Hospital Costs > In North Carolina > Kings Mountain Hospital Inc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 47 | $20.191,00 | 1019 / 48 | $5.323,25 | 236 / 2 | $4.241,12 | 236 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 44 | $18.102,80 | 574 / 27 | $6.482,65 | 96 / 4 | $5.151,47 | 96 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 35 | $10.913,80 | 344 / 17 | $4.157,58 | 138 / 3 | $2.905,00 | 138 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 17 | 258 / 57 | $15.971,40 | 866 / 34 | $4.291,94 | 139 / 3 | $3.013,29 | 139 / 2 |
| G.I. Hemorrhage W Cc | 18 | 200 / 57 | $26.064,90 | 1294 / 68 | $5.681,83 | 270 / 2 | $4.666,83 | 270 / 6 |
| Heart Failure & Shock W Mcc | 25 | 259 / 62 | $20.862,10 | 472 / 30 | $8.081,28 | 155 / 3 | $7.145,12 | 155 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 46 | $25.061,90 | 799 / 50 | $5.952,20 | 154 / 3 | $4.729,07 | 154 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 39 | $20.500,60 | 99 / 8 | $9.016,17 | 42 / 3 | $7.803,25 | 42 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 44 | $21.299,90 | 659 / 47 | $6.274,88 | 112 / 6 | $5.049,12 | 112 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 49 | $17.906,90 | 1340 / 57 | $4.527,10 | 156 / 5 | $3.240,45 | 156 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 34 | $19.769,30 | 394 / 27 | $6.077,85 | 48 / 1 | $5.046,92 | 48 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 41 | $16.313,30 | 1118 / 51 | $4.092,74 | 280 / 2 | $3.105,74 | 280 / 7 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 55 | $25.490,20 | 763 / 45 | $6.884,82 | 158 / 2 | $5.822,41 | 158 / 5 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 21 | $13.326,40 | 44 / 1 | $6.891,45 | 89 / 1 | $6.094,55 | 89 / 3 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 35 | $17.380,30 | 661 / 32 | $4.536,87 | 125 / 3 | $3.475,60 | 125 / 4 |
| Renal Failure W Cc | 22 | 199 / 56 | $17.594,50 | 737 / 43 | $5.468,18 | 49 / 3 | $4.050,09 | 49 / 1 |
| Renal Failure W Mcc | 27 | 168 / 36 | $26.440,80 | 541 / 41 | $8.433,04 | 46 / 8 | $6.957,37 | 46 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 99 | 417 / 53 | $32.417,70 | 907 / 44 | $9.849,13 | 113 / 1 | $8.677,82 | 113 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 54 | $24.317,00 | 1191 / 59 | $6.070,68 | 140 / 5 | $4.747,95 | 140 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 54 | $14.775,80 | 529 / 21 | $5.524,93 | 157 / 5 | $4.241,53 | 157 / 3 |
| Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 56 | $22.470,50 | 540 / 28 | $7.477,68 | 41 / 1 | $6.343,18 | 41 / 1 | Total 21 procedures | 465 | 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.