Hospital Costs > In North Carolina > High Point Regional Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 239 | 92 / 4 | $7.723,93 | 20 / 1 | $6.286,91 | 56 / 5 | $4.852,73 | 56 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 214 | 302 / 27 | $32.107,90 | 891 / 43 | $10.907,00 | 541 / 26 | $9.579,92 | 540 / 25 |
Heart Failure & Shock W Mcc | 183 | 101 / 12 | $25.739,60 | 803 / 47 | $8.856,83 | 514 / 25 | $7.707,86 | 514 / 19 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 167 | 397 / 30 | $43.891,30 | 971 / 32 | $12.773,30 | 345 / 26 | $10.051,90 | 344 / 8 |
Simple Pneumonia & Pleurisy W Mcc | 109 | 96 / 12 | $25.877,40 | 758 / 40 | $8.554,62 | 558 / 20 | $7.394,06 | 558 / 28 |
Heart Failure & Shock W Cc | 106 | 172 / 21 | $18.476,90 | 986 / 47 | $6.131,33 | 838 / 28 | $5.164,58 | 837 / 39 |
Renal Failure W Mcc | 90 | 105 / 15 | $25.203,50 | 473 / 38 | $9.073,83 | 422 / 24 | $7.947,47 | 422 / 28 |
Chronic Obstructive Pulmonary Disease W Mcc | 86 | 116 / 18 | $19.667,70 | 683 / 34 | $6.972,43 | 421 / 13 | $5.710,33 | 420 / 22 |
Renal Failure W Cc | 81 | 140 / 25 | $17.446,60 | 721 / 41 | $5.972,63 | 458 / 23 | $4.705,49 | 454 / 18 |
Simple Pneumonia & Pleurisy W Cc | 80 | 123 / 15 | $17.697,60 | 876 / 38 | $6.129,45 | 452 / 24 | $4.610,31 | 449 / 16 |
Respiratory Infections & Inflammations W Mcc | 75 | 61 / 11 | $34.811,80 | 588 / 44 | $11.973,30 | 206 / 33 | $9.776,21 | 206 / 15 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 71 | 204 / 26 | $18.087,00 | 1144 / 53 | $4.906,77 | 742 / 31 | $3.595,04 | 738 / 28 |
G.I. Hemorrhage W Cc | 68 | 150 / 26 | $22.746,20 | 1006 / 53 | $6.167,88 | 447 / 24 | $4.861,66 | 446 / 18 |
Pulmonary Edema & Respiratory Failure | 68 | 135 / 26 | $22.847,80 | 592 / 36 | $7.785,79 | 201 / 34 | $5.915,94 | 201 / 9 |
Kidney & Urinary Tract Infections W/O Mcc | 66 | 167 / 24 | $14.070,10 | 804 / 31 | $4.937,35 | 619 / 24 | $3.700,70 | 617 / 22 |
Chronic Obstructive Pulmonary Disease W Cc | 64 | 115 / 20 | $16.558,60 | 663 / 32 | $6.050,14 | 582 / 33 | $4.624,06 | 580 / 26 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 58 | 149 / 28 | $23.559,10 | 1125 / 58 | $6.952,26 | 641 / 42 | $5.347,16 | 639 / 30 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 56 | 110 / 18 | $13.393,50 | 745 / 32 | $4.529,29 | 731 / 23 | $3.474,86 | 729 / 31 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 53 | 129 / 25 | $20.963,10 | 531 / 34 | $6.281,98 | 414 / 13 | $5.122,09 | 413 / 17 |
Cellulitis W/O Mcc | 52 | 137 / 23 | $13.045,20 | 596 / 21 | $5.412,04 | 489 / 27 | $3.867,98 | 486 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 49 | 119 / 17 | $29.525,80 | 327 / 28 | $9.942,25 | 308 / 14 | $8.805,00 | 307 / 21 |
Syncope & Collapse | 47 | 122 / 17 | $17.703,80 | 646 / 30 | $4.661,30 | 553 / 13 | $3.601,94 | 550 / 17 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 45 | 116 / 24 | $16.406,70 | 679 / 36 | $5.234,98 | 406 / 33 | $3.740,36 | 406 / 15 |
Kidney & Urinary Tract Infections W Mcc | 44 | 100 / 20 | $18.870,60 | 497 / 40 | $6.927,61 | 314 / 30 | $5.442,98 | 313 / 16 |
Red Blood Cell Disorders W/O Mcc | 41 | 102 / 20 | $16.733,40 | 601 / 30 | $5.060,29 | 560 / 17 | $4.048,54 | 558 / 23 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 38 | 158 / 19 | $53.172,80 | 291 / 8 | $12.099,20 | 120 / 5 | $9.536,92 | 120 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 38 | 85 / 23 | $29.187,00 | 914 / 53 | $7.935,58 | 368 / 32 | $6.159,55 | 366 / 20 |
G.I. Hemorrhage W Mcc | 36 | 85 / 16 | $33.582,00 | 450 / 30 | $10.300,20 | 334 / 16 | $9.241,64 | 334 / 19 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 34 | 92 / 18 | $18.957,50 | 354 / 24 | $6.771,21 | 453 / 17 | $5.962,18 | 450 / 22 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 34 | 68 / 16 | $17.759,00 | 415 / 26 | $4.832,65 | 373 / 17 | $3.466,26 | 370 / 19 |
Hip & Femur Procedures Except Major Joint W Cc | 34 | 109 / 25 | $34.300,10 | 389 / 11 | $10.929,00 | 220 / 7 | $9.533,06 | 219 / 8 |
Spinal Fusion Except Cervical W/O Mcc | 32 | 162 / 21 | $81.757,90 | 549 / 12 | $22.794,10 | 440 / 9 | $21.462,40 | 437 / 17 |
Diabetes W Cc | 32 | 60 / 17 | $14.402,20 | 294 / 16 | $5.182,66 | 563 / 17 | $4.349,97 | 563 / 27 |
G.I. Obstruction W Cc | 30 | 62 / 16 | $17.124,90 | 439 / 15 | $6.604,00 | 165 / 38 | $3.990,53 | 164 / 7 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 21 | $12.857,00 | 532 / 24 | $5.075,83 | 261 / 46 | $3.100,28 | 261 / 7 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 29 | $12.325,60 | 637 / 36 | $3.728,59 | 636 / 18 | $2.545,72 | 632 / 25 |
Respiratory Infections & Inflammations W Cc | 29 | 59 / 12 | $18.813,40 | 218 / 16 | $7.894,48 | 164 / 8 | $6.671,97 | 164 / 8 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 26 | $20.620,30 | 124 / 4 | $6.533,93 | 430 / 6 | $5.342,25 | 428 / 10 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 27 | 97 / 11 | $9.582,85 | 120 / 2 | $4.488,44 | 106 / 6 | $3.239,48 | 106 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 25 | 71 / 20 | $23.296,40 | 357 / 19 | $7.287,72 | 192 / 10 | $5.971,64 | 191 / 7 |
Renal Failure W/O Cc/Mcc | 24 | 32 / 7 | $15.235,70 | 378 / 22 | $4.153,83 | 367 / 3 | $3.240,67 | 366 / 9 |
Seizures W/O Mcc | 24 | 84 / 13 | $20.329,00 | 566 / 22 | $4.880,83 | 260 / 6 | $3.674,04 | 259 / 6 |
Transient Ischemia | 24 | 101 / 18 | $21.113,30 | 744 / 41 | $4.591,21 | 217 / 18 | $3.044,38 | 217 / 7 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 26 | $33.422,40 | 173 / 12 | $13.241,30 | 147 / 19 | $11.389,00 | 147 / 8 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 22 | 54 / 10 | $33.551,10 | 143 / 12 | $10.539,10 | 75 / 1 | $9.605,73 | 75 / 3 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 23 | $79.378,00 | 246 / 17 | $29.362,00 | 119 / 13 | $25.904,60 | 119 / 8 |
Chest Pain | 22 | 129 / 24 | $15.609,40 | 553 / 25 | $3.971,55 | 481 / 13 | $2.903,77 | 478 / 19 |
Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 27 | $12.522,00 | 531 / 31 | $4.342,19 | 449 / 17 | $3.260,33 | 447 / 17 |
Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 24 | $23.454,30 | 446 / 21 | $6.441,43 | 356 / 12 | $5.237,67 | 355 / 13 |
Other Circulatory System Diagnoses W Mcc | 21 | 95 / 17 | $29.217,40 | 200 / 10 | $10.648,70 | 72 / 5 | $8.963,29 | 72 / 3 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 17 | $12.695,40 | 476 / 20 | $4.565,57 | 535 / 13 | $3.266,76 | 533 / 19 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 27 | $24.102,30 | 265 / 14 | $9.742,95 | 386 / 11 | $8.732,85 | 386 / 18 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 19 | 50 / 15 | $48.810,60 | 143 / 7 | $10.379,60 | 130 / 2 | $9.140,84 | 130 / 5 |
Medical Back Problems W/O Mcc | 18 | 103 / 22 | $18.810,60 | 441 / 13 | $5.558,39 | 199 / 11 | $3.742,39 | 199 / 5 |
Cellulitis W Mcc | 18 | 40 / 13 | $20.213,40 | 128 / 7 | $8.463,83 | 177 / 6 | $7.342,83 | 176 / 6 |
G.I. Obstruction W Mcc | 18 | 24 / 8 | $25.504,70 | 73 / 3 | $9.151,78 | 48 / 2 | $8.021,22 | 48 / 2 |
Other Vascular Procedures W Mcc | 18 | 79 / 15 | $66.985,00 | 225 / 12 | $18.380,70 | 124 / 4 | $17.213,00 | 124 / 2 |
Other Digestive System Diagnoses W Cc | 18 | 79 / 22 | $20.744,20 | 452 / 20 | $6.085,50 | 160 / 6 | $4.572,22 | 158 / 6 |
Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 19 | $16.591,90 | 258 / 15 | $5.477,12 | 203 / 8 | $4.100,35 | 200 / 7 |
Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 17 | $60.196,20 | 349 / 14 | $15.502,10 | 245 / 5 | $14.332,40 | 244 / 6 |
Other Vascular Procedures W Cc | 16 | 86 / 18 | $39.486,40 | 85 / 2 | $15.040,10 | 50 / 5 | $12.281,60 | 50 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 15 | 41 / 13 | $29.289,70 | 129 / 13 | $10.549,70 | 54 / 3 | $9.329,47 | 54 / 3 |
Other Vascular Procedures W/O Cc/Mcc | 15 | 41 / 12 | $39.490,70 | 172 / 10 | $10.257,30 | 67 / 2 | $8.211,00 | 67 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 19 | $18.122,90 | 212 / 14 | $7.438,27 | 119 / 13 | $5.653,13 | 119 / 3 |
Depressive Neuroses | 15 | 35 / 4 | $8.330,33 | 36 / 1 | $4.378,07 | 17 / 1 | $3.057,00 | 17 / 1 |
Nonspecific Cerebrovascular Disorders W Cc | 15 | 41 / 10 | $18.313,70 | 99 / 4 | $6.042,80 | 88 / 3 | $4.788,87 | 88 / 2 |
Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 19 | $77.489,20 | 349 / 9 | $19.173,90 | 214 / 1 | $17.927,90 | 214 / 2 |
Pulmonary Embolism W Mcc | 14 | 29 / 15 | $33.377,10 | 225 / 17 | $9.512,71 | 32 / 5 | $7.014,71 | 32 / 2 |
Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 15 | $16.927,10 | 179 / 6 | $6.102,64 | 77 / 11 | $4.055,07 | 77 / 2 |
Other Circulatory System Diagnoses W Cc | 14 | 52 / 16 | $18.676,80 | 161 / 7 | $6.022,79 | 226 / 4 | $5.228,00 | 225 / 7 |
Coronary Bypass W Cardiac Cath W/O Mcc | 14 | 62 / 15 | $97.624,70 | 111 / 2 | $25.776,90 | 152 / 1 | $24.228,00 | 152 / 4 |
Diabetes W Mcc | 14 | 43 / 18 | $22.563,00 | 124 / 9 | $8.093,93 | 90 / 4 | $6.931,21 | 90 / 6 |
Hypertension W/O Mcc | 14 | 51 / 12 | $14.322,60 | 191 / 12 | $4.055,64 | 234 / 5 | $2.979,43 | 232 / 7 |
Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 22 | $64.090,80 | 91 / 2 | $27.503,80 | 187 / 5 | $26.220,40 | 186 / 6 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 22 | $18.162,20 | 301 / 22 | $6.032,57 | 453 / 9 | $5.102,57 | 451 / 19 |
Other Disorders Of Nervous System W Mcc | 13 | 27 / 9 | $22.877,80 | 29 / 3 | $8.928,62 | 48 / 2 | $8.157,46 | 48 / 2 |
Other Resp System O.R. Procedures W Mcc | 13 | 50 / 14 | $48.269,40 | 51 / 1 | $20.241,50 | 100 / 2 | $19.105,80 | 100 / 3 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 13 | 62 / 1 | $7.906,46 | 7 / 1 | $7.142,38 | 6 / 1 | $5.914,69 | 6 / 1 |
Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 21 | $22.904,80 | 170 / 15 | $8.323,69 | 206 / 10 | $7.293,85 | 205 / 10 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 12 | $55.990,40 | 160 / 8 | $16.838,40 | 5 / 6 | $11.480,50 | 5 / 2 |
Respiratory Neoplasms W Mcc | 13 | 39 / 16 | $37.366,00 | 213 / 15 | $10.066,10 | 13 / 1 | $7.869,62 | 13 / 3 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 15 | $58.210,70 | 223 / 12 | $17.779,80 | 156 / 4 | $16.412,20 | 156 / 5 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 14 | $30.907,20 | 209 / 10 | $9.369,58 | 159 / 5 | $8.016,08 | 159 / 5 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 17 | $16.993,60 | 138 / 9 | $5.490,75 | 185 / 3 | $4.600,67 | 185 / 9 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 31 | $36.648,40 | 130 / 3 | $14.315,40 | 67 / 6 | $11.681,40 | 67 / 4 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 19 | $53.372,60 | 217 / 15 | $16.414,60 | 55 / 4 | $14.734,50 | 55 / 3 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 31 | $23.734,60 | 218 / 14 | $8.537,09 | 81 / 5 | $7.475,64 | 81 / 5 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 12 | $13.589,20 | 144 / 6 | $4.885,09 | 224 / 2 | $3.659,09 | 224 / 3 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 15 | $78.756,80 | 195 / 9 | $20.608,70 | 102 / 2 | $19.505,40 | 102 / 2 |
Major Male Pelvic Procedures W/O Cc/Mcc | 11 | 62 / 15 | $29.943,90 | 81 / 5 | $8.666,82 | 23 / 7 | $5.158,09 | 23 / 2 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 17 | $17.555,00 | 425 / 24 | $4.236,91 | 257 / 9 | $3.250,45 | 256 / 12 | Total 91 procedures | 3.502 | 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.