Hospital Costs > In Idaho > West Valley Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Psychoses | 165 | 144 / 3 | $17.036,90 | 248 / 1 | $6.916,23 | 290 / 1 | $5.911,38 | 290 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 100 | 464 / 9 | $60.763,10 | 1719 / 11 | $13.556,70 | 1513 / 4 | $12.082,50 | 1478 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 88 | 428 / 8 | $38.226,10 | 1224 / 8 | $11.572,80 | 1339 / 2 | $10.710,60 | 1314 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 45 | 149 / 6 | $140.828,00 | 1066 / 9 | $36.650,10 | 544 / 10 | $22.073,30 | 541 / 4 |
| Pulmonary Edema & Respiratory Failure | 24 | 179 / 7 | $27.367,30 | 879 / 6 | $7.976,29 | 1050 / 3 | $7.018,96 | 1048 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 8 | $21.607,90 | 1570 / 9 | $5.111,26 | 1691 / 1 | $4.325,17 | 1678 / 6 |
| Heart Failure & Shock W Mcc | 22 | 262 / 8 | $26.478,90 | 861 / 5 | $8.821,64 | 850 / 1 | $8.107,45 | 850 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 9 | $24.338,90 | 1192 / 9 | $7.354,20 | 1158 / 6 | $5.819,25 | 1153 / 3 |
| Renal Failure W Cc | 18 | 203 / 7 | $15.613,00 | 518 / 4 | $6.595,72 | 1525 / 4 | $5.790,39 | 1516 / 6 |
| G.I. Hemorrhage W Cc | 18 | 200 / 9 | $23.222,80 | 1052 / 7 | $6.614,78 | 1340 / 3 | $5.745,44 | 1337 / 4 |
| Heart Failure & Shock W Cc | 17 | 261 / 9 | $22.317,10 | 1430 / 8 | $6.535,35 | 1287 / 3 | $5.539,59 | 1283 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 16 | 88 / 7 | $80.863,10 | 674 / 8 | $14.085,20 | 513 / 2 | $12.875,20 | 510 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 6 | $15.540,20 | 1017 / 6 | $5.520,94 | 1690 / 4 | $4.538,94 | 1679 / 6 |
| Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 9 | $60.207,60 | 1355 / 9 | $12.370,60 | 1079 / 2 | $11.244,20 | 1065 / 5 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 2 | $18.753,60 | 256 / 1 | $6.371,07 | 577 / 2 | $5.556,21 | 574 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 4 | $36.567,10 | 684 / 4 | $10.316,40 | 638 / 2 | $9.292,38 | 637 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 7 | $21.440,50 | 484 / 2 | $8.434,00 | 689 / 4 | $6.360,38 | 686 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 7 | $19.015,10 | 963 / 8 | $5.616,38 | 1380 / 5 | $4.779,46 | 1375 / 7 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 8 | $23.415,00 | 593 / 3 | $8.643,31 | 765 / 1 | $7.616,85 | 765 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 7 | $28.052,80 | 1349 / 5 | $8.402,00 | 1019 / 4 | $6.261,83 | 1014 / 1 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 6 | $18.823,80 | 329 / 4 | $6.477,50 | 707 / 2 | $5.576,17 | 704 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 8 | $22.847,50 | 1437 / 7 | $6.718,36 | 1868 / 2 | $5.950,36 | 1860 / 5 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 2 | $22.951,30 | 387 / 3 | $5.319,00 | 568 / 2 | $4.548,09 | 564 / 3 | Total 23 procedures | 699 | 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.