Hospital Costs > In Virginia > Memorial Hospital Of Martinsville & Henry County, 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 | 253 | 263 / 26 | $35.073,10 | 1056 / 40 | $10.672,50 | 322 / 14 | $9.214,41 | 322 / 14 |
Chronic Obstructive Pulmonary Disease W Mcc | 94 | 108 / 6 | $27.563,20 | 1315 / 51 | $7.127,24 | 548 / 20 | $5.813,58 | 547 / 18 |
Heart Failure & Shock W Cc | 81 | 197 / 26 | $17.568,40 | 882 / 34 | $5.871,00 | 405 / 19 | $4.792,32 | 405 / 14 |
Simple Pneumonia & Pleurisy W Mcc | 80 | 125 / 16 | $28.533,30 | 943 / 36 | $8.587,08 | 296 / 19 | $7.013,91 | 296 / 13 |
Simple Pneumonia & Pleurisy W Cc | 78 | 125 / 9 | $20.496,00 | 1182 / 38 | $6.015,82 | 341 / 20 | $4.502,24 | 339 / 12 |
Heart Failure & Shock W Mcc | 70 | 214 / 34 | $32.778,30 | 1271 / 52 | $8.909,97 | 524 / 18 | $7.712,79 | 524 / 21 |
Renal Failure W Cc | 62 | 159 / 30 | $20.285,60 | 1007 / 48 | $6.077,27 | 427 / 31 | $4.678,02 | 424 / 22 |
G.I. Hemorrhage W Cc | 60 | 158 / 27 | $21.421,00 | 891 / 35 | $5.972,55 | 535 / 15 | $4.942,02 | 534 / 27 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 59 | 148 / 27 | $17.990,20 | 596 / 20 | $6.185,44 | 237 / 14 | $4.912,71 | 236 / 13 |
Renal Failure W Mcc | 57 | 138 / 22 | $31.411,50 | 843 / 37 | $8.961,09 | 225 / 14 | $7.586,79 | 225 / 11 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 53 | 222 / 33 | $16.408,50 | 930 / 35 | $4.718,28 | 612 / 23 | $3.492,85 | 609 / 30 |
Kidney & Urinary Tract Infections W/O Mcc | 48 | 185 / 32 | $18.189,80 | 1371 / 47 | $4.919,23 | 361 / 26 | $3.503,50 | 361 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 42 | 140 / 28 | $20.620,20 | 515 / 19 | $6.292,81 | 391 / 12 | $5.098,31 | 390 / 19 |
Kidney & Urinary Tract Infections W Mcc | 40 | 104 / 19 | $20.214,40 | 588 / 38 | $6.420,17 | 164 / 11 | $5.186,65 | 164 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 28 | $15.238,30 | 985 / 35 | $4.497,95 | 375 / 25 | $3.213,62 | 375 / 16 |
Cellulitis W/O Mcc | 38 | 151 / 30 | $16.200,90 | 1019 / 38 | $5.273,21 | 593 / 22 | $3.961,66 | 590 / 26 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 37 | 83 / 9 | $16.659,10 | 986 / 38 | $4.509,32 | 416 / 14 | $3.245,89 | 415 / 20 |
Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 31 | $18.913,20 | 888 / 32 | $5.814,31 | 527 / 21 | $4.568,67 | 525 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 29 | $14.385,80 | 453 / 19 | $4.861,80 | 442 / 18 | $3.761,20 | 442 / 17 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 34 | 92 / 17 | $24.461,60 | 666 / 31 | $6.506,12 | 128 / 8 | $5.366,85 | 127 / 9 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 34 | 530 / 51 | $80.434,00 | 2213 / 53 | $13.044,60 | 927 / 18 | $10.932,40 | 908 / 32 |
Diabetes W Cc | 30 | 62 / 11 | $15.651,40 | 373 / 20 | $5.065,23 | 340 / 14 | $4.075,83 | 340 / 23 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 8 | $16.394,00 | 872 / 22 | $4.398,79 | 394 / 11 | $3.136,11 | 392 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 31 | $27.611,10 | 826 / 37 | $7.315,77 | 402 / 13 | $6.220,58 | 400 / 17 |
Syncope & Collapse | 25 | 144 / 28 | $15.529,20 | 443 / 19 | $4.757,04 | 235 / 28 | $3.247,28 | 233 / 14 |
Pulmonary Edema & Respiratory Failure | 24 | 179 / 43 | $31.227,80 | 1108 / 52 | $7.286,54 | 547 / 15 | $6.389,42 | 547 / 23 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 19 | $44.128,00 | 445 / 17 | $12.665,80 | 309 / 7 | $11.919,60 | 306 / 12 |
G.I. Obstruction W Cc | 21 | 71 / 19 | $19.837,00 | 641 / 29 | $5.503,67 | 394 / 12 | $4.337,95 | 393 / 21 |
Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 32 | $57.983,60 | 1302 / 45 | $11.765,80 | 102 / 26 | $9.223,80 | 101 / 8 |
Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 8 | $17.235,10 | 57 / 1 | $7.819,90 | 124 / 3 | $6.930,30 | 124 / 6 |
Renal Failure W/O Cc/Mcc | 19 | 37 / 9 | $14.160,90 | 318 / 22 | $3.954,42 | 71 / 6 | $2.582,21 | 70 / 4 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 30 | $24.856,10 | 1242 / 44 | $5.025,95 | 366 / 13 | $3.835,42 | 365 / 18 |
Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 19 | $12.693,60 | 559 / 18 | $4.412,74 | 274 / 27 | $3.063,95 | 272 / 12 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 35 | $13.578,10 | 807 / 38 | $3.780,94 | 352 / 31 | $2.314,83 | 350 / 18 |
G.I. Hemorrhage W Mcc | 18 | 103 / 26 | $38.835,70 | 653 / 27 | $10.135,10 | 204 / 11 | $8.907,72 | 204 / 9 |
Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 12 | $14.045,20 | 244 / 16 | $4.274,65 | 125 / 5 | $3.021,24 | 126 / 4 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 30 | $28.734,00 | 396 / 24 | $9.039,65 | 149 / 10 | $8.136,12 | 149 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 31 | $32.748,40 | 430 / 23 | $9.897,65 | 263 / 14 | $8.674,29 | 262 / 11 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 22 | $63.070,10 | 712 / 23 | $16.640,40 | 143 / 24 | $12.148,90 | 143 / 6 |
Transient Ischemia | 17 | 108 / 28 | $15.566,70 | 327 / 12 | $4.378,59 | 441 / 15 | $3.305,82 | 440 / 24 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 27 | $73.332,60 | 204 / 9 | $24.618,00 | 23 / 1 | $23.087,10 | 23 / 1 |
Chest Pain | 16 | 135 / 29 | $11.092,60 | 196 / 5 | $3.966,75 | 332 / 19 | $2.728,50 | 331 / 22 |
G.I. Obstruction W Mcc | 15 | 27 / 7 | $28.844,20 | 117 / 9 | $8.708,00 | 44 / 2 | $7.977,93 | 44 / 1 |
G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 20 | $14.021,20 | 451 / 24 | $3.924,00 | 225 / 10 | $2.580,00 | 225 / 9 |
Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 17 | $18.230,50 | 315 / 22 | $5.347,07 | 184 / 8 | $4.046,71 | 181 / 11 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 20 | $97.939,10 | 359 / 15 | $27.839,50 | 159 / 7 | $25.983,50 | 159 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 32 | $16.087,80 | 315 / 8 | $4.675,85 | 314 / 10 | $3.391,08 | 311 / 12 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 17 | $98.420,10 | 468 / 11 | $18.025,40 | 136 / 1 | $16.656,80 | 136 / 3 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 14 | $97.933,00 | 634 / 26 | $19.133,00 | 289 / 13 | $17.543,80 | 287 / 14 |
Cellulitis W Mcc | 12 | 46 / 15 | $26.751,20 | 296 / 13 | $7.598,17 | 47 / 1 | $6.614,75 | 47 / 6 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 12 | 184 / 30 | $88.429,40 | 1027 / 32 | $11.686,10 | 362 / 4 | $10.310,70 | 362 / 14 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 25 | $26.614,50 | 597 / 24 | $6.105,83 | 11 / 12 | $4.095,33 | 11 / 2 |
Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 6 | $17.178,30 | 100 / 5 | $5.065,17 | 38 / 3 | $3.620,33 | 38 / 3 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 15 | $38.938,20 | 281 / 15 | $11.634,70 | 10 / 9 | $8.610,91 | 10 / 1 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 37 | $44.665,60 | 924 / 37 | $11.045,20 | 130 / 7 | $9.504,36 | 130 / 6 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 28 | $20.838,50 | 456 / 18 | $5.713,27 | 107 / 6 | $4.433,55 | 106 / 4 |
Other Respiratory System Diagnoses W/O Mcc | 11 | 35 / 10 | $17.009,30 | 85 / 4 | $4.824,27 | 29 / 2 | $3.681,45 | 29 / 3 | Total 57 procedures | 1.946 | 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.