Hospital Costs > In North Carolina > Iredell Memorial Hospital 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 | 197 | 367 / 25 | $67.686,20 | 1934 / 73 | $12.444,20 | 214 / 14 | $9.764,09 | 214 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 149 | 367 / 43 | $44.826,90 | 1563 / 68 | $11.643,70 | 182 / 51 | $8.881,48 | 182 / 7 |
| Chronic Obstructive Pulmonary Disease W Cc | 98 | 81 / 7 | $20.325,80 | 1035 / 50 | $5.529,37 | 179 / 8 | $4.131,55 | 179 / 3 |
| Heart Failure & Shock W Mcc | 95 | 189 / 32 | $27.166,60 | 915 / 55 | $8.491,22 | 62 / 14 | $6.818,42 | 62 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 78 | 125 / 16 | $22.351,10 | 1388 / 59 | $5.622,62 | 242 / 6 | $4.390,87 | 242 / 5 |
| Respiratory Infections & Inflammations W Mcc | 78 | 58 / 10 | $45.993,90 | 969 / 62 | $11.236,60 | 301 / 20 | $10.024,20 | 301 / 19 |
| Kidney & Urinary Tract Infections W/O Mcc | 77 | 156 / 20 | $13.414,60 | 700 / 27 | $4.472,21 | 249 / 4 | $3.366,91 | 249 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 76 | 90 / 12 | $14.283,70 | 872 / 39 | $4.256,79 | 336 / 7 | $3.175,30 | 336 / 13 |
| Chronic Obstructive Pulmonary Disease W Mcc | 72 | 130 / 22 | $24.800,50 | 1113 / 59 | $7.328,12 | 34 / 38 | $4.866,04 | 34 / 1 |
| Respiratory Infections & Inflammations W Cc | 71 | 20 / 1 | $34.033,80 | 821 / 51 | $7.820,54 | 172 / 7 | $6.696,70 | 171 / 9 |
| Renal Failure W Cc | 70 | 151 / 29 | $17.482,20 | 727 / 42 | $5.927,91 | 238 / 19 | $4.448,84 | 237 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 68 | 207 / 29 | $17.454,00 | 1058 / 46 | $4.592,32 | 448 / 10 | $3.359,40 | 446 / 12 |
| Heart Failure & Shock W Cc | 55 | 223 / 41 | $19.872,30 | 1174 / 51 | $6.116,71 | 285 / 25 | $4.675,18 | 285 / 7 |
| Pulmonary Edema & Respiratory Failure | 50 | 153 / 36 | $26.681,20 | 837 / 51 | $8.062,60 | 17 / 46 | $5.257,26 | 17 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 45 | 78 / 18 | $27.494,50 | 820 / 47 | $7.393,53 | 83 / 19 | $5.561,36 | 83 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 44 | 161 / 44 | $39.809,40 | 1555 / 69 | $9.059,50 | 78 / 41 | $6.518,86 | 78 / 3 |
| G.I. Hemorrhage W Cc | 43 | 175 / 41 | $20.599,10 | 801 / 50 | $5.940,00 | 145 / 6 | $4.460,02 | 145 / 2 |
| Cellulitis W/O Mcc | 43 | 146 / 29 | $15.515,00 | 919 / 35 | $4.974,91 | 387 / 4 | $3.783,74 | 384 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 41 | 166 / 37 | $21.372,70 | 910 / 46 | $6.452,15 | 165 / 16 | $4.792,46 | 165 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 37 | 124 / 29 | $17.542,70 | 818 / 44 | $4.661,35 | 373 / 5 | $3.702,43 | 373 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 34 | $23.847,00 | 712 / 49 | $6.005,56 | 146 / 5 | $4.706,85 | 146 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 34 | 116 / 25 | $13.099,80 | 727 / 41 | $3.429,62 | 461 / 5 | $2.407,32 | 458 / 17 |
| Transient Ischemia | 33 | 92 / 15 | $18.219,70 | 522 / 28 | $4.168,58 | 172 / 4 | $2.966,64 | 172 / 4 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 19 | $13.920,50 | 653 / 34 | $4.443,74 | 223 / 9 | $3.047,35 | 223 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 29 | 67 / 18 | $29.307,20 | 604 / 35 | $7.314,52 | 241 / 11 | $6.107,00 | 240 / 13 |
| Hip & Femur Procedures Except Major Joint W Cc | 27 | 116 / 30 | $59.419,40 | 1334 / 63 | $11.082,10 | 245 / 10 | $9.613,30 | 244 / 9 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 23 | $63.530,70 | 994 / 55 | $16.180,60 | 348 / 54 | $12.009,00 | 344 / 21 |
| Renal Failure W Mcc | 26 | 169 / 37 | $29.334,80 | 722 / 51 | $8.482,27 | 197 / 9 | $7.530,88 | 197 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 25 | $17.720,60 | 292 / 17 | $6.177,00 | 58 / 2 | $5.107,84 | 58 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 24 | 120 / 37 | $21.571,00 | 676 / 48 | $6.281,50 | 95 / 7 | $5.007,58 | 95 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 29 | $23.469,80 | 219 / 9 | $5.963,00 | 169 / 1 | $4.905,08 | 169 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 15 | $15.684,50 | 801 / 36 | $4.679,26 | 157 / 19 | $2.831,61 | 156 / 3 |
| Pulmonary Embolism W/O Mcc | 23 | 51 / 15 | $27.713,80 | 755 / 42 | $5.826,22 | 161 / 5 | $4.515,78 | 161 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 20 | $22.477,40 | 750 / 45 | $5.395,70 | 105 / 39 | $3.012,35 | 103 / 2 |
| Medical Back Problems W/O Mcc | 22 | 99 / 18 | $19.683,40 | 497 / 16 | $5.437,91 | 14 / 8 | $3.214,68 | 14 / 2 |
| Bronchitis & Asthma W Cc/Mcc | 22 | 54 / 15 | $18.712,40 | 339 / 23 | $5.403,95 | 50 / 7 | $3.637,45 | 50 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 26 | $39.320,50 | 785 / 43 | $10.429,70 | 276 / 25 | $8.493,81 | 276 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 31 | $42.849,40 | 775 / 51 | $9.936,20 | 252 / 13 | $8.641,80 | 251 / 17 |
| G.I. Obstruction W Cc | 19 | 73 / 23 | $18.120,20 | 524 / 19 | $5.161,42 | 134 / 4 | $3.897,42 | 133 / 5 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 25 | $86.555,40 | 321 / 22 | $29.264,30 | 17 / 12 | $22.393,60 | 17 / 2 |
| Diabetes W Cc | 19 | 73 / 26 | $14.900,50 | 334 / 20 | $4.762,16 | 176 / 4 | $3.778,16 | 176 / 6 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 30 | $16.798,30 | 1040 / 48 | $4.105,39 | 432 / 6 | $3.241,94 | 430 / 16 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 18 | 39 / 13 | $52.844,80 | 313 / 14 | $11.615,00 | 47 / 1 | $10.235,20 | 47 / 1 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 22 | $22.747,20 | 550 / 24 | $7.049,22 | 52 / 28 | $4.217,61 | 52 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 17 | 179 / 23 | $61.064,60 | 478 / 17 | $11.349,50 | 51 / 1 | $9.073,47 | 51 / 1 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 19 | $77.403,90 | 1124 / 38 | $16.175,90 | 1054 / 35 | $13.959,40 | 1047 / 36 |
| Seizures W/O Mcc | 17 | 91 / 18 | $15.828,50 | 296 / 11 | $4.429,71 | 143 / 2 | $3.431,82 | 142 / 3 |
| Respiratory Neoplasms W Mcc | 16 | 36 / 13 | $37.655,30 | 222 / 16 | $10.129,10 | 11 / 2 | $7.801,12 | 11 / 2 |
| G.I. Hemorrhage W Mcc | 16 | 105 / 27 | $32.228,20 | 400 / 25 | $11.025,20 | 29 / 27 | $8.093,50 | 29 / 1 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 15 | $19.971,20 | 414 / 17 | $5.630,56 | 47 / 3 | $4.126,19 | 47 / 1 |
| Syncope & Collapse | 16 | 153 / 33 | $19.161,40 | 780 / 38 | $4.351,56 | 163 / 4 | $3.107,94 | 163 / 1 |
| Major Small & Large Bowel Procedures W Cc | 16 | 92 / 26 | $60.325,20 | 646 / 30 | $15.433,60 | 154 / 13 | $12.223,80 | 153 / 8 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 20 | $93.200,70 | 325 / 15 | $26.939,60 | 116 / 3 | $25.234,10 | 116 / 3 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 18 | $94.797,00 | 735 / 29 | $13.441,30 | 101 / 8 | $10.464,60 | 101 / 3 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 19 | $92.052,40 | 189 / 10 | $26.157,70 | 1 / 1 | $19.933,80 | 1 / 1 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 13 | 56 / 18 | $58.544,20 | 247 / 11 | $11.257,50 | 14 / 5 | $7.881,92 | 14 / 1 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 20 | $112.774,00 | 273 / 15 | $30.219,60 | 43 / 2 | $28.126,70 | 43 / 2 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 13 | 78 / 8 | $25.269,90 | 117 / 5 | $6.256,54 | 39 / 2 | $5.996,69 | 39 / 3 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 36 | $21.306,30 | 1014 / 48 | $5.124,85 | 224 / 19 | $3.667,08 | 224 / 7 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 7 | $17.510,10 | 42 / 2 | $6.783,00 | 24 / 1 | $5.469,46 | 24 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 17 | $37.831,00 | 220 / 14 | $9.106,50 | 106 / 3 | $7.875,50 | 106 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 16 | $102.567,00 | 672 / 33 | $19.500,00 | 343 / 10 | $17.936,20 | 341 / 15 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 18 | $79.756,80 | 528 / 26 | $17.308,90 | 191 / 7 | $15.833,30 | 190 / 7 |
| Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 31 | $172.998,00 | 1205 / 38 | $28.412,40 | 781 / 29 | $23.925,60 | 777 / 26 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 13 | $25.574,90 | 84 / 5 | $6.837,92 | 93 / 2 | $5.595,42 | 93 / 3 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 17 | $26.355,00 | 523 / 25 | $5.428,64 | 160 / 3 | $4.375,18 | 160 / 7 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 10 | $32.269,60 | 243 / 15 | $7.757,82 | 68 / 1 | $6.761,09 | 68 / 1 | Total 67 procedures | 2.390 | 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.