Hospital Costs > In North Carolina > Margaret R Pardee Memorial Hospital, 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 | 228 | 336 / 18 | $40.494,90 | 780 / 25 | $12.222,50 | 483 / 9 | $10.290,90 | 480 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 207 | 309 / 28 | $22.646,20 | 390 / 18 | $10.016,80 | 147 / 5 | $8.792,83 | 147 / 5 |
| Psychoses | 197 | 119 / 9 | $13.488,10 | 151 / 7 | $6.167,25 | 39 / 3 | $4.737,64 | 39 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 86 | 116 / 18 | $16.395,90 | 425 / 19 | $6.983,34 | 182 / 14 | $5.379,20 | 182 / 7 |
| Heart Failure & Shock W Cc | 86 | 192 / 28 | $12.126,60 | 278 / 9 | $5.736,74 | 247 / 7 | $4.615,13 | 247 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 82 | 123 / 23 | $17.509,00 | 240 / 13 | $8.194,23 | 142 / 10 | $6.687,74 | 142 / 5 |
| G.I. Hemorrhage W Cc | 77 | 141 / 23 | $15.989,00 | 389 / 19 | $5.868,42 | 305 / 5 | $4.715,14 | 305 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 73 | 202 / 25 | $13.398,80 | 559 / 18 | $4.717,56 | 416 / 19 | $3.336,77 | 414 / 11 |
| Heart Failure & Shock W Mcc | 67 | 217 / 40 | $17.235,30 | 258 / 11 | $8.280,43 | 175 / 8 | $7.192,67 | 175 / 7 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 59 | 66 / 5 | $10.157,90 | 135 / 3 | $4.377,14 | 87 / 5 | $3.136,97 | 87 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 58 | 145 / 25 | $15.317,60 | 598 / 28 | $5.934,16 | 393 / 17 | $4.558,02 | 390 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 57 | 104 / 17 | $9.797,37 | 100 / 2 | $4.631,12 | 281 / 3 | $3.587,47 | 281 / 8 |
| Kidney & Urinary Tract Infections W Mcc | 52 | 92 / 14 | $16.465,10 | 333 / 26 | $6.715,60 | 336 / 19 | $5.478,56 | 335 / 17 |
| Renal Failure W Cc | 52 | 169 / 39 | $13.447,40 | 336 / 17 | $5.632,67 | 396 / 6 | $4.650,29 | 393 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 52 | 155 / 31 | $16.436,10 | 474 / 21 | $6.241,92 | 300 / 11 | $4.992,46 | 299 / 8 |
| Kidney & Urinary Tract Infections W/O Mcc | 51 | 182 / 30 | $12.778,80 | 617 / 24 | $4.699,06 | 456 / 12 | $3.589,57 | 456 / 15 |
| Hip & Femur Procedures Except Major Joint W Cc | 50 | 93 / 16 | $33.381,90 | 351 / 8 | $10.709,30 | 178 / 5 | $9.430,10 | 177 / 6 |
| Renal Failure W Mcc | 48 | 147 / 28 | $15.971,10 | 95 / 9 | $8.581,46 | 211 / 13 | $7.566,79 | 211 / 12 |
| Chronic Obstructive Pulmonary Disease W Cc | 47 | 132 / 28 | $12.368,30 | 269 / 10 | $5.450,30 | 369 / 6 | $4.392,68 | 368 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 44 | 106 / 21 | $7.902,95 | 138 / 2 | $3.496,77 | 233 / 7 | $2.182,07 | 231 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 29 | $15.158,10 | 163 / 7 | $6.164,24 | 299 / 6 | $4.979,85 | 298 / 12 |
| Respiratory Infections & Inflammations W Mcc | 41 | 95 / 24 | $21.311,70 | 131 / 14 | $10.462,30 | 76 / 6 | $9.272,12 | 76 / 3 |
| Cellulitis W/O Mcc | 41 | 148 / 31 | $13.444,60 | 654 / 22 | $5.023,46 | 278 / 6 | $3.660,29 | 276 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 38 | 85 / 23 | $15.399,20 | 131 / 4 | $7.033,00 | 187 / 7 | $5.832,68 | 187 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 27 | $10.060,10 | 317 / 7 | $4.234,62 | 371 / 5 | $3.209,65 | 371 / 14 |
| Other Digestive System Diagnoses W Cc | 31 | 66 / 15 | $16.937,20 | 238 / 9 | $5.770,32 | 136 / 3 | $4.510,19 | 135 / 5 |
| Spinal Fusion Except Cervical W/O Mcc | 27 | 167 / 24 | $58.696,30 | 199 / 4 | $21.770,30 | 274 / 5 | $20.364,10 | 273 / 7 |
| Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 23 | $9.556,12 | 222 / 6 | $4.098,50 | 195 / 5 | $2.962,04 | 193 / 5 |
| Major Small & Large Bowel Procedures W Cc | 25 | 83 / 17 | $45.255,00 | 298 / 12 | $14.358,60 | 298 / 8 | $12.865,20 | 296 / 14 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 24 | 77 / 19 | $18.841,60 | 97 / 7 | $8.608,33 | 65 / 6 | $7.362,50 | 65 / 4 |
| Respiratory Infections & Inflammations W Cc | 24 | 64 / 16 | $16.099,90 | 132 / 7 | $7.901,62 | 180 / 9 | $6.725,62 | 179 / 10 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 21 | $24.292,90 | 155 / 8 | $9.674,13 | 152 / 6 | $8.694,04 | 152 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 29 | $17.930,40 | 55 / 4 | $9.102,35 | 54 / 4 | $7.884,96 | 54 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 25 | $19.169,00 | 137 / 8 | $8.850,50 | 91 / 5 | $7.858,59 | 91 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 15 | $16.007,70 | 146 / 6 | $6.718,76 | 140 / 5 | $5.711,24 | 140 / 5 |
| Transient Ischemia | 20 | 105 / 21 | $11.524,40 | 114 / 3 | $4.658,55 | 78 / 21 | $2.739,30 | 78 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 23 | $18.082,70 | 143 / 5 | $6.974,50 | 166 / 5 | $5.868,70 | 165 / 6 |
| Disorders Of Pancreas Except Malignancy W Cc | 20 | 41 / 10 | $16.943,80 | 180 / 7 | $5.484,05 | 193 / 4 | $4.477,25 | 193 / 9 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 19 | 53 / 16 | $29.842,90 | 341 / 29 | $9.605,84 | 398 / 23 | $8.142,53 | 397 / 22 |
| G.I. Obstruction W Cc | 19 | 73 / 23 | $13.912,30 | 217 / 5 | $5.362,79 | 222 / 6 | $4.088,05 | 221 / 8 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 26 | $15.512,60 | 129 / 2 | $5.858,06 | 91 / 4 | $4.673,78 | 91 / 3 |
| Cellulitis W Mcc | 17 | 41 / 14 | $17.589,90 | 81 / 1 | $8.119,71 | 143 / 3 | $7.211,82 | 143 / 4 |
| Pulmonary Embolism W/O Mcc | 17 | 57 / 19 | $13.389,50 | 103 / 3 | $5.532,82 | 133 / 1 | $4.442,94 | 133 / 4 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 11 | $15.408,50 | 315 / 19 | $4.140,94 | 39 / 6 | $2.622,35 | 39 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 32 | $10.834,20 | 336 / 16 | $4.375,25 | 283 / 6 | $3.123,50 | 283 / 8 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 15 | $10.021,50 | 138 / 5 | $3.769,88 | 208 / 4 | $2.549,38 | 208 / 6 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 20 | $66.675,10 | 106 / 4 | $22.299,70 | 7 / 1 | $20.919,90 | 7 / 1 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 17 | $16.500,70 | 83 / 2 | $7.500,60 | 36 / 6 | $5.750,20 | 36 / 1 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 15 | 54 / 12 | $62.377,20 | 221 / 9 | $14.645,80 | 133 / 1 | $13.439,10 | 133 / 4 |
| Extracranial Procedures W/O Cc/Mcc | 15 | 83 / 22 | $20.429,50 | 149 / 5 | $6.017,73 | 270 / 3 | $5.138,13 | 270 / 6 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 16 | $12.351,30 | 78 / 6 | $4.397,43 | 150 / 2 | $3.445,00 | 150 / 7 |
| Permanent Cardiac Pacemaker Implant W Mcc | 14 | 38 / 12 | $40.131,70 | 10 / 1 | $19.423,80 | 27 / 1 | $18.031,90 | 27 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 11 | $30.252,40 | 43 / 1 | $11.019,10 | 95 / 2 | $9.780,57 | 95 / 2 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 36 | $13.828,50 | 336 / 9 | $4.797,23 | 470 / 5 | $3.954,00 | 469 / 16 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 20 | $34.312,80 | 39 / 2 | $14.746,60 | 149 / 2 | $13.655,40 | 149 / 2 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 16 | $31.328,80 | 51 / 2 | $12.026,20 | 121 / 2 | $10.845,80 | 121 / 5 |
| Other Vascular Procedures W Cc | 13 | 89 / 20 | $49.105,50 | 190 / 10 | $14.081,80 | 144 / 1 | $13.015,80 | 144 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 16 | $26.234,80 | 50 / 4 | $9.344,31 | 166 / 6 | $8.153,23 | 166 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 34 | $13.838,20 | 114 / 6 | $6.724,69 | 173 / 15 | $5.479,54 | 171 / 6 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 22 | $49.573,20 | 335 / 11 | $12.359,10 | 215 / 2 | $11.139,80 | 213 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 32 | $59.258,20 | 100 / 7 | $24.513,00 | 25 / 1 | $23.236,70 | 25 / 3 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 16 | $25.582,70 | 102 / 5 | $9.528,08 | 67 / 1 | $8.577,25 | 67 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 17 | $26.678,00 | 89 / 8 | $9.720,18 | 30 / 1 | $9.109,27 | 30 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 26 | $8.999,73 | 142 / 3 | $4.256,64 | 267 / 4 | $3.013,55 | 265 / 7 |
| Pulmonary Edema & Respiratory Failure | 11 | 192 / 58 | $13.618,00 | 92 / 8 | $7.027,55 | 480 / 6 | $6.314,64 | 480 / 27 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 17 | $43.995,80 | 70 / 3 | $15.276,00 | 17 / 1 | $14.132,40 | 17 / 1 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 25 | $10.550,10 | 66 / 2 | $5.060,55 | 56 / 3 | $3.653,45 | 56 / 2 | Total 67 procedures | 2.588 | 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.