Hospital Costs > In West Virginia > St Francis Hospital Charleston, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 17 | $8.626,20 | 57 / 2 | $4.890,27 | 364 / 7 | $3.690,93 | 364 / 6 |
| Cellulitis W/O Mcc | 30 | 159 / 16 | $6.471,03 | 22 / 2 | $5.085,67 | 505 / 7 | $3.887,80 | 502 / 8 |
| Chest Pain | 17 | 134 / 12 | $11.146,10 | 199 / 7 | $3.852,24 | 196 / 5 | $2.545,18 | 195 / 4 |
| Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 18 | $11.438,30 | 185 / 6 | $5.442,45 | 107 / 6 | $4.029,07 | 107 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 22 | $12.819,00 | 168 / 8 | $6.388,30 | 102 / 2 | $5.179,00 | 102 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 12 | $20.307,40 | 117 / 5 | $6.311,76 | 36 / 4 | $4.488,86 | 36 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 22 | $9.559,50 | 177 / 7 | $4.844,56 | 59 / 13 | $2.843,00 | 59 / 2 |
| G.I. Hemorrhage W Cc | 19 | 199 / 18 | $16.454,70 | 437 / 12 | $6.088,32 | 374 / 11 | $4.778,32 | 374 / 9 |
| Heart Failure & Shock W Cc | 21 | 257 / 20 | $11.509,30 | 235 / 6 | $6.076,48 | 519 / 10 | $4.910,29 | 519 / 12 |
| Heart Failure & Shock W Mcc | 19 | 265 / 19 | $17.320,40 | 268 / 6 | $8.870,47 | 303 / 11 | $7.418,16 | 303 / 9 |
| Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 14 | $26.439,30 | 112 / 3 | $11.426,50 | 14 / 9 | $8.537,60 | 14 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 9 | $42.807,30 | 32 / 1 | $22.682,60 | 3 / 1 | $19.575,10 | 3 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 20 | $9.562,00 | 249 / 9 | $4.536,05 | 211 / 4 | $3.320,33 | 211 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 331 | 242 / 1 | $46.298,40 | 1103 / 18 | $12.020,20 | 84 / 8 | $9.256,33 | 84 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 16 | $7.505,62 | 102 / 5 | $4.248,24 | 407 / 4 | $3.245,76 | 407 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 15 | 181 / 13 | $69.282,40 | 666 / 13 | $14.039,30 | 195 / 12 | $9.804,87 | 195 / 6 |
| Pulmonary Edema & Respiratory Failure | 27 | 176 / 16 | $12.791,40 | 62 / 5 | $7.095,78 | 110 / 3 | $5.706,89 | 110 / 4 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 18 | $9.883,82 | 103 / 4 | $4.884,82 | 331 / 7 | $3.795,73 | 330 / 6 |
| Renal Failure W Cc | 26 | 195 / 18 | $9.805,27 | 82 / 3 | $5.862,00 | 358 / 7 | $4.600,00 | 355 / 6 |
| Renal Failure W Mcc | 15 | 180 / 16 | $14.331,30 | 55 / 1 | $8.444,67 | 69 / 2 | $7.113,47 | 69 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 15 | $22.971,80 | 39 / 4 | $12.792,70 | 236 / 6 | $11.689,00 | 234 / 8 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 18 | 51 / 2 | $47.989,40 | 97 / 1 | $15.627,60 | 50 / 1 | $13.007,90 | 50 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 88 | 428 / 13 | $15.601,80 | 86 / 3 | $10.283,80 | 126 / 5 | $8.721,44 | 126 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 11 | $11.899,60 | 143 / 4 | $6.412,41 | 354 / 7 | $5.043,92 | 353 / 6 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 22 | $10.235,20 | 123 / 3 | $5.851,76 | 474 / 8 | $4.623,65 | 471 / 11 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 21 | $13.920,00 | 81 / 3 | $8.104,67 | 34 / 5 | $6.273,06 | 34 / 3 | Total 26 procedures | 897 | 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.