Hospital Costs > In North Carolina > Frye Regional Medical Center, 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 | 202 | 362 / 22 | $67.250,40 | 1923 / 72 | $11.847,40 | 194 / 3 | $9.691,24 | 194 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 191 | 325 / 31 | $54.191,00 | 1925 / 78 | $10.154,20 | 230 / 8 | $9.008,11 | 230 / 11 |
| Simple Pneumonia & Pleurisy W Cc | 110 | 93 / 6 | $32.283,00 | 2077 / 76 | $5.499,60 | 427 / 4 | $4.586,11 | 424 / 14 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 103 | 93 / 12 | $94.560,90 | 1102 / 30 | $12.023,30 | 114 / 4 | $9.498,74 | 114 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 95 | 56 / 7 | $15.988,80 | 1099 / 57 | $3.422,49 | 252 / 4 | $2.201,66 | 250 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 93 | 140 / 16 | $23.156,70 | 1860 / 76 | $4.413,90 | 316 / 3 | $3.454,59 | 316 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 90 | 98 / 13 | $43.350,40 | 1036 / 38 | $6.573,17 | 82 / 7 | $4.693,53 | 82 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 78 | 129 / 18 | $33.958,20 | 1813 / 78 | $5.986,19 | 334 / 4 | $5.028,67 | 333 / 9 |
| Heart Failure & Shock W Cc | 65 | 213 / 35 | $30.573,10 | 1982 / 76 | $5.685,95 | 333 / 4 | $4.709,12 | 333 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 64 | 102 / 16 | $22.232,40 | 1732 / 72 | $4.146,33 | 246 / 3 | $3.068,53 | 246 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 63 | 212 / 31 | $24.899,90 | 1881 / 80 | $4.542,32 | 260 / 8 | $3.188,17 | 260 / 5 |
| Pulmonary Edema & Respiratory Failure | 63 | 140 / 29 | $37.136,80 | 1394 / 73 | $6.953,24 | 222 / 3 | $5.972,62 | 222 / 10 |
| G.I. Hemorrhage W Cc | 63 | 155 / 28 | $30.282,10 | 1578 / 74 | $6.002,19 | 136 / 10 | $4.446,29 | 136 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 62 | 132 / 15 | $124.243,00 | 961 / 34 | $21.692,70 | 289 / 3 | $20.505,10 | 288 / 8 |
| Simple Pneumonia & Pleurisy W Mcc | 61 | 144 / 32 | $46.334,40 | 1799 / 73 | $7.930,41 | 355 / 3 | $7.120,44 | 355 / 17 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 50 | 26 / 5 | $173.980,00 | 439 / 19 | $28.933,60 | 76 / 4 | $22.671,40 | 76 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 50 | 111 / 21 | $27.673,10 | 1523 / 69 | $4.531,88 | 304 / 2 | $3.612,20 | 304 / 9 |
| Chest Pain | 47 | 104 / 12 | $24.671,70 | 1190 / 46 | $3.594,96 | 204 / 1 | $2.555,85 | 203 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 46 | 133 / 29 | $32.989,40 | 1848 / 74 | $5.645,48 | 397 / 14 | $4.427,39 | 396 / 9 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 43 | 50 / 4 | $22.148,00 | 1315 / 53 | $4.155,37 | 283 / 2 | $3.030,79 | 281 / 8 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 42 | 89 / 15 | $93.761,70 | 1450 / 62 | $13.643,90 | 670 / 24 | $12.895,00 | 662 / 38 |
| Cellulitis W/O Mcc | 42 | 147 / 30 | $28.153,00 | 2051 / 73 | $4.867,33 | 263 / 3 | $3.643,74 | 261 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 40 | $35.598,50 | 1779 / 79 | $6.406,33 | 337 / 2 | $5.601,00 | 336 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 41 | 61 / 14 | $23.375,20 | 806 / 49 | $4.358,12 | 134 / 2 | $3.077,39 | 132 / 4 |
| Heart Failure & Shock W/O Cc/Mcc | 40 | 70 / 13 | $21.014,50 | 1361 / 59 | $3.917,82 | 305 / 3 | $3.105,82 | 303 / 10 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 38 | 62 / 10 | $136.258,00 | 759 / 20 | $18.018,40 | 169 / 1 | $16.970,80 | 169 / 4 |
| Renal Failure W Cc | 36 | 185 / 48 | $37.895,80 | 1984 / 77 | $6.178,72 | 363 / 36 | $4.604,28 | 360 / 11 |
| Red Blood Cell Disorders W/O Mcc | 35 | 108 / 21 | $22.332,40 | 1094 / 52 | $4.594,31 | 222 / 4 | $3.666,31 | 222 / 6 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 33 | 23 / 2 | $48.292,80 | 544 / 26 | $8.916,00 | 121 / 2 | $7.820,24 | 121 / 3 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 32 | 37 / 10 | $93.400,30 | 473 / 24 | $10.682,70 | 48 / 4 | $8.549,72 | 48 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 35 | $28.721,80 | 1068 / 62 | $6.178,84 | 184 / 7 | $4.799,09 | 184 / 8 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 21 | $20.688,30 | 1307 / 60 | $4.290,07 | 339 / 5 | $3.173,41 | 339 / 11 |
| Pulmonary Embolism W/O Mcc | 28 | 46 / 13 | $30.132,60 | 842 / 47 | $6.152,86 | 106 / 11 | $4.362,14 | 106 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 27 | 64 / 19 | $43.020,60 | 1086 / 40 | $5.933,67 | 242 / 6 | $5.036,48 | 242 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 28 | $50.136,80 | 1530 / 64 | $7.067,04 | 361 / 10 | $6.151,48 | 360 / 17 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 26 | 31 / 7 | $73.332,10 | 534 / 19 | $13.333,40 | 58 / 7 | $10.310,20 | 58 / 2 |
| Heart Failure & Shock W Mcc | 26 | 258 / 61 | $40.861,00 | 1698 / 79 | $8.082,38 | 554 / 4 | $7.755,00 | 554 / 26 |
| Syncope & Collapse | 25 | 144 / 27 | $20.508,70 | 903 / 39 | $4.252,84 | 165 / 2 | $3.113,36 | 165 / 2 |
| Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 33 | $59.481,90 | 1340 / 64 | $10.477,30 | 158 / 1 | $9.372,00 | 157 / 4 |
| G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 9 | $19.829,90 | 811 / 35 | $3.593,70 | 204 / 2 | $2.539,74 | 204 / 5 |
| Extracranial Procedures W/O Cc/Mcc | 22 | 76 / 16 | $53.096,00 | 788 / 27 | $5.877,50 | 153 / 2 | $4.834,59 | 153 / 2 |
| Diabetes W Cc | 22 | 70 / 23 | $32.946,50 | 1260 / 59 | $4.729,73 | 284 / 3 | $3.964,64 | 284 / 15 |
| Major Small & Large Bowel Procedures W Cc | 22 | 86 / 20 | $87.357,60 | 1079 / 47 | $14.678,80 | 16 / 10 | $10.886,00 | 16 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 21 | 83 / 19 | $76.827,30 | 651 / 26 | $12.112,60 | 180 / 1 | $10.963,70 | 180 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 27 | $40.875,70 | 1318 / 54 | $6.712,67 | 105 / 13 | $5.297,62 | 104 / 5 |
| G.I. Hemorrhage W/O Cc/Mcc | 21 | 47 / 8 | $18.519,90 | 488 / 25 | $4.047,81 | 234 / 2 | $3.243,24 | 232 / 8 |
| Signs & Symptoms W/O Mcc | 21 | 70 / 13 | $28.544,00 | 998 / 34 | $3.994,14 | 113 / 1 | $3.018,90 | 113 / 3 |
| Psychoses | 20 | 255 / 15 | $28.047,30 | 452 / 18 | $5.777,25 | 21 / 1 | $4.478,35 | 21 / 1 |
| G.I. Hemorrhage W Mcc | 19 | 102 / 25 | $61.555,60 | 1223 / 53 | $9.569,26 | 213 / 4 | $8.936,05 | 213 / 10 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 19 | 45 / 11 | $63.294,40 | 599 / 25 | $10.729,60 | 16 / 11 | $6.590,74 | 16 / 1 |
| Renal Failure W Mcc | 19 | 176 / 43 | $53.627,30 | 1650 / 74 | $8.378,42 | 202 / 5 | $7.549,79 | 202 / 11 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 28 | $67.534,70 | 1429 / 52 | $9.495,00 | 326 / 9 | $8.607,37 | 326 / 14 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 18 | 27 / 6 | $170.157,00 | 256 / 18 | $21.500,90 | 189 / 10 | $20.580,80 | 188 / 15 |
| Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 43 | $42.346,30 | 1548 / 72 | $6.018,50 | 247 / 3 | $5.344,72 | 247 / 11 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 22 | $31.156,90 | 903 / 37 | $5.530,72 | 103 / 2 | $4.410,00 | 102 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 33 | $52.027,60 | 1000 / 56 | $10.265,10 | 120 / 21 | $8.161,67 | 119 / 9 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 17 | 60 / 7 | $69.855,60 | 358 / 12 | $10.275,90 | 31 / 4 | $6.993,18 | 31 / 2 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 13 | $27.101,70 | 542 / 27 | $5.204,00 | 114 / 2 | $4.222,00 | 114 / 5 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 16 | 72 / 13 | $144.057,00 | 455 / 17 | $20.877,20 | 174 / 2 | $19.819,20 | 173 / 4 |
| Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 15 | $110.253,00 | 499 / 18 | $17.505,10 | 85 / 1 | $16.739,30 | 85 / 3 |
| Transient Ischemia | 14 | 111 / 27 | $20.051,70 | 674 / 38 | $4.055,57 | 257 / 2 | $3.104,71 | 257 / 8 |
| Hypertension W/O Mcc | 14 | 51 / 12 | $19.492,80 | 396 / 20 | $3.767,00 | 44 / 3 | $2.369,00 | 44 / 2 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 26 | $57.452,20 | 1234 / 54 | $9.164,77 | 984 / 36 | $8.608,46 | 979 / 46 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 19 | $53.914,30 | 889 / 36 | $8.767,15 | 555 / 22 | $7.652,08 | 553 / 23 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 12 | $29.020,50 | 356 / 22 | $5.216,46 | 75 / 1 | $4.657,69 | 75 / 3 |
| Medical Back Problems W/O Mcc | 13 | 108 / 25 | $43.138,50 | 1311 / 33 | $7.597,69 | 11 / 28 | $3.200,69 | 11 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 27 | $46.494,50 | 1091 / 46 | $6.628,85 | 77 / 1 | $5.609,77 | 77 / 3 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 18 | $30.833,80 | 591 / 33 | $4.368,33 | 201 / 1 | $3.568,33 | 200 / 8 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 21 | $249.343,00 | 896 / 31 | $41.186,10 | 346 / 23 | $33.885,90 | 345 / 18 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 24 | $30.407,60 | 720 / 36 | $4.953,08 | 183 / 2 | $4.043,75 | 180 / 6 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 15 | $54.539,80 | 619 / 19 | $6.106,92 | 122 / 3 | $4.893,58 | 122 / 5 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 21 | $214.371,00 | 787 / 34 | $32.342,90 | 452 / 14 | $31.540,20 | 452 / 20 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 17 | $36.968,50 | 831 / 34 | $5.449,64 | 671 / 28 | $4.577,00 | 670 / 31 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 23 | $62.931,90 | 815 / 39 | $7.982,09 | 234 / 4 | $7.429,36 | 233 / 11 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 18 | $69.433,90 | 655 / 33 | $9.028,91 | 140 / 2 | $8.036,91 | 140 / 8 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 11 | 31 / 5 | $180.611,00 | 101 / 6 | $27.671,40 | 8 / 1 | $22.404,00 | 8 / 1 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 25 | $49.505,20 | 730 / 33 | $10.267,50 | 253 / 4 | $9.825,27 | 253 / 8 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 24 | $174.273,00 | 939 / 35 | $32.232,00 | 640 / 19 | $31.362,10 | 638 / 25 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 16 | $22.127,20 | 587 / 29 | $4.130,45 | 161 / 4 | $3.138,45 | 162 / 4 |
| Respiratory Signs & Symptoms | 11 | 35 / 9 | $22.895,90 | 155 / 13 | $3.959,18 | 68 / 1 | $3.409,36 | 68 / 3 | Total 80 procedures | 2.909 | 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.