Hospital Costs > In Virginia > Bon Secours St Francis Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 302 | 216 / 20 | $42.716,00 | 1459 / 54 | $12.008,50 | 1208 / 41 | $10.492,40 | 1189 / 44 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 259 | 306 / 21 | $54.321,60 | 1482 / 35 | $13.662,60 | 1095 / 28 | $11.215,80 | 1071 / 39 |
| Pulmonary Edema & Respiratory Failure | 110 | 93 / 10 | $28.334,30 | 928 / 42 | $8.045,04 | 871 / 41 | $6.783,59 | 871 / 40 |
| Heart Failure & Shock W Mcc | 101 | 183 / 23 | $29.155,30 | 1030 / 45 | $9.591,91 | 1024 / 43 | $8.325,67 | 1022 / 43 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 75 | 132 / 21 | $24.710,00 | 1225 / 46 | $6.862,97 | 907 / 34 | $5.584,53 | 905 / 40 |
| Spinal Fusion Except Cervical W/O Mcc | 67 | 127 / 14 | $195.978,00 | 1264 / 33 | $37.951,00 | 1297 / 34 | $35.790,70 | 1292 / 36 |
| Renal Failure W Cc | 62 | 159 / 30 | $21.924,60 | 1172 / 52 | $6.248,60 | 778 / 37 | $4.983,11 | 771 / 40 |
| Renal Failure W Mcc | 59 | 136 / 20 | $28.230,20 | 660 / 29 | $9.677,66 | 709 / 30 | $8.386,59 | 709 / 31 |
| G.I. Hemorrhage W Cc | 55 | 163 / 30 | $23.663,70 | 1091 / 43 | $6.498,44 | 905 / 35 | $5.274,89 | 903 / 44 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 53 | 43 / 3 | $77.485,10 | 648 / 16 | $13.685,30 | 433 / 12 | $12.383,10 | 430 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 47 | 228 / 36 | $21.094,10 | 1510 / 54 | $5.076,13 | 1014 / 40 | $3.770,53 | 1006 / 43 |
| Heart Failure & Shock W Cc | 46 | 232 / 37 | $16.951,80 | 797 / 26 | $6.384,13 | 727 / 38 | $5.087,50 | 726 / 34 |
| Hip & Femur Procedures Except Major Joint W Cc | 43 | 100 / 16 | $63.814,10 | 1445 / 48 | $12.275,20 | 900 / 36 | $10.797,30 | 887 / 38 |
| Simple Pneumonia & Pleurisy W Mcc | 42 | 163 / 35 | $41.522,90 | 1617 / 62 | $9.576,29 | 1276 / 49 | $8.274,10 | 1276 / 53 |
| Cellulitis W/O Mcc | 41 | 148 / 29 | $22.443,90 | 1682 / 55 | $5.629,29 | 845 / 36 | $4.157,80 | 839 / 36 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 41 | 147 / 20 | $37.478,40 | 857 / 26 | $6.910,00 | 702 / 16 | $5.747,17 | 700 / 26 |
| Chest Pain | 38 | 113 / 18 | $19.093,20 | 851 / 40 | $4.596,34 | 896 / 43 | $3.394,63 | 891 / 45 |
| Transient Ischemia | 36 | 89 / 20 | $16.807,40 | 402 / 15 | $4.648,14 | 494 / 29 | $3.371,97 | 492 / 28 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 34 | 90 / 18 | $136.984,00 | 898 / 30 | $38.064,90 | 1070 / 29 | $36.492,60 | 1063 / 33 |
| Syncope & Collapse | 33 | 136 / 25 | $19.534,10 | 810 / 41 | $4.854,36 | 639 / 35 | $3.686,82 | 636 / 40 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 27 | $15.273,00 | 1024 / 49 | $3.975,63 | 546 / 41 | $2.480,48 | 542 / 28 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 27 | 74 / 16 | $37.166,50 | 574 / 27 | $9.657,81 | 375 / 15 | $8.657,63 | 375 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 35 | $16.857,80 | 734 / 33 | $5.314,64 | 812 / 37 | $4.117,36 | 809 / 42 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 23 | $35.389,00 | 522 / 21 | $11.231,40 | 658 / 29 | $10.089,40 | 659 / 30 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 25 | $33.158,30 | 445 / 24 | $10.390,00 | 448 / 17 | $9.212,40 | 447 / 21 |
| Cervical Spinal Fusion W/O Cc/Mcc | 24 | 80 / 14 | $81.827,10 | 678 / 20 | $17.715,20 | 288 / 19 | $11.540,90 | 287 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 37 | $20.880,80 | 526 / 20 | $6.558,75 | 654 / 19 | $5.384,79 | 653 / 32 |
| Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 38 | $19.548,60 | 1083 / 34 | $6.174,52 | 956 / 28 | $5.042,35 | 953 / 41 |
| Nonspecific Cerebrovascular Disorders W Cc | 23 | 33 / 7 | $23.550,60 | 195 / 19 | $6.433,70 | 150 / 18 | $5.180,04 | 150 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 45 | $33.990,60 | 1691 / 56 | $7.850,65 | 1229 / 48 | $6.496,39 | 1223 / 47 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 23 | 173 / 25 | $85.042,80 | 960 / 30 | $14.877,00 | 670 / 24 | $11.146,40 | 666 / 22 |
| Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 29 | $20.661,60 | 613 / 39 | $7.253,52 | 709 / 36 | $5.962,24 | 708 / 37 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 37 | $15.645,00 | 1037 / 38 | $4.588,00 | 621 / 32 | $3.393,45 | 619 / 31 |
| Major Chest Procedures W Mcc | 19 | 30 / 3 | $76.025,60 | 41 / 2 | $29.980,60 | 63 / 3 | $26.919,80 | 63 / 3 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 21 | $22.863,20 | 558 / 23 | $6.336,11 | 540 / 18 | $5.267,58 | 537 / 24 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 34 | $25.883,90 | 717 / 31 | $7.933,68 | 680 / 29 | $6.636,68 | 677 / 27 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 21 | $80.159,40 | 1007 / 34 | $18.346,10 | 1125 / 35 | $16.758,30 | 1112 / 39 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 25 | $72.781,30 | 1193 / 42 | $17.126,80 | 1093 / 45 | $14.530,70 | 1082 / 40 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 17 | $117.434,00 | 538 / 21 | $31.662,10 | 521 / 18 | $29.843,50 | 519 / 23 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 43 | $26.015,10 | 1517 / 54 | $6.085,12 | 1051 / 30 | $5.006,24 | 1047 / 44 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 27 | $26.101,60 | 772 / 37 | $7.165,38 | 549 / 25 | $6.100,94 | 546 / 30 |
| Medical Back Problems W/O Mcc | 16 | 105 / 22 | $16.238,80 | 291 / 12 | $5.482,81 | 434 / 15 | $4.137,12 | 434 / 18 |
| Pulmonary Embolism W Mcc | 16 | 27 / 10 | $31.163,40 | 184 / 11 | $10.793,80 | 50 / 19 | $7.318,62 | 50 / 3 |
| Other Circulatory System Diagnoses W Mcc | 16 | 100 / 21 | $42.616,40 | 564 / 21 | $12.592,90 | 312 / 20 | $10.038,80 | 311 / 11 |
| Respiratory Infections & Inflammations W Mcc | 16 | 120 / 33 | $39.303,40 | 758 / 34 | $11.819,30 | 651 / 23 | $10.818,70 | 643 / 28 |
| Nonspecific Cerebrovascular Disorders W Mcc | 16 | 35 / 7 | $37.065,60 | 166 / 6 | $12.011,20 | 226 / 7 | $10.525,50 | 226 / 9 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 16 | 53 / 11 | $96.929,10 | 409 / 17 | $21.782,10 | 303 / 17 | $16.001,60 | 302 / 15 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 15 | 21 / 5 | $71.765,00 | 225 / 10 | $16.315,00 | 176 / 8 | $14.711,30 | 176 / 10 |
| Diabetes W Cc | 15 | 77 / 24 | $19.443,30 | 654 / 38 | $5.154,20 | 286 / 19 | $3.976,60 | 286 / 18 |
| Other Vascular Procedures W Cc | 15 | 87 / 20 | $53.899,30 | 265 / 13 | $15.942,30 | 456 / 16 | $14.685,20 | 453 / 20 |
| G.I. Obstruction W Cc | 15 | 77 / 23 | $24.096,30 | 935 / 39 | $5.942,67 | 684 / 23 | $4.678,87 | 683 / 32 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 31 | $19.005,00 | 509 / 21 | $4.911,47 | 572 / 19 | $3.706,20 | 568 / 29 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 53 | $21.032,60 | 1675 / 56 | $5.166,86 | 1128 / 41 | $4.039,79 | 1120 / 46 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 15 | $12.403,50 | 178 / 14 | $4.518,57 | 252 / 12 | $3.352,36 | 253 / 12 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 14 | $20.074,00 | 301 / 20 | $6.201,29 | 212 / 15 | $4.527,57 | 212 / 13 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 14 | 55 / 11 | $84.644,40 | 354 / 11 | $13.914,90 | 68 / 2 | $12.622,90 | 68 / 3 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 15 | $15.046,80 | 369 / 25 | $4.509,69 | 173 / 21 | $2.870,62 | 172 / 12 |
| Pulmonary Embolism W/O Mcc | 13 | 61 / 21 | $17.088,70 | 242 / 12 | $6.164,85 | 77 / 13 | $4.241,92 | 77 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 34 | $53.045,20 | 1205 / 49 | $10.921,00 | 721 / 37 | $9.501,77 | 720 / 36 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 15 | $58.524,90 | 443 / 21 | $14.141,40 | 494 / 21 | $12.891,40 | 488 / 22 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 12 | 51 / 5 | $97.338,20 | 167 / 5 | $24.091,80 | 95 / 8 | $18.439,70 | 95 / 4 |
| Respiratory Neoplasms W Mcc | 12 | 40 / 13 | $37.628,20 | 220 / 9 | $10.772,80 | 247 / 9 | $9.785,42 | 247 / 11 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 37 | $19.785,30 | 883 / 33 | $5.289,58 | 720 / 27 | $4.203,17 | 715 / 34 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 15 | $61.921,00 | 282 / 11 | $18.351,40 | 211 / 9 | $16.862,20 | 210 / 12 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 18 | $60.200,20 | 567 / 25 | $11.170,10 | 490 / 20 | $9.845,08 | 490 / 26 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 10 | $101.830,00 | 353 / 15 | $26.912,20 | 406 / 14 | $25.093,80 | 405 / 16 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 11 | $18.358,10 | 320 / 13 | $5.259,00 | 167 / 15 | $3.523,17 | 167 / 5 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 15 | $90.758,80 | 630 / 22 | $18.327,50 | 276 / 11 | $16.395,80 | 274 / 10 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 9 | $44.354,20 | 263 / 11 | $8.859,25 | 172 / 3 | $7.685,67 | 172 / 7 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 7 | $24.401,30 | 224 / 8 | $4.675,09 | 147 / 5 | $3.568,18 | 147 / 8 |
| Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 11 | 29 / 7 | $41.183,20 | 56 / 3 | $9.388,09 | 53 / 2 | $8.376,64 | 53 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 26 | $30.129,10 | 742 / 32 | $6.792,45 | 442 / 22 | $5.374,36 | 441 / 23 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 13 | $37.743,90 | 700 / 18 | $5.030,55 | 287 / 10 | $3.742,73 | 285 / 12 |
| Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 14 | $83.868,30 | 327 / 10 | $19.738,10 | 222 / 4 | $18.305,90 | 222 / 8 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 13 | $24.174,10 | 88 / 7 | $10.420,70 | 219 / 12 | $9.584,91 | 219 / 14 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 16 | $35.879,70 | 488 / 21 | $8.724,64 | 311 / 11 | $7.701,82 | 310 / 15 | Total 76 procedures | 2.460 | 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.