Hospital Costs > In North Carolina > Lake Norman Regional Medical Center, 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 | $38.789,40 | 758 / 41 | $8.388,12 | 5 / 3 | $6.385,25 | 5 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 51 | $18.691,20 | 919 / 47 | $4.754,55 | 449 / 9 | $3.765,45 | 449 / 18 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 40 | $26.032,40 | 727 / 44 | $7.154,36 | 562 / 11 | $6.461,79 | 559 / 30 |
Cellulitis W/O Mcc | 19 | 170 / 46 | $26.648,90 | 1972 / 72 | $5.147,05 | 726 / 14 | $4.065,79 | 722 / 27 |
Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 50 | $23.872,30 | 1376 / 65 | $5.600,67 | 544 / 10 | $4.592,67 | 542 / 22 |
Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 57 | $28.370,10 | 1365 / 69 | $6.609,65 | 466 / 7 | $5.753,18 | 465 / 24 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 51 | $29.964,70 | 2163 / 81 | $4.598,48 | 760 / 11 | $3.603,70 | 755 / 29 |
G.I. Hemorrhage W Cc | 30 | 188 / 49 | $31.175,00 | 1622 / 77 | $6.036,20 | 585 / 15 | $4.987,67 | 584 / 30 |
G.I. Hemorrhage W Mcc | 14 | 107 / 29 | $50.320,60 | 1013 / 50 | $9.663,71 | 178 / 5 | $8.799,71 | 178 / 9 |
Heart Failure & Shock W Cc | 37 | 241 / 51 | $22.830,00 | 1467 / 64 | $5.775,08 | 209 / 9 | $4.556,92 | 209 / 4 |
Heart Failure & Shock W Mcc | 71 | 213 / 39 | $37.966,40 | 1555 / 75 | $8.334,08 | 241 / 12 | $7.311,07 | 241 / 11 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 39 | $68.436,10 | 1514 / 67 | $11.234,90 | 146 / 17 | $9.338,35 | 145 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 43 | $28.238,10 | 1029 / 60 | $6.266,26 | 467 / 12 | $5.190,05 | 466 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 29 | $24.039,90 | 842 / 51 | $4.629,15 | 478 / 7 | $3.605,15 | 475 / 21 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 46 | $26.691,50 | 1015 / 64 | $6.659,00 | 372 / 16 | $5.528,07 | 371 / 18 |
Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 41 | $21.624,40 | 1735 / 70 | $4.581,34 | 430 / 8 | $3.564,34 | 430 / 12 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 130 | 434 / 36 | $72.851,60 | 2067 / 75 | $12.214,70 | 356 / 8 | $10.075,80 | 355 / 11 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 24 | $149.145,00 | 802 / 34 | $29.338,50 | 392 / 9 | $28.459,90 | 390 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 46 | $17.681,60 | 1288 / 60 | $4.222,71 | 447 / 4 | $3.276,43 | 447 / 18 |
O.R. Procedures For Obesity W/O Cc/Mcc | 13 | 64 / 8 | $46.781,20 | 237 / 7 | $9.555,77 | 15 / 3 | $6.734,92 | 15 / 1 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 29 | $38.496,80 | 604 / 37 | $8.248,46 | 109 / 2 | $7.601,08 | 109 / 7 |
Pulmonary Edema & Respiratory Failure | 36 | 167 / 46 | $34.815,70 | 1288 / 69 | $7.777,97 | 189 / 33 | $5.887,89 | 189 / 8 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 38 | $23.215,60 | 1138 / 53 | $4.917,55 | 555 / 8 | $4.039,00 | 553 / 22 |
Renal Failure W Cc | 45 | 176 / 42 | $24.232,90 | 1369 / 71 | $5.695,96 | 561 / 10 | $4.812,76 | 557 / 23 |
Renal Failure W Mcc | 20 | 175 / 42 | $38.015,10 | 1204 / 67 | $8.773,15 | 444 / 18 | $7.985,95 | 444 / 29 |
Respiratory Infections & Inflammations W Mcc | 23 | 113 / 36 | $65.736,40 | 1353 / 66 | $10.771,90 | 287 / 9 | $9.985,78 | 287 / 18 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 96 | 420 / 54 | $55.008,60 | 1947 / 79 | $10.859,00 | 516 / 24 | $9.547,20 | 516 / 22 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 53 | $38.351,80 | 1981 / 79 | $6.143,75 | 581 / 6 | $5.297,35 | 579 / 28 |
Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 54 | $33.314,30 | 2113 / 77 | $5.748,80 | 372 / 11 | $4.539,20 | 370 / 9 |
Simple Pneumonia & Pleurisy W Mcc | 39 | 166 / 48 | $48.512,50 | 1866 / 75 | $8.441,56 | 516 / 16 | $7.344,28 | 516 / 26 |
Spinal Fusion Except Cervical W/O Mcc | 30 | 164 / 23 | $138.328,00 | 1052 / 36 | $22.913,40 | 495 / 10 | $21.748,60 | 492 / 18 | Total 31 procedures | 876 | 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.