Hospital Costs > In Maryland > Western Maryland Regional Medical Center, procedure costs

Western Maryland Regional Medical Center, procedure costs

12500 Willowbrook Road, Cumberland, MD 21502,

Procedure Costs @ Western Maryland Regional Medical Center
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 Mcc282285 / 12$22.888,8040 / 17$21.181,002578 / 17$19.322,702532 / 19
Psychoses187127 / 20$7.482,7613 / 5$6.905,99346 / 5$6.261,11346 / 7
Simple Pneumonia & Pleurisy W Cc17536 / 6$11.126,20184 / 36$10.267,202702 / 36$9.378,192693 / 36
Rehabilitation W Cc/Mcc17010 / 8$26.313,7015 / 8$24.243,5020 / 8$24.074,1020 / 8
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc152364 / 25$20.616,90292 / 28$19.036,302705 / 28$18.092,002660 / 28
Pulmonary Edema & Respiratory Failure13172 / 3$15.255,90159 / 18$14.093,302175 / 18$13.093,602169 / 18
Simple Pneumonia & Pleurisy W Mcc12580 / 1$16.510,70195 / 31$15.223,602449 / 31$14.528,502443 / 33
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs12360 / 7$13.851,50101 / 33$12.779,702033 / 33$11.796,802029 / 33
Kidney & Urinary Tract Infections W/O Mcc119114 / 15$10.002,00298 / 38$9.232,992626 / 38$8.272,522615 / 38
Cellulitis W/O Mcc11178 / 11$9.664,50216 / 35$8.959,352477 / 34$7.750,372469 / 34
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc10561 / 8$8.840,17215 / 34$8.158,292444 / 34$7.421,222435 / 33
Heart Failure & Shock W Cc105173 / 25$11.126,50206 / 34$10.262,402634 / 34$9.632,102628 / 34
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc89186 / 23$8.839,67140 / 35$8.176,562578 / 35$7.155,492563 / 36
Chronic Obstructive Pulmonary Disease W Mcc81121 / 12$11.959,10125 / 24$11.058,302372 / 24$9.991,052364 / 25
Renal Failure W Cc78143 / 17$10.310,10114 / 29$9.517,292255 / 29$8.533,082245 / 30
Chronic Obstructive Pulmonary Disease W Cc75104 / 21$10.434,20124 / 31$9.631,012311 / 31$8.679,122304 / 33
Rehabilitation W/O Cc/Mcc7213 / 6$19.568,7015 / 8$18.052,2019 / 8$17.662,8019 / 9
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc72135 / 18$11.139,6093 / 23$10.279,602400 / 23$9.385,942390 / 25
Heart Failure & Shock W Mcc71213 / 26$17.456,60273 / 36$16.856,502529 / 38$14.957,202518 / 34
G.I. Hemorrhage W Cc68150 / 20$10.096,4047 / 23$9.336,942204 / 23$8.407,002200 / 25
Cardiac Arrhythmia & Conduction Disorders W Cc6794 / 12$10.037,30111 / 34$9.284,272087 / 34$8.274,372082 / 34
Renal Failure W Mcc62133 / 9$17.896,60152 / 30$16.498,102089 / 30$15.914,302085 / 31
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc6288 / 10$6.432,4256 / 29$5.959,681857 / 29$4.989,791851 / 29
Kidney & Urinary Tract Infections W Mcc5985 / 5$9.606,2240 / 17$8.866,411582 / 17$8.008,921578 / 17
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc5943 / 5$10.923,6060 / 34$10.083,601586 / 34$9.040,661582 / 34
Intracranial Hemorrhage Or Cerebral Infarction W Mcc58110 / 15$20.403,6096 / 28$18.834,801557 / 29$17.882,801550 / 29
Circulatory Disorders Except Ami, W Card Cath W/O Mcc58130 / 10$13.415,7023 / 19$12.438,101588 / 19$11.159,201585 / 19
Respiratory System Diagnosis W Ventilator Support <96 Hours5774 / 7$20.632,4015 / 8$19.021,001560 / 8$18.292,601546 / 10
Hip & Femur Procedures Except Major Joint W Cc5687 / 9$22.173,4051 / 25$20.445,902005 / 25$19.455,101983 / 25
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc53143 / 9$23.971,8018 / 16$22.105,501468 / 16$20.969,801460 / 17
Simple Pneumonia & Pleurisy W/O Cc/Mcc5340 / 4$7.861,9485 / 31$7.263,791856 / 31$6.199,621848 / 32
G.I. Obstruction W Cc5240 / 4$8.554,4028 / 21$7.951,901525 / 21$6.857,331520 / 22
Acute Myocardial Infarction, Discharged Alive W Cc5140 / 7$12.964,9077 / 30$11.962,201396 / 30$11.014,701394 / 29
Syncope & Collapse51118 / 21$9.463,6586 / 34$8.784,651846 / 34$7.783,471838 / 34
Pulmonary Embolism W/O Mcc4826 / 4$11.371,3059 / 26$10.520,401251 / 25$9.475,421248 / 26
Chest Pain47104 / 14$5.655,8513 / 8$5.256,851269 / 8$4.192,871262 / 6
Acute Myocardial Infarction, Discharged Alive W Mcc4382 / 7$17.419,6096 / 26$16.092,901688 / 26$15.181,901675 / 26
Diabetes W Cc4349 / 11$9.048,4457 / 23$8.350,651481 / 23$7.591,581476 / 24
Cardiac Arrhythmia & Conduction Disorders W Mcc4380 / 7$11.872,9042 / 19$10.953,001724 / 19$10.166,401721 / 19
Red Blood Cell Disorders W/O Mcc42101 / 21$8.638,6057 / 24$8.003,981814 / 24$7.078,431805 / 23
Respiratory Infections & Inflammations W Cc4147 / 5$14.782,2096 / 24$13.632,801431 / 24$12.866,401426 / 25
Respiratory Infections & Inflammations W Mcc4096 / 6$18.196,4060 / 14$16.842,801622 / 14$15.617,001606 / 15
Degenerative Nervous System Disorders W/O Mcc3939 / 6$11.105,6041 / 19$10.284,50786 / 20$9.114,82786 / 19
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc3655 / 3$16.407,2044 / 8$15.118,30389 / 8$14.916,60389 / 8
G.I. Obstruction W/O Cc/Mcc3536 / 6$7.141,5742 / 26$6.655,971231 / 27$5.329,661228 / 26
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc3585 / 19$7.474,3470 / 25$6.905,291904 / 24$5.905,971893 / 24
Heart Failure & Shock W/O Cc/Mcc3377 / 20$6.747,4847 / 20$6.235,181736 / 20$5.263,551723 / 20
Transient Ischemia3293 / 21$16.677,40391 / 38$15.382,801669 / 38$14.405,801661 / 38
G.I. Hemorrhage W Mcc3289 / 14$17.423,6044 / 23$16.064,301512 / 23$15.381,301502 / 25
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc3193 / 9$6.539,7746 / 12$6.041,55634 / 12$5.184,77633 / 13
Bronchitis & Asthma W Cc/Mcc3046 / 9$11.190,5075 / 28$10.328,801047 / 28$9.321,831043 / 28
Seizures W/O Mcc3078 / 18$8.297,0737 / 23$7.663,331158 / 22$6.654,271156 / 24
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc2997 / 21$11.689,1057 / 26$10.783,701561 / 26$9.994,761558 / 26
Medical Back Problems W/O Mcc2893 / 20$10.871,4072 / 30$10.070,101448 / 30$9.046,961443 / 30
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc2828 / 3$19.715,2033 / 22$18.183,20899 / 22$17.106,60896 / 22
Coronary Bypass W Cardiac Cath W/O Mcc2848 / 7$49.918,309 / 7$46.127,60603 / 7$43.981,80603 / 7
Nonspecific Cerebrovascular Disorders W Cc2630 / 3$9.340,4211 / 9$8.622,96400 / 9$7.697,42400 / 9
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc2627 / 5$8.979,6536 / 23$8.289,62828 / 23$7.410,85824 / 23
Signs & Symptoms W/O Mcc2566 / 19$10.926,20125 / 36$10.083,601318 / 36$9.164,601315 / 37
Other Kidney & Urinary Tract Diagnoses W Mcc2477 / 11$15.647,8051 / 17$14.427,80999 / 17$13.777,10995 / 18
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc2471 / 4$21.347,806 / 6$19.686,80569 / 6$18.632,10565 / 6
Cellulitis W Mcc2335 / 4$9.995,306 / 3$9.222,65445 / 3$8.472,04443 / 3
Other Digestive System Diagnoses W Cc2275 / 19$10.893,9044 / 25$10.113,201335 / 25$8.869,141331 / 26
Other Circulatory System Diagnoses W Mcc2294 / 21$21.630,5070 / 25$19.934,101331 / 25$19.538,101323 / 27
Major Small & Large Bowel Procedures W Cc2286 / 17$28.633,7046 / 22$26.393,901506 / 21$25.570,601492 / 22
Depressive Neuroses2228 / 5$5.331,056 / 4$4.929,8678 / 4$3.982,2378 / 2
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents2179 / 9$38.631,1017 / 13$35.770,901000 / 13$33.348,20995 / 13
Other Kidney & Urinary Tract Diagnoses W Cc2182 / 13$10.221,2031 / 18$9.429,48761 / 18$8.742,24761 / 20
Other Disorders Of Nervous System W Cc2036 / 9$11.566,0037 / 20$10.675,30608 / 20$9.644,95607 / 20
Coronary Bypass W/O Cardiac Cath W/O Mcc2068 / 8$38.595,107 / 6$35.570,80580 / 6$34.724,40579 / 7
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc1934 / 6$19.810,3054 / 16$18.260,60482 / 16$17.688,00482 / 16
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1954 / 13$9.695,2624 / 15$8.941,42891 / 14$8.431,11889 / 16
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1951 / 8$11.936,2036 / 20$11.009,50535 / 19$10.312,30535 / 18
Renal Failure W/O Cc/Mcc1937 / 14$6.216,5817 / 13$5.742,16756 / 13$4.974,16754 / 17
Hypertension W/O Mcc1946 / 10$9.028,5345 / 25$8.423,74752 / 25$6.934,84750 / 26
Traumatic Stupor & Coma, Coma <1 Hr W Cc1848 / 7$12.247,1013 / 9$11.302,10487 / 9$10.295,80486 / 9
Extracranial Procedures W/O Cc/Mcc1880 / 14$14.373,3047 / 17$13.340,40925 / 17$11.665,50922 / 17
Other Circulatory System Diagnoses W Cc1749 / 10$9.211,0616 / 15$8.497,94567 / 14$7.854,18566 / 17
Infectious & Parasitic Diseases W O.R. Procedure W Mcc17107 / 24$46.181,1039 / 22$42.561,301293 / 22$41.601,301283 / 23
G.I. Hemorrhage W/O Cc/Mcc1751 / 19$6.205,0016 / 13$5.735,94776 / 13$4.736,41772 / 13
Circulatory Disorders Except Ami, W Card Cath W Mcc1776 / 8$21.278,4014 / 10$19.620,10825 / 10$18.692,10817 / 10
Bronchitis & Asthma W/O Cc/Mcc1629 / 5$6.987,0018 / 13$6.457,44332 / 13$5.403,44332 / 13
Respiratory Neoplasms W Cc1631 / 9$16.444,4037 / 16$15.165,20502 / 16$14.335,20501 / 18
Red Blood Cell Disorders W Mcc1655 / 16$15.086,0066 / 25$13.910,901052 / 25$13.230,901048 / 25
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1646 / 14$8.330,1238 / 21$7.690,31749 / 21$6.862,31747 / 22
Disorders Of The Biliary Tract W Cc1638 / 6$8.448,755 / 5$7.799,81299 / 5$6.969,81299 / 6
Pulmonary Embolism W Mcc1627 / 5$13.248,207 / 5$12.503,10299 / 6$8.929,38299 / 2
Permanent Cardiac Pacemaker Implant W Cc1661 / 11$36.272,8050 / 18$33.434,10966 / 18$32.456,10962 / 18
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc15103 / 9$69.350,1013 / 8$63.904,60538 / 8$62.940,30538 / 8
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1540 / 7$28.573,2033 / 12$26.499,10635 / 12$24.088,70631 / 12
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc1532 / 6$19.139,8016 / 7$17.714,80508 / 7$16.527,70508 / 7
Respiratory System Diagnosis W Ventilator Support 96+ Hours1556 / 13$55.356,5041 / 18$51.005,50938 / 18$50.440,20937 / 19
Peripheral Vascular Disorders W Cc1470 / 20$11.241,9062 / 23$10.461,601188 / 23$9.440,141185 / 24
Acute Myocardial Infarction, Expired W Mcc1416 / 2$19.094,9011 / 5$17.609,10180 / 5$16.665,10180 / 5
Hip & Femur Procedures Except Major Joint W Mcc1448 / 7$47.377,10120 / 14$43.655,90966 / 14$43.052,50963 / 14
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc1475 / 15$13.194,4026 / 13$12.178,80751 / 13$10.969,60750 / 13
Respiratory Neoplasms W Mcc1438 / 11$19.549,1035 / 19$18.017,30620 / 19$17.587,60617 / 19
Major Cardiovasc Procedures W/O Mcc1487 / 20$52.279,4069 / 22$48.180,601001 / 22$47.145,201000 / 23
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc1430 / 6$30.908,5012 / 9$28.490,20417 / 9$27.628,50415 / 9
Poisoning & Toxic Effects Of Drugs W Mcc1458 / 10$19.194,6092 / 17$17.700,80971 / 17$16.754,50968 / 18
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc1443 / 9$28.862,0038 / 18$26.608,40717 / 18$25.577,60715 / 18
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1383 / 19$12.963,3050 / 21$11.962,201335 / 21$10.940,601330 / 19
Major Small & Large Bowel Procedures W Mcc1372 / 16$49.192,2031 / 19$45.334,401171 / 19$44.406,401168 / 20
Fractures Of Hip & Pelvis W/O Mcc1348 / 17$9.493,3870 / 24$8.767,46904 / 24$7.649,92903 / 24
Other Digestive System Diagnoses W/O Cc/Mcc1330 / 6$6.664,9213 / 11$6.196,38263 / 11$4.574,92263 / 8
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc1262 / 5$24.638,802 / 1$22.717,50255 / 1$21.709,50254 / 1
Otitis Media & Uri W/O Mcc1232 / 7$9.387,1717 / 7$8.667,50214 / 7$7.664,83214 / 7
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1235 / 8$11.904,609 / 8$10.984,60554 / 7$10.083,20553 / 9
Neuroses Except Depressive1215 / 4$7.220,754 / 2$6.665,3333 / 2$5.984,0033 / 2
Dysequilibrium1253 / 16$10.078,1047 / 29$9.304,17560 / 29$8.293,50560 / 29
Fever1234 / 6$12.640,1030 / 13$11.658,20338 / 13$10.951,60338 / 14
Major Cardiovasc Procedures W Mcc1256 / 9$41.348,809 / 9$38.108,70431 / 9$37.202,00430 / 9
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc1242 / 6$6.874,426 / 6$6.350,92297 / 6$5.446,92297 / 7
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc1235 / 13$9.037,9224 / 17$8.343,75357 / 17$7.437,08357 / 18
Other Respiratory System Diagnoses W/O Mcc1234 / 8$9.256,2512 / 9$8.755,00286 / 10$7.273,92286 / 8
Respiratory Signs & Symptoms1234 / 8$8.667,8313 / 10$7.998,92294 / 10$7.292,25294 / 11
Other Vascular Procedures W Cc1290 / 20$24.108,7017 / 15$22.225,101024 / 15$21.419,801019 / 15
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc1228 / 5$14.696,1023 / 7$13.556,30290 / 7$12.649,70290 / 7
Complications Of Treatment W Cc1141 / 9$8.872,454 / 3$8.180,00275 / 3$7.851,27275 / 3
Poisoning & Toxic Effects Of Drugs W/O Mcc1150 / 17$7.697,6433 / 13$7.110,82823 / 13$6.121,73822 / 13
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1152 / 12$41.754,1015 / 13$38.481,40605 / 13$37.605,70605 / 13
Cranial & Peripheral Nerve Disorders W/O Mcc1157 / 14$12.788,0062 / 23$11.795,60725 / 23$11.030,50725 / 23
Organic Disturbances & Mental Retardation1148 / 18$8.247,3616 / 10$7.613,00354 / 10$6.839,18354 / 10
Major Small & Large Bowel Procedures W/O Cc/Mcc1153 / 11$21.429,5032 / 15$19.760,60743 / 15$18.771,50743 / 18
Transurethral Procedures W Cc1130 / 6$12.513,909 / 8$11.552,00353 / 8$10.341,80353 / 8
Pneumothorax W Cc1114 / 2$13.185,103 / 1$12.163,6091 / 1$11.285,1091 / 1
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc1158 / 9$21.805,2012 / 12$20.111,00557 / 11$18.906,60555 / 12
Endocrine Disorders W Cc1127 / 7$10.439,3011 / 6$9.634,27257 / 6$8.755,73257 / 6
Respiratory Infections & Inflammations W/O Cc/Mcc1118 / 6$9.516,276 / 6$8.781,82121 / 6$8.008,00121 / 7
Total 129 procedures5.126discharges

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.