Hospital Costs > In Virginia > Twin County Regional Hospital, 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 | $18.751,40 | 123 / 3 | $10.789,60 | 425 / 36 | $8.827,62 | 425 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 44 | $17.825,90 | 842 / 42 | $4.784,46 | 902 / 14 | $4.202,54 | 899 / 46 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 37 | $9.183,12 | 252 / 7 | $3.284,75 | 420 / 7 | $2.371,50 | 417 / 20 |
Cellulitis W/O Mcc | 19 | 170 / 45 | $16.635,70 | 1069 / 40 | $5.012,53 | 503 / 14 | $3.886,74 | 500 / 19 |
Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 38 | $14.546,40 | 471 / 11 | $5.548,29 | 531 / 14 | $4.579,89 | 529 / 21 |
Chronic Obstructive Pulmonary Disease W Mcc | 49 | 153 / 25 | $18.069,80 | 570 / 20 | $6.962,22 | 998 / 13 | $6.238,51 | 993 / 41 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 23 | $10.367,40 | 278 / 7 | $4.227,94 | 391 / 7 | $3.223,47 | 390 / 18 |
Depressive Neuroses | 19 | 31 / 3 | $10.600,10 | 60 / 4 | $3.937,68 | 12 / 1 | $2.995,58 | 12 / 1 |
Diabetes W Cc | 17 | 75 / 22 | $13.595,50 | 244 / 14 | $5.123,65 | 135 / 15 | $3.682,06 | 135 / 6 |
Diabetes W Mcc | 11 | 46 / 15 | $16.427,90 | 42 / 4 | $8.200,64 | 174 / 9 | $7.409,09 | 174 / 13 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 15 | $19.033,10 | 270 / 14 | $5.508,69 | 359 / 5 | $4.913,31 | 358 / 23 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 45 | $15.633,20 | 838 / 30 | $4.571,70 | 443 / 15 | $3.355,03 | 441 / 23 |
G.I. Hemorrhage W Cc | 27 | 191 / 42 | $18.320,70 | 592 / 23 | $7.137,85 | 253 / 55 | $4.645,78 | 253 / 13 |
G.I. Obstruction W Cc | 14 | 78 / 24 | $19.281,60 | 603 / 25 | $5.302,57 | 485 / 8 | $4.454,43 | 484 / 25 |
Heart Failure & Shock W Cc | 42 | 236 / 40 | $15.791,90 | 661 / 22 | $5.901,14 | 666 / 20 | $5.039,19 | 665 / 31 |
Heart Failure & Shock W Mcc | 54 | 230 / 40 | $25.277,80 | 761 / 34 | $9.079,63 | 1099 / 29 | $8.428,69 | 1096 / 46 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 20 | $12.257,80 | 502 / 14 | $4.036,83 | 502 / 13 | $3.309,61 | 500 / 27 |
Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 25 | $40.624,70 | 664 / 23 | $11.729,20 | 787 / 25 | $10.592,90 | 779 / 35 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 40 | $15.628,60 | 185 / 6 | $6.370,56 | 705 / 13 | $5.439,75 | 704 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 31 | $23.956,70 | 178 / 8 | $10.273,60 | 435 / 16 | $9.181,82 | 434 / 20 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 29 | $16.072,40 | 312 / 7 | $4.513,39 | 334 / 7 | $3.416,44 | 331 / 14 |
Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 24 | $15.297,30 | 274 / 16 | $7.817,00 | 393 / 54 | $5.559,96 | 392 / 19 |
Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 41 | $12.952,00 | 637 / 17 | $4.589,56 | 401 / 14 | $3.547,00 | 401 / 15 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 41 | 523 / 49 | $50.054,80 | 1293 / 30 | $15.321,80 | 775 / 53 | $10.727,70 | 764 / 25 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 36 | $13.408,10 | 746 / 23 | $4.189,67 | 463 / 14 | $3.286,19 | 463 / 21 |
Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 14 | $17.824,60 | 89 / 10 | $5.838,91 | 140 / 7 | $5.134,36 | 140 / 9 |
Other Disorders Of Nervous System W Cc | 14 | 42 / 11 | $12.124,00 | 43 / 1 | $5.274,29 | 138 / 3 | $4.572,71 | 138 / 8 |
Other Disorders Of Nervous System W Mcc | 12 | 28 / 5 | $22.494,50 | 27 / 3 | $9.431,42 | 75 / 2 | $8.596,17 | 75 / 3 |
Psychoses | 83 | 205 / 9 | $16.291,10 | 220 / 8 | $6.053,06 | 81 / 3 | $5.021,93 | 81 / 4 |
Pulmonary Edema & Respiratory Failure | 101 | 102 / 12 | $21.216,10 | 481 / 20 | $7.430,18 | 660 / 18 | $6.534,14 | 660 / 33 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 33 | $17.230,60 | 645 / 23 | $4.759,38 | 493 / 9 | $3.975,94 | 492 / 21 |
Renal Failure W Cc | 24 | 197 / 44 | $13.377,50 | 328 / 12 | $5.795,79 | 422 / 18 | $4.672,71 | 419 / 21 |
Renal Failure W Mcc | 26 | 169 / 39 | $19.367,00 | 206 / 10 | $9.288,35 | 358 / 21 | $7.842,88 | 358 / 15 |
Respiratory Infections & Inflammations W Cc | 24 | 64 / 9 | $19.945,30 | 259 / 13 | $8.242,04 | 645 / 14 | $7.660,96 | 642 / 25 |
Respiratory Infections & Inflammations W Mcc | 27 | 109 / 23 | $28.305,60 | 336 / 20 | $11.755,90 | 797 / 20 | $11.124,80 | 787 / 33 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 29 | $37.765,00 | 273 / 8 | $13.402,20 | 569 / 13 | $12.630,40 | 561 / 21 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 152 | 364 / 40 | $30.155,00 | 786 / 25 | $11.178,20 | 952 / 26 | $10.124,20 | 946 / 36 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 36 | $18.415,60 | 626 / 22 | $6.327,37 | 757 / 17 | $5.444,69 | 755 / 34 |
Simple Pneumonia & Pleurisy W Cc | 41 | 162 / 28 | $15.434,60 | 612 / 18 | $5.811,85 | 696 / 15 | $4.816,20 | 693 / 29 |
Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 46 | $19.648,40 | 366 / 9 | $8.595,74 | 681 / 20 | $7.539,41 | 681 / 28 | Total 40 procedures | 1.214 | 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.