Hospital Costs > In North Carolina > Carolinas Medical Center-Pineville, 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 | 279 | 288 / 16 | $61.301,20 | 1738 / 66 | $13.625,80 | 818 / 52 | $10.781,40 | 804 / 35 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 194 | 322 / 30 | $40.092,20 | 1324 / 62 | $11.962,70 | 837 / 58 | $9.975,37 | 836 / 44 |
| Heart Failure & Shock W Mcc | 128 | 156 / 23 | $30.885,10 | 1140 / 64 | $9.104,40 | 711 / 39 | $7.943,02 | 711 / 35 |
| Heart Failure & Shock W Cc | 124 | 154 / 17 | $22.786,50 | 1462 / 63 | $6.220,54 | 697 / 33 | $5.061,18 | 696 / 31 |
| Renal Failure W Cc | 111 | 110 / 16 | $21.517,70 | 1123 / 61 | $6.378,57 | 568 / 46 | $4.819,23 | 564 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 108 | 167 / 17 | $22.049,40 | 1633 / 67 | $5.100,14 | 636 / 42 | $3.519,14 | 632 / 22 |
| G.I. Hemorrhage W Cc | 107 | 111 / 15 | $25.728,10 | 1269 / 64 | $6.489,79 | 696 / 40 | $5.086,99 | 695 / 35 |
| Cellulitis W/O Mcc | 101 | 88 / 6 | $18.249,50 | 1270 / 53 | $5.754,63 | 651 / 44 | $4.013,04 | 648 / 22 |
| Renal Failure W Mcc | 94 | 101 / 13 | $32.316,90 | 911 / 59 | $9.802,10 | 660 / 46 | $8.309,57 | 660 / 42 |
| Chronic Obstructive Pulmonary Disease W Mcc | 92 | 110 / 17 | $26.555,10 | 1244 / 66 | $7.662,45 | 563 / 50 | $5.831,80 | 562 / 26 |
| Kidney & Urinary Tract Infections W/O Mcc | 86 | 147 / 18 | $18.002,90 | 1351 / 58 | $4.931,55 | 702 / 23 | $3.756,22 | 698 / 29 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 84 | 112 / 15 | $74.707,30 | 769 / 24 | $15.156,70 | 169 / 22 | $9.704,10 | 169 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 78 | 127 / 25 | $30.769,90 | 1090 / 56 | $9.264,10 | 275 / 49 | $6.976,96 | 275 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 76 | 74 / 12 | $14.450,20 | 915 / 47 | $3.834,72 | 592 / 24 | $2.510,97 | 588 / 23 |
| Respiratory Infections & Inflammations W Mcc | 71 | 65 / 12 | $34.547,80 | 574 / 42 | $11.996,80 | 269 / 35 | $9.953,82 | 269 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 68 | 114 / 16 | $26.152,20 | 869 / 51 | $6.400,26 | 544 / 20 | $5.262,29 | 543 / 23 |
| Simple Pneumonia & Pleurisy W Cc | 64 | 139 / 22 | $20.904,50 | 1230 / 56 | $6.532,38 | 525 / 48 | $4.665,72 | 522 / 20 |
| Kidney & Urinary Tract Infections W Mcc | 64 | 80 / 10 | $24.514,80 | 888 / 58 | $7.068,38 | 695 / 37 | $5.944,92 | 694 / 41 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 61 | 146 / 26 | $26.922,50 | 1418 / 69 | $7.784,02 | 459 / 65 | $5.161,62 | 457 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 61 | 100 / 16 | $18.768,00 | 929 / 49 | $5.133,95 | 548 / 25 | $3.862,11 | 546 / 24 |
| Chronic Obstructive Pulmonary Disease W Cc | 59 | 120 / 22 | $20.353,20 | 1038 / 51 | $5.998,68 | 705 / 32 | $4.730,98 | 703 / 34 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 59 | 43 / 8 | $22.736,20 | 768 / 46 | $5.313,29 | 347 / 37 | $3.431,14 | 344 / 16 |
| Hip & Femur Procedures Except Major Joint W Cc | 55 | 88 / 13 | $56.189,90 | 1246 / 61 | $12.017,40 | 608 / 39 | $10.256,30 | 605 / 37 |
| Rehabilitation W Cc/Mcc | 54 | 17 / 1 | $35.539,80 | 18 / 1 | $10.347,00 | 6 / 1 | $7.389,56 | 6 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 53 | 70 / 14 | $21.996,90 | 460 / 29 | $8.162,25 | 364 / 40 | $6.155,02 | 363 / 19 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 53 | 135 / 21 | $34.140,20 | 714 / 29 | $7.491,87 | 246 / 23 | $5.057,26 | 246 / 5 |
| Red Blood Cell Disorders W/O Mcc | 52 | 91 / 15 | $18.705,70 | 776 / 35 | $5.164,29 | 595 / 21 | $4.074,73 | 591 / 24 |
| Pulmonary Edema & Respiratory Failure | 49 | 154 / 37 | $27.585,60 | 891 / 55 | $7.952,75 | 390 / 39 | $6.207,51 | 390 / 21 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 43 | 30 / 4 | $25.924,80 | 518 / 29 | $8.123,35 | 154 / 23 | $5.787,23 | 154 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 42 | 126 / 19 | $32.849,40 | 434 / 36 | $10.302,70 | 377 / 23 | $9.034,48 | 376 / 30 |
| Bronchitis & Asthma W Cc/Mcc | 41 | 35 / 2 | $17.959,00 | 308 / 19 | $5.601,41 | 334 / 11 | $4.398,15 | 330 / 14 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 25 | $18.549,60 | 1387 / 64 | $4.717,03 | 649 / 34 | $3.417,87 | 647 / 25 |
| Spinal Fusion Except Cervical W/O Mcc | 39 | 155 / 19 | $82.272,60 | 559 / 13 | $23.484,70 | 333 / 13 | $20.789,90 | 332 / 12 |
| G.I. Obstruction W Cc | 39 | 53 / 12 | $23.917,10 | 919 / 43 | $5.927,31 | 532 / 21 | $4.513,64 | 531 / 17 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 35 | 96 / 19 | $53.683,10 | 731 / 44 | $14.138,80 | 585 / 35 | $12.663,30 | 577 / 34 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 33 | 68 / 16 | $38.354,20 | 597 / 36 | $9.876,97 | 322 / 23 | $8.438,30 | 322 / 23 |
| Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 19 | $19.556,80 | 1267 / 57 | $4.413,41 | 667 / 20 | $3.446,19 | 665 / 33 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 32 | 94 / 20 | $24.971,50 | 703 / 46 | $7.173,25 | 360 / 26 | $5.809,59 | 357 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 31 | 65 / 17 | $29.654,90 | 625 / 37 | $7.556,35 | 231 / 16 | $6.068,39 | 230 / 11 |
| G.I. Obstruction W/O Cc/Mcc | 31 | 40 / 5 | $15.324,90 | 548 / 22 | $4.147,03 | 471 / 13 | $2.932,45 | 470 / 20 |
| G.I. Hemorrhage W Mcc | 30 | 91 / 18 | $51.429,30 | 1038 / 51 | $12.307,90 | 952 / 43 | $11.026,40 | 946 / 44 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 10 | $18.075,80 | 1033 / 46 | $5.358,76 | 161 / 46 | $2.834,86 | 160 / 4 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 28 | 12 / 1 | $20.679,80 | 60 / 1 | $6.861,82 | 37 / 2 | $5.593,79 | 37 / 2 |
| Syncope & Collapse | 27 | 142 / 25 | $18.008,00 | 677 / 32 | $4.736,89 | 602 / 19 | $3.652,96 | 599 / 21 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 27 | 65 / 13 | $122.839,00 | 340 / 23 | $35.627,70 | 332 / 13 | $33.721,20 | 331 / 17 |
| Respiratory Infections & Inflammations W Cc | 27 | 61 / 13 | $27.101,90 | 575 / 42 | $8.522,15 | 390 / 23 | $7.149,74 | 387 / 23 |
| Pulmonary Embolism W/O Mcc | 27 | 47 / 14 | $33.304,80 | 925 / 48 | $7.947,81 | 533 / 43 | $5.252,89 | 531 / 24 |
| Chest Pain | 27 | 124 / 20 | $19.587,70 | 894 / 37 | $4.452,63 | 450 / 30 | $2.881,59 | 448 / 18 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 24 | $16.723,10 | 991 / 53 | $5.428,00 | 73 / 55 | $2.742,80 | 73 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 25 | 75 / 16 | $102.313,00 | 519 / 15 | $22.947,00 | 103 / 13 | $16.375,20 | 103 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 21 | $31.134,90 | 778 / 35 | $6.637,36 | 524 / 16 | $5.508,56 | 523 / 20 |
| Cervical Spinal Fusion W/O Cc/Mcc | 24 | 80 / 17 | $51.949,20 | 360 / 11 | $13.965,60 | 270 / 14 | $11.454,40 | 269 / 8 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 24 | 49 / 7 | $53.470,20 | 261 / 16 | $10.959,60 | 67 / 13 | $5.744,58 | 67 / 6 |
| Other Digestive System Diagnoses W Cc | 24 | 73 / 19 | $26.971,90 | 755 / 32 | $6.182,42 | 363 / 8 | $4.966,92 | 360 / 12 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 24 | 32 / 8 | $51.809,00 | 487 / 29 | $11.510,20 | 71 / 23 | $7.660,38 | 71 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 24 | 101 / 24 | $35.435,80 | 637 / 31 | $10.056,70 | 352 / 18 | $8.668,71 | 352 / 15 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 23 | 34 / 10 | $44.501,20 | 211 / 9 | $13.505,00 | 146 / 9 | $11.041,60 | 145 / 6 |
| Major Small & Large Bowel Procedures W Cc | 23 | 85 / 19 | $62.636,90 | 703 / 34 | $17.241,70 | 201 / 32 | $12.501,60 | 199 / 10 |
| Diabetes W Cc | 23 | 69 / 22 | $18.716,50 | 600 / 43 | $5.346,39 | 244 / 22 | $3.908,78 | 244 / 9 |
| Medical Back Problems W/O Mcc | 23 | 98 / 17 | $21.430,50 | 631 / 22 | $5.385,87 | 482 / 6 | $4.198,48 | 482 / 13 |
| Diabetes W Mcc | 22 | 35 / 12 | $27.544,00 | 229 / 19 | $8.400,86 | 71 / 8 | $6.773,36 | 71 / 5 |
| Other Circulatory System Diagnoses W Mcc | 22 | 94 / 16 | $53.626,00 | 822 / 36 | $12.194,10 | 442 / 17 | $10.537,80 | 441 / 16 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 24 | $100.321,00 | 492 / 34 | $29.575,00 | 164 / 14 | $26.397,10 | 164 / 11 |
| Permanent Cardiac Pacemaker Implant W Cc | 21 | 56 / 15 | $55.880,30 | 294 / 12 | $15.390,10 | 234 / 4 | $14.241,70 | 233 / 5 |
| Renal Failure W/O Cc/Mcc | 20 | 36 / 10 | $19.044,30 | 524 / 26 | $4.955,05 | 110 / 20 | $2.720,10 | 109 / 2 |
| Red Blood Cell Disorders W Mcc | 20 | 51 / 13 | $21.282,30 | 183 / 12 | $7.849,70 | 180 / 9 | $6.443,35 | 180 / 7 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 19 | 28 / 7 | $43.574,80 | 356 / 20 | $10.095,80 | 37 / 20 | $5.210,53 | 37 / 1 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 19 | 50 / 15 | $58.896,90 | 251 / 13 | $12.272,40 | 52 / 12 | $8.613,05 | 52 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 19 | 74 / 18 | $48.561,40 | 294 / 14 | $12.413,50 | 208 / 1 | $11.086,00 | 204 / 2 |
| Other Circulatory System Diagnoses W Cc | 19 | 47 / 11 | $23.923,80 | 277 / 17 | $7.867,58 | 77 / 18 | $4.604,26 | 77 / 3 |
| Extracranial Procedures W/O Cc/Mcc | 19 | 79 / 19 | $43.975,50 | 698 / 25 | $6.488,68 | 406 / 5 | $5.489,37 | 405 / 11 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 18 | 41 / 6 | $173.618,00 | 145 / 7 | $41.152,20 | 95 / 3 | $33.770,10 | 95 / 4 |
| Cellulitis W Mcc | 18 | 40 / 13 | $41.115,10 | 619 / 30 | $9.435,17 | 316 / 12 | $7.942,94 | 315 / 13 |
| G.I. Hemorrhage W/O Cc/Mcc | 18 | 50 / 11 | $17.354,90 | 443 / 23 | $4.646,56 | 157 / 7 | $3.090,28 | 157 / 4 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 18 | 78 / 17 | $71.417,10 | 603 / 26 | $14.271,30 | 218 / 17 | $11.158,10 | 216 / 9 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 18 | $88.963,10 | 290 / 13 | $27.800,60 | 155 / 6 | $25.936,80 | 155 / 4 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 17 | 78 / 13 | $59.685,60 | 180 / 6 | $15.828,70 | 13 / 11 | $8.704,82 | 13 / 1 |
| Respiratory Neoplasms W Mcc | 17 | 35 / 12 | $32.985,60 | 145 / 10 | $10.473,40 | 169 / 5 | $9.277,00 | 169 / 9 |
| Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 12 | $24.109,30 | 445 / 22 | $5.910,59 | 294 / 8 | $4.729,12 | 293 / 13 |
| Pulmonary Embolism W Mcc | 17 | 26 / 12 | $48.009,90 | 400 / 25 | $9.880,00 | 110 / 9 | $7.727,35 | 110 / 5 |
| Digestive Malignancy W Cc | 17 | 30 / 8 | $39.180,60 | 233 / 12 | $7.832,41 | 68 / 2 | $6.432,94 | 68 / 2 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 16 | 52 / 13 | $21.994,90 | 264 / 19 | $5.678,00 | 174 / 4 | $4.532,00 | 174 / 8 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 17 | $98.306,40 | 243 / 16 | $34.532,60 | 12 / 20 | $23.280,20 | 12 / 2 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 16 | 27 / 6 | $15.469,90 | 89 / 4 | $4.627,69 | 71 / 3 | $3.083,81 | 71 / 3 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 15 | $21.489,90 | 476 / 19 | $6.177,12 | 200 / 8 | $4.650,06 | 200 / 4 |
| Signs & Symptoms W/O Mcc | 16 | 75 / 16 | $21.197,30 | 711 / 27 | $4.803,75 | 187 / 15 | $3.204,50 | 187 / 4 |
| Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 11 | $18.194,70 | 443 / 20 | $4.715,00 | 185 / 13 | $3.209,62 | 186 / 8 |
| Disorders Of The Biliary Tract W Cc | 15 | 39 / 8 | $37.347,70 | 295 / 13 | $6.921,40 | 31 / 4 | $4.915,07 | 31 / 1 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 19 | $27.714,70 | 299 / 25 | $8.592,93 | 326 / 14 | $7.780,00 | 325 / 18 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 13 | $89.490,10 | 569 / 31 | $17.708,30 | 118 / 3 | $16.066,90 | 118 / 4 |
| Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 15 | $86.188,40 | 589 / 27 | $20.802,20 | 391 / 21 | $17.231,30 | 388 / 17 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 15 | $23.785,50 | 417 / 25 | $6.030,93 | 93 / 29 | $3.302,00 | 93 / 3 |
| Transient Ischemia | 14 | 111 / 27 | $23.729,50 | 898 / 44 | $4.751,21 | 376 / 24 | $3.234,14 | 375 / 12 |
| Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 16 | $22.429,60 | 311 / 9 | $5.978,00 | 144 / 2 | $4.776,43 | 144 / 4 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 14 | 104 / 13 | $166.906,00 | 339 / 14 | $35.144,60 | 295 / 6 | $33.280,10 | 295 / 10 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 14 | 102 / 13 | $189.330,00 | 192 / 9 | $46.696,10 | 100 / 3 | $45.028,30 | 100 / 3 |
| Bronchitis & Asthma W/O Cc/Mcc | 14 | 31 / 6 | $19.143,10 | 195 / 10 | $4.574,57 | 87 / 3 | $2.859,14 | 87 / 2 |
| Permanent Cardiac Pacemaker Implant W Mcc | 14 | 38 / 12 | $69.300,80 | 137 / 7 | $20.862,90 | 103 / 3 | $19.509,40 | 103 / 3 |
| Other Digestive System Diagnoses W Mcc | 13 | 49 / 15 | $44.146,80 | 379 / 21 | $10.596,50 | 188 / 2 | $9.415,38 | 188 / 6 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 13 | 32 / 10 | $78.201,40 | 92 / 8 | $17.507,20 | 69 / 2 | $16.483,40 | 69 / 3 |
| Seizures W/O Mcc | 13 | 95 / 22 | $20.829,40 | 592 / 24 | $6.987,69 | 65 / 29 | $3.192,38 | 65 / 1 |
| Other Disorders Of Nervous System W Cc | 13 | 43 / 15 | $23.615,30 | 252 / 17 | $5.621,15 | 129 / 7 | $4.529,69 | 129 / 6 |
| Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 11 | $203.357,00 | 244 / 13 | $45.327,70 | 215 / 5 | $43.181,50 | 215 / 9 |
| Coagulation Disorders | 12 | 15 / 4 | $49.159,90 | 43 / 2 | $12.852,60 | 27 / 2 | $10.417,10 | 27 / 1 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 8 | $41.827,20 | 336 / 14 | $10.190,20 | 276 / 12 | $7.768,08 | 276 / 11 |
| Headaches W/O Mcc | 12 | 31 / 5 | $34.014,80 | 184 / 11 | $4.696,50 | 107 / 3 | $3.691,58 | 107 / 6 |
| G.I. Obstruction W Mcc | 12 | 30 / 12 | $29.351,80 | 119 / 8 | $9.884,00 | 135 / 4 | $8.723,75 | 135 / 4 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 12 | 51 / 7 | $91.870,60 | 156 / 7 | $20.549,60 | 112 / 3 | $19.043,80 | 112 / 6 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 16 | $52.304,50 | 485 / 21 | $9.833,50 | 290 / 4 | $8.547,58 | 290 / 12 |
| Inflammatory Bowel Disease W Cc | 12 | 20 / 6 | $24.295,60 | 56 / 8 | $7.046,33 | 17 / 3 | $4.662,92 | 17 / 2 |
| Seizures W Mcc | 11 | 55 / 18 | $44.723,60 | 422 / 19 | $8.275,36 | 19 / 1 | $6.826,55 | 19 / 1 |
| Transurethral Procedures W Cc | 11 | 30 / 5 | $36.470,50 | 192 / 5 | $7.738,09 | 52 / 2 | $6.168,45 | 52 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 11 | 18 / 4 | $17.754,20 | 47 / 4 | $5.348,18 | 51 / 2 | $4.400,36 | 51 / 3 |
| Other Disorders Of Nervous System W Mcc | 11 | 29 / 11 | $42.447,70 | 164 / 13 | $9.873,36 | 93 / 5 | $8.929,55 | 93 / 6 | Total 114 procedures | 4.275 | 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.