Hospital Costs > In North Carolina > Caldwell Memorial Hospital Lenoir, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 86 | 478 / 44 | $51.060,40 | 1337 / 46 | $12.517,50 | 545 / 18 | $10.384,50 | 540 / 23 |
| Simple Pneumonia & Pleurisy W Cc | 82 | 121 / 13 | $17.530,60 | 854 / 37 | $6.154,34 | 949 / 26 | $5.036,02 | 946 / 41 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 55 | 461 / 67 | $26.651,80 | 628 / 30 | $10.693,70 | 522 / 20 | $9.549,45 | 521 / 23 |
| Simple Pneumonia & Pleurisy W Mcc | 49 | 156 / 41 | $25.072,40 | 709 / 36 | $8.899,86 | 793 / 31 | $7.646,06 | 793 / 43 |
| Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 38 | $16.220,60 | 408 / 18 | $7.154,84 | 872 / 24 | $6.120,18 | 867 / 43 |
| Kidney & Urinary Tract Infections W/O Mcc | 37 | 196 / 38 | $11.998,80 | 512 / 16 | $5.069,57 | 639 / 36 | $3.716,32 | 635 / 24 |
| Pulmonary Edema & Respiratory Failure | 32 | 171 / 48 | $21.293,60 | 487 / 30 | $7.457,41 | 591 / 22 | $6.441,31 | 591 / 39 |
| Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 38 | $13.386,10 | 356 / 16 | $5.886,87 | 734 / 26 | $4.747,83 | 732 / 35 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 23 | $10.359,50 | 277 / 9 | $4.649,67 | 634 / 19 | $3.430,19 | 633 / 24 |
| G.I. Hemorrhage W Cc | 21 | 197 / 56 | $20.500,50 | 788 / 47 | $6.220,24 | 631 / 28 | $5.033,19 | 630 / 33 |
| Renal Failure W Mcc | 20 | 175 / 42 | $29.323,40 | 721 / 50 | $9.381,25 | 160 / 34 | $7.464,35 | 160 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 42 | $15.968,00 | 212 / 13 | $6.565,30 | 578 / 27 | $5.302,00 | 577 / 28 |
| Renal Failure W Cc | 20 | 201 / 58 | $18.007,40 | 772 / 45 | $6.255,40 | 121 / 41 | $4.238,40 | 121 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 38 | $35.737,00 | 438 / 15 | $11.008,50 | 336 / 9 | $9.804,53 | 335 / 17 |
| Spinal Fusion Except Cervical W/O Mcc | 19 | 175 / 27 | $102.987,00 | 760 / 25 | $25.940,40 | 596 / 22 | $22.428,30 | 592 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 24 | $13.454,40 | 149 / 7 | $4.906,89 | 287 / 20 | $3.361,16 | 285 / 13 |
| Heart Failure & Shock W Cc | 19 | 259 / 60 | $16.079,80 | 695 / 35 | $6.141,11 | 480 / 29 | $4.877,74 | 480 / 13 |
| Diabetes W Cc | 18 | 74 / 27 | $14.955,80 | 338 / 22 | $5.303,89 | 502 / 20 | $4.285,11 | 502 / 23 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 21 | $12.551,20 | 465 / 18 | $4.699,44 | 380 / 21 | $3.123,81 | 378 / 14 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 44 | $12.207,70 | 573 / 21 | $4.649,31 | 928 / 31 | $3.600,06 | 925 / 37 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 16 | 152 / 35 | $24.164,40 | 185 / 12 | $9.426,88 | 109 / 6 | $8.129,19 | 108 / 8 |
| Other Vascular Procedures W Cc | 16 | 86 / 18 | $41.855,40 | 109 / 5 | $14.311,10 | 158 / 3 | $13.115,30 | 158 / 4 |
| Other Vascular Procedures W Mcc | 15 | 82 / 17 | $45.143,30 | 63 / 2 | $17.632,00 | 53 / 1 | $16.435,10 | 53 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 59 | $15.430,30 | 804 / 31 | $4.844,87 | 987 / 25 | $3.755,40 | 979 / 43 |
| Cellulitis W/O Mcc | 14 | 175 / 50 | $19.155,90 | 1387 / 59 | $5.525,21 | 706 / 31 | $4.051,29 | 702 / 26 |
| Heart Failure & Shock W Mcc | 13 | 271 / 68 | $19.990,40 | 424 / 28 | $8.948,69 | 929 / 31 | $8.186,77 | 928 / 50 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 57 | $12.574,50 | 183 / 6 | $6.553,91 | 796 / 28 | $5.473,27 | 794 / 37 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 24 | $67.617,50 | 108 / 5 | $28.196,50 | 207 / 8 | $26.447,00 | 206 / 8 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 21 | $11.247,60 | 144 / 2 | $5.614,45 | 203 / 28 | $3.243,82 | 203 / 6 | Total 29 procedures | 772 | 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.