Hospital Costs > In North Carolina > Davis Regional Medical Center, 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 | 46 | 470 / 69 | $55.086,10 | 1950 / 80 | $11.004,80 | 699 / 32 | $9.785,04 | 698 / 38 |
| Heart Failure & Shock W Mcc | 43 | 241 / 51 | $42.541,70 | 1762 / 80 | $9.290,33 | 1289 / 48 | $8.701,67 | 1286 / 63 |
| Psychoses | 39 | 237 / 14 | $18.343,90 | 285 / 13 | $6.368,97 | 147 / 6 | $5.295,82 | 147 / 7 |
| Pulmonary Edema & Respiratory Failure | 31 | 172 / 49 | $37.984,20 | 1430 / 74 | $7.963,68 | 228 / 40 | $5.981,74 | 228 / 12 |
| Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 48 | $38.991,90 | 1882 / 80 | $7.280,34 | 1039 / 37 | $6.278,45 | 1034 / 55 |
| Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 52 | $46.942,40 | 1812 / 74 | $9.022,66 | 730 / 37 | $7.594,21 | 730 / 37 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 46 | $34.099,00 | 2148 / 79 | $6.192,37 | 809 / 30 | $4.916,59 | 806 / 34 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 27 | 537 / 64 | $102.612,00 | 2506 / 79 | $13.488,80 | 1006 / 47 | $11.060,60 | 986 / 44 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 49 | $20.682,50 | 1471 / 60 | $4.891,31 | 1098 / 30 | $3.826,69 | 1090 / 47 |
| Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 46 | $18.456,90 | 1404 / 61 | $4.969,38 | 1169 / 27 | $4.066,71 | 1161 / 47 |
| Renal Failure W Mcc | 24 | 171 / 39 | $47.675,00 | 1521 / 72 | $9.323,25 | 638 / 31 | $8.261,29 | 638 / 41 |
| Cellulitis W/O Mcc | 23 | 166 / 44 | $24.792,30 | 1860 / 68 | $5.681,00 | 517 / 40 | $3.896,43 | 514 / 17 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 43 | $27.078,20 | 1577 / 72 | $6.251,36 | 629 / 44 | $4.657,18 | 627 / 29 |
| Heart Failure & Shock W Cc | 19 | 259 / 60 | $35.268,80 | 2191 / 79 | $6.475,42 | 1570 / 46 | $5.843,79 | 1565 / 63 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 43 | $16.892,80 | 1191 / 55 | $4.462,76 | 1215 / 18 | $3.822,76 | 1211 / 50 |
| Diabetes W Cc | 15 | 77 / 30 | $19.512,00 | 659 / 46 | $5.337,87 | 483 / 21 | $4.260,73 | 483 / 21 |
| Cervical Spinal Fusion W/O Cc/Mcc | 15 | 89 / 21 | $69.455,30 | 571 / 21 | $13.268,30 | 385 / 8 | $12.056,50 | 384 / 14 |
| Renal Failure W Cc | 13 | 208 / 60 | $22.637,70 | 1248 / 65 | $5.865,15 | 1129 / 16 | $5.311,31 | 1121 / 57 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 35 | $24.604,70 | 678 / 45 | $6.857,17 | 685 / 19 | $6.355,83 | 682 / 37 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 35 | $27.107,20 | 384 / 17 | $6.489,58 | 381 / 4 | $5.285,33 | 379 / 8 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 48 | $22.440,40 | 739 / 50 | $6.784,00 | 477 / 20 | $5.680,00 | 476 / 24 |
| G.I. Hemorrhage W Mcc | 12 | 109 / 31 | $75.673,80 | 1398 / 54 | $10.039,00 | 296 / 11 | $9.137,75 | 296 / 15 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 24 | $28.530,60 | 787 / 45 | $6.284,00 | 555 / 14 | $5.284,00 | 553 / 27 |
| G.I. Hemorrhage W Cc | 11 | 207 / 61 | $27.721,50 | 1422 / 72 | $6.150,64 | 1116 / 23 | $5.490,27 | 1114 / 55 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 33 | $36.814,80 | 693 / 38 | $10.216,80 | 610 / 20 | $9.239,36 | 609 / 28 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 51 | $16.032,70 | 629 / 33 | $5.145,82 | 854 / 26 | $4.153,82 | 851 / 37 | Total 26 procedures | 562 | 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.