Hospital Costs > In Ohio > Upper Valley Medical Center, procedure costs

Upper Valley Medical Center, procedure costs

3130 North County Road 25A, Troy, OH 45373,

Procedure Costs @ Upper Valley 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 Mcc117399 / 51$43.361,401496 / 78$10.213,80379 / 19$9.315,52379 / 27
Chronic Obstructive Pulmonary Disease W Mcc102100 / 14$27.378,901297 / 74$6.950,14199 / 29$5.418,74198 / 11
Chronic Obstructive Pulmonary Disease W Cc78101 / 15$22.417,001247 / 77$5.770,95105 / 41$4.022,17105 / 7
Heart Failure & Shock W Mcc78206 / 38$39.046,601607 / 85$9.436,67228 / 60$7.280,46228 / 10
Simple Pneumonia & Pleurisy W Mcc74131 / 17$35.029,401354 / 79$8.469,20125 / 33$6.657,54125 / 12
Heart Failure & Shock W Cc62216 / 50$25.031,001667 / 89$5.883,32408 / 28$4.798,31408 / 23
Pulmonary Edema & Respiratory Failure57146 / 29$32.991,301201 / 64$7.709,65293 / 39$6.077,53293 / 15
Simple Pneumonia & Pleurisy W Cc55148 / 26$26.304,201724 / 98$5.742,11548 / 22$4.684,93545 / 34
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc51224 / 47$22.518,401675 / 88$4.671,24814 / 30$3.640,00809 / 45
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc47517 / 78$53.592,301453 / 84$12.596,30706 / 29$10.634,30696 / 48
Renal Failure W Mcc43152 / 40$34.076,001007 / 59$8.468,33125 / 14$7.334,72125 / 9
Kidney & Urinary Tract Infections W/O Mcc38195 / 46$21.486,901724 / 97$4.742,50985 / 31$3.951,97977 / 64
Renal Failure W Cc37184 / 51$25.491,401464 / 77$5.917,59448 / 36$4.696,73445 / 31
G.I. Hemorrhage W Cc37181 / 44$28.961,201495 / 77$6.079,65763 / 28$5.145,35761 / 54
Cardiac Arrhythmia & Conduction Disorders W Mcc3588 / 26$32.078,201050 / 62$7.558,37279 / 34$6.005,26278 / 21
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc34173 / 34$25.854,601319 / 72$6.462,21392 / 31$5.082,26390 / 22
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc3486 / 21$20.621,901304 / 85$4.570,91478 / 31$3.305,68477 / 34
Cellulitis W/O Mcc32157 / 47$20.138,901499 / 86$5.549,97339 / 55$3.740,47336 / 23
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs30152 / 34$24.143,30740 / 38$6.123,30395 / 16$5.105,60394 / 32
Cardiac Arrhythmia & Conduction Disorders W Cc29132 / 36$24.392,801370 / 84$4.947,83593 / 29$3.903,83590 / 42
Respiratory System Diagnosis W Ventilator Support <96 Hours29102 / 31$69.213,701128 / 62$13.943,00574 / 34$12.636,40566 / 40
Hip & Femur Procedures Except Major Joint W Cc29114 / 26$53.995,101177 / 65$10.769,00299 / 14$9.729,41298 / 22
G.I. Obstruction W Cc2468 / 19$20.026,80659 / 44$5.651,92294 / 28$4.188,79293 / 23
Simple Pneumonia & Pleurisy W/O Cc/Mcc2469 / 17$19.913,801191 / 63$4.616,33242 / 33$2.979,08240 / 14
G.I. Hemorrhage W Mcc2398 / 28$41.423,40748 / 45$10.299,90161 / 28$8.722,87161 / 16
Red Blood Cell Disorders W/O Mcc23120 / 31$25.745,401300 / 72$5.019,74231 / 28$3.676,13231 / 20
Other Circulatory System Diagnoses W Mcc2294 / 26$42.452,00555 / 38$10.672,60258 / 15$9.838,14258 / 29
Acute Myocardial Infarction, Discharged Alive W Mcc20105 / 37$33.769,00568 / 40$9.406,40323 / 17$8.601,15323 / 26
Syncope & Collapse17152 / 40$19.562,10811 / 50$4.586,12295 / 32$3.326,29293 / 24
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc17149 / 47$22.651,901755 / 94$4.453,00715 / 38$3.465,18713 / 44
Intracranial Hemorrhage Or Cerebral Infarction W Mcc16152 / 35$37.956,20629 / 36$9.590,62185 / 14$8.450,75184 / 17
Respiratory Infections & Inflammations W Cc1672 / 25$29.967,90686 / 46$7.707,44406 / 13$7.169,38403 / 22
Pulmonary Embolism W/O Mcc1559 / 20$23.716,00588 / 31$5.721,07247 / 10$4.693,47247 / 19
Acute Myocardial Infarction, Discharged Alive W Cc1576 / 22$23.430,70445 / 28$5.635,13280 / 3$5.103,13280 / 24
Respiratory Infections & Inflammations W Mcc14122 / 44$55.980,501194 / 69$11.369,00446 / 32$10.362,60443 / 34
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc14136 / 43$16.724,601166 / 69$4.046,79268 / 59$2.219,43266 / 16
Kidney & Urinary Tract Infections W Mcc14130 / 40$32.307,301258 / 76$6.625,86417 / 30$5.587,21416 / 35
Other Resp System O.R. Procedures W Mcc1350 / 12$78.716,40201 / 13$26.208,504 / 19$14.528,504 / 1
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1383 / 25$36.969,10877 / 51$7.473,08367 / 29$6.378,92365 / 28
G.I. Obstruction W Mcc1230 / 9$39.293,90242 / 10$9.263,5089 / 6$8.361,6789 / 8
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc1290 / 32$22.279,80735 / 41$4.684,42345 / 17$3.430,67342 / 21
Respiratory System Diagnosis W Ventilator Support 96+ Hours1160 / 23$127.210,00424 / 27$28.126,90147 / 5$27.101,00147 / 12
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc11115 / 37$28.312,70877 / 51$6.586,45385 / 20$5.852,00382 / 30
Major Small & Large Bowel Procedures W Mcc1174 / 27$105.685,00439 / 26$22.261,8011 / 1$21.318,6011 / 3
Total 44 procedures1.485discharges

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.