Hospital Costs > In West Virginia > Berkeley Medical Center, procedure costs

Berkeley Medical Center, procedure costs

2500 Hospital Drive, Martinsburg, WV 25401,

Procedure Costs @ Berkeley Medical Center
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 Mcc220296 / 4$20.127,70270 / 9$11.472,00866 / 18$10.019,90865 / 18
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc134430 / 10$33.964,20394 / 10$13.406,601083 / 18$11.190,301059 / 18
Heart Failure & Shock W Mcc92192 / 5$18.074,30312 / 8$9.384,091214 / 17$8.595,741211 / 22
Pulmonary Edema & Respiratory Failure67136 / 6$18.070,50291 / 11$8.074,33765 / 17$6.670,67765 / 13
Renal Failure W Cc62159 / 8$12.882,00277 / 9$6.559,68821 / 19$5.020,50814 / 12
Heart Failure & Shock W Cc60218 / 10$12.529,50318 / 10$6.540,431394 / 18$5.636,071389 / 22
Kidney & Urinary Tract Infections W/O Mcc58175 / 8$11.328,70434 / 13$5.308,911369 / 17$4.221,571360 / 22
Chronic Obstructive Pulmonary Disease W Mcc56146 / 11$18.410,70598 / 17$7.600,501106 / 18$6.344,711101 / 19
Simple Pneumonia & Pleurisy W Mcc56149 / 9$21.191,40457 / 12$9.304,391178 / 18$8.106,341178 / 21
Simple Pneumonia & Pleurisy W Cc55148 / 11$15.939,50677 / 20$6.454,851058 / 20$5.128,691055 / 18
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc51224 / 14$12.170,40416 / 17$5.190,821181 / 19$3.878,761172 / 21
Chronic Obstructive Pulmonary Disease W Cc50129 / 10$13.797,90390 / 13$6.207,161165 / 18$5.111,621161 / 22
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc50157 / 7$15.581,20399 / 11$7.141,441183 / 14$5.850,861178 / 18
G.I. Hemorrhage W Cc49169 / 8$13.461,20191 / 6$6.664,431078 / 18$5.440,691076 / 19
Cellulitis W/O Mcc42147 / 10$13.545,60666 / 20$5.858,071032 / 22$4.290,641026 / 18
Acute Myocardial Infarction, Discharged Alive W Mcc4184 / 5$23.204,70240 / 6$11.137,80667 / 14$9.350,44666 / 12
Respiratory System Diagnosis W Ventilator Support <96 Hours4091 / 6$30.233,30129 / 9$14.198,20792 / 13$13.291,40784 / 16
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs39143 / 7$15.129,20161 / 3$7.385,79742 / 14$5.473,15740 / 12
Cardiac Arrhythmia & Conduction Disorders W Cc39122 / 7$13.354,20353 / 13$5.636,38686 / 16$3.996,79683 / 11
Cardiac Arrhythmia & Conduction Disorders W Mcc3687 / 4$22.412,80486 / 12$8.506,421062 / 15$7.243,111059 / 16
Renal Failure W Mcc35160 / 9$27.931,70643 / 12$11.293,601431 / 16$10.048,701431 / 16
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc31165 / 11$46.672,20167 / 6$13.198,50588 / 8$10.911,90584 / 8
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc31135 / 10$10.258,90337 / 9$4.899,42992 / 17$3.646,55989 / 16
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc3090 / 14$9.271,03174 / 7$5.093,07782 / 16$3.560,23779 / 10
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc2997 / 3$11.961,9061 / 2$7.273,41423 / 6$5.905,90420 / 6
Red Blood Cell Disorders W/O Mcc29114 / 7$10.988,70153 / 6$5.408,79841 / 12$4.343,86836 / 16
Hip & Femur Procedures Except Major Joint W Cc28115 / 9$26.858,40126 / 4$11.957,30782 / 13$10.575,40774 / 14
Acute Myocardial Infarction, Discharged Alive W Cc2764 / 7$16.380,90154 / 4$6.881,41291 / 11$5.127,63291 / 8
Transient Ischemia2699 / 7$11.280,00109 / 6$4.814,00793 / 10$3.692,65789 / 14
Syncope & Collapse26143 / 9$10.180,30111 / 3$4.927,19679 / 7$3.727,92676 / 11
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc25125 / 11$8.239,80169 / 9$4.144,12576 / 14$2.498,32572 / 8
Simple Pneumonia & Pleurisy W/O Cc/Mcc2568 / 8$10.749,20290 / 11$4.863,801093 / 14$3.774,121087 / 18
Poisoning & Toxic Effects Of Drugs W Mcc2349 / 4$21.168,90135 / 3$9.373,35387 / 3$8.094,74386 / 5
Chest Pain23128 / 10$13.391,50346 / 12$4.686,30637 / 15$3.065,39633 / 13
Kidney & Urinary Tract Infections W Mcc23121 / 9$14.643,50224 / 8$7.349,61934 / 11$6.281,61931 / 12
G.I. Obstruction W/O Cc/Mcc2150 / 5$9.179,8695 / 3$4.398,48622 / 5$3.125,38621 / 7
Medical Back Problems W/O Mcc21100 / 6$11.190,4080 / 4$5.587,90724 / 5$4.609,48721 / 9
Infectious & Parasitic Diseases W O.R. Procedure W Mcc20104 / 7$58.967,1097 / 5$34.393,60569 / 11$30.108,20564 / 10
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc1983 / 6$12.379,80112 / 4$5.864,42349 / 8$3.432,11346 / 4
Diabetes W Cc1874 / 9$12.672,30189 / 5$5.657,67744 / 8$4.599,56742 / 13
Circulatory Disorders Except Ami, W Card Cath W/O Mcc18170 / 14$19.212,8090 / 2$6.746,72329 / 7$5.179,17329 / 8
Red Blood Cell Disorders W Mcc1754 / 2$20.676,90173 / 6$7.653,88225 / 6$6.626,29225 / 8
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1736 / 6$15.457,50141 / 4$5.579,53217 / 9$3.621,24216 / 4
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1756 / 4$17.994,60207 / 6$7.775,35400 / 5$6.389,06399 / 7
Renal Failure W/O Cc/Mcc1739 / 7$6.365,7121 / 1$4.439,59222 / 8$2.969,24221 / 4
Diabetes W Mcc1740 / 3$16.725,9046 / 1$8.781,88294 / 3$8.091,76294 / 4
G.I. Hemorrhage W Mcc16105 / 11$23.468,40141 / 4$10.626,80407 / 8$9.418,94408 / 8
Heart Failure & Shock W/O Cc/Mcc1694 / 14$11.811,00443 / 14$4.754,121223 / 14$4.000,501213 / 18
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1680 / 6$20.518,70225 / 4$8.357,81202 / 7$6.002,69201 / 3
Pulmonary Embolism W/O Mcc1658 / 8$13.757,60112 / 2$6.992,88539 / 8$5.261,19537 / 7
Respiratory Infections & Inflammations W Cc1474 / 9$18.756,50215 / 6$8.618,64575 / 8$7.498,29572 / 11
G.I. Obstruction W Cc1478 / 10$13.710,90207 / 7$6.044,29909 / 10$4.966,57907 / 14
Respiratory Infections & Inflammations W Mcc14122 / 14$23.656,60187 / 5$12.363,80831 / 11$11.185,40821 / 13
Other Disorders Of Nervous System W Mcc1426 / 1$12.506,702 / 1$10.569,1041 / 1$7.975,7941 / 1
Intracranial Hemorrhage Or Cerebral Infarction W Mcc13155 / 8$25.083,80206 / 5$10.288,50339 / 4$8.907,31338 / 4
Major Small & Large Bowel Procedures W Mcc1372 / 9$87.797,50275 / 3$39.364,50982 / 8$37.189,30980 / 9
Fractures Of Hip & Pelvis W/O Mcc1249 / 3$8.123,0035 / 2$4.935,58417 / 2$3.747,83417 / 5
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc1264 / 5$22.216,8035 / 2$10.596,1059 / 2$9.390,6759 / 2
Seizures W/O Mcc1296 / 8$7.183,4220 / 1$5.133,83477 / 6$4.015,67475 / 6
Other Kidney & Urinary Tract Diagnoses W Mcc1289 / 5$16.312,2060 / 2$9.431,33392 / 5$8.714,58391 / 7
Other Vascular Procedures W Cc1191 / 9$60.835,80379 / 8$17.952,10747 / 6$16.792,40743 / 8
Other Circulatory System Diagnoses W Mcc11105 / 11$28.054,70176 / 4$13.225,70194 / 9$9.570,55194 / 3
Spinal Fusion Except Cervical W/O Mcc11183 / 8$61.232,00232 / 3$25.765,50395 / 3$21.211,80394 / 3
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1145 / 5$25.602,70101 / 2$10.205,40380 / 4$8.755,00378 / 5
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1151 / 5$8.910,4543 / 1$5.053,73228 / 2$3.669,18228 / 3
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc1119 / 3$26.190,7018 / 1$12.612,5091 / 1$11.537,5090 / 2
Total 66 procedures2.170discharges

DATA

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.