Hospital Costs > In West Virginia > Wetzel County Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
G.I. Hemorrhage W Cc | 13 | 205 / 19 | $13.716,20 | 204 / 7 | $5.764,23 | 66 / 4 | $4.243,38 | 66 / 2 |
Heart Failure & Shock W Mcc | 19 | 265 / 19 | $17.700,50 | 287 / 7 | $8.933,11 | 896 / 12 | $8.153,05 | 895 / 16 |
Pulmonary Edema & Respiratory Failure | 16 | 187 / 18 | $17.661,60 | 265 / 10 | $7.330,31 | 469 / 7 | $6.306,06 | 469 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 39 | 477 / 21 | $19.498,40 | 240 / 7 | $10.597,60 | 616 / 9 | $9.685,46 | 615 / 12 |
Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 23 | $13.791,90 | 421 / 14 | $5.956,50 | 1238 / 10 | $5.253,79 | 1234 / 22 | Total 5 procedures | 101 | 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.