Hospital Costs > In North Carolina > Central Carolina Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 19 | $16.004,20 | 166 / 13 | $4.534,27 | 472 / 4 | $4.211,36 | 469 / 24 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 34 | $22.693,40 | 1261 / 62 | $4.745,10 | 599 / 8 | $3.912,00 | 596 / 28 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 35 | $28.774,70 | 898 / 52 | $6.840,58 | 288 / 5 | $6.015,32 | 287 / 11 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 34 | $14.859,60 | 972 / 51 | $3.575,10 | 711 / 11 | $2.595,29 | 707 / 30 |
Cellulitis W/O Mcc | 24 | 165 / 43 | $19.836,00 | 1462 / 64 | $5.036,92 | 877 / 8 | $4.180,92 | 871 / 38 |
Chest Pain | 25 | 126 / 22 | $20.249,40 | 937 / 39 | $3.924,28 | 431 / 10 | $2.859,84 | 429 / 16 |
Chronic Obstructive Pulmonary Disease W Cc | 43 | 136 / 31 | $26.664,70 | 1557 / 70 | $5.600,60 | 748 / 9 | $4.756,70 | 746 / 37 |
Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 42 | $29.425,10 | 1438 / 70 | $7.036,89 | 318 / 17 | $5.584,32 | 317 / 14 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 49 | 71 / 8 | $17.366,90 | 1048 / 57 | $4.466,88 | 535 / 11 | $3.355,20 | 534 / 18 |
Diabetes W Cc | 14 | 78 / 31 | $24.410,50 | 969 / 55 | $5.070,36 | 509 / 11 | $4.290,93 | 509 / 24 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 22 | $35.875,30 | 835 / 43 | $7.067,76 | 339 / 6 | $6.319,57 | 337 / 17 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 69 | 206 / 28 | $21.851,70 | 1601 / 66 | $4.587,33 | 684 / 9 | $3.558,13 | 680 / 24 |
G.I. Hemorrhage W Cc | 37 | 181 / 44 | $27.892,20 | 1435 / 73 | $6.015,95 | 865 / 12 | $5.236,70 | 863 / 41 |
G.I. Hemorrhage W Mcc | 17 | 104 / 26 | $35.370,50 | 521 / 35 | $9.822,12 | 285 / 8 | $9.110,59 | 285 / 13 |
G.I. Hemorrhage W/O Cc/Mcc | 22 | 46 / 7 | $15.785,80 | 375 / 21 | $4.356,82 | 245 / 5 | $3.260,09 | 243 / 9 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 19 | $15.983,20 | 590 / 25 | $3.796,33 | 364 / 5 | $2.788,33 | 364 / 13 |
Heart Failure & Shock W Cc | 70 | 208 / 31 | $24.934,00 | 1664 / 72 | $5.886,46 | 724 / 11 | $5.086,16 | 723 / 33 |
Heart Failure & Shock W Mcc | 48 | 236 / 48 | $37.712,80 | 1543 / 74 | $8.684,81 | 827 / 18 | $8.080,81 | 827 / 45 |
Heart Failure & Shock W/O Cc/Mcc | 35 | 75 / 16 | $18.406,90 | 1186 / 54 | $4.112,49 | 517 / 7 | $3.318,89 | 515 / 24 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 33 | $55.638,40 | 1230 / 60 | $11.202,20 | 550 / 15 | $10.148,80 | 548 / 31 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 15 | $47.636,90 | 537 / 24 | $9.481,27 | 304 / 7 | $8.498,00 | 303 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 31 | $30.926,50 | 1208 / 67 | $6.342,82 | 438 / 16 | $5.149,47 | 437 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 31 | $26.276,00 | 960 / 56 | $4.546,45 | 530 / 4 | $3.667,91 | 526 / 26 |
Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 35 | $31.882,00 | 1249 / 69 | $6.870,12 | 787 / 25 | $6.081,23 | 786 / 44 |
Kidney & Urinary Tract Infections W/O Mcc | 103 | 130 / 12 | $21.967,20 | 1759 / 74 | $4.709,57 | 675 / 13 | $3.737,15 | 671 / 26 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 18 | $65.673,60 | 622 / 31 | $11.100,10 | 123 / 19 | $7.960,73 | 123 / 6 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 20 | $27.931,90 | 585 / 32 | $6.638,36 | 428 / 3 | $6.466,93 | 427 / 21 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 22 | 542 / 66 | $72.875,80 | 2068 / 76 | $16.571,50 | 53 / 75 | $9.068,73 | 53 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 32 | $26.350,80 | 785 / 47 | $6.633,93 | 424 / 9 | $5.906,47 | 421 / 21 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 60 | 106 / 17 | $20.161,20 | 1570 / 71 | $4.504,80 | 482 / 22 | $3.295,47 | 482 / 22 |
Other Disorders Of Nervous System W Cc | 14 | 42 / 14 | $30.649,00 | 385 / 22 | $5.189,36 | 92 / 2 | $4.325,36 | 92 / 3 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 16 | $24.533,40 | 377 / 17 | $5.900,77 | 288 / 2 | $5.438,00 | 288 / 8 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 17 | $19.213,60 | 489 / 27 | $4.033,64 | 114 / 2 | $2.934,00 | 114 / 7 |
Pulmonary Edema & Respiratory Failure | 52 | 151 / 35 | $36.949,60 | 1385 / 72 | $7.357,10 | 601 / 16 | $6.453,06 | 601 / 41 |
Red Blood Cell Disorders W/O Mcc | 17 | 126 / 33 | $21.658,20 | 1042 / 49 | $4.924,24 | 657 / 9 | $4.146,82 | 653 / 27 |
Renal Failure W Cc | 58 | 163 / 35 | $29.586,70 | 1677 / 76 | $5.780,55 | 757 / 14 | $4.968,40 | 750 / 37 |
Renal Failure W Mcc | 18 | 177 / 44 | $32.419,20 | 914 / 60 | $8.913,28 | 531 / 21 | $8.107,94 | 531 / 33 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 29 | $71.582,60 | 1166 / 59 | $12.348,30 | 334 / 8 | $11.965,90 | 330 / 19 |
Seizures W/O Mcc | 12 | 96 / 23 | $23.437,10 | 713 / 26 | $4.619,33 | 282 / 4 | $3.712,67 | 281 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 65 | 451 / 63 | $47.762,50 | 1697 / 73 | $10.583,30 | 728 / 18 | $9.822,71 | 727 / 41 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 39 | $29.756,20 | 1609 / 73 | $6.310,18 | 802 / 13 | $5.479,87 | 800 / 38 |
Signs & Symptoms W Mcc | 13 | 28 / 6 | $21.006,10 | 59 / 3 | $6.463,15 | 20 / 1 | $5.532,69 | 20 / 2 |
Signs & Symptoms W/O Mcc | 24 | 67 / 11 | $19.775,90 | 645 / 25 | $4.254,83 | 417 / 4 | $3.549,50 | 416 / 15 |
Simple Pneumonia & Pleurisy W Cc | 63 | 140 / 23 | $24.654,60 | 1601 / 66 | $5.886,03 | 886 / 15 | $4.983,43 | 883 / 38 |
Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 51 | $40.174,20 | 1564 / 70 | $8.332,50 | 575 / 15 | $7.411,09 | 575 / 29 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 34 | 59 / 7 | $18.430,60 | 1069 / 48 | $4.566,79 | 382 / 14 | $3.126,24 | 380 / 15 |
Syncope & Collapse | 29 | 140 / 24 | $21.349,50 | 969 / 42 | $4.550,03 | 535 / 9 | $3.584,55 | 533 / 15 |
Transient Ischemia | 18 | 107 / 23 | $26.194,50 | 1015 / 48 | $4.362,33 | 420 / 10 | $3.288,56 | 419 / 14 | Total 48 procedures | 1.470 | 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.