Hospital Costs > In Virginia > Norton Community Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 33 | $35.486,40 | 638 / 32 | $9.071,71 | 65 / 11 | $7.671,07 | 65 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 34 | $14.973,10 | 513 / 22 | $5.113,58 | 735 / 29 | $4.045,62 | 732 / 38 |
| Cellulitis W/O Mcc | 31 | 158 / 35 | $20.164,20 | 1504 / 51 | $5.848,03 | 758 / 48 | $4.093,29 | 753 / 31 |
| Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 34 | $17.604,80 | 762 / 25 | $6.174,50 | 797 / 36 | $4.792,69 | 795 / 33 |
| Chronic Obstructive Pulmonary Disease W Mcc | 41 | 161 / 30 | $22.399,80 | 931 / 36 | $7.249,15 | 630 / 25 | $5.898,56 | 627 / 23 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 23 | $16.011,50 | 906 / 34 | $5.001,24 | 725 / 38 | $3.511,53 | 723 / 29 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 51 | $18.624,30 | 1231 / 45 | $5.014,90 | 1056 / 36 | $3.790,60 | 1048 / 45 |
| G.I. Hemorrhage W Cc | 13 | 205 / 52 | $23.982,70 | 1120 / 44 | $6.753,23 | 614 / 43 | $5.017,08 | 613 / 29 |
| Heart Failure & Shock W Cc | 27 | 251 / 50 | $17.114,20 | 818 / 30 | $6.050,11 | 307 / 25 | $4.691,11 | 307 / 9 |
| Heart Failure & Shock W Mcc | 37 | 247 / 48 | $32.867,40 | 1277 / 53 | $8.996,65 | 169 / 24 | $7.183,35 | 169 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 42 | $25.520,10 | 829 / 36 | $6.598,36 | 341 / 22 | $5.025,57 | 340 / 16 |
| Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 34 | $22.417,20 | 737 / 40 | $7.287,71 | 447 / 37 | $5.642,43 | 446 / 22 |
| Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 45 | $17.074,90 | 1234 / 44 | $5.193,81 | 614 / 45 | $3.698,19 | 612 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 32 | $27.474,80 | 832 / 40 | $7.336,00 | 235 / 30 | $5.594,00 | 233 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 36 | $17.689,60 | 1289 / 48 | $4.752,14 | 824 / 40 | $3.531,38 | 821 / 40 |
| Pulmonary Edema & Respiratory Failure | 49 | 154 / 30 | $28.216,80 | 917 / 41 | $7.696,59 | 401 / 28 | $6.224,08 | 401 / 19 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 33 | $20.430,60 | 932 / 36 | $5.456,31 | 978 / 33 | $4.495,31 | 972 / 43 |
| Renal Failure W Cc | 30 | 191 / 41 | $18.521,20 | 824 / 40 | $6.327,97 | 346 / 42 | $4.585,40 | 344 / 16 |
| Renal Failure W Mcc | 18 | 177 / 43 | $22.232,80 | 328 / 14 | $9.018,11 | 183 / 17 | $7.508,11 | 183 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 102 | 414 / 49 | $37.402,40 | 1178 / 45 | $10.750,60 | 227 / 17 | $8.992,85 | 227 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 41 | $23.426,40 | 1108 / 42 | $7.266,29 | 421 / 48 | $5.117,54 | 419 / 24 |
| Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 34 | $22.235,30 | 1378 / 47 | $6.472,00 | 741 / 37 | $4.851,27 | 738 / 30 |
| Simple Pneumonia & Pleurisy W Mcc | 40 | 165 / 36 | $32.296,80 | 1188 / 44 | $8.746,72 | 207 / 26 | $6.845,10 | 207 / 8 |
| Transient Ischemia | 13 | 112 / 31 | $27.988,20 | 1109 / 46 | $4.834,69 | 396 / 34 | $3.260,08 | 395 / 22 | Total 24 procedures | 670 | 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.