Hospital Costs > In Virginia > Sentara Careplex 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 Cc | 15 | 76 / 22 | $29.297,90 | 711 / 31 | $5.969,60 | 184 / 11 | $4.907,13 | 184 / 13 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 24 | 101 / 25 | $45.927,00 | 1021 / 45 | $10.070,20 | 478 / 23 | $8.952,71 | 478 / 24 |
| Acute Myocardial Infarction, Expired W Mcc | 13 | 17 / 7 | $51.210,50 | 110 / 8 | $13.180,60 | 127 / 7 | $11.914,50 | 127 / 8 |
| Bronchitis & Asthma W Cc/Mcc | 18 | 58 / 14 | $18.050,40 | 310 / 21 | $5.535,67 | 117 / 14 | $3.851,67 | 116 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 45 | 116 / 25 | $17.150,50 | 767 / 38 | $4.804,47 | 416 / 15 | $3.747,47 | 416 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 50 | 73 / 16 | $23.931,30 | 583 / 24 | $7.109,10 | 365 / 9 | $6.155,62 | 364 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 28 | $12.277,50 | 630 / 30 | $3.708,54 | 328 / 21 | $2.295,92 | 326 / 16 |
| Cellulitis W/O Mcc | 30 | 159 / 36 | $16.022,00 | 1000 / 37 | $5.141,67 | 220 / 19 | $3.584,77 | 218 / 11 |
| Cervical Spinal Fusion W/O Cc/Mcc | 21 | 83 / 15 | $40.126,20 | 196 / 4 | $12.810,20 | 159 / 2 | $10.817,80 | 159 / 2 |
| Chest Pain | 20 | 131 / 26 | $18.154,10 | 781 / 37 | $3.772,25 | 207 / 14 | $2.561,10 | 206 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 30 | $20.576,80 | 1060 / 43 | $5.723,57 | 162 / 18 | $4.104,84 | 162 / 8 |
| Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 42 | $24.060,30 | 1055 / 38 | $7.008,15 | 241 / 14 | $5.482,22 | 240 / 10 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 11 | $54.609,70 | 396 / 18 | $14.677,70 | 596 / 24 | $13.657,90 | 590 / 25 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 33 | 155 / 25 | $32.573,70 | 635 / 17 | $6.320,12 | 323 / 5 | $5.170,58 | 323 / 12 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 14 | $19.446,60 | 209 / 9 | $6.454,14 | 4 / 17 | $2.678,00 | 4 / 1 |
| Diabetes W Cc | 26 | 66 / 14 | $17.972,70 | 557 / 31 | $5.375,92 | 207 / 23 | $3.839,35 | 207 / 11 |
| Digestive Malignancy W Cc | 12 | 35 / 9 | $29.920,90 | 144 / 7 | $7.369,92 | 93 / 2 | $6.692,92 | 92 / 6 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 17 | $17.281,50 | 193 / 10 | $6.511,18 | 7 / 24 | $3.376,36 | 7 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 19 | $32.775,60 | 732 / 28 | $8.092,00 | 431 / 27 | $6.491,00 | 429 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 53 | 222 / 33 | $19.783,20 | 1362 / 51 | $4.643,94 | 511 / 19 | $3.412,38 | 509 / 27 |
| Extracranial Procedures W Cc | 12 | 34 / 6 | $43.405,80 | 186 / 8 | $10.180,50 | 3 / 5 | $6.545,33 | 3 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 14 | $28.043,20 | 382 / 14 | $6.420,12 | 135 / 6 | $4.798,59 | 135 / 5 |
| G.I. Hemorrhage W Cc | 88 | 130 / 20 | $21.068,90 | 842 / 33 | $6.073,08 | 243 / 18 | $4.628,75 | 243 / 11 |
| G.I. Hemorrhage W Mcc | 41 | 80 / 14 | $36.312,30 | 560 / 22 | $10.128,00 | 340 / 10 | $9.255,39 | 340 / 15 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 11 | $14.848,20 | 322 / 18 | $4.227,15 | 277 / 5 | $3.321,62 | 275 / 13 |
| G.I. Obstruction W Cc | 12 | 80 / 26 | $39.722,40 | 1451 / 44 | $8.576,75 | 1603 / 45 | $7.537,75 | 1598 / 46 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 21 | $13.838,30 | 436 / 22 | $3.985,43 | 187 / 12 | $2.514,07 | 187 / 7 |
| Heart Failure & Shock W Cc | 93 | 185 / 25 | $19.025,00 | 1050 / 42 | $5.851,31 | 479 / 17 | $4.877,40 | 479 / 19 |
| Heart Failure & Shock W Mcc | 114 | 170 / 19 | $34.389,30 | 1362 / 56 | $8.651,40 | 334 / 15 | $7.463,39 | 334 / 14 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 17 | $17.732,00 | 1131 / 43 | $4.334,55 | 162 / 24 | $2.920,82 | 160 / 7 |
| Hip & Femur Procedures Except Major Joint W Cc | 27 | 116 / 26 | $40.240,50 | 650 / 20 | $11.575,30 | 118 / 21 | $9.267,26 | 117 / 9 |
| Hip & Femur Procedures Except Major Joint W Mcc | 20 | 42 / 8 | $53.759,20 | 224 / 11 | $16.200,50 | 95 / 5 | $15.131,50 | 95 / 5 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 21 | $107.429,00 | 576 / 24 | $32.710,10 | 336 / 14 | $28.228,40 | 336 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 74 | 108 / 18 | $29.499,80 | 1116 / 49 | $6.434,93 | 487 / 14 | $5.208,77 | 486 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 31 | 137 / 23 | $48.773,10 | 935 / 39 | $10.559,50 | 528 / 19 | $9.409,87 | 527 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 22 | $22.541,40 | 756 / 35 | $4.636,24 | 165 / 8 | $3.146,41 | 163 / 8 |
| Kidney & Urinary Tract Infections W Mcc | 32 | 112 / 23 | $23.026,10 | 791 / 43 | $6.612,69 | 340 / 16 | $5.483,19 | 339 / 18 |
| Kidney & Urinary Tract Infections W/O Mcc | 61 | 172 / 26 | $16.757,10 | 1189 / 42 | $4.699,38 | 603 / 17 | $3.688,54 | 601 / 25 |
| Major Cardiovasc Procedures W Mcc | 11 | 57 / 12 | $111.543,00 | 170 / 6 | $34.606,50 | 14 / 4 | $24.141,50 | 14 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 23 | 78 / 13 | $86.835,70 | 464 / 17 | $20.457,90 | 388 / 4 | $19.260,50 | 388 / 13 |
| Major Chest Procedures W Cc | 11 | 63 / 14 | $56.747,40 | 170 / 8 | $14.711,50 | 137 / 2 | $13.722,50 | 137 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 19 | $25.873,60 | 517 / 25 | $7.016,69 | 266 / 7 | $6.047,77 | 265 / 15 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 15 | $37.624,10 | 142 / 6 | $12.490,90 | 229 / 2 | $11.261,50 | 227 / 9 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 218 | 346 / 22 | $38.598,10 | 678 / 12 | $12.061,20 | 267 / 6 | $9.882,39 | 267 / 12 |
| Major Small & Large Bowel Procedures W Cc | 25 | 83 / 17 | $65.988,40 | 771 / 26 | $14.518,80 | 359 / 5 | $13.069,00 | 356 / 14 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 20 | $74.985,60 | 161 / 7 | $26.416,70 | 127 / 4 | $25.402,50 | 127 / 7 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 24 | 40 / 10 | $39.751,20 | 296 / 14 | $9.565,62 | 145 / 4 | $7.794,92 | 145 / 7 |
| Malignancy Of Hepatobiliary System Or Pancreas W Cc | 14 | 17 / 1 | $25.986,40 | 47 / 5 | $7.138,50 | 19 / 1 | $5.515,93 | 19 / 2 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 15 | 38 / 7 | $45.008,80 | 134 / 5 | $11.006,20 | 85 / 5 | $9.891,80 | 86 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 19 | $25.522,90 | 740 / 36 | $6.576,50 | 302 / 10 | $5.712,38 | 299 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 40 | 126 / 27 | $19.035,20 | 1456 / 52 | $4.306,83 | 500 / 19 | $3.307,82 | 498 / 24 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 12 | 65 / 9 | $21.637,30 | 28 / 1 | $9.640,25 | 38 / 3 | $7.203,50 | 38 / 2 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 19 | $84.211,60 | 1176 / 35 | $22.877,30 | 1359 / 35 | $21.576,20 | 1351 / 37 |
| Other Circulatory System O.R. Procedures | 32 | 23 / 3 | $54.785,20 | 130 / 6 | $15.595,80 | 28 / 2 | $13.493,70 | 28 / 2 |
| Other Digestive System Diagnoses W Cc | 23 | 74 / 17 | $16.755,80 | 230 / 8 | $5.665,13 | 143 / 4 | $4.526,65 | 142 / 5 |
| Other Digestive System Diagnoses W Mcc | 17 | 45 / 8 | $24.728,80 | 92 / 8 | $9.975,41 | 36 / 6 | $8.188,76 | 36 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 14 | $25.795,50 | 418 / 18 | $5.994,36 | 252 / 5 | $5.352,27 | 252 / 10 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 29 | 72 / 15 | $42.763,10 | 678 / 32 | $10.781,00 | 513 / 33 | $9.156,86 | 511 / 32 |
| Other Vascular Procedures W Cc | 38 | 64 / 9 | $71.439,10 | 537 / 23 | $15.704,20 | 442 / 13 | $14.597,10 | 439 / 19 |
| Other Vascular Procedures W Mcc | 41 | 56 / 4 | $72.232,80 | 291 / 13 | $20.160,10 | 170 / 7 | $17.642,10 | 170 / 3 |
| Other Vascular Procedures W/O Cc/Mcc | 23 | 33 / 7 | $49.473,30 | 287 / 11 | $9.722,26 | 102 / 2 | $8.475,26 | 102 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 19 | 177 / 27 | $74.489,60 | 763 / 23 | $13.199,50 | 54 / 14 | $9.084,47 | 54 / 4 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 14 | $69.792,40 | 343 / 11 | $11.290,50 | 47 / 7 | $8.542,82 | 47 / 1 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 19 | $22.715,80 | 526 / 23 | $5.845,75 | 190 / 8 | $4.607,33 | 190 / 9 |
| Pulmonary Edema & Respiratory Failure | 87 | 116 / 14 | $32.248,30 | 1157 / 53 | $7.604,53 | 441 / 24 | $6.280,90 | 441 / 21 |
| Pulmonary Embolism W Mcc | 13 | 30 / 13 | $28.150,80 | 137 / 10 | $8.522,69 | 77 / 2 | $7.538,69 | 77 / 6 |
| Pulmonary Embolism W/O Mcc | 24 | 50 / 12 | $22.675,90 | 532 / 22 | $6.128,25 | 24 / 12 | $3.895,62 | 24 / 2 |
| Red Blood Cell Disorders W/O Mcc | 40 | 103 / 15 | $16.344,50 | 567 / 20 | $4.941,08 | 257 / 11 | $3.705,98 | 257 / 13 |
| Renal Failure W Cc | 114 | 107 / 10 | $21.008,30 | 1078 / 49 | $5.795,32 | 540 / 17 | $4.793,16 | 536 / 30 |
| Renal Failure W Mcc | 79 | 116 / 12 | $34.024,50 | 1002 / 45 | $9.323,10 | 544 / 22 | $8.123,95 | 544 / 24 |
| Renal Failure W/O Cc/Mcc | 17 | 39 / 11 | $13.341,90 | 280 / 18 | $4.226,71 | 72 / 13 | $2.587,76 | 71 / 5 |
| Respiratory Infections & Inflammations W Cc | 19 | 69 / 13 | $29.410,70 | 663 / 25 | $7.905,05 | 236 / 6 | $6.837,74 | 234 / 9 |
| Respiratory Infections & Inflammations W Mcc | 31 | 105 / 20 | $33.076,30 | 514 / 27 | $10.910,80 | 344 / 5 | $10.116,40 | 344 / 11 |
| Respiratory Neoplasms W Cc | 12 | 35 / 10 | $41.494,30 | 341 / 12 | $7.444,58 | 79 / 7 | $5.936,58 | 78 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 50 | 81 / 8 | $55.062,20 | 769 / 30 | $14.460,10 | 478 / 24 | $12.382,40 | 471 / 18 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 14 | $153.026,00 | 573 / 16 | $42.700,20 | 174 / 18 | $27.506,60 | 174 / 4 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 16 | 53 / 11 | $61.808,60 | 204 / 9 | $16.854,90 | 39 / 5 | $12.736,60 | 39 / 2 |
| Seizures W Mcc | 17 | 49 / 12 | $45.349,90 | 426 / 20 | $15.974,90 | 22 / 25 | $6.874,41 | 22 / 2 |
| Seizures W/O Mcc | 31 | 77 / 14 | $16.875,80 | 364 / 9 | $4.632,45 | 308 / 6 | $3.764,35 | 306 / 15 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 22 | 70 / 10 | $140.320,00 | 457 / 16 | $36.655,70 | 306 / 11 | $33.316,90 | 305 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 191 | 325 / 32 | $40.538,50 | 1342 / 50 | $10.931,70 | 526 / 20 | $9.553,32 | 525 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 52 | 155 / 29 | $23.884,60 | 1148 / 44 | $6.204,98 | 178 / 15 | $4.822,58 | 178 / 9 |
| Signs & Symptoms W/O Mcc | 15 | 76 / 18 | $16.399,50 | 435 / 14 | $4.170,73 | 443 / 6 | $3.582,53 | 442 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 43 | 160 / 27 | $20.482,00 | 1179 / 37 | $5.735,72 | 530 / 12 | $4.668,49 | 527 / 22 |
| Simple Pneumonia & Pleurisy W Mcc | 53 | 152 / 27 | $32.852,00 | 1219 / 46 | $9.297,40 | 721 / 41 | $7.583,79 | 721 / 30 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 20 | $17.288,00 | 949 / 26 | $4.544,29 | 151 / 15 | $2.822,50 | 150 / 7 |
| Spinal Fusion Except Cervical W/O Mcc | 52 | 142 / 17 | $67.936,50 | 335 / 11 | $22.733,00 | 233 / 2 | $20.087,80 | 232 / 5 |
| Syncope & Collapse | 23 | 146 / 30 | $15.019,10 | 392 / 15 | $4.688,52 | 154 / 23 | $3.093,04 | 154 / 8 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 7 | $19.606,70 | 133 / 8 | $5.106,82 | 45 / 4 | $3.759,18 | 45 / 5 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 8 | $231.275,00 | 204 / 6 | $65.183,60 | 255 / 5 | $62.807,40 | 255 / 8 |
| Transient Ischemia | 31 | 94 / 23 | $22.886,30 | 851 / 40 | $4.301,19 | 313 / 12 | $3.165,29 | 313 / 15 | Total 91 procedures | 3.047 | 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.