Hospital Costs > In North Carolina > Carolina East Medical Center, 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 | 398 | 189 / 10 | $41.777,80 | 862 / 29 | $15.147,40 | 1855 / 69 | $13.024,70 | 1814 / 70 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 322 | 196 / 14 | $28.164,00 | 702 / 34 | $13.435,00 | 1914 / 72 | $12.086,90 | 1879 / 74 |
Psychoses | 251 | 84 / 2 | $11.508,50 | 101 / 3 | $7.151,20 | 260 / 10 | $5.734,22 | 260 / 13 |
Heart Failure & Shock W Mcc | 143 | 141 / 22 | $21.771,90 | 520 / 33 | $10.541,60 | 1691 / 70 | $9.462,13 | 1686 / 71 |
Pulmonary Edema & Respiratory Failure | 126 | 77 / 11 | $18.525,60 | 320 / 23 | $8.498,85 | 1332 / 56 | $7.460,40 | 1328 / 65 |
G.I. Hemorrhage W Cc | 126 | 92 / 11 | $16.533,40 | 441 / 23 | $6.944,94 | 1416 / 63 | $5.838,77 | 1413 / 68 |
Renal Failure W Cc | 124 | 97 / 13 | $13.903,50 | 375 / 20 | $6.691,98 | 1493 / 57 | $5.744,10 | 1484 / 67 |
Heart Failure & Shock W Cc | 120 | 158 / 18 | $13.928,60 | 461 / 19 | $6.887,95 | 1661 / 60 | $5.941,12 | 1656 / 66 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 101 | 106 / 12 | $20.443,70 | 827 / 41 | $7.534,07 | 1540 / 59 | $6.325,38 | 1533 / 67 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 99 | 176 / 20 | $14.916,40 | 745 / 29 | $5.220,46 | 1276 / 52 | $3.948,20 | 1265 / 54 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 93 | 58 / 8 | $8.158,69 | 158 / 3 | $3.863,94 | 824 / 28 | $2.688,95 | 820 / 34 |
Renal Failure W Mcc | 92 | 103 / 14 | $19.175,10 | 197 / 14 | $10.874,10 | 1248 / 61 | $9.539,15 | 1248 / 61 |
Chronic Obstructive Pulmonary Disease W Cc | 92 | 87 / 11 | $14.540,10 | 469 / 22 | $6.487,39 | 1426 / 55 | $5.418,04 | 1421 / 60 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 91 | 70 / 10 | $12.343,60 | 258 / 11 | $5.567,69 | 993 / 50 | $4.290,10 | 990 / 48 |
Simple Pneumonia & Pleurisy W Mcc | 90 | 115 / 19 | $20.375,20 | 414 / 20 | $10.087,20 | 1651 / 64 | $9.014,38 | 1651 / 66 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 89 | 107 / 13 | $56.652,60 | 374 / 12 | $15.476,90 | 1068 / 23 | $12.992,30 | 1061 / 25 |
Chronic Obstructive Pulmonary Disease W Mcc | 69 | 133 / 23 | $17.322,80 | 505 / 22 | $8.263,48 | 1567 / 65 | $6.935,09 | 1559 / 67 |
Extracranial Procedures W/O Cc/Mcc | 67 | 31 / 3 | $21.478,80 | 185 / 7 | $7.478,51 | 626 / 19 | $6.206,21 | 624 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 65 | 117 / 18 | $15.656,60 | 189 / 10 | $7.561,17 | 1243 / 59 | $6.219,51 | 1240 / 60 |
Respiratory Infections & Inflammations W Mcc | 64 | 72 / 15 | $26.684,60 | 285 / 21 | $13.806,10 | 1237 / 56 | $12.659,50 | 1222 / 56 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 62 | 126 / 19 | $21.307,30 | 140 / 5 | $7.494,66 | 997 / 24 | $6.336,71 | 994 / 29 |
Hip & Femur Procedures Except Major Joint W Cc | 58 | 85 / 12 | $36.241,10 | 463 / 17 | $13.564,30 | 1387 / 56 | $12.333,80 | 1369 / 58 |
Spinal Fusion Except Cervical W/O Mcc | 57 | 137 / 16 | $72.445,40 | 408 / 7 | $27.702,90 | 963 / 27 | $25.910,00 | 958 / 30 |
G.I. Hemorrhage W Mcc | 56 | 65 / 11 | $25.187,00 | 182 / 10 | $12.452,00 | 929 / 45 | $10.958,20 | 923 / 42 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 56 | 69 / 12 | $27.709,70 | 358 / 19 | $12.425,20 | 1289 / 43 | $11.479,50 | 1279 / 46 |
Cellulitis W/O Mcc | 54 | 135 / 22 | $15.869,20 | 977 / 39 | $6.099,81 | 1278 / 60 | $4.507,59 | 1272 / 51 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 51 | 44 / 6 | $61.870,20 | 203 / 8 | $14.100,40 | 396 / 9 | $13.025,60 | 392 / 11 |
Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 31 | $19.754,10 | 1109 / 52 | $6.960,68 | 1584 / 66 | $5.595,92 | 1577 / 65 |
Kidney & Urinary Tract Infections W/O Mcc | 48 | 185 / 31 | $14.711,30 | 893 / 39 | $5.400,25 | 1399 / 54 | $4.244,27 | 1390 / 60 |
Major Cardiovasc Procedures W/O Mcc | 48 | 53 / 10 | $94.285,90 | 526 / 16 | $26.549,40 | 826 / 18 | $25.288,40 | 825 / 20 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 48 | 83 / 14 | $33.356,90 | 172 / 11 | $15.965,10 | 1172 / 49 | $14.943,50 | 1159 / 53 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 47 | 76 / 16 | $16.325,10 | 169 / 7 | $8.340,47 | 1081 / 44 | $7.297,11 | 1078 / 49 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 46 | 78 / 13 | $80.573,30 | 254 / 18 | $39.161,60 | 961 / 38 | $34.864,50 | 955 / 36 |
Kidney & Urinary Tract Infections W Mcc | 43 | 101 / 21 | $17.937,30 | 423 / 35 | $7.891,23 | 1249 / 57 | $6.894,30 | 1245 / 61 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 40 | 60 / 9 | $68.137,40 | 148 / 5 | $21.784,90 | 576 / 8 | $20.548,10 | 572 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 39 | 129 / 21 | $23.866,30 | 175 / 11 | $12.061,30 | 966 / 43 | $10.897,50 | 962 / 48 |
Other Vascular Procedures W Cc | 39 | 63 / 12 | $73.378,40 | 556 / 22 | $19.852,00 | 895 / 20 | $18.634,10 | 890 / 21 |
Coronary Bypass W Cardiac Cath W/O Mcc | 36 | 40 / 8 | $105.002,00 | 147 / 7 | $34.789,30 | 478 / 15 | $31.235,50 | 478 / 16 |
Poisoning & Toxic Effects Of Drugs W Mcc | 35 | 37 / 9 | $27.002,40 | 277 / 23 | $10.985,30 | 581 / 33 | $8.945,91 | 579 / 31 |
Acute Myocardial Infarction, Discharged Alive W Cc | 34 | 57 / 13 | $16.570,00 | 163 / 5 | $7.723,09 | 765 / 30 | $6.050,41 | 763 / 28 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 33 | 69 / 17 | $13.049,30 | 135 / 6 | $5.254,18 | 843 / 27 | $4.057,36 | 839 / 41 |
Respiratory Infections & Inflammations W Cc | 33 | 55 / 11 | $17.748,50 | 183 / 12 | $9.650,24 | 901 / 43 | $8.319,70 | 896 / 41 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 30 | $12.467,00 | 605 / 23 | $4.853,25 | 1262 / 42 | $3.852,56 | 1258 / 52 |
Other Vascular Procedures W/O Cc/Mcc | 32 | 24 / 4 | $53.789,70 | 327 / 15 | $12.850,80 | 422 / 12 | $11.673,40 | 421 / 15 |
G.I. Obstruction W Cc | 30 | 62 / 16 | $14.333,20 | 242 / 8 | $6.182,43 | 949 / 30 | $5.021,80 | 946 / 40 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 29 | 28 / 5 | $44.391,80 | 210 / 8 | $14.875,80 | 482 / 16 | $13.628,70 | 481 / 17 |
Major Small & Large Bowel Procedures W Cc | 28 | 80 / 14 | $49.866,80 | 419 / 18 | $17.636,80 | 1086 / 33 | $16.450,00 | 1073 / 40 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 23 | $18.614,30 | 337 / 21 | $7.841,54 | 844 / 43 | $6.681,79 | 841 / 42 |
Cervical Spinal Fusion W/O Cc/Mcc | 27 | 77 / 15 | $43.925,30 | 256 / 8 | $16.524,30 | 464 / 23 | $12.505,10 | 462 / 17 |
Other Circulatory System Diagnoses W Mcc | 26 | 90 / 15 | $30.572,20 | 229 / 11 | $13.632,10 | 925 / 29 | $12.877,30 | 918 / 33 |
Red Blood Cell Disorders W/O Mcc | 25 | 118 / 26 | $14.578,00 | 410 / 15 | $5.540,32 | 1003 / 35 | $4.522,52 | 997 / 44 |
Diabetes W Cc | 25 | 67 / 21 | $14.569,00 | 306 / 17 | $5.757,08 | 825 / 41 | $4.743,28 | 821 / 47 |
Revision Of Hip Or Knee Replacement W Cc | 25 | 61 / 11 | $65.929,60 | 185 / 5 | $23.624,30 | 430 / 15 | $21.189,40 | 428 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 21 | $17.854,90 | 138 / 4 | $8.252,04 | 647 / 28 | $6.990,12 | 642 / 34 |
Other Digestive System Diagnoses W Cc | 24 | 73 / 19 | $17.824,20 | 276 / 12 | $6.698,08 | 591 / 19 | $5.385,54 | 588 / 20 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 24 | 39 / 3 | $83.890,80 | 138 / 6 | $29.072,70 | 107 / 8 | $18.922,50 | 107 / 4 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 23 | 53 / 9 | $26.224,60 | 59 / 2 | $13.140,30 | 225 / 12 | $11.341,70 | 225 / 12 |
Other Vascular Procedures W Mcc | 23 | 74 / 13 | $81.385,40 | 398 / 20 | $26.343,40 | 775 / 22 | $25.223,40 | 772 / 22 |
Syncope & Collapse | 23 | 146 / 28 | $15.441,70 | 438 / 17 | $5.052,13 | 1020 / 28 | $4.080,83 | 1013 / 40 |
Cellulitis W Mcc | 23 | 35 / 9 | $25.481,20 | 259 / 17 | $10.179,50 | 558 / 20 | $9.042,17 | 556 / 23 |
Extracranial Procedures W Cc | 23 | 23 / 4 | $24.522,10 | 41 / 2 | $10.908,80 | 258 / 6 | $10.012,30 | 258 / 9 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 25 | $9.668,96 | 230 / 7 | $4.713,83 | 941 / 36 | $3.681,00 | 934 / 41 |
Bronchitis & Asthma W Cc/Mcc | 23 | 53 / 14 | $13.940,30 | 158 / 6 | $6.279,87 | 425 / 21 | $4.607,17 | 421 / 17 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 22 | 74 / 14 | $49.398,10 | 325 / 10 | $16.136,00 | 558 / 24 | $13.315,30 | 555 / 23 |
Major Chest Procedures W Cc | 21 | 53 / 12 | $56.340,30 | 167 / 9 | $17.915,20 | 329 / 8 | $16.804,00 | 327 / 12 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 21 | 72 / 17 | $35.360,60 | 92 / 4 | $14.513,00 | 558 / 13 | $13.336,80 | 552 / 17 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 21 | 43 / 9 | $42.621,80 | 341 / 16 | $11.962,50 | 390 / 18 | $9.097,86 | 390 / 17 |
Other Resp System O.R. Procedures W Mcc | 21 | 42 / 10 | $51.557,40 | 65 / 3 | $25.310,30 | 365 / 12 | $24.167,40 | 364 / 14 |
Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 16 | $70.767,70 | 129 / 6 | $35.102,30 | 809 / 26 | $33.742,60 | 807 / 28 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 20 | 36 / 8 | $28.818,30 | 163 / 7 | $11.202,00 | 636 / 22 | $10.046,20 | 634 / 24 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 20 | 33 / 4 | $22.115,40 | 90 / 5 | $8.266,90 | 241 / 5 | $7.365,00 | 241 / 10 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 20 | 49 / 8 | $67.819,40 | 249 / 11 | $19.885,90 | 361 / 18 | $17.163,80 | 360 / 18 |
Chest Pain | 20 | 131 / 26 | $13.190,90 | 327 / 13 | $4.141,40 | 632 / 18 | $3.061,55 | 628 / 26 |
Permanent Cardiac Pacemaker Implant W Cc | 20 | 57 / 16 | $50.429,90 | 220 / 8 | $22.427,20 | 510 / 22 | $15.986,00 | 509 / 16 |
Transient Ischemia | 19 | 106 / 22 | $14.099,80 | 244 / 11 | $4.805,05 | 757 / 26 | $3.659,26 | 753 / 35 |
Disorders Of Pancreas Except Malignancy W Cc | 19 | 42 / 11 | $19.057,60 | 272 / 12 | $6.628,37 | 332 / 20 | $4.837,68 | 331 / 14 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 19 | 69 / 10 | $75.637,70 | 105 / 4 | $28.143,90 | 389 / 12 | $23.390,40 | 388 / 12 |
Diabetes W Mcc | 19 | 38 / 15 | $27.666,80 | 232 / 20 | $10.409,10 | 503 / 25 | $9.502,05 | 503 / 28 |
Respiratory Neoplasms W Mcc | 19 | 33 / 11 | $39.399,60 | 261 / 18 | $12.035,40 | 358 / 14 | $10.696,80 | 357 / 17 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 24 | $26.785,40 | 296 / 20 | $11.702,50 | 751 / 34 | $10.535,10 | 749 / 35 |
Major Cardiovasc Procedures W Mcc | 18 | 50 / 13 | $112.958,00 | 177 / 8 | $40.990,40 | 487 / 11 | $39.558,20 | 486 / 14 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 17 | 27 / 9 | $72.581,70 | 192 / 11 | $21.689,80 | 322 / 9 | $20.454,00 | 320 / 12 |
Peripheral Vascular Disorders W Cc | 17 | 67 / 14 | $24.700,00 | 632 / 24 | $6.699,35 | 694 / 16 | $5.836,29 | 691 / 24 |
Pulmonary Embolism W Mcc | 16 | 27 / 13 | $17.857,60 | 27 / 1 | $10.545,10 | 380 / 18 | $9.582,19 | 380 / 18 |
Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 14 | $53.744,10 | 223 / 16 | $21.432,00 | 671 / 22 | $20.091,40 | 668 / 24 |
G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 15 | $9.604,69 | 115 / 3 | $4.436,88 | 497 / 21 | $2.961,06 | 496 / 22 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 10 | $36.537,70 | 256 / 15 | $8.441,07 | 376 / 11 | $7.123,27 | 375 / 18 |
Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 13 | $13.956,30 | 239 / 13 | $4.955,50 | 541 / 16 | $4.042,14 | 541 / 22 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 23 | $12.908,20 | 502 / 22 | $4.882,57 | 1134 / 28 | $3.821,29 | 1128 / 44 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 14 | 31 / 9 | $61.402,40 | 38 / 4 | $20.487,10 | 159 / 7 | $19.345,60 | 158 / 10 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 14 | $55.092,80 | 182 / 7 | $24.395,10 | 744 / 29 | $23.039,10 | 741 / 30 |
Other Circulatory System Diagnoses W Cc | 14 | 52 / 16 | $22.473,30 | 247 / 15 | $7.083,86 | 267 / 13 | $5.408,43 | 266 / 9 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 16 | $20.973,10 | 278 / 10 | $6.887,54 | 476 / 9 | $6.160,31 | 476 / 13 |
Pulmonary Embolism W/O Mcc | 13 | 61 / 23 | $16.046,90 | 191 / 8 | $6.852,15 | 763 / 29 | $5.706,85 | 760 / 39 |
Other Digestive System Diagnoses W Mcc | 13 | 49 / 15 | $20.967,80 | 50 / 2 | $11.415,10 | 371 / 12 | $10.606,50 | 370 / 18 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 19 | $17.348,00 | 100 / 3 | $8.597,31 | 558 / 19 | $7.662,38 | 556 / 24 |
Major Chest Procedures W Mcc | 13 | 36 / 8 | $115.854,00 | 135 / 8 | $41.923,50 | 215 / 9 | $34.037,00 | 214 / 7 |
Seizures W Mcc | 13 | 53 / 17 | $19.441,80 | 47 / 1 | $10.444,70 | 397 / 11 | $9.555,31 | 397 / 14 |
Other Disorders Of Nervous System W Cc | 13 | 43 / 15 | $12.984,90 | 50 / 2 | $6.182,15 | 341 / 11 | $5.485,69 | 341 / 19 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 15 | $11.817,60 | 163 / 7 | $4.497,15 | 264 / 15 | $3.262,46 | 263 / 14 |
Complications Of Treatment W Mcc | 13 | 38 / 10 | $29.534,00 | 53 / 6 | $11.896,50 | 112 / 8 | $10.765,60 | 112 / 7 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 14 | $94.980,20 | 185 / 7 | $35.235,90 | 380 / 10 | $30.348,80 | 380 / 11 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 16 | $14.013,00 | 90 / 3 | $6.074,62 | 327 / 10 | $5.140,23 | 327 / 15 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 13 | 41 / 11 | $51.935,70 | 17 / 1 | $20.489,30 | 109 / 3 | $19.392,20 | 109 / 5 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 13 | 56 / 18 | $48.296,80 | 137 / 6 | $12.514,30 | 386 / 14 | $11.285,10 | 384 / 16 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 13 | 105 / 14 | $98.627,20 | 69 / 2 | $37.498,80 | 259 / 10 | $32.395,20 | 259 / 6 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 12 | $18.580,20 | 154 / 10 | $6.426,08 | 229 / 7 | $5.474,92 | 229 / 12 |
Permanent Cardiac Pacemaker Implant W Mcc | 13 | 39 / 13 | $60.062,80 | 74 / 5 | $25.647,00 | 400 / 11 | $24.443,50 | 400 / 12 |
Other Circulatory System O.R. Procedures | 13 | 42 / 9 | $37.741,20 | 43 / 2 | $18.627,00 | 215 / 8 | $17.406,10 | 215 / 10 |
Other Kidney & Urinary Tract Procedures W Mcc | 12 | 26 / 7 | $55.050,20 | 38 / 6 | $21.639,30 | 114 / 7 | $20.341,20 | 113 / 8 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 12 | 28 / 6 | $55.399,50 | 111 / 8 | $14.045,80 | 155 / 7 | $12.802,90 | 155 / 8 |
Acute Myocardial Infarction, Expired W Mcc | 12 | 18 / 8 | $23.802,20 | 20 / 1 | $11.661,10 | 85 / 5 | $10.471,80 | 85 / 6 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 35 | $12.949,90 | 540 / 26 | $4.983,50 | 1014 / 38 | $3.745,42 | 1005 / 45 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 16 | $28.416,90 | 118 / 11 | $13.250,50 | 408 / 21 | $12.317,50 | 407 / 24 |
Major Chest Procedures W/O Cc/Mcc | 11 | 48 / 8 | $56.185,80 | 152 / 8 | $12.370,50 | 135 / 6 | $11.214,00 | 135 / 7 |
Signs & Symptoms W/O Mcc | 11 | 80 / 21 | $17.117,20 | 484 / 18 | $4.815,55 | 696 / 16 | $4.025,00 | 693 / 25 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 22 | $69.383,50 | 70 / 4 | $36.139,00 | 605 / 22 | $34.796,30 | 604 / 25 |
Peripheral Vascular Disorders W Mcc | 11 | 38 / 10 | $21.041,60 | 67 / 4 | $9.431,64 | 268 / 8 | $8.175,18 | 268 / 8 |
Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 13 | $132.280,00 | 69 / 5 | $52.221,10 | 325 / 11 | $50.972,60 | 325 / 15 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 16 | $41.207,40 | 482 / 15 | $7.863,73 | 507 / 13 | $6.590,55 | 506 / 15 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 23 | $16.661,10 | 169 / 8 | $8.167,45 | 693 / 25 | $7.312,82 | 691 / 28 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 18 | $42.393,10 | 308 / 19 | $11.832,90 | 415 / 25 | $9.124,73 | 415 / 21 | Total 122 procedures | 5.070 | 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.