Hospital Costs > In Virginia > Carilion Franklin Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Heart Failure & Shock W Mcc | 57 | 227 / 39 | $17.977,70 | 310 / 9 | $9.044,58 | 874 / 28 | $8.129,00 | 874 / 36 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 37 | 479 / 61 | $24.294,10 | 496 / 14 | $11.425,40 | 1012 / 30 | $10.204,10 | 1002 / 39 |
| Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 39 | $20.573,60 | 429 / 15 | $9.326,19 | 1009 / 43 | $7.881,70 | 1009 / 41 |
| Heart Failure & Shock W Cc | 34 | 244 / 46 | $14.476,90 | 522 / 16 | $6.735,82 | 1501 / 52 | $5.770,76 | 1496 / 61 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 47 | $15.177,20 | 323 / 7 | $7.887,75 | 1124 / 49 | $6.369,50 | 1119 / 43 |
| G.I. Hemorrhage W Cc | 18 | 200 / 48 | $19.782,20 | 732 / 30 | $7.206,50 | 813 / 56 | $5.188,50 | 811 / 37 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 44 | $13.680,70 | 416 / 12 | $6.502,82 | 1226 / 38 | $5.243,53 | 1222 / 53 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 40 | $11.666,10 | 512 / 14 | $4.877,29 | 1425 / 43 | $3.990,00 | 1420 / 57 |
| Respiratory Infections & Inflammations W Mcc | 17 | 119 / 32 | $20.892,80 | 122 / 3 | $12.045,20 | 434 / 29 | $10.330,10 | 432 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 54 | $13.838,90 | 603 / 17 | $5.216,44 | 1295 / 47 | $3.964,19 | 1284 / 57 |
| Renal Failure W Cc | 16 | 205 / 49 | $14.906,60 | 452 / 18 | $7.990,81 | 830 / 66 | $5.030,44 | 823 / 42 |
| Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 52 | $11.856,10 | 499 / 9 | $5.386,07 | 1531 / 53 | $4.377,27 | 1520 / 58 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 17 | $19.228,50 | 234 / 12 | $8.699,07 | 781 / 24 | $7.925,93 | 776 / 31 |
| Cellulitis W/O Mcc | 13 | 176 / 49 | $13.728,80 | 693 / 19 | $5.858,38 | 1456 / 49 | $4.676,23 | 1449 / 59 |
| Pulmonary Edema & Respiratory Failure | 12 | 191 / 52 | $16.493,40 | 212 / 6 | $8.137,00 | 1029 / 47 | $6.995,33 | 1028 / 48 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 37 | $14.398,30 | 206 / 10 | $7.564,18 | 969 / 47 | $6.328,55 | 966 / 46 | Total 16 procedures | 351 | 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.