Hospital Costs > In West Virginia > Pleasant Valley Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 16 | 173 / 22 | $13.465,10 | 656 / 19 | $4.936,19 | 131 / 4 | $3.450,12 | 131 / 3 |
| Chest Pain | 11 | 140 / 15 | $14.430,10 | 447 / 13 | $3.658,73 | 333 / 3 | $2.728,82 | 332 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 15 | $18.151,90 | 823 / 23 | $5.544,97 | 300 / 7 | $4.318,45 | 299 / 8 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 44 | 76 / 9 | $15.379,50 | 827 / 20 | $4.505,00 | 326 / 7 | $3.161,64 | 326 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 23 | $15.435,30 | 805 / 24 | $4.526,93 | 496 / 5 | $3.400,80 | 494 / 8 |
| G.I. Hemorrhage W Cc | 12 | 206 / 20 | $20.046,20 | 752 / 19 | $6.034,00 | 184 / 8 | $4.538,00 | 184 / 6 |
| Heart Failure & Shock W Cc | 25 | 253 / 19 | $19.710,80 | 1148 / 25 | $5.583,64 | 139 / 3 | $4.429,92 | 139 / 3 |
| Heart Failure & Shock W Mcc | 12 | 272 / 22 | $24.369,70 | 689 / 18 | $7.995,08 | 45 / 2 | $6.745,92 | 45 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 15 | $14.873,40 | 838 / 15 | $4.153,64 | 752 / 5 | $3.511,86 | 748 / 13 |
| Hypertension W/O Mcc | 11 | 54 / 8 | $14.622,00 | 204 / 7 | $3.816,45 | 119 / 1 | $2.702,45 | 119 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 15 | $21.145,40 | 644 / 12 | $6.661,50 | 147 / 6 | $5.140,92 | 147 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 46 | 187 / 12 | $14.482,30 | 856 / 22 | $4.594,37 | 260 / 5 | $3.377,98 | 260 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 13 | $14.475,70 | 893 / 21 | $4.315,31 | 268 / 5 | $3.091,65 | 268 / 4 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 14 | $16.766,30 | 604 / 20 | $4.797,74 | 160 / 5 | $3.546,26 | 160 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 13 | $35.259,90 | 218 / 12 | $10.738,00 | 22 / 1 | $10.064,70 | 22 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 20 | 496 / 24 | $22.651,40 | 391 / 11 | $9.146,10 | 25 / 1 | $8.100,80 | 25 / 1 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 10 | $11.780,00 | 178 / 6 | $4.074,50 | 112 / 3 | $3.018,17 | 112 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 56 | 147 / 10 | $18.662,40 | 986 / 24 | $5.702,84 | 375 / 5 | $4.544,09 | 373 / 9 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 20 | $22.029,00 | 512 / 13 | $7.678,42 | 25 / 1 | $6.170,26 | 25 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 10 | $13.891,20 | 609 / 17 | $4.262,86 | 276 / 6 | $3.023,41 | 274 / 6 | Total 20 procedures | 445 | 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.