Hospital Costs > In Virginia > Southern Virginia Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 33 | $38.580,70 | 751 / 36 | $6.866,21 | 1 / 1 | $6.007,21 | 1 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 45 | $43.806,20 | 1977 / 59 | $4.678,58 | 450 / 11 | $3.769,25 | 450 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 40 | $30.134,00 | 1756 / 59 | $3.552,62 | 574 / 14 | $2.496,15 | 570 / 31 |
| Cellulitis W/O Mcc | 12 | 177 / 50 | $28.202,00 | 2053 / 61 | $5.065,17 | 87 / 17 | $3.368,42 | 87 / 4 |
| Chest Pain | 19 | 132 / 27 | $39.275,70 | 1583 / 52 | $3.674,47 | 323 / 13 | $2.719,53 | 322 / 21 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 47 | $50.252,20 | 2245 / 62 | $5.414,08 | 648 / 10 | $4.675,62 | 646 / 26 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 47 | $39.653,40 | 1905 / 61 | $6.508,50 | 279 / 6 | $5.542,10 | 278 / 11 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 27 | $30.012,50 | 1710 / 51 | $4.281,00 | 595 / 8 | $3.402,45 | 594 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 50 | $35.090,40 | 2352 / 66 | $4.435,86 | 421 / 11 | $3.338,71 | 419 / 22 |
| G.I. Hemorrhage W Cc | 22 | 196 / 46 | $32.779,40 | 1701 / 61 | $5.705,77 | 470 / 10 | $4.879,59 | 469 / 22 |
| G.I. Hemorrhage W Mcc | 14 | 107 / 28 | $67.347,10 | 1304 / 41 | $9.755,57 | 131 / 6 | $8.614,43 | 131 / 6 |
| Heart Failure & Shock W Cc | 51 | 227 / 36 | $34.997,40 | 2178 / 67 | $5.446,61 | 338 / 7 | $4.715,94 | 338 / 10 |
| Heart Failure & Shock W Mcc | 40 | 244 / 46 | $49.340,60 | 1972 / 66 | $7.856,45 | 217 / 3 | $7.266,05 | 217 / 10 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 20 | $32.681,60 | 1771 / 53 | $4.066,83 | 323 / 14 | $3.129,94 | 321 / 18 |
| Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 46 | $31.804,60 | 2273 / 64 | $4.484,76 | 708 / 10 | $3.760,28 | 704 / 29 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 39 | $30.081,60 | 2142 / 61 | $4.144,17 | 642 / 13 | $3.410,94 | 640 / 34 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 18 | $51.655,50 | 866 / 27 | $7.153,33 | 325 / 2 | $6.878,00 | 323 / 12 |
| Renal Failure W Cc | 27 | 194 / 43 | $36.190,90 | 1937 / 65 | $5.575,22 | 311 / 13 | $4.548,85 | 309 / 14 |
| Renal Failure W Mcc | 12 | 183 / 47 | $84.039,10 | 2019 / 64 | $9.024,83 | 792 / 19 | $8.523,42 | 792 / 36 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 25 | 491 / 64 | $73.461,50 | 2337 / 67 | $9.833,56 | 276 / 4 | $9.106,52 | 276 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 50 | $38.896,20 | 1999 / 64 | $5.849,46 | 383 / 4 | $5.077,77 | 382 / 21 |
| Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 36 | $41.172,60 | 2366 / 64 | $5.615,32 | 625 / 6 | $4.758,18 | 622 / 26 |
| Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 49 | $57.330,70 | 2054 / 67 | $10.053,80 | 263 / 57 | $6.959,00 | 263 / 11 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 18 | $24.325,40 | 1420 / 40 | $4.217,38 | 495 / 10 | $3.233,38 | 493 / 17 |
| Syncope & Collapse | 12 | 157 / 38 | $39.907,90 | 1694 / 56 | $4.343,67 | 304 / 13 | $3.333,00 | 302 / 21 | Total 25 procedures | 489 | 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.