Hospital Costs > In Virginia > Mary Immaculate Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 795 | 39 / 3 | $64.763,40 | 1853 / 47 | $11.038,20 | 21 / 1 | $8.658,18 | 21 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 225 | 21 / 1 | $140.184,00 | 1061 / 28 | $24.089,50 | 340 / 7 | $20.839,30 | 339 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 137 | 379 / 44 | $34.439,00 | 1024 / 38 | $10.522,00 | 573 / 12 | $9.621,67 | 572 / 22 |
| Heart Failure & Shock W Mcc | 84 | 200 / 28 | $24.110,80 | 675 / 26 | $8.478,74 | 343 / 12 | $7.470,29 | 343 / 15 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 76 | 9 / 1 | $111.666,00 | 190 / 8 | $23.207,20 | 36 / 6 | $16.632,10 | 36 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 55 | 41 / 2 | $78.080,60 | 652 / 18 | $12.567,30 | 245 / 5 | $11.334,30 | 243 / 10 |
| Simple Pneumonia & Pleurisy W Mcc | 51 | 154 / 28 | $21.926,90 | 502 / 19 | $8.277,49 | 324 / 10 | $7.068,65 | 324 / 14 |
| Cervical Spinal Fusion W/O Cc/Mcc | 50 | 54 / 5 | $70.868,90 | 589 / 18 | $13.259,20 | 191 / 6 | $11.035,30 | 191 / 3 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 49 | 21 / 2 | $91.003,80 | 389 / 15 | $14.803,30 | 96 / 1 | $13.614,50 | 96 / 5 |
| Pulmonary Edema & Respiratory Failure | 45 | 158 / 31 | $21.646,10 | 512 / 21 | $7.115,47 | 349 / 13 | $6.153,22 | 349 / 15 |
| Revision Of Hip Or Knee Replacement W Cc | 39 | 47 / 5 | $89.475,20 | 377 / 12 | $19.101,00 | 83 / 1 | $16.719,30 | 83 / 4 |
| Renal Failure W Mcc | 36 | 159 / 32 | $22.490,90 | 342 / 15 | $8.873,36 | 404 / 10 | $7.921,83 | 404 / 17 |
| Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 21 | $51.532,00 | 1099 / 40 | $11.156,60 | 87 / 10 | $9.158,78 | 87 / 6 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 31 | 38 / 4 | $85.910,30 | 364 / 12 | $14.053,30 | 93 / 3 | $12.927,60 | 93 / 4 |
| G.I. Hemorrhage W Cc | 31 | 187 / 39 | $14.827,30 | 291 / 5 | $5.818,74 | 420 / 13 | $4.833,23 | 419 / 20 |
| Renal Failure W Cc | 31 | 190 / 40 | $14.545,20 | 421 / 17 | $5.820,97 | 421 / 19 | $4.671,10 | 418 / 20 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 30 | 35 / 5 | $78.156,20 | 476 / 18 | $16.238,60 | 19 / 2 | $14.139,50 | 19 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 42 | $23.033,00 | 1072 / 41 | $6.712,04 | 398 / 27 | $5.098,93 | 396 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 28 | $11.445,80 | 517 / 23 | $3.497,65 | 503 / 12 | $2.443,15 | 499 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 25 | $29.347,70 | 320 / 16 | $9.864,88 | 348 / 13 | $8.946,60 | 347 / 17 |
| Chest Pain | 23 | 128 / 23 | $13.040,80 | 314 / 10 | $3.862,26 | 208 / 17 | $2.565,09 | 207 / 10 |
| Syncope & Collapse | 23 | 146 / 30 | $13.951,20 | 324 / 12 | $4.525,43 | 206 / 17 | $3.207,09 | 205 / 11 |
| Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 28 | $19.018,40 | 509 / 29 | $6.406,27 | 322 / 10 | $5.451,36 | 321 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 22 | 104 / 22 | $21.924,90 | 520 / 27 | $7.119,55 | 233 / 22 | $5.590,18 | 231 / 14 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 22 | 55 / 4 | $35.654,40 | 140 / 5 | $9.037,50 | 90 / 1 | $7.811,68 | 90 / 4 |
| Heart Failure & Shock W Cc | 20 | 258 / 54 | $13.032,20 | 373 / 9 | $5.940,85 | 357 / 22 | $4.732,80 | 357 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 51 | $15.663,60 | 840 / 31 | $4.616,15 | 305 / 17 | $3.237,35 | 304 / 15 |
| Respiratory Infections & Inflammations W Mcc | 19 | 117 / 30 | $34.123,50 | 560 / 28 | $11.134,50 | 366 / 10 | $10.184,40 | 365 / 13 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 33 | $37.480,90 | 858 / 27 | $6.967,53 | 264 / 17 | $5.082,84 | 264 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 40 | $13.602,70 | 382 / 10 | $4.527,56 | 244 / 7 | $3.543,06 | 244 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 39 | $11.434,50 | 480 / 13 | $4.246,28 | 535 / 17 | $3.332,28 | 533 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 35 | $22.632,20 | 499 / 16 | $6.920,94 | 164 / 6 | $5.780,59 | 164 / 10 |
| Spinal Fusion Except Cervical W Mcc | 16 | 9 / 1 | $189.349,00 | 50 / 3 | $34.936,50 | 10 / 1 | $33.671,80 | 10 / 1 |
| Cellulitis W/O Mcc | 16 | 173 / 46 | $15.300,80 | 898 / 33 | $5.050,12 | 734 / 16 | $4.074,31 | 730 / 30 |
| Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 45 | $15.125,60 | 577 / 17 | $5.827,81 | 502 / 16 | $4.646,50 | 499 / 20 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 21 | $13.030,40 | 603 / 22 | $4.169,56 | 281 / 16 | $3.071,56 | 279 / 14 |
| Transient Ischemia | 15 | 110 / 29 | $17.310,90 | 439 / 17 | $4.282,33 | 266 / 10 | $3.113,13 | 266 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 52 | $13.700,30 | 754 / 22 | $4.701,53 | 467 / 18 | $3.599,13 | 467 / 19 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 28 | $93.491,70 | 415 / 16 | $26.898,00 | 85 / 3 | $25.366,40 | 85 / 3 |
| Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 49 | $16.595,40 | 445 / 12 | $6.877,57 | 789 / 12 | $6.034,64 | 784 / 30 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 30 | $37.650,80 | 267 / 7 | $12.923,80 | 354 / 8 | $12.037,80 | 350 / 16 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 11 | 32 / 4 | $82.145,50 | 84 / 4 | $15.516,40 | 8 / 1 | $12.575,30 | 8 / 1 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 28 | $17.970,70 | 284 / 12 | $5.774,09 | 224 / 7 | $4.720,00 | 222 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 23 | $21.120,50 | 253 / 13 | $6.996,73 | 156 / 8 | $5.833,73 | 155 / 8 | Total 44 procedures | 2.286 | 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.