Hospital · Federal record
UPPER VALLEY MEDICAL CENTER
Acute Care Hospitals · Voluntary non-profit - Private · 178 beds · TROY, OH
- CCN 360174
- 4 / 5 CMS overall
- HCAHPS recommend 66%
CMS quality programs
Federal payment-adjustment programs
HRRP
Higher than expected
Excess readmission ratio: 1.075
HACRP
Not penalized
HAC composite: -0.34
HVBP
Score 31.13
Value-based purchasing · FY 2024
Patient experience (HCAHPS)
CMS publishes only the summary star rating and "would recommend" percentage in the current Hospital General Information snapshot. Detailed HCAHPS measures are not available for this hospital.
Medicare charges · 2024
Top procedures by volume
Charges are not what you pay
Hospital "submitted charges" are list prices. Medicare reimburses a fraction; insured patients typically pay a contracted rate; uninsured patients can negotiate.Inpatient (MS-DRG)
| DRG | Description | Cases | Avg charge | Avg paid |
|---|---|---|---|---|
871 |
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 127 | $65,253 | $11,103 |
291 |
HEART FAILURE AND SHOCK WITH MCC | 114 | $42,533 | $7,614 |
193 |
SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 58 | $48,225 | $7,747 |
683 |
RENAL FAILURE WITH CC | 42 | $27,844 | $5,224 |
177 |
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 36 | $47,173 | $9,640 |
690 |
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 36 | $23,646 | $4,368 |
189 |
PULMONARY EDEMA AND RESPIRATORY FAILURE | 32 | $48,287 | $7,011 |
682 |
RENAL FAILURE WITH MCC | 31 | $46,738 | $8,217 |
378 |
GASTROINTESTINAL HEMORRHAGE WITH CC | 30 | $44,031 | $5,379 |
194 |
SIMPLE PNEUMONIA AND PLEURISY WITH CC | 27 | $34,679 | $4,513 |
Outpatient · 2023
| Code | Description | Services | Avg charge | Avg paid |
|---|---|---|---|---|
5072 |
Level 2 Excision/ Biopsy/ Incision and Drainage | 0 | $0 | $1,053 |
5073 |
Level 3 Excision/ Biopsy/ Incision and Drainage | 0 | $0 | $1,865 |
5091 |
Level 1 Breast/Lymphatic Surgery and Related Procedures | 0 | $0 | $0 |
5092 |
Level 2 Breast/Lymphatic Surgery and Related Procedures | 0 | $0 | $0 |
5112 |
Level 2 Musculoskeletal Procedures | 0 | $0 | $1,032 |
5113 |
Level 3 Musculoskeletal Procedures | 0 | $0 | $2,146 |
5114 |
Level 4 Musculoskeletal Procedures | 0 | $0 | $4,636 |
5115 |
Level 5 Musculoskeletal Procedures | 0 | $0 | $9,489 |
5153 |
Level 3 Airway Endoscopy | 0 | $0 | $0 |
5154 |
Level 4 Airway Endoscopy | 0 | $0 | $2,409 |
Affiliated providers
-
Dr. BLAKE ANDERSONUrology Physician
-
Dr. KIMBERLY AVRAMAUTFoot & Ankle Surgery Podiatrist
-
Dr. SARKIS BABIKIANDiagnostic Radiology Physician
-
Dr. MELANIE BAINTERPhysician Assistant
-
Dr. SUJIT BHIMIREDDYNeurological Surgery Physician
-
Dr. ERICA BROWNFamily Nurse Practitioner
-
Dr. KRISTEN BRUCEInternal Medicine Physician
-
Dr. EMMANUEL CHUKWUNYEREHospitalist Physician
-
Dr. RAMAMOHAN CHUNDURIInternal Medicine Physician
-
Dr. EDDIE DAVENPORTCardiovascular Disease Physician
-
Dr. SUSAN DAVIS-BROWNPediatrics Physician
-
Dr. SYDNEY EDINGERInternal Medicine Physician