Hospital Costs > In West Virginia > United Hospital Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 211 | 353 / 5 | $25.710,90 | 96 / 2 | $13.066,40 | 987 / 16 | $11.029,30 | 967 / 16 |
| Simple Pneumonia & Pleurisy W Cc | 122 | 82 / 3 | $15.276,50 | 591 / 18 | $6.636,04 | 1065 / 22 | $5.132,31 | 1062 / 19 |
| Chronic Obstructive Pulmonary Disease W Cc | 120 | 59 / 2 | $14.282,60 | 448 / 15 | $6.321,84 | 1032 / 20 | $4.982,89 | 1029 / 19 |
| Heart Failure & Shock W Cc | 109 | 169 / 3 | $12.581,30 | 327 / 11 | $6.570,61 | 1229 / 21 | $5.477,51 | 1225 / 21 |
| Psychoses | 109 | 184 / 1 | $14.185,40 | 167 / 1 | $7.321,00 | 182 / 2 | $5.444,36 | 182 / 2 |
| Pulmonary Edema & Respiratory Failure | 107 | 96 / 3 | $18.908,70 | 336 / 12 | $8.050,59 | 799 / 16 | $6.703,49 | 799 / 17 |
| Kidney & Urinary Tract Infections W/O Mcc | 98 | 135 / 3 | $13.596,20 | 734 / 20 | $5.448,69 | 1030 / 20 | $3.979,95 | 1022 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 85 | 431 / 14 | $30.967,70 | 827 / 20 | $12.573,40 | 1558 / 22 | $11.133,40 | 1526 / 23 |
| Simple Pneumonia & Pleurisy W Mcc | 85 | 120 / 4 | $22.074,30 | 516 / 14 | $9.413,49 | 975 / 19 | $7.849,25 | 975 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 83 | 192 / 6 | $14.203,80 | 643 / 22 | $5.328,76 | 1017 / 21 | $3.771,83 | 1009 / 18 |
| G.I. Hemorrhage W Cc | 74 | 144 / 4 | $18.082,60 | 576 / 15 | $6.690,96 | 1193 / 20 | $5.569,11 | 1191 / 20 |
| Heart Failure & Shock W Mcc | 74 | 210 / 6 | $19.385,90 | 395 / 12 | $9.558,51 | 1034 / 19 | $8.339,32 | 1032 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 72 | 130 / 7 | $17.139,40 | 490 / 14 | $7.697,75 | 1259 / 19 | $6.534,22 | 1253 / 21 |
| Cellulitis W/O Mcc | 69 | 120 / 3 | $17.760,20 | 1212 / 23 | $6.111,51 | 1314 / 23 | $4.545,59 | 1308 / 24 |
| Renal Failure W Cc | 69 | 152 / 6 | $14.611,10 | 427 / 11 | $6.516,41 | 999 / 18 | $5.178,38 | 991 / 17 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 68 | 57 / 2 | $26.904,90 | 333 / 10 | $11.117,10 | 777 / 13 | $9.666,22 | 776 / 14 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 64 | 56 / 6 | $11.782,20 | 422 / 13 | $5.171,72 | 843 / 17 | $3.607,44 | 838 / 13 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 58 | 67 / 1 | $14.466,90 | 316 / 2 | $5.207,95 | 101 / 2 | $3.207,47 | 101 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 58 | 138 / 7 | $44.779,80 | 128 / 3 | $12.475,10 | 637 / 5 | $11.060,10 | 633 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 57 | 34 / 2 | $14.577,20 | 101 / 2 | $6.765,86 | 536 / 8 | $5.539,74 | 535 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 56 | 105 / 6 | $14.137,60 | 432 / 16 | $5.440,16 | 795 / 15 | $4.106,66 | 792 / 15 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 55 | 133 / 5 | $19.346,70 | 95 / 3 | $7.162,73 | 594 / 10 | $5.578,95 | 592 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 48 | 118 / 4 | $10.662,00 | 389 / 13 | $4.929,73 | 1003 / 19 | $3.654,00 | 1000 / 18 |
| Hip & Femur Procedures Except Major Joint W Cc | 47 | 96 / 6 | $31.448,80 | 269 / 10 | $12.531,00 | 936 / 14 | $10.869,60 | 923 / 16 |
| Other Vascular Procedures W/O Cc/Mcc | 44 | 12 / 2 | $33.140,00 | 91 / 4 | $10.615,30 | 132 / 4 | $8.727,32 | 131 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 10 | $18.331,80 | 622 / 16 | $7.360,58 | 844 / 17 | $5.517,29 | 842 / 14 |
| Syncope & Collapse | 37 | 132 / 5 | $11.981,70 | 198 / 7 | $5.062,41 | 815 / 10 | $3.866,27 | 811 / 12 |
| Renal Failure W Mcc | 37 | 158 / 8 | $22.345,10 | 335 / 8 | $9.884,41 | 797 / 11 | $8.533,87 | 797 / 10 |
| Peripheral Vascular Disorders W Cc | 36 | 48 / 3 | $13.727,00 | 137 / 6 | $6.425,19 | 390 / 8 | $5.087,92 | 388 / 10 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 35 | 68 / 1 | $16.528,70 | 136 / 4 | $6.622,31 | 347 / 4 | $5.664,66 | 347 / 5 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 35 | 18 / 3 | $15.662,50 | 152 / 5 | $5.193,09 | 382 / 7 | $3.949,31 | 379 / 8 |
| Diabetes W Cc | 35 | 57 / 4 | $16.273,00 | 423 / 11 | $5.708,71 | 645 / 9 | $4.451,23 | 644 / 12 |
| Red Blood Cell Disorders W/O Mcc | 34 | 109 / 3 | $14.998,50 | 454 / 15 | $5.426,62 | 684 / 14 | $4.167,79 | 680 / 15 |
| Extracranial Procedures W/O Cc/Mcc | 34 | 64 / 3 | $15.427,30 | 57 / 3 | $6.685,24 | 358 / 6 | $5.367,65 | 358 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 33 | 117 / 8 | $8.008,27 | 142 / 5 | $3.980,58 | 912 / 12 | $2.755,88 | 907 / 14 |
| Other Vascular Procedures W Cc | 31 | 71 / 4 | $41.811,10 | 108 / 2 | $15.453,30 | 345 / 4 | $14.137,50 | 343 / 4 |
| Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 8 | $8.356,07 | 138 / 7 | $4.685,73 | 692 / 12 | $3.462,50 | 689 / 11 |
| G.I. Hemorrhage W Mcc | 30 | 91 / 4 | $30.527,30 | 339 / 9 | $10.962,20 | 575 / 9 | $9.854,47 | 576 / 9 |
| Respiratory Infections & Inflammations W Mcc | 30 | 106 / 8 | $33.479,50 | 534 / 12 | $13.063,10 | 981 / 13 | $11.633,80 | 971 / 15 |
| G.I. Obstruction W Cc | 30 | 62 / 5 | $15.873,80 | 356 / 11 | $6.065,53 | 615 / 11 | $4.600,87 | 614 / 10 |
| Other Vascular Procedures W Mcc | 29 | 68 / 2 | $52.006,90 | 93 / 3 | $20.340,40 | 273 / 3 | $18.468,30 | 272 / 3 |
| Signs & Symptoms W/O Mcc | 29 | 62 / 3 | $10.652,20 | 114 / 2 | $4.818,93 | 582 / 7 | $3.820,79 | 581 / 9 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 6 | $12.332,20 | 440 / 12 | $5.082,32 | 616 / 16 | $3.333,61 | 613 / 13 |
| Chest Pain | 28 | 123 / 9 | $7.460,46 | 55 / 1 | $4.252,46 | 566 / 12 | $2.988,00 | 562 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 9 | $14.988,80 | 151 / 2 | $7.063,52 | 886 / 9 | $5.670,85 | 884 / 14 |
| Other Circulatory System Diagnoses W Mcc | 26 | 90 / 6 | $27.605,20 | 164 / 3 | $11.686,40 | 360 / 3 | $10.197,00 | 359 / 5 |
| Major Cardiovasc Procedures W/O Mcc | 26 | 75 / 5 | $53.681,30 | 77 / 2 | $20.357,20 | 375 / 4 | $19.134,70 | 375 / 6 |
| G.I. Obstruction W/O Cc/Mcc | 25 | 46 / 2 | $10.871,20 | 197 / 5 | $4.389,88 | 644 / 4 | $3.154,16 | 642 / 8 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 25 | 36 / 2 | $10.506,60 | 120 / 6 | $4.707,12 | 267 / 7 | $3.272,08 | 266 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 11 | $40.898,30 | 351 / 13 | $14.965,00 | 752 / 17 | $13.137,70 | 744 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 24 | 144 / 6 | $23.100,40 | 154 / 2 | $11.052,90 | 645 / 6 | $9.736,62 | 644 / 6 |
| Other Digestive System Diagnoses W Cc | 24 | 73 / 3 | $22.777,40 | 554 / 7 | $6.683,12 | 535 / 5 | $5.260,04 | 532 / 6 |
| Major Small & Large Bowel Procedures W Cc | 23 | 85 / 5 | $63.330,90 | 717 / 10 | $20.883,00 | 1288 / 10 | $18.642,40 | 1274 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 8 | $15.550,50 | 137 / 4 | $7.758,96 | 801 / 10 | $6.818,26 | 798 / 12 |
| Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 9 | $14.472,80 | 212 / 7 | $7.271,57 | 785 / 10 | $6.079,74 | 784 / 11 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 23 | 47 / 2 | $12.919,30 | 49 / 2 | $6.054,57 | 170 / 4 | $5.163,48 | 170 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 23 | 77 / 4 | $62.810,20 | 102 / 3 | $19.343,40 | 266 / 6 | $17.667,10 | 264 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 4 | $21.110,50 | 148 / 4 | $9.865,18 | 337 / 6 | $8.512,36 | 337 / 5 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 22 | 41 / 3 | $106.486,00 | 268 / 5 | $43.087,50 | 656 / 5 | $40.184,50 | 656 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 3 | $33.296,30 | 754 / 10 | $11.639,20 | 1283 / 9 | $10.141,10 | 1278 / 10 |
| Transient Ischemia | 22 | 103 / 8 | $10.933,30 | 98 / 5 | $5.145,73 | 492 / 13 | $3.368,14 | 490 / 11 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 21 | 35 / 2 | $31.216,00 | 112 / 3 | $10.383,00 | 407 / 4 | $9.077,81 | 407 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 7 | $23.864,30 | 638 / 8 | $8.269,86 | 1025 / 8 | $7.165,00 | 1022 / 10 |
| G.I. Hemorrhage W/O Cc/Mcc | 21 | 47 / 3 | $9.616,81 | 89 / 3 | $4.961,86 | 270 / 7 | $3.307,81 | 268 / 4 |
| Medical Back Problems W/O Mcc | 21 | 100 / 6 | $12.667,50 | 125 / 5 | $5.702,48 | 565 / 7 | $4.337,67 | 563 / 7 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 20 | 25 / 3 | $8.677,15 | 29 / 1 | $4.736,90 | 120 / 2 | $3.335,40 | 120 / 4 |
| Permanent Cardiac Pacemaker Implant W Cc | 20 | 57 / 3 | $39.935,30 | 79 / 3 | $16.016,00 | 272 / 5 | $14.470,70 | 271 / 6 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 20 | 76 / 4 | $23.903,80 | 8 / 1 | $13.455,80 | 252 / 3 | $11.350,20 | 249 / 4 |
| Pulmonary Embolism W/O Mcc | 20 | 54 / 6 | $14.874,00 | 148 / 4 | $6.540,95 | 571 / 5 | $5.301,00 | 568 / 8 |
| Renal Failure W/O Cc/Mcc | 19 | 37 / 5 | $7.841,00 | 54 / 2 | $4.384,21 | 428 / 6 | $3.395,84 | 427 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 6 | $11.370,40 | 77 / 2 | $5.179,89 | 561 / 3 | $3.696,53 | 557 / 7 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 19 | 70 / 2 | $26.110,40 | 218 / 3 | $6.972,32 | 309 / 1 | $5.647,16 | 308 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 5 | $106.031,00 | 441 / 8 | $39.086,90 | 920 / 7 | $35.865,20 | 918 / 8 |
| Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 6 | $53.437,40 | 142 / 1 | $24.023,30 | 614 / 1 | $22.539,30 | 610 / 4 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 7 | $24.977,20 | 469 / 11 | $8.989,65 | 751 / 11 | $7.849,59 | 746 / 13 |
| Cellulitis W Mcc | 17 | 41 / 2 | $23.155,40 | 191 / 3 | $9.371,41 | 311 / 3 | $7.933,41 | 310 / 3 |
| Other Skin, Subcut Tiss & Breast Proc W Cc | 17 | 7 / 1 | $27.173,50 | 10 / 1 | $10.043,70 | 30 / 2 | $8.128,12 | 30 / 2 |
| Other Skin, Subcut Tiss & Breast Proc W Mcc | 17 | 5 / 1 | $31.381,20 | 2 / 1 | $16.085,30 | 13 / 1 | $14.406,80 | 13 / 1 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 16 | 60 / 2 | $26.392,90 | 62 / 4 | $11.712,60 | 120 / 4 | $10.091,30 | 120 / 5 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 4 | $22.370,40 | 220 / 10 | $8.611,93 | 472 / 10 | $7.384,87 | 470 / 11 |
| Other Circulatory System O.R. Procedures | 15 | 40 / 3 | $37.693,40 | 42 / 2 | $17.713,00 | 154 / 3 | $16.124,90 | 154 / 3 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 15 | 29 / 2 | $54.203,80 | 82 / 2 | $18.779,80 | 183 / 3 | $16.767,10 | 182 / 3 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 4 | $31.087,60 | 49 / 1 | $12.953,30 | 268 / 2 | $11.731,40 | 267 / 3 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 3 | $18.481,10 | 182 / 2 | $6.065,64 | 234 / 2 | $4.790,29 | 234 / 2 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 7 | $24.799,50 | 466 / 11 | $7.061,08 | 370 / 9 | $4.938,15 | 369 / 8 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 7 | $19.400,90 | 273 / 8 | $7.787,77 | 362 / 6 | $6.299,85 | 361 / 6 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 13 | 17 / 2 | $38.797,60 | 50 / 2 | $12.936,20 | 97 / 2 | $11.639,20 | 96 / 3 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 5 | $11.337,50 | 37 / 2 | $6.150,23 | 212 / 5 | $5.166,38 | 211 / 5 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 4 | $34.206,80 | 100 / 1 | $11.510,60 | 166 / 2 | $9.983,92 | 166 / 2 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 12 | 79 / 7 | $13.500,20 | 27 / 2 | $7.078,92 | 65 / 2 | $6.301,58 | 65 / 3 |
| Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 3 | $59.922,70 | 143 / 3 | $20.846,20 | 329 / 3 | $19.793,90 | 328 / 3 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 3 | $14.527,80 | 268 / 4 | $5.283,92 | 308 / 5 | $3.489,58 | 309 / 3 |
| Peripheral Vascular Disorders W Mcc | 12 | 37 / 4 | $25.204,20 | 117 / 2 | $8.889,75 | 140 / 2 | $7.271,17 | 140 / 2 |
| Organic Disturbances & Mental Retardation | 12 | 47 / 2 | $25.570,80 | 287 / 3 | $9.277,58 | 366 / 3 | $6.953,00 | 366 / 3 |
| Complications Of Treatment W Mcc | 11 | 40 / 3 | $20.809,10 | 12 / 1 | $10.715,30 | 43 / 1 | $9.301,45 | 43 / 1 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 4 | $13.472,40 | 55 / 3 | $4.794,45 | 161 / 3 | $3.544,36 | 161 / 4 |
| Respiratory Neoplasms W Cc | 11 | 36 / 4 | $17.668,20 | 45 / 1 | $7.664,09 | 153 / 3 | $6.402,82 | 152 / 4 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 7 | $38.295,80 | 168 / 3 | $13.275,50 | 388 / 3 | $12.062,80 | 387 / 4 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 8 | $33.600,50 | 27 / 2 | $18.126,50 | 288 / 5 | $16.496,00 | 285 / 5 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 3 | $17.948,60 | 307 / 2 | $7.306,00 | 774 / 2 | $5.815,18 | 770 / 3 |
| Disorders Of The Biliary Tract W Cc | 11 | 43 / 3 | $27.327,90 | 167 / 3 | $6.944,09 | 107 / 2 | $5.552,73 | 107 / 2 |
| Diabetes W Mcc | 11 | 46 / 6 | $23.436,50 | 142 / 3 | $8.995,82 | 206 / 4 | $7.585,27 | 206 / 3 | Total 102 procedures | 3.691 | 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.