Acute Myocardial Infarction, Expired W Mcc - costs for treatment in Pennsylvania

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Acute Myocardial Infarction, Expired W Mcc - costs for treatment in Pennsylvania


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Reading HospitalReading13$43,730.30$12,240.30$10,612.80
Upmc HamotErie21$55,766.00$10,449.00$8,997.81
Upmc AltoonaAltoona14$30,185.70$10,304.70$9,287.07
Memorial Medical Center JohnstownJohnstown12$17,775.00$11,803.60$10,026.40
Lehigh Valley HospitalAllentown26$81,659.60$11,526.00$9,809.88
Wilkes-Barre General HospitalWilkes-Barre13$64,101.20$9,709.15$8,643.62
Chambersburg HospitalChambersburg16$33,657.60$10,344.00$9,508.50
Upmc Presbyterian ShadysidePittsburgh15$150,784.00$17,666.60$13,521.60
Total 8 hospitals130

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.





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