Hospital Costs > In West Virginia > Williamson Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 18 | $13.736,50 | 394 / 15 | $5.944,46 | 468 / 17 | $3.788,38 | 467 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 14 | $20.694,00 | 371 / 10 | $6.964,18 | 195 / 4 | $5.843,09 | 195 / 4 |
| Cellulitis W/O Mcc | 12 | 177 / 23 | $7.456,17 | 66 / 5 | $5.407,00 | 1163 / 13 | $4.401,67 | 1157 / 20 |
| Chest Pain | 14 | 137 / 13 | $16.410,20 | 622 / 16 | $4.226,86 | 818 / 11 | $3.273,71 | 813 / 15 |
| Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 16 | $12.922,80 | 317 / 11 | $5.872,35 | 781 / 14 | $4.781,08 | 779 / 15 |
| Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 13 | $12.185,80 | 135 / 6 | $6.812,57 | 901 / 7 | $6.154,39 | 896 / 14 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 44 | 76 / 9 | $8.014,57 | 94 / 4 | $4.778,39 | 1116 / 10 | $3.841,48 | 1107 / 17 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 20 | $9.915,57 | 207 / 9 | $4.915,33 | 1180 / 14 | $3.876,10 | 1171 / 20 |
| Heart Failure & Shock W Cc | 37 | 241 / 16 | $15.828,30 | 667 / 17 | $6.224,46 | 874 / 14 | $5.190,32 | 873 / 14 |
| Heart Failure & Shock W Mcc | 26 | 258 / 16 | $21.506,10 | 506 / 16 | $9.059,08 | 1090 / 14 | $8.420,62 | 1087 / 19 |
| Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 16 | $9.573,42 | 253 / 10 | $5.053,08 | 1172 / 14 | $4.067,17 | 1164 / 19 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 19 | $7.311,13 | 91 / 3 | $4.904,27 | 1232 / 18 | $3.832,20 | 1228 / 21 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 7 | $8.175,00 | 14 / 1 | $6.130,27 | 260 / 2 | $5.365,18 | 260 / 4 |
| Pulmonary Edema & Respiratory Failure | 11 | 192 / 20 | $11.960,10 | 37 / 4 | $7.247,91 | 796 / 4 | $6.701,00 | 796 / 15 |
| Renal Failure W Cc | 16 | 205 / 19 | $12.171,40 | 227 / 7 | $6.016,50 | 1003 / 11 | $5.184,50 | 995 / 18 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 15 | $24.811,50 | 224 / 7 | $10.761,50 | 298 / 3 | $10.020,60 | 298 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 15 | 501 / 27 | $24.168,70 | 489 / 15 | $10.351,60 | 690 / 6 | $9.768,13 | 689 / 16 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 24 | $10.275,20 | 125 / 4 | $6.075,55 | 1054 / 12 | $5.125,73 | 1051 / 17 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 19 | $14.335,60 | 652 / 19 | $4.721,73 | 928 / 12 | $3.619,18 | 923 / 16 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 20 | 26 / 2 | $11.547,10 | 31 / 1 | $4.736,45 | 210 / 2 | $3.742,60 | 209 / 5 | Total 20 procedures | 418 | 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.