Hospital Costs > In Virginia > Russell County Medical Center, 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 | 58 | 145 / 18 | $24.149,30 | 1551 / 52 | $5.653,74 | 549 / 8 | $4.685,66 | 546 / 24 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 45 | 75 / 6 | $16.055,20 | 912 / 35 | $4.377,47 | 319 / 10 | $3.155,78 | 319 / 14 |
| Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 29 | $20.028,10 | 1005 / 40 | $5.296,47 | 435 / 8 | $4.468,68 | 434 / 19 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 34 | 59 / 5 | $20.830,30 | 1253 / 36 | $4.142,91 | 484 / 9 | $3.223,38 | 482 / 16 |
| Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 39 | $27.978,00 | 1344 / 52 | $6.583,97 | 595 / 9 | $5.859,70 | 593 / 21 |
| Kidney & Urinary Tract Infections W/O Mcc | 29 | 204 / 43 | $13.854,70 | 776 / 24 | $4.475,55 | 593 / 9 | $3.683,28 | 591 / 23 |
| Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 47 | $39.298,00 | 1534 / 56 | $8.046,96 | 733 / 6 | $7.596,29 | 733 / 32 |
| Cellulitis W/O Mcc | 24 | 165 / 40 | $14.744,00 | 826 / 29 | $5.093,75 | 413 / 18 | $3.809,12 | 410 / 17 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 49 | $14.388,60 | 670 / 20 | $4.395,73 | 329 / 10 | $3.265,00 | 328 / 16 |
| Heart Failure & Shock W Cc | 22 | 256 / 52 | $21.138,70 | 1308 / 53 | $5.470,73 | 541 / 8 | $4.931,82 | 541 / 22 |
| Pulmonary Edema & Respiratory Failure | 21 | 182 / 45 | $29.921,90 | 1041 / 49 | $6.638,95 | 372 / 4 | $6.181,81 | 372 / 17 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 37 | $12.434,50 | 601 / 19 | $4.131,10 | 465 / 12 | $3.287,90 | 465 / 22 |
| Diabetes W Cc | 15 | 77 / 24 | $11.715,00 | 138 / 7 | $4.778,40 | 179 / 8 | $3.790,33 | 179 / 9 |
| Chest Pain | 14 | 137 / 30 | $16.774,60 | 667 / 30 | $3.638,64 | 303 / 11 | $2.690,07 | 302 / 20 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 28 | $42.621,60 | 397 / 15 | $11.654,50 | 100 / 2 | $11.137,90 | 100 / 4 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 24 | $15.289,60 | 883 / 36 | $3.878,08 | 580 / 7 | $3.374,08 | 578 / 30 |
| Renal Failure W Cc | 12 | 209 / 52 | $18.301,20 | 807 / 39 | $5.026,50 | 77 / 2 | $4.117,17 | 77 / 2 | Total 17 procedures | 434 | 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.