Hospital Costs > In Colorado > Vail Valley Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 31 | 65 / 6 | $52.128,40 | 371 / 4 | $31.420,20 | 820 / 18 | $30.229,60 | 816 / 18 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 48 | 516 / 32 | $54.273,20 | 1477 / 13 | $30.286,60 | 2688 / 45 | $29.087,70 | 2642 / 45 |
| Spinal Fusion Except Cervical W/O Mcc | 35 | 159 / 15 | $104.360,00 | 778 / 8 | $60.365,80 | 1361 / 29 | $59.225,70 | 1356 / 29 | Total 3 procedures | 114 | 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.