Hospital Costs > In West Virginia > Monongalia County General Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 34 | 57 / 5 | $21.087,10 | 333 / 12 | $5.571,47 | 71 / 1 | $4.595,18 | 71 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 8 | $28.472,90 | 388 / 12 | $10.263,30 | 547 / 9 | $9.118,63 | 546 / 11 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 9 | $18.718,20 | 254 / 8 | $3.970,25 | 11 / 1 | $2.777,08 | 11 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 11 | $10.761,10 | 153 / 6 | $4.195,54 | 34 / 1 | $3.093,36 | 34 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 8 | $17.318,70 | 208 / 6 | $6.555,83 | 50 / 1 | $5.399,09 | 50 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 10 | $7.448,81 | 105 / 4 | $3.101,08 | 13 / 1 | $1.721,85 | 13 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 32 | 86 / 2 | $131.526,00 | 220 / 4 | $40.761,70 | 395 / 3 | $37.406,60 | 395 / 4 |
| Cellulitis W/O Mcc | 33 | 156 / 14 | $13.582,60 | 675 / 21 | $4.403,97 | 78 / 1 | $3.356,52 | 78 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 50 | 129 / 10 | $15.314,90 | 544 / 16 | $5.051,16 | 18 / 1 | $3.595,74 | 18 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 17 | $19.828,90 | 701 / 18 | $6.367,97 | 12 / 1 | $4.585,79 | 12 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 39 | 149 / 9 | $18.932,00 | 81 / 1 | $7.100,41 | 78 / 9 | $4.684,26 | 78 / 3 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 56 | 20 / 2 | $114.064,00 | 192 / 5 | $33.311,30 | 444 / 5 | $30.255,30 | 444 / 5 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 25 | 63 / 4 | $95.905,20 | 226 / 4 | $24.554,10 | 359 / 3 | $22.774,80 | 358 / 4 |
| Disorders Of The Biliary Tract W Cc | 11 | 43 / 3 | $19.885,10 | 67 / 1 | $5.385,55 | 4 / 1 | $4.249,09 | 4 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 60 | 215 / 10 | $12.263,90 | 426 / 18 | $4.029,55 | 18 / 1 | $2.703,73 | 18 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 6 | $24.716,30 | 273 / 6 | $5.393,82 | 14 / 1 | $4.194,41 | 14 / 1 |
| Fever | 12 | 34 / 3 | $8.813,17 | 8 / 1 | $4.260,75 | 1 / 1 | $2.712,75 | 1 / 1 |
| G.I. Hemorrhage W Cc | 48 | 170 / 9 | $19.478,90 | 703 / 18 | $5.466,90 | 23 / 1 | $4.049,62 | 23 / 1 |
| G.I. Hemorrhage W Mcc | 17 | 104 / 10 | $21.821,70 | 107 / 3 | $9.210,94 | 65 / 1 | $8.292,35 | 65 / 4 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 7 | $13.684,20 | 258 / 7 | $3.660,69 | 9 / 1 | $2.471,77 | 9 / 1 |
| G.I. Obstruction W Cc | 18 | 74 / 8 | $16.852,00 | 427 / 12 | $4.689,33 | 129 / 1 | $3.890,22 | 128 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 7 | $10.607,00 | 176 / 4 | $3.212,06 | 34 / 1 | $2.111,94 | 34 / 1 |
| Heart Failure & Shock W Cc | 74 | 204 / 8 | $15.667,50 | 649 / 16 | $5.177,19 | 84 / 1 | $4.309,39 | 84 / 1 |
| Heart Failure & Shock W Mcc | 43 | 241 / 12 | $20.835,20 | 471 / 14 | $8.197,42 | 22 / 3 | $6.459,49 | 22 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 15 | $9.946,50 | 256 / 11 | $3.428,86 | 22 / 1 | $2.540,00 | 22 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 41 | 102 / 7 | $35.596,30 | 435 / 13 | $10.884,00 | 72 / 4 | $9.097,24 | 72 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 3 | $85.904,20 | 259 / 3 | $41.383,80 | 363 / 3 | $38.472,50 | 362 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 6 | $82.224,00 | 268 / 10 | $32.929,30 | 523 / 10 | $29.683,00 | 519 / 9 |
| Kidney & Urinary Tract Infections W/O Mcc | 41 | 192 / 13 | $13.268,00 | 679 / 18 | $4.159,68 | 37 / 1 | $2.957,56 | 37 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 16 | 85 / 8 | $75.758,40 | 320 / 7 | $24.607,10 | 432 / 8 | $19.738,70 | 432 / 8 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 5 | $12.285,20 | 55 / 3 | $6.066,19 | 27 / 1 | $5.156,06 | 27 / 1 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 4 | $17.016,90 | 39 / 1 | $6.031,42 | 9 / 1 | $5.113,92 | 9 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 21 | 75 / 3 | $53.292,50 | 389 / 4 | $12.181,40 | 187 / 1 | $10.982,80 | 185 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 273 | 294 / 2 | $33.788,20 | 389 / 9 | $11.490,50 | 71 / 3 | $9.172,40 | 71 / 1 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 2 | $63.775,50 | 231 / 2 | $16.014,80 | 79 / 2 | $12.784,70 | 79 / 2 |
| Major Small & Large Bowel Procedures W Cc | 29 | 79 / 2 | $51.652,30 | 458 / 8 | $15.980,50 | 55 / 7 | $11.563,60 | 55 / 2 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 14 | 50 / 4 | $44.967,20 | 389 / 4 | $9.021,71 | 124 / 2 | $7.707,21 | 124 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 10 | $27.581,60 | 836 / 11 | $7.065,08 | 215 / 5 | $5.565,33 | 213 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 17 | $12.701,50 | 637 / 17 | $3.692,90 | 130 / 1 | $2.887,10 | 130 / 2 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 6 | $15.011,10 | 80 / 4 | $5.587,36 | 3 / 4 | $3.754,82 | 3 / 1 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 6 | $17.128,90 | 246 / 3 | $5.404,31 | 6 / 1 | $3.758,00 | 6 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 22 | 78 / 5 | $50.520,40 | 35 / 2 | $16.345,90 | 16 / 1 | $14.586,30 | 16 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 89 | 107 / 4 | $35.905,10 | 48 / 2 | $11.724,20 | 91 / 1 | $9.320,44 | 91 / 2 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 13 | 56 / 5 | $30.830,30 | 18 / 1 | $9.323,54 | 10 / 1 | $7.648,77 | 10 / 1 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 16 | 79 / 4 | $35.553,10 | 29 / 1 | $13.303,90 | 4 / 1 | $8.191,88 | 4 / 1 |
| Peripheral Vascular Disorders W Cc | 20 | 64 / 8 | $10.062,30 | 41 / 3 | $4.866,40 | 37 / 1 | $4.077,60 | 37 / 1 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 7 | $48.653,30 | 197 / 5 | $14.631,90 | 153 / 3 | $13.723,40 | 153 / 4 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 5 | $43.062,90 | 195 / 3 | $11.874,20 | 112 / 1 | $10.762,70 | 112 / 2 |
| Pulmonary Edema & Respiratory Failure | 100 | 103 / 4 | $23.601,40 | 640 / 16 | $6.935,07 | 48 / 2 | $5.490,30 | 48 / 1 |
| Pulmonary Embolism W/O Mcc | 28 | 46 / 2 | $18.828,50 | 330 / 8 | $5.729,39 | 48 / 2 | $4.115,00 | 48 / 1 |
| Red Blood Cell Disorders W Mcc | 17 | 54 / 2 | $20.083,40 | 159 / 5 | $7.412,12 | 9 / 5 | $5.415,35 | 9 / 1 |
| Red Blood Cell Disorders W/O Mcc | 34 | 109 / 3 | $15.690,10 | 514 / 17 | $4.203,06 | 51 / 1 | $3.246,24 | 51 / 1 |
| Renal Failure W Cc | 36 | 185 / 14 | $16.630,70 | 632 / 17 | $5.271,39 | 12 / 1 | $3.802,75 | 12 / 1 |
| Renal Failure W Mcc | 18 | 177 / 15 | $22.075,70 | 321 / 7 | $8.591,89 | 26 / 3 | $6.795,17 | 26 / 1 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 10 | $10.165,80 | 124 / 6 | $3.287,42 | 4 / 1 | $2.105,42 | 4 / 1 |
| Respiratory Neoplasms W Cc | 11 | 36 / 4 | $18.301,40 | 50 / 2 | $7.362,18 | 4 / 2 | $4.615,82 | 4 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 10 | $41.094,50 | 354 / 14 | $12.886,90 | 96 / 7 | $11.111,00 | 96 / 5 |
| Revision Of Hip Or Knee Replacement W Cc | 17 | 69 / 2 | $54.176,90 | 99 / 2 | $19.178,80 | 27 / 2 | $15.435,80 | 27 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 188 | 328 / 7 | $29.580,60 | 762 / 19 | $10.412,40 | 374 / 7 | $9.307,66 | 374 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 101 | 106 / 2 | $16.017,00 | 438 / 12 | $5.705,34 | 19 / 2 | $4.144,39 | 19 / 1 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 9 | $17.458,50 | 505 / 12 | $3.933,00 | 137 / 1 | $3.083,15 | 137 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 17 | $12.391,50 | 291 / 10 | $4.991,36 | 70 / 1 | $4.053,29 | 70 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 19 | $27.479,00 | 871 / 20 | $8.098,71 | 285 / 4 | $6.993,62 | 285 / 11 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 16 | $9.309,60 | 171 / 7 | $4.148,73 | 13 / 3 | $2.410,27 | 13 / 1 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 14 | 32 / 2 | $22.746,10 | 65 / 3 | $5.150,36 | 8 / 1 | $3.912,50 | 8 / 2 |
| Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W/O Cc/Mcc | 15 | 9 / 1 | $25.593,30 | 7 / 1 | $5.967,80 | 1 / 1 | $4.785,53 | 1 / 1 | Total 66 procedures | 2.215 | 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.