Hospital Costs > In Pennsylvania > Upmc Bedford Memorial, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 40 | $12.877,70 | 175 / 8 | $7.176,11 | 550 / 44 | $5.814,34 | 549 / 37 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 37 | $7.708,07 | 79 / 3 | $4.644,07 | 1121 / 38 | $3.844,07 | 1112 / 71 |
| G.I. Hemorrhage W Cc | 14 | 204 / 61 | $10.235,80 | 54 / 4 | $6.069,86 | 741 / 34 | $5.125,86 | 739 / 44 |
| Heart Failure & Shock W Mcc | 22 | 262 / 75 | $12.596,60 | 64 / 5 | $8.999,86 | 1122 / 44 | $8.452,95 | 1119 / 68 |
| Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 62 | $8.383,93 | 147 / 9 | $4.870,21 | 1142 / 43 | $4.050,79 | 1134 / 66 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 69 | $11.538,00 | 117 / 12 | $6.857,55 | 391 / 52 | $5.080,91 | 389 / 29 |
| Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 48 | $10.618,80 | 149 / 8 | $6.153,65 | 916 / 48 | $5.011,71 | 913 / 58 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 25 | $10.176,10 | 238 / 15 | $4.542,58 | 825 / 33 | $3.525,32 | 821 / 48 | Total 8 procedures | 178 | 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.