Stomach, Esophageal & Duodenal Proc W Cc - costs for treatment in Virginia

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Stomach, Esophageal & Duodenal Proc W Cc - costs for treatment in Virginia


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Martha Jefferson HospitalCharlottesville15$34,575.90$14,115.60$12,878.80
Cjw Medical CenterRichmond15$165,995.00$18,143.50$13,199.90
Inova Fairfax HospitalFalls Church12$60,897.30$23,592.40$13,217.70
Sentara Leigh HospitalNorfolk16$74,157.60$15,648.10$14,502.20
Mary Washington Hospital, IncFredericksburg14$35,432.20$15,737.40$14,662.50
Centra Health, IncLynchburg14$62,734.50$19,698.70$15,287.60
Virginia Hospital CenterArlington17$62,769.40$17,807.40$16,187.20
Carilion Roanoke Memorial HospitalRoanoke18$54,455.20$17,892.10$16,231.30
Winchester Medical CenterWinchester11$62,961.90$21,314.90$19,118.60
University Of Virginia Medical CenterCharlottesville26$98,021.70$29,281.30$22,211.30
Medical College Of Virginia HospitalsRichmond17$108,899.00$26,623.10$22,427.30
Total 11 hospitals175

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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