Laparoscopic Cholecystectomy W/O C.D.E. W Mcc - costs for treatment in Pennsylvania

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Laparoscopic Cholecystectomy W/O C.D.E. W Mcc - costs for treatment in Pennsylvania


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Pinnacle Health HospitalsHarrisburg11$36,094.00$17,733.60$15,243.50
York HospitalYork13$36,462.80$17,141.80$13,960.00
Upmc AltoonaAltoona17$39,155.50$14,886.80$13,587.20
Reading HospitalReading11$41,884.90$19,551.90$12,875.10
Lancaster General HospitalLancaster17$46,548.20$15,324.30$13,820.30
Chambersburg HospitalChambersburg14$47,986.90$15,597.20$14,718.60
Mount Nittany Medical CenterState College13$52,331.50$13,907.50$12,866.80
Saint Vincent HospitalErie15$84,717.90$17,091.70$15,195.70
Wilkes-Barre General HospitalWilkes-Barre14$95,633.40$14,310.20$13,338.10
Lehigh Valley HospitalAllentown14$103,687.00$17,401.70$13,794.40
Upmc Presbyterian ShadysidePittsburgh20$128,490.00$21,638.20$15,553.70
Total 11 hospitals159

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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