Hospital Costs > In North Carolina > Catawba Valley 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 | 200 | 364 / 24 | $39.214,70 | 713 / 19 | $13.102,40 | 871 / 35 | $10.852,40 | 852 / 37 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 169 | 347 / 36 | $25.864,90 | 581 / 27 | $11.060,90 | 821 / 34 | $9.945,99 | 820 / 43 |
G.I. Hemorrhage W Cc | 68 | 150 / 26 | $14.894,50 | 300 / 17 | $6.803,40 | 988 / 58 | $5.352,06 | 986 / 48 |
Simple Pneumonia & Pleurisy W Mcc | 57 | 148 / 35 | $26.606,90 | 811 / 43 | $9.209,84 | 861 / 47 | $7.725,40 | 861 / 46 |
Chronic Obstructive Pulmonary Disease W Mcc | 57 | 145 / 30 | $20.828,30 | 798 / 39 | $7.608,30 | 976 / 47 | $6.217,98 | 971 / 51 |
Pulmonary Edema & Respiratory Failure | 56 | 147 / 32 | $26.154,10 | 804 / 49 | $8.388,52 | 1193 / 49 | $7.219,29 | 1191 / 60 |
Heart Failure & Shock W Mcc | 44 | 240 / 50 | $24.912,30 | 733 / 45 | $9.477,43 | 814 / 56 | $8.069,45 | 814 / 43 |
Hip & Femur Procedures Except Major Joint W Cc | 43 | 100 / 21 | $37.490,00 | 517 / 24 | $11.515,00 | 563 / 28 | $10.177,10 | 561 / 34 |
Renal Failure W Mcc | 42 | 153 / 31 | $30.014,50 | 770 / 53 | $9.768,83 | 683 / 45 | $8.343,95 | 683 / 43 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 29 | $20.138,90 | 488 / 31 | $6.968,41 | 1025 / 41 | $5.866,27 | 1022 / 55 |
Spinal Fusion Except Cervical W/O Mcc | 40 | 154 / 18 | $85.542,30 | 588 / 18 | $26.577,20 | 101 / 24 | $18.983,70 | 100 / 2 |
Renal Failure W Cc | 36 | 185 / 48 | $20.155,10 | 995 / 54 | $6.517,64 | 1112 / 53 | $5.303,06 | 1104 / 55 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 44 | $16.322,80 | 917 / 37 | $5.336,72 | 1545 / 58 | $4.165,88 | 1532 / 67 |
Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 45 | $18.782,00 | 996 / 45 | $6.520,00 | 1197 / 47 | $5.224,10 | 1193 / 52 |
Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 32 | $15.082,10 | 249 / 18 | $7.072,69 | 620 / 38 | $5.841,41 | 619 / 36 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 46 | $19.091,90 | 700 / 36 | $6.977,86 | 1122 / 43 | $5.777,72 | 1118 / 57 |
Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 39 | $20.846,00 | 1090 / 56 | $6.382,43 | 1213 / 53 | $5.178,21 | 1208 / 55 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 27 | 161 / 27 | $26.333,90 | 350 / 16 | $7.010,33 | 740 / 15 | $5.797,00 | 738 / 22 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 23 | $50.605,90 | 632 / 39 | $14.201,80 | 710 / 37 | $12.993,80 | 702 / 41 |
Heart Failure & Shock W Cc | 26 | 252 / 55 | $14.353,90 | 505 / 24 | $6.645,42 | 1400 / 52 | $5.643,23 | 1395 / 59 |
Extracranial Procedures W/O Cc/Mcc | 25 | 73 / 15 | $21.704,10 | 192 / 9 | $7.143,04 | 337 / 14 | $5.298,96 | 337 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 31 | $20.253,00 | 349 / 18 | $7.758,79 | 610 / 28 | $6.540,46 | 607 / 33 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 40 | $20.246,80 | 1073 / 55 | $5.571,04 | 1128 / 51 | $4.421,83 | 1124 / 55 |
G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 11 | $10.726,50 | 185 / 8 | $4.708,05 | 601 / 29 | $3.089,71 | 600 / 24 |
Poisoning & Toxic Effects Of Drugs W Mcc | 21 | 51 / 14 | $16.970,20 | 50 / 6 | $8.316,29 | 203 / 9 | $7.266,00 | 202 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 22 | $16.336,20 | 329 / 17 | $5.310,05 | 594 / 36 | $3.732,48 | 590 / 29 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 20 | 176 / 22 | $58.889,90 | 428 / 14 | $13.352,50 | 480 / 10 | $10.602,40 | 478 / 9 |
Major Small & Large Bowel Procedures W Cc | 20 | 88 / 22 | $53.676,90 | 500 / 24 | $15.523,30 | 599 / 14 | $13.992,20 | 593 / 25 |
Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 49 | $12.447,80 | 570 / 19 | $5.436,25 | 1552 / 57 | $4.397,05 | 1541 / 67 |
Transient Ischemia | 20 | 105 / 21 | $21.503,20 | 769 / 42 | $5.421,85 | 485 / 42 | $3.360,00 | 484 / 19 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 15 | $96.166,30 | 227 / 15 | $30.703,60 | 85 / 11 | $26.190,80 | 85 / 3 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 25 | $35.681,20 | 538 / 35 | $9.432,44 | 281 / 16 | $8.304,67 | 281 / 21 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 29 | $19.121,60 | 363 / 25 | $7.313,33 | 530 / 29 | $6.064,83 | 527 / 28 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 38 | $10.945,50 | 448 / 22 | $4.523,71 | 978 / 51 | $2.802,18 | 973 / 44 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 43 | $33.623,80 | 540 / 37 | $11.361,90 | 352 / 21 | $10.133,10 | 352 / 23 |
Diabetes W Cc | 16 | 76 / 29 | $14.256,20 | 288 / 14 | $5.764,19 | 653 / 42 | $4.462,25 | 652 / 33 |
Cellulitis W/O Mcc | 15 | 174 / 49 | $13.830,60 | 703 / 26 | $5.824,47 | 1555 / 49 | $4.787,07 | 1548 / 61 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 45 | $19.910,00 | 1548 / 69 | $5.078,80 | 1148 / 56 | $3.769,47 | 1145 / 45 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 22 | $13.886,70 | 608 / 26 | $4.984,20 | 1018 / 35 | $3.692,47 | 1013 / 41 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 29 | $83.946,10 | 286 / 21 | $28.729,90 | 247 / 10 | $27.350,50 | 247 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 25 | $26.116,00 | 480 / 24 | $8.595,80 | 769 / 36 | $7.299,80 | 764 / 37 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 36 | $27.146,10 | 264 / 23 | $10.244,30 | 371 / 20 | $9.012,00 | 370 / 28 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 19 | $108.597,00 | 238 / 12 | $38.066,20 | 283 / 19 | $32.919,10 | 282 / 14 |
Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 19 | $69.705,40 | 253 / 6 | $23.590,90 | 484 / 15 | $20.194,40 | 484 / 12 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 33 | $16.127,90 | 921 / 47 | $5.155,43 | 1022 / 48 | $3.760,64 | 1013 / 47 |
Pulmonary Embolism W/O Mcc | 13 | 61 / 23 | $19.761,80 | 375 / 24 | $6.567,15 | 535 / 24 | $5.255,77 | 533 / 25 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 13 | $31.069,20 | 212 / 11 | $10.005,10 | 335 / 13 | $8.600,77 | 334 / 13 |
Other Vascular Procedures W Cc | 13 | 89 / 20 | $63.289,10 | 417 / 16 | $17.093,90 | 595 / 14 | $15.535,20 | 592 / 15 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 7 | $16.445,50 | 164 / 11 | $4.743,62 | 243 / 7 | $3.555,69 | 242 / 10 |
G.I. Hemorrhage W Mcc | 13 | 108 / 30 | $34.868,20 | 503 / 34 | $12.079,70 | 940 / 40 | $10.987,50 | 934 / 43 |
G.I. Obstruction W Cc | 12 | 80 / 30 | $20.311,50 | 678 / 29 | $6.190,00 | 966 / 31 | $5.053,17 | 963 / 41 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 11 | 58 / 14 | $45.010,50 | 74 / 4 | $19.562,30 | 2 / 16 | $10.925,60 | 2 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 17 | $30.645,80 | 145 / 14 | $11.722,80 | 232 / 11 | $10.832,00 | 231 / 14 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 35 | $12.185,30 | 495 / 27 | $4.812,45 | 1141 / 42 | $3.898,27 | 1132 / 48 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 19 | $67.473,50 | 386 / 22 | $19.513,70 | 424 / 18 | $17.490,00 | 421 / 18 | Total 55 procedures | 1.651 | 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.