Hospital Costs > In Pennsylvania > Ohio Valley General Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 74 | $12.089,00 | 410 / 23 | $5.484,43 | 113 / 82 | $2.971,75 | 113 / 12 |
Cellulitis W/O Mcc | 22 | 167 / 64 | $12.087,90 | 479 / 33 | $6.108,91 | 26 / 87 | $3.175,82 | 26 / 7 |
Heart Failure & Shock W Cc | 21 | 257 / 85 | $20.295,00 | 1218 / 58 | $7.154,38 | 36 / 94 | $4.150,67 | 36 / 5 |
Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 57 | $17.787,60 | 779 / 37 | $7.023,61 | 20 / 92 | $3.604,78 | 20 / 4 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 18 | 546 / 93 | $48.883,70 | 1239 / 70 | $12.529,20 | 278 / 40 | $9.914,67 | 278 / 19 |
Syncope & Collapse | 17 | 152 / 48 | $15.511,00 | 442 / 28 | $5.377,94 | 43 / 67 | $2.825,00 | 43 / 10 |
Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 71 | $12.011,80 | 514 / 28 | $5.600,29 | 102 / 86 | $3.120,29 | 102 / 12 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 50 | $14.317,50 | 903 / 42 | $4.263,87 | 39 / 72 | $1.813,00 | 39 / 5 |
Other Vascular Procedures W Cc | 14 | 88 / 24 | $56.658,10 | 302 / 12 | $15.546,40 | 42 / 14 | $12.141,80 | 42 / 1 |
Heart Failure & Shock W Mcc | 13 | 271 / 82 | $37.790,40 | 1546 / 74 | $10.813,30 | 79 / 94 | $6.876,62 | 79 / 9 |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 62 | $21.578,30 | 865 / 47 | $8.458,92 | 19 / 88 | $4.741,42 | 19 / 3 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 56 | $14.013,60 | 836 / 43 | $5.254,67 | 34 / 78 | $2.635,50 | 34 / 4 |
Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 69 | $17.935,70 | 906 / 43 | $6.857,82 | 75 / 81 | $4.074,55 | 75 / 9 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 41 | $11.205,50 | 365 / 18 | $5.278,27 | 36 / 66 | $2.626,27 | 36 / 7 |
Pulmonary Edema & Respiratory Failure | 11 | 192 / 53 | $22.625,50 | 572 / 34 | $8.390,91 | 35 / 64 | $5.424,73 | 35 / 6 | Total 15 procedures | 240 | 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.