Hospital Costs > In North Carolina > Duke Regional Hospital, 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 | 349 | 226 / 13 | $52.477,40 | 1395 / 49 | $13.454,00 | 1268 / 45 | $11.525,30 | 1237 / 56 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 187 | 329 / 32 | $34.035,80 | 1001 / 54 | $12.391,50 | 1379 / 64 | $10.783,60 | 1352 / 65 |
| Kidney & Urinary Tract Infections W/O Mcc | 130 | 103 / 7 | $16.883,50 | 1211 / 52 | $5.643,79 | 1450 / 64 | $4.301,50 | 1441 / 62 |
| Heart Failure & Shock W Cc | 124 | 154 / 17 | $21.562,00 | 1353 / 61 | $7.178,07 | 1458 / 70 | $5.720,80 | 1453 / 61 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 113 | 162 / 16 | $18.019,50 | 1131 / 51 | $5.498,44 | 1576 / 67 | $4.196,37 | 1563 / 68 |
| Heart Failure & Shock W Mcc | 111 | 173 / 26 | $30.576,30 | 1119 / 63 | $10.451,00 | 1472 / 68 | $8.985,99 | 1468 / 65 |
| Simple Pneumonia & Pleurisy W Cc | 81 | 122 / 14 | $18.545,40 | 974 / 44 | $6.912,78 | 1374 / 64 | $5.389,26 | 1369 / 59 |
| Pulmonary Edema & Respiratory Failure | 80 | 123 / 23 | $24.656,40 | 711 / 43 | $8.451,41 | 1128 / 54 | $7.138,21 | 1126 / 56 |
| Chronic Obstructive Pulmonary Disease W Mcc | 75 | 127 / 20 | $20.750,10 | 786 / 38 | $8.269,32 | 1348 / 66 | $6.635,57 | 1342 / 62 |
| Chronic Obstructive Pulmonary Disease W Cc | 69 | 110 / 18 | $18.903,70 | 885 / 42 | $6.689,36 | 1393 / 61 | $5.371,23 | 1388 / 59 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 66 | 100 / 14 | $16.943,50 | 1201 / 56 | $5.090,11 | 1440 / 58 | $4.013,33 | 1435 / 62 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 66 | 116 / 17 | $26.222,10 | 876 / 53 | $7.403,83 | 1020 / 54 | $5.856,68 | 1017 / 54 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 66 | 141 / 24 | $22.929,50 | 1057 / 54 | $7.610,59 | 1352 / 61 | $6.046,89 | 1347 / 61 |
| Renal Failure W Cc | 64 | 157 / 32 | $22.708,30 | 1251 / 66 | $7.087,16 | 1407 / 67 | $5.625,69 | 1398 / 64 |
| G.I. Hemorrhage W Cc | 61 | 157 / 29 | $25.822,90 | 1274 / 65 | $7.171,10 | 1379 / 68 | $5.790,41 | 1376 / 65 |
| Renal Failure W Mcc | 61 | 134 / 24 | $31.778,30 | 864 / 56 | $10.064,00 | 846 / 50 | $8.634,88 | 846 / 54 |
| Simple Pneumonia & Pleurisy W Mcc | 58 | 147 / 34 | $28.538,60 | 944 / 53 | $9.879,38 | 1150 / 59 | $8.052,86 | 1150 / 57 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 54 | 48 / 11 | $22.416,00 | 746 / 44 | $5.586,00 | 935 / 45 | $4.194,11 | 931 / 47 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 53 | 73 / 12 | $22.561,90 | 564 / 37 | $7.756,53 | 754 / 40 | $6.501,45 | 751 / 39 |
| Cellulitis W/O Mcc | 49 | 140 / 24 | $17.124,90 | 1141 / 49 | $6.218,47 | 1426 / 62 | $4.650,29 | 1419 / 56 |
| Kidney & Urinary Tract Infections W Mcc | 48 | 96 / 17 | $22.804,50 | 775 / 51 | $7.989,88 | 1046 / 59 | $6.470,19 | 1043 / 54 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 46 | 31 / 3 | $42.913,80 | 204 / 5 | $10.393,50 | 202 / 6 | $8.868,30 | 202 / 9 |
| Hip & Femur Procedures Except Major Joint W Cc | 45 | 98 / 19 | $50.794,70 | 1071 / 52 | $13.036,00 | 1097 / 54 | $11.296,70 | 1083 / 55 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 42 | 78 / 11 | $15.882,90 | 891 / 45 | $5.271,36 | 1095 / 50 | $3.822,00 | 1086 / 49 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 38 | 123 / 28 | $20.038,80 | 1059 / 53 | $5.862,08 | 1222 / 58 | $4.529,97 | 1217 / 58 |
| Chest Pain | 38 | 113 / 18 | $17.489,20 | 732 / 33 | $4.555,95 | 856 / 35 | $3.335,79 | 851 / 34 |
| Heart Failure & Shock W/O Cc/Mcc | 38 | 72 / 14 | $18.744,60 | 1206 / 56 | $5.224,08 | 911 / 52 | $3.654,26 | 904 / 39 |
| Diabetes W Cc | 36 | 56 / 15 | $18.005,50 | 560 / 40 | $6.028,44 | 828 / 47 | $4.745,28 | 824 / 48 |
| Respiratory Infections & Inflammations W Mcc | 35 | 101 / 27 | $37.392,30 | 672 / 47 | $13.532,70 | 929 / 54 | $11.498,70 | 919 / 50 |
| Syncope & Collapse | 33 | 136 / 22 | $18.359,60 | 715 / 34 | $5.202,58 | 745 / 35 | $3.795,58 | 742 / 27 |
| G.I. Obstruction W Cc | 33 | 59 / 14 | $21.746,20 | 775 / 38 | $6.608,36 | 851 / 39 | $4.887,58 | 849 / 32 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 33 | 91 / 17 | $103.325,00 | 531 / 36 | $33.022,50 | 642 / 27 | $30.877,40 | 636 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 33 | 135 / 22 | $41.840,00 | 745 / 50 | $11.677,50 | 751 / 41 | $10.046,40 | 750 / 42 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 32 | 37 / 5 | $86.513,40 | 364 / 18 | $18.537,50 | 205 / 13 | $14.856,80 | 205 / 10 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 32 | 164 / 20 | $86.497,80 | 994 / 27 | $13.548,70 | 899 / 12 | $12.084,90 | 892 / 19 |
| G.I. Hemorrhage W Mcc | 32 | 89 / 17 | $31.575,30 | 378 / 22 | $11.751,40 | 768 / 37 | $10.466,80 | 766 / 36 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 31 | 119 / 28 | $13.876,50 | 850 / 43 | $4.098,35 | 1008 / 39 | $2.834,16 | 1003 / 46 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 31 | 100 / 21 | $54.402,80 | 751 / 47 | $15.013,90 | 801 / 43 | $13.328,10 | 793 / 45 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 27 | $25.745,10 | 703 / 41 | $8.791,75 | 765 / 54 | $6.751,11 | 762 / 37 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 11 | $14.406,20 | 661 / 28 | $5.024,71 | 976 / 37 | $3.655,75 | 971 / 39 |
| Other Circulatory System Diagnoses W Mcc | 28 | 88 / 14 | $36.789,60 | 394 / 21 | $12.622,10 | 627 / 20 | $11.240,60 | 625 / 24 |
| G.I. Hemorrhage W/O Cc/Mcc | 26 | 42 / 5 | $13.865,40 | 267 / 16 | $5.072,35 | 484 / 17 | $3.741,08 | 480 / 21 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 26 | 70 / 19 | $30.058,20 | 637 / 38 | $8.544,15 | 625 / 32 | $6.942,73 | 620 / 32 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 26 | 63 / 10 | $28.968,20 | 275 / 8 | $7.452,65 | 397 / 11 | $5.986,77 | 396 / 9 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 26 | 65 / 20 | $28.754,20 | 688 / 31 | $7.820,58 | 600 / 32 | $5.658,42 | 599 / 24 |
| Signs & Symptoms W/O Mcc | 25 | 66 / 10 | $17.516,00 | 513 / 20 | $5.021,92 | 497 / 21 | $3.672,52 | 496 / 18 |
| Other Digestive System Diagnoses W Cc | 25 | 72 / 18 | $21.452,20 | 481 / 22 | $6.954,00 | 853 / 27 | $5.948,56 | 849 / 30 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 24 | 101 / 24 | $26.386,50 | 321 / 17 | $10.717,00 | 318 / 30 | $8.587,96 | 318 / 13 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 23 | 78 / 20 | $20.639,00 | 134 / 10 | $10.143,70 | 455 / 24 | $8.971,09 | 454 / 27 |
| Red Blood Cell Disorders W/O Mcc | 23 | 120 / 28 | $20.286,30 | 922 / 45 | $5.929,83 | 1002 / 48 | $4.522,04 | 996 / 43 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 22 | 81 / 11 | $20.079,00 | 253 / 7 | $6.942,36 | 374 / 10 | $5.763,23 | 374 / 11 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 30 | $35.338,10 | 774 / 32 | $7.639,41 | 768 / 26 | $5.849,50 | 766 / 25 |
| Transient Ischemia | 21 | 104 / 20 | $19.785,40 | 651 / 36 | $5.072,57 | 743 / 35 | $3.649,95 | 739 / 33 |
| Red Blood Cell Disorders W Mcc | 21 | 50 / 12 | $22.963,30 | 237 / 15 | $8.355,81 | 377 / 16 | $7.049,19 | 375 / 15 |
| Fractures Of Hip & Pelvis W/O Mcc | 21 | 40 / 6 | $17.255,00 | 393 / 18 | $5.261,52 | 416 / 19 | $3.747,05 | 416 / 19 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 21 | 35 / 10 | $42.966,10 | 342 / 27 | $12.994,80 | 284 / 20 | $11.151,60 | 283 / 17 |
| Diabetes W Mcc | 21 | 36 / 13 | $32.491,70 | 329 / 27 | $9.881,29 | 277 / 22 | $7.982,71 | 277 / 18 |
| Major Small & Large Bowel Procedures W Cc | 20 | 88 / 22 | $77.357,20 | 966 / 45 | $18.191,70 | 1020 / 38 | $15.967,80 | 1009 / 38 |
| Respiratory Infections & Inflammations W Cc | 19 | 69 / 20 | $22.287,50 | 365 / 30 | $8.729,74 | 686 / 28 | $7.728,26 | 681 / 34 |
| Seizures W/O Mcc | 19 | 89 / 16 | $23.868,50 | 730 / 28 | $5.714,63 | 657 / 22 | $4.411,74 | 654 / 25 |
| Spinal Fusion Except Cervical W/O Mcc | 19 | 175 / 27 | $89.968,50 | 635 / 21 | $24.353,30 | 292 / 19 | $20.517,70 | 291 / 9 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 19 | 53 / 16 | $29.486,00 | 333 / 28 | $9.804,53 | 483 / 27 | $8.477,79 | 481 / 27 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 19 | 28 / 7 | $36.726,10 | 262 / 16 | $8.483,68 | 274 / 12 | $6.494,63 | 274 / 14 |
| Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 17 | $121.656,00 | 577 / 29 | $36.150,80 | 777 / 29 | $33.295,10 | 775 / 27 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 18 | 38 / 12 | $40.337,40 | 273 / 17 | $11.085,60 | 538 / 18 | $9.813,17 | 536 / 25 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 6 | $16.146,70 | 235 / 8 | $5.660,89 | 350 / 13 | $4.051,72 | 350 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 11 | $82.144,00 | 504 / 28 | $22.798,60 | 618 / 25 | $20.891,90 | 615 / 26 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 11 | $25.238,30 | 655 / 33 | $5.338,71 | 586 / 27 | $4.183,47 | 585 / 29 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 17 | 107 / 15 | $24.040,80 | 591 / 23 | $5.330,12 | 320 / 16 | $3.851,29 | 320 / 15 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 17 | $194.648,00 | 729 / 33 | $54.266,90 | 930 / 33 | $49.473,60 | 929 / 34 |
| Medical Back Problems W/O Mcc | 16 | 105 / 23 | $18.509,10 | 426 / 12 | $6.282,56 | 612 / 22 | $4.426,25 | 610 / 17 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 21 | $23.577,10 | 578 / 31 | $6.807,67 | 537 / 28 | $5.258,53 | 535 / 26 |
| Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 15 | $24.813,70 | 382 / 13 | $7.652,47 | 287 / 15 | $5.227,20 | 287 / 9 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 18 | $109.967,00 | 252 / 13 | $37.677,70 | 419 / 17 | $35.338,10 | 418 / 21 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 15 | 54 / 17 | $72.905,00 | 368 / 18 | $11.988,10 | 304 / 9 | $10.601,50 | 304 / 13 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 11 | $46.572,90 | 518 / 23 | $10.887,70 | 490 / 18 | $9.205,80 | 488 / 19 |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 21 | $17.946,70 | 306 / 18 | $6.319,13 | 610 / 23 | $5.096,80 | 606 / 27 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 20 | $52.842,70 | 366 / 18 | $12.938,20 | 265 / 4 | $11.369,40 | 260 / 4 |
| Other Kidney & Urinary Tract Procedures W Mcc | 14 | 24 / 6 | $45.788,20 | 18 / 4 | $18.525,20 | 39 / 2 | $17.194,40 | 39 / 4 |
| Cranial & Peripheral Nerve Disorders W Mcc | 14 | 22 / 10 | $18.766,10 | 18 / 6 | $8.408,43 | 15 / 2 | $6.863,93 | 15 / 2 |
| Organic Disturbances & Mental Retardation | 14 | 45 / 7 | $19.883,90 | 174 / 9 | $7.127,64 | 194 / 7 | $5.654,64 | 194 / 9 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 11 | $21.627,00 | 218 / 15 | $6.456,21 | 218 / 8 | $5.409,64 | 218 / 11 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 16 | $60.742,80 | 315 / 19 | $19.331,10 | 439 / 16 | $17.638,90 | 436 / 19 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 17 | $18.760,20 | 768 / 32 | $4.823,29 | 443 / 31 | $2.889,86 | 442 / 15 |
| Complications Of Treatment W Mcc | 14 | 37 / 9 | $32.784,60 | 67 / 7 | $11.786,50 | 89 / 6 | $10.323,90 | 89 / 5 |
| Other Vascular Procedures W Mcc | 14 | 83 / 18 | $61.203,30 | 170 / 9 | $20.788,40 | 361 / 13 | $19.335,80 | 359 / 13 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 17 | $28.162,50 | 537 / 28 | $5.474,00 | 466 / 21 | $4.193,54 | 463 / 22 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 21 | $18.131,60 | 214 / 15 | $8.214,31 | 363 / 26 | $6.301,00 | 362 / 18 |
| Pulmonary Embolism W Mcc | 13 | 30 / 16 | $32.564,50 | 208 / 16 | $10.064,80 | 232 / 15 | $8.495,85 | 232 / 12 |
| Cellulitis W Mcc | 12 | 46 / 18 | $29.186,00 | 357 / 20 | $10.467,60 | 284 / 23 | $7.767,08 | 283 / 11 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 17 | $124.948,00 | 260 / 12 | $33.373,40 | 271 / 12 | $26.187,00 | 271 / 9 |
| Other Disorders Of Nervous System W Cc | 11 | 45 / 17 | $22.048,40 | 211 / 16 | $6.325,82 | 231 / 13 | $4.994,55 | 231 / 11 |
| Atherosclerosis W/O Mcc | 11 | 47 / 15 | $18.563,30 | 281 / 18 | $4.548,82 | / 16 | $3.443,45 | / |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 15 | $29.789,00 | 92 / 5 | $11.914,10 | 206 / 6 | $11.075,70 | 206 / 10 |
| Disorders Of The Biliary Tract W Cc | 11 | 43 / 10 | $27.397,70 | 169 / 7 | $7.420,55 | 194 / 6 | $6.109,64 | 194 / 7 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 14 | $60.142,10 | 357 / 14 | $13.214,30 | 330 / 11 | $11.582,80 | 328 / 12 |
| Fever | 11 | 35 / 8 | $14.692,50 | 41 / 1 | $6.067,82 | 161 / 4 | $4.989,00 | 161 / 6 | Total 97 procedures | 3.630 | 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.