Hospital Costs > In North Carolina > Betsy Johnson Regional Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 30 | $16.021,10 | 146 / 4 | $5.871,23 | 261 / 5 | $5.071,15 | 261 / 9 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 18 | $15.281,60 | 353 / 13 | $4.838,45 | 159 / 9 | $3.412,45 | 159 / 10 |
| Atherosclerosis W/O Mcc | 13 | 45 / 13 | $11.675,90 | 82 / 5 | $4.270,38 | / 9 | $3.243,15 | / |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 24 | $15.609,80 | 221 / 10 | $5.716,08 | 459 / 14 | $4.697,00 | 455 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 42 | 119 / 27 | $18.118,70 | 869 / 46 | $5.304,36 | 1043 / 38 | $4.340,31 | 1039 / 51 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 45 | 105 / 20 | $14.060,50 | 876 / 45 | $4.011,24 | 1100 / 35 | $2.910,40 | 1095 / 51 |
| Cellulitis W/O Mcc | 75 | 114 / 13 | $16.058,20 | 1005 / 41 | $5.731,17 | 1378 / 43 | $4.604,43 | 1372 / 53 |
| Chest Pain | 154 | 20 / 1 | $15.365,20 | 530 / 24 | $4.295,81 | 676 / 22 | $3.109,77 | 672 / 27 |
| Chronic Obstructive Pulmonary Disease W Cc | 91 | 88 / 12 | $18.527,10 | 848 / 40 | $6.209,36 | 1147 / 42 | $5.095,94 | 1143 / 50 |
| Chronic Obstructive Pulmonary Disease W Mcc | 82 | 120 / 19 | $21.207,30 | 829 / 45 | $7.466,35 | 840 / 43 | $6.090,45 | 835 / 41 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 77 | 43 / 2 | $15.791,20 | 878 / 44 | $4.989,64 | 1111 / 39 | $3.839,05 | 1102 / 50 |
| Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 17 | $18.890,80 | 191 / 4 | $6.566,23 | 274 / 7 | $5.197,46 | 274 / 8 |
| Diabetes W Cc | 37 | 55 / 14 | $14.911,00 | 335 / 21 | $5.612,38 | 714 / 35 | $4.546,00 | 712 / 38 |
| Disorders Of Pancreas Except Malignancy W Cc | 19 | 42 / 11 | $22.608,40 | 394 / 19 | $6.093,00 | 436 / 10 | $5.102,32 | 435 / 19 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 8 | $15.230,80 | 139 / 8 | $4.587,17 | 300 / 6 | $3.893,00 | 299 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 96 | 179 / 21 | $17.535,60 | 1067 / 47 | $5.095,52 | 1104 / 41 | $3.829,74 | 1096 / 48 |
| Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 9 | $11.392,40 | 130 / 6 | $4.643,67 | 272 / 10 | $3.394,83 | 273 / 11 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 10 | $16.271,70 | 238 / 9 | $5.084,92 | 263 / 5 | $3.791,00 | 263 / 5 |
| G.I. Hemorrhage W Cc | 41 | 177 / 42 | $17.814,80 | 553 / 29 | $6.456,20 | 1140 / 39 | $5.511,46 | 1138 / 58 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 32 | $33.645,10 | 452 / 31 | $9.999,45 | 142 / 10 | $8.647,27 | 142 / 6 |
| G.I. Hemorrhage W/O Cc/Mcc | 20 | 48 / 9 | $15.218,00 | 345 / 18 | $5.290,25 | 459 / 21 | $3.681,80 | 455 / 19 |
| G.I. Obstruction W Cc | 16 | 76 / 26 | $20.533,10 | 688 / 32 | $5.898,06 | 801 / 19 | $4.813,31 | 799 / 28 |
| Heart Failure & Shock W Cc | 115 | 163 / 20 | $19.810,60 | 1163 / 50 | $6.444,94 | 1191 / 45 | $5.441,34 | 1188 / 51 |
| Heart Failure & Shock W Mcc | 82 | 202 / 37 | $27.165,50 | 914 / 54 | $9.441,54 | 998 / 53 | $8.293,35 | 997 / 53 |
| Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 17 | $13.106,50 | 621 / 34 | $4.690,35 | 859 / 33 | $3.605,94 | 855 / 35 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 40 | $52.546,10 | 1134 / 57 | $12.213,50 | 910 / 43 | $10.820,40 | 897 / 51 |
| Hypertension W/O Mcc | 16 | 49 / 10 | $13.300,90 | 149 / 7 | $4.376,25 | 349 / 7 | $3.270,00 | 347 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 34 | $19.631,70 | 451 / 29 | $6.555,06 | 841 / 26 | $5.599,53 | 839 / 46 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 39 | $30.034,20 | 340 / 30 | $10.171,80 | 361 / 17 | $8.989,25 | 360 / 26 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 27 | $21.784,80 | 701 / 42 | $5.279,50 | 788 / 33 | $3.977,00 | 784 / 38 |
| Kidney & Urinary Tract Infections W Mcc | 31 | 113 / 31 | $17.983,10 | 427 / 36 | $7.090,39 | 719 / 40 | $5.978,74 | 718 / 43 |
| Kidney & Urinary Tract Infections W/O Mcc | 118 | 115 / 10 | $17.392,30 | 1273 / 56 | $5.275,70 | 1230 / 48 | $4.109,44 | 1221 / 51 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 59 | 505 / 53 | $77.876,80 | 2164 / 78 | $13.654,00 | 1591 / 53 | $12.293,10 | 1554 / 66 |
| Medical Back Problems W/O Mcc | 21 | 100 / 19 | $17.145,70 | 339 / 10 | $5.702,24 | 671 / 14 | $4.517,81 | 669 / 18 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 36 | $16.260,20 | 204 / 12 | $7.011,45 | 495 / 23 | $6.019,45 | 492 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 99 | 67 / 4 | $16.083,70 | 1093 / 48 | $5.080,86 | 1510 / 57 | $4.082,86 | 1505 / 65 |
| Organic Disturbances & Mental Retardation | 13 | 46 / 8 | $18.523,70 | 147 / 6 | $6.686,69 | 152 / 6 | $5.386,15 | 152 / 7 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 18 | $17.533,30 | 136 / 4 | $6.166,09 | 244 / 5 | $5.299,27 | 243 / 8 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 17 | $13.697,20 | 134 / 2 | $6.319,46 | 487 / 12 | $5.298,08 | 485 / 14 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 22 | 39 / 10 | $13.343,30 | 232 / 14 | $4.465,50 | 262 / 14 | $3.258,27 | 261 / 13 |
| Psychoses | 50 | 229 / 13 | $15.323,60 | 189 / 10 | $6.784,00 | 185 / 8 | $5.463,14 | 185 / 8 |
| Pulmonary Edema & Respiratory Failure | 18 | 185 / 54 | $28.540,90 | 943 / 59 | $7.993,17 | 630 / 42 | $6.489,00 | 630 / 43 |
| Pulmonary Embolism W/O Mcc | 13 | 61 / 23 | $24.075,50 | 608 / 34 | $6.345,15 | 517 / 16 | $5.221,54 | 515 / 22 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 21 | $24.392,10 | 282 / 18 | $8.049,27 | 458 / 12 | $7.345,73 | 456 / 19 |
| Red Blood Cell Disorders W/O Mcc | 69 | 74 / 12 | $16.413,90 | 571 / 27 | $5.541,61 | 943 / 36 | $4.462,29 | 937 / 41 |
| Renal Failure W Cc | 123 | 98 / 14 | $18.539,30 | 828 / 48 | $6.283,10 | 984 / 43 | $5.168,80 | 976 / 52 |
| Renal Failure W Mcc | 48 | 147 / 28 | $25.302,30 | 479 / 39 | $9.565,04 | 738 / 41 | $8.433,50 | 738 / 50 |
| Renal Failure W/O Cc/Mcc | 32 | 24 / 3 | $14.471,80 | 336 / 19 | $4.390,16 | 374 / 7 | $3.249,91 | 373 / 11 |
| Respiratory Infections & Inflammations W Cc | 24 | 64 / 16 | $21.787,40 | 338 / 27 | $8.785,04 | 672 / 29 | $7.704,17 | 668 / 33 |
| Respiratory Infections & Inflammations W Mcc | 20 | 116 / 39 | $37.735,90 | 683 / 48 | $11.788,20 | 568 / 29 | $10.613,50 | 560 / 35 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 34 | $27.317,60 | 87 / 5 | $10.198,10 | 7 / 1 | $9.499,15 | 7 / 1 |
| Seizures W/O Mcc | 15 | 93 / 20 | $14.399,60 | 229 / 7 | $5.127,67 | 415 / 9 | $3.923,87 | 413 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 91 | 425 / 55 | $30.612,70 | 812 / 38 | $11.206,10 | 983 / 39 | $10.157,70 | 974 / 52 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 41 | 166 / 37 | $22.151,00 | 987 / 52 | $7.000,98 | 1091 / 44 | $5.752,59 | 1088 / 56 |
| Signs & Symptoms W/O Mcc | 35 | 56 / 5 | $15.710,30 | 382 / 11 | $4.867,14 | 357 / 17 | $3.461,89 | 356 / 11 |
| Simple Pneumonia & Pleurisy W Cc | 83 | 120 / 12 | $23.174,10 | 1466 / 61 | $6.907,25 | 1698 / 63 | $5.718,73 | 1691 / 67 |
| Simple Pneumonia & Pleurisy W Mcc | 40 | 165 / 47 | $30.224,20 | 1048 / 55 | $8.764,38 | 737 / 29 | $7.601,02 | 737 / 38 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 40 | 53 / 5 | $16.423,30 | 876 / 39 | $4.910,10 | 974 / 32 | $3.654,88 | 969 / 38 |
| Skin Debridement W Cc | 11 | 7 / 1 | $19.850,70 | 3 / 1 | $9.002,00 | 5 / 1 | $7.895,00 | 5 / 1 |
| Syncope & Collapse | 76 | 93 / 7 | $16.169,10 | 501 / 20 | $4.947,54 | 849 / 24 | $3.893,12 | 845 / 33 |
| Transient Ischemia | 28 | 97 / 16 | $17.937,10 | 498 / 26 | $4.837,82 | 852 / 28 | $3.780,43 | 848 / 39 | Total 61 procedures | 2.513 | 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.