Hospital Costs > In Virginia > Reston Hospital Center, 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 Cc | 18 | 73 / 21 | $42.007,50 | 1073 / 40 | $9.464,50 | 130 / 42 | $4.776,44 | 130 / 12 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 32 | $47.014,50 | 1061 / 46 | $11.584,60 | 722 / 45 | $9.501,80 | 721 / 37 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 11 | 52 / 6 | $91.963,30 | 157 / 3 | $21.385,20 | 140 / 2 | $20.115,20 | 140 / 7 |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 16 | $34.982,50 | 814 / 34 | $5.940,47 | 164 / 22 | $3.990,60 | 161 / 10 |
| Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 7 | $21.454,20 | 235 / 8 | $3.813,82 | 57 / 2 | $2.654,55 | 57 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 32 | $19.658,80 | 1033 / 50 | $5.293,59 | 210 / 35 | $3.485,07 | 210 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 30 | $34.311,10 | 1139 / 43 | $7.610,19 | 42 / 19 | $5.381,15 | 42 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 38 | 112 / 22 | $13.409,20 | 780 / 35 | $3.746,84 | 119 / 25 | $1.975,21 | 119 / 7 |
| Cellulitis W Mcc | 18 | 40 / 10 | $33.522,10 | 453 / 19 | $8.983,61 | 35 / 11 | $6.533,44 | 35 / 4 |
| Cellulitis W/O Mcc | 59 | 130 / 21 | $22.865,60 | 1720 / 56 | $6.308,34 | 125 / 56 | $3.446,24 | 125 / 7 |
| Cervical Spinal Fusion W Cc | 27 | 26 / 1 | $43.681,70 | 55 / 2 | $17.561,30 | 58 / 3 | $14.769,20 | 58 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 24 | 80 / 14 | $40.741,60 | 213 / 6 | $14.849,20 | 24 / 14 | $9.425,33 | 24 / 1 |
| Chest Pain | 16 | 135 / 29 | $18.585,10 | 813 / 38 | $4.056,75 | 187 / 27 | $2.532,75 | 186 / 7 |
| Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 38 | $23.052,70 | 1307 / 47 | $5.780,57 | 293 / 20 | $4.310,64 | 292 / 12 |
| Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 35 | $35.331,60 | 1762 / 58 | $7.437,12 | 892 / 32 | $6.145,53 | 887 / 35 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 22 | $17.022,40 | 1017 / 40 | $4.765,89 | 192 / 28 | $3.002,72 | 192 / 9 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 20 | 26 / 1 | $131.767,00 | 22 / 1 | $48.706,70 | 9 / 1 | $36.696,00 | 9 / 1 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 44 | 8 / 1 | $133.667,00 | 48 / 3 | $42.886,40 | 19 / 3 | $31.171,90 | 19 / 2 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 15 | $18.933,20 | 195 / 7 | $5.636,73 | 61 / 6 | $4.010,09 | 61 / 4 |
| Diabetes W Cc | 18 | 74 / 21 | $24.230,90 | 955 / 46 | $4.786,67 | 259 / 9 | $3.934,78 | 259 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 88 | 187 / 18 | $21.865,40 | 1602 / 58 | $4.690,93 | 231 / 22 | $3.151,17 | 231 / 9 |
| Fever | 11 | 35 / 11 | $27.918,50 | 206 / 12 | $5.711,45 | 36 / 8 | $3.901,91 | 36 / 3 |
| G.I. Hemorrhage W Cc | 46 | 172 / 34 | $29.124,50 | 1513 / 56 | $6.172,76 | 220 / 20 | $4.594,93 | 220 / 9 |
| G.I. Hemorrhage W Mcc | 13 | 108 / 29 | $63.157,90 | 1246 / 40 | $11.866,70 | 265 / 32 | $9.056,08 | 265 / 13 |
| G.I. Obstruction W Cc | 27 | 65 / 15 | $27.108,70 | 1093 / 41 | $5.442,15 | 270 / 10 | $4.150,22 | 269 / 15 |
| G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 14 | $18.933,20 | 776 / 32 | $4.843,62 | 54 / 30 | $2.178,67 | 54 / 3 |
| Heart Failure & Shock W Cc | 75 | 203 / 28 | $24.228,30 | 1611 / 62 | $5.860,69 | 582 / 18 | $4.972,81 | 582 / 25 |
| Heart Failure & Shock W Mcc | 72 | 212 / 33 | $39.643,40 | 1640 / 62 | $10.136,20 | 551 / 58 | $7.753,89 | 551 / 22 |
| Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 14 | $15.339,00 | 889 / 37 | $3.941,65 | 204 / 10 | $2.973,12 | 202 / 10 |
| Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 19 | $56.558,20 | 1261 / 43 | $11.486,80 | 687 / 20 | $10.407,20 | 683 / 28 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 29 | $166.273,00 | 1108 / 33 | $39.522,60 | 1089 / 32 | $36.835,70 | 1082 / 35 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 51 | 131 / 25 | $34.248,20 | 1328 / 53 | $7.575,39 | 229 / 48 | $4.867,24 | 229 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 24 | 144 / 26 | $51.692,20 | 990 / 41 | $10.635,80 | 622 / 22 | $9.679,08 | 621 / 31 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 30 | $24.024,00 | 840 / 42 | $6.481,35 | 22 / 42 | $2.694,41 | 22 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 35 | $32.169,90 | 1254 / 54 | $7.721,31 | 25 / 49 | $4.660,23 | 25 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 72 | 161 / 21 | $22.402,50 | 1795 / 60 | $4.472,79 | 290 / 8 | $3.426,38 | 290 / 9 |
| Major Chest Procedures W Cc | 11 | 63 / 14 | $93.962,20 | 387 / 15 | $15.721,40 | 208 / 4 | $14.639,90 | 207 / 10 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 14 | $29.627,30 | 640 / 26 | $7.325,67 | 56 / 14 | $5.396,61 | 56 / 3 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 10 | $42.106,20 | 342 / 13 | $7.007,42 | 154 / 3 | $6.646,25 | 154 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 16 | $91.135,10 | 582 / 24 | $25.061,90 | 59 / 25 | $15.376,70 | 59 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 465 | 144 / 9 | $51.507,90 | 1359 / 32 | $14.024,00 | 261 / 35 | $9.859,11 | 261 / 11 |
| Major Small & Large Bowel Procedures W Cc | 19 | 89 / 20 | $70.293,10 | 864 / 30 | $16.042,20 | 42 / 16 | $11.361,30 | 42 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 19 | $132.983,00 | 680 / 26 | $30.726,40 | 358 / 15 | $28.134,50 | 356 / 16 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 23 | 41 / 11 | $52.459,90 | 488 / 21 | $10.167,60 | 53 / 12 | $7.219,35 | 53 / 4 |
| Medical Back Problems W/O Mcc | 33 | 88 / 12 | $23.027,70 | 731 / 27 | $4.858,76 | 173 / 6 | $3.701,33 | 173 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 28 | $36.500,10 | 1213 / 49 | $7.676,00 | 185 / 38 | $5.509,20 | 183 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 52 | 114 / 17 | $16.989,30 | 1208 / 47 | $4.420,44 | 160 / 24 | $2.948,54 | 160 / 7 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 14 | $29.786,50 | 408 / 12 | $5.592,27 | 188 / 4 | $5.095,73 | 187 / 10 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 24 | $72.776,30 | 1081 / 32 | $13.309,10 | 866 / 27 | $12.510,80 | 860 / 32 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 26 | $26.972,20 | 756 / 29 | $5.707,08 | 275 / 5 | $4.815,23 | 272 / 12 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 12 | $24.992,20 | 392 / 17 | $5.562,87 | 104 / 3 | $4.856,33 | 104 / 5 |
| Other Vascular Procedures W Cc | 12 | 90 / 22 | $78.763,90 | 639 / 25 | $16.210,60 | 592 / 17 | $15.506,40 | 589 / 25 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 29 | 167 / 21 | $65.944,30 | 593 / 13 | $15.845,70 | 18 / 30 | $8.581,72 | 18 / 1 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 10 | $26.348,30 | 135 / 6 | $8.036,09 | 113 / 4 | $7.093,27 | 113 / 5 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 13 | 41 / 8 | $35.261,50 | 334 / 14 | $5.993,69 | 103 / 1 | $5.251,54 | 103 / 3 |
| Pulmonary Edema & Respiratory Failure | 24 | 179 / 43 | $37.058,30 | 1390 / 58 | $7.827,79 | 231 / 33 | $5.992,08 | 231 / 11 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 17 | $28.017,70 | 770 / 32 | $5.845,79 | 353 / 6 | $4.895,74 | 353 / 15 |
| Red Blood Cell Disorders W/O Mcc | 37 | 106 / 18 | $19.854,80 | 887 / 34 | $4.954,84 | 194 / 12 | $3.616,41 | 194 / 8 |
| Renal Failure W Cc | 59 | 162 / 32 | $25.370,60 | 1453 / 58 | $6.063,63 | 361 / 28 | $4.601,69 | 358 / 18 |
| Renal Failure W Mcc | 37 | 158 / 31 | $52.154,20 | 1625 / 59 | $10.353,50 | 1045 / 42 | $9.009,73 | 1045 / 44 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 14 | $14.787,00 | 354 / 24 | $4.446,36 | 79 / 19 | $2.604,29 | 78 / 6 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 12 | $37.944,30 | 922 / 33 | $8.538,85 | 292 / 21 | $6.961,45 | 290 / 13 |
| Respiratory Infections & Inflammations W Mcc | 24 | 112 / 25 | $37.064,30 | 659 / 30 | $11.501,70 | 534 / 17 | $10.554,00 | 528 / 24 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 31 | $56.458,50 | 816 / 31 | $16.469,90 | 215 / 41 | $11.605,80 | 213 / 10 |
| Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 13 | $99.403,30 | 439 / 14 | $20.238,40 | 270 / 5 | $18.973,20 | 269 / 10 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 28 | 41 / 5 | $61.634,10 | 201 / 8 | $16.946,20 | 82 / 6 | $13.417,60 | 82 / 4 |
| Seizures W/O Mcc | 14 | 94 / 21 | $24.333,60 | 746 / 26 | $4.404,57 | 76 / 4 | $3.240,50 | 76 / 4 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 17 | $178.233,00 | 669 / 22 | $43.963,20 | 209 / 25 | $31.914,20 | 209 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 179 | 337 / 33 | $53.069,70 | 1892 / 63 | $11.443,20 | 807 / 31 | $9.928,42 | 806 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 94 | 113 / 15 | $27.516,70 | 1464 / 52 | $6.413,94 | 360 / 18 | $5.050,22 | 359 / 19 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 19 | $21.904,90 | 762 / 29 | $4.525,54 | 39 / 15 | $2.764,46 | 39 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 56 | 147 / 20 | $24.712,90 | 1604 / 53 | $5.941,00 | 402 / 18 | $4.563,95 | 399 / 13 |
| Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 48 | $35.449,00 | 1378 / 51 | $8.534,09 | 830 / 18 | $7.691,30 | 830 / 34 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 17 | $17.814,00 | 999 / 28 | $4.627,28 | 50 / 21 | $2.575,94 | 50 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 113 | 81 / 7 | $77.530,40 | 494 / 15 | $24.757,20 | 298 / 12 | $20.540,90 | 297 / 7 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 11 | 37 / 9 | $48.445,40 | 140 / 6 | $9.840,00 | 4 / 6 | $6.071,45 | 4 / 1 |
| Syncope & Collapse | 24 | 145 / 29 | $23.125,80 | 1114 / 52 | $4.266,29 | 259 / 10 | $3.275,12 | 257 / 18 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 10 | $361.572,00 | 400 / 11 | $91.077,70 | 227 / 10 | $61.048,90 | 227 / 5 |
| Transient Ischemia | 21 | 104 / 26 | $23.600,90 | 892 / 43 | $4.097,76 | 347 / 7 | $3.207,52 | 346 / 18 | Total 79 procedures | 2.750 | 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.