Hospital Costs > In West Virginia > Reynolds Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 13 | $18.862,40 | 126 / 4 | $8.274,53 | 18 / 1 | $7.035,33 | 18 / 1 |
| Cellulitis W/O Mcc | 36 | 153 / 13 | $7.273,25 | 54 / 4 | $5.036,75 | 198 / 6 | $3.554,42 | 197 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 20 | $9.763,50 | 86 / 3 | $5.582,45 | 127 / 9 | $4.056,95 | 127 / 3 |
| Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 20 | $11.675,30 | 109 / 5 | $6.623,58 | 94 / 5 | $5.138,50 | 94 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 18 | $8.899,41 | 142 / 6 | $4.607,21 | 103 / 7 | $2.943,86 | 103 / 3 |
| G.I. Obstruction W Cc | 13 | 79 / 11 | $10.937,20 | 78 / 3 | $5.364,85 | 238 / 3 | $4.104,85 | 237 / 5 |
| Heart Failure & Shock W Cc | 21 | 257 / 20 | $12.333,40 | 298 / 9 | $5.859,95 | 250 / 8 | $4.622,19 | 250 / 6 |
| Heart Failure & Shock W Mcc | 19 | 265 / 19 | $19.087,40 | 376 / 11 | $8.409,89 | 70 / 4 | $6.847,84 | 70 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 14 | $7.474,12 | 71 / 3 | $4.725,38 | 172 / 9 | $3.264,55 | 172 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 16 | $7.436,57 | 98 / 4 | $4.440,81 | 142 / 9 | $2.907,67 | 142 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 17 | 499 / 26 | $15.959,20 | 97 / 4 | $9.828,35 | 48 / 2 | $8.382,00 | 48 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 20 | $16.051,90 | 443 / 13 | $6.552,82 | 192 / 9 | $4.841,64 | 192 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 19 | $11.779,10 | 238 / 6 | $5.824,12 | 107 / 7 | $4.154,72 | 107 / 3 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 20 | $12.234,90 | 35 / 2 | $7.687,68 | 7 / 2 | $5.810,47 | 7 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 17 | $7.329,07 | 59 / 2 | $4.246,93 | 94 / 5 | $2.709,21 | 94 / 2 |
| Transient Ischemia | 11 | 114 / 16 | $9.242,36 | 53 / 2 | $4.275,36 | 200 / 4 | $3.011,36 | 200 / 5 | Total 16 procedures | 335 | 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.