Hospital Costs > In Virginia > Sentara Obici 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 | 241 | 275 / 27 | $33.719,10 | 983 / 35 | $10.788,30 | 469 / 19 | $9.461,44 | 469 / 17 |
| Heart Failure & Shock W Mcc | 150 | 134 / 14 | $26.215,60 | 843 / 38 | $8.565,77 | 193 / 13 | $7.228,17 | 193 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 129 | 435 / 31 | $44.082,70 | 979 / 25 | $13.151,10 | 357 / 21 | $10.079,90 | 356 / 15 |
| Heart Failure & Shock W Cc | 108 | 170 / 19 | $19.079,10 | 1057 / 43 | $6.187,50 | 627 / 32 | $5.009,42 | 626 / 27 |
| Renal Failure W Cc | 101 | 120 / 14 | $19.170,10 | 893 / 44 | $5.873,68 | 462 / 21 | $4.708,95 | 458 / 24 |
| G.I. Hemorrhage W Cc | 98 | 120 / 16 | $19.479,30 | 704 / 26 | $6.190,00 | 478 / 22 | $4.887,28 | 477 / 23 |
| Simple Pneumonia & Pleurisy W Mcc | 71 | 134 / 19 | $29.644,00 | 1011 / 39 | $8.393,92 | 405 / 12 | $7.193,70 | 405 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 65 | 142 / 24 | $22.770,10 | 1049 / 39 | $6.786,57 | 486 / 31 | $5.186,74 | 484 / 27 |
| Simple Pneumonia & Pleurisy W Cc | 62 | 141 / 15 | $18.411,00 | 958 / 27 | $6.111,50 | 476 / 25 | $4.625,27 | 473 / 17 |
| Pulmonary Edema & Respiratory Failure | 58 | 145 / 25 | $27.996,10 | 912 / 40 | $7.565,81 | 576 / 23 | $6.423,83 | 576 / 26 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 57 | 218 / 31 | $18.139,50 | 1151 / 40 | $4.794,26 | 683 / 26 | $3.557,05 | 679 / 33 |
| Renal Failure W Mcc | 55 | 140 / 23 | $27.784,50 | 634 / 27 | $9.163,27 | 599 / 20 | $8.211,38 | 599 / 27 |
| Chronic Obstructive Pulmonary Disease W Mcc | 53 | 149 / 22 | $26.577,40 | 1247 / 46 | $7.232,94 | 698 / 24 | $5.970,04 | 694 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 47 | 76 / 18 | $22.786,60 | 510 / 17 | $7.411,98 | 331 / 14 | $6.088,38 | 330 / 12 |
| Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 25 | $19.056,50 | 910 / 33 | $5.780,57 | 728 / 20 | $4.745,00 | 726 / 30 |
| Red Blood Cell Disorders W/O Mcc | 41 | 102 / 14 | $16.100,00 | 549 / 18 | $5.137,68 | 220 / 22 | $3.660,10 | 220 / 10 |
| Cellulitis W/O Mcc | 41 | 148 / 29 | $18.026,20 | 1245 / 47 | $5.299,63 | 634 / 23 | $4.000,22 | 631 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 39 | 111 / 21 | $16.562,40 | 1154 / 52 | $3.758,49 | 478 / 27 | $2.423,05 | 475 / 24 |
| Syncope & Collapse | 39 | 130 / 23 | $20.003,70 | 851 / 43 | $4.627,59 | 495 / 20 | $3.548,46 | 493 / 33 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 39 | 143 / 31 | $28.946,70 | 1082 / 47 | $7.344,51 | 638 / 44 | $5.371,97 | 637 / 31 |
| Transient Ischemia | 38 | 87 / 18 | $21.570,50 | 776 / 39 | $4.455,82 | 565 / 18 | $3.434,66 | 562 / 34 |
| G.I. Hemorrhage W Mcc | 37 | 84 / 17 | $38.397,10 | 634 / 25 | $10.474,00 | 438 / 15 | $9.489,22 | 439 / 21 |
| Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 38 | $14.954,10 | 927 / 30 | $4.748,75 | 601 / 19 | $3.686,92 | 599 / 24 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 36 | 152 / 23 | $39.389,10 | 927 / 31 | $6.542,83 | 510 / 9 | $5.459,44 | 508 / 18 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 34 | 86 / 12 | $15.379,10 | 826 / 30 | $4.867,91 | 297 / 33 | $3.133,76 | 297 / 13 |
| Spinal Fusion Except Cervical W/O Mcc | 33 | 161 / 23 | $88.646,20 | 620 / 19 | $24.120,90 | 168 / 8 | $19.652,40 | 167 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 12 | $18.397,10 | 1184 / 45 | $4.319,44 | 471 / 22 | $3.287,19 | 469 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 31 | $18.981,70 | 956 / 48 | $4.964,59 | 713 / 23 | $4.024,03 | 710 / 35 |
| Kidney & Urinary Tract Infections W Mcc | 32 | 112 / 23 | $20.181,90 | 586 / 37 | $6.521,28 | 287 / 14 | $5.405,28 | 286 / 15 |
| Chest Pain | 30 | 121 / 20 | $17.026,80 | 691 / 32 | $3.914,17 | 384 / 18 | $2.803,43 | 383 / 25 |
| Hip & Femur Procedures Except Major Joint W Cc | 29 | 114 / 24 | $39.419,40 | 611 / 16 | $11.391,70 | 537 / 17 | $10.132,30 | 535 / 18 |
| Pulmonary Embolism W/O Mcc | 27 | 47 / 9 | $24.327,00 | 626 / 27 | $6.059,81 | 259 / 8 | $4.720,26 | 259 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 26 | 76 / 25 | $22.681,20 | 767 / 36 | $4.695,58 | 315 / 13 | $3.391,15 | 312 / 13 |
| Other Vascular Procedures W Cc | 23 | 79 / 13 | $46.866,50 | 161 / 6 | $14.879,40 | 121 / 8 | $12.886,90 | 121 / 5 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 12 | $13.562,70 | 560 / 15 | $4.433,52 | 766 / 13 | $3.467,17 | 762 / 27 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 34 | $16.884,70 | 1187 / 46 | $4.582,43 | 533 / 31 | $3.330,39 | 531 / 26 |
| G.I. Obstruction W Cc | 21 | 71 / 19 | $19.606,30 | 621 / 26 | $5.947,95 | 205 / 24 | $4.056,38 | 204 / 8 |
| Diabetes W Cc | 21 | 71 / 18 | $13.578,30 | 242 / 13 | $5.029,05 | 401 / 12 | $4.147,24 | 401 / 26 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 16 | $23.709,20 | 375 / 15 | $7.536,50 | 176 / 15 | $5.919,90 | 175 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 28 | $30.742,10 | 465 / 28 | $8.939,20 | 125 / 9 | $8.011,80 | 125 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 25 | $21.655,70 | 504 / 26 | $7.152,74 | 300 / 24 | $5.711,84 | 297 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 29 | $38.562,40 | 648 / 29 | $10.713,40 | 545 / 23 | $9.454,68 | 544 / 26 |
| Female Reproductive System Reconstructive Procedures | 19 | 7 / 1 | $27.099,40 | 19 / 1 | $6.686,11 | 7 / 1 | $4.659,84 | 7 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 16 | $12.986,00 | 366 / 18 | $4.164,32 | 242 / 21 | $2.613,37 | 242 / 10 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 23 | $19.028,60 | 100 / 6 | $8.646,39 | 203 / 2 | $7.999,39 | 203 / 7 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 25 | $95.315,60 | 435 / 18 | $33.530,70 | 536 / 19 | $29.817,20 | 532 / 18 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 31 | $26.034,50 | 264 / 15 | $11.182,60 | 36 / 11 | $8.967,61 | 36 / 4 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 23 | $21.921,40 | 513 / 22 | $6.002,53 | 347 / 10 | $4.947,12 | 344 / 14 |
| Major Cardiovasc Procedures W/O Mcc | 17 | 84 / 17 | $63.881,40 | 173 / 8 | $19.531,50 | 279 / 3 | $18.408,90 | 279 / 9 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 15 | $24.211,90 | 276 / 10 | $7.720,06 | 132 / 8 | $6.282,25 | 132 / 4 |
| Hypertension W/O Mcc | 16 | 49 / 8 | $18.757,20 | 370 / 19 | $4.036,19 | 139 / 4 | $2.755,69 | 139 / 9 |
| Renal Failure W/O Cc/Mcc | 16 | 40 / 12 | $16.914,70 | 458 / 28 | $4.737,81 | 80 / 25 | $2.612,50 | 79 / 7 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 10 | $19.788,90 | 289 / 9 | $4.924,53 | 171 / 9 | $3.502,93 | 170 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 12 | $49.926,10 | 321 / 13 | $11.943,30 | 172 / 4 | $10.930,70 | 169 / 9 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 27 | $48.032,90 | 567 / 25 | $14.173,20 | 230 / 19 | $11.663,80 | 228 / 11 |
| Extracranial Procedures W/O Cc/Mcc | 15 | 83 / 15 | $26.782,30 | 331 / 12 | $6.353,00 | 409 / 5 | $5.498,47 | 408 / 17 |
| Other Circulatory System Diagnoses W Mcc | 14 | 102 / 23 | $24.972,10 | 116 / 3 | $12.009,90 | 17 / 15 | $8.281,14 | 17 / 1 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 13 | 33 / 4 | $32.440,40 | 141 / 3 | $6.370,69 | 43 / 2 | $4.529,00 | 43 / 2 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 9 | $39.825,60 | 137 / 5 | $11.663,80 | 187 / 4 | $10.441,50 | 187 / 9 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 15 | $22.335,40 | 385 / 23 | $5.761,15 | 276 / 9 | $4.679,62 | 275 / 15 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 19 | $15.738,00 | 135 / 8 | $7.001,92 | 70 / 6 | $5.458,92 | 70 / 4 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 19 | $70.855,60 | 503 / 13 | $16.722,10 | 6 / 13 | $11.676,40 | 6 / 1 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 13 | $92.966,90 | 197 / 8 | $30.142,00 | 290 / 2 | $29.085,30 | 290 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 25 | $23.191,90 | 435 / 20 | $5.552,42 | 67 / 4 | $4.581,25 | 67 / 7 |
| Major Small & Large Bowel Procedures W Cc | 12 | 96 / 27 | $63.552,80 | 721 / 24 | $16.869,80 | 582 / 27 | $13.915,80 | 576 / 26 |
| Pulmonary Embolism W Mcc | 12 | 31 / 14 | $41.800,40 | 345 / 18 | $9.209,75 | 151 / 8 | $8.001,08 | 151 / 9 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 18 | $80.496,40 | 89 / 3 | $31.256,30 | 100 / 1 | $29.994,80 | 100 / 1 |
| Other Vascular Procedures W Mcc | 11 | 86 / 18 | $72.251,50 | 292 / 14 | $22.135,40 | 517 / 15 | $20.895,90 | 514 / 16 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 20 | $23.236,40 | 549 / 24 | $5.256,82 | 139 / 4 | $4.495,55 | 139 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 15 | $27.355,40 | 100 / 11 | $10.441,40 | 70 / 3 | $9.517,55 | 70 / 3 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 22 | $96.783,70 | 352 / 14 | $29.655,60 | 342 / 9 | $28.016,00 | 340 / 13 | Total 71 procedures | 2.562 | 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.