Viral Illness W/O Mcc - costs for treatment in Pennsylvania

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Viral Illness W/O Mcc - costs for treatment in Pennsylvania


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Lehigh Valley HospitalAllentown26$36,190.30$6,779.69$3,914.35
Lehigh Valley Hospital - MuhlenbergBethlehem24$38,005.70$5,639.17$3,799.62
Wilkes-Barre General HospitalWilkes-Barre14$29,744.40$4,761.29$3,508.86
York HospitalYork14$11,863.90$6,084.14$4,820.07
Upmc Presbyterian ShadysidePittsburgh13$33,712.00$7,644.38$5,133.46
Thomas Jefferson University HospitalPhiladelphia12$41,013.50$9,197.58$6,534.00
Geisinger Medical CenterDanville11$23,015.00$8,086.18$5,068.73
Total 7 hospitals114

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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