Hospital Costs > In Virginia > Lewisgale Hospital Montgomery, 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 | 138 | 378 / 43 | $34.111,40 | 1006 / 36 | $12.214,00 | 628 / 53 | $9.702,36 | 627 / 23 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 124 | 440 / 33 | $93.102,10 | 2395 / 55 | $15.063,70 | 911 / 50 | $10.907,60 | 892 / 31 |
Simple Pneumonia & Pleurisy W Mcc | 54 | 151 / 26 | $34.013,90 | 1286 / 49 | $10.230,10 | 704 / 59 | $7.567,07 | 704 / 29 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 51 | 224 / 34 | $18.259,40 | 1172 / 43 | $5.385,45 | 506 / 52 | $3.407,75 | 504 / 26 |
Chronic Obstructive Pulmonary Disease W Mcc | 41 | 161 / 30 | $21.120,30 | 819 / 30 | $8.166,00 | 662 / 56 | $5.937,80 | 658 / 26 |
Pulmonary Edema & Respiratory Failure | 40 | 163 / 34 | $22.093,70 | 545 / 23 | $8.404,12 | 776 / 50 | $6.682,58 | 776 / 37 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 30 | $13.572,90 | 771 / 24 | $4.945,15 | 517 / 46 | $3.318,29 | 515 / 25 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 37 | $16.035,80 | 611 / 20 | $6.659,34 | 540 / 52 | $4.590,28 | 538 / 22 |
Heart Failure & Shock W Mcc | 28 | 256 / 52 | $23.371,50 | 620 / 24 | $9.359,89 | 576 / 36 | $7.782,86 | 576 / 26 |
Heart Failure & Shock W Cc | 24 | 254 / 51 | $15.101,50 | 590 / 19 | $6.794,21 | 574 / 54 | $4.964,29 | 574 / 24 |
Renal Failure W Cc | 24 | 197 / 44 | $15.742,10 | 539 / 25 | $6.668,79 | 479 / 53 | $4.727,88 | 475 / 26 |
Cellulitis W/O Mcc | 23 | 166 / 41 | $16.823,80 | 1101 / 42 | $6.172,13 | 515 / 55 | $3.896,17 | 512 / 20 |
Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 39 | $23.855,80 | 1528 / 51 | $7.127,91 | 832 / 58 | $4.936,18 | 829 / 33 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 38 | $27.003,80 | 928 / 40 | $7.164,64 | 512 / 39 | $5.231,45 | 511 / 25 |
Renal Failure W Mcc | 21 | 174 / 41 | $31.306,30 | 834 / 36 | $10.636,10 | 381 / 48 | $7.882,86 | 381 / 16 |
Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 29 | $16.284,80 | 318 / 17 | $7.214,48 | 327 / 35 | $5.459,38 | 326 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 45 | $26.522,60 | 1382 / 48 | $7.635,86 | 277 / 58 | $4.964,14 | 276 / 17 |
Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 49 | $12.718,60 | 612 / 15 | $5.410,95 | 738 / 55 | $3.785,00 | 733 / 30 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 30 | $41.688,10 | 849 / 36 | $12.532,20 | 354 / 36 | $10.146,70 | 354 / 12 |
Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 33 | $69.176,40 | 1527 / 49 | $12.721,40 | 954 / 46 | $10.923,30 | 941 / 39 |
G.I. Hemorrhage W Cc | 17 | 201 / 49 | $26.609,50 | 1334 / 50 | $6.721,24 | 620 / 41 | $5.021,18 | 619 / 30 |
Syncope & Collapse | 16 | 153 / 34 | $18.787,30 | 748 / 37 | $5.094,62 | 245 / 41 | $3.259,38 | 243 / 16 |
Chest Pain | 16 | 135 / 29 | $11.422,40 | 218 / 6 | $4.857,44 | 231 / 47 | $2.595,06 | 230 / 13 |
Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 15 | $35.554,70 | 602 / 22 | $8.268,20 | 125 / 22 | $4.702,87 | 125 / 6 |
Transient Ischemia | 14 | 111 / 30 | $24.095,30 | 921 / 45 | $5.625,71 | 279 / 46 | $3.127,57 | 279 / 11 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 35 | $19.742,30 | 880 / 32 | $5.545,79 | 641 / 36 | $4.131,64 | 637 / 30 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 34 | $41.749,60 | 741 / 33 | $11.219,30 | 455 / 34 | $9.232,29 | 454 / 23 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 16 | $11.448,90 | 135 / 9 | $5.156,46 | 293 / 25 | $3.456,38 | 294 / 14 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 13 | 27 / 5 | $56.305,90 | 114 / 6 | $12.857,50 | 98 / 5 | $11.347,20 | 98 / 3 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 26 | $28.609,00 | 822 / 30 | $6.955,38 | 561 / 32 | $5.310,92 | 558 / 25 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 40 | $11.072,20 | 465 / 19 | $3.962,08 | 302 / 39 | $2.261,85 | 300 / 15 |
Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 15 | $69.834,00 | 414 / 17 | $18.638,40 | 297 / 14 | $16.541,30 | 294 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 45 | $15.003,00 | 517 / 23 | $5.275,17 | 310 / 34 | $3.619,25 | 310 / 13 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 22 | $16.856,20 | 228 / 11 | $6.770,42 | 566 / 21 | $5.294,67 | 563 / 24 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 8 | $45.011,10 | 369 / 10 | $8.857,75 | 140 / 10 | $5.845,25 | 140 / 6 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 31 | $124.208,00 | 780 / 26 | $33.185,60 | 580 / 15 | $30.173,40 | 575 / 20 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 28 | $95.280,50 | 1175 / 36 | $17.183,00 | 837 / 29 | $14.894,50 | 829 / 33 |
G.I. Obstruction W Cc | 11 | 81 / 27 | $23.752,40 | 909 / 36 | $7.011,91 | 176 / 39 | $4.016,82 | 175 / 7 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 12 | $13.458,50 | 140 / 4 | $5.411,55 | 214 / 16 | $3.636,00 | 214 / 8 |
Organic Disturbances & Mental Retardation | 11 | 48 / 12 | $17.009,40 | 129 / 6 | $7.097,27 | 143 / 11 | $5.318,09 | 143 / 6 | Total 40 procedures | 1.036 | 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.