Hospital Costs > In North Carolina > Carolinas Healthcare System Lincoln, 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 | 155 | 361 / 41 | $47.797,30 | 1699 / 74 | $11.322,80 | 689 / 42 | $9.767,65 | 688 / 36 |
Simple Pneumonia & Pleurisy W Mcc | 73 | 132 / 27 | $36.477,80 | 1430 / 67 | $9.387,21 | 1138 / 53 | $8.036,15 | 1138 / 56 |
Chronic Obstructive Pulmonary Disease W Mcc | 72 | 130 / 22 | $29.540,30 | 1444 / 71 | $7.673,93 | 1026 / 52 | $6.267,69 | 1021 / 52 |
Heart Failure & Shock W Mcc | 65 | 219 / 41 | $32.648,40 | 1261 / 67 | $9.145,23 | 633 / 41 | $7.858,35 | 633 / 31 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 65 | 499 / 52 | $66.037,30 | 1893 / 70 | $13.566,60 | 1299 / 50 | $11.589,20 | 1267 / 59 |
Pulmonary Edema & Respiratory Failure | 49 | 154 / 37 | $28.327,50 | 927 / 57 | $8.780,59 | 540 / 63 | $6.382,82 | 540 / 31 |
Cellulitis W/O Mcc | 46 | 143 / 27 | $25.083,80 | 1875 / 69 | $5.710,54 | 1025 / 42 | $4.285,80 | 1019 / 43 |
Chronic Obstructive Pulmonary Disease W Cc | 46 | 133 / 29 | $21.962,50 | 1200 / 59 | $6.114,02 | 1141 / 38 | $5.088,20 | 1137 / 49 |
Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 33 | $26.401,20 | 1731 / 70 | $6.383,64 | 1043 / 36 | $5.117,64 | 1040 / 46 |
Respiratory Infections & Inflammations W Mcc | 44 | 92 / 22 | $44.874,50 | 931 / 61 | $12.201,70 | 768 / 43 | $11.061,20 | 760 / 47 |
Kidney & Urinary Tract Infections W/O Mcc | 43 | 190 / 35 | $21.222,50 | 1695 / 69 | $5.222,77 | 1183 / 45 | $4.077,00 | 1175 / 48 |
Heart Failure & Shock W Cc | 42 | 236 / 46 | $24.830,60 | 1654 / 71 | $6.367,45 | 730 / 42 | $5.088,14 | 729 / 34 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 41 | $21.404,30 | 1543 / 62 | $5.255,59 | 883 / 54 | $3.681,62 | 878 / 35 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 40 | $28.225,60 | 1516 / 72 | $7.109,69 | 528 / 48 | $5.235,78 | 526 / 23 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 35 | $19.815,90 | 1541 / 68 | $5.244,48 | 450 / 62 | $3.278,28 | 450 / 19 |
Renal Failure W Cc | 25 | 196 / 55 | $19.562,60 | 940 / 51 | $6.207,36 | 763 / 38 | $4.973,68 | 756 / 38 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 41 | $30.350,70 | 1179 / 66 | $6.953,42 | 947 / 40 | $5.754,50 | 944 / 52 |
Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 40 | $26.436,70 | 999 / 62 | $7.332,33 | 860 / 48 | $6.165,57 | 858 / 50 |
G.I. Hemorrhage W Cc | 21 | 197 / 56 | $31.868,00 | 1654 / 78 | $6.741,71 | 582 / 54 | $4.982,10 | 581 / 29 |
Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 37 | $58.953,80 | 1319 / 62 | $11.833,20 | 745 / 35 | $10.508,20 | 738 / 44 |
G.I. Obstruction W Cc | 19 | 73 / 23 | $21.139,60 | 733 / 35 | $5.798,74 | 734 / 16 | $4.741,37 | 733 / 25 |
Renal Failure W Mcc | 19 | 176 / 43 | $39.220,60 | 1252 / 69 | $9.535,89 | 730 / 38 | $8.425,58 | 730 / 49 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 32 | $19.119,90 | 819 / 38 | $5.420,83 | 1009 / 33 | $4.527,50 | 1003 / 45 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 31 | $21.208,60 | 1348 / 63 | $4.968,47 | 827 / 35 | $3.600,35 | 823 / 31 |
Diabetes W Cc | 16 | 76 / 29 | $24.246,20 | 957 / 54 | $5.568,06 | 691 / 34 | $4.521,31 | 689 / 37 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 32 | $65.470,10 | 1049 / 57 | $13.677,70 | 451 / 25 | $12.327,40 | 446 / 28 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 39 | $22.826,10 | 514 / 30 | $7.678,20 | 642 / 26 | $6.578,73 | 639 / 35 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 47 | $20.467,90 | 1087 / 56 | $5.332,27 | 787 / 41 | $4.100,27 | 784 / 35 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 17 | $16.242,50 | 609 / 26 | $4.263,50 | 494 / 15 | $2.960,21 | 493 / 21 |
Cellulitis W Mcc | 13 | 45 / 17 | $38.377,10 | 553 / 26 | $9.519,69 | 420 / 13 | $8.389,38 | 418 / 17 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 16 | $20.324,90 | 308 / 15 | $6.570,00 | 238 / 19 | $4.591,23 | 238 / 12 |
Syncope & Collapse | 13 | 156 / 36 | $23.486,90 | 1136 / 46 | $4.999,15 | 726 / 27 | $3.776,69 | 723 / 26 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 41 | $17.374,00 | 1229 / 59 | $5.171,17 | 171 / 58 | $2.082,08 | 171 / 3 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 32 | $121.039,00 | 748 / 40 | $33.279,20 | 717 / 29 | $31.657,80 | 711 / 31 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 26 | $28.912,90 | 831 / 35 | $6.241,75 | 522 / 9 | $5.234,58 | 519 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 31 | $25.600,50 | 936 / 55 | $6.541,45 | 201 / 52 | $3.206,73 | 199 / 9 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 26 | $16.638,50 | 895 / 40 | $5.308,73 | 637 / 44 | $3.354,73 | 634 / 26 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 33 | $36.207,20 | 666 / 36 | $10.371,50 | 448 / 23 | $8.877,55 | 448 / 23 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 23 | $25.066,60 | 481 / 28 | $7.627,27 | 276 / 19 | $6.078,00 | 275 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 40 | $33.856,40 | 481 / 38 | $10.202,20 | 327 / 19 | $8.864,36 | 326 / 23 | Total 40 procedures | 1.235 | 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.