Hospital Costs > In West Virginia > Camden Clark 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 | 226 | 338 / 4 | $42.825,30 | 917 / 16 | $11.952,80 | 138 / 7 | $9.506,08 | 138 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 206 | 310 / 6 | $39.366,60 | 1290 / 24 | $10.833,50 | 312 / 12 | $9.194,60 | 312 / 7 |
Chronic Obstructive Pulmonary Disease W Mcc | 145 | 58 / 2 | $21.495,90 | 860 / 21 | $7.112,88 | 67 / 10 | $5.045,06 | 67 / 2 |
Heart Failure & Shock W Mcc | 142 | 142 / 2 | $26.228,30 | 844 / 21 | $8.619,39 | 85 / 8 | $6.909,92 | 85 / 4 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 117 | 37 / 2 | $8.352,85 | 177 / 11 | $3.436,77 | 222 / 3 | $2.173,36 | 221 / 3 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 109 | 87 / 3 | $50.509,90 | 237 / 9 | $12.018,40 | 52 / 2 | $9.075,05 | 52 / 1 |
Renal Failure W Cc | 108 | 113 / 4 | $15.741,40 | 538 / 15 | $5.500,69 | 176 / 3 | $4.334,32 | 175 / 2 |
Heart Failure & Shock W Cc | 108 | 170 / 4 | $16.853,10 | 786 / 20 | $5.815,66 | 169 / 6 | $4.477,15 | 169 / 4 |
Kidney & Urinary Tract Infections W/O Mcc | 98 | 135 / 3 | $15.018,80 | 939 / 23 | $4.683,84 | 134 / 8 | $3.200,86 | 134 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 93 | 182 / 4 | $13.315,50 | 544 / 20 | $4.453,61 | 158 / 4 | $3.043,20 | 158 / 4 |
Simple Pneumonia & Pleurisy W Cc | 89 | 114 / 6 | $18.221,80 | 941 / 22 | $5.817,01 | 106 / 6 | $4.154,65 | 106 / 2 |
Chronic Obstructive Pulmonary Disease W Cc | 78 | 101 / 8 | $16.596,00 | 668 / 19 | $5.280,99 | 195 / 5 | $4.169,23 | 195 / 5 |
Extracranial Procedures W/O Cc/Mcc | 75 | 24 / 2 | $12.596,50 | 27 / 1 | $6.019,65 | 73 / 3 | $4.562,07 | 73 / 2 |
Renal Failure W Mcc | 72 | 123 / 3 | $30.647,40 | 798 / 14 | $9.296,12 | 276 / 9 | $7.687,60 | 276 / 5 |
G.I. Hemorrhage W Cc | 71 | 147 / 5 | $20.315,50 | 772 / 20 | $5.894,18 | 115 / 6 | $4.392,18 | 115 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 70 | 91 / 3 | $11.722,10 | 214 / 8 | $4.557,01 | 130 / 3 | $3.360,94 | 130 / 3 |
Simple Pneumonia & Pleurisy W Mcc | 70 | 135 / 6 | $29.794,70 | 1020 / 22 | $8.487,97 | 132 / 9 | $6.668,80 | 132 / 5 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 66 | 54 / 5 | $12.408,00 | 483 / 15 | $4.138,56 | 184 / 1 | $2.992,59 | 184 / 2 |
Cellulitis W/O Mcc | 64 | 125 / 6 | $13.382,50 | 647 / 18 | $5.642,02 | 60 / 17 | $3.309,23 | 60 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 63 | 119 / 4 | $18.205,90 | 365 / 13 | $5.904,52 | 107 / 2 | $4.596,17 | 107 / 1 |
Spinal Fusion Except Cervical W/O Mcc | 63 | 131 / 1 | $84.301,50 | 576 / 5 | $27.819,60 | 234 / 5 | $20.088,40 | 233 / 1 |
Heart Failure & Shock W/O Cc/Mcc | 57 | 53 / 1 | $10.463,50 | 311 / 12 | $3.955,12 | 209 / 4 | $2.978,25 | 207 / 2 |
Pulmonary Edema & Respiratory Failure | 57 | 146 / 10 | $21.327,00 | 492 / 14 | $7.564,35 | 58 / 10 | $5.538,18 | 58 / 2 |
Chest Pain | 56 | 95 / 3 | $9.876,91 | 145 / 6 | $3.644,30 | 144 / 2 | $2.449,12 | 143 / 2 |
Hip & Femur Procedures Except Major Joint W Cc | 55 | 88 / 4 | $27.731,10 | 154 / 6 | $10.740,70 | 18 / 3 | $8.647,67 | 18 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 52 | 48 / 2 | $70.896,60 | 173 / 6 | $19.172,30 | 163 / 4 | $16.908,90 | 163 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 51 | 156 / 6 | $19.220,50 | 714 / 18 | $7.080,45 | 52 / 13 | $4.481,76 | 52 / 3 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 47 | 84 / 5 | $48.764,90 | 582 / 16 | $19.252,10 | 40 / 20 | $10.581,00 | 40 / 2 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 47 | 78 / 4 | $30.695,10 | 464 / 15 | $10.205,60 | 69 / 8 | $7.703,72 | 69 / 2 |
Red Blood Cell Disorders W/O Mcc | 47 | 96 / 2 | $13.936,90 | 346 / 11 | $4.751,68 | 261 / 4 | $3.710,74 | 261 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 46 | 77 / 3 | $19.247,20 | 296 / 8 | $6.815,59 | 124 / 3 | $5.686,50 | 124 / 3 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 46 | 120 / 5 | $15.731,70 | 1052 / 23 | $4.362,37 | 435 / 7 | $3.265,93 | 435 / 8 |
Transient Ischemia | 44 | 81 / 4 | $15.901,80 | 350 / 14 | $4.591,34 | 75 / 8 | $2.726,43 | 75 / 1 |
Respiratory Infections & Inflammations W Mcc | 43 | 93 / 3 | $30.867,40 | 408 / 9 | $10.620,40 | 42 / 2 | $8.999,28 | 42 / 2 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 43 | 145 / 8 | $23.122,30 | 205 / 9 | $6.150,49 | 96 / 2 | $4.727,81 | 96 / 4 |
G.I. Obstruction W Cc | 41 | 51 / 2 | $15.105,60 | 296 / 10 | $5.471,46 | 62 / 4 | $3.672,73 | 62 / 1 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 40 | 53 / 3 | $12.874,40 | 500 / 16 | $4.237,35 | 119 / 4 | $2.764,10 | 118 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 39 | 63 / 4 | $18.296,50 | 452 / 9 | $4.590,69 | 74 / 2 | $2.914,33 | 73 / 2 |
Respiratory Infections & Inflammations W Cc | 37 | 51 / 2 | $24.916,50 | 465 / 10 | $7.867,59 | 123 / 2 | $6.561,11 | 123 / 3 |
Major Small & Large Bowel Procedures W Mcc | 35 | 50 / 2 | $89.477,70 | 295 / 4 | $30.363,90 | 272 / 4 | $27.134,00 | 270 / 4 |
Cervical Spinal Fusion W/O Cc/Mcc | 34 | 70 / 3 | $50.724,00 | 347 / 6 | $12.151,60 | 87 / 1 | $10.306,20 | 87 / 1 |
Other Vascular Procedures W/O Cc/Mcc | 32 | 24 / 3 | $28.361,40 | 49 / 2 | $10.236,90 | 26 / 1 | $7.768,19 | 26 / 1 |
Acute Myocardial Infarction, Discharged Alive W Cc | 32 | 59 / 6 | $18.121,40 | 226 / 8 | $5.857,22 | 61 / 2 | $4.565,03 | 61 / 1 |
Major Cardiovasc Procedures W/O Mcc | 32 | 69 / 3 | $74.400,10 | 307 / 6 | $18.306,60 | 113 / 1 | $17.076,50 | 113 / 1 |
Diabetes W Cc | 31 | 61 / 5 | $13.566,20 | 240 / 7 | $4.871,90 | 63 / 2 | $3.514,58 | 63 / 1 |
Syncope & Collapse | 31 | 138 / 8 | $11.713,50 | 184 / 5 | $4.536,68 | 98 / 3 | $2.983,68 | 98 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 30 | 138 / 5 | $32.901,30 | 437 / 6 | $9.873,97 | 197 / 3 | $8.482,20 | 196 / 2 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 6 | $88.271,20 | 341 / 11 | $30.252,80 | 340 / 8 | $28.251,90 | 340 / 8 |
Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 6 | $28.775,80 | 1125 / 17 | $7.399,72 | 136 / 12 | $5.119,93 | 136 / 2 |
G.I. Hemorrhage W Mcc | 27 | 94 / 7 | $25.048,70 | 177 / 5 | $9.653,56 | 117 / 3 | $8.538,81 | 117 / 5 |
Peripheral Vascular Disorders W Cc | 27 | 57 / 6 | $13.836,00 | 138 / 7 | $5.369,96 | 72 / 3 | $4.289,89 | 72 / 3 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 25 | 67 / 3 | $110.171,00 | 256 / 5 | $35.540,70 | 121 / 2 | $30.420,40 | 121 / 2 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 25 | 66 / 4 | $13.375,40 | 26 / 1 | $6.193,08 | 23 / 1 | $5.708,60 | 23 / 1 |
Coronary Bypass W Cardiac Cath W/O Mcc | 24 | 52 / 4 | $83.803,00 | 52 / 2 | $26.482,20 | 51 / 1 | $22.147,20 | 51 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 6 | $19.654,60 | 387 / 6 | $6.256,48 | 23 / 1 | $4.840,22 | 23 / 1 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 23 | 78 / 3 | $36.462,00 | 554 / 7 | $9.356,13 | 230 / 4 | $8.120,74 | 230 / 3 |
Major Small & Large Bowel Procedures W Cc | 23 | 85 / 5 | $42.214,60 | 245 / 4 | $14.050,40 | 41 / 1 | $11.315,50 | 41 / 1 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 23 | 33 / 2 | $24.107,00 | 74 / 1 | $8.820,96 | 84 / 1 | $7.609,74 | 84 / 2 |
Renal Failure W/O Cc/Mcc | 23 | 33 / 3 | $8.255,52 | 61 / 4 | $3.711,30 | 37 / 2 | $2.426,87 | 37 / 2 |
Other Vascular Procedures W Cc | 23 | 79 / 7 | $45.832,40 | 148 / 4 | $13.661,70 | 69 / 1 | $12.514,80 | 69 / 2 |
Other Kidney & Urinary Tract Diagnoses W Cc | 23 | 80 / 4 | $16.933,40 | 150 / 5 | $5.523,00 | 17 / 1 | $4.251,26 | 17 / 2 |
G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 4 | $13.464,30 | 405 / 7 | $3.787,35 | 198 / 2 | $2.531,35 | 198 / 3 |
Disorders Of Pancreas Except Malignancy W Cc | 23 | 38 / 5 | $13.318,10 | 78 / 3 | $5.195,00 | 54 / 2 | $3.934,48 | 54 / 1 |
Hip & Femur Procedures Except Major Joint W Mcc | 22 | 40 / 4 | $53.533,60 | 219 / 5 | $16.943,50 | 116 / 2 | $15.266,30 | 116 / 3 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 21 | 44 / 2 | $61.222,60 | 276 / 3 | $17.261,30 | 89 / 1 | $15.797,10 | 89 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 4 | $23.887,40 | 388 / 7 | $7.268,35 | 187 / 3 | $5.957,80 | 186 / 2 |
Seizures W/O Mcc | 20 | 88 / 6 | $16.150,30 | 310 / 8 | $4.472,00 | 86 / 1 | $3.263,30 | 86 / 1 |
Other Resp System O.R. Procedures W Mcc | 20 | 43 / 2 | $51.970,20 | 67 / 4 | $19.344,50 | 27 / 2 | $17.440,00 | 27 / 1 |
Permanent Cardiac Pacemaker Implant W Cc | 19 | 58 / 4 | $45.387,60 | 148 / 4 | $14.022,50 | 30 / 1 | $12.635,10 | 30 / 1 |
Other Resp System O.R. Procedures W Cc | 19 | 28 / 1 | $33.564,20 | 36 / 1 | $10.703,70 | 9 / 1 | $9.014,79 | 9 / 2 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 19 | 34 / 2 | $29.766,40 | 199 / 4 | $7.549,53 | 62 / 3 | $5.932,32 | 62 / 2 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 19 | 19 / 2 | $10.359,80 | 45 / 2 | $4.074,42 | 51 / 1 | $2.666,32 | 51 / 2 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 17 | 49 / 2 | $41.068,40 | 177 / 2 | $10.428,90 | 46 / 1 | $8.824,18 | 46 / 1 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 17 | 40 / 3 | $44.646,30 | 216 / 4 | $13.041,20 | 69 / 3 | $10.424,20 | 69 / 1 |
Other Circulatory System Diagnoses W Mcc | 16 | 100 / 9 | $28.114,90 | 177 / 5 | $9.860,31 | 43 / 2 | $8.709,31 | 43 / 1 |
Respiratory Neoplasms W Mcc | 16 | 36 / 3 | $34.459,20 | 165 / 1 | $10.001,80 | 85 / 1 | $8.699,81 | 85 / 1 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 3 | $27.770,40 | 93 / 1 | $9.015,69 | 84 / 1 | $7.438,06 | 84 / 1 |
Other Circulatory System Diagnoses W Cc | 16 | 50 / 4 | $19.856,40 | 186 / 6 | $5.442,88 | 22 / 1 | $4.184,44 | 22 / 2 |
Other Digestive System Diagnoses W Cc | 15 | 82 / 5 | $19.708,80 | 392 / 4 | $5.519,33 | 43 / 2 | $4.197,33 | 43 / 2 |
Medical Back Problems W/O Mcc | 15 | 106 / 8 | $15.893,10 | 267 / 7 | $4.786,07 | 23 / 1 | $3.270,20 | 23 / 1 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 5 | $32.380,90 | 64 / 2 | $11.225,60 | 27 / 2 | $9.779,07 | 27 / 2 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 7 | $13.287,90 | 99 / 2 | $4.359,13 | 100 / 2 | $3.320,20 | 100 / 2 |
G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 5 | $11.828,00 | 158 / 5 | $4.065,40 | 78 / 2 | $2.870,33 | 78 / 2 |
Signs & Symptoms W/O Mcc | 14 | 77 / 8 | $11.653,40 | 168 / 5 | $4.080,86 | 125 / 4 | $3.046,14 | 125 / 2 |
Other Vascular Procedures W Mcc | 14 | 83 / 8 | $60.393,00 | 163 / 6 | $25.134,00 | 1 / 7 | $12.891,00 | 1 / 1 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 5 | $14.041,00 | 67 / 3 | $5.029,36 | 17 / 1 | $4.016,50 | 17 / 2 |
Diabetes W Mcc | 14 | 43 / 5 | $24.976,60 | 173 / 4 | $8.133,57 | 95 / 2 | $6.993,71 | 95 / 1 |
Respiratory Neoplasms W Cc | 13 | 34 / 3 | $28.839,10 | 176 / 5 | $6.750,15 | 35 / 1 | $5.549,08 | 34 / 2 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 4 | $12.667,50 | 65 / 2 | $5.375,23 | 14 / 1 | $4.018,00 | 14 / 1 |
Tendonitis, Myositis & Bursitis W/O Mcc | 13 | 29 / 2 | $14.197,80 | 59 / 2 | $4.751,31 | 31 / 1 | $3.546,23 | 31 / 1 |
Hypertension W/O Mcc | 13 | 52 / 6 | $10.957,30 | 82 / 3 | $4.402,08 | 57 / 5 | $2.435,46 | 57 / 1 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 9 | $9.920,69 | 97 / 5 | $4.120,69 | 12 / 3 | $2.354,23 | 12 / 1 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 4 | $15.065,20 | 344 / 3 | $4.097,25 | 32 / 1 | $2.796,75 | 32 / 1 |
G.I. Obstruction W Mcc | 12 | 30 / 3 | $38.128,40 | 224 / 2 | $11.321,80 | 281 / 2 | $9.991,50 | 281 / 3 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 5 | $55.655,70 | 422 / 5 | $14.005,30 | 52 / 4 | $9.972,33 | 52 / 1 |
Coronary Bypass W Cardiac Cath W Mcc | 12 | 44 / 3 | $116.614,00 | 35 / 1 | $44.016,70 | 65 / 1 | $36.417,70 | 65 / 1 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 7 | $21.928,00 | 210 / 7 | $7.023,33 | 42 / 3 | $5.817,83 | 42 / 4 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 11 | $21.028,10 | 442 / 10 | $5.733,45 | 182 / 3 | $4.557,27 | 182 / 3 |
Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 4 | $43.645,90 | 42 / 1 | $18.758,50 | 13 / 1 | $14.722,40 | 13 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 8 | $23.233,60 | 410 / 9 | $6.898,09 | 122 / 3 | $5.657,36 | 122 / 2 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 4 | $12.348,90 | 176 / 3 | $4.011,82 | 29 / 1 | $2.660,18 | 29 / 1 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 11 | 35 / 3 | $10.366,70 | 8 / 1 | $5.828,09 | 5 / 2 | $3.747,18 | 5 / 1 |
Cellulitis W Mcc | 11 | 47 / 4 | $23.187,90 | 192 / 4 | $7.835,36 | 22 / 1 | $6.379,55 | 22 / 1 |
Stomach, Esophageal & Duodenal Proc W Mcc | 11 | 30 / 2 | $91.330,30 | 39 / 2 | $33.296,50 | 58 / 1 | $31.277,60 | 58 / 2 |
Cervical Spinal Fusion W Cc | 11 | 42 / 3 | $52.838,50 | 92 / 1 | $15.168,70 | 27 / 1 | $13.739,30 | 27 / 1 | Total 105 procedures | 4.252 | 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.