Hospital Costs > In Virginia > Fauquier Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 138 | 426 / 30 | $48.364,50 | 1217 / 29 | $14.704,50 | 1026 / 48 | $11.110,00 | 1004 / 35 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 96 | 420 / 50 | $36.741,40 | 1134 / 42 | $13.288,20 | 1515 / 64 | $11.040,70 | 1485 / 58 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 77 | 198 / 24 | $14.333,00 | 663 / 19 | $5.207,74 | 758 / 46 | $3.603,40 | 753 / 36 |
Simple Pneumonia & Pleurisy W Cc | 60 | 143 / 16 | $20.451,20 | 1173 / 36 | $6.730,08 | 995 / 49 | $5.072,30 | 992 / 46 |
Kidney & Urinary Tract Infections W/O Mcc | 58 | 175 / 29 | $15.160,70 | 961 / 33 | $4.981,74 | 918 / 31 | $3.898,22 | 911 / 37 |
Chronic Obstructive Pulmonary Disease W Mcc | 52 | 150 / 23 | $21.538,40 | 861 / 33 | $7.476,63 | 886 / 37 | $6.140,06 | 881 / 34 |
Heart Failure & Shock W Cc | 51 | 227 / 36 | $20.179,40 | 1204 / 50 | $6.509,45 | 1008 / 42 | $5.296,69 | 1006 / 44 |
Renal Failure W Cc | 47 | 174 / 35 | $20.012,40 | 984 / 47 | $6.300,49 | 952 / 38 | $5.136,30 | 944 / 48 |
Heart Failure & Shock W Mcc | 47 | 237 / 43 | $24.933,00 | 735 / 29 | $9.285,89 | 1174 / 33 | $8.549,23 | 1171 / 51 |
Chronic Obstructive Pulmonary Disease W Cc | 44 | 135 / 24 | $18.138,00 | 822 / 29 | $5.880,45 | 1158 / 24 | $5.108,59 | 1154 / 49 |
G.I. Hemorrhage W Cc | 41 | 177 / 37 | $19.585,00 | 714 / 27 | $6.878,93 | 1537 / 48 | $6.024,10 | 1533 / 61 |
Chest Pain | 41 | 110 / 16 | $13.840,50 | 390 / 13 | $4.404,46 | 406 / 38 | $2.837,66 | 404 / 27 |
Renal Failure W Mcc | 39 | 156 / 30 | $30.995,80 | 817 / 35 | $11.529,60 | 1037 / 57 | $8.994,54 | 1037 / 43 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 36 | 84 / 10 | $15.848,00 | 887 / 33 | $4.690,11 | 837 / 22 | $3.604,56 | 833 / 33 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 36 | $21.211,00 | 896 / 30 | $6.850,29 | 233 / 33 | $4.903,14 | 232 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 29 | $13.942,90 | 414 / 16 | $5.461,09 | 656 / 41 | $3.966,71 | 653 / 30 |
Cellulitis W/O Mcc | 33 | 156 / 33 | $17.493,60 | 1188 / 44 | $5.919,58 | 815 / 50 | $4.136,55 | 810 / 34 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 31 | $14.798,10 | 931 / 31 | $4.932,03 | 998 / 45 | $3.649,03 | 995 / 45 |
Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 43 | $29.125,80 | 981 / 38 | $9.141,68 | 1325 / 37 | $8.360,00 | 1325 / 56 |
Syncope & Collapse | 31 | 138 / 26 | $14.385,70 | 352 / 13 | $4.734,74 | 577 / 26 | $3.629,16 | 574 / 37 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 31 | 119 / 25 | $9.160,29 | 248 / 6 | $3.719,13 | 641 / 23 | $2.550,23 | 637 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 31 | 71 / 21 | $18.789,90 | 497 / 20 | $5.620,77 | 343 / 38 | $3.429,03 | 340 / 15 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 30 | 63 / 6 | $14.970,40 | 733 / 20 | $4.497,40 | 761 / 14 | $3.464,33 | 757 / 26 |
Spinal Fusion Except Cervical W/O Mcc | 29 | 165 / 24 | $103.542,00 | 768 / 22 | $32.871,10 | 1228 / 30 | $31.755,00 | 1223 / 34 |
G.I. Obstruction W Cc | 29 | 63 / 13 | $15.330,10 | 310 / 14 | $7.021,86 | 349 / 40 | $4.274,41 | 348 / 17 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 22 | $24.678,00 | 279 / 15 | $10.158,90 | 732 / 26 | $9.543,33 | 731 / 38 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 35 | $25.490,70 | 826 / 35 | $7.950,23 | 558 / 52 | $5.280,38 | 557 / 28 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 32 | $23.373,80 | 546 / 22 | $9.140,32 | 1211 / 45 | $7.636,41 | 1208 / 44 |
Pulmonary Embolism W/O Mcc | 22 | 52 / 14 | $18.939,40 | 340 / 15 | $6.127,14 | 542 / 11 | $5.265,45 | 540 / 23 |
Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 31 | $40.295,60 | 651 / 21 | $12.056,20 | 994 / 33 | $11.028,30 | 981 / 41 |
G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 14 | $11.761,50 | 263 / 14 | $3.851,33 | 502 / 7 | $2.965,90 | 501 / 24 |
Other Circulatory System Diagnoses W Mcc | 20 | 96 / 18 | $40.422,00 | 497 / 17 | $13.893,70 | 904 / 30 | $12.763,00 | 898 / 33 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 16 | $19.674,80 | 193 / 9 | $7.799,70 | 197 / 23 | $5.994,25 | 196 / 11 |
Transient Ischemia | 20 | 105 / 27 | $18.137,20 | 516 / 24 | $4.979,30 | 442 / 36 | $3.306,45 | 441 / 25 |
Signs & Symptoms W/O Mcc | 19 | 72 / 16 | $17.468,80 | 508 / 16 | $5.906,74 | 98 / 30 | $2.971,84 | 98 / 6 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 20 | $14.125,80 | 736 / 28 | $4.751,72 | 552 / 40 | $3.344,17 | 550 / 28 |
Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 31 | $18.928,70 | 499 / 28 | $6.729,44 | 656 / 21 | $5.883,72 | 655 / 33 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 33 | $17.703,70 | 691 / 25 | $5.064,31 | 721 / 16 | $4.204,00 | 716 / 35 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 9 | $12.601,10 | 84 / 2 | $4.769,88 | 277 / 6 | $3.731,50 | 275 / 11 |
Peripheral Vascular Disorders W Cc | 15 | 69 / 17 | $18.177,30 | 327 / 12 | $5.880,47 | 449 / 9 | $5.203,27 | 447 / 19 |
Pulmonary Edema & Respiratory Failure | 15 | 188 / 50 | $22.476,30 | 564 / 25 | $7.502,87 | 974 / 21 | $6.903,67 | 973 / 44 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 12 | $15.732,90 | 330 / 13 | $4.489,80 | 325 / 12 | $3.385,53 | 324 / 15 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 16 | $24.455,00 | 287 / 12 | $7.714,13 | 374 / 7 | $7.033,07 | 372 / 16 |
Fever | 14 | 32 / 8 | $20.013,50 | 110 / 10 | $7.208,21 | 88 / 12 | $4.400,00 | 88 / 8 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 24 | $14.884,90 | 110 / 3 | $6.194,92 | 416 / 14 | $5.334,54 | 415 / 22 |
G.I. Hemorrhage W Mcc | 13 | 108 / 29 | $57.994,20 | 1158 / 39 | $20.612,60 | 1639 / 45 | $19.881,50 | 1629 / 45 |
Medical Back Problems W/O Mcc | 13 | 108 / 23 | $16.735,90 | 323 / 15 | $5.325,23 | 584 / 11 | $4.367,85 | 582 / 28 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 11 | $13.930,20 | 274 / 13 | $4.398,38 | 435 / 7 | $3.633,00 | 431 / 21 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 15 | $17.259,70 | 191 / 9 | $5.857,08 | 209 / 13 | $4.521,31 | 209 / 11 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 27 | $43.736,50 | 269 / 9 | $15.115,20 | 619 / 10 | $14.048,10 | 613 / 29 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 27 | $23.704,50 | 599 / 26 | $6.689,75 | 451 / 27 | $5.123,17 | 448 / 19 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 27 | $23.202,40 | 198 / 12 | $8.719,75 | 224 / 4 | $8.079,08 | 224 / 8 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 18 | $28.246,90 | 617 / 24 | $8.869,67 | 811 / 28 | $8.022,58 | 806 / 33 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 18 | $13.203,40 | 131 / 8 | $5.670,83 | 365 / 16 | $4.482,58 | 361 / 22 |
Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 20 | $67.100,10 | 548 / 16 | $20.483,50 | 562 / 24 | $13.273,70 | 559 / 21 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 18 | $13.900,50 | 237 / 15 | $4.551,00 | 418 / 13 | $3.749,82 | 418 / 22 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 31 | $59.268,00 | 892 / 32 | $15.655,20 | 1129 / 35 | $14.713,80 | 1116 / 41 |
Diabetes W Cc | 11 | 81 / 28 | $16.511,40 | 448 / 23 | $4.926,55 | 193 / 11 | $3.813,36 | 193 / 10 | Total 58 procedures | 1.703 | 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.