Hospital Costs > In North Carolina > Halifax Regional Medical Center Inc, 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 | 194 | 370 / 26 | $27.236,70 | 136 / 3 | $13.129,30 | 1127 / 36 | $11.258,60 | 1102 / 52 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 178 | 338 / 34 | $23.215,90 | 428 / 20 | $11.403,90 | 994 / 47 | $10.177,10 | 985 / 53 |
Heart Failure & Shock W Mcc | 92 | 192 / 33 | $18.908,30 | 364 / 20 | $9.143,84 | 824 / 40 | $8.076,01 | 824 / 44 |
Heart Failure & Shock W Cc | 81 | 197 / 29 | $13.490,20 | 411 / 18 | $6.154,75 | 495 / 30 | $4.893,37 | 495 / 15 |
Simple Pneumonia & Pleurisy W Cc | 78 | 125 / 16 | $17.337,30 | 831 / 35 | $6.062,87 | 771 / 22 | $4.877,53 | 768 / 31 |
Chronic Obstructive Pulmonary Disease W Cc | 62 | 117 / 21 | $15.237,50 | 533 / 25 | $5.793,77 | 555 / 22 | $4.600,13 | 553 / 23 |
Chronic Obstructive Pulmonary Disease W Mcc | 61 | 141 / 28 | $16.994,70 | 477 / 20 | $7.188,95 | 879 / 29 | $6.129,74 | 874 / 44 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 57 | 150 / 29 | $16.790,10 | 503 / 23 | $6.603,96 | 739 / 29 | $5.426,18 | 737 / 36 |
Kidney & Urinary Tract Infections W/O Mcc | 55 | 178 / 28 | $13.135,60 | 663 / 26 | $4.832,96 | 711 / 19 | $3.761,35 | 707 / 31 |
Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 40 | $22.471,50 | 541 / 29 | $8.946,02 | 673 / 33 | $7.529,58 | 673 / 33 |
Renal Failure W Cc | 49 | 172 / 40 | $14.181,10 | 394 / 24 | $5.988,53 | 682 / 25 | $4.903,67 | 675 / 31 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 46 | 229 / 38 | $15.613,30 | 831 / 32 | $4.662,22 | 480 / 13 | $3.387,22 | 478 / 14 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 42 | 78 / 11 | $14.879,10 | 764 / 40 | $4.506,86 | 498 / 17 | $3.325,60 | 497 / 17 |
Pulmonary Edema & Respiratory Failure | 41 | 162 / 43 | $17.611,70 | 262 / 19 | $7.449,29 | 582 / 21 | $6.428,07 | 582 / 36 |
Cellulitis W/O Mcc | 38 | 151 / 33 | $13.612,30 | 682 / 23 | $5.283,05 | 476 / 20 | $3.859,79 | 473 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 36 | 130 / 28 | $13.578,30 | 773 / 34 | $4.582,03 | 830 / 27 | $3.533,50 | 827 / 35 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 31 | 62 / 9 | $10.469,80 | 264 / 10 | $4.631,94 | 298 / 18 | $3.042,71 | 296 / 9 |
G.I. Hemorrhage W Cc | 31 | 187 / 48 | $13.171,60 | 173 / 7 | $6.126,48 | 617 / 21 | $5.019,29 | 616 / 32 |
Heart Failure & Shock W/O Cc/Mcc | 28 | 82 / 21 | $13.814,50 | 703 / 37 | $4.413,93 | 260 / 22 | $3.048,54 | 258 / 8 |
Red Blood Cell Disorders W/O Mcc | 25 | 118 / 26 | $14.362,60 | 383 / 14 | $4.944,84 | 441 / 12 | $3.912,96 | 440 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 40 | $12.331,00 | 257 / 10 | $5.200,70 | 338 / 32 | $3.656,22 | 338 / 12 |
Renal Failure W Mcc | 22 | 173 / 41 | $21.756,50 | 308 / 22 | $9.439,73 | 690 / 36 | $8.353,91 | 690 / 45 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 33 | $11.203,50 | 485 / 27 | $3.813,27 | 455 / 23 | $2.404,09 | 452 / 16 |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 39 | $14.828,30 | 233 / 16 | $6.953,14 | 516 / 33 | $5.722,82 | 515 / 29 |
Signs & Symptoms W/O Mcc | 21 | 70 / 13 | $16.144,90 | 417 / 13 | $4.404,90 | 245 / 7 | $3.292,71 | 244 / 8 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 22 | $24.920,90 | 431 / 21 | $7.968,90 | 593 / 25 | $6.851,76 | 588 / 29 |
Transient Ischemia | 21 | 104 / 20 | $14.946,90 | 293 / 15 | $4.397,81 | 483 / 13 | $3.359,52 | 482 / 17 |
Diabetes W Cc | 20 | 72 / 25 | $15.658,70 | 374 / 25 | $5.127,40 | 269 / 15 | $3.947,40 | 269 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 43 | $16.467,40 | 236 / 14 | $6.598,47 | 655 / 28 | $5.385,21 | 654 / 38 |
Syncope & Collapse | 19 | 150 / 31 | $13.385,00 | 290 / 6 | $4.567,11 | 274 / 11 | $3.303,47 | 272 / 7 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 26 | $53.238,10 | 66 / 3 | $32.617,00 | 454 / 25 | $29.113,40 | 450 / 22 |
Chest Pain | 17 | 134 / 28 | $11.503,30 | 226 / 9 | $3.891,94 | 607 / 8 | $3.029,71 | 603 / 25 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 34 | $19.320,60 | 79 / 5 | $10.404,90 | 571 / 26 | $9.529,29 | 570 / 39 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 33 | $34.963,80 | 211 / 16 | $13.773,10 | 665 / 27 | $12.875,40 | 657 / 37 |
Diabetes W Mcc | 15 | 42 / 17 | $18.581,80 | 63 / 4 | $8.412,13 | 210 / 9 | $7.607,13 | 210 / 14 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 44 | $23.275,30 | 180 / 17 | $12.061,20 | 774 / 39 | $11.077,00 | 766 / 48 |
Pulmonary Embolism W Mcc | 14 | 29 / 15 | $26.039,20 | 108 / 8 | $9.429,79 | 209 / 4 | $8.338,21 | 209 / 10 |
Other Circulatory System Diagnoses W Mcc | 14 | 102 / 22 | $19.691,10 | 48 / 2 | $11.385,20 | 421 / 9 | $10.445,80 | 420 / 15 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 14 | 55 / 11 | $47.396,50 | 91 / 6 | $17.500,10 | 151 / 10 | $14.303,60 | 151 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 33 | $10.777,00 | 40 / 1 | $6.729,21 | 373 / 16 | $5.826,57 | 370 / 20 |
Pulmonary Embolism W/O Mcc | 13 | 61 / 23 | $21.250,90 | 453 / 28 | $6.122,92 | 385 / 10 | $4.954,85 | 385 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 29 | $14.328,00 | 208 / 10 | $4.738,38 | 350 / 12 | $3.433,15 | 347 / 17 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 32 | $13.355,50 | 29 / 1 | $10.286,50 | 660 / 22 | $9.331,85 | 659 / 32 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 16 | $14.862,20 | 114 / 4 | $5.621,08 | 143 / 5 | $4.320,31 | 143 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 42 | $16.805,70 | 187 / 9 | $7.787,08 | 163 / 29 | $5.778,33 | 163 / 6 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 21 | $65.085,20 | 49 / 2 | $35.274,80 | 352 / 10 | $33.947,40 | 351 / 19 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 16 | $11.428,60 | 154 / 5 | $4.141,08 | 66 / 7 | $2.769,92 | 66 / 5 |
G.I. Obstruction W Mcc | 11 | 31 / 13 | $26.166,20 | 83 / 4 | $10.863,90 | 241 / 9 | $9.641,45 | 241 / 12 |
Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 5 | $13.847,40 | 55 / 1 | $5.166,82 | 52 / 2 | $3.873,00 | 52 / 2 |
Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 43 | $36.164,50 | 460 / 16 | $12.354,70 | 376 / 45 | $9.881,73 | 375 / 20 |
G.I. Hemorrhage W Mcc | 11 | 110 / 32 | $21.646,50 | 97 / 3 | $10.772,70 | 623 / 24 | $9.995,91 | 624 / 32 | Total 51 procedures | 1.770 | 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.