Dysequilibrium - costs for treatment in Pennsylvania

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Dysequilibrium - costs for treatment in Pennsylvania


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Lehigh Valley HospitalAllentown45$33,430.20$4,855.84$3,341.27
Mercy Fitzgerald HospitalDarby45$35,682.90$6,833.16$4,920.53
Wilkes-Barre General HospitalWilkes-Barre30$19,152.30$3,877.13$2,626.07
Upmc Presbyterian ShadysidePittsburgh29$37,862.30$6,337.24$4,078.48
St Luke's Hospital BethlehemBethlehem26$27,231.20$4,956.65$3,067.23
St Mary Medical Center LanghorneLanghorne26$25,097.90$3,725.58$2,557.58
Geisinger - Community Medical CenterScranton23$22,001.90$3,463.61$2,134.17
Thomas Jefferson University HospitalPhiladelphia22$32,020.50$7,594.09$5,275.95
Lehigh Valley Hospital - MuhlenbergBethlehem21$27,131.50$4,777.43$2,489.38
Pinnacle Health HospitalsHarrisburg21$15,492.00$5,325.00$3,538.33
Sharon Regional Health SystemSharon20$12,403.20$4,280.25$3,059.60
Excela Health Westmoreland HospitalGreensburg18$11,454.90$4,132.61$2,987.39
York HospitalYork18$14,301.90$4,969.67$3,416.50
Abington Memorial HospitalAbington16$31,277.80$4,637.06$3,057.38
Lancaster General HospitalLancaster16$13,351.10$4,327.75$3,312.69
Main Line Hospital LankenauWynnewood16$27,281.40$5,124.50$3,793.75
Aria HealthPhiladelphia15$21,758.30$5,388.27$4,049.60
Crozer Chester Medical CenterUpland15$54,412.50$5,924.87$4,511.13
Holy Redeemer Hospital And Medical CenterMeadowbrook15$33,424.30$4,710.07$3,642.80
Reading HospitalReading15$22,067.30$5,104.13$3,513.47
Doylestown HospitalDoylestown14$18,872.40$3,698.00$2,744.86
Main Line Hospital PaoliPaoli14$39,238.80$3,728.79$2,516.64
Pocono Medical CenterEast Stroudsbur14$23,219.10$4,451.14$3,324.29
Riddle Memorial HospitalMedia14$33,878.70$4,809.86$2,212.14
Upmc MercyPittsburgh14$22,747.80$7,228.64$4,636.79
Albert Einstein Medical CenterPhiladelphia13$31,951.70$9,815.38$5,981.15
Chestnut Hill HospitalPhiladelphia13$43,707.80$4,687.46$3,205.31
Main Line Hospital Bryn Mawr CampusBryn Mawr12$41,266.20$4,449.92$2,533.50
Upmc PassavantPittsburgh12$21,858.00$3,233.92$2,225.25
Roxborough Memorial HospitalPhiladelphia11$17,865.50$5,912.09$3,730.18
St Clair Memorial HospitalPittsburgh11$15,921.20$4,200.18$2,260.36
St Luke's Hospital Anderson CampusEaston11$29,156.00$3,768.00$2,128.91
Total 32 hospitals605

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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