Hospital Costs > In West Virginia > Princeton Community 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 | 172 | 392 / 8 | $30.704,30 | 248 / 5 | $11.789,10 | 249 / 4 | $9.839,85 | 249 / 7 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 141 | 375 / 9 | $23.254,00 | 431 / 13 | $10.591,00 | 208 / 8 | $8.953,61 | 208 / 6 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 121 | 14 / 1 | $10.902,40 | 342 / 11 | $4.546,62 | 343 / 8 | $3.178,74 | 343 / 6 |
Simple Pneumonia & Pleurisy W Cc | 118 | 86 / 4 | $15.598,60 | 632 / 19 | $6.231,45 | 551 / 15 | $4.687,36 | 548 / 12 |
Chronic Obstructive Pulmonary Disease W Cc | 98 | 81 / 5 | $13.902,70 | 399 / 14 | $5.622,89 | 389 / 10 | $4.414,59 | 388 / 9 |
Heart Failure & Shock W Cc | 87 | 191 / 6 | $13.916,70 | 459 / 12 | $6.178,99 | 235 / 12 | $4.601,20 | 235 / 5 |
Chronic Obstructive Pulmonary Disease W Mcc | 80 | 122 / 5 | $17.787,00 | 550 / 16 | $7.256,51 | 543 / 12 | $5.811,92 | 542 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 66 | 141 / 5 | $14.610,90 | 318 / 9 | $6.293,95 | 215 / 5 | $4.869,41 | 214 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 66 | 209 / 8 | $11.032,30 | 287 / 11 | $4.562,17 | 359 / 6 | $3.293,92 | 358 / 7 |
Pulmonary Edema & Respiratory Failure | 61 | 142 / 8 | $22.912,20 | 596 / 15 | $7.396,31 | 353 / 8 | $6.155,69 | 353 / 7 |
Kidney & Urinary Tract Infections W/O Mcc | 55 | 178 / 9 | $9.458,38 | 234 / 8 | $4.773,09 | 331 / 10 | $3.471,16 | 331 / 9 |
Heart Failure & Shock W/O Cc/Mcc | 44 | 66 / 4 | $9.186,66 | 194 / 8 | $4.190,30 | 312 / 6 | $3.116,84 | 310 / 5 |
Heart Failure & Shock W Mcc | 42 | 242 / 13 | $18.607,50 | 346 / 10 | $8.544,43 | 223 / 6 | $7.275,69 | 223 / 6 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 41 | 24 / 1 | $43.627,60 | 17 / 1 | $18.043,00 | 29 / 1 | $16.353,00 | 29 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 6 | $11.117,20 | 438 / 15 | $4.493,21 | 525 / 11 | $3.325,08 | 523 / 9 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 38 | 112 / 6 | $8.185,21 | 162 / 8 | $3.563,45 | 316 / 5 | $2.277,79 | 314 / 4 |
Atherosclerosis W/O Mcc | 38 | 20 / 4 | $9.939,00 | 42 / 1 | $4.151,05 | / | $2.644,16 | / |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 37 | 56 / 4 | $8.414,00 | 106 / 4 | $4.396,00 | 411 / 7 | $3.150,76 | 409 / 7 |
G.I. Hemorrhage W Cc | 36 | 182 / 12 | $15.582,60 | 345 / 10 | $6.071,58 | 283 / 10 | $4.683,50 | 283 / 7 |
Renal Failure W Cc | 36 | 185 / 14 | $15.183,10 | 481 / 13 | $5.811,42 | 456 / 6 | $4.704,53 | 453 / 9 |
Chest Pain | 36 | 115 / 6 | $9.060,22 | 106 / 5 | $3.778,31 | 179 / 4 | $2.520,06 | 178 / 3 |
Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 14 | $25.041,70 | 707 / 17 | $8.497,80 | 204 / 10 | $6.842,89 | 204 / 7 |
Red Blood Cell Disorders W/O Mcc | 34 | 109 / 3 | $13.288,90 | 293 / 10 | $4.864,62 | 458 / 6 | $3.935,29 | 457 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 8 | $10.782,20 | 156 / 7 | $4.772,97 | 118 / 5 | $3.337,55 | 118 / 2 |
Cellulitis W/O Mcc | 24 | 165 / 19 | $10.823,60 | 340 / 13 | $4.963,04 | 256 / 5 | $3.634,42 | 254 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 11 | $17.423,90 | 314 / 10 | $7.134,05 | 470 / 11 | $5.192,91 | 469 / 8 |
Diabetes W Cc | 22 | 70 / 7 | $14.581,20 | 307 / 9 | $5.229,36 | 290 / 6 | $3.985,95 | 290 / 6 |
Syncope & Collapse | 20 | 149 / 12 | $11.034,60 | 147 / 4 | $4.450,45 | 296 / 2 | $3.326,30 | 294 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 6 | $11.136,80 | 70 / 1 | $4.493,32 | 208 / 1 | $3.213,95 | 206 / 3 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 11 | $12.882,20 | 144 / 4 | $6.416,21 | 272 / 3 | $5.377,84 | 272 / 5 |
Transient Ischemia | 19 | 106 / 10 | $11.880,50 | 125 / 7 | $4.168,21 | 129 / 3 | $2.871,58 | 129 / 3 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 4 | $80.753,20 | 116 / 2 | $30.609,30 | 247 / 2 | $28.443,90 | 247 / 2 |
Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 12 | $31.761,60 | 283 / 11 | $10.675,70 | 100 / 2 | $9.220,06 | 99 / 5 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 7 | $25.484,20 | 492 / 12 | $8.247,00 | 270 / 5 | $6.901,29 | 268 / 7 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 4 | $8.863,12 | 69 / 2 | $4.217,94 | 324 / 3 | $3.419,62 | 321 / 6 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 4 | $29.670,70 | 89 / 2 | $9.386,44 | 107 / 1 | $7.876,62 | 107 / 2 |
Renal Failure W/O Cc/Mcc | 16 | 40 / 8 | $8.085,00 | 57 / 3 | $3.949,00 | 260 / 3 | $3.045,06 | 259 / 6 |
Tendonitis, Myositis & Bursitis W/O Mcc | 16 | 26 / 1 | $12.368,10 | 48 / 1 | $5.137,00 | 44 / 2 | $3.746,25 | 44 / 2 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 4 | $22.217,50 | 218 / 9 | $6.938,13 | 15 / 2 | $5.502,20 | 15 / 2 |
G.I. Hemorrhage W Mcc | 15 | 106 / 12 | $26.705,30 | 215 / 6 | $9.707,73 | 61 / 4 | $8.277,87 | 61 / 3 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 10 | $52.155,60 | 62 / 4 | $28.114,20 | 153 / 3 | $26.299,50 | 153 / 4 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 9 | $11.122,70 | 50 / 1 | $5.664,93 | 176 / 1 | $4.549,73 | 176 / 2 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 8 | $7.002,79 | 20 / 2 | $3.778,36 | 92 / 1 | $2.879,71 | 92 / 2 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 8 | $45.824,10 | 308 / 5 | $14.061,60 | 215 / 2 | $12.545,00 | 213 / 5 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 8 | $8.487,00 | 30 / 1 | $4.457,43 | 148 / 3 | $3.436,86 | 148 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 2 | $22.162,70 | 54 / 1 | $6.869,69 | 59 / 1 | $5.377,77 | 59 / 1 |
Respiratory Infections & Inflammations W/O Cc/Mcc | 13 | 16 / 1 | $16.052,00 | 27 / 1 | $6.038,31 | 20 / 1 | $4.764,15 | 20 / 1 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 14 | $25.970,90 | 315 / 9 | $10.339,80 | 450 / 10 | $8.883,08 | 450 / 9 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 15 | $45.430,90 | 495 / 15 | $14.452,70 | 625 / 15 | $12.766,20 | 617 / 14 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 13 | $17.202,80 | 186 / 6 | $6.137,42 | 202 / 5 | $4.945,42 | 202 / 3 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 8 | $10.239,20 | 28 / 1 | $6.469,82 | 190 / 2 | $5.877,00 | 190 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 14 | $32.091,20 | 1051 / 18 | $12.414,80 | 906 / 20 | $6.986,18 | 903 / 14 |
Renal Failure W Mcc | 11 | 184 / 18 | $39.817,30 | 1283 / 18 | $12.824,50 | 1759 / 17 | $11.471,10 | 1756 / 17 | Total 53 procedures | 2.015 | 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.