Hospital Costs > In Oregon > Willamette Valley Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 113 | 403 / 9 | $31.807,40 | 876 / 14 | $12.626,90 | 1518 / 9 | $11.043,10 | 1487 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 59 | 505 / 23 | $62.403,80 | 1781 / 30 | $15.477,50 | 1687 / 8 | $12.515,80 | 1650 / 13 |
| Heart Failure & Shock W Mcc | 51 | 233 / 9 | $35.917,00 | 1447 / 21 | $10.155,00 | 1739 / 6 | $9.565,16 | 1734 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 11 | $20.005,60 | 783 / 13 | $7.616,58 | 1454 / 7 | $6.186,47 | 1448 / 8 |
| Heart Failure & Shock W Cc | 32 | 246 / 18 | $18.969,00 | 1046 / 16 | $6.845,91 | 1774 / 5 | $6.088,91 | 1769 / 8 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 7 | $31.839,70 | 604 / 12 | $8.370,57 | 985 / 6 | $6.314,07 | 982 / 4 |
| Pulmonary Edema & Respiratory Failure | 26 | 177 / 12 | $25.472,80 | 762 / 8 | $8.448,42 | 1485 / 4 | $7.797,35 | 1480 / 6 |
| G.I. Hemorrhage W Cc | 24 | 194 / 16 | $19.397,50 | 697 / 12 | $7.024,04 | 1602 / 6 | $6.165,38 | 1598 / 8 |
| Renal Failure W Cc | 22 | 199 / 13 | $22.234,40 | 1202 / 20 | $7.038,68 | 1193 / 8 | $5.375,05 | 1185 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 6 | $34.999,50 | 523 / 9 | $10.621,00 | 412 / 3 | $8.779,52 | 411 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 16 | $29.733,30 | 1015 / 16 | $9.789,81 | 1608 / 7 | $8.931,90 | 1608 / 10 |
| Renal Failure W Mcc | 20 | 175 / 12 | $33.680,60 | 986 / 16 | $10.577,30 | 1121 / 7 | $9.185,20 | 1121 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 19 | $20.868,80 | 1226 / 18 | $6.753,88 | 1791 / 4 | $5.833,41 | 1783 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 17 | $18.270,10 | 1382 / 19 | $5.558,71 | 1813 / 5 | $4.709,76 | 1802 / 9 |
| Cellulitis W/O Mcc | 16 | 173 / 17 | $17.617,10 | 1196 / 17 | $5.974,19 | 1804 / 6 | $5.148,19 | 1796 / 11 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 16 | $24.775,90 | 1110 / 16 | $8.125,93 | 1680 / 5 | $7.161,67 | 1672 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 17 | $23.429,40 | 685 / 13 | $7.551,07 | 1442 / 6 | $6.689,36 | 1439 / 10 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 6 | $37.111,40 | 115 / 3 | $12.444,00 | 309 / 1 | $11.580,00 | 304 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 15 | $49.927,50 | 1039 / 20 | $13.747,20 | 807 / 9 | $10.629,20 | 798 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 10 | $15.479,70 | 901 / 13 | $4.954,83 | 1350 / 4 | $4.149,50 | 1339 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 12 | $21.972,80 | 714 / 14 | $5.413,83 | 1114 / 3 | $4.605,83 | 1110 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 25 | $17.326,40 | 1040 / 16 | $5.518,45 | 1231 / 8 | $3.914,55 | 1220 / 3 |
| G.I. Obstruction W Cc | 11 | 81 / 10 | $15.202,60 | 304 / 3 | $6.322,36 | 1123 / 5 | $5.333,27 | 1120 / 6 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 8 | $17.920,00 | 286 / 6 | $6.988,91 | 825 / 5 | $5.886,36 | 822 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 19 | $16.496,90 | 686 / 8 | $6.406,55 | 1204 / 12 | $4.511,45 | 1200 / 4 | Total 25 procedures | 628 | 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.