Hospital Costs > In Virginia > Smyth County Community Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Pulmonary Edema & Respiratory Failure | 72 | 131 / 19 | $23.500,10 | 627 / 28 | $7.682,39 | 471 / 27 | $6.309,68 | 471 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 55 | 461 / 58 | $34.198,90 | 1012 / 37 | $11.481,70 | 1045 / 34 | $10.256,20 | 1033 / 41 |
| Heart Failure & Shock W Mcc | 41 | 243 / 45 | $24.405,80 | 693 / 27 | $9.203,32 | 900 / 30 | $8.155,54 | 899 / 38 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 37 | 527 / 50 | $99.339,20 | 2469 / 56 | $14.302,90 | 1625 / 42 | $12.375,30 | 1588 / 53 |
| Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 44 | $27.369,40 | 859 / 33 | $9.005,70 | 951 / 30 | $7.826,67 | 951 / 40 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 42 | $21.960,60 | 969 / 37 | $6.698,48 | 689 / 26 | $5.380,07 | 687 / 32 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 35 | $12.542,50 | 617 / 20 | $4.388,64 | 686 / 21 | $3.444,00 | 684 / 35 |
| Renal Failure W Cc | 21 | 200 / 45 | $13.047,70 | 288 / 10 | $5.939,76 | 620 / 23 | $4.856,81 | 614 / 34 |
| Renal Failure W Mcc | 18 | 177 / 43 | $28.099,20 | 654 / 28 | $9.659,06 | 762 / 28 | $8.482,28 | 762 / 34 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 29 | $25.152,10 | 294 / 19 | $10.508,60 | 760 / 31 | $9.626,56 | 759 / 39 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 51 | $15.768,60 | 1038 / 37 | $4.863,06 | 657 / 23 | $3.728,65 | 653 / 27 |
| Heart Failure & Shock W Cc | 17 | 261 / 56 | $18.579,40 | 1003 / 39 | $6.171,65 | 839 / 30 | $5.164,71 | 838 / 36 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 54 | $15.560,00 | 823 / 29 | $4.842,75 | 223 / 29 | $3.136,44 | 223 / 8 |
| G.I. Hemorrhage W Cc | 13 | 205 / 52 | $18.440,90 | 602 / 24 | $6.380,62 | 244 / 29 | $4.629,85 | 244 / 12 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 35 | $29.792,40 | 379 / 23 | $11.955,00 | 223 / 27 | $9.834,31 | 223 / 10 |
| Diabetes W Cc | 12 | 80 / 27 | $19.425,90 | 652 / 37 | $5.048,33 | 425 / 13 | $4.186,33 | 425 / 28 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 25 | $16.722,60 | 168 / 9 | $6.426,17 | 359 / 19 | $5.240,75 | 358 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 46 | $13.744,50 | 395 / 13 | $4.834,82 | 519 / 16 | $3.833,55 | 517 / 22 | Total 18 procedures | 452 | 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.