Hospital Costs > In Ohio > Blanchard Valley Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 160 | 404 / 30 | $36.691,80 | 566 / 31 | $12.493,60 | 724 / 26 | $10.661,50 | 714 / 50 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 105 | 411 / 58 | $31.566,90 | 862 / 44 | $11.545,90 | 831 / 60 | $9.961,78 | 830 / 58 |
| Simple Pneumonia & Pleurisy W Cc | 72 | 131 / 16 | $15.234,10 | 586 / 35 | $5.729,07 | 565 / 20 | $4.700,04 | 562 / 35 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 65 | 101 / 11 | $10.403,10 | 362 / 15 | $4.372,54 | 346 / 30 | $3.184,14 | 346 / 17 |
| Heart Failure & Shock W Cc | 63 | 215 / 49 | $12.952,30 | 367 / 25 | $5.815,67 | 543 / 24 | $4.933,38 | 543 / 32 |
| Heart Failure & Shock W Mcc | 49 | 235 / 57 | $17.944,80 | 309 / 18 | $8.381,12 | 304 / 17 | $7.419,31 | 304 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 49 | 101 / 18 | $8.173,98 | 161 / 10 | $3.458,12 | 458 / 19 | $2.406,61 | 455 / 28 |
| Kidney & Urinary Tract Infections W/O Mcc | 44 | 189 / 42 | $10.436,10 | 336 / 20 | $4.542,64 | 482 / 15 | $3.609,39 | 482 / 27 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 42 | 146 / 26 | $19.930,10 | 108 / 9 | $6.728,81 | 327 / 22 | $5.177,31 | 327 / 14 |
| Renal Failure W Cc | 40 | 181 / 49 | $14.318,80 | 406 / 21 | $5.673,02 | 687 / 21 | $4.907,55 | 680 / 47 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 38 | 237 / 57 | $12.156,40 | 415 / 23 | $4.478,63 | 505 / 21 | $3.407,66 | 503 / 31 |
| Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 45 | $14.164,20 | 433 / 31 | $5.441,44 | 271 / 15 | $4.280,25 | 270 / 16 |
| Spinal Fusion Except Cervical W/O Mcc | 36 | 158 / 26 | $77.319,90 | 488 / 30 | $25.838,70 | 856 / 29 | $24.636,10 | 852 / 47 |
| G.I. Hemorrhage W Cc | 36 | 182 / 45 | $16.116,40 | 403 / 22 | $6.191,44 | 348 / 36 | $4.758,31 | 348 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 30 | $12.920,40 | 311 / 21 | $5.279,56 | 499 / 52 | $3.815,56 | 497 / 34 |
| Cellulitis W/O Mcc | 35 | 154 / 45 | $10.692,90 | 326 / 23 | $5.003,34 | 562 / 18 | $3.941,29 | 559 / 35 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 33 | 163 / 36 | $48.122,80 | 189 / 7 | $14.447,30 | 350 / 40 | $10.267,70 | 350 / 20 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 22 | $12.152,90 | 461 / 39 | $5.094,30 | 160 / 71 | $2.937,42 | 160 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 31 | $16.107,00 | 220 / 9 | $6.172,76 | 362 / 19 | $5.048,09 | 361 / 28 |
| Medical Back Problems W/O Mcc | 31 | 90 / 18 | $11.044,70 | 76 / 6 | $4.949,45 | 165 / 15 | $3.691,81 | 165 / 11 |
| Chest Pain | 29 | 122 / 21 | $12.567,90 | 277 / 14 | $3.917,86 | 352 / 23 | $2.753,00 | 351 / 22 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 31 | $30.441,30 | 133 / 9 | $13.011,30 | 353 / 12 | $12.025,10 | 349 / 23 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 28 | 63 / 13 | $17.201,50 | 185 / 9 | $6.399,96 | 123 / 22 | $4.764,04 | 123 / 8 |
| Red Blood Cell Disorders W/O Mcc | 27 | 116 / 27 | $14.821,20 | 439 / 27 | $4.967,33 | 404 / 23 | $3.873,52 | 403 / 32 |
| Syncope & Collapse | 26 | 143 / 32 | $12.713,30 | 247 / 15 | $4.426,42 | 290 / 20 | $3.320,04 | 288 / 22 |
| Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 55 | $18.964,30 | 643 / 45 | $6.441,56 | 317 / 9 | $5.583,92 | 316 / 25 |
| Pulmonary Embolism W/O Mcc | 25 | 49 / 12 | $14.903,60 | 150 / 6 | $7.212,76 | 169 / 37 | $4.530,92 | 169 / 13 |
| Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 30 | $28.506,20 | 183 / 11 | $10.871,30 | 351 / 15 | $9.834,36 | 350 / 23 |
| Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 23 | $10.382,50 | 300 / 20 | $4.124,88 | 309 / 15 | $3.108,58 | 307 / 19 |
| Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 49 | $22.364,50 | 533 / 38 | $8.416,71 | 621 / 30 | $7.457,08 | 621 / 52 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 45 | $14.251,20 | 297 / 17 | $6.059,17 | 253 / 12 | $4.938,00 | 252 / 14 |
| G.I. Hemorrhage W/O Cc/Mcc | 23 | 45 / 6 | $10.215,70 | 111 / 5 | $4.548,04 | 146 / 12 | $3.062,00 | 146 / 12 |
| Signs & Symptoms W/O Mcc | 22 | 69 / 14 | $10.654,30 | 115 / 9 | $4.122,36 | 181 / 11 | $3.197,86 | 181 / 13 |
| Extracranial Procedures W/O Cc/Mcc | 22 | 76 / 13 | $12.859,00 | 33 / 2 | $6.351,27 | 131 / 6 | $4.794,64 | 131 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 23 | $13.204,90 | 140 / 5 | $5.534,00 | 180 / 48 | $3.169,05 | 178 / 14 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 20 | 36 / 3 | $23.976,10 | 71 / 4 | $9.188,00 | 169 / 4 | $8.048,40 | 169 / 4 |
| Major Small & Large Bowel Procedures W Cc | 20 | 88 / 22 | $33.456,00 | 91 / 3 | $14.162,70 | 361 / 10 | $13.070,80 | 358 / 30 |
| Pulmonary Edema & Respiratory Failure | 19 | 184 / 59 | $23.262,50 | 615 / 36 | $7.240,42 | 506 / 20 | $6.339,89 | 506 / 36 |
| Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 17 | $50.417,20 | 343 / 13 | $15.013,80 | 611 / 17 | $13.766,80 | 608 / 26 |
| Seizures W/O Mcc | 16 | 92 / 24 | $11.069,70 | 100 / 5 | $4.492,38 | 133 / 8 | $3.401,56 | 132 / 9 |
| Transient Ischemia | 15 | 110 / 37 | $12.180,50 | 133 / 3 | $4.507,27 | 161 / 26 | $2.943,67 | 161 / 12 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 26 | $10.981,90 | 311 / 18 | $4.239,53 | 346 / 13 | $3.088,80 | 344 / 20 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 15 | 74 / 16 | $18.571,30 | 70 / 7 | $6.326,07 | 186 / 4 | $5.168,87 | 186 / 13 |
| G.I. Obstruction W Cc | 14 | 78 / 29 | $18.009,30 | 508 / 35 | $5.289,86 | 465 / 11 | $4.418,36 | 464 / 32 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 44 | $20.965,90 | 176 / 10 | $9.508,23 | 355 / 20 | $8.674,85 | 355 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 47 | $20.345,60 | 353 / 24 | $7.006,31 | 278 / 13 | $6.005,23 | 277 / 20 |
| Renal Failure W Mcc | 13 | 182 / 63 | $23.476,20 | 385 / 22 | $8.778,69 | 607 / 23 | $8.223,54 | 607 / 50 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 13 | 53 / 12 | $29.558,60 | 47 / 3 | $10.609,20 | 115 / 3 | $9.525,69 | 115 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 36 | $15.032,80 | 153 / 10 | $6.411,58 | 275 / 13 | $5.653,83 | 272 / 17 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 19 | $9.781,67 | 123 / 8 | $3.761,83 | 304 / 11 | $2.701,25 | 304 / 19 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 35 | $80.720,80 | 257 / 17 | $34.284,20 | 892 / 42 | $33.824,80 | 886 / 52 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 42 | $11.520,00 | 89 / 5 | $6.499,33 | 307 / 28 | $5.434,83 | 306 / 26 |
| G.I. Hemorrhage W Mcc | 12 | 109 / 39 | $33.313,20 | 437 / 27 | $10.438,20 | 362 / 31 | $9.301,92 | 362 / 35 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 11 | $7.973,42 | 34 / 1 | $3.992,42 | 131 / 4 | $3.038,83 | 132 / 8 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 14 | $20.975,40 | 30 / 2 | $9.250,33 | 181 / 2 | $7.959,58 | 181 / 4 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 30 | $11.436,70 | 52 / 3 | $5.477,18 | 195 / 6 | $4.653,45 | 193 / 15 |
| Diabetes W Mcc | 11 | 46 / 13 | $19.954,50 | 84 / 7 | $7.590,82 | 115 / 3 | $7.089,18 | 115 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 40 | $15.508,10 | 35 / 1 | $9.839,91 | 368 / 19 | $9.005,36 | 367 / 29 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 9 | $14.047,50 | 62 / 5 | $4.199,73 | 77 / 6 | $3.053,82 | 77 / 7 | Total 59 procedures | 1.740 | discharges |
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.