Hospital Costs > In North Carolina > Harris Regional Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 45 | $10.948,20 | 172 / 7 | $4.863,00 | 463 / 14 | $3.781,18 | 463 / 19 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 32 | $15.246,80 | 126 / 3 | $7.275,09 | 452 / 16 | $6.289,83 | 449 / 24 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 42 | $7.329,73 | 94 / 1 | $3.698,73 | 645 / 15 | $2.554,64 | 641 / 26 |
Cellulitis W/O Mcc | 30 | 159 / 39 | $16.110,00 | 1010 / 42 | $5.420,20 | 772 / 28 | $4.103,00 | 767 / 30 |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 60 | $11.894,90 | 122 / 7 | $6.589,17 | 190 / 5 | $5.389,92 | 190 / 8 |
Diabetes W Cc | 12 | 80 / 33 | $9.189,17 | 63 / 1 | $5.053,00 | 201 / 10 | $3.832,83 | 201 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 43 | $11.162,70 | 304 / 7 | $4.758,39 | 653 / 21 | $3.529,94 | 649 / 23 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 15 | $10.404,20 | 95 / 3 | $4.270,75 | 181 / 5 | $3.198,83 | 182 / 6 |
G.I. Hemorrhage W Cc | 38 | 180 / 43 | $17.014,30 | 485 / 27 | $5.971,32 | 421 / 8 | $4.834,53 | 420 / 14 |
G.I. Hemorrhage W Mcc | 14 | 107 / 29 | $32.826,60 | 423 / 27 | $10.283,90 | 310 / 14 | $9.169,64 | 310 / 16 |
Heart Failure & Shock W Cc | 36 | 242 / 52 | $12.478,90 | 313 / 11 | $5.968,61 | 612 / 16 | $4.997,19 | 611 / 24 |
Heart Failure & Shock W Mcc | 51 | 233 / 45 | $16.719,20 | 229 / 10 | $8.668,43 | 298 / 16 | $7.414,29 | 298 / 14 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 35 | $10.148,70 | 275 / 13 | $4.325,73 | 521 / 16 | $3.321,82 | 519 / 25 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 33 | $40.697,20 | 669 / 32 | $11.275,30 | 298 / 19 | $9.727,96 | 297 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 48 | $15.171,90 | 164 / 8 | $6.421,23 | 398 / 23 | $5.109,15 | 397 / 15 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 48 | $15.944,00 | 305 / 24 | $6.805,58 | 293 / 22 | $5.416,92 | 292 / 15 |
Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 41 | $12.599,00 | 587 / 21 | $4.938,38 | 697 / 25 | $3.752,12 | 693 / 28 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 22 | 43 / 9 | $55.245,20 | 183 / 8 | $18.410,20 | 198 / 5 | $16.808,20 | 197 / 8 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 57 | 507 / 54 | $44.910,00 | 1022 / 33 | $12.168,00 | 559 / 6 | $10.414,30 | 554 / 24 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 40 | $10.928,70 | 420 / 14 | $4.424,25 | 485 / 17 | $3.298,25 | 484 / 23 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 14 | $13.366,90 | 234 / 15 | $4.313,43 | 123 / 12 | $2.957,00 | 123 / 8 |
Pulmonary Edema & Respiratory Failure | 135 | 68 / 10 | $15.302,80 | 161 / 11 | $7.352,56 | 226 / 15 | $5.979,10 | 226 / 11 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 34 | $13.337,80 | 297 / 7 | $5.034,56 | 359 / 15 | $3.830,50 | 358 / 12 |
Renal Failure W Cc | 21 | 200 / 57 | $12.615,30 | 266 / 13 | $5.692,43 | 382 / 9 | $4.636,86 | 379 / 12 |
Renal Failure W Mcc | 11 | 184 / 50 | $22.614,70 | 348 / 24 | $9.115,18 | 369 / 25 | $7.860,09 | 369 / 25 |
Respiratory Infections & Inflammations W Mcc | 24 | 112 / 35 | $23.057,50 | 174 / 16 | $10.865,20 | 134 / 12 | $9.512,83 | 134 / 10 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 33 | $45.077,50 | 484 / 35 | $13.398,80 | 252 / 22 | $11.747,70 | 250 / 16 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 22 | $55.194,90 | 26 / 1 | $30.081,50 | 44 / 1 | $28.277,50 | 44 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 74 | 442 / 61 | $21.433,00 | 336 / 14 | $10.456,90 | 299 / 11 | $9.171,95 | 299 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 52 | $16.939,50 | 511 / 25 | $6.439,52 | 382 / 15 | $5.077,29 | 381 / 16 |
Simple Pneumonia & Pleurisy W Cc | 32 | 171 / 43 | $15.179,60 | 581 / 25 | $6.058,25 | 581 / 21 | $4.720,12 | 578 / 22 |
Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 61 | $21.165,00 | 455 / 24 | $8.631,62 | 777 / 23 | $7.629,77 | 777 / 40 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 25 | $10.572,50 | 274 / 11 | $4.576,50 | 461 / 15 | $3.203,50 | 459 / 17 |
Syncope & Collapse | 14 | 155 / 35 | $13.714,60 | 304 / 7 | $4.681,14 | 598 / 15 | $3.650,36 | 595 / 20 | Total 34 procedures | 893 | 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.