Hospital Costs > In West Virginia > Wheeling Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Heart Failure & Shock W Cc | 79 | 199 / 7 | $10.490,60 | 150 / 5 | $6.677,66 | 1165 / 22 | $5.413,94 | 1162 / 20 |
| Heart Failure & Shock W Mcc | 69 | 215 / 8 | $15.346,40 | 156 / 3 | $9.782,68 | 861 / 21 | $8.119,70 | 861 / 14 |
| Cellulitis W/O Mcc | 68 | 121 / 4 | $8.894,87 | 155 / 7 | $5.790,06 | 1073 / 20 | $4.326,12 | 1067 / 19 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 67 | 449 / 17 | $21.598,20 | 345 / 10 | $11.339,60 | 622 / 16 | $9.693,13 | 621 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 63 | 212 / 9 | $11.585,50 | 337 / 13 | $5.312,25 | 994 / 20 | $3.761,67 | 986 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 59 | 505 / 17 | $22.082,20 | 29 / 1 | $13.076,90 | 949 / 17 | $10.967,60 | 930 / 15 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 54 | 142 / 8 | $32.160,80 | 33 / 1 | $12.344,20 | 99 / 4 | $9.415,78 | 99 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 54 | 179 / 10 | $9.337,54 | 217 / 7 | $5.327,02 | 780 / 18 | $3.812,06 | 775 / 12 |
| Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 12 | $11.788,40 | 239 / 7 | $6.598,52 | 912 / 21 | $5.010,00 | 909 / 15 |
| Renal Failure W Cc | 49 | 172 / 12 | $9.826,45 | 85 / 4 | $6.408,67 | 1006 / 16 | $5.187,29 | 998 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 44 | 106 / 5 | $6.902,68 | 70 / 2 | $4.124,50 | 779 / 13 | $2.657,18 | 775 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 41 | 164 / 13 | $20.274,00 | 407 / 11 | $9.687,83 | 1014 / 21 | $7.886,32 | 1014 / 18 |
| G.I. Hemorrhage W Cc | 40 | 178 / 11 | $14.095,80 | 231 / 8 | $6.651,42 | 650 / 17 | $5.048,77 | 649 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 40 | 162 / 14 | $11.142,00 | 81 / 3 | $7.579,42 | 922 / 17 | $6.174,27 | 917 / 15 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 7 | $10.483,10 | 367 / 12 | $5.016,58 | 897 / 20 | $3.574,53 | 894 / 15 |
| Other Vascular Procedures W Cc | 38 | 64 / 3 | $55.128,70 | 282 / 6 | $18.399,70 | 743 / 7 | $16.775,80 | 739 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 8 | $16.694,90 | 253 / 7 | $7.345,74 | 302 / 13 | $4.982,32 | 301 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 10 | $12.430,20 | 173 / 6 | $7.357,39 | 554 / 16 | $5.269,03 | 552 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 38 | 72 / 5 | $7.764,66 | 100 / 4 | $4.857,05 | 584 / 16 | $3.377,63 | 582 / 7 |
| Respiratory Infections & Inflammations W Mcc | 37 | 99 / 6 | $19.243,40 | 84 / 4 | $12.053,70 | 316 / 9 | $10.048,30 | 316 / 5 |
| Respiratory Infections & Inflammations W Cc | 36 | 52 / 3 | $13.782,30 | 69 / 3 | $8.773,25 | 453 / 9 | $7.248,08 | 450 / 8 |
| Red Blood Cell Disorders W/O Mcc | 33 | 110 / 4 | $9.402,45 | 80 / 2 | $5.499,58 | 631 / 16 | $4.122,67 | 627 / 14 |
| Chronic Obstructive Pulmonary Disease W Cc | 33 | 146 / 17 | $10.565,00 | 131 / 5 | $6.334,42 | 917 / 21 | $4.888,79 | 914 / 16 |
| Pulmonary Edema & Respiratory Failure | 33 | 170 / 13 | $11.846,00 | 32 / 3 | $7.903,24 | 620 / 15 | $6.474,76 | 620 / 11 |
| Extracranial Procedures W/O Cc/Mcc | 32 | 66 / 4 | $13.896,20 | 44 / 2 | $6.586,34 | 221 / 5 | $5.013,06 | 221 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 9 | $8.805,29 | 63 / 3 | $5.422,97 | 875 / 14 | $4.175,35 | 872 / 17 |
| Transient Ischemia | 30 | 95 / 6 | $14.556,40 | 269 / 12 | $5.809,23 | 1098 / 15 | $4.237,07 | 1092 / 16 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 9 | $30.028,00 | 126 / 8 | $13.975,30 | 122 / 11 | $11.292,40 | 122 / 6 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 28 | 63 / 3 | $15.210,70 | 33 / 3 | $7.241,79 | 71 / 4 | $6.373,29 | 71 / 4 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 7 | $8.460,15 | 109 / 5 | $5.076,38 | 556 / 15 | $3.283,85 | 554 / 10 |
| Medical Back Problems W/O Mcc | 25 | 96 / 4 | $8.875,12 | 35 / 1 | $5.623,04 | 556 / 6 | $4.317,92 | 554 / 6 |
| G.I. Obstruction W Cc | 23 | 69 / 6 | $10.145,30 | 59 / 2 | $6.151,91 | 569 / 12 | $4.544,87 | 568 / 9 |
| Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 10 | $27.226,10 | 135 / 5 | $11.939,40 | 458 / 12 | $10.004,40 | 457 / 11 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 11 | $19.966,00 | 109 / 4 | $7.276,36 | 673 / 11 | $5.696,36 | 671 / 11 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 21 | 55 / 5 | $71.991,90 | 30 / 1 | $32.201,00 | 41 / 4 | $21.848,50 | 41 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 10 | $19.285,00 | 529 / 11 | $8.384,24 | 1244 / 15 | $6.879,71 | 1240 / 16 |
| Major Cardiovasc Procedures W/O Mcc | 21 | 80 / 6 | $38.249,40 | 23 / 1 | $19.353,90 | 116 / 3 | $17.096,00 | 116 / 2 |
| Other Vascular Procedures W Mcc | 20 | 77 / 7 | $57.249,10 | 132 / 5 | $20.614,20 | 279 / 4 | $18.521,40 | 278 / 4 |
| Renal Failure W Mcc | 19 | 176 / 14 | $27.759,90 | 633 / 11 | $11.223,70 | 902 / 15 | $8.721,47 | 902 / 12 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 19 | 43 / 2 | $10.834,10 | 74 / 3 | $5.216,47 | 160 / 3 | $3.498,89 | 160 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 16 | $8.937,74 | 148 / 6 | $5.081,11 | 976 / 15 | $3.712,79 | 967 / 14 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 7 | $13.895,60 | 115 / 3 | $6.751,84 | 483 / 7 | $5.165,63 | 481 / 6 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 6 | $8.656,83 | 73 / 2 | $4.533,94 | 514 / 7 | $2.978,94 | 513 / 6 |
| Syncope & Collapse | 18 | 151 / 13 | $8.856,33 | 64 / 1 | $4.947,50 | 416 / 9 | $3.472,61 | 414 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 10 | $10.502,00 | 21 / 1 | $7.634,22 | 557 / 8 | $6.451,17 | 554 / 10 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 8 | $28.534,10 | 184 / 6 | $12.193,50 | 366 / 6 | $10.222,30 | 365 / 6 |
| Other Vascular Procedures W/O Cc/Mcc | 16 | 40 / 5 | $26.259,90 | 40 / 1 | $10.243,10 | 88 / 2 | $8.368,62 | 88 / 3 |
| Signs & Symptoms W/O Mcc | 16 | 75 / 7 | $11.590,40 | 163 / 3 | $4.903,50 | 613 / 9 | $3.888,50 | 612 / 10 |
| Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 2 | $6.976,50 | 19 / 1 | $4.995,88 | 331 / 3 | $3.542,75 | 332 / 4 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 5 | $71.850,20 | 78 / 1 | $32.538,90 | 347 / 4 | $29.793,70 | 347 / 4 |
| Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 3 | $8.554,20 | 12 / 1 | $6.640,47 | 103 / 2 | $4.606,73 | 103 / 2 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 10 | $12.505,50 | 92 / 5 | $6.362,07 | 349 / 6 | $4.998,47 | 347 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 8 | $11.658,80 | 87 / 3 | $5.256,00 | 532 / 4 | $3.668,43 | 528 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 6 | $12.092,60 | 52 / 2 | $7.802,50 | 346 / 7 | $6.264,36 | 345 / 5 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 14 | 33 / 3 | $23.749,90 | 41 / 1 | $9.392,14 | 165 / 1 | $7.651,29 | 165 / 2 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 13 | 75 / 5 | $52.735,90 | 26 / 1 | $21.972,20 | 213 / 2 | $20.156,80 | 212 / 2 |
| Diabetes W Cc | 13 | 79 / 11 | $12.534,50 | 182 / 3 | $5.989,38 | 436 / 12 | $4.199,62 | 436 / 9 |
| Major Chest Procedures W Cc | 13 | 61 / 4 | $41.891,80 | 55 / 1 | $16.169,10 | 152 / 1 | $13.943,50 | 152 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 9 | $33.703,80 | 9 / 1 | $18.463,80 | 160 / 3 | $16.887,50 | 160 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 8 | $24.937,50 | 203 / 4 | $11.029,80 | 554 / 5 | $9.475,15 | 553 / 5 |
| Chest Pain | 13 | 138 / 14 | $8.208,54 | 78 / 3 | $4.299,15 | 318 / 13 | $2.708,08 | 317 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 14 | $17.655,00 | 102 / 3 | $10.582,20 | 519 / 11 | $9.044,31 | 518 / 10 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 7 | $11.140,20 | 20 / 1 | $8.256,67 | 192 / 8 | $6.518,42 | 192 / 7 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 13 | $50.851,20 | 54 / 3 | $28.916,60 | 73 / 4 | $25.167,00 | 73 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 13 | $14.748,50 | 104 / 3 | $6.795,00 | 221 / 9 | $4.993,08 | 221 / 5 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 6 | $43.519,70 | 17 / 1 | $25.638,20 | 41 / 1 | $23.264,00 | 41 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 3 | $21.166,90 | 47 / 2 | $11.974,20 | 105 / 3 | $9.853,75 | 105 / 2 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 8 | $30.740,60 | 26 / 1 | $17.519,40 | 57 / 7 | $13.002,60 | 57 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 6 | $22.528,90 | 16 / 1 | $12.886,70 | 156 / 2 | $10.804,80 | 156 / 2 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 7 | $33.300,20 | 25 / 1 | $17.398,90 | 114 / 3 | $15.261,40 | 114 / 2 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 12 | 22 / 1 | $40.962,90 | 8 / 1 | $24.073,20 | 11 / 1 | $20.377,80 | 11 / 1 |
| Seizures W/O Mcc | 11 | 97 / 9 | $13.453,50 | 186 / 6 | $5.372,45 | 583 / 7 | $4.227,00 | 580 / 8 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 7 | $10.740,70 | 42 / 1 | $6.539,00 | 135 / 4 | $4.509,00 | 134 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 7 | $11.891,30 | 33 / 2 | $7.753,73 | 251 / 5 | $6.141,36 | 250 / 4 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 6 | $32.059,70 | 20 / 2 | $11.206,10 | 205 / 2 | $9.772,09 | 205 / 2 |
| Major Cardiovasc Procedures W Mcc | 11 | 57 / 5 | $73.785,70 | 33 / 2 | $31.673,50 | 162 / 2 | $29.669,50 | 162 / 2 | Total 76 procedures | 2.027 | 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.