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

Hospital Costs > Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc > Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc - costs for treatment in Pennsylvania

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


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Thomas Jefferson University HospitalPhiladelphia18$70,980.20$15,847.40$13,615.90
Upmc Presbyterian ShadysidePittsburgh16$110,318.00$14,785.10$10,368.20
Wilkes-Barre General HospitalWilkes-Barre15$96,484.60$9,703.87$8,717.47
Memorial Medical Center JohnstownJohnstown14$34,279.30$11,567.10$9,652.86
Main Line Hospital PaoliPaoli12$41,803.70$11,080.30$7,377.58
Total 5 hospitals75

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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