Hospital Costs > In Virginia > Inova Loudoun 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 | 115 | 449 / 35 | $41.522,70 | 846 / 21 | $14.668,50 | 754 / 47 | $10.702,30 | 744 / 24 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 113 | 403 / 48 | $24.859,40 | 521 / 16 | $11.067,20 | 921 / 23 | $10.086,80 | 918 / 35 |
| Heart Failure & Shock W Cc | 97 | 181 / 24 | $18.378,10 | 972 / 38 | $6.574,96 | 1149 / 46 | $5.403,76 | 1146 / 48 |
| Renal Failure W Cc | 84 | 137 / 21 | $15.090,00 | 476 / 20 | $6.440,54 | 307 / 48 | $4.545,07 | 305 / 13 |
| Heart Failure & Shock W Mcc | 84 | 200 / 28 | $25.209,80 | 753 / 32 | $9.659,33 | 1123 / 46 | $8.457,11 | 1120 / 48 |
| Kidney & Urinary Tract Infections W/O Mcc | 84 | 149 / 15 | $13.808,80 | 768 / 23 | $5.120,44 | 1282 / 36 | $4.153,27 | 1273 / 49 |
| Cellulitis W/O Mcc | 79 | 110 / 12 | $11.811,60 | 442 / 9 | $5.504,99 | 875 / 31 | $4.179,72 | 869 / 39 |
| Simple Pneumonia & Pleurisy W Cc | 79 | 124 / 8 | $17.705,40 | 878 / 26 | $6.382,51 | 1050 / 36 | $5.122,81 | 1047 / 48 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 62 | 213 / 30 | $13.437,90 | 562 / 13 | $5.048,73 | 1096 / 38 | $3.822,81 | 1088 / 49 |
| G.I. Hemorrhage W Cc | 56 | 162 / 29 | $17.100,10 | 492 / 17 | $6.850,16 | 880 / 46 | $5.250,89 | 878 / 43 |
| Chronic Obstructive Pulmonary Disease W Mcc | 52 | 150 / 23 | $19.561,30 | 678 / 26 | $7.143,37 | 1078 / 21 | $6.316,44 | 1073 / 42 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 46 | 104 / 17 | $11.166,00 | 479 / 20 | $4.311,67 | 456 / 51 | $2.405,04 | 453 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 45 | 162 / 31 | $16.963,30 | 512 / 14 | $6.773,78 | 888 / 30 | $5.565,36 | 886 / 38 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 24 | $12.156,80 | 567 / 17 | $4.516,20 | 913 / 28 | $3.585,95 | 910 / 43 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 42 | 60 / 16 | $19.817,80 | 559 / 23 | $5.171,43 | 500 / 31 | $3.631,12 | 496 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 29 | $19.618,10 | 450 / 15 | $6.713,41 | 572 / 25 | $5.298,51 | 571 / 29 |
| Chronic Obstructive Pulmonary Disease W Cc | 39 | 140 / 28 | $15.393,90 | 551 / 17 | $5.856,77 | 969 / 22 | $4.930,97 | 966 / 39 |
| Respiratory Infections & Inflammations W Mcc | 39 | 97 / 16 | $22.544,60 | 164 / 4 | $11.035,30 | 395 / 6 | $10.247,90 | 394 / 16 |
| Medical Back Problems W/O Mcc | 38 | 83 / 11 | $14.919,30 | 221 / 7 | $5.716,34 | 505 / 21 | $4.232,21 | 504 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 38 | 123 / 28 | $17.396,10 | 798 / 39 | $5.658,11 | 583 / 49 | $3.896,13 | 581 / 26 |
| Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 40 | $25.011,20 | 704 / 27 | $9.037,83 | 840 / 32 | $7.705,39 | 840 / 35 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 34 | 86 / 12 | $11.597,60 | 407 / 10 | $4.747,09 | 867 / 25 | $3.624,18 | 862 / 37 |
| G.I. Obstruction W Cc | 33 | 59 / 10 | $13.677,70 | 202 / 7 | $5.922,73 | 382 / 22 | $4.330,39 | 381 / 19 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 33 | 163 / 20 | $42.711,50 | 94 / 6 | $15.068,50 | 492 / 28 | $10.631,40 | 490 / 17 |
| Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 22 | $35.208,60 | 416 / 11 | $11.816,20 | 867 / 28 | $10.724,70 | 854 / 37 |
| Respiratory Infections & Inflammations W Cc | 30 | 58 / 6 | $17.846,40 | 187 / 8 | $8.147,90 | 504 / 10 | $7.347,77 | 501 / 19 |
| Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 13 | $13.699,90 | 691 / 27 | $4.515,62 | 878 / 32 | $3.618,28 | 873 / 40 |
| Red Blood Cell Disorders W/O Mcc | 28 | 115 / 24 | $14.196,90 | 370 / 11 | $5.771,96 | 472 / 45 | $3.957,96 | 471 / 20 |
| Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 25 | $14.406,10 | 208 / 11 | $6.726,30 | 706 / 20 | $5.960,11 | 705 / 36 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 25 | 48 / 10 | $14.582,30 | 103 / 3 | $7.092,84 | 389 / 8 | $6.375,88 | 388 / 21 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 29 | $24.797,50 | 279 / 8 | $6.894,46 | 891 / 15 | $6.107,42 | 888 / 32 |
| G.I. Obstruction W/O Cc/Mcc | 24 | 47 / 11 | $9.815,96 | 126 / 4 | $4.151,38 | 590 / 19 | $3.069,46 | 589 / 29 |
| Pulmonary Edema & Respiratory Failure | 23 | 180 / 44 | $18.946,40 | 339 / 12 | $7.759,57 | 1067 / 32 | $7.039,52 | 1065 / 53 |
| Diabetes W Cc | 23 | 69 / 17 | $12.484,60 | 178 / 9 | $5.526,70 | 720 / 28 | $4.552,09 | 718 / 41 |
| Pulmonary Embolism W/O Mcc | 23 | 51 / 13 | $16.314,40 | 204 / 9 | $6.659,52 | 425 / 20 | $5.042,65 | 424 / 18 |
| Renal Failure W Mcc | 23 | 172 / 40 | $25.079,20 | 464 / 23 | $9.986,13 | 1087 / 35 | $9.097,83 | 1087 / 46 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 32 | $20.334,20 | 352 / 10 | $7.701,00 | 822 / 22 | $6.841,45 | 819 / 32 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 22 | 70 / 10 | $92.819,20 | 142 / 6 | $38.045,80 | 521 / 15 | $37.247,60 | 520 / 21 |
| Fractures Of Hip & Pelvis W/O Mcc | 21 | 40 / 8 | $11.439,00 | 134 / 8 | $4.501,14 | 243 / 10 | $3.334,90 | 244 / 11 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 16 | $13.381,60 | 540 / 14 | $4.640,74 | 977 / 22 | $3.657,21 | 972 / 33 |
| Major Small & Large Bowel Procedures W Cc | 19 | 89 / 20 | $38.669,90 | 166 / 5 | $14.884,50 | 558 / 7 | $13.812,60 | 552 / 25 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 29 | $28.280,40 | 381 / 23 | $11.049,70 | 602 / 40 | $9.218,78 | 601 / 29 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 25 | $67.219,60 | 156 / 3 | $29.464,80 | 422 / 6 | $28.833,20 | 419 / 11 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 21 | $22.079,60 | 381 / 17 | $6.963,67 | 368 / 26 | $5.258,61 | 367 / 21 |
| Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 15 | $16.805,60 | 268 / 17 | $5.706,88 | 486 / 17 | $4.747,71 | 482 / 29 |
| Transient Ischemia | 17 | 108 / 28 | $16.445,80 | 377 / 14 | $4.655,12 | 742 / 30 | $3.646,76 | 738 / 41 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 17 | $74.269,60 | 156 / 5 | $33.241,30 | 88 / 21 | $24.769,50 | 88 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 26 | $39.080,90 | 302 / 10 | $14.064,40 | 779 / 17 | $13.245,20 | 771 / 30 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 17 | $15.226,40 | 193 / 6 | $6.041,20 | 515 / 13 | $5.369,47 | 513 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 33 | $20.722,70 | 107 / 5 | $10.624,90 | 693 / 21 | $9.874,40 | 692 / 35 |
| Endocrine Disorders W Cc | 15 | 23 / 4 | $17.893,90 | 47 / 5 | $6.727,00 | 43 / 6 | $5.119,53 | 43 / 4 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 27 | $30.105,70 | 326 / 14 | $12.981,70 | 241 / 37 | $8.995,33 | 241 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 28 | $15.726,20 | 180 / 8 | $6.951,67 | 603 / 16 | $6.196,60 | 600 / 32 |
| Disorders Of The Biliary Tract W Cc | 14 | 40 / 9 | $18.443,50 | 52 / 3 | $6.766,14 | 104 / 7 | $5.527,50 | 104 / 8 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 14 | $9.864,07 | 111 / 5 | $4.486,93 | 154 / 20 | $2.835,71 | 153 / 10 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 8 | $19.068,30 | 49 / 3 | $8.674,93 | 41 / 10 | $5.706,14 | 41 / 4 |
| Pulmonary Embolism W Mcc | 14 | 29 / 12 | $18.415,60 | 32 / 2 | $10.432,40 | 196 / 18 | $8.252,00 | 196 / 14 |
| G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 10 | $18.347,90 | 481 / 22 | $4.724,86 | 454 / 17 | $3.670,50 | 450 / 22 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 13 | 33 / 5 | $14.904,20 | 74 / 3 | $4.634,77 | 155 / 4 | $3.506,46 | 155 / 5 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 18 | $47.747,10 | 183 / 7 | $15.840,40 | 336 / 7 | $14.780,80 | 335 / 11 |
| Seizures W/O Mcc | 13 | 95 / 22 | $14.259,00 | 223 / 4 | $5.044,31 | 401 / 14 | $3.908,23 | 399 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 21 | $32.732,60 | 729 / 27 | $7.829,31 | 695 / 24 | $7.116,62 | 690 / 32 |
| Syncope & Collapse | 13 | 156 / 37 | $15.116,30 | 403 / 17 | $5.358,00 | 743 / 48 | $3.795,00 | 740 / 41 |
| Transurethral Procedures W Cc | 13 | 28 / 4 | $24.931,40 | 64 / 2 | $8.106,08 | 164 / 3 | $7.055,15 | 164 / 4 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 17 | $22.114,30 | 37 / 1 | $10.153,80 | 362 / 11 | $8.924,62 | 362 / 20 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 14 | $15.660,30 | 325 / 12 | $4.311,08 | 322 / 10 | $3.377,75 | 321 / 14 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 27 | $15.237,40 | 161 / 5 | $6.676,92 | 507 / 26 | $5.210,00 | 504 / 21 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 20 | $13.203,20 | 228 / 7 | $4.488,67 | 550 / 12 | $3.762,17 | 549 / 22 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 11 | $38.381,20 | 367 / 11 | $11.898,70 | 726 / 16 | $10.961,60 | 723 / 19 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 14 | $90.104,80 | 176 / 7 | $31.907,00 | 418 / 6 | $30.988,90 | 418 / 13 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 12 | $13.985,10 | 155 / 5 | $4.760,18 | 219 / 6 | $3.644,45 | 219 / 9 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 15 | $20.028,30 | 40 / 3 | $11.598,30 | 109 / 8 | $9.887,55 | 109 / 8 |
| Hypertension W/O Mcc | 11 | 54 / 12 | $15.027,50 | 224 / 9 | $4.621,82 | 175 / 16 | $2.839,00 | 173 / 10 | Total 73 procedures | 2.275 | 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.