Hospital Costs > In Virginia > Southampton Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 42 | 522 / 48 | $75.066,20 | 2113 / 50 | $14.634,10 | 1959 / 46 | $13.456,20 | 1917 / 58 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 34 | 482 / 62 | $37.224,10 | 1167 / 44 | $12.039,10 | 1545 / 43 | $11.098,50 | 1514 / 61 |
| Heart Failure & Shock W Mcc | 26 | 258 / 53 | $33.577,00 | 1317 / 54 | $9.983,31 | 1625 / 55 | $9.331,00 | 1620 / 65 |
| Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 41 | $36.959,60 | 2247 / 63 | $7.019,25 | 1857 / 55 | $5.936,10 | 1849 / 63 |
| Respiratory Infections & Inflammations W Mcc | 19 | 117 / 30 | $53.237,50 | 1138 / 45 | $13.423,30 | 1212 / 45 | $12.596,40 | 1197 / 46 |
| Heart Failure & Shock W Cc | 19 | 259 / 55 | $24.811,80 | 1651 / 63 | $6.627,95 | 1361 / 49 | $5.609,00 | 1356 / 57 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 50 | $21.927,60 | 1755 / 57 | $5.140,79 | 1404 / 38 | $4.251,53 | 1395 / 54 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 22 | $19.986,10 | 1263 / 46 | $4.762,39 | 1027 / 27 | $3.763,28 | 1018 / 44 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 39 | $20.767,60 | 1627 / 57 | $4.669,11 | 1278 / 36 | $3.867,33 | 1274 / 54 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 53 | $35.970,70 | 1408 / 52 | $9.686,76 | 1504 / 54 | $8.687,24 | 1504 / 65 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 44 | $24.406,20 | 1409 / 52 | $6.244,06 | 1072 / 40 | $5.030,06 | 1068 / 45 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 21 | $23.686,60 | 1496 / 48 | $4.488,06 | 1071 / 31 | $3.810,06 | 1063 / 44 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 34 | $27.788,50 | 1398 / 49 | $5.334,40 | 1014 / 29 | $4.532,27 | 1008 / 46 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 41 | $33.333,30 | 1296 / 52 | $7.182,47 | 1239 / 41 | $6.213,93 | 1236 / 53 |
| Cellulitis W/O Mcc | 15 | 174 / 47 | $17.361,90 | 1168 / 43 | $5.599,53 | 1042 / 34 | $4.302,53 | 1036 / 46 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 29 | $28.025,00 | 858 / 42 | $7.418,00 | 782 / 32 | $6.554,00 | 779 / 40 |
| G.I. Hemorrhage W Cc | 14 | 204 / 51 | $30.805,50 | 1604 / 60 | $6.684,43 | 1331 / 39 | $5.733,57 | 1328 / 58 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 12 | $26.100,10 | 730 / 27 | $4.631,83 | 477 / 12 | $3.725,17 | 473 / 24 |
| Renal Failure W Mcc | 12 | 183 / 47 | $41.784,10 | 1337 / 55 | $10.331,40 | 1241 / 41 | $9.528,83 | 1241 / 55 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 36 | $24.991,00 | 920 / 48 | $7.529,83 | 1066 / 43 | $6.516,50 | 1063 / 53 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 41 | $14.511,80 | 923 / 42 | $3.689,42 | 957 / 19 | $2.788,08 | 952 / 45 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 33 | $34.673,50 | 1233 / 45 | $5.052,67 | 763 / 24 | $3.948,67 | 759 / 40 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 51 | $28.642,90 | 1536 / 54 | $7.131,33 | 1541 / 45 | $6.328,67 | 1534 / 60 | Total 23 procedures | 409 | 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.