Hospital Costs > In Virginia > Johnston Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 258 | 258 / 24 | $38.370,10 | 1233 / 46 | $9.854,50 | 149 / 6 | $8.795,88 | 149 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 128 | 79 / 8 | $21.829,00 | 952 / 36 | $5.835,95 | 74 / 3 | $4.547,99 | 74 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 121 | 443 / 34 | $86.276,50 | 2310 / 54 | $13.275,10 | 235 / 22 | $9.805,08 | 235 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 121 | 112 / 9 | $13.943,40 | 788 / 26 | $4.533,75 | 147 / 12 | $3.225,27 | 147 / 6 |
| Renal Failure W Cc | 114 | 107 / 10 | $18.257,20 | 805 / 38 | $5.251,81 | 169 / 6 | $4.327,69 | 169 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 87 | 188 / 19 | $16.152,40 | 889 / 33 | $4.368,97 | 218 / 9 | $3.132,09 | 218 / 7 |
| Pulmonary Edema & Respiratory Failure | 87 | 116 / 14 | $26.761,50 | 842 / 37 | $6.881,85 | 142 / 6 | $5.787,09 | 142 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 81 | 98 / 7 | $18.450,60 | 842 / 30 | $5.139,94 | 96 / 3 | $3.999,44 | 96 / 7 |
| Chronic Obstructive Pulmonary Disease W Mcc | 71 | 131 / 12 | $20.078,30 | 716 / 27 | $6.316,75 | 178 / 2 | $5.368,72 | 178 / 4 |
| Cellulitis W/O Mcc | 65 | 124 / 18 | $15.704,70 | 951 / 36 | $5.008,77 | 190 / 12 | $3.544,89 | 190 / 9 |
| Heart Failure & Shock W Mcc | 64 | 220 / 37 | $31.699,20 | 1196 / 49 | $8.045,73 | 131 / 6 | $7.063,47 | 131 / 5 |
| Heart Failure & Shock W Cc | 64 | 214 / 32 | $17.385,00 | 852 / 32 | $5.408,25 | 347 / 6 | $4.724,19 | 347 / 11 |
| Renal Failure W Mcc | 62 | 133 / 18 | $29.374,40 | 724 / 32 | $8.313,69 | 112 / 4 | $7.259,11 | 112 / 7 |
| Simple Pneumonia & Pleurisy W Mcc | 61 | 144 / 23 | $32.637,80 | 1199 / 45 | $7.588,44 | 80 / 2 | $6.525,13 | 80 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 60 | 84 / 12 | $17.291,50 | 388 / 22 | $5.801,38 | 51 / 2 | $4.838,53 | 51 / 4 |
| G.I. Hemorrhage W Cc | 58 | 160 / 28 | $21.265,70 | 867 / 34 | $5.542,38 | 117 / 6 | $4.396,38 | 117 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 57 | 146 / 19 | $22.225,80 | 1377 / 46 | $5.511,32 | 324 / 5 | $4.480,18 | 322 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 49 | 133 / 26 | $25.373,90 | 820 / 34 | $5.797,80 | 28 / 6 | $4.285,78 | 28 / 3 |
| Transient Ischemia | 37 | 88 / 19 | $20.774,90 | 719 / 35 | $4.106,14 | 103 / 8 | $2.791,38 | 103 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 30 | $16.947,30 | 742 / 34 | $4.444,94 | 178 / 6 | $3.440,41 | 178 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 32 | 59 / 12 | $22.757,50 | 411 / 18 | $5.094,94 | 7 / 1 | $4.030,25 | 7 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 31 | $15.640,80 | 1036 / 37 | $3.978,81 | 148 / 5 | $2.922,66 | 148 / 6 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 31 | 39 / 2 | $14.762,50 | 79 / 5 | $5.098,74 | 40 / 1 | $4.322,58 | 40 / 3 |
| Bronchitis & Asthma W Cc/Mcc | 29 | 47 / 6 | $15.447,70 | 209 / 13 | $4.910,31 | 132 / 2 | $3.886,00 | 131 / 7 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 14 | $16.184,10 | 928 / 36 | $4.146,79 | 142 / 4 | $2.910,29 | 142 / 6 |
| G.I. Obstruction W Cc | 28 | 64 / 14 | $17.573,10 | 474 / 22 | $4.978,64 | 89 / 5 | $3.759,46 | 89 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 28 | $41.964,20 | 1002 / 33 | $5.846,82 | 125 / 1 | $4.816,89 | 125 / 4 |
| Red Blood Cell Disorders W/O Mcc | 26 | 117 / 25 | $18.043,00 | 718 / 27 | $4.559,23 | 103 / 3 | $3.436,69 | 103 / 5 |
| Renal Failure W/O Cc/Mcc | 26 | 30 / 4 | $12.564,60 | 255 / 15 | $3.605,62 | 100 / 3 | $2.683,04 | 99 / 8 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 24 | 101 / 25 | $37.022,20 | 703 / 35 | $8.410,83 | 27 / 4 | $7.183,79 | 27 / 5 |
| Hypertension W/O Mcc | 24 | 41 / 4 | $17.970,10 | 338 / 15 | $3.636,33 | 78 / 3 | $2.545,25 | 78 / 5 |
| G.I. Hemorrhage W Mcc | 24 | 97 / 24 | $34.870,50 | 504 / 20 | $9.177,46 | 62 / 2 | $8.280,88 | 62 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 16 | $11.783,50 | 439 / 10 | $3.811,12 | 172 / 4 | $2.930,38 | 170 / 8 |
| Chest Pain | 23 | 128 / 23 | $16.251,30 | 609 / 27 | $3.527,04 | 209 / 7 | $2.566,30 | 208 / 11 |
| Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 31 | $79.989,20 | 1704 / 51 | $10.746,20 | 184 / 7 | $9.440,81 | 183 / 10 |
| Diabetes W Cc | 20 | 72 / 19 | $19.205,80 | 633 / 35 | $4.635,00 | 241 / 7 | $3.906,35 | 241 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 34 | $20.606,80 | 365 / 11 | $6.644,32 | 143 / 3 | $5.738,74 | 143 / 8 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 25 | $64.373,70 | 1019 / 38 | $12.289,10 | 152 / 5 | $11.406,10 | 152 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 30 | $20.750,70 | 631 / 30 | $4.310,82 | 205 / 5 | $3.210,94 | 203 / 9 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 18 | $14.177,60 | 468 / 25 | $3.603,53 | 253 / 4 | $2.632,59 | 253 / 11 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 14 | $26.603,20 | 546 / 21 | $7.013,00 | 76 / 1 | $6.385,59 | 76 / 4 |
| Syncope & Collapse | 17 | 152 / 33 | $17.203,10 | 587 / 23 | $4.161,41 | 216 / 7 | $3.222,00 | 215 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 16 | 152 / 32 | $45.037,60 | 833 / 36 | $9.111,94 | 145 / 3 | $8.293,50 | 144 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 38 | $14.603,10 | 941 / 43 | $3.285,40 | 220 / 8 | $2.171,20 | 219 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 28 | $26.277,80 | 778 / 38 | $6.163,33 | 155 / 5 | $5.447,73 | 154 / 10 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 28 | $136.448,00 | 893 / 29 | $30.739,70 | 435 / 10 | $28.941,30 | 432 / 12 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 19 | $18.073,80 | 1032 / 30 | $4.088,13 | 212 / 8 | $2.919,07 | 210 / 8 |
| Bronchitis & Asthma W/O Cc/Mcc | 14 | 31 / 5 | $14.161,10 | 115 / 3 | $3.756,14 | 64 / 1 | $2.710,86 | 64 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 20 | $25.825,20 | 464 / 20 | $6.904,71 | 172 / 7 | $5.890,29 | 171 / 9 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 16 | $15.790,30 | 319 / 22 | $3.949,38 | 143 / 3 | $3.081,15 | 144 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 14 | $101.917,00 | 668 / 27 | $17.044,20 | 91 / 4 | $15.818,20 | 91 / 5 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 11 | $14.221,70 | 289 / 15 | $3.993,69 | 142 / 3 | $3.050,92 | 142 / 5 |
| Diabetes W Mcc | 12 | 45 / 14 | $16.329,50 | 41 / 3 | $6.943,58 | 5 / 1 | $5.829,33 | 5 / 1 |
| G.I. Obstruction W Mcc | 12 | 30 / 9 | $22.070,60 | 49 / 4 | $8.689,42 | 49 / 1 | $8.033,17 | 49 / 2 |
| Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 13 | $17.000,90 | 70 / 6 | $5.135,67 | 9 / 1 | $4.077,00 | 9 / 2 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 11 | $24.751,60 | 503 / 16 | $4.396,58 | 66 / 3 | $3.131,08 | 66 / 3 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 19 | $21.921,00 | 497 / 21 | $5.397,00 | 52 / 5 | $4.176,17 | 52 / 2 |
| Seizures W/O Mcc | 11 | 97 / 24 | $17.698,50 | 402 / 12 | $4.362,45 | 121 / 3 | $3.364,73 | 120 / 6 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 28 | $73.742,30 | 911 / 33 | $13.571,20 | 182 / 2 | $12.386,60 | 181 / 8 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 22 | $124.792,00 | 607 / 24 | $25.887,90 | 80 / 3 | $24.634,10 | 80 / 5 | Total 60 procedures | 2.440 | 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.