Atherosclerosis W/O Mcc - costs for treatment in Virginia

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Atherosclerosis W/O Mcc - costs for treatment in Virginia


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Winchester Medical CenterWinchester13$9,234.62$4,162.23$3,087.77
Sentara Norfolk General HospitalNorfolk28$20,131.50$5,898.00$4,014.14
University Of Virginia Medical CenterCharlottesville22$14,741.60$7,593.27$5,317.09
Carilion Roanoke Memorial HospitalRoanoke17$18,188.60$5,296.41$3,855.88
Sentara Leigh HospitalNorfolk13$17,226.10$3,850.92$3,040.62
Lewisgale Medical CenterSalem25$18,323.70$3,331.60$2,471.32
Riverside Regional Medical CenterNewport News16$11,622.40$4,808.50$3,593.25
Clinch Valley Medical CenterRichlands13$24,788.50$3,730.31$2,818.62
Inova Fairfax HospitalFalls Church11$12,691.90$5,751.36$4,249.55
Sentara Williamsburg Regional Medical CenterWilliamsburg17$16,633.90$3,268.53$2,311.12
Southside Regional Medical CenterPetersburg14$36,156.20$4,032.71$3,255.57
Cjw Medical CenterRichmond24$33,341.30$4,294.50$3,031.00
Sentara Princess Anne HospitalVirginia Beach15$15,698.10$3,861.00$2,825.87
Chesapeake General HospitalChesapeake11$11,640.50$3,994.55$3,321.45
Total 14 hospitals239

DATA

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.





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