Hospital Costs > In Virginia > Sentara Rmh Medical Center, 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 | 336 | 184 / 15 | $25.933,40 | 585 / 20 | $13.092,50 | 1865 / 63 | $11.934,00 | 1830 / 65 |
| Psychoses | 223 | 104 / 4 | $11.631,60 | 104 / 2 | $7.336,91 | 338 / 13 | $6.202,74 | 338 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 208 | 356 / 24 | $30.294,10 | 235 / 6 | $15.210,40 | 1737 / 52 | $12.652,50 | 1697 / 56 |
| Heart Failure & Shock W Mcc | 192 | 92 / 9 | $22.007,50 | 531 / 19 | $10.698,60 | 1698 / 61 | $9.466,57 | 1693 / 66 |
| Pulmonary Edema & Respiratory Failure | 139 | 65 / 7 | $17.843,60 | 276 / 9 | $8.575,44 | 1175 / 55 | $7.198,77 | 1173 / 58 |
| Heart Failure & Shock W Cc | 129 | 149 / 14 | $14.720,00 | 548 / 17 | $6.904,58 | 1460 / 58 | $5.721,46 | 1455 / 60 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 129 | 78 / 7 | $13.699,40 | 261 / 4 | $7.338,52 | 1399 / 51 | $6.113,58 | 1394 / 55 |
| Simple Pneumonia & Pleurisy W Mcc | 120 | 85 / 3 | $18.603,90 | 301 / 7 | $10.238,00 | 1463 / 61 | $8.612,58 | 1463 / 63 |
| G.I. Hemorrhage W Cc | 102 | 116 / 13 | $17.125,10 | 494 / 18 | $7.498,39 | 1276 / 60 | $5.666,85 | 1273 / 57 |
| Cellulitis W/O Mcc | 87 | 102 / 8 | $9.998,93 | 243 / 2 | $5.847,66 | 1400 / 47 | $4.625,41 | 1393 / 55 |
| Renal Failure W Cc | 76 | 145 / 23 | $15.366,30 | 497 / 22 | $6.689,76 | 1290 / 54 | $5.485,38 | 1282 / 59 |
| Simple Pneumonia & Pleurisy W Cc | 75 | 128 / 10 | $11.921,00 | 249 / 4 | $6.709,85 | 1638 / 47 | $5.658,23 | 1631 / 62 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 71 | 204 / 27 | $13.480,70 | 568 / 14 | $5.482,13 | 1123 / 54 | $3.840,59 | 1115 / 51 |
| Kidney & Urinary Tract Infections W/O Mcc | 69 | 164 / 22 | $11.436,10 | 447 / 6 | $5.287,43 | 1225 / 50 | $4.107,32 | 1216 / 48 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 64 | 97 / 14 | $12.872,30 | 306 / 7 | $6.043,92 | 946 / 54 | $4.239,88 | 943 / 47 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 63 | 119 / 21 | $19.354,40 | 437 / 14 | $7.401,21 | 1210 / 45 | $6.159,94 | 1207 / 51 |
| Hip & Femur Procedures Except Major Joint W Cc | 63 | 80 / 9 | $31.858,70 | 288 / 5 | $13.513,00 | 1291 / 50 | $11.948,40 | 1274 / 52 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 61 | 64 / 7 | $20.857,80 | 170 / 6 | $12.151,70 | 1097 / 49 | $10.653,00 | 1092 / 50 |
| Chronic Obstructive Pulmonary Disease W Cc | 52 | 127 / 19 | $11.726,30 | 210 / 6 | $6.218,15 | 1159 / 38 | $5.108,79 | 1155 / 50 |
| Respiratory Infections & Inflammations W Mcc | 51 | 85 / 10 | $25.309,30 | 245 / 11 | $14.040,20 | 1251 / 48 | $12.715,80 | 1236 / 47 |
| Renal Failure W Mcc | 49 | 146 / 25 | $22.186,90 | 325 / 13 | $10.753,60 | 1257 / 50 | $9.571,18 | 1257 / 56 |
| Kidney & Urinary Tract Infections W Mcc | 47 | 97 / 15 | $13.986,60 | 192 / 7 | $7.756,36 | 1179 / 52 | $6.711,43 | 1175 / 57 |
| G.I. Obstruction W Cc | 46 | 46 / 6 | $13.562,90 | 196 / 6 | $6.171,80 | 1005 / 29 | $5.127,37 | 1002 / 40 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 46 | 55 / 9 | $18.184,00 | 84 / 5 | $10.556,10 | 562 / 28 | $9.384,59 | 560 / 33 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 46 | 56 / 13 | $14.475,20 | 216 / 5 | $5.992,80 | 529 / 40 | $3.667,26 | 525 / 24 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 43 | 80 / 20 | $17.302,10 | 206 / 7 | $8.355,65 | 909 / 38 | $6.990,58 | 906 / 37 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 43 | 145 / 19 | $25.538,60 | 309 / 9 | $7.842,30 | 931 / 34 | $6.193,47 | 928 / 35 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 42 | 108 / 20 | $8.879,57 | 223 / 5 | $4.351,02 | 697 / 53 | $2.583,62 | 693 / 37 |
| Chronic Obstructive Pulmonary Disease W Mcc | 41 | 161 / 30 | $16.886,60 | 468 / 14 | $8.125,83 | 1619 / 53 | $7.024,54 | 1611 / 60 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 40 | 84 / 4 | $11.317,80 | 175 / 5 | $5.188,40 | 165 / 11 | $3.428,55 | 165 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 40 | 126 / 27 | $10.498,00 | 369 / 10 | $5.050,08 | 1279 / 49 | $3.867,82 | 1275 / 55 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 38 | 130 / 20 | $25.930,80 | 232 / 10 | $12.020,50 | 921 / 39 | $10.728,50 | 918 / 41 |
| G.I. Hemorrhage W Mcc | 37 | 84 / 17 | $28.683,70 | 285 / 11 | $12.149,50 | 949 / 34 | $11.020,90 | 943 / 38 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 36 | 90 / 15 | $15.818,90 | 184 / 10 | $8.019,25 | 966 / 45 | $6.953,25 | 963 / 47 |
| Pulmonary Embolism W/O Mcc | 36 | 38 / 6 | $13.794,30 | 113 / 5 | $7.504,53 | 609 / 31 | $5.390,28 | 606 / 27 |
| Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 11 | $12.647,70 | 551 / 17 | $4.672,06 | 979 / 34 | $3.709,70 | 971 / 42 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 33 | 85 / 6 | $98.362,20 | 66 / 6 | $36.685,50 | 356 / 10 | $35.481,80 | 356 / 13 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 31 | 42 / 6 | $15.116,30 | 121 / 6 | $8.488,90 | 582 / 27 | $6.916,00 | 580 / 27 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 30 | 39 / 4 | $41.083,30 | 66 / 3 | $13.623,90 | 343 / 11 | $10.865,20 | 342 / 14 |
| Diabetes W Cc | 29 | 63 / 12 | $11.885,80 | 146 / 8 | $7.127,00 | 497 / 47 | $4.275,72 | 497 / 34 |
| Cellulitis W Mcc | 29 | 29 / 4 | $19.140,30 | 113 / 4 | $10.053,40 | 540 / 19 | $8.943,38 | 538 / 21 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 29 | 167 / 21 | $47.382,50 | 174 / 8 | $14.944,60 | 907 / 26 | $12.108,20 | 900 / 29 |
| Major Small & Large Bowel Procedures W Cc | 29 | 79 / 14 | $33.009,90 | 83 / 2 | $17.507,50 | 1063 / 32 | $16.259,00 | 1050 / 38 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 26 | 62 / 8 | $68.795,80 | 66 / 2 | $27.089,10 | 398 / 11 | $23.637,80 | 397 / 15 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 9 | $10.343,30 | 251 / 3 | $4.823,23 | 1085 / 27 | $3.767,62 | 1079 / 35 |
| Major Cardiovasc Procedures W/O Mcc | 25 | 76 / 12 | $51.221,20 | 62 / 1 | $23.732,60 | 444 / 18 | $19.820,50 | 444 / 16 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 22 | $64.517,40 | 138 / 2 | $38.000,90 | 1072 / 28 | $36.522,80 | 1065 / 34 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 24 | 52 / 7 | $90.881,40 | 78 / 2 | $40.892,10 | 350 / 15 | $27.567,80 | 350 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 15 | $19.486,90 | 187 / 8 | $8.316,00 | 642 / 28 | $6.981,88 | 637 / 29 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 24 | 67 / 15 | $15.393,90 | 126 / 6 | $7.230,29 | 825 / 33 | $6.181,79 | 823 / 38 |
| Other Digestive System Diagnoses W Cc | 23 | 74 / 17 | $16.423,10 | 211 / 6 | $6.859,09 | 587 / 30 | $5.375,09 | 584 / 28 |
| Disorders Of Pancreas Except Malignancy W Cc | 23 | 38 / 8 | $14.598,70 | 107 / 4 | $6.354,04 | 455 / 18 | $5.139,43 | 454 / 27 |
| Pulmonary Embolism W Mcc | 23 | 20 / 3 | $22.894,90 | 76 / 5 | $10.992,80 | 331 / 22 | $9.132,61 | 331 / 22 |
| Red Blood Cell Disorders W/O Mcc | 23 | 120 / 27 | $14.266,90 | 377 / 12 | $5.509,87 | 1008 / 34 | $4.527,35 | 1002 / 45 |
| Other Vascular Procedures W Mcc | 22 | 75 / 12 | $46.272,50 | 66 / 2 | $21.819,80 | 468 / 13 | $20.392,30 | 466 / 14 |
| Syncope & Collapse | 22 | 147 / 31 | $18.065,50 | 685 / 31 | $5.980,68 | 876 / 53 | $3.921,36 | 872 / 46 |
| Spinal Fusion Except Cervical W/O Mcc | 21 | 173 / 28 | $64.265,90 | 266 / 9 | $28.742,50 | 862 / 25 | $24.688,00 | 858 / 27 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 21 | 35 / 6 | $19.286,00 | 35 / 2 | $12.995,40 | 391 / 18 | $12.104,00 | 390 / 21 |
| Signs & Symptoms W/O Mcc | 21 | 70 / 14 | $11.796,00 | 180 / 5 | $4.742,14 | 583 / 18 | $3.821,10 | 582 / 26 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 21 | 82 / 8 | $11.898,20 | 49 / 1 | $6.819,86 | 389 / 15 | $5.818,24 | 389 / 17 |
| Respiratory Infections & Inflammations W Cc | 21 | 67 / 11 | $13.475,70 | 63 / 3 | $9.546,38 | 883 / 33 | $8.264,95 | 878 / 35 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 20 | 49 / 7 | $39.541,50 | 50 / 2 | $17.889,10 | 338 / 12 | $16.601,00 | 338 / 13 |
| Transient Ischemia | 20 | 105 / 27 | $13.424,80 | 207 / 6 | $4.771,90 | 741 / 33 | $3.646,40 | 737 / 40 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 19 | 51 / 7 | $13.035,20 | 53 / 2 | $7.257,21 | 182 / 13 | $5.256,11 | 182 / 10 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 24 | $40.043,10 | 334 / 12 | $16.063,40 | 1159 / 38 | $14.867,80 | 1146 / 43 |
| Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 9 | $37.269,80 | 38 / 2 | $20.779,10 | 609 / 22 | $19.402,50 | 606 / 22 |
| Permanent Cardiac Pacemaker Implant W Cc | 19 | 58 / 14 | $41.591,10 | 99 / 2 | $18.050,40 | 632 / 17 | $17.072,90 | 631 / 20 |
| Medical Back Problems W/O Mcc | 18 | 103 / 21 | $16.180,90 | 283 / 11 | $5.361,78 | 317 / 13 | $3.980,44 | 317 / 12 |
| Chest Pain | 18 | 133 / 28 | $12.341,80 | 265 / 7 | $4.728,28 | 629 / 45 | $3.057,94 | 625 / 37 |
| Bronchitis & Asthma W Cc/Mcc | 18 | 58 / 14 | $13.943,40 | 159 / 9 | $6.200,28 | 401 / 24 | $4.561,67 | 397 / 23 |
| Peripheral Vascular Disorders W Cc | 17 | 67 / 15 | $9.212,47 | 26 / 1 | $6.602,71 | 778 / 24 | $6.107,18 | 775 / 29 |
| Other Digestive System Diagnoses W Mcc | 17 | 45 / 8 | $19.747,80 | 38 / 3 | $11.447,00 | 267 / 16 | $9.872,35 | 267 / 16 |
| Organic Disturbances & Mental Retardation | 17 | 42 / 8 | $30.968,90 | 356 / 16 | $11.073,80 | 421 / 17 | $7.720,59 | 421 / 17 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 11 | $22.730,80 | 27 / 1 | $11.293,80 | 585 / 17 | $10.101,80 | 583 / 21 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 18 | $13.086,80 | 373 / 19 | $4.442,65 | 388 / 25 | $2.816,94 | 388 / 18 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 17 | 51 / 11 | $14.190,40 | 91 / 2 | $6.052,00 | 321 / 11 | $5.112,47 | 321 / 17 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 11 | $12.634,10 | 198 / 9 | $4.246,56 | 348 / 7 | $3.462,06 | 347 / 16 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 9 | $16.535,30 | 185 / 7 | $5.203,94 | 456 / 14 | $4.162,94 | 453 / 17 |
| Peripheral Vascular Disorders W Mcc | 16 | 33 / 6 | $21.002,30 | 66 / 4 | $9.395,38 | 261 / 8 | $8.143,62 | 261 / 10 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 15 | $110.465,00 | 262 / 10 | $42.494,50 | 683 / 24 | $40.691,00 | 682 / 27 |
| Disorders Of The Biliary Tract W Cc | 16 | 38 / 7 | $20.495,40 | 75 / 5 | $7.250,06 | 195 / 11 | $6.115,94 | 195 / 12 |
| Fever | 16 | 30 / 6 | $12.196,90 | 26 / 2 | $5.791,50 | 139 / 10 | $4.829,50 | 139 / 11 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 18 | $67.770,10 | 111 / 3 | $36.855,90 | 890 / 30 | $35.226,50 | 888 / 34 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 15 | 76 / 9 | $25.194,40 | 115 / 5 | $7.661,67 | 113 / 8 | $6.797,60 | 113 / 6 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 22 | $37.541,70 | 418 / 14 | $16.395,30 | 1180 / 32 | $15.545,20 | 1172 / 34 |
| Other Circulatory System O.R. Procedures | 15 | 40 / 7 | $48.331,80 | 93 / 4 | $19.122,70 | 246 / 7 | $18.182,30 | 246 / 11 |
| Major Chest Procedures W Cc | 14 | 60 / 11 | $63.741,90 | 223 / 10 | $23.135,50 | 468 / 15 | $21.915,10 | 466 / 17 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 14 | $11.241,50 | 170 / 9 | $4.734,36 | 221 / 24 | $2.967,29 | 220 / 18 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 13 | $46.082,40 | 88 / 3 | $23.687,90 | 701 / 24 | $22.136,60 | 698 / 26 |
| Depressive Neuroses | 14 | 36 / 4 | $8.747,36 | 41 / 3 | $4.602,07 | 36 / 3 | $3.371,79 | 36 / 2 |
| Other Vascular Procedures W Cc | 14 | 88 / 21 | $50.054,80 | 210 / 9 | $17.968,20 | 735 / 26 | $16.688,70 | 731 / 31 |
| Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 16 | $17.189,60 | 85 / 3 | $7.090,29 | 545 / 14 | $5.897,29 | 544 / 22 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 14 | 52 / 10 | $32.731,60 | 75 / 5 | $13.960,60 | 240 / 12 | $10.608,10 | 238 / 8 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 26 | $10.994,60 | 355 / 8 | $4.903,46 | 927 / 34 | $3.672,08 | 919 / 41 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 12 | $11.681,50 | 42 / 1 | $6.511,00 | 278 / 13 | $5.451,31 | 277 / 14 |
| Seizures W/O Mcc | 13 | 95 / 22 | $17.057,20 | 374 / 10 | $5.672,69 | 660 / 24 | $4.420,38 | 657 / 27 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 13 | 34 / 8 | $25.669,80 | 54 / 4 | $12.039,00 | 254 / 18 | $8.307,77 | 254 / 14 |
| Major Chest Procedures W/O Cc/Mcc | 13 | 46 / 6 | $29.221,80 | 27 / 4 | $12.154,60 | 119 / 5 | $10.918,20 | 119 / 8 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 9 | $31.630,50 | 54 / 2 | $13.575,70 | 403 / 13 | $12.344,30 | 400 / 15 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 10 | $22.072,50 | 50 / 2 | $12.399,60 | 245 / 17 | $8.309,00 | 245 / 7 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 13 | $35.974,60 | 98 / 3 | $14.605,60 | 458 / 13 | $13.276,40 | 457 / 15 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 12 | 30 / 3 | $86.262,20 | 15 / 1 | $31.990,00 | 71 / 1 | $30.513,30 | 71 / 2 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 15 | $33.147,00 | 427 / 18 | $12.597,80 | 715 / 26 | $9.908,17 | 713 / 26 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 13 | $82.820,30 | 132 / 2 | $36.779,80 | 632 / 16 | $35.481,60 | 631 / 20 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 6 | $7.785,08 | 19 / 1 | $4.702,17 | 110 / 9 | $2.972,83 | 110 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 15 | $38.132,80 | 125 / 6 | $14.635,60 | 571 / 23 | $13.437,60 | 565 / 24 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 12 | 33 / 7 | $59.226,20 | 34 / 3 | $20.256,50 | 148 / 4 | $18.834,50 | 147 / 5 |
| Major Cardiovasc Procedures W Mcc | 12 | 56 / 11 | $104.959,00 | 138 / 4 | $38.986,80 | 440 / 8 | $37.592,90 | 439 / 10 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 6 | $12.651,80 | 47 / 1 | $4.666,33 | 74 / 5 | $3.044,58 | 74 / 2 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 18 | $10.038,30 | 84 / 5 | $4.966,91 | 346 / 22 | $3.565,27 | 347 / 18 |
| Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 18 | $13.438,20 | 81 / 3 | $6.845,55 | 331 / 20 | $5.391,91 | 331 / 19 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 11 | 19 / 5 | $32.888,20 | 32 / 2 | $14.161,90 | 136 / 5 | $12.758,30 | 135 / 7 |
| Cranial & Peripheral Nerve Disorders W Mcc | 11 | 25 / 2 | $12.829,30 | 5 / 1 | $8.846,18 | 74 / 3 | $8.390,55 | 74 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 19 | $62.337,00 | 95 / 5 | $32.624,70 | 387 / 24 | $18.600,50 | 385 / 10 |
| Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 14 | $15.754,80 | 52 / 5 | $6.818,18 | 258 / 21 | $5.803,27 | 258 / 23 | Total 115 procedures | 4.390 | 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.