Hospital Costs > In Virginia > Bon Secours Maryview Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 391 | 41 / 1 | $12.171,10 | 120 / 3 | $7.086,66 | 232 / 12 | $5.643,99 | 232 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 313 | 205 / 19 | $36.287,30 | 1109 / 41 | $12.215,00 | 1340 / 54 | $10.711,40 | 1315 / 50 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 178 | 386 / 26 | $79.710,80 | 2200 / 51 | $14.013,70 | 1209 / 34 | $11.408,10 | 1180 / 45 |
Heart Failure & Shock W Mcc | 147 | 137 / 15 | $25.715,90 | 799 / 36 | $9.898,06 | 1178 / 51 | $8.555,36 | 1175 / 53 |
G.I. Hemorrhage W Cc | 74 | 144 / 23 | $14.896,30 | 301 / 7 | $6.871,08 | 863 / 47 | $5.230,95 | 861 / 40 |
Pulmonary Edema & Respiratory Failure | 71 | 132 / 20 | $22.206,60 | 551 / 24 | $8.175,86 | 797 / 48 | $6.702,15 | 797 / 38 |
Renal Failure W Mcc | 65 | 130 / 16 | $29.967,40 | 765 / 34 | $9.829,80 | 778 / 33 | $8.503,34 | 778 / 35 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 62 | 106 / 14 | $25.846,20 | 229 / 9 | $10.758,50 | 453 / 25 | $9.225,98 | 452 / 22 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 58 | 149 / 28 | $17.044,20 | 518 / 15 | $7.301,71 | 995 / 50 | $5.655,52 | 992 / 44 |
Respiratory Infections & Inflammations W Mcc | 55 | 81 / 7 | $38.429,50 | 718 / 33 | $12.960,80 | 874 / 41 | $11.333,10 | 864 / 38 |
Transient Ischemia | 55 | 70 / 13 | $16.857,60 | 404 / 16 | $5.143,29 | 817 / 42 | $3.732,36 | 813 / 44 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 55 | 127 / 24 | $21.388,70 | 559 / 22 | $7.005,64 | 903 / 35 | $5.691,15 | 901 / 47 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 45 | 79 / 12 | $99.169,50 | 479 / 19 | $31.398,30 | 489 / 11 | $29.402,30 | 485 / 14 |
Heart Failure & Shock W Cc | 44 | 234 / 39 | $15.877,50 | 671 / 23 | $6.755,14 | 982 / 53 | $5.278,45 | 981 / 42 |
Syncope & Collapse | 44 | 125 / 21 | $16.285,00 | 509 / 20 | $5.163,09 | 1001 / 42 | $4.062,64 | 994 / 50 |
Hip & Femur Procedures Except Major Joint W Cc | 41 | 102 / 17 | $45.323,10 | 856 / 31 | $12.341,30 | 746 / 39 | $10.510,80 | 739 / 32 |
Simple Pneumonia & Pleurisy W Mcc | 40 | 165 / 36 | $25.182,60 | 719 / 30 | $9.322,72 | 1090 / 42 | $7.977,33 | 1090 / 48 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 39 | 157 / 17 | $74.900,80 | 772 / 24 | $14.703,20 | 706 / 23 | $11.251,50 | 702 / 24 |
G.I. Hemorrhage W Mcc | 38 | 83 / 16 | $26.943,60 | 226 / 7 | $11.089,30 | 501 / 25 | $9.659,03 | 502 / 24 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 38 | 237 / 44 | $16.241,90 | 906 / 34 | $5.278,97 | 1313 / 49 | $3.981,58 | 1302 / 58 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 29 | $12.959,20 | 314 / 8 | $5.485,49 | 978 / 42 | $4.266,97 | 975 / 49 |
Renal Failure W Cc | 34 | 187 / 38 | $16.565,10 | 623 / 29 | $6.528,76 | 937 / 52 | $5.120,71 | 929 / 47 |
Other Circulatory System Diagnoses W Mcc | 30 | 86 / 14 | $38.127,70 | 436 / 15 | $11.895,90 | 436 / 12 | $10.519,40 | 435 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 30 | 96 / 18 | $17.089,10 | 249 / 15 | $7.239,43 | 642 / 28 | $6.281,57 | 639 / 34 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 16 | $41.686,20 | 372 / 14 | $14.291,00 | 653 / 22 | $12.824,20 | 645 / 24 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 29 | 96 / 21 | $25.861,00 | 311 / 20 | $10.948,20 | 763 / 38 | $9.634,76 | 762 / 40 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 28 | 72 / 12 | $90.236,40 | 382 / 10 | $21.807,70 | 264 / 13 | $17.654,80 | 262 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 29 | $22.923,00 | 519 / 19 | $8.255,29 | 891 / 34 | $6.959,75 | 888 / 36 |
Spinal Fusion Except Cervical W/O Mcc | 26 | 168 / 26 | $127.061,00 | 983 / 25 | $26.930,50 | 940 / 21 | $25.639,90 | 935 / 29 |
Chest Pain | 26 | 125 / 22 | $10.857,60 | 182 / 4 | $4.490,15 | 655 / 42 | $3.079,96 | 651 / 38 |
Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 26 | $17.589,10 | 403 / 23 | $7.390,46 | 979 / 39 | $6.340,88 | 976 / 47 |
Major Cardiovasc Procedures W/O Mcc | 23 | 78 / 13 | $128.079,00 | 782 / 23 | $31.407,30 | 813 / 29 | $24.932,80 | 812 / 26 |
Red Blood Cell Disorders W/O Mcc | 23 | 120 / 27 | $12.190,60 | 226 / 6 | $5.561,30 | 892 / 37 | $4.403,48 | 887 / 39 |
Cellulitis W/O Mcc | 23 | 166 / 41 | $14.916,20 | 849 / 30 | $5.788,00 | 918 / 44 | $4.212,39 | 912 / 42 |
Diabetes W Mcc | 22 | 35 / 6 | $19.908,80 | 82 / 7 | $8.793,09 | 233 / 13 | $7.729,82 | 233 / 15 |
Red Blood Cell Disorders W Mcc | 22 | 49 / 9 | $20.072,80 | 157 / 7 | $8.371,27 | 430 / 17 | $7.220,32 | 428 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 27 | $18.641,10 | 482 / 19 | $5.114,45 | 685 / 27 | $3.840,91 | 681 / 37 |
Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 46 | $18.685,50 | 620 / 21 | $7.484,09 | 897 / 39 | $6.148,32 | 892 / 36 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 31 | $26.924,90 | 372 / 11 | $7.231,00 | 851 / 21 | $6.018,19 | 849 / 30 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 21 | 68 / 9 | $16.485,80 | 50 / 1 | $7.148,38 | 377 / 10 | $5.865,71 | 376 / 14 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 19 | 73 / 13 | $119.550,00 | 308 / 13 | $37.613,10 | 440 / 13 | $35.677,00 | 439 / 18 |
Other Vascular Procedures W Mcc | 19 | 78 / 13 | $70.578,90 | 272 / 11 | $21.515,80 | 408 / 11 | $19.728,80 | 406 / 10 |
Seizures W Mcc | 19 | 47 / 10 | $29.131,70 | 154 / 8 | $10.429,30 | 223 / 18 | $8.469,32 | 223 / 12 |
Pulmonary Embolism W Mcc | 18 | 25 / 8 | $24.340,30 | 90 / 7 | $9.199,06 | 136 / 7 | $7.931,33 | 136 / 8 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 10 | $89.493,40 | 570 / 23 | $20.248,50 | 148 / 15 | $16.368,50 | 148 / 10 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 36 | $11.209,10 | 486 / 21 | $4.125,18 | 1121 / 46 | $2.927,94 | 1116 / 51 |
Other Digestive System Diagnoses W Mcc | 17 | 45 / 8 | $36.766,70 | 269 / 16 | $12.034,60 | 410 / 18 | $10.911,10 | 409 / 20 |
Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 17 | $116.192,00 | 529 / 20 | $34.095,10 | 678 / 24 | $31.957,40 | 676 / 26 |
Other Vascular Procedures W Cc | 17 | 85 / 18 | $56.502,80 | 297 / 15 | $16.734,60 | 587 / 21 | $15.465,50 | 584 / 24 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 41 | $16.794,40 | 1180 / 45 | $5.168,00 | 1025 / 53 | $3.667,81 | 1022 / 48 |
Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 11 | $47.982,60 | 125 / 8 | $17.134,70 | 150 / 7 | $15.511,20 | 150 / 7 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 24 | $14.739,80 | 142 / 4 | $6.375,56 | 685 / 19 | $5.527,88 | 681 / 30 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 11 | $8.429,53 | 84 / 1 | $5.243,60 | 266 / 12 | $3.697,80 | 266 / 10 |
G.I. Obstruction W Cc | 15 | 77 / 23 | $20.007,10 | 657 / 30 | $6.209,40 | 944 / 30 | $5.011,73 | 941 / 38 |
Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 17 | $66.700,70 | 543 / 15 | $14.522,30 | 568 / 10 | $13.392,80 | 565 / 22 |
Nonspecific Cerebrovascular Disorders W Mcc | 14 | 37 / 8 | $25.131,40 | 68 / 1 | $10.264,40 | 121 / 4 | $9.121,00 | 121 / 3 |
Diabetes W Cc | 14 | 78 / 25 | $14.237,90 | 286 / 17 | $5.786,43 | 566 / 35 | $4.354,93 | 566 / 38 |
Other Circulatory System O.R. Procedures | 14 | 41 / 8 | $48.931,50 | 96 / 5 | $15.327,10 | 53 / 1 | $14.031,40 | 53 / 4 |
Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 23 | $22.790,80 | 413 / 19 | $7.071,57 | 611 / 30 | $5.679,29 | 610 / 32 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 25 | $50.453,40 | 433 / 16 | $16.107,80 | 296 / 19 | $12.860,90 | 294 / 12 |
Other Disorders Of Nervous System W Cc | 13 | 43 / 12 | $18.347,90 | 150 / 8 | $5.964,77 | 162 / 11 | $4.673,38 | 162 / 11 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 12 | $107.451,00 | 298 / 13 | $33.845,60 | 466 / 10 | $31.767,80 | 466 / 14 |
Depressive Neuroses | 13 | 37 / 5 | $6.319,54 | 15 / 1 | $4.674,23 | 39 / 4 | $3.387,85 | 39 / 3 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 16 | $17.248,40 | 142 / 9 | $6.397,46 | 213 / 13 | $5.016,85 | 213 / 12 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 14 | $48.755,30 | 298 / 12 | $13.504,10 | 367 / 16 | $11.958,80 | 362 / 17 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 13 | 53 / 11 | $36.674,70 | 129 / 7 | $12.531,40 | 307 / 8 | $11.320,80 | 305 / 11 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 19 | $19.073,80 | 364 / 13 | $6.345,08 | 462 / 20 | $5.227,08 | 460 / 20 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 27 | $31.388,90 | 428 / 20 | $9.623,58 | 374 / 14 | $8.651,42 | 374 / 22 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 9 | $335.977,00 | 370 / 9 | $93.049,00 | 467 / 11 | $88.412,50 | 466 / 13 |
Other Resp System O.R. Procedures W Mcc | 12 | 51 / 10 | $73.646,50 | 172 / 7 | $24.673,50 | 117 / 8 | $19.447,20 | 117 / 1 |
Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 55 | $13.937,80 | 785 / 25 | $5.364,92 | 1506 / 52 | $4.358,58 | 1495 / 57 |
Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 15 | $21.283,00 | 136 / 5 | $8.712,33 | 244 / 10 | $7.461,42 | 243 / 9 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 12 | 76 / 14 | $100.120,00 | 254 / 8 | $21.813,30 | 226 / 1 | $20.413,60 | 225 / 8 |
O.R. Procedures For Obesity W/O Cc/Mcc | 12 | 65 / 9 | $41.102,90 | 189 / 7 | $9.966,17 | 181 / 6 | $8.664,83 | 181 / 7 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 23 | $20.908,90 | 430 / 20 | $6.623,27 | 774 / 19 | $5.733,82 | 771 / 33 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 23 | $18.421,30 | 150 / 7 | $7.867,91 | 643 / 25 | $6.982,73 | 638 / 30 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 14 | $89.043,70 | 375 / 13 | $16.063,10 | 239 / 7 | $14.859,30 | 239 / 10 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 23 | $14.478,90 | 496 / 27 | $4.711,64 | 397 / 28 | $2.829,55 | 396 / 20 | Total 78 procedures | 2.914 | 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.