Hospital Costs > In West Virginia > Greenbrier Valley Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 118 | 398 / 11 | $23.948,20 | 476 / 14 | $11.030,40 | 968 / 14 | $10.144,30 | 960 / 19 |
Simple Pneumonia & Pleurisy W Mcc | 91 | 114 / 2 | $18.482,90 | 294 / 10 | $8.718,22 | 938 / 14 | $7.805,01 | 938 / 15 |
Simple Pneumonia & Pleurisy W Cc | 77 | 126 / 8 | $13.621,40 | 405 / 13 | $6.086,55 | 1068 / 13 | $5.135,25 | 1065 / 20 |
Pulmonary Edema & Respiratory Failure | 65 | 138 / 7 | $14.726,00 | 139 / 9 | $7.468,37 | 784 / 9 | $6.689,54 | 784 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 58 | 217 / 11 | $11.531,80 | 333 / 12 | $4.758,67 | 870 / 11 | $3.673,43 | 865 / 16 |
Kidney & Urinary Tract Infections W/O Mcc | 49 | 184 / 11 | $11.491,70 | 456 / 15 | $4.900,16 | 900 / 11 | $3.889,22 | 893 / 15 |
Chronic Obstructive Pulmonary Disease W Cc | 49 | 130 / 11 | $12.857,70 | 311 / 10 | $5.784,65 | 927 / 13 | $4.897,80 | 924 / 17 |
Heart Failure & Shock W Mcc | 43 | 241 / 12 | $22.234,40 | 550 / 17 | $9.008,21 | 832 / 13 | $8.087,28 | 832 / 13 |
Heart Failure & Shock W Cc | 42 | 236 / 14 | $11.981,50 | 268 / 7 | $6.159,05 | 1133 / 11 | $5.394,86 | 1131 / 19 |
Chronic Obstructive Pulmonary Disease W Mcc | 40 | 162 / 14 | $13.617,40 | 230 / 9 | $7.179,08 | 705 / 11 | $5.973,77 | 700 / 12 |
Cellulitis W/O Mcc | 39 | 150 / 11 | $9.478,87 | 203 / 10 | $5.198,82 | 707 / 10 | $4.051,46 | 703 / 13 |
Respiratory Infections & Inflammations W Mcc | 33 | 103 / 7 | $24.448,50 | 214 / 6 | $11.733,10 | 810 / 8 | $11.145,50 | 800 / 12 |
G.I. Hemorrhage W Cc | 30 | 188 / 14 | $13.082,40 | 169 / 4 | $6.176,40 | 914 / 12 | $5.287,87 | 912 / 18 |
Renal Failure W Cc | 30 | 191 / 15 | $13.169,50 | 298 / 10 | $5.944,70 | 954 / 9 | $5.138,30 | 946 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 12 | $10.372,80 | 357 / 10 | $4.542,21 | 1024 / 13 | $3.667,17 | 1021 / 19 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 13 | $17.221,60 | 532 / 14 | $6.633,68 | 1113 / 11 | $5.769,68 | 1109 / 16 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 28 | 122 / 9 | $9.383,07 | 281 / 14 | $3.663,64 | 807 / 7 | $2.676,75 | 803 / 13 |
Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 8 | $12.773,50 | 140 / 3 | $6.732,50 | 504 / 8 | $5.708,50 | 503 / 10 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 25 | 76 / 2 | $19.770,80 | 118 / 3 | $9.287,72 | 311 / 3 | $8.414,76 | 311 / 4 |
Renal Failure W Mcc | 23 | 172 / 13 | $15.635,00 | 86 / 4 | $8.943,61 | 604 / 7 | $8.219,43 | 604 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 13 | $13.127,70 | 331 / 12 | $4.996,95 | 690 / 10 | $4.003,50 | 687 / 12 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 11 | $10.561,90 | 271 / 9 | $4.498,86 | 1020 / 9 | $3.694,29 | 1015 / 17 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 19 | 545 / 21 | $41.984,20 | 869 / 15 | $12.759,30 | 1312 / 14 | $11.619,10 | 1280 / 20 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 11 | $17.095,20 | 88 / 2 | $9.660,83 | 380 / 6 | $8.720,39 | 380 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 12 | $16.678,00 | 251 / 6 | $6.498,29 | 823 / 7 | $5.575,94 | 821 / 13 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 7 | $13.972,20 | 73 / 4 | $8.340,00 | 498 / 6 | $7.338,59 | 495 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 11 | $15.278,80 | 129 / 3 | $7.362,50 | 503 / 7 | $6.378,50 | 500 / 8 |
Medical Back Problems W/O Mcc | 13 | 108 / 9 | $9.877,92 | 52 / 3 | $5.173,31 | 516 / 3 | $4.245,31 | 514 / 5 |
Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 15 | $42.482,20 | 741 / 16 | $12.657,80 | 342 / 15 | $9.814,08 | 341 / 9 |
G.I. Obstruction W Cc | 12 | 80 / 12 | $8.791,42 | 33 / 1 | $5.504,08 | 790 / 5 | $4.800,08 | 788 / 12 |
Transient Ischemia | 12 | 113 / 15 | $14.297,90 | 254 / 11 | $5.263,00 | 465 / 14 | $3.335,50 | 464 / 9 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 16 | $26.380,00 | 77 / 6 | $13.189,10 | 534 / 9 | $12.525,80 | 527 / 13 |
Organic Disturbances & Mental Retardation | 11 | 48 / 3 | $13.694,30 | 65 / 1 | $6.186,45 | 122 / 1 | $5.191,55 | 122 / 1 | Total 33 procedures | 1.125 | 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.