Hospital Costs > In Virginia > Martha Jefferson 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 | 451 | 103 / 6 | $16.070,20 | 101 / 1 | $9.982,58 | 123 / 7 | $8.716,31 | 123 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 301 | 268 / 20 | $29.919,20 | 217 / 4 | $12.157,60 | 161 / 7 | $9.588,74 | 161 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 188 | 28 / 3 | $12.971,60 | 211 / 2 | $6.060,35 | 86 / 9 | $4.576,32 | 86 / 6 |
| Heart Failure & Shock W Cc | 110 | 168 / 18 | $10.196,10 | 134 / 2 | $5.296,86 | 62 / 4 | $4.242,27 | 62 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 107 | 96 / 4 | $10.528,70 | 141 / 1 | $5.202,88 | 61 / 2 | $4.025,90 | 61 / 2 |
| G.I. Hemorrhage W Cc | 100 | 118 / 15 | $11.303,70 | 95 / 1 | $5.448,11 | 110 / 4 | $4.381,85 | 110 / 3 |
| Renal Failure W Cc | 92 | 129 / 18 | $10.429,50 | 118 / 2 | $5.109,80 | 43 / 3 | $4.013,50 | 43 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 78 | 155 / 17 | $9.676,38 | 267 / 3 | $4.157,94 | 99 / 4 | $3.113,85 | 99 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 69 | 74 / 6 | $27.870,20 | 157 / 3 | $10.380,40 | 85 / 2 | $9.149,51 | 85 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 67 | 208 / 29 | $11.477,80 | 326 / 3 | $4.250,90 | 23 / 4 | $2.741,24 | 23 / 1 |
| Heart Failure & Shock W Mcc | 67 | 217 / 36 | $14.064,10 | 112 / 2 | $7.929,33 | 55 / 4 | $6.794,49 | 55 / 3 |
| Simple Pneumonia & Pleurisy W Mcc | 64 | 141 / 21 | $14.463,60 | 103 / 2 | $7.558,56 | 95 / 1 | $6.576,80 | 95 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 61 | 121 / 22 | $13.452,80 | 92 / 1 | $5.758,46 | 59 / 4 | $4.440,71 | 59 / 5 |
| Cellulitis W/O Mcc | 60 | 129 / 20 | $10.162,10 | 259 / 3 | $4.630,37 | 132 / 2 | $3.450,35 | 132 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 56 | 105 / 18 | $8.522,96 | 51 / 1 | $4.432,00 | 59 / 5 | $3.188,62 | 59 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 53 | 135 / 15 | $18.261,90 | 73 / 1 | $6.341,77 | 21 / 7 | $4.369,49 | 21 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 53 | 49 / 9 | $11.765,40 | 90 / 2 | $4.091,36 | 83 / 2 | $2.945,47 | 82 / 4 |
| Spinal Fusion Except Cervical W/O Mcc | 51 | 143 / 18 | $49.106,10 | 111 / 2 | $22.961,50 | 222 / 4 | $20.039,70 | 221 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 50 | 116 / 19 | $9.599,06 | 273 / 7 | $3.913,56 | 63 / 3 | $2.749,40 | 63 / 4 |
| Chronic Obstructive Pulmonary Disease W Cc | 47 | 132 / 23 | $10.011,30 | 99 / 1 | $5.223,51 | 46 / 6 | $3.833,83 | 46 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 46 | 104 / 17 | $6.363,89 | 49 / 1 | $3.080,46 | 74 / 3 | $1.893,30 | 74 / 4 |
| Kidney & Urinary Tract Infections W Mcc | 42 | 102 / 17 | $11.298,50 | 80 / 3 | $5.823,81 | 29 / 3 | $4.688,31 | 29 / 2 |
| Renal Failure W Mcc | 39 | 156 / 30 | $15.478,50 | 81 / 2 | $8.411,69 | 31 / 5 | $6.834,36 | 31 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 38 | 85 / 23 | $12.046,60 | 45 / 1 | $6.596,47 | 130 / 2 | $5.702,26 | 130 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 38 | 158 / 18 | $41.825,20 | 85 / 5 | $13.260,30 | 35 / 15 | $8.913,29 | 35 / 3 |
| Chronic Obstructive Pulmonary Disease W Mcc | 38 | 164 / 32 | $11.052,60 | 78 / 2 | $6.001,29 | 38 / 1 | $4.900,55 | 38 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 37 | 54 / 10 | $15.165,70 | 121 / 4 | $5.846,81 | 42 / 7 | $4.477,89 | 42 / 4 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 35 | 54 / 6 | $16.589,80 | 52 / 2 | $6.289,17 | 37 / 2 | $4.450,09 | 37 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 11 | $7.351,39 | 79 / 2 | $3.607,27 | 35 / 1 | $2.605,52 | 35 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 33 | 91 / 19 | $52.783,50 | 63 / 1 | $25.455,40 | 37 / 2 | $23.975,50 | 37 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 32 | 69 / 14 | $17.028,80 | 67 / 3 | $9.432,03 | 15 / 12 | $6.699,72 | 15 / 2 |
| G.I. Obstruction W Cc | 31 | 61 / 12 | $11.157,00 | 83 / 2 | $4.919,97 | 24 / 3 | $3.465,00 | 24 / 2 |
| Pulmonary Edema & Respiratory Failure | 31 | 172 / 40 | $14.319,80 | 114 / 2 | $6.707,52 | 93 / 5 | $5.661,90 | 93 / 3 |
| Red Blood Cell Disorders W/O Mcc | 31 | 112 / 22 | $10.477,00 | 125 / 3 | $4.335,16 | 27 / 1 | $3.109,23 | 27 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 30 | 96 / 18 | $12.557,00 | 76 / 3 | $5.947,93 | 59 / 2 | $5.115,10 | 59 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 30 | 95 / 20 | $16.111,80 | 75 / 2 | $8.425,60 | 11 / 5 | $6.855,87 | 11 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 29 | 139 / 24 | $16.720,50 | 43 / 1 | $9.617,72 | 44 / 9 | $7.820,21 | 44 / 5 |
| Major Small & Large Bowel Procedures W Cc | 27 | 81 / 16 | $31.825,90 | 71 / 1 | $15.191,40 | 57 / 11 | $11.585,60 | 57 / 2 |
| Diabetes W Cc | 26 | 66 / 14 | $11.666,80 | 134 / 6 | $4.461,12 | 34 / 3 | $3.333,08 | 34 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 25 | 71 / 14 | $16.216,10 | 95 / 4 | $6.641,48 | 91 / 5 | $5.677,76 | 91 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 10 | $7.079,32 | 48 / 1 | $3.741,04 | 70 / 1 | $2.634,24 | 70 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 17 | $8.700,38 | 128 / 3 | $4.135,17 | 40 / 3 | $2.644,83 | 40 / 5 |
| G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 12 | $10.203,90 | 148 / 5 | $3.654,39 | 18 / 5 | $2.016,52 | 18 / 1 |
| Pulmonary Embolism W/O Mcc | 22 | 52 / 14 | $11.106,50 | 48 / 2 | $5.334,55 | 95 / 1 | $4.302,09 | 95 / 6 |
| Signs & Symptoms W/O Mcc | 21 | 70 / 14 | $10.642,10 | 113 / 3 | $3.867,33 | 128 / 3 | $3.051,05 | 128 / 7 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 21 | 45 / 7 | $24.725,20 | 32 / 1 | $10.553,90 | 101 / 2 | $9.383,33 | 101 / 2 |
| Chest Pain | 21 | 130 / 25 | $8.682,48 | 91 / 1 | $3.358,00 | 29 / 3 | $2.131,05 | 29 / 2 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 19 | 34 / 6 | $13.759,30 | 112 / 4 | $4.079,26 | 47 / 1 | $3.041,42 | 47 / 4 |
| Bronchitis & Asthma W Cc/Mcc | 19 | 57 / 13 | $11.845,60 | 89 / 3 | $4.696,84 | 19 / 1 | $3.392,47 | 19 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 19 | 17 / 3 | $30.459,90 | 25 / 1 | $13.303,70 | 34 / 2 | $12.059,40 | 34 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 19 | 46 / 9 | $40.064,10 | 46 / 1 | $17.249,40 | 122 / 5 | $16.082,40 | 122 / 8 |
| Other Vascular Procedures W Cc | 18 | 84 / 17 | $40.742,00 | 99 / 3 | $14.508,50 | 232 / 5 | $13.537,10 | 232 / 8 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 18 | 78 / 10 | $32.881,60 | 72 / 3 | $13.040,90 | 61 / 7 | $10.081,80 | 61 / 1 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 14 | $13.467,50 | 62 / 2 | $7.936,29 | 8 / 7 | $5.703,59 | 8 / 2 |
| Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 14 | $16.706,20 | 76 / 2 | $5.622,82 | 98 / 1 | $4.653,12 | 98 / 2 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 20 | $18.874,40 | 39 / 2 | $9.781,24 | 64 / 1 | $8.925,65 | 64 / 2 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 16 | 32 / 6 | $15.485,90 | 4 / 1 | $7.948,69 | 15 / 1 | $6.752,00 | 15 / 3 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 16 | 41 / 11 | $45.948,20 | 236 / 7 | $12.773,00 | 248 / 3 | $11.612,70 | 247 / 8 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 15 | $15.155,90 | 67 / 3 | $7.476,56 | 54 / 5 | $5.858,31 | 54 / 2 |
| Respiratory Infections & Inflammations W Mcc | 15 | 121 / 34 | $18.665,30 | 70 / 2 | $11.253,50 | 37 / 13 | $8.979,73 | 37 / 5 |
| Stomach, Esophageal & Duodenal Proc W Cc | 15 | 35 / 5 | $34.575,90 | 7 / 1 | $14.115,60 | 13 / 1 | $12.878,80 | 13 / 1 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 16 | $44.498,90 | 129 / 3 | $14.264,30 | 80 / 1 | $13.179,20 | 80 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 27 | $28.306,70 | 105 / 2 | $12.383,60 | 197 / 6 | $11.538,70 | 195 / 9 |
| Major Chest Procedures W Cc | 15 | 59 / 10 | $27.372,50 | 11 / 1 | $14.054,70 | 58 / 1 | $12.693,30 | 58 / 2 |
| Digestive Malignancy W Cc | 15 | 32 / 7 | $16.090,30 | 21 / 2 | $6.821,20 | 16 / 1 | $5.798,07 | 16 / 1 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 27 | $21.703,80 | 99 / 3 | $9.517,00 | 107 / 4 | $8.497,80 | 107 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 12 | $23.383,00 | 21 / 1 | $10.807,50 | 21 / 1 | $9.675,20 | 21 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 12 | $11.963,20 | 51 / 2 | $5.260,20 | 44 / 1 | $4.480,07 | 44 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 19 | $44.404,90 | 22 / 1 | $25.690,50 | 62 / 2 | $24.286,10 | 62 / 4 |
| Cellulitis W Mcc | 14 | 44 / 13 | $15.548,10 | 46 / 1 | $7.858,64 | 39 / 3 | $6.556,29 | 39 / 5 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 13 | 31 / 10 | $36.893,00 | 20 / 1 | $14.840,20 | 47 / 1 | $13.976,80 | 46 / 2 |
| Transient Ischemia | 13 | 112 / 31 | $10.577,00 | 81 / 3 | $3.784,77 | 34 / 2 | $2.608,62 | 34 / 3 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 9 | $13.230,60 | 16 / 1 | $6.514,31 | 21 / 1 | $5.323,38 | 21 / 2 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 13 | 32 / 6 | $48.260,00 | 13 / 1 | $17.324,80 | 4 / 1 | $13.909,00 | 4 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 12 | $22.957,50 | 28 / 2 | $8.927,54 | 77 / 1 | $7.705,15 | 77 / 4 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 26 | $12.611,50 | 75 / 1 | $5.288,46 | 104 / 2 | $4.412,00 | 103 / 3 |
| Other Vascular Procedures W Mcc | 13 | 84 / 16 | $48.412,60 | 75 / 4 | $17.303,00 | 44 / 1 | $16.298,80 | 44 / 1 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 11 | $7.737,85 | 41 / 2 | $3.789,15 | 34 / 2 | $2.687,15 | 34 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 17 | $52.324,80 | 45 / 2 | $20.138,50 | 84 / 6 | $16.185,00 | 84 / 1 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 17 | $22.116,50 | 38 / 2 | $8.892,77 | 111 / 1 | $7.626,62 | 111 / 6 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 15 | $38.245,30 | 44 / 3 | $16.186,30 | 52 / 4 | $14.698,20 | 52 / 2 |
| Major Chest Procedures W/O Cc/Mcc | 12 | 47 / 7 | $23.641,80 | 15 / 1 | $9.655,83 | 15 / 1 | $8.359,42 | 15 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 21 | $10.632,60 | 34 / 1 | $7.396,09 | 18 / 18 | $5.036,18 | 18 / 1 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 11 | 43 / 11 | $9.311,00 | 11 / 1 | $3.961,00 | 9 / 1 | $2.803,36 | 9 / 1 |
| Syncope & Collapse | 11 | 158 / 39 | $8.261,64 | 52 / 1 | $3.937,27 | 104 / 3 | $2.990,09 | 104 / 5 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 9 | $19.780,10 | 33 / 2 | $8.054,82 | 12 / 7 | $4.842,00 | 12 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 17 | $12.161,90 | 55 / 1 | $5.031,64 | 26 / 2 | $3.694,27 | 26 / 3 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 12 | $21.773,10 | 47 / 1 | $8.726,91 | 109 / 1 | $7.722,91 | 109 / 3 |
| Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 22 | $52.821,90 | 75 / 3 | $17.938,70 | 94 / 1 | $16.891,70 | 94 / 2 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 14 | $39.293,20 | 54 / 2 | $10.105,40 | 84 / 2 | $8.889,82 | 84 / 3 |
| Medical Back Problems W/O Mcc | 11 | 110 / 25 | $12.165,20 | 106 / 2 | $4.436,36 | 36 / 1 | $3.336,09 | 36 / 2 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 11 | 84 / 12 | $30.790,20 | 17 / 1 | $12.081,10 | 9 / 4 | $8.574,00 | 9 / 1 | Total 92 procedures | 3.591 | 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.