Hospital Costs > In Pennsylvania > Southwest Regional Medical Center Waynesburg, 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 | 23 | 166 / 63 | $6.606,43 | 27 / 4 | $5.849,26 | 1030 / 72 | $4.287,74 | 1024 / 62 |
| Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 57 | $9.430,44 | 69 / 3 | $6.330,06 | 1663 / 65 | $5.789,61 | 1656 / 99 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 54 | $12.072,20 | 129 / 5 | $7.779,45 | 1633 / 63 | $7.051,45 | 1625 / 92 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 40 | $8.147,00 | 103 / 4 | $4.884,58 | 1040 / 49 | $3.775,25 | 1031 / 65 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 82 | $7.416,06 | 67 / 3 | $5.265,33 | 925 / 69 | $3.713,39 | 920 / 57 |
| Heart Failure & Shock W Cc | 15 | 263 / 90 | $8.747,80 | 67 / 5 | $6.649,00 | 1548 / 75 | $5.824,47 | 1543 / 92 |
| Heart Failure & Shock W Mcc | 21 | 263 / 76 | $11.052,80 | 24 / 2 | $9.926,95 | 1607 / 74 | $9.293,05 | 1602 / 99 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 44 | $7.117,75 | 66 / 2 | $4.620,25 | 874 / 54 | $3.614,92 | 869 / 57 |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 70 | $6.551,22 | 34 / 3 | $5.144,89 | 1350 / 62 | $4.202,67 | 1341 / 77 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 13 | 503 / 100 | $14.821,50 | 69 / 6 | $12.065,30 | 1686 / 72 | $11.417,90 | 1654 / 95 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 68 | $9.245,92 | 42 / 3 | $7.191,50 | 1517 / 61 | $6.282,17 | 1511 / 87 |
| Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 56 | $10.252,50 | 124 / 6 | $6.460,84 | 1399 / 63 | $5.422,16 | 1393 / 76 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 28 | $7.640,69 | 75 / 3 | $4.799,25 | 1189 / 45 | $3.891,25 | 1183 / 67 | Total 13 procedures | 223 | 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.