Hospital Costs > In Pennsylvania > Upmc Mercy, procedure costs

Upmc Mercy, procedure costs

1400 Locust Street, Pittsburgh, PA 15219,

Procedure Costs @ Upmc Mercy
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 Mcc122394 / 49$51.926,001853 / 77$16.876,701937 / 116$12.154,001902 / 104
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc11730 / 2$15.011,10340 / 12$8.881,79636 / 35$5.189,22635 / 29
Psychoses83205 / 17$25.673,60421 / 21$14.425,90403 / 34$6.826,96403 / 32
Kidney & Urinary Tract Infections W/O Mcc71162 / 29$17.770,201316 / 63$8.502,872317 / 119$5.827,242306 / 117
Heart Failure & Shock W Cc70208 / 47$25.662,701719 / 75$10.709,202282 / 124$7.260,912276 / 120
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc66498 / 64$66.495,001902 / 92$18.237,901745 / 123$12.674,901705 / 104
Renal Failure W Cc65156 / 28$26.003,601490 / 69$10.545,502006 / 113$7.009,351996 / 110
Simple Pneumonia & Pleurisy W Cc56147 / 29$25.825,601683 / 73$9.989,292048 / 116$6.262,752040 / 111
Renal Failure W Mcc48147 / 22$33.013,20947 / 51$13.613,701364 / 95$9.828,171364 / 83
Heart Failure & Shock W Mcc42242 / 58$37.545,101534 / 71$15.014,602105 / 120$10.773,702095 / 115
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc42233 / 62$18.880,201260 / 60$8.153,142301 / 119$5.520,692286 / 116
Cardiac Arrhythmia & Conduction Disorders W Cc41120 / 27$23.803,801338 / 62$8.804,071792 / 105$5.809,001787 / 100
Chronic Obstructive Pulmonary Disease W Cc41138 / 34$24.522,301421 / 68$9.450,631965 / 114$6.573,101958 / 112
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs40142 / 36$36.948,101422 / 63$10.842,501674 / 89$7.524,731670 / 88
Medical Back Problems W/O Mcc3982 / 18$26.301,60886 / 44$9.032,541166 / 72$5.863,851162 / 70
Chest Pain38113 / 17$17.650,10743 / 37$7.073,211478 / 81$5.112,711469 / 78
Cardiac Arrhythmia & Conduction Disorders W Mcc3687 / 22$35.048,501164 / 58$13.134,901399 / 95$8.315,311396 / 87
Alcohol/Drug Abuse Or Dependence, Left Ama3515 / 2$9.824,2973 / 6$5.797,6657 / 7$3.477,6356 / 5
Cellulitis W/O Mcc35154 / 53$17.167,101147 / 61$8.959,572196 / 118$6.086,402188 / 115
Infectious & Parasitic Diseases W O.R. Procedure W Mcc3490 / 20$148.674,001015 / 40$43.677,00871 / 61$33.495,80865 / 53
G.I. Hemorrhage W Cc32186 / 49$26.110,201299 / 59$10.283,702023 / 109$7.353,592019 / 104
Transient Ischemia3194 / 30$32.596,501262 / 68$7.975,351345 / 88$5.006,871338 / 86
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc31119 / 36$15.529,701059 / 51$6.558,581597 / 98$3.731,771591 / 94
Syncope & Collapse31138 / 36$21.849,101022 / 50$7.978,231540 / 95$5.284,581533 / 92
Intracranial Hemorrhage Or Cerebral Infarction W Mcc31137 / 24$65.697,501215 / 46$17.534,401293 / 62$12.927,301287 / 62
Simple Pneumonia & Pleurisy W Mcc30175 / 42$42.572,701659 / 65$14.168,301847 / 107$9.535,271847 / 98
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc29167 / 42$62.644,00509 / 24$16.916,60750 / 57$11.401,70746 / 37
Respiratory System Diagnosis W Ventilator Support <96 Hours29102 / 25$65.295,401047 / 44$20.544,001289 / 73$15.654,601276 / 68
Circulatory Disorders Except Ami, W Card Cath W/O Mcc28160 / 40$33.529,90686 / 33$10.452,101310 / 65$7.526,111307 / 66
Chronic Obstructive Pulmonary Disease W Mcc27175 / 48$27.848,701337 / 64$11.315,101802 / 109$7.437,561794 / 103
Hip & Femur Procedures Except Major Joint W Cc25118 / 32$56.666,401266 / 55$17.450,301611 / 87$13.403,201592 / 87
G.I. Hemorrhage W Mcc2596 / 26$41.593,70753 / 35$15.766,701191 / 74$12.165,801183 / 71
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc2496 / 28$17.038,301019 / 44$7.755,751834 / 98$5.498,621823 / 98
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc24102 / 24$28.154,20864 / 26$10.777,001278 / 64$8.000,791275 / 65
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc23143 / 45$17.807,201300 / 58$7.814,132073 / 106$5.072,832065 / 104
Poisoning & Toxic Effects Of Drugs W/O Mcc2338 / 10$18.964,30477 / 15$8.230,48770 / 38$5.348,22769 / 35
Other Digestive System Diagnoses W Cc2275 / 22$24.579,80653 / 29$10.082,501157 / 61$7.175,591153 / 61
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc22185 / 59$31.481,701702 / 73$12.118,701928 / 114$7.085,591920 / 105
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc1925 / 8$70.012,10179 / 9$24.232,2060 / 20$14.346,3059 / 6
Non-Extensive Burns1911 / 3$54.410,9026 / 3$15.793,9013 / 3$10.491,2013 / 3
Degenerative Nervous System Disorders W/O Mcc1860 / 18$24.502,40371 / 18$9.615,22598 / 43$6.657,22598 / 42
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1878 / 23$44.059,801051 / 39$13.422,901155 / 62$8.983,501150 / 59
Diabetes W Cc1874 / 22$24.925,90992 / 39$10.745,601380 / 72$6.667,671375 / 69
Poisoning & Toxic Effects Of Drugs W Mcc1755 / 14$42.075,80601 / 15$14.260,80718 / 29$9.923,18716 / 27
Seizures W/O Mcc1692 / 29$22.783,60684 / 33$8.664,441052 / 62$5.881,381050 / 61
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc1673 / 19$39.385,10456 / 19$9.524,44539 / 28$6.809,75538 / 26
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.1648 / 11$301.289,00328 / 10$82.069,40312 / 18$67.809,10312 / 18
Spinal Fusion Except Cervical W/O Mcc16178 / 34$105.763,00801 / 41$29.472,70881 / 50$24.826,30877 / 52
Cellulitis W Mcc1642 / 12$39.703,90590 / 25$14.733,10742 / 45$10.352,90740 / 41
Acute Myocardial Infarction, Discharged Alive W Cc1675 / 25$33.462,00863 / 46$11.193,501108 / 73$7.130,941106 / 68
Pulmonary Edema & Respiratory Failure16187 / 48$45.200,701650 / 72$12.154,901531 / 96$7.908,561526 / 86
Traumatic Stupor & Coma, Coma <1 Hr W Cc1650 / 14$40.243,40346 / 11$10.824,60383 / 19$7.809,75382 / 21
Signs & Symptoms W/O Mcc1675 / 28$20.866,10691 / 26$7.711,441103 / 50$5.464,811100 / 50
Kidney & Urinary Tract Infections W Mcc15129 / 37$17.885,70419 / 19$10.683,901551 / 82$7.809,331547 / 81
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.1566 / 15$486.153,00262 / 9$127.026,00190 / 13$106.973,00190 / 12
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim1551 / 13$69.348,40407 / 11$15.731,30363 / 16$11.954,90360 / 17
Acute Myocardial Infarction, Discharged Alive W Mcc15110 / 41$49.358,801125 / 60$15.990,701311 / 90$11.550,401301 / 82
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1548 / 13$159.245,00511 / 20$41.962,30454 / 25$32.113,30454 / 21
Dysequilibrium1451 / 13$22.747,80300 / 14$7.228,64449 / 30$4.636,79449 / 29
Other Resp System O.R. Procedures W Mcc1449 / 11$114.847,00400 / 10$32.750,50439 / 17$25.958,60438 / 17
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc1455 / 17$64.390,90301 / 16$15.188,70317 / 26$10.716,10317 / 20
Peripheral Vascular Disorders W Cc1470 / 20$24.680,40628 / 32$9.348,07833 / 60$6.323,93830 / 57
Other Circulatory System Diagnoses W Mcc14102 / 30$51.502,90782 / 28$17.846,00873 / 51$12.540,40867 / 44
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc1389 / 36$46.172,801442 / 72$8.855,771314 / 78$5.266,151310 / 75
Major Chest Trauma W Cc1323 / 8$40.023,7098 / 7$10.562,20114 / 10$7.126,46114 / 12
Red Blood Cell Disorders W/O Mcc13130 / 39$18.898,80795 / 42$8.355,691593 / 92$5.811,921584 / 90
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc1363 / 11$64.832,20388 / 9$18.647,50254 / 12$11.635,10254 / 9
Disorders Of Pancreas Except Malignancy W Cc1348 / 17$24.454,90456 / 16$9.996,54657 / 33$5.883,23654 / 29
Other Disorders Of Nervous System W Cc1244 / 20$28.509,50351 / 11$9.288,50441 / 34$6.203,00441 / 32
Organic Disturbances & Mental Retardation1247 / 14$23.606,50255 / 10$11.435,10397 / 27$7.291,50397 / 25
Full Thickness Burn W Skin Graft Or Inhal Inj W Cc/Mcc1219 / 4$115.568,0012 / 2$45.627,005 / 2$34.772,905 / 1
Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc1216 / 2$53.982,6026 / 1$14.140,9022 / 3$10.757,7022 / 3
Major Small & Large Bowel Procedures W Mcc1273 / 25$150.838,00812 / 28$43.266,20643 / 46$31.398,00641 / 37
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1261 / 24$26.547,10545 / 30$11.576,50826 / 49$7.967,50824 / 48
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc1215 / 3$19.675,8018 / 1$13.187,8043 / 3$9.412,1743 / 3
G.I. Obstruction W Cc1181 / 34$24.688,60976 / 38$9.579,911362 / 71$6.071,451357 / 68
Circulatory Disorders Except Ami, W Card Cath W Mcc1182 / 25$49.282,30307 / 12$18.370,50664 / 33$14.602,70657 / 32
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc1145 / 11$48.047,00395 / 11$16.636,50310 / 17$11.326,70309 / 11
Hip & Femur Procedures Except Major Joint W Mcc1151 / 15$93.085,10653 / 16$26.352,90686 / 27$20.260,60683 / 27
Pulmonary Embolism W/O Mcc1163 / 29$22.443,20517 / 21$10.115,801086 / 58$7.102,181083 / 57
Other Vascular Procedures W Cc1191 / 27$74.456,70581 / 28$20.259,10390 / 51$14.344,00388 / 24
Septicemia Or Severe Sepsis W Mv 96+ Hours1181 / 22$130.579,00392 / 14$41.905,80214 / 25$31.940,50214 / 13
Respiratory Infections & Inflammations W Mcc11125 / 40$44.297,60917 / 40$17.344,101306 / 78$12.970,501291 / 76
Other Vascular Procedures W Mcc1186 / 26$75.877,90330 / 15$24.715,00542 / 35$21.160,40539 / 32
Craniotomy & Endovascular Intracranial Procedures W Cc1144 / 8$88.102,40114 / 3$24.041,6082 / 6$18.321,1082 / 5
Respiratory System Diagnosis W Ventilator Support 96+ Hours1160 / 18$154.059,00581 / 21$41.414,90332 / 30$29.582,20332 / 17
Transurethral Procedures W Cc1130 / 11$49.618,00279 / 15$13.736,50295 / 22$8.510,55295 / 22
Total 87 procedures2.287discharges

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.