Major Chest Procedures W Cc - costs for treatment in Virginia

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Major Chest Procedures W Cc - costs for treatment in Virginia


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Martha Jefferson HospitalCharlottesville15$27,372.50$14,054.70$12,693.30
Riverside Regional Medical CenterNewport News17$32,251.90$17,425.30$15,294.70
Winchester Medical CenterWinchester26$35,518.70$16,304.50$13,436.80
Inova Fairfax HospitalFalls Church47$36,031.50$20,356.50$15,627.60
Mary Washington Hospital, IncFredericksburg38$39,917.90$15,721.00$13,896.30
Centra Health, IncLynchburg33$43,522.30$16,619.10$13,395.10
Virginia Hospital CenterArlington17$56,286.20$17,993.90$12,377.50
Sentara Careplex HospitalHampton11$56,747.40$14,711.50$13,722.50
Sentara Norfolk General HospitalNorfolk44$63,724.70$18,864.90$15,501.00
Sentara Rmh Medical CenterHarrisonburg14$63,741.90$23,135.50$21,915.10
Carilion Roanoke Memorial HospitalRoanoke26$72,220.50$17,752.60$15,858.30
Sentara Leigh HospitalNorfolk12$75,503.60$16,236.20$12,804.00
Medical College Of Virginia HospitalsRichmond32$81,817.00$27,308.40$18,984.90
University Of Virginia Medical CenterCharlottesville43$93,798.10$26,046.60$19,745.90
Reston Hospital CenterReston11$93,962.20$15,721.40$14,639.90
Henrico Doctors' HospitalRichmond13$111,025.00$15,799.50$12,721.80
Cjw Medical CenterRichmond23$174,069.00$16,284.80$13,857.80
Total 17 hospitals422

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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