Hospital Costs > In Virginia > Sentara Williamsburg Regional 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 | 160 | 356 / 37 | $33.237,60 | 953 / 32 | $10.163,60 | 195 / 9 | $8.916,98 | 195 / 9 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 155 | 409 / 29 | $36.812,00 | 584 / 11 | $12.034,80 | 124 / 5 | $9.461,46 | 124 / 5 |
| Heart Failure & Shock W Mcc | 100 | 184 / 24 | $25.262,30 | 759 / 33 | $7.948,99 | 31 / 5 | $6.641,27 | 31 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 81 | 194 / 22 | $18.149,70 | 1153 / 41 | $4.304,62 | 38 / 6 | $2.787,58 | 38 / 3 |
| Heart Failure & Shock W Cc | 80 | 198 / 27 | $17.154,50 | 826 / 31 | $5.084,71 | 31 / 2 | $4.109,91 | 31 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 75 | 130 / 18 | $25.158,20 | 717 / 29 | $8.022,47 | 57 / 5 | $6.445,12 | 57 / 2 |
| G.I. Hemorrhage W Cc | 71 | 147 / 24 | $19.773,70 | 731 / 29 | $5.539,34 | 41 / 5 | $4.152,21 | 41 / 2 |
| Renal Failure W Cc | 70 | 151 / 26 | $18.047,90 | 775 / 36 | $5.124,50 | 96 / 5 | $4.168,51 | 96 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 64 | 143 / 25 | $21.220,00 | 897 / 31 | $5.907,77 | 51 / 5 | $4.479,52 | 51 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 62 | 88 / 12 | $11.696,10 | 553 / 25 | $3.086,06 | 62 / 4 | $1.861,76 | 62 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 61 | 121 / 22 | $25.657,80 | 838 / 37 | $5.751,15 | 39 / 3 | $4.353,71 | 39 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 60 | 173 / 27 | $16.555,30 | 1150 / 39 | $4.066,78 | 90 / 1 | $3.109,35 | 90 / 3 |
| Syncope & Collapse | 59 | 110 / 17 | $19.475,20 | 807 / 40 | $3.996,98 | 26 / 4 | $2.766,58 | 26 / 2 |
| Pulmonary Edema & Respiratory Failure | 59 | 144 / 24 | $23.138,30 | 605 / 27 | $6.594,44 | 66 / 3 | $5.557,19 | 66 / 2 |
| Cellulitis W/O Mcc | 54 | 135 / 24 | $13.162,80 | 609 / 14 | $4.700,30 | 80 / 3 | $3.360,09 | 80 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 48 | 118 / 21 | $18.648,10 | 1410 / 51 | $3.960,92 | 52 / 4 | $2.715,08 | 52 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 47 | 114 / 24 | $16.176,50 | 646 / 31 | $4.302,57 | 26 / 2 | $3.053,77 | 26 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 47 | 155 / 27 | $24.497,70 | 1085 / 40 | $6.417,04 | 73 / 3 | $5.074,94 | 73 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 46 | 98 / 16 | $18.159,00 | 440 / 24 | $5.677,20 | 45 / 1 | $4.797,50 | 45 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 44 | 159 / 26 | $22.706,70 | 1415 / 48 | $5.368,89 | 230 / 3 | $4.372,23 | 230 / 7 |
| Hip & Femur Procedures Except Major Joint W Cc | 43 | 100 / 16 | $43.292,40 | 773 / 27 | $10.516,10 | 60 / 3 | $9.019,07 | 60 / 3 |
| Transient Ischemia | 41 | 84 / 17 | $20.896,80 | 728 / 36 | $3.759,44 | 73 / 1 | $2.724,39 | 73 / 4 |
| Renal Failure W Mcc | 41 | 154 / 28 | $24.047,30 | 409 / 19 | $7.884,05 | 38 / 1 | $6.892,80 | 38 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 40 | 83 / 22 | $23.024,70 | 527 / 20 | $6.582,75 | 40 / 1 | $5.374,55 | 40 / 2 |
| Red Blood Cell Disorders W/O Mcc | 36 | 107 / 19 | $22.225,30 | 1086 / 42 | $4.592,14 | 4 / 4 | $2.650,78 | 4 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 35 | $20.754,30 | 1083 / 44 | $5.118,10 | 80 / 2 | $3.956,39 | 80 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 27 | $34.793,10 | 749 / 22 | $5.856,90 | 95 / 2 | $4.727,20 | 95 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 28 | 74 / 23 | $22.027,70 | 721 / 34 | $4.001,39 | 54 / 1 | $2.851,82 | 54 / 2 |
| Pulmonary Embolism W/O Mcc | 28 | 46 / 8 | $21.879,80 | 489 / 21 | $5.517,29 | 9 / 2 | $3.707,32 | 9 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 23 | $29.427,60 | 422 / 27 | $8.833,35 | 78 / 8 | $7.747,88 | 78 / 8 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 26 | 170 / 23 | $68.823,20 | 652 / 15 | $10.964,90 | 188 / 2 | $9.778,85 | 188 / 9 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 23 | $27.889,90 | 260 / 10 | $9.363,24 | 101 / 3 | $8.474,44 | 101 / 3 |
| G.I. Obstruction W Cc | 23 | 69 / 18 | $17.426,10 | 464 / 21 | $5.237,43 | 12 / 7 | $3.352,52 | 12 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 18 | $15.240,30 | 873 / 35 | $3.846,19 | 58 / 5 | $2.683,86 | 58 / 3 |
| Medical Back Problems W/O Mcc | 20 | 101 / 19 | $20.208,20 | 546 / 23 | $4.479,70 | 52 / 2 | $3.411,20 | 52 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 28 | $28.644,20 | 300 / 14 | $9.097,95 | 77 / 2 | $8.009,10 | 77 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 19 | $24.540,50 | 500 / 21 | $5.529,45 | 53 / 3 | $4.513,50 | 53 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 21 | $15.113,90 | 793 / 25 | $4.555,47 | 5 / 16 | $2.323,37 | 5 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 10 | $40.658,10 | 280 / 14 | $9.662,37 | 29 / 2 | $7.297,89 | 29 / 2 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 31 | $31.033,40 | 419 / 24 | $11.055,10 | 26 / 8 | $8.835,00 | 26 / 3 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 17 | $12.960,40 | 364 / 17 | $3.242,17 | 26 / 1 | $2.065,72 | 26 / 2 |
| Red Blood Cell Disorders W Mcc | 17 | 54 / 14 | $24.484,50 | 288 / 13 | $6.735,06 | 86 / 1 | $6.067,82 | 86 / 3 |
| Atherosclerosis W/O Mcc | 17 | 41 / 5 | $16.633,90 | 230 / 7 | $3.268,53 | / | $2.311,12 | / |
| Respiratory Infections & Inflammations W Cc | 16 | 72 / 15 | $25.651,60 | 500 / 20 | $7.899,00 | 9 / 5 | $5.726,56 | 9 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 18 | $20.359,90 | 215 / 10 | $6.423,50 | 76 / 1 | $5.608,88 | 76 / 2 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 16 | $16.225,30 | 234 / 7 | $5.009,94 | 12 / 1 | $3.734,56 | 12 / 1 |
| Seizures W/O Mcc | 16 | 92 / 19 | $17.381,90 | 388 / 11 | $3.972,94 | 61 / 1 | $3.186,19 | 61 / 3 |
| Major Small & Large Bowel Procedures W Cc | 16 | 92 / 23 | $51.481,10 | 454 / 17 | $13.399,10 | 167 / 1 | $12.314,50 | 166 / 7 |
| Seizures W Mcc | 15 | 51 / 14 | $33.036,10 | 223 / 12 | $8.264,40 | 58 / 2 | $7.369,87 | 58 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 17 | $23.731,80 | 429 / 22 | $6.363,60 | 139 / 3 | $5.709,13 | 139 / 10 |
| Other Circulatory System Diagnoses W Cc | 15 | 51 / 10 | $18.131,60 | 149 / 6 | $5.139,87 | 46 / 1 | $4.454,53 | 46 / 3 |
| Fever | 15 | 31 / 7 | $15.601,60 | 48 / 4 | $4.865,00 | 5 / 2 | $3.255,40 | 5 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 16 | $36.088,00 | 576 / 18 | $5.963,21 | 165 / 3 | $4.886,93 | 165 / 7 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 20 | $16.292,00 | 858 / 21 | $4.047,00 | 21 / 5 | $2.449,00 | 21 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 25 | $19.736,40 | 116 / 7 | $8.667,00 | 2 / 3 | $6.182,43 | 2 / 1 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 14 | 50 / 16 | $33.150,90 | 186 / 10 | $9.243,86 | 28 / 2 | $6.904,64 | 28 / 3 |
| Diabetes W Cc | 13 | 79 / 26 | $19.821,70 | 685 / 40 | $4.478,62 | 169 / 4 | $3.762,62 | 169 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 30 | $19.933,50 | 406 / 20 | $5.961,69 | 69 / 4 | $5.159,38 | 69 / 6 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 20 | $131.919,00 | 801 / 25 | $28.755,80 | 900 / 28 | $27.731,80 | 899 / 29 |
| Chest Pain | 13 | 138 / 31 | $16.149,00 | 598 / 26 | $3.236,69 | 27 / 1 | $2.126,69 | 27 / 1 |
| Other Disorders Of Nervous System W Cc | 13 | 43 / 12 | $20.112,60 | 180 / 9 | $4.683,62 | 40 / 1 | $3.978,77 | 40 / 3 |
| Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 16 | $25.411,80 | 400 / 19 | $5.370,54 | 54 / 2 | $4.290,85 | 54 / 1 |
| Cellulitis W Mcc | 12 | 46 / 15 | $21.729,20 | 162 / 7 | $8.214,50 | 5 / 5 | $5.966,42 | 5 / 2 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 24 | $41.859,80 | 532 / 19 | $9.862,75 | 87 / 2 | $9.068,67 | 87 / 3 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 16 | $20.033,70 | 299 / 19 | $4.783,58 | 11 / 1 | $3.525,33 | 11 / 2 |
| Pulmonary Embolism W Mcc | 11 | 32 / 15 | $31.599,50 | 192 / 13 | $8.094,00 | 41 / 1 | $7.142,91 | 41 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 16 | $58.717,10 | 233 / 9 | $16.836,50 | 86 / 3 | $15.758,30 | 86 / 4 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 21 | $13.620,60 | 255 / 8 | $3.662,09 | 28 / 1 | $2.713,73 | 28 / 3 | Total 68 procedures | 2.393 | 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.