Hospital Costs > In West Virginia > Bluefield Regional Medical Center, 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 | 96 | 468 / 13 | $35.094,90 | 468 / 12 | $12.355,80 | 649 / 11 | $10.546,10 | 641 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 77 | 439 / 16 | $26.210,90 | 598 / 16 | $11.437,30 | 688 / 17 | $9.766,66 | 687 / 15 |
Chronic Obstructive Pulmonary Disease W Cc | 48 | 131 / 12 | $12.747,20 | 298 / 9 | $6.153,02 | 511 / 16 | $4.554,44 | 509 / 12 |
Heart Failure & Shock W Cc | 47 | 231 / 12 | $12.038,50 | 273 / 8 | $6.469,70 | 1001 / 17 | $5.293,04 | 999 / 18 |
Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 13 | $12.522,60 | 305 / 11 | $6.271,13 | 834 / 17 | $4.938,20 | 831 / 14 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 44 | 152 / 9 | $62.371,20 | 505 / 11 | $13.229,20 | 889 / 10 | $12.027,00 | 883 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 41 | 234 / 16 | $12.057,50 | 404 / 16 | $5.034,07 | 773 / 17 | $3.609,98 | 768 / 15 |
Heart Failure & Shock W Mcc | 40 | 244 / 14 | $18.498,60 | 341 / 9 | $9.317,95 | 866 / 15 | $8.122,80 | 866 / 15 |
Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 15 | $11.472,90 | 454 / 14 | $5.203,87 | 907 / 15 | $3.892,66 | 900 / 16 |
Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 15 | $17.730,30 | 542 / 15 | $7.698,45 | 1035 / 20 | $6.276,30 | 1030 / 17 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 13 | $9.704,52 | 211 / 8 | $4.778,55 | 810 / 11 | $3.583,52 | 806 / 11 |
Pulmonary Edema & Respiratory Failure | 31 | 172 / 14 | $20.461,40 | 432 / 13 | $8.106,26 | 456 / 18 | $6.292,55 | 456 / 9 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 10 | $10.420,00 | 364 / 11 | $4.882,94 | 1043 / 16 | $3.682,10 | 1040 / 20 |
Cellulitis W/O Mcc | 29 | 160 / 17 | $9.473,07 | 201 / 9 | $5.427,76 | 694 / 14 | $4.040,45 | 690 / 11 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 8 | $20.998,30 | 178 / 5 | $9.442,11 | 173 / 3 | $8.216,04 | 173 / 5 |
Renal Failure W Cc | 27 | 194 / 17 | $15.320,40 | 492 / 14 | $6.294,56 | 417 / 13 | $4.667,63 | 414 / 7 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 11 | $8.015,56 | 143 / 6 | $3.927,36 | 740 / 11 | $2.623,80 | 736 / 11 |
G.I. Hemorrhage W Cc | 24 | 194 / 17 | $15.112,90 | 316 / 9 | $6.543,75 | 780 / 16 | $5.163,83 | 778 / 15 |
Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 11 | $7.943,71 | 108 / 5 | $4.814,38 | 638 / 15 | $3.423,62 | 636 / 8 |
Syncope & Collapse | 23 | 146 / 11 | $11.866,80 | 190 / 6 | $4.930,96 | 533 / 8 | $3.583,74 | 531 / 8 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 23 | 33 / 2 | $30.668,70 | 203 / 4 | $9.669,43 | 256 / 3 | $8.346,22 | 255 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 14 | $12.704,90 | 193 / 7 | $6.944,39 | 1139 / 12 | $5.800,65 | 1135 / 17 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 11 | $13.998,60 | 355 / 12 | $5.482,77 | 416 / 15 | $3.889,09 | 415 / 8 |
Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 10 | $29.278,50 | 202 / 8 | $11.533,60 | 623 / 10 | $10.285,80 | 620 / 13 |
Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 18 | $18.390,40 | 287 / 9 | $9.010,14 | 860 / 15 | $7.724,77 | 860 / 14 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 21 | 32 / 4 | $19.815,00 | 292 / 10 | $5.128,86 | 440 / 6 | $4.116,86 | 437 / 9 |
Transient Ischemia | 21 | 104 / 9 | $10.275,00 | 67 / 4 | $5.011,71 | 330 / 11 | $3.188,62 | 330 / 6 |
Signs & Symptoms W/O Mcc | 20 | 71 / 6 | $13.101,40 | 223 / 8 | $4.752,55 | 454 / 6 | $3.603,05 | 453 / 8 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 8 | $74.469,30 | 212 / 8 | $32.629,50 | 619 / 9 | $30.621,50 | 613 / 11 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 19 | 50 / 3 | $65.364,30 | 312 / 6 | $12.387,90 | 356 / 4 | $10.966,10 | 355 / 5 |
Chest Pain | 19 | 132 / 11 | $7.887,11 | 72 / 2 | $4.066,53 | 501 / 8 | $2.924,84 | 498 / 8 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 13 | $23.035,30 | 201 / 7 | $6.827,11 | 602 / 8 | $5.590,68 | 600 / 10 |
Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 11 | $20.618,90 | 306 / 11 | $6.816,72 | 388 / 10 | $5.296,06 | 387 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 12 | $15.562,50 | 181 / 4 | $6.746,35 | 738 / 8 | $5.471,65 | 737 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 16 | $8.959,00 | 71 / 4 | $5.300,38 | 758 / 13 | $4.075,88 | 755 / 13 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 6 | $9.056,88 | 68 / 3 | $4.319,69 | 310 / 5 | $3.351,94 | 309 / 7 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 8 | $73.226,00 | 198 / 8 | $19.232,10 | 292 / 5 | $17.834,80 | 290 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 11 | $19.974,10 | 336 / 9 | $7.941,12 | 690 / 11 | $6.645,62 | 687 / 11 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 13 | $21.671,00 | 22 / 2 | $12.955,50 | 43 / 8 | $10.632,10 | 43 / 3 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 9 | $15.519,60 | 170 / 4 | $7.549,07 | 721 / 7 | $6.430,07 | 718 / 7 |
Atherosclerosis W/O Mcc | 14 | 44 / 5 | $15.759,60 | 196 / 5 | $4.355,50 | / | $3.019,93 | / |
Pulmonary Embolism W/O Mcc | 13 | 61 / 10 | $15.338,80 | 167 / 5 | $6.671,00 | 439 / 6 | $5.077,77 | 438 / 5 |
Seizures W/O Mcc | 12 | 96 / 8 | $10.592,60 | 89 / 3 | $4.900,00 | 495 / 5 | $4.048,33 | 492 / 7 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 8 | $8.696,92 | 64 / 1 | $4.673,00 | 303 / 5 | $3.365,33 | 300 / 5 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 15 | $13.376,40 | 164 / 5 | $6.821,33 | 386 / 9 | $5.551,00 | 385 / 9 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 8 | $16.526,30 | 166 / 5 | $6.217,92 | 309 / 7 | $4.791,08 | 308 / 7 |
Other Vascular Procedures W Cc | 11 | 91 / 9 | $68.765,50 | 501 / 10 | $18.905,90 | 785 / 9 | $17.163,60 | 780 / 9 |
Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 8 | $38.437,70 | 155 / 5 | $10.357,60 | 210 / 3 | $9.189,09 | 209 / 5 |
Diabetes W Cc | 11 | 81 / 13 | $17.586,60 | 520 / 12 | $5.710,55 | 636 / 10 | $4.432,91 | 635 / 11 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 12 | $12.469,20 | 90 / 4 | $6.564,18 | 314 / 9 | $4.889,27 | 312 / 7 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 11 | 34 / 2 | $61.564,20 | 41 / 1 | $17.423,30 | 59 / 1 | $16.100,00 | 59 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 7 | $8.606,55 | 4 / 1 | $7.451,00 | 294 / 4 | $6.230,45 | 292 / 5 | Total 52 procedures | 1.302 | 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.