Hospital Costs > In Virginia > Stafford Hospital, Llc, 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 | 13 | 112 / 34 | $33.985,20 | 579 / 31 | $8.779,23 | 95 / 7 | $7.901,23 | 95 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 37 | $18.116,40 | 867 / 44 | $4.758,41 | 153 / 12 | $3.406,77 | 153 / 8 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 41 | $14.858,20 | 971 / 45 | $3.250,00 | 195 / 6 | $2.120,00 | 194 / 10 |
Cellulitis W/O Mcc | 35 | 154 / 31 | $16.736,90 | 1088 / 41 | $4.845,57 | 284 / 5 | $3.667,77 | 281 / 13 |
Chronic Obstructive Pulmonary Disease W Cc | 47 | 132 / 23 | $17.319,40 | 738 / 24 | $5.527,66 | 311 / 13 | $4.339,28 | 310 / 13 |
Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 33 | $23.092,20 | 984 / 37 | $7.017,38 | 385 / 16 | $5.662,70 | 384 / 13 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 25 | $16.484,30 | 962 / 37 | $4.200,14 | 290 / 6 | $3.129,57 | 290 / 12 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 23 | 165 / 30 | $38.056,80 | 879 / 29 | $7.022,22 | 420 / 19 | $5.331,74 | 418 / 14 |
Diabetes W Cc | 13 | 79 / 26 | $14.149,90 | 280 / 16 | $4.587,23 | 362 / 6 | $4.101,08 | 362 / 24 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 6 | $15.121,50 | 136 / 5 | $3.922,67 | 68 / 2 | $2.751,75 | 68 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 55 | 220 / 32 | $16.968,00 | 996 / 37 | $4.487,98 | 356 / 13 | $3.292,24 | 355 / 17 |
G.I. Hemorrhage W Cc | 26 | 192 / 43 | $25.730,90 | 1270 / 49 | $6.510,31 | 229 / 36 | $4.608,85 | 229 / 10 |
Heart Failure & Shock W Cc | 35 | 243 / 45 | $17.681,60 | 890 / 35 | $5.602,66 | 472 / 10 | $4.873,00 | 472 / 18 |
Heart Failure & Shock W Mcc | 29 | 255 / 51 | $28.877,30 | 1016 / 44 | $9.940,10 | 1240 / 53 | $8.632,72 | 1237 / 54 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 23 | $15.611,50 | 913 / 40 | $3.970,85 | 120 / 12 | $2.822,69 | 119 / 4 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 31 | $80.509,50 | 252 / 11 | $33.360,40 | 371 / 17 | $28.469,80 | 371 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 44 | $28.450,20 | 1042 / 45 | $6.179,33 | 522 / 9 | $5.242,83 | 521 / 26 |
Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 25 | $16.539,70 | 339 / 19 | $6.556,07 | 491 / 15 | $5.696,30 | 490 / 24 |
Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 35 | $14.384,20 | 842 / 27 | $4.654,30 | 346 / 15 | $3.491,20 | 346 / 11 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 34 | 530 / 51 | $58.634,40 | 1641 / 38 | $13.595,20 | 1375 / 25 | $11.752,60 | 1342 / 49 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 31 | $24.517,80 | 672 / 32 | $6.544,33 | 234 / 9 | $5.590,83 | 232 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 33 | $16.023,50 | 1091 / 41 | $4.017,17 | 267 / 7 | $3.089,08 | 267 / 12 |
Other Circulatory System Diagnoses W Mcc | 11 | 105 / 25 | $37.373,90 | 409 / 13 | $11.985,30 | 630 / 14 | $11.245,30 | 628 / 25 |
Pulmonary Embolism W/O Mcc | 18 | 56 / 18 | $19.342,00 | 353 / 16 | $5.689,39 | 114 / 4 | $4.376,83 | 114 / 7 |
Red Blood Cell Disorders W/O Mcc | 17 | 126 / 32 | $17.810,10 | 700 / 26 | $5.678,29 | 43 / 41 | $3.198,94 | 43 / 3 |
Renal Failure W Cc | 30 | 191 / 41 | $16.764,40 | 645 / 32 | $5.556,33 | 271 / 12 | $4.502,70 | 269 / 11 |
Renal Failure W Mcc | 18 | 177 / 43 | $21.600,30 | 299 / 11 | $8.839,06 | 252 / 9 | $7.628,78 | 252 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 60 | 456 / 56 | $40.734,40 | 1350 / 51 | $12.269,20 | 1266 / 55 | $10.580,80 | 1245 / 46 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 36 | $19.325,40 | 724 / 25 | $6.153,51 | 158 / 12 | $4.781,34 | 158 / 8 |
Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 30 | $20.871,20 | 1227 / 40 | $5.943,74 | 789 / 19 | $4.901,79 | 786 / 32 |
Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 52 | $28.083,70 | 913 / 35 | $8.218,83 | 122 / 9 | $6.645,11 | 122 / 7 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 19 | $19.815,50 | 1186 / 34 | $4.045,40 | 299 / 4 | $3.043,33 | 297 / 10 |
Syncope & Collapse | 18 | 151 / 32 | $19.131,00 | 770 / 38 | $4.291,17 | 183 / 11 | $3.147,50 | 182 / 9 | Total 33 procedures | 820 | 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.