Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc - costs for treatment in Virginia

Hospital Costs > Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc > Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc - costs for treatment in Virginia

Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc - costs for treatment in Virginia


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Bon Secours St Marys HospitalRichmond15$235,685.00$50,137.10$49,088.50
Carilion Roanoke Memorial HospitalRoanoke57$202,071.00$56,410.10$51,140.50
Centra Health, IncLynchburg12$123,717.00$48,588.10$46,919.20
Cjw Medical CenterRichmond17$493,186.00$52,793.80$47,153.00
Henrico Doctors' HospitalRichmond29$453,276.00$50,091.80$48,515.00
Inova Fairfax HospitalFalls Church120$155,571.00$60,137.90$49,553.70
Mary Washington Hospital, IncFredericksburg12$126,693.00$47,499.40$39,569.40
Medical College Of Virginia HospitalsRichmond73$259,879.00$75,883.80$66,883.90
Sentara Norfolk General HospitalNorfolk71$231,125.00$66,369.10$50,491.50
University Of Virginia Medical CenterCharlottesville103$242,561.00$75,288.90$60,184.90
Virginia Hospital CenterArlington12$147,122.00$49,914.10$43,115.30
Total 11 hospitals521

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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