Hospital Costs > In North Carolina > Hugh Chatham Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 29 | $36.088,50 | 660 / 33 | $10.473,20 | 562 / 27 | $9.145,69 | 561 / 25 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 47 | $16.661,90 | 710 / 40 | $5.245,87 | 863 / 34 | $4.159,60 | 860 / 38 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 38 | $18.055,50 | 239 / 12 | $7.435,25 | 459 / 20 | $6.311,56 | 456 / 25 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 38 | $11.984,60 | 580 / 32 | $3.915,47 | 1061 / 31 | $2.870,71 | 1056 / 50 |
Cellulitis W Mcc | 12 | 46 / 18 | $17.699,80 | 83 / 2 | $8.687,92 | 252 / 8 | $7.651,25 | 251 / 9 |
Cellulitis W/O Mcc | 36 | 153 / 34 | $12.998,10 | 589 / 20 | $5.378,56 | 837 / 26 | $4.152,75 | 831 / 35 |
Chest Pain | 12 | 139 / 31 | $16.362,20 | 619 / 28 | $4.282,25 | 342 / 21 | $2.740,25 | 341 / 10 |
Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 37 | $21.330,40 | 1147 / 58 | $5.805,19 | 360 / 23 | $4.383,16 | 359 / 7 |
Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 53 | $18.694,30 | 621 / 30 | $7.050,67 | 579 / 18 | $5.849,90 | 578 / 28 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 34 | 86 / 16 | $15.567,50 | 851 / 43 | $4.932,94 | 645 / 33 | $3.439,65 | 644 / 25 |
Diabetes W Cc | 23 | 69 / 22 | $14.143,70 | 279 / 13 | $5.361,57 | 585 / 24 | $4.373,52 | 584 / 30 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 47 | 228 / 37 | $15.122,40 | 771 / 30 | $4.965,77 | 970 / 36 | $3.744,79 | 962 / 40 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 15 | $11.597,40 | 143 / 7 | $4.681,83 | 466 / 11 | $3.851,33 | 466 / 21 |
G.I. Hemorrhage W Cc | 17 | 201 / 58 | $16.062,90 | 397 / 20 | $6.092,53 | 516 / 18 | $4.923,35 | 515 / 23 |
Heart Failure & Shock W Cc | 46 | 232 / 45 | $18.221,00 | 955 / 45 | $6.296,87 | 798 / 37 | $5.139,52 | 797 / 38 |
Heart Failure & Shock W Mcc | 41 | 243 / 53 | $24.882,40 | 728 / 44 | $8.994,71 | 742 / 34 | $7.983,12 | 742 / 39 |
Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 27 | $13.096,70 | 619 / 33 | $4.602,48 | 636 / 31 | $3.421,95 | 634 / 30 |
Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 38 | $36.759,50 | 484 / 21 | $11.170,10 | 401 / 14 | $9.925,63 | 400 / 22 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 31 | $14.831,80 | 242 / 13 | $5.329,64 | 254 / 38 | $3.299,09 | 252 / 11 |
Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 51 | $12.319,60 | 552 / 17 | $5.047,44 | 710 / 34 | $3.760,78 | 706 / 30 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 74 | 490 / 48 | $39.988,30 | 752 / 23 | $12.686,40 | 586 / 21 | $10.455,80 | 580 / 26 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 28 | 138 / 33 | $12.853,30 | 655 / 30 | $4.710,21 | 866 / 33 | $3.554,25 | 863 / 36 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 16 | $11.868,90 | 166 / 8 | $4.278,08 | 202 / 11 | $3.127,58 | 201 / 9 |
Pulmonary Edema & Respiratory Failure | 27 | 176 / 50 | $26.991,50 | 856 / 53 | $7.429,93 | 557 / 18 | $6.405,96 | 557 / 34 |
Renal Failure W Cc | 29 | 192 / 53 | $16.843,40 | 654 / 39 | $6.176,97 | 718 / 34 | $4.929,07 | 711 / 35 |
Renal Failure W Mcc | 13 | 182 / 48 | $19.875,20 | 224 / 17 | $9.218,69 | 399 / 29 | $7.919,46 | 399 / 27 |
Respiratory Infections & Inflammations W Cc | 24 | 64 / 16 | $19.934,20 | 258 / 20 | $8.073,67 | 285 / 12 | $6.928,62 | 283 / 15 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 45 | $39.061,10 | 746 / 55 | $11.629,20 | 551 / 26 | $10.571,10 | 544 / 34 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 28 | $53.275,40 | 717 / 43 | $12.722,20 | 223 / 10 | $11.640,80 | 221 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 68 | 448 / 62 | $31.264,80 | 843 / 39 | $10.740,30 | 542 / 22 | $9.583,63 | 541 / 26 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 47 | $17.312,60 | 540 / 27 | $6.538,36 | 701 / 27 | $5.391,75 | 699 / 34 |
Simple Pneumonia & Pleurisy W Cc | 62 | 141 / 24 | $19.255,60 | 1061 / 50 | $6.157,66 | 777 / 27 | $4.884,90 | 774 / 32 |
Simple Pneumonia & Pleurisy W Mcc | 40 | 165 / 47 | $26.063,70 | 775 / 41 | $8.744,70 | 651 / 28 | $7.499,85 | 651 / 31 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 12 | $14.743,00 | 703 / 32 | $4.791,62 | 677 / 24 | $3.396,65 | 674 / 28 |
Transient Ischemia | 18 | 107 / 23 | $14.730,60 | 282 / 14 | $4.650,61 | 588 / 20 | $3.463,06 | 585 / 24 | Total 35 procedures | 948 | 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.