Hospital Costs > In Virginia > Inova Mount Vernon 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 | 12 | 79 / 25 | $19.484,00 | 267 / 14 | $7.053,08 | 19 / 29 | $4.258,50 | 19 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 33 | $25.147,10 | 293 / 18 | $9.605,07 | 21 / 13 | $7.105,50 | 21 / 3 |
| Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 15 | $14.877,50 | 186 / 11 | $5.129,65 | 255 / 5 | $4.229,76 | 252 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 62 | 99 / 16 | $17.005,50 | 744 / 35 | $5.024,69 | 164 / 25 | $3.422,82 | 164 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 28 | $25.667,20 | 695 / 30 | $8.623,17 | 272 / 42 | $5.995,79 | 271 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 28 | 122 / 26 | $11.585,10 | 537 / 24 | $3.594,25 | 155 / 15 | $2.050,25 | 155 / 8 |
| Cellulitis W/O Mcc | 59 | 130 / 21 | $15.060,60 | 868 / 32 | $4.918,69 | 544 / 10 | $3.924,97 | 541 / 24 |
| Chest Pain | 14 | 137 / 30 | $14.538,10 | 452 / 18 | $3.535,43 | 269 / 8 | $2.645,71 | 268 / 18 |
| Chronic Obstructive Pulmonary Disease W Cc | 44 | 135 / 24 | $15.449,50 | 558 / 18 | $5.520,27 | 346 / 12 | $4.372,82 | 345 / 17 |
| Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 43 | $19.250,10 | 654 / 24 | $7.356,76 | 235 / 29 | $5.472,52 | 234 / 9 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 22 | $13.044,40 | 557 / 15 | $4.151,94 | 327 / 5 | $3.162,33 | 327 / 15 |
| Diabetes W Cc | 20 | 72 / 19 | $14.698,20 | 317 / 18 | $4.867,70 | 496 / 10 | $4.275,15 | 496 / 33 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 22 | $15.587,20 | 81 / 3 | $7.012,75 | 350 / 9 | $6.344,67 | 348 / 17 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 45 | 230 / 38 | $13.041,70 | 510 / 10 | $4.616,96 | 459 / 18 | $3.367,96 | 457 / 24 |
| Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 14 | $11.872,90 | 155 / 11 | $4.018,33 | 70 / 4 | $2.839,13 | 70 / 2 |
| G.I. Hemorrhage W Cc | 28 | 190 / 41 | $17.635,20 | 539 / 22 | $5.918,61 | 466 / 14 | $4.874,50 | 465 / 21 |
| G.I. Hemorrhage W Mcc | 14 | 107 / 28 | $38.703,10 | 649 / 26 | $11.956,60 | 879 / 33 | $10.787,30 | 874 / 36 |
| G.I. Obstruction W Cc | 19 | 73 / 20 | $17.144,30 | 441 / 19 | $5.474,16 | 265 / 11 | $4.142,32 | 264 / 14 |
| Heart Failure & Shock W Cc | 97 | 181 / 24 | $17.023,60 | 805 / 29 | $5.823,29 | 466 / 16 | $4.866,15 | 466 / 17 |
| Heart Failure & Shock W Mcc | 69 | 215 / 35 | $25.477,60 | 782 / 35 | $8.913,10 | 725 / 19 | $7.965,99 | 725 / 27 |
| Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 15 | $12.330,20 | 509 / 15 | $3.936,40 | 181 / 9 | $2.937,88 | 179 / 9 |
| Hip & Femur Procedures Except Major Joint W Cc | 33 | 110 / 20 | $36.025,20 | 454 / 13 | $11.318,50 | 593 / 14 | $10.226,10 | 590 / 22 |
| Hypertension W/O Mcc | 11 | 54 / 12 | $14.611,50 | 202 / 5 | $4.126,91 | 52 / 8 | $2.405,82 | 52 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 33 | $27.208,80 | 945 / 41 | $6.746,67 | 96 / 27 | $4.571,36 | 96 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 30 | $28.949,80 | 310 / 15 | $9.505,50 | 294 / 6 | $8.759,56 | 293 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 27 | $21.813,20 | 702 / 32 | $4.687,95 | 158 / 12 | $3.119,86 | 156 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 28 | $17.145,50 | 377 / 21 | $6.256,59 | 238 / 8 | $5.328,73 | 238 / 13 |
| Kidney & Urinary Tract Infections W/O Mcc | 67 | 166 / 23 | $16.180,30 | 1102 / 38 | $4.658,49 | 244 / 16 | $3.362,04 | 244 / 8 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 11 | $40.437,90 | 147 / 6 | $11.474,00 | 197 / 1 | $10.512,10 | 197 / 11 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 10 | $23.941,00 | 42 / 2 | $8.641,09 | 174 / 2 | $7.714,64 | 174 / 8 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 33 | 63 / 6 | $41.378,60 | 195 / 9 | $13.439,60 | 274 / 8 | $11.454,10 | 271 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 14 | $81.755,90 | 497 / 19 | $30.714,50 | 839 / 28 | $26.075,70 | 835 / 29 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 816 | 37 / 2 | $41.376,00 | 837 / 18 | $12.600,20 | 22 / 9 | $8.676,38 | 22 / 2 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 12 | $45.145,60 | 90 / 4 | $15.505,80 | 195 / 6 | $14.254,50 | 195 / 8 |
| Medical Back Problems W/O Mcc | 24 | 97 / 16 | $17.233,20 | 344 / 16 | $5.657,58 | 127 / 20 | $3.602,92 | 127 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 27 | $21.018,60 | 460 / 24 | $6.238,56 | 119 / 6 | $5.345,69 | 118 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 45 | 121 / 23 | $11.767,20 | 524 / 16 | $4.272,02 | 185 / 18 | $2.985,78 | 185 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 27 | $25.145,80 | 248 / 13 | $9.066,75 | 278 / 6 | $8.303,00 | 278 / 10 |
| Red Blood Cell Disorders W/O Mcc | 29 | 114 / 23 | $15.940,30 | 532 / 17 | $4.901,24 | 298 / 10 | $3.755,97 | 297 / 16 |
| Renal Failure W Cc | 69 | 152 / 27 | $15.780,50 | 543 / 26 | $5.577,80 | 517 / 14 | $4.775,59 | 513 / 28 |
| Renal Failure W Mcc | 33 | 162 / 33 | $28.860,00 | 693 / 31 | $9.578,91 | 928 / 27 | $8.780,45 | 928 / 39 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 12 | $24.296,10 | 443 / 16 | $8.155,70 | 580 / 11 | $7.514,60 | 577 / 23 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 31 | $24.021,60 | 197 / 8 | $10.892,70 | 439 / 4 | $10.337,70 | 436 / 19 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 23 | $45.357,10 | 492 / 21 | $13.931,50 | 757 / 16 | $13.156,60 | 749 / 29 |
| Revision Of Hip Or Knee Replacement W Cc | 85 | 13 / 1 | $74.692,40 | 253 / 8 | $22.660,40 | 223 / 15 | $18.339,60 | 223 / 9 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 32 | 37 / 3 | $53.354,00 | 138 / 4 | $17.710,80 | 32 / 10 | $12.559,20 | 32 / 1 |
| Seizures W Mcc | 12 | 54 / 17 | $22.317,40 | 73 / 3 | $7.980,08 | 69 / 1 | $7.473,00 | 69 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 44 | 472 / 60 | $32.296,50 | 903 / 30 | $11.966,60 | 1097 / 40 | $10.324,40 | 1083 / 42 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 51 | $21.710,70 | 937 / 34 | $7.209,00 | 25 / 46 | $4.259,75 | 25 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 44 | 159 / 26 | $19.497,00 | 1075 / 33 | $6.020,45 | 537 / 21 | $4.676,77 | 534 / 23 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 51 | $25.329,10 | 727 / 31 | $8.502,58 | 843 / 15 | $7.708,21 | 843 / 36 |
| Spinal Fusion Except Cervical W/O Mcc | 23 | 171 / 27 | $58.987,00 | 204 / 7 | $24.767,80 | 505 / 13 | $21.828,30 | 502 / 16 |
| Syncope & Collapse | 25 | 144 / 28 | $17.687,20 | 644 / 29 | $4.795,80 | 118 / 30 | $3.019,28 | 118 / 6 |
| Transient Ischemia | 13 | 112 / 31 | $21.255,00 | 756 / 38 | $4.120,92 | 226 / 9 | $3.053,31 | 226 / 9 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 15 | 28 / 3 | $67.543,50 | 58 / 1 | $20.324,30 | 78 / 2 | $19.081,90 | 78 / 3 | Total 55 procedures | 2.379 | 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.