Hospital Costs > In Pennsylvania > Upmc Hamot, procedure costs

Upmc Hamot, procedure costs

201 State Street, Erie, PA 16550,

Procedure Costs @ Upmc Hamot
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 Cc3853 / 8$43.207,101091 / 59$6.913,32553 / 39$5.570,39552 / 41
Acute Myocardial Infarction, Discharged Alive W Mcc5669 / 9$83.107,201582 / 82$11.282,90555 / 56$9.129,48554 / 43
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1934 / 8$39.562,10733 / 43$5.246,89417 / 21$4.045,84414 / 30
Acute Myocardial Infarction, Expired W Mcc219 / 2$55.766,00127 / 5$10.449,0028 / 4$8.997,8128 / 2
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc1317 / 3$68.364,30145 / 7$12.232,0073 / 2$10.974,5072 / 5
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc1123 / 5$190.716,00161 / 4$28.923,5054 / 2$24.792,1054 / 2
Atherosclerosis W/O Mcc1345 / 7$20.872,50330 / 10$4.442,54 / 9$3.305,92 /
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc3059 / 12$33.348,10351 / 15$6.972,93247 / 10$5.413,60247 / 9
Bronchitis & Asthma W Cc/Mcc1660 / 21$33.687,10792 / 36$6.029,69367 / 27$4.487,25363 / 30
Cardiac Arrhythmia & Conduction Disorders W Cc6398 / 16$30.395,001645 / 76$5.498,811083 / 57$4.382,171079 / 65
Cardiac Arrhythmia & Conduction Disorders W Mcc5073 / 13$52.543,201581 / 76$8.001,92394 / 54$6.213,26392 / 35
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc7179 / 11$23.079,801557 / 74$4.166,35856 / 66$2.712,90852 / 58
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc1158 / 8$263.006,00149 / 5$61.467,401 / 2$38.954,201 / 1
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc3088 / 11$209.738,00430 / 19$30.405,20119 / 4$28.924,80119 / 6
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc3185 / 12$242.831,00302 / 13$42.938,9036 / 2$41.316,0036 / 2
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc1230 / 5$179.842,00100 / 5$26.424,1025 / 1$25.038,4025 / 2
Cellulitis W/O Mcc32157 / 56$32.353,602212 / 103$5.843,09994 / 71$4.268,44988 / 59
Cervical Spinal Fusion W/O Cc/Mcc1490 / 15$60.857,20470 / 12$13.504,2077 / 7$10.225,4077 / 3
Chest Pain40111 / 16$24.292,501174 / 58$4.391,65895 / 43$3.394,25890 / 55
Chronic Obstructive Pulmonary Disease W Cc36143 / 39$34.517,401895 / 90$6.254,22993 / 62$4.950,53990 / 59
Chronic Obstructive Pulmonary Disease W Mcc71131 / 14$49.846,902179 / 99$7.667,081051 / 61$6.293,701046 / 61
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc20100 / 32$24.576,201518 / 71$5.038,201076 / 56$3.802,201067 / 67
Circulatory Disorders Except Ami, W Card Cath W Mcc3756 / 7$73.927,40616 / 22$12.628,80293 / 8$11.473,40288 / 11
Circulatory Disorders Except Ami, W Card Cath W/O Mcc87101 / 12$53.238,001276 / 52$7.170,92654 / 30$5.668,34652 / 34
Cirrhosis & Alcoholic Hepatitis W Mcc1131 / 8$65.278,50223 / 5$11.121,3016 / 1$8.557,0916 / 1
Concussion W Cc146 / 2$37.886,9010 / 2$6.506,865 / 1$4.975,435 / 2
Coronary Bypass W Cardiac Cath W Mcc1640 / 6$270.507,00337 / 11$36.971,4020 / 3$32.497,8020 / 3
Coronary Bypass W Cardiac Cath W/O Mcc1264 / 16$225.220,00532 / 29$28.262,60270 / 11$26.176,60270 / 18
Coronary Bypass W/O Cardiac Cath W/O Mcc2365 / 10$153.333,00478 / 17$21.060,40148 / 2$19.471,30147 / 6
Craniotomy & Endovascular Intracranial Procedures W Mcc1583 / 12$85.258,00122 / 4$21.141,903 / 1$18.040,403 / 1
Degenerative Nervous System Disorders W/O Mcc1365 / 23$57.437,20813 / 46$6.442,62162 / 16$4.848,62162 / 12
Diabetes W Cc2171 / 19$33.143,501267 / 51$5.730,71567 / 35$4.355,29567 / 33
Diabetes W Mcc1443 / 10$65.096,60667 / 19$8.760,50155 / 3$7.273,64155 / 5
Digestive Malignancy W Cc1730 / 5$50.605,20301 / 12$8.291,59111 / 6$6.917,94110 / 8
Disorders Of Pancreas Except Malignancy W Cc2140 / 9$31.466,90657 / 21$6.273,67397 / 15$5.007,19396 / 18
Disorders Of Pancreas Except Malignancy W Mcc1234 / 3$69.552,90289 / 4$11.460,3093 / 1$9.906,0093 / 2
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1226 / 8$23.576,20314 / 11$4.715,08159 / 7$3.183,25159 / 5
Disorders Of The Biliary Tract W Cc1341 / 11$39.254,80319 / 13$6.786,0884 / 7$5.348,2384 / 6
Disorders Of The Biliary Tract W Mcc1623 / 7$57.391,00186 / 6$10.142,5025 / 2$8.383,0025 / 2
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.1665 / 14$374.380,00155 / 5$68.192,005 / 1$65.923,805 / 1
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2571 / 16$57.338,201244 / 55$8.269,64559 / 33$6.750,92554 / 30
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc62213 / 47$30.522,702193 / 94$5.282,791173 / 72$3.871,401164 / 69
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc1628 / 10$112.523,00349 / 19$16.840,60117 / 6$15.341,60116 / 9
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc2439 / 7$209.133,00644 / 26$28.053,80135 / 8$25.928,10135 / 6
Extracranial Procedures W/O Cc/Mcc2078 / 11$41.730,80658 / 28$6.922,00350 / 18$5.332,80350 / 17
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1646 / 16$22.493,40444 / 14$4.937,56243 / 12$3.732,06243 / 15
G.I. Hemorrhage W Cc111107 / 10$34.502,601764 / 74$6.714,301037 / 59$5.400,221035 / 58
G.I. Hemorrhage W Mcc3982 / 14$66.525,501290 / 56$10.482,10363 / 26$9.309,10363 / 22
G.I. Hemorrhage W/O Cc/Mcc1157 / 22$23.940,50682 / 29$4.911,36478 / 29$3.729,91474 / 31
G.I. Obstruction W Cc3557 / 14$35.226,601352 / 53$6.203,77733 / 44$4.737,71732 / 40
G.I. Obstruction W Mcc1428 / 7$38.242,60226 / 9$9.981,14199 / 7$9.216,29199 / 9
G.I. Obstruction W/O Cc/Mcc2843 / 10$25.514,101014 / 38$4.573,54769 / 33$3.378,68766 / 39
Headaches W/O Mcc1231 / 10$26.225,20148 / 7$4.782,2586 / 4$3.463,5886 / 8
Heart Failure & Shock W Cc112166 / 25$39.806,802317 / 104$6.584,121029 / 70$5.310,171027 / 63
Heart Failure & Shock W Mcc112172 / 23$63.134,602244 / 108$9.671,31958 / 67$8.229,81957 / 56
Heart Failure & Shock W/O Cc/Mcc2882 / 30$24.798,801543 / 74$4.845,89918 / 63$3.659,46911 / 59
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc1121 / 6$31.883,5056 / 2$7.753,5524 / 1$5.693,0024 / 1
Hip & Femur Procedures Except Major Joint W Cc4895 / 15$59.916,801349 / 58$11.571,90459 / 32$10.004,60458 / 28
Hip & Femur Procedures Except Major Joint W Mcc2042 / 9$111.854,00759 / 19$17.739,10233 / 7$16.124,30232 / 8
Hypertension W/O Mcc1154 / 19$20.267,00423 / 14$4.468,45432 / 10$3.521,91430 / 17
Infectious & Parasitic Diseases W O.R. Procedure W Mcc4579 / 14$198.118,001256 / 53$32.084,70353 / 34$28.349,80353 / 25
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs61121 / 25$42.977,001585 / 70$6.848,26813 / 42$5.564,66811 / 49
Intracranial Hemorrhage Or Cerebral Infarction W Mcc8187 / 10$79.283,001363 / 54$11.401,80649 / 38$9.749,72648 / 36
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc4755 / 10$31.717,901155 / 52$5.277,32731 / 41$3.900,64727 / 48
Kidney & Urinary Tract Infections W Mcc4599 / 13$39.975,801502 / 65$7.283,24572 / 46$5.796,71571 / 37
Kidney & Urinary Tract Infections W/O Mcc58175 / 35$25.721,302013 / 90$5.412,881290 / 73$4.160,221281 / 75
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc2134 / 8$67.205,30416 / 14$14.899,7022 / 18$9.057,5222 / 2
Major Cardiovasc Procedures W Mcc1949 / 9$228.019,00557 / 20$30.996,1020 / 4$24.994,7020 / 2
Major Cardiovasc Procedures W/O Mcc4358 / 7$137.413,00829 / 34$20.906,10155 / 18$17.376,00155 / 6
Major Chest Procedures W Cc1163 / 15$79.304,00323 / 7$15.437,50151 / 2$13.936,50151 / 6
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1360 / 23$44.998,80896 / 45$7.114,77123 / 21$5.661,38123 / 14
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc1581 / 12$72.714,10612 / 23$13.455,50202 / 17$11.061,30200 / 9
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1154 / 15$104.242,00686 / 20$17.134,2081 / 3$15.658,9081 / 4
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc206358 / 29$62.875,901798 / 90$13.185,80981 / 63$11.022,40961 / 61
Major Small & Large Bowel Procedures W Cc2385 / 24$79.879,101002 / 35$15.433,70399 / 19$13.227,90396 / 12
Major Small & Large Bowel Procedures W Mcc2956 / 11$160.377,00867 / 30$27.820,30184 / 10$26.165,40183 / 11
Medical Back Problems W/O Mcc3289 / 23$25.608,00853 / 42$5.604,03488 / 30$4.206,28488 / 36
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc19107 / 28$55.163,801550 / 60$7.351,74727 / 32$6.448,95724 / 40
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc30136 / 38$22.932,801771 / 76$4.904,071238 / 63$3.836,601234 / 65
Nonspecific Cerebrovascular Disorders W Cc1145 / 9$28.997,00282 / 7$6.328,45199 / 4$5.477,18199 / 5
Nonspecific Cerebrovascular Disorders W Mcc1536 / 6$59.082,80304 / 6$9.913,00124 / 1$9.194,60124 / 2
Other Circulatory System Diagnoses W Cc1650 / 12$44.531,90570 / 18$6.530,50242 / 10$5.293,25241 / 13
Other Circulatory System Diagnoses W Mcc3977 / 12$81.454,601157 / 44$11.763,40340 / 21$10.127,00339 / 18
Other Digestive System Diagnoses W Cc2968 / 15$32.276,20942 / 38$6.592,72521 / 28$5.230,93518 / 38
Other Kidney & Urinary Tract Diagnoses W Cc1588 / 23$30.544,20534 / 20$6.548,27281 / 13$5.417,33281 / 17
Other Resp System O.R. Procedures W Cc1631 / 6$64.841,60232 / 8$11.297,4062 / 1$10.091,9062 / 2
Other Resp System O.R. Procedures W Mcc1449 / 11$175.775,00523 / 19$21.572,70152 / 6$19.929,50152 / 7
Other Vascular Procedures W Cc5845 / 3$109.925,00916 / 45$16.073,20418 / 21$14.500,60416 / 25
Other Vascular Procedures W Mcc2176 / 17$119.977,00730 / 28$18.573,50111 / 4$17.132,00111 / 4
Other Vascular Procedures W/O Cc/Mcc1739 / 10$64.146,40407 / 14$10.727,4042 / 7$7.992,0042 / 3
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents6040 / 2$149.691,00821 / 33$20.306,50279 / 12$17.736,30277 / 10
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc11977 / 4$114.151,001286 / 57$12.623,20377 / 17$10.344,90377 / 20
Peripheral Vascular Disorders W Cc2757 / 10$43.662,201072 / 52$6.404,74327 / 33$4.929,67325 / 30
Peripheral Vascular Disorders W Mcc1831 / 6$49.485,80425 / 15$8.809,78123 / 8$7.150,50123 / 5
Peripheral Vascular Disorders W/O Cc/Mcc1530 / 8$37.994,10370 / 14$5.213,47204 / 8$3.779,67204 / 9
Permanent Cardiac Pacemaker Implant W Cc1562 / 19$93.993,70733 / 34$15.853,50293 / 11$14.565,70292 / 15
Permanent Cardiac Pacemaker Implant W Mcc1636 / 8$173.219,00543 / 23$23.534,30122 / 13$19.745,80122 / 8
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc1641 / 13$64.201,50455 / 19$12.898,20299 / 9$11.916,40298 / 16
Poisoning & Toxic Effects Of Drugs W Mcc1557 / 16$44.689,10635 / 18$9.023,93300 / 9$7.656,20299 / 15
Pulmonary Edema & Respiratory Failure92111 / 9$50.888,501777 / 78$7.964,16874 / 51$6.786,77874 / 52
Pulmonary Embolism W Mcc1726 / 5$68.203,60514 / 16$9.896,06270 / 9$8.691,59270 / 13
Pulmonary Embolism W/O Mcc2549 / 15$60.394,101220 / 57$6.740,40741 / 29$5.652,24738 / 43
Red Blood Cell Disorders W Mcc1655 / 16$50.715,20842 / 31$8.173,44262 / 21$6.747,19262 / 15
Red Blood Cell Disorders W/O Mcc24119 / 28$27.274,201374 / 62$5.575,29775 / 56$4.266,83770 / 55
Renal Failure W Cc105116 / 15$36.927,301957 / 92$6.471,691142 / 63$5.320,791134 / 69
Renal Failure W Mcc85110 / 8$68.076,901871 / 88$10.121,00874 / 54$8.687,25874 / 50
Renal Failure W/O Cc/Mcc1442 / 12$19.666,40549 / 20$4.497,14407 / 17$3.332,00406 / 20
Respiratory Infections & Inflammations W Cc1276 / 31$43.890,201038 / 41$8.384,92418 / 25$7.188,58415 / 25
Respiratory Infections & Inflammations W Mcc34102 / 20$73.020,101442 / 61$11.551,80426 / 27$10.319,70424 / 28
Respiratory Neoplasms W Mcc1339 / 9$62.656,50467 / 10$10.391,90145 / 4$9.132,23145 / 7
Respiratory System Diagnosis W Ventilator Support <96 Hours7556 / 2$113.215,001628 / 67$14.690,90760 / 37$13.164,30752 / 43
Respiratory System Diagnosis W Ventilator Support 96+ Hours1952 / 10$274.394,00897 / 35$32.552,90262 / 16$28.616,30262 / 12
Revision Of Hip Or Knee Replacement W Cc1274 / 15$88.322,80371 / 13$26.852,10102 / 21$16.947,50102 / 8
Seizures W Mcc2541 / 7$48.245,40463 / 15$9.433,1289 / 7$7.653,4489 / 3
Seizures W/O Mcc3672 / 16$25.969,20812 / 42$5.275,69436 / 29$3.956,78434 / 31
Septicemia Or Severe Sepsis W Mv 96+ Hours2567 / 10$250.560,00900 / 29$34.063,00192 / 10$31.584,00192 / 12
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc285233 / 12$72.473,502320 / 102$11.762,10852 / 63$9.991,61851 / 52
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc74133 / 22$44.248,202151 / 94$7.221,311168 / 65$5.834,121163 / 68
Simple Pneumonia & Pleurisy W Cc51152 / 33$35.101,702186 / 89$6.485,021099 / 65$5.154,881095 / 64
Simple Pneumonia & Pleurisy W Mcc102103 / 4$60.673,602104 / 92$9.516,30986 / 61$7.861,84986 / 57
Simple Pneumonia & Pleurisy W/O Cc/Mcc1974 / 25$25.848,501494 / 63$4.863,26855 / 52$3.554,00851 / 50
Spinal Fusion Except Cervical W/O Mcc38156 / 21$106.073,00804 / 42$23.286,20195 / 15$19.849,40194 / 9
Syncope & Collapse26143 / 41$28.814,201390 / 70$5.159,65714 / 55$3.762,19711 / 51
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.2143 / 7$371.909,00407 / 18$56.150,0095 / 2$52.344,3095 / 4
Transient Ischemia4283 / 19$26.813,501046 / 56$4.939,93808 / 46$3.717,64804 / 54
Transurethral Procedures W Cc1229 / 10$60.661,20316 / 18$8.424,00153 / 6$6.939,00153 / 10
Traumatic Stupor & Coma, Coma <1 Hr W Cc1650 / 14$21.697,2097 / 3$6.574,19105 / 4$5.672,69105 / 7
Traumatic Stupor & Coma, Coma <1 Hr W Mcc1833 / 7$83.189,60267 / 9$12.684,1060 / 3$10.643,7060 / 3
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc1242 / 16$22.668,20204 / 8$5.089,83111 / 7$3.778,50111 / 8
Total 129 procedures4.529discharges

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.