Hospital Costs > In North Carolina > Lenoir Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Heart Failure & Shock W Mcc | 126 | 158 / 24 | $18.938,10 | 371 / 21 | $9.295,94 | 724 / 49 | $7.964,95 | 724 / 36 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 124 | 392 / 49 | $22.856,20 | 407 / 19 | $11.393,90 | 849 / 44 | $9.987,72 | 848 / 46 |
| Heart Failure & Shock W Cc | 90 | 188 / 26 | $14.960,00 | 572 / 30 | $6.405,64 | 743 / 44 | $5.100,61 | 742 / 35 |
| Renal Failure W Cc | 82 | 139 / 24 | $14.959,60 | 458 / 29 | $6.356,33 | 871 / 44 | $5.058,13 | 863 / 45 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 73 | 134 / 21 | $19.193,80 | 713 / 38 | $7.081,27 | 948 / 47 | $5.620,96 | 945 / 49 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 66 | 498 / 51 | $38.387,90 | 667 / 17 | $12.913,80 | 1081 / 31 | $11.188,00 | 1058 / 49 |
| Chronic Obstructive Pulmonary Disease W Mcc | 66 | 136 / 25 | $17.586,80 | 526 / 24 | $7.741,79 | 598 / 57 | $5.860,18 | 596 / 30 |
| G.I. Hemorrhage W Cc | 58 | 160 / 31 | $18.399,80 | 599 / 33 | $6.529,21 | 806 / 44 | $5.183,50 | 804 / 40 |
| Simple Pneumonia & Pleurisy W Mcc | 56 | 149 / 36 | $21.150,40 | 452 / 23 | $9.171,91 | 911 / 44 | $7.769,57 | 911 / 49 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 53 | 72 / 14 | $23.198,60 | 239 / 11 | $10.378,60 | 489 / 24 | $8.977,66 | 488 / 24 |
| Simple Pneumonia & Pleurisy W Cc | 52 | 151 / 29 | $16.526,00 | 738 / 32 | $6.404,75 | 971 / 39 | $5.053,96 | 968 / 43 |
| Chronic Obstructive Pulmonary Disease W Cc | 49 | 130 / 27 | $14.921,40 | 501 / 24 | $6.306,98 | 485 / 48 | $4.527,47 | 484 / 19 |
| Kidney & Urinary Tract Infections W/O Mcc | 46 | 187 / 33 | $14.856,10 | 909 / 41 | $5.282,98 | 950 / 49 | $3.921,30 | 943 / 41 |
| Renal Failure W Mcc | 46 | 149 / 29 | $24.360,70 | 427 / 34 | $9.660,43 | 628 / 43 | $8.250,83 | 628 / 39 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 42 | 233 / 39 | $13.223,30 | 529 / 16 | $4.951,14 | 977 / 34 | $3.749,55 | 969 / 41 |
| Pulmonary Edema & Respiratory Failure | 41 | 162 / 43 | $19.002,80 | 341 / 24 | $7.901,80 | 587 / 38 | $6.436,59 | 587 / 37 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 38 | 82 / 14 | $10.731,70 | 323 / 13 | $5.016,53 | 580 / 40 | $3.390,92 | 579 / 21 |
| Respiratory Infections & Inflammations W Mcc | 36 | 100 / 26 | $32.713,20 | 503 / 36 | $12.665,60 | 743 / 47 | $11.015,60 | 735 / 46 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 31 | $12.755,90 | 295 / 14 | $5.320,97 | 444 / 40 | $3.762,21 | 444 / 17 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 29 | $14.443,20 | 890 / 40 | $5.028,12 | 573 / 51 | $3.361,56 | 571 / 24 |
| Pulmonary Embolism W/O Mcc | 33 | 41 / 11 | $17.019,30 | 237 / 15 | $6.470,36 | 492 / 20 | $5.176,48 | 490 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 33 | 117 / 26 | $9.634,85 | 315 / 14 | $4.011,67 | 670 / 36 | $2.570,27 | 666 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 35 | $17.278,80 | 305 / 19 | $6.800,84 | 815 / 34 | $5.567,38 | 813 / 45 |
| Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 19 | $10.492,20 | 319 / 15 | $4.519,69 | 624 / 27 | $3.409,31 | 622 / 29 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 31 | 60 / 15 | $17.121,50 | 179 / 6 | $6.587,23 | 534 / 14 | $5.532,84 | 533 / 21 |
| Red Blood Cell Disorders W/O Mcc | 31 | 112 / 23 | $14.593,70 | 412 / 16 | $5.367,10 | 541 / 27 | $4.026,58 | 539 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 26 | $23.635,70 | 564 / 35 | $8.126,07 | 771 / 39 | $6.761,45 | 768 / 39 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 28 | 63 / 4 | $15.553,80 | 38 / 1 | $7.013,18 | 96 / 4 | $6.650,43 | 96 / 6 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 25 | 28 / 8 | $13.568,50 | 106 / 10 | $4.790,40 | 348 / 10 | $3.875,20 | 345 / 15 |
| Cellulitis W/O Mcc | 25 | 164 / 42 | $14.813,60 | 835 / 32 | $5.692,16 | 704 / 41 | $4.049,60 | 700 / 24 |
| Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 36 | $20.282,40 | 593 / 44 | $8.007,08 | 1092 / 60 | $6.554,40 | 1088 / 57 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 22 | $60.426,20 | 107 / 8 | $31.521,20 | 495 / 22 | $29.450,50 | 491 / 24 |
| Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 34 | $38.038,30 | 542 / 27 | $12.010,50 | 595 / 38 | $10.228,80 | 592 / 36 |
| Diabetes W Cc | 23 | 69 / 22 | $13.183,50 | 213 / 10 | $5.502,57 | 270 / 29 | $3.947,43 | 270 / 14 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 25 | $43.788,10 | 435 / 32 | $15.993,90 | 1014 / 51 | $14.168,90 | 1004 / 49 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 17 | $20.523,30 | 281 / 22 | $8.890,35 | 403 / 33 | $7.168,83 | 400 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 20 | $18.163,30 | 443 / 28 | $5.005,09 | 606 / 22 | $3.739,70 | 602 / 30 |
| G.I. Hemorrhage W Mcc | 21 | 100 / 23 | $22.860,70 | 123 / 5 | $10.889,10 | 488 / 25 | $9.625,14 | 489 / 27 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 18 | $9.122,40 | 155 / 6 | $4.697,20 | 619 / 20 | $3.336,55 | 616 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 28 | $15.557,70 | 172 / 10 | $7.172,21 | 366 / 25 | $5.817,26 | 363 / 19 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 24 | $19.650,70 | 115 / 8 | $9.791,42 | 106 / 21 | $7.587,42 | 106 / 6 |
| Transient Ischemia | 19 | 106 / 22 | $14.725,30 | 281 / 13 | $4.730,16 | 538 / 23 | $3.412,95 | 535 / 21 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 32 | $22.887,30 | 190 / 7 | $6.800,74 | 542 / 11 | $5.514,21 | 540 / 16 |
| Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 20 | $20.015,50 | 135 / 4 | $6.886,94 | 196 / 11 | $4.950,67 | 196 / 4 |
| Other Circulatory System Diagnoses W Mcc | 16 | 100 / 20 | $36.524,50 | 386 / 20 | $13.088,10 | 587 / 25 | $11.091,80 | 585 / 21 |
| Syncope & Collapse | 16 | 153 / 33 | $18.038,90 | 680 / 33 | $4.960,88 | 557 / 25 | $3.605,06 | 554 / 18 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 20 | $74.165,10 | 155 / 8 | $31.261,10 | 414 / 15 | $28.633,40 | 412 / 17 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 25 | $19.185,20 | 174 / 7 | $7.597,47 | 262 / 18 | $6.160,47 | 260 / 14 |
| Bronchitis & Asthma W/O Cc/Mcc | 14 | 31 / 6 | $11.024,50 | 61 / 2 | $4.372,14 | 119 / 2 | $3.083,86 | 119 / 3 |
| G.I. Obstruction W Cc | 14 | 78 / 28 | $17.208,60 | 445 / 16 | $5.995,00 | 567 / 22 | $4.541,86 | 566 / 19 |
| G.I. Obstruction W Mcc | 14 | 28 / 11 | $28.400,20 | 113 / 7 | $10.394,60 | 142 / 7 | $8.809,14 | 142 / 6 |
| Major Chest Procedures W Cc | 14 | 60 / 15 | $46.513,40 | 85 / 2 | $15.343,30 | 168 / 3 | $14.208,60 | 168 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 21 | $17.856,20 | 204 / 12 | $7.496,92 | 515 / 14 | $6.681,77 | 513 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 38 | $26.523,50 | 245 / 15 | $11.334,30 | 226 / 37 | $8.563,15 | 225 / 14 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 20 | $48.246,50 | 20 / 1 | $30.552,20 | 224 / 8 | $28.255,20 | 224 / 12 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 24 | $11.737,10 | 86 / 3 | $5.686,00 | 398 / 13 | $4.555,58 | 394 / 16 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 20 | $15.211,90 | 345 / 8 | $4.588,25 | 300 / 12 | $3.384,42 | 299 / 9 |
| Atherosclerosis W/O Mcc | 12 | 46 / 14 | $9.851,08 | 40 / 2 | $4.141,83 | / 6 | $3.111,00 | / |
| Chest Pain | 12 | 139 / 31 | $12.394,80 | 269 / 11 | $4.138,42 | 567 / 17 | $2.988,33 | 563 / 23 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 17 | $25.516,40 | 81 / 7 | $11.716,50 | 195 / 10 | $10.517,40 | 195 / 12 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 20 | $11.905,10 | 273 / 12 | $4.375,27 | 197 / 20 | $2.530,64 | 197 / 4 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 16 | $9.616,27 | 88 / 1 | $4.705,00 | 223 / 9 | $3.223,64 | 221 / 7 | Total 62 procedures | 2.049 | 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.