Hospital Costs > In Virginia > Lewisgale Hospital Alleghany, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 19 | $21.380,20 | 437 / 25 | $5.033,09 | 113 / 3 | $3.840,18 | 112 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 45 | $17.739,00 | 835 / 41 | $5.156,83 | 63 / 31 | $3.201,00 | 63 / 4 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 34 | $15.229,90 | 1020 / 48 | $3.386,84 | 78 / 10 | $1.902,84 | 78 / 5 |
Cellulitis W/O Mcc | 31 | 158 / 35 | $24.321,40 | 1838 / 59 | $4.876,48 | 403 / 6 | $3.801,00 | 400 / 15 |
Chest Pain | 18 | 133 / 28 | $17.192,20 | 706 / 33 | $3.447,94 | 237 / 5 | $2.603,06 | 236 / 14 |
Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 45 | $23.458,40 | 1343 / 49 | $5.933,00 | 93 / 26 | $3.990,47 | 93 / 6 |
Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 35 | $25.967,10 | 1195 / 45 | $6.733,76 | 584 / 10 | $5.854,88 | 583 / 20 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 24 | $15.184,70 | 801 / 27 | $4.125,40 | 196 / 2 | $3.012,60 | 196 / 10 |
Diabetes W Cc | 19 | 73 / 20 | $19.227,40 | 636 / 36 | $5.137,63 | 218 / 16 | $3.870,63 | 218 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 23 | $40.358,20 | 953 / 35 | $7.460,82 | 527 / 12 | $6.674,18 | 523 / 24 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 40 | 235 / 42 | $18.155,10 | 1154 / 42 | $4.272,45 | 256 / 5 | $3.182,45 | 256 / 10 |
G.I. Hemorrhage W Cc | 18 | 200 / 48 | $27.400,40 | 1396 / 52 | $5.768,11 | 622 / 11 | $5.023,11 | 621 / 31 |
Heart Failure & Shock W Cc | 37 | 241 / 44 | $20.053,30 | 1191 / 49 | $5.716,32 | 635 / 12 | $5.015,68 | 634 / 28 |
Heart Failure & Shock W Mcc | 50 | 234 / 41 | $40.175,20 | 1668 / 63 | $8.974,46 | 371 / 22 | $7.511,88 | 371 / 16 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 24 | $12.808,50 | 575 / 20 | $3.860,17 | 310 / 6 | $3.113,00 | 308 / 17 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 35 | $44.208,50 | 812 / 29 | $11.282,70 | 590 / 13 | $10.225,10 | 587 / 21 |
Hypertension W/O Mcc | 11 | 54 / 12 | $14.735,30 | 212 / 7 | $3.576,36 | 98 / 2 | $2.633,09 | 98 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 39 | $24.089,80 | 731 / 31 | $6.571,06 | 509 / 20 | $5.227,18 | 508 / 24 |
Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 32 | $36.169,50 | 1393 / 56 | $7.343,88 | 990 / 38 | $6.367,06 | 987 / 48 |
Kidney & Urinary Tract Infections W/O Mcc | 46 | 187 / 34 | $18.481,00 | 1406 / 49 | $4.456,04 | 418 / 7 | $3.559,35 | 418 / 16 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 19 | $30.348,20 | 658 / 27 | $7.197,54 | 71 / 11 | $5.464,23 | 71 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 52 | 512 / 46 | $69.183,40 | 1972 / 48 | $13.774,80 | 203 / 29 | $9.736,04 | 203 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 38 | $14.591,70 | 903 / 29 | $4.028,53 | 442 / 8 | $3.274,11 | 442 / 20 |
Pulmonary Edema & Respiratory Failure | 31 | 172 / 40 | $33.743,90 | 1238 / 54 | $7.176,81 | 431 / 14 | $6.266,87 | 431 / 20 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 33 | $21.146,90 | 1002 / 40 | $4.602,06 | 227 / 5 | $3.672,44 | 227 / 11 |
Renal Failure W Cc | 30 | 191 / 41 | $16.532,30 | 617 / 28 | $5.543,77 | 490 / 11 | $4.753,90 | 486 / 27 |
Renal Failure W Mcc | 21 | 174 / 41 | $31.611,00 | 856 / 39 | $8.828,29 | 459 / 8 | $8.008,95 | 459 / 20 |
Renal Failure W/O Cc/Mcc | 11 | 45 / 16 | $10.137,40 | 119 / 6 | $4.062,82 | 21 / 8 | $2.336,91 | 21 / 1 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 14 | $43.510,70 | 1031 / 34 | $8.156,00 | 2 / 12 | $5.582,47 | 2 / 1 |
Respiratory Infections & Inflammations W Mcc | 22 | 114 / 27 | $50.334,00 | 1080 / 43 | $11.673,50 | 429 / 19 | $10.322,40 | 427 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 55 | 461 / 58 | $45.951,30 | 1620 / 61 | $11.467,00 | 906 / 32 | $10.066,10 | 903 / 33 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 44 | $31.099,40 | 1684 / 59 | $6.206,00 | 447 / 16 | $5.142,73 | 445 / 26 |
Signs & Symptoms W/O Mcc | 20 | 71 / 15 | $13.165,00 | 227 / 6 | $3.974,55 | 167 / 4 | $3.152,00 | 167 / 9 |
Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 34 | $23.116,80 | 1458 / 49 | $5.647,60 | 428 / 7 | $4.586,27 | 425 / 15 |
Simple Pneumonia & Pleurisy W Mcc | 47 | 158 / 31 | $40.395,20 | 1569 / 58 | $8.389,85 | 598 / 11 | $7.433,60 | 598 / 21 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 21 | $19.325,10 | 1147 / 33 | $4.068,08 | 401 / 6 | $3.142,85 | 399 / 13 |
Syncope & Collapse | 24 | 145 / 29 | $18.603,10 | 736 / 36 | $4.158,08 | 209 / 6 | $3.211,00 | 208 / 12 |
Transient Ischemia | 17 | 108 / 28 | $20.672,50 | 710 / 34 | $4.010,00 | 114 / 5 | $2.825,18 | 114 / 6 | Total 38 procedures | 908 | 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.