Hospital Costs > In West Virginia > Davis Memorial 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 | 80 | 484 / 14 | $34.843,70 | 451 / 11 | $12.060,60 | 498 / 9 | $10.312,20 | 495 / 9 |
Pulmonary Edema & Respiratory Failure | 58 | 145 / 9 | $10.397,40 | 15 / 2 | $6.818,05 | 109 / 1 | $5.703,91 | 109 / 3 |
Simple Pneumonia & Pleurisy W Mcc | 57 | 148 / 8 | $11.377,50 | 21 / 1 | $8.162,75 | 250 / 6 | $6.937,25 | 250 / 9 |
Simple Pneumonia & Pleurisy W Cc | 56 | 147 / 10 | $9.697,38 | 93 / 2 | $5.498,70 | 138 / 3 | $4.215,02 | 138 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 40 | 235 / 17 | $7.402,60 | 66 / 2 | $4.279,80 | 239 / 3 | $3.158,32 | 239 / 6 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 37 | 479 / 22 | $17.487,80 | 155 / 5 | $10.699,30 | 648 / 11 | $9.729,78 | 647 / 14 |
G.I. Hemorrhage W Cc | 35 | 183 / 13 | $10.212,30 | 52 / 1 | $5.564,31 | 137 / 3 | $4.447,09 | 137 / 5 |
Heart Failure & Shock W Cc | 33 | 245 / 17 | $9.763,33 | 116 / 2 | $5.602,88 | 349 / 4 | $4.725,85 | 349 / 7 |
Red Blood Cell Disorders W/O Mcc | 32 | 111 / 5 | $11.021,90 | 156 / 7 | $4.676,53 | 164 / 3 | $3.552,78 | 164 / 3 |
Cellulitis W/O Mcc | 32 | 157 / 15 | $7.833,25 | 85 / 6 | $4.795,56 | 342 / 3 | $3.742,66 | 339 / 7 |
Chronic Obstructive Pulmonary Disease W Mcc | 32 | 170 / 16 | $9.791,38 | 33 / 2 | $6.799,69 | 165 / 6 | $5.325,47 | 165 / 6 |
Heart Failure & Shock W/O Cc/Mcc | 31 | 79 / 7 | $6.636,19 | 43 / 2 | $3.915,32 | 291 / 3 | $3.084,39 | 289 / 4 |
Renal Failure W Cc | 26 | 195 / 18 | $9.518,31 | 70 / 2 | $5.501,50 | 288 / 4 | $4.525,19 | 286 / 4 |
Respiratory Infections & Inflammations W Mcc | 25 | 111 / 9 | $15.949,90 | 32 / 1 | $11.214,10 | 341 / 5 | $10.110,50 | 341 / 7 |
Heart Failure & Shock W Mcc | 22 | 262 / 17 | $14.865,60 | 138 / 2 | $8.599,32 | 301 / 7 | $7.415,23 | 301 / 8 |
Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 20 | $6.726,67 | 42 / 2 | $4.464,90 | 65 / 3 | $3.061,33 | 65 / 2 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 16 | $11.634,20 | 124 / 3 | $6.086,24 | 453 / 3 | $5.150,10 | 451 / 8 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 13 | $6.954,71 | 72 / 3 | $3.283,33 | 185 / 2 | $2.095,24 | 184 / 2 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 11 | $7.560,67 | 69 / 3 | $4.080,67 | 231 / 2 | $2.956,57 | 229 / 4 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 15 | $7.753,80 | 81 / 3 | $4.149,10 | 173 / 3 | $2.968,75 | 173 / 1 |
Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 12 | $8.188,50 | 13 / 1 | $6.326,50 | 351 / 2 | $5.499,89 | 350 / 6 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 7 | $13.161,20 | 51 / 2 | $7.907,41 | 237 / 4 | $6.839,41 | 235 / 5 |
Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 21 | $8.550,38 | 37 / 2 | $5.273,94 | 216 / 4 | $4.212,50 | 216 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 16 | $12.785,10 | 298 / 10 | $4.648,88 | 177 / 4 | $3.439,62 | 177 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 13 | $12.310,20 | 64 / 1 | $6.232,53 | 139 / 3 | $4.691,27 | 139 / 3 |
Transient Ischemia | 13 | 112 / 14 | $9.008,54 | 51 / 1 | $3.995,38 | 105 / 1 | $2.798,23 | 105 / 2 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 14 | $17.418,70 | 8 / 1 | $12.792,20 | 253 / 5 | $11.748,80 | 251 / 10 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 14 | $12.416,50 | 18 / 1 | $9.597,08 | 247 / 5 | $8.420,31 | 247 / 6 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 13 | $9.480,67 | 32 / 1 | $5.875,42 | 203 / 3 | $4.947,08 | 203 / 4 |
Diabetes W Cc | 12 | 80 / 12 | $9.350,17 | 65 / 2 | $4.741,83 | 203 / 1 | $3.833,33 | 203 / 5 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 6 | $9.249,55 | 4 / 1 | $8.732,09 | 153 / 2 | $7.795,55 | 153 / 1 |
Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 16 | $28.072,50 | 165 / 7 | $11.000,70 | 284 / 7 | $9.695,73 | 283 / 7 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 9 | $8.319,36 | 17 / 1 | $5.161,27 | 120 / 1 | $4.248,55 | 120 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 21 | $6.111,36 | 34 / 2 | $4.065,09 | 429 / 3 | $3.263,00 | 429 / 7 |
Signs & Symptoms W/O Mcc | 11 | 80 / 11 | $7.811,18 | 37 / 1 | $4.057,73 | 193 / 2 | $3.222,64 | 193 / 5 | Total 35 procedures | 900 | 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.