Hospital Costs > In Pennsylvania > Wilkes-Barre General Hospital, procedure costs

Wilkes-Barre General Hospital, procedure costs

575 North River Street, Wilkes-Barre, PA 18764,

Procedure Costs @ Wilkes-Barre General Hospital
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 Cc4348 / 7$40.922,701055 / 57$6.275,79401 / 21$5.313,53400 / 32
Acute Myocardial Infarction, Discharged Alive W Mcc7451 / 6$54.415,001225 / 66$9.880,62460 / 32$8.896,84460 / 38
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc2231 / 5$26.915,00508 / 28$4.569,64163 / 10$3.474,68162 / 10
Acute Myocardial Infarction, Expired W Mcc1317 / 6$64.101,20138 / 6$9.709,1516 / 1$8.643,6216 / 1
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc3985 / 7$15.219,30349 / 13$4.184,1075 / 3$3.096,1375 / 5
Alcohol/Drug Abuse Or Dependence, Left Ama1138 / 6$10.226,7077 / 8$2.858,6410 / 1$2.241,7310 / 1
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc1220 / 2$84.194,50131 / 2$14.804,2058 / 1$13.836,7058 / 1
Atherosclerosis W/O Mcc2434 / 2$18.325,60273 / 8$3.722,67 / 3$2.825,21 /
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim1155 / 16$74.732,90432 / 14$10.381,2072 / 2$9.154,2772 / 2
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc2663 / 16$59.405,70662 / 31$6.858,77342 / 8$5.768,31341 / 16
Bone Diseases & Arthropathies W/O Mcc3510 / 1$19.289,00154 / 5$4.383,6336 / 3$3.391,5136 / 4
Bronchitis & Asthma W Cc/Mcc2947 / 11$31.839,00751 / 33$5.245,28194 / 12$4.075,38191 / 18
Cardiac Arrhythmia & Conduction Disorders W Cc7586 / 11$32.358,601719 / 80$4.828,75400 / 29$3.734,12400 / 34
Cardiac Arrhythmia & Conduction Disorders W Mcc5271 / 12$45.509,501451 / 70$7.446,12299 / 33$6.041,15298 / 30
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc7971 / 8$21.917,901500 / 70$3.473,94326 / 28$2.294,78324 / 34
Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc1117 / 1$306.128,0073 / 1$40.580,803 / 1$35.333,503 / 1
Cellulitis W Mcc1939 / 10$38.210,90548 / 20$8.198,2195 / 11$6.967,2195 / 13
Cellulitis W/O Mcc11772 / 10$28.026,002047 / 89$5.032,24408 / 29$3.805,74405 / 30
Chest Pain6487 / 7$21.207,50999 / 47$3.685,66272 / 22$2.649,59271 / 25
Chronic Obstructive Pulmonary Disease W Cc10970 / 5$34.160,601887 / 88$5.582,18604 / 31$4.638,86602 / 42
Chronic Obstructive Pulmonary Disease W Mcc14756 / 1$45.789,102087 / 96$7.198,09689 / 45$5.966,39685 / 46
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc9823 / 1$29.648,901699 / 82$4.454,42455 / 30$3.283,49454 / 39
Circulatory Disorders Except Ami, W Card Cath W Mcc1974 / 19$58.534,50445 / 18$11.826,50117 / 4$10.591,90114 / 3
Circulatory Disorders Except Ami, W Card Cath W/O Mcc76112 / 15$39.144,10921 / 43$6.371,71334 / 10$5.193,58334 / 20
Coronary Bypass W Cardiac Cath W/O Mcc5323 / 2$163.526,00402 / 18$27.383,80114 / 7$23.700,40114 / 10
Cranial & Peripheral Nerve Disorders W/O Mcc2147 / 8$33.449,90524 / 15$5.318,86138 / 4$4.382,86138 / 5
Degenerative Nervous System Disorders W/O Mcc3741 / 6$22.312,20309 / 14$5.864,8498 / 9$4.560,2798 / 9
Diabetes W Cc3359 / 11$25.839,001031 / 40$4.935,09107 / 12$3.620,91107 / 10
Digestive Malignancy W Cc1136 / 10$52.002,50310 / 14$7.394,6462 / 2$6.394,3662 / 3
Disorders Of Pancreas Except Malignancy W Cc1546 / 15$30.660,70641 / 20$5.490,13135 / 7$4.294,13135 / 7
Disorders Of The Biliary Tract W Cc1143 / 13$48.536,60383 / 17$6.001,367 / 3$4.421,097 / 1
Dysequilibrium3035 / 3$19.152,30225 / 9$3.877,1374 / 7$2.626,0774 / 10
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2274 / 19$68.525,601349 / 57$8.010,86669 / 29$7.050,36664 / 35
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc158117 / 10$29.589,102141 / 93$4.611,92575 / 35$3.467,01573 / 43
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc2222 / 5$136.263,00388 / 21$17.008,7095 / 8$14.960,0094 / 8
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1746 / 11$150.825,00478 / 16$27.322,20133 / 5$25.899,80133 / 5
Extracranial Procedures W/O Cc/Mcc3464 / 5$42.597,10674 / 29$6.101,94233 / 6$5.052,50233 / 10
Fractures Of Hip & Pelvis W/O Mcc3031 / 2$23.437,80611 / 20$4.235,00141 / 9$3.076,37142 / 12
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc4816 / 2$24.696,50502 / 18$4.539,33130 / 8$3.412,52130 / 10
G.I. Hemorrhage W Cc15763 / 5$36.059,901824 / 80$5.883,75467 / 25$4.875,65466 / 32
G.I. Hemorrhage W Mcc4774 / 11$69.466,001334 / 61$10.084,90260 / 17$9.040,53260 / 16
G.I. Hemorrhage W/O Cc/Mcc3038 / 6$26.623,60741 / 32$4.251,70169 / 17$3.116,93169 / 15
G.I. Obstruction W Cc5339 / 5$28.857,401155 / 46$5.335,30277 / 20$4.166,25276 / 17
G.I. Obstruction W/O Cc/Mcc3536 / 6$21.743,20897 / 32$3.811,06326 / 13$2.735,54326 / 20
Heart Failure & Shock W Cc175104 / 10$36.084,502217 / 95$5.883,74459 / 32$4.854,54459 / 35
Heart Failure & Shock W Mcc144140 / 11$50.291,101990 / 93$8.677,37496 / 29$7.686,62496 / 29
Heart Failure & Shock W/O Cc/Mcc5852 / 9$23.003,101453 / 70$4.073,12316 / 31$3.118,69314 / 27
Hip & Femur Procedures Except Major Joint W Cc7370 / 7$69.629,801541 / 66$11.139,10424 / 22$9.955,93423 / 26
Hip & Femur Procedures Except Major Joint W Mcc1448 / 12$117.849,00785 / 20$17.842,00301 / 11$16.558,90298 / 10
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc3521 / 1$59.314,30700 / 32$9.381,71229 / 7$8.250,51229 / 8
Hypertension W/O Mcc1748 / 15$21.377,80445 / 15$3.840,8875 / 5$2.532,4775 / 4
Infectious & Parasitic Diseases W O.R. Procedure W Mcc3193 / 23$196.300,001250 / 52$32.116,80599 / 35$30.333,10594 / 40
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs75107 / 16$32.981,001281 / 56$6.241,07429 / 22$5.135,39428 / 29
Intracranial Hemorrhage Or Cerebral Infarction W Mcc43125 / 16$53.637,701027 / 38$10.000,30345 / 18$8.919,63344 / 20
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc5943 / 5$27.385,70997 / 42$4.549,15335 / 15$3.418,68332 / 27
Kidney & Urinary Tract Infections W Mcc5292 / 9$37.511,901429 / 59$6.819,90208 / 30$5.267,73208 / 17
Kidney & Urinary Tract Infections W/O Mcc15183 / 4$26.440,302052 / 93$4.660,23498 / 31$3.620,28498 / 36
Kidney & Urinary Tract Signs & Symptoms W/O Mcc1712 / 3$25.953,70106 / 2$4.096,1231 / 2$3.443,1231 / 3
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1145 / 13$75.392,80696 / 22$9.599,82197 / 4$8.279,27197 / 8
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc1426 / 4$95.633,40340 / 9$14.310,20112 / 2$13.338,10112 / 3
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1235 / 11$61.642,20492 / 23$7.171,42135 / 4$5.817,67135 / 9
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc1235 / 11$65.150,30424 / 21$8.718,17125 / 4$7.374,92125 / 7
Major Cardiovasc Procedures W/O Mcc2774 / 13$178.057,00945 / 39$20.636,70409 / 16$19.486,80409 / 20
Major Chest Procedures W Cc1361 / 13$99.958,30404 / 10$15.460,6015 / 3$11.696,4015 / 3
Major Chest Procedures W Mcc1336 / 6$155.685,00214 / 3$28.126,8061 / 1$26.860,4061 / 2
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1756 / 19$34.468,60743 / 36$6.898,7153 / 15$5.353,2953 / 8
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc1934 / 7$40.809,40328 / 9$7.041,1146 / 2$5.821,7946 / 4
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1253 / 14$157.249,00853 / 27$19.155,50334 / 8$17.884,60332 / 11
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc224340 / 25$99.909,802477 / 119$12.444,70928 / 36$10.935,90909 / 57
Major Small & Large Bowel Procedures W Cc6048 / 9$90.480,001117 / 41$14.673,80294 / 10$12.850,80292 / 9
Major Small & Large Bowel Procedures W Mcc3055 / 10$197.968,001037 / 37$32.229,00437 / 27$28.977,80435 / 22
Major Small & Large Bowel Procedures W/O Cc/Mcc2935 / 4$68.091,70625 / 20$9.599,52161 / 3$7.868,07161 / 4
Malignancy Of Hepatobiliary System Or Pancreas W Cc1219 / 6$45.233,30146 / 5$6.844,8324 / 1$5.741,5824 / 2
Medical Back Problems W/O Mcc7546 / 6$26.654,70902 / 46$5.026,24323 / 14$3.991,36323 / 24
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc3690 / 14$39.630,101297 / 42$6.538,53133 / 12$5.384,89132 / 8
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc10363 / 3$23.043,501778 / 77$4.294,50560 / 29$3.355,14558 / 41
Nervous System Neoplasms W/O Mcc1218 / 4$28.604,8025 / 1$5.986,7516 / 1$5.148,3316 / 1
Nonspecific Cerebrovascular Disorders W Cc1640 / 5$30.900,40303 / 9$5.685,1255 / 2$4.634,4455 / 2
O.R. Procedures For Obesity W/O Cc/Mcc2156 / 9$68.385,40354 / 13$9.029,7181 / 2$7.741,5781 / 3
Organic Disturbances & Mental Retardation4913 / 2$24.127,00263 / 11$5.922,3546 / 1$4.631,6146 / 2
Other Circulatory System Diagnoses W Mcc1898 / 26$59.335,90918 / 32$10.703,1094 / 10$9.091,1794 / 9
Other Digestive System Diagnoses W Cc4255 / 8$27.953,30795 / 35$5.764,71169 / 12$4.597,57167 / 17
Other Digestive System Diagnoses W/O Cc/Mcc2122 / 4$35.348,80316 / 21$4.789,71184 / 7$3.775,52184 / 16
Other Disorders Of Nervous System W Cc3323 / 6$27.332,00329 / 9$5.361,58111 / 7$4.411,15111 / 6
Other Disorders Of Nervous System W/O Cc/Mcc353 / 2$20.305,9066 / 2$4.077,5415 / 2$2.913,5115 / 1
Other Kidney & Urinary Tract Diagnoses W Cc1984 / 19$32.333,20560 / 21$5.584,5351 / 3$4.537,5851 / 5
Other Kidney & Urinary Tract Diagnoses W Mcc1487 / 27$46.436,10749 / 27$8.596,9348 / 4$7.221,3648 / 6
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc1921 / 3$96.694,60198 / 6$11.479,4047 / 1$10.327,6047 / 1
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc1513 / 3$96.484,6096 / 4$9.703,8727 / 1$8.717,4727 / 2
Other Resp System O.R. Procedures W Mcc2043 / 6$120.913,00422 / 12$21.004,1052 / 4$18.127,3052 / 4
Other Respiratory System Diagnoses W/O Mcc1234 / 12$28.410,80213 / 12$4.769,7534 / 5$3.752,5034 / 5
Other Skin, Subcut Tiss & Breast Proc W Cc1311 / 2$59.631,2078 / 2$8.202,467 / 1$6.882,317 / 2
Other Vascular Procedures W Cc2082 / 20$106.387,00890 / 44$14.561,6091 / 4$12.690,2091 / 6
Other Vascular Procedures W/O Cc/Mcc1640 / 11$70.776,10446 / 16$10.500,10105 / 6$8.499,25104 / 5
Otitis Media & Uri W/O Mcc2123 / 4$29.072,00178 / 6$4.011,7119 / 2$2.871,6219 / 2
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc1327 / 7$58.147,80259 / 15$6.785,6936 / 3$5.541,2336 / 4
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents1882 / 20$111.091,00598 / 20$17.896,40149 / 3$16.789,70149 / 7
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc49147 / 27$90.878,601057 / 43$12.054,60318 / 7$10.193,20318 / 17
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc1851 / 13$89.105,70459 / 23$11.237,60103 / 9$9.002,89103 / 5
Peripheral Vascular Disorders W Cc3054 / 7$36.925,80960 / 43$5.731,90233 / 16$4.710,53232 / 21
Peripheral Vascular Disorders W/O Cc/Mcc1926 / 5$20.725,60230 / 6$4.252,4763 / 5$3.006,8463 / 5
Peritoneal Adhesiolysis W Cc1524 / 6$89.793,40224 / 6$14.197,6064 / 2$12.034,1064 / 4
Permanent Cardiac Pacemaker Implant W Cc4334 / 5$102.898,00788 / 38$15.430,20156 / 7$13.740,00156 / 10
Permanent Cardiac Pacemaker Implant W Mcc2329 / 4$121.961,00433 / 17$20.430,9076 / 4$19.191,7076 / 5
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc4017 / 1$83.704,30598 / 33$12.224,20170 / 6$11.157,30169 / 8
Poisoning & Toxic Effects Of Drugs W Mcc1458 / 17$34.217,60451 / 9$8.165,50139 / 3$6.996,21139 / 5
Postoperative & Post-Traumatic Infections W/O Mcc1143 / 13$47.455,50402 / 15$5.986,0942 / 5$4.640,0042 / 3
Psychoses14261 / 24$25.474,40415 / 20$6.003,2973 / 2$4.959,0073 / 2
Pulmonary Edema & Respiratory Failure12281 / 2$46.718,101682 / 73$7.686,34515 / 41$6.345,96515 / 40
Pulmonary Embolism W/O Mcc2252 / 18$41.950,001079 / 45$5.864,14279 / 11$4.760,36279 / 22
Red Blood Cell Disorders W Mcc1556 / 17$57.337,70927 / 36$7.448,40108 / 9$6.186,47108 / 7
Red Blood Cell Disorders W/O Mcc6875 / 6$28.098,501418 / 65$4.820,09324 / 24$3.788,12323 / 29
Renal Failure W Cc101120 / 16$42.165,102103 / 103$6.322,26994 / 55$5.175,09986 / 60
Renal Failure W Mcc52143 / 19$58.857,401743 / 75$9.381,38555 / 33$8.136,83555 / 34
Renal Failure W/O Cc/Mcc1442 / 12$33.822,20774 / 37$3.923,00170 / 9$2.864,64169 / 8
Respiratory Infections & Inflammations W Cc2959 / 14$50.442,701155 / 51$8.733,2188 / 30$6.431,4888 / 8
Respiratory Infections & Inflammations W Mcc22114 / 30$88.945,101578 / 72$12.248,00591 / 42$10.658,00583 / 38
Respiratory Neoplasms W Cc2027 / 7$45.694,10368 / 14$6.935,90107 / 1$6.131,50106 / 3
Respiratory Neoplasms W Mcc1735 / 6$81.510,60547 / 13$10.644,1012 / 5$7.859,0612 / 1
Respiratory System Diagnosis W Ventilator Support <96 Hours6269 / 6$82.978,201341 / 55$13.460,40435 / 23$12.272,20430 / 29
Respiratory System Diagnosis W Ventilator Support 96+ Hours1952 / 10$161.686,00613 / 22$30.781,40269 / 11$28.759,20269 / 13
Seizures W/O Mcc3177 / 18$26.592,90833 / 45$4.599,10245 / 14$3.652,74244 / 22
Septicemia Or Severe Sepsis W Mv 96+ Hours2171 / 14$157.590,00568 / 20$31.598,40110 / 6$30.156,70110 / 8
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc186330 / 28$56.730,202007 / 86$10.729,80412 / 34$9.367,33412 / 32
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc68139 / 26$43.755,102133 / 91$6.394,32555 / 28$5.269,34553 / 34
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc1136 / 13$19.369,10141 / 4$4.308,1864 / 2$3.527,5564 / 5
Signs & Symptoms W/O Mcc3358 / 13$25.983,00924 / 34$4.225,00217 / 10$3.260,45216 / 12
Simple Pneumonia & Pleurisy W Cc10994 / 9$35.706,302207 / 91$5.868,94466 / 34$4.619,53463 / 35
Simple Pneumonia & Pleurisy W Mcc101104 / 5$53.338,501989 / 85$8.507,82518 / 26$7.344,89518 / 28
Simple Pneumonia & Pleurisy W/O Cc/Mcc4944 / 4$28.687,901580 / 68$4.304,73424 / 24$3.170,41422 / 30
Skin Ulcers W Cc118 / 1$33.707,7010 / 1$5.960,641 / 1$4.485,821 / 1
Syncope & Collapse8386 / 9$24.995,901219 / 63$4.423,36286 / 24$3.318,24284 / 30
Tendonitis, Myositis & Bursitis W/O Mcc2418 / 3$26.291,50213 / 10$5.048,4661 / 6$3.934,8861 / 7
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.1153 / 16$317.358,00349 / 13$57.516,80148 / 4$55.609,90148 / 9
Transient Ischemia6065 / 9$24.887,50952 / 46$4.236,43381 / 23$3.242,63380 / 35
Transurethral Procedures W Cc1130 / 11$62.244,10322 / 19$7.485,4568 / 2$6.282,9168 / 4
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc378 / 2$26.351,10175 / 5$4.520,6840 / 3$3.445,5140 / 3
Traumatic Stupor & Coma, Coma <1 Hr W Cc1749 / 13$31.923,20276 / 9$6.374,7659 / 3$5.356,2459 / 4
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc1638 / 13$21.844,20190 / 6$4.440,6929 / 3$3.121,3829 / 3
Urinary Stones W/O Esw Lithotripsy W/O Mcc1333 / 9$35.580,80311 / 17$4.444,7726 / 6$2.663,3826 / 6
Viral Illness W/O Mcc1413 / 3$29.744,4036 / 3$4.761,293 / 1$3.508,863 / 1
Total 141 procedures5.924discharges

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.