Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc - costs for treatment in Pennsylvania

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Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc - costs for treatment in Pennsylvania


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Wilkes-Barre General HospitalWilkes-Barre19$96,694.60$11,479.40$10,327.60
Lancaster General HospitalLancaster14$37,670.60$11,555.60$10,699.50
Main Line Hospital Bryn Mawr CampusBryn Mawr15$77,751.90$13,836.20$12,590.10
York HospitalYork11$41,970.20$14,238.50$11,678.40
Reading HospitalReading19$45,962.00$14,900.40$11,153.70
Upmc Presbyterian ShadysidePittsburgh21$128,080.00$16,813.40$13,137.70
Thomas Jefferson University HospitalPhiladelphia27$92,509.50$20,515.20$16,892.40
Hospital Of Univ Of PennsylvaniaPhiladelphia18$140,095.00$25,131.60$17,592.60
Total 8 hospitals144

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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