Hospital Costs > Simple Pneumonia & Pleurisy W/O Cc/Mcc > Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in Virginia
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| Sentara Williamsburg Regional Medical Center | Williamsburg | 14 | $16,292.00 | $4,047.00 | $2,449.00 |
| Sentara Virginia Beach General Hospital | Virginia Beach | 22 | $14,773.50 | $3,945.05 | $2,555.27 |
| Reston Hospital Center | Reston | 18 | $17,814.00 | $4,627.28 | $2,575.94 |
| Clinch Valley Medical Center | Richlands | 13 | $21,597.30 | $5,410.77 | $2,585.31 |
| Martha Jefferson Hospital | Charlottesville | 25 | $7,079.32 | $3,741.04 | $2,634.24 |
| Lewisgale Medical Center | Salem | 44 | $21,851.80 | $3,903.57 | $2,776.07 |
| Sentara Careplex Hospital | Hampton | 14 | $17,288.00 | $4,544.29 | $2,822.50 |
| Johnston Memorial Hospital | Abingdon | 15 | $18,073.80 | $4,088.13 | $2,919.07 |
| Inova Fair Oaks Hospital | Fairfax | 25 | $12,189.90 | $5,636.08 | $2,979.60 |
| Stafford Hospital, Llc | Stafford | 15 | $19,815.50 | $4,045.40 | $3,043.33 |
| Lewisgale Hospital Pulaski | Pulaski | 19 | $18,697.30 | $4,085.53 | $3,079.68 |
| Memorial Hospital Of Martinsville & Henry County | Martinsville | 28 | $16,394.00 | $4,398.79 | $3,136.11 |
| Lewisgale Hospital Alleghany | Low Moor | 13 | $19,325.10 | $4,068.08 | $3,142.85 |
| Wythe County Community Hospital | Wytheville | 12 | $20,449.70 | $5,270.92 | $3,174.92 |
| Chesapeake General Hospital | Chesapeake | 38 | $13,180.60 | $4,609.82 | $3,201.42 |
| Russell County Medical Center | Lebanon | 34 | $20,830.30 | $4,142.91 | $3,223.38 |
| Southern Virginia Regional Medical Center | Emporia | 16 | $24,325.40 | $4,217.38 | $3,233.38 |
| Sentara Princess Anne Hospital | Virginia Beach | 20 | $17,863.90 | $4,428.20 | $3,292.20 |
| Danville Regional Medical Center | Danville | 30 | $18,584.80 | $5,136.83 | $3,367.77 |
| Bon Secours Memorial Regional Medical Center | Mechanicsville | 12 | $17,094.40 | $4,818.17 | $3,389.42 |
| Centra Health, Inc | Lynchburg | 24 | $8,578.08 | $4,554.58 | $3,429.33 |
| Community Memorial Healthcenter, Inc | South Hill | 12 | $16,613.70 | $4,593.42 | $3,430.33 |
| Cjw Medical Center | Richmond | 30 | $34,245.90 | $5,175.30 | $3,445.53 |
| Augusta Health | Fishersville | 23 | $11,300.50 | $4,848.74 | $3,445.74 |
| Southside Regional Medical Center | Petersburg | 14 | $39,863.10 | $4,578.21 | $3,451.36 |
| Fauquier Hospital | Warrenton | 30 | $14,970.40 | $4,497.40 | $3,464.33 |
| Sentara Obici Hospital | Suffolk | 23 | $13,562.70 | $4,433.52 | $3,467.17 |
| Wellmont Lonesome Pine Hospital | Big Stone Gap | 11 | $11,337.70 | $4,980.82 | $3,475.64 |
| Winchester Medical Center | Winchester | 66 | $10,452.10 | $4,699.42 | $3,507.11 |
| Bon Secours St Marys Hospital | Richmond | 16 | $17,427.10 | $4,611.88 | $3,535.12 |
| Mary Washington Hospital, Inc | Fredericksburg | 50 | $14,551.60 | $4,818.14 | $3,557.34 |
| Henrico Doctors' Hospital | Richmond | 28 | $28,018.40 | $4,761.96 | $3,560.61 |
| Inova Loudoun Hospital | Leesburg | 19 | $13,381.60 | $4,640.74 | $3,657.21 |
| Virginia Hospital Center | Arlington | 28 | $11,631.50 | $5,058.86 | $3,706.75 |
| Sentara Rmh Medical Center | Harrisonburg | 26 | $10,343.30 | $4,823.23 | $3,767.62 |
| Buchanan General Hospital | Grundy | 15 | $13,958.50 | $4,905.07 | $3,771.67 |
| Sentara Northern Virginia Medical Center | Woodbridge | 23 | $14,676.60 | $5,085.96 | $3,836.17 |
| Inova Alexandria Hospital | Alexandria | 29 | $11,111.20 | $5,048.21 | $3,952.55 |
| Riverside Regional Medical Center | Newport News | 11 | $11,335.00 | $5,364.27 | $4,103.55 |
| Carilion Roanoke Memorial Hospital | Roanoke | 13 | $13,247.50 | $5,646.38 | $4,191.31 |
| Inova Fairfax Hospital | Falls Church | 23 | $11,949.70 | $7,107.52 | $4,239.52 |
| Sentara Norfolk General Hospital | Norfolk | 12 | $24,425.00 | $6,708.83 | $4,245.00 |
| University Of Virginia Medical Center | Charlottesville | 21 | $17,143.80 | $8,946.00 | $5,451.24 |
| Medical College Of Virginia Hospitals | Richmond | 16 | $23,211.90 | $8,585.69 | $6,431.81 | Total 44 hospitals | 990 |
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.