Hospital Costs > In North Carolina > Haywood 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 | 99 | 465 / 41 | $41.152,40 | 821 / 26 | $11.844,90 | 513 / 2 | $10.336,00 | 510 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 88 | 428 / 56 | $20.523,00 | 285 / 11 | $9.988,16 | 199 / 4 | $8.927,81 | 199 / 9 |
| Heart Failure & Shock W Cc | 57 | 221 / 40 | $13.284,10 | 393 / 17 | $5.734,18 | 397 / 6 | $4.787,30 | 397 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 56 | 219 / 33 | $11.257,10 | 308 / 8 | $4.395,18 | 269 / 4 | $3.199,50 | 269 / 6 |
| Spinal Fusion Except Cervical W/O Mcc | 51 | 143 / 17 | $93.034,80 | 665 / 22 | $21.849,00 | 294 / 6 | $20.518,10 | 293 / 10 |
| Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 32 | $11.735,60 | 235 / 5 | $5.488,90 | 217 / 3 | $4.353,15 | 217 / 4 |
| Pulmonary Edema & Respiratory Failure | 43 | 160 / 41 | $16.407,70 | 207 / 15 | $7.089,60 | 165 / 8 | $5.832,84 | 165 / 7 |
| Chronic Obstructive Pulmonary Disease W Cc | 39 | 140 / 32 | $12.975,20 | 324 / 13 | $5.418,97 | 469 / 5 | $4.510,46 | 468 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 42 | $14.900,20 | 305 / 14 | $6.594,81 | 192 / 6 | $5.395,73 | 192 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 37 | 124 / 29 | $12.538,70 | 275 / 13 | $4.635,57 | 253 / 4 | $3.557,43 | 253 / 5 |
| Heart Failure & Shock W Mcc | 36 | 248 / 56 | $15.306,10 | 153 / 6 | $8.333,61 | 213 / 11 | $7.258,36 | 213 / 9 |
| G.I. Hemorrhage W Cc | 36 | 182 / 45 | $14.759,90 | 284 / 13 | $5.814,44 | 222 / 3 | $4.596,17 | 222 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 24 | $8.924,61 | 230 / 8 | $3.410,08 | 407 / 3 | $2.362,72 | 404 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 51 | $16.492,20 | 193 / 11 | $8.117,79 | 273 / 9 | $6.972,79 | 273 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 45 | $16.746,80 | 499 / 22 | $6.206,63 | 388 / 9 | $5.080,43 | 387 / 17 |
| Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 29 | $37.710,10 | 530 / 26 | $10.646,50 | 114 / 3 | $9.256,83 | 113 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 22 | $11.444,90 | 403 / 18 | $4.058,59 | 173 / 4 | $2.930,74 | 171 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 36 | $12.149,30 | 566 / 20 | $4.240,67 | 302 / 6 | $3.135,71 | 302 / 9 |
| Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 47 | $11.927,50 | 504 / 14 | $4.582,43 | 350 / 9 | $3.495,65 | 350 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 38 | $11.313,60 | 81 / 3 | $6.067,52 | 78 / 4 | $4.967,00 | 78 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 16 | $11.563,10 | 375 / 15 | $4.219,82 | 197 / 3 | $2.897,82 | 195 / 5 |
| Cervical Spinal Fusion W/O Cc/Mcc | 22 | 82 / 18 | $46.299,00 | 289 / 10 | $12.212,10 | 183 / 2 | $10.989,80 | 183 / 5 |
| Cellulitis W/O Mcc | 20 | 169 / 45 | $10.803,00 | 336 / 9 | $4.784,80 | 240 / 2 | $3.615,30 | 238 / 3 |
| Chest Pain | 20 | 131 / 26 | $11.054,30 | 192 / 6 | $3.613,35 | 141 / 2 | $2.434,95 | 140 / 3 |
| Signs & Symptoms W/O Mcc | 19 | 72 / 14 | $12.615,10 | 204 / 6 | $4.153,63 | 79 / 3 | $2.914,79 | 79 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 24 | $12.745,70 | 126 / 5 | $4.452,84 | 141 / 3 | $3.099,74 | 139 / 5 |
| G.I. Obstruction W Cc | 18 | 74 / 24 | $11.408,60 | 95 / 1 | $5.076,61 | 133 / 2 | $3.897,39 | 132 / 4 |
| Syncope & Collapse | 17 | 152 / 32 | $11.968,20 | 194 / 1 | $4.317,35 | 194 / 3 | $3.173,06 | 193 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 32 | $29.405,30 | 117 / 7 | $11.886,90 | 78 / 5 | $10.991,80 | 78 / 6 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 10 | $31.120,50 | 215 / 12 | $9.052,06 | 110 / 3 | $7.726,19 | 110 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 15 | $10.179,40 | 145 / 6 | $3.748,00 | 101 / 3 | $2.333,38 | 101 / 2 |
| Transient Ischemia | 14 | 111 / 27 | $13.358,10 | 200 / 6 | $4.164,57 | 184 / 3 | $2.983,64 | 184 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 47 | $18.578,80 | 393 / 24 | $6.242,00 | 270 / 10 | $4.932,14 | 270 / 10 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 28 | $53.842,10 | 502 / 25 | $14.259,10 | 287 / 3 | $12.835,60 | 285 / 13 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 28 | $17.567,10 | 74 / 4 | $8.346,21 | 47 / 3 | $7.220,86 | 47 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 40 | $18.282,70 | 256 / 14 | $6.765,14 | 135 / 3 | $5.717,29 | 135 / 4 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 7 | $8.700,15 | 26 / 1 | $3.894,31 | 63 / 2 | $2.734,62 | 63 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 38 | $16.418,60 | 40 / 2 | $9.238,62 | 78 / 5 | $8.013,23 | 78 / 6 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 21 | $15.934,60 | 37 / 3 | $7.702,38 | 34 / 1 | $6.401,46 | 34 / 1 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 26 | $14.259,80 | 78 / 3 | $6.939,62 | 1 / 3 | $5.533,77 | 1 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 34 | $14.671,90 | 133 / 7 | $6.432,69 | 64 / 5 | $5.144,23 | 64 / 4 |
| Diabetes W Cc | 12 | 80 / 33 | $12.600,60 | 186 / 8 | $4.908,92 | 294 / 7 | $3.989,33 | 294 / 16 |
| Hypertension W/O Mcc | 12 | 53 / 14 | $9.601,83 | 56 / 1 | $3.743,25 | 56 / 2 | $2.424,17 | 56 / 3 |
| Medical Back Problems W/O Mcc | 12 | 109 / 26 | $11.344,60 | 84 / 1 | $4.987,25 | 131 / 3 | $3.613,33 | 131 / 4 |
| G.I. Hemorrhage W Mcc | 12 | 109 / 31 | $18.628,30 | 58 / 2 | $9.119,00 | 31 / 2 | $8.097,42 | 31 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 35 | $22.979,30 | 197 / 8 | $6.215,92 | 199 / 3 | $4.970,25 | 199 / 4 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 12 | 28 / 6 | $29.027,20 | 12 / 1 | $11.136,00 | 7 / 2 | $9.311,92 | 7 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 17 | $31.468,10 | 118 / 6 | $9.282,33 | 139 / 5 | $8.035,42 | 139 / 7 |
| Renal Failure W Mcc | 12 | 183 / 49 | $13.057,80 | 26 / 1 | $7.322,42 | 13 / 1 | $6.419,50 | 13 / 1 |
| Renal Failure W Cc | 11 | 210 / 62 | $8.744,55 | 38 / 1 | $5.567,27 | 317 / 4 | $4.556,18 | 315 / 8 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 19 | $11.421,40 | 64 / 4 | $4.413,82 | 90 / 3 | $3.292,36 | 90 / 2 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 16 | $9.434,55 | 68 / 2 | $4.040,45 | 54 / 2 | $2.781,45 | 54 / 1 | Total 52 procedures | 1.323 | 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.