Hospital Costs > In North Carolina > Granville Health Systems, 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 | 54 | 510 / 56 | $39.951,30 | 750 / 22 | $12.888,00 | 1220 / 28 | $11.430,80 | 1190 / 54 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 46 | 470 / 69 | $18.005,40 | 172 / 4 | $10.962,30 | 602 / 31 | $9.672,04 | 601 / 31 |
| Heart Failure & Shock W Mcc | 31 | 253 / 58 | $17.905,30 | 303 / 17 | $9.336,77 | 994 / 50 | $8.290,74 | 993 / 52 |
| Heart Failure & Shock W Cc | 26 | 252 / 55 | $12.120,30 | 277 / 8 | $6.196,27 | 499 / 32 | $4.894,77 | 499 / 16 |
| Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 50 | $12.376,50 | 142 / 8 | $7.086,88 | 653 / 21 | $5.930,00 | 649 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 51 | $15.196,60 | 368 / 12 | $6.798,57 | 870 / 37 | $5.548,04 | 868 / 43 |
| Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 35 | $28.510,00 | 184 / 4 | $11.875,00 | 740 / 37 | $10.495,60 | 733 / 43 |
| Red Blood Cell Disorders W/O Mcc | 21 | 122 / 30 | $14.595,30 | 413 / 17 | $5.368,33 | 795 / 28 | $4.293,00 | 790 / 35 |
| Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 51 | $12.877,20 | 348 / 11 | $6.399,60 | 1228 / 38 | $5.246,85 | 1224 / 54 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 56 | $12.330,20 | 436 / 11 | $5.393,72 | 490 / 62 | $3.395,50 | 488 / 15 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 52 | $10.056,70 | 303 / 4 | $5.194,24 | 903 / 42 | $3.890,29 | 896 / 38 |
| Renal Failure W Cc | 16 | 205 / 59 | $10.401,20 | 117 / 4 | $6.235,12 | 214 / 39 | $4.402,56 | 213 / 5 |
| G.I. Hemorrhage W Cc | 15 | 203 / 59 | $16.339,70 | 423 / 21 | $6.428,80 | 1053 / 38 | $5.415,27 | 1051 / 50 |
| Transurethral Prostatectomy W/O Cc/Mcc | 14 | 15 / 1 | $13.213,60 | 8 / 1 | $4.919,43 | 36 / 1 | $3.764,43 | 36 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 33 | $7.945,00 | 92 / 1 | $4.793,36 | 660 / 26 | $3.448,57 | 658 / 26 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 49 | $11.401,50 | 180 / 5 | $6.086,14 | 651 / 37 | $4.679,00 | 649 / 31 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 24 | $11.100,00 | 325 / 13 | $4.888,46 | 708 / 30 | $3.428,77 | 704 / 30 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 26 | $16.805,90 | 150 / 9 | $8.392,69 | 277 / 20 | $6.917,23 | 275 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 50 | $10.500,30 | 137 / 4 | $5.073,50 | 675 / 21 | $3.983,92 | 672 / 32 | Total 19 procedures | 414 | 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.