Hospital Costs > In Virginia > Inova Fair Oaks 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 Cc | 15 | 76 / 22 | $17.522,70 | 196 / 10 | $7.878,80 | 185 / 39 | $4.909,27 | 185 / 14 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 28 | $24.750,90 | 283 / 16 | $9.652,00 | 303 / 14 | $8.537,45 | 303 / 17 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 13 | 111 / 13 | $15.906,50 | 378 / 16 | $5.438,69 | 19 / 13 | $2.637,15 | 19 / 2 |
| Bronchitis & Asthma W Cc/Mcc | 22 | 54 / 11 | $15.580,80 | 218 / 14 | $6.473,23 | 235 / 30 | $4.182,86 | 232 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 40 | 121 / 27 | $15.287,00 | 547 / 25 | $5.407,67 | 958 / 39 | $4.252,65 | 955 / 48 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 30 | $21.487,30 | 418 / 13 | $7.830,63 | 876 / 26 | $6.935,33 | 873 / 34 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 57 | 93 / 13 | $10.473,80 | 393 / 14 | $3.864,88 | 961 / 35 | $2.792,02 | 956 / 46 |
| Cellulitis W Mcc | 13 | 45 / 14 | $27.587,70 | 321 / 16 | $11.402,90 | 752 / 22 | $10.435,50 | 750 / 24 |
| Cellulitis W/O Mcc | 88 | 101 / 7 | $13.383,90 | 648 / 18 | $5.696,02 | 966 / 39 | $4.248,52 | 960 / 45 |
| Cervical Spinal Fusion W Cc | 11 | 42 / 9 | $45.450,80 | 63 / 3 | $20.290,70 | 119 / 8 | $15.635,10 | 118 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 63 | 43 / 1 | $43.095,90 | 248 / 7 | $15.167,30 | 309 / 16 | $11.662,00 | 308 / 9 |
| Chest Pain | 11 | 140 / 33 | $16.698,10 | 664 / 29 | $4.194,64 | 1024 / 30 | $3.600,27 | 1018 / 49 |
| Chronic Obstructive Pulmonary Disease W Cc | 41 | 138 / 26 | $13.881,30 | 395 / 9 | $6.319,17 | 1262 / 45 | $5.238,32 | 1257 / 53 |
| Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 40 | $19.508,10 | 671 / 25 | $7.704,93 | 982 / 44 | $6.223,90 | 977 / 39 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 22 | $12.758,50 | 516 / 12 | $4.733,17 | 851 / 24 | $3.612,61 | 846 / 36 |
| Diabetes W Cc | 15 | 77 / 24 | $17.917,00 | 552 / 30 | $5.636,73 | 327 / 33 | $4.048,07 | 327 / 22 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 17 | $24.667,30 | 419 / 17 | $7.736,76 | 589 / 20 | $6.840,12 | 584 / 28 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 85 | 190 / 20 | $12.218,40 | 421 / 6 | $5.061,60 | 1243 / 39 | $3.922,28 | 1232 / 54 |
| Extracranial Procedures W/O Cc/Mcc | 28 | 70 / 11 | $17.527,60 | 91 / 4 | $7.316,07 | 400 / 17 | $5.473,96 | 399 / 16 |
| G.I. Hemorrhage W Cc | 48 | 170 / 32 | $21.839,50 | 929 / 39 | $6.917,98 | 1376 / 49 | $5.787,56 | 1373 / 59 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 27 | $27.314,40 | 240 / 9 | $11.053,30 | 383 / 22 | $9.364,00 | 383 / 20 |
| G.I. Obstruction W Cc | 27 | 65 / 15 | $14.554,00 | 259 / 9 | $6.107,78 | 817 / 28 | $4.829,85 | 815 / 34 |
| G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 12 | $8.313,26 | 64 / 1 | $4.310,00 | 705 / 22 | $3.267,57 | 703 / 32 |
| Heart Failure & Shock W Cc | 70 | 208 / 30 | $19.336,40 | 1095 / 46 | $6.970,81 | 1076 / 60 | $5.351,11 | 1074 / 47 |
| Heart Failure & Shock W Mcc | 63 | 221 / 38 | $25.024,70 | 739 / 31 | $9.446,86 | 1114 / 39 | $8.441,60 | 1111 / 47 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 22 | $11.164,60 | 377 / 8 | $4.554,43 | 1167 / 33 | $3.914,93 | 1157 / 47 |
| Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 27 | $32.936,70 | 333 / 7 | $12.823,30 | 381 / 48 | $9.890,96 | 380 / 15 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 13 | $51.134,50 | 188 / 9 | $18.459,60 | 398 / 13 | $17.268,50 | 395 / 15 |
| Hypertension W/O Mcc | 13 | 52 / 11 | $13.214,90 | 148 / 4 | $4.967,31 | 113 / 18 | $2.685,00 | 113 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 26 | $72.505,90 | 193 / 7 | $34.823,90 | 504 / 25 | $29.507,60 | 500 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 38 | $23.819,20 | 708 / 29 | $8.120,91 | 333 / 53 | $5.019,09 | 332 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 37 | $30.640,80 | 363 / 22 | $10.996,40 | 692 / 30 | $9.871,64 | 691 / 34 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 24 | $17.714,30 | 410 / 14 | $6.057,30 | 552 / 41 | $3.687,04 | 548 / 25 |
| Kidney & Urinary Tract Infections W Mcc | 32 | 112 / 23 | $16.325,90 | 322 / 18 | $7.156,81 | 999 / 32 | $6.398,12 | 996 / 50 |
| Kidney & Urinary Tract Infections W/O Mcc | 112 | 121 / 10 | $13.670,50 | 748 / 21 | $5.278,23 | 1310 / 49 | $4.176,55 | 1301 / 52 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 13 | $27.459,30 | 61 / 5 | $11.371,90 | 83 / 18 | $7.736,42 | 83 / 5 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 9 | $34.757,90 | 171 / 7 | $10.821,20 | 280 / 14 | $8.525,58 | 280 / 16 |
| Major Cardiovasc Procedures W/O Mcc | 16 | 85 / 18 | $67.455,20 | 225 / 10 | $23.970,30 | 439 / 19 | $19.764,10 | 439 / 15 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 27 | 46 / 9 | $18.713,20 | 235 / 13 | $8.329,22 | 293 / 26 | $6.118,56 | 292 / 17 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 15 | $21.906,70 | 50 / 6 | $11.739,50 | 304 / 12 | $11.298,20 | 303 / 19 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 9 | $48.212,00 | 302 / 10 | $16.021,90 | 544 / 19 | $13.180,10 | 541 / 21 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 335 | 239 / 18 | $43.643,40 | 961 / 24 | $14.419,80 | 1012 / 43 | $11.073,00 | 992 / 34 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 24 | $44.867,10 | 292 / 10 | $18.807,90 | 974 / 36 | $15.675,90 | 963 / 36 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 22 | 42 / 12 | $26.896,50 | 81 / 5 | $11.249,30 | 293 / 21 | $8.563,45 | 293 / 15 |
| Medical Back Problems W Mcc | 11 | 28 / 8 | $30.400,00 | 73 / 5 | $9.472,82 | 65 / 3 | $8.369,55 | 65 / 3 |
| Medical Back Problems W/O Mcc | 23 | 98 / 17 | $17.796,20 | 379 / 17 | $6.095,70 | 297 / 27 | $3.953,96 | 297 / 10 |
| Minor Skin Disorders W/O Mcc | 11 | 14 / 1 | $8.665,91 | 3 / 1 | $4.781,09 | 9 / 1 | $3.682,18 | 9 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 23 | $26.308,00 | 783 / 39 | $10.010,80 | 1386 / 51 | $8.606,05 | 1383 / 51 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 49 | 117 / 20 | $13.881,20 | 820 / 25 | $4.995,94 | 1271 / 48 | $3.863,33 | 1267 / 53 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 40 | 37 / 1 | $24.507,20 | 41 / 2 | $11.524,70 | 79 / 8 | $7.712,45 | 79 / 3 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 25 | $27.376,30 | 160 / 4 | $11.091,60 | 476 / 5 | $10.667,30 | 475 / 16 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 21 | $16.779,60 | 233 / 9 | $6.244,53 | 577 / 16 | $5.352,00 | 574 / 27 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 20 | 83 / 9 | $18.311,20 | 196 / 11 | $6.606,00 | 227 / 14 | $5.281,10 | 227 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 22 | $19.866,80 | 120 / 8 | $10.440,00 | 353 / 25 | $8.592,55 | 353 / 20 |
| Other Vascular Procedures W Cc | 16 | 86 / 19 | $27.561,40 | 30 / 1 | $16.426,90 | 115 / 18 | $12.830,50 | 115 / 4 |
| Other Vascular Procedures W Mcc | 12 | 85 / 17 | $53.345,20 | 101 / 6 | $21.638,20 | 200 / 12 | $17.955,20 | 200 / 5 |
| Other Vascular Procedures W/O Cc/Mcc | 13 | 43 / 11 | $22.048,60 | 21 / 1 | $11.041,60 | 192 / 7 | $9.090,23 | 191 / 8 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 14 | $9.952,75 | 99 / 6 | $4.744,33 | 207 / 15 | $3.145,25 | 206 / 8 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 11 | 43 / 9 | $20.389,20 | 139 / 7 | $6.993,82 | 33 / 8 | $4.527,91 | 33 / 1 |
| Pulmonary Edema & Respiratory Failure | 13 | 190 / 51 | $26.835,50 | 846 / 38 | $8.819,31 | 982 / 57 | $6.919,46 | 981 / 45 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 17 | $16.787,80 | 223 / 10 | $6.441,89 | 758 / 18 | $5.690,11 | 755 / 32 |
| Red Blood Cell Disorders W/O Mcc | 38 | 105 / 17 | $17.391,80 | 662 / 24 | $5.711,92 | 695 / 43 | $4.177,24 | 690 / 33 |
| Renal Failure W Cc | 62 | 159 / 30 | $16.607,60 | 628 / 30 | $6.349,13 | 1052 / 43 | $5.235,48 | 1044 / 51 |
| Renal Failure W Mcc | 31 | 164 / 35 | $22.932,70 | 360 / 17 | $11.226,90 | 191 / 55 | $7.523,10 | 191 / 10 |
| Respiratory Infections & Inflammations W Cc | 29 | 59 / 7 | $17.674,00 | 180 / 7 | $8.789,86 | 788 / 27 | $7.951,10 | 783 / 32 |
| Respiratory Infections & Inflammations W Mcc | 34 | 102 / 17 | $27.017,70 | 293 / 17 | $12.266,90 | 985 / 32 | $11.646,60 | 975 / 42 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 30 | $45.450,20 | 496 / 22 | $15.383,00 | 346 / 33 | $12.001,60 | 342 / 15 |
| Revision Of Hip Or Knee Replacement W Cc | 16 | 70 / 11 | $73.341,80 | 244 / 7 | $21.246,10 | 366 / 11 | $20.271,90 | 365 / 14 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 19 | 50 / 9 | $47.316,70 | 89 / 1 | $15.795,70 | 186 / 2 | $14.616,70 | 186 / 7 |
| Seizures W Mcc | 12 | 54 / 17 | $29.939,40 | 166 / 10 | $10.840,10 | 453 / 20 | $10.028,00 | 453 / 24 |
| Seizures W/O Mcc | 15 | 93 / 20 | $15.893,50 | 298 / 7 | $5.825,53 | 232 / 26 | $3.626,80 | 231 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 122 | 394 / 45 | $30.507,60 | 804 / 26 | $12.426,70 | 1033 / 58 | $10.228,20 | 1021 / 40 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 35 | $19.457,60 | 735 / 26 | $7.288,61 | 1015 / 49 | $5.677,28 | 1012 / 45 |
| Simple Pneumonia & Pleurisy W Cc | 62 | 141 / 15 | $17.025,80 | 800 / 22 | $6.657,35 | 1077 / 45 | $5.142,61 | 1074 / 49 |
| Simple Pneumonia & Pleurisy W Mcc | 38 | 167 / 38 | $22.976,60 | 565 / 20 | $9.594,84 | 904 / 52 | $7.762,79 | 904 / 38 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 10 | $12.189,90 | 431 / 11 | $5.636,08 | 243 / 39 | $2.979,60 | 241 / 9 |
| Spinal Fusion Except Cervical W/O Mcc | 85 | 109 / 11 | $57.734,80 | 186 / 4 | $27.584,50 | 255 / 24 | $20.210,00 | 254 / 6 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 11 | 37 / 9 | $33.302,90 | 60 / 4 | $10.256,20 | 35 / 8 | $7.379,36 | 35 / 4 |
| Syncope & Collapse | 31 | 138 / 26 | $12.676,90 | 242 / 8 | $5.550,81 | 445 / 50 | $3.493,58 | 443 / 30 |
| Transient Ischemia | 14 | 111 / 30 | $14.483,70 | 265 / 8 | $5.123,21 | 567 / 41 | $3.435,93 | 564 / 35 | Total 80 procedures | 2.629 | 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.