Hospital Costs > In Pennsylvania > Upmc Northwest, procedure costs

Upmc Northwest, procedure costs

100 Fairfield Drive, Seneca, PA 16346,

Procedure Costs @ Upmc Northwest
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 Mcc84432 / 65$26.367,60606 / 35$9.845,46176 / 10$8.870,45176 / 15
Chronic Obstructive Pulmonary Disease W Cc75104 / 17$13.417,20361 / 16$5.184,53373 / 14$4.394,93372 / 31
Chronic Obstructive Pulmonary Disease W Mcc67135 / 16$17.551,40522 / 26$6.312,39163 / 9$5.317,70163 / 21
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc63501 / 66$38.037,90645 / 48$11.604,70325 / 14$10.020,00324 / 24
Heart Failure & Shock W Mcc56228 / 50$22.557,10568 / 34$8.369,84106 / 17$6.985,62106 / 15
Kidney & Urinary Tract Infections W/O Mcc54179 / 38$10.025,50299 / 21$4.397,56229 / 17$3.340,15229 / 20
Heart Failure & Shock W Cc53225 / 62$11.745,00249 / 17$5.304,25228 / 9$4.585,83228 / 19
Renal Failure W Cc53168 / 38$12.269,50236 / 19$5.405,94245 / 18$4.462,74244 / 21
Respiratory Infections & Inflammations W Cc5038 / 4$24.188,30433 / 19$7.561,24169 / 7$6.688,76168 / 14
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc49226 / 58$11.346,60320 / 19$4.333,37265 / 16$3.193,98265 / 28
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc4773 / 10$9.296,70175 / 8$4.187,00262 / 18$3.100,62262 / 28
Simple Pneumonia & Pleurisy W Cc45158 / 39$16.398,00727 / 39$5.625,6049 / 22$3.977,1349 / 6
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc45162 / 39$13.406,30242 / 17$5.973,0261 / 13$4.516,3361 / 6
Respiratory Infections & Inflammations W Mcc4393 / 12$32.411,10482 / 26$10.463,80207 / 8$9.778,28207 / 17
Cellulitis W/O Mcc42147 / 46$9.477,12202 / 20$4.698,38200 / 15$3.557,62199 / 20
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc38128 / 32$7.668,05118 / 7$3.974,47127 / 15$2.883,13127 / 17
Cardiac Arrhythmia & Conduction Disorders W Cc37124 / 31$11.403,40198 / 14$4.560,19115 / 14$3.329,08115 / 15
G.I. Hemorrhage W Cc35183 / 47$13.234,10179 / 11$5.522,23255 / 10$4.647,60255 / 24
Simple Pneumonia & Pleurisy W Mcc35170 / 37$19.434,30356 / 20$7.564,34129 / 6$6.661,37129 / 12
Pulmonary Edema & Respiratory Failure34169 / 32$17.795,70270 / 18$6.744,3268 / 11$5.572,2168 / 11
Syncope & Collapse33136 / 34$11.170,40155 / 10$4.227,00162 / 14$3.107,73162 / 22
Transient Ischemia3293 / 29$14.283,60253 / 17$4.033,53215 / 12$3.042,41215 / 25
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs28154 / 46$16.421,30233 / 13$6.045,61111 / 13$4.600,96111 / 12
Chest Pain28123 / 25$8.714,9393 / 7$3.548,64227 / 13$2.590,79226 / 19
Cardiac Arrhythmia & Conduction Disorders W Mcc2895 / 30$15.250,00128 / 10$6.613,07221 / 6$5.910,07221 / 24
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc26124 / 41$8.866,50217 / 10$3.303,85232 / 17$2.180,77230 / 25
Red Blood Cell Disorders W/O Mcc24119 / 28$11.328,80179 / 10$4.585,58148 / 15$3.521,42148 / 17
G.I. Obstruction W Cc2369 / 23$11.244,8088 / 3$5.033,96352 / 12$4.280,04351 / 25
Peripheral Vascular Disorders W Cc2262 / 13$11.579,4071 / 5$5.007,3669 / 3$4.278,8269 / 11
Intracranial Hemorrhage Or Cerebral Infarction W Mcc22146 / 30$21.318,70125 / 4$9.231,00142 / 8$8.274,09141 / 12
Renal Failure W Mcc22173 / 44$22.220,80327 / 16$8.387,64192 / 11$7.525,27192 / 20
Heart Failure & Shock W/O Cc/Mcc2189 / 35$8.865,10175 / 12$3.957,48167 / 19$2.924,67165 / 20
Respiratory System Diagnosis W Ventilator Support <96 Hours20111 / 33$33.171,20169 / 12$11.242,7034 / 1$10.489,5034 / 6
Hip & Femur Procedures Except Major Joint W Cc20123 / 35$28.442,10180 / 15$10.545,90182 / 9$9.439,30181 / 12
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc1983 / 30$14.056,20197 / 10$4.555,89129 / 16$3.066,42127 / 15
Acute Myocardial Infarction, Discharged Alive W Mcc19106 / 37$16.324,2078 / 6$7.726,3717 / 2$7.012,2617 / 3
Diabetes W Cc1775 / 23$9.365,0666 / 4$4.470,4171 / 6$3.535,5971 / 7
Simple Pneumonia & Pleurisy W/O Cc/Mcc1776 / 27$9.737,94198 / 13$4.072,18216 / 15$2.928,88214 / 17
Medical Back Problems W/O Mcc16105 / 35$12.444,40117 / 6$4.630,62178 / 9$3.711,88178 / 19
Cellulitis W Mcc1543 / 13$23.133,20189 / 8$7.925,9391 / 8$6.948,3391 / 12
Renal Failure W/O Cc/Mcc1541 / 11$7.789,5353 / 1$3.658,20196 / 5$2.924,33195 / 9
Seizures W/O Mcc1494 / 31$8.617,8645 / 1$4.300,1426 / 5$2.966,9326 / 4
Kidney & Urinary Tract Infections W Mcc14130 / 38$17.925,80422 / 20$6.344,64384 / 15$5.547,79383 / 26
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1383 / 28$17.741,90133 / 4$6.618,38125 / 5$5.758,38125 / 13
G.I. Hemorrhage W/O Cc/Mcc1355 / 20$6.810,6226 / 2$4.039,4690 / 9$2.912,3890 / 9
Headaches W/O Mcc1330 / 9$12.625,9025 / 2$3.894,7735 / 1$2.957,2335 / 3
Bronchitis & Asthma W Cc/Mcc1264 / 24$11.925,7094 / 5$4.945,7570 / 6$3.721,4270 / 9
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1261 / 24$11.627,6047 / 4$6.329,83159 / 7$5.813,83159 / 16
G.I. Hemorrhage W Mcc12109 / 38$24.161,80152 / 13$9.461,33138 / 10$8.626,33138 / 13
Disorders Of Pancreas Except Malignancy W Cc1249 / 18$13.976,4096 / 2$5.193,50191 / 4$4.476,83191 / 10
Pulmonary Embolism W/O Mcc1262 / 28$17.144,60244 / 10$5.575,17223 / 7$4.650,83223 / 16
Other Circulatory System Diagnoses W Mcc11105 / 33$23.250,5087 / 2$10.050,508 / 6$8.011,188 / 3
Degenerative Nervous System Disorders W/O Mcc1167 / 25$11.091,3039 / 2$5.547,09137 / 7$4.762,36137 / 11
Total 53 procedures1.621discharges

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.