Hospital Costs > In West Virginia > Thomas 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 Cc | 23 | 68 / 9 | $18.958,80 | 252 / 9 | $5.995,43 | 232 / 4 | $5.014,57 | 232 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 9 | $28.472,20 | 387 / 11 | $9.460,68 | 316 / 4 | $8.585,80 | 316 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 7 | $13.383,50 | 357 / 14 | $4.958,41 | 394 / 9 | $3.726,21 | 394 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 6 | $27.549,50 | 822 / 17 | $7.663,52 | 210 / 9 | $5.883,89 | 210 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 17 | $8.440,25 | 187 / 12 | $3.599,92 | 722 / 6 | $2.603,58 | 718 / 9 |
| Cellulitis W/O Mcc | 38 | 151 / 12 | $10.108,30 | 252 / 11 | $5.154,68 | 525 / 9 | $3.902,13 | 522 / 9 |
| Chest Pain | 31 | 120 / 7 | $13.350,70 | 339 / 11 | $3.863,42 | 628 / 6 | $3.055,94 | 624 / 12 |
| Chronic Obstructive Pulmonary Disease W Cc | 46 | 133 / 13 | $19.786,70 | 976 / 25 | $5.761,15 | 492 / 12 | $4.537,83 | 491 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 68 | 134 / 9 | $25.507,20 | 1168 / 24 | $7.375,38 | 1006 / 13 | $6.249,15 | 1001 / 16 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 18 | $15.020,90 | 786 / 18 | $4.337,25 | 222 / 4 | $3.045,69 | 222 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 6 | $26.931,60 | 33 / 1 | $11.516,50 | 104 / 3 | $10.492,50 | 101 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 38 | 150 / 10 | $23.214,00 | 208 / 10 | $6.659,32 | 223 / 6 | $5.013,13 | 223 / 5 |
| Diabetes W Cc | 15 | 77 / 10 | $12.670,80 | 188 / 4 | $5.161,93 | 113 / 5 | $3.632,73 | 113 / 2 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 18 | 52 / 4 | $15.666,80 | 99 / 5 | $5.543,28 | 66 / 3 | $4.569,78 | 66 / 3 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 16 | 60 / 2 | $25.820,00 | 56 / 3 | $11.582,10 | 6 / 3 | $8.335,62 | 6 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 25 | 36 / 4 | $17.567,30 | 210 / 7 | $5.673,84 | 251 / 3 | $4.609,44 | 250 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 5 | $22.588,20 | 320 / 5 | $7.145,82 | 184 / 2 | $5.938,29 | 183 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 93 | 182 / 4 | $13.035,80 | 509 / 19 | $4.645,99 | 644 / 8 | $3.523,25 | 640 / 12 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 5 | $90.541,20 | 164 / 2 | $28.907,20 | 200 / 2 | $27.244,00 | 200 / 2 |
| G.I. Hemorrhage W Cc | 58 | 160 / 7 | $18.589,10 | 622 / 16 | $6.063,71 | 613 / 9 | $5.016,53 | 612 / 12 |
| G.I. Hemorrhage W Mcc | 29 | 92 / 5 | $27.262,20 | 238 / 7 | $10.094,50 | 240 / 7 | $8.994,34 | 240 / 6 |
| G.I. Obstruction W Cc | 23 | 69 / 6 | $13.486,00 | 191 / 6 | $5.589,09 | 211 / 6 | $4.070,78 | 210 / 4 |
| Heart Failure & Shock W Cc | 64 | 214 / 9 | $17.963,20 | 923 / 22 | $5.868,19 | 511 / 9 | $4.906,39 | 511 / 10 |
| Heart Failure & Shock W Mcc | 99 | 185 / 4 | $32.696,40 | 1265 / 23 | $9.832,74 | 1093 / 22 | $8.421,67 | 1090 / 20 |
| Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 13 | $29.358,90 | 204 / 9 | $10.975,10 | 329 / 6 | $9.793,24 | 328 / 8 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 7 | $59.460,60 | 301 / 7 | $18.731,50 | 386 / 6 | $17.190,50 | 383 / 6 |
| Hypertension W/O Mcc | 16 | 49 / 5 | $12.863,80 | 136 / 5 | $3.984,38 | 159 / 3 | $2.810,38 | 158 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 15 | 21 / 2 | $35.231,10 | 43 / 1 | $14.489,80 | 24 / 1 | $11.701,60 | 24 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 54 | 70 / 2 | $68.861,40 | 165 / 7 | $29.588,60 | 223 / 5 | $27.150,70 | 223 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 10 | $16.849,00 | 269 / 8 | $6.308,21 | 461 / 4 | $5.181,54 | 460 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 21 | 147 / 7 | $21.700,80 | 132 / 1 | $9.503,67 | 176 / 1 | $8.419,67 | 175 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 35 | 109 / 4 | $17.073,50 | 369 / 10 | $6.460,06 | 370 / 4 | $5.526,34 | 369 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 15 | $12.295,50 | 549 / 17 | $4.669,97 | 312 / 6 | $3.448,87 | 312 / 8 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 5 | $33.567,10 | 153 / 4 | $9.772,73 | 246 / 2 | $8.488,00 | 246 / 4 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 5 | $27.116,50 | 21 / 1 | $11.235,50 | 122 / 2 | $10.021,50 | 122 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 24 | 72 / 2 | $37.856,30 | 144 / 2 | $13.228,00 | 117 / 2 | $10.579,60 | 117 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 3 | $45.996,80 | 85 / 1 | $18.036,30 | 193 / 3 | $16.757,10 | 193 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 148 | 416 / 9 | $33.769,00 | 387 / 8 | $12.279,10 | 242 / 10 | $9.820,26 | 242 / 6 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 14 | 55 / 1 | $49.864,20 | 129 / 1 | $15.132,60 | 11 / 1 | $11.218,60 | 11 / 1 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 7 | $40.515,90 | 197 / 3 | $15.214,10 | 120 / 5 | $12.029,30 | 120 / 3 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 8 | $100.954,00 | 390 / 7 | $33.115,10 | 645 / 5 | $31.414,40 | 643 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 9 | $16.197,40 | 198 / 5 | $6.599,71 | 206 / 4 | $5.545,43 | 204 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 17 | $12.940,50 | 667 / 18 | $4.437,25 | 411 / 8 | $3.252,25 | 411 / 6 |
| Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Cc | 14 | 13 / 2 | $32.173,50 | 13 / 1 | $9.927,07 | 11 / 1 | $8.767,36 | 11 / 1 |
| Nonspecific Cerebrovascular Disorders W Cc | 24 | 32 / 1 | $17.980,90 | 94 / 1 | $5.736,46 | 67 / 1 | $4.684,62 | 67 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 33 | 163 / 10 | $46.169,40 | 156 / 4 | $13.198,60 | 178 / 9 | $9.727,70 | 178 / 5 |
| Peripheral Vascular Disorders W Cc | 17 | 67 / 9 | $14.546,90 | 163 / 9 | $6.370,88 | 221 / 7 | $4.688,65 | 220 / 5 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 9 | $38.131,40 | 62 / 2 | $14.194,50 | 62 / 2 | $13.023,90 | 62 / 3 |
| Pulmonary Edema & Respiratory Failure | 245 | 14 / 1 | $30.338,70 | 1059 / 18 | $7.890,52 | 798 / 14 | $6.702,53 | 798 / 16 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 15 | $14.486,70 | 396 / 14 | $4.959,93 | 356 / 10 | $3.825,53 | 355 / 7 |
| Renal Failure W Cc | 51 | 170 / 11 | $14.980,20 | 462 / 12 | $5.894,88 | 469 / 8 | $4.717,25 | 465 / 10 |
| Renal Failure W Mcc | 65 | 130 / 4 | $21.281,10 | 287 / 6 | $8.691,00 | 327 / 4 | $7.785,45 | 327 / 7 |
| Respiratory Infections & Inflammations W Cc | 22 | 66 / 6 | $19.078,90 | 229 / 7 | $14.583,20 | 44 / 16 | $6.201,18 | 44 / 1 |
| Respiratory Infections & Inflammations W Mcc | 84 | 53 / 1 | $35.110,40 | 595 / 13 | $11.720,20 | 590 / 7 | $10.656,40 | 582 / 9 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 37 | 94 / 8 | $51.787,20 | 671 / 17 | $14.482,80 | 813 / 16 | $13.371,00 | 805 / 18 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 8 | $83.277,50 | 136 / 3 | $27.351,70 | 70 / 1 | $25.818,00 | 70 / 1 |
| Seizures W/O Mcc | 14 | 94 / 7 | $13.949,60 | 207 / 7 | $4.649,07 | 246 / 2 | $3.653,36 | 245 / 2 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 22 | 70 / 5 | $108.912,00 | 241 / 4 | $38.247,10 | 297 / 3 | $33.216,90 | 296 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 334 | 185 / 2 | $35.712,80 | 1087 / 23 | $11.587,40 | 1067 / 19 | $10.279,40 | 1054 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 82 | 125 / 4 | $14.446,50 | 307 / 8 | $6.374,40 | 460 / 6 | $5.162,13 | 458 / 9 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 18 | $19.583,60 | 1087 / 25 | $6.065,63 | 274 / 11 | $4.435,19 | 273 / 7 |
| Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 15 | $23.281,60 | 589 / 16 | $8.482,74 | 206 / 8 | $6.844,71 | 206 / 8 |
| Syncope & Collapse | 32 | 137 / 7 | $15.251,40 | 411 / 12 | $4.700,03 | 283 / 6 | $3.314,81 | 281 / 3 |
| Transient Ischemia | 17 | 108 / 12 | $13.545,40 | 212 / 9 | $4.390,53 | 397 / 6 | $3.262,29 | 396 / 7 |
| Transurethral Prostatectomy W/O Cc/Mcc | 11 | 18 / 1 | $11.827,50 | 5 / 1 | $5.589,00 | 9 / 1 | $3.094,73 | 9 / 1 | Total 65 procedures | 2.568 | 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.