Hospital Costs > In Ohio > Wooster Community Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 97 | 467 / 50 | $28.428,60 | 169 / 4 | $12.370,30 | 917 / 21 | $10.915,60 | 898 / 61 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 61 | 455 / 71 | $13.614,70 | 40 / 2 | $10.452,60 | 329 / 27 | $9.229,34 | 329 / 25 |
Heart Failure & Shock W Cc | 49 | 229 / 58 | $6.935,71 | 11 / 1 | $5.839,94 | 628 / 25 | $5.009,73 | 627 / 38 |
Simple Pneumonia & Pleurisy W Mcc | 48 | 157 / 33 | $12.489,00 | 45 / 2 | $8.189,02 | 383 / 20 | $7.159,44 | 383 / 33 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 47 | 228 / 49 | $6.210,74 | 23 / 1 | $4.722,64 | 723 / 34 | $3.582,68 | 719 / 40 |
Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 40 | $7.484,72 | 15 / 1 | $5.899,10 | 539 / 28 | $4.678,64 | 536 / 32 |
Chronic Obstructive Pulmonary Disease W Cc | 39 | 140 / 42 | $7.097,41 | 9 / 1 | $5.579,10 | 450 / 25 | $4.488,13 | 449 / 29 |
Heart Failure & Shock W Mcc | 38 | 246 / 62 | $11.167,10 | 30 / 2 | $8.212,37 | 287 / 12 | $7.399,24 | 287 / 16 |
Cellulitis W/O Mcc | 37 | 152 / 43 | $5.719,14 | 11 / 1 | $5.331,30 | 150 / 36 | $3.479,57 | 150 / 8 |
Renal Failure W Cc | 34 | 187 / 53 | $7.210,59 | 9 / 1 | $5.555,65 | 275 / 16 | $4.505,12 | 273 / 21 |
Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 50 | $9.196,45 | 19 / 2 | $6.833,94 | 835 / 21 | $6.081,87 | 830 / 56 |
G.I. Hemorrhage W Cc | 29 | 189 / 51 | $6.374,93 | 2 / 1 | $5.946,76 | 637 / 20 | $5.042,79 | 636 / 46 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 39 | $7.419,03 | 9 / 1 | $6.164,59 | 605 / 17 | $5.320,90 | 603 / 37 |
Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 54 | $6.328,46 | 24 / 1 | $4.613,43 | 516 / 22 | $3.634,04 | 516 / 30 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 36 | $14.836,30 | 29 / 1 | $6.506,96 | 708 / 14 | $5.763,40 | 706 / 38 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 37 | $8.922,58 | 7 / 1 | $6.801,83 | 284 / 9 | $6.009,38 | 283 / 22 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 39 | $12.345,10 | 66 / 2 | $6.321,08 | 151 / 26 | $4.719,71 | 151 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 43 | $4.686,22 | 4 / 1 | $4.347,96 | 1001 / 29 | $3.649,74 | 998 / 61 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 42 | $6.355,78 | 6 / 1 | $4.763,35 | 762 / 20 | $4.076,83 | 759 / 51 |
Renal Failure W Mcc | 18 | 177 / 59 | $9.935,94 | 7 / 1 | $8.683,28 | 383 / 20 | $7.883,61 | 383 / 32 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 39 | $15.398,80 | 55 / 2 | $9.431,78 | 334 / 18 | $8.622,06 | 334 / 27 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 31 | $12.978,80 | 91 / 4 | $7.046,33 | 632 / 35 | $6.256,72 | 629 / 44 |
G.I. Obstruction W Cc | 18 | 74 / 25 | $6.161,89 | 5 / 1 | $5.397,67 | 518 / 17 | $4.499,78 | 517 / 39 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 37 | $6.942,88 | 38 / 2 | $4.471,82 | 516 / 23 | $3.339,59 | 515 / 39 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 40 | $5.947,82 | 37 / 2 | $3.575,06 | 716 / 24 | $2.597,71 | 712 / 44 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 19 | $7.226,81 | 9 / 1 | $5.798,19 | 245 / 12 | $4.690,19 | 245 / 18 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 42 | $11.001,10 | 1 / 1 | $11.146,60 | 116 / 24 | $9.446,62 | 116 / 7 |
Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 38 | $8.690,88 | 22 / 2 | $6.309,44 | 309 / 19 | $5.436,00 | 308 / 27 |
Respiratory Infections & Inflammations W Cc | 16 | 72 / 25 | $8.826,06 | 4 / 1 | $7.895,62 | 465 / 17 | $7.266,94 | 462 / 26 |
Pulmonary Edema & Respiratory Failure | 15 | 188 / 63 | $9.851,60 | 11 / 2 | $7.235,80 | 497 / 19 | $6.332,87 | 497 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 29 | $11.006,90 | 67 / 3 | $5.015,20 | 164 / 33 | $3.142,40 | 162 / 11 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 25 | $12.760,40 | 17 / 1 | $8.843,64 | 184 / 14 | $7.927,86 | 184 / 17 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 40 | $6.580,36 | 8 / 1 | $5.012,64 | 219 / 27 | $3.659,14 | 219 / 19 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 24 | $7.666,00 | 1 / 1 | $6.649,07 | 48 / 4 | $5.444,57 | 48 / 8 |
Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 41 | $22.211,60 | 52 / 2 | $11.216,80 | 482 / 25 | $10.048,40 | 481 / 30 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 41 | $24.611,90 | 57 / 3 | $13.538,40 | 8 / 22 | $9.505,00 | 8 / 3 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 24 | $9.800,85 | 34 / 2 | $5.859,54 | 248 / 8 | $5.050,00 | 248 / 20 |
Syncope & Collapse | 12 | 157 / 45 | $7.420,83 | 25 / 1 | $4.531,83 | 500 / 25 | $3.554,83 | 498 / 40 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 34 | $5.492,83 | 12 / 1 | $4.168,67 | 478 / 17 | $3.291,00 | 476 / 27 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 17 | $29.007,40 | 14 / 1 | $16.699,50 | 148 / 9 | $15.506,80 | 148 / 10 |
Transient Ischemia | 11 | 114 / 41 | $13.341,60 | 199 / 9 | $4.370,64 | 342 / 18 | $3.205,45 | 342 / 26 | Total 41 procedures | 1.052 | 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.