Hospital Costs > In West Virginia > Camc Teays Valley Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 21 | $11.770,90 | 214 / 7 | $5.148,50 | 150 / 2 | $4.092,06 | 150 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 21 | $15.213,10 | 329 / 10 | $6.535,32 | 269 / 4 | $5.537,95 | 268 / 10 |
| Heart Failure & Shock W Cc | 12 | 266 / 22 | $15.587,20 | 641 / 15 | $5.631,58 | 379 / 5 | $4.763,75 | 379 / 9 |
| Heart Failure & Shock W Mcc | 14 | 270 / 20 | $25.354,70 | 771 / 19 | $8.493,57 | 236 / 5 | $7.302,64 | 236 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 11 | 553 / 22 | $43.527,50 | 954 / 17 | $11.065,90 | 106 / 1 | $9.380,45 | 106 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 19 | 497 / 25 | $26.358,50 | 605 / 17 | $10.105,70 | 207 / 4 | $8.948,58 | 207 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 24 | $12.318,20 | 282 / 9 | $5.521,73 | 185 / 4 | $4.295,73 | 185 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 24 | $25.945,80 | 764 / 18 | $8.309,00 | 637 / 7 | $7.484,25 | 637 / 13 | Total 8 procedures | 117 | 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.