Hospital Costs > In Virginia > Riverside Walter Reed Hospital, 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 | 119 | 397 / 46 | $26.511,40 | 618 / 21 | $9.845,45 | 84 / 5 | $8.579,72 | 84 / 3 |
Heart Failure & Shock W Mcc | 90 | 194 / 26 | $19.577,50 | 405 / 13 | $7.599,91 | 84 / 2 | $6.903,67 | 84 / 4 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 63 | 501 / 43 | $29.378,40 | 201 / 3 | $11.864,30 | 385 / 4 | $10.145,70 | 384 / 17 |
Pulmonary Edema & Respiratory Failure | 53 | 150 / 27 | $17.940,70 | 284 / 10 | $6.568,13 | 97 / 2 | $5.670,57 | 97 / 4 |
Simple Pneumonia & Pleurisy W Mcc | 45 | 160 / 33 | $20.170,40 | 400 / 12 | $7.740,87 | 24 / 3 | $6.170,00 | 24 / 1 |
Renal Failure W Cc | 42 | 179 / 36 | $14.256,40 | 399 / 15 | $5.123,10 | 130 / 4 | $4.250,95 | 130 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 43 | $14.508,90 | 689 / 21 | $4.114,69 | 156 / 2 | $3.039,51 | 156 / 6 |
Heart Failure & Shock W Cc | 38 | 240 / 43 | $13.736,20 | 434 / 12 | $5.231,45 | 70 / 3 | $4.264,87 | 70 / 4 |
Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 36 | $17.250,60 | 496 / 16 | $6.503,67 | 24 / 5 | $4.788,42 | 24 / 1 |
Renal Failure W Mcc | 33 | 162 / 33 | $19.056,80 | 190 / 8 | $8.063,30 | 63 / 2 | $7.083,55 | 63 / 4 |
Cellulitis W/O Mcc | 30 | 159 / 36 | $13.070,70 | 599 / 13 | $4.845,13 | 62 / 4 | $3.315,43 | 62 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 40 | $16.105,40 | 447 / 13 | $5.520,10 | 49 / 1 | $4.463,90 | 49 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 33 | $13.702,00 | 392 / 12 | $4.267,25 | 51 / 1 | $3.153,82 | 51 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 29 | $24.362,80 | 619 / 26 | $7.015,07 | 21 / 7 | $5.240,07 | 21 / 1 |
G.I. Hemorrhage W Cc | 27 | 191 / 42 | $16.340,50 | 424 / 12 | $5.396,48 | 131 / 3 | $4.432,41 | 131 / 5 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 24 | $21.895,50 | 196 / 8 | $8.613,56 | 104 / 6 | $7.945,04 | 104 / 10 |
Respiratory Infections & Inflammations W Mcc | 25 | 111 / 24 | $23.243,20 | 179 / 6 | $9.499,76 | 14 / 1 | $8.575,44 | 14 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 37 | $17.101,80 | 293 / 8 | $5.385,42 | 16 / 2 | $4.179,92 | 16 / 2 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 28 | $32.198,20 | 303 / 6 | $11.212,40 | 32 / 11 | $8.815,08 | 32 / 2 |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 28 | $14.637,70 | 222 / 12 | $6.029,14 | 135 / 5 | $5.118,55 | 135 / 10 |
Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 39 | $14.280,50 | 479 / 15 | $5.172,77 | 72 / 1 | $4.059,64 | 72 / 3 |
Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 41 | $14.936,70 | 503 / 15 | $5.021,38 | 211 / 1 | $4.201,95 | 211 / 9 |
Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 50 | $15.350,00 | 988 / 34 | $4.101,47 | 44 / 2 | $3.009,58 | 44 / 1 |
Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 20 | $15.271,00 | 123 / 5 | $5.461,84 | 65 / 2 | $4.577,63 | 65 / 6 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 7 | $12.023,00 | 73 / 1 | $4.437,17 | 4 / 4 | $2.591,22 | 4 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 27 | $24.133,80 | 651 / 29 | $5.952,31 | 57 / 3 | $5.103,56 | 57 / 3 |
Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 18 | $56.933,90 | 57 / 2 | $25.312,70 | 47 / 1 | $23.916,20 | 47 / 2 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 38 | $14.407,90 | 912 / 41 | $3.003,80 | 163 / 2 | $2.062,07 | 163 / 9 |
G.I. Hemorrhage W Mcc | 14 | 107 / 28 | $23.256,40 | 136 / 5 | $8.986,29 | 39 / 1 | $8.117,71 | 39 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 42 | $14.409,80 | 885 / 28 | $3.725,57 | 48 / 1 | $2.704,43 | 48 / 1 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 22 | $12.892,10 | 584 / 21 | $3.641,14 | 275 / 2 | $3.064,79 | 273 / 13 |
Medical Back Problems W/O Mcc | 13 | 108 / 23 | $17.907,30 | 385 / 18 | $4.594,31 | 121 / 4 | $3.593,38 | 121 / 5 |
Syncope & Collapse | 13 | 156 / 37 | $13.321,50 | 284 / 10 | $3.846,31 | 186 / 2 | $3.150,92 | 185 / 10 |
Diabetes W Cc | 12 | 80 / 27 | $11.477,50 | 128 / 4 | $4.333,42 | 83 / 1 | $3.568,92 | 83 / 4 |
Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 15 | $34.015,70 | 28 / 1 | $15.534,80 | 39 / 1 | $14.395,30 | 39 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 36 | $27.281,30 | 265 / 12 | $8.591,67 | 16 / 1 | $7.484,42 | 16 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 34 | $16.265,70 | 324 / 9 | $4.095,82 | 127 / 3 | $3.057,82 | 125 / 6 |
Chest Pain | 11 | 140 / 33 | $14.054,70 | 407 / 16 | $3.248,64 | 51 / 2 | $2.218,45 | 51 / 4 | Total 38 procedures | 1.088 | 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.