Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in Virginia

Hospital Costs > Simple Pneumonia & Pleurisy W/O Cc/Mcc > Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in Virginia

Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in Virginia


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Martha Jefferson HospitalCharlottesville25$7,079.32$3,741.04$2,634.24
Lewisgale Medical CenterSalem44$21,851.80$3,903.57$2,776.07
Sentara Virginia Beach General HospitalVirginia Beach22$14,773.50$3,945.05$2,555.27
Stafford Hospital, LlcStafford15$19,815.50$4,045.40$3,043.33
Sentara Williamsburg Regional Medical CenterWilliamsburg14$16,292.00$4,047.00$2,449.00
Lewisgale Hospital AlleghanyLow Moor13$19,325.10$4,068.08$3,142.85
Lewisgale Hospital PulaskiPulaski19$18,697.30$4,085.53$3,079.68
Johnston Memorial HospitalAbingdon15$18,073.80$4,088.13$2,919.07
Russell County Medical CenterLebanon34$20,830.30$4,142.91$3,223.38
Southern Virginia Regional Medical CenterEmporia16$24,325.40$4,217.38$3,233.38
Memorial Hospital Of Martinsville & Henry CountyMartinsville28$16,394.00$4,398.79$3,136.11
Sentara Princess Anne HospitalVirginia Beach20$17,863.90$4,428.20$3,292.20
Sentara Obici HospitalSuffolk23$13,562.70$4,433.52$3,467.17
Fauquier HospitalWarrenton30$14,970.40$4,497.40$3,464.33
Sentara Careplex HospitalHampton14$17,288.00$4,544.29$2,822.50
Centra Health, IncLynchburg24$8,578.08$4,554.58$3,429.33
Southside Regional Medical CenterPetersburg14$39,863.10$4,578.21$3,451.36
Community Memorial Healthcenter, IncSouth Hill12$16,613.70$4,593.42$3,430.33
Chesapeake General HospitalChesapeake38$13,180.60$4,609.82$3,201.42
Bon Secours St Marys HospitalRichmond16$17,427.10$4,611.88$3,535.12
Reston Hospital CenterReston18$17,814.00$4,627.28$2,575.94
Inova Loudoun HospitalLeesburg19$13,381.60$4,640.74$3,657.21
Winchester Medical CenterWinchester66$10,452.10$4,699.42$3,507.11
Henrico Doctors' HospitalRichmond28$28,018.40$4,761.96$3,560.61
Mary Washington Hospital, IncFredericksburg50$14,551.60$4,818.14$3,557.34
Bon Secours Memorial Regional Medical CenterMechanicsville12$17,094.40$4,818.17$3,389.42
Sentara Rmh Medical CenterHarrisonburg26$10,343.30$4,823.23$3,767.62
Augusta HealthFishersville23$11,300.50$4,848.74$3,445.74
Buchanan General HospitalGrundy15$13,958.50$4,905.07$3,771.67
Wellmont Lonesome Pine HospitalBig Stone Gap11$11,337.70$4,980.82$3,475.64
Inova Alexandria HospitalAlexandria29$11,111.20$5,048.21$3,952.55
Virginia Hospital CenterArlington28$11,631.50$5,058.86$3,706.75
Sentara Northern Virginia Medical CenterWoodbridge23$14,676.60$5,085.96$3,836.17
Danville Regional Medical CenterDanville30$18,584.80$5,136.83$3,367.77
Cjw Medical CenterRichmond30$34,245.90$5,175.30$3,445.53
Wythe County Community HospitalWytheville12$20,449.70$5,270.92$3,174.92
Riverside Regional Medical CenterNewport News11$11,335.00$5,364.27$4,103.55
Clinch Valley Medical CenterRichlands13$21,597.30$5,410.77$2,585.31
Inova Fair Oaks HospitalFairfax25$12,189.90$5,636.08$2,979.60
Carilion Roanoke Memorial HospitalRoanoke13$13,247.50$5,646.38$4,191.31
Sentara Norfolk General HospitalNorfolk12$24,425.00$6,708.83$4,245.00
Inova Fairfax HospitalFalls Church23$11,949.70$7,107.52$4,239.52
Medical College Of Virginia HospitalsRichmond16$23,211.90$8,585.69$6,431.81
University Of Virginia Medical CenterCharlottesville21$17,143.80$8,946.00$5,451.24
Total 44 hospitals990

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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