Hospital Costs > In North Carolina > Blue Ridge Regional Hospital, Inc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 16 | 173 / 48 | $10.397,00 | 285 / 7 | $5.374,81 | 812 / 24 | $4.134,88 | 807 / 34 |
| Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 40 | $9.557,19 | 77 / 2 | $5.756,77 | 646 / 20 | $4.675,00 | 644 / 30 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 52 | $11.652,10 | 107 / 6 | $6.865,77 | 617 / 11 | $5.883,55 | 615 / 31 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 27 | $8.313,14 | 112 / 2 | $4.667,48 | 952 / 20 | $3.694,38 | 943 / 40 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 49 | $9.759,23 | 189 / 1 | $5.146,31 | 613 / 44 | $3.494,08 | 610 / 20 |
| G.I. Hemorrhage W Cc | 23 | 195 / 55 | $12.955,80 | 162 / 5 | $6.209,35 | 689 / 27 | $5.082,43 | 688 / 34 |
| Heart Failure & Shock W Cc | 25 | 253 / 56 | $7.959,12 | 35 / 1 | $5.756,60 | 385 / 8 | $4.768,76 | 385 / 9 |
| Heart Failure & Shock W Mcc | 14 | 270 / 67 | $11.119,10 | 27 / 2 | $8.211,29 | 49 / 6 | $6.774,43 | 49 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 33 | $7.328,79 | 78 / 1 | $4.415,71 | 346 / 23 | $3.152,00 | 344 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 29 | $8.750,77 | 27 / 1 | $4.704,69 | 581 / 10 | $3.715,92 | 577 / 27 |
| Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 43 | $8.160,93 | 127 / 1 | $4.976,57 | 549 / 28 | $3.652,80 | 548 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 24 | 540 / 65 | $29.471,00 | 204 / 6 | $12.710,90 | 1118 / 23 | $11.243,10 | 1093 / 51 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 49 | $6.566,00 | 54 / 1 | $4.465,91 | 402 / 19 | $3.244,91 | 402 / 16 |
| Pulmonary Edema & Respiratory Failure | 20 | 183 / 53 | $11.204,80 | 21 / 1 | $7.223,05 | 551 / 9 | $6.397,80 | 551 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 62 | 454 / 65 | $15.397,80 | 80 / 1 | $10.413,80 | 328 / 10 | $9.228,95 | 328 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 49 | $9.769,69 | 57 / 1 | $6.499,62 | 565 / 22 | $5.279,81 | 563 / 27 |
| Simple Pneumonia & Pleurisy W Cc | 44 | 159 / 34 | $8.923,25 | 55 / 1 | $6.118,00 | 875 / 23 | $4.972,39 | 872 / 37 |
| Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 57 | $10.979,80 | 14 / 1 | $8.559,15 | 252 / 21 | $6.941,65 | 252 / 9 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 25 | $7.989,58 | 90 / 1 | $4.496,50 | 391 / 10 | $3.133,67 | 389 / 16 | Total 19 procedures | 449 | 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.