Hospital Costs > In Virginia > Bon Secours Depaul Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 30 | $29.309,40 | 417 / 26 | $10.065,60 | 506 / 22 | $9.010,00 | 505 / 26 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 19 | 70 / 10 | $26.246,60 | 222 / 9 | $6.978,42 | 133 / 7 | $4.924,89 | 133 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 35 | $16.125,40 | 638 / 30 | $5.240,72 | 702 / 33 | $4.016,40 | 699 / 33 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 33 | $23.627,80 | 563 / 23 | $7.470,35 | 540 / 15 | $6.427,05 | 537 / 22 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 35 | $11.269,80 | 492 / 22 | $3.796,06 | 544 / 32 | $2.480,00 | 540 / 27 |
Cellulitis W/O Mcc | 26 | 163 / 39 | $14.695,00 | 821 / 27 | $5.541,35 | 926 / 32 | $4.222,77 | 920 / 44 |
Cervical Spinal Fusion W Cc | 11 | 42 / 9 | $98.688,70 | 283 / 11 | $17.498,80 | 148 / 2 | $16.220,00 | 147 / 5 |
Cervical Spinal Fusion W/O Cc/Mcc | 19 | 85 / 16 | $103.182,00 | 780 / 24 | $17.841,30 | 472 / 20 | $12.543,30 | 469 / 16 |
Chest Pain | 30 | 121 / 20 | $12.773,90 | 290 / 9 | $4.020,93 | 497 / 25 | $2.919,57 | 494 / 32 |
Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 36 | $22.326,00 | 1239 / 46 | $6.103,27 | 889 / 33 | $4.859,47 | 886 / 37 |
Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 41 | $21.221,20 | 830 / 31 | $7.392,89 | 558 / 30 | $5.825,43 | 557 / 19 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 35 | $28.158,60 | 433 / 13 | $6.809,93 | 660 / 13 | $5.675,21 | 658 / 22 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 48 | $17.345,00 | 1042 / 38 | $4.896,48 | 1259 / 31 | $3.934,17 | 1248 / 56 |
Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 17 | $26.504,80 | 322 / 11 | $6.615,38 | 313 / 8 | $5.240,77 | 313 / 12 |
G.I. Hemorrhage W Cc | 33 | 185 / 38 | $19.414,80 | 699 / 25 | $6.434,18 | 492 / 31 | $4.901,73 | 491 / 26 |
G.I. Hemorrhage W Mcc | 20 | 101 / 25 | $33.392,90 | 439 / 18 | $10.562,00 | 342 / 18 | $9.255,80 | 342 / 16 |
G.I. Obstruction W Cc | 15 | 77 / 23 | $20.007,70 | 658 / 31 | $5.854,93 | 586 / 21 | $4.567,07 | 585 / 30 |
Heart Failure & Shock W Cc | 35 | 243 / 45 | $14.304,90 | 501 / 15 | $6.183,29 | 585 / 31 | $4.973,57 | 585 / 26 |
Heart Failure & Shock W Mcc | 77 | 207 / 31 | $22.219,50 | 549 / 20 | $8.929,44 | 568 / 20 | $7.776,05 | 568 / 24 |
Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 30 | $47.023,80 | 935 / 35 | $11.784,90 | 674 / 27 | $10.394,00 | 671 / 27 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 30 | $99.623,80 | 484 / 20 | $33.271,00 | 687 / 16 | $31.430,60 | 681 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 34 | $28.014,90 | 1009 / 43 | $6.789,72 | 768 / 28 | $5.514,79 | 766 / 40 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 39 | 129 / 19 | $47.459,60 | 906 / 38 | $11.323,80 | 590 / 35 | $9.576,08 | 589 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 32 | $19.369,50 | 531 / 22 | $4.951,92 | 750 / 22 | $3.932,92 | 746 / 39 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 30 | $23.881,10 | 850 / 44 | $6.844,26 | 546 / 22 | $5.770,32 | 545 / 28 |
Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 44 | $15.355,70 | 991 / 35 | $5.175,07 | 527 / 42 | $3.638,14 | 526 / 21 |
Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 19 | $108.048,00 | 660 / 22 | $21.167,10 | 448 / 9 | $19.864,80 | 448 / 17 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 14 | $77.860,50 | 651 / 17 | $12.542,20 | 190 / 4 | $10.990,20 | 188 / 7 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 60 | 504 / 44 | $70.450,90 | 2005 / 49 | $13.320,70 | 986 / 23 | $11.029,10 | 966 / 33 |
Major Male Pelvic Procedures W/O Cc/Mcc | 24 | 49 / 4 | $44.713,90 | 212 / 4 | $8.198,54 | 102 / 1 | $6.036,96 | 102 / 5 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 27 | $68.597,20 | 829 / 27 | $14.950,70 | 112 / 9 | $11.957,10 | 112 / 5 |
Medical Back Problems W/O Mcc | 13 | 108 / 23 | $16.571,40 | 307 / 14 | $5.513,15 | 437 / 16 | $4.140,85 | 437 / 19 |
Other Circulatory System Diagnoses W Mcc | 14 | 102 / 23 | $28.156,90 | 178 / 6 | $10.688,40 | 199 / 3 | $9.583,43 | 199 / 6 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 25 | $18.387,40 | 310 / 13 | $6.219,14 | 529 / 15 | $5.253,36 | 526 / 23 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 27 | $32.987,20 | 470 / 22 | $9.562,17 | 282 / 13 | $8.306,50 | 282 / 12 |
Other Vascular Procedures W Cc | 17 | 85 / 18 | $73.160,60 | 551 / 24 | $15.708,50 | 386 / 14 | $14.322,50 | 384 / 17 |
Other Vascular Procedures W Mcc | 19 | 78 / 13 | $61.535,70 | 171 / 8 | $18.680,10 | 127 / 2 | $17.262,70 | 127 / 2 |
Other Vascular Procedures W/O Cc/Mcc | 14 | 42 / 10 | $51.846,50 | 306 / 12 | $10.321,90 | 171 / 5 | $8.961,79 | 170 / 6 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 20 | $22.412,60 | 511 / 22 | $6.035,91 | 294 / 12 | $4.851,82 | 293 / 12 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 16 | $27.180,00 | 282 / 11 | $8.532,64 | 304 / 7 | $7.674,91 | 303 / 13 |
Pulmonary Edema & Respiratory Failure | 42 | 161 / 32 | $24.334,00 | 682 / 31 | $7.707,86 | 659 / 30 | $6.527,52 | 659 / 32 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 35 | $19.210,10 | 825 / 29 | $5.239,86 | 566 / 24 | $4.052,43 | 564 / 27 |
Renal Failure W Cc | 30 | 191 / 41 | $15.366,60 | 498 / 23 | $6.181,00 | 690 / 35 | $4.909,53 | 683 / 36 |
Renal Failure W Mcc | 44 | 151 / 27 | $33.335,30 | 967 / 43 | $11.122,30 | 1363 / 53 | $9.825,80 | 1363 / 59 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 17 | $25.106,00 | 477 / 18 | $8.743,79 | 553 / 26 | $7.457,29 | 550 / 21 |
Respiratory Infections & Inflammations W Mcc | 23 | 113 / 26 | $28.795,50 | 350 / 21 | $11.797,30 | 527 / 22 | $10.534,50 | 521 / 22 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 29 | $60.899,20 | 923 / 33 | $16.511,80 | 1221 / 42 | $15.197,60 | 1208 / 45 |
Seizures W/O Mcc | 11 | 97 / 24 | $16.464,40 | 337 / 8 | $4.975,18 | 392 / 11 | $3.896,91 | 390 / 18 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 142 | 374 / 42 | $33.581,80 | 978 / 34 | $11.236,10 | 808 / 28 | $9.929,16 | 807 / 29 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 38 | $23.021,20 | 1069 / 40 | $6.798,55 | 917 / 32 | $5.593,58 | 915 / 41 |
Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 34 | $19.164,60 | 1047 / 31 | $6.277,53 | 781 / 31 | $4.887,80 | 778 / 31 |
Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 41 | $28.704,50 | 954 / 37 | $8.960,15 | 729 / 28 | $7.592,09 | 729 / 31 |
Spinal Fusion Except Cervical W/O Mcc | 91 | 103 / 10 | $186.526,00 | 1241 / 32 | $34.727,70 | 1128 / 32 | $28.799,30 | 1123 / 31 |
Syncope & Collapse | 37 | 132 / 24 | $15.022,70 | 393 / 16 | $4.854,27 | 556 / 34 | $3.604,70 | 553 / 35 |
Transient Ischemia | 34 | 91 / 21 | $19.731,10 | 647 / 31 | $4.637,74 | 304 / 26 | $3.157,71 | 304 / 13 | Total 55 procedures | 1.475 | 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.