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Data includes visits to hospital outpatient departments and freestanding ambulatory surgery centers for procedures that meet the Pennsylvania Health
Care Cost Containment Council data collection guidelines.
Additional restrictions based on revenue codes were applied to identify procedures performed in a surgical setting, endoscopy procedures, heart catheterizations (e.g., cardiac cath, PTCA), and chemotherapy.
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Data includes Pennsylvania residents only. Data for each county includes all
county residents, even if they were treated in a facility located in another
Pennsylvania county.
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Because of the two restrictions above, the total number of cases presented may not match general record counts in other PHC4 reports.
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Due to rounding, percentages may not always sum to 100%, and the total charges
may not always sum to the total line.
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For the purposes of calculating charges, cases with invalid or outlier values are imputed with the statewide average value.
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Total Cases: The number of ambulatory or outpatient surgery billing claims. Generally one claim is provided for each patient visit, though for some procedures
(e.g. cataract surgery, in which a patient might be expected to return to treat the other eye) it is common to include multiple visits on one claim.
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Percent: The percentage of the column total.
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Rate: The percent of the cases that were treated at hospital outpatient departments versus freestanding ambulatory surgery centers.
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Total Charges: The total charge for a given outpatient or ambulatory surgery claim, excluding
physician charges, as billed by the hospital outpatient department or freestanding ambulatory surgery center. In almost all cases, hospitals and ambulatory surgery centers are
not reimbursed the full charge amount from insurance carriers. Hospitals and ambulatory surgery centers typically
receive actual payments that are considerably less than the listed charge amount.
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Please send questions or comments to Special Requests.
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