Hospital Costs > In North Carolina > Alamance Regional Medical Center, procedure costs
| 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 Mcc | 239 | 277 / 24 | $16.868,00 | 129 / 2 | $11.403,50 | 631 / 46 | $9.707,46 | 630 / 33 |
| Heart Failure & Shock W Mcc | 168 | 116 / 17 | $14.010,90 | 110 / 3 | $9.043,48 | 543 / 35 | $7.741,08 | 543 / 23 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 130 | 434 / 36 | $26.003,10 | 101 / 2 | $13.423,40 | 796 / 44 | $10.756,60 | 782 / 33 |
| Simple Pneumonia & Pleurisy W Mcc | 76 | 129 / 26 | $14.931,30 | 120 / 3 | $9.231,17 | 457 / 48 | $7.264,14 | 457 / 21 |
| G.I. Hemorrhage W Cc | 70 | 148 / 25 | $10.554,10 | 67 / 1 | $6.818,80 | 545 / 61 | $4.952,49 | 544 / 28 |
| Renal Failure W Mcc | 69 | 126 / 22 | $15.502,70 | 82 / 5 | $10.152,50 | 395 / 51 | $7.905,25 | 395 / 26 |
| Renal Failure W Cc | 64 | 157 / 32 | $9.848,59 | 86 / 2 | $6.363,61 | 630 / 45 | $4.860,66 | 624 / 29 |
| Pulmonary Edema & Respiratory Failure | 55 | 148 / 33 | $13.030,70 | 72 / 6 | $8.413,75 | 398 / 51 | $6.220,35 | 398 / 22 |
| Chronic Obstructive Pulmonary Disease W Mcc | 49 | 153 / 35 | $12.651,60 | 157 / 10 | $7.671,47 | 387 / 51 | $5.664,84 | 386 / 19 |
| Heart Failure & Shock W Cc | 48 | 230 / 43 | $9.437,42 | 97 / 2 | $6.535,46 | 976 / 50 | $5.275,02 | 975 / 42 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 46 | 161 / 34 | $10.976,70 | 89 / 2 | $7.113,17 | 828 / 49 | $5.500,11 | 826 / 42 |
| Kidney & Urinary Tract Infections W Mcc | 43 | 101 / 21 | $10.833,00 | 71 / 2 | $7.315,33 | 623 / 47 | $5.843,49 | 622 / 37 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 42 | 233 / 39 | $10.912,10 | 280 / 6 | $5.386,29 | 1194 / 61 | $3.884,45 | 1183 / 52 |
| Hip & Femur Procedures Except Major Joint W Cc | 41 | 102 / 23 | $25.581,10 | 92 / 2 | $12.248,20 | 553 / 44 | $10.154,60 | 551 / 33 |
| Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 37 | $8.559,03 | 159 / 2 | $5.271,48 | 718 / 47 | $3.765,82 | 714 / 33 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 37 | 145 / 32 | $12.877,20 | 73 / 3 | $6.905,22 | 597 / 38 | $5.329,35 | 596 / 33 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 36 | 89 / 19 | $18.956,80 | 128 / 6 | $10.266,50 | 400 / 21 | $8.754,44 | 400 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 33 | 135 / 22 | $19.500,40 | 84 / 6 | $11.334,50 | 373 / 38 | $9.018,03 | 372 / 29 |
| Respiratory Infections & Inflammations W Mcc | 32 | 104 / 30 | $16.266,20 | 36 / 1 | $12.093,90 | 544 / 40 | $10.563,50 | 538 / 33 |
| Cellulitis W/O Mcc | 31 | 158 / 38 | $7.151,23 | 49 / 2 | $5.794,06 | 1146 / 47 | $4.386,06 | 1140 / 48 |
| G.I. Hemorrhage W Mcc | 29 | 92 / 19 | $15.750,90 | 27 / 1 | $11.207,70 | 341 / 31 | $9.255,62 | 341 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 28 | 138 / 33 | $7.274,18 | 88 / 2 | $5.002,36 | 1061 / 49 | $3.689,68 | 1058 / 43 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 27 | $15.239,10 | 125 / 2 | $8.042,57 | 337 / 36 | $6.113,07 | 336 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 24 | $13.571,90 | 106 / 5 | $7.381,07 | 529 / 33 | $6.062,67 | 526 / 27 |
| Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 40 | $9.745,65 | 85 / 3 | $6.276,81 | 486 / 45 | $4.530,46 | 485 / 20 |
| Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 47 | $9.443,69 | 79 / 2 | $6.419,50 | 932 / 40 | $5.029,15 | 929 / 39 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 21 | $41.387,10 | 28 / 1 | $27.975,30 | 50 / 7 | $24.448,40 | 50 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 39 | $10.645,80 | 150 / 5 | $5.532,29 | 564 / 48 | $3.881,50 | 562 / 25 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 27 | $24.265,10 | 52 / 1 | $14.008,90 | 720 / 30 | $13.030,60 | 712 / 42 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 22 | $15.960,10 | 88 / 1 | $7.964,38 | 470 / 24 | $6.568,14 | 467 / 22 |
| Red Blood Cell Disorders W/O Mcc | 21 | 122 / 30 | $9.287,57 | 76 / 1 | $5.414,67 | 768 / 32 | $4.262,05 | 763 / 34 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 31 | $16.799,90 | 50 / 1 | $6.987,90 | 687 / 13 | $5.718,38 | 685 / 20 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 23 | $15.530,20 | 50 / 2 | $9.715,35 | 367 / 19 | $8.640,75 | 367 / 24 |
| Other Vascular Procedures W Mcc | 19 | 78 / 14 | $35.147,50 | 31 / 1 | $19.085,30 | 134 / 6 | $17.348,50 | 134 / 4 |
| Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 12 | $33.117,50 | 23 / 1 | $17.676,10 | 213 / 9 | $15.946,70 | 212 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 37 | $9.338,17 | 274 / 10 | $4.155,44 | 714 / 42 | $2.597,28 | 710 / 31 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 27 | $18.156,80 | 228 / 8 | $6.908,76 | 208 / 17 | $4.960,82 | 208 / 6 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 16 | $76.809,70 | 97 / 6 | $30.200,60 | 198 / 7 | $27.886,90 | 198 / 11 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 23 | $11.735,30 | 56 / 1 | $6.558,82 | 458 / 16 | $5.134,29 | 455 / 16 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 16 | $70.916,40 | 59 / 4 | $33.811,20 | 178 / 7 | $31.419,20 | 178 / 8 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 17 | 30 / 9 | $17.666,10 | 15 / 1 | $8.770,24 | 60 / 16 | $5.381,76 | 60 / 2 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 14 | $10.921,90 | 61 / 2 | $6.475,06 | 108 / 31 | $3.342,19 | 108 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 28 | $9.789,20 | 43 / 2 | $5.221,20 | 804 / 24 | $3.999,20 | 800 / 39 |
| Respiratory Neoplasms W Mcc | 15 | 37 / 14 | $22.014,30 | 47 / 2 | $10.944,50 | 68 / 10 | $8.616,20 | 68 / 5 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 27 | $35.877,50 | 119 / 2 | $16.426,10 | 636 / 24 | $14.102,70 | 630 / 28 |
| Extracranial Procedures W/O Cc/Mcc | 15 | 83 / 22 | $15.613,60 | 62 / 1 | $6.735,00 | 479 / 8 | $5.683,00 | 478 / 15 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 15 | $8.993,71 | 84 / 4 | $4.620,00 | 437 / 15 | $3.419,00 | 436 / 15 |
| G.I. Obstruction W Cc | 14 | 78 / 28 | $14.314,20 | 241 / 7 | $6.372,64 | 863 / 35 | $4.898,86 | 861 / 34 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 20 | $11.374,50 | 41 / 1 | $7.405,64 | 271 / 12 | $6.058,29 | 270 / 9 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 26 | $13.048,30 | 49 / 2 | $8.289,69 | 313 / 17 | $7.004,15 | 311 / 16 |
| Syncope & Collapse | 13 | 156 / 36 | $14.231,60 | 345 / 10 | $5.137,15 | 614 / 33 | $3.663,15 | 611 / 23 |
| Transient Ischemia | 13 | 112 / 28 | $10.651,30 | 85 / 2 | $4.905,00 | 629 / 30 | $3.502,23 | 625 / 27 |
| Hypertension W/O Mcc | 12 | 53 / 14 | $11.033,20 | 84 / 2 | $4.489,08 | 345 / 10 | $3.264,25 | 343 / 12 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 17 | $19.552,40 | 19 / 1 | $10.498,10 | 375 / 11 | $8.963,33 | 375 / 17 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 12 | 184 / 26 | $38.053,50 | 54 / 2 | $12.467,30 | 591 / 8 | $10.922,10 | 587 / 13 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 16 | $24.555,10 | 75 / 6 | $11.929,20 | 192 / 13 | $10.470,70 | 192 / 11 |
| Major Cardiovasc Procedures W/O Mcc | 12 | 89 / 20 | $44.071,80 | 37 / 1 | $20.698,80 | 410 / 7 | $19.492,90 | 410 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 16 | $30.503,50 | 12 / 1 | $19.696,00 | 329 / 13 | $17.841,60 | 327 / 14 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 17 | $13.702,80 | 84 / 2 | $6.108,67 | 246 / 11 | $4.841,00 | 246 / 13 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 23 | $26.025,30 | 247 / 21 | $11.331,60 | 684 / 34 | $9.713,00 | 682 / 35 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 17 | $9.517,82 | 30 / 1 | $6.250,27 | 379 / 12 | $4.975,27 | 378 / 17 |
| Chest Pain | 11 | 140 / 32 | $9.347,36 | 121 / 1 | $4.090,36 | 337 / 15 | $2.733,82 | 336 / 9 |
| Diabetes W Mcc | 11 | 46 / 21 | $9.917,27 | 3 / 1 | $8.010,82 | 13 / 2 | $6.093,09 | 13 / 1 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 17 | $6.650,09 | 13 / 1 | $4.460,91 | 438 / 13 | $3.676,73 | 437 / 21 | Total 64 procedures | 2.103 | 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.