Hospital Costs > In Virginia > Sentara Rmh Medical Center, procedure costs

Sentara Rmh Medical Center, procedure costs

2010 Health Campus Drive, Harrisonburg, VA 22801,

Procedure Costs @ Sentara Rmh Medical Center
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc336184 / 15$25.933,40585 / 20$13.092,501865 / 63$11.934,001830 / 65
Psychoses223104 / 4$11.631,60104 / 2$7.336,91338 / 13$6.202,74338 / 14
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc208356 / 24$30.294,10235 / 6$15.210,401737 / 52$12.652,501697 / 56
Heart Failure & Shock W Mcc19292 / 9$22.007,50531 / 19$10.698,601698 / 61$9.466,571693 / 66
Pulmonary Edema & Respiratory Failure13965 / 7$17.843,60276 / 9$8.575,441175 / 55$7.198,771173 / 58
Heart Failure & Shock W Cc129149 / 14$14.720,00548 / 17$6.904,581460 / 58$5.721,461455 / 60
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc12978 / 7$13.699,40261 / 4$7.338,521399 / 51$6.113,581394 / 55
Simple Pneumonia & Pleurisy W Mcc12085 / 3$18.603,90301 / 7$10.238,001463 / 61$8.612,581463 / 63
G.I. Hemorrhage W Cc102116 / 13$17.125,10494 / 18$7.498,391276 / 60$5.666,851273 / 57
Cellulitis W/O Mcc87102 / 8$9.998,93243 / 2$5.847,661400 / 47$4.625,411393 / 55
Renal Failure W Cc76145 / 23$15.366,30497 / 22$6.689,761290 / 54$5.485,381282 / 59
Simple Pneumonia & Pleurisy W Cc75128 / 10$11.921,00249 / 4$6.709,851638 / 47$5.658,231631 / 62
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc71204 / 27$13.480,70568 / 14$5.482,131123 / 54$3.840,591115 / 51
Kidney & Urinary Tract Infections W/O Mcc69164 / 22$11.436,10447 / 6$5.287,431225 / 50$4.107,321216 / 48
Cardiac Arrhythmia & Conduction Disorders W Cc6497 / 14$12.872,30306 / 7$6.043,92946 / 54$4.239,88943 / 47
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs63119 / 21$19.354,40437 / 14$7.401,211210 / 45$6.159,941207 / 51
Hip & Femur Procedures Except Major Joint W Cc6380 / 9$31.858,70288 / 5$13.513,001291 / 50$11.948,401274 / 52
Acute Myocardial Infarction, Discharged Alive W Mcc6164 / 7$20.857,80170 / 6$12.151,701097 / 49$10.653,001092 / 50
Chronic Obstructive Pulmonary Disease W Cc52127 / 19$11.726,30210 / 6$6.218,151159 / 38$5.108,791155 / 50
Respiratory Infections & Inflammations W Mcc5185 / 10$25.309,30245 / 11$14.040,201251 / 48$12.715,801236 / 47
Renal Failure W Mcc49146 / 25$22.186,90325 / 13$10.753,601257 / 50$9.571,181257 / 56
Kidney & Urinary Tract Infections W Mcc4797 / 15$13.986,60192 / 7$7.756,361179 / 52$6.711,431175 / 57
G.I. Obstruction W Cc4646 / 6$13.562,90196 / 6$6.171,801005 / 29$5.127,371002 / 40
Other Kidney & Urinary Tract Diagnoses W Mcc4655 / 9$18.184,0084 / 5$10.556,10562 / 28$9.384,59560 / 33
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc4656 / 13$14.475,20216 / 5$5.992,80529 / 40$3.667,26525 / 24
Cardiac Arrhythmia & Conduction Disorders W Mcc4380 / 20$17.302,10206 / 7$8.355,65909 / 38$6.990,58906 / 37
Circulatory Disorders Except Ami, W Card Cath W/O Mcc43145 / 19$25.538,60309 / 9$7.842,30931 / 34$6.193,47928 / 35
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc42108 / 20$8.879,57223 / 5$4.351,02697 / 53$2.583,62693 / 37
Chronic Obstructive Pulmonary Disease W Mcc41161 / 30$16.886,60468 / 14$8.125,831619 / 53$7.024,541611 / 60
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc4084 / 4$11.317,80175 / 5$5.188,40165 / 11$3.428,55165 / 7
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc40126 / 27$10.498,00369 / 10$5.050,081279 / 49$3.867,821275 / 55
Intracranial Hemorrhage Or Cerebral Infarction W Mcc38130 / 20$25.930,80232 / 10$12.020,50921 / 39$10.728,50918 / 41
G.I. Hemorrhage W Mcc3784 / 17$28.683,70285 / 11$12.149,50949 / 34$11.020,90943 / 38
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc3690 / 15$15.818,90184 / 10$8.019,25966 / 45$6.953,25963 / 47
Pulmonary Embolism W/O Mcc3638 / 6$13.794,30113 / 5$7.504,53609 / 31$5.390,28606 / 27
Heart Failure & Shock W/O Cc/Mcc3377 / 11$12.647,70551 / 17$4.672,06979 / 34$3.709,70971 / 42
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc3385 / 6$98.362,2066 / 6$36.685,50356 / 10$35.481,80356 / 13
Major Gastrointestinal Disorders & Peritoneal Infections W Cc3142 / 6$15.116,30121 / 6$8.488,90582 / 27$6.916,00580 / 27
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc3039 / 4$41.083,3066 / 3$13.623,90343 / 11$10.865,20342 / 14
Diabetes W Cc2963 / 12$11.885,80146 / 8$7.127,00497 / 47$4.275,72497 / 34
Cellulitis W Mcc2929 / 4$19.140,30113 / 4$10.053,40540 / 19$8.943,38538 / 21
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc29167 / 21$47.382,50174 / 8$14.944,60907 / 26$12.108,20900 / 29
Major Small & Large Bowel Procedures W Cc2979 / 14$33.009,9083 / 2$17.507,501063 / 32$16.259,001050 / 38
Coronary Bypass W/O Cardiac Cath W/O Mcc2662 / 8$68.795,8066 / 2$27.089,10398 / 11$23.637,80397 / 15
Simple Pneumonia & Pleurisy W/O Cc/Mcc2667 / 9$10.343,30251 / 3$4.823,231085 / 27$3.767,621079 / 35
Major Cardiovasc Procedures W/O Mcc2576 / 12$51.221,2062 / 1$23.732,60444 / 18$19.820,50444 / 16
Infectious & Parasitic Diseases W O.R. Procedure W Mcc2599 / 22$64.517,40138 / 2$38.000,901072 / 28$36.522,801065 / 34
Coronary Bypass W Cardiac Cath W/O Mcc2452 / 7$90.881,4078 / 2$40.892,10350 / 15$27.567,80350 / 11
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2472 / 15$19.486,90187 / 8$8.316,00642 / 28$6.981,88637 / 29
Acute Myocardial Infarction, Discharged Alive W Cc2467 / 15$15.393,90126 / 6$7.230,29825 / 33$6.181,79823 / 38
Other Digestive System Diagnoses W Cc2374 / 17$16.423,10211 / 6$6.859,09587 / 30$5.375,09584 / 28
Disorders Of Pancreas Except Malignancy W Cc2338 / 8$14.598,70107 / 4$6.354,04455 / 18$5.139,43454 / 27
Pulmonary Embolism W Mcc2320 / 3$22.894,9076 / 5$10.992,80331 / 22$9.132,61331 / 22
Red Blood Cell Disorders W/O Mcc23120 / 27$14.266,90377 / 12$5.509,871008 / 34$4.527,351002 / 45
Other Vascular Procedures W Mcc2275 / 12$46.272,5066 / 2$21.819,80468 / 13$20.392,30466 / 14
Syncope & Collapse22147 / 31$18.065,50685 / 31$5.980,68876 / 53$3.921,36872 / 46
Spinal Fusion Except Cervical W/O Mcc21173 / 28$64.265,90266 / 9$28.742,50862 / 25$24.688,00858 / 27
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc2135 / 6$19.286,0035 / 2$12.995,40391 / 18$12.104,00390 / 21
Signs & Symptoms W/O Mcc2170 / 14$11.796,00180 / 5$4.742,14583 / 18$3.821,10582 / 26
Other Kidney & Urinary Tract Diagnoses W Cc2182 / 8$11.898,2049 / 1$6.819,86389 / 15$5.818,24389 / 17
Respiratory Infections & Inflammations W Cc2167 / 11$13.475,7063 / 3$9.546,38883 / 33$8.264,95878 / 35
Major Joint/Limb Reattachment Procedure Of Upper Extremities2049 / 7$39.541,5050 / 2$17.889,10338 / 12$16.601,00338 / 13
Transient Ischemia20105 / 27$13.424,80207 / 6$4.771,90741 / 33$3.646,40737 / 40
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1951 / 7$13.035,2053 / 2$7.257,21182 / 13$5.256,11182 / 10
Respiratory System Diagnosis W Ventilator Support <96 Hours19112 / 24$40.043,10334 / 12$16.063,401159 / 38$14.867,801146 / 43
Hip & Femur Procedures Except Major Joint W Mcc1943 / 9$37.269,8038 / 2$20.779,10609 / 22$19.402,50606 / 22
Permanent Cardiac Pacemaker Implant W Cc1958 / 14$41.591,1099 / 2$18.050,40632 / 17$17.072,90631 / 20
Medical Back Problems W/O Mcc18103 / 21$16.180,90283 / 11$5.361,78317 / 13$3.980,44317 / 12
Chest Pain18133 / 28$12.341,80265 / 7$4.728,28629 / 45$3.057,94625 / 37
Bronchitis & Asthma W Cc/Mcc1858 / 14$13.943,40159 / 9$6.200,28401 / 24$4.561,67397 / 23
Peripheral Vascular Disorders W Cc1767 / 15$9.212,4726 / 1$6.602,71778 / 24$6.107,18775 / 29
Other Digestive System Diagnoses W Mcc1745 / 8$19.747,8038 / 3$11.447,00267 / 16$9.872,35267 / 16
Organic Disturbances & Mental Retardation1742 / 8$30.968,90356 / 16$11.073,80421 / 17$7.720,59421 / 17
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1739 / 11$22.730,8027 / 1$11.293,80585 / 17$10.101,80583 / 21
G.I. Obstruction W/O Cc/Mcc1754 / 18$13.086,80373 / 19$4.442,65388 / 25$2.816,94388 / 18
Cranial & Peripheral Nerve Disorders W/O Mcc1751 / 11$14.190,4091 / 2$6.052,00321 / 11$5.112,47321 / 17
Poisoning & Toxic Effects Of Drugs W/O Mcc1645 / 11$12.634,10198 / 9$4.246,56348 / 7$3.462,06347 / 16
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1637 / 9$16.535,30185 / 7$5.203,94456 / 14$4.162,94453 / 17
Peripheral Vascular Disorders W Mcc1633 / 6$21.002,3066 / 4$9.395,38261 / 8$8.143,62261 / 10
Septicemia Or Severe Sepsis W Mv 96+ Hours1676 / 15$110.465,00262 / 10$42.494,50683 / 24$40.691,00682 / 27
Disorders Of The Biliary Tract W Cc1638 / 7$20.495,4075 / 5$7.250,06195 / 11$6.115,94195 / 12
Fever1630 / 6$12.196,9026 / 2$5.791,50139 / 10$4.829,50139 / 11
Major Small & Large Bowel Procedures W Mcc1570 / 18$67.770,10111 / 3$36.855,90890 / 30$35.226,50888 / 34
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc1576 / 9$25.194,40115 / 5$7.661,67113 / 8$6.797,60113 / 6
Other Circulatory System Diagnoses W Mcc15101 / 22$37.541,70418 / 14$16.395,301180 / 32$15.545,201172 / 34
Other Circulatory System O.R. Procedures1540 / 7$48.331,8093 / 4$19.122,70246 / 7$18.182,30246 / 11
Major Chest Procedures W Cc1460 / 11$63.741,90223 / 10$23.135,50468 / 15$21.915,10466 / 17
Renal Failure W/O Cc/Mcc1442 / 14$11.241,50170 / 9$4.734,36221 / 24$2.967,29220 / 18
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1451 / 13$46.082,4088 / 3$23.687,90701 / 24$22.136,60698 / 26
Depressive Neuroses1436 / 4$8.747,3641 / 3$4.602,0736 / 3$3.371,7936 / 2
Other Vascular Procedures W Cc1488 / 21$50.054,80210 / 9$17.968,20735 / 26$16.688,70731 / 31
Extracranial Procedures W/O Cc/Mcc1484 / 16$17.189,6085 / 3$7.090,29545 / 14$5.897,29544 / 22
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim1452 / 10$32.731,6075 / 5$13.960,60240 / 12$10.608,10238 / 8
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc13107 / 26$10.994,60355 / 8$4.903,46927 / 34$3.672,08919 / 41
Other Circulatory System Diagnoses W Cc1353 / 12$11.681,5042 / 1$6.511,00278 / 13$5.451,31277 / 14
Seizures W/O Mcc1395 / 22$17.057,20374 / 10$5.672,69660 / 24$4.420,38657 / 27
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc1334 / 8$25.669,8054 / 4$12.039,00254 / 18$8.307,77254 / 14
Major Chest Procedures W/O Cc/Mcc1346 / 6$29.221,8027 / 4$12.154,60119 / 5$10.918,20119 / 8
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1342 / 9$31.630,5054 / 2$13.575,70403 / 13$12.344,30400 / 15
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1343 / 10$22.072,5050 / 2$12.399,60245 / 17$8.309,00245 / 7
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc1344 / 13$35.974,6098 / 3$14.605,60458 / 13$13.276,40457 / 15
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc1230 / 3$86.262,2015 / 1$31.990,0071 / 1$30.513,3071 / 2
Poisoning & Toxic Effects Of Drugs W Mcc1260 / 15$33.147,00427 / 18$12.597,80715 / 26$9.908,17713 / 26
Respiratory System Diagnosis W Ventilator Support 96+ Hours1259 / 13$82.820,30132 / 2$36.779,80632 / 16$35.481,60631 / 20
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1226 / 6$7.785,0819 / 1$4.702,17110 / 9$2.972,83110 / 7
Circulatory Disorders Except Ami, W Card Cath W Mcc1281 / 15$38.132,80125 / 6$14.635,60571 / 23$13.437,60565 / 24
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents1233 / 7$59.226,2034 / 3$20.256,50148 / 4$18.834,50147 / 5
Major Cardiovasc Procedures W Mcc1256 / 11$104.959,00138 / 4$38.986,80440 / 8$37.592,90439 / 10
Urinary Stones W/O Esw Lithotripsy W/O Mcc1234 / 6$12.651,8047 / 1$4.666,3374 / 5$3.044,5874 / 2
Fractures Of Hip & Pelvis W/O Mcc1150 / 18$10.038,3084 / 5$4.966,91346 / 22$3.565,27347 / 18
Degenerative Nervous System Disorders W/O Mcc1167 / 18$13.438,2081 / 3$6.845,55331 / 20$5.391,91331 / 19
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc1119 / 5$32.888,2032 / 2$14.161,90136 / 5$12.758,30135 / 7
Cranial & Peripheral Nerve Disorders W Mcc1125 / 2$12.829,305 / 1$8.846,1874 / 3$8.390,5574 / 3
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents1189 / 19$62.337,0095 / 5$32.624,70387 / 24$18.600,50385 / 10
Nonspecific Cerebrovascular Disorders W Cc1145 / 14$15.754,8052 / 5$6.818,18258 / 21$5.803,27258 / 23
Total 115 procedures4.390discharges

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.