Hospital Costs > In Virginia > Community Memorial Healthcenter, Inc, 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 | 93 | 423 / 51 | $34.870,00 | 1043 / 39 | $12.153,80 | 910 / 51 | $10.070,80 | 907 / 34 |
Heart Failure & Shock W Mcc | 72 | 212 / 33 | $27.771,70 | 959 / 40 | $9.274,44 | 509 / 32 | $7.702,33 | 509 / 20 |
Heart Failure & Shock W Cc | 61 | 217 / 33 | $17.400,30 | 859 / 33 | $6.546,97 | 721 / 43 | $5.084,31 | 720 / 33 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 48 | 227 / 35 | $23.026,30 | 1716 / 62 | $4.795,48 | 1107 / 27 | $3.830,52 | 1099 / 50 |
Chronic Obstructive Pulmonary Disease W Mcc | 41 | 161 / 30 | $20.209,50 | 734 / 28 | $7.267,15 | 794 / 27 | $6.040,90 | 789 / 31 |
Chronic Obstructive Pulmonary Disease W Cc | 40 | 139 / 27 | $17.882,90 | 792 / 27 | $6.005,12 | 784 / 27 | $4.785,70 | 782 / 32 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 39 | 81 / 8 | $14.055,30 | 667 / 19 | $4.665,51 | 741 / 21 | $3.522,62 | 738 / 30 |
Cellulitis W/O Mcc | 34 | 155 / 32 | $15.637,70 | 936 / 34 | $5.380,44 | 901 / 26 | $4.200,50 | 895 / 41 |
Renal Failure W Cc | 34 | 187 / 38 | $22.264,40 | 1206 / 53 | $6.099,26 | 842 / 33 | $5.036,21 | 835 / 43 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 34 | 173 / 37 | $23.445,70 | 1112 / 43 | $6.611,26 | 807 / 24 | $5.483,65 | 805 / 35 |
Simple Pneumonia & Pleurisy W Mcc | 32 | 173 / 42 | $32.155,50 | 1180 / 43 | $8.953,25 | 1060 / 27 | $7.935,75 | 1060 / 44 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 30 | 534 / 52 | $51.214,50 | 1347 / 31 | $12.611,30 | 1137 / 10 | $11.278,20 | 1110 / 41 |
Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 35 | $17.503,50 | 850 / 24 | $6.066,41 | 973 / 24 | $5.055,97 | 970 / 43 |
Renal Failure W Mcc | 29 | 166 / 37 | $27.598,90 | 621 / 26 | $9.353,72 | 538 / 23 | $8.121,24 | 538 / 23 |
G.I. Hemorrhage W Cc | 28 | 190 / 41 | $27.077,10 | 1375 / 51 | $6.265,96 | 755 / 25 | $5.139,43 | 753 / 33 |
Pulmonary Edema & Respiratory Failure | 27 | 176 / 41 | $20.194,20 | 414 / 16 | $7.422,44 | 658 / 17 | $6.525,56 | 658 / 31 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 33 | $16.535,90 | 1140 / 43 | $4.568,29 | 912 / 30 | $3.585,21 | 909 / 42 |
Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 47 | $15.104,30 | 956 / 32 | $4.940,26 | 1038 / 28 | $3.982,35 | 1030 / 44 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 38 | $26.192,20 | 874 / 39 | $6.680,50 | 733 / 24 | $5.468,91 | 732 / 37 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 33 | $12.599,20 | 666 / 32 | $3.678,25 | 677 / 17 | $2.572,35 | 673 / 35 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 30 | $15.728,60 | 518 / 16 | $5.131,26 | 535 / 21 | $4.021,11 | 533 / 26 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 20 | $13.493,30 | 665 / 25 | $4.252,72 | 611 / 20 | $3.398,06 | 609 / 32 |
Syncope & Collapse | 17 | 152 / 33 | $18.165,50 | 696 / 32 | $4.714,29 | 361 / 25 | $3.403,41 | 359 / 26 |
Chest Pain | 16 | 135 / 29 | $17.658,60 | 744 / 35 | $3.973,38 | 446 / 20 | $2.878,75 | 444 / 30 |
Diabetes W Cc | 16 | 76 / 23 | $17.265,20 | 492 / 26 | $5.552,69 | 380 / 31 | $4.124,25 | 380 / 25 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 42 | $17.117,20 | 760 / 37 | $4.934,20 | 840 / 20 | $4.143,27 | 837 / 44 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 27 | $46.328,60 | 519 / 23 | $13.580,60 | 395 / 14 | $12.141,90 | 391 / 17 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 36 | $40.331,60 | 654 / 22 | $11.687,70 | 770 / 23 | $10.561,60 | 762 / 33 |
Transient Ischemia | 14 | 111 / 30 | $17.359,40 | 443 / 18 | $4.474,79 | 390 / 20 | $3.253,93 | 389 / 21 |
Fever | 13 | 33 / 9 | $17.900,80 | 73 / 7 | $5.346,46 | 67 / 3 | $4.252,31 | 67 / 5 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 22 | $16.613,70 | 894 / 23 | $4.593,42 | 711 / 18 | $3.430,33 | 707 / 22 |
Seizures W/O Mcc | 12 | 96 / 23 | $19.704,20 | 536 / 20 | $4.903,50 | 348 / 9 | $3.843,67 | 346 / 17 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 39 | $17.137,70 | 200 / 6 | $7.251,42 | 386 / 11 | $6.183,17 | 384 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 34 | $17.565,90 | 399 / 12 | $4.797,55 | 571 / 16 | $3.705,91 | 567 / 28 |
Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 7 | $19.316,20 | 155 / 6 | $4.344,36 | 128 / 1 | $3.468,18 | 128 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 32 | $22.340,70 | 547 / 28 | $6.953,91 | 312 / 17 | $5.729,00 | 309 / 23 |
Signs & Symptoms W/O Mcc | 11 | 80 / 21 | $18.889,20 | 596 / 19 | $4.515,18 | 513 / 13 | $3.693,18 | 512 / 19 | Total 37 procedures | 997 | 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.