Hospital Costs > In North Carolina > Columbus Regional Healthcare System, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 93 | 182 / 22 | $14.784,20 | 723 / 28 | $5.177,73 | 917 / 49 | $3.706,28 | 912 / 39 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 78 | 438 / 60 | $31.312,30 | 846 / 40 | $11.691,40 | 1006 / 54 | $10.197,90 | 997 / 54 |
| G.I. Hemorrhage W Cc | 66 | 152 / 27 | $19.492,00 | 705 / 43 | $6.499,97 | 918 / 41 | $5.290,36 | 916 / 44 |
| Heart Failure & Shock W Cc | 65 | 213 / 35 | $14.523,20 | 525 / 26 | $6.483,52 | 900 / 47 | $5.210,75 | 899 / 40 |
| Renal Failure W Cc | 59 | 162 / 34 | $12.853,30 | 276 / 14 | $6.236,88 | 697 / 40 | $4.914,42 | 690 / 33 |
| Chronic Obstructive Pulmonary Disease W Cc | 47 | 132 / 28 | $12.341,00 | 266 / 9 | $6.075,30 | 556 / 35 | $4.601,23 | 554 / 24 |
| Chronic Obstructive Pulmonary Disease W Mcc | 47 | 155 / 37 | $13.469,90 | 216 / 12 | $7.126,06 | 245 / 23 | $5.492,40 | 244 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 43 | 123 / 22 | $10.886,70 | 415 / 13 | $4.813,91 | 939 / 39 | $3.610,58 | 936 / 39 |
| Heart Failure & Shock W Mcc | 43 | 241 / 51 | $17.296,50 | 262 / 12 | $8.924,56 | 619 / 27 | $7.833,72 | 619 / 29 |
| Renal Failure W Mcc | 42 | 153 / 31 | $22.754,30 | 353 / 25 | $9.324,36 | 470 / 32 | $8.024,86 | 470 / 30 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 42 | 140 / 28 | $21.337,40 | 556 / 37 | $7.198,26 | 715 / 50 | $5.450,88 | 714 / 39 |
| Cellulitis W/O Mcc | 39 | 150 / 32 | $13.917,10 | 714 / 27 | $5.761,54 | 872 / 45 | $4.178,05 | 866 / 37 |
| Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 40 | $14.622,50 | 883 / 37 | $5.108,39 | 848 / 39 | $3.857,12 | 843 / 36 |
| Red Blood Cell Disorders W/O Mcc | 32 | 111 / 22 | $11.457,10 | 186 / 3 | $5.554,72 | 675 / 37 | $4.160,06 | 671 / 28 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 32 | 88 / 18 | $11.629,20 | 412 / 20 | $4.927,03 | 916 / 32 | $3.664,72 | 908 / 36 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 32 | $12.503,80 | 272 / 12 | $5.317,12 | 611 / 39 | $3.923,81 | 608 / 30 |
| Syncope & Collapse | 31 | 138 / 23 | $12.204,60 | 208 / 2 | $4.993,23 | 668 / 26 | $3.711,03 | 665 / 25 |
| Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 20 | $9.445,41 | 214 / 5 | $5.006,41 | 537 / 48 | $3.333,66 | 535 / 27 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 48 | $17.019,60 | 517 / 26 | $6.889,30 | 890 / 40 | $5.568,37 | 888 / 46 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 46 | $14.243,40 | 470 / 18 | $6.716,15 | 678 / 54 | $4.801,59 | 675 / 27 |
| Pulmonary Edema & Respiratory Failure | 24 | 179 / 52 | $21.948,00 | 531 / 33 | $7.990,83 | 595 / 41 | $6.444,88 | 595 / 40 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 24 | 540 / 65 | $49.553,20 | 1264 / 44 | $12.891,80 | 1145 / 29 | $11.289,30 | 1118 / 53 |
| Respiratory Infections & Inflammations W Mcc | 24 | 112 / 35 | $27.552,60 | 316 / 24 | $12.160,90 | 625 / 42 | $10.738,50 | 617 / 40 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 22 | 104 / 26 | $18.686,30 | 343 / 23 | $7.367,55 | 644 / 32 | $6.289,23 | 641 / 33 |
| G.I. Hemorrhage W/O Cc/Mcc | 22 | 46 / 7 | $15.574,50 | 362 / 19 | $4.840,77 | 422 / 12 | $3.602,55 | 418 / 17 |
| G.I. Hemorrhage W Mcc | 21 | 100 / 23 | $27.653,60 | 250 / 15 | $10.202,00 | 255 / 13 | $9.028,67 | 255 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 57 | $18.919,90 | 324 / 17 | $8.975,65 | 782 / 35 | $7.632,60 | 782 / 41 |
| Diabetes W Cc | 20 | 72 / 25 | $10.308,20 | 93 / 3 | $5.407,75 | 568 / 26 | $4.355,90 | 568 / 28 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 36 | $18.119,90 | 248 / 13 | $7.569,39 | 422 / 24 | $6.256,72 | 420 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 38 | $10.691,40 | 413 / 19 | $3.985,76 | 795 / 34 | $2.668,88 | 791 / 33 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 17 | $17.570,20 | 200 / 11 | $7.646,35 | 176 / 20 | $5.849,00 | 176 / 7 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 27 | $91.179,60 | 385 / 27 | $34.715,60 | 753 / 32 | $32.011,60 | 747 / 33 |
| Medical Back Problems W/O Mcc | 16 | 105 / 23 | $15.043,00 | 228 / 5 | $5.487,38 | 542 / 10 | $4.290,31 | 540 / 14 |
| Seizures W/O Mcc | 15 | 93 / 20 | $14.023,10 | 212 / 6 | $5.256,73 | 441 / 14 | $3.963,27 | 439 / 16 |
| Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 46 | $15.482,00 | 280 / 22 | $6.941,47 | 425 / 31 | $5.599,20 | 424 / 21 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 19 | $15.968,10 | 38 / 4 | $8.531,40 | 260 / 13 | $7.522,60 | 259 / 14 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 15 | $38.392,20 | 230 / 15 | $12.276,40 | 116 / 28 | $7.918,50 | 116 / 5 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 29 | $66.372,30 | 783 / 39 | $21.165,50 | 1206 / 44 | $17.547,80 | 1192 / 44 |
| Transient Ischemia | 12 | 113 / 29 | $13.059,50 | 181 / 5 | $5.093,75 | 460 / 36 | $3.328,25 | 459 / 16 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 18 | $10.757,40 | 53 / 1 | $6.256,42 | 414 / 10 | $5.131,08 | 412 / 9 |
| Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 14 | $32.803,30 | 87 / 6 | $10.359,30 | 188 / 3 | $9.072,75 | 187 / 5 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 17 | $11.005,90 | 161 / 9 | $4.425,17 | 335 / 10 | $3.200,75 | 334 / 8 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 13 | $31.783,80 | 58 / 3 | $11.746,80 | 174 / 5 | $10.347,50 | 174 / 6 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 24 | $35.877,90 | 363 / 19 | $10.753,70 | 67 / 7 | $8.931,17 | 67 / 2 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 28 | $20.009,90 | 261 / 21 | $8.621,82 | 140 / 26 | $6.617,36 | 140 / 6 |
| Transurethral Procedures W Cc | 11 | 30 / 5 | $34.553,40 | 170 / 4 | $8.573,18 | 158 / 4 | $6.979,55 | 158 / 3 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 20 | $8.619,64 | 72 / 2 | $4.305,09 | 469 / 16 | $2.928,64 | 468 / 19 |
| Other Vascular Procedures W Cc | 11 | 91 / 21 | $52.527,30 | 238 / 12 | $16.449,90 | 476 / 11 | $14.789,50 | 473 / 12 |
| Other Skin, Subcut Tiss & Breast Proc W Cc | 11 | 13 / 3 | $29.948,10 | 19 / 2 | $9.648,36 | 27 / 1 | $8.059,64 | 27 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 31 | $18.397,30 | 459 / 29 | $5.269,73 | 515 / 31 | $3.650,00 | 511 / 25 |
| Organic Disturbances & Mental Retardation | 11 | 48 / 10 | $14.855,10 | 89 / 3 | $6.660,09 | 104 / 5 | $5.100,45 | 104 / 4 | Total 51 procedures | 1.390 | 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.