Hospital Costs > In Virginia > Riverside Tappahannock Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 34 | $24.192,80 | 269 / 14 | $11.323,70 | 941 / 44 | $10.119,10 | 939 / 45 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 45 | $14.420,70 | 459 / 20 | $5.454,67 | 328 / 40 | $3.644,58 | 328 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 48 | $13.953,50 | 250 / 6 | $7.614,37 | 1234 / 42 | $6.501,68 | 1228 / 48 |
| G.I. Hemorrhage W Cc | 14 | 204 / 51 | $16.794,90 | 471 / 16 | $8.082,36 | 745 / 62 | $5.132,71 | 743 / 32 |
| Heart Failure & Shock W Cc | 30 | 248 / 49 | $12.253,70 | 291 / 7 | $6.484,03 | 1314 / 41 | $5.564,90 | 1310 / 55 |
| Heart Failure & Shock W Mcc | 39 | 245 / 47 | $19.162,90 | 378 / 11 | $10.119,40 | 1136 / 56 | $8.475,44 | 1133 / 49 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 38 | $26.265,50 | 106 / 2 | $12.837,50 | 1318 / 49 | $12.059,20 | 1301 / 53 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 44 | $19.302,10 | 433 / 13 | $7.052,33 | 986 / 36 | $5.819,83 | 983 / 48 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 111 | 453 / 36 | $26.750,40 | 121 / 1 | $13.910,00 | 1713 / 32 | $12.586,10 | 1675 / 54 |
| Nonspecific Cerebrovascular Disorders W Cc | 17 | 39 / 9 | $14.051,80 | 31 / 2 | $6.428,71 | 195 / 17 | $5.435,71 | 195 / 19 |
| Pulmonary Edema & Respiratory Failure | 68 | 135 / 21 | $15.088,10 | 149 / 3 | $8.105,68 | 667 / 44 | $6.541,07 | 667 / 34 |
| Renal Failure W Cc | 16 | 205 / 49 | $12.177,00 | 228 / 6 | $6.302,75 | 1109 / 39 | $5.301,00 | 1101 / 54 |
| Renal Failure W Mcc | 17 | 178 / 44 | $17.724,90 | 145 / 5 | $10.036,70 | 1114 / 36 | $9.170,18 | 1114 / 49 |
| Respiratory Infections & Inflammations W Mcc | 11 | 125 / 37 | $25.859,00 | 261 / 13 | $12.924,30 | 1080 / 40 | $11.984,60 | 1066 / 44 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 91 | 425 / 52 | $21.475,00 | 339 / 6 | $12.033,90 | 1446 / 42 | $10.932,40 | 1418 / 56 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 49 | $13.599,10 | 254 / 3 | $6.986,36 | 1444 / 37 | $6.169,43 | 1438 / 56 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 49 | $12.618,50 | 314 / 6 | $6.768,09 | 979 / 50 | $5.059,27 | 976 / 44 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 55 | $16.795,10 | 204 / 4 | $9.466,00 | 1219 / 48 | $8.165,73 | 1219 / 50 |
| Transient Ischemia | 11 | 114 / 32 | $14.977,40 | 294 / 10 | $4.566,64 | 624 / 25 | $3.498,18 | 620 / 37 | Total 19 procedures | 533 | discharges |
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.