Hospital Costs > In North Carolina > Lexington Memorial Hospital Inc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 111 | 405 / 51 | $19.718,10 | 254 / 9 | $10.503,00 | 158 / 13 | $8.827,29 | 158 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 55 | 509 / 55 | $31.033,70 | 265 / 9 | $12.767,90 | 507 / 25 | $10.330,10 | 504 / 19 |
| Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 50 | $16.353,00 | 186 / 10 | $8.011,35 | 65 / 6 | $6.474,14 | 65 / 2 |
| Heart Failure & Shock W Mcc | 29 | 255 / 59 | $16.589,50 | 225 / 9 | $8.743,83 | 310 / 21 | $7.425,79 | 310 / 15 |
| Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 48 | $13.206,30 | 194 / 11 | $7.166,45 | 340 / 25 | $5.603,00 | 339 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 51 | $13.629,00 | 255 / 7 | $6.416,17 | 342 / 14 | $5.033,65 | 341 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 52 | $10.785,20 | 269 / 5 | $4.853,05 | 984 / 26 | $3.752,23 | 976 / 42 |
| Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 51 | $12.743,00 | 329 / 9 | $5.794,90 | 388 / 12 | $4.553,35 | 385 / 11 |
| Heart Failure & Shock W Cc | 20 | 258 / 59 | $10.010,80 | 128 / 5 | $5.973,70 | 573 / 17 | $4.963,05 | 573 / 22 |
| G.I. Hemorrhage W Cc | 18 | 200 / 57 | $12.537,20 | 138 / 3 | $6.309,17 | 519 / 32 | $4.926,56 | 518 / 24 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 46 | $20.582,30 | 115 / 12 | $10.328,80 | 34 / 5 | $8.942,00 | 34 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 48 | $14.837,60 | 145 / 6 | $6.635,54 | 498 / 29 | $5.220,31 | 497 / 22 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 22 | $12.243,20 | 9 / 1 | $8.108,42 | 93 / 5 | $6.803,50 | 93 / 3 |
| Pulmonary Edema & Respiratory Failure | 12 | 191 / 57 | $15.508,20 | 171 / 12 | $7.286,67 | 148 / 12 | $5.802,33 | 148 / 4 |
| Renal Failure W Cc | 11 | 210 / 62 | $10.476,30 | 123 / 6 | $6.053,09 | 530 / 31 | $4.784,73 | 526 / 21 |
| Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 57 | $9.607,91 | 256 / 3 | $4.946,36 | 618 / 26 | $3.699,18 | 616 / 21 |
| Chest Pain | 11 | 140 / 32 | $10.192,30 | 157 / 3 | $4.553,45 | 254 / 34 | $2.624,36 | 253 / 7 | Total 17 procedures | 447 | 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.