Dysequilibrium - costs for treatment in Virginia

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Dysequilibrium - costs for treatment in Virginia


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Sentara Virginia Beach General HospitalVirginia Beach11$18,840.20$3,365.73$2,126.45
Lewisgale Medical CenterSalem17$17,882.20$3,432.71$2,319.35
John Randolph Medical CenterHopewell13$30,848.80$3,871.46$2,621.92
Sentara Leigh HospitalNorfolk14$17,032.10$3,929.36$2,749.07
Centra Health, IncLynchburg24$11,845.50$4,110.75$2,737.08
Bon Secours St Marys HospitalRichmond15$15,249.80$4,122.20$2,857.80
Southside Regional Medical CenterPetersburg18$48,219.40$4,124.11$3,050.33
Bon Secours Memorial Regional Medical CenterMechanicsville19$16,698.90$4,261.79$2,702.63
Mary Washington Hospital, IncFredericksburg38$20,463.80$4,291.24$3,252.71
Cjw Medical CenterRichmond57$27,051.80$4,379.84$3,072.91
Danville Regional Medical CenterDanville14$21,108.10$4,684.50$2,677.93
Inova Alexandria HospitalAlexandria41$15,604.10$4,748.68$3,216.24
Henrico Doctors' HospitalRichmond27$28,162.90$4,910.19$2,915.70
Riverside Regional Medical CenterNewport News14$12,225.50$4,993.07$3,653.36
Carilion Roanoke Memorial HospitalRoanoke15$20,995.70$5,177.60$3,839.87
Inova Fairfax HospitalFalls Church27$13,443.00$6,016.00$4,208.44
Sentara Norfolk General HospitalNorfolk15$21,680.00$6,080.00$3,716.47
Total 17 hospitals379

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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