Hospital Costs > In West Virginia > Ohio Valley 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 | 111 | 453 / 12 | $38.967,30 | 695 / 13 | $12.639,90 | 387 / 13 | $10.150,70 | 386 / 8 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 54 | 462 / 18 | $33.112,50 | 948 / 22 | $11.686,60 | 408 / 20 | $9.361,98 | 408 / 10 |
Chronic Obstructive Pulmonary Disease W Mcc | 47 | 155 / 12 | $16.500,90 | 436 / 13 | $7.419,43 | 236 / 16 | $5.473,60 | 235 / 9 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 41 | 50 / 1 | $27.540,30 | 136 / 7 | $7.168,17 | 56 / 3 | $6.186,29 | 56 / 2 |
Heart Failure & Shock W Cc | 30 | 248 / 18 | $15.860,10 | 670 / 18 | $6.547,47 | 919 / 19 | $5.227,70 | 918 / 15 |
G.I. Hemorrhage W Cc | 28 | 190 / 16 | $17.471,60 | 533 / 14 | $6.295,39 | 287 / 14 | $4.686,93 | 287 / 8 |
Renal Failure W Cc | 28 | 193 / 16 | $17.074,40 | 675 / 19 | $6.446,39 | 352 / 17 | $4.594,75 | 350 / 5 |
Cellulitis W/O Mcc | 26 | 163 / 18 | $11.074,30 | 366 / 14 | $5.571,58 | 690 / 15 | $4.038,42 | 686 / 10 |
Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 19 | $17.354,20 | 741 / 21 | $6.140,20 | 776 / 15 | $4.778,64 | 774 / 14 |
Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 20 | $14.680,30 | 519 / 16 | $6.366,08 | 471 / 18 | $4.622,96 | 468 / 10 |
Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 19 | $14.082,30 | 808 / 21 | $5.455,91 | 793 / 21 | $3.819,59 | 788 / 13 |
Heart Failure & Shock W Mcc | 21 | 263 / 18 | $20.282,90 | 439 / 13 | $9.397,48 | 684 / 18 | $7.903,57 | 684 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 22 | $11.774,20 | 361 / 14 | $5.099,78 | 735 / 18 | $3.589,00 | 731 / 13 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 18 | $20.746,90 | 853 / 20 | $7.180,41 | 877 / 15 | $5.554,00 | 875 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 18 | $10.701,80 | 395 / 14 | $4.759,00 | 712 / 15 | $3.462,25 | 710 / 13 |
G.I. Obstruction W Cc | 16 | 76 / 9 | $14.107,10 | 229 / 8 | $5.879,62 | 508 / 9 | $4.488,88 | 507 / 8 |
Pulmonary Edema & Respiratory Failure | 15 | 188 / 19 | $14.326,60 | 116 / 8 | $7.843,73 | 113 / 13 | $5.715,40 | 113 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 12 | $23.017,60 | 526 / 13 | $8.188,27 | 353 / 13 | $6.137,47 | 352 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 14 | $18.487,10 | 386 / 14 | $7.092,86 | 720 / 10 | $5.455,79 | 719 / 10 |
Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 23 | $16.930,60 | 208 / 8 | $8.501,07 | 189 / 11 | $6.796,43 | 189 / 6 |
Signs & Symptoms W/O Mcc | 13 | 78 / 9 | $11.791,80 | 179 / 7 | $4.832,62 | 329 / 8 | $3.426,85 | 328 / 6 |
Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 15 | $32.756,10 | 327 / 12 | $11.672,90 | 349 / 11 | $9.829,23 | 348 / 10 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 14 | $24.497,70 | 276 / 8 | $10.032,20 | 141 / 7 | $8.086,23 | 141 / 4 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 12 | $17.144,20 | 181 / 5 | $6.612,31 | 331 / 7 | $5.195,00 | 330 / 9 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 15 | $53.224,40 | 716 / 19 | $14.185,50 | 315 / 12 | $11.932,30 | 311 / 11 |
Renal Failure W Mcc | 12 | 183 / 17 | $18.035,50 | 156 / 5 | $9.257,75 | 322 / 8 | $7.774,67 | 322 / 6 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 10 | $78.927,80 | 189 / 2 | $29.301,60 | 213 / 3 | $26.554,60 | 211 / 2 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 10 | $47.608,40 | 350 / 6 | $14.858,10 | 188 / 4 | $12.425,00 | 187 / 4 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 8 | $49.604,50 | 150 / 4 | $17.587,50 | 167 / 4 | $15.656,30 | 167 / 4 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 16 | $25.210,50 | 240 / 8 | $12.162,20 | 333 / 10 | $10.097,20 | 333 / 6 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 9 | $12.881,80 | 71 / 2 | $6.125,45 | 192 / 6 | $4.476,91 | 192 / 3 | Total 31 procedures | 714 | 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.