Hospital Costs > In Pennsylvania > St Clair Memorial Hospital, procedure costs

St Clair Memorial Hospital, procedure costs

1000 Bower Hill Road, Pittsburgh, PA 15243,

Procedure Costs @ St Clair Memorial Hospital
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc219345 / 27$40.009,00755 / 54$11.622,507 / 15$8.086,257 / 2
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc120396 / 50$26.653,20629 / 36$9.468,8121 / 5$8.059,7021 / 4
Heart Failure & Shock W Mcc112172 / 23$20.802,90469 / 31$7.520,9528 / 2$6.589,7928 / 4
Heart Failure & Shock W Cc84194 / 37$14.719,60547 / 30$5.009,4527 / 2$4.085,1327 / 2
Cellulitis W/O Mcc78111 / 21$11.016,90361 / 28$4.325,9920 / 3$3.088,0320 / 5
Kidney & Urinary Tract Infections W/O Mcc75158 / 27$12.798,40624 / 37$3.999,5727 / 3$2.908,2527 / 2
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc68207 / 43$15.186,70781 / 43$4.049,106 / 6$2.470,496 / 1
Simple Pneumonia & Pleurisy W Mcc67138 / 17$22.568,70549 / 25$7.420,7820 / 2$6.096,5520 / 3
Simple Pneumonia & Pleurisy W Cc64139 / 22$19.168,001049 / 46$5.087,7356 / 4$4.006,6656 / 7
Transient Ischemia5669 / 12$14.190,30248 / 16$3.685,6610 / 2$2.443,6110 / 2
G.I. Hemorrhage W Cc55163 / 34$23.453,901073 / 51$5.293,80134 / 5$4.441,51134 / 13
Kidney & Urinary Tract Infections W Mcc5292 / 9$16.418,90328 / 14$5.736,0272 / 1$4.943,9672 / 7
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc51115 / 22$13.726,20792 / 38$3.585,1469 / 1$2.763,9669 / 9
Chronic Obstructive Pulmonary Disease W Mcc49153 / 28$18.459,10601 / 31$5.976,8041 / 1$4.923,3741 / 9
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc47103 / 23$9.076,64241 / 13$2.933,7042 / 3$1.816,7042 / 6
Hip & Femur Procedures Except Major Joint W Cc4598 / 18$32.468,30312 / 19$9.990,7374 / 1$9.105,4074 / 6
Renal Failure W Mcc45150 / 23$24.546,00434 / 21$8.043,2284 / 4$7.167,8484 / 9
Chronic Obstructive Pulmonary Disease W Cc45134 / 30$14.924,50502 / 25$4.794,6767 / 4$3.909,3367 / 9
Renal Failure W Cc44177 / 44$19.343,00908 / 45$5.017,7058 / 5$4.071,0058 / 8
Heart Failure & Shock W/O Cc/Mcc4367 / 19$11.989,80466 / 34$3.456,9349 / 3$2.661,4049 / 8
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc4062 / 14$14.725,00236 / 14$4.383,626 / 10$2.549,806 / 2
Cardiac Arrhythmia & Conduction Disorders W Cc39122 / 29$11.028,60175 / 10$4.191,0052 / 4$3.156,3652 / 10
Syncope & Collapse38131 / 32$13.318,50283 / 22$3.777,7624 / 4$2.762,1624 / 6
Cardiac Arrhythmia & Conduction Disorders W Mcc3885 / 20$17.269,10205 / 14$6.556,684 / 4$4.914,954 / 3
Respiratory Infections & Inflammations W Mcc3799 / 17$22.428,90156 / 8$9.946,3215 / 1$8.582,8715 / 4
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc37170 / 46$18.573,10641 / 35$5.433,3054 / 2$4.486,3554 / 5
Red Blood Cell Disorders W/O Mcc37106 / 19$15.643,50510 / 28$4.392,8112 / 6$2.963,1912 / 3
G.I. Hemorrhage W Mcc3190 / 20$31.859,30384 / 20$8.787,1610 / 2$7.559,1310 / 2
Respiratory System Diagnosis W Ventilator Support <96 Hours30101 / 24$32.233,90155 / 10$11.815,8021 / 4$10.056,5021 / 4
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs30152 / 44$19.754,90458 / 22$5.556,904 / 5$3.979,904 / 2
Pulmonary Edema & Respiratory Failure27176 / 38$16.940,30231 / 13$6.304,4862 / 2$5.543,5962 / 10
Acute Myocardial Infarction, Discharged Alive W Mcc2798 / 29$22.512,00219 / 17$8.917,11117 / 11$7.980,81117 / 18
Simple Pneumonia & Pleurisy W/O Cc/Mcc2667 / 18$11.328,00350 / 21$3.691,622 / 4$2.175,002 / 1
G.I. Obstruction W/O Cc/Mcc2447 / 13$13.099,90375 / 14$3.321,8320 / 2$2.023,3320 / 1
Respiratory Infections & Inflammations W Cc2365 / 20$18.858,10219 / 9$7.126,615 / 2$5.676,745 / 2
Red Blood Cell Disorders W Mcc2348 / 9$19.183,70138 / 4$6.586,3913 / 3$5.495,6113 / 1
Other Kidney & Urinary Tract Diagnoses W Mcc2279 / 19$18.796,2094 / 4$7.591,9518 / 1$6.816,5518 / 3
Circulatory Disorders Except Ami, W Card Cath W/O Mcc22166 / 44$25.698,00315 / 19$5.807,6422 / 2$4.386,0022 / 3
G.I. Obstruction W Cc2171 / 25$16.717,70415 / 21$4.682,339 / 2$3.314,249 / 3
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc21105 / 26$16.026,20188 / 6$5.701,9532 / 2$4.897,3832 / 4
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc20100 / 32$11.584,50403 / 21$3.787,9044 / 3$2.663,4544 / 9
Other Digestive System Diagnoses W Cc2077 / 24$23.130,60569 / 27$5.084,5017 / 3$3.908,9017 / 3
Major Small & Large Bowel Procedures W Cc1989 / 28$71.283,60879 / 33$15.641,70146 / 23$12.168,90146 / 4
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc18178 / 48$55.466,60358 / 14$13.692,901 / 29$7.474,501 / 1
Medical Back Problems W/O Mcc17104 / 34$14.757,90214 / 15$4.160,182 / 1$2.738,182 / 2
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1640 / 12$28.249,90153 / 8$8.995,063 / 5$6.555,003 / 1
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1680 / 25$21.459,30270 / 8$6.162,4425 / 2$5.256,4425 / 4
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1649 / 10$54.464,20174 / 5$17.299,60150 / 4$16.389,60150 / 5
Major Small & Large Bowel Procedures W Mcc1570 / 22$78.263,30184 / 8$24.488,3012 / 3$21.549,8012 / 1
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc1581 / 12$64.642,30528 / 20$12.713,401 / 4$7.571,131 / 1
Fractures Of Hip & Pelvis W/O Mcc1546 / 11$11.725,80149 / 6$3.350,7313 / 1$2.550,7313 / 4
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1558 / 21$19.269,90266 / 12$6.224,136 / 5$4.697,076 / 3
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents1585 / 23$76.561,00237 / 9$18.044,1032 / 4$15.223,1032 / 1
Major Cardiovasc Procedures W/O Mcc1586 / 21$82.132,10403 / 17$19.991,703 / 12$14.748,103 / 2
Respiratory System Diagnosis W Ventilator Support 96+ Hours1556 / 14$100.138,00250 / 8$33.576,7050 / 18$25.116,7050 / 4
Spinal Fusion Except Cervical W/O Mcc14180 / 36$73.985,40437 / 28$22.382,601 / 10$12.615,901 / 1
Intracranial Hemorrhage Or Cerebral Infarction W Mcc14154 / 36$35.192,90529 / 21$9.469,6425 / 12$7.626,7125 / 4
Infectious & Parasitic Diseases W O.R. Procedure W Mcc13111 / 40$88.307,10342 / 16$27.271,20170 / 10$26.530,30170 / 15
Cellulitis W Mcc1345 / 15$15.126,8041 / 1$6.858,3813 / 1$6.135,3113 / 3
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc1378 / 10$20.885,1079 / 2$7.017,381 / 1$2.454,381 / 1
Major Joint/Limb Reattachment Procedure Of Upper Extremities1356 / 10$65.643,40247 / 12$13.697,1060 / 1$12.488,5060 / 4
Pulmonary Embolism W/O Mcc1361 / 27$17.820,40280 / 12$4.949,3114 / 1$3.748,0814 / 3
Malignancy Of Hepatobiliary System Or Pancreas W Mcc1340 / 8$31.167,4049 / 2$9.214,466 / 1$7.542,466 / 1
Peripheral Vascular Disorders W/O Cc/Mcc1332 / 9$10.044,3047 / 2$3.396,6211 / 1$2.557,2311 / 1
Tendonitis, Myositis & Bursitis W/O Mcc1230 / 12$15.427,1074 / 3$4.132,422 / 1$3.033,422 / 1
Seizures W/O Mcc1296 / 33$11.917,10130 / 10$3.846,3353 / 1$3.142,3353 / 5
Other Respiratory System Diagnoses W/O Mcc1234 / 12$10.674,4020 / 1$4.245,581 / 2$2.855,251 / 1
Permanent Cardiac Pacemaker Implant W Mcc1240 / 11$64.321,30107 / 7$18.419,201 / 1$15.430,801 / 1
Signs & Symptoms W/O Mcc1279 / 32$14.153,90281 / 13$3.925,923 / 3$2.296,833 / 1
Peripheral Vascular Disorders W Cc1272 / 22$17.244,10280 / 18$4.944,6713 / 1$3.739,3313 / 5
Hip & Femur Procedures Except Major Joint W Mcc1250 / 14$37.090,2037 / 1$15.157,7027 / 1$14.149,7027 / 3
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc1244 / 10$32.859,50181 / 5$9.237,422 / 1$7.018,502 / 1
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1235 / 11$30.401,40162 / 5$6.790,001 / 2$4.274,421 / 1
Dysequilibrium1154 / 16$15.921,20147 / 6$4.200,1826 / 9$2.260,3626 / 5
Septicemia Or Severe Sepsis W Mv 96+ Hours1181 / 22$75.814,2071 / 4$30.564,30107 / 4$30.122,10107 / 7
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1142 / 16$13.575,80107 / 6$4.344,731 / 7$2.474,551 / 1
Other Vascular Procedures W Cc1191 / 27$73.221,30552 / 27$17.545,7057 / 36$12.371,7057 / 4
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc1135 / 9$12.299,7013 / 1$6.005,641 / 1$2.494,641 / 1
Other Skin, Subcut Tiss & Breast Proc W Cc1113 / 4$27.559,4011 / 1$8.477,092 / 2$5.747,272 / 1
Total 79 procedures2.552discharges

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.