Hospital Costs > In West Virginia > Summersville Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 16 | $14.652,70 | 517 / 15 | $6.436,39 | 1324 / 19 | $5.329,36 | 1319 / 23 |
| Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 18 | $15.512,10 | 353 / 11 | $7.418,86 | 1058 / 15 | $6.296,79 | 1053 / 18 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 12 | $12.368,30 | 445 / 13 | $4.848,20 | 912 / 13 | $3.602,95 | 907 / 15 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 17 | $11.312,10 | 374 / 12 | $4.897,53 | 1028 / 13 | $3.763,47 | 1019 / 16 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 22 | $13.956,70 | 84 / 4 | $9.015,80 | 1064 / 16 | $7.944,53 | 1064 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 14 | 502 / 28 | $22.804,90 | 404 / 12 | $12.659,10 | 1667 / 23 | $11.369,00 | 1635 / 25 |
| G.I. Hemorrhage W Cc | 13 | 205 / 19 | $12.777,90 | 147 / 2 | $6.250,38 | 645 / 13 | $5.046,38 | 644 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 9 | $12.493,60 | 116 / 5 | $5.272,69 | 372 / 5 | $3.461,31 | 369 / 5 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 16 | $11.023,80 | 363 / 13 | $4.613,31 | 1011 / 10 | $3.743,38 | 1003 / 14 |
| Heart Failure & Shock W Cc | 13 | 265 / 21 | $14.329,80 | 502 / 13 | $6.442,77 | 952 / 16 | $5.258,38 | 951 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 19 | $11.777,80 | 217 / 9 | $5.227,50 | 925 / 11 | $4.218,25 | 922 / 18 |
| Syncope & Collapse | 12 | 157 / 16 | $17.521,20 | 627 / 13 | $6.072,25 | 1544 / 14 | $5.300,42 | 1537 / 14 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 22 | $15.553,20 | 566 / 17 | $6.285,92 | 1126 / 19 | $5.078,08 | 1122 / 20 |
| Cellulitis W/O Mcc | 12 | 177 / 23 | $9.218,33 | 176 / 8 | $5.632,92 | 990 / 16 | $4.263,92 | 984 / 17 |
| Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 22 | $10.195,50 | 314 / 11 | $5.231,09 | 1019 / 16 | $3.974,00 | 1011 / 17 |
| Renal Failure W Cc | 11 | 210 / 21 | $11.822,20 | 194 / 6 | $6.317,55 | 979 / 14 | $5.161,64 | 971 / 16 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 11 | 553 / 22 | $30.236,80 | 232 / 3 | $12.926,20 | 1285 / 15 | $11.553,70 | 1253 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 25 | $9.813,82 | 193 / 8 | $5.023,64 | 1232 / 16 | $3.915,36 | 1221 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 14 | $17.327,00 | 210 / 7 | $8.314,18 | 1110 / 14 | $7.377,82 | 1107 / 17 | Total 19 procedures | 282 | 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.