Hospital Costs > In North Carolina > Carteret General Hospital, 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 | 240 | 276 / 23 | $21.736,00 | 352 / 15 | $13.115,70 | 1901 / 69 | $12.042,80 | 1866 / 73 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 201 | 363 / 23 | $31.820,40 | 307 / 10 | $14.963,00 | 1929 / 66 | $13.358,40 | 1887 / 72 |
G.I. Hemorrhage W Cc | 88 | 130 / 17 | $15.500,20 | 337 / 18 | $6.977,38 | 1539 / 64 | $6.033,65 | 1535 / 70 |
Heart Failure & Shock W Cc | 65 | 213 / 35 | $14.385,30 | 510 / 25 | $6.959,86 | 1731 / 63 | $6.039,62 | 1726 / 67 |
Pulmonary Edema & Respiratory Failure | 59 | 144 / 31 | $12.847,50 | 64 / 5 | $8.472,34 | 1309 / 55 | $7.429,15 | 1305 / 62 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 58 | 149 / 28 | $12.038,40 | 148 / 5 | $7.420,59 | 1581 / 55 | $6.400,31 | 1574 / 69 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 57 | 68 / 11 | $20.806,10 | 166 / 9 | $12.383,40 | 1146 / 41 | $10.831,20 | 1141 / 40 |
Simple Pneumonia & Pleurisy W Mcc | 54 | 151 / 38 | $18.336,30 | 282 / 15 | $10.127,10 | 1683 / 65 | $9.107,91 | 1683 / 67 |
Respiratory Infections & Inflammations W Mcc | 53 | 83 / 17 | $20.126,60 | 107 / 10 | $13.806,70 | 1286 / 57 | $12.877,30 | 1271 / 60 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 52 | 109 / 20 | $10.838,70 | 161 / 6 | $5.480,08 | 1139 / 43 | $4.433,00 | 1135 / 57 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 50 | 100 / 18 | $9.528,70 | 304 / 12 | $3.848,18 | 948 / 26 | $2.783,14 | 943 / 42 |
Heart Failure & Shock W Mcc | 49 | 235 / 47 | $17.314,00 | 265 / 13 | $10.450,70 | 1734 / 67 | $9.550,04 | 1729 / 73 |
Renal Failure W Cc | 44 | 177 / 43 | $12.486,30 | 254 / 12 | $6.717,75 | 1510 / 58 | $5.770,02 | 1501 / 68 |
Simple Pneumonia & Pleurisy W Cc | 42 | 161 / 36 | $12.726,60 | 326 / 8 | $6.816,02 | 1708 / 57 | $5.732,40 | 1700 / 68 |
Renal Failure W Mcc | 36 | 159 / 33 | $13.824,20 | 41 / 2 | $10.657,40 | 1358 / 58 | $9.804,22 | 1358 / 64 |
Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 24 | $29.467,90 | 211 / 5 | $13.627,80 | 1401 / 57 | $12.381,50 | 1383 / 59 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 35 | 147 / 33 | $13.063,90 | 78 / 5 | $7.476,26 | 1328 / 55 | $6.395,23 | 1325 / 64 |
Cellulitis W/O Mcc | 33 | 156 / 36 | $9.660,85 | 215 / 4 | $5.873,21 | 1459 / 50 | $4.677,94 | 1452 / 59 |
Acute Myocardial Infarction, Discharged Alive W Cc | 30 | 61 / 16 | $14.863,90 | 109 / 1 | $7.281,83 | 916 / 21 | $6.414,10 | 914 / 32 |
Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 47 | $10.128,00 | 40 / 1 | $8.132,10 | 1677 / 62 | $7.156,77 | 1669 / 70 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 30 | 245 / 45 | $11.398,90 | 322 / 9 | $5.147,80 | 1540 / 45 | $4.163,67 | 1528 / 66 |
G.I. Hemorrhage W Mcc | 30 | 91 / 18 | $22.313,50 | 115 / 4 | $12.222,40 | 1035 / 42 | $11.412,80 | 1027 / 46 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 27 | $17.867,10 | 230 / 11 | $8.445,50 | 1121 / 46 | $7.420,39 | 1118 / 51 |
Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 34 | $13.355,70 | 162 / 10 | $7.859,37 | 1276 / 56 | $6.938,19 | 1272 / 63 |
Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 45 | $11.802,20 | 490 / 11 | $5.368,30 | 1499 / 52 | $4.351,56 | 1488 / 65 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 27 | $22.451,80 | 138 / 9 | $12.333,30 | 1029 / 47 | $11.198,80 | 1024 / 51 |
Nonspecific Cerebrovascular Disorders W Cc | 22 | 34 / 6 | $12.403,30 | 24 / 1 | $6.809,86 | 233 / 7 | $5.680,23 | 233 / 8 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 17 | $9.434,90 | 182 / 8 | $4.886,05 | 1153 / 29 | $3.840,71 | 1147 / 45 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 21 | 32 / 11 | $9.245,62 | 41 / 1 | $5.231,00 | 471 / 15 | $4.211,00 | 468 / 23 |
Respiratory Infections & Inflammations W Cc | 21 | 67 / 18 | $15.647,40 | 118 / 6 | $9.696,71 | 1037 / 44 | $8.823,57 | 1032 / 48 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 39 | $8.625,48 | 200 / 3 | $4.865,43 | 1292 / 43 | $3.882,95 | 1288 / 56 |
Major Small & Large Bowel Procedures W Cc | 20 | 88 / 22 | $39.615,40 | 183 / 5 | $17.779,20 | 1094 / 34 | $16.532,80 | 1081 / 41 |
Nonspecific Cerebrovascular Disorders W Mcc | 18 | 33 / 7 | $23.938,90 | 57 / 1 | $11.852,20 | 270 / 7 | $11.040,30 | 270 / 11 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 31 | $9.343,35 | 207 / 4 | $4.691,94 | 1097 / 34 | $3.841,59 | 1088 / 46 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 27 | $43.599,90 | 34 / 2 | $36.645,50 | 1018 / 35 | $35.722,90 | 1012 / 38 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 26 | $11.952,80 | 97 / 3 | $5.273,12 | 807 / 32 | $4.002,29 | 803 / 40 |
Atherosclerosis W/O Mcc | 17 | 41 / 9 | $13.818,10 | 133 / 10 | $4.201,71 | / 7 | $3.165,29 | / |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 32 | $29.516,50 | 118 / 8 | $16.133,60 | 1244 / 53 | $15.345,20 | 1231 / 56 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 11 | $25.484,40 | 99 / 2 | $11.284,50 | 639 / 23 | $10.062,10 | 636 / 25 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 15 | $41.229,50 | 63 / 4 | $21.976,80 | 721 / 24 | $20.853,30 | 718 / 26 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 13 | $26.225,50 | 72 / 2 | $11.380,70 | 542 / 14 | $10.364,90 | 542 / 21 |
Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 20 | $16.576,90 | 47 / 5 | $9.395,64 | 451 / 22 | $8.337,36 | 450 / 25 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 21 | $52.201,10 | 372 / 13 | $15.381,20 | 619 / 23 | $14.146,80 | 615 / 27 |
Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 50 | $11.419,40 | 183 / 6 | $6.517,17 | 1506 / 56 | $5.518,50 | 1500 / 62 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 26 | $13.425,20 | 106 / 2 | $6.691,25 | 765 / 18 | $5.709,25 | 761 / 27 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 24 | $18.528,00 | 35 / 1 | $13.081,50 | 852 / 24 | $12.441,20 | 847 / 30 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 22 | $15.759,20 | 138 / 5 | $8.163,92 | 699 / 24 | $7.329,92 | 697 / 30 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 19 | $13.995,70 | 145 / 4 | $6.784,18 | 670 / 18 | $5.767,82 | 667 / 20 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 24 | $64.593,00 | 94 / 3 | $35.771,30 | 863 / 28 | $34.699,60 | 861 / 31 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 36 | $9.267,73 | 173 / 7 | $4.977,00 | 960 / 37 | $3.700,27 | 951 / 41 | Total 50 procedures | 1.860 | 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.