Hospital Costs > In West Virginia > Weirton 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 | 79 | 485 / 15 | $33.659,80 | 383 / 7 | $11.302,30 | 149 / 2 | $9.535,61 | 149 / 5 |
Chronic Obstructive Pulmonary Disease W Mcc | 72 | 130 / 7 | $11.442,00 | 95 / 4 | $6.416,33 | 97 / 3 | $5.151,69 | 97 / 4 |
Simple Pneumonia & Pleurisy W Mcc | 69 | 136 / 7 | $15.881,10 | 162 / 7 | $7.821,77 | 112 / 3 | $6.622,03 | 112 / 4 |
Simple Pneumonia & Pleurisy W Cc | 57 | 146 / 9 | $10.858,40 | 163 / 5 | $5.491,14 | 111 / 2 | $4.164,14 | 111 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 53 | 222 / 13 | $8.419,36 | 119 / 4 | $4.201,60 | 194 / 2 | $3.106,25 | 194 / 5 |
Heart Failure & Shock W Mcc | 52 | 232 / 11 | $15.712,80 | 175 / 4 | $7.946,13 | 109 / 1 | $6.990,44 | 109 / 5 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 49 | 139 / 6 | $21.066,00 | 132 / 6 | $5.935,47 | 50 / 1 | $4.561,96 | 50 / 2 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 47 | 469 / 19 | $19.486,80 | 239 / 6 | $10.035,00 | 193 / 3 | $8.914,64 | 193 / 4 |
Cellulitis W/O Mcc | 44 | 145 / 9 | $6.613,73 | 28 / 3 | $4.691,41 | 136 / 2 | $3.452,59 | 136 / 4 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 43 | 77 / 10 | $7.513,56 | 71 / 2 | $4.144,21 | 215 / 2 | $3.034,67 | 215 / 3 |
Renal Failure W Cc | 42 | 179 / 13 | $12.297,00 | 240 / 8 | $5.413,81 | 184 / 2 | $4.347,24 | 183 / 3 |
Heart Failure & Shock W Cc | 41 | 237 / 15 | $10.388,70 | 145 / 4 | $5.446,78 | 87 / 2 | $4.312,80 | 87 / 2 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 40 | 53 / 3 | $8.817,33 | 133 / 6 | $4.076,75 | 235 / 1 | $2.968,60 | 233 / 5 |
Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 15 | $10.346,60 | 120 / 4 | $5.206,68 | 222 / 3 | $4.222,05 | 222 / 7 |
Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 15 | $8.891,50 | 188 / 5 | $4.384,53 | 223 / 2 | $3.334,79 | 223 / 6 |
Renal Failure W Mcc | 29 | 166 / 11 | $15.425,20 | 77 / 3 | $8.226,21 | 91 / 1 | $7.188,21 | 91 / 3 |
G.I. Hemorrhage W Cc | 28 | 190 / 16 | $15.801,20 | 367 / 11 | $5.517,00 | 101 / 2 | $4.368,25 | 101 / 3 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 28 | 122 / 9 | $9.912,71 | 341 / 15 | $3.540,96 | 415 / 4 | $2.368,89 | 412 / 6 |
Other Vascular Procedures W Cc | 28 | 74 / 5 | $75.756,00 | 607 / 11 | $19.414,70 | 849 / 10 | $17.891,70 | 844 / 10 |
Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 10 | $6.805,19 | 49 / 3 | $3.883,52 | 217 / 2 | $2.986,96 | 215 / 3 |
Syncope & Collapse | 24 | 145 / 10 | $9.660,92 | 95 / 2 | $4.163,75 | 87 / 1 | $2.960,00 | 87 / 1 |
Other Vascular Procedures W Mcc | 22 | 75 / 5 | $97.412,80 | 573 / 9 | $28.821,80 | 866 / 8 | $27.624,60 | 863 / 9 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 22 | 174 / 12 | $65.641,50 | 583 / 12 | $12.942,10 | 794 / 6 | $11.634,10 | 789 / 11 |
Respiratory Infections & Inflammations W Mcc | 21 | 115 / 11 | $17.052,40 | 44 / 2 | $10.144,70 | 28 / 1 | $8.865,52 | 28 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 9 | $16.026,50 | 154 / 5 | $6.676,48 | 90 / 2 | $5.579,14 | 90 / 2 |
Red Blood Cell Disorders W/O Mcc | 21 | 122 / 12 | $11.063,00 | 159 / 8 | $4.533,24 | 199 / 2 | $3.623,90 | 199 / 4 |
Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 11 | $25.983,80 | 100 / 1 | $10.635,60 | 43 / 1 | $8.871,26 | 43 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 15 | $8.579,11 | 54 / 1 | $4.484,83 | 332 / 2 | $3.649,50 | 332 / 5 |
Transient Ischemia | 18 | 107 / 11 | $10.269,40 | 65 / 3 | $4.014,94 | 194 / 2 | $3.005,50 | 194 / 4 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 18 | 75 / 4 | $34.984,40 | 88 / 4 | $10.579,30 | 4 / 1 | $9.141,67 | 4 / 1 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 7 | $12.271,50 | 36 / 1 | $7.506,29 | 64 / 1 | $6.323,00 | 64 / 2 |
Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 13 | $11.623,60 | 93 / 2 | $6.149,47 | 77 / 1 | $4.961,47 | 77 / 1 |
Medical Back Problems W/O Mcc | 16 | 105 / 7 | $9.466,06 | 44 / 2 | $4.830,94 | 243 / 2 | $3.853,56 | 243 / 2 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 19 | $10.660,90 | 81 / 2 | $5.581,67 | 20 / 1 | $4.155,53 | 20 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 19 | $8.598,53 | 197 / 8 | $4.006,73 | 82 / 2 | $2.790,33 | 82 / 1 |
Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 7 | $44.857,90 | 25 / 1 | $24.676,40 | 32 / 1 | $23.322,30 | 32 / 1 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 10 | $20.672,60 | 57 / 1 | $9.812,00 | 97 / 1 | $9.104,40 | 97 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 13 | $17.196,10 | 301 / 9 | $5.872,13 | 115 / 1 | $4.621,07 | 115 / 2 |
Pleural Effusion W Mcc | 14 | 16 / 1 | $17.492,90 | 6 / 1 | $8.117,86 | 1 / 1 | $6.404,00 | 1 / 1 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 6 | $19.559,20 | 148 / 4 | $6.877,54 | 75 / 1 | $5.988,31 | 75 / 5 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 12 | $61.202,50 | 109 / 6 | $24.011,30 | 19 / 2 | $22.481,10 | 19 / 2 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 14 | $30.014,90 | 125 / 7 | $11.947,70 | 61 / 2 | $10.861,70 | 61 / 4 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 9 | $78.864,20 | 264 / 9 | $21.597,90 | 561 / 8 | $20.341,20 | 557 / 9 |
Chest Pain | 13 | 138 / 14 | $8.648,46 | 90 / 4 | $3.598,46 | 111 / 1 | $2.376,92 | 111 / 1 |
G.I. Hemorrhage W Mcc | 13 | 108 / 13 | $20.759,60 | 81 / 1 | $9.374,92 | 34 / 2 | $8.105,85 | 34 / 2 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 11 | $6.509,92 | 3 / 1 | $5.310,92 | 61 / 2 | $4.227,58 | 61 / 2 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 6 | $44.999,10 | 38 / 2 | $20.423,30 | 93 / 4 | $18.931,60 | 93 / 3 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 4 | $13.896,00 | 59 / 4 | $4.030,00 | 23 / 1 | $2.651,45 | 23 / 2 |
Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 9 | $81.283,40 | 632 / 10 | $21.872,30 | 843 / 9 | $20.641,70 | 839 / 10 |
Cellulitis W Mcc | 11 | 47 / 4 | $10.137,90 | 7 / 1 | $7.869,55 | 34 / 2 | $6.529,91 | 34 / 2 | Total 50 procedures | 1.381 | 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.