Hospital Costs > In Virginia > Buchanan General Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 20 | $17.989,00 | 806 / 28 | $10.088,80 | 402 / 60 | $4.434,08 | 401 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 55 | 147 / 21 | $21.846,40 | 889 / 34 | $9.174,78 | 1254 / 60 | $6.529,91 | 1248 / 50 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 85 | 35 / 1 | $13.745,00 | 636 / 18 | $8.076,12 | 2 / 53 | $2.156,66 | 2 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 55 | $21.421,70 | 1546 / 55 | $7.301,91 | 300 / 68 | $3.231,64 | 299 / 14 |
| Heart Failure & Shock W Cc | 21 | 257 / 53 | $23.284,40 | 1518 / 59 | $8.152,86 | 1832 / 67 | $6.206,67 | 1827 / 65 |
| Heart Failure & Shock W Mcc | 14 | 270 / 59 | $20.654,70 | 460 / 16 | $13.178,50 | 818 / 69 | $8.071,86 | 818 / 32 |
| Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 46 | $18.511,70 | 1409 / 50 | $5.420,80 | 1640 / 56 | $4.481,36 | 1629 / 61 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 49 | $26.912,60 | 853 / 39 | $11.925,70 | 1150 / 64 | $7.169,69 | 1148 / 56 |
| Renal Failure W Cc | 14 | 207 / 51 | $16.753,10 | 643 / 31 | $6.744,93 | 1430 / 58 | $5.657,79 | 1421 / 62 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 17 | $25.546,60 | 496 / 19 | $11.651,40 | 444 / 37 | $7.232,57 | 441 / 17 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 36 | $29.170,10 | 361 / 22 | $13.833,20 | 1258 / 47 | $12.740,80 | 1243 / 48 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 11 | 505 / 68 | $27.856,60 | 689 / 24 | $13.019,50 | 1898 / 61 | $12.040,70 | 1863 / 66 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 43 | $20.871,80 | 1228 / 41 | $8.017,00 | 906 / 64 | $5.008,00 | 903 / 38 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 53 | $27.702,50 | 883 / 34 | $12.333,50 | 622 / 66 | $7.457,29 | 622 / 24 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 19 | $13.958,50 | 613 / 16 | $4.905,07 | 1089 / 29 | $3.771,67 | 1083 / 36 | Total 15 procedures | 379 | 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.