Hospital Costs > In Virginia > Rappahannock General Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 33 | $15.620,20 | 634 / 20 | $7.080,90 | 1309 / 57 | $5.310,10 | 1304 / 55 |
| G.I. Hemorrhage W Cc | 26 | 192 / 43 | $13.179,00 | 176 / 2 | $6.992,77 | 1042 / 52 | $5.406,23 | 1040 / 49 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 26 | 490 / 63 | $19.203,50 | 226 / 3 | $12.119,00 | 1544 / 48 | $11.096,00 | 1513 / 60 |
| Cellulitis W/O Mcc | 22 | 167 / 42 | $11.111,30 | 372 / 6 | $5.606,18 | 1090 / 35 | $4.341,68 | 1084 / 49 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 48 | $12.592,50 | 585 / 14 | $5.148,55 | 1287 / 39 | $4.157,18 | 1278 / 51 |
| Transient Ischemia | 20 | 105 / 27 | $10.453,30 | 78 / 2 | $4.753,45 | 453 / 32 | $3.317,45 | 452 / 26 |
| Pulmonary Edema & Respiratory Failure | 19 | 184 / 46 | $16.881,60 | 228 / 8 | $8.057,95 | 939 / 43 | $6.855,58 | 939 / 43 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 52 | $24.735,30 | 684 / 24 | $10.055,20 | 1636 / 58 | $8.983,72 | 1636 / 67 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 53 | $10.091,70 | 221 / 1 | $4.903,72 | 1032 / 32 | $3.779,50 | 1024 / 44 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 39 | $8.942,06 | 221 / 3 | $4.666,78 | 577 / 35 | $3.363,83 | 575 / 29 |
| Renal Failure W Cc | 17 | 204 / 48 | $11.591,90 | 182 / 5 | $6.402,18 | 1128 / 46 | $5.311,29 | 1120 / 56 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 30 | $13.899,30 | 183 / 4 | $5.127,47 | 615 / 28 | $3.752,59 | 611 / 32 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 46 | $16.016,90 | 437 / 12 | $7.129,59 | 1238 / 44 | $5.918,18 | 1233 / 51 |
| Syncope & Collapse | 16 | 153 / 34 | $11.972,60 | 196 / 6 | $4.796,56 | 807 / 31 | $3.850,44 | 803 / 44 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 40 | $17.989,70 | 348 / 9 | $7.180,75 | 1096 / 40 | $5.991,12 | 1093 / 50 |
| Heart Failure & Shock W Mcc | 16 | 268 / 57 | $14.905,30 | 140 / 4 | $9.874,94 | 1295 / 49 | $8.708,12 | 1292 / 56 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 39 | $10.042,30 | 356 / 12 | $3.770,14 | 339 / 30 | $2.303,14 | 337 / 17 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 26 | $15.150,20 | 795 / 26 | $4.792,31 | 825 / 29 | $3.599,23 | 821 / 32 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 50 | $16.235,10 | 409 / 9 | $7.762,69 | 1276 / 46 | $6.553,23 | 1270 / 52 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 36 | $12.634,40 | 135 / 5 | $7.533,75 | 810 / 45 | $6.108,58 | 809 / 42 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 48 | $14.713,90 | 487 / 13 | $6.219,00 | 1371 / 39 | $5.339,50 | 1366 / 55 |
| Heart Failure & Shock W Cc | 11 | 267 / 58 | $10.757,50 | 170 / 4 | $6.552,91 | 1307 / 45 | $5.559,00 | 1303 / 54 | Total 22 procedures | 394 | 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.