Hospital Costs > In Ohio > Upper Valley Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 117 | 399 / 51 | $43.361,40 | 1496 / 78 | $10.213,80 | 379 / 19 | $9.315,52 | 379 / 27 |
Chronic Obstructive Pulmonary Disease W Mcc | 102 | 100 / 14 | $27.378,90 | 1297 / 74 | $6.950,14 | 199 / 29 | $5.418,74 | 198 / 11 |
Chronic Obstructive Pulmonary Disease W Cc | 78 | 101 / 15 | $22.417,00 | 1247 / 77 | $5.770,95 | 105 / 41 | $4.022,17 | 105 / 7 |
Heart Failure & Shock W Mcc | 78 | 206 / 38 | $39.046,60 | 1607 / 85 | $9.436,67 | 228 / 60 | $7.280,46 | 228 / 10 |
Simple Pneumonia & Pleurisy W Mcc | 74 | 131 / 17 | $35.029,40 | 1354 / 79 | $8.469,20 | 125 / 33 | $6.657,54 | 125 / 12 |
Heart Failure & Shock W Cc | 62 | 216 / 50 | $25.031,00 | 1667 / 89 | $5.883,32 | 408 / 28 | $4.798,31 | 408 / 23 |
Pulmonary Edema & Respiratory Failure | 57 | 146 / 29 | $32.991,30 | 1201 / 64 | $7.709,65 | 293 / 39 | $6.077,53 | 293 / 15 |
Simple Pneumonia & Pleurisy W Cc | 55 | 148 / 26 | $26.304,20 | 1724 / 98 | $5.742,11 | 548 / 22 | $4.684,93 | 545 / 34 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 51 | 224 / 47 | $22.518,40 | 1675 / 88 | $4.671,24 | 814 / 30 | $3.640,00 | 809 / 45 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 47 | 517 / 78 | $53.592,30 | 1453 / 84 | $12.596,30 | 706 / 29 | $10.634,30 | 696 / 48 |
Renal Failure W Mcc | 43 | 152 / 40 | $34.076,00 | 1007 / 59 | $8.468,33 | 125 / 14 | $7.334,72 | 125 / 9 |
Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 46 | $21.486,90 | 1724 / 97 | $4.742,50 | 985 / 31 | $3.951,97 | 977 / 64 |
Renal Failure W Cc | 37 | 184 / 51 | $25.491,40 | 1464 / 77 | $5.917,59 | 448 / 36 | $4.696,73 | 445 / 31 |
G.I. Hemorrhage W Cc | 37 | 181 / 44 | $28.961,20 | 1495 / 77 | $6.079,65 | 763 / 28 | $5.145,35 | 761 / 54 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 35 | 88 / 26 | $32.078,20 | 1050 / 62 | $7.558,37 | 279 / 34 | $6.005,26 | 278 / 21 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 34 | 173 / 34 | $25.854,60 | 1319 / 72 | $6.462,21 | 392 / 31 | $5.082,26 | 390 / 22 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 34 | 86 / 21 | $20.621,90 | 1304 / 85 | $4.570,91 | 478 / 31 | $3.305,68 | 477 / 34 |
Cellulitis W/O Mcc | 32 | 157 / 47 | $20.138,90 | 1499 / 86 | $5.549,97 | 339 / 55 | $3.740,47 | 336 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 34 | $24.143,30 | 740 / 38 | $6.123,30 | 395 / 16 | $5.105,60 | 394 / 32 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 36 | $24.392,80 | 1370 / 84 | $4.947,83 | 593 / 29 | $3.903,83 | 590 / 42 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 31 | $69.213,70 | 1128 / 62 | $13.943,00 | 574 / 34 | $12.636,40 | 566 / 40 |
Hip & Femur Procedures Except Major Joint W Cc | 29 | 114 / 26 | $53.995,10 | 1177 / 65 | $10.769,00 | 299 / 14 | $9.729,41 | 298 / 22 |
G.I. Obstruction W Cc | 24 | 68 / 19 | $20.026,80 | 659 / 44 | $5.651,92 | 294 / 28 | $4.188,79 | 293 / 23 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 17 | $19.913,80 | 1191 / 63 | $4.616,33 | 242 / 33 | $2.979,08 | 240 / 14 |
G.I. Hemorrhage W Mcc | 23 | 98 / 28 | $41.423,40 | 748 / 45 | $10.299,90 | 161 / 28 | $8.722,87 | 161 / 16 |
Red Blood Cell Disorders W/O Mcc | 23 | 120 / 31 | $25.745,40 | 1300 / 72 | $5.019,74 | 231 / 28 | $3.676,13 | 231 / 20 |
Other Circulatory System Diagnoses W Mcc | 22 | 94 / 26 | $42.452,00 | 555 / 38 | $10.672,60 | 258 / 15 | $9.838,14 | 258 / 29 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 37 | $33.769,00 | 568 / 40 | $9.406,40 | 323 / 17 | $8.601,15 | 323 / 26 |
Syncope & Collapse | 17 | 152 / 40 | $19.562,10 | 811 / 50 | $4.586,12 | 295 / 32 | $3.326,29 | 293 / 24 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 47 | $22.651,90 | 1755 / 94 | $4.453,00 | 715 / 38 | $3.465,18 | 713 / 44 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 16 | 152 / 35 | $37.956,20 | 629 / 36 | $9.590,62 | 185 / 14 | $8.450,75 | 184 / 17 |
Respiratory Infections & Inflammations W Cc | 16 | 72 / 25 | $29.967,90 | 686 / 46 | $7.707,44 | 406 / 13 | $7.169,38 | 403 / 22 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 20 | $23.716,00 | 588 / 31 | $5.721,07 | 247 / 10 | $4.693,47 | 247 / 19 |
Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 22 | $23.430,70 | 445 / 28 | $5.635,13 | 280 / 3 | $5.103,13 | 280 / 24 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 44 | $55.980,50 | 1194 / 69 | $11.369,00 | 446 / 32 | $10.362,60 | 443 / 34 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 43 | $16.724,60 | 1166 / 69 | $4.046,79 | 268 / 59 | $2.219,43 | 266 / 16 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 40 | $32.307,30 | 1258 / 76 | $6.625,86 | 417 / 30 | $5.587,21 | 416 / 35 |
Other Resp System O.R. Procedures W Mcc | 13 | 50 / 12 | $78.716,40 | 201 / 13 | $26.208,50 | 4 / 19 | $14.528,50 | 4 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 25 | $36.969,10 | 877 / 51 | $7.473,08 | 367 / 29 | $6.378,92 | 365 / 28 |
G.I. Obstruction W Mcc | 12 | 30 / 9 | $39.293,90 | 242 / 10 | $9.263,50 | 89 / 6 | $8.361,67 | 89 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 32 | $22.279,80 | 735 / 41 | $4.684,42 | 345 / 17 | $3.430,67 | 342 / 21 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 23 | $127.210,00 | 424 / 27 | $28.126,90 | 147 / 5 | $27.101,00 | 147 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 37 | $28.312,70 | 877 / 51 | $6.586,45 | 385 / 20 | $5.852,00 | 382 / 30 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 27 | $105.685,00 | 439 / 26 | $22.261,80 | 11 / 1 | $21.318,60 | 11 / 3 | Total 44 procedures | 1.485 | 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.