Hospital Costs > In North Carolina > Duke Health Raleigh 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 | 13 | 40 / 17 | $29.267,50 | 561 / 29 | $4.553,77 | 140 / 5 | $3.422,15 | 140 / 6 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 20 | 69 / 11 | $28.886,60 | 274 / 7 | $7.239,10 | 108 / 8 | $4.811,05 | 108 / 3 |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 22 | $20.979,90 | 423 / 28 | $5.277,64 | 258 / 4 | $4.238,71 | 255 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 43 | $20.176,60 | 1068 / 54 | $4.860,74 | 271 / 13 | $3.578,53 | 271 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 40 | $28.158,80 | 862 / 49 | $7.272,14 | 392 / 15 | $6.199,36 | 390 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 34 | $12.060,80 | 593 / 34 | $3.622,24 | 219 / 12 | $2.166,90 | 218 / 4 |
| Cellulitis W Mcc | 11 | 47 / 19 | $32.391,50 | 431 / 24 | $8.676,64 | 154 / 7 | $7.252,27 | 154 / 5 |
| Cellulitis W/O Mcc | 55 | 134 / 21 | $20.311,70 | 1514 / 67 | $5.114,58 | 445 / 12 | $3.832,24 | 442 / 12 |
| Cervical Spinal Fusion W Cc | 29 | 24 / 5 | $78.448,70 | 213 / 9 | $16.941,50 | 117 / 1 | $15.616,20 | 116 / 6 |
| Cervical Spinal Fusion W/O Cc/Mcc | 118 | 6 / 1 | $72.783,30 | 608 / 24 | $13.384,20 | 340 / 9 | $11.832,70 | 339 / 12 |
| Chronic Obstructive Pulmonary Disease W Cc | 52 | 127 / 25 | $24.888,40 | 1441 / 68 | $5.772,62 | 576 / 21 | $4.619,38 | 574 / 25 |
| Chronic Obstructive Pulmonary Disease W Mcc | 50 | 152 / 34 | $30.074,30 | 1481 / 73 | $7.192,04 | 797 / 31 | $6.042,54 | 792 / 38 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 20 | $13.273,00 | 581 / 30 | $4.409,80 | 360 / 7 | $3.196,53 | 359 / 12 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 34 | $42.978,20 | 1028 / 37 | $6.504,43 | 446 / 5 | $5.358,00 | 444 / 13 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 55 | 3 / 1 | $197.478,00 | 79 / 2 | $44.624,50 | 74 / 2 | $39.849,50 | 74 / 2 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 15 | $20.847,20 | 240 / 18 | $5.441,29 | 58 / 2 | $3.985,93 | 58 / 3 |
| Craniotomy & Endovascular Intracranial Procedures W Cc | 12 | 43 / 6 | $88.523,80 | 115 / 6 | $22.363,40 | 94 / 3 | $18.756,30 | 94 / 3 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 33 | 41 / 4 | $74.192,90 | 150 / 7 | $14.901,60 | 42 / 2 | $12.150,50 | 42 / 2 |
| Diabetes W Cc | 19 | 73 / 26 | $16.140,50 | 411 / 29 | $4.970,11 | 15 / 9 | $3.174,11 | 15 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 14 | $32.351,60 | 675 / 33 | $5.701,47 | 102 / 6 | $4.174,93 | 102 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 29 | $26.767,30 | 513 / 30 | $7.148,55 | 145 / 9 | $5.804,73 | 145 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 58 | 217 / 32 | $22.105,40 | 1640 / 68 | $4.706,43 | 509 / 17 | $3.409,72 | 507 / 17 |
| Extracranial Procedures W/O Cc/Mcc | 12 | 86 / 23 | $34.872,10 | 549 / 21 | $6.251,67 | 289 / 4 | $5.178,50 | 289 / 8 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 14 | $19.940,40 | 512 / 25 | $4.330,23 | 184 / 6 | $3.206,92 | 185 / 7 |
| G.I. Hemorrhage W Cc | 45 | 173 / 39 | $24.554,00 | 1170 / 58 | $6.044,22 | 426 / 16 | $4.837,31 | 425 / 16 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 16 | $21.146,90 | 596 / 29 | $4.228,36 | 76 / 3 | $2.868,64 | 76 / 2 |
| G.I. Obstruction W Cc | 14 | 78 / 28 | $25.723,60 | 1027 / 47 | $5.509,79 | 389 / 10 | $4.332,71 | 388 / 11 |
| Heart Failure & Shock W Cc | 60 | 218 / 38 | $20.358,50 | 1224 / 56 | $5.895,25 | 629 / 13 | $5.010,80 | 628 / 25 |
| Heart Failure & Shock W Mcc | 26 | 258 / 61 | $38.977,70 | 1604 / 76 | $9.623,15 | 1163 / 59 | $8.522,62 | 1160 / 59 |
| Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 28 | $17.403,50 | 1099 / 52 | $4.424,00 | 298 / 24 | $3.097,15 | 296 / 9 |
| Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 31 | $50.173,90 | 1049 / 50 | $11.151,90 | 356 / 12 | $9.840,23 | 355 / 19 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 9 | $36.665,30 | 337 / 17 | $9.404,59 | 183 / 6 | $8.103,65 | 183 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 41 | $28.758,80 | 1069 / 63 | $6.333,42 | 159 / 14 | $4.745,79 | 159 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 32 | $40.048,60 | 695 / 47 | $11.068,20 | 121 / 33 | $8.172,26 | 120 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 27 | $25.178,60 | 912 / 54 | $4.552,19 | 236 / 5 | $3.263,19 | 234 / 10 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 48 | $21.185,80 | 647 / 46 | $6.842,50 | 607 / 23 | $5.831,58 | 606 / 33 |
| Kidney & Urinary Tract Infections W/O Mcc | 67 | 166 / 23 | $19.639,50 | 1532 / 65 | $4.814,69 | 474 / 18 | $3.603,00 | 474 / 16 |
| Lymphoma & Non-Acute Leukemia W Cc | 11 | 25 / 6 | $36.439,80 | 34 / 5 | $10.243,00 | 7 / 2 | $8.278,00 | 7 / 2 |
| Major Cardiovasc Procedures W/O Mcc | 28 | 73 / 16 | $111.188,00 | 679 / 20 | $20.295,60 | 366 / 6 | $19.065,20 | 366 / 8 |
| Major Chest Procedures W Cc | 30 | 44 / 7 | $56.294,30 | 166 / 8 | $14.558,60 | 92 / 2 | $13.208,40 | 92 / 4 |
| Major Chest Procedures W Mcc | 11 | 38 / 10 | $104.736,00 | 107 / 6 | $28.120,40 | 57 / 1 | $26.328,40 | 57 / 1 |
| Major Chest Procedures W/O Cc/Mcc | 27 | 32 / 2 | $50.632,30 | 126 / 6 | $10.357,80 | 42 / 2 | $9.084,89 | 42 / 2 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 8 | $35.126,20 | 275 / 13 | $9.123,42 | 312 / 10 | $8.195,33 | 312 / 13 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 52 | 44 / 5 | $68.919,50 | 573 / 24 | $13.129,80 | 147 / 6 | $10.762,50 | 146 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 311 | 259 / 14 | $59.402,60 | 1670 / 61 | $12.598,10 | 660 / 19 | $10.560,00 | 651 / 28 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 13 | $72.385,70 | 293 / 13 | $15.032,20 | 157 / 4 | $13.692,30 | 157 / 7 |
| Major Small & Large Bowel Procedures W Cc | 24 | 84 / 18 | $84.652,60 | 1054 / 46 | $15.716,10 | 444 / 16 | $13.396,70 | 441 / 20 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 29 | 35 / 7 | $54.789,80 | 519 / 22 | $9.558,41 | 231 / 3 | $8.207,83 | 231 / 7 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 13 | 40 / 8 | $46.363,30 | 147 / 12 | $10.277,30 | 45 / 1 | $9.208,85 | 45 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 30 | $20.527,20 | 441 / 30 | $6.721,29 | 291 / 14 | $5.691,59 | 288 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 21 | $18.449,10 | 1371 / 63 | $4.394,30 | 282 / 14 | $3.107,39 | 282 / 8 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 11 | 66 / 10 | $46.650,30 | 235 / 6 | $9.082,00 | 104 / 1 | $7.905,91 | 104 / 4 |
| Pulmonary Edema & Respiratory Failure | 26 | 177 / 51 | $33.178,40 | 1208 / 67 | $7.515,50 | 449 / 26 | $6.289,46 | 449 / 25 |
| Pulmonary Embolism W/O Mcc | 17 | 57 / 19 | $25.067,60 | 643 / 37 | $6.272,88 | 253 / 13 | $4.714,47 | 253 / 10 |
| Red Blood Cell Disorders W/O Mcc | 25 | 118 / 26 | $18.635,50 | 767 / 34 | $4.943,28 | 444 / 11 | $3.920,96 | 443 / 14 |
| Renal Failure W Cc | 39 | 182 / 45 | $23.560,80 | 1312 / 69 | $5.936,82 | 645 / 20 | $4.873,87 | 639 / 30 |
| Renal Failure W Mcc | 23 | 172 / 40 | $45.391,40 | 1455 / 71 | $10.382,70 | 1110 / 55 | $9.154,39 | 1110 / 59 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 22 | $26.878,10 | 557 / 39 | $7.929,82 | 272 / 10 | $6.906,06 | 270 / 12 |
| Respiratory Infections & Inflammations W Mcc | 16 | 120 / 43 | $54.934,20 | 1170 / 63 | $12.049,10 | 203 / 38 | $9.757,38 | 203 / 14 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 16 | $53.945,90 | 418 / 26 | $10.571,10 | 166 / 6 | $9.257,15 | 166 / 8 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 28 | $65.924,10 | 1064 / 58 | $14.339,90 | 749 / 39 | $13.123,80 | 741 / 43 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 20 | $122.733,00 | 397 / 26 | $27.817,90 | 95 / 2 | $26.355,40 | 95 / 4 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 20 | 49 / 8 | $80.405,40 | 337 / 16 | $16.305,80 | 232 / 4 | $15.115,50 | 231 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 33 | 483 / 71 | $45.578,30 | 1601 / 69 | $11.095,20 | 919 / 35 | $10.084,80 | 916 / 49 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 48 | $27.667,40 | 1481 / 71 | $6.497,04 | 671 / 21 | $5.370,56 | 669 / 33 |
| Simple Pneumonia & Pleurisy W Cc | 41 | 162 / 37 | $25.531,60 | 1658 / 68 | $5.970,10 | 695 / 19 | $4.815,78 | 692 / 28 |
| Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 52 | $35.512,60 | 1384 / 65 | $8.870,66 | 211 / 30 | $6.855,24 | 211 / 8 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 22 | $17.887,80 | 1010 / 45 | $4.745,20 | 52 / 23 | $2.581,93 | 52 / 1 |
| Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 16 | 24 / 4 | $162.034,00 | 36 / 2 | $38.346,90 | 5 / 1 | $34.848,40 | 5 / 1 |
| Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W/O Cc/Mcc | 16 | 5 / 2 | $136.135,00 | 11 / 2 | $30.106,50 | 8 / 1 | $28.676,80 | 8 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 132 | 65 / 8 | $139.293,00 | 1056 / 37 | $29.640,80 | 1028 / 32 | $26.796,00 | 1023 / 33 |
| Spinal Procedures W/O Cc/Mcc | 11 | 16 / 3 | $30.468,60 | 10 / 1 | $10.420,70 | 3 / 1 | $9.067,73 | 3 / 1 |
| Syncope & Collapse | 12 | 157 / 37 | $22.374,80 | 1062 / 43 | $4.505,17 | 356 / 6 | $3.398,67 | 354 / 9 | Total 73 procedures | 2.252 | 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.