Hospital Costs > In Virginia > Southside 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 | 237 | 279 / 28 | $90.749,40 | 2554 / 69 | $11.060,20 | 863 / 22 | $10.014,90 | 862 / 30 |
| Psychoses | 181 | 132 / 6 | $32.988,70 | 504 / 15 | $6.284,74 | 161 / 4 | $5.360,98 | 161 / 5 |
| Heart Failure & Shock W Mcc | 161 | 123 / 13 | $71.932,30 | 2374 / 70 | $9.323,89 | 1027 / 35 | $8.326,11 | 1025 / 44 |
| Heart Failure & Shock W Cc | 144 | 134 / 13 | $40.690,80 | 2345 / 68 | $6.154,83 | 1163 / 29 | $5.413,81 | 1160 / 50 |
| Renal Failure W Cc | 122 | 99 / 8 | $44.944,30 | 2147 / 69 | $5.996,86 | 1004 / 25 | $5.185,06 | 996 / 50 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 117 | 158 / 9 | $40.241,30 | 2482 / 69 | $4.834,22 | 1013 / 28 | $3.769,21 | 1005 / 42 |
| Chronic Obstructive Pulmonary Disease W Mcc | 117 | 85 / 4 | $54.323,40 | 2273 / 63 | $7.271,48 | 1220 / 28 | $6.487,62 | 1214 / 45 |
| Chest Pain | 116 | 43 / 2 | $39.057,50 | 1576 / 51 | $4.267,13 | 571 / 33 | $2.992,57 | 567 / 34 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 110 | 454 / 37 | $102.770,00 | 2508 / 58 | $12.677,30 | 1027 / 12 | $11.117,50 | 1005 / 36 |
| Chronic Obstructive Pulmonary Disease W Cc | 109 | 70 / 4 | $44.000,80 | 2151 / 61 | $5.863,90 | 1024 / 23 | $4.979,33 | 1021 / 43 |
| G.I. Hemorrhage W Cc | 96 | 122 / 17 | $54.401,40 | 2241 / 66 | $6.283,09 | 971 / 27 | $5.340,77 | 969 / 46 |
| Kidney & Urinary Tract Infections W/O Mcc | 87 | 146 / 13 | $34.422,40 | 2357 / 65 | $4.934,86 | 1121 / 27 | $4.033,71 | 1113 / 45 |
| Respiratory Infections & Inflammations W Mcc | 79 | 57 / 3 | $94.867,70 | 1625 / 50 | $11.387,50 | 526 / 15 | $10.532,60 | 520 / 21 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 77 | 111 / 10 | $72.758,30 | 1519 / 41 | $6.968,53 | 684 / 18 | $5.715,05 | 682 / 25 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 75 | 45 / 3 | $30.418,20 | 1722 / 53 | $4.714,84 | 879 / 23 | $3.639,79 | 873 / 38 |
| Renal Failure W Mcc | 72 | 123 / 15 | $75.493,80 | 1964 / 63 | $9.419,81 | 830 / 26 | $8.594,14 | 830 / 37 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 71 | 95 / 10 | $37.536,70 | 2318 / 65 | $4.588,08 | 1010 / 33 | $3.661,27 | 1007 / 46 |
| Simple Pneumonia & Pleurisy W Mcc | 68 | 137 / 20 | $65.487,40 | 2182 / 68 | $8.650,16 | 873 / 22 | $7.735,81 | 873 / 37 |
| Pulmonary Edema & Respiratory Failure | 68 | 135 / 21 | $62.257,80 | 1962 / 64 | $7.498,29 | 870 / 20 | $6.783,44 | 870 / 39 |
| Cellulitis W/O Mcc | 66 | 123 / 17 | $31.194,10 | 2168 / 62 | $5.384,65 | 1057 / 27 | $4.314,05 | 1051 / 47 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 63 | 144 / 26 | $46.761,90 | 2200 / 65 | $6.603,06 | 924 / 23 | $5.601,38 | 921 / 42 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 63 | 98 / 15 | $45.797,70 | 2012 / 60 | $5.060,24 | 824 / 27 | $4.130,71 | 821 / 43 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 59 | 123 / 23 | $69.427,50 | 1985 / 60 | $6.595,71 | 880 / 21 | $5.666,90 | 878 / 46 |
| Syncope & Collapse | 55 | 114 / 18 | $46.530,30 | 1801 / 58 | $4.703,16 | 753 / 24 | $3.803,67 | 750 / 42 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 53 | 72 / 9 | $92.573,00 | 1657 / 55 | $9.883,40 | 606 / 20 | $9.222,87 | 605 / 30 |
| Heart Failure & Shock W/O Cc/Mcc | 53 | 57 / 3 | $33.293,20 | 1788 / 54 | $4.401,28 | 932 / 26 | $3.671,32 | 925 / 41 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 52 | 98 / 16 | $30.955,70 | 1777 / 60 | $3.767,94 | 1046 / 29 | $2.863,00 | 1041 / 50 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 52 | 144 / 15 | $124.154,00 | 1343 / 35 | $13.828,60 | 267 / 18 | $10.044,60 | 267 / 10 |
| Simple Pneumonia & Pleurisy W Cc | 51 | 152 / 24 | $49.018,30 | 2536 / 66 | $6.211,78 | 833 / 30 | $4.937,84 | 830 / 34 |
| Kidney & Urinary Tract Infections W Mcc | 51 | 93 / 14 | $47.139,90 | 1643 / 58 | $6.875,18 | 747 / 24 | $6.022,47 | 746 / 40 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 49 | 42 / 5 | $65.881,10 | 1344 / 44 | $6.413,31 | 468 / 18 | $5.420,86 | 467 / 25 |
| Red Blood Cell Disorders W/O Mcc | 49 | 94 / 10 | $49.012,00 | 1898 / 54 | $5.121,82 | 893 / 19 | $4.404,10 | 888 / 40 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 45 | 86 / 9 | $131.768,00 | 1719 / 47 | $13.834,20 | 646 / 15 | $12.807,30 | 638 / 23 |
| Transient Ischemia | 43 | 82 / 16 | $50.997,30 | 1584 / 51 | $4.558,05 | 562 / 23 | $3.432,19 | 559 / 33 |
| Diabetes W Cc | 42 | 50 / 7 | $40.159,10 | 1405 / 49 | $5.274,48 | 513 / 22 | $4.293,07 | 513 / 35 |
| G.I. Hemorrhage W Mcc | 40 | 81 / 15 | $75.293,70 | 1392 / 43 | $10.460,70 | 548 / 13 | $9.773,10 | 549 / 25 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 35 | 91 / 16 | $49.198,40 | 1479 / 52 | $6.851,03 | 307 / 15 | $5.721,63 | 304 / 22 |
| Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 19 | $106.302,00 | 1929 / 53 | $11.424,80 | 551 / 18 | $10.149,10 | 549 / 19 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 35 | 89 / 17 | $180.545,00 | 1177 / 35 | $29.313,30 | 239 / 5 | $27.304,10 | 239 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 34 | 134 / 22 | $80.232,40 | 1370 / 47 | $9.825,88 | 376 / 12 | $9.025,88 | 375 / 18 |
| Respiratory Infections & Inflammations W Cc | 30 | 58 / 6 | $59.761,60 | 1252 / 39 | $8.383,47 | 609 / 16 | $7.581,33 | 606 / 24 |
| Red Blood Cell Disorders W Mcc | 28 | 43 / 5 | $84.828,80 | 1077 / 29 | $8.162,54 | 364 / 14 | $7.014,54 | 362 / 14 |
| Signs & Symptoms W/O Mcc | 28 | 63 / 10 | $35.582,10 | 1144 / 33 | $4.515,32 | 539 / 14 | $3.738,18 | 538 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 24 | $57.289,60 | 1547 / 48 | $4.919,26 | 593 / 20 | $3.731,70 | 589 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 30 | $52.807,00 | 1585 / 47 | $7.305,15 | 678 / 12 | $6.634,33 | 675 / 26 |
| Other Digestive System Diagnoses W Cc | 26 | 71 / 15 | $44.232,50 | 1192 / 37 | $6.054,42 | 509 / 11 | $5.217,50 | 506 / 22 |
| Other Circulatory System Diagnoses W Mcc | 26 | 90 / 16 | $80.973,60 | 1151 / 34 | $10.910,90 | 346 / 4 | $10.142,90 | 345 / 12 |
| G.I. Hemorrhage W/O Cc/Mcc | 24 | 44 / 5 | $38.080,40 | 902 / 30 | $4.626,00 | 315 / 11 | $3.387,29 | 312 / 14 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 24 | 69 / 8 | $102.670,00 | 777 / 28 | $12.198,40 | 162 / 6 | $10.868,10 | 159 / 6 |
| Medical Back Problems W/O Mcc | 24 | 97 / 16 | $40.115,50 | 1252 / 36 | $5.157,62 | 574 / 8 | $4.353,62 | 572 / 27 |
| Seizures W/O Mcc | 23 | 85 / 16 | $38.076,80 | 1105 / 32 | $4.849,57 | 475 / 8 | $4.007,83 | 473 / 22 |
| Bronchitis & Asthma W Cc/Mcc | 22 | 54 / 11 | $35.997,30 | 828 / 35 | $5.877,50 | 153 / 19 | $3.935,59 | 150 / 8 |
| Peripheral Vascular Disorders W Cc | 22 | 62 / 11 | $55.508,80 | 1187 / 33 | $6.336,23 | 631 / 19 | $5.623,55 | 628 / 26 |
| Depressive Neuroses | 21 | 29 / 2 | $19.144,80 | 118 / 5 | $4.317,38 | 48 / 2 | $3.514,33 | 48 / 4 |
| Renal Failure W/O Cc/Mcc | 21 | 35 / 7 | $36.268,00 | 796 / 32 | $4.199,29 | 231 / 11 | $2.988,10 | 230 / 20 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 20 | 42 / 7 | $28.884,40 | 590 / 20 | $4.734,45 | 257 / 5 | $3.769,65 | 257 / 11 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 18 | 50 / 10 | $44.801,30 | 643 / 23 | $5.724,28 | 92 / 8 | $4.165,33 | 92 / 7 |
| Seizures W Mcc | 18 | 48 / 11 | $76.371,00 | 661 / 26 | $9.136,67 | 242 / 5 | $8.550,89 | 242 / 15 |
| Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 11 | $27.514,70 | 703 / 29 | $4.337,33 | 209 / 7 | $3.268,89 | 210 / 8 |
| Dysequilibrium | 18 | 47 / 7 | $48.219,40 | 544 / 17 | $4.124,11 | 168 / 7 | $3.050,33 | 168 / 10 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 17 | 52 / 11 | $118.769,00 | 524 / 14 | $10.848,10 | 220 / 4 | $9.858,00 | 220 / 8 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 17 | $196.385,00 | 1030 / 32 | $27.316,20 | 54 / 6 | $24.157,00 | 54 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 15 | $185.675,00 | 937 / 26 | $18.815,70 | 131 / 3 | $16.604,00 | 131 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 17 | $56.474,10 | 1238 / 36 | $7.115,06 | 388 / 10 | $6.411,06 | 386 / 18 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 22 | $128.358,00 | 1381 / 38 | $14.698,00 | 508 / 6 | $13.630,70 | 503 / 21 |
| Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 15 | $132.282,00 | 900 / 22 | $15.846,60 | 160 / 8 | $13.757,30 | 160 / 6 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 10 | $191.442,00 | 617 / 14 | $27.483,10 | 127 / 3 | $25.843,10 | 127 / 3 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 15 | $256.522,00 | 914 / 28 | $34.466,80 | 279 / 4 | $32.853,90 | 278 / 7 |
| Diabetes W/O Cc/Mcc | 16 | 22 / 2 | $23.935,90 | 215 / 6 | $3.913,31 | 69 / 2 | $2.841,69 | 69 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 16 | 40 / 11 | $98.856,40 | 622 / 23 | $11.283,60 | 187 / 5 | $10.430,60 | 187 / 11 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 20 | $55.167,30 | 1196 / 38 | $6.189,20 | 572 / 14 | $5.301,73 | 569 / 25 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 12 | $35.162,60 | 812 / 23 | $4.282,73 | 252 / 8 | $3.229,07 | 251 / 12 |
| Other Circulatory System Diagnoses W Cc | 15 | 51 / 10 | $31.717,20 | 439 / 14 | $5.981,73 | 142 / 7 | $4.879,13 | 141 / 8 |
| Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 30 | $173.329,00 | 1207 / 30 | $23.068,70 | 522 / 5 | $21.944,40 | 519 / 17 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 10 | $55.728,10 | 815 / 21 | $5.069,13 | 123 / 11 | $3.375,13 | 123 / 6 |
| Hypertension W/O Mcc | 15 | 50 / 9 | $36.738,80 | 715 / 24 | $4.121,13 | 241 / 7 | $2.992,60 | 239 / 13 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 8 | $52.317,70 | 393 / 14 | $7.310,00 | 123 / 5 | $6.446,00 | 123 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 25 | $80.947,20 | 1010 / 39 | $10.109,80 | 566 / 20 | $9.417,21 | 564 / 34 |
| Respiratory Signs & Symptoms | 14 | 32 / 4 | $49.366,80 | 305 / 10 | $4.696,00 | 39 / 4 | $3.120,86 | 39 / 2 |
| Atherosclerosis W/O Mcc | 14 | 44 / 8 | $36.156,20 | 501 / 14 | $4.032,71 | / | $3.255,57 | / |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 20 | $39.863,10 | 1807 / 44 | $4.578,21 | 750 / 17 | $3.451,36 | 746 / 25 |
| Disorders Of Pancreas Except Malignancy W Mcc | 14 | 32 / 4 | $59.553,10 | 258 / 5 | $10.272,30 | 57 / 1 | $9.284,86 | 57 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 19 | $52.937,40 | 971 / 33 | $7.223,31 | 124 / 12 | $5.662,69 | 124 / 9 |
| Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 16 | $48.054,60 | 761 / 26 | $6.135,46 | 112 / 7 | $4.640,08 | 112 / 4 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 12 | $95.809,30 | 791 / 21 | $10.104,40 | 409 / 8 | $9.085,31 | 409 / 15 |
| Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 6 | $29.753,10 | 301 / 9 | $4.239,00 | 133 / 4 | $3.169,46 | 133 / 4 |
| Pleural Effusion W Mcc | 13 | 17 / 3 | $93.901,50 | 183 / 8 | $9.443,46 | 54 / 2 | $8.636,69 | 54 / 4 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 12 | 83 / 11 | $97.390,20 | 447 / 12 | $12.716,20 | 19 / 5 | $8.832,17 | 19 / 3 |
| Cellulitis W Mcc | 12 | 46 / 15 | $52.140,80 | 749 / 23 | $8.822,83 | 294 / 10 | $7.814,83 | 293 / 12 |
| Respiratory Neoplasms W Mcc | 12 | 40 / 13 | $104.205,00 | 603 / 18 | $10.316,70 | 44 / 4 | $8.354,42 | 44 / 1 |
| G.I. Obstruction W Mcc | 12 | 30 / 9 | $62.211,00 | 421 / 15 | $9.689,50 | 161 / 3 | $8.955,50 | 161 / 7 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 10 | $94.039,20 | 563 / 17 | $11.662,70 | 64 / 3 | $9.578,42 | 64 / 2 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 16 | $39.501,60 | 788 / 31 | $5.784,67 | 306 / 10 | $4.776,67 | 305 / 18 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 9 | $82.237,70 | 477 / 18 | $8.989,42 | 212 / 4 | $7.986,75 | 212 / 12 |
| Respiratory Neoplasms W Cc | 11 | 36 / 11 | $59.655,80 | 443 / 15 | $6.928,00 | 113 / 3 | $6.160,00 | 112 / 6 |
| G.I. Obstruction W Cc | 11 | 81 / 27 | $44.942,90 | 1532 / 45 | $5.602,91 | 968 / 16 | $5.056,00 | 965 / 39 |
| Organic Disturbances & Mental Retardation | 11 | 48 / 12 | $57.344,50 | 528 / 19 | $7.373,73 | 32 / 13 | $4.535,64 | 32 / 3 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 12 | $73.337,80 | 809 / 18 | $9.376,55 | 235 / 3 | $8.279,82 | 235 / 6 |
| Pulmonary Embolism W Mcc | 11 | 32 / 15 | $88.185,60 | 551 / 26 | $8.890,18 | 192 / 3 | $8.235,64 | 192 / 13 |
| Nonspecific Cva & Precerebral Occlusion W/O Infarct W/O Mcc | 11 | 12 / 1 | $57.168,20 | 54 / 1 | $5.458,27 | 18 / 1 | $4.579,73 | 18 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 9 | $63.297,00 | 498 / 12 | $7.505,82 | 233 / 2 | $6.295,64 | 233 / 9 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 8 | $137.340,00 | 425 / 9 | $14.502,80 | 119 / 4 | $13.409,00 | 119 / 5 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 23 | $26.465,90 | 1045 / 36 | $4.043,45 | 651 / 13 | $3.162,00 | 649 / 30 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 13 | $78.247,30 | 673 / 23 | $9.913,64 | 115 / 5 | $8.918,73 | 115 / 6 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 7 | $34.312,40 | 309 / 11 | $4.395,64 | 100 / 2 | $3.293,09 | 100 / 5 |
| Diabetes W Mcc | 11 | 46 / 15 | $45.956,60 | 521 / 23 | $7.973,36 | 162 / 5 | $7.318,82 | 162 / 12 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 8 | $32.087,00 | 345 / 8 | $4.395,27 | 167 / 2 | $3.627,27 | 167 / 5 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 19 | $62.526,00 | 594 / 26 | $9.807,09 | 304 / 8 | $8.605,64 | 304 / 16 |
| Other Vascular Procedures W Cc | 11 | 91 / 23 | $98.368,60 | 827 / 29 | $14.710,50 | 322 / 6 | $14.053,00 | 320 / 12 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 11 | 33 / 7 | $30.465,40 | 196 / 6 | $4.781,09 | 105 / 1 | $4.013,09 | 105 / 3 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 16 | $158.675,00 | 899 / 24 | $17.554,60 | 315 / 10 | $16.679,00 | 312 / 12 | Total 111 procedures | 4.273 | 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.