255 / 13 | $11.751,10 | 253 / 19 |
| Seizures W/O Mcc | 12 | 96 / 33 | $13.849,20 | 201 / 13 | $4.945,17 | 225 / 23 | $3.607,33 | 224 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 106 | 410 / 56 | $27.393,60 | 662 / 37 | $10.746,70 | 382 / 35 | $9.316,84 | 382 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 43 | 164 / 40 | $18.844,00 | 670 / 36 | $6.827,72 | 639 / 49 | $5.346,30 | 637 / 37 |
| Signs & Symptoms W/O Mcc | 22 | 69 / 22 | $13.144,00 | 225 / 8 | $4.697,41 | 473 / 21 | $3.622,55 | 472 / 22 |
| Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 48 | $15.642,30 | 638 / 34 | $6.281,65 | 568 / 54 | $4.702,12 | 565 / 39 |
| Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 49 | $23.491,10 | 597 / 27 | $8.886,48 | 806 / 45 | $7.659,57 | 806 / 43 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 20 | $11.450,10 | 365 / 22 | $4.772,83 | 560 / 42 | $3.286,67 | 558 / 38 |
| Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 33 | $66.678,30 | 311 / 19 | $22.168,90 | 283 / 8 | $20.442,20 | 282 / 16 |
| Syncope & Collapse | 53 | 116 / 22 | $13.569,50 | 299 / 23 | $4.888,26 | 523 / 45 | $3.574,81 | 521 / 41 |
| Transient Ischemia | 38 | 87 / 23 | $14.589,40 | 272 / 19 | $4.652,26 | 504 / 40 | $3.378,32 | 502 / 38 | Total 67 procedures | 2.131 | 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.