Hospital Costs > In Ohio > Wilson Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 41 | $10.828,10 | 430 / 29 | $4.142,81 | 1105 / 64 | $2.914,25 | 1100 / 70 |
| Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 62 | $16.657,10 | 448 / 31 | $7.488,82 | 669 / 57 | $5.946,88 | 665 / 45 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 42 | $10.519,70 | 292 / 16 | $4.979,00 | 971 / 64 | $3.711,18 | 962 / 70 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 68 | $11.718,20 | 350 / 16 | $5.228,29 | 1430 / 71 | $4.068,90 | 1419 / 84 |
| G.I. Hemorrhage W Cc | 18 | 200 / 59 | $18.322,00 | 593 / 30 | $6.780,33 | 532 / 66 | $4.936,22 | 531 / 36 |
| Heart Failure & Shock W Cc | 24 | 254 / 74 | $16.292,00 | 718 / 41 | $6.467,46 | 1278 / 61 | $5.530,71 | 1274 / 77 |
| Heart Failure & Shock W Mcc | 21 | 263 / 74 | $21.013,00 | 482 / 30 | $10.004,10 | 1634 / 72 | $9.348,00 | 1629 / 85 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 33 | $11.649,50 | 427 / 27 | $4.602,08 | 767 / 47 | $3.525,77 | 763 / 48 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 68 | $11.095,60 | 403 / 24 | $5.247,38 | 1249 / 69 | $4.123,15 | 1240 / 75 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 52 | 512 / 75 | $36.449,40 | 547 / 29 | $14.685,00 | 956 / 86 | $10.977,80 | 937 / 66 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 29 | $48.685,10 | 386 / 21 | $19.455,20 | 782 / 54 | $14.685,40 | 774 / 46 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 47 | $11.690,60 | 515 / 27 | $4.885,18 | 755 / 69 | $3.489,00 | 753 / 47 |
| Renal Failure W Mcc | 14 | 181 / 62 | $21.183,90 | 283 / 17 | $9.221,79 | 517 / 39 | $8.086,14 | 517 / 44 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 29 | 487 / 85 | $20.894,10 | 302 / 15 | $10.361,90 | 222 / 23 | $8.981,66 | 222 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 46 | $14.755,60 | 332 / 18 | $7.958,27 | 943 / 75 | $5.615,41 | 940 / 59 |
| Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 52 | $16.659,60 | 755 / 47 | $6.219,44 | 699 / 58 | $4.818,84 | 696 / 46 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 53 | $14.461,30 | 102 / 8 | $8.799,58 | 183 / 47 | $6.785,00 | 183 / 19 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 26 | $12.383,80 | 446 / 24 | $4.984,93 | 1132 / 49 | $3.816,67 | 1126 / 57 | Total 18 procedures | 360 | 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.