Hospital Costs > In Virginia > Bedford Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cellulitis W/O Mcc | 12 | 177 / 50 | $12.400,90 | 525 / 11 | $4.885,08 | 209 / 7 | $3.570,67 | 208 / 10 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 49 | $15.502,40 | 815 / 27 | $4.361,18 | 296 / 8 | $3.227,18 | 295 / 13 |
G.I. Hemorrhage W Cc | 15 | 203 / 50 | $15.793,70 | 365 / 9 | $5.668,60 | 384 / 9 | $4.792,60 | 384 / 19 |
Heart Failure & Shock W Cc | 30 | 248 / 49 | $16.559,80 | 751 / 25 | $5.645,67 | 365 / 11 | $4.745,80 | 365 / 13 |
Heart Failure & Shock W Mcc | 26 | 258 / 53 | $20.155,20 | 430 / 15 | $8.135,08 | 221 / 7 | $7.273,54 | 221 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 36 | $14.955,50 | 951 / 33 | $4.042,48 | 186 / 9 | $2.985,86 | 186 / 10 |
Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 14 | $14.144,60 | 33 / 3 | $5.650,45 | 108 / 5 | $4.897,00 | 108 / 7 |
Pulmonary Edema & Respiratory Failure | 52 | 151 / 28 | $21.125,50 | 475 / 19 | $7.025,10 | 202 / 9 | $5.920,33 | 202 / 10 |
Renal Failure W Cc | 29 | 192 / 42 | $15.308,60 | 489 / 21 | $5.786,03 | 172 / 16 | $4.329,86 | 172 / 9 |
Renal Failure W Mcc | 15 | 180 / 45 | $15.791,00 | 88 / 3 | $8.243,67 | 108 / 3 | $7.248,73 | 108 / 6 |
Renal Failure W/O Cc/Mcc | 11 | 45 / 16 | $8.622,82 | 74 / 1 | $3.578,36 | 36 / 2 | $2.424,91 | 36 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 60 | 456 / 56 | $23.384,50 | 443 / 11 | $10.082,30 | 159 / 8 | $8.827,33 | 159 / 8 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 48 | $17.512,50 | 565 / 16 | $5.829,53 | 194 / 2 | $4.842,87 | 194 / 10 |
Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 43 | $21.327,70 | 1284 / 42 | $5.683,61 | 405 / 9 | $4.566,72 | 402 / 14 |
Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 50 | $19.664,80 | 368 / 10 | $7.904,05 | 251 / 4 | $6.939,25 | 251 / 9 |
Syncope & Collapse | 12 | 157 / 38 | $12.766,50 | 249 / 9 | $4.449,33 | 48 / 16 | $2.858,25 | 48 / 4 | Total 16 procedures | 369 | 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.