Hospital Costs > In Virginia > Sentara Princess Anne 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 | 333 | 186 / 16 | $42.791,10 | 1467 / 55 | $11.730,50 | 965 / 38 | $10.141,30 | 957 / 37 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 127 | 437 / 32 | $41.508,80 | 845 / 20 | $12.798,60 | 614 / 14 | $10.484,00 | 607 / 22 |
| Heart Failure & Shock W Mcc | 108 | 176 / 21 | $41.923,20 | 1737 / 64 | $10.217,80 | 970 / 60 | $8.248,73 | 969 / 41 |
| Heart Failure & Shock W Cc | 107 | 171 / 20 | $21.205,00 | 1313 / 54 | $6.102,50 | 447 / 26 | $4.841,98 | 447 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 105 | 102 / 11 | $21.550,00 | 924 / 33 | $6.523,11 | 441 / 20 | $5.138,21 | 439 / 25 |
| G.I. Hemorrhage W Cc | 89 | 129 / 19 | $22.494,60 | 981 / 41 | $6.192,56 | 267 / 23 | $4.662,73 | 267 / 14 |
| Renal Failure W Cc | 74 | 147 / 24 | $23.110,70 | 1281 / 55 | $6.019,41 | 533 / 26 | $4.786,82 | 529 / 29 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 72 | 203 / 26 | $18.415,40 | 1201 / 44 | $5.103,08 | 517 / 43 | $3.417,21 | 515 / 28 |
| Chronic Obstructive Pulmonary Disease W Mcc | 64 | 138 / 14 | $32.302,20 | 1613 / 55 | $7.062,86 | 750 / 18 | $6.009,73 | 745 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 60 | 101 / 17 | $17.021,50 | 747 / 36 | $4.960,00 | 661 / 21 | $3.971,95 | 658 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 55 | 68 / 12 | $34.270,10 | 1138 / 42 | $7.752,91 | 591 / 24 | $6.506,18 | 588 / 24 |
| Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 29 | $36.753,40 | 1442 / 53 | $8.681,86 | 385 / 25 | $7.160,22 | 385 / 15 |
| Pulmonary Edema & Respiratory Failure | 49 | 154 / 30 | $41.216,70 | 1544 / 60 | $8.110,80 | 1035 / 45 | $6.999,37 | 1034 / 49 |
| Syncope & Collapse | 48 | 121 / 20 | $20.431,20 | 893 / 46 | $4.621,56 | 419 / 19 | $3.475,96 | 417 / 29 |
| Chronic Obstructive Pulmonary Disease W Cc | 47 | 132 / 23 | $24.038,10 | 1386 / 51 | $6.210,19 | 345 / 37 | $4.370,79 | 344 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 46 | 104 / 17 | $15.163,80 | 1009 / 46 | $3.595,02 | 428 / 16 | $2.380,30 | 425 / 22 |
| Chest Pain | 46 | 105 / 14 | $18.099,40 | 776 / 36 | $4.018,07 | 259 / 23 | $2.630,74 | 258 / 16 |
| Transient Ischemia | 43 | 82 / 16 | $23.068,30 | 859 / 41 | $4.372,77 | 290 / 14 | $3.143,49 | 290 / 12 |
| Spinal Fusion Except Cervical W/O Mcc | 43 | 151 / 20 | $65.637,70 | 298 / 10 | $22.947,70 | 358 / 3 | $20.990,60 | 357 / 10 |
| G.I. Hemorrhage W Mcc | 42 | 79 / 13 | $39.032,30 | 662 / 28 | $10.547,00 | 491 / 17 | $9.628,12 | 492 / 23 |
| Hip & Femur Procedures Except Major Joint W Cc | 41 | 102 / 17 | $43.384,00 | 779 / 28 | $11.462,40 | 572 / 19 | $10.199,40 | 570 / 20 |
| Simple Pneumonia & Pleurisy W Cc | 41 | 162 / 28 | $26.297,80 | 1723 / 56 | $5.834,51 | 493 / 17 | $4.638,39 | 490 / 18 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 40 | 84 / 15 | $128.022,00 | 810 / 27 | $34.272,40 | 680 / 23 | $31.355,30 | 674 / 23 |
| Renal Failure W Mcc | 40 | 155 / 29 | $38.905,40 | 1239 / 52 | $9.688,50 | 725 / 31 | $8.421,03 | 725 / 32 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 39 | 143 / 31 | $29.234,60 | 1103 / 48 | $7.644,26 | 250 / 50 | $4.908,28 | 250 / 13 |
| Red Blood Cell Disorders W/O Mcc | 38 | 105 / 17 | $24.921,40 | 1247 / 45 | $5.113,08 | 91 / 17 | $3.396,18 | 91 / 4 |
| Kidney & Urinary Tract Infections W Mcc | 36 | 108 / 20 | $26.966,90 | 1036 / 50 | $6.719,89 | 463 / 19 | $5.660,44 | 462 / 23 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 34 | 154 / 24 | $33.166,10 | 661 / 20 | $7.336,38 | 257 / 26 | $5.071,94 | 257 / 9 |
| Respiratory Infections & Inflammations W Mcc | 34 | 102 / 17 | $45.211,30 | 941 / 39 | $11.670,70 | 583 / 18 | $10.643,70 | 575 / 27 |
| Other Vascular Procedures W Cc | 32 | 70 / 11 | $63.639,90 | 426 / 19 | $15.095,60 | 126 / 9 | $12.911,10 | 126 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 32 | $19.762,70 | 1536 / 55 | $5.072,39 | 345 / 50 | $3.183,97 | 345 / 15 |
| Cellulitis W/O Mcc | 29 | 160 / 37 | $14.243,20 | 759 / 22 | $5.234,41 | 320 / 20 | $3.714,69 | 317 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 22 | $23.111,10 | 791 / 39 | $4.683,07 | 444 / 11 | $3.564,24 | 441 / 18 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 29 | 72 / 15 | $41.873,80 | 656 / 31 | $10.595,80 | 589 / 30 | $9.496,00 | 587 / 35 |
| Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 45 | $19.876,20 | 1568 / 52 | $4.790,69 | 833 / 20 | $3.844,92 | 828 / 34 |
| Other Vascular Procedures W Mcc | 26 | 71 / 10 | $99.387,70 | 597 / 20 | $27.915,80 | 647 / 24 | $22.789,10 | 644 / 23 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 16 | $18.261,00 | 1130 / 43 | $4.857,72 | 164 / 32 | $2.949,36 | 164 / 8 |
| Respiratory Infections & Inflammations W Cc | 24 | 64 / 9 | $29.670,20 | 675 / 26 | $8.469,83 | 250 / 19 | $6.856,83 | 248 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 24 | 101 / 25 | $55.309,60 | 1242 / 51 | $12.995,80 | 1390 / 52 | $11.991,00 | 1379 / 54 |
| G.I. Obstruction W Cc | 23 | 69 / 18 | $21.942,60 | 797 / 34 | $5.566,43 | 422 / 14 | $4.374,87 | 421 / 22 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 18 | $18.445,90 | 312 / 14 | $6.101,50 | 191 / 14 | $4.646,59 | 189 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 18 | $28.410,70 | 673 / 28 | $5.871,33 | 215 / 8 | $4.971,14 | 215 / 15 |
| Major Cardiovasc Procedures W/O Mcc | 21 | 80 / 15 | $67.913,10 | 228 / 11 | $20.493,30 | 106 / 5 | $16.992,50 | 106 / 3 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 21 | 71 / 11 | $181.311,00 | 678 / 23 | $40.644,00 | 623 / 19 | $39.110,20 | 622 / 24 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 18 | $14.634,50 | 809 / 33 | $4.216,76 | 297 / 18 | $3.095,76 | 295 / 15 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 15 | $17.863,90 | 1005 / 29 | $4.428,20 | 570 / 12 | $3.292,20 | 568 / 18 |
| Bronchitis & Asthma W Cc/Mcc | 19 | 57 / 13 | $23.231,60 | 513 / 29 | $5.259,32 | 62 / 7 | $3.685,47 | 62 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 25 | $18.749,40 | 344 / 18 | $6.784,58 | 123 / 13 | $5.353,42 | 122 / 8 |
| Nonspecific Cerebrovascular Disorders W Cc | 18 | 38 / 8 | $21.880,10 | 162 / 16 | $5.927,28 | 142 / 8 | $5.139,17 | 142 / 11 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 19 | $43.055,80 | 574 / 22 | $12.381,50 | 281 / 17 | $9.910,56 | 281 / 10 |
| Pulmonary Embolism W/O Mcc | 18 | 56 / 18 | $24.149,40 | 613 / 25 | $6.262,06 | 233 / 17 | $4.666,89 | 233 / 10 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 17 | $14.307,80 | 477 / 26 | $4.106,94 | 118 / 17 | $2.371,44 | 118 / 6 |
| Diabetes W Cc | 17 | 75 / 22 | $18.810,70 | 608 / 33 | $5.492,12 | 139 / 27 | $3.689,47 | 139 / 7 |
| Peripheral Vascular Disorders W Cc | 17 | 67 / 15 | $19.869,40 | 405 / 16 | $5.828,71 | 257 / 7 | $4.763,12 | 256 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 17 | $28.177,90 | 570 / 24 | $7.161,53 | 219 / 11 | $6.035,12 | 218 / 12 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 17 | 52 / 9 | $46.935,40 | 107 / 5 | $15.442,90 | 106 / 5 | $13.056,80 | 106 / 6 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 22 | $49.728,50 | 411 / 15 | $14.919,70 | 200 / 8 | $12.485,30 | 198 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 11 | $21.805,30 | 301 / 16 | $6.006,06 | 196 / 6 | $5.181,88 | 196 / 7 |
| Cellulitis W Mcc | 16 | 42 / 12 | $35.118,60 | 489 / 20 | $9.169,19 | 274 / 13 | $7.729,44 | 273 / 10 |
| Atherosclerosis W/O Mcc | 15 | 43 / 7 | $15.698,10 | 191 / 6 | $3.861,00 | / | $2.825,87 | / |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 16 | $40.814,30 | 695 / 22 | $8.198,00 | 438 / 15 | $7.250,93 | 436 / 21 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 15 | 38 / 7 | $26.226,20 | 147 / 8 | $8.764,47 | 6 / 12 | $5.055,60 | 6 / 1 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 15 | $41.365,00 | 319 / 16 | $9.906,93 | 166 / 9 | $7.895,60 | 166 / 8 |
| G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 9 | $15.180,10 | 342 / 19 | $4.304,73 | 374 / 6 | $3.516,73 | 371 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 34 | $40.394,70 | 709 / 32 | $10.015,50 | 30 / 15 | $7.679,07 | 30 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 13 | $50.835,40 | 336 / 14 | $12.061,80 | 170 / 5 | $10.912,50 | 167 / 7 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 13 | 33 / 5 | $21.983,70 | 189 / 7 | $4.298,69 | 172 / 2 | $3.599,00 | 172 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 19 | $22.180,20 | 362 / 18 | $6.907,46 | 111 / 4 | $5.617,77 | 111 / 8 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 14 | $27.507,50 | 292 / 12 | $8.996,92 | 70 / 12 | $6.653,85 | 70 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 21 | $133.820,00 | 693 / 27 | $36.540,50 | 519 / 29 | $29.787,80 | 517 / 22 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 30 | $52.063,60 | 678 / 27 | $11.971,70 | 107 / 3 | $11.207,40 | 107 / 5 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 8 | $60.480,70 | 172 / 6 | $14.419,70 | 109 / 4 | $13.423,80 | 109 / 8 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 15 | $30.722,70 | 309 / 11 | $6.549,33 | 214 / 3 | $5.262,83 | 214 / 8 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 10 | $60.856,50 | 371 / 12 | $12.816,40 | 105 / 12 | $9.872,17 | 105 / 6 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 13 | $20.877,30 | 203 / 10 | $6.147,42 | 72 / 7 | $4.608,50 | 72 / 5 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 16 | $20.449,30 | 314 / 21 | $5.627,33 | 205 / 6 | $4.508,17 | 205 / 9 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 12 | $32.548,60 | 204 / 13 | $9.766,08 | 109 / 3 | $8.889,50 | 109 / 4 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 19 | $44.066,80 | 258 / 8 | $12.906,60 | 306 / 3 | $11.652,10 | 305 / 8 |
| Disorders Of The Biliary Tract W Cc | 11 | 43 / 10 | $25.969,30 | 147 / 10 | $6.096,82 | 45 / 3 | $5.039,91 | 45 / 3 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 10 | $32.736,20 | 252 / 9 | $7.794,09 | 47 / 2 | $6.514,82 | 47 / 2 |
| Pulmonary Embolism W Mcc | 11 | 32 / 15 | $51.381,60 | 431 / 20 | $9.155,36 | 207 / 6 | $8.328,91 | 207 / 15 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 15 | $19.985,50 | 219 / 10 | $5.399,82 | 201 / 3 | $4.666,00 | 201 / 12 | Total 82 procedures | 2.896 | 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.