Hospital Costs > In Washington > Valley Medical 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 | 415 | 173 / 4 | $76.157,90 | 2135 / 30 | $17.237,70 | 1811 / 37 | $12.923,00 | 1770 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 381 | 150 / 5 | $34.254,50 | 1018 / 9 | $14.045,30 | 2044 / 34 | $12.531,90 | 2007 / 32 |
| Heart Failure & Shock W Mcc | 173 | 111 / 4 | $26.677,70 | 873 / 9 | $11.501,20 | 1973 / 32 | $10.288,50 | 1966 / 31 |
| Pulmonary Edema & Respiratory Failure | 126 | 77 / 5 | $24.414,80 | 687 / 7 | $9.777,09 | 1700 / 28 | $8.465,48 | 1695 / 30 |
| Renal Failure W Mcc | 111 | 85 / 1 | $28.481,00 | 680 / 9 | $11.921,20 | 1596 / 35 | $10.639,10 | 1594 / 34 |
| G.I. Hemorrhage W Cc | 95 | 123 / 7 | $25.217,90 | 1212 / 17 | $8.186,97 | 1921 / 32 | $6.987,51 | 1917 / 37 |
| Renal Failure W Cc | 88 | 133 / 6 | $18.117,10 | 784 / 6 | $7.805,07 | 1934 / 32 | $6.759,10 | 1924 / 35 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 70 | 137 / 17 | $21.520,00 | 922 / 8 | $8.636,27 | 1953 / 29 | $7.163,06 | 1945 / 36 |
| Spinal Fusion Except Cervical W/O Mcc | 66 | 128 / 11 | $107.300,00 | 812 / 12 | $29.280,50 | 1053 / 14 | $27.323,80 | 1048 / 22 |
| Heart Failure & Shock W Cc | 66 | 212 / 16 | $18.049,00 | 939 / 5 | $8.088,91 | 2171 / 36 | $6.922,47 | 2165 / 37 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 62 | 120 / 11 | $22.036,10 | 598 / 6 | $8.639,55 | 1536 / 33 | $6.992,87 | 1533 / 38 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 61 | 107 / 8 | $30.466,20 | 358 / 6 | $13.088,90 | 1182 / 28 | $12.009,40 | 1176 / 31 |
| Simple Pneumonia & Pleurisy W Mcc | 61 | 144 / 11 | $26.451,80 | 798 / 10 | $11.719,90 | 1780 / 33 | $9.336,51 | 1780 / 25 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 51 | 80 / 7 | $44.968,80 | 481 / 4 | $17.178,30 | 1243 / 21 | $15.334,70 | 1230 / 18 |
| Kidney & Urinary Tract Infections W Mcc | 50 | 94 / 4 | $21.899,20 | 701 / 11 | $8.802,82 | 1558 / 26 | $7.862,96 | 1554 / 32 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 45 | 81 / 5 | $24.231,90 | 656 / 8 | $9.104,80 | 1310 / 26 | $8.196,76 | 1307 / 29 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 44 | 231 / 24 | $20.598,20 | 1464 / 16 | $6.403,59 | 2123 / 32 | $5.054,34 | 2109 / 36 |
| Hip & Femur Procedures Except Major Joint W Cc | 43 | 100 / 12 | $98.660,30 | 1880 / 39 | $16.345,70 | 1822 / 36 | $15.182,70 | 1803 / 39 |
| Psychoses | 43 | 234 / 7 | $24.208,40 | 400 / 9 | $8.798,54 | 460 / 13 | $7.374,70 | 460 / 13 |
| Kidney & Urinary Tract Infections W/O Mcc | 43 | 190 / 11 | $16.206,60 | 1105 / 6 | $6.577,72 | 2123 / 34 | $5.249,33 | 2112 / 34 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 43 | 81 / 9 | $112.678,00 | 653 / 16 | $40.567,30 | 980 / 26 | $35.212,50 | 974 / 17 |
| G.I. Obstruction W Cc | 41 | 51 / 4 | $18.151,50 | 526 / 6 | $7.353,93 | 1395 / 26 | $6.211,10 | 1390 / 30 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 41 | 155 / 16 | $59.689,00 | 447 / 7 | $16.305,90 | 1064 / 17 | $12.985,20 | 1057 / 21 |
| G.I. Hemorrhage W Mcc | 40 | 81 / 10 | $37.088,40 | 594 / 9 | $13.169,50 | 1195 / 26 | $12.187,90 | 1187 / 27 |
| Other Circulatory System Diagnoses W Mcc | 37 | 79 / 4 | $37.309,10 | 405 / 6 | $14.998,00 | 994 / 17 | $13.522,30 | 987 / 16 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 36 | 65 / 7 | $23.807,70 | 220 / 4 | $11.685,50 | 808 / 18 | $10.948,20 | 805 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 36 | 87 / 12 | $26.375,20 | 750 / 10 | $9.755,83 | 1457 / 29 | $8.519,00 | 1454 / 35 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 35 | 90 / 9 | $33.947,60 | 576 / 5 | $13.004,70 | 1357 / 28 | $11.805,30 | 1346 / 28 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 14 | $18.524,50 | 909 / 9 | $6.620,49 | 1683 / 33 | $5.418,51 | 1678 / 35 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 15 | $13.846,00 | 810 / 6 | $6.031,30 | 2136 / 31 | $5.333,73 | 2128 / 37 |
| Seizures W/O Mcc | 32 | 76 / 4 | $24.444,00 | 753 / 11 | $6.532,16 | 884 / 14 | $5.028,66 | 881 / 14 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 30 | 66 / 7 | $35.301,20 | 812 / 22 | $10.319,30 | 1175 / 28 | $9.120,33 | 1170 / 29 |
| Cellulitis W/O Mcc | 30 | 159 / 21 | $23.371,40 | 1768 / 29 | $7.661,50 | 2283 / 39 | $6.461,37 | 2275 / 41 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 29 | 43 / 5 | $33.117,30 | 424 / 9 | $11.650,00 | 750 / 21 | $10.288,80 | 748 / 22 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 29 | 40 / 4 | $92.098,60 | 385 / 7 | $19.683,60 | 373 / 5 | $17.572,90 | 373 / 10 |
| Revision Of Hip Or Knee Replacement W Cc | 28 | 58 / 5 | $117.639,00 | 535 / 14 | $27.747,50 | 546 / 12 | $24.721,20 | 544 / 13 |
| Major Small & Large Bowel Procedures W Cc | 27 | 81 / 10 | $90.427,40 | 1116 / 24 | $20.781,20 | 1352 / 26 | $19.755,10 | 1338 / 31 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 26 | $16.441,90 | 734 / 7 | $8.035,48 | 2207 / 35 | $6.641,30 | 2199 / 36 |
| Seizures W Mcc | 26 | 40 / 2 | $31.921,20 | 205 / 5 | $11.618,00 | 505 / 10 | $10.612,20 | 505 / 11 |
| Other Vascular Procedures W Mcc | 25 | 72 / 4 | $134.060,00 | 803 / 15 | $32.896,80 | 933 / 15 | $30.977,40 | 930 / 15 |
| Cervical Spinal Fusion W/O Cc/Mcc | 25 | 79 / 8 | $68.381,70 | 558 / 14 | $16.223,20 | 595 / 7 | $13.591,20 | 592 / 11 |
| Respiratory Infections & Inflammations W Mcc | 24 | 112 / 17 | $30.728,80 | 404 / 6 | $14.959,50 | 1435 / 31 | $13.850,80 | 1420 / 33 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 13 | $18.621,90 | 479 / 6 | $6.582,83 | 1244 / 27 | $4.984,96 | 1240 / 29 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 23 | 66 / 7 | $50.967,20 | 590 / 17 | $9.862,65 | 487 / 17 | $6.475,30 | 486 / 12 |
| Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 20 | $19.403,80 | 662 / 6 | $9.329,35 | 2046 / 32 | $8.091,04 | 2038 / 35 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 17 | $20.139,80 | 1017 / 14 | $7.593,41 | 1971 / 26 | $6.591,73 | 1964 / 32 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 22 | 70 / 3 | $129.332,00 | 382 / 1 | $42.314,60 | 606 / 2 | $38.686,20 | 605 / 4 |
| Hip & Femur Procedures Except Major Joint W Mcc | 22 | 40 / 5 | $98.373,70 | 683 / 17 | $22.605,70 | 752 / 15 | $21.297,60 | 749 / 17 |
| Peripheral Vascular Disorders W Mcc | 21 | 28 / 1 | $26.219,90 | 132 / 1 | $10.577,60 | 381 / 5 | $9.234,05 | 381 / 5 |
| Medical Back Problems W/O Mcc | 20 | 101 / 10 | $20.224,10 | 548 / 4 | $7.110,25 | 1161 / 20 | $5.836,05 | 1157 / 21 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 11 | $22.632,80 | 1108 / 16 | $6.776,95 | 1561 / 20 | $5.691,95 | 1552 / 26 |
| Syncope & Collapse | 19 | 150 / 16 | $18.480,60 | 723 / 7 | $6.259,26 | 1341 / 26 | $4.682,53 | 1334 / 20 |
| Nonspecific Cerebrovascular Disorders W Mcc | 19 | 32 / 5 | $32.420,50 | 132 / 2 | $12.817,10 | 304 / 4 | $11.955,40 | 304 / 7 |
| Other Digestive System Diagnoses W Mcc | 19 | 43 / 4 | $29.450,90 | 152 / 4 | $12.706,00 | 496 / 10 | $11.791,40 | 495 / 13 |
| Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 15 | $15.272,50 | 878 / 7 | $5.889,26 | 1642 / 26 | $4.822,16 | 1629 / 29 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 13 | $27.797,70 | 788 / 20 | $8.865,33 | 1032 / 27 | $6.612,39 | 1028 / 27 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 14 | $23.508,80 | 448 / 8 | $8.369,78 | 1107 / 22 | $7.129,50 | 1105 / 26 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 18 | 48 / 7 | $55.658,20 | 314 / 4 | $16.291,40 | 362 / 10 | $11.954,50 | 359 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 12 | $98.004,80 | 636 / 17 | $24.049,80 | 741 / 15 | $22.923,60 | 738 / 19 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 17 | 38 / 5 | $75.633,60 | 463 / 13 | $17.938,60 | 346 / 16 | $11.795,60 | 344 / 6 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 11 | $82.915,80 | 674 / 15 | $17.192,90 | 627 / 16 | $14.355,90 | 623 / 13 |
| Digestive Malignancy W Cc | 16 | 31 / 2 | $26.101,60 | 96 / 2 | $9.906,50 | 287 / 3 | $9.014,12 | 285 / 5 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 8 | $14.100,10 | 465 / 10 | $5.476,19 | 1041 / 18 | $4.093,50 | 1038 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 21 | $16.100,50 | 1108 / 18 | $5.146,87 | 1558 / 31 | $3.644,87 | 1552 / 30 |
| Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 3 | $26.535,90 | 427 / 5 | $8.009,53 | 499 / 7 | $6.076,40 | 499 / 6 |
| Cellulitis W Mcc | 15 | 43 / 7 | $25.960,10 | 278 / 4 | $11.127,50 | 713 / 14 | $10.132,70 | 711 / 14 |
| Nonspecific Cerebrovascular Disorders W Cc | 15 | 41 / 10 | $31.780,80 | 309 / 10 | $7.820,93 | 351 / 10 | $6.728,60 | 351 / 13 |
| Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 15 | 25 / 3 | $139.929,00 | 25 / 1 | $49.115,70 | 46 / 1 | $47.871,20 | 46 / 1 |
| Transient Ischemia | 15 | 110 / 16 | $19.594,40 | 637 / 6 | $6.009,07 | 1290 / 22 | $4.808,13 | 1284 / 23 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 21 | $32.028,30 | 614 / 8 | $8.664,86 | 1306 / 21 | $7.505,64 | 1303 / 27 |
| Diabetes W Cc | 14 | 78 / 10 | $20.485,00 | 729 / 8 | $7.037,29 | 1096 / 21 | $5.391,00 | 1092 / 16 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 14 | 62 / 6 | $31.023,90 | 109 / 3 | $14.031,00 | 280 / 6 | $12.002,70 | 280 / 2 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 13 | $57.327,30 | 306 / 6 | $19.088,80 | 697 / 12 | $17.836,10 | 696 / 15 |
| Other Resp System O.R. Procedures W Mcc | 13 | 50 / 4 | $63.244,70 | 120 / 1 | $26.595,20 | 422 / 5 | $25.549,40 | 421 / 6 |
| Diabetes W Mcc | 13 | 44 / 8 | $26.658,40 | 212 / 4 | $10.467,50 | 509 / 7 | $9.545,69 | 509 / 9 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 13 | 29 / 4 | $37.894,20 | 100 / 2 | $13.661,80 | 170 / 3 | $12.238,20 | 170 / 3 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 14 | $156.454,00 | 842 / 19 | $45.548,40 | 1168 / 22 | $44.327,80 | 1165 / 24 |
| Cervical Spinal Fusion W Cc | 11 | 42 / 7 | $73.767,70 | 189 / 3 | $21.366,00 | 238 / 5 | $18.417,90 | 237 / 5 |
| Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 11 | 20 / 3 | $43.903,30 | 31 / 2 | $13.443,80 | 100 / 1 | $12.228,30 | 100 / 1 |
| Degenerative Nervous System Disorders W Mcc | 11 | 27 / 5 | $39.106,30 | 103 / 2 | $14.637,50 | 167 / 4 | $13.469,80 | 167 / 5 |
| Pulmonary Embolism W Mcc | 11 | 32 / 9 | $30.003,70 | 161 / 3 | $11.241,10 | 324 / 9 | $9.047,82 | 324 / 3 |
| G.I. Obstruction W Mcc | 11 | 31 / 8 | $32.572,00 | 165 / 4 | $12.353,20 | 366 / 8 | $11.079,20 | 366 / 7 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 6 | $31.201,40 | 119 / 3 | $13.030,00 | 459 / 9 | $11.889,00 | 457 / 9 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 9 | $108.004,00 | 280 / 3 | $34.927,10 | 511 / 3 | $33.789,90 | 511 / 5 | Total 84 procedures | 3.485 | 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.