Hospital Costs > In Virginia > Sentara Leigh Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 875 | 31 / 1 | $38.743,40 | 685 / 13 | $13.122,90 | 482 / 19 | $10.290,80 | 479 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 395 | 141 / 11 | $36.901,40 | 1147 / 43 | $11.013,90 | 567 / 21 | $9.616,18 | 566 / 21 |
| Heart Failure & Shock W Mcc | 166 | 118 / 10 | $27.988,00 | 974 / 41 | $8.774,21 | 441 / 16 | $7.601,86 | 441 / 17 |
| Heart Failure & Shock W Cc | 156 | 122 / 10 | $18.678,00 | 1012 / 40 | $6.045,21 | 562 / 24 | $4.952,25 | 562 / 23 |
| G.I. Hemorrhage W Cc | 137 | 81 / 6 | $21.700,00 | 910 / 37 | $6.248,78 | 327 / 24 | $4.738,76 | 327 / 16 |
| Renal Failure W Cc | 135 | 87 / 7 | $19.074,40 | 887 / 42 | $5.873,48 | 457 / 20 | $4.705,49 | 454 / 23 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 117 | 158 / 9 | $17.625,70 | 1078 / 39 | $4.659,44 | 682 / 21 | $3.554,35 | 678 / 32 |
| Pulmonary Edema & Respiratory Failure | 114 | 89 / 9 | $25.691,50 | 774 / 34 | $7.644,22 | 291 / 26 | $6.071,73 | 291 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 100 | 107 / 12 | $21.291,30 | 902 / 32 | $6.559,83 | 310 / 21 | $5.006,07 | 309 / 18 |
| Renal Failure W Mcc | 96 | 99 / 9 | $31.440,50 | 846 / 38 | $8.918,07 | 284 / 12 | $7.708,22 | 284 / 14 |
| Syncope & Collapse | 85 | 84 / 8 | $17.610,50 | 636 / 27 | $4.631,92 | 336 / 21 | $3.373,53 | 334 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 79 | 103 / 16 | $24.997,50 | 795 / 33 | $6.495,67 | 352 / 17 | $5.041,92 | 351 / 17 |
| Respiratory Infections & Inflammations W Mcc | 76 | 60 / 4 | $34.629,20 | 577 / 29 | $11.091,90 | 367 / 9 | $10.185,40 | 366 / 14 |
| Cellulitis W/O Mcc | 73 | 116 / 15 | $15.018,20 | 861 / 31 | $5.010,33 | 411 / 13 | $3.806,86 | 408 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 72 | 89 / 11 | $15.055,90 | 527 / 24 | $4.926,15 | 409 / 19 | $3.741,36 | 409 / 15 |
| Transient Ischemia | 70 | 55 / 10 | $19.311,10 | 607 / 29 | $4.641,07 | 316 / 27 | $3.168,91 | 316 / 16 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 69 | 119 / 11 | $32.647,60 | 642 / 18 | $7.310,70 | 176 / 25 | $4.920,23 | 176 / 7 |
| Revision Of Hip Or Knee Replacement W Cc | 64 | 27 / 2 | $61.437,20 | 157 / 4 | $20.712,80 | 55 / 9 | $16.237,20 | 55 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 61 | 172 / 26 | $15.622,00 | 1023 / 36 | $4.865,56 | 505 / 24 | $3.625,72 | 505 / 20 |
| Kidney & Urinary Tract Infections W Mcc | 60 | 84 / 12 | $19.544,80 | 544 / 33 | $6.671,98 | 520 / 17 | $5.731,05 | 519 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 58 | 65 / 11 | $37.107,20 | 1224 / 44 | $9.141,64 | 1251 / 46 | $7.759,78 | 1248 / 46 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 57 | 93 / 13 | $13.441,90 | 787 / 36 | $3.686,07 | 383 / 18 | $2.340,81 | 380 / 19 |
| Simple Pneumonia & Pleurisy W Mcc | 56 | 149 / 24 | $29.656,00 | 1012 / 40 | $8.509,68 | 573 / 16 | $7.408,20 | 573 / 20 |
| Chronic Obstructive Pulmonary Disease W Cc | 53 | 126 / 18 | $19.167,80 | 923 / 35 | $5.615,96 | 329 / 15 | $4.352,57 | 328 / 14 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 51 | 115 / 18 | $15.689,90 | 1044 / 39 | $4.319,33 | 626 / 20 | $3.396,98 | 624 / 32 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 50 | 46 / 4 | $37.440,20 | 136 / 5 | $13.489,30 | 134 / 9 | $10.693,20 | 133 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 50 | 152 / 24 | $20.661,00 | 774 / 29 | $7.055,88 | 233 / 17 | $5.470,82 | 232 / 8 |
| G.I. Hemorrhage W Mcc | 49 | 72 / 7 | $36.605,20 | 571 / 23 | $10.114,20 | 220 / 9 | $8.954,00 | 220 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 47 | 121 / 17 | $29.371,40 | 322 / 17 | $9.764,43 | 280 / 11 | $8.739,53 | 279 / 12 |
| Other Digestive System Diagnoses W Cc | 44 | 53 / 6 | $20.909,80 | 461 / 19 | $5.989,52 | 215 / 9 | $4.702,23 | 213 / 8 |
| Chest Pain | 43 | 108 / 15 | $19.549,60 | 889 / 43 | $3.826,37 | 390 / 16 | $2.809,33 | 389 / 26 |
| Simple Pneumonia & Pleurisy W Cc | 41 | 162 / 28 | $19.116,40 | 1042 / 30 | $5.773,66 | 337 / 14 | $4.491,10 | 335 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 39 | 63 / 17 | $20.062,90 | 575 / 24 | $4.739,49 | 303 / 14 | $3.377,64 | 300 / 10 |
| Red Blood Cell Disorders W/O Mcc | 39 | 104 / 16 | $15.509,70 | 495 / 14 | $5.064,05 | 195 / 15 | $3.619,46 | 195 / 9 |
| Hip & Femur Procedures Except Major Joint W Cc | 39 | 104 / 18 | $40.078,60 | 640 / 18 | $11.377,90 | 596 / 16 | $10.230,50 | 593 / 23 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 38 | 93 / 11 | $53.546,40 | 727 / 29 | $14.922,30 | 342 / 27 | $11.992,20 | 338 / 13 |
| Pulmonary Embolism W/O Mcc | 38 | 36 / 4 | $24.157,70 | 614 / 26 | $6.075,16 | 265 / 9 | $4.729,63 | 265 / 12 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 38 | 54 / 5 | $145.987,00 | 495 / 18 | $35.659,30 | 320 / 7 | $33.551,90 | 319 / 12 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 37 | 64 / 12 | $36.990,00 | 570 / 26 | $10.442,50 | 31 / 26 | $7.031,68 | 31 / 3 |
| G.I. Obstruction W Cc | 37 | 55 / 9 | $14.985,90 | 289 / 13 | $5.133,30 | 241 / 6 | $4.107,22 | 240 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 19 | $36.355,90 | 673 / 33 | $10.181,80 | 434 / 27 | $8.847,64 | 434 / 21 |
| Other Circulatory System Diagnoses W Mcc | 31 | 85 / 13 | $53.090,50 | 814 / 25 | $12.437,80 | 583 / 18 | $11.076,10 | 581 / 21 |
| Major Small & Large Bowel Procedures W Cc | 31 | 77 / 13 | $52.546,50 | 480 / 19 | $15.687,30 | 74 / 13 | $11.711,00 | 74 / 3 |
| Respiratory Infections & Inflammations W Cc | 30 | 58 / 6 | $21.716,90 | 332 / 15 | $8.420,43 | 108 / 18 | $6.516,33 | 108 / 6 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 30 | 39 / 5 | $48.434,70 | 120 / 6 | $14.833,10 | 94 / 4 | $12.957,60 | 94 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 29 | 36 / 6 | $56.898,40 | 207 / 8 | $18.637,30 | 117 / 10 | $16.062,80 | 117 / 7 |
| Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 13 | $15.923,10 | 947 / 41 | $4.320,41 | 251 / 23 | $3.033,62 | 249 / 11 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 21 | $84.227,70 | 289 / 13 | $29.627,40 | 395 / 8 | $28.619,30 | 394 / 10 |
| G.I. Hemorrhage W/O Cc/Mcc | 27 | 41 / 4 | $14.246,30 | 291 / 16 | $4.459,30 | 204 / 8 | $3.188,33 | 203 / 7 |
| G.I. Obstruction W/O Cc/Mcc | 26 | 45 / 10 | $14.672,00 | 507 / 28 | $3.873,65 | 392 / 9 | $2.817,96 | 391 / 19 |
| Diabetes W Cc | 26 | 66 / 14 | $17.641,00 | 528 / 28 | $5.142,54 | 251 / 17 | $3.923,15 | 251 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 15 | $34.512,10 | 785 / 30 | $7.526,00 | 100 / 14 | $5.695,17 | 100 / 6 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 24 | 47 / 6 | $121.041,00 | 388 / 14 | $35.554,70 | 60 / 13 | $25.549,50 | 60 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 21 | $30.019,20 | 962 / 43 | $7.866,79 | 762 / 41 | $6.515,17 | 759 / 38 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 24 | 69 / 8 | $60.999,50 | 480 / 23 | $13.372,10 | 355 / 14 | $11.883,30 | 350 / 16 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 22 | 42 / 12 | $37.410,40 | 257 / 13 | $9.678,50 | 185 / 5 | $7.980,09 | 185 / 9 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 18 | $22.067,00 | 379 / 16 | $5.940,86 | 122 / 10 | $4.763,81 | 122 / 11 |
| Diabetes W Mcc | 21 | 36 / 7 | $22.327,50 | 117 / 10 | $7.995,33 | 109 / 7 | $7.060,95 | 109 / 8 |
| Renal Failure W/O Cc/Mcc | 21 | 35 / 7 | $14.100,30 | 313 / 21 | $3.980,14 | 247 / 7 | $3.019,67 | 246 / 21 |
| Red Blood Cell Disorders W Mcc | 20 | 51 / 11 | $30.649,90 | 466 / 15 | $7.543,25 | 206 / 6 | $6.556,75 | 206 / 7 |
| Seizures W Mcc | 20 | 46 / 9 | $25.098,30 | 105 / 5 | $8.777,30 | 103 / 4 | $7.766,00 | 103 / 5 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 20 | 56 / 4 | $50.550,90 | 305 / 13 | $11.396,70 | 137 / 4 | $10.360,70 | 137 / 5 |
| Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 15 | $89.560,10 | 296 / 11 | $30.267,70 | 39 / 13 | $23.438,10 | 39 / 1 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 18 | 54 / 9 | $36.100,90 | 497 / 22 | $7.892,11 | 53 / 4 | $6.547,44 | 53 / 1 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 18 | 30 / 5 | $58.402,10 | 181 / 9 | $9.615,11 | 47 / 4 | $7.554,50 | 47 / 7 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 17 | 53 / 9 | $19.600,60 | 175 / 9 | $5.383,59 | 21 / 3 | $4.091,94 | 21 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 23 | $14.896,20 | 768 / 23 | $4.421,47 | 366 / 12 | $3.204,06 | 365 / 16 |
| Other Digestive System Diagnoses W Mcc | 17 | 45 / 8 | $31.392,50 | 183 / 12 | $9.769,59 | 98 / 4 | $8.806,65 | 98 / 3 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 17 | 52 / 10 | $50.123,80 | 106 / 2 | $16.509,60 | 122 / 3 | $13.855,00 | 122 / 6 |
| Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 13 | $15.423,00 | 307 / 21 | $4.325,06 | 229 / 6 | $3.303,06 | 230 / 10 |
| Cellulitis W Mcc | 16 | 42 / 12 | $22.959,40 | 185 / 8 | $8.264,38 | 32 / 6 | $6.517,38 | 32 / 3 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 16 | $21.357,90 | 465 / 19 | $6.072,19 | 93 / 16 | $4.360,25 | 93 / 3 |
| Other Circulatory System Diagnoses W Cc | 16 | 50 / 9 | $24.679,80 | 296 / 11 | $6.197,25 | 83 / 10 | $4.649,38 | 83 / 5 |
| Stomach, Esophageal & Duodenal Proc W Cc | 16 | 34 / 4 | $74.157,60 | 125 / 8 | $15.648,10 | 48 / 2 | $14.502,20 | 48 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 16 | $20.668,90 | 309 / 16 | $7.196,12 | 199 / 10 | $5.891,88 | 199 / 14 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 16 | 180 / 29 | $62.645,10 | 510 / 11 | $11.731,90 | 463 / 5 | $10.541,80 | 461 / 16 |
| Other Vascular Procedures W Mcc | 16 | 81 / 15 | $91.717,10 | 509 / 18 | $21.101,50 | 424 / 9 | $19.883,20 | 422 / 12 |
| Seizures W/O Mcc | 15 | 93 / 20 | $18.398,10 | 457 / 17 | $4.649,93 | 222 / 7 | $3.599,40 | 221 / 8 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 7 | $28.987,50 | 140 / 6 | $9.271,93 | 106 / 12 | $5.683,13 | 106 / 4 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 9 | $31.525,10 | 223 / 6 | $9.571,80 | 253 / 4 | $8.325,07 | 252 / 8 |
| Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 12 | $55.647,90 | 246 / 12 | $17.350,60 | 217 / 9 | $15.982,10 | 216 / 8 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 8 | $47.230,60 | 227 / 7 | $11.555,60 | 147 / 2 | $10.169,20 | 147 / 8 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 17 | $65.682,30 | 424 / 10 | $15.113,40 | 181 / 4 | $13.946,90 | 181 / 7 |
| Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 11 | $23.161,30 | 185 / 18 | $5.750,50 | 114 / 6 | $4.927,36 | 114 / 8 |
| Peritoneal Adhesiolysis W Cc | 14 | 25 / 6 | $44.834,90 | 56 / 4 | $14.173,40 | 41 / 2 | $11.513,10 | 41 / 3 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 14 | $19.140,80 | 197 / 8 | $5.416,43 | 76 / 4 | $4.093,43 | 76 / 5 |
| Dysequilibrium | 14 | 51 / 10 | $17.032,10 | 179 / 7 | $3.929,36 | 96 / 4 | $2.749,07 | 96 / 7 |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 17 | $17.543,00 | 293 / 18 | $5.352,43 | 294 / 9 | $4.314,93 | 291 / 19 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 9 | $23.276,20 | 109 / 5 | $7.148,46 | 111 / 4 | $6.362,46 | 111 / 7 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 13 | 50 / 4 | $60.919,10 | 69 / 2 | $19.991,50 | 99 / 1 | $18.639,50 | 99 / 5 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 13 | 40 / 9 | $36.188,70 | 81 / 3 | $10.231,30 | 49 / 2 | $9.278,08 | 49 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 6 | $57.362,50 | 152 / 4 | $14.351,10 | 96 / 3 | $13.096,50 | 96 / 3 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 19 | $18.981,70 | 602 / 20 | $4.364,38 | 165 / 9 | $3.150,08 | 165 / 8 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 13 | 30 / 5 | $14.599,40 | 73 / 3 | $4.408,92 | 48 / 3 | $2.898,15 | 48 / 2 |
| Atherosclerosis W/O Mcc | 13 | 45 / 9 | $17.226,10 | 247 / 8 | $3.850,92 | / | $3.040,62 | / |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 13 | $16.214,10 | 131 / 7 | $5.764,17 | 127 / 4 | $4.942,50 | 127 / 6 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 14 | $16.120,80 | 348 / 14 | $4.364,50 | 59 / 11 | $2.725,17 | 59 / 3 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 17 | $24.983,20 | 387 / 17 | $5.709,83 | 180 / 4 | $4.898,33 | 180 / 9 |
| Transurethral Procedures W Cc | 12 | 29 / 5 | $41.267,20 | 230 / 6 | $12.279,20 | 323 / 9 | $9.222,92 | 323 / 9 |
| Major Chest Procedures W Cc | 12 | 62 / 13 | $75.503,60 | 305 / 12 | $16.236,20 | 65 / 6 | $12.804,00 | 65 / 4 |
| Pulmonary Embolism W Mcc | 12 | 31 / 14 | $39.096,70 | 307 / 16 | $8.995,25 | 46 / 5 | $7.235,67 | 46 / 2 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 10 | $89.124,60 | 280 / 13 | $21.292,20 | 174 / 2 | $20.226,90 | 174 / 6 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 14 | $37.317,40 | 216 / 9 | $10.376,60 | 99 / 9 | $7.825,09 | 99 / 6 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 17 | $19.549,90 | 289 / 17 | $5.642,36 | 210 / 7 | $4.522,36 | 210 / 12 |
| Medical Back Problems W/O Mcc | 11 | 110 / 25 | $21.093,20 | 612 / 24 | $5.249,00 | 348 / 9 | $4.032,09 | 348 / 14 | Total 105 procedures | 5.083 | 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.