Hospital Costs > In West Virginia > Stonewall Jackson Memorial Hospital, 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/O Cc/Mcc | 14 | 136 / 15 | $6.579,29 | 60 / 1 | $4.439,93 | 1359 / 17 | $3.236,43 | 1354 / 18 |
| Cellulitis W/O Mcc | 26 | 163 / 18 | $5.119,73 | 7 / 1 | $5.798,81 | 1298 / 21 | $4.531,08 | 1292 / 23 |
| Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 16 | $6.518,11 | 5 / 1 | $6.387,57 | 1145 / 23 | $5.091,49 | 1141 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 19 | $8.676,30 | 15 / 1 | $7.794,19 | 1302 / 21 | $6.575,89 | 1296 / 22 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 44 | 76 / 9 | $5.244,18 | 6 / 1 | $5.333,95 | 1394 / 18 | $4.235,52 | 1383 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 21 | $7.678,00 | 78 / 3 | $5.345,45 | 1457 / 22 | $4.091,95 | 1446 / 23 |
| G.I. Hemorrhage W Cc | 13 | 205 / 19 | $12.809,50 | 152 / 3 | $6.678,46 | 1216 / 19 | $5.596,31 | 1214 / 21 |
| Heart Failure & Shock W Cc | 21 | 257 / 20 | $9.118,95 | 82 / 1 | $6.570,38 | 1554 / 20 | $5.826,43 | 1549 / 24 |
| Heart Failure & Shock W Mcc | 13 | 271 / 21 | $14.669,80 | 133 / 1 | $9.339,15 | 933 / 16 | $8.191,38 | 932 / 17 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 16 | $6.184,08 | 28 / 1 | $5.073,85 | 1118 / 17 | $3.866,31 | 1109 / 17 |
| Kidney & Urinary Tract Infections W/O Mcc | 34 | 199 / 17 | $6.469,85 | 33 / 1 | $5.626,06 | 1590 / 23 | $4.434,56 | 1579 / 23 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 68 | 496 / 16 | $32.825,80 | 348 / 6 | $12.431,30 | 855 / 12 | $10.834,00 | 840 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 14 | $5.643,16 | 20 / 1 | $5.043,60 | 1484 / 21 | $4.049,96 | 1479 / 22 |
| Pulmonary Edema & Respiratory Failure | 25 | 178 / 17 | $10.384,80 | 14 / 1 | $7.706,32 | 722 / 11 | $6.620,92 | 722 / 12 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 16 | $9.824,00 | 102 / 3 | $5.833,85 | 985 / 18 | $4.506,77 | 979 / 18 |
| Renal Failure W Cc | 13 | 208 / 20 | $6.240,92 | 2 / 1 | $6.329,62 | 1019 / 15 | $5.204,62 | 1011 / 20 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 13 | $24.540,20 | 54 / 5 | $13.509,10 | 360 / 10 | $12.047,70 | 356 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 12 | 504 / 29 | $13.469,80 | 36 / 1 | $10.989,20 | 375 / 13 | $9.311,08 | 375 / 9 |
| Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 15 | $8.879,97 | 54 / 1 | $6.769,40 | 1422 / 24 | $5.441,43 | 1416 / 25 |
| Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 16 | $14.990,10 | 122 / 5 | $9.232,90 | 994 / 17 | $7.868,47 | 994 / 17 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 14 | $5.948,82 | 18 / 1 | $5.152,71 | 1290 / 17 | $4.026,88 | 1283 / 20 | Total 21 procedures | 515 | 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.