Hospital Costs > In Virginia > Halifax Regional Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 28 | $23.136,70 | 237 / 11 | $10.211,80 | 483 / 28 | $8.962,50 | 483 / 25 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 32 | $14.383,30 | 452 / 18 | $5.110,38 | 731 / 28 | $4.043,03 | 728 / 37 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 52 | 71 / 15 | $20.852,80 | 381 / 12 | $7.576,56 | 372 / 18 | $6.164,06 | 370 / 14 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 30 | $9.813,70 | 334 / 11 | $3.713,17 | 559 / 22 | $2.488,43 | 555 / 29 |
Cellulitis W/O Mcc | 24 | 165 / 40 | $13.764,70 | 697 / 20 | $5.398,88 | 920 / 28 | $4.214,08 | 914 / 43 |
Chest Pain | 14 | 137 / 30 | $13.773,10 | 384 / 12 | $4.402,36 | 222 / 37 | $2.582,93 | 221 / 12 |
Chronic Obstructive Pulmonary Disease W Cc | 83 | 96 / 6 | $16.838,50 | 689 / 23 | $6.112,88 | 628 / 35 | $4.657,04 | 626 / 25 |
Chronic Obstructive Pulmonary Disease W Mcc | 40 | 162 / 31 | $25.182,50 | 1140 / 43 | $7.934,67 | 647 / 52 | $5.923,75 | 644 / 25 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 43 | 77 / 7 | $12.974,40 | 545 / 13 | $4.947,12 | 406 / 36 | $3.236,74 | 405 / 19 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 13 | $32.707,90 | 67 / 4 | $12.583,70 | 226 / 7 | $11.172,70 | 221 / 12 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 33 | 155 / 25 | $25.707,20 | 317 / 10 | $6.702,70 | 471 / 11 | $5.401,91 | 469 / 17 |
Diabetes W Cc | 26 | 66 / 14 | $14.707,50 | 318 / 19 | $5.410,92 | 322 / 25 | $4.046,12 | 322 / 21 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 46 | $14.897,50 | 740 / 23 | $5.318,34 | 483 / 51 | $3.390,21 | 481 / 25 |
G.I. Hemorrhage W Cc | 47 | 171 / 33 | $15.663,60 | 354 / 8 | $6.343,85 | 580 / 28 | $4.980,00 | 579 / 28 |
G.I. Hemorrhage W Mcc | 27 | 94 / 22 | $23.181,10 | 132 / 4 | $10.469,10 | 336 / 14 | $9.246,26 | 336 / 14 |
G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 20 | $12.599,90 | 329 / 16 | $4.162,00 | 483 / 20 | $2.946,60 | 482 / 23 |
Heart Failure & Shock W Cc | 58 | 220 / 34 | $15.553,90 | 636 / 21 | $6.292,81 | 852 / 35 | $5.175,90 | 851 / 38 |
Heart Failure & Shock W Mcc | 79 | 205 / 30 | $21.207,50 | 491 / 18 | $9.271,54 | 776 / 31 | $8.024,01 | 776 / 30 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 20 | $11.966,90 | 462 / 12 | $4.447,83 | 614 / 29 | $3.399,06 | 612 / 33 |
Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 33 | $45.682,30 | 871 / 32 | $12.391,30 | 447 / 40 | $9.986,63 | 446 / 17 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 35 | 147 / 32 | $18.722,40 | 401 / 11 | $6.646,54 | 446 / 23 | $5.154,69 | 445 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 16 | 152 / 32 | $23.421,90 | 161 / 7 | $10.594,20 | 397 / 20 | $9.072,69 | 396 / 19 |
Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 29 | $14.946,00 | 240 / 13 | $6.960,86 | 505 / 25 | $5.709,29 | 504 / 25 |
Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 49 | $15.038,90 | 948 / 31 | $5.090,00 | 887 / 34 | $3.880,15 | 880 / 36 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 20 | $16.983,80 | 177 / 9 | $7.172,58 | 153 / 9 | $5.784,67 | 153 / 11 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 37 | 527 / 50 | $46.618,10 | 1117 / 28 | $12.951,50 | 878 / 17 | $10.864,70 | 859 / 29 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 30 | $13.867,70 | 116 / 4 | $7.096,85 | 269 / 19 | $5.641,62 | 266 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 36 | $11.267,40 | 461 / 12 | $4.599,14 | 432 / 34 | $3.264,14 | 432 / 17 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 25 | $27.562,10 | 319 / 16 | $10.600,50 | 283 / 31 | $8.308,71 | 283 / 13 |
Other Vascular Procedures W Mcc | 11 | 86 / 18 | $65.013,60 | 209 / 9 | $24.983,40 | 636 / 20 | $22.554,20 | 633 / 22 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 18 | $55.881,20 | 55 / 3 | $18.473,80 | 165 / 2 | $16.954,60 | 165 / 4 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 28 | 168 / 22 | $46.748,00 | 168 / 7 | $12.785,10 | 325 / 10 | $10.217,70 | 325 / 12 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 16 | $32.318,40 | 396 / 16 | $11.592,80 | 266 / 23 | $7.558,36 | 265 / 10 |
Pulmonary Edema & Respiratory Failure | 38 | 165 / 36 | $24.224,60 | 674 / 30 | $7.616,58 | 653 / 25 | $6.519,16 | 653 / 29 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 18 | $11.825,00 | 31 / 1 | $7.476,42 | 133 / 4 | $6.283,00 | 133 / 5 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 29 | $13.263,30 | 289 / 8 | $5.120,15 | 517 / 18 | $4.000,80 | 516 / 24 |
Renal Failure W Cc | 33 | 188 / 39 | $14.917,30 | 453 / 19 | $6.190,21 | 736 / 36 | $4.945,18 | 729 / 39 |
Renal Failure W Mcc | 28 | 167 / 38 | $29.899,40 | 757 / 33 | $11.221,90 | 1319 / 54 | $9.710,86 | 1319 / 58 |
Respiratory Infections & Inflammations W Cc | 32 | 56 / 5 | $18.038,90 | 193 / 10 | $8.353,53 | 379 / 15 | $7.127,28 | 376 / 15 |
Respiratory Infections & Inflammations W Mcc | 41 | 95 / 15 | $25.773,40 | 259 / 12 | $11.879,50 | 542 / 25 | $10.560,80 | 536 / 25 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 13 | $86.907,80 | 156 / 5 | $31.820,70 | 365 / 5 | $30.103,80 | 365 / 12 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 18 | $93.302,40 | 143 / 7 | $35.008,60 | 257 / 6 | $32.481,80 | 256 / 6 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 167 | 349 / 36 | $24.919,60 | 525 / 17 | $11.477,60 | 882 / 33 | $10.030,50 | 880 / 31 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 33 | $15.371,80 | 379 / 10 | $6.668,08 | 409 / 25 | $5.108,51 | 407 / 23 |
Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 45 | $19.251,10 | 1060 / 32 | $6.380,88 | 304 / 35 | $4.468,44 | 302 / 9 |
Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 54 | $24.536,40 | 673 / 23 | $8.996,19 | 469 / 29 | $7.285,69 | 469 / 18 |
Syncope & Collapse | 17 | 152 / 33 | $14.813,40 | 377 / 14 | $4.734,76 | 446 / 27 | $3.494,47 | 444 / 31 | Total 47 procedures | 1.426 | 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.