Hospital Costs > In Virginia > Warren Memorial Hospital, 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 | 61 | 455 / 55 | $22.091,10 | 367 / 8 | $13.917,50 | 1918 / 66 | $12.100,90 | 1883 / 67 |
| Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 29 | $13.941,10 | 439 / 13 | $7.927,31 | 2124 / 63 | $6.429,08 | 2116 / 65 |
| Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 29 | $13.042,80 | 329 / 7 | $7.741,45 | 1747 / 56 | $5.961,00 | 1740 / 59 |
| Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 36 | $11.728,20 | 480 / 8 | $6.555,00 | 1888 / 64 | $4.799,74 | 1877 / 64 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 34 | $17.740,10 | 586 / 18 | $8.337,51 | 1725 / 62 | $6.630,54 | 1718 / 63 |
| Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 34 | $18.897,10 | 636 / 23 | $9.385,44 | 1971 / 61 | $7.890,53 | 1963 / 64 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 46 | $12.678,30 | 473 / 9 | $6.268,00 | 1950 / 64 | $4.685,83 | 1936 / 65 |
| Cellulitis W/O Mcc | 28 | 161 / 38 | $9.315,11 | 188 / 1 | $6.929,14 | 1782 / 62 | $5.122,32 | 1774 / 63 |
| Heart Failure & Shock W Cc | 24 | 254 / 51 | $13.174,50 | 383 / 10 | $7.782,21 | 2062 / 65 | $6.646,12 | 2057 / 67 |
| Heart Failure & Shock W Mcc | 23 | 261 / 55 | $14.976,80 | 144 / 5 | $10.177,30 | 1249 / 59 | $8.650,13 | 1246 / 55 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 19 | $10.119,70 | 256 / 6 | $5.920,41 | 1449 / 49 | $4.324,14 | 1438 / 50 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 54 | $35.166,40 | 473 / 8 | $16.419,80 | 1951 / 57 | $13.431,20 | 1909 / 57 |
| Renal Failure W Cc | 20 | 201 / 46 | $10.489,80 | 124 / 3 | $7.626,85 | 1724 / 64 | $6.209,20 | 1714 / 65 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 40 | $9.621,88 | 276 / 8 | $5.714,41 | 1877 / 60 | $4.602,29 | 1871 / 62 |
| G.I. Hemorrhage W Cc | 13 | 205 / 52 | $16.591,30 | 448 / 13 | $9.125,15 | 1654 / 65 | $6.266,38 | 1650 / 63 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 56 | $20.222,80 | 405 / 14 | $10.452,20 | 1399 / 64 | $8.498,00 | 1399 / 60 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 45 | $12.993,90 | 318 / 9 | $6.406,58 | 1596 / 57 | $5.188,25 | 1591 / 58 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 14 | $13.263,30 | 260 / 8 | $5.480,25 | 408 / 14 | $4.135,08 | 408 / 17 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 32 | $14.383,40 | 126 / 5 | $9.097,45 | 1131 / 48 | $7.415,36 | 1128 / 50 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 18 | $9.133,18 | 59 / 2 | $4.888,55 | 489 / 21 | $3.913,18 | 489 / 24 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 25 | $11.520,50 | 409 / 9 | $5.688,91 | 1406 / 49 | $4.243,82 | 1395 / 50 | Total 21 procedures | 515 | 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.