Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc - costs for treatment in Virginia

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Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc - costs for treatment in Virginia


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Lewisgale Hospital MontgomeryBlacksburg13$56,305.90$12,857.50$11,347.20
University Of Virginia Medical CenterCharlottesville17$86,303.20$20,803.20$15,940.30
Inova Fairfax HospitalFalls Church17$36,722.10$15,780.20$13,210.60
Augusta HealthFishersville18$46,387.40$13,022.80$11,834.00
Mary Washington Hospital, IncFredericksburg21$40,480.30$12,331.10$11,457.40
Centra Health, IncLynchburg15$30,938.10$12,245.10$10,958.40
Bon Secours Memorial Regional Medical CenterMechanicsville12$70,381.50$12,092.30$10,539.20
Sentara Norfolk General HospitalNorfolk13$46,894.20$14,850.40$12,303.80
Cjw Medical CenterRichmond11$143,854.00$12,661.70$11,740.70
Henrico Doctors' HospitalRichmond12$118,501.00$13,543.70$12,049.00
Medical College Of Virginia HospitalsRichmond13$69,244.50$19,979.20$16,972.70
Carilion Roanoke Memorial HospitalRoanoke11$69,221.00$14,497.70$12,893.30
Total 12 hospitals173

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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