Hospital Costs > In Washington > Valley General Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 35 | 529 / 43 | $41.768,60 | 859 / 8 | $16.935,70 | 2288 / 34 | $15.289,90 | 2244 / 43 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 19 | 497 / 44 | $18.678,30 | 211 / 2 | $13.440,10 | 1781 / 27 | $11.693,70 | 1746 / 19 |
Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 33 | $16.322,50 | 721 / 6 | $7.912,92 | 2339 / 34 | $7.003,58 | 2330 / 40 |
Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 34 | $19.192,20 | 341 / 4 | $10.942,50 | 1960 / 26 | $9.953,45 | 1960 / 34 | Total 4 procedures | 77 | 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.